Mamae te pakihiwi? Me ako tātou mō te hononga AC (Acromioclavicular Joint - AC Joint)!

Kua pāngia koe e te mamae o te pakihiwi? Kua pāngia rānei koe e te mamae iti, te kore rānei e pai ki tō pakihiwi i a koe e takaro ana i ngā hākinakina, e hiki ana i ngā taumaha, e tū noa ana rānei? I ēnei wā, kua rongo pea tātou mō tētahi mea e kiia nei ko te 'hononga AC'. Tērā pea kua kōrerotia tēnei ingoa e tētahi tākuta ki a koe. Nō reira, i tēnei rā ka kōrero tātou mō te aha tēnei hononga AC, tōna hiranga ki roto i tō tātou tinana, me ngā momo raruraru ka pā mai, me pēhea te tiaki i a koe mai i aua raruraru.

He aha te hononga AC?

Ki te kī māmā noa iho, ko te hononga AC tētahi o ngā hononga matua e rua o tō pakihiwi. Koinei te wāhi e tūtaki ai tō wheua kara , te mea e kīia nei e tātou ko tō 'iwi kara', ki te tihi o tō pakihiwi, te 'acromion' . Koia i huaina ai ko te 'hononga acromioclavicular' . He ingoa roa tēnā, kāore? Nō reira, me kī noa ko te hononga AC , he māmā ake tēnā.

He aha te mahi a te hononga AC? He aha tāna āwhina i te pakihiwi?

Nā, kia tirohia tātou te mahi a tēnei hononga AC ki tō tātou tinana, me āna mahi anō hoki. Ko tana mahi matua he tautoko pai i tō pakihiwi, ā, he wāhi nui hoki hei whakapiri atu mā ngā hononga huri noa i te pakihiwi.

Whakaarohia, he hononga 'korekore' tēnei hononga AC. Arā, kāore e taea te neke takitahi. Ina neke ngā uaua me ngā hononga o te pakihiwi, ka neke hoki te hononga AC i runga i taua nekehanga. He rite ki te pōro e hurihuri ana ina panaia e te tangata. E kiia ana hoki ko te 'hononga papatahi.' Arā, ka āwhina i ngā wheua e rua kia paheke maeneene tetahi ki tetahi, me te kore e tukinga tetahi ki tetahi.

Ina whakamahia e koe ō uaua pakihiwi hei neke i tō pakihiwi, ka āwhina te hononga AC ki te neke i tō pakihiwi ki mua, ki muri hoki (nekehanga anteroposterior). Ki te kī ngāwari ake, whakaarohia me te mea kei te hoe poti koe, ka totoro ō ringa ki mua, kātahi ka kumea ki muri, ka neke whakamuri ō tuke. He tino āwhina te hononga AC ki ngā nekehanga pakihiwi pēnei.

Kei hea tonu te hononga AC?

He mea nui anō hoki tēnei kia mōhio koe. Kei te tihi o tō pakihiwi te hononga AC. Hei whakamārama, ko tēnei hononga iti engari he mea nui rawa atu kei te wāhi e tūtaki ai te pito o waho o tō wheua kaki ki te taha mua o tō pakihiwi. Ki te whakatakoto koe i tō ringa ki runga o tō pakihiwi, tera pea ka taea e koe te rongo i te wāhi kei reira tēnei hononga.

He aha ngā wāhanga o te hononga AC?

He maha ngā wāhanga o te hononga hiko AC. Me titiro tātou ki ēnei:

• Ngā Wheua: Ko tō wheua kara (Clavicle) me tō pokohiwi (Scapula) ngā wheua e rua e hanga ana i tēnei hononga.
• Te kiriuhi:Kei ngā pito o ēnei wheua he paparanga matotoru, kaha o te kiriuhi. He urunga pai tēnei mō te hononga AC, e āwhina ana i ngā wheua e rua kia neke maeneene, kia kore e mamae, me te kore e mirimiri tetahi ki tetahi.
• Ngā hononga: E toru ngā hononga matua e hono ana i te hononga AC. Ka pupuri ēnei hononga i ngā wheua e rua kia piri tahi, ā, ka āwhina i te hononga kia mau tonu tōna āhua. He rite ki ngā whitiki e pupuri ana i te hononga kia piri tahi.
• Ngā io: Ka rongohia te hononga AC e ngā io e rere ana i tō kaki ki tō pakihiwi. Mā ēnei io tātou e rongo ai i te mamae.
• Ngā uaua toto: Ka whiwhi te hononga AC i ngā matūkai me te hāora mai i te toto. Ko te nuinga o tēnei toto e ahu mai ana i te uaua suprascapular me te uaua thoracoacromial .

He aha ngā mate me ngā āhuatanga e pā ana ki te hononga AC?

Heoi, he mea noa te whara o ngā hononga AC. E ai ki ngā tohunga hauora, e 40% o ngā whara pakihiwi katoa e pā ana ki te hononga AC! Whakaarohia te nui o te whara o tēnei hononga.

Ko ngā tauira noa o tēnei ko:

• Ngā whara o te pakihiwi: Te pakaru o ngā hononga.
• Ngā pakihiwi wehea: Te wehenga o te wheua kaki mai i te acromion.
• Ngā pakihiwi kua motumotu: Kāore rawa te hononga i te tū tika.
• Ngā whati pakihiwi: Te whati o ngā wheua e karapoti ana i te hononga.

Ko ngā mea katoa e pā ohorere ana ki te kaha, ki te pēhanga rānei i runga i te pakihiwi ka kino pea te hononga AC. Ko ngā aituā hākinakina, ngā aituā motuka, me te hinganga mai i ngā teitei ngā tino take o tēnei.

Waihoki, ka taea e te rumatiki te puta i roto i te hononga AC. Koinei te wā e memeha ai te kiriuhi o te hononga. Heoi, he tokomaha te hunga kāore e pāngia e te mamae, e ētahi atu tohu rānei. Nō reira, kāore pea koe e hiahia ki te maimoatanga, ā, kāore pea koe e mōhio kei a koe te rumatiki o te hononga AC.

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

Ina mamae tō pakihiwi, he uaua pea te whakatau mēnā he mamae hononga AC. Nā te mea he wāhi uaua te pakihiwi. Ahakoa e mōhio ana koe he aha te hononga AC me tōna wāhi, ehara i te mea ngāwari te tohu i te tīmatanga o te mamae ina mamae tō pakihiwi.

Tērā pea ka rongo koe i te mamae i te wāhi tonu o te hononga AC, i runga ake i te pakihiwi. Heoi, i ētahi wā ka horapa te mamae ki te kaki, ki ngā wāhanga o raro o te pakihiwi, ki ngā uaua rānei o te uma, o te tuara rānei.

Ko te mamae o ngā hononga AC e whakawhirinaki ana ki te take. Ka pēnei te mamae:

• Mamae koi, mamae wero: Ka puta pea tēnei momo mamae, ina koa ka nekehia tō pakihiwi, ka hiki ake tō ringa, ka mahi rānei i tētahi mea e whakamahi ana i tō pakihiwi.
• Mamae ngoikore, mamae hoki: He mamae ngoikore, mamae hoki e rite ana ki te tangi ngunguru ngoikore i muri, me te mea rānei kei te mamae tonu koe i tetahi mea. Tērā pea ka mau tonu tēnei.
• Mamae: He mamae e rite ana ki te mea kua kaha tā tātou whakakori tinana, kua mahi rānei i ngā mahi taumaha o te whare, kua āwhina rānei i tētahi hoa ki te hiki i tētahi mea, kātahi ka mamae ō tātou waewae me ngā waewae.

He aha i puta ai he tangi "pāpā" i te hononga AC?

He mea noa te rongo i te tangi pakū, te tangi pāorooro rānei mai i ō hononga, ehara i te mea ko ō pakihiwi anake, engari ko ō turi me ō maihao hoki. He maha ngā wā ka puta mai tēnei tangi i ngā mirumiru hau kua mau i roto i te kiriuhi synovial , te wai e whakahinuhinu ana i te hononga, e pakū ana. Kāore he take hei āwangawanga mēnā kei te totoro noa koe, kei te nekeneke haere rānei.

Engari, kia tupato ki ēnei mea:

Ki te rongo koe i te 'pakū' nui ina hinga koe, ka pā kino ki tō pakihiwi i a koe e takaro ana i ngā hākinakina, ki te mamae nui rānei tō pakihiwi, he mamae e uaua ai te neke i tō pakihiwi, ki te āhua rānei kua rerekē te āhua o tō pakihiwi, me toro atu koe ki te tākuta tonu. Tērā pea ka puta tēnei momo haruru i te nekehanga, i te wehenga rānei o te pakihiwi. Waihoki, ki te mea he rite tonu te haruru e puta ana i a koe ina nekehia tō pakihiwi, ki te rongo rānei koe i te wiri ina nekehia tō pakihiwi, me whakaatu hoki ki te tākuta.

Ko tētahi atu mea tino nui:

Ki te whakaaro koe kei te mōrearea tō pakihiwi, kaua e tukua tetahi kia pā atu, kia pēhi, kia kumea, kia whakatikatika rānei, engari ko te tākuta whakangungu, ko te kaiwhakaora tinana rānei. Ina koa ki te whakaaro koe kua hē te hononga o tō pakihiwi, kua wehea rānei, kaua rawa e ngana ki te whakatikatika i a koe anō, kaua hoki e tono kia whakatikahia e tetahi kāore koe e mōhio. Mā te mahi pēnā ka nui ake te kino. Kia tū mārire, ā, haere tonu ki te rūma ohorere o te hōhipera.

He aha ngā maimoatanga noa mō ngā raruraru hononga AC?

Ko te momo maimoatanga e hiahiatia ana e koe ka whakawhirinaki ki te whara, ki te raruraru rānei e pā ana ki a koe. Arā, kāore koe e rongoatia mō te whāwhā, engari mō te whati. Ka tirotirohia koe e tō tākuta, ā, ka tūtohu i ngā maimoatanga hei āwhina i te whakahaere i ō tohu me te āwhina i te whakaora tere i tō hononga AC.

Anei ētahi o ngā maimoatanga e whakamahia whānuitia ana:

• Okiokinga: Whakaokiokia te pakihiwi e pāngia ana, ā, karohia ngā mahi whakakori tinana taumaha, inā koa ngā mahi amo taumaha, mō tētahi wā.
• Ngā rongoā:
• Hei whakaiti i te mamae me te pupuhi, ka taea e koe te hoko i ngā rongoā whakamamae mamae kāore i te tūtohutia mai i te whare rongoā, hei tauira , ko ngā NSAID (Nonsteroidal Anti-inflammatory Drugs) (pēnei i te ibuprofen, naproxen) paracetamol (Acetaminophen) rānei.
• He rongoā whakahaunga ngā corticosteroids hei whakaiti tere i te pupuhi me te mamae. Ka taea te hoatu i ēnei hei pire, hei werohanga cortisone rānei ki roto i te hononga.
• Whakaora tinana: He mea tino nui tēnei. Mā te kaiwhakaora tinana koe e ako ki ngā mahi whakakori tinana me ngā maimoatanga motuhake hei āwhina i a koe kia hoki mai te nekenekehanga o tō pakihiwi, kia whakapakari i ō uaua, kia whakaiti hoki i te mamae.
• Te aukati i tō pakihiwi: I ētahi whara, ka tonoa pea koe kia mau i tētahi whitiki, i tētahi whitiki motuhake rānei mō ētahi rā hei aukati i tō pakihiwi.
• Pokanga: Tērā pea e hiahiatia he pokanga mō ngā whara kino pēnei i ngā whati, mō ngā pakaru kino rānei o te hononga kāore anō kia ora i ētahi atu maimoatanga.

Me pēhea taku pupuri i te hauora me te kaha o taku hononga AC?

"He pai ake te ārai i te rongoā." Arā, he pai ake te ārai i te mate i mua i te puta mai i te rongoā i muri i te puta mai. Nō reira, ko te huarahi pai hei pupuri i te hauora o tō hononga AC, tae atu ki tō tinana katoa, ko te whai i ngā tikanga hauora whānui. Ko te tikanga:

• Te kai i tētahi kai hauora e pai ana ki a koe, me te whakakori tinana i ngā wā katoa .
• He mea nui kia whakamahana tika i mua i tētahi mahi ā-tinana, inā koa ngā hākinakina, ā, kia whakamatao hoki i muri i te mahi.
• Ki te mamae tō pakihiwi, i a koe e mahi ana i ngā mahi ā-tinana, i muri rānei i te mahi, kaua rawa e 'whakaaro noa i te mamae'. He mahi tēnei e mahia ana e te tini tāngata, engari kaua e mahi. He tohu te mamae mai i tō tinana, whakarongo mai.
• Te whakamahi i ngā taputapu tiaki tika mō ngā mahi katoa, ngā hākinakina, ngā mahi rānei e mahia ana e koe. Hei tauira, te mau i ngā papa pakihiwi i ētahi hākinakina.
• Me tirotiro hauora i ia wā , ka toro atu ki te tākuta ina kite koe i ngā huringa rerekē, mamae, ētahi atu tohu rānei i ō pakihiwi.

Hei whakamutunga, kia mahara ki ēnei mea

He hononga tino uaua, he hononga whakamiharo hoki tō pakihiwi. He maha ngā mea e āwhina ana i a koe ki te mahi i roto i tō oranga o ia rā, mai i te hiki i tō ringa, te takahuri, te hiki taumaha, te tuhituhi, me te kai. Inaa, ka taea e tō pakihiwi te neke atu i ngā huarahi maha atu i tētahi atu hononga o tō tinana. He wāhanga nui te hononga AC o taua pūnaha whakamiharo. Ehara i te mea ko te tautoko i tō pakihiwi anake, engari ka āwhina anō hoki i te neke maeneene.

I te nuinga o te wā, kāore koe e whakaaro ki te hononga AC i roto i tō oranga o ia rā, nā te mea ka mahi marie ia i tana mahi. Heoi, kāore tātou e whakaaro nui ki a ia kia puta rā anō he whara, he āhuatanga rānei e pā ana ki te hononga. Heoi, ehara i te mea me wareware koe ki te mamae, ki te pakari, ki te ngoikore, ki ētahi atu tohu rerekē rānei e pā ana ki tō pakihiwi.

Kia maumahara, ki te rongo koe i tētahi āhua rerekē, mamae, koretake rānei i tō pakihiwi, kaua e warewaretia. Tirohia he tākuta. Mā rātou e whakamārama te āhua o tō mate, te maimoatanga tika, ā, ka whakapau kaha ki te āwhina i a koe kia ora anō. Kaua e manukanuka, he maha ngā maimoatanga whai hua mō te nuinga o ngā mate pakihiwi!

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