Mamae pakihiwi? He mate uaua pakihiwi pea tēnei!

Kei te pēhia hoki tō pakihiwi e te mamae, te mamae ina hiki ake tō ringa? I ētahi wā he tino uaua, kāore e taea e koe te mahi i tētahi mahi iti, tika? He raruraru tēnei e pāngia ana e te tini tāngata. I tēnei rā, me kōrero tātou mō tēnei mamae o te pakihiwi, e kiia nei ko te mamae o te pokohiwi.

He aha te Tendonitis o te Pakihiwi?

I te whakarapopototanga, ko te mumura o ngā uaua o te pakihiwi he mumura o ngā uaua , he momo kiko kei roto i tō hononga pakihiwi. Whakaarohia tō hononga pakihiwi he kakau tatau. He rōpū uaua hei āwhina i te pupuri i tōna pumau. Ka kiia ēnei ko ngā uaua rotator cuff . Ka āwhina anō hoki te uaua biceps ki tēnei. Ko ēnei uaua me ngā uaua te mea e pupuri ana i te wheua ringa o runga, te humerus , ki te wāhi tika i roto i te poka pakihiwi, te glenoid rānei.

Nā, e mōhio ana koe ki te whanaketanga o tēnei mate pūngāwerewere? Ina kore e nui te wāhi i waenganui i te wheua i te tihi o tō pakihiwi (e kiia ana ko te acromion) me ēnei uaua pūngāwerewere, ngā uaua, ka tīmata te kōpiripiri, te kōpiripiri. Koinā te wā ka puta ai tēnei mumura. Hei whakamārama, ki te mumura ngā uaua pūngāwerewere, ka kiia ko te mate pūngāwerewere . Ki te mumura te uaua biceps, ka kiia ko te mate pūngāwerewere . Kei te mārama koe?

He aha te āhua ina pāngia koe e te mate pukupuku pokohiwi?

Ka rerekē te mamae e pā ana ki ia tangata, ki ia tangata. Ahakoa ka pāngia ētahi e te pakihiwi pakari, ka pāngia ētahi e te mamae e kore e taea te whakamā. He maha ngā wā ka tīmata te mamae i te tihi o te pakihiwi ka heke ki raro i te ringa. Ka kino ake pea tēnei mamae ina hiki ake, ina huri rānei tō ringa. Ko ētahi atu tohu ko:

• He mamae ngawari noa iho, pērā i te ngoikore.
• Ka mamae te pakihiwi ahakoa ka pāngia (he ngawari).
• Ka kaha ake te mamae i te pō , ā, he uaua ki te moe.
• He uaua ki te pupuri i ō ringaringa i ētahi tūranga.
• Tērā pea ka kite koe i te pupuhi iti.
• Ka heke te whānuitanga o te nekehanga me te hiki o te ringa (ka ngaro te nekenekehanga).
• Ina rūrū koe i tō pakihiwi, ka rangona he tangi "pāwhiri".

Whakaarohia a Matua Sugath i tō mātou kāinga. He kāmura tana mahi. Nā te mea he rakau tana e amo ana, e utaina ana hoki i te rā roa, kua roa nei e mamae ana tōna pakihiwi matau. Kāore e taea e ia te moe i te pō, ā, ina ngana ia ki te hapai i tōna ringa, ka puta he tangi "patuki". Kua pāngia koe e tētahi mea pēnei?

He aha i puta ai te mate pukupuku o te pokohiwi i tēnei pakihiwi?

He maha ngā wā ka puta tēnei āhuatanga i ngā whara hākinakina. He mea noa iho i roto i ngā hākinakina e roa ana te nekenekehanga o runga. Anei ētahi tauira:

• Pōro
• Kauhoe
• Ngā hākinakina raketi pērā i te tēnehi
• Korowha
• Te hiki taumaha
• Poipapa

Ko te tikanga kore tika i roto i ēnei hākinakina te tino take o te mate pūngāwerewere, e puta mai ana i te taumahatanga nui ki ngā kiko pēnei i ngā pūngāwerewere. Inaa, kāore e taea te kī kāore tēnei e tupu nā te mea ehara koe i te kaitākaro. Ko te hunga e mahi ana me ō rātou ringa ki runga ake i ō rātou mahunga (hei tauira, ko te hunga e mahi ana i ngā mahi whakahiato, e whakahaere ana rānei i ngā mīhini pēhi i runga ake) me te hunga e hiki ana i ngā taumaha kei roto hoki i te mōrearea. Ehara i te mea koinā anake, engari ka taea e te tangata katoa te pāngia e tēnei mate nā te whakamahinga auau o ēnei pūngāwerewere. I ētahi wā, ka puta te mate pūngāwerewere pēnei mēnā ka pā tika ki te pakihiwi, mēnā rānei ka hinga te ringa me tōna ringa e totoro ana.

Ko wai te mea tino mōrearea ki tēnei mate?

I a tātou e pakeke haere ana, ka heke te ngāwari o ō tātou uaua. Nō reira, ka piki ake te mōrearea o te mate pukupuku pokohiwi i a tātou e pakeke haere ana. Anei ētahi atu āhuatanga mōrearea:

• Te whai wāhi atu ki ngā hākinakina e whakamahi ana i ngā nekehanga auau (hei tauira, te pēhipōro, te kaukau, te tēnehi).
• Te mahi i ngā mahi e hiahia ana ki ngā nekehanga auau, ki ngā mahi rānei e hiahiatia ana te mahi i runga i te tuanui (hei tauira, he kaipeita, he kaikawe taonga, he kaihanga tuanui).
• Ko ngā mahi o te whare, ko te tikanga me mahi tonu i ngā mea pēnei i te tahi, te hutihuti i ngā taru, me te tapahi i te tarutaru.
• Kei a koe ētahi atu āhuatanga hauora e pēhi ana i ngā uaua, pērā i te mate rumatiki .
• Te tīmata i tētahi mahi ā-tinana me te kore e whakamahana (ehara i te totoro) i mua i te whakaurunga.

He aha ngā raruraru ka pā mai mēnā kāore e rongoatia?

Ki te kore tēnei e rongoatia tika, ka kino haere te raruraru. Ko te tikanga o tēnei ko ngā mea penei:

• Ka iti haere ngā nekehanga o te ringa, ā, ka heke te kaha.
• Kāore e taea e au te moe i te pō nā te mamae.
• Ka uaua te mahi i ngā mahi o ia rā. Hei tauira, ahakoa ngā mea pēnei i te whakapūmau i te pātene, te tango rānei i tētahi mea kei runga ake, ka uaua tonu.

Me pēhea te tautuhi i tēnei?

Ina haere koe ki te tākuta, ka pātai tuatahi ia ki a koe mō tō hītori hauora, mō ngā mate o mua, ā, ka whakahaere i tētahi whakamātautau tinana. Kātahi, ki te tika, ka whakahau ia i ētahi atu whakamātautau. Ko ētahi o ēnei ko:

• Ngā hihi-X
• Ngā matawai ultrasound
• Matawai MRI (Whakaahua Āhua Aukume - Matawai MRI)

Ngā wāhanga o te tendinitis pokohiwi

Ka whakamahia pea e tō tākuta ēnei wāhanga hei whakarōpū i tō āhua:

• Te nui rawa o te mamae o te uaua: Ka taea e ngā nekehanga auau te whakararuraru i tō hononga porotaka. Ka pakaru pea, ka haehae, ka pakaru rānei ngā uaua. Ka mamae pea, ka ngoikore rānei.
• Te mate pūkahukahu: I ētahi wā, ka puta he putunga konupūmā i roto i ngā uaua o te porowhita o te pokohiwi nā te mumura roa. Ka uaua pea te neke i te pakihiwi, ā, ka ngoikore hoki.
• Te haehae o te hononga pokohiwi: Mena ka kino te mate pukupuku o te pokohiwi nā te pirau, te haehae rānei o ngā uaua, ka pakaru pea tetahi wāhanga, te katoa rānei o te hononga pokohiwi. Ka puta he mamae nui, he ngoikore, he iti hoki te nekehanga.

Me pēhea te rongoā mō tēnei?

Ko te maimoatanga mō te mate pukupuku pakihiwi e whakawhirinaki ana ki ētahi āhuatanga, tae atu ki tō tau, te āhua o ō tohu, me te kaha o tō mate. Tērā pea ka tūtohu tō tākuta i te okiokinga, i te takai pakihiwi, me te whakamahi i ngā putea hukapapa, inā koa mēnā he whara hou, he whara kino rānei. Tērā atu anō hoki ētahi atu whiringa maimoatanga kore-pokanga:

• Ngā rongoā anti-inflammatory kore-steroidal (NSAID): Ka taea te whakamahi i ngā rongoā pēnei i te aspirin, naproxen , ibuprofen rānei hei whakaiti i te mamae me te pupuhi. Heoi, he pai ake te kōrero ki te tākuta i mua i te whakamahinga.
• Whakaora tinana: Tērā pea ka tukuna koe e tō tākuta ki tētahi kaiwhakaora tinana . Ka taea e te kaiwhakaora tinana te whakaako i a koe ki ngā mahi whakakori tinana me ngā mahi whakapakari tinana hei whakanui ake i te whānuitanga o te nekehanga o tō pakihiwi.
• Werohanga corticosteroid: Mena he mamae nui tō pakihiwi , ka taea te hoatu he werohanga cortisone . Ka taea e tēnei te whakaora tere i te mamae.
• Te rongoā plasma whai-pereti (PRP): Ko te werohanga o tētahi kukū o ngā pereti i tangohia mai i ō ake toto, ki roto i te pakihiwi. E kiia ana ka tere ake te whakaora i te patunga me te tukanga whakaora.

Āhea te wā e hiahiatia ai te pokanga?

Mena kua pakaru katoa, kua pakaru rānei tetahi wāhanga o tō uaua rotator cuff, o tō uaua biceps rānei, ā, kāore ētahi atu maimoatanga e whakaora i ō tohumate, ka tūtohu pea tō tākuta kia pokangahia. Ko te pokanga he whakatika i te uaua kua pakaru , me te tango i te bursae pupuhi e mamae ai tō pakihiwi.

Kia pēhea te roa o te wā e ora ai?

Ka rerekē te roa o te wā e ora ai i runga i te kaha o te whara. Ka taea e ngā mate ngawari te tīmata te ora i roto i ngā wiki e rua ki te whā me te kore e hiahiatia he maimoatanga pokanga.Heoi, i ngā wā tino kino, ka roa pea ētahi marama. Ka taea e tō tākuta te hoatu he whakaaro mārama ki a koe mō te roa o te wā e ora ai koe i runga i tō āhua.

Āhea ahau ka taea te hoki ki te mahi noa?

Ko te mea nui ko te okioki i tō pakihiwi kia kore rawa te mamae me ētahi atu tohu. Ina hoki koe ki te mahi, ki ngā hākinakina, ki ētahi atu mahi rānei, tīmata mārire, āta hoki. Whakamahana pai ki ngā mahi ngāwari. Whakaitihia te nui o ngā nekehanga o runga e mahia ana e koe, kaua hoki e mahi mō te wā roa. Kia nui te okiokinga. Whakanuia mārire tō taumata mahi me te kore e tere.

Kia maumahara, ki te hoki anō koe ki te tākaro i a koe e mamae ana, ka kino haere pea te whara.

Kāore e taea te ārai i tēnei mea?

I te mea he maha ngā wā ka puta te mate pukupuku o te pokohiwi i te nui rawa o te whakamahinga, ko te rongoā pai ko te ārai . He mea nui kia karohia, kia whakarerekētia rānei ngā mahi e puta ai te raruraru. He mea nui kia whakatikahia ngā āhuatanga taketake, pērā i te tū tika, te tikanga kino rānei i te wā hākinakina, i te mahi rānei.

Whāia ēnei ture taketake i te wā e mahi ana koe i ngā mahi:

• Tīmatahia mā te iti, kātahi ka whakanuia haeretia tō taumata mahi.
• Whakamahia he kaha iti, me ngā tāruatanga iti hoki.
• Ki te pāngia koe e tētahi mamae rerekē, kati tonu.

Me toro atu koe ki te tākuta?

Ko te nuinga o ngā mate pukupuku o te pokohiwi ka memeha haere i roto i te wā. Heoi, i runga i te kaha o te mate, ka roa pea te wā ki te whakaora i ngā wiki ki ngā marama. I roto i ēnei take, me toro atu koe ki te tākuta:

• Mena kei te pāngia koe e te mamae e whakararuraru ana i ō mahi o ia rā.
• Ki te kore ngā mahi tiaki i a koe anō i te kāinga e whakaora i te mamae.
• Ki te hoki anō te mate.
• Mena kei te whero tō pakihiwi, kei te pupuhi hoki, me te kirika hoki. (E tohu ana ēnei tohu kei te pangia pea koe e te mate.)
• Mena kei a koe ētahi atu āhuatanga hauora e whakanui ake ai i tō mōrearea ki te pangia.
• Mena kei te tango koe i ngā rongoā e whakanui ake ai te mōrearea o te mate, pērā i ngā corticosteroids , i ngā immunosuppressants rānei.

Ngā mea hei pātai atu ki tō tākuta/tākuta

Mena he mate pukupuku tōu pokohiwi, me pātai atu koe ki tō tākuta i ēnei pātai:

• Kia pēhea te roa o tēnei mamae?
• He aha ngā maimoatanga e taunaki ana koe?
• Ki tō whakaaro me pokanga ahau?
• Āhea ahau ka taea ai te tīmata anō i aku mahi o ia rā (hākinakina/mahi)?
• He aha taku e taea ai te aukati i te mate pukupuku o te pokohiwi a muri ake nei?

Ngā mea hei maumahara māu hei kawe ki te kāinga

Ka tino whakarihariha te pāngia e te mate pūkahukahu pakihiwi, ina koa kāore e taea e koe te tākaro i te hākinakina e pai ana koe. Me okioki tō pakihiwi mō ētahi wiki kia ora ai te pūkahukahu. He uaua pea tēnei, engari he mea nui kia noho tawhiti atu i te papa tākaro kia kī mai rā anō tō tākuta he haumaru te mahi pēnā. Kāore koe e hiahia kia whara anō. Me whai i ngā tohutohu a tō tākuta, ā, ka hoki wawe koe ki ō mahi o ia rā.

Nō reira, ki te pāngia koe e te mamae o tō pakihiwi, kaua e whakahawea. Tirohia te tākuta tonu, ka tiki tohutohu. Kātahi ka taea e koe te ora wawe, ka hoki ki tāu mahi.

Mamae pakihiwi, te mumura o te uaua, te porotaka o te ringaringa, ngā whara pakihiwi, ngā whara hākinakina, te whakaora tinana, te hononga pakihiwi