Whakaarohia kua takahurihuri tō pona waewae i a koe e heke ana i te arawhata, e takaro hākinakina ana, e hikoi ana rānei i te huarahi. Nā tēnā, ka pāngia koe e te mamae e kore e taea te pehi, ā, kāore e taea e koe te whakatakoto i tō waewae ki raro. Ko te mea tino kino ka pā mai i tēnei wā ko te whati o te pona waewae. Heoi, he uaua ake te 'Whāwhati Trimalleolar', ā, me aro nui atu. Nō reira, i tēnei rā, me kōrero ngāwari tātou mō tēnei mea, i roto i te huarahi e mārama ai koe.
He aha te tikanga o tēnei whati Trimalleolar?
Ahakoa te ahua uaua o tēnei ingoa, he tino māmā noa iho te tikanga. Ko te tikanga o te kupu Trimalleolar ko 'toru'. Ko te tikanga tēnei ka whati ngā wheua matua e toru e hanga ana i tō hononga pona i te wā kotahi.
Ka hangaia ō tātou pona waewae mā te hononga o ngā pito o ngā wheua e rua o te waewae o raro. Me titiro tātou ki ēnei mea.
- Tibia: Koinei te wheua nui, kaha o tō waewae o raro. I tōna pito o raro, e rua ngā wāhanga e hanga ana i te hononga pona waewae.
- Malleolus Medial: Koinei te pupuhi wheua ka taea e koe te rongo i roto i tō pona waewae.
- Malleolus o muri: Koinei te wāhanga kei muri o te wheua pona waewae.
- Fibula: Koinei te wheua angiangi e rere whakarara ana ki te fibula, i te taha taha.
- Malleolus Lateral: Koinei te pupuhi wheua i waho o tō pona ka taea e koe te hopu ki tō ringa.
Nō reira, i roto i te 'Whāwhati Trimalleolar', ka whati katoa ēnei wāhanga e toru - te malleolus medial, te malleolus lateral, me te malleolus posterior. He rite ki tētahi anga e tautoko ana i te waewae whati i ngā taha e toru i te wā kotahi.
He whara kino tēnei?
Ae, he whara kino rawa atu tēnei, he whara uaua rawa atu i te whara o te pona waewae. Kaua e manukanuka, ki te tika te rongoā, ka taea te whakaora katoa. He maha ngā take e kino ai tēnei:
- Me mahi pokanga pea: He maha ngā wā ka hiahiatia he pokanga hei whakatika i tēnei momo whati.
- Te wā whakaora: Nā te mea me ora ngā wheua e toru, tērā pea kāore e taea e koe te whakatakoto i tō waewae ki raro mō ētahi marama. Ko te tikanga ka uaua ki te mahi i ngā mahi o ia rā, te haere ki te mahi, me te taraiwa.
- Te kino ki ngā kiko e karapoti ana: Ina whati te wheua, ka pakaru hoki ngā hononga me ngā uaua e karapoti ana, ka roa ake ai te wā whakaora.
- Te tūponotanga o te pāngia e te mate rumatiki: He nui te tūponotanga ka pāngia taua hononga pona e te mate rumatiki ā muri ake nei.
- Te toitoi: Ahakoa kua ora katoa, ka toitoi pea ētahi tāngata ina hikoi mō tētahi wā.
He aha te take o tēnei momo wehenga?
He maha ngā take matua mō tēnei āhuatanga. Me titiro tātou ki ērā.
| Take | Whakaahuatanga |
|---|---|
| Ngā Hinga | Tērā pea nā te tūtukitanga, te paheke, te hinganga rānei i te teitei. |
| Ngā aituā waka | Te pānga kino ki te pona i ngā aituā motuka, motopaika rānei. |
| Ngā aituā hākinakina | I ngā huringa ohorere o te ahunga, i ngā hinganga rānei i roto i ngā hākinakina pēnei i te whutupaoro, te whutupōro me te poitūkohu. |
| Te hurihuri o te pona waewae | Te piko ohorere, te takahuri rānei i te pona waewae ki roto, ki waho rānei. |
He aha te rerekētanga i waenga i ngā whati Trimalleolar me ngā whati Bimalleolar?
Kua rongo pea koe i te kōrero mō te 'Bimalleolar Fracture'. He māmā noa te rerekētanga i waenganui i ngā mea e rua.
- Whati Bimalleolar: I tēnei, ko ngā wheua e rua anake i ia taha o te pona waewae (te 'medial' me te 'lateral malleolus') ka whati.
- Whati Trimalleolar: I tēnei wā, hei tāpiri atu ki ngā hononga e rua, kua whati hoki te taha o muri o te wheua pona waewae (te 'posterior malleolus'). Ko te tikanga tēnei e toru ngā whati.
He aha ngā tohu?
Ina puta he wehenga pēnei, ka tīmata tonu koe ki te rongo i ēnei tohu.
- Mamae ohorere e kore e taea te manawanui.
- Te kore e taea te tuku i te waewae ki raro, te hikoi rānei i runga i taua waewae.
- Te pupuhi i te pona waewae (tērā pea he pupuhi nui).
- He maru, he kikorangi te āhua huri noa i te pona waewae.
- I ētahi wā ka kitea te rerekētanga o te āhua tae noa ki te wāhi e kitea ai ngā wahi o te wheua.
Ki te pā mai ēnei tohu ki a koe, ko te mea pai ko te rapu tohutohu hauora tonu, me te kore e nekehia tō waewae. Ki te taea, haere ki te Tari Ohotata (ETU) o te hōhipera tata.
Me pēhea te rongoā a te tākuta i tēnei?
Ina haere koe ki te hōhipera, ka hoatu tuatahitia e te tākuta he rongoā mamae ki a koe. Kātahi ka tangohia e ia he hihi-X hei whakaū i te whati me te kite i te kino o te whati. Tērā pea me whai matawai CT, MRI rānei koe kia mārama ake ai te āhua.
He maha ngā wā e hiahiatia ana te pokanga hei rongoā mō tēnei momo whati. Ko te ingoa o tēnei tikanga ko te Open Reduction Internal Fixation (ORIF).
He aha te pokanga ORIF?
Ko te tikanga tēnei:
1. Whakaiti Tuwhera: Ka tapahia e te taote pokanga te kiri, ka whakaaturia ngā kongakonga wheua whati, ka whakaritea anō ki ō rātou tūranga tika.
2. Te Whakapiri ā-Roto: Kātahi ka whakapirihia ngā kongakonga wheua ki roto mā te whakamahi i ngā pereti whakarewa, ngā tīwiri, ngā waea rānei hei ārai i a rātou kei neke anō.
I muri i tēnei pokanga, me mau he maka, he whitiki motuhake rānei ki tō waewae kia ora rā anō te wheua.
Te wā whakaora me ngā mea hei mōhio
Koinei te wā tino uaua mō te tini o te tangata, nā te mea e hiahia ana te manawanui me te wā.
Āhea ahau ka taea te hikoi i muri i te pokanga?
I te nuinga o te wā, kāore tō tākuta e whakaae kia whakatakotoria e koe te taumaha ki runga i tō waewae whara, kia takoto rānei ki te whenua mō te iti rawa o te 6 wiki i muri i te pokanga. He mea tika tēnei kia ora ai ngā wheua. Whai muri i tēnā, ka taea e koe te tīmata haere mārire me te taumaha ki runga i tō waewae me te āwhina a te kaiwhakaora tinana.
Ka taea e au te hoki ki te mahi?
Ka rerekē tēnei i runga i te mahi e mahia ana e koe.
- Me pupuri tonu te waewae kia teitei, i ngā wiki tuatahi e rua i muri i te pokanga.
- Tērā pea he uaua te hikoi mō te ono wiki pea, nō reira he raruraru pea te haere ki te tari, me te hoki mai i reira.
- Nā te mea kei te tango koe i ngā rongoā whakamamae, he uaua pea i ētahi wā ki te arotahi ki te mahi.
Nō reira, he mea pai kia kōrero ki tō tākuta, kia tīmata ai te whakakorikori tinana i te wā e pai ana ki a koe.
Āhea koe ka taea ai te taraiwa?
Ka roa pea tēnei mahi mō ētahi marama . Kāore e taea e koe te taraiwa i te wā e mau ana te riu. Ahakoa kua tangohia, me tatari koe kia hoki mai te kaha me te mana whakahaere o tō pona waewae. Ki te tere rawa koe i te taraiwa, tera pea ka pāngia anō koe e tētahi atu aituā.
Ina hiahia koe ki te toro atu ki te tākuta i te wā tere
I a koe e ora ana, ki te puta mai tētahi o ngā tohu e whai ake nei ki a koe, me whakamōhio tonu atu ki tō tākuta, me haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
- Mena kei te pāngia koe e te kirika, e te makariri rānei.
- Mena kei te maringi mai he wai rite ki te pulu i te patunga pokanga.
- Mena he whero te wāhi huri noa i te patunga, he pupuhi, ā, he mamae rawa ki te pā atu.
- Ki te whakaaro koe kua hinga anō koe, ā, kua whara tō waewae.
He tohu pea ēnei o te mate urutā, nō reira he mea nui kia rapu wawe i te rongoā.
Karere Tangohia ki te Kāinga
- He mate kino te whati Trimalleolar e whati ai ngā wheua e toru o te pona waewae.
- He maha ngā wā ka hiahiatia he pokanga ORIF hei maimoatanga mō tēnei.
- E hia ngā marama e ora ai, ā, i taua wā he mea tino nui kia manawanui, kia whai hoki i ngā tohutohu a te tākuta.
- He wāhanga nui o te tukanga whakaora te whakaora tinana. Kaua e mahue.
- Ki te pōuri koe, ki te manukanuka rānei i a koe e ora ana, kōrero atu ki tō tākuta mō tēnā. He mea noa tēnei, ā, ka taea e koe te rapu āwhina mōna.
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