He kaitākaro kirikiti koe, he kaitākaro poipapa rānei, he tangata rānei e takaro ana i tētahi hākinakina e hiahia ana koe ki te whiu i te pōro ki runga i ō ringaringa? He mamae tonu rānei, he pakari, he "pāorooro" rānei kei roto i tō pakihiwi i muri i te hinganga ohorere? I ētahi wā ka puta tēnei i te pakaru o te kiriuhi i roto i tō pakihiwi. I roto i ngā kupu hauora, ka kiia tēnei āhuatanga he pakaru SLAP . He maha ngā tāngata e mataku ana ina rongo rātou i tēnei ingoa, engari ki te mārama pai tātou, he māmā ake te rongoā.
He aha te 'Roimata SLAP'? Kia mārama noa tātou
Āe, kia tirohia te tikanga o tēnei kupu 'SLAP'. Ka hangaia mā te whakakotahi i ngā reta tuatahi o ngā kupu Pākehā e whā: Superior Labrum , Anterior to Posterior . Tērā pea kei te whakaaro koe he aha ēnei kupu. Kaua e manukanuka, ka whakamāramahia e au he tino māmā noa iho.
Whakaarohia tō hononga pakihiwi he hononga pōro-me-te-pūngao. Kei te taha o tēnei pūngao, he rite ki te 'horoi' rapa, he mowhiti kaha o te kiriuhi. Mā tēnei mowhiti e pupuri te wheua ringa o runga (te pūngao o te ringa) kia mau ki te tūranga o te pūngao. Ko taua mowhiti kiriuhi rite-horoi ko te labrum .
I roto i te `haehae SLAP`, ka haehaea te wāhanga o runga o tēnei labrum mai i mua (runga) ki muri (muri). Koinei te wāhi e puta mai ai te uaua o te uaua matua o tō tātou ringa (biceps) ka piri. Nō reira, ina puta tēnei haehae, ka heke te pumau o te pakihiwi, ka puta te mamae, ā, ka pakaru hoki te uaua biceps.
I roto i ēhea āhuatanga e hiahiatia ai te pokanga?
I te nuinga o te wā, kāore te tākuta e tuku tonu i te tūroro kia pokanga ina kitea he pakaru SLAP kei a rātou. Ka ngana tuatahi rātou ki te rongoā mā te kore pokanga.
- Okiokinga: He mea pai kia matara atu i ngā mahi taumaha mō tētahi wā.
- Rongoā: Ka hoatu he rongoā hei whakaiti i te mamae me te pupuhi.
- Whakaora tinana: Ka hoatu he mahi whakakori tinana motuhake hei whakapakari i ngā uaua huri noa i te pakihiwi me te whakaora i te nekehanga o te hononga.
Heoi, ki te kore te mamae e memeha i muri i ētahi marama o te maimoatanga, ā, ka āhua koretake te pakihiwi, ka whakaarohia e te tākuta te pokanga.
Ina koa,
- Mena i puta mai tēnei haehae i roto i tētahi aituā (hei tauira, he hinganga) ā, he pānga nui ki te pumau o te pakihiwi.
- Ka puta tēnei āhuatanga i te whakamahinga nui rawa o te pakihiwi, pērā i te wā e takaro ana.
- Ki te tākaro koe i tētahi kēmu pōro pērā i te kirikiti, te pēhipōro, te poipapa rānei.
I ngā āhuatanga pēnei, ka taea e te pokanga te whakaputa hua angitu.
Me pēhea te mahi i te pokanga? (Whakatikatika SLAP Arthroscopic)
Ināianei, he maha ngā wā ka mahia tēnei pokanga mā te whakamahi i tētahi tikanga pokanga kōhao kī e kiia nei ko te arthroscopy . Ko te tikanga ka mahia mā roto i ētahi tapahi iti rawa (tata ki te 1 cm) kaua ki te hanga i tētahi tapahi nui ki te pakihiwi.
1. Te whakaurunga kāmera: Mā roto i tētahi tapahi iti, ka whakauruhia he taputapu iti kei roto i te kāmera (he `arthroscope`) ki roto i te hononga pakihiwi. Ka whakahaerehia te mahi e te taote pokanga i a ia e mātakitaki ana i te ahua mai i tēnei kāmera i runga i tētahi mata nui.
2. Te tirotiro i te pakaru: Mā te whakamahi i te kāmera, ka haehaea te labrum, ā, ka aromatawaitia tikatia tōna kaha.
3. Te horoi: Muri iho, ka horoia te taha o te kiriuhi kua pakaru ki ngā taputapu motuhake, ā, ka whakaritea mō te tāpiritanga anō.
4. Te whakamau i te punga: Muri iho, ka pokaia he kōhao iti rawa ki te wheua o te hononga hei whakamau anō i te kiriuhi pakaru, ā, ka whakaurua he taputapu iti rite ki te tīwiri e kiia nei ko te punga tuitui . He miro kaha kei tēnei punga.
5. Te tuitui anō: Hei mahi whakamutunga, mā te whakamahi i te miro mai i te punga, ka honoa anō te whitiki pakaru ki te wheua, ā, ka tuia kia pūmau.
Ina mahia te pokanga i tēnei ara, ka honoa anō te kiriuhi pakaru ki te wheua, ā, ka tīmata te ora.
He aha ngā mea ka tupu i muri i te pokanga? Me ako tātou mō te wā whakaora
Kia angitu te pokanga, me whakapau kaha koe ki te whakaora katoa.
- Tākai Ringa: Me mau e koe he tākai ringa mō te 4-6 wiki i muri i te pokanga. Hei okioki i tō pakihiwi tēnei, hei whakaora hoki i te kiriuhi hou kua whakatōkia.
- Mamae: Tērā pea ka pā mai he mamae i ngā rā tuatahi. Me tango e koe ngā rongoā whakamamae mamae kua tohua e tō tākuta. Mā te paninga i te kete hukapapa ka āwhina hoki ki te whakaiti i te mamae me te pupuhi.
- Whakaora tinana: Koinei te wāhanga tino nui o tēnei maimoatanga. I muri i te tangohanga o te ringa, ka pakari pea te pakihiwi. Me tīmata āta me te āta haere ngā mahi whakakori tinana, i raro i te arataki a te kaiwhakaora tinana. Koinei te mea e āwhina ana ki te whakahoki mai i te nekehanga me te kaha o te pakihiwi.
- Te wā whakaora: E ono ki te iwa marama pea, tae atu ki te tau, hei whakaora katoa, hei hoki anō ki ngā hākinakina. He mea tino nui te manawanui me te maimoatanga.
| Ngā painga o te pokanga me ngā raruraru pea | |
|---|---|
| Ngā Painga | Kua kore te mamae me te kore pumau o te pakihiwi, ā, ka taea e koe te hoki ki te oranga hohe. He tino whai hua tēnei ina he pakaru SLAP anake tōu, kāore he raruraru kē atu. |
| Ngā raruraru pea |
|
Kia maumahara, he tino iti te mōrearea o ēnei raruraru. Ka taea te whakaiti i ēnei mōrearea mā te whakahaere i te pokanga e te taote pokanga mātau, me te whai i ngā tohutohu i muri i te pokanga.
Me tere taku haere ki te tākuta!
Kia tae koe ki te kāinga i muri i te pokanga, kia tino aro ki ēnei tohu. Mēnā kei a koe tētahi o ēnei, waea atu ki tō tākuta tonu atu , haere rānei ki te hōhipera i whiwhi ai koe i te maimoatanga.
| Tohu Whakatūpato |
|---|
| He mākū te takai o te patunga, ā, e toto ana. |
| He tino kaha te mamae, kāore e memeha ahakoa kua tangohia ngā rongoā whakamamae i homai e te tākuta. |
| Te pupuhi nui o te ringa, o ngā maihao rānei. |
| Te ngoikore, te ngaro rānei o te rongo i ngā maihao. |
| Te rerekētanga o te tae o te ringa, o ngā maihao rānei (ka kikorangi/mangu), ka tino makariri rānei ina pā atu. |
| Te whero, te pupuhi, te mamae nui haere, te wai kōwhai rānei e maringi mai ana i te patunga. |
| He kirika neke atu i te 101°F (38.3°C). |
Hei whakamutunga, he mate ka taea te rongoā i te haehae SLAP. Ki te kore e rongoatia, ka arahi pea ki te mamae roa, te ngaronga o te mahi a te pakihiwi, me ētahi atu raruraru nui. Nō reira, ki te mea kei te āwangawanga koe mō te mamae o tō pakihiwi, kia kite i tētahi tākuta whai tohu mō te tohutohu.
Karere Tangohia ki te Kāinga
- Ko te 'haehae SLAP' he haehae i te wāhanga o runga o te mowhiti wheua nui e kiia nei ko te labrum i roto i te hononga pakihiwi.
- Tērā pea e hiahiatia he pokanga mō te kore pumau o te pakihiwi e kore e pai ake i ngā maimoatanga noa.
- He maha ngā wā ka mahia tēnei pokanga mā te whakamahi i tētahi tikanga pokanga kōhao kī e kiia nei ko te pokanga arthroscopic.
- E hia pea ngā marama, tae atu ki te tau, ka tino ora ai i muri i te pokanga. He mea tino nui te whakaora tinana.
- Ki te pā mai ētahi tohu rerekē ki a koe (mamae nui, pupuhi, kirika, ngoikore) i muri i te pokanga, whakapā atu ki tō tākuta tonu atu.
- He mea nui kia ata whai i ngā tohutohu hauora me ngā tohutohu whakaora tinana i mua i te hokinga atu ki aua mahi hei ārai i te whara anō.











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