He mamae tō pakihiwi e kore e taea te whakamanawanui? Tērā pea kei te uaua koe ki te mahi i ngā mahi māmā pēnei i te hiki i tō ringa, te heru i ō makawe, te hapai rānei i tētahi mea ki runga. Ki te kore te mamae e memeha i roto i ngā maimoatanga paerewa, kua tūtohu pea tō tākuta kia pokanga whakakapinga pakihiwi. I tēnei rā, kei te kōrero tātou mō tētahi pokanga rite, engari he rerekē. Ko te ingoa o tēnei he 'Whakakapinga Pakihiwi Whakamuri'.
He aha tēnei whakakapinga pakihiwi 'Whakamuri'?
He whakarāpopototanga noa iho tēnei, he pokanga whakakapi hononga anō hoki. I ētahi wā ka kiia tēnei e ngā tākuta he "Reverse Total Shoulder Arthroplasty." I roto i tēnei pokanga, ka tangohia e te taote pokanga tō hononga pakihiwi tūturu kua pakaru, ka whakakapia ki tētahi hononga hangai he mea hanga ki te konganuku me te kirihou.
Nā, kia titiro tātou he aha i huaina ai tēnei ko 'Whakamuri'.
Whakaarohia tō tātou hononga pakihiwi he kapu me te pōro i roto. Ko te hononga pakihiwi he mea hanga i te wāhanga kapu o tō wheua pakihiwi (scapula) (te glenoid) me te wāhanga pōro o tō wheua ringa o runga (humerus) (te upoko).
I roto i te pokanga 'whakamuri', ko te ritenga kē te mea pono. Ka hurihia e te taote pokanga ngā tūranga o te pōro me te kapu. Whai muri i te pokanga, ka hangaia te pōro kia puta mai i te wheua pakihiwi (scapula) ā, ka hangaia te kapu kia uru ki roto i te wheua ringa o runga (humerus). Arā, ka tino hurihia te āhua noa.
He aha i pēnei ai te mahi pokanga 'whakamuri'? Mā wai e tika ai?
E taunakihia ana tēnei pokanga 'Whakamuri' mō te hunga he mate hauora motuhake ā rātou, kāore e taea te mahi pokanga whakakapinga pakihiwi noa. Mena he mamae nui tō pakihiwi, he uaua rānei te neke i tō ringa, ka whakamātau tuatahi tō tākuta i ngā rongoā me te whakaora tinana. Ki te kore ēnei e mahi, ka whakaarohia te pokanga.
Ina koa, ki te mea kei a koe te mate rumatiki o te hononga pakihiwi me tētahi, neke atu rānei o ngā āhuatanga e whai ake nei, ka tūtohu pea tō tākuta i tēnei pokanga 'whakamuri'.
| Te āhua hauora | He whakamārama māmā |
|---|---|
| He kiko '(Rotator Cuff)' kua pakaru rawa | He kino nui ki ngā uaua me ngā kiko huri noa i te pakihiwi e āwhina ana ki te hapai i te ringa. Nā tēnei kino ka kore e taea te pupuri i te pumau mena ka whakakapia he hononga noa. |
| Whati o te pakihiwi | He whati kino o te hononga pakihiwi. |
| Te Nekehanga Mau tonu | Ki te maha tonu te motumotu o te hononga pakihiwi, ka ngoikore ngā kiko e karapoti ana, ā, e kore e angitu ngā pokanga noa. |
| He kino nui ki ngā wheua | Mena kua memeha ngā wheua o te hononga, ā, kua tino kino nā te mate rumatiki, nā tētahi atu mate rānei. |
| He pukupuku matepukupuku, he pukupuku rānei kei roto i te hononga | Mena kua pakaru ngā wheua nā ngā pukupuku e karapoti ana i te hononga pakihiwi. |
I ngā āhuatanga pēnei, he ngoikore ngā uaua me ngā kiko huri noa i te pakihiwi, nō reira kāore e taea e te whakakapinga pakihiwi tuku iho te whakarato i te pumau e tika ana. Heoi, mā te whakawhiti i te pōro me te kōpuku i te tikanga 'Whakamuri', ka taea te whakamahi i tētahi atu rōpū uaua (hei tauira, te uaua deltoid) hei hiki i te ringa. Mā tēnei ka pai ake te pumau o te hononga, ā, ka whakaiti i te tūponotanga o ngā raruraru.
Me pēhea te whakarite i mua i te pokanga?
Ka whakarite pai tō taote pokanga i a koe i mua i te pokanga. Kei roto pea i tēnei:
- He tirotiro niho: He mea nui tēnei hei whakaiti i te mōrearea o te mate i muri i te pokanga.
- He whakamātautau tinana katoa: Tirohia mēnā kei te pai tō hauora hei mahi pokanga.
- Whakamātautau ECG: Tirohia te hauora o tō ngākau.
- Ngā whakamātautau toto: Kia mōhio koe ki te āhua o tō toto me ētahi atu mea.
- Ngā whakamātautau whakaahua: Ka taea e te hihi-X o te pakihiwi, te MRI, te CT scan rānei te āwhina ki te aromatawai pai ake i te āhua o te hononga.
Ko te mea nui, me kōrero ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe (ngā rongoā whakamamae mamae me ngā huaora e tangohia ana e te rata me ngā rongoā kore utu). Me mutu pea te tango i ētahi rongoā i ētahi rā i mua i te pokanga.
Mā tō tākuta koe e tohutohu mō te wā e mutu ai te kai me te inu i te rā i mua i te pokanga. I te nuinga o te wā, me mutu te kai me te inu i ngā haora e 8 i mua i te pokanga.
He aha ngā mea ka tupu i te wā o te pokanga?
I te rā o te pokanga, ka hoatu he rongoā whakamoe ki a koe kia kore ai koe e mamae. Ka hoatu e te tākuta whakamoe he rongoā hei whakamoe i a koe (whakamoe whānui) hei whakangāwari rānei i te rohe huri noa i tō pakihiwi (whakamoe ā-rohe).
I te wā o te mahi, ka whai te taote pokanga i ēnei mahi:
1. Ka tapahia he kiri iti ki te taha o tō pakihiwi.
2. Ka tangohia te kiriuhi me ngā kongakonga wheua kua pakaru mai i te hononga.
3. Kua whakaurua te prosthesis.
4. Ka whakawirihia te pōro whakarewa ki roto i te wheua pakihiwi (scapula). Ka whakaurua te pūnga ki roto i te wheua ringa o runga (humerus).
5. Ka tika te whakarite o te hononga hou, ā, ka katihia te tapahi ki ngā tuitui.
E rua, e rua rānei ngā haora te roa o tēnei pokanga, engari ka rerekē pea tēnei wā i runga i te nui o te kino ki tō hononga.
He aha ngā painga me ngā mōrearea pea o tēnei pokanga?
Ko te painga nui o tēnei pokanga ko te tino whakaiti i te mamae nui me te pakari o te pakihiwi. Ka taea e koe te whakamahi me te hapai i tō ringa kia pai ake i mua i te pokanga. He otinga pai hoki tēnei mō te hunga kāore e taea te mahi pokanga pakihiwi auau.
Pērā i ngā pokanga katoa, kei reira ētahi mōrearea, engari he tino onge ēnei.
- Ngā toto totoka
- Te kino ki ngā oko toto
- Te whati wheua huri noa i te whakaurunga
- Te mate i te wāhi pokanga, i roto rānei i te hononga
- Te pakaru o te io
- Te wetekina wawe, te pakaru rānei o te hononga horihori kua whakatōkia
He aha ngā mea ka tupu i muri i te pokanga? Kia pēhea te roa o te wā e ora ai?
I muri i te pokanga, ka haria koe ki te rūma whakaora, ā, mā ngā kaimahi hauora koe e tiaki kia ngaro rā anō ngā pānga o te rongoā whakamoe. Tērā pea ka taea e koe te hoki ki te kāinga i taua rā anō. Mēnā rānei me noho koe ki te hōhipera mō te rā kotahi, e rua rānei.
E ono marama pea te roa ka tino ora ai.
- Ngā wiki tuatahi: Me mau koe i te whitiki.
- Te whakahaere mamae: Me whakamahi e koe ngā rongoā whakamamae mamae me ētahi atu rongoā (NSAID) e ai ki te whakahau a tō tākuta, mēnā e tika ana.
- Whakaora Tinana: I muri i ētahi wiki, ka kite koe i tētahi kaiwhakaora tinana. Māna koe e ako ki ngā mahi whakakori tinana hei whakapakari i ngā uaua o tō pakihiwi me te whakanui ake i tō whānuitanga o te nekehanga. He mea nui te mahi tika i ēnei mahi kia tere ai te ora.
- Ngā Here:Me karo koe i te hiki taumaha me te tākaro hākinakina mō ētahi marama. Kia whakaaetia koe e tō tākuta, ka taea e koe te tīmata anō i ō mahi o ia rā.
Kia pēhea te roa o tēnei pokanga?
Ka roa te ora o ēnei hononga horihori, ā, he maha ngā wā ka 15 tau, neke atu rānei, kāore he raruraru. He tokomaha te hunga ka taea te whakamahi i tēnei hononga kua whakatōkia mō te toenga o ō rātou oranga.
Āhea te wā e kite ai i te tākuta i muri i te pokanga
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te pokanga, waea atu ki tō tākuta tonu. Ki te pāngia koe e te mamae nui o te uma, e te uaua rānei ki te manawa, haere tonu ki te Tari Ohotata (ETU) o te hōhipera tata.
| Ngā tohu whakatūpato hei tirotiro māu | |
|---|---|
| • Te toto mai i te motu | • Mamae o te uma |
| • Te kirika nui atu i te 39 Celsius | • Te uaua ki te manawa (dyspnea) |
| • Mamae nui e kore e memeha ahakoa te tango i ngā rongoā whakamamae | • He mamae hou, he mamae nui rānei i te ringa, i te pūringa rānei |
| • Ngā tohu o te mate: he wai rite ki te pūhā e maringi ana i te patunga, he pupuhi, he rerekē te tae, he haunga, he kare mahana rerekē rānei. | |
Karere Tangohia ki te Kāinga
- Ko te 'Whakakapinga Pakihiwi Whakamuri' he pokanga motuhake e mahia ana ki te hunga kāore e taea te mahi pokanga pakihiwi auau nā te kino nui o te rotator cuff, nā ētahi atu take motuhake rānei.
- I tēnei pokanga, ka nekehia te tūnga o te pōro me te kōpuku o te hononga pakihiwi, kia taea ai e te ringa te neke mā te whakamahi i ngā uaua rerekē.
- Ma tenei ka whakamamae i to mamae nui, ka awhina hoki i a koe ki te mahi i nga mahi o ia ra me te kore mamae.
- E hia ngā marama ka roa hei whakaora tino pai, ā, he mea tino nui te whai i te whakaora tinana me ngā tohutohu hauora.
- Ki te pāngia koe e ētahi tohu rerekē (ina koa ko ngā tohu o te mate pāwera, te mamae nui) i muri i te pokanga, me whakamōhio tonu atu ki tō tākuta.
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