He aha te Pakihi Kākahu? Ngā Tohutohu, Ngā Take, me te Maimoatanga

Ko te pakihi kākahu tētahi āhuatanga e pakaru ai tō pūmau pokohiwi, ka pakaru, ka uaua ki te whakamahi i tō ringa. Ka puta mai tēnei ina ka mātotoru, ka pīngare te kiko o te taha o tō pūmau pokohiwi, me te mea nei kua ‘pakihi’ tō pokohiwi ki te wāhi.

Ko te kupu rongoā mō tēnei āhuatanga ko te adhesive capsulitis. Ahakoa ka raru pea te ahua ina puta mai, he mea noa te pakihi pokohiwi, ā, ka ora tonu i te wa, ahakoa pea ka roa ngā marama, ngā tau rānei kia ora rawa.

He aha te Pakihi Kākahu?

Ka puta te pakihi pokohiwi ina ka mumura, ka pakaru te kapu e karapoti ana i tō pūmau pokohiwi. Whakaarohia tēnei kapu hei putea ngawari e tuku ana i tō pokohiwi ki te neke haere i ngā huarahi katoa.

Ina puta te pakihi pokohiwi, ka mātotoru, ka pīngare tēnei kapu, ka hangaia ngā potae o te kiri mate e kiia nei ko ngā adhesions. Ka whakakorekoretia e ēnei adhesions te nekehanga o tō pokohiwi, ka puta ai te mamae me te pakaru.

Ka ahu whakamua te āhuatanga i ngā wāhanga e toru. Ko te wāhanga tuatahi e whakaatu ana i te mamae me te pakaru e piki haere ana, ko te wāhanga tuarua e pupuri ana i te pakaru me te iti o te mamae, ā, ko te wāhanga tuatoru e kitea ana te whakapai ake i te nekehanga.

He aha ngā tohutohu o te Pakihi Kākahu?

Ka puta haere mai ngā tohu nui o te pakihi pokohiwi, ā, ka pā nui ki ō mahi o ia rā. Ka kite pea koe i ēnei huringa e puta haere ana i ngā wiki, ngā marama rānei, ehara i te mea ohorere.

Ko ngā tohutohu noa:

• Te mamae pokohiwi hohonu, e kino ana i te pō
• Te pakaru nui e uaua ai te whakaara i tō ringa
• Te uaua ki te toro atu ki muri, ki runga rānei
• Te mamae e horapa ana ki raro i tō ringa ki tō kiko
• Te uaua ki te moe i te taha e pā ana
• Te ngaro haere o te nekehanga pokohiwi i ngā huarahi katoa

Ko te mamae te kaha rawa i te wāhanga tuatahi o te āhuatanga. He tokomaha te whakaahua i te mea he mamae tonu, hohonu e whakaoho ai i a rātou i te pō, ina koa ka takoto rātou ki te pokohiwi e pā ana.

Ina ahu whakamua te āhuatanga, ka iti pea te mamae, engari ka kaha ake te pakaru. Ka kite pea koe he uaua ngā mahi ngāwari penei i te kakahu i te koti, te hopu i ngā mea kei runga i ngā papa teitei, te piri rānei i te bra.

He aha ngā momo Pakihi Kākahu?

E rua ngā momo nui o te pakihi pokohiwi, ā, ko te mōhiotanga ki te momo kei a koe ka āwhina ki te whakamārama i te take i puta ai. Ka puta mai ngā tohutohu rite i ngā momo e rua, engari he rerekē ngā take.

Ka puta te pakihi pokohiwi matua kahore he take mārama, he whara rānei. Ko te momo tino noa tēnei, ā, ka puta mai pea i te koretake, ahakoa pea ka hono atu ki ngā huringa homoni, ki ngā take ira rānei.

Ka puta te pakihi pokohiwi tuarua i muri i te whara, te pokanga rānei, tētahi atu āhuatanga hauora rānei. Ko te momo nei te hono atu ki ngā whara pokohiwi, te kore e neke te ringa, ngā āhuatanga hauora penei i te mate huka, ngā mate thyroid rānei.

He aha ngā take o te Pakihi Kākahu?

Kāore i tino mōhiotia te take tika o te pakihi pokohiwi, engari he maha ngā take ka piki ake ai tō tūponotanga ki te whāngai i tēnei āhuatanga. Ko te whakautu mumura o tō tinana he mea nui ki te whāngai i te kiko mātotoru, piripiri e whakakorekore ana i te nekehanga pokohiwi.

He maha ngā take ka āwhina ki te pakihi pokohiwi:

• Te mate huka, e piki nui ana tō tūponotanga
• Ngā mate thyroid, ngā mahi nui me ngā mahi iti
• Ngā huringa homoni, ina koa ki ngā wāhine e haere ana i te menopause
• Te whara pokohiwi o mua, te pokanga rānei
• Te kore e neke te ringa mō te roa na te whara, te mate rānei
• Ngā āhuatanga autoimmune penei i te mate rewiti
• Te mate ngakau, te pōka rānei e pā ana ki te nekehanga ringa

He mea nui hoki te pakeke, ko te pakihi pokohiwi te tino pā ki ngā tāngata i waenga i ngā tau 40 me te 60. He nui ake te tūponotanga o ngā wāhine ki te whāngai i te āhuatanga i ngā tāne, pea na ngā take homoni.

I etahi wā ka puta te pakihi pokohiwi i muri i te whara iti kaore pea koe e mahara. Ka puta te mumura i te whara, ā, ki te kore e neke tō pokohiwi i te wa e ora ana, ka taea te pīngare, te mātotoru o te kapu.

Nōhea te haere ki te taote mō te Pakihi Kākahu?

Me haere koe ki te taote ki te pāngia koe e te mamae pokohiwi me te pakaru e āwangawanga ana i ō mahi o ia rā. Ka āwhina te aromatawai wawe ki te whakakore i ētahi atu āhuatanga me te tīmata i te maimoatanga tika.

Rapua te awhina hauora ki te kite koe i:

• Te mamae pokohiwi e roa atu ana i ngā wiki torutoru
• Te ngaro nui o te nekehanga pokohiwi
• Te mamae e āwangawanga ana i tō moe
• Te uaua ki te mahi i ngā mahi o ia rā penei i te kakahu, te toro atu rānei
• Ngā tohutohu e kino ake ana ahakoa te okioki me ngā rongoā mamae

Ahakoa ehara te pakihi pokohiwi i te āwangawanga hauora, ko te whiwhi i te tautuhi me te maimoatanga tika ka āwhina ki te whakahaere i ō tohutohu. Ka taea hoki e tō taote te whakakore i ētahi atu āhuatanga e puta mai ai ngā tohutohu rite, penei i ngā pakaru rotator cuff, te mate hono rānei.

He aha ngā take tūponotanga mō te Pakihi Kākahu?

Ko te mōhiotanga ki ō take tūponotanga ka āwhina i a koe ki te tango i ngā mahi hei aukati i te pakihi pokohiwi, ki te hopu wawe rānei ki te puta mai. He maha ngā take tūponotanga kaore e taea e koe te whakarereke, engari he maha pea ka taea e koe te whakahaere.

Ko ngā take tūponotanga kaore e taea te whakarereke:

• Te pakeke i waenga i ngā tau 40 me te 60
• Ko te wahine
• Te mate huka, ina koa te momo 1
• Te pakihi pokohiwi o mua i tetahi atu ringa
• Te hītori whānau o te pakihi pokohiwi

Ko ngā take tūponotanga ka taea te whakarereke:

• Te kore pai o te whakahaere huka toto i te mate huka
• Ngā mate thyroid kaore i te maimoatia
• Te kore e neke te pokohiwi mō te roa
• Te noho noa e arahi ana ki te kore pai o te nekehanga pokohiwi

Ki te mate huka koe, ko te pupuri i te whakahaere pai o te huka toto ka whakaiti nui i tō tūponotanga. E rua ki te whā te tūponotanga o ngā tāngata mate huka ki te whāngai i te pakihi pokohiwi, ā, ka kaha ake, ka roa ake te āhuatanga i ngā tāngata mate huka.

He aha ngā raruraru pea o te Pakihi Kākahu?

Ahakoa ka ora tonu te pakihi pokohiwi, he maha ngā raruraru ka puta mai, ina koa ki te kore e whakahaeretia tika. Ka pā ēnei raruraru ki tō mahi pokohiwi roa me tō kounga ora.

Ko ngā raruraru pea:

• Te ngaro tonu o te whānuitanga o te nekehanga pokohiwi
• Te mamae roa e mau tonu ana ahakoa te hokinga mai o te nekehanga
• Te ngoikore o te uaua me te ngoikore na te kore e whakamahi
• Te whāngai i te pakihi pokohiwi i tetahi atu ringa
• Te uaua ki te hoki ki ngā taumata mahi o mua
• Ngā raruraru tuarua i te kaki, te tuara, tetahi atu ringa rānei na te utu

Ko te rongo pai ko te nuinga o ngā tāngata ka ora tonu te mahi pokohiwi, ahakoa pea ka roa te 1-3 tau. Heoi, he maha ngā tāngata ka mau tonu te pakaru, te mamae waatea rānei ahakoa te ora o te āhuatanga.

He iti rawa, ka taea e ngā tāngata te whāngai i te mate mamae rohe mamae, he āhuatanga mamae roa e pā ana ki te ringa katoa. Ko te mea pea tēnei ki te kaha te pakihi pokohiwi, ki te kore rānei e neke tō ringa na te mamae.

Me pēhea te aukati i te Pakihi Kākahu?

Ahakoa kaore e taea e koe te aukati rawa i te pakihi pokohiwi, ina koa ki te whai koe i ngā take tūponotanga penei i te mate huka, he maha ngā mahi ka taea e koe te whakaiti i tō tūponotanga. Ko te pupuri i te nekehanga pokohiwi me te whakahaere i ngā āhuatanga hauora kei raro he rautaki matua.

Ko ngā rautaki aukati:

• Te pupuri i tō huka toto pai ki te mate huka koe
• Te noho mahi me te pupuri i te nekehanga pokohiwi mā te nekehanga noa
• Te maimoatanga tere me te tika o ngā mate thyroid
• Te karo i te kore e neke te pokohiwi mō te roa ki te taea
• Te mahi i ngā whakatete pokohiwi ngawari ki te nui tō tūponotanga
• Te rapu i te maimoatanga tere mō ngā whara pokohiwi

Ki te pokanga koe, te whara rānei e hiahia ana ki te pupuri i tō ringa, mahi tahi me tō rōpū hauora ki te tīmata i te nekehanga ngawari i te wa e ora ana. Ahakoa ngā nekehanga iti ka āwhina ki te aukati i te kapu pokohiwi kia kaua e pīngare.

Ko te whakakori noa e whakauru ana i te nekehanga pokohiwi, penei i te kauhoe, te yoga ngawari rānei, ka āwhina ki te pupuri i te ngawari o te pokohiwi. Heoi, karohia te nui o te whakamahinga, ngā mahi rānei e whakamahia ana i runga ake i tō mahunga e āwangawanga ana i tō pokohiwi.

Me pēhea te tautuhi i te Pakihi Kākahu?

Ko te tautuhi i te pakihi pokohiwi ko te tirotiro tinana me te kōrero mō ō tohutohu. Ka aromatawaihia e tō taote te whānuitanga o te nekehanga o tō pokohiwi me te whakakore i ētahi atu āhuatanga e puta mai ai ngā tohutohu rite.

Ko te tukanga tautuhi:

• Te kōrero mō ō tohutohu me tō hītori hauora
• Te tirotiro tinana o te nekehanga o tō pokohiwi
• Te aromatawai i te whānuitanga o te nekehanga mahi me te kore mahi
• Ngā X-ray hei whakakore i te mate hono, ētahi atu raruraru wheua rānei
• MRI, ultrasound rānei ki te whakapaehia ētahi atu āhuatanga

Ka tono pea tō taote kia nekehia e koe tō pokohiwi i ngā huarahi rerekē hei kite i te nui o te nekehanga kei a koe. Ka nekehia hoki e rātou tō pokohiwi hei tirotiro i te whānuitanga o te nekehanga kore mahi, e āwhina ana ki te wehewehe i te pakihi pokohiwi i ētahi atu āhuatanga.

Ka whakautia te tautuhi ina whakakorekoretia ngā nekehanga mahi me ngā nekehanga kore mahi a tō taote o tō pokohiwi. He rerekē tēnei i ngā whara rotator cuff, kei reira te nekehanga kore mahi te noa ahakoa te whakakorekore o te nekehanga mahi.

He aha te maimoatanga mō te Pakihi Kākahu?

Ko te maimoatanga mō te pakihi pokohiwi ko te whakaiti i te mamae me te pupuri i te nekehanga pokohiwi. Ka whakarerekē pea te huarahi i runga i te wāhanga o te āhuatanga kei roto koe.

Ko ngā whiringa maimoatanga māori:

• Ngā rongoā anti-inflammatory hei whakaiti i te mamae me te mumura
• Te rongoā tinana hei pupuri me te whakapai ake i te nekehanga pokohiwi
• Te maimoatanga wera me te hukapapa mō te whakahaere mamae
• Ngā whakatete ngawari
• Ngā whakaurunga corticosteroid mō te mamae me te mumura nui

Mō ngā take nui ake, ko ētahi atu maimoatanga:

• Te whakahaere i raro i te anesthetic hei wawahi i ngā adhesions
• Te pokanga arthroscopic hei tango i te kiri mate
• Hydrodilatation, kei reira te wai e whakauruhia ana hei whakatete i te kapu hono

Ko te nuinga o ngā tāngata ka pai ake te maimoatanga māori, ahakoa ka hiahia ki te manawanui na te roa o te āhuatanga ki te ora rawa. Ka mahi tahi tō taote me koe ki te kimi i te huinga tika o ngā maimoatanga i runga i ō tohutohu me te nui o te pā o te āhuatanga ki tō oranga o ia rā.

Me pēhea te tango i te maimoatanga kāinga i te wa o te Pakihi Kākahu?

Ko te whakahaere i te pakihi pokohiwi i te kāinga ko te whakakotahitanga o te whakahaere mamae, te nekehanga ngawari, me ngā whakarerekētanga oranga. Ko te matua ko te kimi i te taurite tika i waenga i te okioki me te mahi kia kaua e kino ake ngā tohutohu.

Ko ngā rautaki maimoatanga kāinga whai hua:

• Whakamahia te hukapapa mō ngā meneti 15-20 ina puta te mamae
• Whakamahia te wera i mua i te whakatete hei awhina i ngā uaua kia ngawari
• Tangohia ngā rongoā mamae i runga i te tohutohu
• Mahi i ngā whakakorikori whānuitanga o te nekehanga ia rā
• Moe ki ngā urunga atu hei tautoko i tō ringa
• Karohia ngā mahi e kino ake ai tō mamae

He mea nui te whakatete ngawari mō te pupuri i te nekehanga kei a koe. Ka taea e ngā whakakorikori ngawari penei i ngā porowhita ringa, ngā pae pakitara, ngā whakatete tatau rānei te aukati i te pakaru atu.

Tātaihia tō tu moe, na te mea he maha ngā tāngata pakihi pokohiwi e uaua ana ki te moe. Ko te whakamahi i ngā urunga hei tautoko i tō ringa e pā ana, te moe rānei i roto i te tuuru ka āwhina pea i a koe ki te whiwhi i te okioki pai ake.

Kia mahara ko te maimoatanga kāinga me whakakotahi, kaua e whakakapi, i te tiaki hauora ngaio. Ki te kino ake ō tohutohu, ki te kore rānei e pai ake te maimoatanga kāinga, whakapiri atu ki tō kaiwhakarato hauora.

Me pēhea te whakarite mō tō hui taote?

Ko te whakarite mō tō hui ka āwhina i a koe ki te whakamahi pai i tō wā me tō taote me te whakarite kia whiwhi koe i ngā korero me te tiaki e hiahia ana koe. Ko te whakarite pai ka āwhina hoki i tō taote ki te tautuhi tika.

I mua i tō hui:

• Tuhia ō tohutohu katoa me te wā i tīmata ai
• Rārangihia ngā mahi, ngā nekehanga rānei e pai ake ai, e kino ake ai rānei ngā tohutohu
• Mau mai tētahi rārangi o ngā rongoā me ngā taapiri katoa e tangohia ana e koe
• Whakaritea ngā pūrongo mō tō āhuatanga me ngā whiringa maimoatanga
• Whakaarohia te mau mai i tētahi hei tautoko me te awhina ki te mahara i ngā korero

Ngā pūrongo nui hei ui ki tō taote:

• Kei te wāhanga tēhea o te pakihi pokohiwi ahau?
• E hia te roa pea te whakapai ake?
• He aha ngā whiringa maimoatanga pai mō taku āhuatanga?
• He aha ngā mahi me karo e ahau?
• Nōhea ahau me whakapiri atu ki a koe mō ngā huringa i ōku tohutohu?

Kaua e whakaroa ki te tono i te whakamārama ki te kore koe e mōhio ki tetahi mea. E hiahia ana tō taote ki te āwhina i a koe ki te whakahaere i tō āhuatanga, ā, he mea nui te kōrero pai mō ngā hua pai.

He aha te mea nui mō te Pakihi Kākahu?

Ko te pakihi pokohiwi he āhuatanga noa e puta mai ai te mamae me te pakaru nui, engari he mea nui te mahara ka ora tonu i te wa me te maimoatanga tika. Ahakoa pea ka roa te tukanga ora, ka ora tonu te nuinga o ngā tāngata i te mahi pokohiwi pai.

Ko ngā mea nui hei mahara ko te rapu i te aromatawai hauora tika, te whai tonu i tō mahere maimoatanga, me te manawanui ki te tukanga ora. Ka āwhina te whakauru wawe ki te whakahaere i ngā tohutohu me te aukati pea i ētahi raruraru.

Ki te whai koe i ngā take tūponotanga penei i te mate huka, ko te mahi tata me tō rōpū hauora ki te whakahaere i ēnei āhuatanga ka āwhina pea ki te whakaiti i tō tūponotanga ki te whāngai i te pakihi pokohiwi, ki te pāngia rānei e ngā raruraru ki te whāngai koe.

Ngā Pūrongo Nui e Uiuia Ana Mō te Pakihi Kākahu

E hia te roa o te pakihi pokohiwi?

Ko te pakihi pokohiwi te roa 1-3 tau, e ahu whakamua ana i ngā wāhanga e toru. Ko te wāhanga mamae te roa 2-9 marama, ka whai mai te wāhanga pakaru e roa ana 4-12 marama, ā, ka mutu te wāhanga ora e roa ana 12-42 marama. Heoi, he maha ngā tāngata e pāngia ana e ngā tohutohu mō te roa atu, ina koa ki te mate huka rātou.

Ka taea te pakihi pokohiwi i ngā pokohiwi e rua i te wā kotahi?

He iti rawa te pānga o ngā pokohiwi e rua i te wā kotahi. Heoi, ki te pakihi pokohiwi koe i tetahi pokohiwi, he nui ake tō tūponotanga ki te whāngai i tetahi atu pokohiwi i tētahi wā i te heke mai. Ka puta pea tēnei i ngā tau rerekē, ehara i te wā kotahi.

Ka whiwhi ahau i te nekehanga katoa ki taku pokohiwi?

Ko te nuinga o ngā tāngata ka ora tonu te mahi pokohiwi, he tokomaha te hokinga mai ki te nekehanga tata noa. Heoi, he maha ngā tāngata ka mau tonu te pakaru iti, te mamae waatea rānei ahakoa te ora o te āhuatanga. Ka rerekē pea te nui o te ora i runga i ngā take penei i te pakeke, te hauora whānui, me te pai o te whai i tō mahere maimoatanga.

He rite te pakihi pokohiwi ki te pakaru rotator cuff?

Kāore, he rerekē ēnei āhuatanga, ahakoa ka taea te puta tahi i etahi wā. Ko te pakihi pokohiwi e pā ana ki te kapu hono, e puta ai te pakaru i ngā huarahi katoa, ko ngā pakaru rotator cuff e pā ana ki ngā uaua me ngā uaua motuhake. Ka taea e tō taote te wehewehe i ēnei āhuatanga mā te tirotiro me te whakaahua ki te hiahiatia.

Ka taea e te ahotea, ngā take ngakau rānei te whāngai i te pakihi pokohiwi?

Ahakoa kāore te ahotea e whāngai tika i te pakihi pokohiwi, ka taea te āwhina ki te pīngare o te uaua, ka pā pea ki te whakautu o tō tinana ki te mumura. Ka kite etahi i te kino ake o ō rātou tohutohu i ngā wā ahotea. Ko te whakahaere i te ahotea mā ngā tikanga whakahaere, te whakakori, me te moe tika ka āwhina pea ki te whakahaere whānui i ngā tohutohu.