I ētahi wā ka mamae noa tō ringaringa, tika? He rite ki te whāwhā. He whakaaro te nuinga he whāwhā iti noa iho ka memeha i roto i ētahi rā. Engari i ētahi wā he take nui ake kei muri i tēnei mamae. He mate onge te mate a Kienböck engari he mea nui kia mōhio koe. He ingoa hou pea tēnei ki a koe, engari he mea nui kia mōhio koe ki tēnei.
He aha te mate a Kienböck?
Āe, me whakamārama ngāwari noa iho tēnei. He wheua iti tō ringaringa, arā, e waru ngā wheua e honoa ana. Ka kiia ēnei he '(carpal bones)' . I roto i ēnei wheua e waru, he wheua iti kei waenganui, he rite te āhua ki te marama porowhita. Koinei te wheua e kiia nei e ngā tākuta ko te wheua '(Lunate)' . He nui te āwhina o tēnei wheua '(Lunate)' ki te piko me te hurihuri pai i tō tātou ringaringa.
Ko te mate a Kienböck he mate e heke haere ana te rere o te toto ki te wheua o te manawa, ā, ka mutu. Pērā i te mate o te rākau me te kore wai, ka mate haere tēnei wheua me te kore toto. I roto i te rongoā, e kiia ana tēnei ko te osteonecrosis . Kāore tēnei e puta ohorere, engari ka kino haere i roto i te wā. I ētahi wā, ka arahi pea tēnei ki ngā mate pēnei i te mate rumatiki i roto i te ringaringa.
Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei? He aha ngā take?
Ahakoa ka pā tēnei mate ki ngā tau katoa, ko te nuinga o te wā ka pāngia ngā tāne i waenga i te 20 me te 40 tau. Heoi, ehara tēnei i te kī kāore e taea e ngā wāhine te pāngia e tēnei mate.
Kāore anō kia tino mārama te take e heke ai te rere o te toto ki te wheua o te repe. Heoi, he maha ngā āhuatanga e whakaarohia ana hei āwhina i tēnei:
- Ngā raruraru o ngā uaua toto e tuku toto ana ki te wheua: Ka whānau mai ētahi tāngata me ngā āhuatanga rerekē o te tūnga o ngā uaua toto e tuku toto ana ki te wheua "Lunate". I roto i ēnei āhuatanga, he nui ake te tūponotanga ka heke te tuku toto. E whakapono ana ngā tohunga koinei te tino take.
- Te whara o te ringaringa: Tērā pea kua hinga koe, kua pāngia rānei e tētahi aituā motuka, kua whara kino rānei tō ringaringa i a koe e takaro ana i ngā hākinakina. Ka tupu pea tēnei ina pakaru te wheua o te manawa, ā, ka motuhia te rere o te toto, ka puta ai tēnei āhuatanga.
- Te rerekētanga o te roa o ngā wheua o te ringa: E rua ngā wheua matua kei te taha raro o tō tātou ringa, ko te radius me te ulna . Mō ētahi tāngata, he rerekē te roa o ēnei wheua e rua. He poto ake tētahi i tētahi. Ina tupu tēnei, ka pā he pēhanga rerekē ki te wheua lunate ina neke te ringaringa. I roto i te wā, ka taea e tēnei pēhanga te kino i te wheua, ka whakararu hoki i te rere o te toto.
- Ētahi atu āhuatanga hauora:Ko te hunga e pāngia ana e ngā mate toto pērā i te "Sickle cell anemia" me te "Lupus", me te hunga e pāngia ana e ētahi mate pūnaha io pērā i te "Cerebral palsy" kei te mōrearea ki te whakawhanake i te mate a Kienböck.
He aha ngā tohu o tēnei mate?
I te nuinga o te wā, kāore he tohu nui e kitea ana i ngā wāhanga tōmua o tēnei mate. Tērā pea kāore he tohu o ētahi tāngata. Engari, tera ētahi tohu noa e kitea ana. Kia tirohia tātou he aha ēnei tohu.
| Tohu | He aha te āhua o tēnā? |
|---|---|
| Mamae o te ringaringa | He rite ki te mamae o te ringaringa kua whāwhā. He mamae ngawari pea e haere mai ana, e haere atu ana rānei i ētahi wā, he mamae koi tonu rānei. |
| Te pupuhi me te pakari | Kua pupuhi te āhua o tōku ringaringa. Ina ara ake ahau i te ata, he uaua ki te piko i tōku ringaringa, ā, he mārō te āhua. |
| He uaua ki te pupuri (ngoikore te pupuri) | Ka ngoikore ōku ringa ina mahi au i ngā mea pēnei i te whakatuwhera i te taupoki o te pounamu wai, te huri rānei i te kakau o te tatau. Ka mamae ōku ringaringa ina hiki au i tētahi mea taumaha. |
| Te herenga o te nekehanga | Kāore e taea e koe te piko i tō ringaringa ki runga, ki raro, ki te taha ki te taha rānei me te ngāwari pēnei i mua. |
| Te pupuhi o te kiri | Ina nekehia tō ringaringa, ka puta he tangi 'pakaru', me te mea kei te huri ngā wheua i roto. |
| Te mamae i tētahi wāhi motuhake | Ka pā te mamae ki ahau ina pēhi ahau i tōku maihao ki te tihi o tōku ringaringa, ki waenganui tonu (kei reira te wheua o te maramara). |
Ko te mea nui, ina pāngia koe e te mamae pēnei, kaua e warewaretia, me te whakaaro, "He whāwhā noa iho." Ina koa mēnā kāore te mamae e memeha i muri i te wiki, e rua rānei, me toro atu koe ki te tākuta.
Me pēhea te tautuhi a te tākuta i tēnei mate?
Ina haere koe ki te tākuta, ka pātai atu ia ki a koe mō te mamae, te roa o te mamae, me te wā ka kino haere. Kātahi ka tirohia e ia tō ringaringa. Me mahi e ia ētahi whakamātautau hei whakaū i te mate.
- Whakamātautau hihi-X: Ko te mea tuatahi hei mahi ko te hihi-X. Heoi, i ngā wāhanga tōmua o te mate, kāore pea e kitea he rerekētanga nui i te hihi-X.
- Matawai MRI: Koinei te huarahi pai ki te tautuhi i tēnei mate. Ka taea e te matawai MRI te kite i te wā tōmua mēnā kei te toto te wheua "Lunate", ā, mēnā kua tīmata te mate o te wheua.
- Matawai CT: Ka āwhina te matawai CT ki te kite mārama mēnā kua whati, kua pakaru rānei te wheua.
- Matawai Wheua: Ka taea e tēnei te tirotiro i te mahi a ngā wheua i roto i te tinana.
Ngā wāhanga e whā o te mate a Kienböck
I muri i ēnei whakamātautau, ka kī atu te tākuta ki a koe te wāhanga kei roto tō mate. E whā ngā wāhanga matua.
| Atamira | He aha te mea ka tupu i tēnei wā? |
|---|---|
| Wāhanga 1 | Ko te wā tuatahi tēnei. He rite te mamae ki te whati o te ringaringa. Kāore he rerekētanga o te hihi-X. Engari ki te tirohia mā te MRI, ka kite koe kua heke te rere o te toto ki te wheua `(Lunate)`. |
| Wāhanga 2 | Nā te kore toto, ka tīmata te whakapakeke o te wheua pērā i te toka. Ka kiia tēnei ko te "sclerosis" . I te hihi-X, ka kitea te wheua he mā ake i te toenga. Ka paku piki ake te mamae. |
| Wāhanga 3 | Kei te whati te wheua kua mārō, ā, kei te tīmata te whatiwhati. Ka taea e tēnei te neke haere i ngā wheua kē atu o te ringaringa mai i tō rātou tūranga o mua. Ka piki ake te mamae, ka heke te kaha o te ringa, ā, ka uaua te piko i te ringaringa. |
| Wāhanga 4 | Koinei te āhuatanga kino rawa atu. Kua tata pakaru katoa te wheua o te manawa, kua pakarukaru hoki. Ehara i te mea koinā anake, engari ka tīmata hoki ngā wheua kē atu i tōna taha ki te memeha. Kua pakaru te hononga o te ringaringa, ā, ka puta te mate rumatiki . |
E rua pea ngā marama e hiahiatia ana mō ētahi tāngata kia neke atu i te wāhanga 1 ki te wāhanga 4. Mō ētahi atu, e rua pea ngā tau e hiahiatia ana.
He aha ngā maimoatanga mō tēnei?
Ahakoa kāore he rongoā kotahi mō tēnei mate, ka taea e ngā maimoatanga o nāianei te āwhina i te whakaiti i te mamae, te whakapai ake i te mahi a te ringaringa, me te aukati i te kino haere o te mate. Ka whakawhirinaki te maimoatanga ki ngā āhuatanga maha, tae atu ki te wāhanga o tō mate, tō tau, me tō mahi.
Ngā maimoatanga kāore he pokanga
Ko te tikanga ka mahia ēnei i te tīmatanga o te mate.
- Te aukati i te ringaringa: Ka herea te ringaringa ki roto i te whakapiripiri mō ētahi marama. I ētahi wā ka āwhina tēnei okiokinga i te wheua kia hoki mai te rere o te toto.
- Ngā rongoā whakamamae: Ka tūtohu pea tō tākuta i ngā rongoā ārai-mumura pērā i te ibuprofen hei whakaiti i te mamae me te pupuhi. Engari kia maumahara, kāore ēnei rongoā e pai mō te hunga mate huango, mate puku, toto toto tiketike, mate whatukuhu, mate ngākau rānei. Nō reira , kaua rawa e tango i ēnei rongoā me te kore kōrero ki te tākuta.
- Whakaora mahi: Ma te kaiwhakaora mahi koe e ako ki te mahi i nga mahi o ia ra hei whakaiti i te mamae o te ringaringa.
Te maimoatanga mā te pokanga
Mena he kino te mate, ki te kore rānei e āwhina ētahi atu maimoatanga, ka tūtohu pea te tākuta kia pokanga. Ka rerekē te momo pokanga e mahia ana i runga i te wāhanga o te mate.
| Ingoa o te pokanga | I te kī ngāwari, koinei te mea ka tupu... |
|---|---|
| Te Whakataurite Hononga | Mena he rerekē te roa o ngā wheua e rua o te ringaringa, arā, ko te "Radius" me te "Ulna", ka mahia he pokanga hei whakataurite i ō rāua roa. Ka honoa he wahi wheua iti ki te wheua poto hei whakaroa, ka tapahia rānei he wahi iti mai i te wheua roa hei whakapoto. Mā tēnei ka whakaitihia te pēhanga ki te wheua "Lunate". |
| Te whakahounga o ngā toto | Ko te tikanga o tēnei ko te whakahoki mai i te rere o te toto ki te wheua o te manawa. Ka tangohia he wahi iti o te wheua me te uaua toto mai i tētahi atu wāhanga o te tinana (hei tauira, te huha) ka whakatōkia ki roto i te wheua o te manawa e mate ana. Ka taea anake tēnei te mahi i ngā wāhanga tuatahi e rua o te mate. |
| Whakakotahitanga | Ina tino kino te mate, ka honoa ētahi wheua o te ringaringa hei whakaiti i te mamae. I ētahi wā, ki te honoa ngā wheua o te ringaringa katoa, kāore e taea te piko te ringaringa, engari ka taea te huri i te ringa. |
| Te tango i te kāpete o te rārangi tata (PRC) | Ki te whati katoa te wheua o te manawa, ka tangohia te wheua me ētahi wheua e tata ana. Ka whakaitihia te mamae, engari ka whakawhāitihia te nekehanga o te ringaringa. |
| Te Whakatō Arthroplasty | I tēnei, ka tangohia te wheua "Lunate" kua pakaru, ka whakakapia ki tētahi wheua horihori ("prosthetic"). |
Āhea koe me tino kite i te tākuta?
Ko te tere o te kitea o tēnei mate, ko te pai ake o te maimoatanga me ngā hua. Nō reira, kaua e tatari kia pāngia koe e ngā tohu i raro nei, kātahi ka toro atu ki te tākuta.
- Mena he uaua ki te neke i tō ringaringa, i ō maihao rānei.
- Mena he whero rerekē kei te taha o te ringaringa.
- Mena kei te kino haere te pupuhi.
- Mena he mamae e kore e taea te manawanui .
Mā tō tākuta koe e tuku ki tētahi tohunga mō tēnei mea, arā, he taote wheua .
Karere Tangohia ki te Kāinga
- He mate onge te mate a Kienböck e motuhia ai te rere o te toto ki te wheua iti i roto i tō ringaringa e kiia nei ko te lunate, ā, ka mate haere.
- Ko te tohu tuatahi pea he mamae e rite ana ki te whara o te ringaringa. Nō reira, ki te pāngia tonutia koe e tēnei mamae, kaua e warewaretia.
- Ka kino haere tēnei mate i roto i te wā. Ki te kore e rongoatia, ka kaha ake te mamae, ā, ka kore rawa e taea te nekeneke i te ringa.
- Ko te hua o ngā mahi ka whakawhirinaki nui ki te tere o tō kitenga i te mate me te tere o tō tīmatanga o te maimoatanga.
- Kōrero ki tō tākuta kia whakatau ai koe ko tēhea tikanga maimoatanga te mea pai mōu.
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