Kua tirohia e koe ngā maihao o tō whaea, o tō kuia, o ō ake maihao rānei, ā, kua kite koe kua pupuhi ngā hononga e tata ana ki ngā pito o ō maihao, ā, he rite ki ngā puku iti? Tērā pea ka pāngia koe e te mamae me ēnei puku iti ka pā ki ō ringaringa. Ahakoa he tokomaha e whakaaro ana he wāhanga noa tēnei o te koroheketanga, he āhuatanga hauora tēnei. Me kōrero tātou mō tēnei i tēnei rā.
He aha ngā Pūnga o Heberden?
He whakarāpopototanga noa iho, ko ngā pūnga o Heberden he puku iti, he rite ki te wheua, e puta mai ana i te hononga e tata ana ki ō matimati (i roto i ngā kupu hauora, ka kiia tēnei ko te hononga distal interphalangeal). He tupu wheua hou ēnei. He rite te rahi ki te pī.
Ko te mea nui, ehara ēnei pona i te mate motuhake. He tohu nui ēnei o te mate e kiia nei ko te osteoarthritis (OA), he mate pirau o ngā hononga o ngā ringaringa.
Kua tapaina ēnei puku hei whakahonore i te tākuta nāna i whakaahua tuatahi i ēnei puku, arā, a William Heberden.
Nā, he aha ngā Pūnga o Bouchard?
He āhua tino rite tēnei ki ngā pūnga o Heberden, engari ka puta ēnei puku i te hononga waenga o te maihao. He tohu ēnei e rua o te osteoarthritis.
He aha i puta ai tēnei mate osteoarthritis?
Whakaarohia ō tātou hononga he rite ki ngā inihi tatau kua pania ki te hinu. Me whai mea rite ki te hinu ngā inihi kia pai ai te mahi. Waihoki, i te wāhi e tūtaki ai ō tātou wheua e rua, i te hononga, he hipoki ngohengohe, pahekeheke e kiia nei ko te kiriuhi e āwhina ana i ngā pito o ngā wheua kia neke maeneene me te kore e mirimiri tetahi ki tetahi.
Ko te mate wheua (Osteoarthritis) te pakaru haere o tēnei paparanga wheua i roto i te wā, i te pakeketanga, me te whakamahinga tonu. I te memeha haere o te wheua, ka ngaro te maeneene, ā, ka tīmata ngā pito o ngā wheua ki te mirimiri tetahi ki tetahi. Ka puta te mumura i roto i te hononga, ka mamae, ka pakari hoki.
Hei whakautu i tēnei ngaronga o te kiriuhi, ka ngana te tinana ki te whakau i te hononga. Ka mahi te tinana i tēnei mā te hanga i ngā tupu wheua hou, iti huri noa i te hononga. Ko ēnei tupu wheua hou ko ngā mea e kiia nei e tātou he pona , he whēkau rānei. Ina puta mai i ngā pito o ngā maihao, ka kiia ko "ngā pona Heberden," ā, ina puta mai i ngā hononga o waenganui, ka kiia ko "ngā pona Bouchard."
He nui ake te kitea o tēnei mate i roto i ngā wāhine. E whakaatu ana ngā rangahau, i te taenga ki te 85 tau, ka pāngia te haurua o ngā wāhine me te hauwhā o ngā tāne e te mate osteoarthritis i ō rātou ringaringa.
He aha ngā pānga o ēnei pona ki ahau?
Mena kei a koe ngā pona o Heberden, ko te tikanga he nui ake te mōrearea o te osteoarthritis i ō ringaringa. Heoi anō, tera pea ka pāngia koe e ēnei tohu.
| Tohu | Whakaahuatanga |
|---|---|
| Te mamae, te pupuhi, me te pakari | E mamae ana, e pupuhi ana hoki ngā hononga o ōku maihao. He uaua ki ahau te piko me te whakatika i ōku maihao, ina koa ka ara ake ahau i te ata. |
| Ngā pona i roto i ngā hononga | Ka kitea ngā puku mārō, wheua i roto i ngā hononga e tata ana ki ngā pito o ngā matimati. |
| Te hekenga o te nekehanga | Kei te uaua haere te piko o ō maihao me te kōpeke o ō ringa, pērā i mua. |
| Te whakararuraru i ngā mahi o ia rā | Ahakoa ngā mahi māmā noa iho pēnei i te whakatuwhera i te taupoki pounamu, te pātene i te hāte, te huri rānei i te kī. |
He aha ngā mea ka taea te mahi hei rongoā i tēnei āhuatanga?
Ko te whāinga matua o te maimoatanga he whakaiti i te mamae me te whakahoki mai i te mahi noa o ō ringaringa . Tērā pea ka tūtohu tō tākuta i ngā momo maimoatanga mō tēnei.
Ngā mea ka taea e koe te mahi me te kore rongoā
- Whakangāwaritia tō ringa: Kaua e whakararuraru rawa i tō ringa ina mamae.
- Mauria he whitiki tautoko: Ka taea e ēnei taputapu (orthosis) e tautoko ana i ngā hononga o ngā maihao te āwhina ki te whakaiti i te mamae.
- Ngā kōpeke wera me te makariri: Ka taea te whakamahi i ngā kōpeke mahana, i ngā maimoatanga ware pi rānei hei whakaiti i te mamae. I ētahi wā, he tino āwhina hoki te taurite i ngā kōpeke wera me te makariri.
- Tohutohu a te Kaiwhakaora Mahi: Ka taea e te kaiwhakaora mahi e tohunga ana ki ngā raruraru ringa te whakaako i a koe ki te whakamahi i ō ringaringa me te kore e whara i ō hononga, ngā mahi whakakori tinana e tika ana kia mahia e koe, me ngā momo taputapu hei whakahaere i ngā mahi o ia rā.
Te rongoā rongoā
He mea nui: Me kōrero ki tō tākuta i mua i te whakamahi i tētahi o ēnei rongoā.
- Ngā rongoā whakamamae mamae: Ka tūtohu pea tō tākuta i ngā rongoā whakamamae mamae pērā i te paracetamol (Acetaminophen) me ngā NSAID (Nonsteroidal anti-inflammatory drugs) i te ahua o ngā pire, o ngā hinu rānei.
- Werohanga steroid: Mena he tino kino te mamae me te pupuhi, ka werohia pea koe e tō tākuta ki roto i te hononga mā te werohanga steroid. Ka tere te whakaora i tēnei.
Me mahi pokanga rānei?
I te nuinga o te wā, kāore e hiahiatia he pokanga. Heoi, ki te kore he maimoatanga kē atu e whakahaere i te mamae, ā, he tino uaua ki te mahi i ngā mahi o ia rā, ka whakaarohia pea e tō tākuta te pokanga. Ko te tikanga tino noa ko te honohono hononga . Ko te tango i te kiriuhi kua tawhito me te honohono i ngā wheua e rua.
Āhea koe me toro atu ki te tākuta?
Mena kei a koe tētahi, ētahi rānei o ngā tohu e whai ake nei, he mea tino nui kia toro atu koe ki te tākuta tonu mō ētahi tohutohu.
| Take | Me aha? |
|---|---|
| Ki te kite koe i ngā puku hou, i te pupuhi rānei i ngā hononga o ō matihao. | Tirohia he tākuta hei whakaū mēnā ko ngā pona a Heberden ēnei, kāore rānei. |
| Mena he uaua ki a koe te mahi i ngā mahi uaua pēnei i te pātene, te tuhituhi rānei. | Rapua he tohutohu, he tohu pea tēnei kua ngoikore te mahi a ngā hononga. |
| Mena he mamae tonu tōu, he pakari, he pupuhi rānei i ō ringaringa, i ō maihao rānei. | He mea nui kia tīmata te maimoatanga hei whakahaere i te mamae, hei ārai hoki i te kino haere o te āhua. |
Karere Tangohia ki te Kāinga
- Ehara ngā pona o Heberden i te mate motuhake. He tohu noa iho ēnei o te osteoarthritis, he mate hononga ngoikore o ngā ringaringa.
- Ka puta ēnei puku i te urupare a te tinana ki te pakaru me te haehae o te kiriuhi i roto i ngā hononga i te roanga o te wā.
- Ka pā mai pea he mamae, he pupuhi, me te ngoikore o te mahi a ngā maihao i tēnei.
- Engari mā te maimoatanga tika, te whakakori tinana, me ngā huringa momo noho , ka taea te whakahaere pai i ēnei tohumate, ā, ka taea e koe te noho i te oranga noa.
- Ki te kite koe i tētahi panoni pēnei i ō maihao, kaua e mataku , me toro atu ki tō tākuta tonu mō ngā tohutohu tika.
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