He kaitākaro kirikiti koe, he kaitā tao, he kaitākaro tēnehi rānei? Kāti, kāore pea koe e manukanuka ki te mamae o te tuke, tika? I ētahi wā ko te tino take o tēnei mamae ko te pakaru o te hononga kaha i roto i te tuke. Ko te wā tēnei e puta ai te 'pokanga Tommy John' e whakarerekē ana i te heke mai o te tini o ngā kaitākaro. Me kōrero tātou mō tēnei i roto i ngā kupu māmā, mai i A ki Z.
He aha te pokanga Tommy John?
Ko te pokanga Tommy John he pokanga e whakatika ana i te hononga i roto i tō tuke e kiia nei ko te Ulnar Collateral Ligament (UCL) . E kiia ana hoki ko te pokanga 'UCL'.
Whakaarohia te UCL hei here rapa kaha e pupuri ana i te hononga o te tuke. Ina whakamahia tonutia e tātou tō tātou tuke i te ara kotahi, ina koa i te wā e pōro tere ana, e whiu tao ana rānei, ka pakaru pea tēnei hononga. Ka kitea whānuitia tēnei āhuatanga i roto i:
- Pōro
- Pōro-uwhiuwhi
- Tao
- Whutupaoro (ina koa ko ngā kaitākaro e whiu ana i te pōro)
- Mō te hunga e tākaro ana i te tēnehi me ngā hākinakina raketi rite.
Mena he kaitākaro whakangahau koe, i te nuinga o te wā, ka taea te whakaora i tēnei whara mā te okioki me te maimoatanga māmā. Heoi, ki te mea he kaitākaro ngaio koe, arā, kei roto koe i tēnei hākinakina katoa, ka mutu pea tēnei whara i tō umanga tākaro. Koinei te wā me mahi koe i te pokanga 'UCL' hei whakaora i tō umanga tākaro.
I tēnei pokanga, ka tangohia e tō tākuta tētahi uaua hauora mai i tētahi atu wāhanga o tō tinana (mai i tō ringaringa, i muri rānei i tō turi) ka whakamahia hei hanga anō i te hononga kua pakaru i roto i tō tuke. Ko te uaua e tangohia ana i tēnei ara ka kiia he 'tāpiri' . I ētahi wā, ki te kore e taea te tiki i tētahi mai i tō ake tinana, ka whakamahia pea he uaua mai i tētahi kaituku. Ka piri tēnei uaua hou ki te wheua ringa o runga (humerus) me te wheua ringa o raro (ulna) o tō tuke, ka mahi pērā i te hononga 'UCL' hou.
I muri i tēnei pokanga:
- Kei te tau tō tuke.
- Kei te heke te mamae.
- Kua whakahokia mai te whānuitanga o te nekehanga o te ringa.
I ētahi wā, hei utu mō te maka katoa, ka whakaurua he taputapu motuhake e kiia nei ko te 'taura tautoko ā-roto' ki roto i te tuke hei whakapakari i te maka.
He aha i huaina ai ko 'Tommy John'? He aha te kōrero kei muri?
He kōrero tino whakamere tēnei. I tapaina tēnei pokanga i muri i a Tommy John, he kaitākaro pēihipora rongonui o Amerika. He kaiwhiu pōro pūkenga ia. I te tau 1974, i pakaru katoa tōna hononga UCL i tōna tuke. I taua wā, ko te mutunga o tana mahi hākinakina nā taua whara.
Heoi, i whakamātau ngā tākuta i tētahi pokanga hou hei whakatika i tōna tuke. Whai muri i te pokanga, i ngaro ia i te wā katoa o te tau 1975. Engari i miharo te katoa i tana hokinga mai ki te papa tākaro i te tau 1976, ā, i pai ake tana tākaro i mua. Nā tana hokinga mai angitu, kua tapaina te pokanga `UCL` ko te `pokanga Tommy John`.
Me pēhea te whakarite i mua i te pokanga?
Mā tō taote pokanga wheua e whakamārama tika me pēhea te whakarite mō te pokanga. Ko te tikanga, me mahi e koe ēnei e whai ake nei:
- He whakamātautau tinana katoa: Me whakarite kei te pai tō hauora hei mahi pokanga.
- Ngā whakamātautau toto: Akohia ngā mahi taketake o te tinana me te tūnga o te mate pāwera.
- Ngā whakamātautau whakaahua: Tērā pea ka tonoa he matawai X-ray , he matawai CT , he matawai MRI rānei kia kitea ai te kino o tō tuke.
- E.C.G. (Electrocardiogram): Tirohia mēnā kei te tika te mahi a tō ngākau.
- Te tirotiro niho: Ārai i te horapa o ngā mate pāwera o te waha i roto i te toto, me te pā ki te wāhi i pokanga ai i muri i te pokanga.
He mea tino nui kia kōrero koe ki tō tākuta mō ngā rongoā, ngā huaora, ngā rongoā otaota rānei e tangohia ana e koe. Tērā pea me mutu te tango i ētahi rongoā (ina koa ko ērā e whakaiti ana i te toto totoka) i ētahi rā i mua i te pokanga.
Mā tō tākuta koe e tohutohu mō te roa o te wā me mutu te kai me te inu i te rā i mua i te pokanga. I te nuinga o te wā, me mutu te kai me te inu i ngā haora 12 i mua i te pokanga.
He aha tonu te mea e tupu ana i te wā o te pokanga?
I mua i te tīmatanga o te pokanga, ka hoatu e te tohunga whakamoe te rongoā whakamoe whānui ki a koe. Ko te tikanga ka moe katoa koe. Nō reira, kāore koe e mamae i te wā e pokangahia ana.
Ko te tikanga, ka whai i ēnei mahi te pokanga:
1. Te tirotiro i te hononga o te waewae: I ētahi wā ka whakamahia e te tākuta he kāmera iti hei tirotiro i roto i te hononga o te tuke. Ka kiia tēnei he tirotiro i te hononga o te waewae . Ka taea e tēnei te āwhina i te tautuhi me te rongoā i ētahi atu whara o roto i te wā e whakatika ana i te hononga.
2. Te Kohi i te Hononga: Mena e hiahiatia ana he hononga, ka tangohia e te tākuta he wahi uaua e 6-7 inihi te roa mai i tētahi atu wāhanga o tō tinana (mai i te ringaringa, i muri rānei i te turi).
3. Te tango i ngā kiko pakaru: Ka horoia, ka tangohia hoki ngā hononga kua pakaru, kua haehae, me ētahi atu kiko kāore e hiahiatia i roto i te tuke.
4.Te wero wheua: Muri iho, ka pokaia kia rua ngā kōhao ki te wheua ulna, ā, ka pokaia kia toru ngā kōhao ki te wheua humerus, he rite te āhua ki te "Y".
5. Te whakauru i te hononga hou: Ka tukuna te uaua i tangohia i mua (tāpiri) mā roto i ēnei kōhao, ka whakapūmautia hei hononga hou. I ētahi wā ka tāpirihia ki ngā wheua mā te whakamahi i ngā tīwiri iti hei whakapakari ake.
6. Te whakatika i ētahi atu pakaru: Mena kua pakaru ngā io o te tuke (io ulnar), he raruraru rānei kei reira, ka whakatikahia hoki i te wā o tēnei pokanga.
7. Te tuitui i ngā tapahi: Hei whakamutunga, ka tuituia ngā tapahi i mahia ki te kiri ki ngā tuitui. Kātahi ka hipokina ki tētahi takai ma, ā, ka whakatakotoria he whitiki mārō hei ārai i te ringa.
E tata ana ki te haora me te hawhe te roa o tēnei pokanga, engari ka rerekē pea tēnei wā i runga i te nui o te kino o te hononga me te mea he raruraru anō kei reira.
He aha ngā painga me ngā mōrearea o tēnei pokanga?
Pērā i ngā pokanga katoa, he pai, he mōrearea hoki ō te pokanga Tommy John.
| Ngā Painga | Ngā Tūponotanga |
|---|---|
| He tokomaha ngā kaitākaro ka taea te hoki angitu ki te kēmu. | Te mate urutā i te wāhi i pokangahia. |
| Tērā pea ka ngaro te mamae i te wā e pōro ana, e whiu ana rānei, ā, ka piki ake te manawanui. | Ka pakaru te io o te ringa, o te tuke rānei, ka pā te ngoikore. |
| I muri i te pokanga angitu, he iti rawa te tūponotanga kia pokangahia anō te hononga kotahi. | Te kino ki ngā oko toto. |
| He tino teitei te ōrau angitu (i waenga i te 80% - 95%). | Ka wetekina, ka memeha rānei te uaua hou i whakatōkia (te hononga) i roto i te wā. |
He aha te roa o te wā whakaora i muri i te pokanga?
Koinei te wāhanga tino uaua, tino nui hoki o te haerenga. Tērā pea ka roa atu i te tau te roa hei whakaora katoa i te pokanga Tommy John, hei hoki anō ki ngā hākinakina whakataetae. He haerenga tēnei e hiahia ana ki te manawanui. Me whai tika koe i ngā tohutohu a tō tākuta me tō kaiwhakaora tinana.
Tērā pea ka rite te āhua o tō kaupapa whakaora ki tēnei:
| Wā | He aha te mea e tupu ana, ā, he aha hoki ngā mea e tika ana kia mahia |
|---|---|
| Ngā wiki tuatahi | Me mau he whitiki mārō kia kore ai e neke tō ringa. Kāore e taea e koe te neke i tō tuke. |
| I waenganui i te 1-2 marama | Ka tangohia te tautoko mārō, ka whakatakotoria he whitiki hono kia taea ai te piko o te tuke. Ka tīmata te maimoatanga whakaora tinana i tēnei wā. |
| I waenganui i te 3-4 marama | Ka aroturukihia tō whakaoranga e te tākuta, ā, ki te pai ngā mea katoa, ka whakaaetia pea koe ki te tīmata ki te mahi i ngā mahi māmā rawa, pērā i te whiu pōro. Engari me te tohutohu a te tākuta anake. |
| I waenganui i te 6-9 marama | Ka taea e koe te whai wāhi ki ngā whakangungu iti, engari me karo tonu koe i ētahi mahi whakakori tinana me ngā tikanga whakangungu. |
| I waenganui i te 12-18 marama | Mena ka oti te tukanga whakaora me te kore he raruraru, ka whakaaetia koe e tō tākuta kia hoki ki te whakataetae wā-katoa. Tērā pea ka rerekē tēnei wā i runga i te tere whakaora o tō tinana me te hākinakina. |
Kia maumahara, ko te manawanui te mea nui i tēnei haerenga. Mā te tere, te kore e whai tika i ngā tohutohu, me te kore e whai tika i ngā tohutohu ka arahi pea ki ētahi atu whara, ki te nui ake o ngā pokanga, me te roa ake o te wā e matara atu ai koe i ngā hākinakina.
Āhea koe me toro atu ki te tākuta tonu?
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te hokinga ki te kāinga i te pokanga, waea atu ki tō tākuta tonu atu , haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
- Mamae o te uma
- Te uaua ki te manawa
- Kirika (neke atu i te 39°C)
- Te toto nui mai i te wāhi pokanga
- Ngā tohu o te mate i te wāhi i pokangahia (hei tauira, te pupuhi, te pupuhi nui, te haunga, te whero, te mahana rānei)
- He mamae hou, he mamae kino rānei i te tuke, i te ringa, i ngā maihao rānei
- He nui te mamae e kore e taea te whakahaere ahakoa ngā rongoā whakamamae kua hoatu ki a koe.
He pokanga whakamiharo te pokanga Tommy John e hoatu ana ki ngā kaitākaro ngaio he whai wāhitanga tuarua. Engari ko tōna angitu e 90% e whakawhirinaki ana ki te manawanui me te whakapau kaha ki te tukanga whakaora i muri i te pokanga.
Karere Tangohia ki te Kāinga
- He tino angitu te pokanga Tommy John, inā koa mō ngā kaitākaro kua pakaru te hononga UCL i te taha o roto o te tuke.
- Neke atu i te tau te roa o te ora ake i tēnei pokanga, ā, he mea nui te whakaora tinana o te tūroro i taua wā.
- Me whakamōhio tonu atu ki tō tākuta mō ngā tohu rerekē (mamae nui, kirika, pupuhi) e puta ana i muri i te pokanga.
- Mā te whai tonu i ngā tohutohu a te tākuta me te kaiwhakaora tinana, ka taea e te tini o te tangata te hoki angitu ki te papa tākaro.
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