Me kōrero tātou mō te pokanga tuke!

Kua roa koe e mamae ana, e raru ana rānei i tō tuke? Tērā pea kua whakamātau ngā tākuta i ētahi atu maimoatanga. Engari ki te kore e angitu, me whakaaro pea koe ki te pokanga tuke . He mea noa te puta ake o ngā mea ki tō hinengaro i tēnei wā. Koia ahau i whakaaro ai me kōrero atu tēnei ki a koe i roto i tētahi huarahi māmā, mārama hoki.

He aha te Pokanga Tuke? He māmā noa iho...

Āe, ko te pokanga tuke he momo pokanga e mahia ana ki ngā wheua o tō hononga tuke, ki ngā kiko ngohengohe rānei e karapoti ana. Ko tēnei momo pokanga ka mahia i te nuinga o te wā mēnā he whara, he āhuatanga rānei tōu kāore anō kia rongoatia ki te rongoā, ki te whakaora tinana rānei. Ka mahia ēnei pokanga e ngā taote pokanga wheua . He maha ā rātou ngana ki te whakamahi i ngā tikanga iti rawa te whakaekenga . Hei tauira , ko te arthroscopy .

He aha ngā momo pokanga tuke e wātea ana?

Ko te momo pokanga tuke ka whakawhirinaki ki te take e pokangahia ai koe. Me titiro tātou ki ngā tikanga matua e rua.

1. Te Tātaritanga o te Arthroscopy - He mea nui mā roto i tētahi kōhao iti!

Koinei te tikanga iti rawa te whakaekenga i kōrerotia e au i mua. Whakaarohia, ka hangaia e te tākuta he kōhao iti rawa ki tō tuke, ka whakaurua he kāmera iti (Arthroscope) . Ka tirohia ngā whakaahua mai i tēnei kāmera ki runga i te mata nui, ā, ka whakaurua ngā taputapu roa, whaiti mā roto i ētahi atu kōhao iti hei mahi i te pokanga. Nā te mea kāore he tapahi nui, he poto ake te wā whakaora, ā, he iti ake te mamae.

2. Pokanga tuwhera - te tikanga tuku iho

Koinei te tikanga kua whakamahia mai anō i ngā wā o mua. Ko te mea e tupu ana i konei ko te tapahi nui a te tākuta i runga ake i tō hononga tuke, ka whakatuwhera i te hononga, ā, ka mahi i te pokanga. Mena kua pāngia koe e te whara kino, pērā i te whara whara , me te mea rānei me mahi koe i tētahi mea nui, pērā i te whakakapi i te hononga katoa , ka whakamahia pinepinetia tēnei tikanga pokanga tuwhera. Nā te mea ka taea e te tākuta te kite mārama i te wāhi katoa.

He aha ngā mea ka tupu ina pokangahia tō tuke?

Ko te nuinga o ngā pokanga tuke he mahi ā-waho. Ko te tikanga ka taea e koe te hoki ki te kāinga i taua rā anō. I te wā o te pokanga, ka whakangā koe e te aukati io ā-rohe , ka meinga rānei koe kia moe i raro i te mate whakamoe whānui . I ētahi wā ka whakamahia pea ngā tikanga e rua. I te wā o te pokanga, ka whakatika, ka tango rānei te tākuta i te kiko kua pakaru, ka nekehia ngā wāhanga, ka whakauru rānei i ngā wāhanga hou mēnā e tika ana.

He aha ngā tikanga motuhake ka taea te mahi ki te tuke?

He maha ngā pokanga motuhake ka taea te mahi ki tō tuke. Ko ētahi o ēnei:

• Te tukunga o te kauhanga cubital/radial: Ka mahia tēnei hei whakamama i te pēhanga ki ngā io e rere ana i roto i te tuke (io Ulnar, io Radial rānei). Whakaarohia he rite ki te paipa wai kua purua, ina purua te io, ka tukuna.
• Te tango i ngā kiko mate, pakaru, me te kore e whai kiko: Ko tēnei te tango me te horoi i ngā kiko mate, ngoikore, me te pakaru.
• Te tango i te bursae i roto i te tuke: Te tango i te bursae i roto i te tuke hei rongoā mō tētahi mate mau tonu e puta ana ina mumura ngā pēke kī tonu i te wai e kiia nei ko te bursae (e kiia ana tēnei ko te bursitis o te tuke) .
• Whakakapinga tuke: I tēnei mahi, ka tangohia katoatia, ka tangohia rānei te hononga tuke i tētahi wāhanga, ā, ka whakakapia ki ngā wāhanga hangai . He rite ki te whakakapinga turi.
• Te whakaiti tuwhera me te whakapiri ā-roto: Ahakoa he ingoa uaua tēnei, ko tōna tikanga he whakanoho anō i te wheua whati me te whakauru i ngā waea me ngā pereti mai i roto (whakapiri ā-roto).
• Osteotomy: Kei roto i tēnei ko te tapahi, te hanga anō i te āhua, me te whakatikatika i ngā wheua hei whakaiti i te mamae.
• Synovectomy: I roto i ngā āhuatanga pēnei i te rumatiki rheumatoid , ka mumura, ka mamae hoki te kiriuhi synovial e hipoki ana i te hononga. Ko tēnei pokanga he tango i te kiriuhi synovial kua pakaru.
• Tenotomy: Ka whakamahia tēnei hei wetewete i te uaua ( he wāhanga rite ki te whitiki e hono ana i te uaua ki te wheua) kua piri, kua totoro rānei, hei whakatika rānei i te uaua kua pakaru.
• Te pokanga a Tommy John:He pokanga rongonui tēnei, inā koa i waenga i ngā kaitākaro. Ka mahia hei whakatika i te hononga ulnar collateral, he hononga kei roto o te tuke, ina pakaru.

Kia pēhea te roa o te pokanga?

Ko te nuinga o ngā pokanga tuke e roa ana mō te kotahi, e rua rānei hāora . Whai muri i te pokanga, ka haria koe ki te rūma whakaora kia memeha ai te rongoā whakamoe . Ka tirotirohia anō hoki koe mō tētahi atu hāora, e rua rānei.

He aha ngā mōrearea ka puta mai i te pokanga tuke?

He haumaru te pokanga tuke. Heoi, pērā i ngā pokanga katoa, kei reira ētahi mōrearea. Ko ētahi o ēnei ko:

• Ngā toto totoka
• Mate pāwera
• Te toto nui rawa
• Ngā whara o te io

He wāhi tino iti te hononga tuke, he maha ngā momo kiko e piri tahi ana. Nō reira, ki te whakaritea ki ngā pokanga i ngā hononga nunui ake, he paku teitei ake te mōrearea o te kino o ngā io me te mate i te wā e pokangahia ana te tuke. Kaua e manukanuka, ahakoa kua pakaru te io, he wā poto noa iho. Tērā pea ka roa te ngenge me te ngau kino, ā, ka memeha haere ēnei tohu i te wā e ora ana te io.

He aha ngā painga o ngā momo tikanga pokanga rerekē?

Mena ka pokangahia koe mā te tikanga arthroscopy i kōrerohia e tātou i mua ake nei, he māmā ake te whakaoranga. Nā te mea he iti rawa ngā motu, ka tere te ora. He iti ake te mamae, ā, he iti ake te tūponotanga o ētahi atu raruraru i te wā whakaora. Waihoki, ka taea e koe te tīmata wawe i te whakaora tinana . Kātahi ka kore koe e tino mārō ina tīmata anō koe ki te neke i tō tuke.

Mā te pokanga tuwhera ka taea e te tākuta te rongoā i tō tuke katoa i te wā kotahi. Hei tauira, mēnā he whara tino uaua tōu, he mate rānei kua horapa puta noa i te rohe katoa, he pai ake pea tēnei tikanga. Waihoki, mēnā kāore anō kia kitea e te tākuta te pūtake tuturu o te raruraru, ka taea e tēnei tikanga te āwhina mēnā me whakatika wawe tetahi mea.

He aha ngā mea ka tupu i muri i te pokanga?

I muri i tō pokanga, ka whakamāramahia e te kaiwhakarato hauora ki a koe me pēhea te tiaki i tō patunga me te whakahaere i te mamae ina hoki koe ki te kāinga. Kei roto i ēnei ko:

• Me pēhea te tiaki i te patunga me te tapahi
• Te whakahaere mamae i muri i te pokanga
• Me pēhea te mau i te whitiki i runga i tō ringaringa
• Me pēhea te kaukau, me pēhea te horoi i tō tinana
• Me pēhea te moe pai
• Āhea ahau ka taea te tīmata anō ki te taraiwa?
• Āhea ahau ka taea te hoki ki te mahi me te mahi i ngā mahi o te whare?
• Te rā takiuru

Kia ora tō whara, ka āwhina mārire te kaiwhakaora tinana i a koe ki te whakakorikori i tō tuke kia hoki mai ai te ngāwari me te kaha. He wāhanga tino nui te whakaora tinana i roto i tō tukanga whakaora, nō reira kaua e wareware.

Kia pēhea te roa o te wā e ora ai i muri i te pokanga tuke?

E rua, toru wiki pea te roa o te ora o ō tapahi. Whai muri i tēnā, ka taea e koe te whakamahi i tō tuke pērā i mua. Ka rerekē te roa o te wā e pau ana mō tēnei mahi i ia tangata, i ia tangata, i runga i te momo pokanga i mahia ki a koe. Me haere tonu pea te whakaora tinana mō ētahi marama ki te tau .

Ka taea e tō tākuta te hoatu ki a koe ngā tohutohu pai rawa atu mō tō wā whakaora me ngā mea ka taea e koe te tumanako atu.

Ka taea e koe te pātai atu ki a ia i ēnei pātai:

• Āhea ka wetekina (ka memeha rānei) aku tuitui?
• Kia pēhea te roa ka mamae ahau, me tango rānei e au ngā rongoā whakamamae?
• Kia pēhea te roa o taku mahi whakaora tinana?
• Āhea ka rite taku tuke ki te tākaro hākinakina, ki te mahi taumaha rānei?

Āhea ahau me waea atu ki taku tākuta?

Ki te pāngia koe e tētahi o ēnei tohu , waea atu ki tō tākuta tonu :

• Te pāngia e te kirika
• He rerenga rerekē mai i ngā patunga
• Te ngenge, te ngau rānei
• Te toto nui, te pupuhi rānei
• Te mamae kino rawa atu e kore e taea te whakahaere

Hei whakamutunga, he mea hei whakaaroaro māu...

E mōhio ana ahau ehara i te mea ngāwari te rēhita mō te pokanga tuke me te tukanga whakaora roa e whai ake nei. Engari ki te whakaaro koe ki tēnā, he take pai tērā mō tēnā. Tērā pea kua whara kino koe i roto i tētahi aituā e hiahia ana kia whakatikahia, tērā pea kua roa koe e mamae ana i te mamae tuke mau tonu. Ina rite koe ki te rapu maimoatanga pokanga, ka āwhina tō rōpū hauora i a koe i roto i te tukanga katoa. Kaua e mangere ki te pātai atu ki a rātou i ō pātai, āe?

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