Whakaarohia kei te eke koe i tētahi waka wira-toru i runga i te rori. Kātahi ka puta mai tētahi waka ki mua, ā, ka pēhi te taraiwa i ngā parai. Kātahi ka anga whakamua tō mahunga, kātahi ka hoki whakamuri anō. Kāore koe e rongo i tetahi mea i taua wā, engari i tō oho ake i te ata i muri mai, kāore e taea te huri i tō kaki, he tino mamae. Kua pāngia koe e tētahi wheako pēnei? He maha ngā wā, ka pā kino tēnei ohorere ki ngā uaua, ki ngā uaua, me ngā wheua o te kaki, e mōhiotia ana i roto i te rongoā ko te 'whiplash'.
He aha te Whiplash?
He whara te whiu whiu e puta ana ina nekehia ohoreretia tō kaki (i roto i ngā kupu hauora, e kiia ana tēnei ko te "tuarā o te kaki") me te tuara o runga. He rite tonu ki te whara o te kaki.
Hei mārama ki te āhua o tēnei, me tango he tauira iti. Ina kei roto koe i tētahi motuka e neke ana, ā, ka pēhi ohorere koe i te parai, ka whiua tō tinana ki mua, tika? Waihoki, ina tere ohorere koe i tētahi motuka kua mutu, ka pēhia tō tinana ki te nohoanga, ka hoki whakamuri. I roto i te ahupūngao, ka kiia tēnei he inertia. Pērā i tō tinana, kei roto hoki tō roro i tō mahunga. Mēnā ka pāngia koe e te pānga ohorere, ka mahi tō kaki hei 'ārai ru' mō tō mahunga, ka whakaiti i te kino o tō roro.
Engari i roto i te whara whiu, he tere rawa te pānga, ā, ka rerekē te tere o te nekehanga o tō mahunga, o tō kaki, me ētahi atu wāhanga o tō tinana. Ka pēhia e tēnei he uaua, he hononga, me ngā tuaiwi o tō kaki. Ko te kaha ake o te pānga, ko te nui ake o te kino ka puta. Engari he mea miharo, ahakoa he iti noa te pānga ka taea te whakaputa i te whiu kino . Kei te rangahauhia tonutia te take. I ngā wā kino rawa atu, ka whati pea ngā tuaiwi o tō kaki, ka pakaru te taurakira me ngā io. Koia te take e tino aro nui ai ngā tākuta ki tēnei mēnā he mamae tō kaki i muri i te aituā.
Ko wai te mea tino pāngia e tēnei āhuatanga?
Ka pā te whiu whiu ki te tangata katoa, ahakoa te pakeke, engari e rua ngā rōpū e nui ake te mōrearea ki ngā pānga kino, mō te wā roa rānei.
1. Ngā kaumātua (neke atu i te 65 tau te pakeke): I a rātou e pakeke haere ana, ka ngoikore haere ō rātou uaua me ō rātou wheua, ā, ka ngāwari ake rātou ki te pāngia e tetahi momo whara.
2. Ngā Wahine: Kua kitea e ngā rangahau he nui ake te tūponotanga ka pāngia ngā wāhine e te whiu whiu i roto i ngā aituā motuka. Tērā pea he maha ngā take mō tēnei.
- Teitei: Nā te mea he poto ake ngā wāhine i ngā tāne, kāore pea te here o te pane i roto i te nohoanga motuka e tau pai ki ō rātou pane.
- Te hanganga o te tuaiwi:He rerekē te tawhiti me te hanganga o ngā tuaiwi o te tuaiwi o ngā wāhine i ērā o ngā tāne.
- Uaua: Ko te tikanga he iti ake te papatipu uaua o ngā wāhine, nō reira kāore e taea e rātou te ngongo i te kaha o te pānga ohorere.
- Te hoahoa waka: Nā te mea he maha ngā waka i hangaia kia ōrite ki te rahi tinana toharite o ngā tāne, kāore pea ngā āhuatanga haumaru e tino whai hua mō ngā wāhine.
He aha ngā tohu o te whiu whiu?
Ko ngā tohumate o te whiu whiu ka whakawhirinaki ki te kaha o te whara. He mea nui kia maumahara ahakoa ka puta mai ētahi tohumate i muri tonu i te aituā, ko ētahi ka roa pea i roto i te 12 hāora, i te rā, i ētahi rā rānei ka puta. Koia te mea nui kia aro nui koe ki tō tinana mō ētahi rā i muri i te aituā.
He whakarōpūtanga kei reira mō te kaha o tēnei mate. Ko te 'Whakarōpūtanga o Quebec' te ingoa. Me titiro tātou ki ngā wāhanga me ngā tohu e pā ana ki aua āhuatanga.
| Tau | Ngā tohu me te whakaahuatanga |
|---|---|
| Wāhanga 0 | Kāore he mamae, kāore hoki he tohu o te whara. |
| Wāhanga 1 | He mamae anake. Tērā pea ka pāngia koe e te mārō ina nekehia tō kaki, ā, ka pāngia hoki koe e te ngawari ina pā atu koe. |
| Wāhanga 2 | Haunga te mamae, kei reira anō ngā tohu ā-tinana o te whara. Hei tauira:
|
| Wāhanga 3 | I tēnei wā , ka puta ngā tohumate io . Ko te tikanga o tēnei ka pēhia ngā io e te pupuhi i puta mai i te whara.
|
| Wāhanga 4 | Koinei te wāhanga tino kino, tino morearea hoki . Ka tino kaha haere ngā tohu kua whakahuatia i runga ake nei, inā koa ngā tohu pūnaha io. E tohu ana tēnei kua whati pea tētahi tuaiwi i te kaki, kua nekehia rānei, ka pēhi i te taurakira. He āhuatanga tēnei e hiahia ana kia rongoatia wawetia. |
He aha ngā take o te whiu whiu?
Ka pā te whiu whiu i ngā wā katoa ka huri ohorere koe i te tere, i te ahunga rānei. Ko ngā tino take ko:
- Ngā aituā motuka: Ko ngā tukinga o muri te tino take.
- Ngā hākinakina pā: I roto i ngā hākinakina pēnei i te whutupōro, te whutupaoro, me te hoki.
- Te eke i ngā mea pēnei i ngā roera koti i roto i ngā papa whakangahau.
- Ngā paheke, ngā hinganga ngāwari: I ētahi wā, ahakoa te hinganga noa, ka pāngia koe e te whiu, i runga i te āhua o tō hinganga.
Me pēhea te tautuhi tika a te tākuta i te whiu?
Ka tātaritatia te Whiplash e te tākuta i muri i te whakakorenga i ētahi atu mate kino. Arā, ka tirohia tuatahitia e te tākuta mēnā he mea morearea, pērā i te whati o te wheua kaki, te whara rānei o te taurakira. I muri i te whakaūnga kāore he mea pērā, ka kiia tēnei ko te Whiplash.
Hei mahi i tēnei, ka pātai atu te tākuta ki a koe mō te āhua o te aituā me ō tohumate. Hei tāpiri, ka whakahaerehia e ia he whakamātautau tinana me te whakamātautau io. Mena e tika ana, ka taea hoki te tono i ēnei whakamātautau e whai ake nei:
- Ngā hihi-X
- Matawai CT (Tomography Rorohiko - matawai CT)
- Ngā matawai MRI (Whakaahua Āhua Aukume - ngā matawai MRI)
He aha ngā maimoatanga mō tēnei?
Kāore he "rongoa" tika mō te whiu whiu. Ko te whāinga matua o te maimoatanga he whakahaere i ngā tohu me te tautoko i te tinana kia ora ai ia. He maha ngā kōwhiringa maimoatanga.
Te whakaiti i te nekehanga o te kaki (Te whakaū i te nekehanga)
Ki te whakapae koe kei whara tō kaki, tō tuara rānei i muri i tētahi aituā, ko te mea tuatahi ka mahia e ngā ratonga ohorere ko te whakatakoto i tētahi kara kaki (kara-C rānei) hei ārai i tō kaki. Mā tēnei ka whakaitihia te taumaha o tō mahunga ki runga i ngā uaua o tō kaki, ā, ka ārai i ngā whara atu ki tō tuaiwi.
Ngā rongoā
He maha ngā momo rongoā e whakamahia ana hei whakahaere i te mamae me ētahi atu tohumate.
- Ngā rongoā whakamamae mamae: Ka taea te hoatu i ngā rongoā whakamamae mamae noa pēnei i te paracetamol me ngā NSAID (hei tauira, ibuprofen, naproxen). Mena he tino mamae, ka hoatu pea e ngā tākuta ngā rongoā kaha pēnei i ngā opioids mō te wā poto, me te tino tupato.
- Ngā rongoā ārai-mumura: Ka āwhina ēnei ki te whakaiti i te pupuhi.
- Ngā rongoā whakangāwari uaua: Ka whakaiti i te mamae nui e puta mai ana i ngā uaua e pupuhi ana, ā, ka taea te whakaora i ngā uaua.
- Ngā aukati io: Mō te mamae nui, roa hoki, ka whakamahia tēnei maimoatanga hei aukati i ngā tohu mamae kei tae atu ki te roro.
Te whakamahi i te makariri me te wera
Mā te paninga i tētahi mea makariri, pērā i te hukapapa, ki te wāhi whara mō ngā rā tuatahi e 7-10, ka āwhina i te whakaiti i te pupuhi me te mumura. Whai muri i tēnā, mā te paninga i tētahi kete wera māmā ka taea te whakanui ake i te rere o te toto ki te wāhi whara, me te tere ake i te tukanga whakaora.
Te whakakori tinana, te whakaora tinana rānei
I muri i te ora o te whara, ka taea e ngā mahi whakakori tinana i raro i te arataki a te kaiwhakaora tinana te whakapakari i ngā uaua o te kaki me te whakahoki mai i te awhe nekehanga o te kaki.
Ētahi atu maimoatanga motuhake
Ka whakamahia hoki ngā maimoatanga pēnei i te Transcutaneous Electrical Nerve Stimulation (TENS) (e pā ana ki te hiko ngawari ki te kiri) me te Radiofrequency Nerve Ablation (e whakamahi ana i te wera hei aukati i ngā tohu mamae) mō te mamae mau tonu. He tino onge, ka hiahiatia he pokanga mēnā kua whati te tuaiwi i te kaki, kua haehae rānei te hononga.
Āhea te wā pai ki te toro atu ki te tākuta?
Ki te ngaro tō mārama i te wā e whara ana koe i te whiu, ki te pāngia rānei koe e ngā tohu mate io (pōuri, ngoikore, ngoikore, uaua ki te horomi), kaua rawa e noho ko koe anake ki te kāinga. He tohu pea ēnei o te whara roro, o te whara roro rānei, nō reira rapua tonutia he awhina hauora.
Ka mārama ake koe ki tēnei mai i te ripanga i raro nei.
| Whai wāhitanga | Me aha? |
|---|---|
| Āhea te wā e kite ai koe i tō tākuta |
|
| Āhea te wā tika ki te haere ki te ETU (Emergency Treatment Unit) tonu atu? |
|
He aha tā tātou e taea ai te whakaiti i te mōrearea o te whiu whiu?
Ahakoa kāore e taea te ārai katoa i tēnei mea nā te mea ka puta ohorere mai, he maha ngā mea ka taea e tātou te mahi hei whakaiti i te mōrearea.
- Whakatikatikahia te nohoanga o te waka me te urunga o te pane kia tika: Whakatikatikahia te teitei o te urunga o te pane kia pai te uru ki waenganui o te tuara o tō upoko.
- Kia tika te mau i te whitiki nohoanga: Mauria te whitiki nohoanga ki runga i ō pakihiwi, kia piri tonu ki tō tinana.
- Taraiwa haumaru: Kia mau ki te tawhiti haumaru mai i te waka kei mua i a koe, ā, karohia te pēhi ohorere, te pēhi kaha.
- Ki te kite koe kei te tata te tukinga: Ki te kite koe kei te tata te tukinga a tetahi waka i muri i a koe, kia tika tō mahunga, ā, kia okioki ki te okiokinga o te mahunga ki te taea.
- Kia haumaru i te wā e tākaro ana: Whāia ngā ture, ā, karohia ngā tukinga morearea i te wā e tākaro ana i ngā hākinakina e uru ana ngā tukinga.
Mō te nuinga o te tangata, ka ora ake te mamae whiplash i roto i ētahi rā, wiki rānei. Heoi, mō ētahi tāngata, ka roa pea te mamae mō ngā marama, tae noa ki ngā tau. Nō reira, ki te pāngia koe e te mamae kaki i muri i tētahi aituā, kaua e warewaretia. Kaua e mangere ki te rapu tohutohu hauora mēnā e tika ana.
Karere Tangohia ki te Kāinga
- He whara tūturu te whiu whiplash ki te kaki i puta mai i te oho ohorere, ehara i te mea noa.
- Kāore pea ngā tohu e puta tonu mai i muri i te aituā, engari ka puta pea i muri i ngā hāora, i ngā rā rānei. Nō reira kia tūpato.
- Ahakoa ka taea te whakahaere i te mamae iti i te kāinga, ki te kaha rawa te mamae, ki te kore rānei e memeha i roto i ngā rā torutoru, me toro atu ki tō tākuta.
- Mena kei te pāngia koe e ngā tohu mate io pērā i te ānini nui, te whanoke, te ngoikore, te ngoikore rānei, ngā raruraru tirohanga rānei, he āhuatanga ohorere tēnei. Haere tonu ki te Tari Ohorere o te hōhipera (ETU).
- Ko te haumaru te mea nui rawa atu. Whakatikatikahia te urunga o te waka kia tika, kia haumaru te taraiwa, ā, kia ngana ki te karo i ngā aituā.











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