He rongoā whai hua mō te whāwhā o te turi hei whakaora katoa
Ka taea e te whara o te turi te aukati i a koe mai i ngā hākinakina, te mamae o te hikoi, me te waiho i a koe kia manukanuka mō te pumau mō te wā roa. He mea nui te maimoatanga tika o ngā whara whara o te turi, ehara i te mea hei whakaora i te kino tonu, engari hei ārai hoki i te kore pumau tonu me ngā raruraru ā muri ake nei. Ahakoa kua takahurihia tō turi i te tākaro hākinakina, kua hinga pōuri, kua pāngia rānei e te pakū ohorere i te wā e mahi ana koe, mā te mārama ki tō whara me ngā kōwhiringa maimoatanga ka āwhina i te whakarite i te whakaoranga pai rawa atu.
I Madison Medical, ka whakaratohia e ā mātou tohunga rongoā wheua me te hākinakina he maimoatanga whānui mō ngā whara katoa o te hononga. Mai i ngā whara ngawari e ora ana me te tiaki tupato ki ngā haehae nui e hiahia ana kia hangaia anō he pokanga, ka ārahi mātou i ngā tūroro mā te maimoatanga me te whakaora tika hei whakahoki mai i te mahi me te maia o te turi.
Te Mārama ki ngā Whāwhati Turi
Ka puta te whara o te turi ina totoro, ina haehae rānei tetahi, ētahi rānei o ngā hononga e whakau ana i tō hononga turi. He here kiko pakari ngā hononga e hono ana i ngā wheua tetahi ki tetahi, ā, e whā ngā hononga matua o te turi ka taea te whara. Ko te kaha o te whara mai i te totoro ngawari (Taumata I) ki te haehae wāhanga (Taumata II) ki te pakaru katoa (Taumata III).
Ko te hononga o mua (ACL) me te hononga o muri (PCL) ka hanga i tētahi ripeka i roto i te turi, hei whakahaere i te nekehanga whakamua me te nekehanga whakamuri. Ko te hononga o roto me waho o te turi ka whakau i ngā taha o roto me waho o te turi. He rerekē ngā tikanga whara ka pā ki ngā hononga rerekē, ā, ka taea te whara i ngā hononga maha i te wā kotahi.
Te Mōhio ki ngā Tohu o te Turi Whara
He rerekē ngā tohu o te whāwhā o te turi i runga i te hononga i whara me te kaha o te whara. Ko ngā tohu noa ko te mamae i te wā e whara ana, me te ahua o te pakū. I roto i ngā haora ka pupuhi te turi, ā, ka ahua koretake, ka memeha rānei i ētahi nekehanga. Ko te uaua ki te amo i te taumaha me te iti o te nekehanga ka whai i te whara tuatahi.
He maha ngā wā ka puta he pakū motuhake i ngā whara ACL i te wā e whara ana, ā, muri iho ka pupuhi tere me te ahua ka piko te turi. Ka mamae te turi o roto i ngā whara MCL, inā koa ka pēhia te turi ki te taha. Tērā pea kāore e tino kino ngā whara PCL i te tīmatanga engari ka raru pea ngā arawhata me te piko hohonu. Ka pāngia te turi o waho e ngā whara LCL, ā, he maha ngā wā ka puta me ētahi atu kino o te hononga.
Te mamae nui, te kore e taea te pikau i te taumaha, te āhua rerekē e kitea ana, ngā tohu rānei kāore e pai ake i te okiokinga me tere te arotake hauora. Me arotake me te rongoā motuhake ngā whara maha-hononga me ngā whati e pā ana.
Pūnaha Whakarōpūtanga Turi
- Koeke I (Maamaa): Kua totoro te hononga engari kāore i haehae; he ngawari te mamae me te pupuhi; kei te pumau tonu te turi
- Kōeke II (Wākeke): He pakaru wāhanga o te hononga; he mamae ngawari, he pupuhi, he ngawari hoki; he iti te pumau o te hononga
- Kōeke III (Tino): Pakaru katoa o te hononga; pupuhi nui; kore pumau te hononga
Ngā Take Noa o te Whāwhati Turi
Ko ngā whara hākinakina te take nui o ngā whara turi, inā koa i ngā mahi e pā ana ki te tapahi, te huri, te pekepeke, me te taunga. Ko te poitūkohu, te whutupaoro, te whutupaoro, te reti reti, me te tēnehi te take o ngā whara ACL. Ko ngā hākinakina pā he maha ngā wā ka puta ai ngā whara MCL ina pā te turi mai i te taha.
Ka taea hoki e ngā tikanga kore-pā te kino. Mā ngā huringa ohorere o te ahunga, ngā taunga taupatupatu mai i ngā pekepeke, me te tere o te whakahekenga ka pakaru ngā hononga me te kore he kaha o waho. He maha ngā wā ka puta ēnei whara kore-pā ina ngenge ngā kaitākaro, ina rānei kei runga i ngā mata koretake.
I ētahi wā ka whara te turi i ngā mahi o ia rā. Mā te takahanga mārire i te taha o te rori, te paheke i runga i ngā mata mākū, te takahuri rānei i te turi i te wā e whakatohia ana te waewae, ka whara katoa ngā hononga. Ka whara te turi i ngā aituā motuka ina pā te turi ki te papaaho, ina pāngia rānei e ngā kaha hurihuri.
Aromatawai Tātaritanga
Mā te whakamātautau tinana ka kitea he mōhiohio whai hua mō ngā hononga kua whara, me te kaha o te whara. Ka aromatawaihia e tō kaiwhakarato te pupuhi, ngā wāhi e mamae ana, me te whānuitanga o te nekehanga. Ka whakanuia e ngā whakamātautau motuhake ia hononga hei aromatawai i te pumau—ko te whakamātautau Lachman mō te ACL, ngā whakamātautau ahotea valgus me te varus mō ngā hononga collateral, me te whakamātautau posterior drawer mō te PCL.
Mā ngā hihi-X ka kitea ngā whatiwhatinga ka pā mai i ngā whara o te hononga, ā, ka kitea pea ngā whatiwhatinga e kukumea ana ngā kongakonga wheua e ngā hononga. Ka whakaratohia e te MRI he tirohanga taipitopito o te pumau o te hononga, e whakaatu ana i ngā haehaenga wāhanga, me ngā haehaenga katoa, me te tautuhi i ngā pakaru o te meniscus, te cartilage rānei e pā mai ana i ngā whara.
I ētahi wā, mā te tirotiro i raro i te rongoā whakamoe, i te arthroscopy rānei, ka āwhina i te whakamārama i te whānuitanga o te whara ina kore e tino mārama ngā kitenga haumanu. He mea nui tēnei ina whakamahere ana i te maimoatanga pokanga mō ngā whara uaua.
Ngā Huarahi Maimoatanga Matatapu
He maha ngā whara turi e ora pai ana mā te maimoatanga āta, inā koa ngā whara o te taumata I me te taumata II. Ko te tikanga RICE—Okiokinga, Hukapapa, Kōpeketanga, Whakateitei—te tūāpapa o te whakahaere tuatahi. Mā te tiaki i te turi mai i ētahi atu whara me te whakahaere i te mamae me te pupuhi ka taea te tīmata te whakaora.
Mā te tautoko i te wā e ora ana te hononga e tautokona ana. Mā ngā tautoko turi e whakau te hononga, ā, ka taea te whakahaere i te nekehanga. Ko te tautoko motuhake e whakawhirinaki ana ki ngā hononga e whara ana me te kaha. Tērā pea ka hiahiatia he tokotoko i te tuatahi mēnā he mamae te amo i te taumaha.
He mea nui te whakaora tinana mō te oranga pai rawa atu mai i ngā whara turi. Ka aro te kaupapa whakaora whakamua ki te pupuhi, ka whakahokia te whānuitanga o te nekehanga, ka hanga anō i te kaha, ka whakangungu anō hoki i te mana whakahaere io-uaua. Ka rerekē te wā i runga i te kaha o te whara—ka ora pea ngā whara ngawari i roto i ngā wiki, engari ko ngā whara nui ake me whakaora mō ngā marama.
Kōwhiringa Tiaki Hangarau
Ko ngā pakaru katoa o te hononga, inā koa ko ngā pakaru o te ACL, he maha ngā wā ka hiahiatia he pokanga anō mō ngā kaitākaro me ngā tāngata hihiri e hiahia ana ki te hoki ki ngā hākinakina tapahi me te huri. Ka whakakapia te hononga pakaru e te pokanga ki tētahi tārua i tangohia mai i te kiko o te tūroro, mai i tētahi kaituku rānei.
Ka whakamahia e te hanga anō i te ACL ngā tikanga arthroscopic hei whakakōpiko i te wheua me te whakau i te hononga ki te tūranga o te hononga taketake. He maha ngā kōwhiringa hononga, tae atu ki te hononga patellar, te hononga hamstring, me te hononga quadriceps, tae atu ki te hononga allograft. Ka tūtohu tō taote pokanga i te kōwhiringa pai rawa atu i runga i tō taumata mahi, te hanganga tinana, me ō hiahia.
Ko ngā whara MCL ka ora tonu me te kore pokanga, ahakoa me whakatika pea ngā pakaru nui, ngā pakaru rānei e honoa ana ki ētahi atu whara hononga. Kāore i te tino auau te mahi hanga anō i te PCL i te pokanga ACL, nā te mea he maha ngā whara PCL ka taea te whakahaere mā te kore pokanga. He maha ngā wā ka hiahiatia he pokanga hanga anō i ngā whara turi maha-hononga.
Te Whakaora me te Hoki ki te Mahi
Ahakoa he rongoā pokanga, he rongoā tiaki rānei, ka whai i tētahi huarahi ahu whakamua te whakaora. Ko ngā wāhanga tōmua e arotahi ana ki te tiaki i te hononga whakaora, te whakahaere i te pupuhi, me te whakahoki mai i te whānuitanga o te nekehanga. Ka piki haere te kaha o ngā mahi whakapakari tinana i te haere tonu o te whakaora. Mā te whakangungu hākinakina motuhake ka whakarite i ngā kaitākaro mō te hokinga ki te whakataetae.
Ko ngā paearu mō te hoki ki te hākinakina ko te whānuitanga o te nekehanga, te kaha e rite ana ki te waewae kāore i whara, me te otinga angitu o ngā whakamātautau mahi. Mō te hanga anō i te ACL, e 9-12 marama te roa o tēnei tukanga, ahakoa he rerekē ngā wā takitahi i runga i te whakaora, te pikinga o te kaha, me te rite hinengaro.
He aha i whiriwhiria ai a Madison Medical mō te maimoatanga o te whāwhā o te turi?
He nui te wheako o tā mātou tīma rongoā hākinakina me te tīma wheua e rongoā ana i ngā whara o te hononga turi i ngā taumata katoa o te kaha. Neke atu i te 1,200 ngā tūroro e toro atu ana ki a Madison Medical ia wiki, e whakarato ana i te tohungatanga e hiahiatia ana mō te tautuhi tika me te whakatau maimoatanga tino pai. Ka tukuna e mātou te tiaki whānui mai i te aromatawai tuatahi tae noa ki te whakaora katoa.
Mā tā mātou huarahi whakauru ka whakarite i te kōrerorero wheua, te whakaora tinana, me te maimoatanga pokanga ina hiahiatia. Ka mahi tahi mātou me ngā kaitākaro o ngā taumata katoa ki te whakawhanake i ngā mahere hoki-ki-te-hākinakina e whakatairanga ana i te haumaru me te mahi. Ko te nuinga o ngā mahere inihua nui e whakaaetia ana i ō mātou wāhi watea i New Jersey.
Mātakihia kia nui ake ai te mōhio
Kia hoki tō turi ki te huarahi tika
Kāore te whara o te turi e tohu i te mutunga o tō oranga hohe. Mēnā he tika te tātaritanga, he tika te maimoatanga, me te whakaora whānui, ka ora pai te nuinga o ngā whara o te hononga turi. Ko te mea nui ko te tiki aromatawai a te tohunga i te wā wawe, me te whai i tāu mahere maimoatanga.
Whakapā atu ki a Madison Medical ki te whakarite i tō aromatawai turi. Ka aromatawaihia e ā mātou tohunga tō whara, ka whakamārama i ō whiringa maimoatanga, ka whakawhanake i tētahi mahere hei whakaora i te mahi me te pumau o tō turi. Ahakoa e hiahia ana koe ki te whakahaere ā-pūmau, ki te hanga anō rānei i tētahi mea hou, kei a mātou te tohungatanga hei ārahi i tō whakaoranga.