Kei te raru koe i tō tuke, tae noa ki te hiki i tētahi kapu, nā te mamae tonu? Tērā pea i whara tō tuke i a koe e takaro ana i ngā hākinakina, nā te hinganga ohorere, nā te aituā rānei? Mēnā kāore anō kia memeha tō mamae ahakoa te tango rongoā me te whai i te whakaora tinana, kua kōrero pea tō tākuta ki a koe mō te pokanga tuke. He mea noa te mataku me te manukanuka ina rongo koe i te kupu "pokanga". Engari ki te mōhio tātou ki tēnei, ka taea te whakakore i tēnei wehi me te koretake ki te nuinga o te wā. Nō reira, me kōrero tātou mō tēnei mea mā te ngāwari me te marino.
He aha tēnei pokanga tuke?
He māmā noa iho, ko te pokanga tuke he tikanga pokanga e mahia ana hei whakatika i ngā kino o ngā wheua (whati, whati), ngā hononga, ngā uaua, ētahi atu kiko ngohengohe rānei i roto i tō hononga tuke, hei whakatika rānei i te raruraru matua. Ka mahia tēnei e te taote pokanga wheua. Ko te momo pokanga ka mahia ki a koe ka whakawhirinaki ki tō āhua, ki tō whara rānei.
Whakaarohia he wheua iti kei roto i tō tuke e mamae ana, e uaua ana hoki ki te totoro, ki te toro rānei i tō ringa. Kua whati rānei te hononga o tō tuke. I ētahi wā, kua pakaru pea te hononga nā te mate pēnei i te rumatiki. I ēnei wā, ko te pokanga te otinga pai mēnā kāore ētahi atu maimoatanga e āwhina.
Ngā tikanga matua e rua o te pokanga
E rua ngā tikanga matua e whakamahia ana hei mahi i te pokanga tuke. I runga i tō āhua, ka whiriwhiria e tō tākuta te mea tino tika o ēnei tikanga e rua.
| Tikanga pokanga | Te āhua o te tupu |
|---|---|
| Te pokanga "kōhao kī" - te pokanga arthroscopy | He tikanga hou tēnei, he iti noa te whakaekenga. I roto i tēnei tikanga, ka mahia ētahi tapahi iti rawa ki tō tuke, ā, ka whakaurua he kāmera iti (arthroscope) mā roto i tētahi o aua tapahi ki roto i te hononga. Ka whakaaturia ngā whakaahua mai i te kāmera ki runga i te mata nui. Ka mātaki te tākuta, ā, ka whakaurua he taputapu angiangi, roa mā roto i ētahi atu tapahi iti hei whakatika i ngā hapa e tika ana. Ngā Painga: He iti ngā tapahi, nō reira he iti ake te mamae, ka tere te ora o te patunga, he iti te mōrearea o te mate, ā, ka taea te tīmata wawe te whakaora tinana. |
| Pokanga Tuwhera | Koinei te tikanga tuku iho. I konei, ka tapahia he tapahi nui ake i runga ake i te hononga, ā, ka whakatuwheratia te hononga, ka tirohia. Ka whakamahia tēnei tikanga mēnā kua tino pakaru te tuke i tētahi aituā, mēnā rānei me whakakapi te hononga katoa (Whakakapinga Tuke). Ngā Painga: Ka taea e te tākuta te kite mārama i te hononga katoa i te wā kotahi. Mā tēnei ka māmā ake te whakaoti rapanga uaua. |
He aha ngā mea ka tupu i te wā o te mahi?
Ko te nuinga o ngā pokanga tuke he mahi ā-waho, arā, ka taea e koe te hoki ki te kāinga i taua rā anō i muri i te maimoatanga . Ko te tikanga tēnei, ki te haere koe ki te hōhipera i te ata, ka taea e koe te hoki ki te kāinga i te ahiahi.
I mua i te tīmatanga o te pokanga, ka hoatu he rongoā whakamoe ki a koe kia kore ai koe e pāngia e te mamae. E rua ngā huarahi hei mahi i tēnei:
1. Whakamoemiti Ā-Rohe: Ko tō ringa anake kei te ngoikore. Kei te mārama koe, engari kāore koe e mamae ana i tō ringa.
2. Whakamoe Whānui: Ka whakamoea rawatia koe. Kāore koe e rongo i tetahi mea kia oti rā anō te pokanga.
I ētahi wā ka taea te whakamahi ngātahi i ngā tikanga e rua. I te wā o te pokanga, ka tangohia e te tākuta te kiko kua pakaru, ka whakatika i ngā hononga kua pakaru, ka whakatikatika anō, ka whakatika i ngā wheua whati, ka whakakapi rānei i ngā wāhanga o te hononga mēnā e tika ana.
Ngā momo pokanga tuke rerekē
He maha ngā momo pokanga ka taea te mahi mō ngā raruraru o te tuke. He ahua uaua ēnei, engari me titiro tātou ki ngā mahi e pā ana ki aua pokanga i roto i tētahi huarahi māmā noa iho.
| Ingoa Tukanga | Hei whakarāpopototanga... |
|---|---|
| Tukunga o te Kauhanga Cubital/Radial | Mena ka kōpeketia, ka pēhia rānei te io e tika ana mā te tuke (te io Ulnar, te io Radial rānei), me tuku te io i te pēhanga. |
| Te whakakorenga o ngā mea pirau | Te tango i ngā kiko mate, pakaru, wetekina rānei e whakararuraru ana i te hononga. |
| Te tango i te tuke | Te tango i te bursa, he pēke kī tonu i te wai e pupuhi ai (bursitis) i te tuke. |
| Whakakapinga Tuke | Te whakakapi i tētahi hononga kua pakaru rawa, i tētahi wāhanga rānei o taua hononga ki tētahi hononga horihori i hangaia ki te konganuku me te kirihou. |
| Whakaiti Tuwhera me te Whakatikatika ā-Roto (ORIF) | Ko te tukanga o te whakatikatika tika i ngā wheua whati, me te whakamau ki ngā waea, ki ngā whao, ki ngā pereti rānei. |
| Te tango i te hononga o te waewae | Te tango i te kiriuhi synovial mumura i roto i ngā āhuatanga pēnei i te rumatiki rheumatoid. |
| Te Pokanga o Tommy John | Te whakatika i te hononga kua pakaru (Ulnar Collateral Ligament) i te taha o roto o te tuke, he mea noa i roto i ngā kaitākaro pēnei i te kirikiti me te peisiporo. |
He aha ngā mōrearea o tēnei pokanga?
Pērā i ngā pokanga katoa, he mōrearea anō hoki kei roto i te pokanga tuke, engari he tino onge ēnei.
- Ngā totoka: Nā te mea me here te ringa i muri i te pokanga.
- Mate urutā: Ki te kore te patunga e puritia kia ma.
- Te toto nui rawa: I te wā pokanga, i muri rānei i te pokanga.
- Ngā Whara o te Io: He wāhi tino iti te tuke, he maha ngā wheua, ngā uaua, ngā io, me ngā oko toto. Nō reira, he nui te tūponotanga ka whara te io i te wā o te pokanga. Kaua e manukanuka, he wā poto noa iho tēnei whara. Tērā pea ka rongo koe i te ngoikore me te mākūkū o tō ringaringa, engari ka ora i roto i te wā.
Ka mahi tō tākuta i ngā mahi katoa e tika ana hei whakaiti i ēnei mōrearea.
He aha ngā mea ka tupu i muri i te pokanga?
Ko te mahi nui māu ka tīmata i muri i te otinga angitu o te pokanga. He mea tino nui kia tika te whakahaere i te tukanga whakaora.
Kia maumahara, ko te pokanga te taahiraa tuatahi noa iho i roto i te tukanga whakaora. Ko tāu mahi i muri i tērā ka nui te pānga ki te whakaora anō i te mahi a tō tuke.
Kia tiakina ēnei mea ina tae koe ki te kāinga:
- Te tiaki i te patunga: Kia ma, kia maroke hoki te patunga e ai ki ngā tohutohu a tō tākuta. Mēnā ka whero, ka pupuhi, ka puta rānei he pūkahukahu i te wāhi e karapoti ana, me whakamōhio tonu atu ki tō tākuta.
- Te whakahaere mamae: Tangohia ngā rongoā whakamamae mamae i tohua e tō tākuta i te wā tika, me te horopeta tika. Kaua e manawanui ki te mamae.
- Tākai: Ka tonoa koe kia mau i te tākai. Mā tēnei ka āwhina i te okiokinga o te hononga, ka whakaiti hoki i te pupuhi. Mauria mō te roa e ai ki tā tō tākuta.
- Kaukau: Mā te tākuta koe e tohutohu ki te kaukau me te kore e mākū te patunga. I te nuinga o te wā, me kaukau koe me te taupoki ā-wai.
- Whakaora Tinana: Koinei te wāhanga tino nui. Kia ora ake te whara, ka akona koe e te kaiwhakaora tinana ki ngā mahi whakakorikori hei piko mārire, hei toro atu, hei whakapakari hoki i tō tuke. Ahakoa he uaua i te tīmatanga, me mahi tika ēnei mahi. Ki te kore, ka pakari pea te hononga, ā, kāore pea e taea e koe te whakamahi i tō ringa pērā i mua.
Kia pēhea te roa ka ora katoa ai?
Kāore he whakautu kotahi mō tēnei. Kei te momo pokanga i mahia ki a koe, tō tau, me te pai o tō mahi ki te whakaora tinana.
- E rua, e toru wiki te roa e ora ai ngā motu .
- Ka roa pea te wā mai i ētahi marama ki te kotahi tau kia hoki mai ai te mahi katoa o te tuke .
Nō reira, kia manawanui, kia whai hoki i ngā tohutohu a tō tākuta me tō kaiwhakaora tinana. Ko tō taote pokanga te tangata pai rawa atu hei hoatu whakaaro ki a koe mō te wā e ora ai koe. Pātai atu ki a ia mō ēnei mea.
- Āhea ka tapahia ngā tuitui? Ka memeha rānei?
- Kia pēhea te roa o te mamae? Me whakamahi rongoā whakamamae mamae?
- Kia pēhea te roa e tika ana kia mahia te maimoatanga whakaora tinana?
- Āhea ahau ka taea ai te tākaro hākinakina, te mahi taumaha rānei anō?
Āhea koe me kōrero ki te tākuta?
He mea noa te mamae ngawari me te pupuhi i muri i te pokanga. Heoi, ki te pāngia koe e tētahi o ngā tohu e whai ake nei, tena koa whakamōhio atu ki tō tākuta, ki te hōhipera rānei i whiwhi ai koe i te maimoatanga i mua i te wā .
| Ki te pā mai ēnei tohu ki a koe, waea atu ki tō tākuta tonu atu. | |
|---|---|
| Kirika | Mena ka piki te pāmahana o te tinana, tera pea he tohu mate pāwera. |
| He rerenga rerekē mai i te patunga | Mena kei te turuturu mai te patunga i te wai rite ki te pupuhi kōwhai, kakariki rānei, he haunga kino rānei. |
| Te ngoikore nui | Mena ka piki ake te ngoikore, te ngaro rānei o te rongo i te ringa, i ngā maihao rānei. |
| Te pupuhi nui, te toto rānei | Mena ka pupuhi te tuke, te ringa rānei, ka mākū rānei te takai, ka toto. |
| Ka kore e taea te whakamanawanui te mamae. | Mena ka nui rawa te mamae kāore e taea te whakahaere ahakoa kua tangohia he rongoā whakamamae. |
Ehara i te mea ngāwari te aro atu ki te pokanga tuke me te tukanga whakaora roa e haere tahi mai ana me tēnei. Engari ki te whakaaro koe ki tēnei mea, me whai take pai. Kua roa pea koe e mamae ana i te mamae. Ki te taea e te pokanga te whakaoti i te raruraru, ka waiho hei whakamarie nui mō tō oranga. Kei konei tō tīma hauora hei āwhina i a koe i tēnei haerenga. Nō reira kaua e mangere ki te pātai atu ki a rātou mō ngā pātai, ngā āwangawanga rānei kei a koe.
Karere Tangohia ki te Kāinga
- Ehara te pokanga tuke i te mea e wehi ai, he otinga tuturu pea tēnei mō tō mamae me tō kore whakamarie.
- He tikanga tapahi iti te Arthroscopy, ā, ka tere te ora. He pai te pokanga tuwhera mō ngā whara nunui me ngā whakakapinga hononga.
- He mea tino nui te whakaora tinana mō te whakaoranga katoa.Kaua e tukua kia arahi ki te hoha, ki te mamae rānei.
- Ki te pāngia koe e te kirika, te pupuhi mai i te patunga, te pupuhi nui rānei i muri i te pokanga, me whakamōhio tonu atu ki tō tākuta.
- Kōrerohia mā te mahorahora ki tō tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe. Ko te mōhio ki te kōrero te huarahi pai ki te wikitoria i te wehi.
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