Created at:1/16/2025
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Ko te osteochondritis dissecans he āhuatanga o te hononga kei reira tetahi wahi iti o te wheua me te cartilage e ngāwari ana, e wehe rānei i te pito o te wheua. Whakaarohia he pene pene e tīmata ana te wehe atu i te toenga o te pene pene.
Ko te āhuatanga nei te nuinga o te pānga ki te turi, engari ka taea hoki te puta ki tō ringa, kēmu, rānei pakihiwi. Ahakoa ka rangona he wehi, he tokomaha ngā tāngata e ora ana i te osteochondritis dissecans me te maimoatanga tika me te tiaki.
Ka puta te osteochondritis dissecans ina mutu te rere o te toto ki tetahi wāhi iti o te wheua kei raro i te cartilage. Kahore he whānga toto tika, ka tīmata te ngoikore o taua wahi wheua ka pakaru pea i te mutunga.
Ka hangaia e te āhuatanga te mea e kiia ana e ngā tākuta he 'lesion' - he mea nui he waahi ngoikore kei reira te wheua me te cartilage kei runga i te tīmata ki te wehe. I roto i ngā take ngawari, ka noho tonu te wahi i honoa engari ka koretake. I roto i ngā take nui ake, ka taea te pakaru katoa ka rere haere i roto i tō wāhi hononga.
Ko ngā kaitākaro taitamariki i waenga i ngā tau 10 me te 20 te nuinga o te whanaketanga o tēnei āhuatanga, ahakoa ka pā ki ngā pakeke hoki. Ko te rongo pai ko ngā tāngata taitamariki te nuinga o te ora pai ake na te mea kei te tipu tonu ō rātou wheua, ā, he kaha ake te kaha whakaora.
Ka rerekē pea ngā tohu i runga i te nui o tō āhuatanga me te hononga e pā ana. He tokomaha ngā tāngata e kite ana i ngā tohu i te whakaritea atu i te kotahi wā.
Ko ēnei ngā tohu tino noa ka pā atu ki a koe:
I roto i ngā keehi tōtika ake, ka kite pea koe i ētahi tohu atu e whakaatu ana kua ngaro rawa te whatiwhati wheua:
Ka puta ēnei tohu nā te mea ka taea e te wahi ngaro te mau i waenganui i ngā mata hononga, rite tonu ki te mau o te pōroki i roto i te poraka tatau. Ahakoa he kore ngāwari, kia mahara kei reira ngā maimoatanga whai hua hei awhina i a koe kia pai ake.
Ka wehewehe ngā tākuta i te osteochondritis dissecans ki ētahi momo matua e rua i runga i te wā e whanake ana, me te ātete o te wāhi e pā ana. Ko te mōhiotanga ki te momo kei a koe ka āwhina i te whakatau i te huarahi maimoatanga pai.
Ko te momo tuatahi ko te osteochondritis dissecans taitamariki, e puta ana i ngā tamariki me ngā taitamariki kei te tipu tonu o rātou wheua. Ko tēnei ahua te nuinga o te wā he pai ake te tirohanga nā te mea ka ora pai ake ngā wheua taitamariki, ā, kei te tuwhera tonu ngā papa tipu.
Ka whanake te osteochondritis dissecans pakeke i muri i te kati o ngā papa tipu, te nuinga o te wā i muri i te 20 tau. Ko tēnei momo te nuinga o te wā he uaua ake te maimoatanga nā te mea kāore ngā wheua pakeke e ora wawe penei i ngā wheua e tipu ana.
Ka whakarōpūhia hoki e ngā tākuta te āhuatanga ma te ātete. Ko ngā lesions ātete te tikanga kei te mau tonu te wahi wheua me te cartilage, ahakoa kua ngoikore. Ko ngā lesions kore ātete te tohu kei te ngaro te wahi, kua wehe rānei atu i te wheua.
Kāore i te marama tonu te take tika, engari he maha ngā take ka āwhina ki te whanake i tēnei āhuatanga. Ko te nuinga o ngā keehi e puta mai ana i te whakakotahitanga o te ahotea whakahoki me te iti o te toto ki te wāhi wheua e pā ana.
Ko ēnei ngā take matua e taea ai te arahi ki te osteochondritis dissecans:
Ko ngā kaitākaro e whai wāhi ana ki te mahi kaiwhakaatu, te pēwhi, te tenisi, te pīpopō rānei e āwangawanga ana te nui atu, nā te mea ko ēnei hākinakina e pēhanga ana te hononga ā-whakawhānuitanga. Heoi, ka taea hoki te whanake i te āhuatanga i roto i te hunga kaore i te tino mahi.
I etahi wā, ka taea e ngā whara iti maha i te roanga o te wā te whakawaiwai i te wāhi wheua. Whakaarohia te whakapiko i tetahi pīpī whakapae ki mua, ki muri hoki – i te mutunga, ka ngoikore te rino ka whati ahakoa kaore he piko kotahi i tino kaha.
Me kite koe i te taakuta ki te pēhia koe e te mamae hononga e kore e pai ake me te okioki, ina koa ki te pā ana ki ō mahi o ia rā. Ka taea e te whakamātautau wawe me te maimoatanga te aukati i te kino o te āhuatanga.
Whakaritea he hui wawe ki te wheako koe i tetahi o ēnei tohu whakatūpato:
Rapua te tiaki hauora tonu ki te kati katoa tō hononga, ā, kaore e taea e koe te neke, ki te wheako rānei koe i te mamae nui, ohorere. Ka taea e ēnei tohu te tohu kei te motuhake tetahi wahi wheua, ā, kei te whakawakia te mahi hononga.
Kia mahara, ko te kite i te taakuta i te tīmatanga kaore e tikanga kei te he tetahi mea. He maha ngā raruraru hononga, tae atu ki te osteochondritis dissecans, e whakautu pai ana ki te maimoatanga ina mau wawe.
He maha ngā take ka piki ai te tūponotanga o te whanaketanga o tēnei āhuatanga, ahakoa ehara te whai i ngā take tūponotanga i te whakamana ka whanake koe i te osteochondritis dissecans. Ka āhei te mārama ki ēnei take kia āhei ai te tango i ngā mahi aukati ina taea.
He tino mahi te pakeke ki tō taumata tūponotanga. Ko te tikanga ka pā te āhuatanga ki ngā tamariki me ngā taitamariki i waenga i te 10 me te 20 tau te pakeke, inā koa i ngā wā o te tipu tere o te wheua.
Ka pānga hoki tō taumata mahi me te whakauru hākinakina ki te tūponotanga:
Ko ētahi atu take ka piki ai tō tūponotanga ko:
Ahakoa kaore e taea te whakarereke i ngā take penei i te pakeke, i te ira rānei, ka taea te whakarereke i ngā tūponotanga e pā ana ki te mahi mā ngā tikanga whakangungu tika, te okioki tika, me te whakamahi i ngā taputapu tiaki tika. Ka āhei te mahi tahi me ngā kaiwhakangungu tohunga kia āhei ai te pupuri i te ahua pai me te karo i ngā whara nui.
Ko te nuinga o te hunga e pangia ana e te osteochondritis dissecans ka pai te mahi me te rongoā tika, engari ka taea te whanake i ngā raruraru ki te kore e rongoātia te āhuatanga, ki te kaha rānei. Ka āhei te mārama ki ngā raruraru pea kia whakatenatena ai te hiranga o te rapu i te tiaki tika.
Ko te raruraru tino noa ko te whanaketanga o te mate pūnga i roto i te pūnga e pā ana. Ka pā te mata kirikiri maeneene, ka arahi ki te nui o te kakahu me te pakaru i te wa roa.
Ko ēnei ngā raruraru matua ka puta:
I etahi wā, ka puta mai ētahi raruraru nui atu:
Ko te rongo pai, ko te rongo wātea ka whakaiti nui i tō tūponotanga ki te whanake i ēnei raruraru. Ko te nuinga o te hunga e whiwhi ana i te tiaki tika ka mau tonu te mahi pai o te hononga, ka taea te hoki ki ō rātou mahi noa.
Ahakoa kaore e taea e koe te ārai i ngā take katoa o te osteochondritis dissecans, ka taea e koe te mahi i ētahi mahi hei whakaiti i tō tūponotanga, ina koa ki te whai wāhi koe ki ngā hākinakina. Ko te ārai e aro ana ki te tiaki i ō hononga mai i te ahotea nui me te pupuri i te hauora pai o te hononga katoa.
Ko ngā tikanga whakangungu tika te turanga o te ārai. Ko te ako i te ahua tika me te whakapiki haere i te kaha o te mahi ka āwhina i ō hononga ki te whakaritea kaore e nui rawa.
Ko ēnei ngā rautaki ārai matua:
Mō ngā kaitākaro taitamariki, ko ētahi atu whakaaro kei roto:
Kia mahara, ehara te aukati i te korenga o te mahi katoa. He mea nui te whakakori tinana mo te hauora o ngā hononga. Ko te matua ko te kimi i te taurite tika i waenga i te noho mahi me te kore e nui rawa te kawenga o ō hononga.
Ko te whakatau i te osteochondritis dissecans e whakauru ana i te whakakotahitanga o te kōrero mō ō tohu, te tirotiro tinana, me ngā whakamātautau whakaahua. Ka hiahia tō tākuta ki te mohio ki te wā i tīmata ai ō tohu me ngā mahi e pai ake ai rātou, e kino ake rānei.
I te wā o te tirotiro tinana, ka tirotirohia e tō tākuta te pupuhi, te mamae, me te whānuitanga o te nekehanga i roto i te hononga e pā ana. Ka taea hoki e rātou te mahi i ngā whakamātautau motuhake ki te kite mena kei te ahua kore haumaru tō hononga, mena he rerekē ngā nekehanga e pāngia ana e te mamae.
Ka homai e ngā whakamātautau whakaahua te whakatau tino:
Ka tīmata pea tō tākuta me ngā X-rays, nā te mea he ngāwari te wātea me te taea te whakaatu i te nuinga o ngā keehi o te osteochondritis dissecans. Heoi, he maha tonu te hiahia o te MRI ki te aromatawai katoa i te āhuatanga, ina koa ki te whakatau mena kei te pumau te wahi wheua, kei te ngāwari rānei.
Ko te tukanga whakatau ka āwhina i tō tākuta ki te whakatau ehara i te mea kei a koe te osteochondritis dissecans, engari he nui te kino me te huarahi rongoā e pai ana mō tō āhuatanga motuhake.
Ko te rongoā mō te osteochondritis dissecans ka whakawhirinaki ki te maha o ngā take, tae atu ki tō tau, te kino o te mate, me te hononga e pā ana. Ko te whāinga ko te whakaiti i te mamae, te whakahoki i te mahi o te hononga, me te aukati i ngā raruraru roa.
Mō ngā pakaru pumau,inā hoki mō ngā tāngata kōhungahunga, ka mahi pai te rongoā kore-whakahaere. Ka arotahi tēnei huarahi ki te whakaiti i te pēhanga ki te hononga me te tuku i te ora tūturu kia puta.
Ko ngā rongoā kore-whakahaere e whai ake nei:
Ka hiahiatia pea te pokanga mena kaore te rongoā kore-whakahaere e mahi, te pakaru wheua rānei e ngaro ana. Ka rerekē ngā kōwhiringa pokanga e whakahaeretia ana e koe:
Ka mahi tahi tō tākuta ki a koe hei whakatau i te mahere rongoā pai rawa atu e whakahaeretia ana e koe. He maha ngā tāngata e pai ana ki te rongoā māori, ā, ko ētahi atu e whai hua ana i te whakauru pokanga kia hoki ki te taumata mahi e hiahia ana rātou.
He mahi nui te rongoā kāinga i te whakahaere i te osteochondritis dissecans,inā hoki i te wā o te wahanga ora tuatahi. Ka homai e tō tākuta ngā aratohu motuhake, engari ka taea e te maha o ngā rautaki whānui te awhina i a koe kia pai ake te noho i te wā e tautoko ana i te tukanga ora.
Ko te okiokinga tētahi o ngā āhuatanga tino nui o te tiaki whare. Kāo nā te kī he kore mahi katoa, engari te karo i ngā mahi e pēhi ana i te hononga kua pāngia, ā, kia mau tonu te nekehanga ngawari kia kaua e pakaru.
Ko ēnei ngā rautaki whakaora whare whai hua:
He mea nui te whakarerekētanga mahi i te wā whakaora. Me karo koe i ngā mahi kaha te pānga i te wā e hoki haere ana koe ki te nekehanga i te wā e pai ake ana ō tohu. Whakarongo ki tō tinana, ā, kaua e pēhi i te mamae nui.
Ko te pupuri i te kai pai te tautoko i te whakaora iwi. Kia tutuki te nui o te kōhiū me te hua D, ā, whakaarohia te kōrero ki tō tākuta mēnā kāore tō kai e whakarato i te nui o ēnei matūkai.
Tāruahia ō tohu me te ahu whakamua. Tātarihia ngā mahi e pāngia ana e te mamae, me ēhea ngā mea e pai ana te ahua, i te mea ko ēnei korero te āwhina i tō tākuta ki te whakarite i tō mahere maimoatanga i ngā haerenga whai muri.
Ko te whakarite mō tō hui tākuta te āwhina kia whiwhi koe i te hua nui rawa atu i tō haerenga, ā, whiwhi i te tiaki pai rawa atu. Ko te tango i tētahi wā ki te whakarite i ō whakaaro me ngā korero i mua ka taea te mahi i te hui kia hua ake.
Tīmata mā te tuhituhi i ō tohu, tae atu ki te wā i tīmata ai rātou, me te aha e pai ake ai, e kino ake rānei. Kia tino mōhio ki te momo mamae e pā ana ki a koe, me pehea te pānga ki ō mahi o ia rā.
Kawe mai i ngā korero e whai ake nei ki tō hui:
Whakaarohia te kawe mai i te mema whānau, i te hoa rānei, ina koa ki te manukanuka koe mō te whakarite. Ka taea e rātou te āwhina i a koe ki te maumahara ki ngā mōhiohio nui me te whakarato tautoko ngākau.
Whakamahia ngā pūrongo i mua. Ka hiahia pea koe ki te ui mō ngā whiringa whakaora, te wā ora e tumanakohia ana, ngā ārai mahi, me te wā ka taea e koe te hoki ki ngā hākinakina, ki ngā mahi noa rānei.
Kakahu kakahu whakamātautau e tuku ana i te uru ngāwari ki te hononga e pā ana mō te tirotiro. Ki te whakamahi koe i ētahi pūāhua, kawe mai ki te whakaatu ki tō tākua.
He āhuatanga whakahaere te osteochondritis dissecans e whakautu pai ana ki te whakaora tika, ina koa ka kitea wawe. Ahakoa ka awangawanga pea te ako kei te pēhea te raruraru o tō hononga, kia mahara ko te nuinga o te iwi ka ora pai ka hoki ki ō rātou mahi noa.
Ko te mea nui rawa atu kia mārama ko te whakauru wawe ka puta he rerekētanga nui ki ngā hua. Ki te pāngia koe e te mamae o te hononga, te pupuhi, te ngoikore rānei, kaua e tatari ki te rapu awhina hauora.
He mea nui tō tau i te wā i kitea ai te mate ki te ora. Ko ngā tāngata kōhungahunga ka nui ake te kaha whakaora, engari ka taea hoki e ngā pakeke te whiwhi hua pai me te whakaora tika me te manawanui.
Ko te angitu o te whakaora e whakawhirinaki ana ki te whai i ngā tūtohu a tō tākua, ahakoa ko te okioki, te rongoā tinana, te pokanga rānei. Ko te whakatūpato ki ngā mahere whakaora me ngā whakarerekētanga mahi ka hoatu ki a koe te tupono pai rawa atu mō te ora katoa.
Kia mahara ko te ora ake he tukanga atawhai te nuinga. Ahakoa he mea noa te hiahia kia hoki wawe ki ngā mahi noa, ko te tuku i te wā ora tika ka ārai i ngā whakahekenga me ngā raruraru roa. Kia pai te ngākau, whai i tō maimoatanga, ā, kia mau te whakawhitiwhiti kōrero ki tō rōpū hauora i te katoa o tō haerenga ora ake.
Ka taea e te nuinga o te iwi te hoki ki ngā hākinakina i muri i te whakaora angitu, ahakoa ka rerekē te wā e whakawhirinaki ana ki te kino o tō āhuatanga me te hononga e pā ana. Ko ngā kaitākaro taitamariki me ngā lesions pumau ka hoki ki te mahi katoa i roto i ngā marama 3-6 me te maimoatanga māori.
Ka ārahi tō tākuta i a koe i roto i te tukanga hoki-ki-te-hākina atu, mā te tīmata ki ngā mahi iti te pānga ka piki haere te kaha. Ka hiahia pea etahi ki te whakarereke i tō rātou huarahi whakangungu, ki te whakamahi ranei i ngā taputapu tiaki, engari ko te ārai katoa i te mahi kaore e hiahiatia te roa.
Kāo, he rerekē ngā āhuatanga o te osteochondritis dissecans me te mate pūkahukahu, ahakoa ka taea e te osteochondritis dissecans kore i te whakaora te arahi ki te mate pūkahukahu i te wa roa. Ko te osteochondritis dissecans e pā ana ki tētahi wāhi motuhake o te wheua me te cartilage e ngaro ana, i te mea ko te mate pūkahukahu he mumura whānui atu o te hononga me te pakaru o te cartilage.
Heoi, ki te pakaru tonu te mata hononga maeneene mai i te osteochondritis dissecans, ka taea te waihanga i ngā wāhi kore e rite e arahi ana ki te nui o te kakahu me te mate pūkahukahu i te mutunga. Koinei te take i nui ai te maimoatanga wawe.
He rerekē te roa o te wā hōhā, e whakawhirinaki ana ki tō tau, te wāhi me te rahi o te mate, me te mea kei te hiahia koe ki te pokanga. Ka kite pea ngā tāngata kōhungahunga e whai mate pumau ana i te whakapainga i roto i ngā wiki 6-12 mā te rongoā māori, engari ka roa pea te whakaora katoa ki ngā marama 3-6.
Ko te nuinga o ngā pakeke ka hiahia ki ngā wā hōhā roa ake, e 6-12 marama rānei neke atu. Ki te hiahiatia te pokanga, ka taea te roa o te ora ki ngā marama 6-18 e whakawhirinaki ana ki te mahi. Ka tirotirohia e tō tākua te ahunga whakamua me te whakarite i ngā tumanakohanga e whakawhirinaki ana ki te āhua o tō whakautu ki te rongoā.
He pūngao te hokinga mai, engari ehara i te mea noa ina tukatuka tika te mate me te whai koe i ngā aratohu whakarerekētanga mahi. He nui ake te tūpono o te hokinga mai ki te hoki wawe koe ki ngā mahi kaha, kāore rānei koe i whakaoti i tō kaupapa whakaora.
Ko te whai i ngā tūtohu a tō tākua mō te whakawhānui haere o ngā mahi me te pupuri i te hauora o te hononga mā te whakangungu tika ka whakaiti nui i te tūpono o te hokinga mai o te mate. Ka āwhina ngā hui whakarite auau ki te hopu i ngā take i te tīmatanga.
Ahakoa he mea noa te awangawanga, he tino pai te tohu o te osteochondritis dissecans i ngā tamariki me ngā taitamariki me te rongoā tika. He whakaora whakamiharo te kaha o ngā wheua kōhungahunga, a he tokomaha ngā tamariki e ora katoa ana mā te rongoā māori.
Ko te matua ko te mahi tata me te rōpū hauora o tō tamaiti, te whakarite kia whai rātou i ngā herenga mahi, me te pupuri i ngā tumanakohanga pono e pā ana ki te wā whakaora. Ka taea e te nuinga o ngā kaitākaro kōhungahunga te hoki ki ō rātou hākinakina me te pupuri i ngā oranga mahi puta noa i ō rātou oranga me te tiaki tika.