Ka wai ma ke kuli: nā hōʻailona a me nā koho lapaʻau

Anter

• Nā hōʻailona wai kuli
• Lapaʻau e hoʻoneʻe i ka wai mai ke kuli
• 1. Nā hoʻoponopono
• 2. ʻOihana hoʻomaʻamaʻa kino
• 3. ʻoki kino
• 4. Lapaʻau home

ʻO ka wai i ke kuli, ua kapa ʻia ʻepekema ʻo synovitis i ka kuli, kahi pehu o ka membrane synovial, kahi aʻa e kūlou i ke kuli i loko, e piʻi ana i ka nui o ka wai synovial, a me nā hopena e like me ka ʻeha, ka pehu ʻana a me ka paʻakikī. i ka oni ana. Hiki ke hoʻōla ʻia ka wai i ke kuli a ʻo ka hoʻomaʻamaʻa ʻana me ka hoʻomaha, ka physiotherapy, ka hoʻohana ʻana i nā lāʻau a, i kekahi mau hihia, ʻoki kino.

ʻO ka hōʻiliʻili o ka wai ma ke kuli hiki ke kumu ʻia e ka hahau i ke kuli a i ʻole nā ​​hanana e like me ka trauma pololei, ʻo ia ka manawa e hāʻule ai ke kanaka ma ko lākou mau kuli ma ka papahele a ma hope paha o ka kuʻekuʻe wāwae i haʻalulu, akā naʻe, hiki ke ala aʻe i ka hihia o nā maʻi mau e like me ka rheumatoid arthritis, osteoarthritis a i ʻole osteoarthritis, gout, hemophilia, repetitive strain.

ʻO ka wai Synovial kahi wai lubricating i loaʻa i ke kuli, kahi aniani a melemele i ke kala. Hoʻololi ka nui ma waena o 2 a 3.5 ml akā i ka hihia o ka synovitis hiki i kēia nui ke piʻi i 20, 40, 80 a ʻoi aku i ka 100 ml e hōʻehaʻeha ana i ka ʻeha.

Nā hōʻailona wai kuli

Kū mai nā ʻōuli o ka synovitis ma ke kuli ma muli o ka hoʻonui ʻia o ka wai synovial ma loko o kēlā hui, e hoʻoulu ana:

• ʻEha kukuli;
• Ke hele nei i ka paʻakikī paʻakikī a hohola piha i ka wāwae;
• ʻO ka pehu ʻana ma ke kuli;
• Nāwaliwali o nā ʻūhā a me nā mākala wāwae.

Inā ʻike ʻia kēia mau hōʻailona, ​​pono ke kanaka e hele i ke kauka orthopedic no kahi loiloi. Hiki i ke kauka ke hana i kahi puncture o ka wai synovial ma o ka hemo ʻana i kahi ʻāpana o kēia 'wai kuli' a hoʻouna iā ia i nā hoʻokolohua hoʻokolohua e ʻike ai inā he glucose a hoʻonui paha i nā protein a i ʻole nā ​​mea pale i loko o kēlā wai.

Lapaʻau e hoʻoneʻe i ka wai mai ke kuli

Hōʻike ʻia ka mālama ʻana no ka wai kuli e ka orthopedist e like me nā ʻōuli o ke kanaka a me ka nui o ka wai i hōʻiliʻili ʻia i ke kuli ma muli o ka hoʻā. No laila, ʻo kekahi mau koho lapaʻau:

1. Nā hoʻoponopono

Hoʻomaka ka mālama ʻana no ka synovitis ma ke kuli me ka hoʻohana ʻana i nā lāʻau anti-inflammatory, corticosteroids (waha a i ʻole injectable), a ukali ʻia e ka lāʻau hoʻoikaika kino. I kekahi mau hihia, hiki i ke kauka ke wehe i nā wai intra-articular i ʻoi aku ma o ka puncture.

2. ʻOihana hoʻomaʻamaʻa kino

E pili ana i ka lapaʻau physiotherapeutic, he mea nui ka electrotherapy o ka lāʻau, e like me ka hoʻoikaika ʻana i nā mākala a me ka amplitude ami. ʻO Ultrasound, TENS, phased i kēia manawa a me ka laser kekahi mau laʻana o nā hāmeʻa e hōʻike pinepine ʻia i ka hoʻomaʻamaʻa physiotherapeutic o ka synovitis kuli, ma mua a ma hope paha o ka ʻoki ʻana.

3. ʻoki kino

Hōʻike ʻia ke ʻoki kino ma ka hihia o ka synovitis mau, ke waiho ka ʻeha o ke kuli ma mua o 6 mau mahina ma muli o ka rheumatoid arthritis a i ʻole ka arthritis, me ka hoʻomaikaʻi ʻole ʻia me ka lāʻau, physiotherapy a puncture paha. Hiki ke hana i ke ʻoki ma ke ala ākea a i ʻole e ka arthroscopy a i loko o ka wehe ʻana i kahi ʻāpana maikaʻi o ke kino synovial a inā pili ka menisci, hiki ke hemo pū kekahi.

Ma hope o ke kahakaha ʻana, hoʻopaʻa ʻia ka wāwae i nā hola he 48 me ka wāwae e hāpai ʻia i luna e hakakā i ka pehu ʻana, a ua pono e neʻe i nā wāwae e pale i ka thrombosis hohonu. E ʻike pehea e loaʻa ai ka hoʻōla mai ka arthroscopy.

Ma 73 mau hola ma hope o ke kaha ʻana hiki iā ʻoe ke hoʻomaka e hele wāwae me nā koʻokoʻo a hiki iā ʻoe ke hoʻomaka i nā hana isometric, me ka ʻole o ka neʻe ʻana o ke kuli, a i ka hoʻomaikaʻi ʻana o ke kanaka, hiki iā ʻoe ke hoʻomaka i nā hoʻolālā ma ke kūlou ʻana i ke kuli a me ka hoʻohana ʻana i nā kaupaona, ma lalo o ke alakaʻi a ka physiotherapist . ʻO ka manawa hoʻōla no kēia ʻokiʻoki ma kahi o 6 a 8 mau pule, ma ke kīpē hāmama, a me 7 a 10 mau lā, i ka hihia o ke kuli arthroscopy.

4. Lapaʻau home

ʻO kahi mālama home maikaʻi e hoʻoneʻe i ka wai mai ke kuli o ke kau ʻana i kahi ʻeke wai anuanu ma luna o ka hui pehu a ʻeha, 3 a 4 mau manawa i ka lā. E kūʻai wale i kahi ʻeke gel ma ka hale kūʻai lāʻau lapaʻau a i ʻole ka hale kūʻai lāʻau a waiho i loko o ka pahu hau no kekahi mau hola. Ke paʻahau, wahī me nā kāwele pepa a kau pono ma ke kuli, e ʻae ana e hana a 15 mau minuke i ka manawa.

ʻAʻole koi ʻia ka hapa nui o ka manawa e waiho i kahi ʻōmole wai wela ma ke kuli, ma lalo wale nō o ka ʻōlelo a ke kauka a me ka physiotherapist.

ʻO kahi hoʻoikaika maikaʻi e moe i kou kua a pelu i kou wāwae i ka palena o ka ʻeha, ʻo ia ke kiko e hoʻomaka ai e hoʻopilikia iā ʻoe, a laila hohola hou. Pono e hana hou i kēia neʻe ʻana ma kahi o 20 mau manawa, me ka ʻole o ka hoʻoluhi nui ʻana i ka wāwae, i ʻole e hoʻonui i ka ʻeha.