He mamae tō pakihiwi? Tērā pea he raruraru kei tō hononga pokohiwi!

Kei te pāngia hoki koe e te mamae, te kore rānei e pai o tō pakihiwi? I ētahi wā ka ngana koe ki te hapai i tō ringa, ki te hapai rānei i tētahi mea taumaha, ka piki ake pea tēnei mamae. He pono, he mea tino whakarihariha te mamae o te pakihiwi. He tino uaua ki te mahi i ngā mahi o ia rā, kāore? I te nuinga o te wā, ko te take o ēnei raruraru pakihiwi he mate i tēnei wāhanga o te tinana e kiia nei ko te "Rotator Cuff" e kōrerohia nei e tātou i tēnei rā. Nō reira, me titiro tātou he aha tēnei, he aha tōna hiranga mō ō tātou pakihiwi, he aha ngā mate ka puta, me ngā mea ka taea te mahi mō ēnei.

He aha tēnei poroporo takahuri?

He whakarāpopototanga noa iho, ko tō poroporo he kohinga uaua me ngā uaua e karapoti ana i tō hononga pakihiwi. Whakaarohia he rite ki te whitiki e karapoti ana i tō pakihiwi. He poroporo kei roto i ia pakihiwi. Koinei te wāhi e hono ai tō anga pakihiwi (te wheua papatahi kei muri o tō anga pakihiwi) ki te wheua o tō ringa o runga (te humerus). Ina hiki ake tō ringa, ina huri whakamua, ina huri whakamuri tō ringa, ka whakamahia e koe tēnei poroporo hei mahi i ēnei mea katoa.

He tino noa ngā whara o te rotator cuff, inā koa i waenga i ngā kaitākaro. Nō reira, ki te mamae tō pakihiwi, ki te pakari tō ringa, ki te ngoikore rānei, ki te kore rānei e taea te neke i tō pakihiwi me te kore mamae, me toro atu koe ki te tākuta .

He aha te mea ka pā ki te poroporo ringa? He aha te hiranga o tēnei ki a tātou?

Ko te mahi matua a tō poroporo ringa he pupuri i tō pakihiwi me tō ringa o runga kia tū tika, kia pūmau hoki ina whakamahia. E ai ki te ingoa, ko tētahi o ana mahi matua he āwhina i a koe ki te "hurihuri" i tō pakihiwi.

Whakaarohia te hononga pakihiwi he hononga pōro-me-pūngao. Ko te wāhanga rite-pōro o tō wheua ringa o runga (tumuaki) (e kiia nei ko te pane o te humerus) ka uru ki roto i tētahi pūngao iti i roto i tō mata pakihiwi (scapula). He rite ki te pōro korowha i runga i te tī. Nō reira, ko ngā uaua me ngā uaua o tēnei porowhita porowhita ka pupuri i ēnei wheua e rua, ka tiaki i te hononga, ā, ka āwhina i a koe ki te neke i tō ringa ki mua, ki muri hoki. Ki te kore tēnei, ka tino koretake tō pakihiwi, pērā i te hononga wetewete.

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Kei hea tēnei pūmau hurihuri?

Kei roto i tētahi āputa iti te poroporo porotaka i waenganui i tō wheua ringa o runga (humerus) me te tihi o tō pakihiwi. Ko te tikanga kei roto i tō pakihiwi. Ka karapoti i te hononga pakihiwi, ā, ka hipoki i te pane o tō wheua ringa o runga (humerus).

Me pēhea te hanganga o te rotator cuff? (Anatomy)

E whā ngā uaua o te pakihiwi me ngā uaua e hono ana ki ngā wheua i roto i te porowhita o te ringa. Ko ēnei uaua e whā:

• Supraspinatus: Ko te mahi matua a tēnei uaua ko te hiki i tō ringa me te huri i tō pakihiwi. Ka tīmata i te tihi o te mata o te pakihiwi (scapula) ka piri ki te pane o te wheua o runga o te ringa (humerus).
• Subscapularis: Ka āwhina tēnei uaua i a koe ki te totoro i tō ringa ki mua, ki tawhiti atu i tō tinana. Ka tīmata i waenganui o te pakihiwi ka piri ki te taha raro o te pane o te wheua ringa o runga.
• Infraspinatus: He uaua nui anō tēnei hei āwhina i a koe ki te huri i tō ringa ki waho. Ka tīmata i te pito o raro o tō pakihiwi ka whakauru ki roto i te wheua o tō ringa o runga i muri i te supraspinatus.
• Teres minor: He uaua anō tēnei e āwhina ana ki te huri i te ringa ki waho. Ka tīmata i te taha taha o te scapula ka whakauru ki roto i te humerus i raro i te infraspinatus.

Ka piri ēnei uaua ki ngā wheua mā roto i ngā kiko kaha e kiia nei ko ngā uaua . Whakaarohia ēnei uaua he rīwhi. Ina whakawhāiti koe (pēhia) he uaua i roto i tō poroporo ringa, ka kukume te uaua e piri ana ki te wheua, ka nekehia tō pakihiwi me tō ringa o runga.

He aha ngā whara o te rotator cuff e tino kitea ana?

He tino noa ngā whara o te poroporo ringa. E hia te nui o te whakamahinga o ō tātou pakihiwi i te roanga o te rā? Ka puta ohorere mai ēnei whara, ka puta mārire rānei i roto i te wā. Ko te nuinga o ngā whara o te pakihiwi, inā koa ko ērā e puta ana i te wā hākinakina, e pā ana ki te poroporo ringa.

Ko ngā whara tino noa o te rotator cuff ko:

• Te mate whakamahi nui rawa: He āhuatanga tēnei e puta mai ana i te whakamahi nui tonu o te pakihiwi. Hei tauira, ki te mea he kaitākaro kirikiti koe, ka nui te pēhanga e pā ana ki tō pakihiwi ina pōro tonu koe. Ki te tōia tonutia rānei e koe ngā mea ki runga i a koe e mahi ana i ngā mahi o te whare, ki te mea rānei kei roto koe i te tū tika i a koe e mahi ana i runga i te rorohiko, ka pakaru pea tēnei poroporo porotaka i roto i te wā.
• Te mate pāwera o te pakihiwi: E kiia ana hoki ko te rotator cuff tendinitis, ka puta tēnei āhuatanga ina mumura ngā uaua o te rotator cuff, ā, ka mau ki waenganui i ngā wheua o te pakihiwi. Ka mamae tēnei ina hiki ake tō ringa.
• Ngā haehae o te hononga o te ringa: He haehae tēnei i roto i tētahi, i ētahi rānei o ngā uaua o te hononga o te ringa. Ka rerekē pea tēnei mai i te haehae iti ki te haehae katoa.
• Ngā whara o te pakihiwi: He whara ēnei ki te pakihiwi. I roto i tēnei, ka kumea te uaua.
• Te pakihiwi o te kauhoe: He whara pakihiwi e tino kitea ana i waenga i ngā kauhoe.

Me pēhea taku mōhio kua pakaru taku rotator cuff?

Mena he pakaru tō rotator cuff, ko te tohu matua ko te mamae o te pakihiwi . He mamae puhoi pea tēnei e puta mai ana i te hohonu o te pakihiwi, he mamae koi rānei e wero ana. Mena ka pakaru ohorere te rotator cuff nā te whara (pēnei i te hinganga), ka mamae nui te pakihiwi me te ngoikore o te ringa.

Ki te mamae tō pakihiwi kāore e memeha i muri i ētahi rā, me rapu awhina hauora . Ki te tino kaha te mamae, ā, kāore e taea te neke i tō pakihiwi, ki te puta mai rānei i muri i tētahi aituā, haere tonu ki te rūma whawhati tata.

He aha ngā whakamātautau e whakamahia ana e ngā tākuta hei tautuhi i ēnei mate?

Mā te tākuta e tātari te pakaru o te rotator cuff mā te whakamātautau tinana, ā, mēnā e tika ana, mā te whakamātautau whakaahua. Ka tirohia tō pakihiwi e te tākuta, ka pātai atu ki a koe mō ō tohu. Kōrerohia atu te wā i tīmata ai te mamae, te momo mahi e mahia ana e koe, me te mea ka kino haere, ka pai haere rānei te mamae.

Me mahi pea koe i ētahi whakamātautau pēnei i ēnei:

• X-ray o te pakihiwi: Ka taea e tēnei te tirotiro mō ngā raruraru o ngā wheua.
• Matawai MRI (whakaahua aukume - MRI): Mā tēnei ka taea te whakarato i tētahi pikitia tino mārama o ngā kiko ngohengohe, pērā i ngā uaua me ngā uaua. He mea tino nui tēnei hei whakatau mēnā he pakaru o te poroporo ringaringa.
• Matawai Ultrasound: Ka taea hoki e tēnei te tirotiro mō ngā āhuatanga o te uaua me ngā pakaru.

He aha ngā maimoatanga noa mō ngā whara o te rotator cuff?

Ko te momo maimoatanga e hiahiatia ana e koe ka whakawhirinaki ki te āhua me te kaha o tō whara. Ka tohua e tō tākuta ngā maimoatanga hei āwhina i te whakaiti i tō mamae me te āwhina i te whakaora i tō rotator cuff. Koinei ngā maimoatanga e tino kitea ana:

• Te Okiokinga me te Karo i ngā Mahi Whara: Koinei te mea tuatahi, me te mea nui rawa atu . He mea nui te okioki mai i ngā mahi me ngā hākinakina e whakararu ana i te mamae hei whakaora.
• Te paninga hukapapa ki tō pakihiwi: Mā tō tākuta koe e kī atu e hia ngā wā i te rā, me te roa o te paninga hukapapa. Kaua e pania tika te hukapapa ki te kiri , takaihia ki te kakahu angiangi. Mā tēnei ka whakaiti i te mamae me te pupuhi.
• Ngā rongoā mamae me ngā rongoā ārai-mumura: Ka taea te whakamahi i ngā rongoā ārai-mumura kore-steroidal (NSAID) (hei tauira, ibuprofen, diclofenac) me te acetaminophen (hei tauira, Panadol) hei whakaiti i te mamae me te pupuhi. Heoi, kaua e whakamahia ēnei mō ngā rā neke atu i te tekau me te kore he tohutohu hauora .
• Whakaora tinana: He maimoatanga tino nui tēnei. Ka āwhina i te whakapakari i ngā uaua o te pakihiwi, inā koa i muri i te whara, me te whakahoki mai i te whānuitanga o te nekehanga. Mā te kaiwhakaora tinana koe e ako ki ngā mahi whakakori tinana e tika ana māu. He mea tino nui te mahi tika me te auau i ēnei mō te tukanga whakaora .
• Ngā werohanga cortisone (ngā werohanga steroid):I ētahi wā, ka werohia pea e tō tākuta he corticosteroid, he rongoā hei whakaiti i te pupuhi, ki roto i te rotator cuff. Ka āwhina tēnei ki te whakaiti wawe i te mamae me te pupuhi.
• Pokanga: Mena he kino te whara, hei tauira, mena kua pakaru katoa te uaua, mena rānei kāore ētahi atu maimoatanga i āwhina mō ētahi marama, me pokanga pea. Mā tō tākuta, mā tō taote rānei koe e whakamārama he aha te momo pokanga e hiahiatia ana e koe, me ngā mea hei tumanako atu.

Me pēhea te ārai i ngā whara o te rotator cuff?

"He pai ake te ārai i te rongoā," te kī a rātou. Nō reira, ko te huarahi pai ki te ārai i ngā whara o te pokohiwi ko te karo i te whakamahi nui i ō pakihiwi, me te tiaki hoki i aua whara.

• Ki te mamae tō pakihiwi i a koe e whakakorikori tinana ana, e mahi ana rānei i tētahi atu mahi tinana, kati tonu . Kaua e tākaro tonu, e mahi rānei i roto i te mamae .
• Me whakamahana pai i mua i tētahi mahi whakakori tinana, ā, me whakamatao i muri iho.
• Whakamahia ngā taputapu tika i te wā e takaro ana i ngā hākinakina me te mahi tinana.
• Whaia he kai hauora me he mahere whakakori tinana e pai ana ki a koe. Mā te kaha o ngā uaua ka ārai i ngā whara.
• Rapua he tohutohu hauora ina pāngia koe e te mamae o te pakihiwi, e ētahi atu tohu rānei. He māmā ake te rongoā i tētahi raruraru iti i mua i te nui haere.

Ka taea e te rotator cuff te whakaora i a ia anō?

Mā te okioki me te karo i ngā mahi e mamae ai te tinana ka āwhina i te whakaora i tō hononga takahuri. Heoi, he mea nui tonu kia tirohia koe e te tākuta kia tika ai te tātaritanga . Kaua e warewarehia ngā tohu pēnei i te mamae, te ngoikore, te ngoikore rānei o te nekehanga.

Ki te whakamahi tonu koe i tō pakihiwi, ka nui ake te pēhanga ki runga i te rotator cuff, ahakoa he whara iti noa iho, ka kino rawa atu pea.

Kia maumahara, ehara tō poroporo porotaka i te mea para noa iho. He "rōpū" nui o ngā uaua me ngā uaua e pupuri ana i ngā wheua kia piri tahi, hei āwhina i tō pakihiwi me tō ringa kia mahi tika.

He mea noa te haehae o te poroporo ringa i waenga i ngā kaitākaro ngaio. Engari kāore koe e hiahia kia noho hei kaitākaro kirikiti rīki matua, hei whetu whutupaoro rongonui rānei kia whara ai te poroporo ringa. Ka puta ohorere mai ēnei whara, ka puta mārire rānei i roto i te wā.

Hei whakamutunga, kia maumahara (Karere Tangohia ki te Kāinga)

Ki te kore te mamae o tō pakihiwi e pai ake i muri i ētahi rā okioki me te tiaki i te kāinga, me toro atu ki te tākuta.Māna e tātaritanga te whara, ā, ka tūtohu i ngā huarahi hei āwhina i a koe ki te whakaora i tō hononga porotaka. He hononga nui te pakihiwi i roto i ā tātou mahi o ia rā. Nō reira, ko tō kawenga te tiaki i a ia. Kia tere tō ora!

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