Kua whati tō wheua i mua? Me ako tātou mō te (Comminuted Fracture) i roto i ngā kupu māmā noa iho!

Tērā ētahi wā o ō tātou oranga ka pā mai ngā aituā me ngā hinganga. I ētahi wā ka mawhiti tātou me te rakuraku iti noa iho, engari i ētahi wā ka whati te ringa, te waewae rānei. Ina kī tātou he whati ngā wheua, ka whati noa ētahi i te wāhi kotahi, engari he whati kei reira te wheua ka whati kia maha ngā wahi, me te mea kua kuruhia. Koinei te mea e kiia nei e tātou he `(Pominuted Fracture)` mō tētahi whati wheua tino kino. Nō reira, i tēnei rā ka kōrerohia e tātou tēnei āhuatanga e kiia nei ko te `(Pominuted Fracture)` kia mārama ai koe.

He aha te `(Pominuted Fracture)`?

Ki te kī ngāwari, ko te `(Whāwhati Kominuted)` he whatiwhati tetahi o ō wheua (arā, he wheua) kia toru, neke atu rānei ngā wahi . Whakaarohia pēnei: ​​ina taka he pereti, ka whatiwhati kia rua i ētahi wā, engari i ētahi wā ka pakaru hei puranga wahi iti. He rite tonu tēnei. I roto i te whatiwhati ngāwari, ka taea e te wheua te whatiwhati kia rua. Engari i roto i te `(Whāwhati Kominuted)`, ka whatiwhati te wheua hei wahi, i ētahi wā ka paura. Me mārama hoki koe he nui ake te kino o tēnei i te whatiwhati noa . Nā te mea ina pakaru hei puranga wahi, he uaua ake te whakahoki i a rātou kia tika.

He aha i puta ai te "Whāwhati Pōturi"? He aha ngā take?

Mō te pakaru o tētahi wheua pēnei hei puranga, me tino kaha te pānga, me nui te kino . He tino onge te puta o tēnei mea nā te hinganga iti noa iho. Anei ētahi mea ka puta ai:

• Ngā aituā waka kino: Ka puta pea tēnei i te tukinga i waenga i ngā waka pēnei i te motuka me te motopaika, i ētahi atu aituā kino rānei.
• Te hinganga mai i tētahi teitei nui: Ki te hinga koe i tētahi teitei nui, pērā i te rākau, i te whare rānei.
• Ngā whara hākinakina kaha: Ka pā pea ki ētahi hākinakina tere te tere, te pānga (hei tauira, te whutupōro).
• Ngā whara kino pēnei i ngā patunga pū: I ngā āhuatanga pēnei, ka puta he "Whati Pōturi" nā te mea he nui te kaha e pā ana ki te wheua.

Engari, tētahi atu mea anō tēnei. I te kaumātuatanga o te tangata, ka ngoikore ō rātou wheua, e kiia nei hoki ko te '(Osteoporosis)'. Mō te tangata he ngoikore ō rātou wheua, tera pea ka puta he '(Comminuted Fracture)' ahakoa he hinganga iti, kāore e nui te kino ki te tangata noa. Engari ko te mea e kitea whānuitia ana ko ngā mea e puta mai ana i ngā pānga nui i kōrerohia e tātou i mua ake nei.

He aha ngā tohu o te `(Pominuted Fracture)`? Me pēhea koe e mōhio ai?

Ka taea e koe te whakaaro ki te mamae o te whati o te wheua kia maha ngā wahi. Anei ētahi o ngā tohu matua:

• Mamae nui: Ko te mea nui ko te mamae nui. Ka taea e te mamae te tino kino, ā, kāore e taea te pā atu.
• Te pupuhi tere me te marō: Ka tīmata te pupuhi tere o te wāhi i whara ai, ā, ka puta pea he kikorangi/papura.
• Te Hē: Ko te tikanga, mēnā he ringa, he waewae rānei, ka rerekē pea tōna āhua, ā, ka āhua totoro pea.
• Te kore e taea te neke i te peka: Ko te mutunga iho, kāore e taea te whakamahi, te neke rānei i te ringa, i te waewae rānei kua whara.
• I ētahi wā ka puta mai he wahi wheua whati mā te kiri: He ahua morearea tēnei. Ka kiia hoki tēnei he "Whawhati Tuwhera". Mēnā ka puta tēnei, ka nui ake te tūponotanga o te pangia.
• Te rongo, te rongo rānei i te haruru "pakū" i te wā o te aituā: (`(Crepitus)`) Tērā pea ka rongo, ka rongo rānei ētahi tāngata i te haruru o ngā wheua e pā ana tetahi ki tetahi.
• Te nekehanga rerekē ina pāngia te wāhi e pāngia ana: ('Te nekehanga rerekē') Tērā pea ka rite ki te piko o te ringa/waewae i tētahi wāhi ehara i te hononga.

Mena kei a koe tētahi, neke atu rānei o ēnei tohu, he mea tino nui kia rapu tohutohu hauora tonu atu.

Me pēhea te tautuhi tika a te tākuta i te "Whāwhati Pokanga"?

Ina haere koe ki te hōhipera me tētahi whara pēnei, ka pātai tuatahi te tākuta ki a koe he aha te mea i pā ki a koe, ka tirotirohia te wāhi, kātahi ka mahi i ngā whakamātautau e whai ake nei hei whakatau mēnā he "whati pakaru" te whati, me te kaha o tōna kino:

• Hiko-X: Koinei te whakamātautau tino noa. Ka taea e te hihi-X te whakaatu mārama i te whati o te wheua, te maha o ngā wahi i whati ai, me te maha o ngā wahi e marara noa ana.
• Matawai CT (Matawai Tomography Rorohiko - Matawai CT): I ētahi wā, ina koa kei te tata te whati ki tētahi hononga (hei tauira, turi, tuke), ki te hiahia rānei koe ki te kite i ētahi atu taipitopito mō ngā kongakonga wheua, ka tono pea tō tākuta i tētahi matawai CT. Ka taea e tēnei te whakaputa i tētahi ahua toru-ahu (`3D`) o ngā wheua, hei āwhina i a koe ki te mārama ake i te āhuatanga.
• Whakaahua Āhuatanga Aukume (MRI): Kāore i te maha te whakamahinga o te MRI hei whakaū i te whati pakaru. Heoi, me whakamahi pea he MRI hei tirotiro mēnā kei te pakaru ngā kiko ngohengohe (pērā i ngā uaua, ngā uaua, ngā io, me ngā uaua toto) e karapoti ana i te whati.

I muri i ēnei whakamātautau ka whakatau te tākuta he aha te tino mate o koe, me te momo maimoatanga e hiahiatia ana.

Me pēhea te rongoā i te `(Pominuted Fracture)`? Kia pēhea te roa o te wā e ora ai?

Kua kōrero kē mātou he whati uaua te "Whati Kominuted". Ina whati te wheua kia maha ngā wahi, me hono anō ngā wahi kia kore ai e neke. Ki te kore, e kore te wheua e uru pai.

Nō reira, i te nuinga o te wā, me pokanga te "Whati Kua Pōkai".

Ko te mahi pokanga he whakahoki i ngā kongakonga wheua whati ki ō rātou tūranga taketake i ngā wā katoa e taea ana, kātahi ka hono anō. He maha ngā tikanga mō tēnei:

• Whakaiti Tuwhera me te Whakatikatika ā-Roto (ORIF): Koinei te tikanga pokanga e whakamahia whānuitia ana.
• Ko te tikanga o te 'Whakaiti Tuwhera': Ka tapahia e te tākuta te kiri, ka haere ki te wheua whati, kātahi ka whakatikahia ā-ringa ngā kongakonga wheua.
• Ko te tikanga o te 'Whakapiri ā-Roto': Ko te tukanga whakapiri i ngā kongakonga wheua kua whakaritea mā te whakauru i ngā pereti whakarewa motuhake, ngā tīwiri, ngā tokotoko, ngā whao rānei mai i roto. He mea hanga ēnei ki ngā whakarewa motuhake kua hangaia kia uru ki te tinana.
• Te Whakapiripiri o Waho: Mō ētahi whati pakaru tino kino, inā koa he whati tuwhera, he whati pupuhi rānei te patunga, kāore pea e taea te mahi pokanga ORIF tonu. I roto i ēnei āhuatanga, ka whakauruhia he taputapu e kiia nei ko te Whakapiripiri o Waho.
• Ko te tikanga o tēnei ko te whakauru i ētahi pine whakarewa (`pins`, `screws` rānei) mā roto i te kiri i runga ake, i raro hoki i te wāhi whati ki roto i te wheua, me te whakapiri atu ki tētahi anga (`frame`) i waho o te tinana. Mā tēnei ka āwhina i te pupuri i ngā kongakonga wheua ki tōna tūranga me te kore e neke. Kia ora ake te patunga, kia iti ake te pupuhi, ka taea te mahi i tētahi pokanga `(ORIF)` i muri mai. I ētahi wā, ka taea te whakamahi i tēnei `(External Fixator)` kia ora rā anō te wheua.

Maimoatanga kāore he pokanga:

He tino onge te rongoā i te `(Pominuted Fracture)` me te kore pokanga. Nā te mea he maha ngā wāhi e marara ana ngā kongakonga wheua, kāore e tau tika ki te `(Plaster Cast)` me te `Splint` anake. Heoi, he tino onge , ki te kore e tino tawhiti ngā kongakonga wheua, ka ngana pea te tākuta ki te whakaora i a rātou me te kore pokanga mā te pani i te plaster cast. Heoi, kāore tēnei i te tino angitu.

Te whakahaere mamae:

Nā te mea he tino mamae tēnei, ka hoatu e te tākuta ki a koe ngā rongoā whakamamae mamae e tika ana.

Te wā hei whakaora:

He rerekē te roa o te wā e ora ai te "Whati Pokanga" i ia tangata, i ia tangata, ā, i runga anō i te āhua o te whati. He roa ake i te whati noa.

• E hia pea ngā marama (e 3-6 marama, neke atu rānei) ka honoa ngā kongakonga wheua, ka kaha ake.
• Ahakoa i muri i tēnā, ki te hiahia koe ki te whakamahi anō i te ringa/waewae e pāngia ana, me whai tonu koe i tētahi maimoatanga e kiia nei ko te whakaora tinana . Tērā pea ka roa pea tēnei mō ētahi marama.

Nō reira, ka roa pea te wā ki te ora katoa. Nō reira, he mea nui kia manawanui, kia whiwhi maimoatanga hoki.

He aha ngā raruraru ka pā mai i te "Pominuted Fracture"?

Pērā i ngā whara katoa, ka pā mai ētahi raruraru ki te "Whāwhati Kominuted". He mea pai kia mōhio koe ki ēnei:

• Mate urutā:Ina koa i te wā e "Whati Tuwhera" ana (ina werohia te kiri, ā, ka kitea te wheua), i muri rānei i te pokanga, ka taea e ngā iroriki te tomo ki te patunga, ka pangia.
• Te kino o te io, o ngā oko toto rānei: Ina whati te wheua, ka taea e ngā kongakonga koi o te wheua te kino i ngā io, i ngā oko toto rānei e tata ana.
• Te Mate Wāhanga: He mate kino tēnei. Ka piki ake te pēhanga i roto i ngā wāhanga nā te pupuhi o ngā uaua huri noa i te whara, ka aukati i te rere o te toto. He mate tēnei e hiahia ana kia rongoatia wawetia. Ko ngā tohu ko te mamae nui, te pupuhi, me te ngoikore o ngā ringa/waewae.
• Malunion, Nonunion rānei: I ētahi wā ka hē te hononga o ngā wheua (pērā i te splint). Ka roa rānei te noho tahi. Ki te pērā, me mahi anō pea koe i tētahi atu pokanga.
• I te roanga o te wā, te mamae o ngā hononga (Arthritis): Ina koa mēnā ka puta he whati pakaru i roto i te hononga, i te roanga o te wā, ka pāngia taua hononga e te mate rumatiki, arā, te mamae o ngā hononga.
• Mamae mau tonu: Ka mamae tonu pea ētahi tāngata ahakoa kua ora te patunga.
• Te pakari me te ngaronga o te mahi a te ringa/waewae: Tērā pea ka pakari te ringa/waewae kua whara, ā, kāore e taea te piko, te whakatika rānei pērā i mua. Koinei te wāhi e tino hira ai te whakaora tinana.

Kāore ngā mea pēnei e pā ki te katoa, engari he mea nui kia mōhio koe ka pā mai pea ēnei, ā, me āta whai i ngā tohutohu a te tākuta.

Me aha koe kia tere ai te ora i muri i te `(Pominuted Fracture)`?

Mena he "Whāwhati Pokanga" tōu, ā, kei te rongoatia koe, me tiaki ēnei mea hei āwhina i a koe kia tere te ora:

• Kia tika te whai i ngā tohutohu a te tākuta: Koinei te mea nui. Me mahi tika ngā mea katoa, pērā i te tango i tō rongoā, te tiaki i tō patunga, te nui o te okiokinga e hiahiatia ana e koe, me te wā me tīmata anō koe ki te hikoi.
• Tangohia ō rongoā kua tohua i te wā tika: Tangohia ō rongoā kua tohua, pērā i ngā rongoā whakamamae mamae me ngā paturopi pea (hei ārai i ngā mate), kia rite ki ngā tohutohu.
• He mea nui te okiokinga: He mea tino nui kia okioki te ringa/waewae e pāngia ana kia ora rā anō te wheua. Kaua e hiki taumaha, e oma, e pekepeke rānei kia tohua rā anō e tō tākuta.
• Whakateiteitia te wāhi e pāngia ana hei whakaiti i te pupuhi: Mena he ringa/waewae, mā te waiho kia teitei ake me te urunga ka āwhina i te whakaiti i te pupuhi.
• Kia tino mahi koe i te whakaora tinana: Ki te tūtohutia e tō tākuta, haere ki ngā wā whakaora tinana i ia wā. Me mahi hoki i ngā mahi whakakori tinana ki te kāinga. Mā tēnei koe e āwhina ki te whakahoki mai i te kaha me te ngāwari o tō ringa/waewae.
• Kai i ngā kai whai kiko me ngā kai pai:Kai atu i ngā kai he nui te konupūmā me te huaora D (pērā i te miraka, te miraka kawa, te tīhi, ngā huawhenua matomato, me te ika), e āwhina ana i te whakaora wheua. He mea nui anō hoki ngā kai he nui te pūmua.
• Ki te kaipaipa koe, kati: Ka whakaroa te kaipaipa i te whakaora o te wheua. Nō reira, ki te mea he kaipaipa koe, he āwhina nui te whakamutu i tēnei wā tonu ki a koe.
• Kaua e mahue ngā tirotiro hauora: Haere ki te tākuta i ngā rā e kī atu ai ia kia hoki mai koe ki te tirotiro i tō āhua.

Ka taea te ārai i te "Whati Pokanga"?

He mea ka puta ngā aituā i te wā kāore i te tino whakaarohia. Heoi, mā te whai i ētahi tikanga haumaru ka taea te whakaiti i te tūponotanga o ngā whara kino.

• Ngā tukanga haumaru e whai ake nei:
• Me mau tonu ngā whitiki nohoanga i a koe e eke ana i roto i ngā waka.
• Me mau he potae tika mō te paerewa ina eke motopaika, pahikara rānei.
• Whāia ngā taputapu me ngā tikanga haumaru i te wāhi mahi, inā koa i ngā wāhi morearea pēnei i te hanga whare.
• I te wā e takaro ana i ngā hākinakina, whakamahia ngā taputapu haumaru (hei tauira, ngā parepare, ngā ārai) e tika ana mō te hākinakina.
• Te ārai i te hinganga (ina koa mō te hunga kaumātua):
• Kia tūpato ki ngā tūponotanga paheke, hinga rānei i roto i tō whare (hei tauira, ngā wharepaku, ngā arawhata). Mēnā e tika ana, tāutahia he reera ringaringa me ngā whāriki kore-paheke.
• Kia mōhio kei te pai te māramatanga i te pō.
• Ki te uaua koe ki te hikoi, whakamahia he tokotoko hikoi, he taputapu hikoi rānei e ai ki ngā tohutohu a tō tākuta.
• Te pupuri i te kaha o ngā wheua:
• Kai i tētahi kai taurite e whai kiko ana i te konupūmā me te huaora D.
• Whakakorikori tinana i ngā wā katoa (mā te whakakorikori tinana e whakakaha ngā wheua).
• Mena kei a koe tētahi āhuatanga pēnei i te osteoporosis, me whiwhi koe i te rongoā tika.

Mā te whakaaro ki ēnei mea ka āwhina i a tātou ki te tiaki i a tātou anō mai i ngā whara kino pēnei i te `(Comminuted Fracture)`.

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

Āe, kua kōrerohia e tātou he maha ngā mea mō te `(Comminuted Fracture)` i tēnei rā. Anei ngā mea tino nui hei maumahara māu:

• He mate kino te "Whati Pōturi" e whati ai te wheua kia maha ngā wahi.
• Ko te tikanga ka puta tēnei i te pānga tino kaha (pēnei i tētahi aituā nui, i te hinganga mai i te teitei).
• Mena ka pāngia koe e tētahi whara pēnei , he mea nui kia rapu awhina hauora tonu atu.
• He maha ngā wā, ka hiahiatia he pokanga mō tēnei āhuatanga kia tika ai te whakatika i ngā kongakonga wheua.
• He roa te wā e ora ai, ā, he wāhanga tino nui o te tukanga whakaora te whakaora tinana.
• Ki te whai koe i ngā tohutohu a te tākuta me te manawanui ki te maimoatanga, ka taea e koe te whakatutuki i te oranga pai.

Kaua e wehi, engari kia tiakina tō haumaru i ngā wā katoa. Nā te mea, e ai ki te kōrero, "He pai ake te tūpato i te rongoā." Ko tāku tumanako ka whai hua ēnei kōrero ki a koe!

` Wāwhati pakaru, wheua whati, wheua kuru, pokanga, whakaora wheua, whakaora tinana, aituā, maimoatanga wheua