Eha Kuli

ʻO ka ʻeha kuli he hoʻopiʻi maʻamau ia e pili ana i nā kānaka o nā makahiki a pau. Hiki i ka ʻeha kuli ke hopena o kahi hōʻeha, e like me ka ligament i ʻoki ʻia a i ʻole ka cartilage i haehae ʻia. Hiki i nā kūlana lapaʻau - me ka maʻi ʻāʻī, ka gout a me nā maʻi - ke kumu hoʻi i ka ʻeha kuli.

He nui nā ʻano o ka ʻeha kuli liʻiliʻi e pane maikaʻi i nā hana mālama ponoʻī. Hiki i ka hoʻoponopono kino a me nā kāʻei kuli ke kōkua pū i ka hoʻoemi ʻana i ka ʻeha. Akā naʻe, i kekahi mau hihia, pono paha kāu kuli i ka hoʻoponopono ʻoki.

Hiki i kahi a me ka nui o ka ʻeha kuli ke loli, ma muli o ke kumu o ka pilikia. ʻO nā hōʻailona a me nā hōʻailona e hele pū ana me ka ʻeha kuli: ʻEha a me ka paʻakikī ʻUlaʻula a me ka mahana i ka pā Nawaliwali a i ʻole kūpaʻa ʻole Nā kani ʻū a i ʻole nā kani ʻūhā Hiki ʻole ke hoʻopololei piha i ka kuli E kāhea i kāu kauka inā: ʻAʻole hiki ke kaumaha ma kou kuli a manaʻo paha e kūpaʻa ʻole kou kuli a i ʻole e hāʻule Loaʻa ka pehu nui o ka kuli ʻAʻole hiki ke hoʻolōʻihi a i ʻole ke kūlou piha i kou kuli ʻIke ʻia kahi ʻano ʻino ma kou wāwae a i ʻole kou kuli Loaʻa ka maʻi wela, ma waho aʻe o ka ʻulaʻula, ka ʻeha a me ka pehu ma kou kuli Loaʻa ka ʻeha nui o ka kuli e pili ana i kahi hōʻeha

Kāhea i kāu kauka inā ʻoe:

• ʻAʻole hiki ke hāpai kaumaha ma kou kuli a i ʻole ke manaʻo nei ua paʻa ʻole kou kuli a i ʻole e hāʻule ana
• Loaʻa ka pehu nui o ke kuli
• ʻAʻole hiki ke hoʻolōʻihi a i ʻole ke kulou piha i kou kuli
• ʻIke ʻia kahi ʻano ʻino ma kou wāwae a i ʻole kou kuli
• Loaʻa ka maʻi wela, ma waho aʻe o ka ʻulaʻula, ka ʻeha a me ka pehu ma kou kuli
• Loaʻa ka ʻeha kuli nui e pili ana i kahi hōʻeha

Hiki ke kumu ʻia ka ʻeha kuli mai nā ʻeha, nā pilikia mīkini, nā ʻano o ka maʻi ʻāʻī a me nā pilikia ʻē aʻe.

ʻO ka anterior cruciate ligament (ACL) kekahi o nā ligaments nui e kōkua ana i ka hoʻopaʻa ʻana i ka hui kuli. Hoʻohui ka ACL i ka iwi ʻūhā (femur) i ka iwi ʻūhā (tibia). ʻO ka mea maʻamau loa ka hae ʻia ʻana i nā haʻuki e pili ana i nā kū koke a me nā loli i ke kuhikuhi - e like me ka pāʻani pōpeku, ka pôpeku, ka tenisi a me ka volleyball.

ʻO ka meniscus he ʻāpana C-shaped o ka cartilage paʻakikī, rubbery e hana ana ma ke ʻano he shock absorber ma waena o ka iwi ʻūhā a me ka iwi ʻūhā. Hiki ke hae ʻia inā ʻoe e huli koke i kou kuli i ka wā e kaumaha ana ma luna.

Hiki i kahi ʻeha kuli ke hoʻopili i kekahi o nā ligaments, nā tendons a i ʻole nā ​​ʻeke wai piha (bursae) e puni ana i kou hui kuli a me nā iwi, nā cartilage a me nā ligaments e hana ana i ka hui ponoʻī. ʻO kekahi o nā ʻeha kuli maʻamau loa:

• ʻEha ACL. ʻO ka ʻeha ACL ka hae ʻana o ka anterior cruciate ligament (ACL) - kekahi o nā ligaments ʻehā e hoʻohui ana i kou iwi ʻūhā i kou iwi ʻūhā. He mea maʻamau loa ka ʻeha ACL i nā poʻe e pāʻani ana i ka pāʻani pōpeku, ka pôpeku a i ʻole nā ​​haʻuki ʻē aʻe e pono ai nā loli koke i ke kuhikuhi.
• Fractures. Hiki ke haki nā iwi o ke kuli, me ka kneecap (patella), i nā hāʻule a i ʻole nā ​​uaki. Eia kekahi, hiki i nā poʻe i nāwaliwali ko lākou mau iwi e ka osteoporosis ke loaʻa i kahi fracture kuli ma ka hele hewa ʻana.
• Meniscus hae. ʻO ka meniscus ka cartilage paʻakikī, rubbery e hana ana ma ke ʻano he shock absorber ma waena o kou iwi ʻūhā a me kou iwi ʻūhā. Hiki ke hae ʻia inā ʻoe e huli koke i kou kuli i ka wā e kaumaha ana ma luna.
• ʻEha kuli bursitis. Hoʻokumu kekahi mau ʻeha kuli i ka mumū i nā bursae, nā ʻeke liʻiliʻi o ka wai e hoʻoluʻolu i waho o kou hui kuli i hiki ai i nā tendons a me nā ligaments ke holo mālie ma luna o ka hui.
• Patellar tendinitis. Hoʻokumu ka tendinitis i ka huhū a me ka mumū o hoʻokahi a ʻoi aku paha nā tendons - nā ʻiʻo fibrous mānoanoa e hoʻopili ana i nā ʻiʻo i nā iwi. Hiki i kēia mumū ke hana inā he ʻeha i ka patellar tendon, ka mea e holo ana mai ka kneecap (patella) a i ka iwi ʻūhā a hiki ai iā ʻoe ke kīkī, holo a lele. Hiki i nā mea holo, nā mea heʻe, nā mea holo paikikala, a me nā poʻe i komo i nā haʻuki a me nā hana lele ke loaʻa i ka patellar tendinitis.

ʻO kekahi mau laʻana o nā pilikia mīkini e hiki ke hoʻokumu i ka ʻeha kuli:

• Loose body. I kekahi manawa, hiki i ka ʻeha a i ʻole ka hoʻoino ʻana o ka iwi a i ʻole ka cartilage ke hoʻokumu i kahi ʻāpana o ka iwi a i ʻole ka cartilage e haki a lana i ka wahi hui. ʻAʻole paha kēia e hana i nā pilikia ke ʻole ka loose body e hoʻopilikia i ka neʻe ʻana o ka hui kuli, i kēlā me kēia hihia, ʻo ka hopena he mea like me ka penikala i hopu ʻia i loko o ka hinge puka.
• Iliotibial band syndrome. Hana kēia i ka wā e lilo ai ka hui ʻiʻo paʻakikī e hoʻolōʻihi ana mai waho o kou hip a i waho o kou kuli (iliotibial band) i ka paʻa loa e hamo ai i ka ʻāpana waho o kou iwi ʻūhā. ʻO nā mea holo lōʻihi a me nā mea holo paikikala ka mea maʻamau loa i ka iliotibial band syndrome.
• Kneecap dislocated. Hana kēia i ka wā e neʻe ai ka iwi triangular e uhi ana i mua o kou kuli (patella) mai kona wahi, maʻamau i waho o kou kuli. I kekahi mau hihia, hiki ke noho i ka kneecap a ʻike ʻoe i ka dislocation.
• ʻEha hip a i ʻole wāwae. Inā loaʻa iā ʻoe ka ʻeha hip a i ʻole wāwae, hiki iā ʻoe ke hoʻololi i ke ʻano o kou hele ʻana e mālama i kou hui ʻeha. Akā, hiki i kēia hele ʻana i hoʻololi ʻia ke kaumaha nui i kou hui kuli a hoʻokumu i ka ʻeha kuli.

ʻOi aku ma mua o 100 mau ʻano o ka maʻi ʻāʻī. ʻO nā ʻano e like loa me ka hoʻopilikia ʻana i ke kuli:

• Osteoarthritis. I kekahi manawa i kapa ʻia ʻo degenerative arthritis, ʻo ka osteoarthritis ka ʻano maʻamau loa o ka maʻi ʻāʻī. He kūlana ʻaʻahu-a-hae ia e hana ana i ka wā e hoʻoino ʻia ai ka cartilage i kou kuli me ka hoʻohana ʻana a me ka makahiki.
• Rheumatoid arthritis. ʻO ka ʻano maʻi ʻāʻī hōʻino loa, ʻo ka rheumatoid arthritis kahi kūlana autoimmune e hiki ke hoʻopili i kahi hui kokoke i kou kino, me kou mau kuli. ʻOiai he maʻi maʻi ka rheumatoid arthritis, makemake ia e loli i ka nui a hiki ke hele mai a hele aku.
• Gout. Hana kēia ʻano o ka maʻi ʻāʻī i ka wā e kūkulu ʻia ai nā kristal uric acid i ka hui. ʻOiai ʻo ka gout ka mea maʻamau loa e hoʻopilikia i ka manamana nui, hiki nō hoʻi ke hana i ke kuli.
• Pseudogout. Hoʻopunipuni pinepine ʻia no ka gout, hoʻokumu ʻia ka pseudogout e nā kristal calcium-e komo ana i loko o ka wai hui. ʻO nā kuli ka hui maʻamau loa i hoʻopilikia ʻia e ka pseudogout.
• Septic arthritis. I kekahi manawa hiki ke maʻi kou hui kuli, e alakaʻi ana i ka pehu, ʻeha a me ka ʻulaʻula. Hana pinepine ka septic arthritis me kahi kuni, a ʻaʻohe trauma ma mua o ka hoʻomaka ʻana o ka ʻeha. Hiki i ka septic arthritis ke hoʻopōʻino koke i ka cartilage kuli. Inā loaʻa iā ʻoe ka ʻeha kuli me kekahi o nā hōʻailona o ka septic arthritis, e ʻike koke i kāu kauka.

ʻO ka patellofemoral pain syndrome kahi huaʻōlelo laulā e pili ana i ka ʻeha e puka mai ana ma waena o ke kneecap a me ka iwi ʻūhā ma lalo. He mea maʻamau ia i nā mea haʻuki; i nā ʻōpio, ʻoi aku ka poʻe i kūpono ʻole ko lākou kneecap i loko o kona groove; a i nā ʻelemakule, ka poʻe e loaʻa pinepine ana i ke kūlana ma muli o ka maʻi ʻāʻī o ke kneecap.

He nui nā kumu e hoʻonui ai i kou pilikia o ka loaʻa ʻana o nā pilikia kuli, me kēia mau mea:

• Kaumaha nui. ʻO ka nui o ke kaumaha a i ʻole ka momona e hoʻonui ai i ka pilikia ma luna o kou mau hono kuli, ʻoiai i nā hana maʻamau e like me ka hele ʻana a i ʻole ka piʻi ʻana a me ka iho ʻana i nā kaupaku. Hoʻonui pū ia i kou pilikia o ka osteoarthritis ma o ka wikiwiki ʻana i ka haki ʻana o ka cartilage hono.
• Ka nele o ka oluolu a i ʻole ka ikaika o nā ʻiʻo. Hiki i ka nele o ka ikaika a me ka oluolu ke hoʻonui i ka pilikia o nā hōʻeha kuli. Kūleʻa nā ʻiʻo ikaika i ka hoʻopaʻa ʻana a me ka pale ʻana i kou mau hono, a hiki i ka oluolu o nā ʻiʻo ke kōkua iā ʻoe e loaʻa ka piha o ka neʻe.
• Nā haʻuki a i ʻole nā hana kūikawā. Hoʻokau kekahi mau haʻuki i ka pilikia nui ma luna o kou mau kuli ma mua o nā mea ʻē aʻe. ʻO ka heʻe kau i ka mauna me kāna mau kāmaʻa heʻe paʻa a me ka hiki ke hāʻule, nā lele a me nā huli o ka pāpōpō, a me ka hahau mau ʻana o kou mau kuli i ka wā e holo ai a i ʻole e holo wikiwiki ai e hoʻonui ai i kou pilikia o ka hōʻeha kuli. Hiki i nā hana e koi ana i ka pilikia mau ma luna o nā kuli e like me ke kūkulu hale a i ʻole ka mahiʻai ke hoʻonui pū i kou pilikia.
• Hōʻeha ma mua. ʻO ka loaʻa ʻana o ka hōʻeha kuli ma mua e hoʻolilo ai iā ʻoe i ka nui o ka hōʻeha hou ʻana i kou kuli.

ʻAʻole nā ʻeha kuli a pau he mea weliweli. Akā, ʻo kekahi mau hōʻeha kuli a me nā kūlana olakino, e like me ka osteoarthritis, hiki ke alakaʻi i ka ʻeha nui, ka hōʻino ʻana i nā hono a me ka maʻi inā waiho ʻia me ka mālama ʻole. A ʻo ka loaʻa ʻana o ka hōʻeha kuli - ʻoiai he mea liʻiliʻi - e hoʻonui ai i ka nui o ka loaʻa ʻana o nā hōʻeha like i ka wā e hiki mai ana.

ʻOiai ʻaʻole hiki mau ke pale aku i ka ʻeha kuli, hiki i nā manaʻo aʻe ke kōkua i ka pale ʻana i nā hōʻeha a me ka palaho ʻana o nā hono:

• E mālama i ka nui o ke kaumaha. E mālama i ka kaumaha olakino; ʻo ia kekahi o nā mea maikaʻi loa āu e hiki ai ke hana no kou mau kuli. ʻO kēlā me kēia paona keu e hoʻonui i ka ukana ma kāu mau hono, e hoʻonui ana i ka pilikia o nā hōʻeha a me ka osteoarthritis.
• E mākaukau no kāu pāʻani haʻuki. No ka hoʻomākaukau ʻana i kou mau ʻiʻo no nā koi o ka komo ʻana i nā haʻuki, e hoʻolilo i ka manawa no ka hoʻomaʻamaʻa.
• E hoʻomaʻamaʻa pono. E hōʻoia i ka ʻenehana a me nā ʻano neʻe āu e hoʻohana ai i kāu mau haʻuki a i ʻole hana he mea maikaʻi loa lākou. Hiki i nā haʻawina mai kahi loea ke kōkua nui.
• E ikaika, e mau i ka oluolu. ʻO nā ʻiʻo nāwaliwali ke kumu nui o nā hōʻeha kuli. E pōmaikaʻi ʻoe mai ka hoʻoikaika ʻana i kou mau quadriceps a me nā hamstrings, nā ʻiʻo ma ke alo a me ke kua o kou mau ʻūhā e kōkua ana i ke kākoʻo ʻana i kou mau kuli. Ke kōkua nei ka hoʻomaʻamaʻa kaulike a me ka kūpaʻa i nā ʻiʻo a puni kou mau kuli e hana pū me ka maikaʻi loa. A no ka mea hiki i nā ʻiʻo paʻa ke komo pū i ka hōʻeha, he mea nui ka hoʻonui ʻana. E ho'āʻo e hoʻokomo i nā hana hoʻonui i kāu mau hana hoʻomaʻamaʻa.
• E naʻauao e pili ana i ka hoʻomaʻamaʻa kino. Inā loaʻa iā ʻoe ka osteoarthritis, ka ʻeha kuli mau a i ʻole nā ​​hōʻeha hou, pono paha ʻoe e hoʻololi i ke ʻano o kāu hoʻomaʻamaʻa kino. E noʻonoʻo e hoʻololi i ka ʻauʻau, ka aerobics wai a i ʻole nā ​​hana haʻahaʻa ʻē aʻe - ma ka liʻiliʻi no kekahi mau lā o ka pule. I kekahi manawa, ʻo ka palena wale ʻana i nā hana kiʻekiʻe e hāʻawi i ka hōʻoluʻolu. E ikaika, e mau i ka oluolu. ʻO nā ʻiʻo nāwaliwali ke kumu nui o nā hōʻeha kuli. E pōmaikaʻi ʻoe mai ka hoʻoikaika ʻana i kou mau quadriceps a me nā hamstrings, nā ʻiʻo ma ke alo a me ke kua o kou mau ʻūhā e kōkua ana i ke kākoʻo ʻana i kou mau kuli. Ke kōkua nei ka hoʻomaʻamaʻa kaulike a me ka kūpaʻa i nā ʻiʻo a puni kou mau kuli e hana pū me ka maikaʻi loa. A no ka mea hiki i nā ʻiʻo paʻa ke komo pū i ka hōʻeha, he mea nui ka hoʻonui ʻana. E ho'āʻo e hoʻokomo i nā hana hoʻonui i kāu mau hana hoʻomaʻamaʻa.

I ka wā o ka ho'okolokolo kino, he nui ka mana'o o kāu kauka e:

• Nana i kou kuli no ka pehu, ka 'eha, ka palahalaha, ka mahana a me ka 'ūhū i'ike 'ia
• E nānā i ka lō'ihi o kou hiki ke ho'one'e i kou wāwae lalo ma nā 'ano like 'ole
• E pēhi a huki paha i ka hono e loiloi i ka kūpa'a o nā mea i loko o kou kuli

I kekahi mau hihia, hiki i kāu kauka ke'ōlelo aku i nā ho'okolokolo e like me:

• X-ray. Hiki i kāu kauka ke'ōlelo mua e lawe i kahi X-ray, kahi e kōkua ai e'ike i nā haki iwi a me ka ma'i hono degenerative.
• Computerized tomography (CT) scan. Ho'ohui nā mīkini CT i nā X-rays i lawe 'ia mai nā kihi like 'ole e hana i nā ki'i cross-sectional o loko o kou kino. Hiki i nā CT scans ke kōkua i ka'ike 'ana i nā pilikia iwi a me nā haki iki. Hiki i kahi 'ano kūikawā o ka CT scan ke'ike pololei i ka gout inā 'a'ole i'ā'ā ka hono.
• Ultrasound. Ho'ohana kēia'enehana i nā nalu kani e hana i nā ki'i manawa maoli o nā'ano'ili'ili ma loko a puni kou kuli. Hiki i kāu kauka ke makemake e ho'one'e i kou kuli i nā kūlana like 'ole i ka wā o ka ultrasound e nānā i nā pilikia kūikawā.
• Magnetic resonance imaging (MRI). Ho'ohana ka MRI i nā nalu lekiō a me kahi'ume'ume ikaika e hana i nā ki'i 3D o loko o kou kuli. He mea pono loa kēia ho'okolokolo i ka hō'ike 'ana i nā'eha i nā'ili'ili palupalu e like me nā ligaments, nā tendons, nā cartilage a me nā'i'o.

Inā mana'o kāu kauka i kahi ma'i'a'ā a i'ole ka mumū, he nui ka mana'o e loa'a iā'oe nā ho'okolokolo koko a i kekahi manawa kahi ka'ina hana i kapa'ia'o arthrocentesis, kahi e wehe 'ia ai kahi wai li'ili'i mai loko mai o kou hono kuli me kahi nila a ho'ouna 'ia i kahi hale hana no ka loiloi.

Hoʻololi nā lāʻau lapaʻau, ma muli o ka mea e hōʻeha nei i kou kuli. Nā lāʻau lapaʻau Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e kōkua i ka hōʻoluʻolu ʻana i ka ʻeha a me ka mālama ʻana i nā kūlana e hōʻeha ana i kou kuli, e like me ka maʻi ʻāʻī rheumatoid a i ʻole ka gout. Hoʻoikaika ʻana ʻO ka hoʻoikaika ʻana i nā ʻiʻo a puni kou kuli e hoʻolilo iā ia i mea paʻa loa. Hiki i kāu kauka ke kuhikuhi i ka lāʻau kino a i ʻole nā ʻano hoʻoikaika like ʻole ma muli o ke kūlana kikoʻī e hōʻeha ana iā ʻoe. Inā he hana kino ʻoe a i ʻole e pāʻani ana i kahi haʻuki, pono paha ʻoe i nā hoʻoikaika e hoʻoponopono i nā ʻano neʻe e hiki ke hoʻopilikia i kou mau kuli a e hoʻokumu i kahi ʻano maikaʻi i kou haʻuki a i ʻole hana. He mea nui nō hoʻi nā hoʻoikaika e hoʻomaikaʻi i kou kūpaʻa a me kou kaulike. Hiki i nā kākoʻo ʻāʻī, i kekahi manawa me nā ʻāpana ma ka ʻaoʻao hoʻokahi o ka kuʻekuʻe, ke kōkua i ka hoʻoneʻe ʻana i ke kaomi mai ka ʻaoʻao o ke kuli i hoʻopilikia nui ʻia e ka osteoarthritis. I kekahi mau kūlana, hiki ke hoʻohana ʻia nā ʻano kākoʻo like ʻole e kōkua i ka pale ʻana a me ke kākoʻo ʻana i ka hui kuli. Nā inikini I kekahi mau hihia, hiki i kāu kauka ke manaʻo e hoʻokomo i nā lāʻau lapaʻau a i ʻole nā mea ʻē aʻe pololei i loko o kou hui. ʻO nā hiʻohiʻona: Corticosteroids. Hiki i nā inikini o ka lāʻau corticosteroid i loko o kou hui kuli ke kōkua i ka hōʻemi ʻana i nā hōʻailona o kahi ʻāʻī a hāʻawi i ka hōʻoluʻolu ʻeha e hiki ke lōʻihi no kekahi mau mahina. ʻAʻole kūpono kēia mau inikini i nā hihia a pau. Hyaluronic acid. He wai mānoanoa, e like me ka wai e lubricates maoli i nā hui, hiki ke hoʻokomo ʻia ka hyaluronic acid i loko o kou kuli e hoʻomaikaʻi i ka neʻe ʻana a me ka hōʻoluʻolu ʻana i ka ʻeha. ʻOiai ua hui nā hopena o ka noiʻi e pili ana i ka pono o kēia lāʻau lapaʻau, hiki ke lōʻihi ka hōʻoluʻolu mai hoʻokahi a i ʻole kahi kau o nā pana a hiki i ʻeono mahina. Platelet-rich plasma (PRP). Loaʻa i ka PRP kahi hoʻonui o nā mea ulu ulu like ʻole e like me ka hōʻemi ʻana i ka mumū a me ka hoʻoikaika ʻana i ka hoʻōla. Ua ʻike kekahi mau noiʻi ua hiki i ka PRP ke pōmaikaʻi i kekahi poʻe me ka osteoarthritis, akā pono nā noiʻi hou aku. ʻO ka ʻoki kino Inā loaʻa iā ʻoe kahi hōʻeha e pono ai ka ʻoki kino, ʻaʻole pono e hana koke i ka hana. Ma mua o ka hoʻoholo ʻana, e noʻonoʻo i nā pono a me nā hemahema o ka hoʻōla ʻana me ka ʻoki ʻole a me ka hana hou ʻana o ka ʻoki kino e pili ana i ka mea nui loa iā ʻoe. Inā koho ʻoe e hana i ka ʻoki kino, hiki i kāu mau koho ke komo: ʻO ka ʻoki kino arthroscopic. Ma muli o kou hōʻeha, hiki paha i kāu kauka ke nānā a hoʻoponopono i kou hōʻino hui me kahi kāmela fiber-optic a me nā mea hana lōʻihi a lahilahi i hoʻokomo ʻia ma o kekahi mau ʻoki liʻiliʻi a puni kou kuli. Hiki ke hoʻohana ʻia ka arthroscopy e wehe i nā kino kūʻokoʻa mai kou hui kuli, wehe a hoʻoponopono i nā cartilage i hōʻino ʻia (inā ʻo ia ke kumu o ka laka ʻana o kou kuli), a me ka hana hou ʻana i nā ligaments i haehae ʻia. ʻO ka ʻoki kino pani kuli hapa. I kēia kaʻina hana, pani kāu kauka i ka hapa nui o kou kuli i hōʻino ʻia me nā ʻāpana i hana ʻia i ka metala a me ka plastik. Hiki ke hana ʻia ka ʻoki kino ma o nā ʻoki liʻiliʻi, no laila e hoʻōla koke ʻoe ma mua o ka ʻoki kino e pani i kou kuli holoʻokoʻa. ʻO ka pani kuli holoʻokoʻa. I kēia kaʻina hana, ʻoki kāu kauka i ka iwi a me ka cartilage i hōʻino ʻia mai kou ʻiwi ʻūhā, ʻiwi ʻūhā a me ke poʻo kuli, a pani iā ia me kahi hui hana i hana ʻia i nā metala, nā plastik kiʻekiʻe a me nā polymers. Osteotomy. Hoʻopili kēia kaʻina hana i ka wehe ʻana i ka iwi mai ka ʻiwi ʻūhā a i ʻole ka ʻiwi ʻūhā e hoʻoponopono maikaʻi i ke kuli a hōʻoluʻolu i ka ʻeha ʻāʻī. Hiki i kēia ʻoki kino ke kōkua iā ʻoe e hoʻopaneʻe a pale aku i ka ʻoki kino pani kuli holoʻokoʻa. ʻIke hou aku Arthroscopy Knee replacement Noi i kahi manawa He pilikia me ka ʻike i hōʻike ʻia ma lalo nei a hoʻouna hou i ke palapala. Mai Mayo Clinic i kāu pahu leka E kau inoa no ka manuahi a noho hou i nā holomua noiʻi, nā ʻōlelo aʻo olakino, nā kumuhana olakino o kēia manawa, a me ka ʻike ma ka hoʻokele ʻana i ke olakino. Kaomi ma aneʻi no kahi nānā leka uila. Helu Leka Uila 1 Hema He mea pono ke kahua leka uila Hema E hoʻokomo i kahi leka uila kūpono E aʻo hou aku e pili ana i ka hoʻohana ʻana o Mayo Clinic i ka ʻikepili. No ka hāʻawi ʻana iā ʻoe i ka ʻike pili loa a kōkua loa, a hoʻomaopopo i ka ʻike e pono ai, hiki iā mākou ke hoʻohui i kāu leka uila a me ka ʻike hoʻohana pūnaewele me nā ʻike ʻē aʻe e loaʻa iā mākou e pili ana iā ʻoe. Inā ʻoe he mea maʻi Mayo Clinic, hiki ke komo pū kēia i ka ʻike olakino palekana. Inā hoʻohui mākou i kēia ʻike me kāu ʻike olakino palekana, e mālama mākou i kēlā ʻike a pau ma ke ʻano he ʻike olakino palekana a e hoʻohana wale a hōʻike i kēlā ʻike e like me ka mea i kau ʻia i loko o kā mākou leka hoʻomaopopo o nā hana pilikino. Hiki iā ʻoe ke koho i nā kamaʻilio leka uila i kēlā me kēia manawa ma ke kaomi ʻana i ka loulou unsubscribe i loko o ka leka uila. E kau inoa! Mahalo no ke kau inoa ʻana! E hoʻomaka koke ʻoe e loaʻa i ka ʻike olakino Mayo Clinic hou loa āu i noi ai i loko o kāu pahu leka. E kala mai, ua hewa kekahi mea me kāu kau inoa E ʻoluʻolu, e ho'āʻo hou i loko o kekahi mau minuke E ho'āʻo hou