Kia mōhio tātou ki ngā mea e tika ana kia mōhio koe mō tō scapula.

Kua ara ake koe i te ata, ka manawa hōhonu, ka totoro ō ringa? I taua wā tonu, tera pea ka rongo koe i ngā wheua papatahi e rua i muri i ō pakihiwi. He tokomaha e kī ana i ēnei he "ngā mata o te pakihiwi" he "scapula" rānei. I roto i te rongoā, ka kīia ēnei he scapula . Ehara i te mea he wahi wheua noa iho tēnei, engari he wāhanga tino nui o tō tātou pakihiwi. I tēnei rā, ka kōrero tātou mō ētahi mea me mōhio koe mō tēnei mata o te pakihiwi.

Nā, he aha tēnei scapula?

He whakarāpopototanga noa iho, ko te scapula he wheua i roto i tō pakihiwi. Ka kiia hoki e tātou ko te "mata pakihiwi" ina kōrero tātou. Ko tētahi o ngā wheua matua e toru e hanga ana i tō hononga pakihiwi. Ko te scapula te mea e hono ana i tō wheua kara (clavicle) ki tō wheua ringa o runga (humerus).

Whakaarohia, ki te mamae tō pakihiwi, inā koa mēnā i muri i te whara, ahakoa i te hinganga, i te tākaro rānei, me toro atu koe ki te tākuta. He iti ake te kitea o ngā whara pakihiwi, engari ka pāngia anō hoki tēnei e tetahi whara ki te pakihiwi.

He aha te mahi ki te whitiki pakihiwi? He aha te hiranga o tēnei?

He maha ngā mahi tino nui a te pokohiwi. Whakaarohia te nui o te mahi ka taea e tēnei wahi iti o te wheua:

• Te hono i tō wheua ringa o runga (puku) ki tō wheua kaki (clavicle): Koinei te wāhi e hono ai tō ringa ki tō tinana (arā, te wāhanga waenga o tō tinana). He rite ki te piriti.
• Te hanga i tētahi wāhanga o tō hononga pakihiwi: He wāhanga rite ki te puku o te hononga te wāhi e tomo ai tō wheua ringa o runga (puku) ki te hanga i te pakihiwi. Ko tōna taha muri, te whitiki pakihiwi o muri , he mea hanga e tēnei anga pakihiwi.
• Te Nekehanga Pakihiwi: He mea whakamiharo tēnei! I mōhio koe e hono ana te pakihiwi ki ngā uaua 17, ngā uaua 12, ngā hononga 6, me ngā io e 2 ? Mā ēnei hononga ka taea e tō pakihiwi te neke i ngā taha e ono. Inaa, ka taea e ia te neke i ngā taha maha atu i tētahi atu hononga o tō tātou tinana!
• Te tiaki i tō uma: He rite tō pakihiwi ki te whakangungu rakau e piri ana ki tō uma. Ahakoa kāore e tiaki tika i ngā whekau katoa, he wheua kaha, pakari hoki e āwhina ana ki te mimiti i te pānga o ngā tukinga.

Whakaarohia te nui o te āwhina a ngā pakihiwi i a tātou ina hiki ake ō tātou ringa, ina whakatakotoria ki muri i ō tātou tuara, ā, ina hurihia!

Kei hea te mata o te pakihiwi?

Ko ō anga pakihiwi he wāhanga o tō angaanga tuaka . Arā, ko te pūnaha angaanga kei waenganui o tō tinana. E rua ō anga pakihiwi, kotahi kei ia taha o tō uma. Kei muri i ō angaanga ēnei, kei waho.

He aha te hanganga o te ū? Ara, me pēhea tōna hanganga?

Ko te "scapula" te ingoa o te mata o te pakihiwi nā te mea he papatahi, he tapatoru te āhua. He rite ki te mata o te maripi. Ahakoa he wheua kotahi, e toru ngā mata o te mata o te pakihiwi:

1. Mata o mua, o mua rānei

2. Mata taha

3. Mata o muri, o raro rānei

Kia tirohia tātou ia o ēnei mata me ētahi atu taipitopito.

Mata o mua, o te taha rānei o te ākau

Ko te mata o mua o te pokohiwi ko te taha o mua, ko te taha e anga atu ana ki tō rara. Ko te wāhanga matua o tēnei mata he wāhi iti rite ki te kapu (te 'subscapular fossa'). Mā tēnei ka tautoko i tētahi o ngā uaua o tō pakihiwi e kiia nei ko te 'rotator cuff'. He pūwero iti rite ki te matau (te 'coracoid process') kei raro i tō wheua kara e hono ana i ngā uaua e toru.

Mata taha

Ko te mata taha o te pakihiwi ko tōna taha o waho, ko te taha e anga atu ana ki te wheua o tō ringa o runga (te 'puku o te ringa'). Koinei te wāhi e kitea ai ēnei mea:

• Glenoid fossa: Koinei te wāhi tuwhera e hanga ana i te tuara o te pōro o tō hononga pakihiwi.
• Ko te pūwero superglenoid: Koinei te wāhi e piri ai tō uaua biceps.
• Puku infraglenoid: Koinei te wāhi e piri ai tō uaua triceps.

He āhua hauora tēnei, engari ki te kī māmā noa iho, ko te mahi a ēnei wāhanga he whakarato i ngā wāhi hei hono atu i ngā uaua me ētahi atu wāhanga kia pai ai te mahi a te pakihiwi.

Te mata o muri (te mata o raro)

Ko te mata o muri o te pakihiwi te wāhanga o te tuara e anga atu ana ki tō tuara. Kei roto:

• Tuaiwi (tihi): Ko te pito koi paku nei i te tihi o tō pakihiwi.
• Akromion: He wāhanga tēnei o te wheua kotahi. Ka neke tahi me tō wheua papatahi ina nekehia tō pakihiwi.
• Fossa supraspinous: Ko te wāhi kei runga ake i te tuaiwi e piri ai ngā uaua. He wāhi porowhita paku tēnei.
• Te whārua o raro i te tuaiwi: Ko te wāhi kei raro tonu i te tuaiwi e piri ai ngā uaua. He nui ake i te whārua o runga i te whārua kua whakahuatia ake nei, ā, he āhua pikopiko.

He aha ngā whara, ngā āhuatanga rānei e pā noa ana ki te pakihiwi?

He tino noa ngā whara o te pakihiwi. Nā te mea he hanganga uaua te pakihiwi, ā, e whakamahia ana e tātou mō ngā mahi me ngā mahi maha puta noa i te rā. He onge noa iho ngā whara o te pakihiwi anake. Heoi, ka taea hoki e ngā whara o te pakihiwi te whara i te pakihiwi. Hei tauira:

• Ngā whara o te pakihiwi.
• Ngā pakihiwi kua motumotu.
• Ngā pakihiwi kua wehea.

Ka pā pea te whati o te pakihiwi ki te mata o te pakihiwi, engari he tino onge tēnei. Ko te tikanga ka whati noa ngā mata o te pakihiwi i ngā whara kino, pērā i ngā aituā motuka, i te taka rānei o te tangata i te arawhata.

Ko ētahi āhuatanga hauora ka pā ki ō pakihiwi (tae atu ki ō mata pakihiwi):

• Te mate pāwera o te pakihiwi.
• Te mate pukupuku o te pakihiwi.
• Te pūhā o te pakihiwi.
• Te pūwero o te pokohiwi (te putanga rerekē o te anga o te pokohiwi).

He aha ngā tohu o te whara o te pakihiwi?

He tino onge te whara o te mata o te pakihiwi anake, kāore e pā ki ngā wāhanga kē atu o te pakihiwi. Ko ngā tohu tino kitea o te whara o te pakihiwi ko:

• Mamae pakihiwi: Koinei te mea nui.
• Pupuhi: Tērā pea ka pupuhi te wāhi i whara.
• Te whakaiti i te whānuitanga o te nekehanga: Ko te tikanga tēnei kāore e taea e koe te neke i tō pakihiwi ki tētahi ahunga, ki tētahi ahunga rānei.
• Pakari/Pakari: Tērā pea he uaua ki te neke i te pakihiwi, ā, tērā pea ka rite ki te mea kua mau.
• Marumaru, rerekē rānei te tae: I ētahi wā ka ahua kikorangi, papura rānei.

Ahakoa tētahi, e rua rānei o ēnei tohu kei a koe, he pai ake te rapu tohutohu hauora, ina koa mēnā kāore te mamae e memeha i muri i ētahi rā.

He aha ngā whakamātautau e mahia ana hei kite i ngā raruraru o te pokohiwi?

Tērā pea ka whakamahia e te tākuta ētahi whakamātautau tātaritanga, whakamātautau whakaahua rānei hei tirotiro i tō pakihiwi me te rohe e karapoti ana. Ko ētahi o ēnei ko:

• He hihi-X mō te pakihiwi.
• Matawai CT ('Matawai Tomography Rorohiko (CT)').
• Matawai MRI (Whakaahua aukume (MRI)).
• Whakamātautau EMG (electromyography) - Ka whakamātautau tēnei i te mahi a ngā uaua me ngā io.

Ka taea e ēnei whakamātautau te whakatau tika mēnā he kino, he whati, he haehae, he raruraru rānei kei roto i te hononga pakihiwi, i ngā kiko e karapoti ana rānei.

He aha ngā maimoatanga noa mō ngā raruraru pakihiwi?

Ko te momo maimoatanga e hiahiatia ana e koe ka whakawhirinaki ki tō whara, ki tō āhua hauora rānei. Kāore he maimoatanga kotahi e pai ana mō te katoa.

Tērā pea ka hiahia koe ki tētahi maimoatanga pēnei:

• Te aukati: Ko te tikanga o tēnei ko te whakatakoto i tētahi mea pēnei i te paraikete o Parī (he mea whakarewa), he mea tautoko, he mea whitiki rānei ki te pakihiwi kia kore ai e neke.
• Te okioki i te pakihiwi, te karo rānei i te mahi i puta ai te whara: I ētahi wā ko te okioki te rongoā pai rawa atu.
• Te whakaora tinana:He mea tino nui tēnei hei whakapakari i ngā uaua me te whakapai ake i te whānuitanga o te nekehanga, inā koa i muri i te whara o te pakihiwi.
• Pokanga pakihiwi: Tērā pea e hiahiatia he pokanga mō ētahi whara kino, mō ētahi āhuatanga rānei kāore e pai ki ētahi atu maimoatanga.

Me pēhea taku pupuri i te hauora o ōku pakihiwi?

Kāore koe e hiahia ki te mahi i tētahi mea motuhake hei pupuri i te hauora o ō pakihiwi. Ko te mea nui ko te kai i ngā kai totika me te whakakori tinana i ngā wā katoa .

Hei tāpiritanga, whai i ēnei tohutohu haumaru whānui hei tiaki i a koe mai i ngā whara:

• Me mau tonu tō whitiki nohoanga i a koe e eke ana i roto i te waka.
• Me mau ngā taputapu haumaru e tika ana i ngā wā hākinakina, i ngā wā mahi rānei.
• Kia ma tō whare me tō wāhi mahi, kia kore hoki he mea e kore e hiahiatia. Mā tēnei ka whakaiti i te tūponotanga o te paheke me te hinga.
• Ina kohia e koe tētahi mea mai i runga , me whakamahi tonu i ngā taputapu tika. Kaua rawa e piki ki runga i ngā tūru, i ngā tēpu, i ngā papa rānei.
• Mena he uaua ki te hikoi, he nui rānei te tūponotanga o te hinga, whakamahia he tokotoko toko, he taputapu hikoi rānei.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Ahakoa ka whakaaro noa koe ki ō pakihiwi ina ara ake koe i te ata, he rua ēnei wheua tino nui e whakamahia ana e koe i ngā wā katoa. Ka tautoko i ō pakihiwi, ka whakarato i te nekehanga, ā, ka pupuri i te maha o ngā uaua me ētahi atu kiko kia mau tonu.

I te nuinga o te wā, kāore ō pakihiwi e hiahia ki tētahi tiaki motuhake, ki tētahi tirotiro auau rānei. Heoi, ki te mamae ō pakihiwi, ina koa ka roa atu i te wiki, kaua e warewarehia. Ki te mamae koe, ka pakari, ka pāngia rānei koe e ētahi atu tohu e uaua ai te mahi i ō mahi o ia rā, kia kite koe i tētahi tākuta. Ka tirotirohia koe e rātou, ā, ka hoatu ki a koe te tohutohu me te maimoatanga pai rawa atu e hiahiatia ana e koe. Kei roto i ō ringaringa te pupuri i te hauora o ō pakihiwi!

` Papa pakihiwi, scapula, mamae pakihiwi, mate pakihiwi, wheua, hononga, scapula, papa pakihiwi, mamae pakihiwi