Kua rongo pea koe i te 'scapula', tika? Ko tēnei wheua tapatoru i tō tuara, i raro noa i tō pakihiwi, koinei te mea e kiia nei e te rata ko te 'scapula'. Ki a koe, kāore pea i te nui te āhua, engari he wāhanga nui tēnei toa iti o ngā nekehanga maha o tō ringa, pakihiwi, me tō tuara. Whakaarohia te hiranga o tēnei scapula ina toro atu koe ki tētahi mea i runga i te whata, ina whiua he pōro kirikiti, ina waru rānei i tō tuara.
He aha tēnei scapula?
He whakarāpopototanga noa iho, ko te scapula he wheua papatahi, he tapatoru te āhua i roto i tō tuara o runga e hono ana ki tō pakihiwi. Ehara i te mea he wahi wheua noa iho. Ko te nuinga o ngā uaua o ō tātou ringa me tō tātou tuara ka piri ki tēnei scapula, pērā i te punga.
Ahakoa he wheua kotahi noa iho tēnei, he maha ngā wāhanga o te pokohiwi e tino hira ana ki te mahi a te tinana. Me titiro tātou ki ēnei wāhanga.
| Te mata o te pakihiwi | Hei whakarāpopototanga... |
|---|---|
| Ākorimiona | Koinei te wheua rite ki te koikoi kei te tihi o tō pakihiwi ka taea e koe te pupuri ki tō ringa. Ka hono atu ki tō wheua kaki, ā, ka āwhina ki te pupuri i te hononga o tō pakihiwi kia pumau. |
| Te tukanga korakoid | He wheua āhua matau tēnei e toro atu ana ki runga i te pakihiwi, ka hono atu ki te acromion hei āwhina i te whakau i te hononga pakihiwi. |
| Te kōhao kerōnio | He rite tēnei ki tētahi awaawa iti. Koinei te wāhi e uru ai te wāhanga poroporo o te wheua o runga o tō ringa (puku). Mā tēnei ka taea e koe te huri i tō ringa. |
Haunga ēnei wāhanga, he maha atu anō ngā wāhi nui (ngā rohe, ngā koki, ngā rua) e piri ai ngā uaua me ngā uaua ki te pakihiwi.
Kei hea tonu te whitiki pakihiwi? Me pēhea te mahi?
Kei runga i tō tuara te mata o te pakihiwi, kei muri i tō pakihiwi. E rua ngā hononga e hono ana i te nuinga o te wā.
1. Me te wheua ringa o runga: Ka hono te kōhao glenoid i te mata o te pakihiwi ki te pane pōro o te humerus. Ka kiia tēnei ko te hononga glenohumeral. He hononga pōro-me-te-kōpuku tēnei. Pērā i tō tātou hononga hope. Nā ēnei hononga ka taea e tātou te nekeneke i te whānuitanga mōrahi, arā, ka taea e tātou te huri i ō tātou ringa ki tētahi taha.
2. Me te wheua kokoru: Ko te wāhanga o te mata o te pakihiwi e kiia nei ko te "Acromion" e hono ana ki tō tātou wheua kokoru "(clavicle).`` Ko tēnei hononga e kiia ana ko te "hononga acromioclavicular."`` Nā te mea he "hononga reti " tēnei, he iti noa te nekehanga e puta ana i konei.
He aha ngā mahi matua a te mata o te pakihiwi?
Ehara te pokohiwi i te wheua noa iho. He rite ki te pokapū o te puranga uaua. He maha ngā uaua nui e neke ana i te ringa, te tuara o runga, me te pakihiwi e hono ana ki tēnei pokohiwi. Me titiro tātou ki ētahi o aua uaua nui me ā rātou mahi.
| Uaua | Te mahi e puta mai ana i taua mea (Mahi) |
|---|---|
| Ngā scapulae Levator | Kei ia taha o te kaki tēnei uaua, ka hiki ake i ngā pakihiwi. Ara, koinei te mea e āwhina ana i a koe ki te hiki i ō pakihiwi me te mea nei "Kāore au i te mōhio." |
| Ngā Rhomboid | Mā ēnei uaua, e toro atu ana i tō tuara ki ō pakihiwi, ka āwhina i a koe ki te whakakotahi i ō pakihiwi . Ka āwhina anō hoki i a koe ki te hiki ake i tō ringa ki runga, ki raro hoki. |
| Serratus o mua | Ko tēnei uaua, e toro atu ana ki runga i ngā rara i ngā taha o te uma, e piri ana ki ngā pakihiwi, e āhei ai koe ki te porowhita i ō pakihiwi . |
| Trapezius - runga, waenga, raro | He uaua nui tēnei, he āhua taimana te āhua, e rere ana mai i te kaki ki waenganui o te tuara. Ka āwhina te wāhanga o runga o tēnei uaua ki te whakaara ake i ngā pakihiwi, ka āwhina te wāhanga o waenganui ki te whakakotahi i ngā mata o ngā pakihiwi, ā, ka āwhina te wāhanga o raro ki te pana i ngā pakihiwi ki raro. |
Ngā mate me ngā raruraru ka pā ki te mata o te pokohiwi
Mena kei te mahi tika te pakihiwi me ngā uaua e pā ana ki a ia, kāore he raruraru mō tātou. Engari, ki te mea he take e kore ai e mahi te pūnaha nei, ka uaua ki a tātou te whakamahi i tō tātou pakihiwi me tō tātou ringa.
E kiia ana ēnei āhuatanga rerekē o te nekehanga o te pakihiwi he scapular dyskinesis . He maha ngā take pea mō tēnei mate.
- Te ngoikore, te kikī, te kore taurite rānei o ngā uaua e whakahaere ana i ngā pakihiwi.
- Te kino ki ngā io e hono ana ki aua uaua.
- Ngā whara ki ngā wheua o te hononga pakihiwi, o te mata pakihiwi rānei.
He tauira torutoru o tēnei āhuatanga
- Te mate pāwera o te pakihiwi: Ka puta tēnei ina mumura te uaua o te rotator cuff i te pakihiwi, ka mirimiri ki te acromion, ka mamae nui i te wā e hiki ake ai te pakihiwi.
- Te pūkahukahu o raro-akuromia: He pēke iti kī tonu i te wai kei roto i ō tātou hononga e kiia nei ko te bursae, e āwhina ana ki te whakaiti i te waku. Ka mumura pea ēnei, ka mamae ai te pakihiwi me te mate.
Kei a koe anō ēnei tohu?
- Te mamae huri noa i te pakihiwi, te pakari rānei ina pāngia.
- Te ngoikore o te ringa, o te pakihiwi rānei i te taha o te mamae.
- Te tere o te ngenge ina mahi tonu i te mahi kotahi, ina koa ina mahi koe me ō ringa e ara ake ana.
- Te rongonga i te tangi 'pāpā' 'pāpā' rānei i te wā e nekehia ana te pakihiwi.
- Te āhua nei kei te iri te pakihiwi i te taha e mamae ana.
- Te iti o te nekehanga o te ringa me te pakihiwi.
- Ka puta ake ngā pokohiwi i te tinana, he rite ki ngā parirau.Ka kiia hoki tēnei ko te "scapula parirau".
Ngā tikanga tātaritanga me te maimoatanga
Mena kei a koe ēnei tohu, ko te mea pai ko te toro atu ki te tākuta . Ka tirotirohia koe e te tākuta. Tērā pea ka whakamātauhia e rātou te whānuitanga o te nekehanga o tō pakihiwi me te kaha o te uaua.
Ko te mea nui ko te toro atu ki te tākuta mēnā kei te pāngia koe e tēnei momo mamae. Ko reira anake ka kitea ai e koe te tino take, ka tīmata ai hoki te maimoatanga e tika ana māu.
I ētahi wā, ka tūtohutia he matawai X-ray, he matawai MRI rānei hei tautuhi i te pūtake.
Ko ngā kōwhiringa maimoatanga e whakawhirinaki ana ki te kaha o tō mate me tōna pūtake.
- Rongoā: Ka tūtohu pea tō tākuta i ngā rongoā anti-inflammatory kore-steroidal ( NSAID ), pērā i te ibuprofen , hei whakaiti i te pupuhi me te mamae.
- Whakaora tinana: He maimoatanga tino nui tēnei. I raro i te arataki a te kaiwhakaora tinana, ka taea e koe te mahi whakakori tinana hei whakapakari i ngā uaua e whakau ana, e neke ana i te pakihiwi, e totoro ana hoki i ngā uaua piri.
- Pokanga: I te nuinga o te wā, ka taea te rongoā i ēnei āhuatanga mā te whakakori tinana me te rongoā. Heoi, ki te kino rawa te kino o ngā uaua, o ngā kiko rānei, me pokanga pea, engari he tino onge.
Ki te whakaaro koe kua pāngia tō pakihiwi e tētahi aituā, ki te pāngia rānei koe e tētahi o ngā tohu kua kōrerotia e tātou, me toro atu ki tō tākuta i mua tonu i te pānga mai o ētahi atu kino.
Karere Tangohia ki te Kāinga
- He wheua tino nui te scapula mō ngā nekehanga o tō pakihiwi me tō ringa.
- Ko te mamae, te ngoikore, te uaua rānei ki te neke i tō pakihiwi, tō tuara, tō ringa rānei, he tohu pea tēnei o te raruraru pakihiwi.
- Kaua e warewarehia ēnei tohu. Ka kino rawa atu pea te āhua.
- Kia tino kite koe i tētahi tākuta kia whiwhi ai koe i te tātaritanga me te maimoatanga tino tika māu.
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