He aha te pokanga whakakapinga pakihiwi? Te Whāinga, te Hātepe & te Oranga

Ko te pokanga whakakapinga pakihiwi he hātepe e tangohia ai ngā wāhanga kua pakaru o tō hononga pakihiwi, ka whakakapi ki ngā wāhanga hanga. Whakaarohia me te mea e whiwhi ana koe i ngā wāhanga hou mō tētahi mīhini kua tawhito - ko te whāinga kia whakahokia mai te nekehanga māeneene, kore mamae ki tō pakihiwi.

Ka noho tēnei pokanga hei kōwhiringa ina kua pakaru tō hononga pakihiwi i te mumura nui, i ngā whati, i ētahi atu āhuatanga rānei, i tua atu i te āwhina o ētahi atu rongoā. Ko ngā wāhanga hononga hanga i hangaia hei whai i te nekehanga o tō pakihiwi tūturu, i te wā e whakakore ana i te pūtake o tō mamae.

He aha te pokanga whakakapinga pakihiwi?

Ko te pokanga whakakapinga pakihiwi e whai ana i te tango i te kōiwi me te kirikiri kua pakaru mai i tō hononga pakihiwi, ka whakakapi ki ngā wāhanga hanga i hangaia ki te rino me te kirihou. Ko tō hononga pakihiwi he hononga pōro-me-pōkai, kei reira te upoko porotaka o tō kōiwi ringa o runga (humerus) e uru ana ki tētahi pōkai pāpaku i tō pōkai pakihiwi.

I te wā o te hātepe, ka tangohia e tō tākuta pokanga te pōro kua pakaru i te tihi o tō kōiwi ringa, ka whakakapi ki tētahi kakau rino me tētahi pōro rino, karāmihi rānei, māeneene. Ka taea hoki te whakahou i te pōkai kua pakaru ki te rāina kirihou, i runga i te momo whakakapinga e hiahia ana koe.

E rua ngā momo matua o te pokanga whakakapinga pakihiwi. Ko te whakakapinga pakihiwi katoa e whai ana i te whakakapi i ngā wāhanga pōro me te pōkai o tō hononga. Ko te whakakapinga pakihiwi wāhanga, e kiia ana ko te hemiarthroplasty, e whakakapi ana i te wāhanga pōro anake, i te wā e waiho ana te pōkai tūturu.

He aha te take i mahia ai te pokanga whakakapinga pakihiwi?

Ko te take tuatahi mō te pokanga whakakapinga pakihiwi ko te whakaora i te mamae pakihiwi nui, pumau, kāore i aro ki ētahi atu rongoā. Ko tēnei mamae te tikanga i ahu mai i ngā āhuatanga kua pakaru i te kirikiri māeneene e hipoki ana i tō hononga pakihiwi, e pā ana ki te mirimiri o te kōiwi ki te kōiwi.

He maha ngā āhuatanga ka hua ai te hiahia mō te pokanga whakakapinga pakihiwi, ā, mā te māramatanga ki ēnei ka āwhina i a koe ki te mōhio ki te wā e tika ana tēnei maimoatanga:

• Osteoarthritis - te take tino noa, ka ngaro te kirikiri i te roanga o te wā
• Rheumatoid arthritis - he āhuatanga ā-ārai-tinana e whakapōrearea ana, e whakangaro ana i te kiko hononga
• Post-traumatic arthritis - te mumura hononga ka puta i muri i te wharanga pakihiwi, te whati rānei
• Rotator cuff tear arthropathy - he āhuatanga e arahi ana ngā roimata nui o te rotator cuff ki te whakangaro hononga
• Avascular necrosis - ka aukatihia te tuku toto ki te kōiwi pakihiwi, ka mate te kōiwi
• Ngā whati pakihiwi nui - ngā whati uaua e kore e taea te whakatika mā ētahi atu tikanga
• Kua rahua te pokanga pakihiwi o mua - ka kore ngā maimoatanga o mua i whai oranga pumau

Ko te tikanga ka tūtohu tō tākuta i te whakakapinga pakihiwi i muri noa iho i te rahunga o ētahi atu maimoatanga pēnei i te rongoā tinana, ngā rongoā, me ngā werohanga ki te whai oranga tika. Ka whakawhirinaki anō te whakatau ki tō tau, te taumata mahi, me te hauora whānui.

He aha te tikanga mō te pokanga whakakapinga pakihiwi?

Ko te tikanga ka mahia te pokanga whakakapinga pakihiwi i raro i te rongoā whānui, ā, e rua ki te toru hāora te roa ki te whakaoti. Ka tūnga koe ki tō taha, ki te tūnga tūru takutai rānei kia whai wāhi pai ai tō tākuta ki tō hononga pakihiwi.

Ka hanga e tō tākuta he tapahi i te taha o mua o tō pakihiwi, tata ki te 6 inihi te roa. Mā tēnei tapahi, ka āta nekehia ngā uaua me ngā uaua uaua ki te taha kia tae atu ki tō hononga pakihiwi me te kore e tapahi i a rātou.

Kei roto i te tukanga pokanga ētahi mahi tika ka mahia e tō rōpū hauora i runga i te tikanga:

1. Tangohia te wāhanga pōro kua pakaru o tō wheua ringa o runga mā te whakamahi i ngā taputapu hāparapara motuhake
2. Whakaritea te pokapū āputa o tō wheua ringa kia whakatakotoria te kakau whakarewa hou
3. Whakauruhia te kakau whakarewa ki roto i tō wheua ringa, mā te whakamahi rānei i te sima wheua, mā te kore rānei
4. Whakapirihia te pōro horihori hou ki te tihi o te kakau whakarewa
5. Whakaritea te wāhi tūwāhi mēnā kei te whakawhiti katoa koe i te pakihiwi
6. Whakakāpā te rārangi tūwāhi kirihou ki te wāhi mā te whakamahi i ngā tīwiri, i te sima rānei
7. Whakamātauhia te whānuitanga o te nekehanga me te pūmautanga o te hononga hou
8. Katia te tapahi mā te tuitui, i ngā tūtohi rānei, me te tono i ngā takai

I ētahi wā, ka whakamahi pea tō tākuta hāparapara i te whakawhiti pakihiwi whakamuri, ka huri ngā tūnga o te pōro me te tūwāhi. Ka whakamahia te tikanga nei i te nuinga o te wā mēnā he roimata nui tō rōpū rotator me te mate rūmātiki.

Me pēhea te whakarite mō tō hāparapara whakawhiti pakihiwi?

Ko te whakarite mō te hāparapara whakawhiti pakihiwi e whai pānga ana ki ngā mahi tinana me ngā mahi whaihua hei āwhina i te putanga pai rawa atu. Ko te tikanga ka tīmata tō whakarite i ngā wiki maha i mua i te rā o tō hāparapara kua whakaritea.

Ka ārahi tō rōpū hauora i a koe mā ngā tūtohinga me ngā whakamātautau i mua i te hāparapara kia mōhio ai koe kua rite koe mō te hāparapara. Ko ēnei pea ko ngā whakamātautau toto, ngā hihi-x o te pouaka, me te electrocardiogram hei tirotiro i tō mahi ngākau.

Anei ngā mahi nui me mahi koe i mua i tō hāparapara:

• Kati te kai paipa i te iti rawa 4-6 wiki i mua i te pokanga kia pai ake te whakaora
• Whakaritehia nga rongoa i runga i nga tohutohu a to taakuta, ina koa nga mea whakaheke toto
• Whakaritea he awhina i te kainga i te wa o to wa whakaora
• Whakaritehia to kainga ma te tango i nga mea e raru ai te takahanga me te whakarite i nga mea e whakamahia ana
• Whakamahia to ringa ehara i te ringa rangatira mo nga mahi o ia ra
• Whakaotihia nga mahi niho katoa hei whakaiti i te tupono o te mate
• Haere ki nga hui rongoa tinana i mua i te pokanga mena ka tohutohuhia
• Hokona, reti ranei nga taputapu penei i te tuuru kaukau, te nohoanga wharepaku ranei

Ka hoatu e to taakuta nga tohutohu motuhake mo te kai me te inu i mua i te pokanga. I te nuinga o te wa, me karo koe i te kai me te inu mo te iti rawa 8-12 haora i mua i to tikanga kia kore ai he raruraru i te wa o te rongoa.

Me pehea te panui i nga hua o to whakakapinga pakihiwi?

Ko te maarama ki nga hua o to whakakapinga pakihiwi ko te titiro ki nga hua i muri tonu i te pokanga me nga tohu angitu mo te wa roa. Ka aroturukihia e to roopu taatai etahi tohu matua hei whakarite kia tika te mahi o to hononga hou.

I muri tonu i te pokanga, ka arotakehia e to roopu hauora to hononga pakihiwi hou ma te whakamahi i nga hihi-X hei whakapumau i te tuunga tika o nga waahanga horihori. E whakaatu ana enei whakaahua mena kei te tika te whakanoho i te kakau whakarewa ki roto i to wheua ringa me te tika te whakatikatika o te waahanga turanga.

Ko nga tohu angitu mo te wa poto ka aroturukihia e koe me to roopu hauora ko:

• Te whakaiti nui i te mamae o te pakihiwi i whakaritea ki mua i te pokanga
• Te pai ake o te awhe o te nekehanga i nga wa o te rongoa tinana
• Te whakaora tika o te patunga me te kore he tohu o te mate
• Te mahi hononga pumau i nga mahi o ia ra
• Nga mahi toto noa e tohu ana kaore he tohu o te mate, o nga raruraru ranei

Ka inehia te angitu mo te wā roa i ngā marama me ngā tau i muri i tō pokanga. Ko te nuinga o te tangata ka kite i te whakaiti nui o te mamae me te whakapai ake i te mahi, me ngā rangahau e whakaatu ana e 85-95% o ngā whakakapinga pakihiwi kei te pai tonu te mahi i muri i te 10-15 tau.

Ko ngā whakaritenga whai muri i tō pokanga ka uru ki ngā hihi-X auau hei aroturuki i ngā wāhanga hononga hangai mō ngā tohu o te wetewete, te kakahu rānei. Mā ēnei whakaahua e āwhina ana i tō tākuta pokanga ki te kite wawe i ngā raruraru pea, ahakoa i mua i tō kite i ngā tohu.

Me pēhea te whakanui i tō whakaora i te whakakapinga pakihiwi?

Ko te whakanui i tō whakaora i te whakakapinga pakihiwi e hiahia ana kia kaha te whai wāhi ki tō hōtaka whakaora me te whai i ngā tohutohu a tō rōpū hauora. Ko tō wāhanga whakaora ka roa pea i ngā marama, me te nuinga o te tangata e kite ana i te whakapai ake nui i roto i te 3-6 marama.

Ko te rongoā tinana te tōkena o te whakaora angitu i te whakakapinga pakihiwi. Ka tīmata tō rongoā i muri tata i te pokanga, ka haere i ngā wāhanga rerekē i te wā e rongoa ana tō pakihiwi, e kaha ana hoki.

Ko ngā rautaki matua mō te whakanui i tō whakaora ko:

• Haere ki ngā hui rongoā tinana katoa me te whakaharatau i ngā mahi i te kāinga
• Whaia ngā here a tō tākuta pokanga mō te hiki me ngā nekehanga ringa
• Kia ma, kia maroke tō tapahi kia kore ai e pangia e te mate
• Tangohia ngā rongoā i whakaritea kia rite ki te tohutohu mō te mamae me te ārai i te mate
• Whakamahia te rongoā huka hei whakaiti i te pūhi me te mamae
• Whakanuia haere tō taumata mahi i te whakaaetanga a tō rōpū hauora
• Kia nui te moe hei tautoko i te rongoa
• Kai i te kai totika e whai rawa ana i te pūmua me ngā huaora
• Kia wai hei tautoko i te rongoa o te kiko

Ka haere tō whakaora i ngā wāhanga, ka tīmata ki te tiaki i te wāhi pokanga, ka haere haere ki ngā mahi whakakaha. Ko te nuinga o te tangata ka hoki ki ngā mahi māmā i roto i te 6-8 wiki, i te wā e roa ana te whakaora mō ngā mahi uaua ake pea i te 4-6 marama.

He aha te putanga pai rawa atu mō te pokanga whakakapi pakihiwi?

Ko te putanga pai rawa atu mō te pokanga whakakapi pakihiwi ko te whakatutuki i te whakaiti mamae nui i te wā e whakahoki ana i te whakamahinga o tō pakihiwi mō ngā mahi o ia rā. Ko te nuinga o te tangata ka kite i te whakapai ake nui i tō rātou kounga o te ora, me te heke o ngā taumata mamae mai i te tino nui ki te iti, ki te kore rānei.

Ko te whakakapi pakihiwi angitu te tikanga ka taea e koe te hoki ki te nuinga o āu mahi noa, ahakoa me whakatika ētahi mea. Ka taea e koe te tūmanako ki te mahi i ngā mahi o ia rā pērā i te whakakākahu, te tunu kai, me te manaaki whaiaro me te kore te mamae nui i pā ki a koe i mua i te pokanga.

Ko ngā tūmanako tūturu mō ngā putanga pai ko:

• 90-95% te whakaiti i te mamae pakihiwi i te wā okioki me ngā mahi o ia rā
• Te kaha ki te hiki i tō ringa ki runga ake i te taumata pakihiwi mō ngā mahi whaihua
• Te whakapai ake i te kounga o te moe nā te whakaiti i te mamae i te pō
• Te hoki ki ngā mahi whakangahau iti pērā i te kauhoe, te korowha rānei
• Te whakarei ake i te kaha ki te mahi i ngā mahi e pā ana ki te mahi
• Te whakapai ake i te kounga o te ora me te ngākau whānui
• Te roa o te hononga o te 15-20 tau, neke atu rānei me te manaaki tika

Ko ngā putanga pai rawa atu ka puta i te wā e whai wāhi kaha ana koe ki tō whakaora, e whai ana i ngā tohutohu hauora, me te pupuri i ngā tūmanako tūturu mō tō taumata mahi. Ahakoa he tino angitu te whakakapi pakihiwi, he mea nui kia mōhio koe ko tō hononga hou, ahakoa he roa te ora, kāore i te kore e taea te whakangaro.

He aha ngā āhuatanga tūpono mō ngā raruraru whakakapi pakihiwi?

Ko te māramatanga ki ngā āhuatanga tūpono mō ngā raruraru whakakapi pakihiwi ka āwhina i a koe me tō rōpū hauora ki te mahi i ngā mahi hei whakaiti i ngā raruraru pea. Ahakoa he haumaru te whakakapi pakihiwi, ka taea e ētahi āhuatanga te whakanui i tō tūpono ki ngā raruraru.

Ko ētahi āhuatanga tūpono e pā ana ki tō hauora whānui me tō oranga, ā, ko ētahi e pā ana ki tō āhua pakihiwi, ki tō hītori pokanga rānei. Mā te mōhio ki ēnei āhuatanga ka pai ake te whakarite me te aroturuki.

Ngā āhuatanga tūpono noa ka piki ake te reiti o ngā raruraru ko:

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• Te pakeke haere (nui ake i te 75 tau) nā te puhoi o te whakaora me te piki ake o ngā āhua hauora
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• Te kai paipa, e tino pā ana ki te whakaora i ngā patunga me te piki ake o te tūponotanga o te mate
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• Te mate huka, ina koa kāore i te pai te whakahaere, e pā ana ki te whakaora me te aukati i te mate
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• Te momomo, e pēhi ana i te hononga hou me te uaua ake te pokanga
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• Ngā mate pakihiwi o mua, he maha rānei ngā pokanga o mua
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• Ētahi rongoā pēnei i ngā steroid mō te wā roa e pā ana ki te whakaora
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• Ngā āhua autoimmune e pā ana ki te whakaora me te piki ake o te tūponotanga o te mate
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• Te kounga o te wheua mai i ngā āhua pēnei i te osteoporosis
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• Ngā mate kaha i te wāhi kē o te tinana
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Ngā āhuatanga tūpono onge engari he nui te kino ko te whai i ētahi āhua hauora pēnei i te mate ngākau nui, te ngoikore o te tākihi, te pūnaha ārai mate rānei. Ka āta arotakehia e tō rōpū pokanga ēnei āhuatanga, ā, ka tūtohu pea kia whakapai ake i tō hauora i mua i te pokanga.

Ko te rongo pai ko te maha o ngā āhuatanga tūpono ka taea te whakarereke i mua i te pokanga. Ka mahi tahi tō rōpū hauora ki a koe ki te whakatika i ngā āhuatanga ka taea te whakahaere pēnei i ngā taumata huka toto, te whakamutu i te kai paipa, me te mana kai hei whakapai ake i te putanga o tō pokanga.

He pai ake te pokanga whakakapi pakihiwi i mua atu, i muri mai rānei?

Ko te wā o te pokanga whakakapi pakihiwi e whakawhirinaki ana ki te taurite i tō kounga o te oranga i tēnei wā ki te roa o te hononga horihori. Kāore he wā

I te nuinga o te wā, he pai ake te whakakapi pakihiwi ina kua kore e whai hua ngā rongoā whai whakaaro, ā, ka tino pā te mamae ki tō oranga o ia rā. Ko te tatari roa rawa ka hua te ngoikore o ngā uaua, te ngaro o te kōiwi, me te pokanga uaua ake, engari ko te pokanga wawe rawa ka roa pea tō oranga i te hononga hanga.

Ko ngā āhuatanga e tohu ana kua tae pea te wā mō te pokanga ko:

• Te mamae nui e raru ana i te moe me ngā mahi o ia rā
• Te tino aukati i te neke me te mahi o te ringa
• Kua kore e whai hua ngā rongoā whai whakaaro i roto i te 6-12 marama
• Te ngoikore haere o ngā uaua pakihiwi
• Te kore e taea te mahi i ngā mahi mahi, ngahau rānei
• Te heke o te kounga o te oranga ahakoa ētahi atu rongoā
• Te hauora pai e tautoko ana i te pokanga me te whakaora angitu

He mea nui te whakaaro ki te pakeke, engari ehara i te mea tino tika. Ko ngā tāngata e taitamariki ana (kei raro iho i te ono tekau) ka whai hua pea mai i te whakaroa i te pokanga ina taea, i te mea he nui ake te tūponotanga ka roa tō rātou oranga i te hononga hanga. Heoi anō, ki te tino pā tō āhuatanga ki tō oranga, he maha ngā wā ka nui ake ngā painga o te pokanga i ngā āwangawanga mō te pokanga whakatikatika ā muri ake nei.

Ka āwhina tō tākuta pokanga i a koe ki te whakatau i ēnei āhuatanga me te whakatau i te wā tika rawa atu i runga i tō āhuatanga motuhake, te taumata mahi, me ngā whāinga wā roa.

He aha ngā raruraru ka puta i te pokanga whakakapi pakihiwi?

Ahakoa te nuinga o te wā he haumaru, he angitu hoki te pokanga whakakapi pakihiwi, pērā i ētahi atu pokanga nui, he raruraru pea ka puta, me mōhio koe. He onge te nuinga o ngā raruraru, ā, he maha ngā whakatūpato ka mahia e tō rōpū pokanga hei ārai i a rātou.

He iti noa te reiti o ngā raruraru mō te pokanga whakakapi pakihiwi, ka puta i roto i te iti iho i te 5-10% o ngā keehi. Mā te māramatanga ki ēnei tūponotanga ka āwhina koe ki te whakatau i tētahi whakatau mōhio, me te mōhio ki ngā tohu whakatūpato i te wā o tō whakaora.

Ko ngā raruraru noa ka puta ko:

• Te mate pāwera i te wāhi pokanga, i te taha rānei o te hononga hangai
• Ngā pūhui toto i te ringa, i te pūkahukahu rānei, ahakoa he iti ake te auau i te whakakapinga hope, turi rānei
• Te kino o te io e pā ana ki te ngaro o te rongo, te ngoikore rānei i te ringa
• Te mārō, te iti rānei o te whānuitanga o te neke ahakoa te rongoā tinana
• Te kore pūmau, te tūāhua rānei o te hononga hangai
• Te whati o te kōiwi ringa i te wā o te pokanga, i muri rānei
• Te pānga pāwera ki te rongoā whakamoe, ki ngā rauemi whakauru rānei
• Te mamae roa, te kore rānei o te whakaiti mamae

Ko ngā raruraru onge engari he nui te kino ko ngā mate kino e hiahia ana kia tangohia te hononga hangai, te kino tūturu o te io, ngā pūhui toto rānei e mōrearea ana ki te ora. E puta ana ēnei i roto i te iti iho i te 1-2% o ngā tūāhua, engari e hiahia ana kia tere te āwhina hauora.

Ka taea e ngā raruraru wā-roa te whanake i ngā tau i muri i te pokanga, tae atu ki te wewete o ngā wāhanga o te hononga hangai, te kakahu o ngā wāhanga kirihou, te hanganga rānei o te kiko kiko. Ko ēnei take ka hiahia pea ki te pokanga whakatikatika, ahakoa i hangaia ngā whakauru hou kia 15-20 tau, neke atu rānei te roa.

Ka kōrero tō rōpū pokanga i ō āhuatanga tūpono motuhake, ka whai i ngā mahi hei whakaiti i ngā raruraru mā te hangarau pokanga tupato, te whakamahi paturopi tika, me te manaaki whānui i muri i te pokanga.

Āhea au e kite ai i te tākuta mō taku whakakapinga pakihiwi?

Me whakapā atu koe ki tō tākuta tonu mēnā ka pā ki a koe ētahi tohu o ngā raruraru nui i muri i te pokanga whakakapinga pakihiwi. Mā te mōhio wawe, te rongoā rānei i ngā raruraru ka ārai i ngā take iti kia kore e noho hei raruraru nui.

I te wā o tō whakaora, he mea noa te pā ki ētahi mamae, te pūhi, me te iti o te neke. Heoi, ko ētahi tohu e hiahia ana kia tere te āwhina hauora, kaua e warewaretia.

Whakapā atu ki tō tākuta tonu mēnā ka pā ki a koe:

• Te kirika i runga ake i te 101°F (38.3°C) he makariri rānei, he tohu pea tēnei i te mate
• Te whero haere, te mahana, te rerenga wai rānei mai i tō tapahi
• Te mamae nui, e kaha haere ana, kāore e pai ake i ngā rongoā kua whakaritea
• Te ngaronga ohorere o te mahi, te kore rānei e taea te neke i tō ringa
• Ngā tohu o te pūpū toto pērā i te pūhi nui, te mahana, te mamae rānei o te kuao kau
• Te mamae o te uma, te uaua rānei ki te hā
• Te ngaro o te rongo, te ngau rānei, kāore e pai ake i te wā
• Ngā tohu kua tūwhera tō pakihiwi, kua kore rānei e mau

Mō te aroturuki wā-roa, me pūmau tonu koe ki ngā tūpono auau ki tō tākuta pokanga ahakoa kei te pai koe. Ko ēnei haerenga ka puta i te 6 wiki, 3 marama, 6 marama, ā, ia tau ki te arotake i te āhua o tō hononga tūāhua.

Hei tāpiri, tūpono atu ki tō tākuta mēnā ka puta mai ngā tohu hou i ngā tau i muri i te pokanga, pērā i te mamae e kaha haere ana, te heke o te mahi, ngā tangi rānei i tō hononga pakihiwi. Ko ēnei pea e tohu ana i te mau, i te wetewete rānei o ngā wāhanga o tō hononga tūāhua.

Ngā pātai e pātai pinepine ana mō te pokanga whakakapi pakihiwi

Q.1 He pai te pokanga whakakapi pakihiwi mō te rūmātiki?

Āe, he tino whai hua te pokanga whakakapi pakihiwi mō te rongoā i te rūmātiki nui kāore i aro ki ētahi atu rongoā. E whakaatu ana ngā rangahau e 90-95% o ngā tāngata e rūmātiki ana ka pōturi te mamae, ka pai ake te mahi i muri i te whakakapi pakihiwi.

Ko te pokanga te mea pai mō te osteoarthritis, te rheumatoid arthritis, me te post-traumatic arthritis i te wā e nui ana te kino o te hononga. Ka arotake tō tākuta pokanga i tō momo rūmātiki me te tohu o te kino o te hononga ki te whakatau mēnā ko te whakakapi te kōwhiringa pai mōu.

Q.2 E whakawhāiti ana te pokanga whakakapi pakihiwi i aku mahi mō ake tonu atu?

Kei roto i te pokanga whakakapinga pakihiwi ētahi here mō ngā mahi e kore e huri, engari ka taea e te nuinga o te tangata te hoki ki te nuinga o ā rātou mahi e hiahia ana. Me karo koe i ngā mahi whai pānga nui pēnei i ngā hākinakina whakapā, te hiki taumaha neke atu i te 50 pauna, me ngā nekehanga o runga ake i te mahunga e hāngai ana.

Heoi, ka taea e koe te whai wāhi ki ngā mahi iti pēnei i te kauhoe, te korowha, te tēnehi, me te nuinga o ngā mahi e pā ana ki te mahi. Ka hoatu e tō tākuta pokanga ngā aratohu mahi motuhake i runga i tō āhuatanga takitahi me te momo whakakapinga ka whiwhi koe.

Q.3 Kia pēhea te roa o te whakakapinga pakihiwi?

Ko ngā whakakapinga pakihiwi hou te nuinga ka roa 15-20 tau, neke atu rānei, ētahi ka roa ake. Kei te whakawhirinaki te roa ki ngā mea pēnei i tō tau, te taumata mahi, te taumaha o te tinana, me te pai o te whai i ngā tohutohu tiaki i muri i te pokanga.

Ko ngā tāngata e taitamariki ana, e kaha ana te mahi, ka nui ake te mau o tō rātou hononga hangai i te wā, ka hiahia pea ki te pokanga whakatikatika. Heoi, kei te haere tonu ngā whakapainga i roto i ngā rauemi whakato me ngā tikanga pokanga ki te whakapai ake i te roa o te oranga o ngā whakakapinga pakihiwi.

Q.4 Ka taea e au te moe i runga i tōku taha i muri i te whakakapinga pakihiwi?

Me karo koe ki te moe i runga i tō taha pokanga mō te 6-8 wiki i muri i te pokanga kia tiakina ō kiko e ora ana. Ko te nuinga o te tangata e moe ana i roto i te tūru whakatā, e tū ana rānei i roto i te moenga me ngā urunga i te wā o te whakaora wawe.

Ka hoatu e tō tākuta pokanga ngā aratohu motuhake mō te wā ka taea e koe te hoki marie ki te moe i tō taha, te nuinga i runga i tō ahunga whakamua o te whakaora me ngā taumata mamae. Ko te whakamahi i te urunga i waenga i ō ringa ka taea te whakarato i te whakamarie me te tautoko atu i te wā ka hoki koe ki te moe i tō taha.

Q.5 He aha te mea ka tūpono mena ka hiahia au ki te pokanga whakakapinga pakihiwi i ngā pakihiwi e rua?

Mēnā e hiahia ana koe ki te whakakapinga pakihiwi rua, ka tūtohu tō tākuta pokanga ki te whakatū i ngā pokanga i ētahi marama i muri mai. Mā tēnei ka taea e tō pakihiwi tuatahi te ora me te whakahoki i te mahi i mua i te mahi i te pakihiwi tuarua.

Me mātua whakamahere pū te whakakapi i ngā pakihiwi e rua, ā, he roa te wā whakaora, engari ka whai hua pai te nuinga o te tāngata i ngā pakihiwi e rua. Ka mahi tahi tō rōpū hauora me koe ki te whakatau i te wā tika me te huarahi pai mō te whakakapi i ngā taha e rua i runga i ō hiahia me tō hauora whānui.