Kei te uaua koe ki te hiki i tō ringa, kāore e taea te moe pai i te pō, kei te mamae nui rānei i ia wā ka whakamahia e koe tō pakihiwi? Kei te ahua kua mau, kua tio rānei tō pakihiwi? Mena koinā, kua kōrero pea tō tākuta ki a koe mō te pokanga whakakapinga pakihiwi. He mea noa te manukanuka, te kore rānei e tino mōhio ina rongo koe mō tētahi tikanga pēnei. I Nirogi Lanka , e hiahia ana mātou ki te ārahi i a koe i roto i tēnei tukanga i roto i ngā kupu māmā, ngāwari ki te mārama.
He aha te pokanga whakakapinga pakihiwi?
I roto i tēnei mahi pokanga, ko te whakakapi i ngā wāhanga pakaru, kua tawhito rānei o tō hononga pakihiwi ki ngā wāhanga horihori i hangaia ki te konganuku me te kirihou, e mōhiotia ana ko te prosthesis. Ka kiia tēnei mahi e ngā tohunga hauora he arthroplasty pakihiwi katoa .
He hononga pōro-me-te-pūngao tō pakihiwi. Whakaarohia he pōro porowhita kei te tihi o tō wheua ringa o runga (humerus) e uru ana ki roto i tētahi pūnga rite ki te kapu i roto i tō mata pakihiwi (scapula). Ina pakaru tēnei hononga, ka tino mamae. I te wā o te pokanga, ka tangohia ngā mata kua pakaru e rua, ka whakakapia ki ngā wāhanga hou, horihori.
Ka whakakapia tonutia te hononga katoa?
I te nuinga o te wā, ka whakakapia katoatia te pōro me te tūhono. Heoi, ki te mea kotahi anake te wāhanga o tō whara—hei tauira, ko te wāhanga pōro anake i pakaru—tērā pea ka tūtohu tō tākuta i te whakakapinga pakihiwi wāhanga, e mōhiotia ana ko te hemiarthroplasty . Heoi, i te mea he whānui te pakaru o ngā hononga i te nuinga o ngā tūroro, ko te whakakapinga katoa te huarahi tino noa.
Ko wai e hiahia ana ki tēnei pokanga?
Ko te tikanga, ka whakaarohia e tō tākuta te pokanga mēnā kāore i taea e ngā maimoatanga kore-pokanga pērā i te rongoā me te whakaora tinana te whakaora. Tērā pea ka tūtohutia tēnei pokanga mēnā kei te pāngia koe e ēnei āhuatanga e whai ake nei.
| Āhuatanga Hauora/Pūtake | Ngā Tohu Noa |
|---|---|
| Te Matepukupuku Pakihiwi: Te pakaru me te pakaru o te hononga, ko te nuinga nā te Osteoarthritis, te Rūmatoid Arthritis rānei. |
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| Te Haehae Nui o te Taupoki Hurihuri: He kino nui ki ngā uaua me ngā uaua e whakahaere ana i te nekehanga o te pakihiwi. | Haunga ngā tohu i runga ake nei, tera pea ka pāngia koe e te ngoikore nui o te ringa. |
| Te Necrosis Avascular: Te matenga o te kiko wheua i puta mai i te korenga o te rere o te toto ki te hononga pakihiwi. | Te mamae nui me te ngaronga o te mahi a ngā hononga. |
Me pēhea te whakarite mō tō pokanga
Mā tō tīma pokanga i Nirogi Lanka koe e ārahi i roto i te tukanga whakarite, e whakauru ana i ētahi aromatawai nui:
- Whakamātautau Niho: He mea nui tēnei. Mā te whakakore i ngā mate waha ka āwhina i te aukati i te haere o ngā huakita mā roto i te toto ki tō hononga hou i muri i te pokanga.
- Whakamātautau Tinana: He tirotiro hauora whānui hei whakarite kei te pai koe mō te mahi.
- Whakaahua: Ngā hihi-X o te pakihiwi, me te matawai CT, MRI rānei pea.
- Tirotiro Manawa: He EKG hei aroturuki i te mahi a tō manawa.
- Ngā whakamātautau toto: He whakamātautau toto auau hei aromatawai i tō hauora whānui.
Hei tāpiritanga, me nohopuku koe (kāore he kai, kāore he inu) mō te 8 hāora pea i mua i te pokanga. Tena koa whakamōhio atu ki tō tākuta mō ngā rongoā me ngā tāpiringa katoa e tangohia ana e koe i tēnei wā. Me whakamutu te tango i ētahi rongoā, inā koa ngā rongoā whakaiti toto, i mua i tō pokanga.
Ngā mea hei tumanakohia i te wā o te pokanga me muri i te pokanga
I mua i tō mahi, ka tukuna e te tohunga whakamoe te rongoā whakamoe kia pai ai tō noho. I runga i ō hiahia, he rongoā whakamoe whānui, he rongoā whakamoe rohe rānei hei whakangā i te pakihiwi me te rohe e karapoti ana.
I te wā o te pokanga, ka tangohia e tō taote pokanga te wheua me te kiriuhi kua pakaru, ka whakakapia ki tētahi hononga hangai kounga teitei, ā, ka kati i te tapahi. E rua hāora te roa o tēnei mahi.
I muri i te pokanga, ka ara ake koe i roto i te wāhi whakaora i raro i te tirotiro tata. I runga i te ahunga whakamua o tō whakaora, ka tukuna pea koe i taua rā anō, ka noho rānei ki te hōhipera mō te rā kotahi, e rua rānei. Kia hoki koe ki te kāinga, me whakamahi koe i te whitiki mō ētahi wiki. He mea nui kia whai i ngā tohutohu a tō taote pokanga mō ngā nekehanga ngāwari. Ka tīmata wawe koe ki te mahi tahi me te kaiwhakaora tinana—koinei te wāhanga tino nui o tō haerenga whakaora, nō reira kia mau tonu ki ēnei wā.
He mea noa te pāngia e te mamae i muri i te pokanga. Kia mahara ki te whakamahi i ngā rongoā mamae e ai ki ngā tohutohu a tō taote pokanga hei whakahaere i tēnei mamae.
Ngā Painga me ngā Mōrearea Pea
Pērā i ngā tikanga hauora katoa, he mārama ngā painga me ngā mōrearea iti pea.
- Ko te painga matua ko te whakaora i te mamae mau tonu, te mamae whakararuraru, me te whakahoki mai i te mahi tūturu o tō pakihiwi.
- Ahakoa he onge, ko ngā tūponotanga ka pā mai ko te toto totoka, te kino o te io, te mate, te wetekina rānei o te hononga horihori i roto i te wā. He onge ēnei, engari ka whakapau kaha tā mātou tīma i Nirogi Lanka ki te whakaiti i ēnei tūponotanga.
Āhea me rapu awhina hauora tonu
Mena ka pāngia koe e tētahi o ngā tohu e whai ake nei i a koe e ora ana i te kāinga, whakapā atu ki tō taote pokanga tonu atu, haere rānei ki te Rūma Ohotata (ER) tata:
- Te toto tonu i te wāhi i tapahia.
- Te mamae o te uma, te uaua rānei ki te manawa.
- He kirika e neke atu ana i te 39°C (101°F).
- Te mamae nui e kore e pai ki te rongoā kua tohua.
- Te pupuhi nui ake, te whero, te haunga kino, te rerenga rānei mai i te patunga i tapahia (he tohu pea kei te pangia).
He mea noa te manukanuka mō te pokanga. Kia mōhio koe, kua hangaia tēnei tikanga hei whakaora i te kounga o tō oranga. Me whakapau kaha te tukanga whakaora, engari he tino whai hua ngā hua. Kaua e mangere ki te kōrero i ō pātai me ō āwangawanga katoa ki tō tākuta i Nirogi Lanka—kei konei mātou hei tautoko i a koe i ia taahiraa o te ara.
Ngā Kaupapa Matua mō tō Haerenga ki Nirogi Lanka
- He tikanga tino whai hua te pokanga whakakapinga pakihiwi i hangaia hei whakaora i te nekenekehanga me te whakamamae i te mamae mau tonu i puta mai i te hononga kua tawhito, kia taea ai e koe te hoki ki ō mahi o ia rā me te whakamarie.
- Mena he āwangawanga, he wehi rānei ōu mō te tikanga, kōrero noa ki tō tākuta. Ko te whiwhi whakautu mārama ki ō pātai he wāhanga nui o tō whakarite me te rangimarie o te hinengaro.
- I a koe e ora ana, he mea nui kia tino whai koe i ngā tohutohu whaiaro a tō taote pokanga me tō kaiwhakaora tinana. Kia mau tonu tō mahi i ngā mahi whakakori tinana kua whakaritea kia pai ai ngā hua.
- Whai muri i te pokanga, me pupuri pea e koe ngā here pumau mō te hiki i ngā mea taumaha, i ngā mahi uaua rānei. Kia mahara ki te kōrero ki tō kaiwhakarato hauora mō ēnei whakarerekētanga āhua noho mō te wā roa.
- Ki te pāngia koe e ētahi tohu, raruraru rānei, rapua tonutia he awhina hauora, whakapā atu rānei ki ngā ratonga ohorere (911).
Pokanga Pakihiwi, Whakakapinga Pakihiwi, Pokanga Whakakapinga Pakihiwi, Mamae Pakihiwi, Mumura Hononga, Mate Rumati, Whakaora Tinana
