Kou Kuli a me kahi Lei Paka

Anter
- He aha nā hōʻailona o ka waimaka paʻa lima?
- He aha nā kumu o ka waimaka paʻa waimaka?
- Āhea ʻoe e ʻike ai i ke kauka?
- He aha nā ʻano lāʻau no ka waimaka paʻa lima?
- Nā koho ʻoki
- He aha ke kuanaʻike?
He aha ka waimaka paʻa lima?
ʻO ka waimaka ʻāpana peʻapeʻa kahi ʻano o ka waimaka meniskus e hoʻopili i kou kuli. Wahi a ka puke pai ʻo Technroscopy Technnik, he 10 pākēneka o nā waimaka meniscal āpau he mau waimaka bākeke. Hoʻopili pinepine kēia mau ʻano meniscus i nā kāne ʻōpio. ʻOiai aia kekahi mau ʻano waimaka meniscus like ʻole, ʻoi aku ka paʻakikī o ka waimaka peʻe (akā ʻaʻole hiki ʻole) ke mālama.
He aha nā hōʻailona o ka waimaka paʻa lima?
ʻElua kāu menisci i kou kuli: waena a me ka ʻaoʻao. C-men kāu medial meniscus a pale i ka ʻaoʻao i loko o kou kuli. Kuhi ʻia kāu meniskus ʻaoʻao a kau i ka hapalua o waho o kou hui kuli. Kōkua kēlā me kēia meniskus i ka hoʻoliʻiliʻi i ke kaomi holoʻokoʻa ma kou hui kuli. Eia naʻe, hiki i ka menisci ke haehae.
ʻO ka waimaka paʻa luha kahi waimaka mānoanoa piha o ka meniscus e hana pinepine ʻia i ka ʻaoʻao i loko o kāu meniscus waena. Wahi a ka Wheeless 'Textbook of Orthopedics, kūmaka ka pākeke i nā waimaka ʻekolu mau manawa pinepine i ka meniscus medial ma mua o ka lateral. ʻO ka inoa "ʻau bākeke" e pili ana i kahi ʻāpana o ka waimaka meniscus a hiki ke hoʻohuli e like me ka ʻau ma kahi bākeke. I kekahi manawa, hūnā paha kahi ʻāpana meniskus i haehae ʻia a paʻa i ka hui kuli.
ʻO ke kumu nui o ka waimaka meniscal ka ʻeha a me ka hōʻoluʻolu ʻole. I kekahi manawa e laulaha ʻia ka ʻeha i kou kuli a i ʻole kēlā me kēia lihi o kou hui kuli. ʻO ka ʻōuli ʻē aʻe e hele pū me ka waimaka paʻa i ka waimaka kikoʻī ʻo ia ka pili o ke kuli laka. Kū kēia i ka wā ʻaʻole e hoʻopololei kāu hui ma hope o ke kūlou ʻana.
ʻO nā ʻōuli ʻē aʻe āu e ʻike ai me kahi waimaka paʻa lima e komo pū me:
- ʻoʻoleʻa
- ʻākiki
- pehu
Hele pū kekahi me nā waimaka i ka waimaka cruciate mua (ACL) waimaka. ʻO kekahi o nā ʻōuli i hiki ke hōʻike i kahi waimaka ACL e komo pū me:
- paʻakikī e hāpai ana i ke kaumaha ma ke kuli
- kūmau kuli
- popping sensation ke neʻe ʻana i ke kuli
- ʻeha ʻeha loa
Pono nā kūlana ʻelua i ka lapaʻau a ke kauka e kōkua ai i ka hoʻihoʻi ʻana a hoʻi i ka neʻe.
He aha nā kumu o ka waimaka paʻa waimaka?
ʻOiai hiki iā ʻoe ke ʻike i kahi waimaka meniscal a me ka bākeke i kēlā me kēia makahiki, ʻike pinepine ʻia ia i nā poʻe ʻōpio i komo i ka hana pāʻani maʻamau. ʻO ka waimaka Meniscal ka mea maʻamau ma o ka ʻeha ʻana o nā ʻeha, e like me ke kanu ʻana i ke kuli a me ka wāwae i lalo me ka ikaika a me ka hoʻololi ʻana i ke kaumaha a huli wikiwiki paha. Hoʻomaka ka waliwali o ka meniskus ke hiki ʻoe i kāu 30, hana ʻana i ka poʻe i kēia makahiki a ʻoi aku ka maʻalahi i ka ʻeha.
Nā ala ʻē aʻe hiki iā ʻoe ke ʻike i kahi waimaka e paʻa ai nā waimaka i:
- piʻi piʻi piʻi piʻi
- ʻūhā
- lawe i kahi kuhi hewa i ka wā e hele ana a wili ke kuli
I kekahi manawa, hiki iā ʻoe ke loaʻa i kahi pākeke paʻa mau waimaka ma muli o nā hoʻololi degenerative i kou hui kuli. Ke hoʻowalewale ka iwi kuamoʻo i nā iwi o kou kuli i kekahi i kekahi, hiki i nā wahi ke hele i kaulike a paʻakikī hoʻi ma kahi o ka laumania. ʻOi aku ka maʻalahi o kēia mau hoʻololi no ke kū ʻana o kahi waimaka ʻeke.
Āhea ʻoe e ʻike ai i ke kauka?
Inā lohe ʻoe i kahi pop ʻokoʻa i ka wā e hana ana, a i ʻole ʻike i ka ʻeha, ka pehu ʻana, a i ʻole ka laka ʻana o ke kuli, pono ʻoe e ʻike i kāu kauka. E nīnau lākou e pili ana i kāu mau hōʻailona a koi paha lākou i nā noiʻi kiʻi. Pākuʻi pinepine kēia i kahi kiʻi imaging magnetic resonance (MRI). Hiki i kāu kauka ke hoʻomaopopo pinepine i kahi waimaka haki no ka mea he hōʻailona ʻokoʻa "pālua PCL" ia, kahi e like me ka lua o ka ligament cruciate ligament (PCL) e like me ka ʻeha o ka meniscus.
He aha nā ʻano lāʻau no ka waimaka paʻa lima?
Paipai pinepine nā kauka i ke ʻoki e hoʻomaikaʻi i kahi waimaka paʻa lima, me kekahi mau hoʻokoe. ʻO ka mea mua, inā loaʻa iā ʻoe kahi ʻāʻī paʻa mau i ka waimaka i kumu ʻole ai nā hōʻailona, ʻaʻole e koi pinepine kāu kauka i ke ʻoki.ʻO ka lua, inā he mōʻaukala koʻikoʻi kou (e like me ka papa 3 a i ʻole ka papa 4 arthritis), ʻaʻole hiki ke hoʻomaha i kahi ʻōpala i nā waimaka.
ʻO ka mālama Conservative a me ka manawa ke ʻano ʻoi loa o ka hana, keu hoʻi i ka hihia o kahi waimaka liʻiliʻi, a i ʻole ke kaukaʻi ʻia ʻana i kahi, i ka meniscus, kou ʻeha. ʻO ke kumu o kēia ka hoʻomaha, ka ʻaila maʻamau, a me ka lawe ʻana paha i ka lāʻau anti-inflammatory nonsteroidal ke hoʻōla kou kuli.
ʻO kekahi lapaʻau a kekahi mau kauka i hoʻohana ai no ka waimaka meniscal ka platelet rich plasma (PRP) therapy. He hana lapaʻau nonsurgical kēia. ua hōʻike ʻia ka "hoōla hikiwawe" o kahi waimaka paʻa i ka waimaka i loko o kahi kāne 43 makahiki ma hope o ʻekolu mau hōʻailona hoʻopiʻi PRP. ʻOiai ke hoʻohiki nei, ʻaʻole mau nā hopena i kēia hopena. Ke hoʻomau nei nā mea noiʻi e ʻimi i nā koho nonsurgical e like me kēia.
Nā koho ʻoki
Ma ke kūpono, hiki i ke kauka ke hoʻoponopono i kāu meniskus i haehae ʻia. Hana maʻamau lākou i kēia ma o ka arthroscopy kuli. Hoʻopili kēia i ka hana ʻana i nā ʻokiʻoki liʻiliʻi a me ka hoʻokomo ʻana i nā mea kani i loko o nā ʻokiʻoki e kiʻi i ka hui kuli a hoʻoponopono i kahi i hōʻino ʻia. E humuhumu hou lākou i nā ʻāpana i hōʻino ʻia, inā hiki.
I kekahi manawa, ʻaʻole hiki i ke kauka ke hoʻoponopono i ka pohō. I kēia hihia, e hemo lākou i ka ʻāpana i hoʻopili ʻia. ʻOiai hiki i kēia ke hōʻemi i nā ʻōuli koke, e maʻalahi paha ʻoe i ka osteoarthritis mua.
Ma hope o ke kaha ʻana, e paipai pinepine ke kauka ʻaʻole ʻoe e kau i ke kaupaona ma kou wāwae i hoʻopili ʻia no ʻeono mau pule. Hele wāwae paha ʻoe me nā koʻokoʻo a komo i kahi pale kuʻikuʻi i kapa ʻia he immobilizer kuli e ʻae ai i ka manawa hoʻōla. Paipai pinepine ʻia ka poʻe e komo i ka hana hoʻoikaika kino a i ʻole e komo i nā hana hoʻoikaika kino, e like me ka nui o nā hana neʻe.
Wahi a ka puke pai ʻoihana Technroscopy Technics, hoʻi ka hapa nui o ka poʻe i nā haʻuki a me nā hana kino ʻē aʻe ma kahi o ʻehā a ʻelima mau mahina ma hope o ke kaha ʻana.
He aha ke kuanaʻike?
Ma muli o ka hapanui o nā bakeke e mālama ai i nā waimaka i nā ʻōpio, nā kānaka olakino, hiki i nā hoʻoponopono ʻoki kino ke mālama iā ʻoe i ka hana a me ka ʻeha. ʻOiai hiki i ke ola ke hala i mau mahina, hiki iā ʻoe ke hoʻi pinepine i kāu mau hana kino piha me ka manawa a me nā hoʻoikaika hoʻoikaika kino.