He kaitākaro hākinakina koe e takaro ana i te kirikiti, te poipapa, te whiu tao rānei? Tērā pea kua mōhio koe ki te mamae e puta mai ana i roto i tō tuke. He tino noa tēnei whara i roto i ngā hākinakina e whiua ana tetahi mea ki tō ringa. I ētahi wā ka tino kino tēnei mamae ka mutu pea tō umanga hākinakina. I tēnei rā kei te kōrero tātou mō tētahi pokanga motuhake e haere mai ana hei whakaora i aua wā, ā, kua whakaora i te heke mai o te tini o ngā kaitākaro. Ko te "pokanga Tommy John" tēnā.
He aha te tikanga o te pokanga Tommy John?
He tino māmā noa iho. Ko te pokanga Tommy John he pokanga e whakatika ana i tētahi hononga motuhake i roto i tō tuke. I roto i te rongoā, ka kiia tēnei pokanga he pokanga whakakapinga UCL (Ulnar Collateral Ligament).
Whakaarohia tō hononga tuke hei hononga tatau. He whitiki kei ngā taha e rua o tēnei hononga hei pupuri i a ia ki tōna tūranga me te kore e neke haere noa, tika? Waihoki, he whitiki kaha kei roto o te tuke hei pupuri i te hononga tuke kia pumau, e kiia nei e tātou ko te `(Ulnar Collateral Ligament)` `(UCL)` rānei.
Waihoki, ina whiua he mea me te pēhanga nui ki te ringa i ngā wā katoa (ina koa ko ngā kaiwhiu tere i te kirikiti, ngā kaitākaro pēhipōro, ngā kaiwhiu tao), ka taea e tēnei hononga `(UCL)` te totoro haere, te haehae me te pakaru. Ka mahia tēnei pokanga hei whakatika i taua hononga kua pakaru.
Nā te aha i huaina ai tēnei ko 'Tommy John'?
He kōrero tino whakamere kei muri i tēnei. I ahu mai te ingoa o tēnei pokanga i te kaitākaro pēihi rongonui o Amerika, ko Tommy John tōna ingoa. He kaiwhiu pōro ia. I te tau 1974, i tino haehaetia tēnei hononga "UCL" i tōna tuke. I taua wā, he mea pea i mutu ai tana mahi tākaro. Engari i whakahaerehia e ngā tākuta tētahi pokanga hou, ā, i whakaorangia tōna tuke. Whai muri i te tau o te okiokinga, ka tīmata anō a Tommy John ki te tākaro angitu. Mai i taua wā, kua mōhiotia tēnei pokanga ko te "pokanga Tommy John".
Me tino hiahiatia tēnei pokanga?
He raruraru tēnei e pā ana ki te tini tāngata. Mena he kaitākaro whakangahau noa iho koe, tera pea ka taea e koe te whakaora i tēnei mate mā te whakangāwari i tō tuke me ētahi atu maimoatanga.
Heoi, ki te mea he kaitākaro whakataetae, he kaitākaro ngaio rānei koe, ā, ko tōna pūkenga whiu katoa e whakawhirinaki ana ki tēnei pūkenga whiu, tera pea he mea nui tēnei pokanga māu. Ko ngā mea matua e tumanakohia ana mai i tēnei pokanga ko:
- Te whakau i tō tuke.
- Te whakaiti i te mamae.
- Te whakaora i te whānuitanga o te nekehanga i roto i te tuke.
I te wā o te pokanga, ka whakamahia e tō taote pokanga he uaua hauora mai i tētahi atu wāhi o tō tinana hei whakakapi i te UCL kua pakaru. Ka kiia tēnei he tānga. Ka tāpirihia tēnei tānga ki te wheua ringa o runga (humerus) me te wheua ringaringa (ulna) hei mahi pērā i te UCL hou.
Me pēhea te whakarite i mua i te pokanga?
Mā tō tākuta e whakamārama ngā mea katoa e tika ana kia mahia e koe i mua i te pokanga. I te nuinga o te wā, me mahi e koe ēnei e whai ake nei:
- He whakamātautau tinana katoa hei tirotiro mēnā kei te pai tō hauora mō te pokanga.
- He maha ngā whakamātautau toto .
- Tērā pea e hiahiatia he whakamātautau whakaahua, pērā i te hihi-X , te matawai CT , te matawai MRI rānei , hei aromatawai mārama i te āhua o te tuke.
- He whakamātautau ECG hei tirotiro i te mahi a te ngākau.
- He tirotiro niho hei whakaiti i te mōrearea o te mate i muri i te pokanga.
He mea tino nui: Kia tino kōrero ki tō tākuta mō ngā rongoā, ngā huaora , ngā rongoā otaota rānei e tangohia ana e koe. Me mutu pea te tango i ētahi rongoā 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 tō pokanga. I te nuinga o te wā, me mutu te kai me te inu i te 12 hāora i mua i tō pokanga.
He aha ngā mea ka tupu i te wā o te pokanga?
I mua i te tīmatanga o te pokanga, ka tukuna koe e te tohunga whakamoe ki raro i te rongoā whakamoe whānui kia kore ai koe e mamae i te wā e pokangahia ana.
Ko te tikanga ka mahia te pokanga i roto i ēnei taahiraa:
1. Te tirotiro i roto i te tuke: Tuatahi, ka taea e te taote pokanga te whakauru i tētahi kāmera iti (arthroscopy) hei tirotiro mō ētahi atu kino i roto i te tuke.
2. Te Whiwhi i te Hononga: Hei hanga i te hononga hou, ka tangohia he wahi uaua hauora e 6-7 inihi te roa mai i tētahi atu wāhi o tō tinana. I te nuinga o te wā ka tangohia tēnei mai i tō ringaringa. I ētahi wā, ka taea hoki te tango i te uaua o muri o tō turi .
3.Te horoi: Ka tangohia ngā kiko pakaru katoa o roto i te tuke.
4. Te whakarite wheua: Muri iho, ka pokaia kia rua ngā kōhao ki te wheua o te ringaringa (ulna) ā, ka pokaia kia toru ngā kōhao ki te wāhanga āhua-Y o te wheua o te ringaringa o runga (humerus).
5. Te whakauru i tētahi hononga hou: Ka tukuna te "whakapiri" uaua i tangohia i mua mā roto i ēnei kōhao, ā, ka whakapūmautia hei hononga hou. Ka taea te whakamahi i ngā tīwiri iti hei whakau ki te wheua.
6. Ētahi atu whakatikatika: Mena kua pakaru te io ulnar, ētahi atu wāhanga rānei o te tuke i tēnei wā, ka whakatikatikaina hoki.
7. Te mutunga o te pokanga: Hei whakamutunga, ka tuia te patunga kiri, ka hipokina ki te takai ma. I muri i te pokanga, ka whakatakotoria he whitiki hei aukati i te nekehanga o te tuke.
Ko te roanga o tēnei pokanga he 60 ki te 90 meneti te roa.
He aha ngā painga me ngā mōrearea o te pokanga?
Pērā i ngā pokanga katoa, he pai ngā painga me ngā mōrearea o te pokanga Tommy John.
| Ngā Painga | Ngā Tūponotanga |
|---|---|
| Ko te kaha o te nuinga o ngā kaitākaro (80%-95%) ki te hoki angitu ki te tākaro. | Te mate urutā i te wāhi i pokangahia. |
| Ka taea te whakapai ake i te manawanui i te wā e whiua ana tetahi mea. | Te ngenge nā te pakaru o ngā io i te tuke (io ulnar). |
| He tino iti te tūponotanga kia pokangahia anō te hononga kotahi. | Te kino ki ngā oko toto. |
| Te wetewete, te pakaru rānei o te uaua hou kua whakanohoia (te hononga). |
Kei te pēhea te whakaoranga i muri i te pokanga?
Kia maumahara, ka roa pea te wā e ora katoa ai i te pokanga Tommy John. He haerenga roa tēnei e hiahia ana ki te manawanui.
Mā tō tākuta me tō kaiwhakaora tinana koe e hoatu he mahere whakaora e tika ana māu. Tērā pea ka pēnei te āhua:
| Te rohe wā | He aha te mea e tupu ana? |
|---|---|
| Ngā wiki tuatahi | Me mau he whitiki mārō hei ārai i tō tuke. |
| I waenganui i te 1-2 marama | Huri ki te whitiki whakapiri. Ka tīmata ngā mahi whakaora tinana. |
| I waenganui i te 3-4 marama | Ki te whakaaetia koe e tō tākuta, ka taea e koe te tīmata ki te whakaharatau i te whiu mā te ngāwari. |
| I waenganui i te 6-9 marama | Ka taea e koe te whai wāhi atu ki ngā whakangungu me ngā here. He mea tino nui kia tika te whai i ngā tohutohu. |
| I waenganui i te 12-18 marama | Ki te kore he raruraru, ka whiwhi koe i te whakaaetanga hauora hei whakauru katoa ki te whakataetae. |
Āhea te wā e kite ai i te tākuta
Mena ka pāngia koe e tētahi o ēnei tohu i muri i te pokanga, me waea atu tonu koe ki tō tākuta .
- Mamae o te uma
- Te uaua ki te manawa
- Te kirika neke atu i te 39 Celsius (102 Fahrenheit)
- Ngā tohu o te mate pērā i te toto , te wai rite ki te pupuhi mai i te patunga pokanga, te pupuhi, te haunga kino, me te ahua mahana rerekē.
- He mamae hou, he mamae kino rānei i te tuke, i te ringa, i te ringaringa rānei.
- He tino kaha te mamae, kāore e taea te whakahaere ahakoa ngā rongoā whakamamae.
Kia maumahara, ki te mamae tō uma, ki te uaua rānei te manawa, haere tonu ki te Tari Ohotata (ETU) o te hōhipera tata. He tohu pea ēnei o tētahi mate kino.
Ko te pokanga Tommy John te otinga tino angitu mō te whara i mutu ai te hākinakina i ngā wā o mua. Ahakoa he roa te wā whakaora, mā te manawanui me te whai i ngā tohutohu a tō tākuta, ka taea e koe te hoki angitu ki te papa tākaro. Ki te hohoro koe ki te tīmata whakangungu i mua i te whakaaetanga a tō tākuta, me mahi pea koe i ētahi atu pokanga, ā, me roa ake te wā e wehe atu ai koe i ngā hākinakina. Nō reira, ko te manawanui te mea nui i konei.
Karere Tangohia ki te Kāinga
- He tino angitu te pokanga Tommy John e whakatika ana i ngā pakaru o te hononga collateral (UCL) i te taha o roto o te tuke.
- He mea nui rawa tēnei mō ngā kaitākaro ngaio e tākaro ana i ngā hākinakina whiu pēnei i te kirikiti me te pēhipōro.
- Neke atu i te kotahi tau pea ka tino ora ai i muri i te pokanga, ā, he mea nui te manawanui me te whakapau kaha.
- Ko te whai i ngā tohutohu a tō tākuta me tō kaiwhakaora tinana te huarahi pai rawa atu ki te hoki angitu ki ngā hākinakina.
- Kaua e warewarehia ngā tohu whakatūpato pēnei i te mamae o te uma, te uaua ki te manawa, me te kirika nui i muri i te pokanga. Rapua he tohutohu hauora tonu.
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