Ko tēnei hononga iti te take o te mamae o te pakihiwi? Me ako tātou mō te hononga AC (Acromioclavicular Joint)

He mamae rerekē, he kōpiripiri rānei tōu i ētahi wā i te taha whakarunga o tō pakihiwi, inā koa te pito o te mata o te pakihiwi? Tērā pea i tīmata i te wā i hinga ai koe ki te whenua i a koe e tākaro ana i te kirikiti, i te wā rānei i paheke ai tō ringa ki te whenua i muri i te eke pahikara. Ahakoa he tokomaha e whakaaro ana he mea noa tēnei mamae pakihiwi, he whāwhā uaua, ko te tino take pea he raruraru ki tētahi hononga iti engari he mea nui i roto i tō tātou pakihiwi. I tēnei rā, me kōrero tātou mō te hononga AC, kāore e kōrerohia ana e te katoa, engari he mea tino nui.

He aha tēnei hononga AC?

Ki te kī māmā noa iho, ko te hononga AC tētahi o ngā hononga matua e rua o tō pakihiwi. Ko tōna ingoa katoa ko te Hononga Acromioclavicular . He ahua uaua te ahua o te ingoa, kāore? Engari he tino māmā te āhua o tōna hanganga. Kei te wāhi e hono ai tō wheua kara, te clavicle rānei, ki te tihi o tō pakihiwi (scapula) . Ka taea e koe te pā ki te tihi o tō pakihiwi mā ngā maihao o tō ringa kē. Ko te puku iti tēnei e puta mai ana i te pito o tō wheua kara, ā, koinei te wāhi e noho ai te hononga.

Nō reira, ka hangaia te ingoa 'Acromio-clavicular' mā te whakakotahi i ngā ingoa o ēnei wheua e rua. He hononga tino nui tēnei mō te nekehanga me te pumau o tō tātou pakihiwi.

He aha te ratonga e tukuna ana e te hononga hiko AC ki tō tātou tinana?

Ko te mahi matua o te hononga AC he tautoko i te pakihiwi me te whakarato i tētahi wāhi mō ngā hononga huri noa i te pakihiwi hei whakapiri.

Whakaarohia te hononga AC he hononga 'korekore' e kore e taea te neke takitahi. Arā, ko ōna nekehanga e whakahaerehia ana e ētahi atu uaua me ngā hononga o te pakihiwi. Ina neke ngā uaua o te pakihiwi, ka neke te pakihiwi katoa, ā, koira te wā e neke ai te hononga AC. He hononga papatahi tēnei e āhei ai ngā wheua e rua te neke mārire tetahi ki tetahi.

Hei tauira, whakaarohia kei te hoe koe i tētahi poti, ā, kei te pana whakamua ō ringa, kātahi ka kumea whakamuri. I roto i tēnei nekehanga, kei te neke whakamua, kei te whakamuri hoki tō pakihiwi, ā, ko te hononga AC te mea e āwhina ana i te nekehanga tika o te pakihiwi. He mea tino nui hoki tēnei hononga ina hiki ake tō ringa.

He aha te mea i hangaia ai te hononga AC?

Kei roto i tēnei hononga iti ētahi wāhanga tino nui o te tinana.

• Ngā Wheua: E ai ki tā tātou i kōrero ai i mua ake nei, ko te clavicle me te scapula ngā wheua matua e rua e hanga ana i tēnei hononga.
• Kirita: Hei ārai i te mirimiri o ēnei wheua e rua, he urunga kei waenganui i a rāua. Koinei te mea e kīia nei e tātou he kirita. Koinei te mea e āhei ai ngā wheua e rua ki te paheke maeneene tetahi ki tetahi, me te kore e pakaru.
• Ngā hononga: E rua ngā wheua o te hononga e honoa ana tetahi ki tetahi, ā, e puritia ana ki te tūranga e ngā hononga. E toru ngā hononga matua o te hononga AC. Koinei ngā mea e pupuri ana i te hononga kia mau tonu, me te kore e neke haere.
• Ngā io: Ka mamae tātou, ka rongo hoki i tēnei hononga mai i te pūnaha io e toro atu ana i te kaki ki te pakihiwi.
• Ngā uaua toto: Pērā i ngā okana katoa, he pūnaha uaua toto kei tēnei hononga hei whakarato i te kai me te hāora.

He aha ngā mate me ngā mate e tino kitea ana i roto i te hononga AC?

He tino noa ngā whara o ngā hononga AC. E ai ki ngā tākuta, tata ki te 40% o ngā whara pakihiwi katoa e pā ana ki te hononga AC. Ka taea e ēnei whara te puta i roto i ngā momo huarahi.

• Ngā whāwhā o te pakihiwi: He pakaru i roto i ngā hononga e karapoti ana i te hononga.
• Ngā pakihiwi wehe: He wehenga tēnei o te mata o te pakihiwi me te wheua wheua nā te pakaru o ngā hononga e pupuri ana i te mata o te pakihiwi kia kotahi. He rerekē te kaha o te whara.
• Ngā pakihiwi kua motu: He nui ake te pānga o tēnei ki te hononga matua o te pakihiwi i te hononga AC, engari i roto i tētahi aituā kino, ka pāngia anō hoki te hononga AC.
• Ngā whati pakihiwi: He whati i te pokohiwi, i te humerus rānei i te hononga.

Ko te tino take o ēnei he kaha ohorere, he kaha rawa hoki e pā ana ki te pakihiwi. Ko ngā aituā hākinakina (hei tauira, te hinganga i te wā e takaro ana i te whutupōro, te taraiwa kirikiti, te takaro poipapa rānei), ngā aituā motuka , me te hinganga mai i ngā teitei te mea tino kitea.

Hei tāpiritanga, ka pāngia hoki tēnei hononga e te mate rumatiki, he mate e pā mai ana i te kaumātuatanga. Heoi, he maha ngā tāngata e pāngia ana e te mate rumatiki i tēnei hononga kāore e pāngia e te mamae, e ngā tohu rānei. Nō reira, kāore pea e hiahiatia he maimoatanga.

He aha te āhua o te mamae o ngā hononga AC?

Ki te mamae tō pakihiwi, he uaua ki te tautuhi mēnā nō te hononga AC te mamae, nā te mea ina mamae, e rite ana ki te mamae o te pakihiwi katoa.

I ētahi wā ka puta te mamae i te wāhi tonu o te hononga AC. Engari i ētahi wā ka horapa te mamae ki te kaki, ki te pakihiwi o raro, ki ngā uaua o te uma, ki te tuara rānei. Ka rerekē anō hoki te āhua o te mamae i runga i te take.

He aha i puta mai ai te tangi 'tōk tok' mai i te hononga o te pūnaha hau?

He raruraru tēnei e pā ana ki te tini tāngata. He mea noa iho te tangi o ō tātou hononga i ētahi wā. Ka pā tēnei ina totoro tātou i te tinana, ina piko rānei i te hononga. Ko te take o tēnei, ka tukuna ngā mirumiru hau kua mau i roto i te wai i roto i te hononga. Kāore he take e wehi ai i ēnei momo tangi noa.

Heoi anō, kei reira ngā āhuatanga motuhake me aro atu koe ki.

Waihoki, ki te rongo tonu koe i te tangi pāwhiri ina rūrū koe i tō ringa i taua ara anō, ki te rongo rānei koe i te tangi 'pakū' me te mea e mirimiri ana ngā wheua e rua, me kōrero anō hoki koe ki te tākuta mō tēnā.

He mea tino nui: Ki te whakaaro koe kua whara tō pakihiwi, kaua rawa e tukua kia pā atu, kia whakau, kia whakatikatika rānei tētahi tangata kāore i te whakangungua. Ki te whakaaro koe kua hē te hononga, kaua e ngana ki te whakahoki. Kia mau tonu te pakihiwi, ā, haere tonu ki te Tari Urupare (ETU) tata.

He aha ngā maimoatanga mō ngā mate hononga AC?

Ko te momo maimoatanga e hiahiatia ana e koe ka whakawhirinaki ki te āhua me te kaha o tō mate. Ka tirohia tuatahitia koe e tō tākuta (mā te hihi-X, mā te karapa rānei) kia mōhio ai koe ki te āhua tuturu o tō mate. Kātahi anō ka tohua he maimoatanga.

Koinei ngā maimoatanga e whakamahia whānuitia ana:

• Okiokinga: He mea tino nui kia okioki te pakihiwi kua whara. Me karo koe i te hiki taumaha, te mahi i runga i te papa, me ngā hākinakina mō tētahi wā.
• Ngā rongoā whakamamae: Ka tūtohu pea tō tākuta i ngā rongoā pēnei i ngā NSAID (Nonsteroidal anti-inflammatory drugs) hei whakaiti i te mamae me te pupuhi. Me tango noa ēnei i raro i te tohutohu a te tākuta.
• Werohanga corticosteroid: Mena he tino kino te mamae me te pupuhi, ka tūtohu pea tō tākuta kia werohia tika ki roto i te hononga. Ka kiia hoki tēnei he werohanga cortisone .
• Te whakaora tinana: He maimoatanga tino nui tēnei. I raro i te tirotiro a te kaiwhakaora tinana, me mahi koe i ngā mahi whakakori tinana motuhake hei whakapakari i ngā uaua o te pakihiwi, hei whakanui ake hoki i te whānuitanga o te nekehanga o te hononga. Ka tino āwhina tēnei ki te whakahoki i te hononga ki tōna tūranga noa.
• Te aukati i te hononga: E kī ana te tākuta kia mau te ringa i roto i te whitiki hei okiokinga i te hononga, hei ārai hoki i te nekenekehanga nui.
• Pokanga: I te nuinga o te wā, kāore e hiahiatia he pokanga. Heoi, ki te mea kua pakaru katoa te hononga, ā, he tawhiti rawa te hononga (he tino wehenga), ki te mea rānei he whati, me pokanga pea hei whakatikatika anō.

Me pēhea te pupuri i te hauora o te hononga AC?

"He pai ake te ārai i te rongoā," te kī a rātou. Nō reira, he maha ngā mea ka taea e tātou te mahi hei tiaki i a tātou anō mai i ngā kino pea o te hononga AC.

• He momo noho hauora: He tino pai te kai i tētahi kai taurite me te whai wāhi ki te whakakori tinana e tika ana mō te tinana katoa, tae atu ki ngā hononga.
• I mua atu, ā, i muri i te whakakori tinana: I mua i te mahi i tētahi hākinakina, whakakori tinana rānei , whakamahana pai. Arā, whakamahana i tō tinana. Waihoki, i muri i te whakaoti i tō whakakori tinana , whakamatao pai, arā, totoro i ō uaua. Mā tēnei ka tino whakaiti i te tūponotanga o te whara.
• 'Kaua e takaro i roto i te mamae': Ki te pāngia koe e te mamae o tō pakihiwi i a koe e takaro ana i tētahi hākinakina, kaua e warewaretia, engari me haere tonu te takaro. Ka taea e tēnei te huri i tētahi whara iti hei raruraru nui. Ki te pāngia koe e te mamae, kati te takaro, ka okioki.
• Mauria ngā taputapu tiaki: Ki te tākaro koe i tētahi hākinakina kaha pēnei i te whutupōro, mauria ngā taputapu tiaki e tika ana, pēnei i ngā papa pakihiwi.
• Rapua he tohutohu hauora:He mea pai kia tirohia tō hauora i ia wā. Waihoki, ki te pāngia koe e te mamae rerekē, te pakari, te tangi pakū rānei i tō pakihiwi, kaua e warewaretia, engari me toro atu ki te tākuta tonu.

He hononga whakamiharo tō tātou pakihiwi i roto i tō tātou tinana. Ka taea e ia te neke ki ngā ahunga maha atu, me te whānuitanga nui atu i tētahi atu hononga. He wāhanga tino nui te hononga AC o tēnei hononga whakamiharo. Kāore pea koe e whakaaro ki tēnei hononga kia whara rā anō koe. Engari ehara i te mea me wareware koe ki te mamae, ki te pakari rānei o tō pakihiwi. Ki te rongo koe i tētahi mea rerekē i roto i tō pakihiwi, tirohia he tākuta. Māna e whakamārama he aha te raruraru me te maimoatanga pai rawa atu mōna.