Kua pāngia koe e te mamae nui i tō pakihiwi i te oho ake i te ata? He mamae nui rānei kei tō pakihiwi i te wā e hiki ana koe i tētahi mea taumaha, e hiki ana rānei i tō ringa? He raruraru noa tēnei mamae pakihiwi mō te tini o te tangata i tō tātou whenua. Engari ehara i te mea pai kia wareware noa i tēnei hei mate tinana. Nā te mea he hononga tino uaua, he hononga tino nui hoki tō tātou pakihiwi. Nō reira, me kōrero tātou mō tēnei i tēnei rā.
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He aha te momo hononga o te pakihiwi?
I te whakarāpopototanga, ko tō tātou pakihiwi te hononga tino nekeneke o te tinana. Koinei te mea e kiia nei e tātou he 'hononga pōro-me-te-kōhao'. Arā, ko te wāhanga rite-pōro o te wheua ringa o runga (humerus) e okioki ana i runga i te wāhanga rite-kapu o te mata pakihiwi ( scapula ) ā, ka huri noa. Ka piri te clavicle ki tēnei hononga.
Ko te mea e pupuri ana i tēnei pūnaha katoa kia kotahi, kia āwhina ki te hapai, ki te hurihuri, me te kukume i te ringa ki muri, he kohinga uaua me ngā uaua e whā e kiia nei ko te rotator cuff . Hei tāpiri, kei reira ngā hononga e hono ana i ngā wheua me te pēke kī tonu i te wai e kiia nei ko te bursa e mahi ana hei urunga mō te hononga. Nā te maha o ngā wāhanga e mahi tahi ana, ka ngawari ake te whara o te pakihiwi.
He aha ngā tino take o te mamae o te pakihiwi?
Ka pā mai pea te mamae o te pakihiwi i te wā ohorere, i te wā rānei e āta haere ana. He maha ngā take mō tēnei. Me wehewehe e tātou kia torutoru ngā wāhanga.
1. Ngā Whara o te Whakamahinga Nui
Ina mahi tonu tātou i te nekehanga kotahi, ka pakaru pea ngā kiko ngohengohe o te pakihiwi. Hei tauira, te peita i ngā pakitara o te whare, te keri i te māra, te tākaro hākinakina rānei pērā i te kaukau, te tēnehi, te kirikiti rānei.
- Te Pūngāwerewere: Ka pupuhi, ka mumura te pēke wai (bursa) i kōrerotia e tātou i mua ake nei. Ka tino pāngia te mamae ina nekehia te pakihiwi.
- Te Haehae o te Ringa Hurihuri: He haehae i tētahi, i ētahi rānei o ngā uaua huri noa i te pakihiwi. Ka taea e ēnei te pakaru i a koe e pakeke haere ana. Ko ngā tohu ka uru atu ki te mamae ka kino haere i te pō ina moe koe, te uaua ki te hiki, me te tangi pakū ina nekehia tō pakihiwi .
- Te Pānga: He āhuatanga e mau ai te uaua o te poroporo i waenganui i ngā wheua o te pakihiwi. He mea noa tēnei i roto i te hunga e mahi ana me hiki ake ō rātou ringa ki runga ake i ō rātou mahunga.
- Tendinitis: Te mumura o te uaua.
2. Whara, hinganga rānei
Ka taea e te aituā motuka, te hinga rānei te whakararu nui i te pakihiwi.
- Te hē o te hononga: Ka puta te wheua o te ringa o runga i tōna pūnga, te wāhi e tika ana kia noho. He tino mamae tēnei. Ka ngoikore, ka pupuhi, ka ngoikore hoki te pakihiwi.
- Te Wehenga o ngā Hononga: Ka pā tēnei ki te hononga Acromioclavicular (AC), te wāhi e tūtaki ai te wheua kaki me te pokohiwi. Ina pakaru ngā hononga e pupuri ana i tēnei hononga, pērā i te hinganga, ka puta ake te wheua kaki ka rite ki te puku i runga i te pokohiwi .
- Whati : I te nuinga o te wā, ka whati te clavicle, te wheua ringa o runga rānei (pumerus).
3. Ētahi atu āhuatanga hauora
- Mate rumatiki:
- Osteoarthritis : He mate e puta mai ana i te pakaru me te haehae o ngā hononga. Ka memeha haere te kiko ngohengohe e kiia nei ko te kiriuhi, ā, ka mamae i te mea ka mirimiri ngā wheua tetahi ki tetahi.
- Te Rūmātiki Rūmātiki: Ka pupuhi, ka mamae hoki ngā hononga i te raruraru o te pūnaha ārai mate o te tinana.
- Pakihiwi Tūkino: Ka kiia hoki tēnei ko te ' pakihiwi piri '. Ka puta he kiko rerekē (piri) i roto i te hononga, ka whakawhāiti i te nekehanga o te pakihiwi. Ka puta pea tēnei ina kore e whakamahia te pakihiwi nā te mamae, i muri rānei i te pokanga.
- Ngā whēkau wheua: Ka taea e ngā tipu iti hou o te wheua e kiia nei ko ngā osteophytes te mamae o te uaua.
- Mamae Tukuna: He mea tino nui tēnei. I ētahi wā, ka puta te mamae o te pakihiwi i tētahi raruraru i tētahi atu wāhi o te tinana, kaua i tētahi raruraru i te pakihiwi. Hei tauira, he mate pūkahukahu, he mate ate rānei.
He mea tino nui: Ki te horapa te mamae o te pakihiwi maui ki te kauae, me te mamae o te uma, te uaua rānei ki te manawa, he tohu pea tēnei nō te mate manawa. Mēnā he pēnei te āhua, kaua e ngana ki te rongoā i te kāinga, me waea atu tonu koe ki te 1990, ki te haere rānei ki te Tari Whakaora Mate (ETU) o te hōhipera i te wā e taea ai.
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Check Availability →Me pēhea koe e whakatau ai mēnā me toro atu koe ki tētahi tākuta?
Ka taea te whakaora i ētahi mamae iti i te kāinga mā te okioki mō ētahi rā me te whakamahi i te hukapapa. Heoi, kia tūpato ki ngā tohu e whai ake nei.
| Āhuatanga | Whakaahuatanga |
|---|---|
| Ki te pā mai ēnei tohu ki a koe, me toro atu ki te tākuta tonu. | |
| Āhua pōhēhē | Mena kua rerekē te āhua o tō pakihiwi, kua puta he puku, he āhua rerekē rānei. |
| Te kore e taea te whakamahi | Ki te kore e taea e koe te mahi i tētahi nekehanga pēnei i te hiki ake, te hurihuri rānei i tō ringa. |
| Mamae nui | Mena he mamae e kore e taea te whakamanawanui. |
| Pupuhi ohorere | Ki te pupuhi ohorere te pakihiwi. |
| Te ngoikore, te ngoikore rānei | Mena kei te ngoikore, kei te ngoikore rānei tō ringa, ō maihao rānei. |
| Mamae roa | Mena ka roa te mamae mō ngā wiki e rua ki te whā. |
Me pēhea te tātaritanga a te tākuta i te mate?
Ina kite koe i te tākuta, ka tirohia tuatahitia tō pakihiwi, ka nekehia tō ringa ki ngā huarahi rerekē. Mā tēnei ka hoatu he whakaaro ki a koe mō te whānuitanga o te nekehanga me te kaha o tō pakihiwi. Kātahi, ki te tika, ka tonoa pea e rātou he whakamātautau pēnei hei whakaū anō i te take:
- Ngā hihi-X: Tirohia mēnā he whati wheua, he nekenekehanga, he wero wheua tāpiri rānei.
- Matawai MRI:Tikina he whakaahua tino mārama o ngā kiko ngohengohe o te pakihiwi, pērā i ngā uaua, ngā uaua me te kiriuhi.
- Matawai CT: Ka kite mārama ake i te āhua o ngā wheua i te hihi-X.
- Arthroscopy: He pokanga iti tēnei. Ka whakauruhia he kāmera iti ki roto i te hononga, ā, ka tirohia i runga i te mata. Ka taea e tēnei te tautuhi i ngā mate, ā, i ētahi wā ka rongoā i ngā mea pēnei i ngā haehae iti.
Ngā maimoatanga me ngā mea ka taea e koe te mahi i te kāinga
Ko te tikanga maimoatanga e whakawhirinaki ana ki te take o te mamae o tō pakihiwi.
- Okiokinga me ngā maimoatanga māmā: I te nuinga o te wā, ka tohutohu tuatahi te tākuta kia okioki te pakihiwi, kia pania he hukapapa, kia tango rongoā whakamamae hei whakaiti i te pupuhi me te mamae.
- Te mau i te whitiki: Mēnā he pokohiwi kua takoki, kua whati rānei, i muri i te whakahokinga o te hononga ki tōna tūranga tika, ka taea te whakamahi i te whitiki hei pupuri i te hononga kia ora rā anō.
- Whakaora tinana: He wāhanga tino nui tēnei o te maimoatanga. He mea nui ngā mahi whakaora tinana hei whakapakari i ngā uaua huri noa i te pakihiwi, hei whakahoki mai i te whānuitanga o te nekehanga o te hononga, me te ārai i te whara anō. Mahia ngā mahi kia rite ki tā tō tākuta, ki tā te kaiwhakaora tinana rānei e tohutohu ana ki a koe.
- Werohanga Steroid: Mena he nui te mamae me te pupuhi, ka whakatau pea te tākuta ki te werohanga steroid ki roto i te hononga.
- Pokanga: Tērā pea ka hiahiatia he pokanga mō ngā pakaru nui o te hononga o te pokohiwi, ngā mate pakihiwi tio, ngā whati kino rānei kāore e ora mā ngā maimoatanga ngāwari.
Karere Tangohia ki te Kāinga
- He maha ngā take o te mamae o te pakihiwi, nō reira kaua e warewaretia mā te whakaaro, "He pakihiwi mamae noa iho."
- Mena ka roa ake te mamae i te rua wiki, kāore e taea te whakamanawanui, kua rerekē rānei te āhua o te pakihiwi, me toro atu ki te tākuta.
- Mena kei te haere tahi te mamae o te pakihiwi maui me te mamae o te uma me te uaua ki te manawa, he tohu pea tēnei nō te mate manawa. Haere tonu ki te hōhipera.
- He mea nui te piripono ki te maimoatanga kua whakaritea e te tākuta, inā koa te whakaora tinana, kia tere ai te ora.
- Ka taea hoki e ngā mea pēnei i te tū tika me te moe te mamae o te pakihiwi, nō reira kia tūpato hoki ki tēnā.
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