Kei te mamae hoki tō hope? He mate rumatiki hope rānei? Me kōrero tāua!

Kua ara ake koe i te ata me te uaua, te mamae o te hope? Kua hoha rānei koe i te mamae o tō hope e pā mai ana i te hikoi poto, i te ara ake rānei i te tūru? Tērā pea ka whakaaro koe he mea noa ēnei mea i te kaumātuatanga. Engari he tohu pea ēnei o te mate e kiia nei ko te mate rumatiki hope. Me kōrero taipitopito tātou mō tēnei i tēnei rā, nā te mea he maha ngā tāngata e pāngia ana.

He aha te mate rumatiki o te hope?

Ki te whakarapopoto, ko te mate rumatiki hope he mamae me te pakari o te hononga hope. Ko te nuinga o te wā ka pā ki ngā kiko ngohengohe o te hononga. Ina koa, ka pakaru te kiriuhi, e mahi ana hei urunga, e ārai ana i te mirimiri o ngā hononga. I ētahi wā, ka pāngia hoki te kiriuhi synovial, e āwhina ana i te nekeneke o te hononga.

Whakaarohia tō hononga hope he hononga kei runga i te tatau. Kia pai ai tana mahi, me pai te rere i waenga i ngā wāhanga, me whai mea hoki hei mimiti i te ru. Ina pāngia koe e te mate rumatiki, ka memeha haere tēnei urunga e kiia nei ko te kiriuhi, ka mumura rānei ngā kiko o te hononga, ko te tikanga ka pupuhi. I ētahi wā ka rua ngā mea. Nō reira, ina memeha haere tēnei kiriuhi, kāore e ranea te urunga, te rere rānei o tō hononga ina neke koe. Ka taea hoki e te pupuhi te whakapakeke i te hononga.

He momo mate pukupuku hope kei reira?

Ae, he maha ngā momo matua o te mate pukupuku hope.

Ko te mate e pā ana ki te hononga hope i te nuinga o te wā ko te osteoarthritis . He māmā noa iho, he mate tēnei e puta mai ana i te pakaru me te haehae o te hononga i roto i te wā. He rite ki te pakaru me te haehae o ngā wāhanga o te motuka tawhito.

Hei tāpiritanga, kei reira ngā momo mate rumatiki mumura kāore e pā ki te hononga hope. Hei tauira, he mate e kiia nei ko te mate rumatiki rheumatoid . He mate rerekē tēnei i te osteoarthritis. I te nuinga o te wā, kāore ēnei momo mate rumatiki mumura e pā ki tētahi wāhanga o tō tinana anake, engari ka pā ki ngā wāhanga maha atu i te wā kotahi, tae atu ki ngā hononga nui pēnei i te hononga hope. Haunga te mamae o ngā hononga, ka taea hoki e ēnei mate te whakaputa i ētahi atu tohu.

Anei ētahi momo mate rumatiki mumura ka pā ki te hononga hope:

• te mate rumatiki
• Te mate pūkahukahu
• Te Mate Rumati Idiopathic o te Taiohi
• Kauti
• Pseudogout
• Mate rumatiki - Ka puta mai tēnei i te mate pāwera.
• Te rumatiki e pā ana ki te Lupus
• Te mate rumatiki e pā ana ki te mate Lyme

MatepukupukuKo te nuinga o te hunga neke atu i te 55 tau te pakeke ka pāngia e tēnei mate. Waihoki, ko te hononga hope te tuarua o ngā hononga e pāngia nuitia ana e te osteoarthritis. Tata ki te 25% o te hunga neke atu i te 55 tau te pakeke ka pāngia pea e te osteoarthritis o te hononga hope. Ko te tau toharite mō tēnei ka tīmata te puta ko te 65 tau te pakeke. Heoi, ka puta pea ngā momo mate rumatiki mumura i te wā taitamariki.

He aha ngā tohu o te mate pūkahukahu o te hope?

Mena he mate rumatiki tō hope, ka pāngia pea koe e ngā tohu penei:

• Te mamae me te kōpiko i te nekehanga o te hononga hope. Tērā pea ka kitea nuitia tēnei, inā koa ka ara ake koe i te ata, i muri rānei i te tū mō tētahi wā.
• He iti te whānuitanga o te nekehanga o te hononga hope. Ko te tikanga tēnei kāore e taea e koe te piko, te whakatika rānei i tō waewae me te ngāwari pēnei i mua.
• He uaua ki te piko i te hope, ki te hikoi rānei me te ngoikore.
• He kare ā-ringa e huri ana, e maukati ana rānei i te wā e nekehia ana te hope.
• Ka rangona he tangi "pakū" he pakū rānei (crepitus) ina nekehia te hononga.

Kei te pā tonu te mamae ki te hope?

Kāore tēnei i te pēnei i ngā wā katoa. I ētahi wā ka pāngia te mamae o te rumatiki hope e ētahi atu wāhi huri noa i te hononga hope. Ka kiia tēnei he mamae whakawhiti . I ētahi wā ka rite te mamae ki te neke mai i tētahi wāhi ki tētahi wāhi. He maha hoki ngā tāngata e pāngia ana e te mamae rumatiki hope i ēnei wāhi:

• Te rohe o te huha
• Huha
• papa
• Turi - Ae, i ētahi wā ka mamae te turi i ngā raruraru hope!

Ka pāngia ahau e te mate rumatiki i ngā hope e rua?

Ki te pāngia koe e te mate osteoarthritis , he maha ngā wā kāore e pā ki ngā hope e rua i te wā kotahi. Tērā pea ka pā ki te hope kotahi i te tīmatanga. Heoi, ki te pā ki te hope kotahi, ehara i te mea ka pā anō hoki ki te hope kē atu.

Engari mō te mate rumatiki mumura , ka pā pea ki ngā hope e rua, me ētahi atu hononga o te tinana, i te wā kotahi.

He aha ngā take o te mate rumatiki hope?

E rua ngā momo take mō tēnei, kei runga i te momo mate rumatiki.

Ngā take o te osteoarthritis:

Ko te tino take o te mate osteoarthritis i roto i te hononga hope ko te pakaru noa (te pakaru noa) i a tātou e whakamahi ana i ō tātou hononga hope i roto i ō tātou oranga. Whakaarohia, ka pāngia ō tātou hononga hope e te ahotea me te pēhanga nui ina hikoi, ina noho, ina tū hoki tātou. Nō reira, i a tātou e pakeke haere ana, he mea noa kia tīmata te pakaru o te kiriuhi i roto i ō tātou hononga hope.

Engari ka tere ake te memeha o ngā hononga o ētahi tāngata i ētahi atu, i te wā taitamariki. He maha ngā āhuatanga ka pā ki tēnei. Ko tō āhua noho, ko ō ira, ko ngā aituā, me ētahi āhuatanga hauora ka tere ake te memeha o te kiriuhi i roto i ō hononga. Ka piki ake te tūponotanga o te mate rumatiki hope i roto i ēnei āhuatanga i te roanga o te wā.

Ko ngā āhuatanga mōrearea e whakanui ake ana i te mōrearea ki te whakawhanake i te osteoarthritis o te hope ko:

• Te pakeke haere.
• Te whai wāhi atu ki ngā mahi, ki ngā hākinakina rānei e pēhi tonu ana i te hononga hope (hei tauira, ngā mahi hiki taumaha, ētahi hākinakina)
• Te pikau i te taumaha nui ki te tinana i te wā e hikoi ana (momona).
• He aituā, he pokanga rānei ki te hononga hope o mua (Post-traumatic arthritis).
• Kāore te hononga hope i te tū tika (hei tauira, Hip Dysplasia, Hip Impingement). He raruraru whānau mai anō hoki.
• He hītori whānau tō te mate osteoarthritis (he mea tuku iho).

Ngā Take o te Mate Pukupuku Mumura:

Kāore te mumura o ngā hononga i puta mai i te mumura o te rumatiki. Heoi, ka taea e tēnei mumura te whakaputa huringa ki ngā hononga. He maha ngā āhuatanga mumura ka taka ki roto i te kāwai o ngā mate pūnaha ārai mate . Koinei te wā ka hē te pūnaha ārai mate o tō tinana, ka whakaeke i ō ake kiko hauora. Koinei te mea e puta ai te mumura i roto i ngā hononga.

Ngā āhuatanga e whakanui ake ai i te mōrearea o te whakawhanake i te mate rumatiki mumura:

• Ētahi whakarerekētanga ira.
• Te noho mai o ētahi paturopi ārai mate i roto i te tinana.
• Kei a koe anō, kei te whānau rānei tētahi mate pūnaha ārai mate.

Me pēhea koe e mōhio ai mēnā kei a koe te mate rumatiki hope?

Kia tino mōhio ai koe mēnā he mate rumatiki hope tōu, me toro atu koe ki te tākuta. Anei ētahi o ngā mahi ka mahia e rātou:

1. Ka pātaihia koe mō ō tohumate: te roa o te mamae, te āhua o te mamae, me te wā e tino kaha ana.

2. Te whakamātautau tinana o te hononga hope: Ka pā te tākuta ki tō hope, ka rapu hoki i ngā wāhi e mamae ana.

3. Ka tirohia te whānuitanga o te nekehanga o te hononga: Te tawhiti ka taea e koe te piko, te totoro, me te huri i tō waewae.

4. Ka mātaki rātou i tō hikoi: ahakoa kei te ngoikore koe, kei te mamae rānei koe i a koe e hikoi ana.

5. Ngā hihi-X: Ka taea e tēnei te kite i ngā mea pēnei i te pupuhi o ngā hononga, te pakaru o te kiriuhi, me ngā huringa o te wheua.

6. Mena kei te whakapaetia he mate rumatiki mumura, ka taea hoki te whakahaere i ngā whakamātautau toto: ka taea e ēnei te kite i ētahi tohu motuhake.

Ko te mea nui, kaua e tātaritanga i a koe anō.He mea tino nui kia kite i te tākuta me te kimi tika he aha te raruraru.

He aha ngā maimoatanga pai rawa atu mō te mate rumatiki hope?

Ko te maimoatanga pai rawa atu kei runga i te momo rumatiki e pāngia ana e koe me tōna kaha. Ahakoa te momo, ko te tikanga ka whakamātau tuatahi ngā tākuta i ngā maimoatanga ngawari, ngāwari me ngā huringa momo noho.

Ko te maimoatanga ārai mate te maimoatanga tuatahi i te nuinga o te wā:

Koinei ngā mea tuatahi hei whakamātau:

• Ngā huringa āhua noho:
• Te mahi i ngā mea ka taea te whakaiti i te pēhanga ki te hononga hope. Hei tauira, te whakaiti i te taumaha (mēnā he taumaha rawa koe), te huri i tō mahi (mēnā he mahi tāu e pēhi ana i te hononga), me te whakamutu i ētahi mahi.
• Tērā pea ka tohutohu te tākuta kia whakamahia e koe tētahi mea pēnei i te tokotoko hei āwhina i a koe ki te hikoi.
• Te rongoā wera/mātao:
• Ka taea e te wera me te makariri te whakaiti i te mamae o te rumatiki, engari e rua ngā huarahi. Ka taea e ngā pēke hukapapa, ngā pēke tiēre rānei te whakaiti i te pupuhi. Ka taea e ngā papa whakamahana, ngā kaukau wera rānei te whakaiti i te pakari o ngā hononga me te whakarato i te whakamarie.
• Te whakaora tinana:
• I a koe e whakaiti ana i ētahi atu mahi, he mea nui kia mahi i ngā mahi whakakori tinana ngāwari hei pupuri i te ngāwari me te kaha o ngā hononga. Ka taea e te kaiwhakaora tinana te tohutohu i a koe mō ngā mahi whakakori tinana e tika ana māu.
• Ngā rongoā mamae e hokona kore utu:
• Tērā pea ko ngā NSAID (Nonsteroidal Anti-Inflammatory Drugs) . Ka whakaitihia e ēnei te mamae me te mumura. (Hei tauira: Ibuprofen, Diclofenac - engari he pai ake te kōrero ki te tākuta i mua i te whakamahinga).
• Ka taea hoki e ngā rongoā mamae ā-pākihi te āwhina.

Ngā maimoatanga ka tūtohu pea te tākuta i te whanaketanga o te mate:

Ina kaha ake te kino o te mate rumatiki, ka tūtohu pea tō tākuta i ngā werohanga, i ngā rongoā rānei hei whakahaere i te mate.

• Ngā werohanga cortisone: Ka tukuna tika ēnei werohanga steroid ki roto i te hononga hope. Ka whakahaerea te mamae me te mumura mō te wā poto. He maimoatanga paerewa tēnei mō te mate rumatiki hope e mumura ana.
• Werohanga plasma whai-pereti (PRP): He maimoatanga mamae rerekē te PRP, ā, he maimoatanga paerewa hoki mō te osteoarthritis. E kī ana ētahi rangahau ka taea e ia te whakaoho i te whakaoranga o te kiriuhi.
• Ngā rongoā corticosteroid ā-waha: He momo rongoā ngā steroids e pehi ana i te pūnaha ārai mate, e whakaiti ana hoki i te mumura. He rongoā paerewa ēnei mō ngā momo mumura o te rumatiki.
• DMARDS (Ngā rongoā ārai-rūmātiki whakarerekē-mate): He momo rongoā ēnei e rongoā ana i ngā momo mumura o te rumatiki. Ka whakaitihia te mumura puta noa i te tinana.

Ngā maimoatanga pokanga mēnā kāore e angitu ētahi atu maimoatanga:

Ki te kore e taea e ngā maimoatanga katoa te whakahaere i te mamae, mā te pokanga whakakapinga hononga pea e whakaora.

• Te whakahou i te hope: I roto i tēnei tikanga, ka tangohia e te taote pokanga ētahi o ngā wheua me ngā kiriuhi kua pakaru i roto i te hononga hope, ka whakakapia ki tētahi taupoki me te anga whakarewa. Ka tīmata te neke o ēnei mata me te kore e waku, me te kore hoki e mamae.
• Whakakapinga hope katoa: Ka tangohia e tēnei pokanga te hononga o tō hope me te pane o tō wheua femur ka whakakapia ki tētahi hononga horihori (prosthesis) . Ka roa te ora o tēnei hononga horihori mō ngā tau, tae atu ki ngā tekau tau.

Ka taea te whakaora katoa i te mate rumatiki hope?

Kāore he rongoā mō te osteoarthritis i tēnei wā. Arā, kāore te kiriuhi kua tawhito e whakaora anō i a ia anō. Heoi, e ai ki te kōrero i mua ake nei, ka taea te whakahaere pai i ngā tohu mā te whakamahi i ngā maimoatanga matatika.

Ki te kore e angitu aua maimoatanga, ka taea e te pokanga whakakapinga hope te whakakore katoa i ngā tohu o te osteoarthritis. I runga i tō tau, ka roa pea te mahi a te prosthesis e whiwhi ai koe mō te wa katoa. Heoi, mō te tangata taitamariki, ka tawhito haere te prosthesis i roto i te wā, nō reira ka hiahiatia pea he pokanga anō i muri i ngā tekau tau.

He uaua te rongoā katoa i te mate rumatiki mumura, engari mā te rongoā ka taea te whakahaere i te mate, te whakaiti i te kino o ngā hononga, me te kawe i te wā e taea ai e koe te noho i te oranga noa.

He aha ngā mea e whakanui ake ai i te mōrearea o te mate rumatiki hope? / He aha ngā mea me karohia e tātou?

Mena kei a koe te mate rumatiki hope, he pai ake te karo i ngā mea penei:

• Ngā mahi whakakori tinana kaha, pērā i te oma, te pekepeke rānei.
• Te hiki, te amo rānei i ngā kawenga taimaha i a koe e tū ana.
• Ngā tūpekepeke, ngā piko, ngā takahuri rānei i ngā wā katoa.
• Te noho roa, te whakawhiti rānei i ō waewae i a koe e noho ana.

He mate ngoikore te mate rumatiki, inā koa ka pā ki te hononga e tika ana mō te nekenekehanga o ia rā. Mā te mamae rumatiki kāore e taea te whakahaere ka uaua ki te mahi i tāu mahi, ki te whai wāhi atu rānei ki ngā mahi e pai ana ki a koe. Ka taea hoki e ia te whakaiti i tō harikoa ki te ao.

Hei whakamutunga, ko te mea tino nui hei maumahara

Ahakoa kua kaumātua koe, kāore koe e pāngia pēnei. He nui ngā whanaketanga ināianei mō te rongoā i te mate rumatiki hope. Ki te whiwhi koe i te rongoā hauora pai, ka taea e koe te hoki mai ki tō nekehanga me te harikoa o te ora. Nō reira, ki te pāngia koe e ngā tohu, kaua e whakama, kaua e mataku ki te toro atu ki te tākuta me te tiki tohutohu. Ko te wawe o te tīmatanga o te rongoā, ko te pai ake o ngā hua.

` Te rumatiki hope, te mate osteoarthritis, te rumatiki rheumatoid, te mamae hononga, te mamae hope, te maimoatanga rumatiki, te mamae hononga