He whati pēnei tō ringaringa? Me ako tātou mō te whati Monteggia!

Kua pāngia koe e tētahi aituā ki tō ringaringa, ā, i kīia mai e te tākuta he 'Monteggia Fracture' tōu, arā, he wheua whati? Kua rongo rānei koe i tēnei kupu i tētahi wāhi? He momo whati uaua ake tēnei. Ehara i te mea he wheua whati noa iho i roto i tō ringaringa. Nō reira, i tēnei rā ka kōrero tātou mō tēnei āhuatanga e kiia nei ko te 'Monteggia Fracture' i roto i tētahi huarahi māmā e mārama ai koe. Kāore he mea hei wehi, me whakamārama tātou i ngā mea katoa.

He aha te whati o Monteggia?

Āe, me titiro tātou ki te tikanga o te 'Monteggia Fracture'. He kupu māmā noa iho, he whati i roto i tō ringaringa. Ko te ringaringa te wāhanga o tō ringa e haere ana mai i tō tuke ki tō ringaringa. Ka puta te whati i te hononga tuke.

I mōhio koe, e rua ngā wheua matua o tō tātou rae.

• Ko tētahi ko te wheua ulna . Kei roto tēnei i te ringaringa, kei te taha kei reira tō koromatua (ina koa, ki te titiro koe ki tō ringa me tō nikau e anga ana ki raro, kei te taha o tō maihao iti te ulna. Koinei te ingoa o ngā tākuta ko te tūranga anatomical o te ringa).
• Ko tētahi ko te wheua radius . Kei te taha o waho o te ringaringa tēnei, e anga atu ana ki te mātiti matua (ina tirohia te ringa, e ai ki te kōrero i mua ake nei).

Nā, me te kaha nui, ka whati tō wheua ulna i te taha o te hononga tuke. Ko te mea ka tupu, ka kore e pumau te hononga. Nō reira, ka neke whakamua, ka hoki whakamuri te pito o runga o te wheua radius, te wāhanga e hono ana ki te hononga tuke, mai i tōna tūranga tika. I roto i ngā kupu hauora, ka kiia tēnei he "dislocation." Koinei te mea e kiia nei e mātou he "Monteggia Fracture."

He mea nui kia mārama ngā tākuta he uaua ake tēnei i te whati wheua anake. Nā te mea ka whakararu i te hononga o te tuke, me whai maimoatanga motuhake kia ora pai ai. Ki te taea, ka whakahokia ā-ringa ngā wheua e ngā tākuta ki tōna tūranga. Engari ki te kore e taea, ki te kino rānei te hononga, te uaua toto, te io rānei i roto i tō hononga, me pokanga pea koe.

He aha te rerekētanga i waenga i ngā whati o Monteggia me Galeazzi?

Kua rongo pea koe i te 'whati Galeazzi'. Ahakoa te āhua ōrite o ēnei e rua, he rerekētanga anō kei reira. Ka pōhēhē pea te āhua o ngā mea e rua.

• I roto i te whati Monteggia , ka whati tō wheua ulna i te taha o te hononga tuke, ka marere te pito o runga o te wheua radius i te hononga.
• I roto i te whati o Galeazzi , ka whati tō wheua radius tata ki te hononga o te ringaringa, ā, ka tangohia te pito o raro o te wheua ulna i taua hononga.

Anei tētahi tohutohu hei maumahara māu. Ko tōna ingoa i te reo Pākehā ko FROG . Ko tōna tikanga he Fractured Radius Of Galeazzi . Kātahi ka maumahara koe i Galeazzi, kua whati te radius. Kātahi ka ngāwari te maumahara i Monteggia, kua whati te ulna, tika?

He aha ngā tohu o te whati o te wheua o Monteggia?

Ko te tangata whai whati Monteggia ka mamae i te tuke . Ka rongo koe i te whati i te tuatoru o runga o tō ringaringa. Tērā pea kua pupuhi te wāhi. I ētahi wā ka kite koe i ngā wheua e neke ana ki mua, ki muri, i ētahi wā kāore. He mamae anō hoki te wheua radius.

Tērā pea ka pāngia koe e ēnei āhuatanga:

• He rite ki te uaua ki te piko, ki te whakatika rānei i tō tuke (he iti noa te whānuitanga o te nekehanga).
• I ētahi wā, ka hoki anō te wheua radius kua takoki ki tōna tūranga taketake.

Ina tirohia koe e te tākuta, ka rapua hoki e rātou ngā tohu o te whara o te io. I roto i ēnei āhuatanga, ka puta pea ēnei mea penei:

• He kare ā-ringa, he āhua rānei kei te ngoki haere ngā pōpokorua i roto i te ringa (paresthesia).
• Te ngoikore o te ringa, o te ringaringa rānei.
• Te mamae e horapa ana mai i te wāhi i whati ai te wheua.

He aha ngā io ka pakaru i te whati o te wheua o Monteggia?

Ka taea e te whati o Monteggia te kino i tō io radial , i tō io medial rānei. Ko te whara tino noa ko te io posterior interosseous (PIN), he peka o te io radial. Mena ka pakaru tēnei io, tera pea ka uaua ki te totoro i ō maihao me tō koromatua.

Ko te rongo pai, i te nuinga o te wā, he iti noa te kino o te io o te whati Monteggia (`neurapraxia`). Ko te tikanga o tēnei ka pēhia te io mō te wā poto. Ka ora ake tēnei i roto i ētahi marama. Ki te kore, ka taea te whakatika mā te pokanga.

He aha te take o te whati o te wheua o Monteggia?

Ko te tikanga ka puta mai tēnei i tētahi whara whara . Ko ngā tino take ko:

• Ka hinga koe me tō ringa e totoro ana . Whakaarohia kei te paheke koe i a koe e oma ana, ā, ka mau tō ringa ki te whenua.
• Te hinganga mai i te teitei kia pā te tuke ki te whenua .
• He whiu kaha tika tonu ki te tuara o te tuke .

Me pēhea te mārama o ngā tākuta ki tēnei?

Mēnā ka pāngia tō ringa e te aituā, ka tirotirohia tō tinana e te tākuta i te tuatahi. Kātahi ka tangohia he hihi-X.Kua oti ngā whakamātautau. Mai i te whakamātautau tinana, ka mōhio te tākuta ki ngā mea hei tirotiro mā te hihi-X.

Hei tātaritanga tika i te whati o Monteggia, me tango he hihi-X o tō ringaringa me tō tuke. Mā ngā hihi-X o te ringaringa ka kitea he whati o te wheua ulna. Mā ngā hihi-X o te tuke ka kitea he hē o te pane radial.

Heoi, i ētahi wā ka tino kitea ngā whati o te ulna me te radius. Nō reira, ka ngāwari te ngaro atu. He uaua ki te kite i ēnei āhuatanga , inā koa i roto i ngā tamariki nohinohi . I ētahi wā he iti rawa te whati, kāore e kitea, he piko noa iho rānei te wheua. I ētahi wā, ka hoki anō te radius whati ki tōna tūranga i mua i te kitenga atu i te tākuta. Nō reira, kia tino mōhio ai koe mēnā he 'Monteggia Fracture', me tino tirotirohia e koe kia kite mēnā he tohu o tētahi whati o mua.

Me pēhea te rongoā i te whati o te wheua o Monteggia?

He rerekē te maimoatanga mō te whati o Monteggia i te maimoatanga o te wheua whati noa. Nā te mea he hononga kua nekehia. Ina nekehia te wheua, ka totoro, ka haehae rānei ngā kiko e pupuri ana i a ia ki tōna tūranga. Ahakoa kua whakahokia te wheua ki tōna tūranga, ka roa te wā e ora ai ēnei kiko. Kāore tonu te hononga i te pumau. Nō reira, tera pea ka pakaru anō ngā kiko, ka nekehia anō rānei te wheua.

Hei rongoā angitu i te 'Whāwhati Monteggia', me tutuki ēnei e whai ake nei:

• Me whakahoki te wheua ulna ki tōna tūranga tika .
• Me whakahoki te wheua radius ki tōna tūranga tika .
• Me pupuri kia pumau ēnei wheua e rua ki te hononga kia ora rā anō.

Hei whakatutuki i tēnei, ka whakamātau ngā tākuta i ngā tikanga maimoatanga matawhānui i te tuatahi. Mēnā ka kore e angitu, ka whakamahia te pokanga. Inaa, ko te nuinga o ngā tamariki nohinohi kāore e hiahiatia he pokanga, engari he maha ngā pakeke e hiahia ana. Ko te take o tēnei, kei te tipu tonu ngā wheua me ngā kiko o ngā tamariki, nō reira he māmā ake te whakatika me te whakaora wawe. He iti ake te tūponotanga o ngā wheua i roto i ngā hononga pakeke ki te ora ko rātou anake me te kore āwhina, ā, he iti ake te tūponotanga kia noho ki te wāhi tika.

Anei ngā tikanga maimoatanga:

• Whakaitinga kua kati:Ko te tikanga o te 'whakaiti' ko te whakahoki i te wheua kua nekehia ki tōna tūranga. Ko te tikanga o te 'whakaiti kati' ko te whakatikatika ā-ringa i te hononga me te kore pokanga. Mēnā ka taea, ka ngana ngā tākuta ki te mahi i tēnei i te tuatahi. Ka mahia tēnei i a koe e noho ana i raro i te mate whakamoe. Whai muri i tēnā, me mau koe i te paninga, i te whitiki rānei hei pupuri i te wheua kia ora rā anō.
• Te whakaiti tuwhera me te whakapiri ā-roto (ORIF): Mena kāore e taea te whakaiti kati, ko te kōwhiringa e whai ake nei ko te pokanga (whakaiti tuwhera). Ko te whakapiri ā-roto ko te whakahoki i ngā wheua katoa ki te wāhi tika, me te pupuri i a rātou ki te wāhi tika. I ētahi wā, me hono anō e te taote pokanga te wheua ulna i mua i te whakahokinga i te radius ki te wāhi tika. Me rongoa, me tango rānei ētahi atu kiko kua pakaru.

Kia pēhea te roa o te wā e ora ai te whati o te wheua o Monteggia?

Ka taea e te nuinga o te tangata te hoki ki ngā mahi o ia rā i roto i ngā wiki e 8 ki te 12 o te maimoatanga. Tērā pea ka roa ake te wā mō ngā kaitākaro me te hunga he mahi uaua ki te tinana.

Mena he whakaiti kati tōu, me mau pea he rimurapa mō te 6 ki te 8 wiki. Mena ka pokangahia koe, me mau pea he rimurapa mō te 3 wiki. Whai muri i tēnā, me mahi pea koe i te whakaora mahi, i te whakaora tinana rānei mō ētahi wiki hei whakahoki mai i te ngāwari me te whānuitanga o te nekehanga o tō ringaringa.

Kei te pēhea te āhua i muri i te maimoatanga mō te whati o te wheua o Monteggia?

Mā te tātaritanga wā tika me te maimoatanga tika, ka ora te nuinga o te tangata me te kore he raruraru nui. Heoi, nā te mea he whara kino tēnei, ehara i te mea onge te pāngia e te pakari o te tuke, te mamae tonu, me te ngoikore i muri i te maimoatanga. Tata ki te 10% o te tangata ka pāngia e te kino o te io wā poto, ka roa pea mō ētahi marama.

Ko te mea nui, ki te kore e kitea te whati o Monteggia, ā, ka waiho kia kore e rongoatia mō ētahi wiki, he uaua ki te rongoā angitu. Ka taea hoki e ia te whakararu i te tinana mō te wā roa.

Ina whati tō ringa i te taha o tētahi hononga, he mea nui kia whakaarohia te tūponotanga kua pakaru te hononga tonu. He uaua ki te kī ina rua ō whara i te wāhi kotahi, i te taha o te hononga kotahi. Heoi, ki te haere tonu ō tohumate ki te whakararuraru i a koe i muri i te maimoatanga, kaua e wareware noa. Tirohia anō tō tākuta. Ka tūpato rātou kia kaua e whakaroa i te maimoatanga tika mō te whati o Monteggia, kaua e karohia.

Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)

• Ko te whati Monteggia he whati e whati ai te wheua ulna o te ringaringa i te tuke, ka marere te wheua radius i te hononga.
• He uaua ake tēnei i te whati noa iho, nā te mea ka kore e pumau te hononga o te tuke.
• Ka pā pea tēnei nā ngā mea pēnei i te hinganga me te pānga tika ki te tuke.
• Ko ngā tohu matua ko te mamae o te tuke, te pupuhi, me te kore e taea te neke tika i te ringa. He iti noa iho te tūponotanga ka pakaru te io.
• Hei tautuhi tika, me tango he hihi-X o tō rae me tō tuke.
• He maha ngā wā ka taea te whakatika i ngā tamariki nohinohi me te kore e pokanga, engari ko ngā pakeke pea me pokanga.
• Ki te kitea wawetia te mate, ā, ki te rongoatia tika, ka taea te ora pai. Ki te whakaroahia, ka puta pea ngā raruraru.
• Mena kei te mau tonu te mamae, te kore rānei e pai i muri i te maimoatanga, me toro atu koe ki te tākuta.

Ko tāku tumanako ka whai hua ēnei kōrero ki a koe. Mēnā he pātai āu, kaua e mangere ki te pātai atu ki tō tākuta. Kia ora tonu koe!

` Whāwhati o Monteggia, whara tuke, whatiwhati, ulna, radius, whati ringa, pokanga