Kua pāngia koe e te mamae i roto i tō tuke i a koe e pōro ana, e tākaro poipapa ana, e hiki taumaha ana rānei? I ētahi wā, ka pāngia koe e tēnei mamae nui ina hinga koe, ka pā ki tō ringa, ina pā rānei tō tuke ki tētahi wāhi. I te nuinga o te wā, ka puta tēnei i te pakaru o te Ulnar Collateral Ligament (UCL) i roto i tō tuke. He whitiki kiko kaha tēnei e āwhina ana ki te pupuri i te hononga o tō tuke kia pumau, kia tika hoki. He rite ki te whitiki rapa, engari he totoro, engari he kaha.

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He aha rawa tēnei (UCL)? He aha tāna mahi i roto i te tuke?

He whakarāpopototanga noa iho, ko te UCL he whitiki kiko kaha kei roto i tō tuke, i te taha o tō tinana. Hei whakamārama, he hononga. He whitiki kaha te hononga e hono ana i ngā wheua. Ko tana mahi matua he pupuri i te pumau o tō hononga tuke ina whiua e koe tetahi mea ki runga, hei tauira, ina whiua e koe he pōro kirikiti, ina tākaro poipapa rānei. Ka ārai hoki i tō tuke kei huri whakamuri, whakamuri koretake.

Titiro mai, e toru ngā wheua o tō tātou hononga tuke. Ko te wheua nui o tō ringa o runga, e kiia ana ko te (Humerus), me ngā wheua e rua o tō ringa o raro, arā, te wāhanga i raro i te tuke – ko te (Ulna) me te (Radius). Kei roto i te tuke tēnei (UCL), arā, kei te taha kei reira tō maihao iti. E toru anō hoki ōna wāhanga – he (anterior band), he (posterior band) me te (transverse band). Ko te mea nui o ēnei e toru ko te anterior band . Mā tēnei ka āwhina i te pupuri i te tuke kia mau tonu.

Me pēhea te whakarōpūtanga o ngā whara (UCL)?

Ko ngā whara o tēnei hononga "UCL", arā, ko ngā "whē" e kīia nei e tātou, e toru ngā nekehanga matua. Ka whakarōpūtia tēnei whakarōpūtanga i runga i te nui o te whara.

Taumata 1: He totoro tēnei ki te hononga, engari ehara i te haehae. Tērā pea ka mamae, ka pupuhi hoki.
Tau 2: Kua totoro te hononga, ā, tera pea kua pakaru tetahi wāhanga . He kaha ake te mamae, ā, tera pea ka ahua koretake te tuke.
Tau 3: Koinei te take tino kino. I konei ka pakaru katoa te hononga . I ētahi wā ka motu atu i te wheua.

He aha ngā tohu o te whara UCL?

Ka rerekē anō hoki ngā tohu i runga i te kaha o te mate.

Ngā tohu o tētahi mate iti, mate pāwera rānei:

Te mamae o roto o te tuke, me te ahua mamae ina mirimiri koe i tō ringa. Ina koa i muri i te mahi i tētahi mea e hiki ai tō ringa, pērā i muri i tētahi whakataetae kirikiti.
Te mamae ina nekehia te ringa ki mua i te tere (hei tauira, te whiu pōro).
E ngoikore ana te tuke, e kore e ranea, ā, kāore i te rawaka te kaha.
He ngoikore te ngākau ina pupuri ana koe i tētahi mea i roto i tō ringa, me te mea nei kāore e taea te pupuri, me te mea nei rānei kei te whakataka koe i te taonga.
Kāore e taea te whiu i tetahi mea kia tere, kia kaha rānei pērā i mua.

Ngā tohu ina pakaru rawa te hononga:

He mamae ohorere i te taha o roto o te tuke me te tangi "pahū" , me te mea kua pahū tetahi mea.
Mamae tino kino.
Te kore e taea te maka atu i tetahi mea.
I ētahi wā, ka pāngia koe e te ngoikore, te kore rānei e rongo i tō maihao iti, tō maihao mowhiti rānei. Ko te tikanga tēnei kua pakaru, kua kōpiri rānei tō io ulnar.

He aha ngā take o ngā whara o te UCL?

E rua ngā take matua e puta ai ēnei whara (UCL). Ko tētahi he taumahatanga tonu ki te tuke (e kiia ana e mātou ko te (Overuse)), ā, ko tētahi he aituā ohorere (Trauma).

Ngā whara nui rawa

Koinei te take e puta ai ngā whara o te UCL. Mā ngā nekehanga o runga ake, pērā i te poipapa a te kaitākaro kirikiti, te poipapa rānei a te kaitākaro poipapa, ka pēhi i tēnei hononga. I roto i ngā marama, i ngā tau rānei, ka totoro haere te UCL, ka whara, ka puta he roimata iti (ngā roimata iti). I te mutunga, ka wetekina, ka koretake te hononga o te tuke. Ka pupuhi pea te hononga, ka haehae katoa, ka motu rānei tetahi pito o te hononga i te wheua.

Ngā whara whara

Kāore ēnei e puta mai i te whakamahinga roa. Ka puta pea i te pānga ohorere ki te tuke, pērā i te hinganga. Hei tauira, ka hinga koe, ka totoro atu ō ringa, ka hopu i te whenua, me te whakaaro "kia mutu te hinganga." Kātahi ka "wehewehea" te tuke, arā, kua whati te hononga, kua "whati" rānei te wheua. I ngā wā pēnei, he nui te tūponotanga ka pakaru hoki te "UCL".

Ka kore rānei e taea e koe te whakamahi i tō ringa i te whara o te UCL?

I te nuinga o te wā, kāore he pānga nui o te whara UCL ki ō mahi o ia rā, pērā i te hiki i te putea, te hiki rānei i ngā taonga kāore e uru ki te whiu. Heoi, kāore pea koe e taea te whai wāhi ki ngā hākinakina whiu, ki ētahi atu mahi hiki taumaha rānei e hiahia ana kia hiki ake tō ringa.

Me pēhea te tautuhi tika i te whara o te UCL?

Ina kite koe i tētahi tākuta, he tohunga wheua, he tohunga rongoā hākinakina rānei, ka pātai atu ia ki a koe mō tō hītori hauora me ngā hākinakina katoa e takarohia ana e koe. Kātahi ka tirotirohia e rātou tō tinana.

I tēnei whakamātautau,

Ko te tawhiti e taea ai e koe te piko me te totoro i tō tuke e kiia ana ko te "whānui o te nekehanga".
Ka whakamātauria te kaha o te tuke.
Ka tirotiro i te pumau o te tuke.
Ka tirohia te āhua o ngā uaua o te ringa.
Tērā pea ka tirohia e rātou te pakihiwi hoki.
Ka pātai hoki rātou kei hea tonu te mamae.

Hei tāpiri, ka taea e te tākuta te whakarite i ngā whakamātautau pēnei i:

Whakamātautau ahotea Valgus:He whakamātautau tinana tēnei. Ka hiki ake te tākuta i tō ringaringa kia 30 nekehanga, ka whakanoho i ōna maihao ki te wāhi kei reira tō UCL, ka pēhi i te taha o roto o tō tuke me te taha o waho o tō ringaringa. Ki te mamae koe me te wetekina o te hononga tuke, ka ara ake te whakapae kei whara te UCL.
Ngā Matawai CT (Tomography Rorohiko - CT) me ngā hihi-X: Ka taea e ēnei whakamātautau whakaahua te tirotiro i te āhua o ngā wheua, pērā i ngā whati ahotea. Heoi, kāore e taea te kite tika i ngā kiko ngohengohe pērā i te UCL.
Matawai MRI (Whakaahua Āhua-Mateke - MRI): Ka taea e tēnei te kite mārama i ngā pakaru o ngā kiko ngohengohe pērā i ngā uaua me ngā hononga. Ka taea hoki e ia te kite i ngā whati wheua iti e kore e kitea i ngā hihi-X.
Arthrogram: He rite tēnei ki te matawai MRI, engari ka werohia he tae motuhake ki roto i te hononga tuke i mua i te matawai. Mā tēnei ka mārama ake ngā whakaahua o ngā raruraru uaua ki te kitea.

Me pēhea te rongoā i te whara (UCL)?

Ko te maimoatanga e whakawhirinaki ana ki te kaha o tō whara UCL me te nui o te mahi i runga ake i te papa, te whiu rānei e tumanakohia ana e koe. Mena he iti noa te pakaru o te UCL, tera pea ka ora ake. Ka taea e ngā maimoatanga kore-pokanga te āwhina ki te whakaiti i te mamae.

Ngā maimoatanga kore-pokanga:

Okiokinga: Koinei te mea tino nui. Me okioki koe i ngā mahi e whakararuraru ana i ō tuke mō tētahi wā.
Ngā rongoā anti-mumura kore-steroidal (NSAID): Hei tauira, ko te ibuprofen (Advil®, Motrin®) me te naproxen (Aleve®). Ka whakaitihia e ēnei te pupuhi me te mamae. Mena e tika ana, ka taea e koe te tiki i tētahi NSAID kaha ake e taunakitia ana e tō tākuta.
Hukapapa: Tāpirihia te hukapapa ki tō tuke mō te 15-20 meneti, kia maha ngā wā i te rā. Mā tēnei ka whakaiti i te mamae me te pupuhi.
Whakaora tinana: Me whai mahi whakakori tinana motuhake hei whakapakari i ngā uaua huri noa i te tuke. Mā tēnei ka nui ake te tautoko e tukuna ana ki te tuke.
Werohanga Plasma Whai-Platelet (PRP): Ko te tango i tētahi wāhanga iti o tō ake toto ka wehea tētahi momo pūtau e kiia nei ko ngā platelets. Kātahi ka werohia ēnei platelets ki te wāhi o te UCL kua pakaru. He āhuatanga whakaora ēnei platelets, nō reira he mea āwhina mō te hunga kua pakaru te UCL.

Ngā maimoatanga pokanga:

Te whakatikatika tika i te UCL: Mena kua motuhia tō hononga UCL mai i te wheua i roto i tētahi aituā ohorere, tera pea ka taea te hono anō ki te wheua.
Te hanga anō i te UCL (pokanga Tommy John)Mena he kore pumau tō UCL, he pakaru katoa rānei, ā, kāore ngā maimoatanga kore-pokanga e whakaora i te mamae, ki te mea rānei he kaitākaro koe, ā, kei te takaro tonu i ngā hākinakina whiu, i ngā hākinakina o runga, i te hiki taumaha rānei, ka tūtohu pinepine tō tākuta i te pokanga hanga anō i te UCL.

I tēnei tikanga, ka tangohia e te taote pokanga he uaua mai i tētahi atu wāhanga o tō tinana (hei tauira, tō waewae, tō ringa) he uaua rānei mai i tētahi kaituku ka tāpirihia ki ngā wheua ulna me te humerus o tō tuke hei hanga i tētahi UCL hou. I ētahi wā, ka honoa te toenga o te UCL tawhito ki te hononga hou hei whakapakari.

Ko ngā whāinga matua o te pokanga he whakahoki mai i te pumau me te whānuitanga o te nekehanga o te tuke, he whakanui ake i te kaha o te tuke, me te whakamamae i te mamae.

He aha i huaina ai tēnei pokanga hanga-anō (UCL) ko (Tommy John Surgery)?

He kōrero tino whakamere tēnei. I tapaina tēnei pokanga i muri i te tangata tuatahi i mahi i tēnei. He kaitākaro rongonui a Tommy John nō te Major League Baseball i haehae tōna hononga (UCL) i te tau 1974. I mutu ia i te kēmu mō te tau kotahi, engari ko ia te kaitākaro tuatahi i mahi i tēnei pokanga, ā, i hoki angitu ki te pēihipora. Nō reira i tapaina ai te pokanga i muri i a ia hei whakahonore i a ia.

Ko ēhea ngā uaua e whakamahia whānuitia ana mō te hanga anō i te UCL?

Ko tētahi o ēnei uaua e whakamahia ana mō te whakapiri:

He uaua kei muri o te huha (tendon hamstring)
Ko te uaua i tō ringaringa o raro e kiia nei ko te "Palmaris longus tendon" (kāore tēnei e pā ki te katoa)
He uaua e āwhina ana ki te hiki ake i te māhunga nui o te māhunga (te uaua toro o te māhunga nui)

He aha ngā raruraru o te pokanga hanga anō o te UCL?

Pērā i ngā mahi pokanga katoa, kei reira ngā mōrearea o te mate me ngā raruraru e pā ana ki te rongoā whakamoe.

Hei tāpiritanga, kei reira ngā raruraru e pā ana ki te hanga anō o te UCL:

Tērā pea ka tōia, ka haehae rānei te hononga hou. Mēnā ka tupu tēnei, me mahi anō he pokanga hei whakauru i tētahi hononga hou.
Te whara o te io ulnar. Nā te mea ka puta tēnei io mā te hononga tuke, me neke pea te io ki mua o te hononga tuke e te taote pokanga hei ārai i ētahi atu whara.

Me pēhea te whakaiti i te mōrearea o te whara UCL?

Mā te whakarite tika, te ako i ngā tikanga tika mō te tuke, me te okioki ina pāngia koe e te mamae, te kore rānei e pai i roto i tō tuke ka āwhina i te ārai i ngā whara o te UCL.

Ina koa ko ngā kaitākaro:

Whiwhi whakangungu tika: Akohia te whiu tika me te whakamahi i tō ringaringa.
Te rohenga o te maha o ngā pōro: Kaua e whiua he maha rawa ngā pōro i te wā kotahi.
Okioki tika: Hoatu he wā ki ō uaua me ō hononga kia ora ai.
Whakangungu totoro me te whakapakari tinana: Ka whakapakari ēnei i ngā uaua huri noa i te tuke.
Āta karohia te whiu taha: Ka nui ake te pēhanga ki runga i te tuke.

Kia pēhea te roa o te wā e ora ai i te whara o te UCL?

Ka rerekē anō hoki tēnei i runga i te kaha o te mate me te tikanga maimoatanga.

Kāore he pokanga:

Mena he pakaru UCL tōu, ka roa pea te wā e ora ai, mai i ētahi wiki ki ētahi marama. Ka whakawhirinaki tēnei wā ki te nui o te nekehanga e hiahia ana koe kia hoki mai i roto i tō tuke.

I muri i te pokanga hanga anō (UCL):

E iwa marama ki te tau, neke atu rānei, te roa o te wā e ora ai. Me mau pea koe i tētahi whitiki motuhake hei āwhina i te whakanui ake i te whānuitanga o te nekehanga o tō tuke. Ki te whakaaro koe ki te hoki ki ngā hākinakina kaha, me whai koe i tētahi kaupapa whakaora tinana me te whakahaere mamae e hāngai ana ki a koe. Mā tēnei ka āwhina i te whakapakari i tō tuke me te whakapai ake i tō whānuitanga o te nekehanga me te mahi.

Me pēhea tātou e āwhina ai ki te tiaki i ngā kaitākaro kura mai i ngā whara i puta mai i te whakamahinga roa pēnei?

Anei ētahi mea ka taea e koe te mahi hei tiaki i ngā kaitākaro taitamariki mai i ngā whara nui rawa:

Me tirotiro hauora i mua i te tīmatanga o te wā hākinakina: Ka āwhina tēnei ki te tautuhi wawe i ngā raruraru hauora ka arahi pea ki ngā whara roa.
Akohia te tikanga whiu tika: He mea nui kia ako tika mai i te kaiako.
Whakapūmautia he rohe mō te maha o ngā pōro e whiua ana i roto i te kēmu kotahi.
Whakauru atu ki tētahi kaupapa whakapakari tinana puta noa i te tau: Me uru atu ki tēnei ngā mahi totoro me ngā mahi whakapakari tinana.
Kia tino mahi koe i ngā mahi whakamahana me ngā mahi whakamatao i mua atu, i muri mai hoki i ngā mahi hākinakina.
Kaua rawa e tākaro, e whakangungu rānei mēnā kei te whara koe, kei te mamae rānei.
Kaua e takaro i te hākinakina kotahi i te tau katoa: Whakatenatenahia ngā kaitākaro taitamariki kia okioki i ētahi wā. Mā tēnei ka okioki ngā uaua, ngā uaua me ngā hononga e whakamahia ana i te ara kotahi.

He aha te (Te Tuke o te Rīki Iti)?

He āhuatanga tēnei e pā ana ki ngā tuke o ngā tamariki nohinohi, inā koa ngā tamariki kura. He mate tēnei o ngā pereti tipu. Ko ngā pereti tipu ngā wāhanga o ngā wheua e hanga ana i te hononga tuke. Nā te mea kei te tipu tonu ngā wheua o ngā tamariki nohinohi, he ngoikore ake ēnei pereti tipu i ētahi atu wāhanga o te wheua, ngā hononga, me ngā uaua. Ko te taumahatanga nui i te wā e whiua ana ka tae ki tēnei wāhi ngoikore, arā, te pereti tipu. Ka taea e tēnei taumahatanga te kino i ngā kiko me ngā wheua o ngā kaitākaro taitamariki ina whiua tonutia. Mena ka amuamu tō kaitākaro taitamariki mō te mamae o te tuke, kia tirohia e te tākuta, e te taote wheua, e te tohunga rongoā hākinakina rānei.

Hei whakamutunga, ngā mea hei maumahara

Ko te whara o te Ulnar Collateral Ligament (UCL) he whara kei roto i te tuke. Ko te nuinga o te wā ka puta mai i te whakamahinga roa. Ahakoa e kitea whānuitia ana i roto i ngā kaitākaro pēihipora, ka taea te pā ki te hunga katoa e hiki ana i ngā taumaha me ō rātou ringa e ara ake ana. Ko ngā tohu matua ko te mamae o te tuke me te ngawari ina pāngia te ringa. Ka pāngia pea ētahi tāngata e te mamae "pāwhiri" ohorere i roto i te tuke.

Mena ehara koe i te kaitākaro, kāore rānei koe e hiki taumaha ana, ka ora pea tō tuke mā te whakamahi i ngā maimoatanga māmā pēnei i te okioki, te hukapapa, te rongoā, me te whakaora tinana. Heoi, ko ngā whara kino ake me ngā kaitākaro ka hiahia pea ki te pokanga, pēnei i te Pokanga Tommy John. I runga i te kaha o tō whara me te nui o te mahi e hiahia ana koe ki te mahi, ka taea e koe me tō tākuta te whakatau i te huarahi maimoatanga pai rawa atu. Nō reira, ki te mamae tō tuke, he mea nui kia rapu tohutohu hauora me te kore e warewarehia.

Mamae tuke, whara UCL, pokanga Tommy John, whara hākinakina, pakaru hononga, pokanga tuke, whakaora tinana