He mamae anō tō hope, tō turi, tō pakihiwi rānei, ā, kāore e memeha ahakoa te nui o te rongoā e tangohia ana e koe? Tērā pea ka uaua ki a koe te hikoi, te piki arawhata rānei. Tērā pea nā te mea kua motuhia te rere o te toto ki tētahi wāhanga o te wheua i roto i te hononga, ā, ka mate. I roto i ngā kupu hauora, ka kiia tēnei ko te Avascular Necrosis (AVN) , ko te Osteonecrosis rānei. Ahakoa he ahua uaua te ingoa, he mea nui kia mārama koe ki tēnei āhuatanga.
He aha te Necrosis Avascular (AVN)?
He whakarāpopototanga noa iho tēnei, he āhuatanga tēnei e "mōkito ana" ō tātou wheua. Whakaarohia, pērā i ngā pūtau katoa o tō tātou tinana, e hiahia ana ngā wheua ki te hāora me ngā matūkai kia ora ai, kia kaha ai, kia tupu ai hoki ngā mea hou. Ka kawea mai ēnei e te toto. He aha te mea ka tupu mēnā, mō tētahi take, ka mutu katoa te rere o te toto ki tētahi wāhanga o te wheua, ki tētahi wāhi nui rānei? Pērā i te mate o te rākau me te kore wai, ka tīmata te mate haere o taua wāhanga o te wheua me te kore e whiwhi kai. Koinei te mea e kiia nei e tātou ko te AVN.
Ka ngoikore haere tēnei wheua mate i roto i te wā, ka tīmata te pakaru, ka whati. Mēnā ka pā tēnei ki tētahi hononga, ka taea e te hononga tonu te pakaru. Ahakoa ka pā tēnei āhuatanga ki tētahi wheua o te tinana, he mea tino kitea i roto i:
- Hononga hope: Ko te pito o runga o te wheua huha.
- Hononga turi: Ko te pito o raro o te wheua huha.
- Hononga pakihiwi: Ko te pito o runga o te wheua ringa.
Ehara tēnei i te mea ka puta ohorere mai. He mate tēnei ka kino haere i roto i te wā. Nō reira, he mea tino nui kia tautuhia me te rongoā i te wā tōmua .
He aha ngā tohu o tēnei mate?
Kāore ngā tohu o te AVN e puta ohorere mai. Ka puta mārire i roto i ngā wiki, i ētahi wā he marama. Kāore pea he mamae i te tīmatanga. Heoi, i te kino haere o te āhua, ka puta pea ēnei tohu.
| Tohu | Whakaahuatanga |
|---|---|
| Mamae hononga | I te tīmatanga, ka tīmata noa te mamae ina taumaha te hononga, pērā i te tū, te hikoi rānei. Ā muri ake nei, ka pā te mamae ahakoa i te tū, i te moe rānei i te pō. |
| He uaua ki te piko me te toro atu i te hononga | Ka mamae, ka koretake hoki te āhua ina piko, ina totoro rānei te peka. Tērā pea ka rite te hononga ki te mea kua mau. |
| Te toitoi | Ina koa mēnā ka pāngia tō hope, tō turi rānei, ka tīmata pea koe te hikoi me te kore mōhio. He mahi tēnei mā tō tinana hei karo i te mamae. |
| Te uaua ki ngā mahi o ia rā | Ahakoa ngā mea māmā noa pēnei i te piki arawhata, te tū, me te hikoi ka noho hei mahi mamae, hei mahi uaua hoki. |
He aha tēnei e tupu nei? He aha ngā take?
He maha ngā take e mutu ai te rere o te toto ki ngā wheua. Ka matapakihia ēnei take mā te wehewehe i a rātou ki ngā wāhanga matua e rua.
Nā te aituā (AVN Traumatic)
Koinei te tino take. Mēnā ka pāngia koe e tētahi aituā nui, ā, ka whati te wheua (whati) ka motu te hononga rānei (whati), ka pakaru pea ngā uaua toto ngāwari e tuku toto ana ki te wheua. He tino teitei tēnei mōrearea i roto i ngā take pēnei i te whati hope . Kia motuhia te tuku toto, ka tīmata mārire te mate o te wheua.
Nā ētahi atu āhuatanga hauora, take rānei (AVN kore-whara)
Ka taea tēnei āhuatanga te puta me te kore he mōrearea. Me titiro tātou ki ētahi o ngā take e pā ana ki tēnei āhuatanga i raro nei. Mena ka puta te AVN nā tēnei take, ka pā ki ngā taha e rua o te tinana. Hei tauira, ki te pā ki te pakihiwi matau, tera pea ka pāngia anō hoki te pakihiwi maui.
| Take/Tūpono mōrearea | He whakamārama māmā |
|---|---|
| Te whakamahinga roa o te steroids | Ko ngā corticosteroids , pērā i te prednisone, tētahi o ngā tino take o tēnei, nā te mea ka taea e rātou te whakanui ake i ngā taumata lipids i roto i te toto me te whakawhāiti i ngā uaua toto. |
| Te inu nui rawa | He nui ake anō hoki tēnei mōrearea mō te hunga e inu nui ana i te waipiro mō te wā roa. Ka taea hoki e te waipiro te whakanui ake i ngā matūriki ngako i roto i te toto, me te ārai i ngā oko toto. |
| Te momi hikareti | Ka whakawhāitihia ngā uaua toto e te kai hikareti, ā, ka whakararuraru hoki i te rere o te toto. |
| Ētahi āhuatanga hauora | Ka pāngia pea te AVN e ngā mate pēnei i te mate toto totoka , te lupus , te mate HIV , me te rongoā irahiko mō te mate pukupuku. |
| Te whakawhitinga okana | Ka piki ake anō hoki tēnei mōrearea e ngā rongoā (ina koa ko ngā steroids) e hoatu ana hei ārai i te tinana kei paopao i te okana i muri i te whakawhitinga okana. |
| Mate Whakaiti Pehanga | He āhuatanga tēnei ka pā ki ngā kai ruku moana hohonu. Ina tere rawa tō puea ake i te mata, ka puta he mirumiru hau i roto i ō toto, ka ārai i ngā oko toto. |
Me pēhea te kitenga a te tākuta i tēnei?
Ina kōrero mai koe mō ō tohumate, ka pātai tuatahi te tākuta ki a koe mō tō hītori hauora, ngā rongoā e tangohia ana e koe, me tō momo noho (waipiro, momi hikareti). Kātahi ka tirotirohia e ia tō tinana.
Engari ko te huarahi pai ki te whakaū i tēnei mate ko te whakamahi i te matawai MRI (Magnetic Resonance Imaging) . He uaua ki te tautuhi i tēnei mate i ngā wāhanga tōmua mā te hihi-X noa. Nā te mea ka kitea noa ngā huringa o ngā hihi-X i muri i te pakaru nui o te wheua. Heoi, ka taea e te matawai MRI te kite i te hekenga o te rere o te toto ki te wheua, tae atu ki ngā huringa iti o te wheua i te wāhanga tōmua.
He aha ngā maimoatanga mō tēnei?
He maha ngā āhuatanga e whakawhirinaki ana ki te maimoatanga, tae atu ki te nui o te kino o tō wheua, te wāhanga o te mate, tō tau, me tō hauora whānui. Ko ngā whāinga matua o te maimoatanga he aukati i te kino o te wheua, te whakaiti i te mamae, me te pupuri i te mahi a ngā hononga.
Ngā maimoatanga kore-pokanga
Mena ka kitea wawe te mate, ka taea e koe te whakahaere i te mate me te kore pokanga mā te whakamahi i ēnei mea:
- Okiokinga: Te pikau i te taumaha o te hononga e pāngia ana, arā, te whakaiti i te nui o te hikoi, te oma, me te pekepeke.
- Ngā rongoā whakamamae: Ka taea e ngā rongoā pēnei i ngā rongoā anti-inflammatory kore-steroidal (NSAID) i tohua e tō tākuta te āwhina i te whakaiti i te mamae me te pupuhi.
- Whakaora Tinana: Ka whakapakari te korikori tinana i ngā uaua huri noa i te hononga, ā, ka āwhina hoki ki te pupuri i te nekenekehanga o te hononga.
- Ngā tautoko pēnei i te tokotoko: Mena ka pāngia te hope, te turi rānei, mā te whakamahi i te tokotoko ka taea te whakaiti i te taumaha o te hononga.
- Ngā pēke makariri/wera: Ka taea e ēnei te whakaora i te mamae mō te wā poto.
Ngā maimoatanga pokanga
Mena he nui te kino o te wheua, ki te kore rānei e taea e ngā maimoatanga o runga ake nei te whakahaere, me mahi pokanga pea.
| Pokanga | Ka ahatia? |
|---|---|
| Te Whakaiti i te Pūtake | Ko te tikanga o tēnei ko te keri i tētahi, i ētahi atu rānei kōhao iti (ngā pona) ki roto i te wheua kua pakaru. Ka whakaitihia te pēhanga i roto i te wheua, ka taea ai te hanga i ngā uaua toto hou, ā, ka pai ake te rere o te toto. He whai hua tēnei i ngā wāhanga tōmua o te mate. |
| Te Hononga Wheua | Ka tangohia te wheua mate mā te pokanga, ka whakakapia ki tētahi wheua hauora mai i tētahi atu wāhanga o tō tinana, ki tētahi wheua rānei mai i tētahi kaituku. |
| Te Whakakapinga Hononga | Mena he kino te kino o te wheua, kua hinga rānei te hononga, ka tangohia katoatia te hononga kua pakaru, ka whakakapia ki tētahi hononga horihori he mea hanga ki te konganuku, ki te kirihou rānei. He mea noa te whakakapinga hope/turi. |
He aha te āhua o te heke mai mō te tangata whai AVN?
Ko te mea tuatahi kia kīia , ehara te Avascular Necrosis i te mate morearea . E kore e pā ki tō roanga o te ora. Heoi, ka pā nui ki te kounga o tō oranga. Ka uaua pea te mahi i ngā mahi o ia rā, te hikoi, me te mahi nā te mamae.
Waihoki, ina pāngia te wheua e te AVN, ka memeha haere te kiriuhi o te hononga, ka hua ake he osteoarthritis kino. I roto i ēnei āhuatanga, ka hiahiatia pea he pokanga whakakapinga hononga i te mutunga.
Āhea ahau me toro atu ki te tākuta?
Koinei te wāhanga tino nui. He tokomaha te hunga e kore e aro ki te mamae o ngā hononga, e whakaaro ana he mea noa iho. Heoi, ki te pāngia koe e ēnei tohu, me toro atu koe ki te tākuta.
Ki te pāngia koe e te mamae i a koe e hikoi ana, e neke ana rānei i tō tinana, ā, kāore e memeha ahakoa kua okioki, kua tango rānei i ngā rongoā whakamamae, ki te mea rānei kei te pēpeke koe, kāore he take, me toro atu ki te tākuta ināianei tonu, me rapu tohutohu.
Kia maumahara, ko te wawe o te kitenga i tētahi āhuatanga pēnei, ka nui ake te angitu o te maimoatanga, ka iti ake te kino ki te wheua, ā, ka pai ake te pupuri i te kounga o tō oranga.
Karere Tangohia ki te Kāinga
- Ko te Avascular Necrosis (AVN) ko te wā e mutu ai te rere o te toto ki ngā wheua, ka mate ai ngā wheua.
- Ko ngā hononga o te hope, te turi, me te pakihiwi ngā mea e tino pāngia ana.
- Ko te tohu matua ko te mamae o ngā hononga e piki haere ana, ā, kāore e memeha ahakoa te okiokinga.
- Ka puta pea tēnei i ngā aituā, te whakamahinga roa o te steroids, te inu nui rawa o te waipiro, me ētahi āhuatanga hauora.
- Mena he mamae hononga kāore i te whakamāramatia, he totitoti rānei, kaua e warewaretia, me toro atu ki te tākuta.
- Mā te kitenga wawe me te maimoatanga ka ārai i te kino haere o te mate.
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