Me kōrero tātou mō te pūnaha angaiwi (pūnaha uaua) e homai ana te kaha ki tō tinana.

Kua whakaaro koe ki te āhua o tō tinana, me pēhea e tiaki ai i ngā whekau ngawari i roto i a koe pērā i tō ngākau me ō pukahukahu? Ā, ko wai ka āwhina i a koe ki te neke i ō waewae, ki te oma, ki te pekepeke i tāu e pai ai? Ka āwhinahia ēnei katoa e tētahi pūnaha whakamiharo i roto i tō tātou tinana. Ko te pūnaha angaiwi tēnā, e kīia ana rānei ko te "Pūnaha Angaiwi" ko te "Pūnaha Angaiwi Uaua" rānei.

He aha te Pūnaha Angaiwi?

Ki te kī māmā noa iho, ko tō pūnaha angaiwi te hanganga tautoko matua e homai ana i te āhua ki tō tinana, e āwhina ana hoki ki te pupuri i ō whekau o roto kia mau tonu. He rite ki ngā pakitara o te whare. Engari ehara i te angaiwi noa iho. Ehara i te mea he wheua noa iho. He mea hanga hoki i te kiko honohono e tiaki ana i a koe, e homai ana hoki i te kaha i a koe e neke ana, ngā uaua e āwhina ana i a koe e neke ana, me te pūnaha e hanga ana i ngā pūtau toto hou hei pupuri i a koe kia ora. Koia te take e kiia ai i ētahi wā ko te Pūnaha Angaiwi Uaua. Ko te pūnaha e hono ana i ngā uaua me ngā wheua.

He aha ngā ratonga e tukuna ana e te pūnaha angaiwi ki tō tātou tinana?

He maha ngā mahi a tō tātou pūnaha angaiwi mō tō tātou tinana. Ko ētahi o ēnei he ngāwari ki te kite me te rongo. Engari ko ētahi kāore, ā, he mea nui katoa ēnei mō tō tātou tinana me te hauora. Me titiro tātou ki ēnei mahi matua:

• Āhua o te tinana: Ko tō angaanga te mea e tautoko ana i te taumaha o tō tinana katoa. Koinei hoki te wāhi e piri ai ngā kiko katoa o tō tinana, pērā i ngā pou o te tēneti.
• Āwhina i te nekehanga: Ka mahi tahi ō hononga, ō kiko honohono, me ō uaua ki te neke, ki te pana, me te kukume i ngā wāhanga o tō tinana. Whakaarohia, ina hiki ake koe i te ringa, ina piko rānei i te waewae, ka mahi tahi katoa rātou.
• Te Tiaki i ngā Okana o Roto: Ina hoki, he rite te angaanga tangata ki tētahi kākahu tiaki mō ngā okana o roto i ō tātou tinana. Mā te angaanga i runga i tō mahunga e tiaki tō roro. Mā ngā rara i runga i tō uma e tiaki tō ngākau me ō pukahukahu. Mā ngā tuaiwi i runga i tō tuara e tiaki tō taurakira. Tirohia te hiranga o aua mea!
• Te hanga pūtau toto hou: Ko te hinu wheua, kei waenganui o ētahi wheua, ka hanga i ngā pūtau toto whero hou me ngā pūtau toto mā e hiahiatia ana e ō tātou tinana kia ora tonu ai. He tukanga tino nui tēnei.
• Te rokiroki kohuke: Ko ngā kohuke pēnei i te konupūmā me te huaora D, he mea nui mō te tinana, kei roto i ō tātou wheua. Ka tukuna ēnei ki te tinana ina hiahiatia.

He aha ngā wāhanga matua o te pūnaha angaanga?

Ina whakaaro koe ki te pūnaha angaiwi, tera pea ka whakaaro koe ki te angaiwi kirihou i a koe i te akomanga pūtaiao o te kura, tika? Ae, kei roto katoa ō wheua. Engari, he maha atu ngā momo kiko i roto i tō pūnaha angaiwi. Me titiro tātou ki ēnei:

• Ngā wheua: Ko ngā wheua te hanganga matua o tō tinana. E 206 ki te 213 ngā wheua i roto i te tinana o te pakeke. He āhua me he mahi motuhake tō ia wheua.
• Uaua: He muka raranga pūmau, he uaua hoki ngā mea hanga o ngā uaua. Neke atu i te 600 ngā uaua o tō tinana. Koinei ngā mea hei āwhina i a koe ki te mahi i ngā mea katoa mai i te hikoi, te oma, me te peke ki te manawa me te nakunaku kai.
• Te kiriuhi: He kiko kaha te kiriuhi, engari he ngāwari. He rite ki te ātete ru i roto i ō tātou hononga. Arā, ka mimiti i ngā ru e puta ana ina neke tātou, ina peke, ā, ka tiaki hoki i ngā wheua.
• Ngā hononga: Ko ngā hononga he here kiko kaha e hono ana i ngā wheua tetahi ki tetahi. Koinei ngā mea e pupuri ana i te pumau o ngā hononga.
• Ngā uaua: He hanganga kaha, he rite ki te taura ngā uaua e hono ana i ngā uaua ki ngā wheua. Ina whakawhāitihia he uaua, ka kukume te uaua i te wheua, ka neke.
• Ngā Hononga: Ko te hononga he wāhi e tūtaki ai ngā wheua e rua, neke atu rānei. Tērā pea kei roto i tēnei hononga ētahi (katoa rānei) o ngā wheua kiripaka kua whakahuatia ake nei, ngā hononga, me ētahi atu wāhanga. Mā ngā hononga ka taea e tātou te piko me te toro i ō tātou tinana.

He aha ngā mate e pāngia ai te pūnaha angaiwi?

Nā te mea he wāhanga nui tō tātou pūnaha angaiwi o te whakamahinga o ō tātou tinana, he maha ngā mate me ngā whara noa ka pā ki tēnei tinana. Ko ngā mea katoa e kino ana ki ō wheua, ki ō kiko honohono rānei, ka pā ki te pūnaha angaiwi. Anei ētahi tauira:

• Mate rumatiki: Koinei te wā ka mumura ai ngā hononga, ka mamae, ka pupuhi hoki.
• Bursitis: Te mumura o ngā pēke kī tonu i te wai e kiia nei ko te bursa e tata ana ki ngā hononga.
• Tendinitis: Te mumura o ngā uaua.
• Osteoporosis: He āhuatanga tēnei e angiangi haere ai ngā wheua, e kore e kaha, ā, e ngāwari ake ai te whati. He mea noa tēnei āhuatanga i te kaumātuatanga.

He maha ngā mate ārai mate e pā ana ki te pūnaha uaua me te uaua, inā koa ko ngā hononga. Koinei ngā mate e whakaekea ai e tō tātou ake pūnaha ārai mate ō tātou ake pūtau. Ko ētahi o ēnei ko:

• Te mate rumatiki (RA)
• Te mate rumatiki psoriasis
• Lupus
• Te mate a Sjögren

He maha ngā wā ka pakaru te pūnaha angaanga i ngā hinganga, ngā aituā motuka, me ngā whara hākinakina. Ko ētahi o ngā whara noa ko:

• Ngā whara hākinakina
• Ngā whati wheua (ngā wheua whati rānei)
• Ngā hē o te hononga - te neke haere o ngā wheua i roto i te hononga mai i te wāhi tika.
• Ngā uaua e tōia ana (ngā uaua rānei e māuiui ana)
• Ngā haehae me ngā whāwhā o te hononga

He aha ngā tohu noa o te raruraru o te pūnaha angaiwi?

Nā te mea he maha ngā mate me ngā whara ka pā ki te pūnaha angaiwi, ka pāngia pea koe e ngā momo tohu. Mena kei a koe tētahi, neke atu rānei o ēnei, me mōhio koe ki ēnei.

• Mamae: He mamae uaua, he mamae hononga, he mamae wheua rānei. Ka taea tēnei mamae te noho ki te wāhi kotahi, te whānui rānei.
• Pakari/Tūkino: Tērā pea ka uaua ki te neke i te wāhi e pāngia ana, inā koa i te ata.
• Pupuhi: Ka karangatia hoki tēnei ko te '(mumura)'. Tērā pea ka pupuhi te wāhi e pāngia ana.
• Te rerekētanga o te kiri, te maru rānei: Ka kitea tēnei ina he whara.
• Te werawera: Tērā pea ka wera ake te wāhi i ērā atu wāhi ina pā atu koe. He tohu mumura anō hoki tēnei.
• Te uaua ki te neke i tētahi wāhanga o te tinana: Ko te tikanga o tēnei kua whakaitihia te whānuitanga o te nekehanga ka taea te neke noa.
• Te rongo, te rongo rānei i te haruru 'pakū', i te haruru huri rānei: Ka rangona tēnei momo haruru ina nekehia he hononga.

He aha ngā whakamātautau e whakamahia whānuitia ana mō te pūnaha angaanga?

Ka tūtohu te tākuta i ngā whakamātautau i runga i te wāhi e mamae ana koe, e tohu rānei i ētahi atu tohu. Me whai whakamātautau pea koe pēnei i ēnei:

• Ngā hihi-X: He maha ngā wā ka mahia ēnei hei tirotiro i ngā mea pēnei i te whati me ngā huringa o ngā hononga.
• Ultrasound: Whakamahia hei tirotiro i ngā raruraru o ngā kiko ngohengohe pērā i ngā uaua, ngā uaua me ngā hononga.
• Matawai CT ('Matawai Tomography Rorohiko (CT)'): Mā tēnei ka taea te whakaputa whakaahua taipitopito ake o ngā wheua me ngā kiko e karapoti ana.
• MRI (Whakaahua aukume aukume (MRI): He tino whai hua tēnei mō te kimi raruraru ki ngā hononga, ki te kiriuhi, ki ngā uaua, ki ngā hononga me te taurakira.
• Whakamātautau kiato wheua (matawai DXA): Mā tēnei ka tirohia te kaha o ō wheua, me te mea kei a koe tētahi mate pēnei i te osteoporosis.

He aha ngā maimoatanga noa mō te pūnaha angaiwi?

Ki te kore he mate, he whara rānei tōu, kāore tō pūnaha uaua me rongoā. Mā tō tākuta e whakatau te take o ō tohumate, ā, ka tūtohu i ngā maimoatanga hei āwhina i tō tinana kia ora. Ko ētahi o ēnei ko:

• Rongoā: Ka taea e koe te tango i ngā rongoā pēnei i ngā rongoā anti-inflammatory kore-steroidal (NSAID) pēnei i te ibuprofen, naproxen, me te acetaminophen hei whakaiti i te mamae me te pupuhi. I ētahi wā ka tohua pea e tō tākuta ngā corticosteroids, ngā rongoā rānei e hāngai ana ki tētahi mate pūnaha ārai mate.
• Te aukati:I muri i te whara, me mau he whitiki tautoko, he whitiki whakatārewatanga, he whitiki whakapiri, he whitiki whakarewa rānei. Mā tēnei ka āwhina i te whakaū i te wāhi whara, ā, ka āwhina i te whakaora. Ma tō tākuta koe e kī atu ki te momo e hiahiatia ana e koe me te roa o te wā e mau ai koe.
• Whakaora tinana: Ka taea e te kaiwhakaora tinana te āwhina i a koe ki te whakapakari i ngā uaua, te whakanui ake i te ngāwari, me te whakaiti i te mamae, ina koa i muri i te whara, i te pokanga rānei.
• Te whakakapinga hononga (Arthroplasty (whakakapinga hononga): Ko ētahi tāngata, inā koa ko te hunga e pāngia ana e te mate rumatiki kino, me whakakapi pea tētahi wāhanga, te katoa rānei o ō rātou hononga. Ko ngā hope me ngā turi te mea tino kitea. Mā tō tākuta, mā tō taote pokanga rānei koe e kōrero atu mō tēnei.

Me pēhea taku pupuri i te hauora o taku pūnaha angaiwi?

Mā te whai i tētahi kai hauora (he nui te konupūmā me te huaora D) me tētahi mahere whakakori tinana e tika ana māu ka āwhina i te pupuri i te hauora o ō wheua (me te hauora whānui). Mā te haere ki ngā tirotiro hauora auau, ka taea e koe te tautuhi wawe i ngā raruraru, i ngā tohu rānei e pā ana ki tō pūnaha angaanga.

Whāia ēnei tohutohu whānui mō te haumaru hei whakaiti i te tūponotanga o te whara:

• Me mau tonu tō whitiki nohoanga i a koe e taraiwa ana. Ae ra!
• Mauria he taputapu tiaki mō tetahi mahi, mō tetahi hākinakina rānei, pērā i te potae me ngā papa turi.
• Totoro, whakamahana, me te whakamatao i mua me muri i te mahi tinana taumaha. Mā tēnei ka whakaiti i te tūponotanga o ngā whara uaua me ngā hononga.
• Puritia tō kāinga me tō wāhi mahi kia kore he mea kāore e hiahiatia ana, ka tūtaki pea koe, ka tūtaki rānei ētahi atu. Kaua e waiho ngā mea ki runga i te papa.
• Whakamahia tonu ngā taputapu tika hei toro atu ki ngā mea teitei o tō whare. Kaua rawa e piki ki runga i ngā tūru, i ngā tēpu, i ngā papa rānei. Whakamahia he mea pēnei i te arawhata iti.
• Ki te uaua tō hikoi, ki te tūpono rānei koe ki te hinga, whakamahia he tokotoko, he taputapu hikoi rānei. Ehara i te mea whakama, engari he mea nui kia noho haumaru.

Hei whakamutunga, he karere hei kawe ki te kāinga:

He rite tō pūnaha angaanga ki te anga e pupuri ana i tō tinana katoa. Ahakoa he kaitākaro rongonui koe, he tangata rānei e noho ana i runga pahi e pānui ana i tēnei tuhinga i runga i tā rātou waea, kei te whakamahi tonu koe i ō wheua, i ō uaua, me ō kiko honohono.

Kia maumahara, ki te pāngia koe e tetahi mamae hou, he kōpikopiko, he tohu rānei, me toro atu ki te tākuta.Kātahi ka whakamārama ia ki a koe he aha te take o ēnei tohu, me pēhea hoki e taea ai e koe te hoki ki ō mahi o ia rā. Ko te mea nui ko te tiaki i tō tinana!

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