Kua whati tō wheua o runga o tō ringa? Me kōrero tātou mō te (Humerus Fracture)!

Āue! Kei te mamae tō ringa? Tērā pea i muri i te hinganga, i te aituā rānei, kua pāngia koe e te mamae nui me te pupuhi i tō ringa o runga, ā, kāore e taea te neke? Mēnā koinā, tera pea he `(Humerus Fracture )` tōu, arā, he whati o te wheua o te ringa o runga. Kaua e manukanuka, me kōrero tātou mō tēnei mea me te taipitopito, me te tino māmā.

He aha tēnei `(Whāwhati o te Humerus)`? Kia mārama tātou!

Āe, me titiro tuatahi tātou he aha tēnei wheua e kiia nei ko te `(Humerus)`. Ko te wāhanga o runga o tō ringa mai i tō pakihiwi ki tō tuke, ā, koinei anake te wheua roa kei reira, ko te `(Humerus)`. Nō reira, ina whati tēnei wheua, ina whati, ka kiia e ngā tākuta ko te `(Humerus Fracture)`. Ehara tēnei i te mea noa pēnei i tō whakaaro, engari ka paku kino pea mēnā ka puta.

I te nuinga o te wā, ka puta ēnei momo whatiwhatinga nā ngā aituā (ngā whara). Whakaarohia he aituā motuka, he hinganga mai i te teitei, me ētahi atu. I ēnei wā ka whati pea tēnei wheua kaha.

Ki te whati tō humerus, me pokanga pea koe hei whakatika. Engari kāore e hiahiatia ana e te katoa te pokanga. Ka taea e ētahi tāngata te ora me te whakamahi noa i te whitiki, te maka, te whitiki rānei. Heoi, me whai rongoā tinana koe kia taea ai e tō ringa te whakamahi katoa.

He rerekē ngā momo whati?

Āe, ka whakarōpūhia e tō tākuta tō wheua whati i runga i te āhua o tōna whatinga. He mea tino nui tēnei whakarōpūtanga hei whakatau i te maimoatanga. Me titiro tātou ki ētahi o ngā momo matua.

Ngā momo e ai ki te āhua o te pakaru:

Ko tā mātou e titiro nei ko te āhua o te 'rārangi whati'.

• Whati whakawhiti: He whati whakawhiti o te wheua.
• Whati piko: He whati o te wheua i tētahi koki.
• Whati porowhita: He whati e whati ai te wheua i roto i te porowhita, pērā i te porowhita. Ka puta pinepine tēnei ina piko te ringa.
• Whati wāhanga: He wheua e whati ana i ngā wāhi e rua, neke atu rānei, me te wehenga o tētahi wahi i waenganui.
• Whati pakaru: He whati e whati ai te wheua kia maha ngā wahi. He uaua ake tēnei.
• (Whati pā): Ina panaia ngā wahi wheua whati tetahi ki tetahi.
• (Whati o te hononga whitiki / whati o te hononga tora): He mea noa ake tēnei i roto i ngā tamariki nohinohi. Kāore te wheua e whati katoa, engari ka piko paku ki roto i te taha kotahi.
• (Whati/Ngatata): He whati iti noa iho i te wheua.

Ngā momo e ai ki te āhua i puta ai te pakaru:

• Whati ahotea: He whati iti i roto i te wheua i puta mai i te pēhanga, te taumahatanga rānei i te wāhi kotahi. Ka pā pea tēnei ki ngā kaitākaro.
• Te whati o te wheua: Ka whati tetahi wahi iti o te wheua i te wāhi e piri ai te uaua, te uaua rānei ki te wheua.

He momo whati motuhake e tata ana ki te tuke: `(Ngā whati o te humerus supracondylar)`

Ki te whati te wheua o tō ringa o runga i runga ake i te tuke, ka kiia he "whati supracondylar." He mea tino noa tēnei i roto i ngā tamariki nohinohi . I te nuinga o te wā ka puta ina hinga te tamaiti me tōna ringa e totoro ana, ā, ka tau te taumaha ki te whenua. Ka tātaritatia, ka rongoatia hoki tēnei e ngā tākuta, pērā i ngā whati katoa.

Tuwhera, kati rānei? ('Wāhanga tuwhera, whati kati rānei')

He whakarōpūtanga tino nui anō hoki tēnei.

• (Whāwhati tuwhera): Koinei te wā ka pakaru te wheua whati mā roto i te kiri, ka puta. He ahua morearea tēnei nā te mea ka nui ake te tūponotanga o te mate , ā, ka roa ake te ora.
• (Wāwhati kati): I konei ka whati te wheua, engari kāore te kiri i whati. He kino hoki tēnei, engari kāore i te rite te mōrearea o te mate ki te 'wāwhati tuwhera'.

Kua nekehia ngā kongakonga wheua? ('Ngā whati o te humerus kua nekehia')

Mā te tākuta anō hoki koe e kī atu mēnā he whati kua nekehia, kāore rānei.

• (Whati kua nekehia): Ko te tikanga o tēnei, ina whati te wheua, ka neke haere ngā wahi e rua, ka hanga he āputa nui i waenganui i a rāua. Kāore rāua i te tū tika. He maha ngā wā ka hiahiatia he pokanga hei whakatika i ēnei momo whati.
• (Whati kore-nekehanga): Kua whati te wheua, engari kāore anō kia nekeneke haere ngā wahi, kei te tū tonu i tōna tūranga.

Kei hea e taea ai te whati i te wheua o runga o te ringa ('Humerus')?

Ka kōrero anō tō tākuta mō te wāhi tuturu o te wheua whati. Ka whakamahia e rātou ngā kupu motuhake mō tēnei.

• Tauwāhi (`Tauwāhi - tata me tawhiti`): Mā ēnei kupu e rua koe e mōhio ai kei hea te whati i te taha o te wheua.
• (Proximal): Koinei te pito o runga o te wheua, te wāhanga e tata ana ki te pakihiwi . Nō reira, ko te 'whati o te humerus proximal' ko te tikanga kua whati te wheua i tō ringa o runga i te wāhi e hono ana ki te pakihiwi.
• (Tawhiti): E pā ana tēnei ki te pito o raro o te wheua, koinei te wāhanga e tata ana ki te tuke . Ko te 'whati o te humerus tawhiti' ko te whati o te wheua i te tuke.
• Ngā Wāhanga o te Iwi (`Anatomy`): Ahakoa he kotahi te wahi o tō wheua, he rerekē ngā wāhanga ka whati. Kei te wheua `humerus` ngā wāhanga e kiia nei ko te `head` (te wāhanga o runga e tata ana ki te pakihiwi), te `shaft` (te wāhanga waenga rite ki te tokotoko), me te `distal aspect` (te wāhanga o raro e tata ana ki te tuke). Ka whakamahia e ngā tākuta ngā kupu pēnei i te `surgical neck` me te `greater tuberosity` hei whakaahua i te wāhi tika o te pakaru o te wheua. Kāore koe e hiahia ki te mōhio nui mō ēnei, engari he mea nui ki ngā tākuta.

Ko wai ka pāngia e ēnei momo whati? He aha te auau o ēnei?

Ina hoki, he mea ka pā te whati o te humerus ki te tangata, pērā i ngā whati wheua kē atu. Nā te mea he maha ngā wā ka puta mai ēnei i ngā aituā kino, kāore e taea e tātou te matapae i te wā, te pēhea, me te tangata rānei ka pā te aituā.

Heoi, ehara i te mea tino noa ngā whati o te humerus. O ngā whati katoa, he iti iho i te 10% he whati o te humerus.

I te nuinga o te wā, ka whati te wheua o te humerus i te tihi, e tata ana ki te pakihiwi (whati o te humerus proximal), kaua i te raro, e tata ana ki te tuke (whati o te humerus distal).

He aha ngā tohu o te whati o te humerus?

Mena he whati tō humerus, ka pāngia pea koe e ngā tohu penei:

• Mamae nui (`Pain`)
• Pupuhi
• Te ngawari ( mamae ina pāngia, ina pēhia rānei)
• Te kore e taea te ruru ringa i te nuinga o te wā
• Te pakarukaru, te huri rānei o te kiri
• He āhua rerekē, he puku rānei kei te ringa, ehara i te mea noa

Ko te mea nui, ki te whati tō wheua humerus, tera pea ka pakaru hoki ētahi atu kiko e karapoti ana.

Kei roto pea i tēnei:

• Uaua : Ō biceps (uaua o mua) me ō triceps (uaua o muri).
• Ngā io: Ko ō io matua e toru, te io waenga, te io ulnar, me te io radial, e hono katoa ana ki te wheua humerus. Mēnā ka pakaru ēnei, ka ngaro pea te rongo me te nekehanga o te ringa.
• Te tohatoha toto : Tō uaua roro (tō uaua toto matua) me tō uaua.

He aha ngā take o te 'Whāwhati o te Humerus'?

E ai ki te kōrero i mua ake nei, he maha ngā wā ka puta mai ēnei i ngā aituā (ngā whara) . Ko te humerus tētahi o ngā wheua tino kaha o te tinana. He nui te kaha e hiahiatia ana hei whati.

He maha ngā take matua:

• Ngā aituā motuka
• Te hinganga - ina koa mai i te teitei, te hinga rānei i runga i tō ringa.
• Ngā whara hākinakina - ka pā pea ki ngā hākinakina e pā ana te ringa ki a rātou.

Mena kua ngoikore ō wheua nā te mate pēnei i te osteoporosis , he nui ake te tūponotanga ka whati tō wheua.

Kia ako tātou i ētahi kōrero mō te 'Osteoporosis'

` Osteoporosis`"Ka ngoikore ngā wheua i tēnei, ā, ka whati ohorere, ka kore e tūmanakohia. He maha ngā tāngata ka mōhio noa kei a rātou te "Osteoporosis" i muri i te whati o te wheua. Nā te mea kāore he tohu e kitea ana i te tīmatanga."

I muri i te 50 tau te pakeke, he nui ake te mōrearea o ngā wāhine ki te pāngia e te osteoporosis. Nō reira, he mea pai kia kōrero koe ki tō tākuta mō te tirotiro i te kiato o te wheua. Mā tēnei ka āwhina i te kimi i te mate i mua i te whati o te wheua.

Me pēhea te mōhio ki te 'Whāwhati o te Humerus'?

Ka tirohia e tō tākuta te whati o te humerus mā te whakamātautau tinana me ngā whakamātautau whakaahua . Mena ka whakaurua koe ki te wāhanga ohorere o te hōhipera i muri i tētahi aituā, ka mahia pea ēnei whakamātautau ki reira.

Ina haere koe ki te rūma whawhati tata, ka whakaūngia koe e te tīma hauora, ka rongoā hoki i runga i te kaha o ō whara, inā koa mēnā he whara e morearea ana ki te ora. Kia whakaūngia tō āhua, ka mahia he whakamātautau whakaahua hei whakaū i te whati.

He aha ngā whakamātautau e mahia ana hei tautuhi i te 'Whāwhati o te Humerus'?

Tērā pea ka taea te mahi i tētahi, i ētahi rānei o ēnei whakamātautau hei tango pikitia o te whati:

• Ngā hihi-X: Ka taea e te hihi-X te whakaū i ngā whati katoa, ā, ka taea hoki te whakaatu i te nui o te kino kua pā ki ngā wheua. Koinei te whakamātautau tuatahi i mahia.
• Whakaahua Āhuatanga Aukume (MRI): Tērā pea ka mahia he MRI mēnā e hiahia ana tō tākuta ki te tiki pikitia katoa o te kino o ō wheua me ngā kiko e karapoti ana i a rātou. Ka taea hoki e tēnei te rapu i te kino o ngā uaua, ngā uaua, me ngā io e karapoti ana i ngā wheua.
• Matawai CT: Ka taea e te matawai CT te hoatu ki tō tākuta , ki tō taote pokanga rānei he pikitia taipitopito ake o ō wheua me ngā kiko e karapoti ana i te hihi-X. He mea nui rawa tēnei mō ngā whati uaua, pērā i ngā whati pakaru.

Me pēhea te rongoā i te whati o te humerus?

Ko te maimoatanga mō tō whati ka whakawhirinaki ki te momo, te take, me te nui o te kino kua pā ki ō wheua .

Te aukati i te ringa

Mena kāore tō whati i te tino kino, arā, kāore i nekehia (kāore ngā wahi o te wheua i neke), tera pea ka taea e koe te whakaora mā te whakamahi noa i te 'piripiri', i te 'maka' rānei . Ko te tikanga, e toru ki te rima wiki te roa o te 'piripiri'. Ko te tikanga, he roa ake te roa o te 'maka', e ono ki te waru wiki te roa. I ngā āhuatanga e rua, ka tangohia anō e tō tākuta tētahi atu 'hihi-X' hei whakarite kei te ora pai tō wheua.

Me whakamahi pea koe i te whitiki hei pupuri i tō pakihiwi me tō ringa kia mau tonu, ina koa mēnā kua whati te wheua humerus i te pito proximal.

Te whakarite ā-ringa (`Whakaitinga Kati`)

Mō ngā whati tino kino, ka whakamahia he tikanga e kiia nei ko te "Whakaiti Kati" hei whakahoki i ngā wahi wheua whati ki tōna tūranga tika. Ehara tēnei i te pokanga. Ka pupuri te tākuta i tō ringa mai i waho, ka tōia, ka pana kia whakatikatikahia ngā wahi wheua whati ki roto. I a koe e mahi ana i tēnei, kāore koe e mamae, ā, ka mahi koe i tētahi o ēnei e whai ake nei:

• Te werohanga i tētahi rongoā whakangote huri noa i te wāhi whati (whakamamae ā-rohe).
• Te hoatu rongoā hei whakamarie i te tinana katoa ('Ngā rongoā whakamarie').
• Ka whakamoea koe ('Whakamoea whānui') puta noa i te mahi katoa.

I muri i te mahi whakaiti katia, ka tāpirihia e te tākuta he kiripiri, he mea whakarewa rānei ki tō ringa.

Pokanga mō te `Wāhanga o te Humerus` (`Pokanga whati o te Humerus`)

Ko ētahi whati o te humerus me mahi pokanga. I runga i te momo whati me te nui o te kino kua pā ki te wheua, ka whakamahia pea e tō taote pokanga ngā tikanga rerekē.

Te whakapiri ā-roto

Ka 'whakahokia' e te taote pokanga ō wheua whati ki tōna tūranga, kia taea ai e ngā wheua te ora me te hono anō. I te nuinga o te wā, ka mahi rātou i tētahi mea e kiia nei ko te 'whakapiri ā-roto'. Ko te tikanga o tēnei ka whakaurua e te taote pokanga ngā konganuku ('konganuku') ki roto i tō wheua hei pupuri i a ia ki tōna tūranga . Me whakawhāiti te whakamahinga o tō ringa kia ora rawa te wheua.

He maha ngā tikanga mō te 'whakapūmau ā-roto':

• Ngā tokotoko: He tokotoko whakarewa kua werohia mā roto i te wheua, mai i runga ki raro.
• Ngā pereti me ngā tīwiri: He pereti whakarewa e piri ana ki te wheua hei pupuri i ngā wahi wheua kia piri.
• Ngā pine me ngā waea: Ka whakamahia ēnei ina he iti ake ngā kongakonga wheua i ērā atu taputapu whakapiri. He maha ngā wā ka whakanohoia ngātahitia ēnei me ngā tokotoko, ngā pereti rānei.

Ko ētahi tāngata e noho ana me ēnei konganuku whakarewa i roto i ō rātou tinana. Ko ētahi tāngata me pokanga anō kia tangohia ai.

Te whakakapinga hononga ('Arthroplasty')

Mena kua whati tō hononga tuke, pakihiwi rānei, me mahi pea koe i tētahi arthroplasty (whakakapinga hononga). Ka tangohia e te taote pokanga te hononga kua pakaru, ka whakakapia ki tētahi hononga horihori. Tērā pea he mea hanga tēnei hononga horihori (prosthesis) ki te konganuku, ki te uku, ki te kirihou pakari rānei. Ka rite te āhua me te nekehanga o te hononga hou ki tō hononga tūturu.

Te honohono wheua

Mena kua tino nekehia te whati o tō humerus, kāore rānei ngā wheua e taurite pai tetahi ki tetahi, me tāpiri he wheua ki roto. Ka tāpirihia e te taote pokanga he kiko wheua anō hei whakahoki i tō wheua whati. Kātahi ka mahi i te whakapiri ā-roto hei pupuri i ngā wahi kia tupu anō te wheua. He maha ngā wāhi ka taea te tango i te wheua:

• Mai i tētahi atu wāhi o tō tinana ake - i te nuinga o te wā i te tihi o tō wheua hope.
• Mai i tētahi atu kaituku ('kaituku o waho').
• He wahi whakakapinga horihori.

I muri i tō pokanga, ka kore e taea te nekeneke o tō ringa. Me mau pea he whitiki, he mea whakakikorua, he mea whitiki rānei i mua i te whakamahinga anō o tō ringa.

He aha ngā rongoā e hoatu ana mō te `Humerus Fracture`?

Ka taea e ngā NSAID (ngā rongoā anti-inflammatory kore-steroidal) pērā i te aspirin, te ibuprofen rānei, e whakamahia ana hei whakamamae i te mamae, te whakaputa toto me ētahi atu raruraru i muri i te pokanga. Nō reira, ka kōrero atu tō taote pokanga ki a koe mō ngā rongoā ka taea e koe te tango hei whakaiti i te mamae i muri i te pokanga.

Ngā pānga taha o ngā NSAID: Te toto, ngā mate puku, ngā mamae o te puku, ngā raruraru whekau.

He aha ngā raruraru o te maimoatanga o te whati o te humerus?

Ka taea e te pokanga mō te whati te whakaputa raruraru pēnei i:

• Te mate urutā acute compartment syndrome (ACS): Ka taea e te pēhanga nui ake i roto i ō uaua te aukati i te rere o te toto ki ngā kiko, ka puta he kino tuturu ki ngā uaua me ngā io. He āhuatanga ohorere tēnei.
• Malunion: Te tukanga e kore ai e hono tika te wheua whati ina ora.
• Kore-hononga: Te korenga o ngā wheua e hoki tahi mai me te kore e hono tika.
• Mate wheua (Osteomyelitis): Mena he whati tuwhera tōu (he whati kua pakaru te wheua mā roto i te kiri), he nui ake te tūponotanga ki te pangia e te mate kitakita.
• Ētahi atu kino ki ngā kiko e karapoti ana: Ka taea e ngā whati te kino i ngā uaua, ngā io, ngā oko toto, ngā uaua me ngā hononga i te wāhi e whara ana.

Kia pēhea te tere o taku pai ake i muri i te maimoatanga?

Tērā pea ka roa pea ētahi wiki ka memeha haere ō tohumate. I runga i te tikanga ārai i te nekehanga, i te pokanga rānei e whakamahia ana hei whakatika i tō whati, tera pea ka taea e koe te tīmata anō ki te whakamahi i tō ringa i roto i ētahi wiki.

He mea nui: Ki te pāngia koe e te mamae nui e kore e taea te manawanui, ā, kāore e memeha, waea atu ki tō tākuta tonu.

Me pēhea te whakaiti i te mōrearea o te 'Whāwhati o te Humerus'?

Whāia ēnei tohutohu whānui mō te haumaru hei whakaiti i te tūponotanga o te whara:

• Me mau tonu tō whitiki nohoanga .
• Kia mau ki ngā taputapu haumaru e tika ana mō ia mahi, mō ia hākinakina rānei e mahia ana e koe.
• Puritia tō kāinga me tō wāhi mahi kia matara atu i ngā mea ka hinga ai koe, i ētahi atu rānei .
• Whakamahia tonu ngā taputapu tika hei toro atu ki ngā mea mai i runga. Kaua rawa e piki ki runga i ngā tūru, i ngā tēpu, i ngā papa rānei.
• Whāia he mahere kai me te whakakori tinana hei āwhina i te hauora o ō wheua.
• Mena kei runga ake koe i te 50 tau te pakeke , kei te pāngia rānei tētahi o tō whānau e te osteoporosis, kōrero ki tō tākuta mō te whakamātautau kiato wheua .
• Mena he uaua ki te hikoi, he nui rānei te tūponotanga o te hingaWhakamahia he tokotoko, he taputapu hikoi rānei .

He aha ngā mea hei tumanakohia mēnā he 'Whāwhati o te Humerus' tōu?

Ahakoa ka whati tō humerus, ka taea tonu e koe te tumanako ka ora katoa koe . Heoi, me whai rongoā tinana koe kia hoki mai ai te kaha me te whānuitanga o te nekehanga o tō ringa.

Kia pēhea te roa e ora ai te 'Whāwhati o te Humerus'?

Ko te roa o te wā e ora ai koe ka whakawhirinaki ki te kaha o tō whati me te maimoatanga i whiwhi koe. He maha ngā marama e ora ai te nuinga o te tangata i te whati o te humerus.

He maha ngā āhuatanga ka pā ki te tere o te whakaora o tō tinana. Kōrero ki tō tākuta, ki tō taote pokanga rānei mō te wā e tika ana mō tō āhuatanga.

Kāore e taea e au te haere ki te mahi, ki te kura rānei?

Mā tō whara me ngā wheua whati e whakatau te roa o te wā e hiahia ana koe kia kaua e mahi, kia kura, me ētahi atu mahi. I a koe e whakaora ana, kōrero ki tō taote pokanga, ki tō tākuta rānei i mua i te whai wāhi atu ki tētahi mahi ā-tinana, ki tētahi hākinakina rānei.

Āhea ahau me haere ki te rūma whawhati tata?

Ki te whakaaro koe he whati tō humerus - he whati rānei tētahi atu wheua - me toro atu koe ki te tākuta i te wā e taea ai . Haere tonu ki te rūma whawhati tata mēnā kei a koe tētahi, ētahi rānei o ēnei tohu:

• Mamae nui.
• Kāore e taea te rūrū ringa i te tikanga.
• He rerekē te āhua o tō ringaringa , he hē rānei te wāhi.
• Ka kitea te wheua mā roto i te kiri.
• Te pupuhi.
• I te taha o ēnei āhuatanga kē atu, ka kitea anō hoki ngā marō hou.

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

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

Ina tūtaki koe ki te tākuta, kaua e wareware ki te pātai i ēnei pātai:

• He aha te momo whati kei ahau?
• Me pokanga ahau?
• Kia pēhea te roa e ora ai?
• Āhea ahau ka taea ai te whai wāhi atu ki ngā mahi ā-tinana, ki ngā hākinakina rānei?

Hei whakamutunga, kia maumahara ki tēnei ! (Karere hei kawe ki te kāinga)

Ko te wheua o te humerus i tō ringa o runga te wheua anake i taua wāhanga o tō tinana, ā, ko tētahi o ngā wheua tino kaha o tō tinana. I te nuinga o te wā ka puta te whati o te humerus i muri i tētahi aituā nui, pērā i te aituā motuka. Ahakoa ka pokangahia koe hei whakatika i tō wheua, ka taea e koe te tumanako ka ora katoa koe i muri i te whati o te humerus . Ko te whakaora tinana tika te huarahi pai ki te whakaora tere me te whakahoki i tō ringa ki te āhua noa. Nō reira, kaua e mataku, me whai noa i ngā tohutohu a tō tākuta. Kei te hiahia ahau kia tere tō ora!

` Whati o te humerus, wheua ringa, whati ringa, whati wheua, maimoatanga, tohu, pokanga