He aha te Kūwhatu Tūāpapa? Tohutohu, Take, me te Maimoatanga

Ko te kūwhatu tūāpapa tētahi āhuatanga e mau ai tetahi o ō maihao ki te tūnga pōkē, ā, ka tere te whakatika, ka rite ki te toia me te tuku i te tūāpapa. Ka puta tēnei ina mumura, kāore rānei te uaua e āwhina ana i te nekehanga o tō maihao, ka uaua ai te neke mā te kokonga rite ki te rua e karapoti ana.

Ahakoa ka rongo pea koe i te wehi, he mea noa te kūwhatu tūāpapa, ā, he tino māmā te whakaora. Kāo ia koe anake e pā ana ki tēnei – e miriona ngā tāngata e pā ana, ā, ka pai te whakautu o te nuinga o ngā take ki ngā maimoatanga ngāwari ina kite wawe.

He aha te kūwhatu tūāpapa?

Ko te kūwhatu tūāpapa, e mohiotia ana ko te tenosynovitis stenosing, ka puta ina mumura, kāore rānei te uaua e tiaki ana i te uaua o tō maihao. Whakaarohia he aho e ngana ana ki te neke i roto i te rua kua iti rawa.

Ka pōkē, ka whakatika ō maihao na te uaua e mahi ana rite ki ngā pūriki. Ki te pai te mahi o nga mea katoa, kāore koe e whakaaro ki a ia. Engari ki te riri te uaua e tiaki ana, ka hangaia he pouri e mau ai, e ārai rānei i tō maihao.

I whiwhi te āhuatanga i tōna ingoa na te mea ka taea e tō maihao e pā ana te hoki ki te waahi, ka rite ki te toia i te tūāpapa. Ka taea e tēnei te puta ki tetahi maihao, engari he mea noa ki tō peke, maihao mowhiti, maihao waenganui rānei.

He aha ngā tohu o te kūwhatu tūāpapa?

Ko te tohu tino nui ko te mau, te ārai rānei o tō maihao ina ngana koe ki te pōkē, ki te whakatika rānei. Ka kite pea koe i ēnei tohu e whanake ana i te wa roa, ā, ka nui ake te mamae i te ata.

Ko ēnei ngā tohu matua hei titiro:

• Te ngoikore o te maihao, ina koa ka oho koe
• Te mau, te ārai rānei o te nekehanga o tō maihao
• Te reo pupuhi, te pī rānei ina pōkē, ina whakatika rānei tō maihao
• Te ngawari, te mamae rānei i te pito o tō maihao e pā ana
• Te puku iti, te pūngāwerewere rānei e taea te kite i te pito o tō maihao
• Te mau o tō maihao ki te tūnga pōkē
• Te whakamahi i tō ringa ke hei whakatika i te maihao e pā ana

I roto i ngā take nui ake, ka taea e tō maihao te ārai katoa ki te tūnga pōkē, ā, kāore e whakatika. Ka āwangawanga pea tēnei, engari kia mahara ko ngā take tino nui ka taea te whakaora me te huarahi tika.

He aha ngā take o te kūwhatu tūāpapa?

Ka whanake te kūwhatu tūāpapa ina mumura, kāore rānei te uaua e tiaki ana i tō uaua, ka hangaia he kore rite i waenganui i te rahi o te uaua me te wāhi e hiahiatia ana e ia hei neke. Ka puta tēnei i te nuinga o te wā na te whakamahinga, te riri rānei.

He maha ngā take ka āwhina ki te whanaketanga o tēnei āhuatanga:

• Ngā mahi hopu whakahoki ano, penei i te mahi māra, te tākaro i ngā taputapu waiata, te whakamahi rānei i ngā taputapu
• Ngā āhuatanga mumura penei i te mate rewiti rheumatoid, te mate huka rānei
• Ngā whara o mua o te ringa, te mamae rānei ki te pito o te ringa, te maihao rānei
• Ngā huringa e pā ana ki te pakeketanga i te ngawari o te uaua me te mātotorutanga o te kokonga
• Te whakamahinga kaha, te roa rānei o te maihao i te mahi, i ngā wāhi takaro rānei
• Te whakaheke i ngā raruraru uaua

I etahi wā ka puta te kūwhatu tūāpapa kahore he take mārama, ā, he mea noa tēnā. Ka huri ngā kiko o tō tinana i te wa roa, ā, i etahi wā ka ārai ēnei huringa ki te whanaketanga o tēnei āhuatanga.

Nōhea te haere ki te taote mō te kūwhatu tūāpapa?

Me whakarite e koe he hui ki tō taote ki te mau tonu, ki te ārai rānei tō maihao mō etahi rā, ki te ārai rānei ngā tohu ki ō mahi o ia rā. Ko te maimoatanga wawe ka ārahi ki ngā hua pai ake, ā, ka taea te ārai i te kino o te āhuatanga.

Rapua te tiaki hauora kia tere ake ki te mamae nui koe, ki te ārai katoa rānei tō maihao ki te tūnga pōkē, ki te kite rānei koe i ngā tohu o te mate penei i te whero, te wera, te pupuhi rānei i te wāhi e pā ana.

Kaua e manukanuka ki te 'ruru' i tō taote me tēnei āwangawanga. Ka kite ngā kaiwhakarato hauora i te kūwhatu tūāpapa i ia rā, ā, he maimoatanga whai hua kei a rātou e taea ai te whakaora nui. Ko te tere o tō whakatika, ko te maha atu o ngā whiringa maimoatanga ka wātea.

He aha ngā take morearea mō te kūwhatu tūāpapa?

Ka taea e ētahi take te whakanui ake i tō tūponotanga ki te whanaketanga o te kūwhatu tūāpapa, ahakoa te whai i ēnei take morearea kāore e whakamana ka whanake koe i te āhuatanga. Ka taea e te mārama ki a rātou te awhina i a koe ki te tango i ngā mahi ārai i te wā e taea ai.

Ko ēnei ngā take morearea noa:

• Ko te wahine, i te mea ka whanake ngā wāhine i te kūwhatu tūāpapa i te nuinga atu i ngā tāne
• Te tau i waenganui i te 40 me te 60 tau
• Te mate huka, e pā ana ki te hauora o te uaua
• Te mate rewiti rheumatoid, ngā āhuatanga mumura rānei
• Ngā mahi, ngā wāhi takaro rānei e hiahia ana ki ngā nekehanga maihao whakahoki ano
• Ngā whara o mua o te ringa, o te ringaringa rānei
• Te hypothyroidism, ngā āhuatanga homonal rānei

Ko ngā take morearea iti ake ko ētahi rongoā, te mate whatukuhu, te amyloidosis rānei. Ki te maha ō take morearea, ko te aro ki ngā tohu wawe ka nui ake te hiranga mō te hopu i te āhuatanga i te wa wawe.

He aha ngā raruraru pea o te kūwhatu tūāpapa?

Ahakoa kāore te kūwhatu tūāpapa i te mea kino, ko te waiho kāore i te maimoatanga ka ārahi ki ētahi raruraru ka pā pea ki te mahi o tō ringa. Ko te rongo pai ko te nuinga o ngā raruraru ka taea te ārai me te maimoatanga tika.

Ko ēnei ngā raruraru pea:

• Te ngoikore o te maihao, te kore rānei e taea te whakatika katoa i tō maihao
• Te mamae roa, te kore ngāwari rānei i te maihao e pā ana
• Te ārai katoa o te maihao e hiahia ana ki te whakaora
• Te ngoikore o te kaha hopu
• Te uaua ki te mahi i ngā mahi o ia rā penei i te tuhituhi, te pihi rānei i ngā kakahu

I etahi wā, ko te kūwhatu tūāpapa kāore i te maimoatanga ka ārahi ki te contracture pumau, ka pōkē tonu ai tō maihao. Koia te take i nui ai te maimoatanga wawe – ka ārai i ēnei raruraru nui ake ki te whanaketanga.

Me pēhea te ārai i te kūwhatu tūāpapa?

Ahakoa kāore e taea e koe te ārai i ngā take katoa o te kūwhatu tūāpapa, ina koa ētahi e pā ana ki te pakeketanga, ki ngā āhuatanga hauora rānei, ka taea e koe te tango i ngā mahi hei whakaiti i tō tūponotanga. Ko te ārai ka aro ki te tiaki i ō uaua mai i te kaha nui me te mumura.

Ko ēnei ngā rautaki ārai whai hua:

• Tangohia ngā okioki i ia wā i ngā mahi ringa whakahoki ano
• Whakamahia ngā tikanga hopu tika, ā, kaua e hopu i ngā taputapu kia kaha rawa
• Tāia ō maihao me ō ringa i ia rā
• Whakamahia ngā hopu kōpae i runga i ngā taputapu hei whakaiti i te mamae o te ringa
• Kia pai te mana o te mate huka ki te whai koe
• Kia kaha tonu hei pupuri i ō hononga me ō uaua hauora
• Whakaarohia ngā taputapu ergonomic ki te mahi koe i ngā nekehanga whakahoki ano

Ki te kite koe i ngā tohu wawe penei i te ngoikore iti, te mau rānei i ia wā, ko te whakatika wawe me te tā, te okioki rānei ka taea te ārai i te whanaketanga ki te kūwhatu tūāpapa nui ake.

Me pēhea te whakatau i te kūwhatu tūāpapa?

Ko te whakatau i te kūwhatu tūāpapa he mea ngāwari, kāore hoki e hiahia ana ki ngā whakamātautau uaua. Ka taea e tō taote te kite i te āhuatanga mā te tirohanga tinana, mā te whakarongo hoki ki ō tohu.

I te wā o tō hui, ka tirotirohia e tō taote tō ringa, ka tonoa koe ki te neke i ō maihao i te wā e matakitaki ana, e kite ana rānei i te mau, te ārai rānei. Ka tirotirohia hoki e rātou te ngawari, te pupuhi rānei, ngā puku iti rānei i te pito o ō maihao.

I te nuinga o ngā take, kāore ngā whakamātautau whakaahua penei i ngā X-rays, ngā MRI rānei e hiahiatia ana mō te whakatau i te kūwhatu tūāpapa. Heoi, ka tono pea tō taote i ēnei whakamātautau ki te whakaaro rātou ki ētahi atu āhuatanga, ki te koretake rānei ō tohu. Ka ui pea rātou ki tō hītori hauora, ngā mahi mahi, ngā whara hou rānei hei mārama ki ngā take pea.

He aha te maimoatanga mō te kūwhatu tūāpapa?

Ko te maimoatanga mō te kūwhatu tūāpapa ka tīmata i ngā huarahi whakahaere, ka haere ki ngā whiringa nui ake ki te hiahiatia. Ko te rongo pai ko te nuinga o ngā take ka pai te whakautu ki ngā maimoatanga kore-whakaora, ina koa ina kite wawe.

Ka tūtohutia pea e tō taote ngā maimoatanga i tēnei rārangi:

1. Te okioki me te whakatikatika mahi: Te karo i ngā mahi e whakaiti ana i ngā tohu, te tango rānei i ngā okioki i ia wā
2. Te tā: Te kakahu i te tā hei pupuri i tō maihao tika, ina koa i te pō
3. Ngā rongoā anti-mumura: Ngā kai whakaora mamae kore-whakahaere hei whakaiti i te mumura
4. Ngā whakaurunga steroid: Ngā pūwhiu cortisone tika ki te wāhi e pā ana hei whakaiti i te mumura
5. Te whakaora tinana: Ngā whakakori motuhake hei whakapai ake i te nekehanga o te maihao me te kaha
6. Te whakaora: He mahi iti hei wete i te kokonga uaua ki te kore e mahi ngā maimoatanga ke

Ka kite te nuinga o ngā tāngata i te whakaora me ngā whiringa maimoatanga tuatahi. Ko te whakaora ka waiho noa mō ngā take kāore i te whakautu ki te maimoatanga whakahaere, ki te ārai rawa rānei te maihao.

Me pēhea te whakahaere i te kūwhatu tūāpapa i te kāinga?

He maha ngā rongoā kāinga e taea ai te whakahaere i ngā tohu kūwhatu tūāpapa, te tautoko rānei i tō whakaora. Ka pai te mahi o ēnei huarahi ina whakakotahitia me te maimoatanga hauora ngaio, kāore hei whakakapi mōna.

Ko ēnei ngā rautaki whakahaere kāinga whai hua:

• Ngā whakakori maihao ngawari me ngā whakakori hei pupuri i te nekehanga
• Te whakamahi i te huka mō te 10-15 meneti i ia rā hei whakaiti i te mumura
• Te whakamahi i ngā wai wera i mua i ngā mahi hei whakapai ake i te ngawari
• Te mirimiri i te wāhi e pā ana kia ngawari hei whakapiki i te toto
• Te tango i ngā rongoā anti-mumura kore-whakahaere penei i te tohutohu
• Te kakahu i te tā i te pō hei pupuri i tō maihao tika
• Te whakatikatika i ngā mahi hei karo i te hopu whakahoki ano

Kia mahara kia manawanui ki ngā maimoatanga kāinga. Ko te whakapai ake ka roa pea i te maha o ngā wiki, ā, ko te mau tonu ki tō kaupapa tiaki te matua ki te kite i ngā hua.

Me pēhea te whakarite mō tō hui taote?

Ko te whakarite mō tō hui ka taea te awhina i a koe ki te whiwhi i te painga nui atu i tō haerenga. Ka hiahia tō taote ki te mārama ki ō tohu, ki te aromatawai hoki i te pānga o te kūwhatu tūāpapa ki tō oranga o ia rā.

I mua i tō hui, tuhia te wā e kino ana ō tohu, ngā mahi e whakaohooho ana i a rātou, me te roa o tō wheako i ngā raruraru. He awhina hoki te rarangi i ngā rongoā e tangohia ana e koe, te whakahua hoki i ētahi atu āhuatanga hauora kei a koe.

Whakaarohia te kawe mai i te rarangi o ngā pātai mō ngā whiringa maimoatanga, te wā whakaora, me ngā herenga mahi. Kaua e whakaroa ki te ui mō te aha e tatari ana koe mai i ngā maimoatanga rerekē, ki te wā rānei ka kite koe i te whakapai ake. E hiahia ana tō taote ki te awhina i a koe ki te whakatau whakamārama mō tō tiaki.

He aha te mea nui mō te kūwhatu tūāpapa?

Ko te kūwhatu tūāpapa he āhuatanga noa, he taea te whakaora, e pā ana ki te nekehanga ngawari o ngā uaua maihao. Ahakoa ka pouri, ka mamae pea, ko te nuinga o ngā take ka pai te whakautu ki te maimoatanga ina whakatika wawe.

Ko te mea nui hei mahara ko te whakauru wawe ka ārahi ki ngā hua pai ake, ki ngā whiringa maimoatanga atu hoki. Ki te kite koe i tō maihao e mau ana, e ārai ana, e ngoikore ana rānei, kaua e tatari kia kino atu i mua i te rapu awhina.

Me te maimoatanga tika, me te manawanui, ka hoki te nuinga o ngā tāngata e pā ana ki te kūwhatu tūāpapa ki te mahi ringa noa. Ahakoa mā ngā maimoatanga whakahaere, mā te whakaora iti rānei, he otinga whai hua kei te wātea hei awhina i a koe ki te whiwhi i te nekehanga maihao ngāwari.

Ngā pātai e ui pinepinetia ana mō te kūwhatu tūāpapa

P1: Ka ngaro noa iho te kūwhatu tūāpapa?

Ka taea e te kūwhatu tūāpapa ngawari te whakapai ake me te okioki, te whakatikatika mahi rānei, engari ko te nuinga o ngā take ka whai hua mai i te maimoatanga hauora. Kahore he maimoatanga, ka kaha ake ngā tohu i te wa roa, ā, ka ārahi pea ki te ngoikore o te maihao pumau. Ko te whakauru wawe ka ārai i ngā raruraru, ka tere ake te whakaora.

P2: E hia te roa o te whakaora i te kūwhatu tūāpapa?

Ka rerekē te wā whakaora i runga i te nui me te huarahi maimoatanga. Me te maimoatanga whakahaere, ka tīmata te whakapai ake i roto i ngā wiki 2-6, ahakoa ka roa pea ngā marama kia ora katoa. Ka taea e ngā whakaurunga steroid te hoatu whakaora i roto i ngā rā ki ngā wiki, ā, ko te whakaora ka puta mai te ora katoa i roto i ngā wiki 2-4.

P3: Ka taea e te kūwhatu tūāpapa te pā ki ngā maihao maha i te wā kotahi?

Ae, ka taea e te kūwhatu tūāpapa te pā ki ngā maihao maha i te wā kotahi, te whanake rānei i roto i ngā maihao rerekē i te wa roa. He mea noa tēnei ki ngā tāngata e mate huka ana, mate rewiti rheumatoid rānei, ki ētahi e mahi ana i ngā mahi ringa whakahoki ano. Ka hiahia pea ia maihao e pā ana ki te arotake maimoatanga motuhake.

P4: He mamae te whakaora kūwhatu tūāpapa?

Ko te whakaora kūwhatu tūāpapa ka mahia i te nuinga o te wā hei mahi manawanui i raro i te mate ngawari, na reira e kore koe e rongo mamae i te wā o te mahi. Ko te nuinga o ngā tāngata ka rongo mamae iti mō etahi rā i muri mai, e pai ana te whakautu ki ngā rongoā mamae kore-whakahaere. Ko te mahi he nui te angitu me ngā raruraru iti.

P5: Ka hoki mai te kūwhatu tūāpapa i muri i te maimoatanga?

Ka taea e te kūwhatu tūāpapa te hoki mai, ahakoa he mea iti tēnei. Ko ngā reiti hoki mai he nui ake me ngā maimoatanga kore-whakaora i te whakaora. Ko te whai i ngā tohutohu a tō taote mō te whakatikatika mahi me te tiaki ringa ka taea te awhina i te ārai i te hoki mai. Ki te hoki mai ngā tohu, ko ngā whiringa maimoatanga kotahi tonu kei te wātea.