ʻO ka ankros arthroscopy
ʻO ke ankros arthroscopy kahi ʻoki e hoʻohana ai i kahi kāmela liʻiliʻi a me nā pono hana e nānā ai a hoʻoponopono ai paha i nā pūnaewele i loko a puni paha kou kuʻekuʻe wāwae. Kāhea ʻia ke kāmela he arthroscope. ʻAe ke kaʻina hana i ke kauka e ʻike i nā pilikia a hana i ka hoʻoponopono i kou kuʻekuʻe wāwae me ka ʻole o ka ʻoki ʻana i ka ʻili a me ka mea i nui. ʻO kēia ka mea i loaʻa iā ʻoe ka liʻiliʻi o ka ʻeha a hoʻi hou me ka wikiwiki ma mua o kahi ʻoki ākea.
Hiki iā ʻoe ke loaʻa i 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 iā ʻoe ka anesthesia āpana. E hoʻopili ʻia kou wāwae a me kou wāwae wāwae 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.
I ka wā o ke kaʻina hana, hana ka mea lapaʻau i kēia mau mea:
- Hoʻokomo i ka arthroscope i kou kuʻekuʻe ma o kahi ʻoki liʻiliʻi. Pili ka laulā i kahi nānā wikiō i ka lumi hana. ʻAe kēia i ke kaukipō e ʻike i ka loko o kou kuʻekuʻe wāwae.
- Nānā i nā kinona a pau o kou kuʻekuʻe wāwae. Hoʻopili kēia mau mea i ka cartilage, iwi, tendons, a me nā ligament.
- Hoʻoponopono i nāʻaʻaʻa i hōʻinoʻia. E hana i kēia, hana kāu kauka lāʻau iā 1 i 3 mau ʻoki liʻiliʻi a hoʻokomo i nā mea hana ʻē aʻe ma o lākou. Hoʻopau kahi waimaka i kahi mākala, tendon, a i ʻole cartilage. Wehe ʻia i nā ʻaʻa ʻino.
I ka hopena o ke kaha, e pani ʻia nā ʻokiʻoki me nā humuhumu a uhi ʻia me kahi lole (bandage). Lawe ka hapa nui o nā kaukipō i nā kiʻi mai ka nānā wikiō ma ke kaʻina hana e hōʻike iā ʻoe i nā mea i loaʻa a me nā hoʻoponopono a lākou i hana ai.
Pono paha kāu kauka hana e hana i ka ʻoki wehe inā nui ka nui o nā pōʻino. ʻO ke ākea hāmama e loaʻa iā ʻoe kahi incision nui i hiki i ke kaukipō ke kiʻi pololei i kou mau iwi a me nā ʻano.
Koi ʻia ʻo Arthroscopy no kēia mau wāwae wāwae:
- ʻEha kuʻekuʻe wāwae. ʻAe ʻo Arthroscopy i ke kaukipō e ʻimi i nā mea e hōʻeha i kou kuʻekuʻe wāwae.
- Waimaka Ligament. ʻO kahi ligament kahi hui o kaʻiʻo e hoʻohui i ka iwi i ka iwi. ʻO nā liga i ka kuʻekuʻe wāwae e kōkua i ka paʻa a ʻae iā ia e neʻe. Hiki ke hoʻoponopono i nā liga haehae me kēia ʻano ʻoki.
- Ke kuʻekuʻe wāwae. Hiki ke pehu a ʻeha nā kuʻikuʻi i kou kuʻekuʻe wāwae mai ka hoʻohana nui ʻana. He mea paʻakikī kēia e neʻe i ka ami. Hiki i ka Arthroscopy ke hemo i kaʻiʻo i hiki iā ʻoe ke neʻe i kāu hui.
- ʻIli kala. Hiki i kēia ke hana ma hope o kahi ʻeha o ka kuʻekuʻe wāwae. Hiki i kēia ʻoki ke wehe i nāʻiʻo makaʻu.
- Pākuʻi Hiki ke hoʻohana ʻia ʻo Arthroscopy e kōkua e hōʻemi i ka ʻeha a hoʻomaikaʻi i ka neʻe.
- Nā hōʻeha cartilage. Hiki ke hoʻohana ʻia kēia ʻoki e kuhi a hoʻoponopono paha i ka cartilage a me nā hōʻeha iwi.
- Wehe i nā ʻāpana. ʻO kēia nā ʻāpana o ka iwi a i ʻole ka cartilage i loko o ka kuʻekuʻe wāwae e hiki ai ke hoʻopaʻa i ka ami. I ka wā o ka arthroscopy hiki ke hemo i kēia mau ʻāpana.
Nā pilikia no ka anesthesia a me ke kahakaha ʻana ma:
- Nā hopena āpau i nā lāʻau
- Nā pilikia hanu
- Kahe ʻana o ke koko, ʻaʻa koko, a maʻi paha
ʻO nā pōʻino no ka ankros arthroscopy nā:
- ʻO ka holo ʻole o ke kaha ʻana e hōʻoluʻolu i nā ʻōuli
- Hewa o ka hoʻoponopono e hoʻōla
- Ka nāwaliwali o ka kuʻekuʻe wāwae
- Ka hōʻeha i ka tendon, ke kīʻaha koko, a i ʻole ke aʻalolo
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 lawelawe a kahu maʻi paha no ke 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. Inā maʻi ʻoe, pono e hoʻopaneʻe ʻia nā hana.
I ka lā o ke kaha ʻana:
- E hāhai i nā ʻōkuhi e pili ana i ka wā e hōʻoki ai i ka ʻai a me ka inu ma mua o ke kaʻina hana.
- Lawe i nā lāʻau āpau e noi ʻia ʻoe e lawe me kahi wai liʻiliʻi.
- E hāhai i nā ʻōkuhi i ka hiki ʻana i ka haukapila. E hōʻea i ka manawa kūpono.
Hiki iā ʻoe ke hoʻi ma ka home i ka lā like ma hope o kou ola ʻana mai ka anesthesia. Pono ʻoe e hoʻokele iā haʻi i kou home.
E hāhai i nā ʻōkuhi hoʻokuʻu i hāʻawi ʻia iā ʻoe. Pākuʻi ʻia kēia mau mea:
- E hoʻokiʻekiʻe i kou kuʻekuʻe wāwae ma luna o kou puʻuwai no 2 a 3 mau lā e kōkua ai i ka hōʻemi ʻana i ka pehu a me ka ʻeha. Hiki iā ʻoe ke hoʻopili i kahi ʻeke anu e hoʻoliʻiliʻi i ka pehu.
- E hoʻomaʻemaʻe a hoʻomaloʻo i kāu kāʻei. E hāhai i nā ʻōkuhi no ka hoʻololi ʻana i ka lole.
- Hiki iā ʻoe ke lawe i nā mea hōʻoluʻolu ʻeha, inā pono, ʻoiai ke ʻōlelo a kāu kauka he palekana ke hana pēlā.
- Pono ʻoe e hoʻohana i kahi mea hele wāwae a i ʻole nā koʻokoʻo a mālama i ke kaupaona i kou wāwae ke ʻole ka mea a kāu mea hāʻawi e maikaʻi ke kau i ke kaupaona ma kou wāwae.
- Pono paha ʻoe e ʻaʻa i kahi ʻūlū a kīpoki paha no 1 a 2 mau pule a ʻoi aku paha ka lōʻihi e mālama i ka kuʻekuʻe wāwae i ka wā e hoʻōla ai.
Hoʻohana ʻo Arthroscopy i nā ʻoki liʻiliʻi i ka ʻili. Hoʻohālikelike ʻia e wehe i kahi ʻoki, loaʻa paha iā ʻoe:
- ʻOi iki ka ʻeha a me ka ʻoʻoleʻa
- ʻEmi nā pilikia
- Hoʻoiho hou aku
E hōʻola koke nā ʻoki liʻiliʻi, a hiki paha iā ʻoe ke hoʻomaka hou i kāu mau hana maʻamau i kekahi mau lā. Akā, inā pono e hoʻoponopono i ka nui o nā mea i loko o kou kuʻekuʻe, he mau pule paha ka lōʻihi e hoʻōla ai. ʻO ka wikiwiki o kou hoʻōla e pili ana i ka paʻakikī o ka ʻoki ʻana.
Hōʻike ʻia paha ʻoe pehea e hana ai i nā hana palupalu i kou wā e hoʻōla ai. A i ʻole, e paipai paha kāu kauka lāʻau iā ʻoe e ʻike i kahi mea hoʻoponopono kino e kōkua iā ʻoe e loaʻa hou ka hoʻohana piha ʻana o kou kuʻekuʻe wāwae.
ʻOki kuʻekuʻe wāwae; Arthroscopy - kuʻekuʻe wāwae; ʻOki kino - kuʻekuʻe wāwae - arthroscopy; ʻOki kino - kuʻekuʻe wāwae - arthroscopic
Cerrato R, Campbell J, Triche R. Ankle arthroscopy. I: Miller MD, Thompson SR, eds. ʻO DeLee lāua ʻo Drez's Orthopedic Sports Medicine: Nā Kumu a me nā Hana. ʻEhā ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 114.
Ishikawa SN. Arthroscopy o ka wāwae a me ka kuʻekuʻe wāwae. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 50.