Ka pakū te taupoki o tō turi i konei, i reira? (Patellar Subluxation) Me kōrero tāua mō tēnei!

Kua pā mai te ahua o te pakū o tō turi i a koe e oma ana, e piki ana i ngā arawhata, e tū ana rānei? Ka mamae pea tō turi, ka pupuhi, ka uaua hoki te hikoi. He tino whakamā tēnei i ētahi wā. Nō reira, i tēnei rā ka kōrero tātou mō te pakū o te turi, he āhuatanga e kiia nei ko te "Patellar Subluxation".

He aha te paheke o te turi i konei, i reira (Patellar Subluxation)?

Ki te whakarapopoto, ko te "Patellar Subluxation" ko te wā e nekehia ana tō turi, te wāhanga e kiia nei e tātou i roto i te rongoā ko te "Patella", mai i tōna wāhi tika. He "Patellar Dislocation" tēnei, kaua e whakapoauautia ki te nekenga katoa o te turi. I roto i te "Dislocation", ka puta katoa te turi i tōna pūnga.

Whakaarohia ko te taupoki turi, ko te patella rānei, i waenganui i tō wheua huha (Femur) me tō wheua shin (Tibia), ka neke ake, ka heke iho i roto i tētahi awaawa poutū e kiia nei ko te awaawa trochlear. He rite ki tētahi tereina e haere ana i runga i tētahi ara. I roto i te patellar subluxation, ka paheke te taupoki turi i waho o tēnei awaawa mō tētahi wā, kātahi ka hoki ki tōna tūranga o mua . I te nuinga o te wā, ka paheke te taupoki turi ki waho o te waewae, engari i ētahi wā ka paheke ki roto.

Ka tino mamae tēnei, ā, ka uaua te hikoi. Mā te pēhanga o te hope o te waewae ka arahi pea ki te mate rumatiki, te pakaru o te kiriuhi, me te kore pumau o te turi . Ka arahi pea tēnei ki ētahi atu raruraru turi. Ahakoa ka hoki te pēhanga o te hope ki tōna tūranga, he mea nui kia kite i te tākuta hei rongoā.

He aha ngā tohu o te "Patellar Subluxation"?

Ina pakū te taupoki o te turi, ka kitea pea e koe ēnei tohu:

• He āhua rerekē e kitea ana mai i waho o te turi (i ētahi wā ka kitea te piko o te taupoki o te turi ki tetahi taha).
• Te mamae nui o te turi.
• Te pupuhi o te turi.
• Te kare ā-roto, te rongonga rānei i te oro "pāwhiri" "pāpā" rānei e puta mai ana i te turi.
• He āhua e mau ana te turi, e "maukati" ana rānei .
• Te kore pumau o te turi, me te mea nei kei te "wiriwiri" te turi.
• Te uaua ki te piki me te heke i ngā arawhata, te noho piko rānei .
• He āhua e "ngoikore ana" ana te turi, e "ngoikore ana rānei".

Ina pāngia koe e te "Patellar Subluxation", ka neke tonu tō turi i roto i te pūwero, ā, ka taea e koe te hikoi. Engari ka tino kore whakamarie, ka kore hoki e pumau. Tērā pea ka rongo koe i te tangi "pāwhiri" ina neke tō turi.

He aha ngā raruraru, ngā pānga rānei mō te wā roa o tēnei mate?

Ko tēnei āhuatanga e kiia nei ko te "Patella Subluxation"He mea tēnei ka taea te hoki mai i ngā wā katoa. Waihoki, ka taea e ia te neke haere ki te "Nekehanga" katoa, arā, kua kore rawa te taupoki o te turi e tū tika. Hei tāpiri, ka taea e tēnei kore pumau o te taupoki o te turi te kino i te kiriuhi . I roto i te wā, ka arahi pea tēnei ki te mate osteoarthritis o te turi.

Whakaarohia, kei reira tētahi kōtiro taitamariki ko Nisal tōna ingoa, kei roto i te tīma netipōro o te kura. I tētahi rā, i a ia e whakaharatau ana, ka huri pōturi tōna turi, ā, me te tangi "pāwhiri", ka rongo ia me te mea kua neke tōna taupoki turi ki te taha. I muri i tētahi wā, ka rongo ia me te mea kua hoki ki te āhua noa, engari ka tīmata tōna turi ki te mamae me te pupuhi. Kāore ia i aro nui ki tēnā. Engari i muri mai, ka tīmata tōna turi ki te "ngaro" i ngā wā katoa, ā, kāore i taea e ia te tākaro. Nō tana whakaaturanga ki te tākuta ka kitea e ia he "Patellar Subluxation", ā, he kino kei te kiriuhi.

He aha ngā take o te `(Patellar Subluxation)`?

I te nuinga o te wā, ko te tino take o te puta o te taupoki turi pēnei ko te whara . Hei tauira, he pānga tika ki te taupoki turi. He nui ake te tūponotanga ka puta tēnei āhuatanga i roto i te hunga e takaro ana i ngā hākinakina kaha, pērā i te whutupaoro . Ka taea hoki te tupu mēnā ka tau tō waewae o raro ki te whenua, ā, ka huri whakarere tō turi ki roto, ki waho rānei.

Hei tāpiritanga, ki te ngoikore haere ngā hononga me ngā uaua o te hononga turi (te kore pumau o te patellar) , ka taea hoki e ia te puta he patellar subluxation.

He aha ngā āhuatanga mōrearea mō te Patellar Subluxation?

Ahakoa ka pā tēnei mate ki te tangata katoa, he nui ake te kitea i roto i te hunga ngoikore ngā uaua waewae me te ngoikore o ngā uaua . He nui ake hoki te kitea i roto i ēnei tāngata e whai ake nei:

• Ngā tāngata i waenga i te 10 me te 20 tau te pakeke (ina koa ko ngā kaitākaro taitamariki).
• Ngā tāngata e kaha ana te tinana .
• Ngā wāhine (he nui ake te tūponotanga ka pāngia ngā kōtiro e tēnei mate).
• Ngā kaitākaro , te hunga rānei e whai wāhi pinepine ana ki ngā hākinakina.
• Ngā tāngata he roa ake i te toharite .

Mena kua pokangahia koe i mua mō te he o te turi, te he rānei o te turi i te wāhanga kotahi, he nui ake te tūponotanga ka pāngia anō koe e tēnei mate.

Me pēhea te tautuhi i te `(Patellar Subluxation)`?

Ina kite koe i tētahi tākuta, ka tirotirohia e rātou tō tinana . Ka piko, ka whakatikatika i tō waewae, ka whāwhā hoki i te taha o tō turi. Ka pātai atu rātou ki a koe mō ō tohu me te aha i tupu i mua i te motumotu o tō turi.

Tērā pea ka whakahaerehia e te tākuta ētahi whakamātautau motuhake (whakamātautau subluxation) ki tō turi. Tērā pea ka whakahaerehia hoki e rātou ētahi whakamātautau whakaahua , pēnei i:

• X-ray turiHe whakamātautau.
• Whakamātautau `(MRI Scan)` matawai MRI .
• He whakamātautau te matawai CT .

Me pēhea te rongoā i te Patellar Subluxation?

Ka whakamātau tuatahi tō tākuta i ngā tikanga kore-pokanga hei rongoā i tēnei, inā koa mēnā koinei te wā tuatahi kua pā mai tēnei ki a koe. Ko ngā kōwhiringa rongoā kore-pokanga ko:

• Tikanga RICE: Ko te tikanga tēnei:
• `Okiokinga`: Te okiokinga o te turi.
• 'Hukapapa': Te paninga hukapapa hei whakaiti i te pupuhi me te mamae.
• Pēhanga: He takai piripono e herea ana ki te turi hei whakahaere i te pupuhi.
• Teitei: Kia teitei te waewae hei whakaiti i te pupuhi.
• Ngā NSAID: He rongoā anti-inflammatory kore-steroidal (NSAID) ēnei, arā, he rongoā whakamamae mamae me te anti-inflammatory. Hei tauira, ko te ibuprofen (Advil®).
• Te Ārai i te Tūkino: I runga i te kaha o te whara, ka taea te whakamahi i te whitiki turi, i te mea rānei hei pupuri i te turi kia tūkino.
• Āwhina hikoi/nekeneke: Tērā pea ka tonoa koe kia whakamahi i ngā tokotoko toko, i te tokotoko, i te taputapu hikoi rānei hei whakaiti i te taumahatanga ki ō turi. Tērā pea ka tonoa koe kia whakamahi i tētahi tautoko turi mahi, pērā i te tautoko-J, i tētahi ringaringa whakaū-patella rānei.
• Ngā hu tūkino (hū motuhake): Tērā pea ka tohutohuhia koe kia whakamahi i ngā hu, i ngā takahanga rānei i hangaia mō te whakaiti i te pēhanga ki runga i te turi.
• Whakaora Tinana: He mea tino nui tēnei hei whakapakari me te totoro i ngā uaua huri noa i te turi, me te whakapai ake hoki i te taurite (proprioception).

Ki te kore ō tohu e pai ake i muri i ētahi marama, ki te mea rānei kua neke atu i te kotahi te patellar subluxation kua pā ki a koe, ka tūtohu pea tō tākuta kia pokangahia . Ko ngā kōwhiringa pokanga ko:

• Te Tukunga Taha: Ko te tapahi i te wāhanga o te turi e kiia nei ko te "Lateral Retinaculum" me te whakatika i te tūranga o te turi ("Patella Positioning". He tikanga tēnei e mahia tahitia ana me ētahi atu tikanga hanga anō.
• Te Whakatikatika i te Hononga Patellofemoral Medial (MPFL): He pokanga hei whakatika me te whakapakari i ngā hononga e āwhina ana ki te pupuri i te potae turi ki tōna tūranga.
• Te Whakahoutanga MPFL: He pokanga arthroscopic tēnei, arā, ka mahia mā roto i ngā tapahi iti mā te whakamahi i tētahi kāmera. I roto i tēnei, ka tangohia tētahi wāhanga o tō ake uaua hamstring mai i te tuara o tō huha, ā, ka hangaia anō te hononga medial patellofemoral.
• Te tango wheua:Ko te tikanga tēnei me tapahi tō wheua papatahi (Tibia) i ētahi koki, me te neke anō i te tūranga o te wheua papatahi, te turi, te wheua huha, me ngā kiko honohono.

Āhea ahau me toro atu ki te tākuta?

Ki te whakaaro koe kei a koe te "Patellar Subluxation", arā, kei a koe ēnei tohumate, me toro atu koe ki te tākuta:

• Te mamae me te pupuhi .
• Te kore e taea te pikau i te taumaha ki runga i te whenua me ō waewae .
• He tangi "pāwhiri", he tangi "pikopiko" rānei i roto i te turi.
• Tērā pea ka puta te taupoki o te turi me te mea kei te puta mai i te pona, ka rongo rānei .

Kia maumahara, ahakoa kei te whakaaro koe kua hoki tō taupoki turi ki tōna tūranga tika, he mea nui tonu kia toro atu koe ki te tākuta. Ki te kore e rongoatia tika, ka nui haere te maha o tēnei mate, ā, ka nui ake ngā raruraru i muri mai.

He aha ngā pātai me pātai atu e au ki te tākuta?

Ina haere koe ki te tākuta, ka taea e koe te pātai i ēnei pātai:

• He aha ngā kōwhiringa maimoatanga e taunaki ana koe?
• Me pokanga ahau?
• He aha ngā tūponotanga ka pā anō tēnei mate ki ahau?
• Me aha ahau kia kore ai e puta anō te taupoki o tōku turi pēnei?

Kia pēhea te roa o te wā e ora ai i te "Patellar Subluxation"?

Ko te roa o te wā e ora ai i tēnei mate ka whakawhirinaki ki ētahi āhuatanga:

• Ko tō subluxation tuatahi tēnei, he hokinga mai anō rānei ?
• Te kaha o tō āhua .
• He aha te momo maimoatanga i whakawhiwhia ki a koe ?

Mena koinei tō subluxation tuatahi, kāore i te tino kino, ā, kāore koe e hiahia ki te pokanga, me tino ora koe i roto i ngā wiki e whā ki te ono . He maha ngā wā ka tūtohu tō tākuta i te whakaora tinana. Ka taea e tō kaiwhakaora tinana te hoatu he wā motuhake ki a koe.

Mena kua neke atu i te kotahi te subluxation kua pā ki a koe, he whara nui, he pokanga rānei, ka roa ake tō wā whakaora . Me taea e koe te tīmata anō i ngā mahi māmā i roto i ngā wiki e ono ki te waru. Heoi, tera pea ka roa ake i te tau, neke atu rānei, i mua i te tīmatanga o tō tākaro hākinakina.

Me pēhea te ārai i te Patellar Subluxation?

Ko te nuinga o ngā subluxation o te patellar ka puta mai i ngā whara, nō reira kāore e taea te ārai i ngā whara katoa. Engari he mea ka taea e koe te mahi hei pupuri i te kaha o te kiko honohono huri noa i tō turi. Anei ētahi mea ka taea e koe te mahi hei ārai i te pupū ake o tō turi:

• Me whai wāhi ki ngā mahi ā-tinana hei whakapakari i ngā uaua katoa o ō waewae .
• Te mau i ngā papa turi i te wā e takaro ana i ngā hākinakina whakapā atu.
• Mena kua whara tō turi i mua, mā te mau i te whitiki turi ka āwhina i te ārai i te whara anō.
• Mena kua tohua e tō tākuta he rongoā tinana māu, me whai tika i aua tohutohu .

Karere Tangohia ki te Kāinga

He tino hoha, he tino mamae hoki te patellar subluxation. Ka taea e ia te whakaroa i tō turi. Tērā pea ka taea e koe te whakahoki i tō turi ki tōna tūranga, engari me toro atu koe ki te tākuta . Nā te mea, i roto i te wā, ka taea e ēnei momo subluxation te arahi ki te pakaru katoa. Ka taea e tō tākuta te āwhina i a koe ki te ārai i tēnei mea. Ka taea e ia te taunaki i ngā kōwhiringa maimoatanga pai rawa atu hei whakapakari i tō turi me te whakahoki i a koe ki te huarahi tika. Nō reira, ki te mea he raruraru tō turi, kaua e warewarehia, he mea whakaaro nui kia rapu tohutohu hauora tonu!

te piko o te hope, te nekenekehanga o te potae turi, te mamae o te turi, te kore pumau o te turi, ngā mate turi, te whakaora tinana, te pokanga turi