I whati tō waewae i te wā i kuru ai tō hononga pona? Me kōrero tātou mō te Whati Pilon (Whati Tibial Plafond)!

Whakaarohia kei te mahi koe i runga i tētahi arawhata, ā, ka paheke whakarere, ka hinga, kei roto rānei koe i tētahi aituā motuka. Ka pāngia koe e te mamae e kore e taea te pehi i tō pona waewae, kua pupuhi rawa tō waewae, ā, tera pea ka āhua piko rawa. He tino mamae, kāore e taea e koe te whakatakoto i tō waewae ki raro, me te kore e taea te hikoi. I roto i tētahi āhuatanga pēnei, ka nui ake te kino i te whati waewae noa. Koinei te momo whati kino ka kōrerohia e tātou i tēnei rā.

He aha tonu te whati Pilon?

He whakarāpopototanga noa iho, ko te Whati Pilon (Tibial Plafond Fracture) he whati nui i te pito o raro o tō wheua waewae (tibia), i te wāhi tonu e tūtaki ai ki te hononga pona waewae. E rua ngā wheua matua o tō tātou waewae, ko te mea nui e kiia nei e tātou ko te `(tibia)` me te mea iti e kiia nei e tātou ko te `(fibula)`. I roto i te whati Pilon, ka whati pea ēnei wheua e rua.

He take motuhake tēnei e kiia ai ko 'Pilon'. Ko te tikanga o 'Pilon' i te reo Wīwī ko 'mole'. Pērā i te wā e patupatua ana e koe tētahi mea ki roto i te moata me te pestle, ka puta tēnei whati me te kaha nui. Whakaarohia, ko te wheua `(talus)` i roto i tō hononga pona (te wheua e hono ana ki te talus) ka panaia ki runga me te kaha nui, ka kuru i te pito o te talus. Koinei te momo tukanga e tupu ana i konei.

He momo wā okiokinga kei reira?

Ae, he maha ngā whakarōpūtanga a ngā tākuta i runga i te kaha o tēnei whati. Ko te whakarōpūtanga māmā rawa atu, ā, e whakamahia whānuitia ana hoki kia mārama tātou ko te whakarōpūtanga 'Ruedi-Allgower'. Kia mārama noa tātou.

• Momo I: Koinei te wā e pakaru ai te wheua i roto i te hononga, engari kāore anō kia nekehia ngā kongakonga wheua whati . Kei te tū tonu rātou. Koinei te momo whati tino iti rawa te kino.
• Momo II: I konei, ka paku nekehia ngā kongakonga wheua whati, ko te tikanga kāore te wheua i te tū tika. Heoi, kāore te wheua i whati kia maha ngā wahi.
• Momo III: Koinei te kēhi tino kino . I tēnei kēhi, ehara i te mea ko ngā kongakonga wheua whati anake ka nekehia, engari kua kuruhia te wheua kia ririki (comminution) . He kino hoki te kino o te mata o te hononga.

Ko te momo maimoatanga e whakawhirinaki ana ki te momo whati kei a koe. Me tino pokanga te whati Momo III.

He aha ngā tohu ka pā ki a koe mēnā ka pā mai tētahi mea pēnei ki a koe?

He tino mamae te whati o te wheua. He mārama ngā tohu.

He aha ngā take mō tēnei wehenga kino?

Ko te tikanga, he kaha te pānga o tēnei momo whati. Ko ngā take noa ko:

• Ngā aituā motuka: Ka pā mai ēnei momo whara, inā koa i roto i ngā aituā motuka, motopaika, waka wira-toru rānei.
• Te hinganga mai i te teitei: Ko te hinganga mai i te teitei, pērā i te rākau, te arawhata, te papa o runga rānei o te whare, tētahi o ngā tino take.
• Ngā aituā hākinakina:Ka taea hoki te puta o ngā aituā pēnei i ngā hākinakina tere nui pērā i te reti reti.

Heoi anō, i ētahi wā ka puta ngā whati wheua iti noa iho. Ko te take o tēnei he mate e ngoikore ai ngā wheua .

Ko wai kei te mōrearea nui ake?

Ahakoa ka pā tēnei mōrearea ki te katoa, he nui ake te mōrearea o ētahi rōpū.

• Ngā tāne i waenga i te 25-50 tau te pakeke: He nui ake te kitea o tēnei mate i roto i ngā tāne o tēnei reanga tau nā ngā whara nui (pērā i ngā aituā motuka).
• Ngā wāhine e pāngia ana e te osteoporosis: Ko ngā wāhine kaumātua, ina koa, he nui ake te mōrearea o tēnei whati, ahakoa he hinganga iti noa iho.
• Te hunga e mahi ana i runga i ngā arawhata, i ngā tūāpapa, me ētahi atu: He nui te mōrearea o te hunga i roto i te umanga hanga ki te hinga.
• Ngā kaumātua e hinga pinepine ana: Ko te hunga neke atu i te 65 tau te pakeke, he ngoikore te taurite, ā, he maha hoki ngā hinganga, kei roto hoki i a rātou te mōrearea nui ake.

Me pēhea te tātaritanga a te tākuta i tēnei?

Ina haere koe ki te hōhipera, inā koa te Tari Whawhati Tata (ETU) me tētahi whara pēnei, ka tirohia koe e te taote pokanga wheua.

1. Whakamātautau tinana: Ka āta tirohia e te tākuta tō waewae me tō pona, me te aro ki te pupuhi, te marō, ngā panoni o te āhua, me te āhua o te kiri.

2. X-ray: Koinei te whakamātautau tino taketake, tino nui hoki. Ka taea e te X-ray te whakaatu mārama mēnā kua whati te wheua me te wāhi i whati ai.

3. Matawai CT: I roto i te nuinga o ngā wā o ngā whati wheua, me whai matawai CT hei tāpiri atu ki te hihi-X. Nā te mea he mea nui te matawai CT hei tiro i roto i ngā āhuatanga e toru (3D) te nui o te wheua kua whati, te kino kua pā ki te mata o te hononga, me te āhua o te tūnga o ngā wahi whati. He mea nui ēnei mōhiohio mō te whakamahere pokanga.

Me pēhea te rongoā? Me mahi pokanga?

Ko te maimoatanga mō te whati pilon e whakawhirinaki ana ki ētahi āhuatanga, tae atu ki te momo whati, te nui o ngā kongakonga wheua kua nekehia, te kino o te kiri me ngā uaua, me tō hauora whānui.

Ngā take kāore e hiahiatia he pokanga (Maimoatanga Kore-Pokanga)

He tino onge tēnei. Kāore e hiahiatia he pokanga mēnā he iti noa te whati, arā, kāore ngā kongakonga wheua whati i nekehia (kāore i nekehia) . I tēnei wā, ka tūtohu pea tō tākuta i ēnei maimoatanga e whai ake nei:

• Okiokinga:Ka mea atu rātou kia okioki tō waewae, kia teitei hoki mō te wā roa e taea ai.
• Te paninga i te rimurapa, i te pūtu rānei: Hei pupuri i te waewae kia kore e neke, kia pumau hoki tae noa ki te wā e ora ai te wheua, me pani pea he rimurapa, he kiripiri, he pūtu motuhake rānei.
• Te whakamahi i ngā tokotoko: Kāore i te pai te whakatakoto i te taumaha ki runga i te waewae kia ora rā anō, nō reira me whakamahi koe i ngā tokotoko.
• Rongoā: I ētahi wā ka hoatu pea he rongoā whakaiti toto (anticoagulants) hei ārai i te pupuhi toto i roto i ngā uaua o ngā waewae.
• Whakaora Tinana: I muri i te ora o te wheua, he mea nui te whakaora tinana hei whakahoki mai i te kaha me te nekehanga o te waewae me te pona.

Te Maimoatanga Pokanga

I te nuinga o ngā wā o te whati Pilon , he mea tika kia mahia te pokanga , nā te mea i te nuinga o ngā wā, kua paheke ngā kongakonga wheua i tōna tūranga, ā, kua neke haere.

E rua ngā momo pokanga matua.

1. Whakaiti Tuwhera me te Whakapūmau ā-Roto (ORIF):

Koinei te pokanga tino noa. Ki te kī māmā, ko tāu mahi he tapahi i te kiri e te taote pokanga, ka haere ki te wāhi whati, ka whakatikatika i ngā kongakonga wheua kua nekehia kia hoki ki ō rātou tūranga taketake (whakaiti) . Kātahi ka whakamahia he pereti me he tīwiri whakarewa motuhake hei whakapiri i ngā kongakonga ki te wheua kia kore ai e neke anō (whakapiri ā-roto) . Ko ēnei pereti me ngā tīwiri ka waihotia ki roto i te tinana mō te wā katoa.

2. Te Whakapūmautanga o Waho:

He tikanga rerekē paku tēnei. Mēnā he tino kaha te pupuhi o te waewae, he kino rānei ngā whara kiri, kāore e taea te mahi tonu i te pokanga ORIF. Mēnā he pēnei, ka whakamahia tēnei tikanga hei whakau i te waewae mō te wā poto. I konei, ka pokaia e te taote pokanga ētahi tokotoko whakarewa ki roto i ngā wheua, ka whakapirihia ēnei tokotoko ki tētahi anga i waho o te tinana . Mā tēnei anga ka noho pumau ngā wheua, ā, kāore e nekeneke. Kia memeha te pupuhi, kia pai ake te āhua o te kiri, ka tangohia te anga, ā, ka mahia te pokanga ORIF kua whakaahuatia i runga ake nei.

Kia pēhea te roa o te wā e ora ai?

He raruraru tēnei e pā ana ki te tini tāngata. He roa te wā e ora ai te whati o te waewae pilon. He mea tēnei e hiahia ana ki te manawanui me te whakapau kaha.

• Te whakaora wheua: E 3 ki te 6 marama te roa ka ora katoa te wheua i muri i te pokanga.
• Te whakaoranga katoa: Heoi, kāore te mahi i mutu ina ora te wheua. Tērā pea ka roa te tau, neke atu rānei , kia hoki mai te kaha, te nekehanga, me te mahi noa o te waewae.Tērā pea ka roa te wā.

He mea nui te whakaora tinana i roto i tēnei tukanga whakaora. He mea tino nui kia whai i ngā tohutohu a te tākuta me te kaiwhakaora tinana kia tere ai te ora.

Āhea koe me toro atu ki te tākuta?

Ki te pā mai ētahi o ngā tohu kua whakahuatia i roto i tēnei tuhinga, inā koa i muri i tētahi aituā kino, haere tonu ki te Tari Ohotata (ETU) o te hōhipera, kaua e whakaroa. Ki te kore e taea e koe te haere ko koe anake, waea atu ki te ratonga waka tūroro 1990.

Ki te puta mai tētahi o ēnei tohu i a koe e noho ana i te kāinga i muri i te pokanga, he tohu pea tēnei nō te mate urutā. Ki te pērā, me haere tonu koe ki te hōhipera :

• Mena ka rongo koe i te whero, te pupuhi, te mahana rānei huri noa i te patunga pokanga.
• Mena kei te turuturu mai he wai rite ki te pulu i te patunga.
• Ki te mea he kirika tōu .

He aha ngā pānga roa o tēnei āhuatanga?

He uaua te rongoā i te whati o te hononga piko nā te mea ka pakaru te mata o te hononga. Nō reira, ahakoa te maimoatanga pai rawa atu, ka puta pea ētahi raruraru mō te wā roa.

• Mamae Mau tonu: Ka pāngia pea ētahi tāngata e te mamae o te pona waewae ahakoa kua ora ake rātou.
• Te Pakari o ngā Hononga: Ka iti pea te kaha ki te piko me te totoro i te hononga pona.
• Te rumatiki i muri i te whara: Koinei te raruraru tino noa. Ka taea e te whara te pakaru i te kiriuhi i runga i te mata o te hononga, ka arahi pea ki te rumatiki i roto i te wā. Ka puta te mamae me te pupuhi.

Hei ārai, hei whakahaere rānei i ēnei mea, he mea tino nui kia whai i ngā tohutohu a te tākuta me te whakaora tinana.