Ke kanu hou ʻana o Meniscal allograft

ʻO ka transplantation Meniscal allograft kahi ʻoki kahi kahi meniscus - kahi c cartilage c i ke kuli - waiho ʻia i kou kuli. Lawe ʻia ka meniskus hou mai kahi kanaka i make (cadaver) a hāʻawi i kā lākou kiko.

Inā ʻike kāu kauka he moho maikaʻi ʻoe no ka hoʻoliʻiliʻi kāne, lawe pinepine ʻia nā kukuna x a i ʻole MRI o kou kuli e ʻike i kahi meniscus e kūpono i kou kuli. Hoʻomaʻo ʻia ka meniscus i hāʻawi ʻia i loko o ka hale hana no nā maʻi a me nā maʻi.

ʻO nā ʻoki lāʻau ʻē aʻe, e like me ka hoʻoponopono ʻana i ka ligament a i ʻole ka cartilage, hiki ke hana ʻia i ka manawa o ka transplant kāne kāne a i ʻole me kahi ʻoki kaʻawale.

E loaʻa paha iā ʻoe ka anesthesia ākea ma mua o kēia ʻoki ʻana. ʻO kēia ka mea e hiamoe ʻoe a hiki ʻole ke ʻeha. A i ʻole, loaʻa paha iā ʻoe ka anesthesia āpana. E hoʻopili ʻia kou ʻūhā a me kou ʻūhā i ʻole ʻoe e ʻehaʻeha. Inā loaʻa iā ʻoe ka anesthesia āpana, hāʻawi ʻia ʻoe i lāʻau lapaʻau e hiamoe loa ai ʻoe i ka wā o ka hana.

Ma ke ʻoki kino:

• Hana pinepine ʻia ka transplant meniskus me ka hoʻohana ʻana i ka arthroscopy kuli. ʻElua a ʻekolu paha ʻoki liʻiliʻi a ke kaukoki e pili ana i kou kuli. E hoʻopili ʻia ka wai paʻakai (saline) i loko o kou kuli e hoʻonui i ke kuli.
• Hoʻokomo ʻia ka arthroscope i kou kuli ma o kahi ʻoki liʻiliʻi. Pili ka laulā i kahi nānā wikiō i ka lumi hana.
• Nānā ka mea lapaʻau i ka cartilage a me nā ligament o kou kuli, e hōʻoia ana i ke kūpono o kahi transplant meniscus, a ʻaʻohe ou maʻi koʻikoʻi o ke kuli.
• Hoʻomākaukau ka meniskus hou e pili pono i kou kuli.
• Inā waiho ʻia kekahi iʻa mai kāu meniscus kahiko, hemo ia.
• Hoʻokomo ʻia ka meniskus hou i kou kuli a hoʻopaʻa ʻia (humuhumu ʻia) i kahi. Hiki ke hoʻohana i nā ʻāpana a i ʻole nā ​​hāmeʻa e paʻa i ka meniskus ma kahi.

Ma hope o ka pau ʻana o ke kaha ʻana, pani ʻia nā ʻokiʻoki. Kau ʻia kahi lole ma luna o ka ʻeha. I ka wā o ka arthroscopy, lawe ka hapa nui o nā kauka i nā kiʻi o ke kaʻina hana mai ka nānā wikiō e hōʻike iā ʻoe i nā mea i loaʻa a me nā mea i hana ʻia.

ʻElua mau apo cartilage i waenakonu o kēlā me kēia kuli. ʻO hoʻokahi ma loko (medial meniscus) a ʻo kekahi ma waho (meniscus lateral). Ke haehae ʻia kahi meniskus, hemo pinepine ʻia e ke kuli arthroscopy. Hiki i kekahi poʻe ke ʻeha ma hope o ka hemo ʻana o ka meniskus.

Hoʻokomo kahi transplant meniskus i kahi meniskus hou i ka kuli kahi e nalowale ana ka meniskus. Hana ʻia kēia kaʻina hana ke kaumaha ka waimaka meniskus a pau a kokoke paha i ka pau ʻana o ka cartilage meniscus a haehae ʻia. Hiki i ke meniskus hou ke kōkua me ka ʻeha o ke kuli a pale paha i ka maʻi o ka wā e hiki mai ana.

Meniskus allograft transplantation paha e ʻōlelo ʻia no nā pilikia kuli e like me:

• Hoʻomohala ʻana i ka maʻi kōwao
• Ka hiki ʻole ke pāʻani i nā haʻuki a i ʻole nā ​​hana ʻē aʻe
• ʻEha kukuli
• Kuli e hāʻawi ala
• Kuli kūpaʻa
• Puhū kuli kūpaʻa

Nā pilikia no ka anesthesia a me ke kahakaha ʻana ma:

• Nā hopena āpau i nā lāʻau
• Pilikia i ka hanu ʻana
• Kahe ʻana o ke kahe, ke koko, maʻi

ʻO nā pōʻino no ke kahakaha transplant meniscal:

• Poino nerve
• ʻOʻoleʻa o ke kuli
• ʻO ka holo pono ʻole o ke ʻoki ʻana e hōʻoluʻolu i nā ʻōuli
• Hewa o ka meniskus e hoʻōla
• Haehae o ka meniskus hou
• ʻO ka maʻi mai ka meniscus transplanted
• ʻEha ma ka kuli
• Ka nāwaliwali o ke kuli

E haʻi i kāu mea mālama ola i nā lāʻau āu e lawe nei. Hoʻopili kēia i nā lāʻau, nā mea hoʻopiha, a i ʻole nā ​​mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau.

I loko o 2 mau pule ma mua o kou ʻoki kino:

• E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā mea lahilahi o ke koko. Hoʻopili kēia i ka aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), a me nā lāʻau ʻē aʻe.
• E nīnau i kāu mea hāʻawi i nā lāʻau e pono ai ʻoe e lawe i ka lā o kou ʻoki ʻana.
• Inā loaʻa ʻoe i ka maʻi diabetes, maʻi maʻi puʻuwai, a i ʻole nā ​​ʻano olakino ʻē aʻe, e noi ana kāu kauka iā ʻoe e ʻike i kāu kauka nāna e mālama iā ʻoe no kēia ʻano.
• E haʻi i kāu mea hāʻawi inā inu nui ʻoe i ka waiʻona, ʻoi aku ma mua o 1 a 2 mau inu i ka lā.
• Inā puhi ʻoe, hoʻāʻo e kū. E noi i kāu mea hāʻawi mai i kōkua. Hiki i ka puhihihi ke hoʻolohi i ka ʻeha a me ka hoʻōla iwi.
• E haʻi i kāu kauka inā hana ʻoe i ke anu, flu, fever, breakout herpes, a i ʻole nā ​​maʻi ʻē aʻe ma mua o kou ʻoki ʻana. Pono paha e hoʻopanee i ke kaʻina hana.

I ka lā o ke kaha ʻana:

• E hāhai i nā ʻōkuhi i ka wā e hōʻoki ai i ka ʻai a me ka inu ma mua o ke kaha ʻana.
• E lawe i nā lāʻau a kāu mea hāʻawi i kauoha aku ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E hāhai i nā ʻōkuhi i ka hiki ʻana i ka haukapila. E hōʻea pono i ka manawa.

E hāhai i nā ʻōlelo hoʻokuʻu a me nā mālama pono pilikino i hāʻawi ʻia iā ʻoe.

Ma hope o ke kahakaha ʻana, e komo paha ʻoe i ke kuʻekuʻe kuli no nā pule he 6 i hala. Pono ʻoe i nā koʻokoʻo no 6 mau pule e pale ai i ke kau ʻana i ke kaumaha ma kou kuli. Hiki paha iā ʻoe ke neʻe i ke kuli ma hope o ke kahakaha ʻana. ʻO ka hana ʻana pēlā e pale aku ai i ka ʻoʻoleʻa. Mālama pinepine ʻia ka ʻeha me nā lāʻau.

Hiki i ke olakino kino ke kōkua iā ʻoe e loaʻa hou ka neʻe a me ka ikaika o kou kuli. Kū ka Therapy ma waena o 4 a me 6 mau mahina.

Pehea kou manawa e hoʻi ai i ka hana i kāu hana. Hiki iā ia ke hala mai kekahi mau pule a i kekahi mau mahina. Hiki iā 6 mahina i hoʻokahi makahiki ke hoʻi piha i nā hana a me nā haʻuki.

He paʻakikī ʻoihana transplantation ʻo Meniscus allograft, a paʻakikī ka hoʻōla. Akā no ka poʻe e nalo ana i ka meniskus a loaʻa ka ʻeha, hiki ke holomua loa. Loaʻa ka hapa nui o ka poʻe i ka ʻeha o ke kuli ma hope o kēia kaʻina hana.

Hoʻokiʻi kāne Meniscus; ʻOki kino - kukuli - hoʻoliʻiliʻi kāne; ʻOki kino - kuli - cartilage; ʻO Arthroscopy - kuli - hoʻoliʻiliʻi kāne

• Hoʻopili ke kuli - hoʻokuʻu

Phillips BB, Mihalko MJ. ʻO Arthroscopy o ka palena haʻahaʻa. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 51.

ʻO Ruzbarsky JJ, Maak TG, Rodeo SA. Nā hōʻeha Meniscal. I: Miller MD, Thompson SR, eds. ʻO DeLee, Drez & Miller's Orthopedic Sports Medicine: Nā Kumu a me nā Hana. 5th lā. Piladelapia, PA: Elsevier; 2020: chap 94.