Āe, e tōku pakihiwi... kei te āhua kāore e taea te neke? Whai muri i te hinganga, i tētahi aituā rānei, kua pāngia koe e te mamae nui me te pupuhi i roto i tō pakihiwi, ā, kāore e taea te hiki i tō ringa? Kātahi pea ka whati tō pakihiwi, arā, he wheua whati i roto i te pakihiwi . Me kōrero tātou mō tēnei me te taipitopito, me te tino māmā. Kaua e manukanuka, ka tino āwhina ēnei mōhiohio i a koe.
He aha te whati pakihiwi?
Ki te kī māmā noa, ko te whati o te pakihiwi he whati i te wheua o tō hononga pakihiwi, e kiia nei e tātou he "wheua whati" i roto i te kōrero o ia rā.
I mōhio koe he hononga whakamiharo tō tātou pakihiwi? Koinei te hononga e āhei ai tātou ki te neke i ō tātou ringa, ki te hapai i a rātou, ki te hurihuri hoki i roto i ngā nekehanga whānui. E toru ngā wheua matua e hangaia ana. Ko te whati o tētahi, neke atu rānei o ēnei wheua e toru, e kiia nei e tātou he whati pakihiwi.
He aha ngā wheua matua e hanga ana i te pakihiwi? Me pēhea te whati i aua wheua?
E toru ngā wheua matua o te hononga pakihiwi. Ka taea e tētahi o ēnei wheua e toru te whati. Koinā te wā e kiia ai he 'whati pakihiwi'.
- Te Humerus Proximal: Koinei te wāhanga o runga o te wheua roa i tō ringa o runga e hono ana ki te pakihiwi. Ka whati pea, pērā i te hinganga.
- Taupoki: Koinei te wheua papatahi, tapatoru e pā ana ki a tātou ina whakatakotoria ō tātou ringa ki te tuara o ō tātou pakihiwi. He iti ake te tūponotanga ka whati nā te mea kua kapi pai i te uaua.
- Te wheua papatahi: E mōhiotia ana ko te 'wheua kara', koinei te wheua iti, roa e rere ana mai i te pūtake o te kaki ki te pakihiwi. Koinei te wheua ka whati pea mēnā ka hinga koe i a koe e takaro ana i ngā hākinakina.
Ko te whati o tētahi o ēnei wheua ka kiia he whati pakihiwi.
He pēhea te auau o ēnei whati pakihiwi?
Ki te whakatauritea ki ētahi atu whara pakihiwi, pērā i te piko o te pakihiwi, kāore i te tino noa ngā whati o te pakihiwi. Heoi, he nui ake te noa i ētahi wā:
- Ngā whati o te kōiwi ringa: He mea tino noa ēnei i waenga i ngā tamariki nohinohi, inā koa ko te hunga e takaro ana i ngā hākinakina. Hei tauira, ki te hinga ohorere koe i a koe e takaro ana, ka pā pea tēnei.
- Ngā whati o te humerus proximal: He mea noa ēnei i roto i te hunga neke atu i te 65 tau te pakeke, inā koa ko te hunga he mate angiangi wheua (pērā i te osteoporosis) . Ka pā pea ahakoa ka paheke koe, ka hinga rānei i te kāinga.
- Ngā whati o te tuara: He tino onge tēnei nā te mea he pai te tiaki a ngā uaua o te uma me te tuara. Kāore e whati ngāwari mēnā kāore he aituā nui.
He aha ngā tohu o te pakihiwi whati?
Mena he whati tō pakihiwi, tera pea ka pāngia koe e tētahi, e ētahi rānei o ēnei tohu. Mena ka kite koe i tētahi o ēnei, me rapu tohutohu hauora koe.
- Mamae nui o te pakihiwi: Koinei te tohu matua. I ētahi wā, kāore e taea te manawanui ki te mamae.
- Pupuhi:Tērā pea he nui te pupuhi huri noa i te wāhi whati.
- Ngā marō, ngā tae kiri rānei: Tērā pea ka kikorangi/papura te wāhi pakaru.
- Te kore e taea te neke, te whakamahi rānei i te pakihiwi: Tērā pea he tino uaua, he kore rānei e taea, te hapai, te huri rānei i te ringa.
- Ka kitea he puku, he puku, he panoni rānei o te āhua i runga i te pakihiwi: Ki te kite koe i tētahi rerekētanga ina tirohia mai i tētahi atu pakihiwi, he tohu anō hoki tēnā.
He mea nui: Ki te pā mai ēnei tohu ki a koe, kaua e ngana ki te whakatika i tō pakihiwi, kaua hoki e kukume i tō ringa. Tirohia te tākuta tonu.
He aha i puta ai ēnei whati pakihiwi?
Ko te nuinga o ngā whati o te pakihiwi ka puta mai i te wā ka pāngia ohorere te pakihiwi e te kaha, te whara rānei. Whakaarohia ngā āhuatanga pēnei i ēnei:
- Ngā aituā hākinakina: Te hinga i a ia e tākaro ana, te tukinga ki tētahi atu tangata, te pāngia e tētahi mea pērā i te pōro.
- Te hinganga: Te paheke me te hinga mā te tatau, te paheke i roto i te wharepaku, te hinga mai i te teitei (hei tauira, mai i te rākau, i te arawhata). I ētahi wā ka tupu i a koe e hikoi ana i te tiriti.
- Ngā aituā waka: Ka whati pea te pakihiwi i te pānga tika ki te pakihiwi i roto i ngā aituā motuka, pahikara, pahikara rānei.
Ko wai kei te nui ake te mōrearea o te whati pakihiwi?
Ka whati te pakihiwi o te tangata katoa. Heoi, he nui ake te mōrearea o ētahi tāngata:
- Ngā tamariki me ngā taiohi: he nui ake te tūponotanga ka pāngia e ngā aituā nā te mea he kaha ā rātou mahi.
- Ko te hunga neke atu i te 65 tau te pakeke: he nui ake te mōrearea o te hinga, ā, ka ngoikore ake pea ō rātou wheua.
- Ngā tāngata ngoikore ō rātou wheua: He nui ake te mōrearea o te hunga e pāngia ana e te osteoporosis , te osteopenia rānei, ki te whati te wheua, ahakoa he iti noa te hinganga. Ko te osteoporosis he mate e angiangi ai, e ngoikore ai, e ngawari ai te pakarukaru o ngā wheua. He tokomaha te hunga ka mōhio kei a rātou te mate i muri i te whati o te wheua. Nā te mea kāore he tohu nui i te tīmatanga.
He aha ngā raruraru pea ka pā mai i te whati o te pakihiwi?
Ehara i te mea ngāwari te whati o te pakihiwi. I ētahi wā ka arahi pea ki ētahi atu raruraru:
- Te Pakari Tonu: He maha ngā tāngata ka mau tonu te pakari o te hononga ahakoa kua ora te whati o te pakihiwi.
- Mate rumatiki: Ka piki ake pea te mōrearea o te mate rumatiki i taua pakihiwi i te whati o te pakihiwi ā muri ake nei.
- Ngā mate urutā: Ki te pakaru te wheua whati mā roto i te kiri (he whati tuwhera), arā, kua tuwhera te patunga, he nui te mōrearea o te mate urutā wheua ( osteomyelitis ).
- Te kino ki ētahi atu kiko: He tino onge, ka taea hoki e te aituā kotahi i puta ai te whati o te pakihiwi te kino ki ētahi atu wāhanga o te pakihiwi. Hei tauira:
- Ngā uaua
- Ngā hononga
- Ngā uaua
- Ngā io
- Ngā oko toto
Me pēhea koe e tino mōhio ai mēnā kua whati te pakihiwi?
Ka tirohia tō pakihiwi e te tākuta, ā, ka whakahaerehia he whakamātautau whakaahua motuhake hei whakatau mēnā kua whati tō pakihiwi. Mēnā ka haere koe ki te Tari Whawhati Tata (ETU) i muri i tētahi aituā, ka taea e ngā tākuta o reira te tautuhi i tēnei.
He aha ēnei whakamātautau whakaahua?
- Ngā hihi-X: Koinei te mea tuatahi ka mahia. Ka taea e te hihi-X te whakaū i ngā whati me te kite i te nui o te kino kua pā ki ngā wheua.
- Whakaahua Āhua Aukume (MRI): I ētahi wā, ka taea te mahi i te MRI hei tirotiro i ngā pakaru, inā koa ki ngā kiko ngohengohe (pērā i ngā hononga me ngā uaua). Ka taea e tēnei te whakarato i tētahi pikitia katoa o te pakaru o ngā wheua me te āhua o ngā kiko e karapoti ana.
- Matawai Tomography Rorohiko (Matawai CT): Ka taea e te matawai CT te tirotiro i te wheua me ngā kiko e karapoti ana me te taipitopito atu i te hihi-X. He mea tino nui tēnei mēnā kei te pokanga koe, nā te mea ka taea e te taote pokanga te tiki pikitia mārama ake o te whati.
Kua nekehia ngā wheua whati? (Whawhati Kua nekehia vs. Whati Kāore i nekehia)
Ina whakaahuahia e tō tākuta tō whati, ka kīia e ia mēnā he 'nekehanga' he 'kāore i nekehia' rānei.
- Ko te whati kua nekehia te wheua, arā, ko te tawhiti rawa o ngā wahi whati e rua, ka hangaia he āputa nui i waenganui i a rāua. He rite ki te rori e wehea ana kia rua. He maha ngā wā e hiahiatia ana he pokanga mō ēnei momo whati.
- I roto i te whati kāore i nekehia , kei te whati tonu te wheua, engari kāore anō kia neke rawa ngā wahi whati, kei te tika tonu. I ētahi wā ka taea te rongoā i ēnei me te kore pokanga.
He tuwhera, he kati rānei te patunga? (Wāhanga Tuwhera, Wāhanga Kati rānei)
Ka whakarōpūtia hoki e te tākuta tēnei whati hei 'tuwhera' hei 'kati' rānei.
- I roto i te whati tuwhera , ka pakaru te wheua whati mā roto i te kiri, ka piri ki waho. Ka kiia hoki tēnei he 'whawhati pūhui'. He āhuatanga ohorere tēnei! He nui ake te mōrearea o te mate me ētahi atu raruraru i roto i ngā whati tuwhera. Whakaarohia, ina kitea te wheua, ka taea e ngā iroriki te uru ngāwari, tika?
- He mea kino anō hoki te whati kati , engari kāore te wheua e puta mai i te kiri.
Me pēhea te rongoā i te whati o te pakihiwi?
Ko te maimoatanga mō tō pakihiwi ka whakawhirinaki ki te wheua kua whati, te kaha o tōna āhua (pēnei i te nekenekehanga, te tuwhera rānei), me te mea kei a koe ētahi atu whara.
Te aukati i te nekehanga
Mena kāore i te tino kino te whati, arā, kāore i te tino tawhiti ngā wheua (whati kāore i nekehia), me whakamahi noa pea koe i tētahi whitiki, i tētahi taura rānei. Ko te roa o te wā e mau ai koe i tēnei ka whakawhirinaki ki te pūtake o te whati me te momo whati. He maha ngā wiki e mau ana. Me whai hihi-X auau pea koe kia tino ora pai ai ō wheua.
I te nuinga o te wā, ko ngā whati o te clavicle me te scapula e hiahia ana kia āraia pēnei, ā, muri iho ka whai i te whakaora tinana hei whakahoki i te nekehanga o te pakihiwi.
Pokanga Whati o te Pakihiwi
Ko ētahi whati pakihiwi e hiahiatia ana he pokanga, inā koa:
- Mena kua neke rawa ngā wahi wheua whati (Whati Nekehanga).
- Mena he tuwhera te whati (Open Fracture).
- Mena kua pakaru te glenoid, te pūnga e takoto ai te wheua o tō ringa o runga (puku).
Ko ngā momo pokanga whati pakihiwi e tino kitea ana ko:
1. Whakaiti Tuwhera me te Whakapūmau ā-Roto (ORIF)
Koinei te wāhi e whakanoho ai te taote pokanga i ō wheua whati ki ō rātou tūranga tika, kātahi ka whakatikahia kia taea ai e rātou te tipu tahi. Ko te tikanga o tēnei ka mahia mā te 'whakapiri ā-roto'. Ko te tikanga ka whakauruhia e te taote pokanga he pereti whakarewa, he tīwiri, he pine rānei ki roto i tō wheua hei pupuri i a ia kia ora rā anō te wheua. I ētahi wā ka noho tonu ēnei wahi whakarewa ki roto i tō tinana mō te wā katoa. Tērā pea me mahi anō ētahi tāngata i tētahi atu pokanga hei tango i a rātou i muri mai.
2. Te Whakakapinga Hononga (Arthroplasty)
He pokanga whakakapi hononga te Arthroplasty. Mena kua tino pakaru tō hononga pakihiwi i te whati, me mahi pea he pokanga whakakapi pakihiwi. Ka tangohia e te taote pokanga te hononga kua pakaru, ka whakakapia ki tētahi hononga horihori (prosthesis).
He raruraru pea kei te puta mai i te pokanga?
He onge ngā raruraru mai i te pokanga whati pakihiwi, engari i ētahi wā ka puta ēnei e whai ake nei:
- Te Mate Pūngao Koretake (ACS): Ki te piki te pēhanga i roto i ō uaua, ā, ka mutu te rere o te toto ki ngā kiko, ka pā he kino tuturu ki ngā uaua me ngā io.
- Malunion: Ka puta tēnei ina kore ō wheua whati e tika te tūnga i a rātou e ora ana.
- Kore-hononga: I ētahi wā, kāore pea ngā wheua e tino hono tetahi ki tetahi, kāore rānei e tino hono tetahi ki tetahi.
- Ngā raruraru pokanga noa pēnei i te mate urutā, te toto nui, me ngā raruraru e pā ana ki te rongoā whakamoe.
Kia pēhea te roa o te wā e ora ai te pakihiwi whati? He aha ngā mea me tumanako atu ahau?
He tokomaha te hunga e whati ana te pakihiwi ka hiahia ki te rongoā tinana mō ētahi marama i a rātou e ora ana.Me mahi e koe. Ka taea e te kaiwhakaora tinana te āwhina i a koe ki te whakahoki mai i te kaha me te whānuitanga o te nekehanga (te tawhiti e taea ai e koe te neke i tō pakihiwi). He mea tino nui te mahi tika i ēnei mahi kia tere ai te ora.
Tērā pea ka pakari tonu te pakihiwi, ka heke rānei te whānuitanga o te nekehanga o te pakihiwi i ngā whati pakihiwi kino. Mā tō tākuta, mā tō taote rānei tēnei e whakamārama ki a koe.
Te wā hei whakaora
Ko te roa o te wā e ora ai tō pakihiwi ka whakawhirinaki ki ētahi āhuatanga:
- Ko tēhea wheua i whati?
- Te kino o te wehenga.
- He aha te maimoatanga i hiahiatia e koe (pokanga, kāore rānei).
- Tō tau me tō hauora whānui.
- Te pai o tāu mahi i ngā mahi whakakori tinana.
E rua wiki ki te toru marama pea te roa o te ora katoa. I ētahi wā tino kino, ka roa ake pea. Pātai atu ki tō tākuta, ki tō taote pokanga rānei mō te wā e tika ana mō tō āhuatanga.
Pātai atu ki tō tākuta āhea koe ka taea te tīmata anō ki te whakakorikori tinana me te tākaro hākinakina. Me neke tonu tō pakihiwi kia kore ai e pakari i a ia e ora ana, engari kaua e whakamahia tō pakihiwi whati mō ngā hākinakina, mō te hiki taumaha rānei kia kī mai rā anō tō tākuta he pai . Ki te pērā, ka hoki anō pea te whara.
Me pēhea te tiaki i a koe mai i ngā whati o te pakihiwi?
"He pai ake te ārai i tētahi aituā i te pouri i muri i tōna pānga mai." Nō reira, whai i ēnei tohutohu haumaru:
- Me mau tonu te whitiki nohoanga i a koe e eke ana i roto i ngā waka.
- Mauria ngā taputapu haumaru e tika ana (hei tauira, te potae, ngā papa pakihiwi) i a koe e takaro ana, e mahi ana rānei.
- Kia ma tō whare me tō wāhi mahi, kia kore hoki he mea e paheke, e taka rānei. Kia tūpato mēnā he mākū te papa.
- Ina kohi koe i tētahi mea mai i runga, me whakamahi tonu i ngā taputapu e tika ana . Kaua rawa e piki ki runga i ngā tūru, i ngā tēpu rānei.
- Whāia he kai me he mahere whakakori tinana e whai kiko ana i te konupūmā me te huaora D hei āwhina i te pupuri i te hauora o te wheua.
- Mena kua neke atu i te 65 tau tō pakeke, mēnā rānei he mate wheua tō tētahi o tō whānau, kōrero ki tō tākuta mō tētahi whakamātautau kiato wheua.
- Mena he uaua ki te hikoi, he nui rānei te tūponotanga o te hinga, whakamahia he tokotoko, he taputapu hikoi rānei .
Āhea koe me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?
Ki te whakaaro koe kua whati tō pakihiwi (tētahi atu wheua rānei) , haere tonu ki te rūma whawhati tata . Ki te pā mai tētahi, ētahi rānei o ngā tohu e whai ake nei, me haere tonu koe ki te ER:
- Mamae tino kino.
- Ki te kore e taea e koe te hiki i ō pakihiwi i te āhua noa.
- Mena he āhua rerekē tō pakihiwi, tō ringa rānei, kua rerekē rānei tōna tūnga (he āhua rerekē).
- Mena ka kitea tō wheua mā roto i te kiri (Whati Tuwhera).
- Te pupuhi nui.
- I tua atu i ēnei tohu, ka kitea anō hoki ngā marō hou.
- Mena he ngoikore, he mā rānei tō ringa (he tohu pea tēnei kua pakaru te rere o te toto, ngā io rānei).
He aha ngā pātai nui hei pātai atu ki te tākuta?
Ina kite koe i tō tākuta, kaua e wehi ki te pātai i ō pātai. He mea tino nui te mārama ki te tukanga whakaora. Hei tauira, ka taea e koe te pātai i ēnei pātai:
- He aha te wheua i whati? He aha te kino?
- Me pokanga ahau? He aha te mea ka puta mēnā ka pāngia ahau?
- Kia pēhea te roa me mau ahau i te whitiki, i te whitiki tautoko rānei?
- He aha te mea ka taea te mahi mō te mamae?
- Āhea ahau ka taea te tīmata anō ki te whakakorikori tinana me te tākaro hākinakina?
- Me whai tikanga te whakaora tinana? Mēnā koinā, āhea me tīmata?
- Ka taea e au te neke i tōku tuke, tōku ringaringa, me ōku maihao kia kore ai e mārō tae noa ki te wā e ora ai tōku pakihiwi?
- He mea motuhake anō kei te kāinga hei tūpato māku?
Ka taea e koe te neke i te pakihiwi whati?
Ina whati tō pakihiwi, tērā pea ka taea e koe te neke, kāore rānei. Engari ki te whati koe, ka nui te mamae ka pā ki a koe. Kāore e taea e koe te neke i tō pakihiwi i te āhua noa.
Kaua rawa e ngana ki te whakamahi kaha i tō pakihiwi i muri i tētahi aituā. Mēnā kua pāngia koe e tētahi aituā, ā, e whakaaro ana koe kua whati tō wheua, haere tonu ki te rūma whawhati tata.
Mā tō tākuta, mā tō taote rānei koe e kī atu āhea koe ka taea ai te neke anō i tō ringa me tō pakihiwi i muri i te ora o tō whati. Mā tō kaiwhakaora tinana koe e ako ki ngā mahi whakakori tinana me ngā totoro hei whakapakari i ngā uaua huri noa i tō pakihiwi i a koe e ora ana. I a koe e ora ana tō pakihiwi, tera pea ka taea e koe te neke i ngā wāhanga kē atu o tō ringa, pērā i tō tuke, tō ringaringa, me ō maihao, me te kore e whakauaua. Pātai atu ki tō tākuta mō tēnei mea.
Nā, he aha ngā mea whakamutunga hei maumahara? (Karere hei tango ki te kāinga)
Ko te whati o te pakihiwi he whati i te wheua o te hononga pakihiwi. He maha ngā wā ka puta ohorere mai ēnei whara, i te wā kāore i te tino whakaarohia. Nō reira, he āhua whakamataku pea, engari he mea noa tēnā.
Ko te mea nui ko te whiwhi i te tiaki hauora tika, me te whai i ngā tohutohu a tō tākuta. Ahakoa te pokanga, me ora tō hononga pakihiwi i roto i ētahi marama. Tērā pea ka pāngia koe e te mārō o tō pakihiwi mō tētahi wā. Heoi, ka taea e te nuinga o te tangata te whakahoki mai i te nuinga o ō rātou kaha me te whānuitanga o te nekehanga mā te whakaora tinana.
Nō reira kaua e mataku, kia manawanui, whai i ngā tohutohu a te tākuta, ā, rapua he maimoatanga. Kia tere tō ora!
` Whati pakihiwi, Whati pakihiwi, Whati pakihiwi Sinhala, Mamae pakihiwi, Maimoatanga whati, Pokanga pakihiwi, Whakaora tinana











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