Hoʻololi Hip Anterior: He aha kāu e ʻike ai

Anter

• He aha ka hope hip hope?
• No ke aha ʻoe e makemake ai i kahi hakahaka?
• Pehea e hana ai i kahi hakahaka mua i hope?
• Hoʻomākaukau
• ʻOki kino
• Hoʻoiho
• He aha nā pōmaikaʻi o ke kuapo hope?
• He aha nā pilikia?
• He aha ke kuanaʻike no ka poʻe i loaʻa ka hope hip ma mua?

He aha ka hope hip hope?

ʻO kahi hakahaka o ka pūhaka mua kahi hana ʻokiʻoki kahi e hoʻololi ʻia ai nā iwi i hōʻino ʻia i kou hui pū ʻia me kahi pūhaka i hana ʻia (total hip arthroplasty). ʻO nā inoa ʻē aʻe no ke kaʻina hana he invasive liʻiliʻi a i ʻole hoʻoweliweli i nā ʻūhū liʻiliʻi.

Wahi a ka, ma luna o 320,000 hakahaka hope i hana ʻia ma United States i 2010.

ʻO ka maʻa mau, hana nā kauka i ka ʻoki pani pani ma ka hana ʻana i kahi ʻokiʻoki ma hope (ala hope) a i ʻole ka ʻaoʻao (hoʻokokoke ʻana) o kou ʻūhā. Mai ka manawa o 1980, ua lilo i mea maʻamau no nā ʻokiʻoki e hana i ka ʻokiʻoki i mua o kou pūhaka. Kapa ʻia kēia he ala mua a i ʻole hope hip hope.

Ua lilo kahi hele mua i mea kaulana no ka mea ʻoi aku ka liʻiliʻi o ka invasive ma mua o ka hope a me ka hoʻokokoke ʻana. ʻO ke komo ʻana i kou pūhaka mai mua ke kumu e hōʻemi ai i ka hōʻino ʻana i nā mākala a me nā olonā a puni, kahi e alakaʻi ai i kahi ola wikiwiki.

Eia kekahi, ʻaneʻane hiki ke hana mau ʻia ma ke ʻano he hana outpatient, no laila hiki iā ʻoe ke hoʻi i ka home i ka lā like i loaʻa ai kāu ʻoki.

No ke aha ʻoe e makemake ai i kahi hakahaka?

ʻO ka pahuhopu o ke kīʻaha pani hakahaka e hoʻomaikaʻi i ka hana a me ke kaʻina o ka neʻe a hoʻomaha i ka ʻeha i kahi ʻeha i hōʻino ʻia.

ʻO nā kumu maʻamau o nā hono hip i hōʻino ʻia e alakaʻi ai i kahi pani hakahaka.

• osteoarthritis (pili a me nā waimaka e pili ana i nā makahiki)
• rumatika
• haki
• maʻiʻaʻai (osteomyelitis)
• he tumo
• lilo o ke koko (avascular nekrosis)
• ulu ulu (displasia)

Hoʻohana pinepine ʻia ke ala o mua ma ke ʻano he arthritis ke kumu o kahi hakahaka. Akā hoʻohana ʻia ia e pani i nā pūhaka me nā ʻano pōʻino. Hiki ke hoʻohana ʻia e hoʻoponopono i kahi pūhaka i hoʻololi mua ʻia.

Eia nō naʻe, hoʻoholo paha nā kauka e hoʻohana i kahi ʻoki lāʻau ʻokoʻa i nā hanana maʻamau kahi e paʻakikī ai ke kūlana o nā iwi hip, a i ʻole nā ​​ʻano olakino ʻē aʻe e hoʻonui ai i ka pilikia o nā pilikia.

Pehea e hana ai i kahi hakahaka mua i hope?

E like me nā kaʻina hana, pono ʻoe e hoʻomākaukau no ia ma mua o ka manawa a ʻike i ka mea e kali ai i ka wā a ma hope o ke kaha ʻana ke ola ʻoe.

Hoʻomākaukau

He mea nui ia i kāu kauka ka ʻike pololei loa a me ka ʻike e pili ana iā ʻoe a me kou olakino ma mua o ke kahakaha ʻana e kōkua ai e hōʻoia i ka hopena maikaʻi.

Nā mea a kāu kauka e makemake ai e ʻike e pili ana iā ʻoe ma mua o ke kahakaha ʻana:

• nā ʻoki o mua a me ka anesthesia i loaʻa iā ʻoe
• nā maʻi āpau i ka lāʻau, nā meaʻai, a me nā mea ʻē aʻe e like me nā mīkina lima latex
• nā lāʻau āpau a me nā mea hoʻopihapiha āu e lawe ai, nā kuhikuhi ʻelua a ma luna o ka pā
• nā pilikia olakino o kēia wā
• nā ʻōuli o kahi maʻi hou a i ʻole nā ​​pilikia ʻē aʻe
• nā pilikia i loaʻa i nā hoahānau kokoke me ka anesthesia
• inā he hāpai ʻoe a hāpai paha ʻoe (no nā wahine hānau makahiki)

E loaʻa paha iā ʻoe nā ʻōkuhi ma mua o ke kaha ʻana, e like me:

• Pale i ka ʻai ʻana a i ʻole inu 8 a 12 mau hola ma mua o ke kaha ʻana.
• Hōʻalo i kekahi mau lāʻau, inā loaʻa.
• E hoʻokele ʻoe i kekahi iā ʻoe i ka home a noho me ʻoe ma hope o ke kaha ʻana o ka outpatient.

ʻOki kino

E loaʻa iā ʻoe ka anesthesia i ka hoʻomaka o ke kaʻina hana. Kū kēia iā ʻoe mai ka ʻeha ʻana i ka wā o ka hana.

Inā loaʻa iā ʻoe kahi kaʻina hana maʻi ma waho, loaʻa paha iā ʻoe ka anesthesia āpana. ʻO ka lāʻau e hōʻino ai i kou kino o lalo e hoʻokomo ʻia i loko o kahi ākea e pili ana i kou kaula iwi. E loaʻa nō hoʻi iā ʻoe ka sedation e hiamoe ai ʻoe.

ʻO ka koho ʻē aʻe he anesthesia laulā, kahi e hoʻomake ai iā ʻoe no laila ʻaʻole ʻoe e ʻike i kekahi mea i ka wā o ke ʻoki.

Ma hope o ka hoʻomaka ʻana o ka anesthesia e hana, ʻo ke kaukōkō.

• hoʻomaʻemaʻe a hoʻomaʻemaʻe i ka wahi a puni ka mua o kou pūhaka
• uhi ka wahi i nā drapes sterile
• hana i kahi ʻoki i mua o kou hui pū
• hoʻoneʻe i kaʻiʻo a me nā mea ʻē aʻe mai ke ala a hiki i ka ʻike ʻia ʻana o nā iwi o kou ami
• hemo i ka ʻaoʻao i luna o kou iwi ʻūhā (ka "pōpō" o kou hui pūhaka) a me nā iwi i hōʻino ʻia a me ka iwi i kou iwi pelvic (ka "kumu" o kou iwi hip)
• hoʻopili i kahi pōpō hana i kou iwi ʻūhā a me ke kumu i kou iwi pelvic
• e hoʻokū pono i nā mea āpau i like ka lōʻihi o kou mau wāwae
• pani i ka ʻokiʻoki

E hoʻoneʻe ʻia ʻoe i ka lumi hoʻōla, kahi e pau ai ka anesthesia i hoʻokahi hola a ʻelua paha.

Hoʻoiho

Ke kūpaʻa ʻoe, hiki i kekahi ke lawe iā ʻoe i ka home inā ke ʻoki nei ʻoe i waho. Inā ʻaʻole ʻoe e hoʻoneʻe ʻia i kāu keʻena haukapila.

Hiki iā ʻoe ke kau i ke kaupaona ma kou pūhaka hou ma hope koke o ke kaha ʻana a hiki paha iā ʻoe ke hele wāwae me ka hoʻohana ʻana i kahi mea hele a i ʻole nā ​​koʻokoʻo i ka lā aʻe.

Pono ʻoe i ka hoʻōla kino e loaʻa hou ka ikaika a me ka neʻe, a me ka hoʻomaʻamaʻa ʻoihana e hana i nā hana o kēlā me kēia lā e like me ka lole a me ka holoi ʻana. Loaʻa i kekahi poʻe ka hoʻomaʻamaʻa kino kino waho, loaʻa i kekahi poʻe ka lāʻau hoʻoikaika kino ma ka home, a ʻo nā mea ʻē aʻe e hele i kahi home hānai a i ʻole kahi wahi hoʻoponopono.

He ʻehā a ʻeono paha mau pule ma mua o ka loaʻa ʻana o ka ikaika a me ke kaʻina o ka neʻe ʻana e hele a puni a hana i nā hana o kēlā me kēia lā e like me ma mua o ke kaha ʻana.

Hiki i ka hapanui o ka poʻe ke hoʻi i ka hana ma hope o hoʻokahi mahina, akā hiki paha i ʻekolu mau mahina ma mua o kou hiki ke hoʻi i ka hana e koi ai i ke kū ʻana, ka hele wāwae ʻana, a me ka hāpai hāpai ʻana.

He aha nā pōmaikaʻi o ke kuapo hope?

ʻO nā keu pono o ke kāʻei hope ma ka laulā e hoʻonui i ka neʻe a hoʻemi i ka ʻeha.

ʻAʻole like me ka hoʻokokoke ʻana i ka ʻaoʻao a me ka hope, ʻaʻole pono e ʻokiʻoki i nā mākala a me nā uaua ke hoʻohana ʻia kahi ala mua no ka hakahaka. Nui nā pono o kēia.

• emi mai ka ʻeha
• wikiwiki a maʻalahi hoʻi ka hoʻōla ʻana
• hoʻokuʻu i ka haukapila ma mua
• ʻoi aku ka hana ke hoʻokuʻu ʻia e hoʻi i ka home
• maʻamau hiki ke hana ma ke ʻano he mea maʻi
• nā palena liʻiliʻi ma ka hana ma hope o ke kaha ʻana
• hoʻoliʻiliʻi haʻahaʻa o ka hemo o ka hip ma hope o ke kahakaha ʻana
• hoʻemi i ka lōʻihi o ka lōʻihi o ka wāwae ma hope o ke kahakaha ʻana

He aha nā pilikia?

ʻO nā makaʻu o ka hoʻololi mua ʻana o ka uha e like me nā hoʻokele hope ʻē aʻe.

• nā pilikia o ka anesthesia laulaha, e like me ka postoperative delirium a me ka hope o ke kino o ka hope
• kahe nui ke kahe i ke kahakaha ʻana a i ʻole i kāu ʻokiʻoki
• kōkō koko i kou wāwae (deep vein thrombosis) i hiki ke neʻe i kou māmā (pulmonary embolism)
• hip ami maʻiʻaʻai (septic arthritis)
• maʻi iwi hip (osteomyelitis)
• ʻeha i nā mākala a me nā ʻalolo kokoke
• dislocation o kou ami ami
• ʻokoʻa ka lōʻihi o ka wāwae
• ami ami

He aha ke kuanaʻike no ka poʻe i loaʻa ka hope hip ma mua?

I ka wā pōkole, ʻoi aku ka liʻiliʻi o ka ʻeha o ke kīhāhā o mua a alakaʻi i kahi wikiwiki o ka neʻe a me ka ikaika i hoʻohālikelike ʻia i kahi hope a hope paha. ʻO ka hopena lōʻihi loa he maikaʻi loa a like me nā ala ʻē aʻe.

I kekahi manawa, wehe a pale paha kahi uha hānai i hana ma hope o kekahi mau makahiki a pono e hoʻololi ʻia. Eia nō naʻe, kahi palekana a me ka maikaʻi ke kaʻina o ka uha mua. ʻOi paha ka maikaʻi o ka hana o kou pūhaka hou a hoʻomaikaʻi i kou ola o nā makahiki he nui.