Tērā pea ka whati te wheua i tētahi wā o tō tātou oranga, tika? Ka pā mai pea tēnei ina piki tātou i te rākau ka hinga, i a tātou e tākaro ana, i roto rānei i tētahi aituā iti. I te nuinga o te wā, ina haere tātou ki te tākuta ka tāpirihia he pāreti (POP cast), ka ora katoa i roto i ētahi rā, ā, ka hoki anō ki te āhua noa. Engari... me pēhea mēnā kāore e tupu tonu? Me pēhea mēnā ka hē te whakatakoto o te wheua whati, kāore rānei e whakatakoto i te āhua ahakoa te roa? Koinei tā tātou e kōrero nei i tēnei rā. I roto i ngā kupu hauora, ko ēnei āhuatanga e rua e kiia ana ko `(Malunion)` me `(Nonunion)`.
He aha te tikanga o Malunion me Nonunion?
He tino māmā noa iho tēnei. Me whakaaro tātou pēnei.
Malunion: Ko te tikanga o tēnei ko ngā wahi e rua o tō wheua whati kua honoa ngātahi, arā, kua honoa ngātahi, engari i te huarahi hē. Kāore i te tino tika te tūnga. Tērā pea he piko, he whiri, he poto rānei. Whakaarohia kei te hono koe i ngā wahi e rua o te pereti whati me te kāpia, engari kāore ngā wahi e rua e tino piri tahi, he piko noa iho. Kua piri te pereti, engari kua rerekē tōna āhua ināianei. Koinei te 'malunion'.
Kore-hononga: Koinei te wā e kore ai e honoa ngā wahi wheua whati e rua, ahakoa te roa o te wā e pahemo ana. He āputa tonu kei waenganui i ngā wahi e rua. Ki te tangohia te tauira kotahi i mua, he rite ki ngā wahi pereti e rua kāore e piri tetahi ki tetahi ahakoa te nui o te whakapiripiri.
E rua ngā take matua e kore ai e ora tika te wheua i tēnei ara.
1. Raru ā-tinana: Ko te tikanga tēnei kāore e taea te pupuri i ngā wahi wheua e rua kia kotahi tonu i te wā e ora ana. I ētahi wā ka neke ngā wahi wheua i roto i te mea i whakakīia.
2. Take koiora: Ko te tikanga o tēnei ka pāngia te tukanga hanganga wheua hou e tētahi take o roto o tō tinana. Hei tauira, ko te korenga o te rere o te toto ki te rohe, te korenga o ngā kai, me ētahi atu āhuatanga hauora rānei, ka pāngia tēnei.
Ka whakaarohia e ngā tākuta ēnei take e rua ina rongoātia ana ēnei āhuatanga.
He momo kore-uniana kei reira?
Āe, ina he te tūnga o te wheua, ka whakarōpūhia e ngā tākuta kia kitea ai te pūtake. Mā tēnā ka māmā ake te rongoā.
| Momo kore-hononga | Hei whakarāpopototanga... |
|---|---|
| Kore-huinga hypertrophic | I tēnei wā, kei te ngana te tinana ki te hanga wheua hou. Ko te tikanga kei te tinana te kaha ki te hanga wheua pai. Engari kāore ngā pito o ngā wahi wheua whati e rua e tūtaki ana, nō reira kāore e taea te whakatika. He raruraru ā-tinana kei konei. |
| Te kore-hononga ngoikore | I tēnei āhuatanga, kāore te tinana e ngana ki te hanga wheua hou. Ko te take o tēnei he tino iti te rere o te toto ki taua wāhi. He raruraru koiora kei konei. I ētahi wā, ka tupu pea tēnei ahakoa kua pangia te wheua (septic nonunion). |
| Kore-huinga oligotrophic | He huinga tēnei o ēnei mea e rua. Kei te ngana te tinana ki te hanga i tētahi wheua hou, engari kāore anō kia oti. Ā, kāore anō kia tino tika ngā wahi wheua. Nō reira, tera pea he āhuatanga ā-pūkaha me te āhuatanga koiora e whai wāhi ana ki konei. |
He aha ngā tohu o te hē o te tūnga o te wheua (malunion)?
Ina he te tūnga o te wheua, ka puta ngā tohu i te tirohanga me te ahua o te mamae.
Te āhua o waho
- Te āhua nei kua whāwhā tō ringa, tō waewae rānei.
- Te āhua nei kua piko te ringa, te waewae rānei.
- He poto ake te āhua o taua ringa, o taua waewae rānei, ki te whakaritea ki tērā taha.
Te mamae i pā mai
- Ka mamae ina whakamahia taua ringa, taua waewae rānei.
- He pupuhi kei reira.
- Ki te mea kei roto i te waewae, ka totitoti ina hikoi.
Whakaarohia kei te hē te tūnga o tētahi wheua i roto i tō waewae. Ina hikoi koe, ka nui ake te taumaha ka utaina e tō tinana ki runga i ō hope, turi, tuara rānei hei whakaea. I muri i tētahi wā, ehara i te mea ko tō waewae anake ka mamae, engari ko ō hope me tō tuara anō hoki.
I ētahi wā, ka taea e ngā kongakonga wheua te pēhi i te io ina he te tūnga. Mēnā ka puta tēnei, ka pāngia pea koe e ngā tohu pēnei i:
- Te wiri, te mākūkū (paresthesia)
- Te ngoikore o te uaua, te ngenge haere o te `(atrophy)`
- Te mamae nui o ngā io me te mumura (neuropathy)
He aha ngā tohu o te kore-uniona?
Ki te kore e roa te ora o te wheua, ka pāngia pea koe e ēnei tohu:
- He mamae hōhonu, roa hoki nā te whati o te wheua.
- He ngoikore , he kore rānei e taea te whakamahi tika i te ringa, i te waewae rānei.
- He āhua rerekē e kitea ana, hei tauira, he puku e rite ana ki te pukupuku, he kōhao rānei e rite ana ki te kōhao.
Hei tāpiri, ki te pangia te wheua, ka puta ngā tohu pēnei i:
- Pupuhi
- Kirika
- Te wiri i te makariri
He aha i hē ai te tūnga o ngā wheua, i hē ai rānei te tūnga o ēnei wheua pēnei?
Tērā pea he maha ngā take mō tēnei.
- Te āhua o te whati: He tino uaua ētahi whati. Mēnā ka kuru te wheua kia rite ki ngā wahi pakaru (whati pakaru) ka piko rānei (whati porowhita), he uaua ki te hono anō. Waihoki, mēnā ka pakaru ngā uaua toto e tuku toto ana ki te wheua i te aituā, ka tino puhoi te tukanga whakaora.
- Maimoatanga: Ki te kore te wheua whati e rongoatia tonutia e te tākuta, ka tīmata te wheua ki te hē te tūnga. I ētahi wā, ahakoa kua pania he maka, ka taea e ngā kongakonga wheua te nekeneke. Ko te whakaroa, te kore rānei e tika te maimoatanga tetahi o ngā tino take o tēnei.
- Ngā hapa i mahia i te wā e ora ana: Ki te tapahia e koe te pāreti, ka tangohia rānei i mua i te whakahau a te tākuta, ki te tāpirihia rānei e koe he taumaha ki tētahi waewae i kīia atu ki a koe kia kaua e tāpirihia he taumaha ki runga, ahakoa he wheua i tika kia whakatū tika, ka taea tonu te whakatū tika, te kore rānei e whakatū.
- Tō hauora whānui: Ka puhoi haere te whakaora o te wheua i a koe e pakeke haere ana. Ko te hunga whai mate pēnei i te mate huka, te mate tairoi, me te kore kai paipa he nui ake te mōrearea. Ko te momi hikareti me te whakamahi nikotīni ngā hoariri nui o te whakaora wheua. Ka taea e ēnei te whakaiti i te rere o te toto ki ngā wheua, ka mutu pea te tukanga whakaora.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ina haere koe ki te kite i te tākuta, ka whai ia i ēnei mahi.
1. Te pātai atu mō ngā taipitopito: Tuatahi, ka pātai atu rātou ki a koe mō ngā kōrero taipitopito. Ka pātai atu rātou ki a koe i ngā mea katoa e hiahia ana koe ki te mōhio, pērā i te āhua o te aituā, te wā i tupu ai, ngā raruraru kei a koe i tēnei wā, ngā mate kē atu kei a koe, me ngā rongoā kei te tangohia e koe.
2. Whakamātautau tinana: Kātahi ka tirohia pai te wāhi. Ka tirohia mēnā he pupuhi, he hapa rānei e kitea ana, mēnā he rite te roa o ngā peka, ā, mēnā kei te pai te mahi a ngā hononga. Tērā pea ka tono atu rātou kia hikoi haere koe.
3. Ngā whakamātautau whakaahua: Kātahi ka whakahaerehia ngā whakamātautau.
- Hiko-X: He maha ngā mea ka kitea i te hihi-X. Ka taea e ia te whakaatu mārama mēnā kei te tū tika ngā wheua, kei te hē te tū tika, kāore rānei i te tū tika.
- Matawai CT, matawai MRI rānei:I ētahi wā, ki te hiahiatia ētahi atu taipitopito, pēnei i te kite i te kino o ngā kiko ngohengohe huri noa i te wheua, ka tonoa pea he matawai CT, he matawai MRI rānei.
Ki te whakaatu te hihi-X kāore ngā wheua i te tū tika, ka kiia he 'Malunion'. Ki te kore ngā wheua e tū tika i muri i te wā roa (hei tauira, 6, 9, 12 marama), ka kiia he 'Nonunion'.
Ka taea te whakatika i ēnei āhuatanga? He aha ngā maimoatanga?
Ae, ka taea te whakatika i ēnei. Engari kāore e hiahiatia kia whakatikahia ngā malunion katoa. Mena kāore he pānga nui ki tō oranga o ia rā, ki te kore rānei e mamae, ka kī atu pea tō tākuta kia kaua e mahi i tetahi mea mōna. Engari ki te mea kei te mamae koe, kei te kore rānei e pai ki a koe, me rapu maimoatanga koe.
Ka taea te wehewehe i ngā tikanga maimoatanga kia rua ngā momo: te kore-pokanga me te pokanga.
Te maimoatanga mō te malunion
| Tikanga maimoatanga | Whakaahuatanga |
|---|---|
| Ngā maimoatanga kore-pokanga | |
| Te tautoko | Te mau i te whitiki tautoko hei āwhina i te pupuri i te wheua ki tōna tūranga pai ake. |
| Ngā mahi tiaki tinana | Mena he poto te waewae, he mea whakauru motuhake kei roto i te hū hei whakakapi. |
| Te whakaora tinana | Ngā mahi whakakorikori e whakapakari ana i ngā uaua huri noa i te wheua, e whakaiti ana hoki i te kawenga ki runga i te wheua. |
| Te maimoatanga pokanga | |
| Te tango wheua | Ka tapahia anō e te taote pokanga te wheua kāore i te tū tika, ka whakatika, kātahi ka whakamau ki ngā pereti me ngā tīwiri. |
| Te pokanga whakaroa i te peka | Mena ka whakapotoa te ringa, te waewae rānei, ka tāutahia he taputapu motuhake, ā, ka āta whakaroahia te wheua. |
Te maimoatanga mō te kore-uniana
| Tikanga maimoatanga | Whakaahuatanga |
|---|---|
| Ngā maimoatanga kore-pokanga | |
| Te rongoā hauora | Te rongoā i tētahi mate hauora taketake, pērā i te mate huka, te kore kai pai, ngā mate pāwera rānei. |
| Whakaoho wheua | He taputapu o waho e whakaoho ana i te whakaora wheua mā te whakamahi i ngā ngaru ultrasonic, i ngā ngaru hikohiko rānei. |
| Te maimoatanga pokanga | |
| Te whakakorenga o ngā mea pirau | Te tango pokanga i te kiko mate mai i ngā pito o ngā maramara wheua e rua, kia puta ai he mata wheua hou. |
| Te honohono wheua | Ka whakatōkia ki roto i te āputa he wahi wheua i tangohia mai i tētahi atu wāhanga o tō tinana (hei tauira, tō wheua hope) he wahi wheua rānei mai i tētahi kaituku. Ka tīmata tēnei i te tipu o te wheua hou. |
| Te whakapiri ā-roto | Ko te whakau ko te whakatikatika i ngā wahi wheua e rua, me te pupuri i aua wahi kia kotahi mā te waea, te pereti, te pine, te tokotoko rānei. |
Ka pēhea te āhua i muri i te maimoatanga?
I te nuinga o te wā, he tino angitu ēnei pokanga me ētahi atu maimoatanga. Engari he roa te wā e ora ai. Me whakamahi pea koe i ngā tokotoko mō ētahi marama i muri i te pokanga. Waihoki, he mea nui te whakaora tinana hei whakahoki mai i te kaha o te uaua kua ngaro, me te whakahoki mai i te nekehanga o ngā hononga.
Heoi, ki te kore e whakahaerea tikatia ētahi atu mate, pērā i te mate huka, ki te kore e mutu te momi hikareti, ki te pirau anō rānei te wheua kua pūmau, he iti noa te tūponotanga ka kore e angitu te maimoatanga.
Nō reira, kia maumahara, ki te mea he iti noa iho tō whakapae he whati tō wheua, kaua e mangere ki te toro atu ki te tākuta. Mā te whiwhi maimoatanga tika me te tere ka āwhina i te ārai i ēnei momo raruraru.
Karere Tangohia ki te Kāinga
- Ki te whati tō wheua, ā, ka roa te mamae me te pupuhi, ki te āhua pakari rānei tō peka, kaua e whakahawea. Me kōrero anō ki tō tākuta mō tēnei mea.
- Ko te 'malunion' he kore e tika te tūnga o te wheua whati. Ko te 'nonunion' he kore e tūnga tika.
- Ko ngā mea pēnei i te mate huka me te kai hikareti he arai nui ki te whakaora wheua. He mea nui te kōrero ki tō tākuta mō ēnei mea, me te whakahaere i aua mea kia angitu ai te maimoatanga.
- He kōwhiringa maimoatanga kore-pokanga, he maimoatanga pokanga hoki. Mā tō tākuta e whakatau ko tēhea te mea pai mōu.
- He mea tino nui te whai i ngā tohutohu a te tākuta i muri i te maimoatanga, inā koa ko ngā mahi whakakori tinana, kia tere ai te ora.
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