Kua whara tō ringa pēnei? Me ako tātou mō te Whati o te Pouaka!

Kua pā tō ringa ki te pakitara i te riri? Kua pāngia rānei koe e te kaha i a koe e takaro ana i ngā hākinakina? I ētahi wā, ina tupu tēnā, ka whati te wheua o tō ringa, inā koa te wheua i te taha o tō maihao mowhiti. I tēnei rā, ka kōrero tātou mō tēnei momo whati, e kiia nei e ngā tākuta he 'Whati Pouaka'.

He aha te whati o te Boxer?

Ki te kī māmā noa, ko te whati o te ringa he whati i te ringa. He momo whati metacarpal.

He roa, he pūkoko ngā wheua kei muri o tō ringaringa, ka taea e koe te rongo ina pā atu koe, ā, koinei te mea e kīia nei e mātou ko ngā metacarpal. Koinei ngā wheua e hono ana i tō koromatua me ngā phalanges o ō maihao kē atu ki tō ringaringa.

Ko te whati o te pona he whati i te wheua tuarima o te metacarpal e hono ana i tō maihao whāriki ki tō ringaringa . Ina koa, ko te pito o taua wheua e hono ana ki te pona, te wāhanga 'kaki', kua whati.

I te nuinga o te wā, ko te maimoatanga mō te whati pēnei ko te whakaū i te ringa ki te whitiki, ki te mea rānei e whakamahia ana hei whiu. Heoi, ki te kino te whati, ina koa ka haere tahi mai me ētahi atu whara, me mahi pea te pokanga.

Te whati tuwhera me te whati kati o te Boxer

Ka whakarōpūtia tēnei whati e tō tākuta hei whati 'tuwhera' 'katia' rānei.

Ko te whati tuwhera te wā e pakaru ai te wheua whati mā roto i tō kiri, ka puta ki waho. He ahua morearea tēnei nā te mea ka roa ake te ora o te patunga, ā, he nui ake te tūponotanga o te pangia.

I roto i te whati kati, ka whati te wheua, engari kāore te kiri i whati. He mea kino anō hoki, engari he iti ake te mōrearea o ngā raruraru i tērā o te whati tuwhera.

Te whati o te Boxer i nekehia

E rua atu ngā kupu e whakamahia ana e ngā tākuta ko te 'displaced' me te 'nondisplaced'.

Ko te whati kua nekehia ko te whatinga o ngā wheua e rua, ā, ka panaia ki mua, ki mua, kia kore e tū tika, ka waiho he āputa nui i waenganui i a rāua. He māmā noa iho, kua totoro te wheua, kāore i te tika.

I roto i te whati kāore i nekehia , kua whati te wheua, engari kāore anō kia neke rawa ngā wahi, ā, kei te tata tonu te tūnga. Ko ngā whati kua nekehia me mahi pokanga.

He pēhea te auau o te whati o te waewae o te boxer?

Ko te whati o te ringa tēnei te momo whati metacarpal e tino kitea ana i roto i te ringa. Ina hoki, tata ki te hauwhā (tata ki te 25%) o ngā whati metacarpal katoa o te ringa he momo pēnei.

He aha ngā tohu o te whati o te pona o te kai-pōro?

Āe, kia titiro tātou he aha ngā tohu o te whati o te waewae o te kai-kaikōmeke.

• Mamae nui:Koinei te mea nui. He mamae te wāhi i takoto ai tōku ringa.
• Pupuhi: Ka pupuhi nui te wāhanga whara o te ringa.
• Te maihao pītiti e neke ana i runga i te maihao kē atu: Tērā pea ka puta tō maihao pītiti ki runga, ki muri rānei i tō maihao mowhiti. Ka kiia tēnei he 'hurihurihanga hurihuri' . Ko te tikanga kua piko te maihao.
• Ngāwari: Ka mamae te wāhi i whara mēnā ka pā atu, ka pēhi rānei.
• Te uaua ki te neke, ki te whakamahi rānei i te ringa: Te uaua ki te mahi i ngā mahi me te ringa, te piko, te totoro rānei i ngā maihao.
• Te tae kikorangi: Ka huri pea te kiri i te wāhi i whara hei kikorangi, hei papura rānei.

He aha ngā take o ngā whati o te waewae o te boxer?

Ko te tino take o tēnei ko te wā e pā kino ana tō ringa ki te pakitara, ki te tatau rānei ki tō ringa . Ka mahi ētahi i tēnei ina riri ana rātou. Koinei te wā e tino tupu ai. Ko te ingoa 'whati a te kai-kai-kai-kai' i ahu mai i te mea he maha ngā wā ka pāngia ngā kai-kai ...

Ko wai te mea nui ake te mōrearea mō tēnei?

Ka taea e te tangata te whati i te wheua tuarima o te metacarpal i te taha o te māhunga o te waewae. Engari he nui ake te mōrearea o ētahi tāngata. Tirohia ko wai tēnei:

• Te hunga i waenga i te 10 me te 40 tau te pakeke: He maha ake ngā wā ka kitea tēnei i roto i tēnei rōpū tau.
• Ngā kaitākaro: Ina koa ko te hunga e takaro ana i ngā hākinakina pā e whakamahi ana i ō rātou waewae me ō rātou waewae, pērā i te mekemeke me ngā mahi toi whawhai.
• Ngā tāngata e pāngia ana e te osteoporosis: Ko te osteoporosis he mate e pakarukaru ai, e ngoikore ai hoki ngā wheua. Ka taea e te hunga e pāngia ana e tēnei mate te whati o ō rātou wheua ahakoa he whara iti noa iho.

Me pēhea te mōhio ki te whati o te hope o te pouaka?

Ina haere koe ki te tākuta, ka tirohia tuatahitia tō ringaringa. Tērā pea ka whakaaro te tākuta he whati whatiwhati ringa mā te pā atu, mā te titiro noa rānei. Me kōrero tika koe ki te tākuta i te mea i tupu i mua i tō whara i tō ringaringa, me te āhua i kite tuatahi ai koe i ngā tohu.

He aha ngā whakamātautau tātaritanga?

Ka tangohia e te tākuta he hihi-X o tō ringaringa. Mā te hihi-X e whakaatu tika te wāhi i whati ai te wheua tuarima o te metacarpal me te āhua o te whati.

I ētahi wā, inā koa me pokanga koe, ka taea hoki te tango i tētahi matawai CT (Computed Tomography - CT scan) . Ka taea e te matawai CT te tango pikitia toru-ahu (3D) o ō wheua me te kiko e karapoti ana.

Me pēhea te rongoā i ngā whati o te waewae o te Boxer?

Ka tūtohu tō tākuta i ngā maimoatanga hei āwhina i te whakaora i tō wheua. Ko te momo maimoatanga e hiahiatia ana e koe ka whakawhirinaki ki te momo whati o te pona kei a koe me te mea he whara kē atu āu. Ko ngā maimoatanga tino noa ko:

Te aukati i te nekehanga

Mena kāore i te tino kino te whati o te poitarawhiti, arā, kāore i te tino tawhiti ngā kongakonga wheua (whati kore-nekehanga), me pupuri noa pea tō ringa ki roto i te whitiki, i te mea rānei kua makaia. Ko te nuinga o te tangata me pupuri ō rātou ringa ki tēnei tūranga mō ngā wiki e toru ki te ono . I waenganui, ka tangohia he hihi-X hei tirotiro kei te ora pai ngā wheua.

Whakatika ā-ringa (Whakaiti kati)

Mō te whati o te wheua whati, me whai pea koe i tētahi tikanga e kiia nei ko te 'closed reduction' hei whakatikatika i ngā kongakonga wheua whati. I tēnei tikanga, ka pēhia e te tākuta te tuara o tō ringa, ka whakahokia ngā kongakonga wheua whati ki tōna tūranga tika. I a koe e mahi ana i tēnei, kāore koe e mamae, ā, ka taea e koe te mahi i tētahi o ēnei e whai ake nei:

• Whakangote ā-rohe: Ka whakangote noa iho te wāhi e karapoti ana i te whati .
• Ngā rongoā whakamarie: Mā tēnei koe e noho marino.
• Te rongoā whakamoe whānui: Ko te tikanga kāore koe e rongo i tetahi mea, ka moe koe.

I muri i te whakatikatika i ngā wheua pēnei, ka herea tō ringa e te tākuta ki roto i te whitiki whakapiri, i te mea rānei e whakakikoruatia ana.

Te pokanga whati o Boxer

Ko te nuinga o te iwi kāore e hiahiatia he pokanga mō te whati o te pona.

Engari, ki te mea he whati tuwhera tōu, he whati neke, he whati pakaru rānei, ka tūtohu pea tō tākuta kia pokanga. Waihoki, ki te mea he kino te wheua me ētahi atu kiko e karapoti ana, me pokanga pea. Ina koa, ki te mea kua neke tō māikuku nui i runga i te māikuku kē atu nā te whati (malrotation), he nui ake te tūponotanga kia pokangahia.

Ka whakahokia e te taote pokanga ō wheua ki tōna tūranga tika, ka whakapiripiri ngātahi kia pai ai te hono. Ko te tikanga o tēnei, mā te 'whakapiri ā-roto' . Ko te tikanga, ka whakauruhia e te taote pokanga he pine, he tīwiri, he pereti rānei ki roto i tō wheua hei pupuri i ngā wheua kia piri ngātahi. I muri i te ora o te wheua, me mahi anō pea koe i tētahi atu pokanga hei tango i te whakapiri.

Ngā raruraru pea mai i te pokanga

Ko ngā raruraru matua ka puta i muri i te pokanga whati o te pouaka ko:

• Malunion: Ka puta tēnei ina kore e hono tika ngā kongakonga wheua whati i a rātou e ora ana. Ka taea e tēnei te whakarerekē i te āhua o te ringa, me te whakaiti i te mahi a te ringa.
• Kore-hononga: I ētahi wā, kāore pea ngā wahi wheua e hono tika tetahi ki tetahi, kāore rānei e hono tetahi ki tetahi.
• Mate wheua (Osteomyelitis):Mena he whati tuwhera tō wheua, arā, kua pakaru te wheua mā roto i te kiri, he nui ake tō tūponotanga ki te pangia e te mate kitakita.
• Te pakari o te ringa: Ko te hunga kua pāngia e te whati o te ringa, ka pāngia e te pakari o te wheua whati. Ka taea te whakaiti i tēnei pakari mā te whakamahi i ngā mahi whakakori tinana ki te kāinga me te rongoā mahi .
• Te Mate Pūngao Koretake (ACS): He āhuatanga morearea tēnei. Ka piki ake te pēhanga i roto i ngā uaua o te ringa, ā, ka raru pea te rere o te toto. Ka taea e tēnei te arahi ki te kino tuturu ki ngā uaua me ngā io.

Kia pēhea te roa ka pai ake ai taku āhua i muri i te maimoatanga?

E rua wiki pea te roa ka memeha haere ō tohu. Ka tīmata te mamae te memeha i roto i ētahi rā. Engari e ono wiki pea te roa ka hoki anō tō wheua ki tōna kaha.

I runga i te momo maimoatanga i whakawhiwhia ki a koe, tera pea ka taea e koe te neke me te whakamahi anō i tō ringa i roto i ētahi wiki.

Engari kia maumahara, ki te pāngia koe e te mamae e kore e taea te whakamanawanui, ā, kāore e memeha, me toro atu koe ki te tākuta tonu.

He aha tāu e tumanako ai mēnā he whati wheua tōu?

Tērā pea ka taea e koe te ora katoa mai i te whati o te pona.

Tērā pea ka hiahia koe ki te rongoā mahi hei whakahoki mai i te kaha me te nekehanga o tō ringaringa.

Kia pēhea te roa e ora ai te whati o te pona o te kaimekemeke?

E tata ana ki te kotahi, e rua rānei marama te roa o te oranga o te nuinga o te tangata mai i te whati o te pona. Ko te roa o te ora ka whakawhirinaki ki te kaha o te whati me te maimoatanga i whiwhi koe.

Ina hoki, he rerekē te roa o te wā e ora ai te tinana i ia tangata, i ia tangata. Pātai atu ki tō tākuta, ki tō taote pokanga rānei, kia pēhea te roa o te wā e ora ai, i runga i tō āhua.

Nā tēnei, kāore e taea e au te haere ki te mahi/kura?

Kāore pea koe e taea te haere ki te mahi, ki te kura rānei kia ora rā anō tō ringa. He tino uaua tēnei mēnā i puta te whati i tō ringa matua, arā, ko te ringa e whakamahia ana e koe i ngā wā katoa, pērā i te ringa e tuhituhi ana koe, e mahi ana rānei i ētahi atu mahi.

Ka taea e te nuinga o te tangata te tīmata anō i ngā mahi ā-tinana (pēnei i ngā hākinakina) i muri i te waru wiki pea .

Heoi anō, me kōrero tonu koe ki te tākuta, ki te taote rānei i mua i te tīmatanga anō i tētahi mea. Ina koa mēnā i whati tō wheua i a koe e tākaro ana i tētahi hākinakina, e mahi ana rānei i tētahi mea motuhake, me rapu tohutohu koe i mua i te tīmatanga anō.

Me pēhea tātou e whakaiti ai i te mōrearea o tēnei momo aituā?

Hei whakaiti i te mōrearea o tēnei momo whara, whai i ēnei tohutohu haumaru ngāwari:

• Ina riri koe, ina pōuri rānei, kaua rawa e pā ki ngā pakitara, ki te papa, ki tētahi atu mea mārō rānei. Koinei te mea nui rawa atu.
• Me mau tonu te whitiki nohoanga i a koe e eke ana i roto i te waka.
• Me mau ngā taputapu tiaki e tika ana mō ia mahi me ia hākinakina.
• Whāia he mahere kai me te whakakori tinana hei āwhina i te pupuri i te hauora o tō wheua.
• Mena kua neke atu i te 50 tau tō pakeke, mēnā rānei he mate wheua tō tētahi o tō whānau, kōrero ki tō tākuta, ā, whakaarohia te whakamātautau kiato te wheua .

Āhea koe me haere wawe ki te hōhipera?

Ki te whakaaro koe he whati wheua tō te pona (he whati wheua rānei), me toro atu koe ki te tākuta i te wā e taea ai. Ki te pā mai ētahi o ēnei tohu ki a koe, haere tonu ki te rūma whawhati tata:

• Mamae kore e taea te whakamanawanui.
• Ki te kore e taea e koe te neke i tō ringa, i ō maihao rānei i te āhua noa.
• Mena kua tino rerekē te āhua o tō ringaringa.
• Mena kei te piri mai tō wheua mā roto i tō kiri.
• Te pupuhi.
• Mena kua tīmata koe ki te pāngia e te kikorangi hou me ēnei atu tohu.

He aha taku e pātai atu ai ki te tākuta?

He mea pai kia pātaihia ēnei pātai ina kite koe i tō tākuta:

• He aha te momo whati kei a au?
• Me pokanga ahau?
• Kia pēhea te roa me mau ahau i te whitiki whakapiri, i te whitiki whakarewa rānei?
• Āhea te wā haumaru ki te tīmata anō i ngā mahi ā-tinana pēnei i ngā hākinakina?

Ka ora noa iho te whati o te kaimekemeke?

Kāo, e kore rawa te whati o te poitūkohu e ora i a ia anō. Me tirotirohia me te rongoatia ngā whati katoa e te tākuta. Ki te waiho e koe te whati o te poitūkohu kia kore e rongoatia, he nui ake te tūponotanga ka pāngia koe e ngā raruraru pēnei i te malunion.

Ko te 'malunion' he hononga o te wheua whati ki tetahi ki tetahi, engari kāore i te tūranga tika, i te tūnga tika. Ka hono tahi. Ki te tupu tēnā, tera pea ka uaua ki a koe te whakamahi i tō koromatua ā muri ake nei, ā, tera pea ka whati anō taua wheua ā muri ake nei.

Ki te whara tō ringa, ā, ka kite koe i ngā tohu o te whati o te pouaka, haere tonu ki te rūma whawhati tata. Ahakoa kāore tō wheua i whati, me tirotiro tonu e te tākuta tō whara.

Hei whakamutunga, ētahi mea hei maumahara

Ko te whati o te ringa he whati wheua i roto i tō ringaringa. I ahu mai tōna ingoa i te āhua o te pānga - ina pā tō ringa ki tētahi mea mārō. Ahakoa he whara noa tēnei i te wā hākinakina, ka pā anō hoki ina pā tō ringa ki tētahi pakitara, ki tētahi atu mea mārō rānei i a koe e riri ana.

He mea whakarihariha te ngaro i ētahi wiki o te whakangungu, te whakataetae, me ētahi atu mahi rānei. Engari ka taea e koe te ora katoa mai i te whati o te poitūkohu. Kaua e warewarehia ngā tohu pēnei i te mamae o te ringa me te pupuhi, inā koa i muri i te whara.Me toro atu ki te tākuta tonu kia kitea ai he mate. Ko te tere o te tākuta ki te tautuhi i te whati o te wheua, ko te tere hoki o te whakaora o tō wheua metacarpal whati.

` Whati o te Pouaka, whati ringa, whati metacarpal, mamae ringa, pupuhi ringa, whara hākinakina, maimoatanga wheua