Kei te pāngia koe e tēnei momo mamae i tō hope? Me kōrero tātou mō te pakaru o te hope!

Kua pāngia koe e te mamae koi, te kikī, te kōpiripiri rānei i tō hope? Tērā pea ka kino ake tēnei mamae ina hikoi koe, ina piko, ina whakakorikori tinana rānei. Mēnā kei a koe ēnei tohu, tera pea nā te pakaru o te hope i roto i tō hononga hope. Me kōrero taipitopito atu tātou mō tēnei i tēnei rā.

He aha te haehae o te hope?

He kupu ngāwari noa iho, ko te pakaru o te hope o te labrum he whara ki te labrum, he mowhiti kiriuhi kei roto i tō hononga hope. Āe, me titiro tātou ki te mahi a tēnei hononga hope me te mahi a te labrum.

Ko ngā hononga o roto i ō tātou tinana te wāhi e hono ai ngā wheua e rua tetahi ki tetahi. Ko tō hononga hope te wāhi e hono ai tō wheua huha (femur) me tō pelvis (pelvis) . Hei whakamārama, he rite te tihi o te wheua huha (upoko femoral) ki te pōro. E piri ana tēnei pōro ki tētahi hanganga rite ki te kapu (acetabulum) i roto i te wheua hope.

Kei te taha o tēnei pūwero rite ki te kapu, te acetabulum, he kiriuhi ngohengohe, tiaki e kiia nei ko te labrum . He rite ki te horoi. Ka tiaki i te kapu, ka ārai hoki i te mirimiri o ngā wheua e rua tetahi ki tetahi. Ka āwhina hoki te labrum i ngā wheua i roto i te hononga hope kia neke maeneene, ā, ka hiritia te āputa i waenganui i ngā wheua. Arā, ka āwhina i te pupuri i ngā wheua kia piri tahi, engari kaua e pā tika tetahi ki tetahi.

Nō reira, ki te pakaru tēnei labrum mō tētahi take, koinā te mea e kiia nei e mātou he haehae labrum. Ki te mamae tō hope, ki te pakari rānei mō ētahi wiki, ko te mea pai ko te toro atu ki te tākuta.

He aha ngā tohu o te pakaru o te labrum i te hononga hope?

Āe, me titiro tātou ki ngā tohu ka pā ki te tangata he roimata i te taha o te ihu. Kāore e rite ngā tohu mō te katoa. Heoi, ko ngā tohu tino kitea ko:

• Mamae hope: Ka puta pea tēnei mamae ina piko tō hope, ina nekehia, ina whakakorikori tinana, ina takaro hākinakina rānei.
• Pakari: He kare ā-roto e pakari ana te hope.
• He tangi pāwhiri, he pakū rānei: Ina nekehia tō hope, tera pea ka rongo koe i te tangi 'pākū', i te pakū rānei o tetahi mea i roto.
• Te Pōturi: He āhua o te ngaronga o te mana whakahaere me te paheke o te hope, ahakoa e tū ana, e neke ana rānei.

I ētahi wā, ki te iti noa te haehae o te labrum, kāore pea he tohu e kitea. Tērā pea kāore te tangata e mōhio kei a rātou te mate, ā, ka kitea noa iho i te wā e mahia ana he whakamātautau whakaahua mō tētahi atu take.

He aha rawa te āhua o tēnei mamae?

He rerekē te mamae o te katoa. Ka rerekē anō hoki te āhua o te mamae i runga i te kaha o te pakaru o tō waha me te mea he mate kē atu āu. I te nuinga o te wā, ka taea te whakaahua i tēnei mamae penei:

• He mamae puhoi e mau tonu ana: me te mea kei te mamae tonu tetahi mea i roto.
• Te mamae koi, te mamae wero i ētahi tūranga, i ētahi mahi rānei: Hei tauira, ka puta pea tēnei momo mamae i te moe i te taha e mamae ana, i te wā rānei e whakakorikori ana.
• Me te mea kei te puta mai te mamae i roto i te tinana: Kāore pea e rite ki te kōpiripiri papatahi, ki te mamae uaua rānei, engari he mea hohonu ake, pērā i te mamae wheua .
• Mamae e horapa ana: Ka pāngia pea ētahi tāngata e te mamae i te hope, te tuara o raro, te waewae rānei nā te pakaru o te hope.

Whakaarohia, i ētahi wā ka huri pea tō hikoi me tō tūnga nā te mamae nei. Ina huri koe i tō tūnga tinana me te kore e mōhio, ka nui ake te taumahatanga ki ngā uaua me ētahi atu kiko huri noa i tō hope kua whara.

He aha ngā take o ngā roimata o te hope?

Āe, he aha te take e puta ai ngā roimata labral? He māmā noa iho, ko ngā mea katoa e pēhi nui ana i tō hononga hope ka kino pea te hononga, ka puta ai he roimata labral. Ko ngā take tino noa ko:

• Femoroacetabular Impingement (FAI): He ingoa uaua pea tēnei, engari ko tōna tikanga kāore ngā wheua o tō hononga hope e hono tika ana. He rite ki te pou tatau kāore e hono tika ana. Ina kore ngā wheua e hono tika ana, ka pēhia tonutia te labrum o te hope. I roto i te wā, ka pakaru pea te labrum i tēnei pēhanga me te waku. Ka karangatia hoki tēnei mate e ngā tākuta ko te Hip Impingement .
• Ngā whara: Ka taea hoki e ngā whara hākinakina, ngā hinganga, me ngā aituā motuka te take o te pakaru o te hope. Hei tauira, ko te hinganga ohorere, ko te hurihanga hē rānei o te hope i te wā e takaro ana i ngā hākinakina ka puta ai tēnei momo whara.
• Osteoarthritis: Koinei te mea e kīia nei e tātou ko te "mate rumatiki e mau ana, e haehae ana." Ka puta tēnei āhuatanga i te ahotea noa e pā ana ki ō tātou hononga i ia rā i roto i te wā. Mena he mate rumatiki tōu, ka taea e te kiriuhi o te hononga te memeha, ā, ka taea hoki e te labrum te haehae.

Ko wai te mea tino mōrearea ki tēnei mate?

Ina hoki, ka taea e te tangata te haehae i te whitiki hope o te hononga hope, ahakoa he aituā, he take kē atu rānei. Heoi, he nui ake te mōrearea o ētahi kaitākaro nā te mea ka nui ake te taumahatanga e pā ana ki ngā hononga hope. Hei tauira:

• Hoki
• Kanikani
• Whutupaoro (Whutupaoro - Whutupaoro Amerika/Whutupaoro)
• Whutupaoro
• Korowha
• Ngā mahi whakakori tinana

I ngā hākinakina pēnei, ka neke tere tonu te hope i ngā ahunga rerekē, nō reira he nui te tūponotanga ka pakaru te labrum nā ngā nekehanga ohorere.

Me pēhea te tautuhi a ngā tākuta i te roimata labral?

Ina haere koe ki te tākuta mō te mamae o te hope, ko te mea tuatahi ka mahia e ia ko te tirotiro tinana i a koe, me te pātai atu mō ō tohumate. Me mārama koe ki te wā i tīmata ai koe ki te pāngia e te mamae me ētahi atu tohumate, me ngā mahi, ngā nekehanga, ngā tū rānei e kino ake ai.

Kātahi ka tono pea te tākuta kia nekehia tō hope, kia tū, kia takoto, kia hikoi. Ki te mamae koe i tēnei wā, kōrerotia ko ēhea nekehanga te mea tino mamae.

He maha ngā wā, me mahi anō hoki e te tākuta ētahi whakamātautau whakaahua motuhake hei tango whakaahua i te hononga hope me ngā kiko e karapoti ana. Kei roto i ēnei ko:

• X-ray hope
• Matawai Ultrasound
• Whakaahua Āhua Aukume (MRI)
• Matawai Tomography Rorohiko (CT)

Ko ēnei whakamātautau anake te huarahi e tino mōhio ai mēnā kua pakaru te labrum, te nui o tōna pakaru, me mēnā he raruraru anō kei reira.

He aha ngā maimoatanga mō te pakaru o te labrum i te hononga hope?

Āe, me titiro tātou ki ngā maimoatanga e wātea ana mō tēnei. Ka tūtohu tō tākuta i ngā maimoatanga hei āwhina i te whakahaere i ō tohumate. Ko te pokanga anake te huarahi hei whakatika katoa i te pakaru o te hope. Heoi, ka taea e ētahi tāngata te whakahaere i ō rātou tohumate mā te whakamahi i ngā maimoatanga kore-pokanga.

Ko ngā maimoatanga e whakamahia whānuitia ana ko:

• Ngā rongoā mamae kore utu (OTC): Ka taea e ngā NSAID kore utu (pērā i te ibuprofen, te aspirin, me te naproxen) me te acetaminophen te āwhina ki te whakaiti i te pupuhi me te whakamamae i te mamae. Engari kia mahara, kaua e tangohia ēnei rongoā mamae mō ngā rā neke atu i te 10 me te kore he tohutohu hauora.
• Corticosteroids: He rongoā kaha ēnei e tohua ana e te tākuta hei whakaiti i te mumura. I ētahi wā, ka werohia e tō tākuta tētahi o ēnei corticosteroids tika ki roto i tō hononga hope.
• Whakaora tinana: Mā te kaiwhakaora tinana koe e ako ki ngā totoro me ngā mahi whakapakari tinana hei whakapakari i ngā uaua huri noa i tō hononga hope kua whara, hei whakanui ake hoki i te ngāwari. He maimoatanga tino nui tēnei.

Pokanga Roimata o te Hope Labral

Mena he nui ngā tohumate e pā mai ana ki a koe, ki te kore rānei ētahi atu maimoatanga e āwhina i muri i ētahi marama, ka tūtohu pea tō tākuta kia pokangahia hei whakatika i te pakaru o tō hope.

Ko te tikanga, ka whakahaerehia e te taote pokanga he tikanga e kiia nei ko te hip arthroscopy . I roto i tēnei, ka whakauruhia he kāmera me ngā taputapu ngawari mā roto i ētahi tapahi iti hei whakatika i te pakaru o te labrum me ētahi atu kino i roto i te hononga hope. Mena kei a koe te pānga o te hope kua whakahuatia ake nei, tera pea ka taea e rātou te whakarite anō i ngā wheua i te wā kotahi kia tika ai te hononga.

Ko ngā arthroscopie hope he tikanga mahi ā-waho i te nuinga o te wā, arā, ka taea e koe te hoki ki te kāinga i taua rā anō. Mā tō tākuta, mā tō taote rānei tēnei e whakamārama ki a koe i mua i te tikanga.

Ka taea e tēnei roimata te whakaora i a ia anō?

Kāo, kāore e ora noa ngā pakaru o te hope o te hope. Ko te pokanga anake te huarahi hei whakatika i te pakaru o te hope. He iti rawa ētahi pakaru, kāore e mamae, e puta ai ētahi atu tohu. Heoi, ahakoa ngā pakaru iti pēnei, kāore e ora noa iho me te kore pokanga.

Heoi, ki te kore he tohu kino e pā ki a koe, ā, kāore te haehae o te labrum e pā ki tō kounga o te oranga, ki ō mahi rānei o ia rā, ka taea pea e koe te ora me taua mea me te kore pokanga.

Kaua rawa e warewarehia te mamae, te kōpikopiko, me ētahi atu tohumate. Ki te kore te mamae o tō hope e pai ake i muri i ētahi wiki o te okiokinga me ngā maimoatanga kāinga, me toro atu ki te tākuta.

He aha ngā huarahi hei ārai i te pakaru o te hope labrum?

Ina hoki, he uaua te ārai i te pakaru o te hope. Nā te mea ko te nuinga o ēnei ka puta mai i te āhua tūturu o tō hononga hope (mēnā he FAI tōu), he mate hauora kāore e taea te ārai (pēnei i te osteoarthritis ), he whara ohorere rānei.

Heoi anō, he mea pai kia whai i ēnei tohutohu haumaru whānui hei whakaiti i ngā kino i puta mai i ngā aituā:

• Puritia tō kāinga me tō wāhi mahi kia matara atu i ngā mea e kore e taea te tūtaki i a koe, i ētahi atu rānei.
• Ina hiki ake i tētahi mea kei te teitei o te whare, me whakamahi tonu i tētahi taputapu e tika ana mō taua mahi. Kaua rawa e piki ki runga i ngā tūru, i ngā tēpu, i ngā papa rānei.
• Mena he uaua ki te hikoi, he nui rānei te tūponotanga o te hinga, whakamahia he tokotoko, he taputapu hikoi rānei.

I te wā e takaro ana i ngā hākinakina, i ētahi atu mahi ā-tinana rānei:

• Me mau ngā taputapu tiaki tika mō ia hākinakina.
• Ki te mamae tō hope, ahakoa i te wā e mahi ana koe, i muri rānei i te mahi tinana, kaua e "whakaiti noa i te mamae".
• Hoatu he wā ki tō tinana kia okioki ai, kia ora ai hoki i muri i ngā mahi uaua.
• Whakamahanahia te tinana, me totoro hoki te totoro i te tinana i mua i te tākaro hākinakina, i te whakakorikori tinana rānei.
• I muri i te mahi whakakori tinana , whakamatao, ka totoro anō .

He aha tāu e tumanako ai mēnā he pakaru te labrum i tō hope?

He maha ngā tāngata e pāngia ana e te pakaru o te hope, ka taea te whakahaere i ō rātou tohu mā te whakamahi i ngā maimoatanga maha. Mena kua tangohia e koe he rongoā, kua oti te whakaora tinana, ā, kei te mamae tonu koe, kei te pāngia rānei e ētahi atu tohu, kōrero ki tō tākuta. Māna e kī atu ki a koe mēnā me whakaaro koe ki te pokanga.

Ahakoa kāore e ora noa ngā pakaru o te hope, kāore koe e hiahia ki te noho me te mamae tonu, te kore whakamarie rānei. Ki te mea kei te rerekē haere ō tohumate – ina koa kei te kino haere, kei te whakararuraru rānei i ō mahi o ia rā – kōrero ki tō tākuta. Ka taea e ia te āwhina i a koe.

Kia pēhea te roa o te wā e ora ai?

E whā ki te ono marama te roa o te wā hei whakaora i te mahi arthroscopy hope . Mā tō taote pokanga e kī atu ki a koe te roa o te wā e hiahiatia ana, i runga i tō āhua.

Mena kei te whai maimoatanga ā-pūmau/kore pokanga koe, tērā pea kāore he wā whakaora motuhake mōu. Nā te mea kāore ngā rongoā me te whakaora tinana e whakatika i te pakaru. Heoi, ki te taea e koe te whakahaere i ō tohumate me te pupuri i aua tohumate me te kore e pā ki ō mahi o ia rā, tērā pea kāore koe e hiahia ki te pokanga.

Ka taea e koe te hikoi me te pakaru o te hope labrum?

Ka taea e te nuinga o te tangata te hikoi me te pakaru o te hope. Ko ētahi kāore e mamae. Ko ētahi ka taea te hikoi me te neke haere, engari ka kitea te kore whakamarie.

Ahakoa ka taea e koe te hikoi, te nekeneke haere, te whakakori tinana rānei me te pakaru o te hope, kāore pea i te haumaru te whai wāhi atu ki ngā mahi tinana kaha.Kōrero ki tō tākuta mō ngā mahi ka taea e koe te mahi haumaru.

Āhea ahau me toro atu ki te tākuta?

He tino noa te mamae o te hope. I te nuinga o te wā, tera pea ētahi take ka taea te rongoā i te kāinga mā te okioki, te hukapapa, me ngā rongoā whakamamae mamae ka taea te hoko kore utu. Heoi, ki te kore e pai ake tō mamae hope, tō pakari, me ētahi atu tohu i muri i ētahi wiki, tirohia he tākuta. Kaua hoki e warewarehia te mamae mēnā ka hoki mai anō, ka kino haere rānei.

Ngā āhuatanga e tika ana kia rapua he maimoatanga ohorere

Mena kei a koe tētahi o ngā tohu e whai ake nei, haere tonu ki te rūma whawhati tata:

• Te mamae nui o te hope, o te hope rānei.
• Mena ka pāngia koe e tētahi whara, pērā i te hinganga, i tētahi aituā motuka rānei.
• Ki te kore e taea e koe te neke, te whakatakoto rānei i tetahi taumaha ki tō hope, ki tō waewae rānei.

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

Ina haere koe ki te kite i tō tākuta, he mea pai kia pātaihia ēnei pātai kia mārama ai koe ki tō āhua:

• He pakaru hope tōku, he whara rānei?
• He aha ngā momo whakamātautau me mahi e au?
• Ko ēhea ngā maimoatanga kore-pokanga e pai ana mōku?
• Āhea ahau me whakaaro ki te pokanga?
• He aha ngā mahi, ngā hākinakina rānei me karo e au?

Ngā mea hei maumahara mā tātou mai i tēnei pūrākau (Karere hei tango ki te kāinga)

Āe, kua maha ā tātou kōrero mō tēnei mate e kiia nei ko te haehae hope. Ko te nui o tōna kino kei te āhua o te tupu me te nui o tōna pānga ki te whakamahinga o tō hope. He iti rawa ētahi haehae, kāore pea koe e mōhio kei a koe tētahi. Tērā pea ka taea e koe te whakahaere i ngā tohu o tētahi haehae iti mā te whakaora tinana, mā te rongoā mamae rānei e hoko kore utu.

Heoi anō, ko ētahi o ngā roimata o te puku ka nui rawa te kino, ā, me pokanga. Ka taea e ēnei roimata te whakararu i te mamae nui, ā, ka uaua (ka kore rānei e taea) te nekeneke me te mahi.

He mea noa te mataku ina rongo koe i tētahi mea i roto i tō tinana e kiia nei he "torn". Heoi, he maha āu kōwhiringa hei whakahaere i te pakaru o te hope labrum. Tērā pea ka tūtohu tō tākuta i ngā maimoatanga kore-pokanga mō ētahi marama i te tīmatanga. He maha ngā tāngata ka taea te whakahaere i ō rātou tohumate kia kore ai e pokanga. Heoi, ki te mamae tonu koe i muri i tētahi wā, me whai pea koe i te hip arthroscopy .

Ahakoa me pokanga koe, me kōrero ki tō tākuta mō ō kare ā-roto. Kāore koe e hiahia ki te noho me te mamae, ā, ehara i te mea pai mō tō hauora te noho tonu i roto i te mamae.Kia pono ki tō tākuta mō ō kare ā-roto me te nui o te pānga o ō tohu ki ō mahi o ia rā. Māna koe e āwhina ki te hoki ki tō oranga o ia rā.

Te haehae hope o te hope, te mamae o te hope, te mamae o ngā hononga, te kiripaka, te tirotiro i te uaua, te whakaora tinana