Kei te mārō tō pakihiwi? Koinei te tikanga o te 'pokohiwi tio'?

He uaua ki a koe te hiki i tō pakihiwi, te neke rānei i tō ringa i ētahi wā? Kei te āhua kua mau, kua piri rānei tō pakihiwi? He mamae rānei ina ngana koe ki te whakawhiti kākahu, ki te heru i ō makawe, ki te hiki rānei i tō ringa ki te hapai i tētahi mea? Mena he mea noa ēnei ki a koe, tera pea he mate kei a koe e kiia nei ko te 'Frozen Shoulder' , e kiia nei rānei e ngā tākuta ko te "Adhesive Capsulitis" . Nō reira, me kōrero taipitopito atu tātou mō tēnei i tēnei rā?

He aha te 'Pīkau Hukapapa'?

He whakarāpopototanga noa iho, he āhua mamae te pakihiwi tio e pā ana ki tō hononga pakihiwi. Ko tōna āhua he ngaromanga haere o te kaha ki te neke i tō pakihiwi. Ina koa, ka matotoru, ka pakari, ka mumura te kiko honohono kaha e karapoti ana i tō hononga pakihiwi (e kiia nei ko te Shoulder Joint Capsule).

Whakaarohia tō hononga pakihiwi he wheua poroporo te āhua (e kiia ana ko te pane o te humerus) e uru ana ki tētahi atu wheua poroporo te āhua (e kiia ana ko te glenoid). Koinei te mea e kiia nei e tātou he hononga poroporo-me-te-kōpuku. Kei roto i te kāpū e karapoti ana i taua hononga ngā hononga e hono ana i te wheua ringa o runga ki te mata pakihiwi.

Nō reira, ina matotoru tēnei (Capsule), ā, ka piri, ka uaua te neke i te pakihiwi. Ka whakaitihia hoki te whakamahinga o te pakihiwi nā te mamae. Ina kore koe e whakamahi, ka matotoru taua (Capsule), ā, ka piri. Ā tōna wā, ka "tio" te pakihiwi i te wāhi kotahi. Koia i huaina ai he pakihiwi 'tio'.

He aha ngā tohu o tēnei? Me pēhea te whanaketanga?

E toru ngā wāhanga o tēnei mate 'pokohiwi tio' e wehea ana e ngā tākuta.

1. Te Wāhanga "Hukapapa"

Koinei te wāhanga tuatahi. I tēnei wā, ka mārō haere tō pakihiwi, ka mamae hoki te neke. Ka piki haere te mamae. Tērā pea ka kino ake te mamae i te pō. Ka uaua haere hoki te neke i tō pakihiwi. Ko te tikanga, e ono wiki ki te iwa marama te roa o tēnei wāhanga.

2. Te Wāhanga "Hukapapa"

Ina tae koe ki te wāhanga tuarua, tera pea ka iti haere te mamae. Engari ka tino pakari te pakihiwi, ka mau tonu. Nā tēnei ka tino uaua ki te mahi i ngā mahi o ia rā, pērā i te kakahu i ngā kākahu, te heru rānei i ō makawe. Ka roa pea tēnei wāhanga mai i te rua ki te ono marama.

3. Te Wāhanga "Te Whakarewa"

Koinei te wāhanga whakamutunga o te whakaoranga. I tēnei wā, ka heke te mamae, ā, ka pai haere te kaha ki te neke i te pakihiwi. Ka hoki mai te pakihiwi ki te kaha katoa, ki te tata rānei ki te kaha katoa, me te whānuitanga o te nekehanga. Ka roa pea tēnei wāhanga mai i te ono marama ki te rua tau pea.

Whakaarohia, me pāngia ētahi tāngata e ngā wāhanga e toru: tuatahi, te mau tonu i te mamae, kātahi ka mau tonu ahakoa kua memeha te mamae, ā, i te mutunga, ka āta ora haere.

He aha te tino take e puta ai tēnei 'pokohiwi tio'?

Ina hoki, kāore anō kia tino mōhiotia e ngā kairangahau te take o te pakihiwi tio. Engari e mōhio ana tātou ko te take o te mate ko te mumura, te matotoru, me te pakari o te kāpū o te hononga pakihiwi. I roto i te wā, ka puta he kiko whara, e mōhiotia ana ko ngā piri, i roto i te kāpū. Ka heke hoki te wai synovial e āwhina ana i te hononga pakihiwi ki te mahi tika. Mā ēnei katoa ka whakawhāiti i te kaha o te pakihiwi ki te neke me te hurihuri noa.

Ko wai kei te mōrearea nui ake ki te whakawhanake i te 'pokohiwi tio'?

He nui ake te tūponotanga ka pāngia ētahi tāngata e tēnei mate. Me titiro tātou ko wai rātou:

• Tau: Ko te nuinga o te wā ka pā tēnei ki ngā pakeke i waenga i te 40 me te 60 tau.
• Ira Tangata: Ka nui ake te pānga o tēnei mate ki ngā wāhine i ngā tāne.
• Whara pakihiwi tata nei: Mena kua whara tō pakihiwi (hei tauira, he pakaru o te poroporo, he whati o te mata o te pakihiwi, te wheua kaki, te wheua ringa o runga rānei), he pokanga, he ārai rānei i te nekehanga o tō pakihiwi (hei tauira, te mau i te whitiki), he nui ake te tūponotanga ki te pāngia e tēnei mate. Nā te mea ka piri te kāpū ina kore e whakamahia te pakihiwi.
• Mate Huka: I waenganui i te 10% me te 20% o te hunga mate huka ka pāngia e te pakihiwi tio.
• Ētahi atu āhuatanga hauora: Kei roto i ēnei ko te whiu, te hypothyroidism, te hyperthyroidism, te mate a Parkinson, me te mate ngakau. Ka taea e te whiu te whakawhāiti i te kaha ki te neke i tō ringa me tō pakihiwi, ka arahi pea ki te pakihiwi tio. Kāore ngā kairangahau i te tino mōhio me pēhea te pānga o ētahi atu āhuatanga ki tēnei.

Me pēhea te tautuhi a ngā tākuta i te pakihiwi tio?

Mena kei a koe ēnei tohu, ina kite koe i te tākuta, ka pātai tuatahi rātou ki a koe mō ō tohu, ka tangohia hoki ō hītori hauora. Kātahi ka tirotirohia ō ringaringa me ō pakihiwi. Anei ētahi o ngā mea ka mahia e rātou:

• Ka nekehia tō pakihiwi mai i tētahi taha ki tētahi taha hei tirotiro i te whānuitanga o te nekehanga me te mamae. Ka kiia tēnei he whakamātautau "pāhekoheko whānui o te nekehanga" ina nekehia tō ringa e te tākuta.
• Muri iho, ka tonoa koe kia hiki ake i ō pakihiwi kia kite ai me pēhea tō "Active Range of Nekehanga".
• Ka whakaritea ēnei whānuitanga nekehanga e rua. He iti noa ngā whānuitanga nekehanga kaha me ngā whānuitanga nekehanga kore mahi a te hunga he 'pokohiwi tio'.

He maha ngā wā ka tonoa e tō tākuta he hihi-X o tō pakihiwi hei whakakore i ētahi atu mate, pērā i te mate rumatiki. Ko te pakihiwi tio, kāore e hiahiatia he MRI, he ultrasound rānei. Heoi, ki te whakapae tō tākuta kei te pāngia koe e tētahi atu mate, pērā i te pakaru o te rotator cuff, ka tonoa pea e rātou ēnei whakamātautau.

He aha ngā maimoatanga pai rawa atu mō te 'pokohiwi tio'?

Ko te maimoatanga mō te pakihiwi tio he mea whakamamae i te mamae i ngā wāhanga tōmua. Ki te kore e hoki te nekehanga ki te āhua noa, me mahi pea he whakaora tinana, he pokanga rānei.

Anei ētahi maimoatanga māmā:

• Ngā kōpeke wera me te makariri: Ka āwhina ēnei ki te whakaiti i te mamae me te pupuhi.
• Ngā rongoā mamae me te pupuhi: Kei roto i ēnei ko ngā rongoā anti-inflammatory kore-steroidal (NSAID), pērā i te ibuprofen me te acetaminophen. Tērā pea ka tohua e tō tākuta ētahi atu rongoā mamae/anti-inflammatory. Ka taea te whakamahi i ngā werohanga steroid hei whakahaere i te mamae nui me te pupuhi. Ka werohia e tō tākuta he corticosteroid, pērā i te cortisone, ki roto i tō hononga pakihiwi.
• Whakaora Tinana: Ka ako te kaiwhakaora tinana i a koe ki ngā mahi totoro me ngā mahi awhe-nekehanga.
• Kaupapa Whakakorikori Tinana Kāinga: Ka taea e tō tākuta, e tō kaiwhakaora tinana rānei te whakaako i a koe ki ngā mahi whakakorikori tinana ka taea e koe te mahi i te kāinga.
• Te rongoā TENS (Whakaohooho Nerve Hiko Whakawhiti): Kei roto i tēnei ko te whakamahi i tētahi taputapu iti e whakahaerehia ana e te pākahiko hei aukati i ngā nekehanga io me te whakaiti i te mamae.

Ki te kore e pai ake tō mamae me tō kaki o tō pakihiwi i muri i te tau kotahi o ngā maimoatanga kore-pokanga, ka tūtohu pea tō tākuta i ētahi atu maimoatanga. Kei roto i ēnei ko:

• Te Whakahaere i raro i te Whakamoe: I tēnei tikanga, ka meinga koe e te tākuta kia moe, ā, ka nekehia tō pakihiwi mā te kaha. Ka totoro, ka haehae rānei i te hononga, ka wetekina te pakari. Ka whakanui ake i te whānuitanga o tō nekehanga.
• Te Whakamātautau i te Pona o te Pakihiwi: I tēnei tikanga, ka tapahia e tō tākuta ngā wāhanga piri o te hononga (te tukunga o te hononga). Ka whakauruhia e rātou he taputapu iti, he rite te rahi ki te pene, mā roto i ngā tapahi iti huri noa i tō pakihiwi.

He maha ngā wā ka whakamahia ngātahitia e ngā tākuta ngā tikanga e rua hei whakatutuki i ngā hua pai ake.

He aha te āhua o te 'pokohiwi tio'? Ka ora rānei?

He maha ngā wā, ka taea e ngā maimoatanga māmā pēnei i ngā rongoā whakamamae mamae me ngā mahi whakakorikori pakihiwi, i ētahi wā ka honoa ki te werohanga cortisone, te whakahoki mai i te nekehanga me te mahi a te pakihiwi i roto i te tau, iti iho rānei. I ētahi wā, ahakoa kāore he maimoatanga, ka piki haere te whānuitanga o te nekehanga me te mahi a te pakihiwi i roto i te wā, engari he tukanga tino puhoi. E rua tau te roa ka puta he whakaoranga katoa, tata rānei ki te ora katoa.

Ka taea te ārai i te pakihiwi tio?

Āe, ki tētahi taumata. Mena he whara tō pakihiwi e mamae ana, e uaua ana rānei ki te neke, ka taea e koe te whakaiti i tō tupono ki te pāngia e te pakihiwi tio mā te tīmata wawe i te whakaora tinana . Ka taea e tō taote pokanga wheua, e tō kaiwhakaora tinana rānei te whakawhanake i tētahi kaupapa whakakori tinana e hāngai ana ki ō hiahia.

Hei whakamutunga, me kī atu ahau... (Karere hei tango ki te kāinga)

He tino uaua te pakihiwi tio (Adhesive Capsulitis) ka pā ki tō oranga o ia rā. Mā te mamae me te pakari o tō hononga pakihiwi ka uaua, ka kore rānei e taea te mahi i ngā mahi o ia rā i mua, kāore he raruraru.

Ko te mea nui ko te rapu tohutohu hauora me te kore e manawanui ki te mamae mēnā kei a koe ēnei tohu.

Ki te kore e āwhina ngā maimoatanga kāinga, pērā i te okiokinga me ngā rongoā whakamamae, me toro atu ki te tākuta. Tērā pea ka tūtohu rātou i te whakaora tinana, i ētahi atu maimoatanga kore-pokanga rānei i te tuatahi. He kōwhiringa anō hoki te pokanga mō te pakihiwi tio kāore e ora mō te wā roa. Ka taea e tō tākuta te āwhina i a koe ki te whiriwhiri i te maimoatanga e pai ana mōu. Nō reira, kaua e wehi ki te rapu tohutohu hauora i runga i te wā tonu.