He maʻi holomua ka AVN, ʻo ia hoʻi, me ka ʻole o ka mālama ʻana, e piʻi mau ana ia.
ʻO ka necrosis avascular (AVN) kahi maʻi olakino e hiki mai ana i ka wā liʻiliʻi loa, a ʻaʻohe hāʻawi koko i kou iwi. ʻO ka hopena, hiki i nā ʻāpana o kou iwi iwi ke pōʻino, hemo a make. Hiki i ka AVN ke hoʻopili i kekahi iwi i loko o kou kino, akā ʻo ka mea maʻamau i nā iwi kokoke i kou mau ami a ʻo ka hui pūhaka ka mea maʻamau.
Hiki i nā keiki a me nā mākua ke hoʻopilikia i ka necrosis avascular.
He aha ke kumu o AVN?
ʻO ke kumu o ka AVN ʻo ka nele o ke koko i kou mau iwi. ʻO ka hopena, ʻaʻole loaʻa i kou mau iwi nā meaʻai e pono ai lākou e noho olakino a hoʻoponopono paha iā lākou iho, no laila e pōʻino mālie lākou a make.
He aha ka mea e hoʻonui ai i koʻu pilikia o ka AVN?
Aia nā mea like ʻole e hiki ke hoʻonui i kou pilikia o ka hoʻomohala ʻana i ka AVN. Pili paha kekahi i kāu lymphoma, a pili ʻole paha kekahi i kāu lymphoma. E nānā i ka papa inoa ma lalo no nā kumu pili i ka lymphoma, a me nā kumu pili ʻole i ke kanesa o AVN.
ʻO nā kumu pili i ka lymphoma o AVN
- Hoʻohana lōʻihi i nā corticosteroids nui
- ʻO ke kalalala
- Chemotherapy
- ʻO kekahi mau lāʻau lapaʻau e like me biopsy iwi ʻōiwi a i ʻole grafting iwi.
Nā kumu ʻē aʻe o ka AVN
- ʻeha a ʻeha paha i ka iwi i hoʻopilikia ʻia
- Ka inuʻana i ka waiʻona nui
- Nā pilikia pili koko
- High naʻokoko
- Ka hoʻololi kino
- ʻO ka maʻi decompression (ʻike mau ʻia ʻo "the bends")
- ʻO kekahi mau maʻi lapaʻau e like me lupus, sickle cell anemia, a me HIV/AIDS
Nā hōʻailona o AVN
ʻO nā hōʻailona o ka AVN hiki ke loaʻa mai nā hōʻailona ʻike ʻole a hiki i ka ʻeha hoʻonāwaliwali a me ka nalowale o ka neʻe ʻana i nā hui i hoʻopilikia ʻia.
ʻOi aku ka paʻakikī o kekahi mau hōʻailona no ka mea e hele mālie a hele mālie a ʻoi aku ka maikaʻi no ka manawa lōʻihi. ʻOiai no kekahi, hiki koke mai nā hōʻailona.
Inā ua loaʻa iā ʻoe kekahi o kēia mau mea pilikia a me ka ʻike:
ʻO ka ʻeha i manaʻo ʻia e puka mai ana mai kou mau iwi a i ʻole nā ami, ʻoi aku ka nui inā e ʻeha koke ia, a i ʻole e piʻi mau ana.
ʻO ka ʻoʻoleʻa, a i ʻole ka paʻakikī o ka hoʻoneʻe ʻana i kou mau ami (kahi e hui ai nā iwi 2) hiki ke komo i kou pūhaka, poʻohiwi, nā kuli, kuʻekuʻe lima, nā puʻupuʻu a i ʻole nā wahi ʻē aʻe.
ʻO ka nawaliwali o kou mau ʻiʻo a i ʻole nā hono e paʻakikī ai, a hiki ʻole ke hele, paʻa i kou kaumaha a ʻohi paha i nā mea a paʻa.
Nā hoʻololi i ke ʻano o kou mau ami.
Pehea e ʻike ʻia ai ka maʻi AVN?
Hiki ke ʻike ʻia ʻoe me AVN ma hope o kou hele ʻana i ke kauka no ka ʻeha a ʻoʻoleʻa paha o kou mau ami a i ʻole ma hope o kou nānā ʻana no kekahi kumu ʻē aʻe. Inā manaʻo kāu kauka he AVN a i ʻole kekahi maʻi ʻē aʻe e pili ana i kou mau ami, e:
- E nīnau iā ʻoe e pili ana i kāu mōʻaukala olakino e ʻike inā loaʻa iā ʻoe kekahi mau mea pilikia no ka AVN.
- E nānā kino i kou mau ami ʻeha a ʻoʻoleʻa paha e ʻike i ka maikaʻi o ka neʻe ʻana, a inā ʻoi aku ka ʻeha o ka neʻe ʻana a i ʻole ka hoʻopā ʻana.
- E kauoha i nā hoʻokolohua kiʻi e like me X-Ray, Bone scan, CT a i ʻole MRI scan.
- Hiki ke kauoha i ke koko.
Pehea e mālama ʻia ai ka AVN?
ʻO kāu mālama ʻana no ka AVN e hilinaʻi ʻia i ka nui o ka pōʻino i kou mau iwi a me nā hui, kou mau hōʻailona a me kou makemake pilikino.
ʻO ka pae mua AVN
Inā ʻo ʻoe ka AVN i kona wā mua me ka pōʻino liʻiliʻi o kou iwi hiki ke mālama ʻia me:
- ʻO ka Physiotherapy e hoʻomaikaʻi i kou neʻe ʻana a hoʻoikaika i kou mau ʻiʻo a me nā hono a puni.
- ʻO ka lāʻau lapaʻau e maʻalahi ai ka ʻeha. Hiki i kēia mau mea ke komo i ka Panadol osteo a i ʻole ka lāʻau anti-inflammatory e like me ka ibuprofen (Nurofen) a i ʻole meloxicam.
- E hoʻomaha e kaupalena i ke kaumaha o ka hui i hoʻopilikia ʻia. No ka laʻana, pono ʻoe e hoʻohana i nā koʻokoʻo i hiki iā ʻoe ke hele wāwae akā mālama i ke kaumaha mai ka ʻaoʻao i hoʻopilikia ʻia.
- Puke anuanu a wela paha no ka hōʻoluʻolu a me ka ʻeha.
- ʻO ka lāʻau lapaʻau e hoʻomaʻemaʻe i nā ʻōpala koko e pili ana i ke kahe o ke koko i kou mau iwi.
- Hiki ke kōkua ka hoʻoulu ʻana i ka uila e ke kauka lapaʻau e hoʻomaikaʻi i ke kahe koko i kou mau iwi.
- ʻO ka lāʻau lapaʻau a me ka meaʻai e hoʻohaʻahaʻa i kāu cholesterol inā manaʻo ʻia ke kumu o ka cholesterol kiʻekiʻe, a i ʻole e hōʻino ʻia kāu AVN.
Pae holomua AVN
Inā ʻoi aku ka holomua o kāu AVN, a i ʻole nā lāʻau lapaʻau ma luna nei e hoʻomaikaʻi i kāu mau hōʻailona, pono paha ʻoe i ka lāʻau ʻeha a me ka ʻoki ʻana. E hoʻouna ʻia paha ʻoe i ke kauka lapaʻau orthopedic, ʻo ia ke kauka i loea i ka hana ʻana i nā iwi. Hiki ke hoʻouna ʻia ʻoe i kahi kauka lapaʻau vascular ʻo ia ke kauka loea i ka hana ʻana i nā hana e pili ana i nā kīʻaha koko.
Nā ʻano ʻoki
ʻO ke ʻano o kāu ʻoki ʻana e hilinaʻi ʻia ma kou kūlana ponoʻī akā hiki ke hoʻokomo i kahi pani o ka ami i hoʻopili ʻia a i ʻole ke kālai iwi, kahi i wehe ʻia ai kou iwi a pani ʻia me ka iwi hāʻawi a i ʻole iwi hana. Hiki i kāu kauka lapaʻau ke wehewehe i ke ʻano o ka ʻokiʻoki maikaʻi loa iā ʻoe.
Inā loaʻa kahi paʻa i loko o kou mau kīʻaha koko e hoʻōki ai i ke koko mai ke komo ʻana i kou mau iwi, hiki ke ʻoki ʻia ʻoe e hoʻomaʻemaʻe i ka paʻa.
Pahū maikaʻi
Ma mua o ka ʻoki ʻana, pono paha ʻoe e loaʻa i ka lāʻau ʻeha ikaika e kōkua iā ʻoe e hoʻokō i ka wā e kali ana i ka ʻoki. Hiki i kēia mau lāʻau opioid e like me ka oxycodone a i ʻole tapentadol. Pono paha kēia mau lāʻau no ka manawa pōkole ma hope o ke ʻoki ʻana.
Ke hoʻomau nei ka physiotherapy
Ma ke alakaʻi a hiki i, a ma hope o ka ʻoki ʻana pono ʻoe e ʻike i kahi physiotherapist. Hiki iā lākou ke kōkua iā ʻoe i kāu neʻe ʻana ma mua a ma hope o ke ʻoki ʻana.
He aha ke kākoʻo ʻē aʻe i loaʻa?
Pono paha ʻoe i ke kākoʻo hou inā paʻakikī kāu AVN iā ʻoe e hoʻokele ma ka home a i ʻole ka hana.
Lapaʻau hana
E noi i kāu kauka kūloko (GP) e hana i kahi hoʻolālā hoʻokele GP me ʻoe e nānā i kāu mea e pono ai, a e hoʻopili iā ʻoe me nā lawelawe like ʻole i loaʻa ma kou wahi. Hiki i ke kauka lapaʻau ke kipa i kou home a/a i ʻole hana e ʻike i nā loli e hiki ke maʻalahi iā ʻoe ke hana i nā mea āu e pono ai ʻoiai e pale ana i kou mau ami i hoʻopilikia ʻia e AVN a pale a kaupalena ʻia paha ka ʻeha me ia mau hana. Hiki iā lākou ke kōkua i ka loaʻa ʻana o nā lako kūikawā e kōkua iā ʻoe e mālama kūʻokoʻa e like me ka hiki.
Nā loea ʻeha
ʻO nā mea lapaʻau ʻeha nā kauka, nā kahu hānai a me nā ʻoihana olakino ʻē aʻe e mālama i nā maʻi me ka paʻakikī a paʻakikī hoʻi e mālama i ka ʻeha. Hiki iā lākou ke kōkua iā ʻoe, inā ʻaʻole maikaʻi kou ʻeha. Hiki i kāu GP ke kuhikuhi iā ʻoe i kahi lawelawe ʻeha.
Nā hui kaiaulu
Hiki i nā hui kaiaulu ke kōkua i ka hoʻokele ʻana i nā hana hale, ka māla ʻana, ke kūʻai ʻana a me nā hana ʻē aʻe āu e hakakā nei ma muli o kāu AVN. Hiki i kāu GP ke kuhikuhi iā ʻoe i kēia mau lawelawe ma ke ʻano he ʻāpana o ka hoʻolālā hoʻokele GP.
hōʻuluʻulu manaʻo
- ʻO ka necrosis avascular (AVN) he pilikia kakaikahi hiki ke loaʻa ma hope o ka mālama ʻana i ka lymphoma, a i ʻole he mau kumu pilikia ʻē aʻe kāu.
- Hiki i ka AVN ke hele mai ka ʻeha ʻeha a i ka ʻeha nui a me ka nalo ʻana o ka neʻe ʻana i nā iwi a me nā ami.
- Hiki i ka Physiotherapy ke kōkua iā ʻoe e hoʻomaikaʻi a hoʻomau i ka neʻe ʻana i nā wahi i hoʻopilikia ʻia ʻoiai ʻo ka ʻoihana ʻoihana ke nānā i ke ʻano o ka hoʻomaʻamaʻa ʻana i kou home a i ʻole kahi wahi hana no kāu hana a noho ʻana paha.
- Inā loaʻa iā ʻoe ka ʻeha nui a i ʻole ke kīnā ʻole mai ka AVN, pono paha ʻoe e hoʻouna ʻia i kahi loea ʻeha a i ʻole ke kauka lapaʻau no ka hoʻoponopono hou ʻana a me ka mālama ʻana.
- E noi i kāu GP e hana i kahi hoʻolālā hoʻokele GP e kōkua i ka hoʻonohonoho ʻana i nā mālama āpau āu e pono ai me ka mālama ʻana a i ʻole ka mālama ʻana iā AVN.
