Kua kite koe i tētahi wā he poto ake tētahi o ngā waewae o tāu tamaiti i tētahi atu? He mate whānau rānei kua whakaiti i te roa o tētahi ringa, o tētahi waewae rānei? He mea noa te pouri me te manukanuka i ngā wā pēnei. Engari he otinga anō hoki ā te pūtaiao hauora matatau o ēnei rā mō tēnei. Ko tētahi otinga ko te pokanga whakaroa wheua e kōrerohia ana e tātou i tēnei rā, e kiia nei ko te 'Pokanga Whakaroa Waewae'.
He aha te Pokanga Whakaroa Waewae?
He whakarāpopototanga noa iho tēnei, he tikanga pokanga e whakaroa ana i tētahi wheua i roto i tō ringa, i tō waewae rānei. Kāore tēnei e mahia katoatia i te wā kotahi, engari ka āta haere, mō ētahi marama. Ka taea e ngā taote pokanga te mahi i tēnei pokanga i runga i ēnei wheua:
- Te wheua ringa o runga (Humerus)
- Mō ngā wheua i roto i te ringaringa `(Radius/Ulna)`
- Ki te wheua huha `(Femur)`
- Iwi waewae `(Tibia)`
I roto i ēhea āhuatanga ka mahia ai tēnei pokanga?
Ko te tikanga o tēnei pokanga he whakatika i ngā rerekētanga o te roa o te waewae me te ringa, arā, he poto ake tetahi ringa, he waewae rānei i tetahi atu. Ka whakamahia hoki hei rongoā i ētahi āhuatanga e pā ana ki te tipu o te wheua.
| Āhua | Whakamārama Māmā |
|---|---|
| Puku wheua pai | Ko te whakaroa o te tipu ka puta mai i tētahi pukupuku noa e puta mai ana i tētahi wāhi e roa ai te wheua (he pereti tipu). |
| Te Pararutiki Hinengaro | Nā tēnei āhuatanga, i ētahi wā ka pāngia te tipu o te wheua nā te kore taurite o te uaua. |
| Te ngoikore o te femur whānau | Ka whānau mai tētahi wheua huha he poto ake i tētahi. |
| Te whakanui ake i te taha kotahi o te tinana (Hemihipertrophy) | He āhuatanga onge tēnei e tere ake ai te tipu o tetahi taha o te tinana (hei tauira, te ringa me te waewae matau) i tetahi taha. |
| Te Matepukupuku Angaiwi | Ngā mate whānau e whakararuraru ana i te tipu o te wheua (hei tauira, te whakarōpūtanga o te wheua). |
| Ngā whati o te pereti tipu | Te aukati i te tipu nā te whati o ngā wāhi e totoro ai ngā wheua o te tamaiti. |
| Mate Wheua (Osteomyelitis) | Ka taea e ētahi mate kino o te wheua te whakararu i te tipu o te wheua. |
He aha ngā mea ka tupu i mua i te pokanga?
I mua i te pokanga, ka tangohia e tō tākuta he hihi-X o tō wheua, ā, ka ine i tōna roa tika . Mā ēnei whakamātautau ka whakatauhia te nui o te wheua e hiahiatia ana kia whakaroahia. I te nuinga o te wā, tata ki te 2 inihi te roa ka taea te whakaroa i roto i te pokanga kotahi.
Mā tō tīma hauora koe e tohutohu ki te whakarite mō te pokanga. I mua i te pokanga, pātai atu ki tō tākuta he aha ngā rongoā e tangohia ana e koe, ko ēhea me mutu te tango, me ēhea me haere tonu te tango. Mā rātou anō hoki koe e tohutohu mō te roa o te wā me mutu te kai me te inu i mua i te pokanga.
I te rā o tō pokanga, ka tukuna he rongoā whakamoe whānui ki a koe. Ko te tikanga ka moe katoa koe i te wā o te pokanga, nō reira kāore koe e rongo i te mamae. Me noho koe ki te hōhipera mō te toru rā i muri i te pokanga. Ina hoki koe ki te kāinga, me haere tahi mai tētahi mema o te whānau, tētahi hoa rānei hei hoa mōu.
He mea tino nui kia whai āwhina koe mō ētahi wiki i muri i te pokanga. Me tino hiahia āwhina koe ki ngā mea pēnei i te whakakakahu, te taka kai, me te haere ki te wharepaku. Mena he whara tō waewae, kāore e taea e koe te hikoi i runga i taua waewae mō tētahi wā. Me whakamahi koe i te tūru wīra, i te tokotoko rānei.
He aha ngā mea ka tupu i te wā o te pokanga?
E rua ngā mahi matua o tēnei pokanga:
1. Te tango wheua:Ka tapahia e te taote pokanga te wheua e pā ana kia rua ngā wāhanga.
2. Tāutanga Pūrere: Kātahi ka tāutahia he pūrere whakaroa peka ki waenganui i ngā wheua e rua.
E rua ngā momo matua o ēnei taputapu whakairi.
| Momo Pūrere | Te Āhua o tana Mahi |
|---|---|
| Kaiwhakatikatika o Waho | I tēnei, ka whakaurua e te tākuta he pine, he waea rānei ki roto i ngā wheua e rua, ka tāpirihia he anga whakarewa ki aua wheua mai i waho o te tinana. Nā te mea he torutoru inihi te tawhiti o tēnei anga mai i te tinana, ka uaua pea te mau i ētahi kākahu. He maha ngā tāngata e mau ana i ngā mea pēnei i ngā tarau poto. |
| Tokotoko ā-roto | He tikanga hou tēnei. Ko tāu mahi i konei he whakauru i tētahi taputapu rite ki te tīwiri ki roto i te wheua. Kāore tēnei e kitea mai i waho o te tinana. |
Me pēhea te roa o ngā wheua i muri i te pokanga?
I muri i tō oranga ake i te pokanga, ka tīmata te wāhanga whakaroa o te wheua. Ka kiia tēnei ko te 'wāhanga whakararuraru'. E rua marama te roa o tēnei. I tēnei wā, ka āta wehea ngā wahi wheua e rua i tapahia. I a rāua e wehe ana, ka hangaia e tō tinana he kiko wheua hou hei whakakī i te āputa i waenganui i a rāua.
He tino kaha te tinana ki te hanga i te wheua hou. Mā tēnei pokanga ka whakahaere i taua tukanga taiao, ka whakaroa hoki i te wheua ki te roa e hiahiatia ana.
I tēnei wā, e toru ngā mahi matua māu:
- Te Whakatikatika i te Pūrere: He maha ngā wā i te rā, me whakatikatika e koe te pūrere. I ia wā, ka neke haere ngā wheua e rua mā te iti noa, tata ki te mirimita. Mena he anga kei waho, ka mahia tēnei mā te huri i tētahi porowhita. Mena he pūrere ā-roto, ka whakamahia he mea pēnei i te mana mamao hei huri.
- Te Whakaora Tinana: He mea tino nui tēnei.Mō ngā hua pai rawa atu, he mea nui te whakaora tinana. Me haere koe i ētahi wā i te wiki. Mā tēnei ka whakapakari i ō uaua, ka whakapai ake i te nekehanga o ngā hononga, ā, ka āwhina i te wheua hou kia kaha ake te tipu.
- Haere ki tō tākuta i ia wā: Ka tangohia e tō tākuta he hihi-X i ia wā hei tirotiro i te ahunga whakamua o te hanganga wheua hou. Mena he nui rawa, he iti rawa rānei te tere hanganga wheua, ka taea te whakarerekē i te mahere maimoatanga.
Ka aha koe ina roa rawa te wheua?
Kia tupu te wheua ki te roa e hiahiatia ana, me hoatu he wā ki te wheua hou kia pakari, kia 'pakeke' rānei. Ka kiia tēnei ko te 'wāhanga whakakotahi'. E toru marama pea te roa. I roto i tēnei wā:
- Ka mutu te whakarite i te pūrere: Kei reira tonu te pūrere, engari kāore koe e whakarite ana.
- Me haere tonu te whakaora tinana: Me haere tonu tēnei kia mau tonu te kaha o te wheua.
- Tīmata mārire te whakatakoto i te taumaha ki runga i tō ringa/waewae: I te tīmatanga, ka tīmata koe ki te whakatakoto i te taumaha ki runga i tō ringa/waewae mā te whakamahi i tētahi tautoko pēnei i te tokotoko. Kia tata ki te mutunga o tēnei wāhanga, ka tohutohu pea tō tākuta kia whakatakotoria e koe te taumaha me te kore tautoko. Kaua rawa e hohoro te whakatakoto i te taumaha ki runga i tō ringa/waewae kia kīia rā anō e tō tākuta.
He aha ngā painga me ngā mōrearea pea o tēnei pokanga?
Pērā i ngā pokanga katoa, he painga, he mōrearea anō hoki. He mea nui kia kōrerotia whānuitia ēnei ki tō tākuta.
| Ngā Painga | Ngā Tūponotanga me ngā Āhuatanga Whakararuraru |
|---|---|
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He aha ngā āhuatanga me toro atu koe ki te tākuta tonu?
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei, me kōrero tonu atu ki tō tākuta . He tohu pea ēnei o tētahi mate pāwera, o tētahi atu raruraru nui rānei.
| Ngā tohu mōrearea - kōrero tonu atu ki tō tākuta ! | |
|---|---|
| Kirika | Te pikinga o te pāmahana tinana. |
| Putanga mai i te wāhi werohanga | He toto, he pūkahukahu, he wai rānei. |
| Te whero i te patunga, i te wāhi werohanga rānei | Te whero, te pupuhi, ngā ira whero rānei huri noa i te patunga, i ngā tuitui rānei. |
| Mamae nui, pupuhi rānei | Te mamae e kore e taea te whakamanawanui, te pupuhi rerekē rānei i roto i te ringa, i te waewae rānei kua totoro. |
| te ngoikore | Te wiri, te māuiui rānei o te ringa, o te waewae rānei e totoro ana. |
| Te mamae o te uma, te uaua rānei ki te manawa | He āhuatanga ohorere tēnei. Haere tonu ki te Tari Ohorere (ETU) o te hōhipera tata. |
Hei whakamutunga, he wheako whakarerekētanga oranga pea te pokanga whakaroa wheua mō te hunga he raruraru roa o ō rātou waewae. Nā ngā hangarau hou, inā koa ngā taputapu intraosseous, kua māmā ake te mahi, ā, kua haumaru ake i mua. Ina mahia e te taote pokanga mohio, me ngā tohutohu tika, he tino teitei te ōrau angitu. He tokomaha te hunga e ora tonu ana i muri i tēnei pokanga.
Karere Tangohia ki te Kāinga
- He pokanga motuhake te pokanga whakaroa wheua hei whakatika i ngā panoni o te roa o ngā peka i puta mai i ētahi āhuatanga hauora. Kāore e mahia mō ngā take whakapaipai.
- He tukanga roa tēnei, ā, ka roa pea ngā marama. He mea nui te whakapau kaha o te manawanui, inā koa ko ngā maimoatanga whakaora tinana me te piri ki ngā tohutohu hauora, kia angitu ai te putanga.
- He pānga tika tō te mahi tika i ngā mea, pērā i te whakarerekē i ngā taputapu me te pupuri i ngā wāhi e whakatakotoranga ai ngā rākau kia ma, ki te angitu.
- Ki te kite koe i ētahi tohu mōrearea (kirika, mamae nui, pupuhi, rerenga wai), me whakamōhio tonu atu ki tō tākuta, kaua e wehi, kaua hoki e whakaroa.
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