Kua roa koe e pāngia ana e te mamae o te ringaringa? He tino kino te mamae, kāore e taea e koe te neke i tō ringa, te hapai i tetahi mea, te mahi rānei i ngā mahi o ia rā? Kāore pea e taea e koe te mahi i ngā mahi māmā pēnei i te heru i ō makawe, te hapai i te kapu, te tuhituhi rānei. Mena kāore anō te mamae kia marino ahakoa te tango rongoā me te whai i ngā maimoatanga maha, tera pea kua kōrero tō tākuta ki a koe mō te "pokanga whakakapinga ringaringa." He ahua whakamataku pea te rongo i tēnei ingoa. Engari i tēnei rā, me kōrero tātou mō ngā mea katoa i roto i te huarahi māmā me te mārama.
He aha te tikanga o tēnei, te whakakapi i te hononga o te ringaringa?
Ki te kī māmā noa, ko te pokanga whakakapinga hononga o te ringaringa, arā, i te kupu hauora , ko te pokanga whakakapinga o te hononga o te ringaringa , he tango pokanga i te hononga kua pakaru, kua tawhito, kātahi ka whakakapia ki tētahi hononga horihori.
Whakaarohia he rite ki te tango i tētahi hononga kuaha tawhito, pakaru, ka whakakapi ki tētahi mea hou. Ka kiia tēnei hononga horihori he hononga hangai . He mea hanga i te nuinga o te wā ki te konganuku me tētahi momo kirihou motuhake (polyethylene). He mea hanga kia rite tonu te mahi ki tētahi hononga ringaringa hauora.
Ehara tō tātou ringaringa i te wheua kotahi. He hononga tino uaua i hangaia mai i ngā wheua iti maha. Koinei te wāhi e hono ai tō tātou ringa me tō tātou ringaringa (te wāhanga mai i te tuke ki te ringaringa). Ina rūrū koe i tō ringa, ina horoi koe i tō makawe, ina pato i te rorohiko, ina tango i tētahi mea mai i te papa, ko te hononga ringaringa te mea matua o ēnei katoa. Nō reira, ina tino pakaru, ina piri rānei tēnei hononga, ka nui te mamae ka pā mai i ēnei mahi o ia rā.
He aha te rerekētanga i waenga i te whakakapinga hononga me te whakakotahitanga hononga?
Tērā pea kua kōrero atu tō tākuta ki a koe mō te pokanga honohono o te ringaringa, e mōhiotia ana ko te arthrodesis . He rerekētanga nui kei waenganui i ngā mea e rua. He mea nui kia mārama koe ki tēnei.
He whakarāpopototanga noa iho, ina honoa te hononga, ka ngaro katoa te nekehanga o te hononga. Heoi, ina whakakapia te hononga, ka taea te neke i te hononga ki tētahi taumata.
Kia mārama ake tātou ki tēnei rerekētanga mai i te ripanga i raro nei.
| Āhuatanga | Te whakakapinga hononga (Arthroplasty) | Te Whakakotahitanga/Te Whakakotahitanga |
|---|---|---|
| Te nekehanga i muri i te pokanga | Ka taea te piko me te totoro o te ringaringa, me te toe tonu o ētahi nekehanga. | Kua mau tonu te ringaringa ki te wāhi kotahi. Kāore e taea te neke. |
| Whakamamae mamae | Ka tino pai te whakaora i te mamae. | Ka tino pai te whakaora i te mamae. |
| Te hiki taumaha me ngā mahi | Me whakawhāiti te hiki i ngā mea taumaha (kāore i te tūtohutia te hiki i ngā mea taumaha neke atu i te 2-4 kg). Kāore i te tūtohutia te whakamahi i te hama, te tākaro tēnehi, me ētahi atu. | Kāore he here mō te hiki taumaha, ngā mahi uaua rānei. Ka mau tonu mō te wa katoa. |
He aha koe i hiahia ai ki tēnei momo pokanga?
Ehara tēnei pokanga i te kōwhiringa tuatahi mō te mamae o te ringaringa. Ka tūtohu ngā tākuta kia waiho hei huarahi whakamutunga ina kore e taea e ngā maimoatanga katoa te whakahaere i te mamae. Ko te tikanga, ko te mea tuatahi ka ngana rātou ko:
- Te whakarerekē i te mahi e mahia ana e koe (te tuku i ō ringaringa kia okioki).
- Ngā rongoā mamae, hei tauira, ngā rongoā anti-inflammatory.
- Te mau i te whitiki tautoko mō te ringaringa.
- Maimoatanga ā-tinana.
- Te hoatu werohanga steroid.
Ki te kore tetahi o ēnei mea e mahi, ka whakaarohia te pokanga. He maha ngā tino take o te mamae o te ringaringa:
- Whara: He rite ki te wheua whati i te ringaringa (whati wheua).
- Mate rumatiki:
- Osteoarthritis: He mate e puta mai ana i te pakaru me te haehae o ngā hononga. Ka nui haere te kitea o tēnei i te kaumātuatanga.
- Te Rūmātiki Rūmatoid: He mate e pupuhi ana, e mamae ana hoki ngā hononga nā te raruraru o te pūnaha ārai mate o te tinana.
- Osteonecrosis: Te matenga o te kiko o te wheua nā te iti o te rere o te toto ki te wheua.
He otinga pai tēnei pokanga mō ngā āhuatanga pēnei i te mamae kore e taea te whakamanawanui, te pakari o ngā hononga, me te tangi "pakaru" ina nekehia tō ringa.
He aha ngā mea ka tupu i mua i te pokanga?
Me mahi tēnei e te tohunga wheua me te hononga, inā koa he tohunga ki te pokanga ringa. I mua i te tūtohutanga i te pokanga, me mahi e tō tākuta ēnei mahi:
- Ka pātai atu rātou mō tō hauora whānui me ētahi atu mate.
- Pātai atu mō te roa o te mamae o tō ringaringa, me tōna pānga ki tō oranga.
- Ka tirotirohia tō ringaringa, kia kitea ai tōna kaha me tōna whānuitanga o te nekehanga.
- Ka tino mahia he whakamātautau X-ray hei tirotiro i te āhua o ngā wheua.
- Tērā pea ka mahia ētahi atu whakamātautau, pērā i ngā whakamātautau toto, hei tirotiro mēnā he tika koe mō te pokanga.
- Ka whakarite rātou kua whakamātauria ngā maimoatanga katoa, ā, kua kōrerohia hoki e rātou ētahi atu kōwhiringa pokanga ki a koe.
Me pēhea te mahi i te pokanga?
I te nuinga o te wā ka mahia tēnei pokanga i roto i te hōhipera. E rua hāora te roa. Ko ngā mahi e whai ake nei ka whaihia i te wā o te pokanga:
1. Ka hoatu he rongoā whakamoe whānui ki a koe kia moe rawa koe. Hei tāpiri, ka hoatu pea he werohanga rongoā whakamoe motuhake (aukati i te pito o runga) mō tō ringa anake hei āwhina i te whakaiti i te mamae i muri i te pokanga.
2. Ka tapahia he wahi iti ki runga ake i te ringaringa.
3. Ka ata tangohia te hononga kua pakaru me ngā kongakonga kiriuhi me ngā kongakonga wheua kua tawhito.
4. Ka whakaurua te hononga horihori (prosthesis) kua hangaia i mua, ā, ka mau ki te wheua mā te whakamahi i ngā whao iti, i ngā tīwiri, i tētahi momo sima motuhake rānei (sima wheua).
5. Kia tika te tūnga o te hononga horihori, ā, kia mau hoki.
6. Tirohia mēnā kei te tika te neke o te hononga.
7. Kua hurihia te tūnga o ngā kiko, ngā io, me ngā uaua e karapoti ana.
8. Hei whakamutunga, ka tuituia te tapahi ki ngā tuitui, ā, ka hipokina ki te takai paturopi me te whitiki whakapiri.
Kia pēhea te roa o te wā e ora ai ahau? Me pēhea taku tiaki i ahau anō i te kāinga?
E ono ki te tekau mā rua wiki te roa o te wā kia tino ora ai. I muri i te tango i te rapa tuatahi, me mau he whitiki whakapiri mō tētahi wā.
Ko te mea ngaro pai rawa atu mō te tere o te ora ko te whai i ngā tohutohu a te tākuta, me te whakakori tinana tika i te wā e ora ana.
Ahakoa he mamae pea i te tīmatanga ina whakakorikori tinana koe, i roto i te wā ka iti haere te mamae, ā, ka pai ake te mahi a tō ringa. Tērā pea ka tukuna koe e tō tākuta ki tētahi kaiwhakaora tinana.
Kia tino tiakina ēnei mea i te kāinga:
- He tangata hei āwhina: He māmā ake te whai tangata hei āwhina i ngā mahi o ia rā i ngā rā tuatahi i muri i te pokanga.
- Kaua e hiki i ngā mea taumaha: He mea tino nui tēnei. Kaua e hiki i te taumaha neke atu i te taumaha e taunakitia ana e tō tākuta (2-3 kg te nuinga), nā te mea ka kino pea te hononga horihori. Ki te whai tika koe i tēnei, ka taea e koe te whakamahi i tō hononga horihori mō te wā roa.
- Tiakina koe i ngā hinganga: Kia tūpato ki ngā wāhi o tō whare ka paheke pea koe, ka hinga rānei (te wharepaku, te arawhata). Āta karo i ngā hākinakina ka hinga pea koe mō tētahi wā.
- Ngā mahi e taumaha ai ō ringaringa: Āta karohia ngā mahi e taumaha ai ō ringaringa, pērā i te whakamahi i te hama.
Kia pēhea te roa o te ora o tētahi hononga horihori? Āhea ahau me toro atu ki te tākuta?
Ki te tiakina pai, ka roa tēnei hononga horihori mō te 10 ki te 15 tau .
I muri i te pokanga, ki te pā mai ētahi o ngā tohu e whai ake nei ki a koe, me toro atu ki tō tākuta tonu. Tērā pea he tohu ēnei o te mate pāwera:
- Te kirika, te makariri rānei.
- Te whero, te pupuhi rānei huri noa i te patunga.
- He pūhā, he wai kakara kino rānei e turuturu ana mai i te motu.
- Te mamae tonu, te mamae nui haere rānei.
I te roanga o te wā, i te mea ka tawhito haere te prosthesis, ka puta rānei ētahi atu raruraru, ka puta pea ēnei tohu. Mēnā ka puta tēnei, me kōrero ki tō tākuta:
- Te ngoikore o te mahi, te kaha rānei o te hononga.
- Te hokihoki mai o te mamae, te pakari, te pupuhi rānei.
- Te āhua nei kāore i te pumau te hononga (me te mea kei te "pekepeke").
Karere Tangohia ki te Kāinga
- He maimoatanga angitu te pokanga whakakapinga ringaringa mō te mamae nui o ngā hononga i puta mai i ngā āhuatanga pēnei i te rumatiki, engari ka tūtohutia anake mēnā kāore i angitu ngā maimoatanga katoa.
- Ahakoa ka hoki mai te nekehanga o te ringaringa i muri i tēnei pokanga, me whakawhāiti te hiki taumaha. He pai ake te pokanga whakakotahi mō ngā mahi uaua.
- I te wā e ora ana, he mea nui te whai i ngā tohutohu hauora me ngā mahi whakapakari tinana kia tere ai te ora, kia angitu ai hoki.
- Ki te kite koe i ētahi tohu o te mate pāwera i muri i te pokanga, pērā i te kirika, te pupuhi o te patunga, te pupuhi rānei, me toro atu ki tō tākuta i taua wā tonu.











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