Kua pokohiwi te pokohiwi - muri i te atawhai
Ko te pakihiwi he poro me te hononga o te turanga. Ko te tikanga ko te tihi a tawhio noa o to poroiwi (te poi) ka uru ki te riu o to peke pokohiwi (te turanga).
Mena he peke to pokohiwi, ko te tikanga kei waho o te turanga te poi katoa.
Mena he peke to pokohiwi kua nekehia, ko te tikanga ko tetahi waahanga o te poi kei waho o te turanga. Ka huaina tenei ko te whakaheke i te pokohiwi.
I whati pea to pokohiwi mai i te whara o nga hakinakina, i nga aitua ranei, penei i te hingatanga.
I whara pea koe (totoro i haea ranei) etahi o nga uaua, ngongo (ngako e hono ana te uaua ki te koiwi), nga hononga ranei (nga hononga e hono ana te koiwi ki te wheua) o te hononga o te pakihiwi Ko enei kiko katoa hei pupuri i to ringaringa kia tuu.
Ko te peke i to pokohiwi he tino mamae. He tino uaua ki te neke i to ringa. Akene kei koe:
- He pupuhi me te maru ki to pokohiwi
- Korerokore, ngatata, ngoikore ranei i to ringa, ringa, maihao ranei
Ka hiahiatia pea te taatai i muri i to wehenga atu. Kei i to reanga me te maha o nga wa i nekehia ai to pokohiwi. Akene ka hiahia ano koe ki te pokanga mena he mahi taau e hiahia ana koe ki te whakamahi i to pakihiwi i te nuinga o te wa, kia haumaru ranei koe.
I roto i te ruuma whawhati tata, i whakahokia to ringaringa (nekehanga, whakahekehia ranei) ki roto i to kopae pakihiwi.
- I whiwhi pea koe i te rongoa hei whakatau i o uaua ka aukati i to mamae.
- Muri iho, ka tuu to ringa ki roto i te immobilizer pakihiwi kia pai ai te whakaora.
Ka nui ake to waatea ki te wehe i to pokohiwi. Mo ia whara, he iti ake te kaha ki te mahi i tenei.
Mena kei te neke haere tonu to pokohiwi tetahi waahanga ranei kia heke mai, akene me pokanga koe ki te whakatika, ki te whakakii ranei i nga hononga e mau ana nga wheua i roto i to pokohiwi.
Hei whakaiti i te pupuhi:
- Whakanohia he kohinga tio ki te rohe i muri tonu o te whara.
- Kaua e neke i to pakihiwi.
- Kia mau tonu to ringa ki to tinana.
- Ka taea e koe te neke i to ringa me to kokonga i te waa o te kotaha.
- Kaua e whakanohoia he mowhiti ki o maihao kia kiia ra ano e te taakuta te pai ki a koe.
Mo te mamae, ka taea e koe te whakamahi i te ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), te acetaminophen (Tylenol) ranei.
- Korero ki to kaiwhakarato hauora i mua i te whakamahinga o enei rongoa mena he mate ngakau koe, he toto toto tiketike, he mate tākihi, kua puta ranei koe i te puku o te kopu, i te whakaheke toto ranei o mua.
- Kaua e nui ake i te rahinga e taunakitia ana ki te pounamu rongoa ma to kaiwhakarato ranei.
- Kaua e hoatu ahipirini ki nga tamariki.
Ko to kaiwhakarato ka:
- Korerohia atu ki a koe ana mo tehea roa te tango i te maramara mo nga wa poto.
- Whakaatuhia ki a koe nga momo whakangungu ngawari hei aarai i to pakihiwi kia kaua e whakakiki, kia hukahuka ranei.
Whai muri i te rongoa o to pokohiwi mo te 2 ki te 4 wiki, ka tukuna koe ki te whakaora tinana.
- Ma te kaiwhakawhana tinana e ako i a koe ki nga mahi whakangungu hei hiki i to pakihiwi. Ma tenei e pai ai to nekehanga pokohiwi pai.
- I a koe e haere tonu ana ki te whakaora, ka ako koe i nga mahi whakangungu hei whakapiki i te kaha o o uaua pakihiwi me o hononga.
Kaua e hoki ki nga mahi he nui te ahotea ki to hononga o te pakihiwi. Patai ki to kaiwhakarato tuatahi. Ko enei mahi ko te nuinga o nga mahi hakinakina ma te whakamahi i o ringaringa, maara, hiki taumaha, tae atu ki te taumata teitei o te pokohiwi.
Patai ki to kaiwhakarato ka taea ana e koe te hoki ki o mahi noa.
Tirohia tetahi tohunga wheua (tohunga orthopedist) i roto i te wiki neke atu ranei i muri i to whakahoki mai i to hononga o to pokohiwi. Ma tenei taakuta e tirotiro nga wheua, nga uaua, nga uaua, me nga hononga i to pakihiwi.
Karangahia to taakuta mena:
- He pupuhi koe, he mamae ranei kei to pokohiwi, tou ringaringa, to ringaringa ranei ka kaha rawa atu
- Ka purupuri to ringa, tou ringa ranei
- He kirika koe
Te nekehanga o te pakihiwi - muri i te tiaki; Te whakaheke i te pokohiwi - muri i te tiaki; Te whakaheke i te pakihiwi - muri i te tiaki; Nekehanga tahitanga o Glenohumeral
Phillips BB. Nga nekehanga hou. I roto i: Azar FM, Beaty JH, Canale ST, eds. Campbell's Operative Orthopedics. 13th ed. Philadelphia, PA: Elsevier; 2017: chap 47.
Smith JV. Nga nekehanga o te pakihiwi. I roto i: Fowler GC, ed. Nga Mahi a Pfenninger me te Fowler mo te Tiakitanga Paraimere. 4th ed. Philadelphia, PA: Elsevier; 2020: chap 174.
Thompson SR, Menzer H, Brockmeier SF. Tuhinga o mua. I roto i: Miller MD, Thompson SR, eds. DeLee Drez & Miller Te Orthopedic Sports Medicine. 5th ed. Philadelphia, PA: Elsevier; 2020: chap 40.
- Pakihiwi Whakakore
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