Kei te mamae anō hoki tō hope? He whati pea tō hope?

Āe, kei te mamae, kei te kore rānei e pai tō hope, tō papa rānei? I ētahi wā, ka taea e te hinganga ohorere, e te aituā nui rānei te kino o tō tātou hope, arā, ngā wheua hope me te pūnaha wheua e pā ana. I tēnei rā, ka kōrero tātou mō te whati hope, te "Whati Pelvic", te mea e pā ana ina pā mai, me pēhea te whakaora. Kaua e mataku, he mea nui kia mōhio koe ki tēnei.

He aha te whati o te hope? Kia mārama tātou.

He kupu ngāwari noa iho, ko te whati o te hope he whati i tētahi, i ētahi rānei o ngā wheua e hanga ana i tō hope. Kei raro i tō puku tō hope, i waenganui i ngā wheua o tō hope. Ko ētahi o ēnei whati o te hope he iti noa iho, ko ētahi he tino kino. Kei te āhua o te whara me te wāhi i puta ai te whati.

He aha te momo wheua i hangaia ai tō tātou hope?

Tērā pea kei te whakaaro koe mēnā he wheua kotahi noa iho tēnei hope. Kāo, he kohinga o ētahi wheua. He rite ki te mowhiti kaha. E kiia ana hoki ko te "Mowhiti Pelvic". Tirohia ēnei wheua:

• Sacrum: Koinei te wheua nui, tapatoru te āhua kei raro i tō tuaiwi.
• Tutuke: E mōhiotia ana tēnei e tātou katoa, e kiia ana hoki ko te "wheua hiku". Kei raro i te sacrum.
• Ngā wheua hope: E toru ngā wāhanga matua o ēnei:
• `Ilium` (te wāhanga papatahi o runga o te wheua hope)
• `Ischium` (te wāhanga o raro me te tuara o te hope e pēhi ana ki te whenua ina noho tātou)
• `Pubis` (te wāhanga kei mua o te hope)

Ka huihui ēnei wheua katoa hei hanga i tō mowhiti hope. He hanganga tino kaha tēnei. I roto hoki i tēnei ka tiakina ngā io nui, ngā oko toto me ngā whekau whakaputa uri o roto, pērā i te pūkahukahu, te wāhanga o raro o te ara nakunaku. Ehara i te mea koinā anake, engari he maha ngā uaua o ō waewae e piri ana ki tēnei hope. Koia te take ka taea e tātou te hikoi, te oma me te peke.

He aha ngā momo whati o te hope?

Nā te mea he kohinga wheua te hope, he maha ngā momo whati hope. Hei tāpiri, ka taea te wehewehe i ngā whati katoa kia maha ngā momo i runga i te āhua o tōna puta. Me titiro tātou ki tēnā:

• Ngā Whati Kati, Ngā Whati Tuwhera/Pāngai: Mena kua whati te wheua engari kāore te kiri e karapoti ana i pakaru, arā, kāore he patunga e kitea ana, ka kiia he whati kati . Heoi, ki te mea kua whati tetahi wahi o te wheua whati i roto i te kiri, he whati tuwhera (e kiia ana hoki ko te 'Whati Pāngai'). He ahua morearea ake tēnei, nā te mea he nui ake te tūponotanga o te pangia.
• Ngā whati katoa: I tēnei, ka wehea katoatia te wheua kia rua ngā wahi.
• Ngā Whati Kua Nukuhia: Koinei te wā kua neke atu ngā wahi e rua o te wheua i te wāhi i whati ai, ka waiho he āputa i waenganui i a rāua.
• Ngā Whati Wāhanga: I tēnei wā, kāore te wheua e whati katoa, pērā i te ngatata.
• Ngā whati ahotea: He whati iti hoki ēnei i roto i te wheua. Ka puta pea ēnei i roto i ngā kaitākaro e pāngia tonutia ana e te momo ahotea kotahi.

Haunga ēnei momo whati noa, ka whakarōpūtia hoki te whati hope hei 'pūmau', hei 'kore rānei ':

• Whati Pelvic Pūmau: He whati tēnei e puta ana i te wāhi kotahi o te pelvis, ā, kāore ngā kongakonga wheua whati e nekehia (e nekehia ana). Ko ēnei momo whati pumau ka puta mai i ngā takahanga iti te pānga, pērā i te hinganga iti, i te aituā oma rānei.
• Te Whati Pelvic Kāore i te Pūmau: He whati tēnei i te pelvis ka puta i ngā wāhi e rua, neke atu rānei, ā, ka nekehia pea ngā wheua whati. He maha ngā wā ka puta ēnei whati i ngā huihuinga nui, pērā i te aituā motuka nui. He kino ake ēnei whati nā te mea ka taea hoki e rātou te kino i ngā whekau o roto.

Haunga tēnei, tētahi atu momo motuhake, e kiia nei ko te "Avulsion Fracture" . Ka puta tēnei ina haehae te uaua, te hononga rānei e piri ana ki te wheua, ka tangohia te wahi iti o te wheua. Ka taea tēnei te tupu i te wā e takaro ana i ngā hākinakina.

Ko wai te hunga e tino pāngia ana e ēnei whati o te hope?

Ina hoki, ka taea e te tangata o ngā tau katoa te whati hope. Heoi, he nui ake te kitea o ngā whati hope iti i waenga i te hunga kaumātua. Nā te mea he nui ake te tūponotanga ka pāngia rātou e ngā āhuatanga ngoikore wheua, pērā i te osteoporosis, i a rātou e kaumātua ana.

Heoi, ko ngā whati hope nui te mea e tino kitea ana i waenga i ngā taiohi i waenga i te 15 me te 28 tau te pakeke. He nui ake te tūponotanga o tēnei rōpū tau ki ngā aituā. Ko ngā tāne kei raro iho i te 35 tau te pakeke ka pāngia e tēnei mate, ko ngā wāhine neke atu i te 35 tau te pakeke ka pāngia e tēnei mate.

He pēhea te noa o ngā whati o te hope?

Kāore i te tino noa ngā whati o te hope. E 3% pea o ngā whati katoa o ngā pakeke. I te nuinga o te wā, ka puta ēnei i te aituā nui. Whakaarohia he aituā motuka, he hinganga rānei i te teitei.

He aha ngā tohu o te whati o te hope?

Ko ngā tohu e whakawhirinaki ana ki te iti, ki te kaha rānei o te whati. Anei ētahi tohu noa:

• Te mamae i te hope, te hope, me/ranei te tuara o raro.
• Ka piki ake te mamae i te wa e hikoi ana, e nekehia ana ranei nga waewae.
• Te rongo i te ngau, i te kōkō rānei i te rohe o te hope, o ngā waewae rānei.
• Mamae puku.
• Te uaua ki te mimi.
• Te uaua ki te hikoi, ki te tū rānei.

He mea nui: Ki te pā mai ēnei tohu ki a koe, inā koa i muri i tētahi aituā, me toro atu koe ki te tākuta.

He aha ngā pūtake o ēnei whati o te hope?

He maha ngā take matua ka pakaru te hope:

1. Ngā takahanga pānga nui: E ai ki te kōrero i mua ake nei, he pūnaha angaanga tino kaha te hope. Nō reira, ka tino whati pea mēnā he pānga nui. Ngā tauira:

• Ngā aituā motuka me ngā aituā motopaika.
• Te hinga mai i ngā teitei (pērā i te rākau, i te whare rānei).

He maha ngā wā ka puta he whati pelvic kino, kāore i te pumau.

2. Ngā mate e ngoikore ai ngā wheua: Mena kei a koe ngā mate pēnei i te osteoporosis, e angiangi ai, e ngoikore ai ō wheua, ahakoa he mea iti noa iho ka whati te hope. Ka taea tēnei te tupu ahakoa kei te mahi koe i tāu mahi noa, ahakoa ka paheke koe, ka hinga rānei. I te nuinga o te wā, he pumau ēnei whati.

3. Ngā mahi hākinakina: Kāore i te tino kitea tēnei, engari i te wā e takaro ana i ētahi hākinakina, ka pāngia pea koe e te 'Avulsion Fracture' kua whakahuatia ake nei. Koinei te wā e wehea ai te uaua o te uaua mai i te wheua, ka tangohia atu ai tētahi wahi wheua. He whati pumau hoki ēnei i te nuinga o te wā.

Me pēhea e kitea ai tēnei e koe, e te tākuta?

Hei tino mōhio mēnā he whati tō hope, me whiwhi koe i tētahi hihi-X. Hei tāpiri, ka taea e tō tākuta te mahi i ētahi atu whakamātautau mēnā e hiahia ana rātou ki te mōhio atu mō te āhua o te whara.

He aha aua whakamātautau?

• X-ray: Ka whakamahia tēnei hei tango pikitia o ngā wheua. He mea nui tēnei hei kimi i te wāhi o te hope o te whati, te kaha o tōna pakaru, me pēhea hoki te rongoā.
• Matawai CT (Tomography Rorohiko): Ko te tango i ngā hihi-X maha mai i ngā koki rerekē me te whakamahi i te rorohiko hei hanga whakaahua taipitopito. Ka taea e tēnei te whakaputa whakaahua mārama ake i te hihi-X noa. Ka whakahau pea tō tākuta i tēnei hei ako atu mō te whati o tō hope, me te tirotiro mēnā he whara kē atu e pā ana ki tēnei.
• MRI (Whakaahua Āhua Aukume): Ka whakamahia he aukume nui, he ngaru reo irirangi, me te rorohiko hei hanga whakaahua taipitopito o ō whekau me ō wheua. Tērā pea ka taea hoki tēnei e tō tākuta mēnā kāore e ranea ngā mōhiohio e tukuna ana e te karapa X-ray, CT rānei.

Me pēhea te rongoā? Me pokanga te katoa?

Ko te maimoatanga o te whati o te hope e whakawhirinaki ana ki etahi mea:

• Te iti, te kino rānei o tō whati.
• Te tauira me te momo whati.
• Te tawhiti kua nekehia e ngā kongakonga wheua whati (kua nekehia rānei?)
• Tō hauora whānui me te mea kei a koe ētahi atu whara.

Ko ngā whati iti, pumau hoki, arā, kāore ngā kongakonga wheua e nekehia, kāore e hiahiatia he pokanga. I roto i ēnei āhuatanga, ko ngā maimoatanga e whai ake nei:

• Okiokinga: Ka kī atu tō tākuta kia okioki koe i ngā wā katoa e taea ana. Kāore tēnei e tāpiri atu i te pēhanga ki te hope whati, ā, ka tere ake te ora.
• Ngā āwhina hikoi: I runga i te wāhi i whati ai tō wheua, ka kīia pea koe kia whakamahi i ngā tokotoko, i te hikoi, i te tūru wīra rānei. Hei āwhina ēnei i a koe ki te tango i te taumaha mai i ō waewae. Me whakamahi koe i ēnei mō te toru marama pea, kia ora rawa rānei tō hope.
• Rongoā: Ka tohua e tō tākuta he rongoā hei āwhina i te whakaiti i te mamae. Tērā pea ka tohua hoki e ia he rongoā ārai toto hei whakaiti i te tūponotanga o te toto totoka i roto i ngā uaua o ō waewae me tō hope.

Ko ngā whati hope tino kino, kāore rānei i te pumau, me mahi i tētahi, i ētahi atu pokanga. He maha ngā momo pokanga:

• Te Whakapūmau i Waho: I roto i tēnei, ka tapahia ngā wahi iti mā roto i te kiri me ngā uaua hei whakau i tō rohe hope, ā, ka whakaurua ngā tokotoko whakarewa, ngā tīwiri rānei ki roto i ngā wheua. Ka puta mai ēnei tokotoko me ngā tīwiri i te kiri, ka piri ki ngā pae i waho o te tinana. Ka mahi tēnei hei anga, hei āwhina i te pupuri i ngā wheua whati kia ora rā anō.
• Te Kume Angaanga: He pūnaha pūreirei tēnei i waho o te tinana. Ka āwhina ki te whakatikatika i ngā kongakonga wheua whati. Ka whakauruhia e te taote pokanga he pine whakarewa ki roto i tō wheua huha, i tō wheua papa rānei. Ka whakatakotoria he taumaha ki runga i ēnei pine, ā, ka tōia e te taote pokanga tō waewae. Mā tēnei ka hoki ngā kongakonga wheua hope whati ki tō rātou tūranga noa.
• Te Whakaiti Tuwhera me te Whakatikatika ā-Roto (ORIF): I tēnei pokanga, ka whakahokia tuatahitia ngā kongakonga wheua hope kua nekehia ki tō rātou tūranga noa. Kātahi ka huihuia ngā kongakonga ka herea ki ngā tīwiri, ki ngā pereti whakarewa rānei i waho o te wheua.

Ko te tangata kua pāngia e te whati nui o te hope i roto i tētahi aituā nui, he maha tonu ngā whara o roto ka pāngia e ia. Me rongoā anō hoki ēnei. I taua wā, ko te whakaora o te whati hope ka whakawhirinaki ki te angitu o te whakaora o aua whara kē atu.

Ka taea e te whati o te hope te whakaora i a ia anō?

Ko ngā whati iti o te hope, me ngā whati pumau, ka ora tonu me te kore he wawaotanga hauora, pērā i te pokanga. Heoi, ahakoa he whati iti tōu, me whakawhāiti te pēhanga ki tō hope me ō waewae, me te okioki nui hoki kia pai ai te ora. Ki te whakaaro koe he whati iti tōu, he mea nui kia kite wawe koe i te tākuta.

Kia pēhea te roa e ora ai te whati o te hope?

E waru ki te tekau mā rua wiki te roa o te whakaora i te whati o te hope. Mēnā he whati kino rawa atu, inā koa mēnā he whara kē atu, he raruraru hauora rānei, ka roa ake pea.

He aha ngā āhuatanga mōrearea mō te whati o te hope?

He maha ngā āhuatanga mōrearea ka whai wāhi ki te whati o te hope:

• Te mate wheua: Ko te hunga e pangia ana e tēnei mate ka nui ake te mōrearea ki te whati hope.
• Te hinganga pinepine: Ina koa mō te hunga kaumātua, ki te hinga pinepine rātou, ka nui ake te tūponotanga ka whati ō rātou wheua hope.
• Te tākaro i ētahi hākinakina: E ai ki te kōrero i mua ake nei, ko te hunga e tākaro ana i ētahi hākinakina ka pāngia pea e te 'Whāwhati Avulsion'.

He aha tā tātou e taea ai te ārai i te whati o te hope?

I runga i tō tau me tō momo noho, he maha ngā mea ka taea e koe te whakamātau hei ārai i te whati o te hope:

• Whakamahia he āwhina hikoi mēnā he nui te tūponotanga o tō hinganga: Mā te whakamahi i te tokotoko, i te taputapu hikoi rānei ka āwhina i te ārai i te hinganga.
• Taraiwa haumaru: Ko ngā aituā waka e pā kino ana ki te pānga kino te tino take o ngā whati o te hope. Taraiwa haumaru tonu, whakarongo ki ngā ture huarahi, ā, karohia ngā mea hei whakararuraru i a koe e taraiwa ana.
• Whāia ngā tohutohu haumaru i te wā e whakamahi ana i ngā arawhata: Ina whakamahi ana i te arawhata, kia tika, kia haumaru hoki te mahi. Me tirotiro tonu kei te tū tika te arawhata i mua i te whakamahinga.
• Ki te tākaro hākinakina koe, totoro tika tō tinana, ā, me mahi ngā mahi whakapakari tinana: Hei whakaiti i te tūponotanga o te whati o te uaua i puta mai i te pakaru o te uaua, whakamahana i mua i ngā mahi, ā, me mahi ngā mahi whakapakari tinana motuhake mō te hākinakina.

He aha te matapae mō te whati o te hope?

Kei te kaha me te momo whara tēnei. Ko ngā whati iti o te hope, pumau, ka ora pai i te nuinga o te wā mā te rongoā, ā, ka ngaro atu me te kore he raruraru roa.

Heoi, ko ngā whati pelvic kino, kore pumau hoki i puta mai i te whara nui, pērā i ngā aituā motuka, ka arahi pea ki ngā raruraru pērā i te toto nui, te kino ki ngā whekau e karapoti ana, me ngā io. Mēnā ka rongoatia pai ēnei whara e pā ana, ka ora pai ngā whati pelvic.

Ka taea e ngā whati o te hope te whakararu i te ora?

Ae, i ētahi wā. Ko ngā whati pelvic uaua, kāore i te pumau, i puta mai i te whara nui, pērā i te aituā motuka, te hinganga rānei i te teitei nui, ka kino pea ngā okana, ngā io, me ngā uaua toto e karapoti ana i tō rohe pelvic. Ka taea e ēnei whara te arahi ki te ngoikore o ngā okana, te toto nui, me te mate. He āhuatanga morearea ēnei. Koia te mea nui kia rapu awhina hauora tonu.

Ka taea e te whati o te hope te whakararuraru?

Ko ngā whati pelvic kino, kāore hoki i te pumau, he nui ake te tūponotanga ka puta he raruraru i ngā whati iti. Ko te tikanga ka puta ēnei raruraru nā te kino o ngā io me/ngā okana rānei i puta mai i te whati pelvic. Ko ngā raruraru o ngā whati pelvic ko:

• Mamae mau tonu
• Te ngoikore o te nekehanga
• Te ngoikore o te moepuku
• Te toto totoka i roto i ngā uaua hohonu (Deep Vein Thrombosis - DVT)

Āhea ahau me toro atu ki te tākuta?

Mena kei a koe ngā tohu o te whati o te hope, pērā i te mamae i te rohe hope me te uaua ki te hikoi, ki te tū rānei, waea atu ki tō tākuta tonu atu, haere rānei ki te hōhipera tata.

Mena kua tāpaetia kētia tō whati hope, ā, ka puta he tohu hou, he tohu whakararuraru rānei, me whakapā atu koe ki tō tākuta.

He aha taku e pātai atu ai ki taku tākuta?

Mena he whati tō hope, he pai pea te pātai atu ki tō tākuta i ēnei pātai:

• He aha te momo whati kei ahau?
• Ko ēhea ngā wheua o tōku hope e pāngia ana?
• He aha te āhua o taku mahere maimoatanga?
• Kia pēhea te roa ka ora ai taku whati?
• Āhea ahau ka taea ai te hoki ki ngā mahi o ia rā?

Kia maumahara, ahakoa he kaha te hanganga wheua o tō hope, ka taea e ia te whati. He mamae te whati hope, nō reira me āwhina tonu koe. Nā te mea e tiaki ana tō hope i ngā io nui, i ngā uaua toto, me ngā whekau, ka hiahia tō tākuta kia tino mohio kāore i puta he whara o roto i te whati. Mena kei te āwangawanga koe mō te osteoporosis, kōrero ki tō tākuta mō tēnā.

Hei whakamutunga, kia maumahara ki tēnei (Karere hei tango ki te kāinga)

Āe, kua maha ngā kōrero mō ngā whati o te hope i tēnei rā, kāore? Anei ētahi o ngā mea tino nui hei maumahara:

• Ehara te whati o te hope i te mea hei mea māmā noa iho. Tērā pea ka puta mai i tētahi hinganga iti, i tētahi aituā kino rānei.
• Ki te pāngia koe e ngā tohu pēnei i te mamae o te hope, te hope, te tuara rānei, te uaua rānei ki te hikoi , inā koa i muri i te aituā, rapua tonutia he tohutohu hauora.
• Ko te maimoatanga e whakawhirinaki ana ki te āhua o te whati. Tērā pea ka ora mā te okioki me te tautoko, me te hiahia rānei ki te pokanga.
• He mea tino nui te okiokinga tika me te whakakorikori tinana e ai ki ngā tohutohu a te tākuta mō te tere o te ora.
• Mena he āhuatanga mōrearea kei reira (te pakeketanga, te osteoporosis, te hinganga pinepine), he mea whakaaro nui kia mōhio ki aua āhuatanga me te mahi i ngā mahi ārai.

Kaua e wehi, engari kaua hoki e warewaretia. Ko koe te mea tino mōhio ki tō tinana. Ki te pāngia koe e tētahi āhuatanga rerekē, he mea pai tonu kia toro atu ki te tākuta mō ētahi tohutohu.

` Wāwhati Pelvic, whati, hope, pelvis, aituā, hauora wheua