Osteochondritis Dissecans

Ko te osteochondritis dissecans (os-tee-o-kon-DRY-tis DIS-uh-kanz) he āhuatanga o te hononga e mate ai te wheua kei raro i te cartilage o te hononga, nō te kore o te rere o te toto. Ka taea e te wheua me te cartilage te pakaru, ka puta ai te mamae, ā, ka aukati pea i te nekehanga o te hononga.

Ka tō te osteochondritis dissecans te nuinga i ngā tamariki me ngā taitamariki. Ka taea e ia te whakaeke i ngā tohu i muri i te whara ki te hononga, i muri rānei i ngā marama o te mahi, inā te mahi kaha penei i te pūkae me te oma, e pā ana ki te hononga. Ko te āhuatanga e tō ana te nuinga ki te turi, engari ka tō hoki ki ngā ringa, ngā waewae me ētahi atu hononga.

Ka whakatūria e ngā tākuta te osteochondritis dissecans kia rite ki te rahi o te whara, ahakoa kua wehea atu te wahi, ā, ahakoa kei te noho tonu te wahi. Ki te noho tonu te wahi o te cartilage me te wheua i wehea atu, ka iti pea ō tohu, kāore rānei. Mō ngā tamariki iti kei te whanake tonu ō rātou wheua, ka taea pea te whakaora i te whara e ia anō.

Ka hiahiatia pea te pokanga ki te wehea atu te wahi, ā, ka mau ki waenganui i ngā wāhanga e neke ana o tō hononga, ki te pēhia rānei koe e te mamae tonu.

Mēnā ko te pona e pā ana, ko ngā tohu me ngā tohu o te osteochondritis dissecans ka kīia: Mamae. Ko tēnei tohu māmā o te osteochondritis dissecans ka taea te whakaputa e te mahi tinana — te hīkoi i ngā arawhata, te piki i te puke, te tākaro hākinakina. Te kōpuku me te ngākau nui. Ka kīia te kiri i te taha o tō pona he kōpuku me te ngākau nui. Te pōpō o te pona, te tārewa rānei. Ka taea e tō pona te pōpō, te tārewa rānei ki tētahi tūranga mēnā ka mau he wāhanga wewete i waenganui i ngā kōiwi i te wā e neke ana. Te ngoikore o te pona. Ka kitea e koe me te mea kei te 'tuku wāhi' tō pona, kei te ngoikore rānei. Te iti ake o te awhe o te neke. Ka kore e taea e koe te whakatika tino o te waewae e pā ana. Mēnā he mamae tonu, he mamae rānei i tō turi, i tō tuke, i tētahi atu pona rānei, tirohia tō tākuta. Ko ētahi atu tohu me ngā tohu e tika ana kia karanga, kia toro atu rānei ki tō tākuta ko te kōpuku o te pona, te kore e taea te neke i te pona i tōna awhe katoa.

Mēnā kei te mamae tonu koe, kei te ngenge rānei tō turi, tō kiko, tētahi atu hononga rānei, haere ki tō tākuta. Ko ētahi atu tohu me ngā pūāhua e tika ai te waea atu, te haere atu rānei ki tō tākuta, ko te pupuhi o te hononga, te kore rānei e taea te neke i te hononga i roto i tōna whānuitanga katoa o te nekehanga.

Ko te take o te osteochondritis dissecans kaore i te mohiotia. Ko te iti haere o te toto ki te pito o te wheua e pa ana pea ka puta mai i te trauma e whakaaturia ana—he iti, maha nga wa o te whara iti, kaore i te mohiotia e kino ana te wheua. Pea he mea whakatupuranga, e meinga ana etahi tangata kia nui ake te tupono ki te whanake i te mate.

Ko te osteochondritis dissecans te nuinga o te wā ka puta i ngā tamariki me ngā taitamariki i waenganui i te 10 me te 20 tau te pakeke e tino whakapau kaha ana ki ngā hākinakina.

Ka taea e te osteochondritis dissecans te whakapiki ake i tō tūponotanga ki te whanake i te osteoarthritis i taua hononga i te mutunga.

Ko ngā taitamariki e whai wāhi ana ki ngā hākinakina whakarite pea ka whai hua i te whakangungu mō ngā tūponotanga ki ō rātou hononga e pā ana ki te whakamahinga nui. Ko te ako i ngā tikanga me ngā hangarau tika o tō rātou hākinakina, te whakamahi i ngā taputapu tiaki tika, me te whai wāhi ki ngā whakangungu kaha me ngā whakangungu pumau ka āhei te whakaiti i te tūponotanga o te whara.

I te whakamātau whakaaro tinana, ka pēhi te taakuta ki te hononga e pā ana, ka tirotiro i ngā wāhi pupū, i ngā wāhi mamae rānei. I ētahi wā, ka taea e koe, e tō taakuta rānei te kite i tetahi wahi pakaru i roto i tō hononga. Ka tirotiro hoki tō taakuta i ētahi atu hanganga kei te taha o te hononga, pēnei i ngā hononga. Ka tono hoki tō taakuta kia nekehia tō hononga ki ngā huarahi rerekē kia kitea ai te nekehanga o te hononga i roto i tōna āhua noa. Ngā whakamātau whakaahua Ka tono pea tō taakuta i tētahi, i ētahi rānei o ēnei whakamātau: X-rays. Ka taea e ngā X-rays te whakaatu i ngā rerekētanga i roto i ngā wheua o te hononga. Magnetic resonance imaging (MRI). Ma te whakamahi i ngā ngaru reo, me tetahi mara pāmahana kaha, ka taea e te MRI te whakarato i ngā whakaahua taipitopito o ngā kiko mārō, me ngā kiko ngawari, tae atu ki te wheua me te cartilage. Ki te puta mai ngā X-rays he noa, engari kei a koe tonu ngā tohu, ka tono pea tō taakuta i te MRI. Computerized tomography (CT) scan. Ka whakakotahi tēnei tikanga i ngā whakaahua X-ray i tangohia mai i ngā kōrero rerekē hei whakaputa i ngā whakaahua tapawhā o ngā hanganga o roto. Ka taea e ngā CT scans te kite i te wheua ki te taipitopito teitei, ka taea te awhina i te kimi i te wāhi o ngā wahi pakaru i roto i te hononga. Ētahi atu mōhiohio CT scan MRI X-ray

Ko te kaupapa o te maimoatanga mo te osteochondritis dissecans ko te whakahoki mai i te mahi noa o te hononga e pā ana, me te whakaiti i te mamae, me te whakaiti ano i te tūponotanga o te osteoarthritis. Kāore he rongoā kotahi e mahi ana mō te katoa. I ngā tamariki kei te tipu tonu ō rātou wheua, ka ora pea te ngoikoretanga o te wheua me te okioki me te tiaki. Maimoatanga I te tīmatanga, ka tūtohu pea tō tākuta i ngā mahi whakaora māori, ā, ka uru pea ki enei: Te okioki i tō hononga. Kaua e mahi i ngā mahi e pēhi ana i tō hononga, pēnei i te pūkae me te oma mehemea ko tō turi te pāngia. Ka hiahia pea koe ki te whakamahi i ngā tokotoko mō tētahi wā, tērā pea mehemea ka pāngia koe e te mamae. Ka tūtohu pea tō tākuta ki te kakahu i tētahi papa, kāreti, rānei kāreti hei whakakore i te hononga mō ngā wiki torutoru. Whakaora tinana. I te nuinga o te wā, ko te whakaora nei kei roto te whakatete, ngā mahi whakakore i te whānuitanga o te nekehanga, me ngā mahi whakakaha mō ngā uaua e tautoko ana i te hononga e pā ana. Ka tūtohuhia te whakaora tinana i muri i te pokanga, hoki. Pokanga Mena kei te hononga koe i tetahi wahi ngākau kore, mena kei te noho tonu te wāhi e pā ana i muri i te mutu o te tipu o ō wheua, kāore rānei e awhina ngā maimoatanga māori i muri i te whā ki te ono marama, ka hiahia pea koe ki te pokanga. Ko te momo pokanga ka whakawhirinaki ki te rāhi me te wā o te whara me te pakeketanga o ō wheua. Tono kia whakaritea he whakatau

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