Ki te paheke tetahi whaea, tetahi pāpā rānei kua kaumātuatia i roto i tō tātou whare, ā, ka hinga i roto i te wharepaku, ko te wehi e puta ake ana ki roto i ō tātou hinengaro ko, 'Āe, kāore au i te mōhio he aha te mea i pā ki te wheua hope.' Ahakoa e kata ana tātou i waenganui i a tātou anō "inā koroheke tātou, ka whati te hope," he mate tino kino tēnei ka pā ki ō tātou oranga. Engari kāore he take e wehi ai. Ki te tino mōhio tātou ki tēnei whati hope, ka taea e tātou te aro atu ki tētahi āhuatanga me te mohio.
He aha te whati hope?
Ko te whati hope he whati i te taha whakarunga o te wheua huha, e tata ana ki te hononga hope. Ko te ingoa hauora o tēnei wheua huha ko te 'femur'. Koinei te wheua roa rawa atu, te wheua kaha rawa atu hoki o te tinana. Nō reira, kia whati ai tēnei, me whara kino, pērā i te hinganga nui, i te aituā motuka rānei.
Engari he mea motuhake tēnei me mārama tātou ki konei. Ahakoa he nui te kaha e hiahiatia ana hei whati i tēnei wheua i roto i te rangatahi, i roto i te kaumātua, inā koa he tangata whai mate pēnei i te osteoporosis , ka taea e tēnei wheua te whati ahakoa he paheke iti, ka hinga i te kāinga.
He maha ngā wā e hiahiatia ana he pokanga hei whakatika i te whati o te hope, nō reira ehara tēnei i te āhuatanga e tika ana kia māmā noa iho.
He rerekē ngā huarahi hei whati i te hope?
Ae, ka whakarōpūhia e ngā tākuta ngā whati hope ki ētahi momo, i runga i te wāhi i puta ai te whati. He rite tō tātou hononga hope ki te hononga pōro-me-te-kōhao. Ko te wāhanga rite-pōro i te tihi o te wheua huha (upoko femur) ka uru ki roto i te kōhao i roto i tō tātou pelvis hei hanga i te hononga hope. Nō reira, ko tēnei whakarōpūtanga e hangai ana ki te wāhi i puta ai te whati i te tihi o te wheua huha.
Ka taea e koe te mārama ngāwari ki tēnei mai i te ripanga i raro nei.
| Momo whati | He whakamārama māmā |
|---|---|
| Ngā whati o te pane o te femur | He whati tēnei o te wāhanga porowhita kei te tihi o te wheua huha. Heoi, he tino onge tēnei. |
| Ngā whati o te kaki o te femur | He whati o te 'kaki' o te femur, te piriti e hono ana i te pane poroporo o te femur ki te wheua roa. Koinei te momo whati hope e tino kitea ana. |
| Ngā whati i waenganui i ngā trochanteric | He whati o te wāhi i waenganui i ngā koiwi e rua e hono ana ngā uaua, i raro noa iho i te wāhanga 'kaki'. |
He aha ngā tohu o te whati hope?
Rapua ēnei tohu i muri i te hinganga, i te aituā rānei. Koinei ngā tohu matua me ngā tohu tino kitea:
- Te mamae nui, te mamae kore e taea te tu atu i te rohe o te hope.
- Te kore e taea te neke i te hope, i te waewae rānei.
- He puku ka taea te pā ki te ringa, he rerekē rānei te āhua.
- Pupuhi rawa.
- Te marutanga me te kikorangi.
- Te āhua nei kua totoro haere ngā hope, ngā waewae rānei, kāore i te tino tūturu.
He aha ngā take o te whati hope, ā, ko wai kei te mōrearea nui ake?
Ka whati te hope o te tangata i roto i tētahi aituā, engari he nui ake te mōrearea o ētahi tāngata i ētahi atu.
Ko ngā take matua ko:
- Ngā hinganga (ina koa ko ngā hinganga mai i ngā teitei, ngā paheke rānei mō te hunga kaumātua)
- Ngā aituā motuka
- Ngā aituā hākinakina
Kia kite tātou ko wai te mea tino mōrearea.
| Kāwai mōrearea | Whakaahuatanga |
|---|---|
| Ngā tāngata neke atu i te 65 tau te pakeke | I a tātou e kaumātuatia ana, ka ngoikore haere ngā wheua, ka heke te taurite, ā, ka whati pea te wheua ahakoa he hinganga iti noa iho. |
| Ngā tāngata whai mate e ngoikore ai ngā wheua | Nā ngā āhuatanga pēnei i te osteoporosis, te osteopenia rānei, ka ngoikore te mātotoru o ngā wheua, ka ngawari hoki te whati. |
| Ngā wāhine | He nui ake te mōrearea o ngā wāhine, inā koa i muri i te paheketanga, nā ngā huringa homoni e pā ana ki te kaha o te wheua. |
| Ngā tāngata whai mate e pā kino ana ki te taurite | Ka piki ake te mōrearea o te hinganga i ngā āhuatanga pēnei i te mate a Parkinson, te pororaru, te mate haurangi rānei. |
Me pēhea te tātaritanga tika a te tākuta i tēnei?
Ina kawea koe ki te hōhipera i muri i tētahi aituā, ka tirohia tuatahitia koe e te tākuta o te Wāhanga Maimoatanga Ohotata (ETU). Kātahi ka whakahaerehia e rātou ētahi whakamātautau hei whakatau mēnā kua whati te wheua, ā, mēnā koinā, kei hea, ā, me pēhea hoki te whati.
- X-ray hope: Ka taea e tēnei te whakaatu mārama i te whati.
- MRI (Whakaahua Āhua Aukume): Ka taea e tēnei te kite i ngā whati tino ngawari kāore e kitea i runga i te hihi-X.
- Matawai CT (Matawai Tomography Rorohiko): Mā tēnei ka āwhina i te tiki atu i ngā kōrero taipitopito mō te whati o te wheua.
Me pēhea te rongoā? Me mahi pokanga?
Tata ki te hunga katoa e whati ana te hope ka hiahiatia he pokanga. Ko te momo pokanga e hiahiatia ana e koe ka whakawhirinaki ki te momo whati, tōna kaha, tō tau, me tō hauora whānui. E rua ngā momo pokanga matua.
| Momo pokanga | Kei te aha koe? |
|---|---|
| Te Whakakapinga Hope / Te Whakatō Hope | Ko te tikanga o tēnei pokanga he mahi mā te hunga neke atu i te 65 tau te pakeke. I tēnei pokanga, ka tangohia te wheua whati, ka whakakapia ki tētahi hononga horihori he mea hanga ki te konganuku, ki te kirihou, ki te uku rānei. Tērā pea ka whakakapia katoatia, ka whakakapia wāhanga rānei. |
| Whakaiti Tuwhera me te Whakatikatika ā-Roto (ORIF) | I konei, ka whakahokia ngā wahi wheua whati e te taote pokanga ki tōna tūranga, ka whakauru i ngā tīwiri, ngā pine, ngā pereti, ngā tokotoko rānei hei pupuri i a rātou kia ora rā anō. Mō ētahi tāngata, ka waiho ēnei ki roto i te tinana mō te wā roa. Mō ētahi atu, ka tangohia i roto i tētahi atu pokanga i muri i te ora o te wheua. |
He aha ngā raruraru ka puta i muri i te pokanga?
Pērā i ngā pokanga katoa, he iti noa ngā mōrearea e pā ana ki ēnei pokanga. Ko ētahi o ngā raruraru matua ka pā mai ko:
- Te Mate Kohakore o te Pūnaha Okana: Ka raruraru te rere o te toto ki te wheua, ka mate ngā pūtau wheua.
- Kore-hononga: Ko te korenga o ngā wheua whati e hono tika anō tetahi ki tetahi.
- Malunion: Te hē o te tūnga o ngā wheua whati.
- Mate Wheua (Osteomyelitis): I ētahi wā, ina koa ka kitea te wheua mā roto i te kiri (whati tuwhera), ka pā mai pea te mate kitakita.
- Ngā Puku Toto: He tūponotanga kei te pupuhi ngā waewae i te toto nā te roa o te kore e nekeneke i muri i te pokanga.
Kia pēhea te roa o te wā e ora ai?
E hia pea ngā marama, tae atu ki te tau , ka ora katoa i muri i te whati o te hope. He tukanga āta haere tēnei. Ko te roa o te wā e ora ai koe, e whakawhirinaki ana ki ētahi āhuatanga:
- Te momo pokanga i mahia e koe
- Tō tau me tō hauora whānui
- Mehemea i whara anō ētahi atu i roto i te aituā
Me tīmata wawe tonu te whakaora tinana (PT) i muri i te pokanga. Ka roa tēnei maimoatanga mō ētahi marama. Mā te kaiwhakaora tinana koe e ako ki ngā mahi whakakori tinana hei whakapakari i ngā uaua huri noa i tō hope, hei āwhina hoki i a koe kia hoki ki te hikoi.
Me whakamahi koe i te hikoi, i te tokotoko, i te tokotoko rānei hei hikoi i te tīmatanga. Mā tō tākuta, mā tō kaiwhakaora tinana rānei koe e kī atu kia hia te roa e hiahiatia ana e koe te whakamahi i ēnei.
He aha te take he morearea te whati hope? Ina koa mō ngā kaumātua...
He āhuatanga ohorere hauora te whati o te hope, nā te mea, haunga te whati o te wheua, ka taea hoki e ia te kino i ngā hanganga nui e karapoti ana.
Whakaarohia, i roto i tētahi aituā kino rawa atu e whati ai te wheua huha, tera pea ka pakaru te uaua femur e rere tata ana. Mēnā ka tupu tēnā, ka nui te toto ka puta, ā, ka mate pea.
He nui ake te mōrearea o tēnei āhuatanga mō te tangata neke atu i te 65 tau te pakeke. I a tātou e pakeke haere ana, ka heke te kaha o te tinana ki te whakaora. Nō reira, ka roa ake te ora o tētahi patunga nui pēnei. Ka uaua hoki te aro atu ki te pokanga me te tukanga whakaora i muri mai mō te kaumātua.
Ko te mea nui, ahakoa kua ora ake te kaumātua i te whati hope, tera pea ka mataku tonu rātou ki te hikoi anō, ki te haere ki waho i te aroaro o te marea, ki te mahi rānei i ā rātou ake mahi. Ko te hua o tēnei, ko te mokemoke me te iti haere o ngā mahi ka pā kino ki tō rātou hauora whānui.
He aha tā tātou e taea ai te ārai i tētahi aituā pēnei?
Ahakoa e kore e taea e tātou te whakahaere i ngā tūponotanga, he maha ngā mea ka taea e tātou te mahi hei whakaiti i te tūponotanga.
- Kia haumaru te taiao o tō kāinga: Whakawāteahia ngā mea kāore e hiahiatia ana i tō kāinga me tō wāhi mahi, ā, whakaitihia hoki ngā tūponotanga ka taka. Whakatakotoria he whāriki kore-paheke ki roto i te wharepaku. Kia mārama te rama.
- Whakamātautauhia te mātotoru o te wheua: Mena kei runga ake koe i te 65 tau te pakeke, kei te pāngia rānei tētahi o tō whānau e te osteoporosis, kōrero ki te tākuta mō te whakamātautau mātotoru o te wheua.
- Kai pai me te whakakori tinana: Kai i ngā kai e nui ana te konupūmā me te huaora D. Mā te whakakori tinana e amo ana i te taumaha, pērā i te hikoi, ka āwhina i te whakapakari i ngā wheua.
- Whai i ngā mahi whakatūpato haumaru: Kaua e piki ki runga i ngā tūru, i ngā tēpu rānei hei toro atu ki tētahi mea i runga ake. Whakamahia tonutia ngā taputapu tika. Me mau tonu he whitiki nohoanga ina eke waka ana.
Āhea koe me haere tonu ki te ETU (Emergency Treatment Unit)?
Ki te whakapae koe kua whati te hope, he āhuatanga ohorere hauora tēnā. Haere ki te hōhipera, waea atu rānei ki te waka tūroro i taua wā tonu. Kaua e whakaroa, ina koa mēnā kei a koe ētahi o ēnei tohu i muri i te hinganga, i te aituā rānei:
- Ki te kore e taea e koe te neke i tō hope, i tō waewae rānei.
- Mena he mamae e kore e taea te manawanui.
- Mena ka kumea te hope, te waewae rānei, ā, he āhua rerekē te āhua.
- Mena ka werohia te kiri, ā, ka kitea te wheua.
- Mena kua tino pupuhi te hope.
- Ki te kite koe i tētahi marutanga kino me ēnei tohu.
Ka taea e koe te hikoi me te whati o te hope?
Kāore rawa. Kaua e tū, kaua hoki e hikoi me te taumaha i runga i te hope whati. Mā te pēnā ka kino ake te whati, ka pā mai hoki ētahi atu raruraru.
Me nekehia e tātou tētahi he whati tōna hope?
Kāo. Ki te whakapae koe kua whati te hope o tētahi, waea atu ki te waka tūroro tonu. Āwhina kia mau tonu te hope o te tangata, kia kore e nekeneke kia tae mai rā anō ngā tohunga hauora kua whakangungua, ka kawe i a ia ki te hōhipera. Kaua e pēhi i te waewae, kaua e ngana ki te tū, kaua hoki e ngana ki te hikoi.
Karere Tangohia ki te Kāinga
- He tino kino te whati o te hope, he mate morearea hoki, inā koa mō te hunga kaumātua.
- Mena ka pāngia koe e te mamae nui i te rohe hope, ka pupuhi, ā, kāore e taea te neke i tō waewae i muri i te hinganga, i te aituā rānei, tera pea he whati hope. Haere tonu ki te ETU.
- He mea tika te pokanga i ētahi wā, nō reira he mea tino nui kia whai tika koe i ngā tohutohu a tō tākuta.
- Ka roa pea te wā whakaora. He mea nui te whakaora tinana mō te tukanga whakaora i tēnei wā.
- Ka taea te whakaiti i tēnei mōrearea mā te whakarite kia haumaru te taiao o tō kāinga hei ārai i ngā hinganga, mā te kai i ngā kai momona i te konupūmā me te whakakori tinana kia kaha tonu ai ō wheua.











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