Pākuʻi hoʻohui hip

ʻO kahi kīʻaha hip i kī ʻia i ka lāʻau i loko o ka hui pūhaka. Hiki i ka lāʻau ke kōkua i ke kōkua i ka ʻeha a me ka pehu. Hiki iā ia ke kōkua i ke kuhi ʻana i ke kumu o ka ʻeha hip.

No kēia kaʻina hana, hoʻokomo kahi mea mālama ola i kahi nila i ka ʻūhā a injects i ka lāʻau i loko o ka ami. Hoʻohana ka mea hāʻawi i kahi x-ray manawa maoli (fluoroscopy) e ʻike i kahi e waiho ai ka nila i ka hui.

Hāʻawi ʻia ʻoe i ka lāʻau e kōkua i ka hoʻomaha.

No ke kaʻina hana:

• E moe ʻoe ma ka papa ʻaina x-ray, a hoʻomaʻemaʻe ʻia kou wahi ʻūhā.
• E hoʻopili ʻia kahi lāʻau numbing i ka pūnaewele injection.
• E alakaʻi ʻia kahi nila kuʻikuʻi i loko o ka wahi i ka wā e nānā ana ka mea hāʻawi i ke kau ʻana ma ka pale x-ray.
• I ka manawa e ku ana ke kui kele i kahi kiko kūpono, kiki ʻia ka liʻiliʻi o ka pena ʻokoʻa i hiki i ka mea hāʻawi ke ʻike i kahi e waiho ai ka lāʻau.
• Hoʻokomo mālie ʻia ka lāʻau steroid i loko o ka ami.

Ma hope o ka hoʻopili ʻana, e noho ʻoe ma ka papa no 5 a 10 mau minuke hou. E noi ana kāu mea lawelawe iā ʻoe e neʻe i ka pūhaka e ʻike ai inā ʻeha mau ia. E lilo ka ami hip i mea ʻeha ma hope ke pau ka lāʻau numbing. He mau lā paha ma mua o kou ʻike ʻana i kahi hōʻoluʻolu ʻeha.

Hana ʻia ka hip Hip i mea e hōʻemi ai i ka ʻeha o ke kīhā i hoʻokumu ʻia e nā pilikia i nā iwi a i ʻole ka cartilage o kou pūhaka. Hoʻokumu pinepine ʻia ka ʻeha uha e:

• ʻO Bursitis
• Pākuʻi
• ʻO ka waimaka Labral (kahi waimaka i ka cartilage e pili ana i ka palena o ka iwi hip hip)
• Ka ʻeha i ka hui pūhaka a i ʻole nā ​​wahi e pili ana
• Hoʻohana nui a kānana paha mai ka holo ʻana a i ʻole nā ​​hana ʻē aʻe

Hiki i ke kīʻaha hip ke kōkua i ke kuhi ʻana i ka ʻeha hip. Inā ʻaʻole e hoʻokuʻu ka pana i ka ʻeha i loko o kekahi mau lā, a laila ʻaʻole paha ʻo ka hui pūhaka ke kumu o ka ʻehaʻeha.

Kākaʻikahi nā pilikia, akā hiki ke hoʻopili ʻia:

• ʻUpala
• ʻŌhū
• Hoʻonāukiuki ʻili
• ʻO ka hopena āpau i ka lāʻau
• Maʻi kīnā
• Kahe i ka hui
• Nāwaliwali i ka wāwae

E haʻi i kāu mea hoʻolako e pili ana i:

• Nā pilikia olakino
• ʻO nā mea āpau āpau
• Nā lāʻau lapaʻau āu e lawe ai, e like me nā lāʻau i loaʻa mai i ka palena kiʻekiʻe
• ʻO nā lāʻau lapaʻau lahilahi o ke koko, e like me aspirin, warfarin (Coumadin), dabigatran (Pradaxa), apixaban (Eliquis), rivaroxaban (Xarelto), a i ʻole clopidogrel (Plavix)

E hoʻolālā i mua e hoʻokele kekahi iā ʻoe i ka home ma hope o ke kaʻina hana.

Ma hope o ka hoʻopili ʻana, e hāhai i nā ʻōlelo kikoʻī a kāu mea hāʻawi iā ʻoe. Pākuʻi ʻia kēia mau mea:

• Ke noi ʻana i ka hau i kou ʻūhā inā he pehu a ʻeha paha ʻoe (wahī ka hau i ke kāwele e pale ai i kou ʻili)
• Ke pale nei i ka hana ikaika i ka lā o ke kaʻina hana
• Lawe i nā lāʻau ʻeha e like me ke kuhikuhi

Hiki iā ʻoe ke hoʻomaka hou i nā hana maʻamau i ka lā aʻe.

Manaʻo ka hapa nui o ka poʻe i ka ʻeha ma hope o ka hoʻopiʻi ʻana o ka pūhaka.

• Hoʻomaopopo paha ʻoe i ka ʻeha hōʻemi 15 a 20 mau minuke ma hope o ke kuikui.
• E hoʻi paha ka ʻeha ma 4 a 6 mau hola ke pau ka lāʻau numbing.
• Ke hoʻomaka nei ka lāʻau lāʻau steroid e hoʻololi i 2 a 7 mau lā ma hope, pono e hōʻeha ka ʻeha o kou hui pūhaka.

Pono ʻoe i ʻoi aku ma mua o hoʻokahi injection. Pehea ka lōʻihi o ka pana ʻana e loli ai mai kēlā me kēia kanaka, a pili i ke kumu o ka ʻeha. No kekahi, hiki ke hala i mau pule a i ʻole mau mahina.

Pana ʻo Cortisone - pūhaka; Pākuʻi Hip; Hoʻomoʻo steroid intra-articular steroid - hip

Pūnaewele ʻAmelika Hui Pū ʻIa o Rheumatology. Nā inikua hoʻohui (aspirations ami). www.rheumatology.org/I-Am-A/Patient-Caregiver/Treatments/Joint-Injection-Aspiration. Hoʻohou ʻia Iune 2018. Loaʻa iā Kēkēmapa 10, 2018.

Naredo E, Möller I, Rull M. Aspiration a me ka hoʻopili ʻana o nā hono a me nā kiko o ka periarticular a me ka hoʻomaʻamaʻa intralesional. I: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 44.

Zayat AS, Buch M, Wakefield RJ. ʻO Arthrocentesis a me ka hoʻopili ʻana o nā hono a me nā mea palupalu. I: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, nā hua. ʻO kā Kelly a me Firestein puke aʻo o Rheumatology. 10 o ka lā. Piladelapia, PA: Elsevier; 2017: chap 54.