Kia ako tātou mō te 'Hīll-Sachs Lesion' e puta mai ana ina heke te pakihiwi!

Kua rongo pea koe i tētahi e kī ana kua piko tōna pakihiwi, kāore e taea te hiki i tōna ringa, ā, kei te mamae rawa, tika? Tērā pea i pā ki a koe anō hoki. Ina piko te pakihiwi, arā, ka tangohia te wāhanga rite-pōro o te pakihiwi, ka pakaru hoki ngā wheua i roto i tō tātou pakihiwi. Koinei te tikanga o tēnei 'Lesion Hill-Sachs' (e kiia ana hoki ko te lesion Hill-Sachs). Me kōrero tātou mō tēnei mea, kia māmā noa iho, kia mārama hoki.

He aha tēnei 'Lesion Hill-Sachs'?

He whakarāpopototanga noa iho, ko te Hill-Sachs Lesion he puku iti, he maru rānei e puta ana i te tihi o tō wheua ringa o runga (te wheua roa i te tihi o te ringa e hono ana ki te pakihiwi - te humerus), inā koa i te wāhanga rite ki te pōro (te pane o te humerus). Whakaarohia i te wā e tukua ana tō pakihiwi, ka mirimiri kaha tēnei wāhanga rite ki te pōro ki te hononga o tō hononga pakihiwi (te hononga glenoid). Ko te wā tēnā e pakaru ai tētahi wahi iti o tēnei wheua, ā, ka hanga he kōhao iti. He rite ki tētahi maru iti ina taka he aporo ki te whenua.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei 'Lesion Hill-Sachs'?

Ina hoki, ko te tangata e taea te motumotu o tōna pakihiwi kei te mōrearea ki te whakawhanake i tēnei 'Lesion Hill-Sachs'. Nā te mea ka puta tēnei ina motumotu te pakihiwi i roto i tētahi aituā, i tētahi hinganga rānei. Heoi, mō ētahi tāngata, he paku teitei ake tēnei mōrearea.

• Mō ngā kaitākaro: Ina koa ko te hunga e tākaro ana i ngā hākinakina pā, hei tauira ko te whutupōro, te whutupaoro, te mekemeke.
• Mō ngā tāne: E kiia ana he rua te nui ake o te tūponotanga o te pokanga o te pakihiwi o ngā tāne i ngā wāhine.
• Mō ngā taiohi i waenga i te 15 me te 30 tau te pakeke: Ko te hunga o tēnei reanga tau ka nui ake te tūponotanga ka pāngia e ngā aituā nā te mea he tino pukumahi rātou.
• Mō te hunga kua motu te pakihiwi i mua: Kia motu te pakihiwi, he nui ake te tūponotanga ka motu anō. Ka arahi pea tēnei ki te 'Lesion Hill-Sachs'.

He pēhea te noa o tēnei āhuatanga?

E ai ki ngā raraunga o Amerika, tata ki te 10 tāngata i roto i te rau mano ka motumotuhia ō rātou pakihiwi i ia tau. Ko te tikanga, kāore e pā ki te katoa. Heoi, ki te motumotuhia tō pakihiwi, he nui te tūponotanga ka pāngia e te 'Lesion Hill-Sachs'. E kī ana ētahi rangahau kei waenganui i te 40% me te 90% o te hunga ka motumotuhia ō rātou pakihiwi ka pāngia e tēnei whara. Ko te tikanga, ki te motumotuhia tō pakihiwi, me whakaaro anō hoki koe ki tēnei.

He aha te pānga o tēnei 'Lesion Hill-Sachs' ki tō tinana?

I te nuinga o te wā, kāore he pānga nui o te 'Lesion Hill-Sachs' anake. Arā, ko te mamae o te nekehanga o te pakihiwi me te kore e taea te neke i te ringa ngā tohu matua. Heoi, ki te mea kei te kitea tēnei 'Lesion Hill-Sachs', tera pea ka kaha ake aua tohu. Tērā pea ka kino ake te mamae, ā, ka piki ake te uaua ki te neke i te ringa.

Ko tētahi atu mea , tera pea ka roa ake te wā e ora ai tō pakihiwi i tēnei 'Lesion Hill-Sachs'. Waihoki, ki te nui ake te whara, ka nui ake te tūponotanga ka motuhia anō tō pakihiwi ā muri ake nei. I roto i te wā, ka puta pea te mate rumatiki i taua hononga pakihiwi.Tērā pea ka pāngia te hononga e te mate rumatiki o te pakihiwi, arā, kua tawhito te hononga.

He aha ngā tohu o te Lesion Hill-Sachs?

He rite tonu ngā tohu o te 'Hīll-Sachs Lesion' ki ērā o te pakihiwi kua motuhia. Heoi, e ai ki taku kōrero i mua, ki te pāngia koe e tēnei 'hī', tera pea ka kaha ake ngā tohu.

• Te mamae nui rawa atu .
• Kei te ngoikore tōku ringa.
• Kāore e taea e au te neke i tōku ringa.
• He rerekē te āhua o te pakihiwi, kāore i rite ki tōna āhua i mua (me te mea kua puta ki waho).
• Ka puta te pupuhi .
• Tērā pea ka kite koe i ngā marō , i ngā panoni rānei o te tae o te kiri.
• Ngā uaua e māuiui ana.
• Tērā pea ka rongo koe i te māuiui, te ngau, te ngoikore rānei i tō ringaringa, i tō nikau, i ō maihao rānei.

He mea nui: Ki te whakaaro koe kua hē te hononga o tō pakihiwi, kua pāngia rānei tō pakihiwi e tētahi aituā kino, haere tonu ki te rūma whawhati tata o te hōhipera. Kaua e whakaroa, he mea nui hoki kia tere te whiwhi maimoatanga.

He aha te take o tēnei 'Lesion Hill-Sachs'?

Ko te hē o te pakihiwi te tino take.

Whakaarohia pēnei: ​​ko tō tātou hononga pakihiwi he 'hononga pōro-me-kōpuku'. Ko te wāhanga rite ki te pōro i runga i te wheua ringa o runga ('Humerus') kei roto i te 'kōpuku' o te wheua pakihiwi ('Scapula').

Nā, ki te pū ake tō pakihiwi ki mua (arā, ki waho i te mua o tō tinana), ka mau pea te wāhanga poroporo o te wheua ringa o runga, te pūnga, ki roto i te pūnga ka mirimiri. Mā taua pēhanga ka maru te wāhanga poroporo ka hanga he 'pōkarekare'. Ka kiia tēnei he 'Lesion Hill-Sachs'.

Ko ngā take matua mō te pēhitanga o ngā pakihiwi ko:

• Ngā whara hākinakina - Whakaarohia te hinganga i a koe e tākaro ana i te whutupōro, te ruku rānei i a koe e tākaro ana i te kirikiti.
• Te hinganga - Ka taea tēnei mā te hinga noa ki te whenua, mā te heke iho rānei i ngā arawhata.
• Ngā aituā motuka - Ka taea hoki e ēnei momo aituā te whara i te pakihiwi.

Me pēhea te mōhio a ngā tākuta ki te 'Hīll-Sachs Lesion'?

Ina haere koe ki te tākuta he pokohiwi kua motuhia, ka tirohia koe e rātou mēnā he Hill-Sachs Lesion.

Tuatahi, ka tirotirohia e te tākuta tō ringa me tō pakihiwi. Ka tirohia e rātou ngā wāhi e mamae ana, e pupuhi ana, me te mea ka taea e koe te neke i tō ringa. Kātahi, ka mahia pea e rātou ētahi whakamātautau whakaahua hei tirotiro i te āhua o roto.

Ko rātou ēnei:

• Whakamātautau hihi-X(`Ngā hihi-X`): Ka āwhina tēnei ki te tirotiro i te tūranga o ngā wheua, ngā whati, me ētahi atu. Ahakoa te `Hīra-Sachs` ka kitea pea i ētahi wā i runga i te `hihi-X`.
• He matawai MRI (Magnetic Resonance Imaging): Mā tēnei ka taea te whakarato i tētahi tirohanga mārama o ngā kiko ngohengohe, pērā i ngā uaua, ngā hononga, ngā uaua me ngā wheua. He mea tino nui te MRI hei whakatau i te rahi me te hohonutanga tika o te whara Hill-Sachs.
• He matawai CT (Tomography Rorohiko): Ka taea hoki e tēnei te whakarato i ngā mōhiohio tino taipitopito mō ngā wheua. I ētahi wā ka whakamahia he matawai CT i te wā e whakamahere ana i te pokanga.

Ka kitea mārama e ēnei matawai te wāhi me te rahi o te marutanga wheua, he mea tino āwhina tēnei i te whakamahere maimoatanga.

Me pēhea te rongoā i te whara Hill-Sachs?

Ko te momo maimoatanga e hiahiatia ana e koe ka whakawhirinaki ki te whānuitanga o te Hill-Sachs Lesion, arā, te kino o te wheua.

I te nuinga o te wā, ki te iti iho i te 20% o te pane o te humerus e whati ana, kāore he maimoatanga motuhake e hiahiatia ana. Ko te maimoatanga noa mō te pakihiwi kua motu.

Ngā maimoatanga kore-pokanga

1. Whakaitinga kati:

Koinei te mea tino nui. Ko tōna tikanga he whakahoki i tō pakihiwi ki tōna tūranga i mua, ki roto i te pūwero. Ehara tēnei i te pokanga. Ka pupuri te tākuta i tō pakihiwi mai i waho, ka tōia ki te taha tika, ka pana ki roto. I a koe e mahi ana i tēnei, ka hoatu pea he rongoā whakamoe ā-rohe ki a koe (he rongoā hei whakangote i te wāhi anake) hei whakaiti i te mamae, ka hoatu rānei he rongoā whakamoe (he rongoā hei whakamarie i a koe).

2. Te aukati i te nekehanga:

I muri i te whakahokinga o te pakihiwi ki tōna tūranga, me mau pea he whitiki , he whitiki rānei hei pupuri i tōna tūranga. Ka kiia tēnei ko te aukati i te nekehanga. Mā tēnei ka taea e te pakihiwi whara te okioki me te āwhina i a ia ki te whakaora.

Tērā pea ka kī atu te tākuta kia pania he hukapapa kia maha ngā wā i te rā. Tērā pea ka kī atu hoki ia kia mahi koe i ētahi mahi whakakori tinana hei ārai i te mārō o tō pakihiwi, i te hukapapa rānei. Pātai atu ki tō tākuta kia pēhea te roa me mau te whitiki, me te nui o te whakakori tinana me mahi e koe. Ko te nuinga o te tangata me pupuri tonu ō rātou pakihiwi kia kore e neke mō ētahi wiki.

3. Te whakaora tinana:

I te haere mārire o te ora o tō pakihiwi, ka hoki anō tōna kaha , ā, ka taea e koe te neke pai.Ka tīmata te whakaora tinana. Tuatahi, ka mahi koe i ngā totoro iti hei pupuri i tō pakihiwi kia wetekina, kia kore ai e pakari. Kātahi ka tāpirihia e tō tākuta, e tō kaiwhakaora tinana rānei ngā mahi whakapakari tinana hei whakapakari i ō uaua me ō hononga. Ka āwhina hoki tēnei ki te whakaiti i te tūponotanga o ngā whara o muri mai. He maha ngā tāngata me mahi whakaora tinana mō ētahi marama i muri i te whara.

Pokanga mō te Lesion Hill-Sachs

Mena kei te kapi te 'Hīll-Sachs Lesion', arā, te marutanga wheua, i te 20% o te wāhanga rite-pōro o te wheua o runga o te ringa (te 'upoko o te humerus'), arā, he nui te marutanga, me pokanga pea hei whakatika.

He maha ngā tikanga pokanga e whakamahia whānuitia ana:

• Te Tukanga Whakahou: Ko te whakakī i te āputa rite ki te rua i mahue i te whara Hill-Sachs ki ngā kiko ngohengohe tata. Ko te tikanga, ko te kāpū me te uaua e tata ana ki te whara pakihiwi ka whakamahia mō tēnei.
• Te tāpiri wheua: I tēnei tikanga, ka tangohia e te tākuta he kiko wheua tāpiri ka whakatōkia ki te wāhi kua pakaru o te humerus hei whakatika. I ētahi wā ka kiia tēnei ko te whakanui wheua.
• Te whakakapinga pakihiwi: Mena he kino nui ki te humerus, te scapula (te mata o te pakihiwi), me ētahi atu kiko o te pakihiwi, me whakakapi pea te pakihiwi. I tēnei wā, ka tangohia e te taote pokanga ngā wāhanga pakaru o te pakihiwi ka whakakapia ki ngā wahi hanga-rua.

Kia pēhea te roa o te wā e ora ai?

E hia ngā marama e ora ai koe i te whara o Hill-Sachs. Me whakapūmau tō pakihiwi mō ētahi wiki, ā, muri iho ka whai i ētahi marama o te whakaora tinana.

Ko te roa o te wā e ora ai tō patunga ka whakawhirinaki ki ētahi āhuatanga:

• Te āhua o te whara (pēnei i te hinganga, i te aituā hākinakina rānei).
• Mēnā he whara, he kino rānei kei roto i te pakihiwi (pērā i te haehae o ngā hononga, te pakaru rānei o te labrum).
• He aha te momo maimoatanga i hiahiatia e koe, me te mea rānei me pokanga koe ?

Ka hoatu e tō tākuta, e tō taote rānei he wā whakaora motuhake mō tō whara, nō reira kaua e manukanuka.

Ka taea te ārai i tēnei 'Lesion o Hill-Sachs'?

I te mea ko te nuinga o ngā whara o te pakihiwi ka puta mai i ngā āhuatanga ohorere pēnei i te hinganga me ngā aituā hākinakina, kāore rawa he mea e taea te mahi hei ārai i tēnei 'Lesion Hill-Sachs'.

Heoi anō, he mea pai kia whai i ēnei tohutohu haumaru whānui hei whakaiti i te tūponotanga o ngā aituā:

• Me mau tonu te whitiki nohoanga i a koe e eke ana i roto i te waka.
• Kia mau ki ngā taputapu haumaru e tika ana i roto i ngā mahi me ngā hākinakina katoa.(hei tauira, potae, papa pakihiwi).
• Kia ma tō whare me tō wāhi mahi, kia kore hoki he mea e hinga ai koe, e hinga ai rānei ētahi atu. Kia tūpato ki ngā mata pahekeheke.
• Ina kohia e koe tētahi mea mai i runga, me whakamahi tonu i tētahi taputapu kua hangaia mō taua kaupapa. Kaua rawa e piki ki runga i ngā tūru, i ngā tēpu rānei.
• Mena he uaua ki te hikoi, he nui rānei te tūponotanga o te hinga, whakamahia he tokotoko, he taputapu hikoi rānei.

He aha ngā mea hei tumanakohia me te 'Hīll-Sachs Lesion'?

Ka ora katoa te nuinga o te tangata i te whara. Ahakoa kua pokangahia koe, tera pea ka taea e koe te hoki ki te nuinga o ō mahi me ō hākinakina noa ina ora tō pakihiwi.

Heoi, ina motuhia tō pakihiwi, he nui ake te tūponotanga ka whara anō koe. Kua kitea e ētahi rangahau neke atu i te 90% o ngā kaitākaro kei raro iho i te 25 tau te pakeke e motuhia ana ō rātou pakihiwi i roto i tētahi hākinakina pā ka whara anō i taua pakihiwi ā muri ake nei.

Nō reira, i mua i tō tīmatanga anō i tētahi mahi ā-tinana – inā koa ngā hākinakina pā – kōrero ki tō tākuta, ki tō taote pokanga rānei. Ka taea e rātou te whakamārama i ngā mea hei tumanako atu me pēhea te ārai i ngā nekehanga o te waewae a muri ake nei. Ka taea hoki e te rongoā ā-tinana tika te whakaiti i tēnei mōrearea.

Kāore e taea e au te haere ki te mahi, ki te kura rānei kia ora rā anō ahau?

Ki te kore e taea e koe te mahi i tāu mahi, i tāu mahi kura rānei me te kore e nekehia tō ringa i te wā e mau ana tō pakihiwi, tērā pea kāore e taea e koe te haere ki te mahi, ki te kura rānei. Mā tō tākuta koe e kī atu ki ngā nekehanga me ngā tūranga hei karo kia ora rā anō koe. Me whai i aua tohutohu me te āta.

Āhea ahau me haere ki te rūma whawhati tata?

Mena kua pāngia koe e tētahi aituā nui (whara) , haere tonu ki te rūma whawhati tata.

Ki te whakaaro koe kua hē te hononga o tō pakihiwi:

• Haere ki te rūma whawhati tata , waea atu rānei ki te 1990.
• Kaua e nekehia tō ringa. Kia tata ki tō tinana.
• Kaua e ngana ki te neke i tō pakihiwi māu ake. Kaua e tukua kia mahi tetahi atu engari ko te tākuta. Ki te ngana tetahi ehara i te tohunga ki te neke i tō pakihiwi, ka pakaru pea ngā oko toto, ngā uaua, ngā hononga, me ngā io.
• Whakatakotoria he putea hukapapa ki te wāhi whara. Mā tēnei ka whakaiti i te pupuhi me te mamae.
• Ka taea e ngā rongoā mamae (hei tauira, te paracetamol, ngā 'NSAID' rānei - ngā rongoā anti-inflammatory kore-steroidal, e ai ki te whakahau a tō tākuta) te āwhina ki te whakaiti i te mamae me ētahi atu tohu. Heoi, kaua e nui atu i te horopeta kua tohua.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Mēnā ka pā mai tēnei āhuatanga ki a koe, he mea pai kia pātai atu koe ki tō tākuta mō ēnei mea e whai ake nei:

• Me pokanga ahau hei whakatika i taku Hill-Sachs Lesion? Mena koinā, he aha te momo?
• Kia pēhea te roa me pupuri tonu tōku ringa kia kore e nekeneke?
• Āhea ahau me tīmata ai te whakaora tinana? Kia pēhea te roa?
• Āhea ahau ka taea ai te tākaro hākinakina, te whakakorikori tinana rānei anō? He aha ngā momo mea ka taea e au te mahi tuatahi?
• Me aha ahau hei ārai i te pakū anō o taku pakihiwi?

He aha te rerekētanga i waenga i te 'Lesion Hill-Sachs' me te 'Lesion Hill-Sachs Whakamuri'?

He rite tonu te momo whara o te `Hill-Sachs Lesion` me te `Reverse Hill-Sachs Lesion`. Ko te rerekētanga anake ko te taha o te wāhanga rite-pōro o te wheua o tō ringa o runga (`Humerus`) kei reira te whara .

• Ko te 'Hill-Sachs Lesion' he puku e puta ana i te taha o muri (i roto i te kupu hauora, 'posterolateral aspect') o te wāhanga pōro o te pakihiwi ina panaia whakamua mai i te 'front side'.
• Ko te 'Reverse Hill-Sachs Lesion' he puku e puta ana i te taha o mua (i roto i te kupu hauora, ko te 'ahua anteromedial') o te wāhanga rite ki te pōro o te pakihiwi ina whiua mai i te 'taha o muri'.

He rite tonu te tātaritanga me te maimoatanga o ēnei e rua.

He aha te rerekētanga i waenga i te 'Lesion Hill-Sachs' me te 'Lesion Bankart'?

Ko te 'Hilla-Sachs Lesion' me te 'Bankart Lesion' he momo whara e rua e pā ana ki te nekehanga o te pakihiwi. Heoi, he rerekē rāua.

• Ko te `Hill-Sachs Lesion` he wero wheua e puta ana ina paheke whakamua tō pakihiwi mai i tētahi taha ki tētahi taha (te nekehanga o mua o te glenohumeral), ka pēhia te pane o te wheua o runga o te ringa (`humerus`), ka puta he puku i roto i te kōpuku pakihiwi. Ko te tikanga he kino tēnei ki te wheua.
• Ko te `Bankart Lesion` he whara ki te mowhiti kiriuhi tiaki e karapoti ana i te hononga pakihiwi (e kiia nei ko te `Labrum`). Ko te `Bankart Lesion` he haehae i roto i tēnei `Labrum`. Ka puta pea tēnei i te hekenga, i te nekehanga iti rānei (`subluxation`). Kia heke te pakihiwi, he nui ake te tūponotanga ka puta anō. Ki te haere tonu te hekenga o te pakihiwi, te `subluxate` rānei, ka nui ake te kino o te `Labrum` (pērā i te `SLAP tear`).

He tino mamae, he tino whakamataku hoki te pakihiwi kua motumotu. He ohorere nui te kore e taea te neke i tō ringa, me te whakaaro kua kore tō pakihiwi e rite ki tōna āhua o mua. Kaua rawa e ngana ki te "tōtō" i tō pakihiwi me te whakahoki anō. Haere tonu ki te rūma whawhati tata, ka rapu awhina hauora i te wā e taea ai.

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Mena kua hē te hononga o tō pakihiwi i mua, ahakoa he Hill-Sachs Lesion tōu, he nui ake te tūponotanga ka whara anō koe i te heke mai. Nō reira, kōrero ki tō tākuta i a koe e ora ana. Pērā ai, ka mārama ake koe ki ngā mea hei tumanako atu, me pēhea hoki te tiaki i tō pakihiwi.

Karere Tangohia ki te Kāinga

Āe, me whakarāpopoto tātou i ngā mea tino nui i kōrerohia e tātou i roto i tēnei 'Hill-Sachs Lesion':

• Ka puta tēnei ina heke te pakihiwi , ā, ka pā te wāhanga poroporo o te wheua o runga o te ringa (te 'pungarehu') ki te pū o te mata o te pakihiwi, ka puta he maru iti, he rite ki te kopa, ki te wheua.
• He rite tonu ngā tohu ki te pokohiwi kua takoki, pērā i te mamae nui, te kore e taea te neke i te ringa, me te pupuhi , engari ka kaha ake pea.
• I te nuinga o te wā, ka taea te neke i te pakihiwi, te whakaū i te nekehanga, me te rongoā mā te whakaora tinana, me te kore he pokanga .
• Mena he nui te patunga (neke atu i te 20% o te wheua), me mahi pokanga pea.
• Ko te mea nui ko te rapu tohutohu hauora tonu mēnā ka whati tō pakihiwi. Kaua e ngana ki te whakatika i a koe anō.
• Ki te motumotuhia tō pakihiwi kotahi, ka nui ake te tūponotanga ka motumotuhia anō. Nō reira, he mea tino nui kia whai i ngā tohutohu a te rata, kia kaha tonu hoki tō pakihiwi.

Mena he pātai anō āu mō tēnei, kaua e wehi ki te pātai atu ki tō tākuta, ki tō kaiwhakawhanau rānei. Kia ora tonu koe!

Te hē o te pakihiwi, te whara o Hill-Sachs, te whara o Hill-Sachs, te mamae o te pakihiwi, te marutanga o te wheua, te maimoatanga o te pakihiwi, te whakaora tinana