Ka pāngia hoki koe e te mamae nui ina hiki ake tō pakihiwi, ina nekehia rānei tō ringa ki muri? Ka rongo koe i te tangi 'pāwhiri' mai i roto i tō pakihiwi, ka rongo rānei koe i te āhua e piko ana? He maha ngā wā ka warewarehia ēnei mea e tātou, he mea noa iho. Heoi, i ētahi wā he tohu pea tēnei mō te whara nui i roto i te hononga pakihiwi. I tēnei rā ka kōrero tātou mō te whara pakihiwi e puta ana i roto i tēnei āhua, e mōhiotia ana i roto i te pūtaiao hauora ko te SLAP Tear .
He aha te SLAP Tear?
Ahakoa te ahua uaua o tēnei ingoa, me ngāwari noa iho. He rite te hononga o tō tātou pakihiwi ki te hononga pōro me te hononga. Ka uru te wāhanga o runga o te wheua ringa o runga (te pōro) ki roto i tētahi hononga iti ake (te kapu) i roto i te wheua pakihiwi. Kei te taha o tēnei hononga he mowhiti kaha o te kiriuhi hei āwhina i te hōhonutanga me te pupuri i te pōro kia mau tonu. Koinei te mea e kīia nei e tātou ko te labrum . Arā, he rite ki te gasket, ā, ka āwhina i te pupuri i te hononga kia pumau.
Ko te SLAP he tikanga mō te Superior Labrum , Anterior to Posterior . I roto i te reo Sinhala, he haehae tēnei i te taha whakarunga o te labrum, mai i mua (Anterior) ki muri (Posterior) . Ko te taha whakarunga o tēnei labrum te wāhi e piri ai te uaua e hono ana ki te uaua biceps. Nō reira, ina puta tēnei haehae SLAP, ka pakaru te labrum, he rite ki te urunga i te pakihiwi, ā, ka pāngia hoki te uaua biceps. Koia te take e mamae ai te pakihiwi, e kore e pumau, ā, e ahua "wiriwiri" ana.
He aha ngā tino take o te roimata SLAP?
Kāore he take kotahi mō tēnei āhuatanga, engari he maha ngā āhuatanga ka whai wāhi ki tēnei. Me titiro tātou ki ngā take matua.
| Take | Whakaahuatanga |
|---|---|
| Te whara pakihiwi mau tonu | Koinei te tino take. Ka memeha haere te whitiki o te pokohiwi nā te roa o ngā mahi pakihiwi. Hei tauira, ka puta tēnei ina pōro tonu te kaitākaro kirikiti, ina kauhoe tonu te kauhoe, ina utaina tonutia rānei e te kaitākaro hiki taumaha te taumaha ki runga i tōna pakihiwi. |
| Whara Whakamataku | Ka taea hoki tēnei haehae te puta mai i tētahi aituā ohorere. Ka taea tēnei pakaru te puta mai i ngā mea pēnei i te hinganga me te totoro o tō ringa, te ngana ohorere ki te hiki i tētahi mea taumaha (hei tauira, he ipu hau), i tētahi aituā motuka rānei. |
| Ngā mea ka tupu i te koroheketanga (Te koroheketanga) | Pērā i ētahi atu wāhanga o te tinana, ka taea e te labrum te memeha haere, te ngoikore haere hoki i roto i te wā. E kitea ana ēnei roimata i roto i te hunga neke atu i te 40 tau te pakeke, ahakoa kāore i roto i te mōrearea nui. |
He pakaru SLAP kei tōku pakihiwi? He aha ngā tohu?
Mena kei a koe tētahi, ētahi rānei o ēnei tohu, me āwangawanga koe.
- Mamae pakihiwi: He mamae pumau pea tēnei, he mamae ohorere, koi, wero rānei.
- Mamae i ngā tūranga motuhake: Ka piki ake te mamae ina hiki ake te ringa ki runga ake i te māhunga, ina whakatakotoria te ringa ki muri i te tuara, ina mahi rānei i ngā nekehanga pēnei i te whiu pōro.
- He tangi 'pāwhiri', he tangi huri rānei: Ki te rongo koe i te tangi pāwhiri mai i roto i te hononga ina nekehia tō pakihiwi, ki te rongo rānei koe i te mea e huri tahi ana ngā wheua e rua, he tohu pea tēnei o tēnei mate.
- Te kare o te pakihiwi e pakū ana: Kāore te hononga pakihiwi e tautokona tika ana, ā, he kare pumau te āhua me te mea ka "pakū" i tētahi wā.
- Te ngoikore o te pakihiwi me te ringa.
Ko te mea nui ko te toro atu ki te tākuta tonu mēnā kei a koe tētahi o ēnei tohu, kaua e warewarehia. Ki te kore e rongoatia, ka kino ake te mamae, ā, ka ngaro pea tō kaha ki te whakamahi i tō pakihiwi.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ina haere koe ki te tākuta, ka pātai tuatahi ia ki a koe mō te mamae, me pēhea te tīmatanga, me te aha koe e mahi ai. Kātahi ka tirotirohia e ia tō tinana.
1. Whakamātautau Tinana: Ka hurihia e te tākuta tō ringa, ka hiki ake i ngā taha rerekē. Mā tēnei ka āwhina ki te whakatau i te whānuitanga o te nekehanga o tō pakihiwi, te kaha o te uaua, me ngā momo nekehanga e puta ai te mamae.
2. Matawai MRI: Ko te MRI (Atahanga Āhuatanga Aukume) te huarahi pai ki te tirotiro tika i ngā kiko ngohengohe i roto i te pakihiwi, pērā i te labrum me ngā uaua.He matawai. I ētahi wā, ka tūtohu pea tō tākuta i tētahi MRI arthrogram , arā, ko te werohanga i tētahi tae motuhake ki roto i te hononga kia mārama ake ai te kite i te haehae.
He aha ngā maimoatanga mō tēnei?
Ko te maimoatanga e whakawhirinaki ana ki te momo haehae, tō tau, me tō taumata mahi. Kāore e hiahiatia he pokanga mō ngā haehae SLAP katoa.
Ngā Maimoatanga Kore-Pokanga
Tuatahi, ka ngana te tākuta ki te rongoā i tēnei me te kore pokanga.
- Okiokinga: Te noho tawhiti atu i ngā mahi e mamae ai te pakihiwi mō tētahi wā.
- Ngā rongoā whakamamae: Ngā rongoā ārai-mumura e tohua ana e tō tākuta hei whakaiti i te pupuhi me te mamae.
- Ngā werohanga cortisone: He werohanga motuhake ka werohia tika ki roto i te hononga hei whakaiti tere i te mamae me te pupuhi.
- Whakaora Tinana: He maimoatanga tino nui tēnei. I raro i te arataki a te kaiwhakaora tinana, ka taea e ngā mahi whakakori tinana hei whakapakari i ngā uaua huri noa i te pakihiwi te āwhina i te whakau i te hononga me te whakaiti i te mamae.
Ngā Maimoatanga Pokanga
Ki te kore te mamae e memeha i muri i te 3-4 marama o ngā maimoatanga o runga ake nei, ki te tino kino rānei te haehae, ka tūtohu pea tō tākuta kia pokanga. He maha ngā wā ka mahia tēnei pokanga mā te whakamahi i te arthroscopically . Ko te tikanga o tēnei ka whakauruhia he kāmera me ngā taputapu ngawari mā roto i ētahi tapahi iti i te pakihiwi hei whakatika i te labrum pakaru.
- Te Whakatika Taiwhanga: Te tāpiri anō i te taiwhanga pakaru ki te wheua.
- Tenodesis o te Biceps: I ētahi wā, ki te pakaru te uaua o te biceps, ka tangohia ka honoa anō ki tētahi wāhi haumaru ake i te pakihiwi.
Kia pēhea te roa o te wā e ora ai?
Koinei te raruraru o te tini tāngata. Ehara te whakaora i te pakaru o te SLAP i te oma pō kotahi, engari he marathon e roa ana te wā.
He mea tino nui te manawanui me te whakapau kaha . Ahakoa kāore he pokanga, e 3-4 marama pea ka memeha te mamae, ā, ka hoki anō te tūroro ki tōna āhua noa. Mena ka mahia te pokanga, e 6 marama ki te tau pea ka tino ora, ka hoki anō ki ngā mahi pēnei i te hākinakina. Whai muri i te pokanga, me mau he whitiki ringa mō ētahi wiki. Waihoki, he mea nui te mahi i ngā mahi whakakori tinana kua tohua e te kaiwhakaora tinana kia tere ai te ora.
Me pēhea tātou e ārai ai i tēnei āhuatanga kei puta anō?
Ae, tera pea ka whara anō koe, ina koa ka tīmata koe ki te tākaro hākinakina, ki te mahi rānei e taumaha ana tō pakihiwi. Nō reira, kia tūpato ki ēnei mea:
- Whakamahana pai i mua i te whakakori tinana: Whakamahana pai i ngā uaua o tō pakihiwi i mua i te tākaro hākinakina.
- Whakarongo ki tō tinana: Ki te mamae koe, ki te pakari rānei i tō pakihiwi, kaua e warewaretia, engari me okioki.
- Whakamahia te tikanga tika: Whakamahia te āhua tika i te wā e hiki ana i ngā taumaha me te tākaro hākinakina. Kaua e hiki i ngā taumaha me te oho ohorere.
- Tirohia he tākuta: Ki te mau tonu te mamae, ki te puta rānei he whara hou, rapua he tohutohu hauora.
Karere Tangohia ki te Kāinga
- Ko te mamae o te pakihiwi, inā koa mēnā ka haere tahi me te tangi 'pāwhiri', he tohu pea tēnei o te haehae SLAP.
- Tērā pea ka puta tēnei i te whakamahinga pinepine o te pakihiwi, i tētahi aituā, i te koroheketanga rānei.
- Kaua e warewarehia te mamae o te pakihiwi, me toro atu ki te tākuta tonu, kia tika ai te tātaritanga.
- Kāore he tikanga o te pokanga mō te maimoatanga. He mea tino nui te whakaora tinana me te okioki.
- He roa te wā e ora ai, nō reira kia manawanui, kia whai hoki i ngā tohutohu a tō tākuta me tō kaiwhakaora tinana.
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