He raruraru iti kei tō ringaringa? Tērā pea he whati scaphoid!

Kua hinga koe, ā, kua pā tō ringa ki te whenua, ā, ka whara kino tō ringaringa? Tērā pea i hē te hurihanga o tō ringa i a koe e tākaro ana, ā, ka pupuhi te wāhi, ā, kāore e taea te neke? I ētahi wā ka whakaarohia ēnei mea he "whara noa iho," engari he mea kino ake pea. Koinei te mea ka tupu ina puta mai tētahi mea pēnei, e kiia nei ko te whati scaphoid. Me kōrero tātou mō tēnei i tēnei rā, āe?

He aha te whati o te scaphoid?

He whakarāpopototanga noa iho, ko te whati o te wheua scaphoid he whati i te wheua o tō ringaringa. Kei te pūtake o tō māhunga nui te wheua scaphoid, e tata ana ki tō ringaringa. He maha ngā wheua iti o tō ringaringa e kiia nei ko ngā wheua carpal. Ko te scaphoid tētahi o aua wheua carpal.

He maha ngā wā ka puta tēnei ina hinga tātou, ka totoro atu ō tātou ringa ki te hopu i ō tātou ringa. Whakaarohia, ka paheke ohorere koe, ka hinga, ā, ka whakatakoto tonu koe i ō ringa ki te whenua hei whakaora i a koe anō, tika? Koinei te wā e tino pakaru ai tēnei wheua. Haunga tēnā, ka puta anō hoki i ngā aituā motuka, i ngā pānga kino i te wā e takaro ana i ngā hākinakina, me ētahi atu. I ētahi wā ka hiahiatia he pokanga hei whakatika tika i tēnei wheua. E toru marama te roa o te nuinga o te tangata ki te ora katoa mai i tēnei mate.

Ngā wāhanga o te wheua scaphoid me ngā wāhi e puta ai ngā whati

E toru ngā wāhanga o tēnei wheua scaphoid. Ka whati pea tētahi o ēnei wāhanga.

• Pou tawhiti: Koinei te pito o te wheua scaphoid e anga atu ana ki tō ringa me ō maihao, arā, kei tawhiti atu i te ringaringa.
• Hope o te wheua scaphoid: Koinei te waenganui o te wheua scaphoid. I te nuinga o te wā, arā, neke atu i te 70% o ngā whati scaphoid ka puta i tēnei wāhanga o waenganui.
• Pou tata: Koinei te pito o te wheua scaphoid e anga ana ki tō rae, i roto i tō tinana.

Tērā pea he rerekē te āhua o ēnei kupu ki a koe. Engari ka whakamahia ēnei e ngā tākuta hei āwhina i a rātou ki te mārama me pēhea te whati o tō ringaringa, te wāhi i whati ai tō wheua scaphoid, me te āhua o te tūnga o te wheua i roto i tō tinana i tēnei wā. Heoi, ahakoa te ingoa e karangatia ana e koe, ko te mea nui ko te toro atu ki te tākuta i te wā e taea ai, kia tirohia ai.

He pēhea te noa o tēnei? Ko wai te hunga e tino pāngia ana?

Ko ngā whati skafoid te momo whati tino noa o ngā wheua carpal o te ringaringa, e 15% pea o ngā whara katoa o te ringaringa.

Ina hoki, pērā i te whati wheua o te tangata, ka whati hoki te wheua scaphoid o te tangata. Nā te mea he maha ngā wā ka pā mai i te hinganga, i ētahi atu aituā rānei. Heoi, he nui ake te kitea i roto i ngā taiohi kei raro iho i te 30 tau te pakeke me ngā taiohi.He mea noa ake tēnei. Mēnā he ngāwari koe ki te hinga, he nui ake tō tūponotanga. Waihoki, ko te hunga e pāngia ana e ngā mate angiangi wheua pēnei i te osteoporosis he nui ake te tūponotanga ka whati ō rātou wheua i ētahi atu, nō reira he nui ake tō rātou tūponotanga ki te whati o te scaphoid.

He aha ngā tohu?

Mena he whati tō hope, ka pāngia pea koe e ngā tohu pēnei i:

• Mamae: Ina koa i te take o te māhunga nui, i te taha matau o te ringaringa.
• Pupuhi: Ka pupuhi pea te wāhi e pāngia ana o te ringa.
• Ngāwari: Ka mamae te wāhi i whakahuatia i runga ake nei ina pāngia , ina pēhia rānei.
• Te kore e taea te neke i te ringaringa: He uaua ki te tahuri, ki te hapai rānei i te ringa.
• Marumaru, rerekē rānei te tae: Tērā pea ka kikorangi, ka papura rānei te āhua.
• He puku rerekē, he āhua rerekē rānei: Tērā pea ka rite te ahua o te ringaringa ki tētahi puku rerekē.

Ngā whati kua nekehia me ngā whati kāore i nekehia

Ko ēnei ētahi atu kupu e rua ka whakamahia e te tākuta hei whakaahua i tō whati. Ko te tikanga o te "Whati Kua Nekehia" i muri i te whati o te wheua, kua neke haere ngā wahi whati e rua, ā, ka waiho he āputa nui i waenganui i a rāua. I roto i te "Whati Kāore i Nekehia", kei te whati tonu te wheua, engari kāore i neke haere ngā wahi e rua, ā, kei te tata tonu ki te wāhi i mua. He maha ngā wā ka hiahiatia he pokanga hei whakatika i te "Whati Kua Nekehia".

He aha tēnei e tupu nei?

Mā te pānga kaha ki te ringaringa ka whati te wheua scaphoid. Ko ngā tino take ko:

• Hinga: Ka totoro atu ō ringaringa e rua, ka anga atu ki te whenua.
• Ngā aituā hākinakina: Pērā i te wā e tākaro kirikiti ana, e tākaro whutupaoro ana rānei.
• Ngā aituā waka.

Me pēhea te kite a ngā tākuta i tēnei?

Mā te tākuta koe e tirotiro me te mahi i ētahi whakamātautau whakaahua hei whakatau mēnā he whati scaphoid tōu.

He aha ngā whakamātautau e mahia ana?

I muri i tō tirotiro, ka whai pea koe i tētahi, i ētahi rānei o ngā whakamātautau whakaahua e whai ake nei:

• Ngā hihi-X: Ka taea e te hihi-X te whakaatu mēnā he whati kei roto i te scaphoid, i tētahi atu wheua rānei, me te nui o te kino kua pā.
• Whakaahua aukume (MRI): I ētahi wā ka whakahau tō tākuta i tētahi matawai MRI. Ka āwhina tēnei ki te aromatawai katoa i te kino o ngā wheua me ngā uaua me ngā kiko e karapoti ana.
• Matawai CT: Ki te hiahia koe ki te pokanga, me mārama te pikitia o te kino o ō wheua e tō tākuta. Ka taea e te matawai CT te whakaatu i ngā wheua me ngā kiko e karapoti ana i roto i ngā taipitopito atu i te hihi-X.

Ngā whati scaphoid ngaro

I ētahi wā, kāore ngā whati o te scaphoid e kitea i roto i te hihi-X, ā, i ētahi wā, kāore rawa e kitea. Ka kiia tēnei he whati occult scaphoid. Mēnā ka puta tēnei, ka tono pea tō tākuta i tētahi matawai MRI, CT rānei. Mā tō tākuta koe e kī atu he aha ngā whakamātautau tāpiri e hiahiatia ana e koe.

He mea nui: Kōrerotia ki tō tākuta te wāhi e mamae ana koe, me te aha hoki te mamae ina pēhia e koe. Mena kei roto tō mamae i te wheua scaphoid, ā, kāore e memeha i muri i te rā kotahi, e rua rānei, tera pea he whati huna tōu. Kāore ēnei whati huna e hiahia ana ki tētahi maimoatanga motuhake, ā, kāore he mōrearea motuhake.

He aha ngā maimoatanga?

Ko te maimoatanga mō tō whati scaphoid e whakawhirinaki ana ki tōna kaha. Me hono anō tō wheua whati, me te whakaora. I runga anō i tōna pakaru me te āhua o tōna whatinga, ka whakamahia pea e tō tākuta tētahi, neke atu rānei o ēnei maimoatanga.

Te aukati i te ringa/ringaringa

Mena kāore tō whati i te nui rawa, arā, kāore te wheua scaphoid i neke rawa atu i tōna wāhi i takoto ai ('kāore i nekehia'), me mau noa pea koe i te whitiki whakapiri, i te paraihe rānei o te maka Paris. Ko te tikanga ka roa te whitiki whakapiri mō te toru ki te rima wiki. Ka roa ake te roa o te whitiki whakapiri, e ono ki te waru wiki te tikanga. I ngā āhuatanga e rua, me whai anō koe i tētahi atu hihi-X hei whakarite kei te ora pai tō wheua.

Te whakaiti i te wheua me te kore pokanga (Te whakaiti kati)

Mō ngā whati tino kino, ka mahia he tikanga e kiia nei ko te whakaiti kati hei whakatikatika i te wheua scaphoid. Ehara tēnei i te pokanga. Ka pēhi te tākuta, ka kukume i te taha waho o tō tinana hei whakatikatika i te wheua whati ki roto. I a ia e mahi ana i tēnei, ka mahi ia i tētahi o ēnei hei āwhina i a koe kia iti ake te mamae:

• Ka werohia he rongoā whakamoe ā-rohe hei whakangāwari i te wāhi huri noa i te wheua whati.
• Ka hoatu ngā rongoā whakangāwari hei whakangā i te tinana katoa.
• Ka whakamoea tō tinana katoa, kātahi ka whakatakotoria koe ki te moe ('Whakamoea whānui').

I muri i te mahi i tēnei "(Whakaiti kati)", ka tāpirihia e te tākuta he kiri pakaru, he pāreti rānei ki a koe.

Te pokanga whati scaphoid

Ko te nuinga o ngā whati tino kino me pokanga. Ka whakatikatika anō te taote i tō wheua scaphoid ka whakatika ki tōna tūranga, kia taea ai te hono anō me te whakaora. I te nuinga o te wā, ka mahi rātou i tētahi mea e kiia nei ko te "Whakatikatika ā-roto". Ko te tikanga tēnei ka whakauru te taote i ngā wahi whakarewa ki roto i tō wheua hei pupuri i a ia kia ora rā anō. Ko ēnei tikanga "Whakatikatika ā-roto" ko:

• Ngā pereti me ngā tīwiri: He pereti me ngā tīwiri whakarewa e whakaurua ana ki roto i te wheua hei pupuri i ngā wahi wheua kia piri.
• Ngā pine me ngā waea:Hei pupuri i ngā wahi iti o te wheua kia kotahi, he mea whakamahi ngā pine me ngā waea i ērā atu taputapu whakapiri. He mea whakamahi ngātahi ēnei me ngā pereti, me ētahi atu taputapu pēnei i ngā tokotoko.

Kei roto tonu i te tinana o ētahi tāngata ēnei wahi whakarewa mō ake tonu atu. Me pokanga anō ētahi tāngata kia tangohia ai.

Te honohono wheua

Mena he tino "neke" tō whati scaphoid, arā, he tawhiti ngā wahi, kāore rānei tō wheua e ora tika ana, me whai pea koe i tētahi tikanga e kīia nei ko te "bone grafting". Ka tāpirihia e te taote pokanga ētahi atu kiko wheua hei āwhina i tō wheua whati kia hoki mai anō. Kātahi, ka mahi rātou i te "internal fixation," hei pupuri i ngā wahi kia ora rā anō te wheua. He maha ngā wāhi ka taea te tango wheua mō ēnei grafting wheua:

• Mai i tētahi atu wāhi o tō tinana ake – i te nuinga o te wā i te tihi o tō wheua hope.
• Mai i tētahi atu (kaituku o waho).
• He mea hanga horihori.

He maha ngā wā ka mahia ngā pokanga whati scaphoid hei tikanga ā-waho.

I muri i tō pokanga, me here tō ringaringa. Me mau pea he whitiki, he mea whakarewa rānei i mua i te whakamahinga anō o tō ringaringa pērā i mua i tōna whatinga.

He aha ngā rongoā e whakamahia ana mō ngā whati scaphoid?

Ka taea e ngā rongoā mamae e kiia nei ko ngā "NSAID", pērā i te aspirin, i te ibuprofen rānei, te whakaputa toto me ētahi atu raruraru i muri i te pokanga. Nō reira, ka kōrero tō taote pokanga ki a koe mō ngā rongoā ka taea e koe te tango hei whakaiti i te mamae i muri i te pokanga.

Ngā pānga taha pea o ngā NSAID:

• Te toto.
• Ngā mate puku.
• Mamae puku.
• Ngā raruraru o te puku.

Ka ora ko ia anake te whati o te scaphoid?

Kaua rawa e warewarehia ngā tohu pēnei i te mamae, te pupuhi, te ngawari rānei. Ahakoa kāore i te kino rawa ō tohu, me rongoā tonu koe . Ki te kore koe e whiwhi rongoā mō te whati scaphoid, tera pea ka pāngia koe e ngā raruraru nui i muri mai, pēnei i:

• Te mate wāhanga whakapeka (ACS): Ka piki ake te pēhanga i roto i te uaua, ka motuhia te rere o te toto ki ngā kiko, ā, ka pā pea te kino tuturu ki te uaua me te io.
• `(Malunion)`: Ina kore ō wheua whati e hono tika tetahi ki tetahi, kāore e hono tika tetahi ki tetahi ina ora.
• Kāore i honoa katoatia, kāore anō hoki i honoa tetahi ki tetahi.
• `(Ngā mate wheua kore toto (osteonecrosis))`: He mate wheua mamae tēnei ka kino haere i te roanga o te wā. Ka pā ki tō kaha ki te neke. Ka puta tēnei ina motuhia te rere o te toto ki te wheua.
• Te mate rumatiki o te ringa: Ka taea e ngā āhuatanga e kiia nei ko te "Nonunion" me te "Avascular necrosis" te whakararu i te ringa me te ringaringa. Ka taea e te mate rumatiki o te ringa te whakararu i te mamae, te pupuhi, te pakari, me te āhua rerekē.

Kia pēhea te tere o taku pai ake i muri i te maimoatanga?

Tērā pea ka roa pea ētahi wiki ka memeha haere ō tohumate. I runga i te momo pokanga i mahia hei whakatika i tō whati scaphoid, tērā pea ka taea e koe te neke anō i tō ringa i roto i ētahi wiki.

Heoi, ki te pāngia koe e te mamae e kore e taea te whakamanawanui, me toro atu ki te tākuta tonu.

Me pēhea te whakaiti i tēnei mōrearea?

Whāia ēnei tohutohu whānui mō te haumaru hei whakaiti i te tūponotanga o te whara:

• Me mau tonu tō whitiki nohoanga i a koe e eke ana i roto i te waka.
• Kia mau ki ngā taputapu haumaru e tika ana mō ia mahi me ia hākinakina.
• Kia ma tō whare me tō wāhi mahi mā te tango atu i ngā mea ka paheke, ka hinga rānei koe, tetahi atu rānei.
• Ina kohia e koe tetahi mea mai i runga, whakamahia tonutia ngā taputapu tika. Kaua rawa e piki ki runga i ngā tūru, i ngā tēpu rānei.
• Whāia he mahere kai me te whakakori tinana hei āwhina i te pupuri i te hauora o tō wheua.
• Mena kua neke atu i te 50 tau tō pakeke, mēnā rānei kei te pāngia tētahi o tō whānau e te osteoporosis, kōrero ki tō tākuta mō te whakamātautau kiato wheua.
• Ki te whakamahi koe i te tokotoko, i te taputapu hikoi rānei hei hikoi, me whakamahi tonu, ā, kia tūpato ki ngā mata kāore i te ōrite.

Ka taea e au te ārai i te whati o te scaphoid?

Ko te nuinga o te wā ka puta ngā whati o te waewae scaphoid i ngā hinganga, i ētahi atu aituā rānei, nō reira kāore he mea nui hei mahi hei ārai i ēnei whati, engari ko te tūpato i te wā e hikoi ana (me te whakamahi tokotoko/waewae mēnā kei a koe) me te tūpato i ngā mata koretake.

He aha taku e tumanako atu ai mēnā he whati scaphoid tōku?

Mena he whati tō hope, ka taea e koe te tumanako ka ora katoa koe.

Me whai whakaora tinana koe kia hoki mai ai te kaha me te whānuitanga o te nekehanga o tō ringaringa.

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

Ko te roa o te wā e ora ai koe ka whakawhirinaki ki te kaha o tō whati me te maimoatanga e hiahiatia ana e koe. Ko te nuinga o te iwi e toru marama te roa ki te ora mai i te whati scaphoid.

He maha atu anō ngā āhuatanga ka pā ki te roa o te wā e ora ai tō tinana. Kōrero ki tō tākuta, ki tō taote rānei mō te wā e tika ana mō tō āhuatanga.

Kāore e taea e au te haere ki te mahi, ki te kura rānei?

Ki te taea tonu e koe tāu mahi, tāu mahi kura rānei ahakoa te kore e taea te nekeneke o tō ringaringa, e kore e kore ka taea e koe te haere ki te mahi, ki te kura rānei.

I a koe e whakaora ana, kōrero ki tō taote pokanga, ki tō tākuta rānei i mua i te tīmata anō i ngā mahi ā-tinana.

Te tirohanga mō te whati scaphoid

He pai te tirohanga mō ngā whati o te scaphoid. Ahakoa kua pokangahia koe, me ora katoa koe, nā te mea kāore pea tō whati e pāngia mō te wā roa.

Āhea koe me haere wawe ki te hōhipera?

Ki te whakaaro koe he whati wheua tōu – he whati wheua rānei – me toro atu koe ki te tākuta i te wā e taea ai. Haere tonu ki te rūma whawhati tata mēnā kei a koe ētahi o ēnei tohu:

• Te mamae nui e kore e taea te manawanui.
• Ki te kore e taea e koe te neke i tētahi wāhanga o tō tinana ka taea e koe te neke i te tikanga.
• Mena he rerekē te āhua o tētahi wāhanga o tō tinana i tō te tikanga, mena kua peke ke i tōna tūranga.
• Mena ka kitea tō wheua mā roto i tō kiri.
• Te pupuhi.
• Mena ka puta mai ngā marō hou me ēnei atu tohu.

Mena kua pāngia koe e tētahi aituā nui (whara), haere tonu ki te rūma whawhati tata.

He aha ngā pātai me pātai atu koe ki te tākuta?

• He whati scaphoid tōku, he momo whati rānei?
• Ko tēhea wāhanga o tōku wheua scaphoid i whati?
• Me pokanga ahau?
• Kia pēhea te roa e ora ai?
• Āhea ahau ka taea ai te tīmata anō i ngā mahi ā-tinana?

He mea whakamataku tonu te whati o te wheua, inā koa ka puta ohorere mai, pērā i te wā e paheke ana koe, e hinga ana rānei. He pai te urupare a ngā whati o te scaphoid ki te maimoatanga, ā, he maha ngā kōwhiringa hei āwhina i ō wheua me tō tinana kia ora tika. Kōrero ki tō tākuta mō ngā huarahi hei pupuri i te kaha me te hauora o ō wheua, me te whakamātautau i te kiato o te wheua i ia wā mēnā neke atu i te 50 tau te pakeke, mēnā rānei he osteoporosis tō tētahi o tō whānau.

Hei whakamutunga, ngā mea hei maumahara

Nō reira, ahakoa he iti nei te raruraru o tō ringaringa, ehara i te mea pai kia wareware noa iho. He mea ka taea te whakaora katoa i te whati o te scaphoid mēnā ka rongoatia tika.

Ko te mea nui ko te toro atu ki te tākuta i te wā e taea ai mēnā ka puta ngā tohu. Pērā ai, ka taea e rātou te mōhio tika ki te āhua o te mate, ā, ka tīmata i te maimoatanga e tika ana.

Kia maumahara, he mea tino nui te tiaki i te hauora o tō wheua. Mā te kai taurite, te whakakori tinana tika, me te mahi i ngā mahi ārai hei tiaki i a koe mai i ngā aituā ka āwhina i te ārai i ēnei mate ki tētahi taumata. Mena he pātai āu, kaua e mangere ki te pātai ki tō tākuta. Kātahi ka taea e koe te tino mōhio.

` Whāwhati scaphoid, whati ringa, mamae ringa, whati wheua, hihi-X, MRI, pokanga wheua