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.

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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.