Nā inikua steroid - tendon, bursa, ami

ʻO ke kūpikipiki steroid kahi pana o ka lāʻau i hoʻohana ʻia e hōʻoluʻolu i kahi wahi pehu a i ʻole hoʻā ʻia e ʻeha mau ai. Hiki ke ʻimi ʻia i loko o kahi ami, tendon, a bursa paha.

Hoʻokomo kāu mea mālama olakino i kahi nila liʻiliʻi a injects i ka lāʻau i loko o ka ʻeha a me ka wahi i wela. Kaukaʻi ʻia i ka pūnaewele, hiki i kāu mea hāʻawi ke hoʻohana i kahi x-ray a i ʻole ultrasound e ʻike i kahi e waiho ai ka nila.

No kēia kaʻina hana:

• E moe ʻoe ma ka papa ʻaina a hoʻomaʻemaʻe ʻia ka wahi ʻoki.
• Hoʻopili ʻia kahi lāʻau numbing i ka pūnaewele injection.
• Hiki ke hāʻawi ʻia i nā kuʻina steroid i loko o kahi bursa, ami, a i ʻole ke olonā.

BURSA

ʻO kahi bursa kahi ʻeke i piha i ka wai e hana ma ke ʻano he cushion ma waena o nā iwi, nā iwi, a me nā hono. Kāhea ʻia ka pehu ʻana i ka bursa ʻo bursitis. Ke hoʻohana nei i kahi nila liʻiliʻi, e hoʻokomo kāu mea hāʻawi i kahi liʻiliʻi o ka corticosteroid a me kahi anesthetic kūloko i loko o ka bursa.

HUI

ʻO nā pilikia hui pū, e like me ka arthritis, hiki ke hoʻoulu i ka mumū a me ka ʻeha. E hoʻokau kāu mea hāʻawi i kahi nila i kāu hui. I kekahi manawa e hoʻohana ʻia paha ka ultrasound a i ʻole ka mīkini x-ray e ʻike ai i hea kahi kahi o kahi. Hiki i kāu mea hāʻawi ke wehe i kahi wai kahe i ka hui e hoʻohana ana i kahi syringe i pili i ka nila. A laila e hoʻololi kāu mea lawelawe i ka syringe a me kahi liʻiliʻi o corticosteroid a e hoʻopili ʻia kahi anesthetic kūloko i ka hui.

TENDON

ʻO ka tendon kahi hui o nā olonā e hoʻohui i ka mākala i ka iwi. ʻO Soreness i ka tendon ke kumu o ka tendonitis. E hoʻokau pono kāu mea hāʻawi i kahi kui kiki e pili pono ana i ka lono a hoʻokomo i kahi liʻiliʻi o ka corticosteroid a me kahi anesthetic kūloko.

Hāʻawi ʻia iā ʻoe kahi anesthetic kūloko a me ka lāʻau hoʻopukapuka e hoʻōla koke i kou ʻeha. E lawe ka steroid i 5 a 7 mau lā a ʻoi paha e hoʻomaka ai e hana.

Kuhi kēia kaʻina hana e hōʻoluʻolu i ka ʻeha a me ka mumū ma kahi bursa, ami, a i ʻole ke olonā.

Pākuʻi ʻia paha nā pilikia o ka hoʻopili steroid

• ʻO kaʻeha a me ka palapū ma ke kahua o ka injection
• ʻŌhū
• ʻO ka huhū a me ka hoʻoliʻiliʻi o ka ʻili ma ka pūnaewele injection
• ʻO ka hopena āpau i ka lāʻau
• Maʻi kīnā
• Kahe i ka bursa, ami, a i ʻole ke olonā
• Hoʻopōʻino i nā aʻalolo kokoke i ka hui a i ʻole nā ​​mea palupalu
• Hoʻonui i kāu pae glucose koko no nā lā he nui ma hope o ka hoʻopili ʻana inā he maʻi diabetes kou

E haʻi aku kāu mea lawelawe iā ʻoe e pili ana i nā pōmaikaʻi a me nā makaʻi kūpono o ka injection

E haʻi i kāu mea hāʻawi e pili ana i kekahi:

• Nā pilikia olakino
• Nā lāʻau lapaʻau āu e lawe ai, e like me nā lāʻau i kūʻai aku ʻia, nā mea kanu, a me nā mea hoʻopili
• Nā Pāhoihoi

E noi i kāu mea hāʻawi inā loaʻa iā ʻoe kahi e hoʻokele iā ʻoe i kou home.

Lōʻihi ka manawa i ke kaʻina hana. Hiki iā ʻoe ke hoʻi i ka hale i ka lā like.

• Hiki paha iā ʻoe ke pehu iki a me ka ʻulaʻula a puni ka pūnaewele injection.
• Inā he pehu ʻoe, hoʻopili i ka hau ma ka pūnaewele no 15 a 20 mau minuke, 2 a 3 mau manawa i kēlā me kēia lā. E hoʻohana i kahi ʻeke hau i wahī ʻia i ka lole. Mai hoʻopili pololei i ka hau i ka ʻili.
• Hōʻalo i ka nui o ka hana i ka lā i loaʻa iā ʻoe ke kī.

Inā loaʻa ʻoe i ka maʻi diabetes, e aʻo aku kāu mea lawelawe iā ʻoe e nānā pinepine i kāu pae glucose i 1 a 5 mau lā. Hiki i ka mea steroid i injected ke hoʻāla i kou kiʻekiʻe kō kō, i ka manawa pinepine e kahi liʻiliʻi.

E nānā no ka ʻeha, ʻulaʻula, pehu, a me ke kuni. Kāhea i kāu mea hāʻawi inā e ʻoi aku ka maikaʻi o kēia mau hōʻailona.

ʻIke paha ʻoe i kahi hōʻemi o kou ʻeha no nā hola mua ma hope o ke kī ʻana. Loaʻa kēia i ka lāʻau numbing. Eia naʻe, e pau kēia hopena.

Ma hope o ka pau ʻana o ka lāʻau numbing, hoʻi ka ʻeha like āu e loaʻa nei ma mua. He mau lā paha kēia. E hoʻomaka ka hopena o ka pahu kui 5 a 7 mau lā ma hope o ka hoʻopili ʻana. Hiki i kēia ke hoʻemi i kāu mau ʻōuli.

I kekahi manawa, manaʻo ka hapa nui o ka poʻe i ka ʻeha a i ʻole ka ʻeha o ka tendon, bursa, a i ʻole hui pū ma hope o kahi injection steroid. Kaukaʻi ʻia i ka pilikia, hoʻi paha ʻole kou ʻeha.

Pākuʻi Corticosteroid; Pākuʻi Cortisone; Bursitis - steroid; Tendonitis - steroid

Adler RS. Nā hana Musculoskeletal. I: Rumack CM, Levine D, eds. ʻIkioma ultrasound. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 25.

ʻO Gupta N. Hoʻomaʻamaʻa i ka bursitis, tendinitis, a me nā kiko hoʻomaka. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 52.

Saunders S, Longworth S. Nā alakaʻi kūpono no ka hoʻopili ʻana i ka lāʻau musculoskeletal. I: Saunders S, Longworth S, eds. Nā hana hana hoʻohewa i ka Musculoskeletal Medicine. 5th lā. Piladelapia, PA: Elsevier; 2019: paukū 2.

Waldman SD. Pākuʻi infrapaterellar hohonu hohonu. I: Waldman SD, hoʻoponopono. Nā Atlas o ka mālama ʻana i nā hana ʻeha. ʻEhā ed. Piladelapia, PA: Elsevier; 2017: chap 143.