Me ako tātou mō te Wheke Whati? Kaua e wehi, me kōrero tātou!

Āe, whakaarohia te āhua mēnā ka whati te wheua nui, kaha o tō waewae, mai i tō hope ki tō turi – te femur –! He wheako tino mamae tēnei. Ko te femur te wheua roa rawa atu, te wheua taumaha rawa atu, me te wheua kaha rawa atu i roto i tō tātou tinana. Nō reira, kia whati ai, me tino kaha, me tino aituā. Ki te whati te femur, me rapu tonu i te awhina hauora. Nā te mea ka roa pea ngā marama hei whakaora. Nō reira, me kōrero taipitopito atu tātou mō tēnei, āe?

He aha te wheua hope? Ka aha ina whati?

Ki te kī māmā noa iho, ko te wheua hope anake te wheua o tō huha. E ai ki tā mātou i kōrero ai i mua ake nei, koinei te wheua nui rawa atu, te wheua kaha rawa atu hoki o tō tātou tinana. Nō reira, ehara i te mea ngāwari te whati. He tino onge te whati i te nuinga o te wā nā te hinganga iti. Ko te nuinga o te wā ka whati i te mea pērā i te aituā motuka nui, te hinganga mai i te teitei, te patunga pū rānei.

Heoi, mō te hunga neke atu i te 65 tau te pakeke, ki te paheke, ka hinga rānei ahakoa e tū ana, ka ngoikore te kaha o ō rātou wheua (ina koa mēnā he mate pēnei i te osteoporosis ō rātou), nō reira ka nui ake te tūponotanga ka whati tēnei femur.

He aha i tino kino ai tēnei whati o te huha?

Ina whati te wheua o te kōpū, ehara i te mea he whati noa te ringa, te waewae rānei. Tērā ētahi mea ka nui ake te kino. Tirohia:

• Ka nui te toto: Ina koa mēnā ka pakaru ngā kongakonga wheua i roto i te kiri (e kiia ana tēnei he "whati tuwhera"), ka puta he nui te toto i te tinana. I ētahi wā, ka puta te toto i roto i te tinana.
• Te ohorere: Ka pāngia te tinana e te ohorere nā te nui o te toto me te mamae.
• Ka whati pea te wheua hope: Ki te whati te pito o runga o te wheua huha, arā, e tata ana ki te hononga hope, ka whati tahi te wheua hope me ia. He nui ake tēnei mōrearea i roto i te hunga e pāngia ana e te osteoporosis.
• Te whara o te turi: Ki te whati te wāhanga o raro o te wheua huha, arā, e tata ana ki te turi, ka pakaru anō hoki te turi. He mea noa anō hoki tēnei i roto i te hunga kua pokangahia te whakakapinga turi, i te hunga rānei e pāngia ana e te osteoporosis.

E hia te mamae ka pā mai mēnā ka whati te wheua o tō huha?

Āue! He tino mamae rawa tēnā. He uaua ki te whakaahua ki ngā kupu. Kaua e manukanuka, i muri i tō whakaurunga ki te hōhipera, ka tino hoatu e ngā tākuta te rongoā e tika ana hei whakahaere i tō mamae.

He aha ngā tohu o te whati o te femur?

Ki te hinga koe, ki te whara rānei tō hope i tētahi atu aituā, kia tūpato ki ēnei tohu:

• Kāore e taea te whakamanawanui i te mamae .
• Kāore e taea e koe te tuku i tō waewae whara ki raro, te whakatakoto rānei i te taumaha ki runga .
• I ētahi wā, ka werohia te kiri e ngā kongakonga wheua whati, ka puta mai, ka puta te toto.Ka kiia tēnei he "whati tuwhera".
• I ētahi wā, ka puta ake pea ngā kongakonga wheua i runga ake i te mata o te kiri, ā, ka kitea, engari kāore e pakaru mā roto i te kiri . Ka kiia tēnei he "whati kati".
• He kikorangi te huha, ā, e kitea ana ngā marō .
• Kua pupuhi ētahi wāhi o te huha .
• Tērā pea te āhua poto ake o te waewae whara i tērā atu waewae. Tērā pea ka tahuri te waewae whara ki waho (kia matara atu i tō tinana) .

Ka taea e koe te hikoi me te whati o te wheua huha?

Kāore rawa. Kia whati tō wheua hope, kāore e taea e koe te pupuri i te taumaha ki runga i taua waewae, te tū rānei ki runga. Nō reira kaua e whakaaro ki te hikoi.

Me pēhea te tautuhi a ngā tākuta i tēnei momo whati hope?

Ina haere koe ki te hōhipera, ka tirohia tuatahitia e ngā tākuta tō waewae whara. Kātahi ka tino whakahaerehia he whakamātautau (X-ray). I ētahi wā, ka taea hoki te mahi i te (Computed Tomography scan), e mōhiotia ana ko te (CT scan), hei tiro mārama ake i te āhua o te whati. Mā ēnei whakamātautau ka taea e ngā tākuta te whakatau tika i te momo whati ((fracture type)) kei a koe.

He maha ngā momo whati o te femur:

• Whati whakawhiti: Ka whati te wheua i tētahi rārangi whakapae puta noa.
• Whati porowhita: Ka whati te wheua i te āhua porowhita.
• Whati piko: Kua whati te wheua i te taha.
• Whati pakaru: Kua whati te wheua kia toru, neke atu rānei ngā wahi.
• (Whati tuwhera, whati pūhui rānei) (Whati tuwhera): Kua whati te wheua, ā, kua werohia ngā kongakonga wheua ki te kiri, ā, kua puta mai.

Me pēhea te rongoā i te whati o te femur?

Tuatahi, hei whakaiti i te mamae, hei ārai hoki i te nekeneke o te wheua whati, ka whakatakotoria pea e ngā tākuta he papa whakarara, he momo papa, ki tō hope, hei hipoki i te nuinga o tō waewae. He mahi rangitahi tēnei.

Hei tāpiritanga, ka whakamahia hoki he maimoatanga e kiia nei ko te (traction). Mā tēnei ka āwhina i te pupuri i ngā wheua whati kia tika te tūnga. E rua ngā momo (Traction):

• Ngā whitiki kume taumaha: Ko te here i tētahi whitiki ki tō pona waewae, te here i ngā taumaha ki reira, me te tō mārire mā roto i tētahi anga me ngā pūreirei. Ka pēhia mārire te hope, ka āwhina i te pupuri i ngā wheua kia tū tika.
• Te tōia angaanga: I tēnei mahi, ka mahi te tākuta i tētahi pokanga iti ka whakauru i tētahi pine ki roto i tō wheua huha (femur) me tō wheua papa (tibia). Kātahi ka tāpirihia he taumaha ki te pine hei pupuri i te wheua huha kia tika.

Me pokanga katoa ngā whati hope?

Āe, tino.Ki te whati tō wheua huha, me pokanga koe kia ora pai ai. I te nuinga o te wā ka mahia tēnei pokanga i roto i ngā haora 24 ki te 48 i muri i tō whara me tō whakaurunga ki te hōhipera. E rua ngā momo pokanga matua ka mahia e ngā tākuta:

• (Whakaiti Tuwhera me te Whakapūmau ā-Roto - ORIF)
• (Te whakapiringa o waho)

He aha tēnei pokanga (ORIF)?

I tēnei tikanga, ka tapahia e te taote pokanga he wheua tata ki tō hononga hope, turi rānei, ā, ka whakatikatika anō i ngā kongakonga wheua whati. Kātahi ka whakauruhia he taputapu whakarewa (hei tauira, he tokotoko, he pereti rānei) hei whakau i te wheua.

He aha ngā taputapu whakarewa e whakamahia ana i tēnei pokanga (ORIF)?

• Ngā tokotoko: Ka whakamahia ēnei i roto i tētahi tikanga pokanga e kiia nei ko te whao intramedullary. Ka whakaurua e te taote pokanga ēnei tokotoko ki roto i tō waewae, mā roto i te kōhao medullary (koinei te wāhi kei reira te hinu wheua).
• Ngā tīwiri: Hei ārai i te nekeneke o te rākau, o te pereti whakarewa rānei kua whakahuatia ake nei, ka whakatakotoria ngā tīwiri ki runga, ki raro hoki.
• Pereti whakarewa: He rite ki te whitiki whakarara, ka whakatakotoria e te taote pokanga ēnei pereti whakarewa ki waho o te wheua, ka whakau ki ngā tīwiri hei whakau i te whati.

Nā, he aha te pokanga "(Whakapiri ā-waho)"?

He pokanga anō hoki tēnei hei whakau i te wheua huha. Ko te whakauru i ētahi pine whakarewa (poro/pine) ki roto i tō wheua huha, ka whakapiri atu ki tētahi anga ) kei waho o tō waewae. I ētahi wā, ka whakamahia tēnei tikanga hei whakau i te wheua mō te wā poto i mua i te pokanga ORIF. Ka taea rānei te whakamahi ina tino kino rawa te whara, kāore e taea te mahi i te pokanga ORIF.

Ka mahia tēnei pokanga "(Whakapiri ā-waho)" i raro i te mate whakamoe. Ka pokaia e ngā taote pokanga ngā kōhao ki te wheua kāore i pakaru i runga ake, i raro hoki i te wāhanga whati o te wheua huha, ka whakauruhia he tokotoko ki roto. Ka piri ēnei tokotoko ki tētahi anga i waho o tō waewae. Mā ngā "(hononga pōro-me-te-kōhao)" i roto i tēnei anga ka taea te whakarite i ngā tokotoko kia tika te rārangi o ngā kongakonga wheua whati.

He mea tika te whakaora tinana i muri i te pokanga?

Ae ra! Me whai whakaora tinana koe i te roanga o tō whakaoranga. Mā tēnei ka whakapakari i ngā uaua o ō waewae, ka whakahoki mai i te nekehanga o ngā hononga, ā, ka āwhina i a koe kia hoki anō ki te āhua noa.

Kei te whakarato koutou i ngā rongoā whakamamae mamae?

Āe, ka matapakihia e tō tākuta tō mamae, ā, ka tohua hoki e ia he rongoā mamae e tika ana.

He aha ngā mōrearea, ngā raruraru rānei ka puta mai i ēnei pokanga?

Pērā i ngā pokanga katoa, ka pā mai ētahi raruraru i te pokanga mō te whati hope. Ko ētahi o ēnei ko:

• Te mate urutā acute compartment syndrome (ACS): Koinei te wā e nui haere ai te pēhanga i roto i ngā uaua, ā, ka heke te rere o te toto ki ngā uaua me ngā kiko. Ka taea e tēnei te arahi ki te kino tuturu o te uaua me te io.
• Kāore e tika te hono o ngā kongakonga wheua: Ka raru pea te whakaora hē o te wheua.
• Te mamae i puta mai i ngā whao me ngā tīwiri i werohia.
• (Fat embolism syndrome): I roto i tēnei, ka taea e ngā matūriki ngako te kohikohi i roto i te toto. Ka puta pea ngā tohu pēnei i te uaua ki te manawa me te ngaro o te māramatanga.
• Ngā toto totoka.
• Ka taea e ngā taha koi o ngā kongakonga wheua whati te tapahi, te kino rānei i ngā oko toto, i ngā io rānei.
• Te mate urutā.

Me pēhea taku tiaki i ahau anō i muri i te pokanga?

Mō ngā wiki tuatahi e rua, he mea nui kia noho tētahi ki te kāinga hei āwhina i a koe. (Ka taea e tō tākuta te āwhina i a koe ki te kimi i tētahi kaitiaki kua whakangungua hei haere mai ki tō kāinga hei āwhina i a koe.)

Ina moe koe, me moe tika koe me te waewae whati e hiki ake ana i tō ngākau . Mā te moe pēnei ka āwhina i te whakaiti i te pupuhi o te waewae whati.

I a koe e ora haere ana, ka hiahia koe ki te neke haere i te whare ko koe anake. Heoi, pātai atu ki tō tākuta mō te taumaha ka taea e koe te pikau ki tō waewae. Me whakamahi pea koe i te tokotoko, i te tokotoko toko, i te taputapu hikoi rānei. Mā tō kaiwhakaora tinana koe e whakaatu ki te whakamahi i aua mea.

Ko te mea nui kia tūpato kei hinga anō koe! Ki te hinga anō koe, ka taea e koe te whara anō i tō hope. Hei whakaiti i te hinganga, me mahi ēnei mea:

• Mena kei runga tō rūma moe me tō kaukau, whakatūria he wāhi moe rangitahi me tētahi wharepaku kawe i raro. Pērā ai, kāore koe e piki ake, e heke iho rānei i ngā arawhata.
• Tangohia ngā mea ka raru pea koe, pērā i ngā waea i runga i te papa, i ngā whāriki iti rānei.
• Tāutahia ngā ārai ringa ki roto i te kaukau, ahakoa i roto i te kaukau, i te ua rānei, i te taha rānei o te wharepaku.
• Tāutahia ngā ringaringa ki ngā taha e rua o ngā arawhata.
• Whakamāramahia tō whare kia pai, mā te tāpiri atu i ētahi atu rama, mā te whakamahi rānei i ngā pūangi kanapa ake.
• Puritia ngā mea e whakamahia pinepine ana e koe ki roto i ngā kāpata e ngāwari ana te toro atu, me te kore e piki ki runga tūru ki te tiki.
• Whakatakotoria ngā whāriki kore-paheke ki runga i te papa o te wharepaku.

Kia pēhea te roa e ora ai te wheua huha whati?

E whā ki te ono marama pea te roa hei whakaora katoa. I ētahi wā ka roa ake, i runga i te āhua o te whati, tō tau, me tō hauora whānui.

He aha i roa ai te ora? Nā te mea ka whai tukanga whakaora ā-taiao te wheua whati. He maha ngā wāhanga:

• Ngā Rā 1-5:Ina whati te wheua o tō huha, ka whati anō hoki ngā oko toto e tuku toto ana ki roto. Ka puta he "hematoma," he toto totoka, i te wāhi i whati ai te wheua. Ka mahi tēnei toto totoka hei anga rangitahi, ā, ka āwhina i te whakaora o tō wheua. Ka aro atu tō pūnaha ārai mate ki tēnei whara mā te whakahohe i ngā pūtau e tango ana i te kiko kua pakaru me ngā pūtau e whakaoho ana i te whakaora.
• Ngā Rā 5-11: Ka tīmata tō tinana ki te hanga i tētahi whatunga kiriuhi i waenganui i ngā kongakonga wheua whati. Ka tīmata anō hoki ki te hanga wheua hou (wheua raranga).
• Ngā Rā 11-28: Ka mātotoru haere te whatunga kiriuhi. Kei te hangaia ngā uaua toto hou me ngā wheua hou. I te haere tonu o tēnei tukanga, ka tīmata anō tō wheua ki te whakatikatika i a ia anō, ā, ka noho hei wheua noa. Ka roa pea tēnei tukanga katoa i ngā marama, tae noa ki ngā tau.

Me pēhea te ārai i te whati o te femur?

Engari, he uaua ki a tātou te whakahaere i ngā āhuatanga e whati ai te wheua (pēnei i ngā aituā motuka, ngā hinganga, ngā patunga pū).

Heoi, me tūpato te hunga e nui ake ana te tūponotanga ki te hinga i a rātou e pakeke haere ana (ina koa ko te hunga neke atu i te 65 tau te pakeke). Ka taea e rātou te hinga, te whara ahakoa e tū noa ana.

Mena kua neke atu i te 65 tau te pakeke o tō tinana, ā, kei te mataku koe kei hinga koe, pātai atu ki tō tākuta mō te tūponotanga o tō hinganga. Kōrero atu ki a ia mēnā kei te tango koe i ētahi rongoā e hiamoe ai koe, e pōuri ai rānei. Tērā pea ka tūtohu tō tākuta i ētahi mea ka taea e koe te mahi hei whakaiti i tō tūponotanga. Hei tauira, ka tūtohu pea rātou i ngā mahi whakakori tinana hei whakapakari i ō waewae, hei whakapai ake hoki i tō taurite.

Āhea ahau me toro atu ki taku tākuta?

Ka tukuna atu he wā tirotiro ā muri ake nei ki tō tākuta, e tīmata ana i ngā wiki e rua i muri i te pokanga, ā, i ia wiki torutoru i muri mai. Kia mahara ki te haere ki ia wā tirotiro.

Mena he pātai āu mō te ahunga whakamua o tō whakaoranga, he take motuhake rānei, pēnei i te whakahaere mamae, kia mahara ki te kōrero ki tō tākuta.

Āhea ahau me waea atu ki taku tākuta, me rapu rānei i te awhina hauora ohorere?

I a koe e ora ana i te whati o te hope, ki te pā mai ētahi o ēnei tohu ki a koe, waea atu ki tō tākuta tonu atu, haere rānei ki te hōhipera tata:

• Te uaua ki te manawa, te mamae rānei o te uma i te wā e manawa ana.
• Te mimi pinepine, te wera rānei i te wā e mimi ana.
• Te whero, te mamae rānei e piki haere ana i te taha o te patunga pokanga.
• Kei te turuturu mai te wai, he rite ki te pulu, mai i te patunga.
• Te pupuhi i te waewae kotahi (ka whero, ā, ka mahana ake i te waewae kē).
• Mamae o te kuao kau.
• Te kirika neke atu i te 101°F (38.3°C).
• He mamae e kore e taea e ō rongoā whakamamae te whakahaere.
• Ki te mea ka uaua te hikoi, ka tau rānei te taumaha ki tō waewae.

He aha ngā pātai me pātai atu e au ki taku tākuta?

He whara kino te hope whati e hiahia ana kia rongoatia wawetia. I muri i te otinga o ō hiahia wawe, he mea pai kia pātai atu koe ki tō tākuta i ēnei pātai:

• Me nui ake te pokanga e hiahiatia ana e au?
• Āhea ahau me tīmata ai te whakaora tinana?
• Me aha ahau hei whakahaere i tōku mamae?
• Āhea ahau ka taea te hikoi?
• Āhea ahau ka taea te hoki ki taku tari, ki taku wāhi mahi rānei?

Ka taea tonu te mamae i muri i ngā tau maha kua rongoatia te whati o te wheua?

Āe, engari. Ahakoa kua ora tō whati, tera pea ka mamae tonu koe i taua wāhi. Ka kiia tēnei he mamae mau tonu. He maha ngā take mō tēnei:

• Te pakaru o ngā io i te whati taketake, i te maimoatanga rānei.
• Te kiko whara.
• Te mate rumatiki.
• Ko te kore-union te korenga o ngā wheua e hono tika tetahi ki tetahi.

Ka taea te whakaiti, te whakakore rānei i tēnei mamae mau tonu mā te whakaora tinana, te whakakori tinana, me te rongoā.

Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)

Āe, kua maha ā tātou kōrero mō te whati o te femur. Kia maumahara, ahakoa he whara kino tēnei, mā te tiaki hauora tika me tō whakapau kaha, ka taea e koe te ora pai.

Ko te mea ngaro ki te tere o te ora ko te whai i ngā tohutohu hauora, te mahi i ngā mahi whakakori tinana e ai ki ngā tohutohu, me te manawanui.

Mena he pātai anō āu mō tēnei mate, kaua e mangere ki te kōrero ki tō tākuta. Kia tere tō ora!