Kua hē te ora o tō wheua whati? Kāore anō kia ora tonu? Me kōrero tātou mō (Ngā whati Malunion me ngā whati Nonunion)!

He mea noa te whati o te wheua, pērā i te ringa, i te waewae rānei, i te iti rawa i te kotahi i roto i ō tātou oranga. Ina tupu tēnā, ka tere tātou te toro atu ki te tākuta, ka pania he kiripaka, ka tatari kia ora. I te nuinga o te wā, me te maimoatanga tika, ka ora pai anō ēnei wheua whati. Heoi, tera ētahi wā kāore tēnei tukanga whakaora e tika ana. Koinei te wā e kōrero ai tātou mō ngā āhuatanga e kiia nei ko te `(Malunion)` (he hē te tūnga) me te `(Nonunion)` (te kore e ora) . He ahua hoha ēnei, nō reira he mea nui kia mōhio ki ēnei.

He aha te tikanga o ēnei kupu `(Malunion)` me `(Nonunion)`? Me mārama noa iho, āe?

Whakaarohia he wheua whati kei tō ringa, kei tō waewae rānei. Kua tika te whakatūnga a te tākuta, ā, kua pania he paraikete ki runga. Nā, me hoki anō ngā wahi wheua whati e rua kia rite ki tō rāua āhua o mua.

• `(Malunion)` - Pohehe:

Ki te kī ngāwari, ko te tikanga o te `(Malunion)` kua honoa ngā wheua whati e rua, engari kāore i te tika . Arā, tera pea kāore te wheua i te tū tika, i te piko paku rānei, i te poto ake rānei i te mea e tika ana. He rite ki te whakahoki mai i ngā kongakonga uku pakaru e rua ki te taha hē. Kua honoa, engari kāore i te tino tika.

• `(Nonunion)` (Nonunion) - Te ngaronga o te mea e tika ana:

He āhua kino ake te ``(Nonunion)``. Ko te mea e tupu ana i konei, ahakoa kua roa te wā e ora ai, kāore e hono tahi ngā wahi wheua whati e rua. Ara, ahakoa kua hipa ngā marama, kāore anō kia hangaia he hononga hou i waenganui i ngā wheua e rua. Hei whakamārama, kei te whati tonu te wheua.

Ina kore ngā wheua e ora tika, ka pā nui ki te pumau o te angaanga o te tinana me ngā mahi a aua wheua. Whakaarohia mēnā he hē te tūnga o tētahi wheua i tō waewae, ka taea e koe te ngoikore me te mamae i a koe e hikoi ana, tika?

I te nuinga o te wā, ka ora pai ngā whati me te rongoā tika. E rua ngā take e kore ai tēnei e tupu. Ko tētahi he 'raruraru ā-tinana' . Ko te tikanga o tēnei kāore i te pai te hononga o ngā wahi whati e rua i te wā e ora ana. Ko tētahi he 'raruraru koiora' . Ko te tikanga o tēnei kāore i roto i tō tinana ngā matūkai me te toto e hiahiatia ana e ō wheua hei whakaora. Ka whakaarohia e ngā tākuta ēnei āhuatanga e rua i te wā e rongoā ana i ēnei mate.

He aha ngā momo matua o ngā whati kore-union?

Ina tirohia e ngā tākuta tētahi tangata he nonunion tōna, ka whakarōpūtia e rātou kia rite ki tētahi momo. Mā tēnei ka āwhina i a rātou ki te mārama he aha te wheua kāore e ora ana, me ngā āhuatanga e whai wāhi ana ki tēnei. E toru ngā momo matua:

He aha te `(Hypertrophic nonunion)`?

I tēnei momo, kei reira ngā tohu o te hanganga o ngā pūtau wheua hou. Arā, kei te ngana te tinana ki te whakaora i te wheua. Heoi, kāore ngā pito o ngā wahi wheua whati e rua i hono tika. Ko te tikanga tēnei kei te tinana ngā rauemi koiora, engari kāore ngā wahi whati e rua i te piri tika, ā, kāore hoki i te pakaru i te wā e whakaora ana. He rite ki te sima, engari kāore te moata i te piri tika.

He aha te `(Atrophic nonunion)`?

I tēnei āhuatanga, kāore he tohu o te hanganga wheua hou. Waihoki, kāore i te pai te rere o te toto i roto i te wheua. E tohu ana tēnei kei te aukati ngā āhuatanga koiora i te whakaora o te wheua. I ētahi wā, kua puta he mate i roto i te wheua, ā, kua whakararuraru pea i te rere o te toto. Ko te "Nonunion" me tēnei mate ka kiia hoki ko te "Septic nonunion" .

He aha te `(Oligotrophic nonunion)`?

I tēnei momo, kua puta mai tētahi wheua hou, engari kāore anō kia oti. Kāore ngā wahi wheua e rua i te wāhi tika. Kāore pea i te tika te whakatūnga o te wheua i te wā i whakatūria tuatahitia ai, i muri mai rānei ka tukuna, ka nekehia. Tērā pea ka whai wāhi ngā āhuatanga pumau me ngā āhuatanga koiora ki konei.

Me pēhea koe e mōhio ai mēnā kei a koe tētahi `(Malunion)`? He aha ngā tohu?

Ki te kore e tika te tūnga o te wheua, e kiia nei ko te "malunion," ka kite pea koe, ka rongo rānei i ngā mea penei:

• Ngā huringa e kitea ana i waho:
• Te āhua nei kua totoro , kua piko rānei tō wheua.
• He āhua piko te wheua, he āhua hurihuri rānei.
• Tērā pea ka poto ake te wheua i tōna āhua o mua . Hei tauira, tērā pea ka poto ake tetahi waewae i tetahi atu.

• Ngā mamae e puta ake ana i te whakamahinga o taua wheua:
• He mamae kei roto i te wheua.
• He pupuhi kei reira.
• Te toitoi i te hikoi (mēnā he waewae).

E hono ana ngā wheua katoa o te tinana tetahi ki tetahi. Nō reira, ina ngoikore te wheua i tētahi wāhi, ka taea e ia te pēhi atu i ētahi atu wheua. Nō reira, ahakoa kāore he mamae i te wāhi kei reira te "malunion", ina whakamahia taua wheua, ka taea e ia te mamae i tētahi atu wāhanga o te tinana.

• Ngā raruraru e pā ana ki te io:

I ētahi wā, ka pēhia, ka kōpikohia rānei te io tata e ngā wheua kāore i te tū tika. Mēnā ka puta tēnei, ka pāngia pea koe e ngā tohu pēnei i:

• Te ngenge , te mākūkū rānei (`(Paresthesia)`) i taua wāhi.
• Te ngoikore o te uaua, te tika ake rānei, te memeha haere o te uaua.
• Te mamae o ngā io (Neuropathy).

He aha ngā tohu o te `(Nonunion)`?

Ki te kore te wheua e hono tetahi ki tetahi, arā, he "nonunion" kei reira, ka kitea pea e koe ngā tohu penei:

• He mamae hōhonu, he mamae roa hoki te wāhi e whati ai te wheua. Tērā pea ka mau tonu tēnei mamae ahakoa kua tangohia te maka.
• I te whakamahinga o taua wheua, ka pā mai te ngoikore , te iti rānei o te nekehanga .
• Tērā pea ka kitea he panoni e kitea ana, hei tauira, he puku, he āputa rānei, i waho, me te mea nei kua puta te wheua.

I ētahi wā, ki te mea he mate kei roto i te wheua, ka puta ngātahi ēnei tohu, ka puta motuhake rānei:

• Pupuhi
• Kirika
• Te mātao me te makariri (whakamataku)

He aha ngā whatiwhatinga kāore e ora tika ai, ā, ka puta ko te "malunion" me te "nonunion"? He aha ngā take?

He maha ngā take e kore ai e ora tika te wheua. Ko ētahi ka taea e tātou te whakahaere, ko ētahi kāore e taea e tātou. Anei ētahi o aua take:

• Te āhua me te kaha o te whati:

He uaua ake te whakaora i ētahi whati. Hei tauira, ko ngā whati porowhita (ko ngā whati e whati ana i te āhua piko) ko ngā whati pakaru rānei (ko ngā whati e whati ana kia maha ngā wahi) , kāore e tino tūpono kia tika te whakatika. Waihoki, ki te whakararuraruhia te rere o te toto ki te wheua nā tētahi aituā nui, ka pā pea tēnei ki te whakaora.

• Te tere me te pai o te whiwhinga o te maimoatanga:

Ki te kore e rongoatia wawetia te wheua i muri i te whati, ka tīmata pea te ora hē. Waihoki, ahakoa kua tika te whakanoho o te wheua, ā, kua pania he mea whakarewa, ka taea tonu te nekeneke atu i tōna tūranga. He nui ake te tūponotanga ka puta tēnei mena ka whakaroahia te maimoatanga, ka kore rānei te tikanga i whakamahia (hei tauira, te kaha o te mea whakarewa) e ranea.

• Mehemea i okioki tika koe, ā, i tiaki i a koe anō i te wā e ora ana koe:

I te wā e ora ana, he mea tino nui kia mau te wheua whati, kia tika hoki te tūnga. I ētahi wā, ka roa ake te ora i te tikanga. I roto i ēnei āhuatanga, ka puta he raruraru mēnā ka tangohia wawe rawa te maka e te tākuta, mēnā rānei ka tīmata wawe rawa koe ki te whakamahi i te wheua.

• Tō hauora whānui me te kaha tinana e hiahiatia ana hei whakaora:

Ina puhoi te tukanga whakaora, ka nui ake te tūponotanga o te malunion, te nonunion rānei. Ka roa pea te whakaora wheua, ka kore rānei e oti i roto i te hunga kua kaumātuatia , kua kore he kai (ina koa ko te konupūmā me te huaora D), me ngā āhuatanga pākia pērā i te mate huka me te mate tairoi . Ko te whakamahi tupeka me te nikotīni he take nui anō hoki e ngoikore ai ngā wheua, e whakaroa ai hoki i te whakaora.

Me pēhea te tautuhi tika a ngā tākuta i ēnei mate `(Malunion)` me `(Nonunion)`?

Ki te whakaaro koe he raruraru pēnei tōu, ka pātai tuatahi te tākuta ki a koe mō te aituā me ētahi atu āhuatanga hauora kei a koe. Kātahi ka tirotirohia te wheua e te tākuta . Ka rapua e rātou ngā huringa e kitea ana i waho, ā, ka pātai atu rātou ki a koe mō ō kare ā-roto mā te neke i te wheua. Ka tono pea rātou kia hikoi koe, ka ine rānei i te roa o te wheua.

I muri i tēnā, ka mahia ngā whakamātautau whakaahua o te wheua. Kei roto pea i ēnei:

• `(Ngā hihi-X)` (Hiri-X): Koinei te mea tuatahi ka tirohia e koe.
• `(Matawai CT)` (Matawai CT): Ka taea te tiki whakaahua mārama ake, whakawhiti-wāhanga o te wheua.
• `(MRI)` (MRI scan): Mā tēnei ka kitea mēnā he kino kei ngā kiko ngohengohe e karapoti ana i ngā wheua, pērā i ngā io.

Ki te kitea e te tākuta kua ora te wheua i roto i te tūranga kāore i te āhua tinana, ka whakatau ia he "malunion." Mena kāore anō te wheua kia tīmata te ora, kāore rānei i tino ora i muri i te wā whakaora tika, ka mōhiotia ko te "delayed union" ko te "nonunion" rānei. Ka rerekē te wā whakaora i runga i te āhua o te whara, te wheua e pā ana, me tō hauora. I te nuinga o te wā, ka kiia he "nonunion" mena kāore anō kia ora i muri i ngā marama e ono, e iwa, e tekau mā rua rānei.

Ka taea te whakaora i ēnei mate `(Malunion)` me `(Nonunion)`? He aha ngā maimoatanga?

Ko te rongo pai, ehara i te mea me "whakatika" ngā malunion, ngā nonunion rānei katoa. Kei te wheua e pā ana, te nui o te whakamahinga, me te nui o tōna pānga ki tō oranga o ia rā. Heoi, ka taea e ētahi nonunion te whakawhāiti i tō nekehanga, te mamae, te arahi rānei ki ētahi atu raruraru. I aua wā, me mahi pokanga pea hei whakatika i te raruraru. Ka whakamātau tuatahi ngā tākuta i ngā maimoatanga kore-pokanga, kātahi ka huri ki te pokanga mēnā kāore e mahi.

Te Maimoatanga mō te `(Malunion)` (Ngā Wheua Kāore i te Tūhonoa)

• Ngā maimoatanga kore-pokanga:
• Te Tautoko: Tērā pea ka tonoa koe kia mau i tētahi tautoko hei āwhina i te pupuri i te wheua kia pai ake te tūnga ina whakamahia.
• Ngā hu waewae-whakapaipai: Mena he poto ake tetahi waewae, ka taea e koe te whakamahi i tētahi tāpiri hu motuhake hei whakakapi i te rerekētanga.
• Whakaora tinana: Kei roto i tēnei ko ngā mahi whakakori tinana motuhake hei whakapakari i ngā uaua e tika ana, hei whakaiti hoki i te pēhanga ki te wheua.
• Ngā rongoā mamae: Ngā NSAID (ngā rongoā anti-inflammatory kore-steroidal) hei whakaora i te mamae i ētahi wāKa taea e koe te whakamahi i ngā rongoā mamae noa pērā i te.

• Te maimoatanga mā te pokanga:
• Osteotomy: Ka tapahia pea e te taote pokanga te wheua ka whakatika i tōna tūranga.
• Pokanga whakaroa i te ringa, i te waewae rānei: Mena kua tino poto te ringa, te waewae rānei, ka taea te mahi pokanga hei whakaroa mā te whakamahi i tētahi taputapu motuhake.

Te maimoatanga mō ngā wheua kāore e hono tahi

• Ngā maimoatanga kore-pokanga:
• Te rongoā hauora: Mēnā he mate kei te pā ki te tinana katoa (hei tauira, te mate huka), he mate pāwera, he kore kai rānei, me rongoā tuatahi.
• Orthoses: Ka whakamahia he whitiki, he whitiki whakarara, he mea whakarewa rānei hei āwhina i te whakaora o te wheua, hei pupuri hoki i a ia kia kore ai e taka.
• Whakaoho wheua: He taputapu motuhake ēnei e whakamahi ana i ngā ngaru ultrasonic , i ngā ngaru hikohiko rānei hei whakaoho i te whakaora wheua.
• Werohanga koiora: Ka taea te werohanga i ngā pūtau take , i te toto toto whai kiko rānei ki roto i te wheua hei whakaoho i te whakaora me te tipu.

• Te maimoatanga mā te pokanga:
• Te tango i te kiri: Ka tangohia e te taote pokanga te kiko mate, kāore e ora i te wheua.
• Pokanga toto: Mena ka raruraru te rere o te toto, ka taea te mahi pokanga toto hei whakaora i te rere o te toto.
• Te honohono wheua: Ka tangohia e te taote pokanga tētahi wahi wheua mai i tētahi atu wāhanga o tō tinana (pērā i tō wheua hope) mai rānei i tētahi wheua i tukuna mai, ka whakatō ki roto i te wāhanga ngaro. Mā tēnei ka pai te tīmatanga o te tipu o te wheua hou.
• Te whakaiti tuwhera me te whakapiri ā-roto: Ka nekehia e te taote pokanga ngā kongakonga wheua ka whakamahi i ngā tīwiri pokanga, ngā pereti, ngā whao rānei hei pupuri i a rātou.

Kei te pēhea te whakaoranga i muri i te maimoatanga?

He nui te angitu o ngā maimoatanga kore-pokanga me ngā maimoatanga pokanga ki te rongoā i te malunion me te nonunion. He rongo pai tēnā. Heoi, ka roa pea te wā ki te ora katoa me te hoki ki te āhua noa (whakaora). Me whakamahi pea koe i te tokotoko, i te taputapu hikoi rānei hei hikoi kia ora rā anō koe. Me hiahia pea koe ki te whakaora tinana.

I ētahi wā, ka rahua te maimoatanga. Ka puta pea tēnei mena kāore e taea te pupuri i te wheua ki te tūranga tika, mena rānei kāore e taea e ngā tākuta te whakahaere i ngā āhuatanga koiora i kōrerohia e tātou (pēnei i te tohanga toto me te kai totika).

Ngā mea tino nui hei maumahara mā tātou (Karere hei tango ki te kāinga)

Ka pā te whati wheua ki te tangata. I ētahi wā, kāore tātou e mōhio tonu kua whati te wheua. Heoi, ki te mea he iti noa iho te whakapae kei a koe, he pai ake te toro atu ki te tākuta i taua wā tonu, kia tirohia ai koe.

• Ka pai ake te ora o ngā whatiwhatinga ina whiwhi wawetia te tiaki kounga teitei .
• Ka tirohia e tō tākuta tō patunga, ka tautuhi i ngā āhuatanga e whakaroa ana i te whakaora.
• Mā rātou koe e tohutohu ki te huarahi pai hei tiaki i a koe anō hei ārai i te `(Malunion)` me te `(Nonunion) rānei. He mea tino nui kia ata whai i aua tohutohu.

Nō reira, ko tāku tumanako he whai hua ēnei kōrero ki a koe. Mēnā he whati tō wheua, kaua e mataku, kaua hoki e wareware ki te whai i ngā tohutohu hauora tika. He maha ngā wā ka ārai tēnei i ngā raruraru pēnei.

` Wāwhati, malunion, nonunion, malunion, maimoatanga wheua, pokanga wheua