Pākuʻi ʻōiwi

ʻO ke kīpoki ʻo Hip ka hana ʻoki ʻia e hana ʻia i nā ʻoki liʻiliʻi a puni kou pūhaka a nānā i loko e hoʻohana ana i kahi kāmela liʻiliʻi. Hoʻokomo ʻia kekahi mau mea olakino ʻē aʻe e nānā a mālama i kāu hui pūhaka.

I ke kau ʻana o ka puhaka, hoʻohana ka kauka i kahi kāmela liʻiliʻi i kapa ʻia he arthroscope e ʻike ai i loko o kou ʻūhā.

• Hana ʻia kahi arthroscope i kahi paipu liʻiliʻi, aniani, a me kahi kumu kukui. Hana ʻia kahi ʻoki liʻiliʻi e hoʻokomo iā ia i kou kino.
• E nānā ke kaukōkō i loko o kou hui pūhaka no ka hōʻino a maʻi paha.
• Hoʻokomo ʻia kekahi mau mea olakino ʻē aʻe ma o hoʻokahi a ʻelua mau ʻoki liʻiliʻi ʻē aʻe. ʻAe kēia i ka lāʻau lapaʻau e mālama a hoʻoponopono i kekahi mau pilikia, inā pono.
• Hiki i kāu kaukipoki ke hemo i nā ʻāpana iwi hou i hemo i kou ami pūhaka, a i ʻole hoʻoponopono i ka iwi maha a i ʻole nā ​​mea ʻino ʻino ʻē aʻe.

Spinal a epidural a laulaha anesthesia e hoʻohana ʻia i ka nui o nā hihia, no laila ʻaʻole ʻoe e ʻeha. E hiamoe paha ʻoe a loaʻa i nā lāʻau e kōkua ai iā ʻoe e hoʻomaha.

ʻO nā kumu maʻamau no ka pale ʻana i ka ʻūhū i:

• Wehe i nā ʻāpana iwi a i ʻole ka cartilage i hoʻokuʻu ʻia i loko o kou hui pūhaka a ʻehaʻeha.
• Hip impingement syndrome (i kapa ʻia ʻo femoral-acetabular impingement, a i ʻole FAI). Hana ʻia kēia kaʻina hana ke kōkua ʻole ʻia i kahi ʻano ʻē aʻe.
• Hoʻoponopono i kahi labrum i haehae ʻia (kahi waimaka i ka cartilage e pili ana i ka apo o kou iwi kīhae hip).

ʻO nā kumu maʻamau no ka arthroscopy hip i:

• ʻAʻole e hele ka ʻeha hip a hele a manaʻo paha kāu kauka i kahi pilikia e hiki ke hoʻoponopono i ka maʻi o ka hip. ʻO ka hapanui o ka manawa, e hoʻokomo mua kāu kauka i ka lāʻau numbing i loko o ka ʻūhā e ʻike inā e hala ka ʻeha.
• ʻO ka hoʻohaunaele i ka hui pūhaka i pane ʻole i ka lāʻau nonoperative.

Inā ʻaʻohe ou o kēia mau pilikia, ʻaʻole pono paha ka hip arthroscopy no ka mālama ʻana i kou maʻi kō.

ʻO nā pilikia no kekahi anesthesia a me nā ʻoki kino:

• Nā hopena āpau i nā lāʻau
• Nā pilikia hanu
• Kahena
• Maʻi kīnā

ʻO nā pilikia ʻē aʻe mai kēia ʻoki ʻana:

• Kahe i loko o ka hui pūhaka
• Ka hōʻino i ka cartilage a i ʻole nā ​​ligament ma ka ʻūhā
• Pākuʻi koko i ka wāwae
• Ka ʻeha i kahi kīʻaha koko a i ʻole nā ​​aʻalolo
• ʻO ka maʻi i ka hui pūhaka
• ʻOʻoleʻa Hip
• Numbness a me ke kani ʻana i ke aʻa a me ka ʻūhā

E haʻi mau i kāu mea mālama ola i nā lāʻau āu e lawe nei, ʻo nā lāʻau hoʻi, nā mea hoʻopili, 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:

• Nonoi ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā lāʻau i mea e paʻakikī ai ke kō ʻana o kou koko. Hoʻopili kēia i ka aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), nā koko lahilahi e like me warfarin (Coumadin), a me nā lāʻau ʻē aʻe.
• E nīnau i kāu mea hāʻawi i nā lāʻau e pono ai e lawe i ka lā o kou ʻoki ʻana.
• 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 poʻe lawelawe no ke kōkua. Hiki i ka puhihihi ke hoʻolohi i ka ʻeha a me ka hoʻōla iwi.

I ka lā o kou ʻoki kino:

• E noi pinepine ʻia ʻoe mai inu a ʻai ʻole i kekahi mea no 6 a 12 mau hola ma mua o ke kaʻina hana.
• Lawe i nā lāʻau i kauoha ʻia iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E haʻi ʻia ʻoe i ka wā e hōʻea ai i ka haukapila.

Inā ʻoe e hoʻōla piha ma hope o ka hopena o ka hopena i ka hopena o ka pilikia i mālama ʻia.

Inā loaʻa ʻoe i ka maʻi kōpaʻa i kou pūhaka, e loaʻa nō iā ʻoe nā ʻōuli o ke kuamoʻo ma hope o ke kīpē pūhaka.

Ma hope o ke kahakaha ʻana, pono ʻoe e hoʻohana i nā koʻokoʻo no 2 a 6 mau pule.

• I loko o ka pule mua, ʻaʻole pono ʻoe e kau i kekahi kaupaona ma ka ʻaoʻao i ʻoki ʻia.
• ʻAe ʻae ʻia ʻoe e waiho i nā kaupaona hou a nui aʻe ma ka ʻūhā i loaʻa i ka ʻokiʻoki ma hope o ka pule mua.
• E nānā pono me kāu kaukukō e pili ana i ka manawa e hiki ai iā ʻoe ke lawe i ke kaupaona ma kou wāwae. ʻO ke kaʻina manawa ma ka nui o ka manawa e hiki ai ke loli ke ʻano o ka hana i hana ʻia.

E haʻi aku kāu kauka iā ʻoe inā maikaʻi ke hoʻi i ka hana. Hiki i ka hapa nui o ka poʻe ke hoʻi i ka hana ma waena o 1 a 2 mau pule inā hiki iā lākou ke noho i ka hapa nui o ka manawa.

E kuhikuhi ʻia ʻoe i ka lāʻau hoʻoikaika kino e hoʻomaka i kahi papahana hoʻoikaika kino.

Arthroscopy - pūhaka; Hip impingement maʻi maʻi - arthroscopy; Hoʻohui wahine-acetabular impingement - arthroscopy; FAI - arthroscopy; Labrum - arthroscopy

Harris JD. Pākuʻi ʻōiwi. I: Miller MD, Thompson SR, eds. ʻO DeLee, Drez, & Miller's Orthopedic Sports Medicine. 5th lā. Piladelapia, PA: Elsevier; 2020: chap 79.

Mijares MR, Baraga MG. ʻO nā loina kumu arthroscopic. I: Miller MD, Thompson SR, eds. ʻO DeLee, Drez, & Miller's Orthopedic Sports Medicine. 5th lā. Piladelapia, PA: Elsevier; 2020: chap 8.