I tēnei rā ka kōrero tātou mō tētahi kaupapa nui ki te tini tāngata. E mamae ana tō tinana, e mamae ana ngā hononga, e kore rānei e pai te haere i a koe e hikoi ana? Ko wai tā tātou e waea atu ai ina tupu tēnā? I tēnei rā ka kōrero tātou mō tētahi tohunga e haere mai ana ki te āwhina i a tātou i ēnei wā - arā, ko te taote pokanga wheua, arā, e mōhiotia ana e tātou katoa, ko te taote e kiia nei ko te Taote Pokanga Orthopedic. E karangatia ana ia e ētahi ko te Taote Pokanga Orthopedic.
Ko wai tēnei Taote Tākuta Tukatuka?
He māmā noa iho, he tākuta te taote wheua e tohunga ana ki te rongoā i ngā raruraru me ngā mate o te pūnaha musculoskeletal, tae atu ki ngā wheua, ngā hononga, ngā uaua me ngā uaua . Ka taea e rātou te āwhina i a koe ki te whakakore i te mamae, te neke pai ake, me te mahi noa.
He aha ēnei raruraru o te uaua me te ngākau?
Ahakoa te ahua nui o tēnei kupu, he māmā noa iho. E pā ana ki ngā raruraru o ngā wāhanga o tō tātou tinana e āwhina ana i a tātou ki te neke me te neke. Whakaarohia tō tātou tinana he mīhini i hangaia mai i ngā wāhanga takitahi. Ko ētahi o ngā wāhanga matua o tēnei "mīhini" ko te pūnaha uaua me te wheua:
- Ngā wheua: Koinei ngā mea e hanga ana i te angaanga o tō tātou tinana.
- Kirita: Ko te wāhanga rite ki te urunga i waenganui i ngā hononga e ārai ana i ngā wheua kei mirimiri tetahi ki tetahi.
- Ngā Hononga: Ngā wāhi e hono ai ngā wheua e rua (hei tauira, turi, tuke).
- Ngā hononga: He hanganga kaha, rite ki te whitiki e hono ana i ngā wheua.
- Uaua: Ngā wāhanga e āwhina ana i te tinana ki te neke me te whakawhāiti.
- Ngā io: Ko ngā io e kawe ana i ngā karere mai i te roro puta noa i te tinana, e āhei ai tātou ki te rongo i te mamae me te pā.
- Ngā uaua: Ngā here kaha e hono ana i ngā uaua ki ngā wheua.
Mena he raruraru kei tētahi o ēnei wāhanga, ka taea te kī he raruraru wheua me te uaua.
He aha ngā momo mate e rongoatia ana e te taote pokanga wheua?
He maha ngā momo mate me ngā āhuatanga e rongoatia ana e ēnei tākuta. Anei ētahi tauira:
- Te mate rumatiki: Te mamae e puta mai ana i te pirau o ngā hononga, inā koa te mate rumatiki.
- Ngā pukupuku kiko ngohengohe pai.
- Matepukupuku wheua.
- Bursitis - te pupuhi o ngā pēke wai e tata ana ki ngā hononga.
- Ngā hapa whānau: Hei tauira, te dysplasia waewae karapu me te hope.
- Mamae te kaki me te tuara o raro.
- Ngā whara orthopedic: Ngā mea pēnei i te whati wheua.
- Ngā whara hākinakina.
- Ngā whāwhā me ngā totoro.
- Tendinitis - te mumura o te uaua.
- Scoliosis - te piko o te tuaiwi.
He aha te rerekētanga i waenga i te Rheumatologist me te Orthopedic Surgeon?
He tokomaha te hunga e pāngia ana e tēnei raruraru. He tohunga ēnei tākuta e rua ki ngā mate e pā ana ki ō tātou wheua, hononga, me ngā uaua. E rongoā ana rāua i ētahi mate pēnei i te rumatiki, te mamae o te tuara, me te osteoporosis. Heoi, he iti noa ngā rerekētanga matua.
- Ko ngā taote pokanga te hunga e mahi ana i ngā pokanga . Ko ngā tākuta rheumatology te tikanga kāore e mahi i ngā pokanga.
- Ko te taote pokanga wheua te kaupapa matua o te arotahi ki ngā raruraru e puta mai ana i ngā whara, i ngā hapa whānau, me ngā mate pirau e puta mai ana i te whakamahinga roa o te tinana .
- I tētahi atu taha, ka rongoāhia e te tākuta rumatiki ngā āhuatanga e puta mai ana i ngā mate pūnaha e pā ana ki te tinana katoa. He maha ngā wā ka puta mai ēnei i ngā raruraru o te pūnaha ārai mate. Hei tauira, ko te lupus, te vasculitis, te rumatiki rheumatoid, me ētahi mate tuku iho onge.
Heoi, i ētahi wā ka mahi tahi ēnei tākuta e rua ki te rongoā i ngā tūroro. Hei tauira, ki te mea he mate rumatiki tōu, ka taea e te tākuta rumatiki me te taote wheua te mahi tahi ki te whakarato i te maimoatanga pai rawa atu ki a koe.
He aha tonu te mahi a te taote pokanga wheua?
Ka rongoatia e ētahi taote pokanga wheua te whānuitanga o ngā mate wheua (ngā taote whānui). Ko te tikanga kāore rātou e herea noa ki tētahi wāhanga motuhake. Ko ētahi ka whiwhi whakangungu atu i roto i tētahi wāhanga motuhake, ā, ka iti ake te tohungatanga ki te rongoā i ngā mate e pā ana ki taua wāhanga.
Anei ētahi o ngā mahi motuhake mō ngā wheua:
- Pokanga waewae me te pona.
- Pokanga ringa me ngā peka o runga.
- Te pokanga whakakapi hononga.
- Oncology orthopedic - Te rongoā i ngā pukupuku me ngā mate pukupuku o ngā wheua me ngā kiko ngohengohe.
- Te whara wheua - he whara kino pēnei i te whati wheua.
- Pokanga wheua me ngā hononga o ngā tamariki - Ngā raruraru wheua me ngā hononga i roto i ngā tamariki.
- Pokanga tuaiwi.
- Te rongoā hākinakina - ngā whara me ngā mate o ngā kaitākaro.
He aha te momo whakangungu hauora e whakawhiwhia ana e ēnei tākuta wheua?
Ehara tēnei i te haerenga ngāwari. E 14 tau te roa o te whakangungu hauora e hiahiatia ana hei tākuta wheua.
- Tuatahi, he tohu pūtaiao e whā tau te roa (ngā akoranga paetahi).
- Kātahi ka whā tau o te kura hauora. Tērā pea he tohu hauora tuku iho tēnei, arā, he M.D. (Doctor of Medicine), he mātauranga osteopathic rānei, arā, he tohu D.O. (Doctor of Osteopathy). Ka āta whakaarohia e ēnei tākuta D.O. te hinengaro, te tinana, me te wairua o te tangata, ā, ka whai i tētahi tikanga hei rongoā i te 'tangata katoa'.
- Muri iho, me whakaoti e koe te noho noho wheua, e rima tau te roa. Koinei te wāhi ka whiwhi koe i ngā wheako mahi i roto i te taiao hōhipera, ka ako hoki mō ngā momo pokanga me ngā maimoatanga.
- Ki te hiahia koe ki te whai i tētahi atu tohungatanga ki tētahi atu mara, e ai ki te kōrero i runga ake nei, me whakaoti e koe tētahi atu tau, e rua rānei o te whakangungu motuhake (te whakawhiwhinga karahipi).
Kia oti ēnei mea katoa, ka taea e rātou te noho hei taote pokanga wheua whaimana. Mō tēnā, me whakaoti hoki e rātou ngā whakamātautau motuhake. Whai muri i tēnā, me ako tonu rātou i ngā mea hou me te whakahou i ō rātou mōhiotanga hauora (mātauranga hauora tonu).
Āhea ahau me toro atu ki tētahi taote pokanga wheua?
Mena kei a koe ētahi o ēnei tohu, he mea pai kia toro atu koe ki tētahi tākuta wheua:
- Mena he oro 'kiri kiri' he oro 'tok' rānei ina rūrūtia te hononga e tika ana.
- Mena he pupuhi, he whero rānei (mumura) kei te hononga.
- Mena kei te mamae ō hononga .
- Ki te mea kei te māuiui koe, kei te ngenge rānei .
- Mena he iti te nekehanga nā te mamae.
- Mena kei te pēhia koe e te kikī, e te pakari rānei o tō tinana .
Mena kei a koe ēnei tohu, he pai ake te toro atu ki te tākuta me te kore e warewarehia.
He aha taku e tumanako ai i taku wā tuatahi?
Āe, me kī atu kua haere koe ki te tākuta. I te rā tuatahi, koinei ngā mea ka tupu pea:
- Ka kōrero te tākuta ki a koe mō ō tohumate, tō hītori hauora, me tō āhua noho . Ka pātai atu rātou ki a koe mō ngā raruraru kei a koe, te roa o te wā e pāngia ana koe e aua raruraru, me te wā ka kino haere.
- Ka tirotirohia tō tinana. Ka whakahaerehia he whakamātautau tinana, inā koa te pā atu ki te hononga e pāngia ana i roto i ngā huarahi maha . Ka tirohia hoki e rātou mēnā kei te pupuhi, kei te whero, kei te mamae rānei te wāhi ki te pā atu.
- Tērā pea ka tonoa koe kia whakamātauria, pērā i te hihi-X, hei tirotiro i te āhua o ō wheua.
- E whakamārama ana i tō mate.
- Hei muri mai, ka kōrerotia e rātou ki a koe ngā taunakitanga mō te maimoatanga .
I ētahi wā, ki te hiahia koe ki te tirotiro hōhonu atu, me whai matawai CT, MRI rānei.Ka taea te mahi tika. Ka taea e ēnei te tiaki pai i ngā wheua, tae atu ki ngā kiko ngohengohe pērā i te kiriuhi me ngā uaua. Mēnā koinei te āhua, kāore pea e taea te kī tika he aha te mate, me te mahere maimoatanga i te rā tuatahi. I taua wā, ka tohutohu te tākuta kia whakaitihia ngā tohu.
Ki te tūtaki koe ki tētahi taote pokanga wheua, ko te tikanga rānei me pokanga koe?
Kāo, kāore rawa he mea pērā! He whakaaro hē tēnā nā te tini o te tangata. Ina rongo tātou i te kupu "taote pokanga," ka mataku tātou kei pokanga tātou.
He tohunga ngā taote pokanga wheua ki ngā tikanga kore-pokanga me ngā tikanga pokanga. Ko te pokanga pea te whiringa tuatahi mō ngā whara wheua, ngā mate whānau rānei.
Heoi, mō te nuinga o ngā āhuatanga kē atu, ka whakamātau ngā tākuta i ngā maimoatanga kore-pokanga i te tuatahi. I ētahi wā, e hiahiatia ana kia neke atu i te kotahi te maimoatanga hei whakatutuki i te whakaoranga pumau. He mea noa te whakamātau i ētahi maimoatanga i te wā kotahi. Ki te kore tetahi o ēnei maimoatanga e whakaora i ō tohumate, me whakaaro koe ki te pokanga. Ahakoa i taua wā, ka whakamāramahia e tō tākuta ngā taipitopito, ngā mōrearea, me ngā painga ki a koe.
He aha ngā maimoatanga kore-pokanga e whakamahia ana e ngā taote pokanga wheua?
Āe, kia kite tātou he aha ngā mea ka taea te mahi me te kore pokanga. He maha ngā maimoatanga pēnei:
- Ngā taputapu motuhake: ngā whīwhiwhi, ngā taura here (pērā i te whitiki e iri ana i te ringa), te paraikete o Parī (ngā mea whakarewa - e kīia ana e mātou he POP) ngā whitiki whakarara rānei (ngā whitiki whakarara - he whitiki rangitahi hei pupuri i ngā wheua, i ngā hononga rānei ki te wāhi tika).
- Ngā werohanga hononga: Ngā rongoā steroid, pērā i te cortisone, hei whakaiti i te mamae me te pupuhi. I ētahi wā, ka taea te whakamahi i ngā werohanga e kiia nei ko te viscosupplementation, e werohanga ana i te hinu whakahinuhinu ki roto i te hononga.
- Ngā rongoā kore-opioid: Ngā rongoā pēnei i te Paracetamol, i te Ibuprofen rānei (me tango ēnei i runga i ngā tohutohu a te tākuta).
- Whakaora tinana: Ngā mahi whakakori tinana me ngā maimoatanga motuhake hei whakangāwari i ngā uaua piri, hei whakapakari i ngā uaua, hei whakanui ake i te nekenekehanga o ngā hononga.
- Whakaora mahi: Ka āwhina i a koe ki te mahi i ngā mahi o ia rā, pēnei i te kakahu me te kai, me te ngāwari anō mēnā he uaua nā te mate.
- Te rongoā toto whai-pereti (PRP): Ko te tikanga o tēnei ko te wehe i ngā pereti mai i ō ake toto, ka werohia anō ki te wāhi raruraru. He maimoatanga whakamātautau tonu tēnei mō ētahi mate.
- Ngā mahi tiaki wheua:He whakaurunga motuhake ngā whakaurunga hū ritenga hei āwhina i te whakanoho tika i te waewae. Ka taea e ēnei te whakaiti i te mamae o te waewae.
He aha ngā momo pokanga e mahia ana e ngā taote pokanga wheua?
Nā, kia tirohia tātou he aha ngā momo pokanga e mahia ana e ēnei tākuta. Ko te momo pokanga e tika ana māu, kei runga i te āhua o tō mate. Anei ētahi tauira.
Ngā tukanga waewae me te pona
- Te whakatikatika i te uaua Achilles
- Pokanga whakatikatika i te pūngāwerewere - he wheua e pupū ake ana i te māhunga o te waewae.
- Te pokanga o te māhunga waewae - he āhua e piko ai ngā māhunga waewae.
- Te pokanga tuku i te plantar fasciitis - mō te mamae i te kapu o te waewae.
- Te whakakapinga pona katoa, te whakakotahitanga rānei
Ngā pokanga ringaringa me ngā pito o runga
- Te pokanga mō te mate carpal tunnel syndrome (Te tukunga o te carpal tunnel) - mō te ngoikore o te ringa.
- Te pokanga o te uaua o te hononga o Dupuytren - he āhua e kore ai e taea te totoro ngā maihao.
- Te tango i te pukupuku ganglion - He pukupuku kī tonu i te wai e puta ana i te ringaringa.
- Pokanga porotaka - hei whakatika i te uaua pakaru o te pakihiwi.
- Pokanga matihao whakakā - He āhuatanga e mau ai te matihao ina piko, ina totoro.
Te whakakapinga me te hanga anō i ngā hononga
- Te whakakapinga hope katoa
- Te whakakapinga turi katoa me te whakakapinga wāhanga
- Te whakakapinga pakihiwi katoa
- Ngā tikanga kāore i te tino noa, pērā i te whakakapinga o te tuke, o te ringaringa rānei
Te tiaki i ngā whara orthopedic
- Te whakatikatika i te nekehanga o te waewae
- Te whakapiri i te whati - mā te whakamahi i ngā waea me ngā pereti.
- Te maimoatanga mō te nonunion, te malunion, te osteomyelitis rānei i muri i te whati.
- He pokanga whakahou hei whakatika i ngā wheua whati kino, i ngā hononga rānei kua tino pakaru.
Ngā pokanga tuaiwi
- Laminectomy - te tango i tetahi wāhanga o te taurakira hei whakamama i te pēhanga o ngā io.
- Te whakaiti i te pēhanga o te tuaiwi - Te whakaiti i te pēhanga ki runga i ngā io.
- Te whakakotahitanga o ngā tuaiwi - He pokanga hei whakau i te tuaiwi mā te whakakotahi i ngā tuaiwi e rua, neke atu rānei.
Ngā tikanga whara hākinakina
- Pokanga meniscus - hei whakatika i te kiriuhi pakaru o te turi.
- Te whakatikatika i te hononga o mua (ACL) - hei whakatika i te hononga nui o te turi.
- Te whakatikatika i te pakaru o te ringaringa hurihuri
- Te pokanga hope mō ngā roimata labral
Hei whakamutunga, ētahi mea hei maumahara (Karere hei tango ki te kāinga)
Nō reira, ko te tākuta wheua he tangata e āwhina ana i ngā tāngata o ngā reanga katoa me ngā raruraru e pā ana ki ō rātou wheua, hononga, me ngā uaua. Ko ētahi he tohunga ki ngā wāhanga motuhake, pērā i ngā ringa, ngā waewae, me te tuaiwi. Ina toro atu koe ki tō tākuta, kia rite ki te kōrero mō ō tohu, ō mate o mua, me ngā maimoatanga kua whakamatauria e koe.
Kia maumahara, ko te toro atu ki tētahi tākuta wheua ehara i te mea me mahi pokanga tonu koe.
He maha ngā tāngata e tukuna ana e rātou ngā maimoatanga kore-pokanga pērā i ngā werohanga me te whakaora tinana. Nō reira, ki te pāngia koe e te mamae, te kore rānei e pai ki tō tinana, ki ō hononga rānei, kaua e mangere ki te toro atu ki tētahi taote pokanga wheua me te rapu tohutohu.
` Taonga Tukatuka, Taote Tukatuka, Ngā Mate Wheua, Ngā Mate Hononga, Ngā Mate Uaua, Mamae Tuara, Mamae Turi, Pokanga











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