I ētahi wā, ka rongo pea koe i te mamae ngawari e puta mai ana i tō hope, i tō uma rānei. Tērā pea ka rongo koe i te tangi pāorooro ina hikoi koe, ina piko rānei tō waewae, kei te pēhia rānei koe? He tokomaha e whakaaro ana he mea noa tēnei, he wāhi mamae noa iho i te tinana, engari he pakaru pea i te kiriuhi i roto i te hononga hope. I tēnei rā ka kōrero tātou mō tētahi āhuatanga e kiia nei ko te Acetabular Labral Tear, he maha ngā tāngata kāore e mōhio ana, engari he mea noa.
He aha te haehae o te hope?
Ki te kī ngāwari, he kino tēnei ki te kiriuhi i roto i te hononga hope. Whakaarohia tō tātou hononga hope he hononga pōro me te kōpuku. Ko te pōro te pito o runga o tō wheua huha. Ka uru ki roto i te wāhanga rite ki te kōpuku o te wheua hope. I roto i ngā kupu hauora, ka kiia tēnei ko te acetabulum.
Nā, kei te taha o tēnei kapu (arā, te pūnga hope) he mowhiti kiriuhi kaha, ngāwari. He rite ki te here rapa. Koinei te mea e kiia nei e tātou ko te labrum. E rua āna mahi matua:
1. Hei urunga: He urunga tēnei mō te hononga, e ārai ana i ngā wheua e rua (te wheua huha me te wheua hope) kei mirimiri tetahi ki tetahi.
2. Te whakarato i te pumau: Ka āwhina hoki tēnei labrum ki te pupuri i te wheua waewae o runga (femur) kia mau tonu, kia mau hoki ki roto i te pona hope.
Nō reira, ki te mea he kino kei tēnei labrum, arā, ki te pakaru, ka kiia he pakaru labrum hope.
He aha ngā take o tēnei āhuatanga?
He maha ngā take e pakaru ai tēnei whitiki. I ētahi wā ka puta ohorere mai i tētahi aituā, ka puta rānei i tētahi kino e puta haere ana i roto i te wā.
| Take | Whakaahuatanga |
|---|---|
| Ngā aituā | Ka puta pea tēnei nā te kino nui o te hononga hope, pērā i te hinganga, i ngā aituā motuka rānei. |
| Te tākaro kēmu | Ko te hunga e takaro ana i ngā hākinakina e hiahia ana kia huri pinepine te hononga hope (hei tauira, te whutupaoro, te korowha, te pōro tere i te kirikiti, te kanikani ballet) he nui ake te mōrearea. Ka taea hoki e te oma tere te take o tēnei. |
| Te kino i roto i te wā | He mea whakamiharo, 75% o te hunga e pāngia ana e tēnei mate kāore he tino take . Ko te tikanga o tēnei, i roto i te wā, ka memeha haere te kiriuhi i roto i te hononga hope. |
| Ētahi atu āhuatanga hauora | He nui ake te mōrearea o te hunga whai āhua rerekē o ngā wheua hope (hei tauira, te hip dysplasia). E pā ana hoki tēnei mate ki te osteoarthritis. |
E whakaatu ana ngā rangahau e tata ana ki te 22% o ngā kaitākaro e amuamu ana mō te mamae o te hope, he pakaru kei roto i tēnei hononga hope. He tino noa hoki tēnei mate i waenga i ngā wāhine.
He aha ngā tohu o tēnei?
Ka rerekē pea ngā tohu o tēnei i ia tangata, i ia tangata.
Tērā pea ka pāngia ētahi tāngata e tēnei āhuatanga, engari ko ētahi ka pāngia e te mamae e kore ai e taea te mahi i ngā mahi o ia rā.
Ko ngā āhuatanga matua ka kitea ko:
- Mamae: He mamae nui ki te hope, ki te hope rānei. Ka horapa pea tēnei mamae ki te huha o runga, ki te papa rānei.
- 'Pāwhiri', 'Pāwhiri' rānei: He tangi 'pāwhiri', 'pakū' rānei e puta mai ana i te hononga hope ina nekehia te waewae, inā koa ina piko, ina hurihuri rānei. I ētahi wā ka rite te waewae ki te mea kua piri.
- Te whānuitanga o te nekehanga iti: Te whānuitanga o te nekehanga iti nā te mamae me te kore e taea te neke tika i te hononga hope.
Ki te kore tēnei āhuatanga e rongoatia, ka nui ake te pakaru me te haehae o te hononga i te roanga o te wā, ka hua ake he kino tuturu.
Me pēhea te kimi i tēnei mea?
Ki te pono, he uaua te tautuhi i tēnei mate. Kua whakaatuhia e ētahi rangahau e rua tau neke atu te roa o te wā e pāngia ana te hunga whai mate nei i mua i te whiwhinga i te tautuhi tika.
Ina haere koe ki te tākuta, ko tana mahi tuatahi he tirotiro i a koe. Ka tirohia e ia tō hope, ā, ka tono atu kia piko koe, kia hurihuri hoki i tō waewae ki ngā taha rerekē kia kite ai mēnā he mamae kei te pā mai.
Kātahi, tirohia mēnā kei reira tēnei roimata.Tērā pea ka tonoa koe kia mahi i tētahi mea pēnei i te matawai MRI, engari i ētahi wā he uaua pea te kite mārama i ēnei whakamātautau.
Ko tētahi atu huarahi tino tika hei tātaritanga i tēnei ko te whakamahi i te arthroscopy . Ko te tikanga o tēnei ko te tapahi i ētahi tapahi iti rawa, me te whakauru i tētahi taputapu iti kei roto i te kāmera ki roto i te hononga hope hei tirotiro tika mēnā he pakaru kei te labrum. Ko te tikanga, ka mahia tēnei hei wāhanga o tētahi tikanga pokanga.
Me pēhea te rongoā?
Mena ka tāpaetia koe he pakaru hope, ka ngana tuatahi tō tākuta ki te rongoā i te reira me te kore pokanga.
Maimoatanga kore-pokanga (Maimoatanga Ātaahua)
- Okiokinga me te rongoā: Tuatahi, whakangāwarihia te hononga hope, ā, ka taea te hoatu he rongoā whakamamae mamae.
- Whakaora Tinana: He mea tino nui tēnei. Mā te kaiwhakaora tinana koe e ako ki te whakaiti i te ahotea ki te hononga me ngā mahi whakakori tinana hei whakapakari i ngā uaua huri noa i te hope. Ina kaha ēnei uaua, ka piki ake te tautoko e whakaratohia ana ki te hononga.
Engari ko te raruraru i konei, ko te nuinga o ō tātou niho haurua kāore e whiwhi i te nui o te toto, nō reira he iti rawa te tūponotanga ka ora noa iho ēnei roimata.
Pokanga
Mena kāore e whai hua ngā maimoatanga o runga ake nei, ka tohua pea koe e tō tākuta mō te pokanga arthroscopic .
Ko te tikanga o tēnei ko te whakauru i tētahi kāmera me ngā taputapu tairongo mā roto i ngā tapahi iti e rua, e toru rānei hei tango i te kiriuhi pakaru (te tango i te kiriuhi), i ētahi wā rānei, ka whakatika i te wāhi pakaru mā te tuitui anō.
Engari he iti noa ngā mea me mōhio koe i mua i te whakatau i tēnei pokanga:
- Kāore anō kia kitea he taunakitanga mārama e taea ai e tēnei pokanga te ārai i te mate rumatiki a muri ake nei.
- He taunakitanga anō hoki kei te iti ake te angitu o tēnei pokanga i roto i ngā tūroro neke atu i te 45 tau te pakeke.
- Pērā i ngā mahi pokanga katoa, he tūponotanga anō kei reira, pērā i te kino o te io mō te wā poto.
- Ahakoa he whakapainga poto noa iho i muri i te pokanga, he uaua ki te kī kia pēhea te roa o tōna pumau. Ko te hunga kua pāngia kētia e ētahi atu raruraru hope (pērā i te mate rumatiki) ka iti ake pea te angitu o te pokanga.
I muri i te pokanga, he mea nui te whakaora tinana hei whakahoki mai i te kaha me te ngāwari o te hononga.
Nō reira, i mua i te pokanga, kōrerohia ngā painga me ngā huakore ki tō tākuta. Ki te taea, he pai hoki te tiki whakaaro tuarua mai i tētahi atu tohunga.
Karere Tangohia ki te Kāinga
- Mena kei te mamae tō hope, tō hope rānei, me te tangi 'pāwhiri', te kikī rānei, he haehae pea nō te hope.
- Ka puta pea tēnei āhuatanga i tētahi aituā, i te tākaro hākinakina, i te whakamahi nui rawa rānei i te hononga mō tētahi wā.
- He uaua te tautuhi i te mate, ā, me whai matawai MRI pea.
- He mea tino nui te okiokinga, te tango i ngā rongoā whakamamae, me te whakaora tinana hei maimoatanga tuatahi.
- Kotahi noa te huarahi hei whakamahi i te pokanga. Kāore e rite te angitu mō te katoa. Nō reira, kōrero marie ki tō tākuta i mua i te whakatau.
- Ko te mea nui, kaua e warewarehia te mamae o te hope. Me toro atu ki te tākuta mō ētahi tohutohu.
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