Kei te pūwero tō pakihiwi? (Winged Scapula)

Kua kite koe i tētahi o ō pakihiwi e ahua tū mai ana i waho i tētahi atu? I ētahi wā ka mamae, ka pakari hoki te pakihiwi ina nekehia. I tēnei rā ka kōrero tātou mō tēnei mate e kiia nei ko te "winged scapula" e kiia nei e ngā tākuta. Kāore he mea e wehi ai, ina mōhio tika koe ki tēnei mea, ka mārama te nuinga o ngā mea.

He aha te tikanga o tēnei wheua pakihiwi e pū ake ana? ('Winged Scapula')

Ki te kī ngāwari, ko te wheua pakihiwi i tō tuara (e kiia ana e ngā tākuta ko te "Scapula") ko tā tātou e kī nei ko te "Winged Scapula" me te "Scapula Winging" ina tū mai i muri, kaua e papatahi, e piri ana ki tō tinana. Whakaarohia he rite ki te parirau manu, me te wheua pakihiwi e tū mai ana i muri. Koinei te takenga mai o te ingoa "winged", nā te mea he rite tōna āhua ki te parirau.

Ina pēnā te piko o te pakihiwi, ka uaua pea te neke i te pakihiwi i tērā taha, te hiki rānei i te ringa. Tērā pea ka mamae koe, ā, ka ahua ngoikore pea tō ringa. Whakaarohia kei te tata koe ki te hiki i tētahi taumaha, ā, ka rongo koe i tētahi mea kei roto i tō pakihiwi e mau ana. Koinā te āhua.

Ko te mea nui, ki te mea kei te kite koe he rerekē te āhua o tētahi wheua pakihiwi i tētahi atu, ki te mamae rānei tō pakihiwi, ki te pakari rānei, ki te uaua rānei ki te hiki i tō ringa mō te neke atu i te wiki, me toro atu koe ki te tākuta . Mēnā ka kite wawe koe, ka māmā ake te rongoā.

He kino katoa ngā nekehanga o te waewae? Me ako anō hoki tātou mō te (Scapular Dyskinesis)

He āhuatanga onge te piko o te pokohiwi. I te nuinga o te wā, ka kite tātou i tētahi mea kāore i te tino kitea, arā, te āhua o te pokohiwi e kore e tika te wāhi. Ka kiia tēnei e ngā tākuta he Scapular Dyskinesis, arā, he āhua koretake te nekehanga o te pokohiwi, ā, he āhua rerekē te āhua.

Mena he mate tōu e kīia nei ko te (Scapular Dyskinesis), tera pea he rerekē te āhua o tō pakihiwi i te mea noa. Kāore e puta katoa mai ina hiki ake tō ringa. Heoi, he rite ki te mate (Winged Scapula), ka puta pea ngā tohu – pērā i te mamae me te pakari – engari he iti ake te kaha. Tērā pea ka ngoikore tō pakihiwi, ka rongo rānei koe kei te hē tetahi mea ina hiki ake tō ringa.

He aha ngā tohu o tēnei mate (Winged Scapula)?

Ko te mea nui ko te mea kei te pū ake tetahi wheua pakihiwi i tetahi atu. Koinei te mea tuatahi ka kitea e te nuinga o te tangata. Hei tāpiri, tera pea ka pāngia koe e ngā mea penei:

• Mamae pakihiwi: Koinei te tohu tino kitea. Tērā pea ka horapa te mamae ki te kaki.
• Te pakari o te pakihiwi: Ka rite ki te mea kua mau koe ki te kī.
• Te uaua ki te hapai i te ringa: Ka piki ake pea te mamae, ina koa ka ngana ki te hapai i te ringa ki runga ake i te mahunga, kāore rānei e taea te hapai i te ringa. Ka kiia tēnei he hekenga o te "Awhe Nekehanga".
• Te ngoikore o te ngākau: Tērā pea ka ngoikore ō ringaringa, ā, kāore e taea e koe te hapai i tetahi mea.
• Te rongonga i tētahi haruru ina pakiritia ō pakihiwi: Tērā pea ka rongo koe, ka rongo rānei i tētahi oro "kiki", i tētahi mea rānei e takahurihia ana.
• Te āhua e tōia ana tetahi taha o te kaki: Ina ara ake tō ringa, tera pea ka rite koe ki te tōia ana ngā uaua o te kaki ki tetahi taha.

Mena kei a koe tētahi, ētahi rānei o ēnei tohu, he mea pai kia āwangawanga koe.

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He aha te take e puta ai te pakihiwi pēnei? He aha ngā take?

I te nuinga o te wā, ka puta tēnei mate "Winged Scapula" i te kino o ngā uaua e pupuri ana i tō pakihiwi ki tōna tūranga, i ngā io rānei e whakahaere ana i aua uaua .

Whakaarohia he pūnaha e mahi tahi ana. Ina hiki ake tō tātou ringa, ina whakaheke iho, ina huri rānei i tō tātou pakihiwi, ka kōpiri, ka wātea, ka āwhina ngā uaua e uru ana tetahi ki tetahi. He mea tēnei me noho taurite. Nā, ki te pakaru tetahi io, tetahi uaua rānei e whakahaere ana i ēnei uaua, ka ngaro taua taurite. Kātahi ka kore e taea e ngā uaua te pupuri i te pakihiwi ki te uma, me te pupuri kia papatahi.

Hei tauira māmā atu: Whakaarohia kei te ngana koe ki te kati i tētahi pouaka kātene. Me whakapiko ngā taha e whā o te pouaka kia piri tahi, kia āta kati. Inaianei whakaarohia kua pakaru, kua pakaru rānei tētahi taha o te pouaka. Ahakoa ka ngana koe ki te whakahoki i tētahi o ngā taha e whā ki roto, ka puta ake, tika? Koinei te āhua. Ina ngoikore tētahi, ētahi rānei o ngā uaua huri noa i te pakihiwi, ka "puta" te wheua pakihiwi.

He maha ngā uaua me ngā io ka pāngia e tēnei mate:

• Uaua Serratus o Mua: Ko te io roa o te uma te mea e whakahaeretia ana tēnei. Ko te kino o tēnei io te tino take o te Scapula Pakau.
• Ngā Uaua Trapezius: Ka puta tēnei āhuatanga mēnā kua pakaru tētahi o ēnei uaua, mēnā rānei kua pakaru te io tāpiri tuaiwi e whakahaere ana i aua uaua.
• Ngā Uaua Rhomboid: Ko te io o te tuara o te scapula te mea e whakahaeretia ana ēnei. Tērā pea ka puta anō tēnei i ētahi atu whara.

Nā, me pēhea te pakaru o ēnei io, o ēnei uaua rānei?

• Ngā aituā hākinakina: Ngā hākinakina e tino pehi ana i ngā pokohiwi, pērā i te kirikiti me te poipapa.
• Ngā Whara Taumahatanga Auau: Ina mahi tonu koe i te momo mahi kotahi, hei tauira, he tangata e peita ana, e mahi ana rānei i runga i te rorohiko i te ara kotahi.
• Ngā pakihiwi kua hē.
• Ngā aituā: Ngā mea pēnei i ngā aituā motuka, ngā hinganga.
• Ngā pānga taha o te pokanga: I ētahi wā, i te wā e pokanga ana i ngā ū, inā koa ko ngā mastectomy, ka pakaru pea ngā io e pā ana, he tauhohenga rānei ki te rongoā whakamoe.

Ko wai te mea tino mōrearea ki tēnei mate?

Ko te true scapular winging, he āhuatanga e puta nui ai te mata o te pakihiwi nā te kino o te io, o te uaua rānei, ka puta i te nuinga o te wā hei hua o tētahi aituā. Ko te hunga kua pokangahia te uma, inā koa ko ngā mastectomy, he nui ake te mōrearea.

Heoi, ko te mate i kōrerotia e au i mua ake nei, ko te "Scapular Dyskinesis", arā, he iti noa te kume o te mata o te pakihiwi, ka puta pea i ēnei āhuatanga:

• Te tākaro i ngā hākinakina e pēhi ana i ngā pakihiwi.
• Te mahi uaua tinana.
• Me mau tonu i tētahi putea taumaha (me tūpato ngā tamariki kura ki tēnei).
• Tūranga Piko, arā, te tū me te mea kua piko.
• He ngoikore rawa tetahi pakihiwi i tetahi atu.

Me pēhea te kite a ngā tākuta i tēnei?

Ina haere koe ki te tākuta, ka pātai tuatahi rātou ki a koe, ka tirotirohia hoki tō tuara. I te nuinga o te wā, ina tū koe, ka kitea tēnei āhua "Winged Scapula" ina whakaritea ki tētahi atu o ngā pokohiwi.

Ngā whakamātautau mō te (Winged Scapula)

Ka tono te tākuta kia mahi koe i ngā nekehanga rerekē, ā, ka tirohia te whānuitanga o te nekehanga me te kaha o tō pakihiwi. Ko te whakamātautau matua hei tautuhi i te scapula parirau ko te whakamātautau pana-ake pakitara .

Ko te mea e tupu ana i tēnei, ka tonoa koe kia anga atu ki te pakitara, ka whakatakoto i ō ringaringa ki te pakitara. Kātahi, me te mea kei te mahi koe i te "Pushup" i runga i te papa, ka tonoa koe kia neke atu i te pakitara me ō ringaringa e rua i te wā kotahi. Mena he "Winged Scapula" tōu, ina mahi koe i tēnei, ka kitea mārama te wheua pakihiwi e puta mai ana.

Hei tāpiritanga, ka taea te whakahaere i ngā whakamātautau e whai ake nei hei tirotiro i te Scapular Dyskinesis:

• Whakamātautau Āwhina Taupoki (SAT): Ka tono te tākuta kia hiki ake tō ringa ki runga ake i tō mahunga. I a koe e mahi ana i tēnā, ka pana mārire ia ki raro i tō pakihiwi. Mena ka āwhina tēnei ki te whakaiti i tō mamae, ki te ngāwari ake rānei te hiki i tō ringa, tera pea he dyskinesis tōu.
• Whakamātautau Whakahoki Taupoki (SRT): I tēnei whakamātautau, ka whakatakotoria e te tākuta tōna ringa ki runga i tō pakihiwi, ka pēhi i tō pakihiwi ki muri ki tōna rae. Ko te tikanga o tēnei ka tōia te taupoki ki muri ki tōna tūranga tika. Kātahi ka tonoa koe kia totoro atu tō ringa ki te taha. Kātahi ka pēhia mārire e te tākuta tō pakihiwi me tō ringa. Mena ka iti haere tō mamae i muri i tō tōia o tō pakihiwi ki muri, ki te kaha ake rānei tō ringa, he tohu pea tēnei mō te dyskinesis.

Kāore e hiahiatia ana ngā whakamātautau whakaahua i ngā wā katoa. Engari i ētahi wā, me tirotiro pea te tākuta i roto i te pakihiwi, i te pakihiwi rānei. Tērā pea ka whakamahia e rātou ngā mea pēnei i:

• X-ray pakihiwi
• (MRI) (Whakaahua Āhua Aukume)
• EMG (Electromyography) - Ka ine tēnei i te ngohe hiko o ngā uaua.
• Rangahau Ārahi Io - E titiro ana tēnei ki te tere o te haere o ngā karere mā roto i ngā io.

Me pēhea te rongoā mō tēnei mate (Scapular Winging)?

Ka tūtohu tō tākuta i te maimoatanga i runga i te pūtake. Ko ngā maimoatanga e tino kitea ana ko:

• Te whakahaere mamae: Ka hoatu ngā rongoā hei whakaiti i te mamae me te pupuhi. Ko te nuinga o te tangata ka hoatu he rongoā kore-tohu e kiia nei ko ngā NSAID (Non-Steroidal Anti-Inflammatory Drugs). Ka hoatu pea ki ētahi tāngata he rongoā whakangāwari uaua.
• Whakaora Tinana (PT): He mea tino nui tēnei. Mā te kaiwhakaora tinana koe e ako ki ngā mahi whakakori tinana me ngā totoro hei whakapakari i ngā uaua o tō pakihiwi me te whakanui ake i te ngāwari. Ahakoa kāore e taea e te PT te whakatika i te kino o ngā io, ka taea e ia te āwhina i te whakanui ake i tō whānuitanga o te nekehanga me te whakahaere i ētahi atu tohu.
• Pokanga: Kāore te nuinga o te tangata e hiahia ki te pokanga. Heoi, ki te kore ētahi atu maimoatanga e āwhina, ki te mamae nui koe, ki te kore rānei e taea e koe te neke i tō pakihiwi, me pokanga pea. I te nuinga o te wā ka whakaarohia te pokanga i muri i tētahi aituā. Tērā pea ka hiahiatia he hononga uaua, he hononga io rānei (he tikanga e tango ana i te kiko hauora ka honoa ki te wāhi kua pakaru). Tērā pea ka hiahiatia he tikanga e kiia nei ko te scapular arthrodesis (hononga honohono). Mā tō taote pokanga koe e whakamārama ko tēhea pokanga te mea tika māu, me ngā mea hei tumanako atu.

Ka aha mēnā ka kore e rongoatia?

Ki te kore e rongoatia, ka taea e te scapula parirau te pēhi i tō pakihiwi me ngā kiko e karapoti ana. Ko te hunga kāore e whiwhi maimoatanga he nui ake te tūponotanga ki te whakawhanake i te mate e kiia nei ko te pakihiwi tio (adhesive capsulitis).

Mena nā te kino o te io i puta ai te "Winged Scapula", tera pea ka ngaro te rongo me te nekehanga o ngā uaua e tika ana. Ka piki ake te mōrearea ina roa te wā e kitea ai, e rongoatia ai. Koia te take e taunakihia ana kia toro atu ki te tākuta i te wā e taea ai mena ka puta ngā tohu.

He aha ngā mea ka taea e koe te tumanako mēnā he mate "Winged Scapula" tōu?

He tokomaha te hunga ka taea te whakahaere i tēnei mate me te kore pokanga. Mā tō tākuta me tō kaiwhakaora tinana koe e āwhina ki te kimi maimoatanga hei āwhina i te whakahaere i ō tohumate. Ka tūtohu hoki rātou i ngā huringa ki tō mahi, ki ō mahi rānei hei whakaiti i te ahotea ki tō pakihiwi, hei ārai hoki i te whara.

Kia pēhea te roa o te (Scapular Winging)?

Ko te roa o tēnei ka whakawhirinaki ki te take me te mea he kino ki te io, ki te uaua rānei. Tērā pea ka hiahiatia he rongoā tinana mō ētahi marama hei whakahoki i te āhua o tō pakihiwi me te whakahoki mai i te whānuitanga o te nekehanga.

Ko ētahi tāngata, inā koa ko te hunga i pāngia e te mate i muri i tētahi aituā, ka pāngia pea e ngā tohu mō ngā tau maha. Tata ki te hauwhā o te hunga he parirau scapula ka pāngia tonu e te mamae i muri i te whakaoranga.

Ka taea te ārai i te pakaru o te parirau o te hope?

He maha ngā wā ka puta tēnei i ngā aituā ohorere, nō reira, kāore pea e taea te ārai katoa.

Heoi, he pai ake te whai i ēnei tohutohu haumaru whānui hei whakaiti i te tūponotanga o ngā aituā:

• Me mau tonu tō whitiki nohoanga i a koe e eke ana i roto i te waka.
• Kia mau ki ngā taputapu haumaru e tika ana i te wā e takaro ana i ngā hākinakina me ētahi atu mahi.
• Puritia tō kāinga me tō wāhi mahi kia matara atu i ngā mea whakarihariha e tūpono ai he mōrearea.
• Whakamahia he taputapu tika ina kohi ana i tētahi mea mai i runga. Kaua e piki ki runga i ngā tūru, i ngā tēpu rānei.
• Mena he uaua ki te hikoi, he nui rānei te tūponotanga o te hinga, whakamahia he mea pēnei i te tokotoko.

Āhea ahau me toro atu ki te tākuta?

Mena kei te mamae tō pakihiwi, kei te pakari, kei te pāngia rānei koe e ētahi atu tohu mō te neke atu i te wiki, tirohia he tākuta.

Ki te kore e taea e koe te neke, te whakamahi rānei i tō pakihiwi, haere tonu ki te rūma whawhati tata o te hōhipera. Ki te mea kei te ahua kua hē te hononga o tō pakihiwi, kaua rawa e ngana ki te whakahoki mai ki tōna tūranga. Kia mau tonu tō ringa me tō pakihiwi, tautokohia, ka haere tonu ki te hōhipera.

He aha ngā pātai me pātai atu e au ki taku tākuta?

• He aha i pā mai ai te "Winged Scapula" ki ahau?
• He kino tōku io, he kino rānei tōku uaua?
• He aha te momo maimoatanga e tūtohu ana koe?
• Kia pēhea te roa o taku mahi whakaora tinana?
• Ka taea e koe te kōrero mai ki ahau he aha ngā mahi whakakori tinana, ngā totoro tinana rānei ka taea e au te mahi i te kāinga?

Nā, he aha tā tātou e kawe mai ai i tēnei?

Ina kitea e koe he "Winged Scapula" tōu, tera pea ka mahara koe ki tō moemoeā o te tamarikitanga ki te rere. Engari, ko te mea pono, ko te mamae me te pakari o tō pakihiwi te mea nui e whakaarohia ana e koe.

Ko te wiri o te hope he āhuatanga e puta ana ina kore e taea e ngā uaua me ngā io o tō pakihiwi te pupuri tika i tō pokohiwi ki tō uma. Kaua e mataku. Ma tō tākuta e whakamārama te take me pēhea te whakahaere i ngā tohu pēnei i te mamae me te uaua ki te neke. Ko te mea nui ko te rapu awhina hauora i te wā e taea ai mēnā ka pā mai ngā tohu. Ma tēnei ka āwhina i a koe kia tere te ora.

Te hē o te pakihiwi, te scapula parirau, te mamae o te pakihiwi, te dyskinesis scapula, ngā mate io, te whakaora tinana, ngā mahi whakakori pakihiwi