Kua pāngia koe e tētahi aituā motuka nui, kua hinga rānei koe i te teitei, ā, ka pāngia koe e te mamae nui i roto i tō hope? I ētahi wā ka tino kaha te mamae, ā, kāore e taea te neke i tō waewae. He tokomaha te hunga e whakaaro ana, "Āe, kua whati tōku hope." Engari i ētahi wā ka uaua ake tēnei i te whati hope noa iho, ā, ka taea te waiho hei whati e hiahia ana kia nui te aro. Koinei tētahi o ngā āhuatanga kino e kōrerohia ana i tēnei rā, ko te Whati Acetabular.
He aha te whati acetabular?
Hei mārama ki tēnei, me titiro tuatahi tātou ki te hanganga o te wheua hope. Whakaarohia tō tātou hope he hononga porowhita-me-te-waewae. Ka kiia tēnei he hononga "porowhita-me-te-waewae".
- Pōro: Koinei te wāhanga porowhita kei te tihi o te wheua huha. I roto i ngā kupu hauora, ka kiia tēnei ko te "upoko femur".
- Pūnaha: Ka uru tēnei pōro ki roto i tētahi hanganga rite ki te kapu i roto i tō tātou hope e kiia nei ko te acetabulum .
Mā tēnei hononga whakamiharo tātou e āwhina ki te mahi i ngā momo nekehanga katoa, pērā i te hikoi, te oma, te piko, me te totoro i ō tātou waewae. Nō reira, ko te Acetabular Fracture he whati o te pona (Acetabulum) i te hope. He iti ake te kino o tēnei i te whati o te tihi o te wheua hope, engari ka tino kino mēnā ka puta.
He aha ngā tauira me ngā momo rerekē o ēnei okiokinga?
Ka rerekē ngā momo whati o te acetabulum, ā, ka rerekē hoki ngā wāhi. Ka whakarōpūhia ēnei whati e ngā tākuta i runga i tō rātou wāhi me te tauira o te whati. Me titiro tātou ki ngā momo matua.
| Momo whati | He whakamārama māmā |
|---|---|
| Pakaru o te pakitara o mua | He whati o te pakitara o mua, o te taha rānei o te hope. |
| Te whati o te pakitara o muri | He pakaru o te pakitara, o te taha rānei o muri o te hope. |
| Whati whakawhiti | Ka pakaru whakapae te acetabulum, i te 90 nekehanga tonu. |
| Whati pakaru | He ahua kino tēnei. Kua whati te wheua kia neke atu i te rua ngā wāhanga. |
| Pakaru ahotea | He kapiti iti rawa, ātaahua hoki o te wheua e puta mai ana i te pēhanga roa, tonu (hei tauira, i roto i ngā kaitākaro). |
Me pēhea te whakatau i te kaha o te wehenga?
I ētahi wā ka whati tēnei wheua kia rua, i ētahi wā ka pakaru. Ka whakaarohia e tō tākuta ētahi āhuatanga hei whakatau i te kaha o tō whati.
- Te maha me te rahi o ngā maramara wheua whati: Ka nui ake ngā maramara, ka kino ake te āhua.
- Te nui o te neke o ngā kongakonga wheua mai i tō rātou tūranga taketake: Mena kua nekehia te nuinga o ngā kongakonga, me mahi pea te pokanga.
- Te kino o te kiriuhi o te hononga: Mena ka pakaru te kiriuhi e āwhina ana i te hononga kia pai te mahi, ka puta pea ngā āhuatanga pēnei i te rumatiki a muri ake nei.
- Te kino ki ngā uaua, ki ngā io, me te kiri huri noa i te hope.
Kotahi te mea hei maumahara māu ko te whati tuwhera, whati pūhui rānei . Ko te tikanga tēnei kua pakaru tetahi wahi wheua whati mā roto i te kiri, ā, kei te pūwero. He mate tino kino tēnei. Nā te mea he nui te tūponotanga ka uru ngā huakita ki roto i te wheua mā roto i te patunga, ā, ka puta he mate kino.
He aha te take o tēnei momo wehenga?
He tino kaha ngā wheua o tō tātou whitiki hope, tae atu ki te acetabulum. Nō reira, me kaha rawa te kaha hei whati i a rātou. Ko ngā tino take o tēnei mate ko:
- Ngā aituā kino: Ngā mea pēnei i ngā aituā motuka me ngā aituā motopaika.
- Te hinganga mai i ngā teitei nui: Te hinganga mai i tētahi wāhi teitei, pērā i te rākau, i te whare rānei.
Engari kāore e tika kia nui te aituā i ngā wā katoa. Ka pā anō hoki ēnei whati ki te hunga ngoikore ō rātou wheua , inā koa ko te hunga he osteoporosis, he mate e angiangi ai ngā wheua i a tātou e pakeke haere ana.Ahakoa ka paheke, ka hinga rānei i te kāinga, ka taea e te kaumātua me tēnei mate te whara kino pēnei.
He aha ngā tohu o tēnei?
Ko te tohu matua, me te tohu tino kitea o te whati o te acetabular , ko te mamae nui e kore e taea te whakamanawanui i te rohe hope. Ka kino ake tēnei mamae mēnā ka ngana koe ki te neke i te waewae.
Hei tāpiri, mēnā kua pakaru ngā io tata i te whati, ka pāngia pea koe e ngā tohu pēnei i:
- Te ngoikore , te kare rānei i te pāngia e te ru hiko i te waewae.
- Te ngoikore , te ngenge rānei o te waewae.
Ki te puta mai ēnei tohu, me haere tonu koe ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
Me pēhea te tātaritanga a te tākuta i tēnei?
Mā te tākuta e tirotiro i a koe koe e tirotiro marie i tō hope, i ō hope, me ō waewae. Waihoki,
- Ka tonoa koe kia nekehia ō pona waewae me ō matimati hei tirotiro mēnā he kino te io.
- Ka tirohia hoki ētahi atu whara, i runga i te āhua o te aituā.
Kātahi, hei whakaū i te āhua tuturu o te whati me te mārama ki tōna kaha, ka mahia ngā whakamātautau pēnei i ēnei:
- X-ray: Ka taea e tēnei te whakaatu ko ēhea ngā wheua o te hope kua whati me te āhua o te tūnga o ngā wahi.
- Matawai CT: Ka taea e tēnei te tango whakaahua whakawhiti-wāhanga o te hope. He mea tino nui tēnei kia mārama ai ki te kaha me te tauira uaua o te whati.
Me pēhea te rongoā? Me mahi pokanga?
Ko te tikanga maimoatanga e whakawhirinaki ana ki te tauira me te kaha o ō pakaru.
Ngā take kāore e hiahiatia he pokanga
I ētahi wā, ki te kore te whati i tino kino, arā, kāore anō ngā kongakonga wheua kia neke rawa atu i tō rātou wāhi i noho ai (he whati pumau), ka whakatau pea te tākuta ki te rongoā i te whati me te kore pokanga. I roto i ēnei āhuatanga, ka tūtohutia pea ēnei e whai ake nei:
- He tokotoko, he taputapu hikoi rānei: Kāore koe e whakaaetia kia tuku i tō waewae ki raro kia ora rawa te wheua, arā, tata ki te 12 wiki.
- Ngā taputapu ārai waewae: Whakamahia he urunga tango, he taputapu ārai turi rānei hei aukati i te nekehanga rerekē o te hope.
- Ngā rongoā whakamamae: Ka hoatu he rongoā ki a koe hei whakahaere i te mamae.
- Ngā rongoā ārai-toto: Nā te mea kāore e taea e koe te hikoi me te noho i te wāhi kotahi, kei reira te tūponotanga o te toto totoka i roto i ngā uaua o ō waewae. Ka hoatu ēnei rongoā hei ārai i tēnei.
Ngā take e hiahiatia ai te pokanga
Ko te nuinga o ngā whati acetabular e hiahia ana kia whakatikatikahia ki te pokanga.
I runga i te āhua o te whati, ka whiriwhiri te taote pokanga i tētahi o ēnei tikanga:
1. Whakaiti Tuwhera me te Whakatikatika ā-Roto (ORIF): He whakarāpopototanga tēnei, arā, ko te pokanga te neke i ngā kongakonga wheua whati ki ō rātou tūranga taketake, kātahi ka whakamahia he pereti me he tīwiri hei pupuri i a rātou. Ka noho tonu ēnei ki roto i te tinana kia ora rawa ngā wheua.
2. Whakakapinga Huha Katoa: Mena he ngoikore rawa, he pakaru rānei te acetabulum, kāore e taea te whakatika, ka tūtohu pea tō taote pokanga i tēnei pokanga. Ko te tikanga o tēnei ko te tango i te hononga hope me te kiriuhi katoa, ka whakakapia ki tētahi hononga horihori .
He aha ngā raruraru ka puta mai i tēnei pakaru?
Nā te mea he whara kino tēnei, tera pea ka pā mai ētahi raruraru. He mea tino nui kia mōhio ki ēnei.
| Ngā raruraru | He whakamārama māmā |
|---|---|
| Te rumatiki i muri i te whara | Ka pakaru te kiriuhi o te hononga i te whati. Ka taea e tēnei te arahi ki te mate rumatiki i roto i te wā. |
| Te ngaronga o te rere o te toto ki te wheua (Avascular necrosis) | Ka taea e te whati te kino i ngā uaua toto e tuku toto ana ki te wheua. Ina ngaro te tuku toto, ka mate ngā pūtau wheua, ā, ka tīmata te hinga o te wheua. |
| Mate pāwera | Ka pā pea ngā mate ki te mata, ki roto rawa rānei i te patunga pokanga. Mēnā he mate hohonu ake, me pokanga pea hei horoi i te patunga. |
| Ngā toto totoka | Mā te noho ki te wāhi kotahi i muri i te pokanga ka whakaiti i te rere o te toto ki ngā waewae, ā, ka tūpono hoki te puta o ngā toto totoka. |
| Te whara o te io sciatic | Nā te mea kei muri i te hononga hope tēnei io, ka pakaru pea i te whati, i te pokanga rānei. Ka taea e tēnei te arahi ki tētahi āhuatanga e kiia nei ko te "foot drop" (te kore e taea te hiki i te pona me ngā matimati i a koe e hikoi ana). |
| Te tipu wheua rerekē (Heterotopic ossification) | He āhuatanga e tupu ai he wheua hou i roto i ngā kiko ngohengohe, pērā i ngā uaua e karapoti ana i te hope. |
Te tukanga whakaora me te whakaoranga
He mea noa te mamae i muri i te pokanga. Ka hoatu e te tākuta ngā rongoā whakamamae e tika ana.
Me whai tokotoko, he taputapu hikoi rānei koe ina tīmata anō koe ki te hikoi. Ka taea e koe te pikau i te taumaha o tō waewae i muri i te 6-8 wiki. Heoi, ka roa pea ētahi marama ka tino hikoi koe.
He wāhanga tino nui o tēnei haerenga te whakaora tinana . Me mahi ngā mahi whakakori tinana hei whakahoki mai i te nekenekehanga o te hope, hei whakapakari hoki i ngā uaua. I roto i te wā, ka tohutohu tō tākuta kia neke koe ki ngā mahi whakakori tinana iti te pānga, pērā i te kaukau, te eke pahikara tū rānei. Heoi, me tatari koe mō te 6 ki te 12 marama i mua i te whai wāhi atu ki ngā mahi uaua, taumaha hoki.
Kia maumahara, ki te mea he kaipaipa koe, ka puhoi ake te whakaora i te wheua. Ā, he nui ake hoki te tūponotanga o ngā raruraru. Nō reira, he mea tino nui kia karohia rawatia e tō hauora te kaipaipa i tēnei wā.
Ko tō whakaoranga katoa e whakawhirinaki ana ki ngā āhuatanga maha, tae atu ki te kaha o te whati, tō tau, me tō hauora whānui. Ahakoa ka taea e ētahi tāngata te hoki ki tā rātou taumata mahi o mua, ko ētahi kāore pea e taea te hoki ki tā rātou taumata mahi o mua. Nō reira, he mea nui kia manawanui, kia whai hoki i ngā tohutohu a tō tākuta.
Karere Tangohia ki te Kāinga
- Ko te whati acetabular he whati i te kōhao e pupuri ana i te pōro o te hope. He mate kino tēnei e puta pinepine ana i te nuinga o te wā hei hua o tētahi aituā kino.
- Ko te tohu matua ko te mamae e kore e taea te manawanui i te rohe hope.
- Ki te puta he whara pēnei, me haere tonu koe ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera i runga i te wā tonu.
- He maha ngā wā e hiahiatia ana he pokanga hei whakatika i ēnei whati, ā, e hia ngā marama ka roa te whakaora.
- He wāhanga tino nui o te wā whakaora te whakaora tinana .
- Me whai tonu i ngā tohutohu a tō tākuta me tō kaiwhakaora tinana. Mā te manawanui me te maimoatanga, ka taea e koe te ora anō i te oranga pai.
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