Te Whare Haumanu Tiaki Injury Care Chiropractic me te Tiima Whakaora tinana. E rua nga huarahi mo te tiaki whara. He maimoatanga kaha, he maimoatanga hāngū hoki. Ahakoa ka taea e nga mea e rua te awhina i nga turoro ki te huarahi ki te whakaora, ko te maimoatanga kaha anake ka whai paanga mo te wa roa, ka mau tonu te neke haere o nga turoro.
Ka arotahi matou ki te rongoa i nga whara i mau tonu i roto i nga aitua motika, nga whara whaiaro, nga whara mahi, me nga whara hakinakina me te whakarato ratonga whakahaere mamae mamae me nga kaupapa rongoa. Ko nga mea katoa mai i nga pupuhi me nga maru ki nga uaua kua pakaru me te mamae o muri.
Tiaki i te whara kino
I te nuinga o te wa ka tukuna e te taote, te kaiwhakaora tinana ranei te tiaki whara. Kei roto ko:
mahi werowero ngira
Te whakamahana i te wera/tio ki nga uaua mamae
Te rongoā mamae
He timatanga pai hei awhina i te whakaiti i te mamae, engari ehara i te mea ko te tiaki whara haunga te rongoa tino whai hua. Ahakoa ka pai ake te ahua o te tangata i whara i tenei wa, kaore e roa te oranga. E kore te manawanui e tino ora mai i te whara ki te kore ia e kaha ki te mahi ki te hoki ki tona oranga.
Tiaki Taonga Hohe
Ko te maimoatanga kaha e whakaratohia ana e te rata, te kaiwhakaora tinana ranei e whakawhirinaki ana ki te kaha o te tangata whara ki te mahi. I te wa e whai mana ana nga turoro ki o raatau hauora, ka kaha ake te whai hua me te whai hua o te tukanga tiaki whara. Ma te mahere ngohe kua whakarereketia ka awhina i te tangata whara ki te huri ki te mahi katoa me te whakapai ake i te oranga tinana me te oranga aronganui.
Te tuara, te kaki, me te tuara
He kiri
Nga turi, nga pakihiwi, me nga ringaringa
Kua haea nga hononga
Ko nga whara o te kiko ngohe (nga uaua me te tohe)
He aha te mahi tiaki whara kaha?
Ko te mahere maimoatanga kaha e pupuri ana i te tinana kia kaha, kia ngawari hoki na roto i te mahere mahi/whakawhitinga whaiaro, e whakaiti ana i te paanga mo te wa roa me te awhina i nga turoro kua whara ki te mahi kia tere ake te whakaora. Hei tauira, i roto i te whara Ko te tiaki whara a Medical & Chiropractic clinic, ka mahi tahi te taote me te manawanui ki te mohio ki te take o te whara, ka hangaia he mahere whakaora e pupuri ana i te manawanui me te whakahoki mai ki te hauora tika i te wa poto.
Mo nga whakautu ki etahi patai, kei a koe, waea atu ki a Dr. Jimenez i 915-850-0900
Ko nga tangata takitahi e mate ana i te maihao karekau: Ka taea e te mohio ki nga tohu me nga tohu o te maihao karekau i whati, ka wehea ranei ka taea te rongoa i te kaainga me te wa e kite ai koe i tetahi kaiwhakarato hauora?
Te Maama Maihao Kati
Ko te maihao kapo, e mohiotia ana ko te maihao kua marara, he whara noa ina panaia te pito o te maihao ki te ringa, ka kopeke te hononga. Ka taea e tenei te mamae me te pupuhi i roto i te kotahi, neke atu ranei o nga maihao, nga hononga maihao ranei, ka totoro nga hononga, ka pakaru, ka haehae ranei. (American Society for Surgery of the Hand. 2015) Ka taea e te maihao kapoka te whakaora ma te huka, te okioki, me te whiri. I te nuinga o nga wa ka nui tenei ki te whakaora i roto i te wiki, e rua ranei ki te kore he pakaru, he wehenga ranei. (Carruthers, KH et al., 2016) Ahakoa te mamae, me kaha ki te neke. Heoi, ki te kore e taea e te maihao te wiriwiri, ka whati, ka wetewete ranei, me te hiahia ki nga hihi-X, na te mea he maha nga marama e ora ai te maihao whati, te wehenga tahi ranei.
Treatment
Ko te maimoatanga ko te hukapapa, te whakamatautau, te taapiri, te okioki, te kite i te chiropractor, te osteopath ranei, me te haere tonu o te whakamahi kia hoki mai ai te kaha me te kaha.
Ice
Ko te taahiraa tuatahi ko te whakamau i te whara me te pupuri i te teitei.
Whakamahia he putea tio, he putea huawhenua tio ranei kua takai ki te tauera.
Whakapaia te maihao i roto i te 15 meneti.
Tangohia te tio ka tatari kia hoki mai te maihao ki tona mahana i mua i te hukapapa ano.
Kaua e huka i te maihao kua tukitukia mo te toru 15 meneti te roa i roto i te haora kotahi.
Whakamātauria Ki Te Nekehia Te Maihao Paa
Mena karekau te maihao kare e neke ngawari, ka kino ake ranei te mamae i te wa e ngana ana koe ki te neke, me toro atu koe ki tetahi kaihautu hauora me te mahi X-ray hei tirotiro mo te whati wheua, te wehenga ranei. (American Society for Surgery of the Hand. 2015)
Me ngana ki te neke paku te maihao i muri i te pupuhi, ka mutu te mamae.
Mena he ngawari te whara, me neke te maihao mo te wa poto.
Ripene me te okiokinga
Ki te kore e whati, ki te kore ranei te maihao kua marara, ka taea te whakapiri ki te maihao ki tona taha kia kore ai e neke, e kiia nei ko te buddy taping. (Won SH et al., 2014)
Me whakamahi te riipene tohu rongoa me te kakano i waenga i nga maihao hei aukati i te pupuhi me te makuku i te wa e whakaora ana.
Ka kii mai te kaiaaki hauora ki te whakamau mai i te maihao kia noho tonu te maihao ki te taha o era atu maihao.
Ka taea hoki e te maataki te aukati i te maihao kua pakaru mai i te whara ano.
Te okioki me te whakaora
Me noho tonu te maihao kua tami kia ora ai i te tuatahi, engari ka mutu, me neke me te whakakorikori kia pakari ai, kia ngawari.
Ko nga mahi whakamaarama tinana kua whakaritea hei awhina mo te whakaora.
Ka taea pea e te kaiwhakarato tiaki tuatahi te tuku atu ki tetahi kaiwhakaora tinana kia mohio kei te pai te awhe o te nekehanga me te tohanga o te maihao i a ia e ora ana.
Ka taea hoki e te chiropractor, te osteopath ranei nga tohutohu mo te whakaora i te maihao, te ringa, me te ringaringa ki te mahi noa.
Te Whakamaamaa Te Maihao Kia Hoki Mai
I runga i te nui o te whara, ka mamae pea te maihao me te ringa ka pupuhi mo etahi ra, wiki ranei.
Ka roa pea ka timata te ahua o te ahua.
Kia timata te mahi whakaora, ka hiahia te tangata ki te hoki ki te whakamahi i te tikanga.
Te karo i te whakamahi i te taapi maihao ka ngaro te kaha, ka taea, ka roa te wa, ka ngoikore ake, ka nui ake te tupono o te whara ano.
Mena kei te mau tonu te mamae me te pupuhi, tirohia te kaitoi hauora ki te tirotirohia mo te pakaru, te wehenga, me etahi atu raruraru i te wa e taea ai, i te mea he uaua ake enei patunga ki te tatari mo te wa roa. (Te Whare Wananga o Utah Health, 2021)
I te Injury Medical Chiropractic and Functional Medicine Clinic, ka aro nui matou ki te rongoa i nga whara o nga turoro me nga mate mamae mau tonu me te whakapai ake i te kaha na roto i nga kaupapa ngawari, nekeneke, me nga kaupapa ngawari kua whakaritea ki te tangata takitahi. Ka whakamahia e o maatau kaiwhakarato he huarahi whakauru ki te hanga mahere tiaki whaiaro e uru ana ki te rongoa Mahi, Acupuncture, Electro-Acupuncture, me nga tikanga rongoa rongoa. Ko ta matou whainga ko te whakaora noa i te mamae ma te whakaora i te hauora me te mahi ki te tinana. Mena ka hiahia te tangata ki etahi atu maimoatanga, ka tukuna atu ki te whare haumanu, ki te taote ranei e pai ana mo ratou. Kua mahi tahi a Dr. Jimenez me nga kaitoro o runga, nga tohunga haumanu, nga kairangahau hauora, me nga kaiwhakarato whakaora hou ki te whakarato i nga maimoatanga haumanu tino whai hua.
Carruthers, KH, Skie, M., & Jain, M. (2016). Nga Taonga a Jam o te Maihao: Te Taatauranga me te Whakahaere i nga Injuries ki nga Hononga Interphalangeal puta noa i nga Taakaro Maha me nga taumata o te wheako. Hauora hākinakina, 8(5), 469–478. doi.org/10.1177/1941738116658643
Won, SH, Lee, S., Chung, CY, Lee, KM, Sung, KH, Kim, TG, Choi, Y., Lee, SH, Kwon, DG, Ha, JH, Lee, SY, & Park, MS (2014). Ko te rīpene hoa: he tikanga haumaru mo te rongoa i nga whara o nga maihao me nga waewae? Nga whare haumanu i roto i te pokanga orthopedic, 6(1), 26–31. doi.org/10.4055/cios.2014.6.1.26
Ka taea e te mohio ki nga whiringa maimoatanga mo te hope kua wehea te awhina i te tangata kia tere ake te whakaora me te whakaora?
Hipi kua wehea
He whara nohinohi te hope kua wehea engari ka pa mai na te whara, i muri ranei i te pokanga whakakapi hipoki. I te nuinga o te wa ka puta mai i muri i te mamae nui, tae atu ki tukinga waka, hinga, me etahi wa ka whara i nga hakinakina. (Caylyne Arnold et al., 2017) Ka puta ano te hope kua wehea i muri i te pokanga whakakapi hipoki. Ko etahi atu whara penei i te roimata ligament, te pakaru o te cartilage, me te whati wheua ka puta i te taha o te wehenga. Ko te nuinga o nga wehenga o te huha ka tukuna ki te tikanga whakaheke tahi ka whakahoki ano i te poi ki roto i te turanga. Ko te nuinga o te waa ka mahia ma te whakamaarama, ma te mate whaanui ranei. Ka roa te whakaora, a he marama pea i mua i te tino whakaora. Ka taea e te rongoa tinana te whakaora i te nekehanga me te kaha o te hope.
He aha te mea?
Mēnā he wehenga noa te hope, ka kīia ko te subluxation hip. Ka pa ana tenei, ko te mahunga hononga o te hope ka puta noa mai i te turanga. Ko te hope kua wehea ko te wa ka huri te upoko, te poi ranei o te hononga, ka puta mai ranei i te turanga. Na te mea he rereke te hiwi hangai mai i te hononga hipoki noa, ka piki ake te tupono o te wehenga i muri i te whakakapinga hononga. I kitea e te rangahau he tata ki te 2% o nga tangata e whakakapi ana i te katoa o te hipoki ka pa ki te wehenga hope i roto i te tau kotahi, me te piki haere o te tupono ki te 1% mo te rima tau. (Jens Dargel et al., 2014) Heoi ano, he iti noa iho te ahua o nga hangarau hangarau hou me nga tikanga pokanga.
Hip Anatomy
Ko te hononga o te poi-a-te-waewae e kiia ana ko te hononga femoroacetabular.
Ko te turanga ka kiia ko te acetabulum.
Ka kiia te poi ko te upoko wahine.
Ko te ahua o te kiko me nga hononga kaha, nga uaua, me nga uaua ka awhina ki te hanga hononga pumau. Me hoatu te kaha nui ki te hononga kia puta te wehenga o te hope. Ko etahi o nga tangata e kii ana i te kare o te hope. Ko te tikanga ehara tenei i te wehenga hope engari e tohu ana i tetahi mate rereke e kiia nei ko te maataki hope. (Paul Walker et al., 2021)
Te Wehenga Hipi o muri
Tata ki te 90% o nga wehenga hope kei muri.
I tenei momo, ka pana whakamuri te poi mai i te turanga.
Ka taea e te wehenga te kino o nga hanganga e pupuri ana i te poi i roto i te turanga, ka uru mai ano:
Ko te pakaru o te cartilage ki te hononga -
Nga roimata i roto i te labrum me nga hononga.
Nga whati o te wheua i te hononga.
Ko te whara ki nga oko e tuku toto ana i muri mai ka arahi ki te necrosis avascular me te osteonecrosis o te hope. (Patrick Kellam, Robert F. Ostrum 2016)
Ko te wehenga o te hope ka nui ake te tupono ki te whakawhanake i te mate urutaru i muri i te wharanga, ka piki ake te tupono o te hiahia ki te whakakapi hope i muri mai o te ao. (Hsuan-Hsiao Ma et al., 2020)
Te Whakawhanaketanga o te Hipi
Ko etahi o nga tamariki ka whanau me te tipu o te huha, te DDH ranei.
Ko nga tamariki whai DDH he hononga hope kaore i tika te hanga i te wa e whanake ana.
Ko te whakaheke tahi ko te huarahi tino nui ki te rongoa i te hope kua wehea. Ko te tikanga ka whakahoki ano i te poi ki roto i te turanga, ka mahia ma te whakarokiroki, i raro ranei i te rewharewha. Ko te whakahou i te huha me kaha te kaha. Ko te wehenga o te hope he mea ohorere, a me mahi te whakaheke i muri tonu i te wehenga kia kore ai e puta nga raruraru me te maimoatanga urutomo. (Caylyne Arnold et al., 2017)
Kia hoki mai te poi ki roto i te turanga, ka rapuhia e te kaihautu hauora nga whara o te wheua, te kaata, me nga whara.
I runga ano i nga mea ka kitea e te kaihautu hauora, ka hiahiatia etahi atu maimoatanga.
Me whakatikatika pea nga wheua whati, whati ranei kia mau ai te poi ki roto i te turanga.
Me tango pea nga kaata kua pakaru.
Tohunga
He pokanga pea kia whakahokia te hononga ki tona turanga. Ka taea e te arthroscopy o te hip te whakaiti i te whakaekenga o etahi tikanga. Ka whakauruhia e te taote he kaamera moroiti ki roto i te hononga hope hei awhina i te taote ki te whakatika i te whara ma te whakamahi i nga taputapu i whakauruhia ma etahi atu waahanga iti.
Ka whakakapihia e te pokai whakakapi hip te poi me te turanga, he mahi pokanga orthopedic noa me te angitu. He maha nga take ka mahia tenei pokanga, tae atu ki te whara, te mate rumaki ranei, i te mea he mea noa te whakawhanaketanga o te rewharewha moata o te hope i muri i tenei momo mate. Koinei te take e hiahia ana te nuinga o te hunga kua paheketanga ki te pokai whakakapi hipoki. Hei mahi pokanga nui, ehara i te mea karekau he raruraru. Ko nga raruraru pea ko:
Te mate
Te wetewete aseptic (te wetewete o te hononga kaore he mate)
Te wehenga o te hope
Whakaora
Recovering from a hip dislocation is a long process. Individuals will need to walk with crutches or other devices early in recovery. Physical therapy will improve the range of motion and strengthen the muscles around the hip. Recovery time will depend on whether other injuries, such as fractures or tears, are present. If the hip joint was reduced and there were no other injuries, it may take six to ten weeks to recover to the point where weight can be placed on the leg. It could be between two and three months for a full recovery. Keeping weight off the leg is important until the surgeon or physical therapist gives the all-clear. Injury Medical Chiropractic and Functional Medicine Clinic will work with an individual’s primary healthcare provider and other surgeons or specialists to develop an optimal personalized treatment plan.
Nga Rongoa Chiropractic mo te Osteoarthritis
Tohutoro
Arnold, C., Fayos, Z., Bruner, D., Arnold, D., Gupta, N., & Nusbaum, J. (2017). Te whakahaere i nga wehenga o te hope, te turi, me te rekereke i roto i te tari ohorere [digest]. Te mahi rongoa ohorere, 19(12 Suppl Points & Pearls), 1–2.
Dargel, J., Oppermann, J., Brüggemann, GP, & Eysel, P. (2014). Te wehenga i muri i te whakakapinga katoa o te hope. Deutsches Arzteblatt international, 111(51-52), 884–890. doi.org/10.3238/arztebl.2014.0884
Walker, P., Ellis, E., Scofield, J., Kongchum, T., Sherman, WF, & Kaye, AD (2021). Snapping Hip Syndrome: He Whakahōu Matawhānui. Ko nga arotakenga orthopedic, 13(2), 25088. doi.org/10.52965/001c.25088
Cornwall, R., & Radomisli, TE (2000). Te whara o te nerve i te wehenga o te hope. Orthopedics haumanu me te rangahau e pa ana, (377), 84-91. doi.org/10.1097/00003086-200008000-00012
Kellam, P., & Ostrum, RF (2016). Te Arotake Pūnaha me te Meta-Analysis o te Avascular Necrosis me te Posttraumatic Arthritis I muri i te Traumatic Hip Dislocation. Journal of Orthopedic trauma, 30(1), 10–16. doi.org/10.1097/BOT.0000000000000419
Ma, HH, Huang, CC, Pai, FY, Chang, MC, Chen, WM, & Huang, TF (2020). Ko nga hua mo te wa roa i roto i nga turoro me te pakaru o te hope-a-te wehenga: Nga mea nui e tohu ana. Journal of the Chinese Medical Association : JCMA, 83 (7), 686-689. doi.org/10.1097/JCMA.0000000000000366
For individuals who lift weights, are there ways to protect the wrists and prevent injuries when lifting weights?
Wrist Protection
The wrists are complex joints. The wrists significantly contribute to stability and mobility when performing tasks or lifting weights. They provide mobility for movements using the hands and stability to carry and lift objects securely and safely (National Library of Medicine, 2024). Lifting weights is commonly performed to strengthen and stabilize the wrists; however, these movements can cause wrist pain and lead to injuries if not performed correctly. Wrist protection can keep wrists strong and healthy and is key to avoiding strains and injuries.
Te kaha o te ringaringa
The wrist joints are set between the hand and forearm bones. Wrists are aligned in two rows of eight or nine total small bones/carpal bones and are connected to the arm and hand bones by ligaments, while tendons connect the surrounding muscles to the bones. Wrist joints are condyloid or modified ball and socket joints that assist with flexion, extension, abduction, and adduction movements. (National Library of Medicine. 2024) This means the wrists can move in all planes of motion:
Te taha ki te taha
Ka piki iho
Tītaka
This provides a wide range of motion but can also cause excessive wear and tear and increase the risk of strain and injury. The muscles in the forearm and hand control finger movement necessary for gripping. These muscles and the tendons and ligaments involved run through the wrist. Strengthening the wrists will keep them mobile, help prevent injuries, and increase and maintain grip strength. In a review on weightlifters and powerlifters that examined the types of injuries they sustain, wrist injuries were common, with muscle and tendon injuries being the most common among weightlifters. (Ulrika Aasa et al., 2017)
Protecting the Wrists
Wrist protection can use a multi-approach, which includes consistently increasing strength, mobility, and flexibility to improve health and prevent injuries. Before lifting or engaging in any new exercise, individuals should consult their primary healthcare provider, physical therapist, trainer, medical specialist, or sports chiropractor to see which exercises are safe and provide benefits based on injury history and current level of health.
Whakanuia te Nekeneke
Mobility allows the wrists to have a full range of motion while retaining the stability necessary for strength and durability. Lack of mobility in the wrist joint can cause stiffness and pain. Flexibility is connected to mobility, but being overly flexible and lacking stability can lead to injuries. To increase wrist mobility, perform exercises at least two to three times a week to improve range of motion with control and stability. Also, taking regular breaks throughout the day to rotate and circle the wrists and gently pull back on the fingers to stretch them will help relieve tension and stiffness that can cause mobility problems.
Te Pakanga
Before working out, warm up the wrists and the rest of the body before working out. Start with light cardiovascular to get the synovial fluid in the joints circulating to lubricate the joints, allowing for smoother movement. For example, individuals can make fists, rotate their wrists, perform mobility exercises, flex and extend the wrists, and use one hand to pull back the fingers gently. Around 25% of sports injuries involve the hand or wrist. These include hyperextension injury, ligament tears, front-inside or thumb-side wrist pain from overuse injuries, extensor injuries, and others. (Daniel M. Avery 3rd et al., 2016)
Nga Mahi Whakakaha
Strong wrists are more stable, and strengthening them can provide wrist protection. Exercises that improve wrist strength include pull-ups, deadlifts, loaded carries, and Zottman curls. Grip strength is vital for performing daily tasks, healthy aging, and continued success with weightlifting. (Richard W. Bohannon 2019) For example, individuals who have difficulty increasing the weight on their deadlifts because the bar slips from their hands could have insufficient wrist and grip strength.
Wraps
Wrist wraps or grip-assisting products are worth considering for those with wrist issues or concerns. They can provide added external stability while lifting, reducing grip fatigue and strain on the ligaments and tendons. However, it is recommended not to rely on wraps as a cure-all measure and to focus on improving individual strength, mobility, and stability. A study on athletes with wrist injuries revealed that the injuries still occurred despite wraps being worn 34% of the time prior to the injury. Because most injured athletes did not use wraps, this pointed to potential preventative measures, but the experts agreed more research is needed. (Amr Tawfik et al., 2021)
Preventing Overuse Injuries
When an area of the body undergoes too many repetitive motions without proper rest, it becomes worn, strained, or inflamed faster, causing overuse injury. The reasons for overuse injuries are varied but include not varying workouts enough to rest the muscles and prevent strain. A research review on the prevalence of injuries in weightlifters found that 25% were due to overuse tendon injuries. (Ulrika Aasa et al., 2017) Preventing overuse can help avoid potential wrist problems.
Puka Tika
Knowing how to perform movements correctly and using proper form during each workout/training session is essential for preventing injuries. A personal trainer, sports physiotherapist, or physical therapist can teach how to adjust grip or maintain correct form.
Be sure to see your provider for clearance before lifting or starting an exercise program. Injury Medical Te tipu and Functional Medicine Clinic can advise on training and prehabilitation or make a referral if one is needed.
Aasa, U., Svartholm, I., Andersson, F., & Berglund, L. (2017). Ko nga whara i waenga i nga kaikawe taumaha me nga kaipatu hiko: he arotake nahanaha. Journal of British medicine of sports medicine, 51(4), 211–219. doi.org/10.1136/bjsports-2016-096037
Avery, D. M., 3rd, Rodner, C. M., & Edgar, C. M. (2016). Sports-related wrist and hand injuries: a review. Journal of orthopaedic surgery and research, 11(1), 99. doi.org/10.1186/s13018-016-0432-8
Bohannon R. W. (2019). Grip Strength: An Indispensable Biomarker For Older Adults. Clinical interventions in aging, 14, 1681–1691. doi.org/10.2147/CIA.S194543
Tawfik, A., Katt, B. M., Sirch, F., Simon, M. E., Padua, F., Fletcher, D., Beredjiklian, P., & Nakashian, M. (2021). A Study on the Incidence of Hand or Wrist Injuries in CrossFit Athletes. Cureus, 13(3), e13818. doi.org/10.7759/cureus.13818
Mo nga kaitakaro me te hunga kaingākau ki te takaro, he whara nui te pakaru o te triceps. Ka taea e te mohio ki o raatau tohu, nga take, nga mea morearea, me nga raruraru pea ka awhina i nga kaiwhakarato hauora ki te whakawhanake i tetahi mahere maimoatanga whai hua?
Te whara Triceps
Ko te triceps te uaua kei muri o te ringa o runga e taea ai e te tuke te whakatika. Waimarie, he iti noa te roimata o te triceps, engari he kino. He maha ake te pa o te whara ki nga tane i nga wahine me te nuinga o nga wa ka puta mai i te mamae, i nga hakinakina, i nga mahi whakakori tinana/ranei. I runga i te nui me te kaha o te whara, ka taea e te whara o te triceps haea te whiu, te rongoa tinana, me te pokanga pea kia hoki mai ai te nekehanga me te kaha. Ko te whakaoranga i muri i te haehae o te triceps ko te nuinga o te waa e ono marama. (Te Whare Wananga o Ohio State Wexner Medical Center. 2021)
Anatomy
Ko te uaua triceps brachii, ko te triceps ranei, ka rere ki muri o te ringa o runga. Ka tapaina ko te toru- no te mea e toru ona upoko – te upoko roa, te upoko waenga, me te upoko taha taha. (Sendic G. 2023) Ko te triceps i ahu mai i te pakihiwi, ka piri ki te mata o te pakihiwi/scapula me te wheua ringa o runga/humerus. Kei raro, ka piri ki te pito o te tuke. Koinei te koiwi kei te taha mawhero o te ringa, e kiia nei ko te ulna. Ko nga triceps ka neke i te pakihiwi me te hononga tuke. I te pakihiwi, he toronga, he neke whakamuri ranei o te ringa me te whakauru, neke atu ranei te ringa ki te tinana. Ko te mahi matua o tenei uaua kei te tuke, kei reira te toronga, te whakatika ranei o te tuke. Ka mahi nga triceps i te ritenga o te uaua biceps i mua o te ringa o runga, e whakahaere ana i te whakaheke, i te piko ranei o te tuke.
Roimata Triceps
Ka puta nga roimata ki nga waahi katoa i te roa o te uaua, te uaua ranei, koinei te hanganga e piri ai te uaua ki nga koiwi. He maha nga roimata o te triceps i roto i te uaua e hono ana i nga triceps ki te tuara o te tuke. Ko nga roimata uaua me nga uaua ka tohua mai i te 1 ki te 3 i runga i te kaha. (Alberto Grassi et al., 2016)
Koeke 1 Te ngawari
Ko enei roimata iti ka mamae te mamae me te neke haere.
He pupuhi, he maru, he iti te mate o te mahi.
Kōeke 2 Tauō
He nui ake enei roimata, he iti te pupuhi me te maru.
Ko nga muka kua haea tetahi wahi, kua totoro.
Tae atu ki te 50% te ngaro o te mahi.
Koeke 3 Tino taumaha
Koinei te momo tino kino o te roimata, ka haea katoatia te uaua, te uaua ranei.
Ko enei whara ka nui te mamae me te hauatanga.
tohu
Ko nga roimata o Triceps ka mamae tonu i te tuara o te tuke me te ringa o runga e kino ana i te wa e ngana ana ki te neke i te tuke. Ka rongo pea te tangata takitahi, ka rongo ranei i te pahū, te haehae ranei. Ka pupuhi, ka whero te kiri, ka maru/ka maru. Ma te roimata wahanga, ka ngoikore te ringa. Mena kua pakaru katoa, ka nui te ngoikore i te wa e whakatika ana te tuke. Ka kitea ano e te tangata he putunga kei te tuara o o ratou ringa kua piri nga uaua me te hono tahi.
Nga take
Ko te nuinga o nga wa ka pakaru nga roimata o te triceps i te wa e paheke ana te uaua, ka panaia e te kaha o waho te tuke ki te tuunga piko. (Kyle Casadei et al., 2020) Ko tetahi o nga tino take ko te taka ki runga i te ringa totoro. Ka puta ano nga roimata o Triceps i nga mahi hakinakina penei:
Te whiu poipapa
Te aukati i te keemu whutupaoro
taka porepore
Mekemeke
Ka hinga te kaitakaro ka tau ki runga i tona ringa.
Ka taea hoki te tangi i te wa e whakamahi ana i nga taumaha taumaha i te wa e mahi ana i te triceps, penei i te perehi papa.
Ka puta ano nga roimata mai i te whara tika ki te uaua, penei i te aitua motoka, engari he iti noa iho.
Te Rawa
Ko nga roimata triceps ka tupu i roto i te waa hei hua o te tendonitis. I te nuinga o te wa ka puta mai tenei ahuatanga mai i te whakamahi tukurua o te uaua triceps i nga mahi penei i te mahi a-ringa, i te korikori tinana ranei. Ko te triceps tendonitis i etahi wa ka kiia ko te tuke o te kaikawe taumaha. (Orthopedic & Spine Center. ND) Ko te uaua o nga uaua ka pakaru nga roimata iti e rongoatia ana e te tinana. Heoi, ki te nui ake te riipene ki runga i te uaua ka taea e ia te pupuri, ka timata te tipu o nga roimata iti.
Ngā Uara Risk
Ka taea e nga mea morearea te whakanui ake i te mate o te pakaru o te triceps. Ka taea e nga tikanga hauora te ngoikore nga uaua, te whakanui ake i te tupono o te whara, me te whakauru: (Tony Mangano et al., 2015)
Diabetes
kaikōiwi
Te Hau-nui-a-Kiwa
Lupus
Xanthoma - he putunga ngako o te cholesterol i raro i te kiri.
Hemangioendothelioma – he pukupuku mate pukupuku, he pukupuku kore ranei na te tipu kino o nga ruma toto.
Ko te mate whatukuhu mau tonu
Tendonitis mau tonu, bursitis ranei i roto i te tuke.
Ko nga tangata kua pa ki te wero cortisone i roto i te uaua.
Ko nga tangata e whakamahi ana i nga steroids anabolic.
Ko nga roimata triceps ka kaha ake te puta ki nga tane i waenga i te 30 me te 50. (Matā Ortho. 2022) Ka puta mai tenei mai i te whai waahi ki nga mahi penei i te whutupaoro, te hiki taumaha, te whakapakari tinana, me te mahi a-ringa, ka nui ake te tupono o te whara.
Treatment
Ko te maimoatanga ka whakawhirinaki ki te waahanga o te triceps e pa ana me te nui o te kino. Me okioki noa mo etahi wiki, te rongoa tinana, me mahi pokanga ranei.
Kore pokanoa
Ko etahi o nga roimata kei roto i nga triceps he iti iho i te 50% o te uaua ka taea te rongoa me te kore pokanga. (Mehmet Demirhan, Ali Ersen 2016) Ko te maimoatanga tuatahi ko:
Ko te maataki i te tuke me te paku piko mo te wha ki te ono wiki ka ora te kiko i whara. (Matā Ortho. 2022)
I tenei wa, ka taea te tono tio ki te waahi mo te 15 ki te 20 meneti i ia ra ki te whakaiti i te mamae me te pupuhi.
Nga rongoā anti-inflammatory kore-steroidal / NSAIDs - Ka taea e Aleve, Advil, me Bayer te whakaiti i te mumura.
Ko etahi atu rongoa rongoa pera i a Tylenol ka awhina i te whakaiti i te mamae.
Ina tangohia te maa, ka awhina te rongoa tinana ki te whakaora i te nekehanga me te kaha o te tuke.
Ko te tikanga ka hoki mai te katoa o nga nekehanga i roto i nga wiki 12, engari kaore e hoki mai te kaha katoa kia ono ki te iwa marama i muri i te wharanga. (Mehmet Demirhan, Ali Ersen 2016)
Tohunga
Ko nga roimata tendon triceps neke atu i te 50% o te uaua ka hiahia kia pokai. Engari, i etahi wa, ka tohutohua ano kia pokai mo nga roimata iti iho i te 50% mena he mahi taumaha te tangata, kei te whakaaro ranei ia ki te takaro ano i nga hakinakina ki te taumata teitei. Ko nga roimata i roto i te puku uaua, i te waahi ranei e hono ana te uaua me te uaua ka tuia ki muri. Ki te kore e piri te uaua ki te kōiwi, ka wiriwirihia. Ko te whakaora me te rongoa tinana i muri i te pokanga e whakawhirinaki ana ki nga tikanga a te taote. I te nuinga o te waa, ka noho nga tangata takitahi i nga wiki e rua i roto i te awhi. Tata ki te wha wiki i muri i te pokanga, ka taea e te tangata takitahi te neke ano i te tuke. Heoi, kare e taea e ratou te timata ki te mahi hiki taumaha mo te wha ki te ono marama. (Matā Ortho. 2022) (Mehmet Demirhan, Ali Ersen 2016)
Ngā uaua
Ka puta nga raruraru i muri i te whakatikatika i nga triceps, ahakoa he pokanga, kaore ranei. Hei tauira, ka raru pea te tangata ki te ki tonu toka toronga, whakatika ranei. He nui ake te mate ka pakaru ano ki te ngana ki te whakamahi i te ringa i mua i te tino ora. (Mehmet Demirhan, Ali Ersen 2016)
Te Tiaki Chiropractic mo te Whakaora i muri i te Trauma
Grassi, A., Quaglia, A., Canata, GL, & Zaffagnini, S. (2016). He whakahou mo te tohu o nga whara uaua: he arotake korero mai i te haumanu ki nga punaha matawhānui. Hononga, 4(1), 39–46. doi.org/10.11138/jts/2016.4.1.039
Casadei, K., Kiel, J., & Freidl, M. (2020). Triceps Tendon Injuries. Nga purongo rongoa hakinakina o naianei, 19(9), 367–372. doi.org/10.1249/JSR.0000000000000749
Mangano, T., Cerruti, P., Repetto, I., Trentini, R., Giovale, M., & Franchin, F. (2015). Ko te Tendonopathy Maamaa hei Take Motuhake o te Kore Traumatic Triceps Tendon Rupture i roto i te (Risk Factors Free) Bodybuilder: He Ripoata Take. Journal of orthopedic case reports, 5(1), 58–61. doi.org/10.13107/jocr.2250-0685.257
Ka taea e te rongoa tinana me te whakakorikori kiko ngohe, IASTM ranei te whakapai ake i te nekeneke, te ngawari, me te hauora mo nga tangata e whara ana i nga uaua me nga mate?
Te Whakanekehanga Tiu Ngohe Nga Taonga
Ko te whakakorikori kiko ngohe a nga taputapu, ko IASTM ranei e mohiotia ana ko te tikanga Graston. He tukunga myofascial me te tikanga mirimiri e whakamahia ana i roto i te whakamaarama tinana i reira ka whakamahia e te kaiakiko nga taputapu whakarewa, kirihou ranei hei whakapai ake i te nekehanga o te kiko ngohengohe i roto i te tinana. Ko te taputapu hanga ergonomic ka waruhia, ka werohia ki te waahi kua whara, mamae ranei. Ka whakamahia te mirimiri ki te kimi me te tuku i te piri o te fascia/collagen e kapi ana i nga uaua me nga uaua. Ka awhina tenei ki te whakaiti i te mamae me te whakapai ake i nga nekehanga.
Mirimiri me te Tukunga Myofascial
Ka awhinahia e nga taputapu-awhina te whakakorikori tinana ngohengohe:
I te nuinga o nga wa ka whanakehia e te tangata takitahi te kaha o te kiko, te here ranei i roto i nga uaua me te fascia i muri i te whara. Ka taea e enei here kiko ngohengohe te whakawhäiti i te awhe o te nekehanga - ROM ka taea te tohu tohu mamae. (Kim J, Sung DJ, Lee J. 2017)
History
Ko te tikanga a Graston mo te whakakorikori i nga kopa ngohe i hangaia e tetahi kaipara nana i hanga a raatau taputapu hei rongoa i nga whara o te kiko ngohe. Kua tipu ake te mahi me te whakauru mai o nga tohunga rongoa, kaiwhakangungu, kairangahau, me nga kaitoro.
Ka whakamahia e nga kaiwhakaora tinana nga momo taputapu rereke hei mahi IASTM.
Ko te kamupene Graston e hoahoa etahi o nga taputapu.
Ko etahi atu kamupene kei a raatau momo taputapu whakarewa, kirihou ranei, me nga taputapu mirimiri.
Ko te whainga ko te awhina i te tuku i nga kiko ngohe me nga here myofascial hei whakapai ake i nga nekehanga tinana. (Kim J, Sung DJ, Lee J. 2017)
Kia pehea te Works te reira
Ko te ariā ko te wiriwiri i nga kopa ka puta he microtrauma ki te waahi kua pangia, ka whakahohe i te urupare mumura o te tinana. (Kim J, Sung DJ, Lee J. 2017)
Ka hohe te tinana ki te whakahoki ano i te kopa kua herea, i te nawe ranei, na te mea ka aukati.
Ka taea e te kaiakiko te totoro i nga taapiri hei whakaiti i te mamae me te whakapai ake i te nekehanga.
Treatment
Ko etahi o nga ahuatanga ka pai ki te whakakorikori i nga kiri ngohengohe, tae atu ki te (Kim J, Sung DJ, Lee J. 2017)
He iti te nekeneke
Te whakaheke i te mahi uaua
Te ngaro o te awhe o te nekehanga - ROM
Te mamae me te neke
He nui te hanga o te kiri nawe
Whakanuia te whakakorikori kiko ngohengohe, ASTM ranei Ka taea e nga tikanga te rongoa i etahi whara me nga tikanga hauora kei roto:
He arotake i whakatauritehia te tuku-a-ringa ki te tuku myofascial ki nga taputapu tuku myofascial mo te mamae mamae o muri. (Wiremu M. 2017)
He iti te rereketanga i kitea i waenga i nga tikanga e rua mo te mamae mamae.
Ko tetahi atu arotake i whakatauritehia te IASTM ki etahi atu tikanga mo te rongoa i te mamae me te mate mahi. (Matthew Lambert et al., 2017)
I whakatauhia e nga kairangahau ko te IASTM ka pa ki te tohanga toto me te ngawari o te kiko me te whakaiti i te mamae.
Ko tetahi atu rangahau i tirotirohia te whakamahinga o te IASTM, te whakamaoritanga ultrasound pseudo-fake, me te raweke o te tuara mo nga turoro me te mamae o te tuara / o runga. (Amy L. Crothers et al., 2016)
I pai ake nga roopu katoa i roto i te waa kaore he kaupapa kino nui.
I whakatauhia e nga kairangahau ko te whakakorikori i nga kiko ngohengohe e awhinahia ana e nga taputapu kaore i te iti ake, i te iti ake ranei o te whai hua atu i te whawhe o te tuara, te rongoa pseudo-ultrasound ranei mo te mamae o muri.
He rereke nga keehi katoa, he rereke nga ahuatanga o te uaua ki nga momo rereke maimoatanga. Mo nga patai, he awangawanga ranei, whakapaa atu ki to kaiwhakarato hauora tuatahi ki te whakatau mena he maimoatanga tika te IASTM hei awhina.
Mai i te whara ki te whakaora
Tohutoro
Kamali, F., Panahi, F., Ebrahimi, S., & Abbasi, L. (2014). Ko te whakataurite i waenga i te mirimiri me te whakamaarama tinana i roto i nga wahine e mau ana te mamae iti me te mamae o muri. Journal of back and musculoskeletal rehabilitation, 27(4), 475–480. doi.org/10.3233/BMR-140468
Kim, J., Sung, DJ, & Lee, J. (2017). Te whai huatanga o te rongoa o nga taputapu-awhina i te whakakorikori tinana mo te whara o te kiri ngohengohe: nga tikanga me te whakamahinga mahi. Journal of exercise rehabilitation, 13(1), 12–22. doi.org/10.12965/jer.1732824.412
Chughtai, M., Newman, JM, Sultan, AA, Samuel, LT, Rabin, J., Khlopas, A., Bhave, A., & Mont, MA (2019). Astym® therapy: he arotake nahanaha. Annals of translational medicine, 7(4), 70. doi.org/10.21037/atm.2018.11.49
Matthew Lambert, Rebecca Hitchcock, Kelly Lavallee, Eric Hayford, Russ Morazzini, Amber Wallace, Dakota Conroy & Josh Cleland (2017) Ko nga paanga o te whakahiatotanga o te kiri ngohengohe e awhinahia ana e nga taputapu i whakaritea ki etahi atu wawaotanga mo te mamae me te mahi: he arotake nahanaha, Hauora Tinana. Arotake, 22:1-2, 76-85, DOI: 10.1080/10833196.2017.1304184
Crothers, AL, Wīwī, SD, Hebert, JJ, & Walker, BF (2016). Te whakamaaramatanga manipulative spinal, Graston technique® me te placebo mo te mamae o te thoracic spine kore-motuhake: he whakamatautau kua tohua. Chiropractic & rongoā a-ringa, 24, 16. doi.org/10.1186/s12998-016-0096-9
Mo nga tangata takitahi e pa ana ki nga tohu mamae o te turi mai i te whara me te / ranei, ka taea e te whakauru i te mahere maimoatanga acupuncture me / ranei electroacupuncture te awhina i te mamae me te whakahaere?
Acupuncture mo te mamae o te turi
Ko te acupuncture he whakauru i nga ngira angiangi rawa ki roto i te kiri i nga waahi motuhake o te tinana. I runga i te whakaaro ko nga ngira te whakahoki i te rere o te kaha o te tinana ki te whakahohe me te whakatairanga i te whakaora, ki te whakaora i te mamae, ki te awhina i te tinana kia okioki.
Ka taea e te Acupuncture te awhina ki te whakatika i nga momo ahuatanga hauora, tae atu ki te mamae o te turi na te mate pukupuku, te whara ranei.
I runga i te momo me te kaha o te mamae, ka taea e nga maimoatanga te whakaiti i te mamae mo nga ra, wiki ranei.
He maha nga wa e whakamahia ana te Acupuncture hei whakamaarama taapiri - he maimoatanga hei taapiri atu ki etahi atu maimoatanga, rautaki whakamaarama ranei penei i te mirimiri me te chiropractic.
Nga Painga Acupuncture
Ko te mamae o te turi na te osteoarthritis, te whara ranei ka whakaiti i te ngawari, te nekeneke, me te kounga o te oranga. Ka taea e te Acupuncture te awhina i te awhina.
Ina utaina nga ngira acupuncture ki runga i te tinana, ka tukuna he tohu i te taha o te taurakira ki te roro, ka puta te tukunga o nga homoni endorphins/mamae. E whakapono ana nga kairangahau rongoa ka awhina tenei ki te whakaiti i te mamae. (Qian-Qian Li et al., 2013) Ka awhina ano te acupuncture ki te whakaheke i te hanga o te cortisol, he taiaki hei awhina i te mumura. (Qian-Qian Li et al., 2013) Ma te iti o te mamae me te iti o te mumura i muri i nga maimoatanga acupuncture, ka taea te whakapai ake i te mahi o te turi me te neke.
He maha nga ahuatanga ka whai waahi ki te whakaora i te mamae mai i te acupuncture. E ai ki etahi taunakitanga ka pa ki nga tumanakohanga a te tangata ki nga hua o te maimoatanga acupuncture. (Stephanie L. Prady et al., 2015)
Kei te aromatawaihia e nga kairangahau i tenei wa ko te tumanako ka whai hua te acupuncture ki te whai hua pai ake i muri i te maimoatanga. (Zuoqin Yang et al., 2021)
I te tau 2019, i taunakihia te acupuncture ki te rongoa i te osteoarthritis turi i te American College of Rheumatology/Arthritis Foundation nga aratohu mo te whakahaere mamae o te ringa, hope, me te turi osteoarthritis. (Sharon L. Kolasinski et al., 2020)
rangahau
Ko nga rangahau haumanu rereke e tautoko ana i te kaha o te acupuncture ki te awhina i te mamae o te turi me te whakahaere.
I kitea e tetahi rangahau ka awhina te acupuncture ki te whakahaere i nga momo ahuatanga e puta ai te mamae mamae. (Andrew J. Vickers et al., 2012)
I tātarihia e te arotake putaiao nga rangahau o mua mo nga wawaotanga whakahaere mamae i muri i te pokanga turi, ka kitea nga taunakitanga tautoko i whakaroa nga maimoatanga me te whakaiti i te whakamahinga o nga rongoa mo te whakaora mamae i muri i te pokanga. (Dario Tedesco et al., 2017)
Osteoarthritis
He arotake nahanaha i wetewetehia nga rangahau whakahaere matapōkere hei whakatau mena ka whakaitihia te mamae o te acupuncture me te pai ake o te mahi tahi i roto i nga tangata e mau tonu ana te mamae o te turi osteoarthritis. (Xianfeng Lin et al., 2016)
I whakawhiwhia e nga tangata takitahi te ono ki te rua tekau ma toru nga waahanga acupuncture ia wiki mo te toru ki te 36 wiki.
I whakatauhia e te tātaritanga ka taea e te acupuncture te whakapai ake i te mahi tinana me te nekeneke mo te wa poto me te wa roa, me te whakarato ki te 13 wiki o te mamae mamae i roto i nga tangata e mau ana te mamae o te turi na te osteoarthritis.
Te Rotumatoid Arthritis
Ko te mate rūmātiki he mate mau tonu e pa ana ki nga hononga, tae atu ki te hononga turi, ka puta te mamae me te maro.
He painga te Acupuncture ki te rongoa i te mate rūmātiki/RA.
I kitea e te arotake ko te acupuncture anake me te whakakotahi me etahi atu tikanga maimoatanga e whai hua ana ki nga tangata whai RA. (Pei-Chi, Chou Heng-Yi Chu 2018)
E whakaponohia ana ko te Acupuncture he hua anti-inflammatory me te antioxidant hei awhina i te whakahaere i nga mahi a te punaha mate.
Te mamae o te turi
Ka taea e nga momo ahuatanga me nga whara te mamae o te turi, ka uaua te neke.
Ko nga tangata takitahi me te mamae tahi ka huri ki nga maimoatanga taapiri mo te whakahaere mamae mamae, me te acupuncture tetahi o nga tikanga rongonui. (Michael Frass et al., 2012)
I whakaatuhia e tetahi rangahau he pai ake te whakapai ake i te mamae mamae i nga wiki 12. (Rana S. Hinman et al., 2014)
Ko te Acupuncture he pai ake te pai o te nekehanga me te mahi i nga wiki 12.
haumaru
Ka kiia te acupuncture he haumaru ina whakahaerea e tetahi tohunga kua whakangungua, whai raihana.
Ma te mahi tahi me tetahi tohunga acupuncture kua raihanatia, ka taea te whakaiti i te tupono o nga paanga kino me nga raruraru.
Types
Ko etahi atu whiringa acupuncture ka taea te tuku ko:
Electroacupuncture
Ko te ahua o te acupuncture kua whakarereketia e rere ana te hiko hiko i roto i nga ngira, e whakaihiihi ana i nga acupoints.
I roto i tetahi rangahau rangahau, ko nga tangata takitahi me te osteoarthritis turi i whakaatu i nga whakapainga nui i roto i to ratou mamae, te pakari, me te mahi tinana i muri i te maimoatanga electroacupuncture. (Ziyong Ju et al., 2015)
Aurarato
Ka mahi te auricular or acupuncture taringa ki nga acupoints i roto i te taringa e rite ana ki nga wahanga rereke o te tinana.
I tātarihia e te rangahau rangahau etahi rangahau mo te auricular acupuncture mo te mamae mamae ka kitea ka taea e ia te whakaora i roto i nga haora 48 o te mamae. (M. Murakami et al., 2017)
Parekura Acupuncture
Ka whakamahia e nga hoia me nga whare hauora hoia he ahua ahurei o te auricular acupuncture mo te whakahaere mamae.
Ko nga rangahau e whakaatu ana he whai hua ki te whakarato i te mamae mamae tonu, engari he nui ake te rangahau hei whakatau i te whai hua o te mamae mamae mo te wa roa. (Anna Denee Montgomery, Ronovan Ottenbacher 2020)
I mua i te ngana acupuncture, toro atu ki tetahi tohunga hauora mo te arahi, na te mea ka whakauruhia ki etahi atu maimoatanga me nga whakarereketanga o te noho.
Te wikitoria i te whara ACL
Tohutoro
Li, QQ, Shi, GX, Xu, Q., Wang, J., Liu, CZ, & Wang, LP (2013). Te mahi acupuncture me te ture autonomic pokapū. Ko te rongoa rongoa me te rongoa rereke e pa ana ki nga taunakitanga : eCAM, 2013, 267959. doi.org/10.1155/2013/267959
Prady, SL, Burch, J., Vanderbloemen, L., Crouch, S., & MacPherson, H. (2015). Te ine i nga tumanakohanga mo te painga mai i te maimoatanga i nga whakamatautau acupuncture: he arotake nahanaha. Ko nga maimoatanga taapiri mo te rongoa, 23(2), 185–199. doi.org/10.1016/j.ctim.2015.01.007
Yang, Z., Li, Y., Zou, Z., Zhao, Y., Zhang, W., Jiang, H., Hou, Y., Li, Y., & Zheng, Q. (2021). Ka whai hua te tumanako a te manawanui ki te maimoatanga acupuncture?: He kawa mo te arotake nahanaha me te tātari-meta. Rongoa, 100(1), e24178. doi.org/10.1097/MD.0000000000024178
Kolasinski, SL, Neogi, T., Hochberg, MC, Oatis, C., Guyatt, G., Poraka, J., Callahan, L., Copenhaver, C., Dodge, C., Felson, D., Gellar, K., Harvey, WF, Hawker, G., Herzig, E., Kwoh, CK, Nelson, AE, Samuels, J., Scanzello, C., White, D., Wise, B., … Reston, J. (2020). 2019 American College of Rheumatology/Arthritis Foundation Aratohu mo te Whakahaere i te Osteoarthritis o te Ringa, Hip, me te Turi. Te tiaki me te rangahau o te Arthritis, 72(2), 149–162. doi.org/10.1002/acr.24131
Vickers, AJ, Cronin, AM, Maschino, AC, Lewith, G., MacPherson, H., Foster, NE, Sherman, KJ, Witt, CM, Linde, K., & Acupuncture Trialists' Collaboration (2012). Acupuncture mo te mamae mau tonu: te taatai-meta-tatari raraunga manawanui takitahi. Pūranga rongoa o roto, 172(19), 1444–1453. doi.org/10.1001/archinternmed.2012.3654
Tedesco, D., Gori, D., Desai, KR, Asch, S., Carroll, IR, Curtin, C., McDonald, KM, Fantini, MP, & Hernandez-Boussard, T. (2017). Nga Waahanga Taaru-kore ki te Whakaitihia te mamae, te kai Opioid ranei i muri i te Arthroplasty Turi Tapeke: He Arotake Nahanaha me te Meta-tatari. pokanga JAMA, 152(10), e172872. doi.org/10.1001/jamasurg.2017.2872
Lin, X., Huang, K., Zhu, G., Huang, Z., Qin, A., & Fan, S. (2016). Nga Painga o te Acupuncture ki runga i te mamae o te Turi Maama Na te Osteoarthritis: He Meta-Analysis. Te Journal of bone and joint surgery. pukapuka Amerika, 98(18), 1578–1585. doi.org/10.2106/JBJS.15.00620
Chou, PC, & Chu, HY (2018). Te Mana Hauora o te Acupuncture i runga i te Rheumatoid Arthritis me nga Mechanisms Hononga: He Arotake Pūnaha. Ko nga rongoa rongoa me nga rongoa rereke: eCAM, 2018, 8596918. doi.org/10.1155/2018/8596918
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Ko nga whara o te turi ka kitea i roto i nga tangata mahi tinana e hiki ana i nga taumaha. Ka taea e te mohio ki nga momo o nga whara o nga turi hiki te awhina ki te aukati?
Nga Tutui Weightlifting Knee
Ko te whakangungu taimaha he tino haumaru mo nga turi na te mea ka taea e te whakangungu taimaha te whakapai ake i te kaha o te turi me te aukati i te whara i te wa e whai ana te ahua tika. Mo nga tangata kua whara nga turi mai i etahi atu mahi, ko nga mahi whakangungu taumaha he kino pea te whara. (Ulrika Aasa et al., 2017) I tua atu, ka nui ake te kino o te korikori ohorere, te pai o te whakatikatika, me nga whara o mua ake nei, ka nui ake te tupono ki te kino, ki te hanga i etahi atu whara. (Hagen Hartmann et al, 2013) Ko te tinana me nga turi i hangaia hei tautoko i nga kaha poutū i runga i nga hononga.
Nga whara noa
Ka puta nga whara o nga turi hiki i te wa e mau ana nga hononga o nga turi i te tini o nga taumahatanga me nga taumahatanga. I roto i te whakangungu taimaha, ko nga hononga e piri ana ki te punaha wheua uaua o te hononga turi ka taea te pakaru i nga nekehanga he, te nui o te taumaha, me te piki ake o te taumaha. Ka taea e enei whara te mamae, te pupuhi, me te kore e taea te rere mai i te iti ki te kino, mai i te pupuhi, te iti ranei o te roimata ki te tino roimata i roto i nga keehi kino.
Tuhinga o mua - ACL - Te whara
Ka piri tenei hononga ki te koiwi wahine o te huha ki te hiku o te waewae o raro, me te whakahaere i te hurihanga nui, te toronga ranei o te hononga turi. (American Academy of Family Physicians. 2024)
Ko mua te tikanga o mua.
Ka kitea nga whara ACL i te nuinga o nga kaitakaro engari ka pa ki tetahi.
Ko te kino kino ki te ACL ko te tikanga he mahi pokanga, tae atu ki te 12 marama o te whakatikatika.
I te wa e hikina taumaha ana, ngana ki te karo i te kopikopiko o nga turi, i te whakaaro, i te pohehe ranei, i raro i te taumahatanga.
Tuhinga o mua Cruciate Ligament - PCL - Te whara
Ka hono te PCL i te wahine me te tibia i nga waahi rereke ki te ACL.
Ka whakahaerehia e ia nga nekehanga whakamuri o te tibia i te hononga.
Ko nga whara ka puta i te nuinga o te waa me te kaha o te kaha o nga aitua me etahi wa i roto i nga mahi ka pa mai te mamae ki te turi.
Te Huringa Tauwaenga - MCL - Te whara
Ma tenei hononga ka pupuri i te turi mai i te piko ki tawhiti ki roto / waenga.
Ko te nuinga o nga whara ka puta mai i te pa ki waho o te turi, mai i te kaha o te taumaha o te tinana i runga i te waewae ka piko ki te koki rereke.
Lateral Collateral Ligament - LCL - Te whara
Ka hono tenei hononga i te wheua iti o te waewae o raro/fibula ki te wahine.
He anga ke atu ki te MCL.
Ka mau tonu te nekeneke o waho.
Ka puta nga whara o te LCL ina peia e te kaha te turi ki waho.
Te whara o te whaa
Ko te cartilage e aukati ana i nga koiwi kia mirimiri tahi me te urunga i nga kaha aki.
Ko nga turi menisci he cartilage e awhi ana i nga hononga o roto me waho.
Ko etahi atu momo o te cartilage e tiaki ana i te huha me te hiwi.
Ka pakaru, ka pakaru ranei te kaata, ka hiahiatia he pokanga.
Tendonitis
Ko nga uaua o te turi kua whakaparahako me te nui o te whakamahi ka arahi ki nga whara o te turi hiki.
Ko tetahi whara e mohiotia ana ko te iliotibial band syndrome / ITB ka puta te mamae ki waho o te turi, i te nuinga o nga wa i roto i nga kaiwhai, engari ka puta mai i te kaha o te whakamahi.
Ko te okiokinga, te totoro, te whakamaarama tinana, me te rongoa whakaahuru he mahere maimoatanga noa.
Ko tenei ahuatanga ka paheke te kaata me te mirimiri tahi nga wheua, ka puta te mamae me te maro.
Prevention
Ka taea e te tangata takitahi te whakaiti i to ratou tupono ki te hiki i nga whara me te mamae o nga turi ma te whai i nga tohutohu a o raatau taakuta me o raatau kaiwhakangungu.
Ko nga tangata e whara ana i te turi me whai i nga tohutohu a te taote, te kaiwhakaora tinana ranei.
Ka taea e te ringaringa o te turi te pupuri i nga uaua me nga hononga, hei tiaki me te tautoko.
Ko te toronga o nga uaua waewae me nga turi ka mau tonu te ngawari o nga hononga.
A ape i nga nekehanga whakamuri ohorere.
Ko nga taunakitanga ka taea te whakauru:
Te karo i etahi mahi korikori
Ko nga mahi mokemoke penei i te korikori waewae, te tu, i runga ranei i te tauera, me te whakamahi i te miihini toronga waewae, ka pehia te turi.
Whakangungu Squat Hohonu
Ko nga rangahau e whakaatu ana ka taea e te squat hohonu te tiaki i te whara o te waewae o raro mena kei te hauora te turi. Heoi, ka mahia tenei ma te tikanga tika, i raro i te tirotiro a te tohunga, me te taumaha haere tonu. (Hagen Hartmann et al, 2013)
Me korero nga tangata takitahi ki o raatau taakuta i mua i te tiimata i tetahi mahinga korikori hou. Ka taea e te kaiwhakangungu whaiaro te whakangungu ki te ako i te tikanga tika me te puka hiki taumaha.
Me pehea taku Haea i taku ACL Wāhanga 2
Tohutoro
Aasa, U., Svartholm, I., Andersson, F., & Berglund, L. (2017). Ko nga whara i waenga i nga kaikawe taumaha me nga kaipatu hiko: he arotake nahanaha. Journal of British medicine of sports medicine, 51(4), 211–219. doi.org/10.1136/bjsports-2016-096037
Hartmann, H., Wirth, K., & Klusemann, M. (2013). Te tātaritanga o te kawenga i runga i te hononga turi me te pou vertebral me nga huringa o te hohonu o te pupuhi me te taumaha. Te rongoa hakinakina (Auckland, NZ), 43(10), 993–1008. doi.org/10.1007/s40279-013-0073-6
Mellinger, S., & Neurohr, GA (2019). Ko nga whiringa maimoatanga i runga i nga taunakitanga mo nga whara o nga turi i roto i nga kaiwhaiwhai. Nga korero mo te rongoa whakamaori, 7(Suppl 7), S249. doi.org/10.21037/atm.2019.04.08
Driban, JB, Hootman, JM, Sitler, MR, Harris, KP, & Cattano, NM (2017). Ko te whai waahi ki etahi hakinakina e pa ana ki te Osteoarthritis Turi? He Arotake Nahanaha. Journal of whakangungu hakinakina, 52(6), 497–506. doi.org/10.4085/1062-6050-50.2.08
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