Kua pāngia koe e te mamae nui i tō pakihiwi, ā, ka puta he tangi pāorooro i ētahi wā ina hiki koe i tētahi mea taumaha? Kei te mamae rānei koe i te mamae o tō pakihiwi, ahakoa te nui o te rongoā e tangohia ana e koe, te nui rānei o te okiokinga e tangohia ana e koe? Tērā pea ko te whara o te uaua i te tihi o tō uaua biceps te take. I tēnei rā, ka kōrero tātou mō tētahi pokanga motuhake e mahia ana mō tēnei āhuatanga.
He aha te ingoa o tēnei pokanga ko te Biceps Tenodesis?
He whakarāpopototanga noa iho, ko te Biceps Tenodesis he tikanga pokanga e whakatika ana i te uaua e hono ana i tō uaua biceps ki tō pakihiwi ina pakaru, ina pakaru rānei. E kiia ana tēnei whara o te uaua ko te "Biceps Tendonitis" e ngā tākuta. Ko tēnei pokanga he tuku i te uaua kua pakaru mai i te hononga pakihiwi, ā, ka honoa anō ki te wheua o runga o te ringa (humerus). Mā tēnei ka whakamamae i te mamae, ka whakahoki mai i te kaha o te ringa.
Me mahi anō rānei tēnei pokanga ki ahau? He aha ngā tohu?
He maha ngā tohu e tohu ana me mahi koe i tēnei pokanga. Me titiro tātou ki ērā.
| Tohu | He aha te tikanga o tēnei? |
|---|---|
| Te mamae tonu o te pakihiwi | Te mamae i te taha mua o te pakihiwi, kāore e memeha ahakoa te okiokinga, te whakaora tinana, te rongoā whakamamae rānei. |
| Te rongonga i te tangi 'pāwhiri' 'pāwhiri' rānei | Kātahi ka rongo koe i tētahi haruru nui e haere tahi ana me te mamae nui i tō pakihiwi, i tō ringa rānei o runga. |
| Ngā mamae | Te kare o ngā uaua o te ringa o runga e hurihuri ana, inā koa i te wā e hiki ana i tētahi mea taumaha. |
| Pupuhi "Popeye" | Ina motumotu rawa te uaua, ka piko te uaua o te biceps ki raro, ka rite ki te pōro, pērā i te pakiwaituhi 'Popeye'. |
| Te marō me te pupuhi | Ka kitea he marō, he pupuhi rānei mai i te pakihiwi ki te tuke. |
| Te kore e taea te huri i te ringa | Ka uaua te huri i te ringa kia anga ake te nikau ki runga. |
He aha i pakaru ai tēnei uaua o te biceps?
Tērā pea he maha ngā take mō tēnei.
- Te koroheketanga: I roto i te wā, ka memeha haere ngā uaua o te tinana, ka ngoikore, ka nui ake te tūponotanga ka haehae ahakoa he whara iti noa iho.
- Ngā Hākinakina: He mea noa tēnei whara i roto i te hunga e takaro ana i ngā hākinakina e hiahia ana kia pupuri te ringa ki runga ake i te māhunga, pērā i te pēihipora, te tēnehi, me te kaukau. Ka taea e ngā nekehanga auau te kino i te uaua.
- Ētahi atu whara pakihiwi: I ētahi wā ka haehae te kiriuhi i roto i te hononga pakihiwi (he haehae SLAP). Ina tupu tēnei, ka haehae, ka wetekina rānei te uaua biceps e piri ana ki reira.
Ngā huarahi matua e rua e mahia ai te pokanga
E rua ngā huarahi matua mō tēnei pokanga: te pokanga tuwhera me te pokanga arthroscopic.
| Āhuatanga | Pokanga Tuwhera | Pokanga Arthroscopic |
|---|---|---|
| Me pēhea te mahi | Ka tapahia he wahi iti (3-4 cm) ki mua o te pakihiwi, ka tangohia te uaua kua pakaru, ka pokaia he kōhao iti ki te wheua ringa, ā, ka tāpirihia anō te uaua ki reira. | Ka mahia te pokanga mā te hanga i ētahi tapahi iti rawa huri noa i te pakihiwi, ka whakauruhia he kāmera iti (arthroscope) me ngā taputapu mā roto. |
| Ngā whara | He koha iti e toe ana. | He torutoru noa iho ngā koha iti noa iho, kāore e kitea nuitia. |
| Te mamae me te whakaora | Ahakoa ka paku piki ake te mamae i muri i te pokanga, e kī ana ētahi rangahau ka taea pea e ngā kaitākaro te hoki wawe ki te tākaro. | Ka iti ake te mamae i muri i te pokanga, ā, ka poto ake pea te wā whakaora. |
| Ngā raruraru | Ka pā mai pea ngā toto totoka, ngā mate pāwera, te kino o ngā io, me te pakari. | Ka pā mai pea ngā toto totoka, ngā mate pāwera, me te mārō (he iti te mōrearea o te kino o te io). |
Ko te mea nui kia whakatau tō tākuta ko tēhea tikanga pokanga te mea pai mōu, nō reira me kōrero koe ki a ia mō tēnei mea.
He aha ngā mea ka tupu i muri i te pokanga?
Ahakoa te angitu o te pokanga, he mea tino nui anō hoki tō whakapau kaha mō te whakaoranga tika.
- Te Mau i te Whitiki Ringaringa: Me mau koe i te whitiki ringa hei okiokinga mō tō ringa mō te 2 ki te 6 wiki i muri i te pokanga.
- Te Whakahaere Mamae: Tērā pea ka pāngia koe e te mamae i ngā rā tuatahi. Whakamahia ngā rongoā whakamamae mamae e ai ki tā tō tākuta i tohutohu ai. Mā te paninga o ngā kete hukapapa ka āwhina i te whakaiti i te pupuhi me te mamae.
- Whakaora Tinana: He wāhanga tino nui tēnei o te tukanga whakaora. I muri i ētahi wiki, me tīmata koe i ngā mahi whakakori tinana i raro i te arataki a te kaiwhakaora tinana, e ai ki ngā tohutohu a tō tākuta. Mā tēnei ka āwhina i a koe kia hoki mārire te nekeneke me te kaha o tō pakihiwi.
- Te whakaoranga katoa: Ko te tikanga ka roa te whakaoranga katoa i waenga i te 4 me te 6 marama, engari ka rerekē pea tēnei wā i waenga i te tangata me te tangata.
Kaua e tere! Ki te tīmata koe ki te hiki taumaha, ki te tākaro hākinakina rānei i mua i te tino ora, ka pakaru anō te uaua. Nō reira, kia manawanui kia kī mai rā anō tō tākuta "Āe."
He huarahi kē atu anō kei reira?
Āe, kei reira tētahi atu pokanga e kiia nei ko te "Biceps Tenotomy". Ko te tapahi me te tuku noa i te uaua kua pakaru mai i te hononga pakihiwi tēnei; kāore e honoa anō ki te wheua. Ahakoa he pokanga māmā noa iho tēnei, he nui te tūponotanga ka puta he pupuhi "Popeye" i muri i te pokanga.
Āhea te wā tika kia kite tonu i te tākuta
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te hokinga ki te kāinga i muri i te pokanga, waea atu ki tō tākuta tonu atu , haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
- Mena he nui te toto o te motu, ā, kāore e mutu ahakoa te pēhi.
- He tino kaha te mamae, ā, kāore e taea te whakahaere ahakoa ngā rongoā whakamamae.
- Mena kei te kino haere te pupuhi o tō ringaringa.
- Te ngenge, te ngaro rānei o te rongo i ngā maihao, i te ringa rānei.
- Te rerekētanga o te tae o te ringa, o ngā maihao rānei (kikorangi/mangu), te makariri rānei o ngā ringa.
- Te whero, te pupuhi, te mamae nui, te wai rite ki te pūkahukahu e maringi ana i te wāhi i pokanga ai.
- Te kirika (neke atu i te 101 F / 38.3 C).
Karere Tangohia ki te Kāinga
- He tino angitu te mahi pokanga Biceps Tenodesis mō te mamae o te pakihiwi i puta mai i te pakaru o te uaua biceps. Neke atu i te 70% te angitu.
- E 4-6 marama pea te roa hei whakaora katoa, ā, he mea tino nui kia manawanui i tēnei wā.
- He wāhanga nui o te tukanga whakaora te whakaora tinana. Kaua e mahue.
- Kaua e tīmata anō te hiki taumaha, te tākaro hākinakina rānei me te kore he tohutohu a tō tākuta. Mēnā ka pēnā, ka hoki anō pea te whara.
- Mena he pātai āu mō tō āhua, mō te pokanga, mō te tukanga whakaora rānei, kaua e wehi ki te pātai ki tō tākuta.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment