Kei te mamae tonu tō pakihiwi? Kia ako tātou mō te pakihiwi o te kauhoe, he mate pakihiwi e kitea whānuitia ana i waenga i ngā kauhoe!

Kua kite koe i ētahi wā ina kauhoe koe, ina tākaro koe i tētahi kēmu pēnei i te kirikiti, te pōro, ina mahi rānei koe i tētahi mea me tō ringa e ara ake ana, ka mamae tō pakihiwi, ā, ka ahua ngoikore? I ētahi wā ka tino mamae, ā, kāore e taea e koe te hiki i tō ringa. Koinei te mea e kiia nei e mātou ko '(Swimmer's Shoulder)' mō te mamae o te pakihiwi, te ngoikore, me ētahi atu tohu. Ina rongo koe i tēnei ingoa, ka whakaaro koe he mate tēnei e pā ana ki ngā kauhoe anake? Inaa, ko tēnei mate te mea e kitea nuitia ana i roto i ngā kauhoe. Heoi, ko te hunga e uta ana i te taumaha nui ki runga i ō rātou pakihiwi, e whakamahi ana i ō rātou ringa ki runga, ka pāngia pea rātou e tēnei mate.

He aha rawa te tikanga o te `(Swimmer's Shoulder)`?

Ki te kī māmā noa iho, ehara te "Pikiwi Kauhoe" i te mate kotahi. He kupu whānui tēnei hei whakaahua i tētahi kohinga tohu ka puta mai i ētahi raruraru rerekē o te pakihiwi. Whakaarohia, he hononga tino uaua tō pakihiwi. He mea hanga mai i ngā wheua, ngā uaua, me ngā kiko honohono e kiia nei ko ngā "uaua" me ngā "hononga" e āwhina ana i a koe ki te neke i tō ringa ki mua, ki mua, ki te hiki ake, ki te whakaheke iho.

Mena he kauhoe koe, he takaro rānei koe i ngā hākinakina o runga ake i te tinana pērā i te poipapa, te pēhipōro rānei, he mahi rānei e pēhi ana i ō pakihiwi pērā i te mahi kāmura, te peita rānei, ka nui ake te tūponotanga ka pakaru, ka taumaha hoki ēnei kiko ngawari o tō pakihiwi. Koinei te wā ka tīmata ai te mamae me te kore whakamarie.

He mea nui: Ki te mamae tō pakihiwi mō te neke atu i te wiki, me toro atu ki te tākuta. Kaua e warewaretia.

He aha ngā raruraru pakihiwi ka taea te kī he aha te take o te `(Swimmer's Shoulder)`?

Ka karangahia e ngā tākuta ētahi momo mate pakihiwi i raro i te ingoa whānui "Swimmer's Shoulder". Ina haere koe ki te tākuta, ka kōrero pea rātou ki a koe mō te mate motuhake i raro nei:

• Te Mate Pāwera o te Pakihiwi: Koinei te wā ka pāwera te taha o waho o tō pakihiwi (scapula) me ngā uaua me ngā uaua o te poroporo i raro iho. Whakaarohia he rite ki te mau o tō ringa ki roto i te tatau. Koinā te wā ka puta te mamae, inā koa ka hiki ake tō ringa.
• Te mamae o te pokohiwi: E ai ki te ingoa, he mumura, he whara rānei tēnei ki ngā uaua i roto i te whitiki. Ko te mamae o te pokohiwi he mumura i te uaua. Ka puta tēnei āhuatanga ina whakamahia te pakihiwi i te huarahi kotahi i ngā wā katoa.
• Ngā Whara o te Labrum Pakihiwi: Ko te labrum te mowhiti kiriuhi ngohengohe e karapoti ana i tō hononga pakihiwi. Ka āwhina ki te whakau me te tiaki i te hononga pakihiwi. Ina pakaru tēnei labrum, ka mamae pea.
• Ngā Taumahatanga o te Uaua o te Pakihiwi:He kupu tēnei kua rongohia e tātou katoa, "he uaua kua kumea." Ina totoro rawa te uaua, ka pakaru pea ōna muka. Koinā te wā ka mamae ai te pakihiwi.
• Ngā Io e Kikī ana: I ētahi wā ka kikī te io i tō pakihiwi i te kiko e karapoti ana. Ina tupu tēnei, ka tukuna e te io ngā tohu mamae ki tō roro.

He pēhea te noa o te pānga o tēnei āhuatanga ki te `(Swimmer's Shoulder)`?

He uaua ki te kī tika i te whānui o te "Pikiwi o te Kauhoe", he kupu whānui hoki tēnei mō te whānuitanga o ngā raruraru pakihiwi. Heoi, e ai ki ngā tohunga, neke atu i te kotahi hautoru o ngā kauhoe whakataetae ka pāngia e tēnei whara pakihiwi i tētahi wā o ō rātou oranga.

Heoi, tera pea he nui ake te kitea. He tino kitea tēnei āhuatanga i waenga i ngā kaitākaro tauhou, te hunga e takaro ana i ētahi atu hākinakina (hei tauira, te kirikiti, te poipapa, te tēnehi), me te hunga e mahi ana i ngā mahi e taumaha ana ki ō rātou pakihiwi (hei tauira, te mahi kāmura, te mahi pereki, te peita).

He aha ngā tohu o te `(Swimmer's Shoulder)`?

Ko ngā tohu tino kitea i roto i tēnei āhua ko:

• Mamae pakihiwi: Koinei te tohu matua. I ētahi wā ka tīmata mārire, ka piki haere. Ka taea rānei te mamae ohorere, te mamae nui.
• Ngāwari te ngoikore o te uaua: Tērā pea ka ngoikore tō pakihiwi, tō ringa rānei. Tērā pea he uaua ki te hapai i tētahi mea, ki te hiki rānei i tō ringa.
• Te hekenga o te whānuitanga o te nekehanga: Tērā pea ka uaua ake te neke i tō pakihiwi me tō ringa me te kore mamae. Tērā pea ka uaua ake te hapai ake me te huri whakamuri.
• Te ngoikore o te pakihiwi, te kore pumau rānei: Tērā pea ka rite te pakihiwi ki te mea "mau" te pakihiwi, ki te mea "pekepeke" rānei.

He aha i puta ai tēnei āhuatanga "(Te pakihiwi o te kauhoe)"?

He whakarāpopototanga noa iho, ka puta te Pakihiwi Kauhoe ina pēhia, ka whakararuraruhia hoki tō hononga pakihiwi. I roto i te wā, ka taea e tēnei pēhanga tāpiri te pakaru me te pupuhi i ngā kiko ngawari (pērā i ngā uaua me ngā uaua) i roto i tō pakihiwi. Ka taea e ēnei kiko te mumura me te riri. I ētahi wā, ka puta hoki he kiko whara. Ka taea e tēnei pakaru te whakauaua i te nekeneke o tō hononga pakihiwi me te maeneene me te ngāwari.

E ai ki te ingoa, ko te kauhoe tētahi o ngā tino take o te "Pikiwi o te Kauhoe" . He pono rawa tēnei mēnā ka kauhoe whakataetae koe, ka kauhoe auau rānei hei whakangungu tinana. He huarahi pai te kauhoe hei whakapakari tinana, engari ka taea e ia te whakararu i ngā hononga o ō pakihiwi – inā koa mēnā kei te āta pēhi koe i a koe anō kia kaha ake ai tō kaha me tō tere.

Waihoki, ka taea tēnei te puta mai i tētahi mahi, i tētahi mahi rānei e whai wāhi ana ki ngā nekehanga o runga e auau ana. Hei tauira:

• Ngā kēmu e whiua ai te pōro (pēhiporo, kirikiti, poipapa)
• Ngā hākinakina raketi pērā i te tēnehi me te badminton
• Te hiki taumaha
• Te mahi kāmura (te patu, te kani)
• Te peita, te paninga pakitara
• Te tākaro i ētahi taonga puoro (hei tauira, te vaiorine)

Me pēhea te tātaritanga a ngā tākuta i te "Pikiwi o te Kauhoe"?

Ina haere koe ki te tākuta me te mamae o tō pakihiwi, ko te mea tuatahi ka mahia e ia ko te pātai atu ki a koe mō ō tohu. Kōrerotia atu te roa o te mamae, te wā ka kino haere, te momo mahi e uaua ai, me ērā atu mea anō.

Kātahi ka tirohia tō pakihiwi e te tākuta.

• Ka tirohia e rātou te whānuitanga o te nekehanga o tō pakihiwi.
• Ka whakamātautau i te kaha o ngā uaua pakihiwi.
• Ka taea hoki e koe te whakarite ki tētahi atu pakihiwi kāore he mamae.

Ngā whakamātautau mō te `(Te pakihiwi o te kauhoe)`

I ētahi wā, ka whakahau pea tō tākuta i ētahi whakamātautau whakaahua hei tirotiro i te āhua o ngā kiko i roto, i te taha hoki o tō hononga pakihiwi. Hei tauira:

• Ngā hihi-X o te pakihiwi: Ka taea e tēnei te tirotiro mō ngā raruraru o ngā wheua.
• Whakaahua Āhua Aukume (MRI): Ka kitea mārama te kino o ngā kiko ngohengohe o te pakihiwi, pērā i ngā uaua, ngā uaua, me te labrum.

He aha ngā maimoatanga mō te `(Swimmer's Shoulder)`?

Ka tohua e tō tākuta he maimoatanga hei āwhina i te whakaiti i tō mamae me te whakamamae i te pēhanga ki tō hononga pakihiwi. Ko te whāinga matua o te rongoā i te pakihiwi kauhoe he ārai i ngā kino atu ki te hononga me te whakahoki mai i te mahi noa o te pakihiwi. Ko ngā maimoatanga tino noa ko:

• Okiokinga: Me mutu ngā mahi ā-tinana e whakamahi ana i tō pakihiwi – inā koa ko te hākinakina, ko te mahi rānei i puta ai te mate. Mā tō tākuta koe e kī atu kia pēhea te roa me noho tawhiti atu koe i te whakakori tinana, i te mahi rānei. He mea tino nui tēnei. Ki te mau tonu te taumaha ki tō pakihiwi me te kore okiokinga, ka kino rawa atu pea te mate.
• Whakaora Tinana: Ka ako te kaiwhakaora tinana i ngā mahi whakakori tinana me ngā totoro tinana hei āwhina i a koe ki te whakapakari i tō pakihiwi me te whakapai ake i tō whānuitanga o te nekehanga. I te tīmatanga o te ora o tō pakihiwi, ka hoatu he mahi whakakori tinana ki a koe hei whakapakari i ngā uaua huri noa i tō pakihiwi. Ka taea hoki e tēnei te whakaiti i te mōrearea o te hokinga mai o tēnei whara.
• Hukapapa: Tāpirihia he putea hukapapa, he kakahu matao rānei ki tō pakihiwi. Kia maumahara ki te takai i te putea hukapapa ki roto i tētahi tauera angiangi kia kore ai e pā tika ki tō kiri. Mā tō tākuta koe e tohutohu mō te roa me te maha o ngā wā i te rā hei tāpiri i te hukapapa. Mā tēnei ka āwhina i te whakaiti i te pupuhi me te mamae.
• Ngā rongoā whakamamae: Ka taea e ngā rongoā ārai-mumura kore-steroidal (NSAID) (hei tauira, ibuprofen, naproxen) e hokona ana i ngā whare rongoā te āwhina ki te whakaiti i te mamae me te pupuhi. Heoi, kaua e tango tonu i ēnei rongoā mō ngā rā neke atu i te 10 me te kore he tohutohu hauora.
• Ngā corticosteroids:He rongoā ēnei i tohua e te tākuta hei whakaiti i te pupuhi. I ētahi wā, ka tukuna tika te werohanga cortisone ki roto i te hononga pakihiwi.
• Ngā Whakarerekētanga Ergonomic: Me whakarerekē pea koe i te huarahi e mahi ai koe i ētahi nekehanga, i ētahi mahi rānei. Mena he kaitākaro whakataetae koe, ka tūtohu pea tō tākuta, tō kaiako rānei kia whakarerekētia e koe tō tū, tō tūranga rānei i a koe e whakangungu ana, e whakataetae ana rānei. Hei tauira, mena he kauhoe koe, ka tūtohu pea rātou kia whakarerekētia e koe tō tikanga kauhoe.
• Pokanga Pakihiwi o te Kauhoe: Ki te kore ētahi atu maimoatanga e āwhina i ō tohumate, ka tūtohu pea tō tākuta kia pokangahia. Ka whakamāramahia e tō tākuta te momo pokanga e hiahiatia ana e koe, te roa o te wā e pau ana, me ngā mea hei tumanako atu ina ora koe. Heoi, he iti noa iho te hunga e haere ana ki te pokanga.

Ka taea te whakaora katoa i te pakihiwi o te kauhoe?

Pērā i ētahi mate pāwera, kāore e taea te "whakaora" i te pakihiwi o te kauhoe i te wā kotahi. Arā, kāore he rā mutunga kua whakaritea mō tēnei, pērā i te rongoā paturopi ka ora ake koe. Heoi, i te nuinga o te wā, he raruraru rangitahi noa iho tēnei .

Ka tīmata te nuinga o te tangata ki te pai ake i roto i ētahi wiki i muri i te tīmatanga o te maimoatanga. Ahakoa kua memeha haere ō tohu, kaua e kaukau, kaua e whakangungu, kaua hoki e hiki taumaha kia whakahaua rā anō koe e tō tākuta. Mā te mahi pēnā ka nui ake te tūponotanga o te whara anō.

Me pēhea tātou e tiaki ai i a tātou mai i te `(Pikiwi o te Kauhoe)`?

Ko te huarahi pai hei ārai i tēnei āhuatanga ko te karo i te whakamahi nui rawa i ō pakihiwi.

• Kati te whakangungu, te korikori tinana rānei ina pāngia koe e te mamae. Kaua rawa e whakaharatau, e takaro rānei i roto i te mamae.
• I mua i te mahi whakakori tinana, me whakamahana, me totoro hoki te tinana. Me whakamatao hoki i muri i te mahi whakakori tinana.
• Kia kaha tonu ngā uaua o tō poroporo me tō tuara. He pai te tautoko a ēnei i ō pakihiwi.
• Whakamahia ngā taputapu tika, haumaru hoki mō ngā hākinakina me ngā mahi ā-tinana katoa.
• Whāia he kai hauora me he mahere whakakori tinana e pai ana ki a koe.
• Me toro atu ki te tākuta ina kite koe i te mamae, i ētahi atu tohu rānei.

Kia maumahara: He mea nui kia whakamahia ngā tikanga tinana tika i te wā e takaro ana i ngā hākinakina, e whakakorikori tinana ana rānei. Me okioki hoki mēnā kua ngenge, kua taumaha rānei tō hononga pakihiwi.

Kia pēhea te roa o te wā e ora ai te `(Swimmer's Shoulder)`?

He rerekē te wā whakaora mō te pakihiwi kauhoe mō ia tangata. Kei te tere o te whakaora o tō pakihiwi me te nui o te kino, te pupuhi rānei i roto i te hononga.

E rua, e toru wiki pea te roa o te wā hei whakaora anō i a koe kia taea ai e koe te tīmata anō i te whakangungu.Engari ka roa pea te kotahi marama, neke atu rānei, kia tino ora ai te pakihiwi. Ko te mea nui ko te manawanui me te rongoā.

Me pēhea taku tiaki i ahau anō kia ora rā anō ahau?

Kaua e kaukau, kaua hoki e mahi i ētahi atu mahi ā-tinana kia tohutohu rā anō tō tākuta. Mā te pēhi i tō pakihiwi i mua i tōna oranga katoa ka nui ake te tūponotanga o te whara anō. Ka taea e tēnei te whakanui ake i te tūponotanga o ngā whara kino atu pērā i te haehae o te rotator cuff, te haehae rānei o te SLAP.

Āhea ahau me toro atu ki te tākuta?

Me toro atu ki te tākuta ina kite koe i ētahi tohu, pērā i te mamae o te pakihiwi, te pupuhi, te uaua rānei ki te neke. Ko te wawe o te tīmatanga o te maimoatanga, ka nui ake te tūponotanga o tō ora.

Āhea ahau me haere ki te rūma ohorere (ER)?

Ki te whara tō pakihiwi (trauma), kāore e taea te neke i tō pakihiwi, ki te whakaaro rānei kua motu te pakihiwi, haere tonu ki te rūma whawhati tata. Ki te mea kua motu te pakihiwi i mua, kaua e ngana ki te whakahoki ki a koe anō.

He aha ngā pātai me pātai atu e au ki te tākuta?

Ina haere koe ki te tākuta, ka taea e koe te pātai i ēnei pātai:

• He aha te momo mate `(Swimmer's Shoulder)` kei a au?
• Me mahi rānei e au ētahi whakamātautau?
• He aha te momo maimoatanga e hiahiatia ana e au?
• Me pokanga ahau?
• Kia pēhea te roa me whakatā atu ahau i te whakangungu, i te mahi rānei?

He mea nui te whara mō te kaitākaro. Ina koa kei te whakangungu koe i tō taumata tino pai, ā, ka whara koe. Ka taea e te pakihiwi kauhoe te tango i a koe mai i te whakangungu, i te mahi rānei mō ētahi wiki. Engari he pai te utu.

Hei whakamutunga, kia maumahara (Karere Tangohia ki te Kāinga)

Kaua e whakaroa i tō tukanga whakaora. Whakarongo ki tō tinana. Hoatu te wā katoa e hiahiatia ana e tō pakihiwi kia ora ai. He wā poto noa iho ngā whara pakihiwi. Heoi, me whai wā tō pakihiwi kia ora ai i mua i tō hokinga atu ki ō whakangungu me ō mahi. Ko te manawanui me te whai i ngā tohutohu hauora tika ngā huarahi pai ki te whakaora wawe. Tiakina tō pakihiwi. Nā te mea ko te tikanga o te pakihiwi hauora ka taea e koe te haere tonu i ō mahi o ia rā me te hākinakina e arohaina ana e koe me te kore he arai!

Mamae pakihiwi, pakihiwi kauhoe, pakihiwi kauhoe, whara pakihiwi, whara hākinakina, whakaora tinana, mahi whakakori pakihiwi