Kua whati tō ringaringa pēnei? Me ako tātou mō te whati Barton morearea!

Āe, i taka koe ki tētahi wāhi, ā, i whara kino tō ringaringa? I mau rānei koe i tētahi mea pērā i te takanga mai i te pahikara, ā, i whāwhati tō ringaringa? Whakaarohia, i roto i tētahi āhuatanga pēnei, ehara i te mea ka whati noa te wheua o tō ringaringa, engari i taua wā anō, ka motu te hononga i taua wāhi, ā, ka whiua ngā wahi wheua ki konei, ki reira. Koinei te mea e kiia nei e mātou he whati Barton, he whati uaua ake. Nā te mea he kino rawa tēnei, me kōrero taipitopito tātou mō tēnei mea, āe?

He aha tonu te whati o te waewae o Barton?

He māmā noa iho, ko te whati o Barton te whati o tētahi wāhanga o tō ringaringa, ā, ka nekehia tētahi atu wāhanga mai i tōna tūranga taketake. Hei whakamārama, ko te radius, te wheua e tata ana ki te ringaringa, koia te mea e whati ana . E hono ana hoki ki te hononga o te ringaringa, nō reira ka puta tēnei raruraru ki taua hononga.

He maha ngā wā ka puta tēnei ina piko tō ringa, arā, tō ringaringa, ka hinga koe me tō taumaha ki tērā taha. Whakaarohia, i a koe e oma ana, ā, ka paheke ohorere tō ringa, ka pā ki te whenua, koinā te wā ka puta ai tēnei whati. Inaa, ko te wheua radius te wheua e whati pinepine ana i roto i tō tātou ringa. I te katoa, 20% noa iho o ngā whati katoa he whati radius!

He momo whati Barton kei reira?

Ae, e rua ngā momo matua o ngā whati Barton, i runga i te taha i nukuhia ai te kongakonga wheua.

1. Te Whati o te Tua o Barton: Koinei te wā e puta ai te wheua whati ki te tuara o tō ringaringa, ki te wāhi kei reira te whao. Ka puta pea he pupuhi iti ki te tuara o tō ringaringa.

2. Te Whati o te Turanga o Volar Barton (e mōhiotia ana ko te Whati o te Turanga o te Turanga o Reverse Barton): Koinei te wāhi e puta ai te wheua whati ki roto i tō ringa. He mea whakamiharo, koinei ngā momo whati o te Turanga o Reverse Barton e tino kitea ana.

Ko wai te mea ka nui ake te tūponotanga ki te pāngia e te Whati Barton?

Ina hoki, ka taea e te tangata te pāngia e te whati penei. Nā te mea ko wai ka mōhio āhea, me pēhea rānei e puta ai, tika? Heoi, e ai ki ngā rangahau, 70% o ēnei whati Barton e pūrongohia ana i waenga i ngā tāne taitamariki . He mea tino noa tēnei i waenga i ngā kaimahi ā-ringa, i ngā kaieke motopaika rānei. Ka taea tēnei whara te puta i te wāhi mahi, i roto rānei i te aituā pahikara.

Kei a koe anō hoki te mate wheua o te wheua.Mena he mate tōu e kīia nei ko te osteoporosis, he nui ake tō tūponotanga ki te pāngia e tēnei whati. He mate noa te osteoporosis e ngoikore ai ngā wheua, ā, ka ngawari te whati. Nō reira, ina ngoikore ngā wheua, ahakoa he iti noa te hinganga ka pāngia kino. Ko te tūponotanga ki te pāngia e tēnei mate ka nui ake i muri i te 50 tau te pakeke.

He pēhea te noa o ngā whati o Barton?

Ki te pono, he momo whati onge noa iho ngā whati o te ringa o Barton. He maha atu anō ngā momo whati o te ringaringa, he mea noa ake. Nō reira, ehara i te mea he whati Barton ngā whati katoa o te ringa.

He aha ngā tino take mō tēnei wehenga?

Ko te nuinga o te wā, arā, ko te nuinga o te wā, ka puta tēnei i te hinganga . E ai ki te kōrero i mua ake nei, ka puta tēnei ina hinga koe kia pā tō ringa ki te whenua. Hei tāpiri, ka puta anō hoki ēnei whatiwhatinga i roto i ngā aituā kino pērā i ngā aituā motuka me ngā aituā motopaika.

He aha ngā tohu o te whati o te waewae o Barton?

He tino rite ngā tohu o te whati o te wheua o Barton ki ērā o ētahi atu whati o te radius distal i kōrerotia i mua ake nei. Tērā pea ka pāngia koe e ēnei āhuatanga:

• Maru me te maru huri noa i te ringaringa: Whai muri i te hinganga, ka kikorangi pea te rohe, ka maru hoki.
• He pupuhi, he puku rānei i te ringaringa: Ina neke te kongakonga wheua, ka pupuhi, ka puta he rite ki te puku.
• Te kore e taea te neke i te ringaringa me te kore mamae: Ka tino kino te mamae, kāore e taea e koe te neke i tō ringaringa.
• Ngāwari, mākūkū rānei ngā matimati: I ētahi wā, ki te pēhia ngā io, ka mākūkū pea ngā matimati.
• Te pupuhi: Ka pupuhi rawa te ringaringa.
• Mamae nui o te ringaringa: Koinei te tohu matua. Kāore e taea te manawanui ki te mamae.

Whakaarohia, mēnā ka hinga koe i a koe e tākaro ana i te kirikiti, ā, ka whara tō ringa pēnei, kāore e taea e koe te mahi i ō mahi o ia rā. Nō reira, he mea tino nui kia rapu tohutohu hauora tonu mēnā ka pāngia koe e ēnei tohu.

Me pēhea te tautuhi a ngā tākuta i te whati o Barton?

Ina haere koe ki te tākuta, ka pātai tuatahi ia ki a koe mō ō tohumate, te kaha o aua tohumate, me te āhua o te whara. Kātahi ka whakahau te tākuta i tētahi hihi-X hei tirotiro mēnā kua whati tō wheua, me te momo whati hoki. Ka taea e te hihi-X te āwhina i te tākuta kia kite:

• He wheua whati kē atu anō?
• Kia pēhea te tawhiti o ngā kongakonga wheua whati?
• Ahakoa he taratara, he maeneene rānei te mata o te wheua whati.

I ētahi wā, tirohia ō uaua, ō hononga, me ō hononga mō tētahi pakaru.Tērā pea ka taea te mahi i tētahi matawai CT, MRI rānei.

Ngā pātai ka pātai pea te tākuta ki a koe

• "E hia te nui o te mamae kei roto i a koe?"
• "E pēhea ana te kaha o ō tohumate?"
• "Ka taea e koe te whakakorikori i tō ringaringa?"
• "Nā te aha koe i whara ai i tēnei ringaringa?"
• "Nōnahea tēnei whara i puta ai?"

Ka taea e te tākuta te mārama tika ki te āhuatanga i runga i ō whakautu ki ēnei pātai.

Me pēhea te rongoā i tētahi whati pēnei?

Ka tāpirihia e tō tākuta he whitiki ki tō ringaringa kia kore ai e neke. Kātahi ka tukuna koe e ia ki tētahi taote pokanga wheua. Ka rongoatia e ngā taote pokanga wheua ngā whara o ngā wheua, ngā uaua, ngā uaua me ngā hononga.

Ko te mea pea, me mahi koe i tētahi pokanga e kiia nei ko te Open Reduction and Internal Fixation (ORIF) . He ingoa uaua pea tēnei, engari ki te kī māmā noa iho, penei te mahi:

1. Whakaiti Tuwhera: Ka tapahia e te taote pokanga he wahi iti ki te kiri, ka kimi i ngā kongakonga wheua whati, ka whakahokia ki tō rātou tūranga taketake.

2. Te Whakapūmau ā-Roto: Kātahi ka puritia ngā kongakonga wheua kua kawea mai ki te wāhi tika mā te whakamahi i ngā wahi waea iti (ngā pine), ngā tokotoko, ngā pereti, ngā tīwiri, me ētahi atu. I ētahi wā ka taea te whakamahi ngātahi i ētahi o ēnei.

Hei whakaiti i te mamae i muri i tēnei pokanga, ka tūtohu pea tō tākuta kia tangohia he rongoā whakamamae pēnei i te acetaminophen (hei tauira, Tylenol®) me te ibuprofen (hei tauira, Advil®, Motrin®) .

Kia pēhea te roa e ora ai te whati o te waewae o Barton?

Tērā pea ka rerekē tēnei i ia tangata, i ia tangata. Engari i te nuinga o te wā,

• Mena kāore koe e pokangahia (kāore pea e hiahiatia i ētahi wā, engari he maha ngā wā e hiahiatia ana te pokanga mō te whati o te wheua o Barton), me mau he maka huri noa i tō ringaringa mō te ono wiki pea.
• Ahakoa i muri i te pokanga, me mau pea koe i te papa paraikete, i te whitiki rānei mō tētahi wā.
• Whai muri i tēnā, me whai koe i te whakaora tinana , ka hoki mārire ai tō nekehanga me te kaha o tō ringaringa.

Ka tīmata koe ki te pai ake i roto i ētahi marama. Heoi, tera pea ka roa pea te tau kia tino ora ai tō ringa, kia hoki mai anō tōna kaha. Nō reira, he mea nui kia manawanui koe, kia whai wāhi atu hoki ki te maimoatanga. Me pātai atu ki tō tākuta āhea koe ka taea te tīmata anō ki te whakakorikori tinana, ā, āhea koe ka taea te tākaro i ngā hākinakina pā atu pērā i te whutupaoro me te hoki.

Me pēhea te whakaiti i tēnei mōrearea?

Kāore e taea e tātou te matapae i te wā me te āhua o te putanga mai o ēnei tūponotanga. Engari me āta tupato tātou:

• Kia tino tupato i te wā e takaro ana i ngā hākinakina, e mahi ana i ngā mahi ā-ringa, e eke motopaika ana, e piki ana rānei i tētahi wāhi teitei pēnei i te arawhata.
• Mena he nui tō tūponotanga ki te pāngia e te osteoporosis (ina koa mēnā neke atu i te 50 tau te pakeke), tangohia atu ngā tūponotanga hinga i roto i tō whare.
• Ki te whakamahi koe i te tokotoko, i te taputapu hikoi rānei, kaua e wareware ki te whakamahi i aua mea i ia wā, i ia wā.

He aha te tirohanga i muri i te whati o te waewae o Barton? (Tirohanga/Matapae)

Ko te rongo pai, ka taea e te nuinga o te tangata te hoki ki ā rātou mahi o ia rā i muri i te whati o te Barton. Heoi, me roa te wā, me tika te maimoatanga, me te whakaora tinana tika.

He aha ngā raruraru ka puta mai i muri i te pokanga?

I ētahi wā, ka puta ngā raruraru i muri i te pokanga. He iti noa te tūponotanga ka puta ēnei mea i muri i te pokanga mō te whati o te wheua o Barton:

• Te Mate Urutā Āwhata (ACS): Koinei te wā ka motuhia te rere o te toto ki ngā wāhanga nui o te tinana. Ka pā kino pea tēnei ki ngā io me ngā uaua. He āhuatanga ohorere tēnei.
• Osteomyelitis: Mena he whati tuwhera tōu – arā, kua pakaru te wheua i roto i te kiri – he nui ake tō tūponotanga ki te pangia e te mate.
• Te Mate Poka o te Rākau Carpal: Ka puta tēnei āhuatanga mēnā kāore te whati o te ringaringa e ora tika. Ka mamae, ka ngoikore, ka ngoikore hoki. Engari he maimoatanga anō kei reira mō tēnei.
• Te Mate Mamae Rohe Matatini (CRPS): He tino mamae tēnei āhua. Ka puta ina nui rawa te whakaohooho o ngā io i muri i te whara, ka kore e mahi tika.
• Malunion: Ko te tikanga o tēnei, ina ora ngā wahi o tō wheua whati, kāore e taurite pai tetahi ki tetahi, ā, ka hē te tūnga.
• Ētahi atu kino ki ngā kiko e karapoti ana: Ka taea hoki e ngā wheua whati te kino i ngā uaua, ngā oko toto, ngā io, ngā hononga me ngā uaua e karapoti ana.

Mena kei te āwangawanga koe, kei te āwangawanga rānei mō ēnei raruraru, me kōrero ki tō tākuta. He pai ngā maimoatanga mō ētahi āhuatanga.

He aha ngā wā pai rawa atu hei toro atu ki te tākuta?

• Mena kua neke atu i te 50 tau tō pakeke, ā, kua whati tō wheua, ka hiahia pea tō kaiwhakarato hauora matua ki te tirotiro i a koe mō te osteoporosis. Mēnā ka whati te wheua, tera pea he ngoikore ō wheua.

Āhea koe me haere ki te Tari Ohotata?

Ki te whakaaro koe kua whati tō ringaringa, he pai ake te haere tonu ki te rūma whawhati tata . Ina koa mēnā:

• Mena he tino kino tō mamae.
• Mena he āhua rerekē te āhua o tō ringaringa (me te mea kua pēhia).
• Mena kua ngoikore te ringaringa.
• Mena kua rerekē te tae o ō maihao (pēnei i te kikorangi, te mā, te mārama rānei).

Ngā pātai nui hei pātai atu ki tō tākuta

Ina kite koe i te tākuta, kaua e wareware ki te pātai i ēnei pātai:

• "Me tino pokanga ahau?"
• "He aha te momo whati kei ahau?"
• "Āhea ahau ka taea ai te tango i taku pāreti?"
• "Āhea ahau ka taea ai te hoki ki aku mahi o ia rā?"

Ko te mea nui hei maumahara (Karere hei tango ki te kāinga)

Kia maumahara, ki te hinga koe me te piko o tō ringaringa, tera pea ka whati tetahi wāhanga, ka neke tetahi wāhanga. Ko te tikanga tēnei he whati Barton pea tō hononga. Ki te āhua kāore i te tika te hononga, tera pea he whati Barton. Ka taea e ngā hihi-X te āwhina i ngā tākuta ki te whakatau i te momo whati. I te nuinga o te wā, ko te pokanga te maimoatanga pai rawa atu.

Ki te pāngia koe e ngā tohu o te whati o Barton, haere tonu ki te rūma whawhati tata . Ka taea te rongoā i ēnei whati, ā, ki te tere te rongoā, ka taea e koe te whakaiti i te mamae me te tīmata wawe i te ora. Kia tere tō ora!

` Whati Barton, whati ringa, whati ringa, mamae ringa, pokanga wheua, pokanga ORIF, whakaora wheua