Āe, i hinga koe? He aituā iti rānei? Kua mamae, kua pupuhi rānei tō ringa, tō waewae rānei i te wā ohorere? I ngā wā pēnei, ka whakaaro tātou mēnā kua whati tetahi wheua. I tēnei rā, ka kōrero tātou mō tētahi momo whati motuhake ka puta i ngā wā pēnei. Koia te whati whakawhiti, e kiia ana rānei e ngā tākuta, he whati whakarara (Oblique Fracture) .
He aha tonu te whati whakarara?
Ki te kī ngāwari, ko te "Whati Piko" he whati tetahi o ō wheua i tētahi koki, arā, i tētahi koki . Whakaarohia he rite ki tētahi rākau e whati ana kia rua ngā taha, engari kaua e whati i tētahi koki pakupaku. I tēnei wā, ka whati katoa te wheua, arā, ka haere te rārangi whati puta noa i te wheua.
Ko ēnei momo whatiwhatinga te mea tino kitea i roto i ngā wheua roa o te tinana. Hei tauira:
- Femur
- Iwi waewae `(Tibia)`
- Ko te wheua i waho o te wheua hope `(Fibula)`
- Te wheua o runga o te ringa `(Humerus)`
- Ngā wheua o te ringaringa (Radius me Ulna)
- te wheua o te kōiwi
Ko te nuinga o ēnei whatiwhatinga i puta mai i ngā hinganga, i ngā aituā rānei. I ētahi wā ka hiahiatia he pokanga hei whakatika i te wheua. Engari mō ētahi tāngata, ka taea e te whitiki, te whakapiri rānei te āwhina. Ko te wā e ora katoa ai, e whakawhirinaki ana ki te wheua i whati me te āhua o te whati. He maha ngā marama e ora ai.
He aha te rerekētanga i waenga i te whati piko me te whati porowhita?
E rua ngā momo whati wheua. Mā ēnei ingoa ka āwhina te tākuta ki te mārama ki te whati o tō wheua me te āhua o te whati.
I roto i te "Whati Piko", ka whati te wheua i te koki, i te piko . Arā, he rite te whati ki te rārangi piko puta noa i te wheua. Ka puta ēnei momo whati ina taka te taumaha ki te taha piko, pērā i te hinganga, i te wā rānei ka pā ohorere tetahi mea ki te taha piko, pērā i te aituā motuka.
Engari i roto i te `(Whāwhati Porowhita)` ka whati te wheua i roto i te porowhita, pērā i te arawhata porowhita . He nui ake te kitea o ēnei i roto i ngā aituā hākinakina. Whakaarohia mēnā ka haere mai tetahi ka takai i tō waewae i a koe e tākaro whutupaoro ana.
Nā, he aha te rerekētanga i waenga i te whati whakarara me te whati whakawhiti?
I ngā āhuatanga e rua, he rite te whati ki tētahi rārangi tika e puta ana i roto i te wheua.
Engari i roto i te "Whati Piko", kei te koki te rārangi. I roto i te "Whati Whakawhiti", kei te taha katoa o te wheua te rārangi, arā, he poutū ki te roa o te wheua.
Heoi, ahakoa te ingoa o tō whati, ko te mea nui ko te toro atu ki te tākuta i te wā e taea ai, kia tirohia hoki koe.
He pēhea te auau o ēnei whati piko?
He momo whati tino noa ngā whati piko, inā koa i roto i ngā wheua roa.
Ko wai te mea ka nui ake te tūponotanga ka pāngia e ēnei?
Ka taea e te tangata katoa te pāngia e tēnei momo whati. Ko te nuinga o ēnei ka puta mai i ngā hinganga me ngā aituā. Ki te ngāwari koe ki te hinga, he nui ake te tūponotanga ka pāngia koe e tētahi. Waihoki, ko te hunga e pāngia ana e te osteoporosis, he mate e ngoikore ai ngā wheua, he nui ake te mōrearea ki tētahi momo whati, tae atu ki tēnei (Oblique Fracture).
He aha ngā tohu o te whati piko?
Mena he whati piko tōu, ka pāngia pea koe e ngā tohu penei:
- Mamae nui
- Pupuhi
- Mamae ina pāngia (ngāwari)
- Te kore e taea te neke i tētahi wāhanga tinana e taea ana te neke i te nuinga o te wā
- Te marutanga, te rerekētanga rānei o te kiri
- Ka kitea he āhua rerekē, he puku rānei kāore e kitea i te nuinga o te wā i taua wāhi.
He mea nui: Mena kei a koe tētahi, neke atu rānei o ēnei tohu, he mea pai kia rapu tohutohu hauora tonu atu.
He aha ngā whati tuwhera me ngā whati kati?
Ina whakarōpūhia e tō tākuta he whati, ka kī atu rātou mēnā he whati tuwhera, he whati kati rānei . I roto i te whati tuwhera , kua pakaru tō wheua whati i roto i te kiri, ā, kei te piri mai. Ka roa ake te ora o ēnei, ka nui ake te tūponotanga ka pangia, ā, ka pā mai ētahi atu raruraru. He kino hoki te whati kati , engari kāore te wheua e puta mai i te kiri.
He aha ngā whati kua nekehia?
Ka tapaina ēnei whati e ngā tākuta ko "Ngā Wāhi Kua Nekehia" ko "Ngā Wāhi Kāore i Nekehia". Ko te "Wāhi Kua Nekehia" ko te wā e whati ai ngā wahi e rua o te wheua , ka nekehia kia wehea, ka waiho he āputaputa huri noa i te wahi whati. Whakaarohia kua whatiia e koe tētahi rākau kia rua. Mena kei te tata tonu ngā wahi e rua, ka kiia ko "Ngā Wāhi Kāore i Nekehia." Engari ki te nekehia kia wehea ngā wahi e rua, ā, he āputaputaputa kei waenganui i a rāua, ka kiia ko "Ngā Wāhi Kua Nekehia". Ko ēnei whati "Ngā Wāhi Kua Nekehia" he nui ake te tūponotanga kia hiahiatia he pokanga.
He aha ngā take o ngā whati piko?
Ka puta he whati piko mēnā ka pāngia tō wheua i tētahi ara. Ka puta ēnei i te nuinga o te wā ina pā tetahi mea ki te taha o tō tinana. Ko ngā tino take ko:
- Te hinganga (hei tauira, te paheke, te hinganga mai i te teitei)
- Ngā aituā motuka
- Ngā aituā hākinakina (hei tauira, ngā tukinga i te wā e tākaro ana i te kirikiti, i te whutupaoro rānei)
Whakaarohia, i haere a Nimal ki te tākaro kirikiti, ā, ka hinga ia i a ia e tākaro ana i te papa. I paheke rānei a Whaea Sumana, ka hinga i a ia e heke ana i te arawhata i te kāinga. Koinei te wā ka nui te tūponotanga ka hinga ia, ka whati rānei te waewae.
Me pēhea te tautuhi a ngā tākuta i tēnei?
Ka tātaritatia e tō tākuta he whati piko mā te whakamātautau tinana me ētahi whakamātautau whakaahua .
He aha tā ēnei whakamātautau e ngana ana ki te rapu?
I muri i te whakamātautau tinana, ka whai pea koe i tētahi, i ētahi rānei o ēnei whakamātautau:
- Ngā hihi-X: Ka taea e te hihi-X te whakaū mēnā he whati piko tō wheua, he whati wheua rānei. Ka taea hoki e ia te whakaatu i te nui o te kino o te wheua.
- Whakaahua Āhua Aukume (MRI): I ētahi wā ka whakahau tō tākuta i tētahi MRI. Ka taea e tēnei te tirotiro i te kino o ō wheua me ngā kiko e karapoti ana. He mea nui tēnei kia kitea ai mēnā he kino kei ō uaua, kiko honohono, ō whekau rānei.
- Matawai CT: Ki te hiahia koe ki te pokanga, me mōhio tō tākuta, tō taote pokanga rānei ki te nui o te kino kua pā ki ō wheua. Ka taea e te matawai CT te whakaputa i tētahi pikitia mārama ake, taipitopito ake hoki o ngā wheua me ngā kiko e karapoti ana i te hihi-X. Ki te kore e taea te whakatau tika i ngā hihi-X, me whai matawai CT pea koe hei whakamahere i tō pokanga.
Me pēhea te rongoā i ngā whati piko?
Ko te maimoatanga mō tō "Whāwhati Tūroa" ka whakawhirinaki ki te kaha o te whati tuatahi. Me ora tonu ō wheua whati, ā, me ora tonu. Ka whakamahia e tō tākuta ngā maimoatanga rerekē i runga i te nui o te pakaru me te take o te whati.
Te aukati i te nekehanga
Mena kāore tō whati i te tino kino, arā, kāore i te tino tawhiti ngā wahi wheua ('kāore i nekehia'), tera pea ka taea e koe te ora mā te whakamahi noa i te whitiki, i te mea rānei i whakakikoruatia . Ka roa te whitiki, e toru ki te rima wiki te roa. Ka roa ake te whitiki, e ono ki te waru wiki te roa. Ahakoa pēhea, me whai anō koe i tētahi hihi-X hei whakarite kei te ora pai te wheua.
Whakatikatika Ā-ringa (Whakaitinga Katia)
Mō ngā whati kino rawa atu, ka whakamahia he tikanga kore-pokanga e kiia nei ko te whakaiti kati hei whakatikatika i te wheua whati. I roto i tēnei tikanga, ka pupuri te tākuta i te wheua whati mai i waho o tō tinana, ka pēhi me te kukume anō ki tōna tūranga. I roto i tēnei tikanga, ka hoatu ki a koe tētahi o ēnei hei āwhina i te whakaiti i te mamae:
- He rongoā whakamoe ā-rohe hei whakangāwari i te wāhi pakaru anake.
- Ngā rongoā whakamarie hei whakangā i te tinana katoa.
- Mā te rongoā whakamoe whānui koe e whakamoe i a koe puta noa i te tikanga katoa.
I muri i te mahi i tēnei "Whakaitinga Kati", ka tāpirihia e te tākuta he kiripiri, he pāreti rānei ki a koe.
Pokanga mō ngā Whati Tūpoupou (Pokanga Whati Tūpoupou)
Mō ngā whati tino kino, me pokanga. Ka whakatikatika anō te taote pokanga i ō wheua, ka whakatika kia kore ai e neke. Ko reira anake ka ora ai.
Te Whakapūmau ā-roto
I te nuinga o te wā, ka mahia tēnei mā te whakamahi i tētahi mea e kiia nei ko te whakau ā-roto . Ko te tikanga o tēnei ka whakauruhia e te taote pokanga ngā wahi whakarewa (pēnei i ngā tokotoko, ngā pereti, ngā pine rānei) ki roto i tō wheua hei pupuri i a ia ki tōna tūranga. Whai muri i tēnā, me okioki te wāhanga o tō tinana i pokangahia kia ora rawa te wheua.
He maha ngā tikanga mō te "Whakatikatika ā-Roto":
- Ngā tokotoko: He tokotoko e whakaurua ana mā waenganui o te wheua mai i runga ki raro.
- Ngā pereti me ngā tīwiri: Ngā pereti whakarewa kua tīwirihia ki roto i te wheua hei pupuri i ngā wahi wheua kia piri.
- Ngā pine me ngā waea: Ka whakamahia ēnei hei pupuri i ngā kongakonga wheua iti ake i ētahi atu taputapu whakapiri. He maha ngā wā ka whakamahia ngātahitia me ngā pine, 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 Whakapūmautanga o Waho
Me whai whakapiripiri ā-waho pea koe. Ko tā te taote mahi he whakauru i ngā pine ki roto i tō tinana i ia taha o te wheua whati, kātahi ka whakapiri i ngā pine ki tētahi anga, ki tētahi tautoko rānei i waho o tō tinana. He mahi wā poto noa iho tēnei. Ka mahia tēnei hei hoatu i te wā ki te wheua kia tau, kia tīmata ai te whakaora i mua i te mahi whakapiripiri ā-roto.
Te Whakakapinga Hononga (Arthroplasty)
Mena he hononga whati tōu, pērā i tō hope, tō turi, tō pakihiwi rānei, me whakakapi pea tō hononga (arthroplasty) . Ka tangohia e te taote pokanga tō hononga pakaru, ka whakakapia ki tētahi hononga horihori. Ka hangaia pea tēnei hononga horihori ki te konganuku, ki te uku, ki te kirihou pakari rānei. Ka rite te āhua me te nekehanga o tō hononga hou ki tō hononga tūturu.
Te Hononga Wheua
Mena he tino 'neke' tō Whati Kōpiko, arā, kua neke haere ngā wahi wheua, ā, kāore te wheua e ora tika ana, ā, he puhoi te ora, me whai hononga wheua pea koe. Ka whakaurua e te taote pokanga he kiko wheua anō hei hono anō i tō wheua whati. Kātahi, mā te whakapiri ā-roto, ka puritia ngā wahi kia tupu anō te wheua. Ka taea te tango i te kiko mō tēnei hononga wheua mai i ngā wāhi rerekē:
- Mai i tētahi atu wāhi o tōu ake tinana - ko te tihi o tō wheua hope te nuinga.
- Mai i tētahi atu kaituku.
- He mea hanga horihori.
Ko ngā pokanga `(Oblique Fracture)` ka mahia i te nuinga o te wā, kāore e noho ki te hōhipera (`ngā tikanga tūroro waho`), ā, ka taea e koe te hoki ki te kāinga i taua rā anō. Heoi, ki te mea he pokanga i runga i tētahi wheua nui pēnei i te femur, me noho koe ki te hōhipera mō ētahi rā.
I muri i te pokanga, ka whakaūngia te wheua whati. Me mau he whitiki tautoko, he whitiki whakatā, he mea whakarewa rānei i mua i te whakahokinga anō i te taumaha ki te wāhanga, i te whakamahi rānei i taua mea pērā i mua i te whatinga o te wheua.
He aha ngā rongoā e hoatu ana mō ngā whara me ngā whati o te wheua?
Ka taea e ētahi rongoā whakamamae mamae, pērā i te aspirin, te ibuprofen rānei ( NSAID ), te whakaheke toto me ētahi atu raruraru i muri i te pokanga. Ma tō taote pokanga koe e kōrero mō ngā rongoā ka taea e koe te tango hei āwhina i te whakaiti i te mamae i muri i te pokanga.
He aha ngā raruraru o te maimoatanga mō ngā whati ahotea?
Ko ētahi o ngā raruraru pea o te pokanga ko:
- Te Mate Pūtake Koretake (ACS): Mēnā ka piki te pēhanga i roto i te uaua, ā, ka motuhia te rere o te toto ki te kiko, ka pā he kino tuturu ki ngā uaua me ngā io.
- Malunion: He āhuatanga e kore ai te wheua whati e ora tika, engari ka hē te hononga.
- 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), ka nui ake te tūponotanga ka pāngia koe e te mate kitakita.
- Ētahi atu whara o roto: Ka taea hoki e ngā whati te kino i ngā uaua, ngā io, ngā oko toto, ngā uaua me ngā hononga e karapoti ana.
Kia pēhea te roa ka pai ake ai taku āhua i muri i te maimoatanga?
Tērā pea ka roa pea ētahi wiki ka memeha haere ō tohumate. I runga i te momo pokanga i mahia hei whakatika i tō `(Oblique Fracture)` me ēhea wheua i whati, tērā pea ka taea e koe te tīmata anō ki te neke haere i roto i ētahi wiki.
Whakatūpato Whawhati: Ki te pāngia koe e te mamae e kore e taea te tohe, me waea atu ki tō tākuta tonu.
Me pēhea te whakaiti i te mōrearea o ngā whati penei?
Whāia ēnei tohutohu whānui mō te haumaru hei whakaiti i ngā whara i puta mai i ngā aituā:
- Me mau tonu tō whitiki nohoanga i a koe e taraiwa ana.
- Kia mau ki ngā taputapu haumaru e tika ana i te wā e takaro ana i ngā hākinakina me ētahi atu mahi.
- Kia ma tō whare me tō wāhi mahi, kia kore hoki he mea e paheke ai, e hinga ai rānei koe.
- 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 pupuri i te hauora o te wheua.
- Mena kua neke atu koe i te 50 tau te pakeke, mēnā rānei he mema o tō whānauMena he mate wheua tōu, kōrero ki tō tākuta mō tētahi whakamātautau kiato wheua.
- Mena he uaua ki a koe te hikoi, kei te tino tūpono rānei koe ki te hinga, whakamahia tō tokotoko, tō taputapu hikoi rānei .
Ka taea te ārai i te whati piko?
`(Ngā Whati Tūpoupou)` Nā te mea ka puta mai i ngā hinganga, i ētahi atu aituā rānei, kāore he mea nui e taea e koe te mahi hei ārai i ēnei. Heoi, ka taea e koe te whakamahi i te tokotoko, i te taputapu hikoi rānei hei whakanui ake i tō pumau i a koe e hikoi ana, hei ārai hoki i te hinganga.
Waihoki, ki te mea he osteoporosis tōu, mā te rongoā ka ārai i te ngaronga o te mātotoru o te wheua a muri ake nei.
He aha taku e tumanako atu ai mēnā he whati piko tōku?
Mena he whati piko tōu, ka taea e koe te tumanako ka ora katoa koe . Engari ka roa pea te wā.
Me whai anō pea koe i ngā mahi whakaora tinana hei whakahoki mai i te kaha me te whānuitanga o te nekehanga o te wāhanga tinana kua whara.
Kia pēhea te roa e ora ai te whati piko?
Ko te roa o te wā e ora ai koe, e whakawhirinaki ana 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 piko.
Heoi anō, he maha atu anō ngā āhuatanga ka pā ki te roa o te wā e ora ai tō tinana. Kōrero ki tō tākuta, ki tō taote pokanga rānei mō tētahi wā tika mō tō āhuatanga.
Kāore e taea e au te haere ki te mahi/ki te kura?
Ka rerekē te roa o te wā e kore ai koe e taea te haere ki te mahi, ki te kura, ki ētahi atu mahi rānei, i runga i te whara me ngā wheua kua whati.
I a koe e whakaora ana, kōrero ki tō taote pokanga, ki tō tākuta rānei i mua i te tīmata anō i tētahi mahi ā-tinana.
Hei whakamutunga, mō te whati piko...
He pai te tirohanga mō te nuinga o te `(Oblique Fracture)`. Ahakoa ka pokangahia koe, me ora katoa koe.
Āhea ahau me haere ki te Rūma Ohotata?
Ki te whakaaro koe he "Whāwhati Tūroa" tōu, he whati wheua rānei, me toro atu koe ki te tākuta i te wā e taea ai. Haere ki te rūma whawhati tata mēnā kei a koe ētahi o ēnei tohu:
- Mamae kore e taea te whakamanawanui.
- Ki te kore e taea e koe te neke i tētahi wāhanga o tō tinana ka taea e koe te neke i te tikanga.
- Mena kua rerekē te āhua o tētahi wāhanga o tō tinana, kua pūwero rānei ki waho o te wāhi tika .
- Ki te kite koe i te wheua e piri mai ana i te kiri.
- Te pupuhi.
- Mena, me ēnei atu tohu, ka puta whakarere mai he 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?
- Ko tēhea o ōku wheua kua whati?
- He whati piko tōku, he momo whati rānei?
- Me pokanga ahau?
- Kia pēhea te roa ka ora ai?
- Āhea ahau ka taea ai te tīmata anō i ngā mahi ā-tinana?
Ehara i te mea he mea whakarerekē te whati wheua whakarara i te nuinga o te wā, engari he mea whakamataku pea te mōhio kua whati tō wheua. He pai te urupare a ngā whati wheua whakarara ki te maimoatanga, ā, he maha ngā kōwhiringa hei āwhina i ō wheua me tō tinana kia ora tika. Kōrero ki tō tākuta mō te āhua e taea ai e koe te pupuri i te kaha me te hauora o ō wheua, me te whakamātautau i te kiato o te wheua i ia wā mēnā neke atu i te 50 tau te pakeke, he hītori whānau rānei tōu mō te osteoporosis.
` Wāwhati, Wāwhati Piko, Hauora o te Wheua, Wheua, Āwhina Tuatahi, Pokanga











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