Ngā mea e hiahia ana koe kia mōhio mō te Pokanga Whakakapinga Pakihiwi

Tērā pea kāore koe i moe i te pō nā te mamae nui o tō pakihiwi. Tērā pea ka pāngia koe e te mamae e kore e taea te pehi ahakoa ka hiki koe i tō ringa, ka whakawhiti i ō kākahu, ka toro atu rānei koe ki te tiki i tētahi mea iti mai i te whata o te kīhini. I roto i tēnei āhuatanga, ki te kore e āwhina ētahi atu maimoatanga, tērā pea kua kōrero tō tākuta ki a koe mō tētahi pokanga 'Whakakapinga Pakihiwi'. Ka mataku pea te rongo i tēnei ingoa. Engari me kōrero tātou mō ngā mea katoa i roto i te huarahi māmā, mārama hoki.

He aha te pokanga whakakapinga pakihiwi?

He whakarāpopototanga noa iho, ko te tango i tō hononga pakihiwi kua pakaru, kua tawhito, ka whakakapia ki tētahi hononga horihori (prosthesis). Ka kiia hoki tēnei e ngā tākuta ko te "total shoulder arthroplasty". Ka hangaia ēnei hononga horihori mā te whakamahi i te konganuku me tētahi momo kirihou motuhake.

He "hononga pōro-me-te-pūnga" tō hononga pakihiwi. Ka uru te wāhanga rite-pōro o tō wheua ringa o runga (humerus) ki roto i te wāhanga rite-kapu (glenoid) o tō wheua pakihiwi (scapula). I roto i tēnei pokanga, ka whakakapia ēnei wāhanga kua pakaru ki ngā mea hou.

Ngā pokanga katoa me ngā pokanga wāhanga

He tokomaha te hunga me whakakapi katoa te pakihiwi , arā, me whakakapi te pōro me te hope.

Engari i ētahi wā, ki te kotahi anake te wāhanga o te hononga e pakaru ana, ka taea e te tākuta te mahi whakakapinga pakihiwi wāhanga (hemiarthroplasty rānei). Hei tauira, ki te pakaru te pōro anake, ā, kei te ora tonu te hononga, ko te pōro anake ka whakakapia. Engari he iti ake te kitea o tēnei. Ina pakaru te hononga nā te mate pēnei i te rumatiki, ka pakaru ngā wāhanga e rua.

I roto i ēhea āhuatanga ka tūtohutia tēnei pokanga?

Ki te kore ngā tohumate o tō pakihiwi e pai ake ahakoa ētahi atu maimoatanga, pērā i te rongoā me te whakaora tinana, ka whakaarohia pea e tō tākuta te pokanga:

• Te mamae o te pokohiwi e kore e taea te whakamanawanui , ina koa i te pō.
• Ko te kore e taea te hapai, te huri rānei i te ringa kia tika, ko te tikanga he iti te nekehanga o te hononga .
• Te pakari me te pakari o ngā hononga.
• Te pupuhi o ngā hononga.

Ko te tino take o tēnei mate ko te mumura o te hononga pakihiwi, e kiia nei ko te mate rumatiki. Ko ngā momo tino noa ko te osteoarthritis (nā te pakaru o ngā wheua) te mate rumatiki rheumatoid rānei (nā te raruraru o te pūnaha ārai mate). Hei tāpiri, e taunakihia ana hoki tēnei pokanga mēnā he kino rawa ngā uaua me ngā uaua o te pakihiwi e kiia nei ko te rotator cuff, te avascular necrosis rānei (te korenga o te toto e rere ki ngā wheua).

Me pēhea te whakarite i mua i te pokanga?

Kaua e wehi i tēnei, mā tō tākuta me tana tīma koe e whakarite mō tēnei. Me whai koe i ētahi whakamātautau i mua i te pokanga.

• Te toro atu ki te taote niho: Ka tirohia ō niho, ka horoia hoki hei whakaiti i te tūponotanga o te mate i muri i te pokanga.
• Whakamātautau tinana: Kimihia tō hauora whānui.
• Ngā whakamātautau X-ray, CT, MRI rānei: Tirohia te āhua o te kino ki te hononga pakihiwi.
• Whakamātautau ECG ('Electrocardiogram'): Tirohia te mahi a te ngākau.
• He maha ngā whakamātautau toto.

Me kōrero koe ki tō tākuta mō ngā rongoā katoa (tae atu ki ērā mō ētahi atu mate) me ngā huaora e tangohia ana e koe i tēnei wā. Tērā pea ka hiahiatia kia mutu te tango i ētahi rongoā i mua i te pokanga. Tērā pea ka hiahiatia kia nohopuku koe mō te 8 hāora i mua i te pokanga. Mā tō rōpū hauora koe e hoatu ki a koe ngā tohutohu mārama mō ēnei mea katoa.

Me pēhea te mahi i te pokanga?

I mua i te tīmatanga o te pokanga, ka hoatu e te tohunga whakamoe koe he rongoā whakamoe kia kore ai koe e mamae. Tērā pea ka hoatu he rongoā whakamoe whānui ki a koe, ka meinga koe kia moe rawa, he rongoā whakamoe ā-rohe rānei, ka whakangoikore noa i te pakihiwi me te rohe e karapoti ana.

I te wā o te mahi pokanga, ka mahi te taote pokanga:

1. Ka tapahia he kiri iti puta noa i te pakihiwi.

2. Ka tangohia te wheua me te kiriuhi kua pakaru me te tino tupato.

3. Engari, ka whakatōkia he hononga horihori (prosthesis) kua inehia, kua hangaia hoki.

4. Ka nekehia te ringa me te pakihiwi ki te tūranga tika, ā, ka tuia te tapahi.

E rua hāora te roa o tēnei pokanga, engari ka rerekē pea tēnei wā i runga i te nui o te pakaru o tō hononga.

He aha te mea ka tupu i muri i te pokanga, ā, kia pehea te roa o te wa e ora ai?

I muri i te pokanga, ka haria koe ki te rūma whakaora, ka tirotirohia koe. Ka taea e ētahi te hoki ki te kāinga i taua rā anō ('tūroro waho'), ko ētahi ia me noho ki te hōhipera mō te rā kotahi, e rua rānei ('tūroro noho').

I muri i te pokanga, ka whakanohoia koe ki roto i te whitiki. Me mau koe i tēnei mō ētahi wiki. Ka hoatu hoki e tō tākuta ētahi mahi whakakori tinana māmā hei āwhina i a koe kia hoki anō ki te nekeneke me te whakapakari i tō pakihiwi. He mea tino nui kia tika te mahi i aua mea.

Me tīmata te whakaora tinana i roto i ētahi wiki. Mā te kaiwhakaora tinana koe e ako ki ngā mahi whakakori tinana me ngā totoro tinana hei whakanui ake i te whānuitanga o te nekehanga o tō pakihiwi me te whakapakari i ō uaua.

He mea noa te mamae i ngā wiki tuatahi. Ka tohua e te tākuta he rongoā whakamamae mamae mō tēnei. He mea nui anō hoki kia tangohia te rongoā i te horopeta tika me te wā tika. Me karo koe i te hiki taumaha me te tākaro hākinakina mō ētahi marama. Heoi, i muri i te rua ki te toru wiki, ka taea e koe te tīmata ki te mahi i ngā mahi iti pēnei i te kakahu me te taka kai.

He mea noa te mataku me te manukanuka mō tēnei momo pokanga. Engari kia maumahara, he pai te whakamarie ka whiwhi koe i muri i tēnei me te oranga kore mamae. Ahakoa he uaua te wā whakaora, i a koe e kaha haere ana, ka whakahīhī koe ki a koe anō. Kōrerohia ki tō tākuta ngā pātai, ngā āwangawanga rānei kei a koe.