He aha te pokanga o te rekereke? Te Whāinga, te Hātepe & te Whakaora

He hātepe rongoā te pokanga o te rekereke hei whakatika i ngā wheua kua pakaru, ngā uaua, ngā uaua, rānei, te kirikiri rānei i tō hononga rekereke. Ka tūtohu pea tō tākuta i tēnei ina kāore anō ngā rongoā whai whakaaro pēnei i te okiokinga, te rongoā tinana, te rongoā rānei i whai hua ki te whakaora i te mamae, i te whakahoki mai rānei i te mahi tika ki tō rekereke.

Whakaarohia tō rekereke he tūāpapa uaua e hono ana i tō waewae ki tō waewae. Ina pakaru tēnei tūāpapa i te wharanga, te mumura o ngā hononga, ētahi atu āhuatanga rānei, ka āwhina te pokanga ki te whakahoki mai i tōna pūmautanga me te nekehanga kia taea ai e koe te haere, te oma, me te neke marie anō.

He aha te pokanga rekereke?

Kei roto i te pokanga rekereke ngā momo hātepe hei whakatika i ngā raruraru i roto i tō hononga rekereke. Ko ngā momo tino noa ko te arthroscopy (te whakamahi i te kāmera iti hei whakatika i te kiko), te whakatika i te whati (te whakatika i ngā wheua whati), te hanga anō i ngā uaua (te hanga anō i ngā hononga kua haehae), me te whakakapinga hononga, te whakakotahitanga rānei mō te mumura o ngā hononga nui.

Ko tō hononga rekereke te wāhi e tūtaki ai ngā wheua e toru: te tibia me te fibula mai i tō waewae o raro, me te wheua talus mai i tō waewae. Ka mau ngātahi ēnei wheua e ngā uaua, ā, ka whakatāritia e te kirikiri. Ina pakaru ētahi o ēnei hanganga, ka hiahiatia pea te pokanga hei whakahoki mai i te mahi noa.

Ko te momo pokanga e hiahiatia ana e koe e pā ana ki tō raruraru. Ko ētahi hātepe he iti noa te whakaeke, engari ko ētahi e hiahia ana i ngā tapahi nui ake hei uru atu me te whakatika i te wāhi kua pakaru.

He aha te take e mahia ana te pokanga rekereke?

Ka whai mana te pokanga rekereke ina kua pakaru rawa tō hononga rekereke, ngā hanganga rānei e tata ana, kāore e ora tika ana i a rātou anō. Ka whakamātau tō tākuta i ngā rongoā kāore i te pokanga i te tuatahi, engari ko te pokanga pea te kōwhiringa pai ina kāore e whai hua ana te manaaki whai whakaaro.

Anei ngā take nui e hiahia ana koe ki te pokanga rekereke, mai i ngā āhuatanga noa ki ngā āhuatanga uaua:

• Ngā whati rekereke nui e whai wāhi ana ki ngā wāhanga wheua maha, ki te nekehanga tahi rānei
• Te korenga pūmau o te rekereke mai i ngā uaua kua haehae tonu
• Te mumura tahi nui e pā ana ki te mamae tonu me te mārō
• Ngā haehae o te uaua Achilles e kore e ora tika
• Te pōro rekereke i te wā e aukati ana ngā tōtō wheua i te nekehanga
• Ngā hē o te osteochondral (te kino ki te kirikiri me te wheua i raro)
• Ngā hē nui e pā ana ki te haere
• Ngā puku, ngā pūpū rānei i roto i te hononga rekereke

Ka arotake tō tākuta hāparapara i tō āhuatanga motuhake, ka whakamārama he aha te take e tūtohu ana te hāparapara i tō keehi. Ko te whāinga tonu ko te whakaiti i te mamae, te whakahoki i te mahi, me te āwhina i a koe ki te hoki ki ō mahi noa.

He aha te tikanga mō te hāparapara rekereke?

He rerekē te tikanga hāparapara i runga i te mea e hiahia ana kia whakatikahia i tō rekereke. Ko te nuinga o ngā hāparapara rekereke ka mahia i raro i te rongoā whānui, ko te tikanga ka moe koe i te wā o te mahi.

Anei te mea e tupu ana i te wā o ngā momo hāparapara rekereke:

1. Hāparapara arthroscopic: Ka hanga e tō tākuta hāparapara ngā tapahi iti, ka whakamahi i te kāmera iti hei ārahi i ngā whakatikatika i roto i tō hononga
2. Whakatikatika whati: Ka whakahāngai anō ngā wheua whati, ka mau ki ngā tīwiri, ngā pereti, ngā titi rānei
3. Whakahou i te uaua: Ka whakatikahia, ka whakakapia rānei ngā uaua haehae mā te whakamahi i ngā whakawhitinga mai i ētahi atu wāhanga o tō tinana
4. Whakakapi tahi: Ka whakakapia ngā mata tahi kua pakaru ki ngā wāhanga hanga
5. Whakakotahi tahi: Ka honoa ngā wheua ki te kore e neke, kia kore ai e mamae

Ka roa te hāparapara i te kotahi ki te maha haora, i runga i te uaua o tō keehi. Ka aroturuki tō rōpū hāparapara i a koe i te wā o te tikanga kia mōhio ai kei te haumaru koe, kei te pai hoki koe.

Whai muri i te pokanga, ka nekehia koe ki tētahi rūma whakaora, ka mātakitaki ngā kaimahi hauora i a koe e ara ake ana i te rongoā whakamoe. Ko te nuinga o ngā pokanga rekereke he tikanga waho-tūroro, ko te tikanga ka taea e koe te hoki ki te kāinga i te rā tonu.

Me pēhea te whakarite mō tō pokanga rekereke?

Ko te whakarite mō te pokanga rekereke e whai ana i ētahi mahi nui hei whakarite kia pai te putanga. Ka hoatu e tō tākuta pokanga ngā tohutohu motuhake, engari koinei ngā whakaritenga whānui ka taea e koe te tūmanako.

I ngā wiki e arahina ana ki te pokanga, me mahi koe i ētahi mahi nui:

• Kati te tango i ētahi rongoā pēnei i ngā whakaheke toto i runga i te tohutohu a tō tākuta
• Whakaritea tētahi tangata hei taraiwa i a koe ki te kāinga i muri i te pokanga
• Whakaritea tō kāinga mō te whakaora me ngā taonga e tata ana
• Whakaotia ngā whakamātautau i mua i te pokanga e hiahiatia ana pēnei i te mahi toto, i ngā hihi-X rānei
• Puhi (kaua e kai, e inu rānei) mō te wā kua tohua i mua i te pokanga
• Kaukau ki te hopi anti-pūhuruhuru i te pō i mua, i te ata rānei o te pokanga
• Mau i ngā kākahu hāneanea, whānui e kore e raru i ngā takai

Ka tūtohu pea tō tākuta kia tīmata i ngā mahi rongoā tinana i mua i te pokanga hei whakakaha i ngā uaua e tata ana. Mā tēnei whakarite ka taea te tere ake i tō whakaora i muri mai.

Kaua e whakaroa ki te pātai ki tō rōpū pokanga i ngā pātai mō te whakarite. E hiahia ana rātou kia whai māia koe, kia rite hoki mō tō tikanga.

Me pēhea te pānui i ngā hua o tō pokanga rekereke?

Whai muri i te pokanga rekereke, ka whakamārama tō tākuta pokanga i ngā mea i tutuki i te wā o te tikanga me ngā mea i kitea e rātou. Kāore i rite ki ngā whakamātautau taiwhanga me ngā hua tau, ka whakaahuatia ngā putanga pokanga i runga i ngā mea i whakatikahia me te pai o te haere o te pokanga.

Ka kōrero tō tākuta pokanga i ētahi mea nui mō ngā hua o tō pokanga:

• He aha ngā hanganga motuhake i whakatikahia, i hanga anō rānei
• I oti katoa ngā whakatikatika i whakaritea
• Ngā kitenga ohorere i kitea i te wā o te pokanga
• Te pai o te urupare a ō kiko ki te pokanga
• Te wā tika e tūmanakohia ana mō ngā wāhanga rerekē o te whakaora
• Ngā raruraru i puta i te wā o te tukanga

Ka whakaatu pea tō tākuta pokanga i ngā whakaahua i mua me muri i te pokanga mō te mōhiotanga. Mā ēnei e āwhina i a koe ki te mārama ki ngā mea i mahia hei whakapai ake i te āhua o tō pūwaha.

Kia mōhio koe, kāore e kitea tonutia ngā hua katoa o tō pokanga. He maha ngā marama ka roa kia kite i ngā painga katoa i te wā e whakaora ana tō pūwaha, ā, ka hoki anō te kaha me te nekehanga.

Me pēhea te whakanui i te whakaora i muri i te pokanga pūwaha?

He mea nui te whakaora i muri i te pokanga pūwaha, he rite tonu ki te pokanga tonu. Mā te whai i ngā tohutohu a tō tākuta pokanga e whai pānga nui ana ki te pai o tō whakaora me te tere o tō hokinga ki ngā mahi noa.

Anei ngā mahi nui hei tautoko i tō tukanga whakaora:

• Kia whakaarahia tō pūwaha ki runga ake i te taumata o te ngākau i te wā e okioki ana kia iti ai te pūhihi
• Whakamahia te huka i te mea i tohutohutia hei whakahaere i te mamae me te mumura
• Tangohia ngā rongoā i tohutohutia kia rite ki ngā tohutohu
• Kia mā, kia maroke tō wāhi pokanga
• Haere ki ngā pōhiri whai muri katoa ki tō tākuta pokanga
• Tīmatahia te rongoā tinana i te wā i whakaaetia e tō tākuta
• Whakanuia haere te taumata o te mahi i te wā e haere ana te whakaora
• Kaua e whakatakoto taumaha ki tō pūwaha kia whakaaetia ra anō

He rerekē te wā tika o te whakaora i runga i te momo pokanga me tō tukanga whakaora takitahi. Mā ngā tukanga arthroscopic māmā e taea ai e koe te hoki ki ngā mahi noa i roto i te 6-8 wiki, ā, ko ngā hanganga uaua ka roa pea te 4-6 marama, neke atu rānei.

Ko tō whakapau kaha ki te whai i te mahere whakaora ka pā tika ki te hua whakamutunga. He mea nui te manawanui i te wā o tēnei wāhanga kia tutuki ai ngā hua pai i te wā roa.

He aha te hua pai rawa atu o te pokanga rekereke?

Ko te hua pai rawa atu o te pokanga rekereke ko te mea e whakatika ana i tō raru motuhake i te wa e taea ai e koe te hoki ki tō taumata mahi e hiahiatia ana. He rerekē te ahua o te angitu mō ia tangata, i runga i tō tau, te taumata mahi, me te āhua i hiahiatia ai te pokanga.

Mō te nuinga o ngā tāngata, ko ngā hua pai ko te whakaiti i te mamae, te whakapai ake i te tūnga o te rekereke, me te whakahoki mai i te whānuitanga o te nekehanga. Me kaha koe ki te hikoi marie, ki te whai wāhi ki āu mahi tino pai, me te whai whakaaro ki te kaha o tō rekereke ki te tautoko i a koe.

Heoi, he mea nui kia whai whakaaro tūturu. Ahakoa he maha ngā tāngata e whai ana i ngā hua pai, kāore e taea te hoki katoa ki te tūnga i mua i te wharanga, ina koa i muri i ngā wharanga nui, i ngā tūāhua o te mate rūmātiki kua piki ake.

He aha ngā āhuatanga mōrearea mō ngā raruraru o te pokanga rekereke?

Pērā i ngā mahi pokanga katoa, he mōrearea ētahi o te pokanga rekereke me mōhio koe i mua i te haere tonu. He onge te nuinga o ngā raruraru, engari mā te mōhio ki a rātou ka āwhina koe ki te whakatau whakatau mōhio, me te mōhio ki ngā tohu whakatūpato i te wā o te whakaora.

He maha ngā āhuatanga ka piki ake te mōrearea o ngā raruraru i te wā, i muri rānei i te pokanga rekereke:

• Te kai paipa, e pā ana ki te whakaora me te whakanui i te mōrearea o te mate
• Te mate huka, ētahi atu āhua rānei e pā ana ki te rere o te toto
• Te pakeketanga, ka taea te whakaroa i te tukanga whakaora
• Te momomo, e whakatakoto ana i te taumahatanga anō ki te wāhi pokanga
• Te kai kino e kore e tautoko i te whakatikatika kiko
• Te tango i ētahi rongoā pērā i te steroid
• Ngā pokanga rekereke o mua, ngā mate rānei
• Te mate uaua o te taha e pā ana ki te rere

Ka arotakehia e tō tākuta pokanga ēnei āhuatanga tūpono i te wā o tō kōrero i mua i te pokanga. I te nuinga o ngā wā, ka taea te whakatutuki i ngā mahi hei whakaiti i ngā tūponotanga, pērā i te whakapai ake i tō hauora i mua i te pokanga, i te whakatika rānei i tō huarahi pokanga.

Kaua e waiho ēnei tūponotanga hei whakaweti i a koe i te pokanga e tika ana. Ka tūtohu tō tākuta pokanga i te pokanga anake mēnā e whakapono ana rātou he nui ake ngā painga i ngā tūponotanga ka puta i tō āhuatanga motuhake.

He pai ake te pokanga rekereke, te karo rānei?

Ko te whakatau i waenga i te pokanga rekereke me te karo i te pokanga e whakawhirinaki ana ki tō āhuatanga motuhake, ngā tohu, me te nui o te pānga ki tō oranga. Kāore he whakautu whānui e pā ana ki te katoa.

He pai ake pea te pokanga mēnā kei te pā koe i te mamae tonu e aukati ana i āu mahi o ia rā, te kore pūmau o te rekereke e tūpono ai koe ki te whara anō, i te kino haere rānei o te hononga ka kaha ake i te wā.

I tērā taha, he pai ake pea te karo i te pokanga mēnā ka taea te whakahaere i ō tohu mā ngā rongoā whai whakaaro, mēnā he nui ō tūponotanga hauora e tūpono ai te pokanga, mēnā rānei kāore ngā painga ka puta i te pokanga e nui ake i ngā tūponotanga me te wā whakaora e pā ana.

Ka āwhina tō tākuta pokanga orthopedic i a koe ki te whakatau i ēnei āhuatanga i runga i ō āhuatanga takitahi. Ka whakaarohia e rātou tō tau, te taumata o te mahi, te hauora whānui, me ngā whāinga whaiaro i te wā e whakatau ana i tā rātou tūtohu.

He aha ngā raruraru ka puta i te pokanga rekereke?

Ahakoa te nuinga o te wā he haumaru te pokanga rekereke, he mea nui kia mōhio ki ngā raruraru ka puta kia taea ai e koe te whakatau mā te mōhio, me te mōhio ki ngā tohu whakatūpato i te wā o te whakaora. Ko te nuinga o ngā raruraru he mea noa, engari ka puta.

Anei ngā raruraru ka puta, kua whakarārangitia mai i te mea noa ki te mea onge:

• Te mate i te wāhi pokanga e hiahia ana ki ngā paturopi, ki te pokanga atu rānei
• Ngā pūhui toto i roto i ngā uaua o te waewae, ina koa i ngā wā o te kore neke
• Te pōturi o te whakaora, te kore rānei o te hononga o ngā wheua
• Te kino o ngā io e pā ana ki te ngaro o te rongo, te ngau rānei
• Te mamae tonu, te mārō rānei ahakoa te pokanga
• Ngā raruraru o ngā taputapu me ngā tīwiri, ngā pereti, ngā whakauru rānei
• Ngā tauhohenga pāwera ki te rongoā whakamoe, ki ngā rauemi rānei i whakamahia
• Te mate mamae rohe uaua (he mate mamae tawhito onge)

Ka kōrero tō rōpū pokanga i ēnei tūponotanga ki a koe, ka whakamārama me pēhea te mahi ki te whakaiti i a rātou. He maha ngā raruraru ka taea te rongoā pai mēnā ka puta.

He mea nui kia whai i ngā tohutohu katoa i muri i te pokanga, me te pūrongo i ngā tohu e pā ana ki tō tākuta tonu. Ko te kite wawe me te rongoā i ngā raruraru ka hua te pai ake o ngā hua.

Āhea au e kite ai i te tākuta mō ngā āwangawanga pokanga rekereke?

Me whakapā atu koe ki tō tākuta pokanga, ki tō rōpū hauora tonu mēnā ka pā ki a koe ētahi tohu whakatūpato i te wā o tō whakaora. Mā te mahi tere ka ārai i ngā take iti kia kaua e noho hei raruraru nui.

Waea atu ki tō tākuta tonu mēnā ka kite koe i ētahi o ēnei tohu:

• Ngā tohu o te mate pērā i te kirika, te whero haere, te pūhi rānei mai i te tapahi
• Te mamae nui e kaha haere ana, kāore e pai ake ana
• Te ngaro o te rongo, te ngau rānei kāore e pai ake
• Te pōhū e kaha haere ana, kāore e iti haere ana
• Ka huri kākāriki ō matimati, ka mākū rawa rānei
• Te kore e taea te neke i ō matimati, te mārō nui rānei
• Te wehenga o tō tapahi pokanga
• Te mamae o te uma, te uaua rānei ki te hā (ngā tohu o ngā pūhui toto)

Kaua e māharahara ki te whakararuraru i tō rōpū hauora ki ngā pātai, ki ngā āwangawanga rānei. He pai ake ki a rātou te arotake i a koe, me te kite he pai ngā mea katoa, i te ngaro i tētahi take nui.

Mō te tiaki whai muri i ngā wā katoa, haere ki ngā pōti kua whakaritea ahakoa kei te pai koe. Mā ēnei haerenga e ahei ai tō tākuta pokanga ki te aroturuki i tō haere whakamua o te whakaora me te whakatika i ngā āwangawanga i mua i te raru.

Ngā pātai e pātai pinepine ana mō te pokanga o te pūwaha

Q.1 He pai te pokanga o te pūwaha mō te rūmātiki?

He tino whai hua te pokanga o te pūwaha mō te rūmātiki, ina koa kāore anō ngā rongoā whakatikatika i whai hua. Ko te kōwhiringa pokanga pai rawa atu e whakawhirinaki ana ki te nui o tō rūmātiki me te wāhi o tō pūwaha e pā ana.

Mō te rūmātiki ngawari ki te āhua, ka taea e te pokanga arthroscopic te tango i ngā koiwi me te horoi i te kirikiri kua pakaru, he maha ngā wā e whai hua ana te whakaiti i te mamae. Mō te rūmātiki kaha ake, ka taea e te whakakapinga pūwaha, te pokanga whakakotahi rānei te whakakore i te mamae mā te whakakapi i ngā mata hononga, mā te hono tūturu rānei i ngā koiwi.

Q.2 Ka pā ngā raru wā roa ki te pokanga o te pūwaha?

Kāore te nuinga o te tangata e pā ana ki ngā raru wā roa i muri i te pokanga o te pūwaha, ina koa ka whai rātou i tā rātou mahere whakaora. Heoi, ka pā pea te pūhihi tonu, te mamae i ētahi wā, te here rānei i ngā mahi ki ētahi tāngata, ka whakataurite ki tō rātou āhua i mua i te wharanga.

Ko te tūponotanga o ngā take wā roa e whakawhirinaki ana ki ngā āhuatanga pēnei i te momo pokanga i mahia, tō tau, te taumata mahi, me te pai o tō whakaora. Ka kōrero tō tākuta pokanga i ngā tūmanako tūturu i runga i tō āhuatanga motuhake.

Q.3 Kia pēhea te roa o te pokanga o te pūwaha kia ora katoa?

Ko te whakaora katoa i muri i te pokanga o te pūwaha e 3-6 marama te roa, ahakoa he rerekē tēnei i runga i te momo tikanga me tō tukanga whakaora takitahi. Ka ora pea ngā tikanga arthroscopic ngawari i roto i te 6-8 wiki, i te wā e 6-12 marama te roa o ngā hanganga uaua.

Ka kite pea koe i te pai haere i roto i tēnei wā, me ngā tohu nui pēnei i te hikoi me te kore o ngā karapu me te hoki ki ngā hākinakina e puta ana i ngā wā rerekē. Ka whakawhiwhia e tō tākuta he wā tika ake i runga i tō pokanga.

Q.4 Ka taea e au te hikoi noa i muri i te pokanga o te pūwaha?

Ka taea e te nuinga o te tangata te hoki ki te hikoi noa i muri i te pokanga o te pūwaha, ahakoa kei runga i tō tikanga me te ahunga whakamua o te whakaora. Ko ngā whakatikatika ngawari ka taea te hikoi noa i roto i te 6-8 wiki, i te mea ko ngā pokanga uaua ake ka roa pea te 3-4 marama.

Ka piki haere e tō tākuta tō mahi whai taumaha i te wā e haere ana te whakaora. He mea nui te rongoā tinana ki te āwhina i a koe ki te whakahoki i ngā tauira hikoi noa me te māia ki te pūwaha.

Q.5 He aha te mea ka tupu ki te kore au e pokanga pūwaha e tūtohutia ana?

Mēnā ka whiriwhiri koe kia kaua e pokanga pūwaha e tūtohutia ana, ka haere tonu pea ō tohu, ā, ka kaha haere pea i te wā. Kei runga i tō āhuatanga ngā hua motuhake, engari ka uru pea ki te mamae tonu, te kore pūmau, te kino atu o te hononga, te huringa rānei.

Heoi, ehara i te mea he raruraru tonu te karo i te pokanga. Ka taea e ētahi tangata te whakahaere i ō rātou tohu mā te rongoā whai whakaaro, te whakarerekē i ngā mahi, me ngā taputapu tautoko. Ka taea e tō tākuta te āwhina i a koe ki te mārama ki ngā mea e tūmanakohia ana mēnā ka whiriwhiri koe i te whakahaere kore pokanga.