Kua tio hoki tō pakihiwi? Me kōrero tātou mō te 'Pikiwi Tio' (Adhesive Capsulitis)!

Kua pā mai te āhua o tō pakihiwi kua tio, kāore e taea te hiki i tō ringa, kua uaua rānei ki te mahi i ngā mea ngāwari pēnei i te heru i ō makawe, te whakawhiti kākahu rānei? Ka ara ake koe i te pō me te mamae nui i tō pakihiwi, kāore e taea te tahuri ki tetahi taha, kāore rānei e taea te neke? Koinei te mea e kiia ana e tātou he 'Pikiwi Tio'. Ahakoa he ahua whakarihariha, kāore he mea hei wehi. Kia mārama tātou ki tēnei.

He aha te 'Frozen Shoulder'?

Ko tētahi atu ingoa hauora mō te 'Frozen Shoulder' ko te 'Adhesive Capsulitis' . Koinei te wā ka matotoru, ka pakari, ka aukati i te nekehanga o ngā kiko e karapoti ana i tō hononga pakihiwi.

Whakaarohia, ko tō tātou hononga pakihiwi he huinga o ngā wheua e toru. Arā, ko te wheua ringa o runga (humerus), ko te wheua pakihiwi ( scapula ), me te wheua kara (clavicle). E puritia ana ēnei wheua katoa, ā, e tiakina ana e te uhi kaha, rite ki te pēke. E kiia ana tēnei ko te capsule pakihiwi.

Ina puta he 'pokohiwi tio', ka mātotoru haere tēnei kāpū, ka maro, ka piri. He rite ki te kakahu mākū e piri tahi ana. Ka whakaitihia hoki te nui o te wai synovial e āwhina ana i te hononga kia neke. Nā tēnei ka tino uaua te neke i te pakihiwi. Ka whakaitihia te whakamahinga o te pakihiwi nā te mamae. Ka roa te wā kāore koe e whakamahi, ka piri haere te kāpū. Ā tōna wā, ka "tio" te pakihiwi i te wāhi kotahi.

He aha ngā tohu me ngā wāhanga o te 'Pīkau Hukapapa'?

Ko ngā tohu matua ko te mamae me te kōpikopiko o te pakihiwi. Nā tēnei ka tino uaua te neke i te pakihiwi, ā, i ētahi wā ka kore e taea. He rite tonu te mamae ki te mamae puhoi, mamae. Mō ētahi tāngata, ka kino ake te mamae i te pō, ka tino uaua ki te moe.

E toru ngā wāhanga o tēnei āhuatanga. Kia tirohia tātou he aha aua wāhanga e toru.

He aha te take e puta ai te 'Pīkau Hukapapa'? He aha ngā āhuatanga mōrearea ?

Kāore he take motuhake e pā ai tēnei ki ētahi tāngata, engari he nui ake te mōrearea o ētahi rōpū ki te whakawhanake i tēnei.

• Tau me te ira tangata: He nui ake te tūponotanga o ngā wāhine ki te pāngia e tēnei mate, ā, he mea noa i waenga i te 40 me te 60 tau te pakeke.
• Te aukati i te pakihiwi: Mena kāore e taea e koe te neke i tō pakihiwi mō te wā roa mō tētahi take (hei tauira, i muri i te whati o te ringa i roto i te maka, i muri i te whiu , i muri rānei i te pokanga), ka piki ake tēnei mōrearea.
• Ētahi atu āhuatanga hauora: He hononga anō hoki kei waenganui i tēnei me ētahi āhuatanga hauora. Ko te hunga mate huka he 10% - 20% te pikinga ake o te mōrearea ki te whakawhanake i te 'Frozen Shoulder'. Hei tāpiri, ko te hunga he mate hauora e whai ake nei he nui ake te mōrearea:
• Mate ngakau
• Mate tairoi
• Te mate a Parkinson

Me pēhea te mōhio o te tākuta ki tēnei?

Kāore he whakamātautau motuhake mō te 'Frozen Shoulder'. Ko te mea tuatahi ka mahia e tō tākuta ko te tirotiro i tō tinana.

Mā tēnei whakamātautau tinana ka taea te tautuhi i te mate. Heoi anō, ka taea te whakamahi i te hihi-X, te ultrasound, te MRI rānei hei whakakore i ētahi atu mate, pērā i te mate rumatiki , te pakaru rānei o te rotator cuff.

He aha ngā maimoatanga mō te 'Pīkau Hukapapa'?

Ko te rongo pai , ko te nuinga o ngā take o te pakihiwi tio ka memeha haere i roto i te wā, ahakoa kāore e rongoatia. Heoi, ka roa pea te wā, nō reira he mea nui kia whiwhi maimoatanga hei whakahaere i te mamae me te whakahoki i tō pakihiwi ki te āhua noa.

Ka āwhina ngā rongoā mamae māmā, pērā i ngā NSAID (Nonsteroidal anti-inflammatory drugs) pērā i te ibuprofen, ki te whakaiti i te mamae me te pupuhi. Mēnā kāore i te rawaka ēnei, ka tohua pea e tō tākuta he rongoā kaha ake.

Mena he kino rawa ngā tohu, kāore rānei e pai ake i te roanga o te wā, ka tūtohu pea tō tākuta i ētahi atu maimoatanga.

• Werohanga corticosteroid: Ka taea e te werohanga ki te hononga pakihiwi te whakaiti tere i te mamae me te whakapiki i te nekenekehanga.
• Te pupuhi o ngā hononga: I tēnei tikanga, ka werohia e tō tākuta te wai parakore ki roto i te pūmua o tō pakihiwi, ka whakawhanui. Mā tēnei ka ngāwari ake te neke o tō pakihiwi.
• Whakaora tinana: Mā ngā mahi whakakori tinana e whakahaerehia ana i raro i te arataki a te tohunga ka āwhina i te whakahoki i te pakihiwi ki tana mahi noa, engari he pai ake tēnei i ētahi wāhanga o te mate.
• Pokanga: Kāore e hiahiatia tēnei i te nuinga o ngā wā. Heoi, ki te kore he maimoatanga kē atu e whai hua ana, ka tūtohu pea tō tākuta i te pokanga arthroscopic, e whakamahi ana i tētahi kāmera iti me ngā taputapu hei tango i tētahi kiko e piri ana i roto i te pakihiwi.

Ngā huarahi hei whakamamae i te mamae i te kāinga

• Ngā kōpeke wera/makariri: Mā te paninga o tētahi pounamu wai wera, wai makariri rānei ka āwhina i te whakaiti i te mamae me te pupuhi. Waiho kia mau mō te 15-20 meneti. Ka taea hoki te whakawhiti i waenga i ngā mea e rua.
• Te rongoā TENS ('Whakaohooho io hiko whakawhiti kiri'): Ko te tikanga o tēnei ko te tuku i tētahi iahiko hiko iti-ngaohiko mā roto i te kiri mā te whakamahi i tētahi taputapu iti, hei ārai i ngā tohu mamae kei tae atu ki te roro. Heoi anō, me kōrero koe ki tō tākuta i mua i te whakamahi i tēnei momo taputapu.

Ngā mahi ngāwari e pai ana mō ngā pokohiwi

Mā ngā mahi whakakorikori pakihiwi ngāwari ka āwhina i te whakamamae i tēnei mate, ā, ka ārai hoki i te whanaketanga. Engari kia maumahara, he pai ake te kōrero ki te tākuta, ki te kaiwhakaora tinana rānei i mua i te tīmatanga o ēnei mahi whakakorikori. Kaua e mahi kia tino kaha rawa kei mamae.

Whakamahanahia ō pakihiwi i mua i te whakakori tinana. Ko te huarahi pai ko te kaukau i te wai wera.

• Totoro pendulum: Tū tika, me tuku te ringa mamae kia iri noa ki raro. Ki te ringa kē, okioki ki te tēpu. Hurihia te ringa mamae i roto i te porowhita iti kia 10 ngā wā ki tetahi taha, kia 10 hoki ki tetahi taha.
• Te toro atu ki te tinana whakawhiti: Ki tō ringa pai, hopukia te tuke o te ringa e mamae ana. Tōia te ringa e mamae ana i tō uma ki tērā taha. Puritia mō te 15-20 hēkona kia rongo rā anō koe i te totoro o tō pakihiwi. Me mahi tēnei 10-20 wā i te rā.
• Te totoro o te tauera: Puritia he tauera kia 3 putu te roa mai i muri. Puritia me tō ringa pai ki runga, me tō ringa mamae ki raro. Nā, tōia te tauera ki runga me tō ringa pai. Puritia mō te 10 hēkona kia rongo rā anō koe i te totoro o te pakihiwi o tō ringa mamae.

Me pēhea te moe me te 'Frozen Shoulder'?

Ko te raru nui o tēnei mate ko te kaha haere o te mamae i te pō. Mā ēnei tohutohu koe e āwhina.

• Whakamahia te urunga tika: Kōwhiria he urunga e pupuri ana i tō mahunga, tō kaki, me tō tuaiwi kia tika te tūnga.
• Whakamahia he urunga tāpiri: Moe ki te taha kāore e mamae. Whakatakotoria he urunga ki waenganui i ō ringa. Mā tēnei ka āwhina kia tū tika ō pakihiwi.
• Moe mahana: Tāpirihia he pounamu wai wera ki ō pakihiwi i mua i te moe. Mā tēnei ka āwhina i te whakaiti i te mamae, ā, ka pai ake tō moe.