Kei te mamae anō hoki tō pakihiwi? Kei te mārō te āhua? He mate rumatiki pakihiwi pea!

He uaua ki a koe te hiki i ō pakihiwi i ētahi wā? Kei te mamae, kei te kōpiko hoki ō pakihiwi i a koe e mahi ana i ngā mahi o ia rā? Mena he mōhio koe ki ēnei mea, tera pea he mate rumatiki tōu pakihiwi. Me kōrero taipitopito tātou mō tēnei, he tino māmā noa iho.

He aha te mate pukupuku pakihiwi?

Ki te kī māmā noa, ko te mate rumatiki pakihiwi he mumura o tō hononga pakihiwi. Koinei te take e mamae ai, e pakari ai hoki tō pakihiwi. Ko te nuinga o te wā ka pā ki te hononga pōro-me-te-kōhao i tō pakihiwi. Ka kiia tēnei e ngā tākuta ko te hononga glenohumeral . Whakaarohia pēnei: ​​ka uru te hononga pōro-me-te-kōhao i te tihi o tō wheua ringa o runga (te humerus) ki roto i te kōhao kapu-me-te-kōhao i roto i tō mata pakihiwi (te scapula).

I roto i te wā, ka ngaro te kiriuhi i te pakihiwi i tēnei mate rumatiki. E mōhio ana koe he aha te kiriuhi? He kiko ngohengohe, he maeneene e kapi ana i te pōro o te wheua ringa o runga me te kōhao o te wheua pakihiwi. Mā tēnei kiriuhi ka taea e ngā mata o ō tātou wheua te neke maeneene i roto i te hononga me te kore e mirimiri tetahi ki tetahi. He urunga anō hoki e tiaki ana i ngā wheua mai i te pēhanga ina mahi tātou i tetahi mea.

Whakaarohia te mea ka tupu ina tae koe ki ngā wāhanga whakamutunga o te mate pukupuku pakihiwi. Ina memeha haere aua kiriuhi tiaki katoa, ka tīmata ngā wheua o te hononga pakihiwi ki te mirimiri tetahi ki tetahi. Ka taea te hanga i ngā whēkau wheua , i ngā whēkau wheua hou rānei. Ka taea e ēnei te whakararuraru i te nekehanga noa o te hononga, ā, i ētahi wā ka whati ēnei whēkau ka rere i roto i te hononga.

He aha ngā wāhanga o te mate pukupuku pakihiwi?

E whā ngā wāhanga matua o te mate rumatiki pakihiwi. Me titiro tātou ki ēnei wāhanga:

• Wāhanga 1 (wāhanga tōmua): Koinei te wāhanga tuatahi . Ka tīmata te ngawari o tō kiriuhi, engari kāore koe e whakaatu i tētahi tohu nui. I ētahi wā ka kiia tēnei ko te 'wāhanga whakapae'.
• Wāhanga 2 (Ngāwari): Koinei te wāhanga ngāwari . I tēnei wā, ka tīmata te hanga o ngā roimata iti i roto i te kiriuhi. Tērā pea ka pāngia koe e te mamae me te kōpiko ina nekehia tō pakihiwi.
• Wāhanga 3 (Waenga): Koinei te wāhanga waenga . Kua ngoikore haere te kiriuhi, ā, kua tīmata te wehe. He maha ngā wā ka mamae te tinana i te nekenga o te pakihiwi, ā, ka pākia te tinana i te tūnga i muri i te noho roa.
• Wāhanga 4 (Wāhanga Whakamutunga): Koinei te wāhanga whakamutunga . I tēnei wā, kua memeha katoa te kiriuhi, ā, kua kitea te mata o te wheua. Tērā pea ka mamae nui, ka pupuhi, ka pakari hoki, ahakoa kua nekehia te pakihiwi, kāore rānei.

He aha ngā tohu o te mate rumatiki pakihiwi?

Ka rerekē ngā tohu o te mate rumatiki pakihiwi i ia tangata, i ia tangata. I ētahi wā, kāore pea ngā tohu e tino kino pērā i te kino o te kiriuhi. Heoi, tera ētahi tohu noa ka kitea:

• Mamae pakihiwi: Koinei te tohu tino kitea . I te tīmatanga, ka rongo pea koe i te mamae i a koe e mahi ana i tetahi mea. Engari i roto i te wā, ka puta te mamae i ngā wā katoa, ahakoa kei te nekehia tō ringa, kāore rānei.
• Te pakari me te iti haere o te nekehanga: Tērā pea ka pakari tō pakihiwi, ā, tērā pea ka iti haere te nekehanga me te nekehanga o tō ringa. Ka uaua pea te mahi i ngā mahi o ia rā pēnei i te horoi i a koe anō, te whakakakahu rānei. Tērā pea kāore e taea e koe te hiki tika i tō ringa ki runga, te huri rānei ki waho.
• He tangi pāorooro, he tangi pakū rānei i te hononga pakihiwi: Nā te memeha haere o te kiriuhi me te ngaronga o te maeneene o te mata o te hononga i puta ai tēnei tangi. Ka haere tahi pea tēnei tangi me te mamae, ka ngaro rānei.
• Te kore moe: He tino uaua ki te moe i roto i te āhua tino pai. Ahakoa he nekehanga iti noa o te pakihiwi ka mamae pea, ka arahi pea ki te kore moe.

Nā, he aha te āhua o te tinana ina pāngia koe e te mate rumatiki i te pakihiwi?

Tērā pea ka pāngia koe e te maha o ngā mamae pakihiwi, mai i te ngawari ki te kino, me te pakari. Ko te tikanga ka puta mai tēnei mamae i te taha o te pakihiwi, he rite ki te mamae hohonu e puta mai ana i roto i te hononga. I roto i te wā, ka kite pea koe kua whakaitihia te whānuitanga o te nekehanga o tō hononga pakihiwi.

He aha te take e puta ai te mate rumatiki i tēnei pakihiwi? He aha ngā take?

He maha ngā take pea o te mate rumatiki pakihiwi. Me titiro tātou ki ēnei:

• Osteoarthritis: Koinei te momo mate rumatiki tino noa . He māmā noa iho, he mate e puta ake ana i te pakeketanga me te pakaru o ngā hononga. I tēnei wā, ka ngohengohe te kiriuhi, ka ngatata, ka pakaru, ka memeha, ā, i te mutunga ka ngaro katoa.
• Te whara o te ringa hurihuri: Ka puta tēnei momo mate rumatiki ina pakaru rawa te ringa hurihuri, he pūnaha uaua me ngā uaua i te pakihiwi, ka mirimiri te pōro o te wheua ringa o runga (te pane o te humerus) ki ētahi atu wheua.
• Te rumatiki rūmātiki me ētahi atu momo rumatiki mumura: He mate ārai-aunoa ēnei. Ko te tikanga o tēnei ka whakaekea e te pūnaha parepare o tō tinana ō kiko hauora. Ka mumura pea te arai o ngā hononga me te kino o te kiriuhi.
• Te whara ki te pakihiwi: Ko ngā momo whara katoa ki ngā wheua o tō pakihiwi – hei tauira, he nekehanga, he whati, he whiunga kaha rānei – ka taea te kino i te mata o te kiriuhi. I roto i te wā, ka arahi pea tēnei ki te mate rumatiki.
• Te mate pukupuku kore toto: Ko tēnei āhuatangaKo te osteonecrosis e kiia ana ko te osteonecrosis. Koinei te wā ka motuhia te rere o te toto ki te 'pōro' o tō pakihiwi, ka mate te wheua. Ka tupu pea tēnei mēnā ka motuhia te rere o te toto ki te wheua, nā te whara, nā te mate rānei (nā ētahi rongoā rānei).

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei?

Ko te hunga e nui ake te tūponotanga ki te whakawhanake i te mate pukupuku pakihiwi ko:

• Mō te hunga neke atu i te 50 tau te pakeke. Nā te mea ka ngoikore haere te kiriuhi i a tātou e pakeke haere ana.
• Mō te hunga momona . Nā te mea ka piki ake te taumaha o te tinana, ka nui ake te pēhanga ki ngā hononga.
• Mena kua pāngia tētahi o te whānau, arā, tētahi he whanaunga ira, e tēnei mate i mua.

Me pēhea te mōhio o te tākuta ki tēnei?

Ka tirohia tuatahitia e tō tākuta tō pakihiwi. Ko te tikanga o tēnei me tirotiro koe i tō whānuitanga o te nekehanga, tō kaha, me ngā wāhi e mamae ana koe. Ka pātai atu hoki rātou mō tō hītori hauora o mua me ngā tohu o nāianei.

I muri i tēnā, ka taea e te tākuta te mahi i ngā whakamātautau whakaahua pēnei i ēnei:

• X-ray o te pakihiwi: Ka taea e te X-ray te tirotiro i te āhua o ngā wheua i roto i tō pakihiwi, mēnā he whaiti te hononga, he wero wheua rānei. Ahakoa kāore e whakaatu tika i te kiriuhi, ka taea e ia te whakaatu i te pakaru me te pakaru o te kiriuhi.
• Matawai CT: Mā tēnei whakamātautau ka kitea he tirohanga taipitopito, ā-toru-ahu ake o ngā wheua o te hononga pakihiwi i te hihi-X. He maha ngā wā ka mahia tēnei ina whakamahere ana i te pokanga.
• Matawai MRI: Ka taea e tēnei te tirotiro tata atu i ngā kiko ngohengohe e karapoti ana i tō hononga pakihiwi, pērā i te kiriuhi, ngā uaua, me ngā uaua. Tērā pea ka whakahaua tēnei e tō tākuta hei tirotiro i te āhua o ō uaua porotaka.

He aha ngā maimoatanga mō tēnei?

He maha ngā huarahi hei rongoā i te mate pukupuku pakihiwi, tae atu ki ngā rongoā kāinga, ngā whakarerekētanga o te momo noho, ngā rongoā, me te pokanga.

I te kāinga, ā, mā roto i ngā huringa āhua noho

Ko te maimoatanga mō te mate pukupuku pakihiwi ka tīmata mā te whakamahi i ngā maimoatanga kore-pokanga me ngā huringa āhua noho ka taea e koe te mahi i te kāinga. Ka taea e ēnei tikanga te āwhina i te pupuri i te nekehanga o tō pakihiwi me te whakaiti i te mamae. Kei roto i ēnei ko:

• Ngā huringa mahi me te momo noho: Ko te mamae te mea hei ārahi i a koe . Whakaitihia, whakamutua rānei ngā mahi o ia rā (hei tauira, te hiki taumaha, te toro atu ki tētahi mea i runga ake i te tinana) me ngā hākinakina e mamae ai te pakihiwi.
• Hukapapa me te wera: Tāpirihia he hukapapa (kua takaihia ki te kakahu mō te 15-20 meneti) he wera makuku rānei (pēnei i te pounamu wai wera) hei whakaiti i te pupuhi me te whakamamae i te mamae - whiriwhiria te mea e pai ana ki a koe.
• Ngā mahi whakapakari pakihiwi:Mā ngā mahi totoro me te whakapakari tinana koe e āwhina ki te whakapai ake, ki te pupuri rānei i te whānuitanga o te nekehanga o tō pakihiwi. Tērā pea ka tukuna koe e tō tākuta ki tētahi kaiwhakaora tinana . Māna koe e ako ki ngā mahi e tika ana māu.

Ngā rongoā

Ka taea e ngā rongoā te whakamamae i te mamae me te whakaiti i te mumura. Ko ngā kōwhiringa noa ko:

• Ngā rongoā kore utu: Hei whakaora i te mamae mō te wā poto, he pai te whakamahi i te acetaminophen (hei tauira, Panadol®, Tylenol®) me ngā rongoā anti-inflammatory kore-steroidal (NSAID) pēnei i te ibuprofen (hei tauira, Brufen®, Advil®, Motrin®) me te naproxen rānei. He pai ake te pātai atu ki te tākuta i mua i te whakamahinga o ēnei.
• Werohanga corticosteroid: He rongoā te cortisone hei whakaiti i te mumura o te hononga, hei whakaora tere hoki i te mamae. Ka werohia tika tēnei rongoā e te tākuta ki roto i te kōhao hononga o tō pakihiwi. Ka roa pea te whakaora mō ētahi marama.

Pokanga

Mena kāore ētahi atu maimoatanga e whakaora i tō mamae, ā, kei te kino haere tō mate rumatiki, ā, kei te uaua haere te mahi i ngā mahi o ia rā, me whakaaro pea koe ki te pokanga. Ko ngā kōwhiringa pokanga noa ko:

• Te whakakapinga pakihiwi: I tēnei tikanga, ka tangohia e te taote pokanga te wheua mate i roto i tō hononga pakihiwi ka whakakapia ki ngā wheua hou mā te whakamahi i ngā mea kirihou me ngā mea whakarewa. Ka taea e tēnei te whakaiti i te mamae me te whakapai ake i te mahi a te pakihiwi.
• Te tango i te kiri o te pakihiwi i roto i te hononga: I roto i tēnei tikanga, ka tapahia e te taote pokanga ētahi tapahi iti ki roto i tō pakihiwi, ka whakauruhia he kāmera iti me ngā taputapu motuhake mā roto hei horoi i te hononga, hei tango i ngā wahi pakaru o te kiriuhi me ngā wheua kua pakaru. He tikanga tēnei i ngā wāhanga tōmua o te mate rumatiki.

Ka rerekē pea ēnei momo pokanga e tō taote pokanga i runga i te momo, te wāhi, me te kaha o tō rumatiki. Tērā pea ka pāngia tēnei e tō āhua noho, tō hītori hauora, me ō manakohanga.

Ka taea te ārai i te mate rumatiki pakihiwi?

Ahakoa kāore e taea te ārai katoa, he maha ngā mea ka taea e koe te mahi hei whakaiti i tō tupono ki te pāngia e te mate rumatiki pakihiwi:

• Āta karohia te whakamahi i ngā hua tupeka, tae atu ki te vaping .
• Whaia he kai hauora, pērā i te kai Mediterranean (he nui ngā huawhenua, ngā hua, ngā pīni, ngā nati, me te hinu oriwa).
• Kia mau ki te taumaha hauora e tika ana mōu.
• He iti te pānga o te mahi tinana, kāore e taumaha anaHei tauira, whai wāhi atu ki ngā mahi pēnei i te kaukau me te hikoi.
• Whakaitihia te tūponotanga o te whara o ngā hononga mā te karo, mā te whakawhāiti rānei i ētahi mahi. Kia tino tupato i te wā e mahi ana i ngā mahi e taumaha ana ki ō pakihiwi.

Ka taea te whakaora katoa i tēnei?

Ki te pono, kāore anō kia rongoātia te mate pukupuku o te pakihiwi i tēnei wā. Nā te mea kāore e taea te whakakapi i te kiriuhi kua tawhito, ka taea te hanga i ētahi mea hou. Heoi, he maha ngā huarahi hei whakaiti i tō mamae, hei whakangāwari ake hoki i tō oranga. Ka taea e koe te whakamahi i te hukapapa, te wera, me te whakakori tinana hei pupuri i tō pakihiwi kia marino, kia whakamarie hoki. Ka taea hoki e koe te whakawhāiti, te whakamutu rānei i ngā mahi e mamae ai koe. Ki te kore ēnei mahi ngāwari e āwhina i tō mamae, kōrero ki tō tākuta mō ngā rongoā, ngā kōwhiringa pokanga rānei.

Mena he mate rumatiki tōku pakihiwi, he aha taku e tumanako atu ai?

Ko ngā hua ka puta ka whakawhirinaki ki ngā mea pēnei i tō tau, te kaha o tō nekehanga, te momo me te whānuitanga o te nekehanga e mahia ana e koe ki tō ringa me tō pakihiwi, me te wāhi, te kaha, me te kaha o te mate rumatiki o tō pakihiwi.

I te mea he rerekē te katoa, te katoa o ngā āhuatanga o te pakihiwi, he mea pai kia pātai atu ki tō tākuta he aha ngā hua ka taea e koe te tumanako, me te kōrero mō ngā kōwhiringa maimoatanga katoa.

Ka mamae pea te mate rumatiki pakihiwi, ā, ka pā ki te kounga o tō oranga. Ahakoa kāore he rongoā, ehara i te mea me noho tonu koe me te mamae . Ko te taahiraa tuatahi ki te kimi i te take o te mamae o tō pakihiwi, me te whakawhanake i tētahi mahere maimoatanga hei whakaora pai i ō tohu, ko te toro atu ki tō tākuta. Ka taea e tō tākuta te āwhina i a koe ki te kimi huarahi hei whakapau i te wā ki te mahi i ngā mea e pai ana koe, me te whakaiti i te nui o te wā e noho mārō ana koe, e kore hoki e pai te noho.

Hei whakamutunga, ngā mea hei maumahara...

Āe, kua maha ā tātou kōrero mō te mate rumatiki pakihiwi. Ko te mea nui, ki te mamae tō pakihiwi, ki te pakari, ki te uaua rānei te neke i tō pakihiwi, kaua e warewaretia . Ko ētahi e whakaaro ana, "He whāwhā noa iho pea," "He mea noa iho ka puta ina pakeke haere koe." Engari he mea nui kia kite wawe koe i te tākuta kia kitea ai te take.

• Kia maumahara, ki te kite wawe koe , ka taea e koe te ako i ngā huarahi hei whakaiti i te mamae, te karo i ētahi mahi, me te whakaiti i ngā kino atu ki te kiriuhi.
• He maha ngā kōwhiringa maimoatanga, nō reira kaua e mutu te tumanako . Mā tō tākuta koe e āwhina ki te whiriwhiri i te maimoatanga tika māu.
• Kōrero māhorahora ki tō tākuta, pātai atu i ō pātai, me te kī atu ki a ia he aha ō tumanakohanga.
• He mea tino nui te noho i tētahi momo noho hauora, te mahi i ngā korikori tinana e pai ana mō ngā pakihiwi, me te whai i ngā tohutohu kua hoatu.

Mena kei te pāngia koe e tētahi o ēnei tohu, rapua he tohutohu hauora. Kia ora tātou katoa!

`Te rumatiki pakihiwi, te mamae pakihiwi, te mumura o ngā hononga, te kiriuhi wheua, te mate osteoarthritis, te rumatiki rheumatoid, te pokanga pakihiwi