Kei te mamae tonu tō pakihiwi? Kua hoha koe ki te mamae e puta mai ana i roto i tō pakihiwi ina hiki koe i ngā taumaha, ina takaro hākinakina, ina hiki noa rānei i tō ringa? I ētahi wā ka rongo koe i te tangi "pāwhiri" i tō ringa o runga, ā, ka rongo ohorere koe me te mea kei te whiua koe me te mamae koi? He raruraru pea tēnei i te uaua e hono ana i tō uaua biceps. Nō reira, i tēnei rā, me kōrero tātou mō tētahi pokanga e kiia nei ko te Biceps Tenodesis, he otinga pea tēnei mō tēnei mate.
He aha te tikanga o te Biceps Tenodesis?
Ko te Biceps Tenodesis he tikanga pokanga e whakatika ana i te pakaru, i te pakaru rānei o te upoko roa o te uaua biceps e hono ana i tō uaua biceps ki tō pakihiwi. Ina koa, ka piri tēnei uaua ki tētahi wahi o te kiriuhi (te labrum) i roto i tō hononga pakihiwi. Ina pakaru, ina mumura rānei tēnei uaua (biceps tendonitis), ka pā he mamae nui me te ngoikore ki tō pakihiwi me tō ringa.
Nō reira, i tēnei mahi, ka tukuna e te taote te uaua kua pakaru mai i roto i te hononga pakihiwi ka honoa anō ki te wheua ringa o runga (pumerus). He rite tēnei ki te tango i te wāhanga whati o te piriti ka honoa ki tētahi wāhi hou, kaha ake.
Me mahi anō rānei tēnei pokanga ki ahau? He aha ngā tohu?
Tirohia mēnā kei a koe ēnei tohu kia kite ai mēnā kua tae ki te wā kia whakaarohia tēnei pokanga.
| Tohu | Whakaahuatanga |
|---|---|
| Te mamae tonu o te pakihiwi | Te mamae o te pakihiwi e kore e memeha ahakoa te okiokinga, te whakaora tinana, te rongoā whakamamae rānei. |
| Te mamae ohorere me te haruru | Te rongonga i te tangi "pāwhiri" "tuki" rānei me te mamae ohorere i te ringa o runga. |
| Te piko o te ringa | Ngā mamae o ngā uaua o te ringa o runga, inā koa i te wā e hiki ana i ngā mea taumaha. |
| "Te Pupuhi o Popeye" | Ka kitea he puranga kikokiko e pupuhi ana (te pupuhi Popeye) i te ringa o runga. Nā te uaua o te biceps e pupuhi ana ki raro ina pakaru katoa te uaua e puta ai tēnei. |
| Te marō me te pupuhi | He marō, he pupuhi rānei mai i te ringa o runga ki te tuke. |
| Te kore e taea te huri i te ringa | He uaua ki te huri i te ringa kia anga ake te nikau. |
Mena kei a koe tētahi, ētahi rānei o ēnei tohu, inā koa he "Popeye Bluge" e kitea ana, he mea tino nui kia rapu tohutohu hauora koe.
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 roto i ō tātou tinana, ka ngoikore hoki. I a tātou e pakeke haere ana, ka nui ake te tūponotanga ka haehae, ahakoa he whara iti noa iho.
- Ngā Hākinakina: Ka pā tēnei āhuatanga ki te hunga e takaro ana i ngā hākinakina e neke haere ana i runga i te tinana (hei tauira, te pōro kirikiti, te kaukau, te tēnehi, te poipapa).
- Ētahi atu whara pakihiwi: Mena ka haehae te labrum (te mowhiti kiriuhi e karapoti ana i te hononga pakihiwi) (e kiia ana ko te haehae SLAP ), ka taea hoki e te uaua biceps te haehae, te pakaru rānei i te wa ano.
Ngā tikanga pokanga me te whakarite
E rua ngā huarahi matua e taea ai tēnei pokanga: te pokanga tuwhera me te pokanga arthroscopic.
Ngā whakaritenga whānui i mua i te pokanga
Ka hoatu e tō tākuta he tohutohu motuhake ki a koe, engari kia tūpato ki ēnei mea katoa.
- Kaua e kai, e inu rānei mō ngā hāora e 8 i mua i te pokanga (ka taea te tango i ngā rongoā noa, hei tauira, ngā rongoā mō te toto toto tiketike, me te inu wai).
- Ki te kaipaipa koe, kati te kaipaipa i te iti rawa i te rua wiki i mua i te pokanga. Ka tino āwhina tēnei i te mahi a tō ngākau me ō pukahukahu.
- Mena kei te tango koe i ētahi tāpiringa otaota, kōrero ki tō tākuta mō te whakamutu i aua tāpiringa i te wiki, i ngā wiki e rua rānei i mua i te pokanga.
1. Pokanga Tuwhera (Tenodesis o ngā Biceps Tuwhera)
Ko te tikanga tēnei he tapahi iti (tata ki te 3-4 henimita) ki mua o te pakihiwi, ka tangohia te uaua kua pakaru, ka whakaurua ki roto i tētahi kōhao iti i hangaia ki te wheua o runga o te ringa, kātahi ka whakamau ki tētahi punga tuitui motuhake me tētahi tīwiri (tikanga whakamau tīwiri).
2. Pokanga Arthroscopic (Arthroscopic Biceps Tenodesis)
He 'pokanga kōhao kī' tēnei. Kāore e hiahiatia he tapahi nui. Engari, he maha ngā kōhao iti ka hangaia ki te taha o te pakihiwi, ka whakauruhia he kāmera iti (arthroscope) me ngā taputapu pokanga. Mā te tākuta e mātakitaki ngā whakaahua mai i te kāmera i runga i te mata tirotiro, ka tukuna te uaua kua pakaru, ka honoa anō ki te wheua ringa pērā i mua.
| Tikanga pokanga | Ngā Painga | Ngā Huakore/Ngā Whakararuraru |
|---|---|---|
| Pokanga tuwhera (Tuwhera) | E ai ki ētahi rangahau, he nui ake te tūponotanga ka hoki wawe mai ngā hākinakina. | He nui ake te koha. Tērā pea ka puta ngā raruraru pēnei i te mate pāwera, te kino o ngā io, te mamae, me te pakari. |
| Pokanga arthroscopic | He iti ake te mamae, he poto ake te wā whakaora, ā, he iti ake ngā koha. | Tērā pea ka roa ake te hoki ki ngā hākinakina ki te whakaritea ki te pokanga tuwhera. Tērā pea ka puta ngā raruraru noa (mamae, mate pāwera). |
Mā tō tākuta e whiriwhiri te kōwhiringa pai rawa atu māu i runga i ngā āhuatanga pēnei i te āhua o tō whara, tō tau, me tō momo noho.
He aha ngā mea ka tupu i muri i te pokanga? Te wā whakaora
E 4-6 marama te roa hei whakaora katoa. I tēnei wā, me manawanui koe.
- Tākai Ringa: Me mau tākai ringa koe mō te 2-6 wiki i muri i te pokanga. I tēnei wā, me āwhina pea koe ki ngā mahi o ia rā me te taraiwa.
- Te Whakaora Tinana:He wāhanga nui tēnei o te tukanga whakaora. I muri i ētahi wiki i te pokanga, me tīmata koe i ngā mahi whakakori tinana i raro i te arataki a te kaiwhakaora tinana. Mā tēnei ka āwhina i a koe ki te whakahoki mai i te whānuitanga o te nekehanga me te kaha o tō pakihiwi.
- Te tīmata anō i ngā mahi: Me kōrero tonu ki tō tākuta i mua i te tīmatanga o ngā mahi pēnei i te whakakorikori tinana, ngā hākinakina, te hiki taumaha rānei. Ki te tere rawa tō tīmatanga whakakorikori tinana, ka whara anō pea te uaua e ora ana.
Āhea te waea atu ki te tākuta tonu
Ki te puta he mea pēnei i muri i te pokanga, me whakamōhio tonu atu ki tō tākuta, ki te hōhipera rānei.
- Mena kei te toto nui te patunga ā, kua mākū te takai.
- Mena he nui te mamae kāore e taea te whakahaere ahakoa ngā rongoā whakamamae.
- Mena ka piki ake te pupuhi o tō ringaringa.
- Mena he ngoikore tōu, he māuiui rānei ōu maihao, ōu ringaringa rānei.
- Mena ka huri te tae o tō ringaringa, o ō maihao rānei (ka pōuriuri), ka mātao rānei ina pā atu.
- Mena he whero, he pupuhi, he mamae, he wai kōwhai rānei e maringi ana mai i te patunga.
- Mena he kirika tōu (neke atu i te 101°F / 38.3°C).
Neke atu i te 70% te angitu o tēnei pokanga. Nō reira, ki te tika te tātaritanga o tō mate, ki te whakahaerehia te pokanga e te tākuta whai tohu, ā, ki te whai tika i ngā tohutohu, ka taea e koe te whakakore i tēnei mamae pakihiwi whakarihariha, ka hoki ki tō oranga noa.
Karere Tangohia ki te Kāinga
- Ko te Biceps Tenodesis he tikanga pokanga e hono ana i te uaua biceps kua pakaru, kua pakaru rānei ki te wheua.
- Ko te mamae tonu o te pakihiwi, te mamae ohorere me te tangi "pāwhiri", me te pupuhi o te ringa e rite ana ki te "Popeye" ngā tohu matua.
- E 4-6 marama pea ka tino ora ake i muri i te pokanga, ā, he mea nui rawa te whakaora tinana.
- He mea tino nui kia whai i ngā tohutohu a te rata, kaua hoki e hohoro ki te mahi taimaha, ki ngā hākinakina rānei i te wā e ora ana.
- Mena he ruarua āu, he tohu whakatūpato rānei kua whakahuatia ake nei, me toro atu ki tō tākuta tonu.
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