Kāore e taea e koe te hiki i tō pakihiwi, kāore e taea te moe i te pō, te mamae nui rānei i ia wā ka whakamahia e koe tō ringa? Kei te mau tō pakihiwi? Mō ēnei take, kua kōrero pea tō tākuta ki a koe mō te pokanga whakakapinga pakihiwi. He mea noa te mataku me te manukanuka ina rongo koe i tētahi mea pēnei. Koia mātou ka kōrero ai mō tēnei mea i tēnei rā, i roto i tētahi huarahi e mārama ai koe.
He aha tēnei pokanga whakakapinga hononga pakihiwi?
He whakarāpopototanga noa iho tēnei, ko te tango i ngā wāhanga kua pakaru, kua tawhito hoki o tō hononga pakihiwi tūturu, ka whakakapia ki tētahi hononga hangai (prosthesis) he mea hanga ki te konganuku me te kirihou. Ka kiia tēnei e ngā tākuta ko te arthroplasty pakihiwi katoa.
He hononga pōro-me-te-pūngao tō tātou pakihiwi. Whakaarohia, ko te wāhanga pōro-rite o te wheua ringa o runga (humerus) e piri ana ki te wāhanga kapu-rite o te wheua pakihiwi (scapula). Ina pakaru tēnei hononga, ka puta te mamae nui. I te wā o te pokanga, ka tangohia ngā wāhanga kua pakaru e rua, ā, ka whakaurua he wāhanga hangai hou.
Ka whakakapia e koe te hononga katoa mō te katoa?
I te nuinga o te wā, ko tēnei pokanga he whakakapi i te hononga katoa. Arā, ko te pōro me te pūnga. Engari whakaarohia kotahi anake te wāhanga o tō hononga kua pakaru. Hei tauira, mēnā ko te pōro anake kua pakaru, ka whakatau pea tō tākuta ki te whakakapi i taua wāhanga anake. Ka kiia tēnei he whakakapinga pakihiwi wāhanga, he hemiarthroplasty rānei. Heoi, ko te nuinga o te tangata me whakamahi i tēnei pokanga nā te mea kua tawhito te hononga katoa, nō reira ko te pokanga katoa te nuinga o te wā ka mahia.
He aha te momo tāngata e hiahia ana ki tēnei pokanga?
I te nuinga o te wā, ka whakaarohia e tō tākuta te pokanga ina kore e taea e ngā maimoatanga kore-pokanga pērā i te rongoā me te whakaora tinana te whakahaere i tō mamae. Tērā pea ka tūtohutia tēnei pokanga mō te hunga whai mate e whai ake nei:
| Āhua/Pūtake | Ngā tohu noa |
|---|---|
| Te mate pukupuku pakihiwi: Te pakaru me te pakaru o ngā hononga, inā koa nā te osteoarthritis me te rheumatoid arthritis. |
|
| Te haehae nui o te ringaringa hurihuri: He kino nui ki ngā uaua me ngā uaua e āwhina ana ki te neke i te pakihiwi. | Haunga ngā tohu o runga ake nei, he ngoikore nui te ringa. |
| Te Necrosis Avascular: Te matenga o te wheua nā te korenga o te rere o te toto ki ngā wheua o te hononga pakihiwi. | Te mamae nui me te ngaronga o te mahi. |
Me pēhea te whakarite i mua i te pokanga?
Ka tino whakarite tō tākuta i a koe mō te pokanga. E hiahiatia ana he maha ngā whakamātautau mō tēnei.
- He tirotiro niho me te horoi: He mea tino nui tēnei nā te mea ka āwhina i te aukati i ngā iroriki o te waha kia kaua e uru ki te toto i muri i te pokanga me te whakaputa mate ki te hononga hou.
- Whakamātautau tinana katoa: Kimihia tō hauora whānui.
- X-ray pakihiwi: Tērā pea ka tonoa koe kia mahi i tētahi matawai CT, MRI rānei.
- He whakamātautau EKG hei tirotiro i te mahi a te ngākau.
- He maha ngā whakamātautau toto.
Me mutu hoki te kai, te inu rānei mō te 8 hāora i mua i te pokanga (nohopuku). Me kōrero koe ki tō tākuta mō ngā rongoā me ngā huaora katoa e tangohia ana e koe. Tērā pea me mutu te tango i ētahi rongoā (ina koa ko ngā rongoā whakaiti toto ) i ētahi rā i mua i te pokanga.
He aha ngā mea ka tupu i te wā o te pokanga, ā, i muri hoki 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. He rongoā whakamoe whānui tēnei hei whakamoe i a koe, he rongoā whakamoe ā-rohe rānei hei whakangoioi i tō pakihiwi me te rohe e karapoti ana.
I te wā o te mahi pokanga, ka tangohia e te taote pokanga te wheua me te kiriuhi kua pakaru, ka whakatōkia he hononga horihori hou, ka tuitui i te tapahi. E rua hāora te roa o tēnei mahi.
I muri i te pokanga, ka haria koe ki te rūma whakaora, ā, ka tirotirohia kia ara ake koe i te rongoā whakamoe. Ka taea e ētahi te hoki ki te kāinga i taua rā anō, ko ētahi me noho ki te hōhipera mō te rā kotahi, e rua rānei. I muri i tō hokinga ki te kāinga , me here tō ringa ki te taura mō ētahi wiki. Me tīmata koe ki te mahi i ngā mahi whakakori tinana māmā e ai ki tā tō tākuta. Ka tīmata koe ki te mahi whakakori tinana me te kaiwhakaora tinana i roto i ētahi rā. Koinei te wāhanga tino nui o te tukanga whakaora. Kaua e mahue.
He mea noa te mamae i muri i te pokanga. Whakamahia ngā rongoā whakamamae mamae kia rite ki te whakahau a tō tākuta.
He aha ngā painga me ngā mōrearea pea o tēnei pokanga?
Pērā i ngā pokanga katoa, he pai ngā painga o tēnei pokanga, engari he iti noa ngā mōrearea.
- Ko te painga matua ko te tata kore haere o te mamae nui i pā ki a koe, ā, kua kaha ake te nekehanga me te mahi a tō ringa.
- Ko ngā mōrearea ko te toto totoka, te kino o ngā io, te mate urutā, me te wetekina o te prosthesis. Heoi, he tino onge ēnei.
Ina hiahia koe ki te kōrero wawe ki te tākuta
Ki te pāngia koe e tētahi o ēnei tohu i a koe e noho ana i te kāinga i muri i te pokanga, me waea atu koe ki tō tākuta tonu atu , me haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
- Te toto tonu mai i te wāhi i tapahia.
- Te mamae o te uma, te poto rānei o te manawa.
- He kirika neke atu i te 39 nekehanga Celsius (101 Fahrenheit).
- Te mamae nui e kore e memeha ahakoa kua tangohia ngā rongoā whakamamae.
- He pupuhi, he whero, he haunga, he rerenga wai rānei mai i te wāhi i tapahia ai (he tohu ēnei o te mate).
He mea noa te wehi i te pokanga. Engari he mea tēnei ka tino whakamarie i tō oranga. He uaua te wā whakaora. Engari he tino pai te hua o taua mahi uaua. Kōrero ki te tākuta mō ngā raruraru me ngā wehi katoa kei roto i tō hinengaro.
Karere Tangohia ki te Kāinga
- He tino whai hua te pokanga whakakapinga pakihiwi mō te hononga pakihiwi kua tawhito. Ka whakaiti i te mamae, ā, ka māmā ake te mahi i ngā mahi o ia rā.
- Ki te mea he wehi, he ruarua rānei ōu mō te pokanga, kōrerotia mārire ki tō tākuta. He kaha nui tēnei māu ki te whakamārama i ngā mea katoa.
- He mea tino nui kia whai i ngā tohutohu a tō tākuta me tō kaiwhakaora tinana i te wā e ora ana koe. Kaua e mahue ngā mahi whakakori tinana.
- I muri i te pokanga, tera pea ka herea ngā mahi pēnei i te hiki taumaha mō te wā katoa. Pātai atu ki tō tākuta mō tēnā.
- Ki te puta he tohu whakapae, rapua tonutia he tohutohu hauora.

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