Ka pāngia koe e te mamae nui i roto i tō tuke, pakihiwi, rekereke rānei i ētahi wā? Tērā pea ka piki ake tēnei mamae i te wā e takaro ana, e hiki ana rānei i ngā mea taumaha. Tērā pea he raruraru kei tētahi o ō uaua te take. Nō reira, i tēnei rā kei te kōrero tātou mō tētahi tikanga maimoatanga motuhake mō tēnei momo mate. Ka kiia tēnei ko te tenotomi.
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He aha te Tenotomy?
I roto i ngā kupu māmā, he tikanga te tenotomi hei rongoā i te mamae o te uaua (he wahi kiko kaha e hono ana i te uaua ki te wheua) i roto i tō tinana. I roto i tēnei tikanga, ka whakamahia pea e tō tākuta he ngira hei wero i te ngira mā roto i tō kiri hei rongoā i te uaua kua pakaru. Mēnā rānei, ka tapahia pea tō kiri, ka tangohia mā te pokanga tetahi wahi o te uaua kua pakaru.
Ahakoa ka taea te mahi i tēnei maimoatanga ki tētahi uaua o te tinana, ko te nuinga o te wā ka mahia ki ēnei wāhi:
- Ko te uaua e hono ana i tō uaua biceps ki tō pakihiwi.
- Te uaua i roto i te tuke.
- Ngā uaua i roto i ngā waewae me ngā pona.
Te Rerekētanga i waenga i te Tenotomi me te Tenodesis
E whakamahia ana ēnei tikanga e rua hei rongoā i ngā mate o te uaua biceps. Engari he rerekētanga kei waenganui i ngā mea e rua. Whakaarohia he raruraru tō te uaua biceps i tō pakihiwi.
| Tikanga maimoatanga | Me pēhea te mahi |
|---|---|
| Tenotomi | I tēnei tikanga, ka tapahia, ka wehea hoki e te taote te uaua o te biceps hei whakaiti i te mamae. Ina oti tēnei, ka neke paku te uaua o te biceps ki raro i te ringa. Tērā pea ka puta he panoni iti ki te āhua o te ringa. |
| Tenodesis | I tēnei tikanga, ka tapahia e te tākuta te uaua mai i te pakihiwi ka tāpirihia anō ki tētahi kōhao hou i te wheua o runga o te ringa (pumerus). Kāore tēnei e whakarerekē i te āhua o te ringa. |
Ko tehea tikanga tika māu, kei te nui o tō kaha ki te mahi, te tere o tō hiahia ki te ora, me te hiahia hoki kia rerekē te āhua o tō ringa i muri i te pokanga.He mea pai kia kōrerohia tēnei ki tō tākuta, kātahi ka whakatau.
He aha ngā āhuatanga e rongoatia ana e te tenotomi?
E whakamahia ana tēnei maimoatanga mō ngā momo āhuatanga e pā ana ki ngā uaua o te tinana. Ko ngā take e tino kitea ana ko:
- Te mamae o te uaua o te biceps
- Te mamae o te pokohiwi (te whakapūngao i roto i te uaua o te pakihiwi)
- Tuke tēnehi, tuke korowha rānei
- Te mamae o te waewae (plantar fasciitis)
- Ngā āhua rerekē o te waewae whānau, pērā i te waewae karapu
- Ngā mātiti waewae - he āhuatanga e pā ana ki ngā mātiti waewae
- Mamae turi (Patellar tendinitis - Runner's turi)
- Ngā whara o te uaua Achilles
He aha tāu e mahi ai i mua i te tenotomi?
Ko te tikanga, ka tūtohu te tākuta i te tenotomi mēnā kāore i angitu ētahi atu maimoatanga. I mua i te mahi i tēnā, ka tohutohu rātou kia whakamātau koe i ēnei maimoatanga kore-pokanga:
- Okiokinga: Whakaokia te uaua mā te karo i ngā hākinakina me ngā mahi e mamae ai.
- Hukapapa me ngā rongoā whakamamae mamae: Tāpirihia he hukapapa hei whakaiti i te mamae me te pupuhi, ā, tangohia ngā rongoā whakamamae mamae (NSAID) e ai ki te whakahau a tō tākuta.
- Whakaora tinana: Ngā mahi whakakori tinana hei whakapakari me te whakapiki i te ngāwari o ngā uaua huri noa i te uaua kua whara.
- Werohanga corticosteroid: He momo werohanga e hoatu ana hei whakaiti i te mumura.
Ki te kore ēnei mea katoa e whakaiti i tō mamae, ka kōrero tō tākuta ki a koe mō te maimoatanga tenotomi hei taahiraa e whai ake nei.
Me pēhea te whakahaere i te maimoatanga tenotomy?
E rua ngā huarahi matua mō tēnei maimoatanga. Ko te tikanga e hiahiatia ana e koe ka whakawhirinaki ki te kino o tō uaua.
| Tikanga maimoatanga | Whakaahuatanga |
|---|---|
| Tikanga ngira (Tenotomi ngira percutaneous) | Ko te tikanga o tēnei ko te whakangāwari i te wāhi mā te rongoā whakangāwari ā-rohe, me te wero i te ngira mā roto i te kiri ki roto i te uaua. I ētahi wā ka whakamahia he matawai ultrasound hei ārahi i te ngira ki te wāhi e haere ana. Mā te mahi i ngā poka iti ki roto i te uaua i tēnei ara, ka whakaohohia te tukanga whakaora ā-taiao o te tinana. Ko te tikanga o tēnei ka piki ake te rere o te toto ki te wāhi, ka āwhina i te uaua ki te whakaora i a ia anō . |
| Tenotomi tuwhera | He pokanga iti tēnei. Tērā pea ka whakamoea koe, ka whakangāwaritia rānei. Ka tapahia e te taote pokanga he wahi iti ki tō kiri, ka tangohia te uaua, ka tapahia kia wehea. Kia wetekina te uaua i tēnei ara, ka ngaro katoa te mamae. |
He aha ngā mōrearea o tēnei maimoatanga?
He tikanga haumaru te tenotomi, engari, pērā i ngā tikanga hauora katoa, he iti noa ngā mōrearea.
- Te kōpiripiri: Whai muri i tēnei maimoatanga, inā koa mō te uaua o te biceps, tera pea ka pāngia koe e te kōpiripiri i te rohe. Heoi, kāore tēnei e pā ki te katoa. Ka memeha haere tēnei mamae i roto i te wā.
- Kiko mākū: Mena ka puta he kiko mākū huri noa i te uaua i mahia ai te pokanga, ka mamae pea.
- Te hokinga mai o ngā tohumate: Mō ētahi tāngata, ka hoki mai pea ngā tohumate ahakoa kua maha ngā tau. He nui rawa atu tēnei mōrearea mēnā ka mahi tonu koe, ka tākaro rānei i ngā hākinakina e taumaha ai te uaua.
Ko te mea nui, kāore ēnei mōrearea e pā ki te katoa, engari he mea nui kia mōhio ki ēnei mōrearea.
Kia pēhea te roa o te wā e ora ai?
I muri i te maimoatanga, me karo koe i te whakamahi i te uaua i ngā wā katoa e taea ana. Ka rerekē te roa o te whakaoranga i runga i te momo maimoatanga i whiwhi koe me te wāhi o te uaua. Ma tō tākuta tēnei e whakamārama taipitopito ki a koe.
He tokomaha te hunga kāore e kaha ki te mahi i ngā mahi whakakori tinana uaua mō ngā marama maha. Me kōrero ki tō tākuta i mua i te tīmatanga anō i ngā mahi whakakori tinana.
Āhea koe me toro atu ki te tākuta?
Tirohia te tākuta mēnā kei a koe ēnei tohu:
- He mamae kāore e memeha ahakoa i muri i ētahi rā, engari ka kino haere, ka kino haere.
- He pupuhi.
- Te rerekētanga o te kiri.
- Mena he uaua, he mamae rānei te neke i tētahi wāhanga o te tinana.
Mena kua pāngia koe e tētahi aituā, kāore rānei e taea e koe te neke i tētahi wāhanga o te tinana ka taea e koe te neke noa, haere tonu ki te Tari Ohotata (ETU) o te hōhipera.
He tikanga tenotomi ka taea te rongoā angitu i ngā raruraru maha e pā ana ki ngā uaua. He maimoatanga haumaru, he tere hoki. Mena he rite tonu tō raruraru, kaua e mangere ki te kōrero ki te tākuta me te tiki i te tohutohu tika.
Karere Tangohia ki te Kāinga
- Ko te tenotomi he maimoatanga mō te mamae o te uaua mau tonu kāore i pai ake i ētahi atu maimoatanga, pērā i te okiokinga me te whakaora tinana.
- E rua ngā huarahi matua e mahia ai tēnei: mā te ngira (ma te kiri) me te pokanga iti (tuwhera).
- Ahakoa he maimoatanga tino haumaru, tino whai hua hoki tēnei i te nuinga o te wā, kia maumahara kei reira ētahi mōrearea iti.
- He mea nui te okiokinga hei whakaora i muri i te maimoatanga. He mea tino nui kia ata whai i ngā tohutohu a tō tākuta.
- Mena he roa te mamae o te uaua, kaua e warewarehia, engari me rapu tohutohu hauora.
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