E mamae ana ō turi ina ara ake koe i te moenga i te ata? E mamae ana rānei tō tuara i te ahiahi i muri i te noho i runga i te tūru i te rā katoa? Kua takahuri pea tō pona waewae i a koe e takaro ana i ngā hākinakina, ā, kāore anō kia memeha te mamae? Ka pāngia tātou katoa e te mamae me te kore whakamarie i roto i ō tātou tinana, i ngā wheua, i ngā hononga, me ngā uaua i tētahi wā o ō tātou oranga. Nō reira, i tēnei rā ka kōrero taipitopito tātou mō wai te tākuta e tika ana kia toro atu tātou i tētahi wā pēnei, me pēhea hoki rātou e āwhina ai i a tātou.
Ko wai tonu te Taote Taote Tuitui?
He kupu ngāwari tēnei, he tākuta e tohunga ana ki ngā mate me ngā mate e pā ana ki te pūnaha uaua me te uaua o te tinana, arā, ngā wheua, ngā hononga, me ngā uaua. I ētahi wā ka karangatia rātou ko ngā 'tākuta wheua'. I te reo Pākehā, ka karangatia anō tēnei tohunga he 'Taonga Pakaru', he 'Tangata Pakaru' rānei.
Ko tā rātou arotahi nui ko ngā raruraru e puta ana i roto i te 'Pūnaha Uaua' o tō tātou tinana, arā, te pūnaha wheua me te uaua. Kia kite tātou he aha ngā mea e pā ana ki tēnei pūnaha.
- Ngā wheua: Ko te angaanga e homai ana te āhua me te kaha ki ō tātou tinana.
- Ngā Hononga: Ngā wāhi e hono ai ngā wheua tetahi ki tetahi (hei tauira, turi, tuke).
- Kirita: He hipoki maeneene, tiaki e ārai ana i ngā wheua kei mirimiri tetahi ki tetahi i ngā hononga.
- Ngā hononga: Ngā kiko kaha e hono ana i ngā wheua tetahi ki tetahi, e whakau ana hoki i ngā hononga.
- Uaua: Ngā kiko e āwhina ana i te tinana ki te neke.
- Ngā uaua: Ngā kiko kaha e hono ana i ngā uaua ki ngā wheua.
- Ngā io: Ko te pūnaha e kawe ana i ngā tohu mai i te roro puta noa i te tinana. I ētahi wā, ka kōpeke ngā io nā ngā raruraru o ngā wheua, o ngā hononga rānei.
Ko te mahi matua a ēnei tākuta tohunga he whakatau i tētahi mamae, mate, āhuatanga rānei e pā ana ki ngā wāhi katoa o tēnei pūnaha, ā, hei āwhina i a koe ki te hoki anō ki ō mahi o ia rā me te kore mamae.
He aha ngā mate hauora e rongoatia ana e ēnei tākuta?
He whānui rawa ngā mate e rongoatia ana e ngā taote pokanga wheua. Mai i ngā raruraru whānautanga, ngā whara i puta mai i ngā aituā, tae atu ki ngā āhuatanga e puta ake ana i a tātou e pakeke haere ana. Me titiro tātou ki ētahi o ngā mea tino nui.
| Mate/raruraru | He whakamārama māmā |
|---|---|
| Mate rumatiki | Te pupuhi me te mamae o ngā hononga. He mea noa te osteoarthritis, he mate e puta mai ana i te pakaru me te haehae o ngā hononga, inā koa i a tātou e pakeke haere ana. |
| Ngā whati wheua | He wheua whati, whati rānei nā te hinganga, te aituā, me ētahi atu. Ka kiia hoki tēnei he 'whati'. |
| Ngā Whara Hākinakina | Ngā pakaru o te hononga o te uaua (hei tauira, ngā pakaru o te ACL), ngā whāwhā o te uaua, ngā whāwhā, me ērā atu mea e pā ana i te wā hākinakina. |
| Mamae tuara me te kaki | Te mamae e puta mai ana i ngā momo take maha, pērā i te tū tika me te heke o te kōpae. |
| Ngā Hapa Whānau | Ka puta ngā raruraru angaanga mai i te whānautanga, pērā i te clubfoot me te hip dysplasia. |
| Ngā pukupuku wheua me ngā kiko ngohengohe | Ngā pukupuku matepukupuku, kāore rānei i te matepukupuku e tupu ana i roto i ngā wheua, i ngā kiko ngohengohe rānei pērā i ngā uaua me ngā uaua. |
| Te korokoro | Te piko o te tuaiwi ki te taha. |
| Te mamae o te uaua | Te pupuhi me te mamae i roto i ngā uaua. |
He rite tonu te Tākuta Rheumatologist me te Tākuta Orthopedic? He aha te rerekētanga?
He mea tēnei e pōhēhē ai te tini o te tangata. He rerekē te 'Rheumatologist' me te 'Orthopedic Surgeon'. Ahakoa e rongoā ana rāua i ngā mate e pā ana ki ngā wheua, ngā hononga, me ngā uaua, he rerekē te tirohanga a rāua ki te raruraru me ngā tikanga rongoā.
Ki te kī ngāwari, ka mahia e te Taote Taote Tuturu te pokanga, engari kāore e mahia e te Taote Rheumatologist.
Kia mārama ake tātou ki tēnei rerekētanga.
| Whakataurite | Taote Taote Orthopedic | Tākuta mate rumatiki |
|---|---|---|
| Pokanga | Āe , ka whakahaerehia ngā maimoatanga pokanga me ngā maimoatanga kore-pokanga. | Kāo , ko te nuinga o ngā rongoā me ētahi atu maimoatanga kore-pokanga e whakaratohia ana. |
| Arotahi matua | Ngā raruraru ā-tinana pērā i ngā whara, ngā aituā, ngā whānautanga hapa, me ngā raruraru hononga. | Ko ngā mate pūnaha he mate e pā ana ki te tinana katoa nā ngā raruraru o te pūnaha ārai mate. |
| Ngā tauira | Ngā whatiwhatinga, te mate wheua, ngā whara hākinakina, ngā raruraru tuara. | Te mate rumatiki, te lupus, te vasculitis. |
Engari he maha ngā wā ka mahi tahi ēnei momo tohunga e rua. Hei tauira, ki te mea he mate rumatiki tōu, ka tohua e te tākuta rumatiki he rongoā hei whakahaere i tō āhua. Engari ki te mea kua tino ngenge tō hononga turi nā te mate, ka tukuna pea koe ki te taote pokanga wheua mō te pokanga whakakapinga hononga.
He atu anō ngā tohungatanga iti mō ngā mate wheua?
Āe. Ae rawa. Pērā i ētahi atu mara hauora, he nui ake ngā tohungatanga hōhonu mō ngā mate wheua me ngā hononga. Haunga te tohunga wheua whānui, ka whiwhi ētahi tākuta i ētahi atu whakangungu i roto i tētahi mara motuhake .
- Pokanga waewae me te pona waewae: He tohunga mō ngā raruraru uaua e pā ana ki ō tātou waewae.
- Pokanga ringa me ngā pito o runga: Ngā raruraru e pā ana ki te ringa, te ringaringa, te tuke, me te pakihiwi.
- Whakakapinga hononga: Ngā tohunga ki te whakakapinga pokanga o ngā hononga kua tawhito pērā i te hope me te turi.
- Pokanga wheua mō ngā tamariki: Te rongoā i ngā raruraru o te pūnaha angaiwi o ngā tamariki nohinohi me ngā tamariki e tipu haere ana.
- Pokanga tuaiwi: Ngā tohunga e rongoā ana i ngā āhuatanga uaua o te tuara me te kaki.
- Rongoā hākinakina: Tohungatanga ki te aukati me te rongoā i ngā whara o ngā kaitākaro.
- Oncology orthopedic: Te rongoā i ngā pukupuku matepukupuku e puta ana i roto i ngā wheua me ngā kiko ngohengohe.
- Te whara wheua: Te rongoā i ngā whati me ngā whara uaua i puta mai i ngā aituā kino.
Āhea koe me toro atu ki tētahi tohunga wheua me ngā hononga?
Mena kei te mau tonu tētahi, ētahi rānei o ngā tohu e whai ake nei, he mea tino nui kia kite koe i tētahi tākuta whānui, ā, ki te tika, me tuku koe ki tētahi tohunga wheua me ngā hononga.
| Tohu | He aha te tikanga o tēnei |
|---|---|
| He tangi pakū, he tangi huri rānei i te wā e nekehia ana te hononga | Tērā pea he pakaru, he haehae rānei o te kiriuhi o te hononga, he raruraru rānei kei te hononga. |
| Te mamae, te pupuhi, me te whero o ngā hononga | He tohu pea tēnei nō tētahi mate mumura pērā i te mate rumatiki. |
| Te ngenge, te ngau rānei i ngā peka | Ka puta pea tēnei nā te pēhanga o ngā io e te kōpae wheua, te kōpae kiriuhi rānei. |
| Te uaua ki te neke nā te mamae | Ko ngā āhuatanga pēnei i te kore e taea te hapai i ngā pakihiwi, te piko rānei i ngā turi he tohu nō te hauātanga. |
| Te pakari o ngā hononga o te ata | Ki te uaua ki te piko me te totoro i ō hononga mō tētahi wā i muri i tō aranga ake, he tohu pea tēnei nō te mate rumatiki. |
He aha ngā mea ka tupu i te rā tuatahi ka haere koe ki te tākuta?
He mea noa te māharahara ina haere koe ki te kite i tētahi tohunga. Engari mā te mōhio ki ngā mea hei tumanako i mua atu ka āwhina i te whakamama i taua mataku. Anei ētahi mea e tupu ana i tō wā tuatahi.
1. Te kōrero mō ō tohumate: He maha ngā pātai ka pātaihia e te tākuta ki a koe, tae atu ki te āhua o tō mamae, te roa o te wā e pāngia ana koe, te wā ka kino haere, he aha atu ngā rongoā e tangohia ana e koe, tō mahi, me tō āhua noho.
2. Whakamātautau tinana: Ka tirohia te hononga mamae, te wāhanga tinana rānei. Ka taea te piko, te totoro, me te neke ki ngā ahunga rerekē.
3. Ngā Rangahau: Tērā pea ka tonoa koe kia mahi i tētahi mea pēnei i te hihi-X hei mārama ki te raruraru tuturu. I ētahi wā, mēnā e hiahiatia ana ētahi atu taipitopito, ka tūtohutia pea he matawai CT, he matawai MRI rānei.
4. Te Tātaritanga me te Maimoatanga: I te nuinga o te wā, i runga i ēnei mōhiohio, ka whakamārama te tākuta i tō āhua me te whakaahua i tētahi mahere maimoatanga e tika ana mōu. Heoi, i ētahi wā ka taea anake te whakatau i tētahi tātaritanga tuturu i muri i te whiwhinga o ngā hua whakamātautau, pērā i te MRI.
Ina haere ahau ki te tākuta wheua, me mahi rānei he tākuta?
Koinei te wehi matua o te tini tāngata. Engari ko te whakautu he 'kāo' . Ehara i te mea he mahi pokanga noa iho te taote pokanga wheua. He tohunga hoki rātou ki ngā maimoatanga kore-pokanga.
Kia maumahara, ko te toro atu ki tētahi taote pokanga wheua ehara i te mea he pokanga tonu. Mō ngā āhuatanga maha, ka taea e ngā maimoatanga kore-pokanga te whakarato i te whakaoranga angitu.
Ko te tikanga, haunga ngā whara kino, ngā hapa whānau rānei, ka whakamātau ngā tākuta i ngā maimoatanga kore-pokanga i te tuatahi. Mēnā kāore aua maimoatanga e puta he hua angitu, kātahi ka whakaarohia te pokanga.
Nā, he aha ngā maimoatanga kore-pokanga?
- Te mau i ngā taputapu motuhake: Ngā mea pēnei i ngā whītiki, ngā taura here, te paraikete o Parī (he mea whakarewa), ngā whitiki tautoko rānei hei āwhina i te peka kia noho marino, kia ora ai.
- Werohanga Hononga: Te werohanga i ngā rongoā steroid, pērā i te cortisone, ki roto i te hononga hei whakaiti i te mamae me te pupuhi.
- Ngā rongoā: Ngā rongoā mamae (hei tauira, paracetamol, ibuprofen), ngā rongoā whakangāwari uaua, me ētahi atu.
- Whakaora Tinana: Ngā mahi whakakori tinana hei whakapakari i ngā uaua, hei whakanui ake i te whānuitanga o te nekehanga o ngā hononga, hei whakaiti hoki i te mamae.
- Whakaora Mahi: Te whakangungu ki te mahi i ngā mahi o ia rā (pēnei i te whakakakahu, te tunu kai) ahakoa te mamae.
- Whakaora PRP (Whakaora Platelet-rich plasma): He tikanga maimoatanga hou e whakamahi ana i ngā platelets mai i te toto o te tūroro hei whakateretere i te whakaora o te kiko kua pakaru.
- Orthotics: He whakaurunga motuhake kua hangaia ki roto i ngā hu hei whakatika i te tūranga o te waewae me te whakaiti i te pēhanga ki runga i te waewae i te wā e hikoi ana.
He aha ngā momo pokanga e mahia ana e ēnei tākuta?
Mena e tika ana kia pokanga, he maha ngā momo pokanga ka taea te whakarite kia rite ki tō āhua.
Te pokanga whakakapi hononga
- Te whakakapinga hope katoa
- Te whakakapinga turi katoa me te whakakapinga wāhanga
- Te whakakapinga pakihiwi katoa
Ngā pokanga ringa me ngā peka o runga
- Te pokanga mō te mate carpal tunnel syndrome (te tukunga o te carpal tunnel)
- Te whakatikatika i te pakaru o te pūtu porotaka (pokanga pūtu porotaka)
- Pokanga maihao whakakā
Pokanga tuaiwi
- Te pokanga hei whakamama i te pēhanga io (Te tango i te pēhanga tuaiwi, te laminectomy)
- Te hononga tuaiwi
Te pokanga mō ngā whara hākinakina
- Te pokanga meniskus
- Te whakatikatika i te hononga o mua o te cruciate (ACL)
Karere Tangohia ki te Kāinga
- He tohunga tino whakangungua te Taote Taote Tulang-o-te-tuara e rongoā ana i ngā raruraru e pā ana ki ō tātou wheua, hononga me ngā uaua.
- Kāore te haere ki te kite i a rātou e tohu ana me pokanga tonu. He maha ngā maimoatanga kore-pokanga e wātea ana, pērā i te whakaora tinana, ngā rongoā, me ngā werohanga.
- Mena he roa te mamae o ngā hononga, he pupuhi, he pakari, he uaua rānei te neke, kaua e whakaroa ki te rapu tohutohu hauora.
- He mea nui te kōrero tuwhera ki tō tākuta mō ō tohumate, tō momo noho, me ō tumanakohanga hei whakatau i te mahere maimoatanga tika.
- Mā te maimoatanga tika, ka taea hoki e koe te ora i tētahi oranga kaha, kore mamae hoki.
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