Te Mārama ki te Whakahaere Mamae me ngā Maimoatanga Turi Werohanga
Ka taea e te mamae o te turi mai i te rumatiki, ngā whara, te mumura rānei te whakawhāiti i tō nekehanga me te kounga o te oranga, engari ko ngā maimoatanga werohanga turi whakahaere mamae ka tukuna he whakaora whaitake ina kore e taea e ngā rongoā ā-waha me te whakaora tinana te whakahaere tika. Ka tukuna tika e ēnei tikanga whakaeke iti te rongoā ki tō hononga turi, ki ngā hanganga huri noa rānei, ka whakaiti i te mumura me te mamae, me te tuku i a koe ki te whai wāhi atu ki te whakaora me ngā mahi o ia rā. Mā te mārama ki ngā momo werohanga hononga turi e wātea ana, me pēhea te mahi, me ngā mea hei tumanako ka āwhina i a koe ki te whakatau whai whakaaro mō te whai hua o ēnei maimoatanga ki tō āhua turi.
I Madison Medical, he nui ngā wheako o ā mātou tohunga ki te whakahaere i ngā tikanga werohanga turi whakahaere mamae mā te whakamahi i ngā aratohu whakaahua matatau hei whakarite i te tika. Ka āwhina mātou i a koe ki te mārama ki ngā momo werohanga e pai ana mō tō āhua, ā, ka whakarite mātou i ngā werohanga me ngā mahere maimoatanga whānui tae atu ki te whakaora tinana me ētahi atu whakaora e arotau ana i ō putanga.
Ngā momo werohanga hononga turi
He maha ngā momo werohanga e rongoā ana i ngā raruraru turi rerekē:
Nga werohanga Corticosteroid
Mā ngā werohanga cortisone ka tukuna he rongoā anti-mumura kaha ki roto i tō hononga, ka whakaiti i te pupuhi me te mamae o te mate rumatiki, te bursitis, me ētahi atu mate mumura. Ka whakaratohia e ēnei he whakaora tere, he maha ngā wiki ki ngā marama te roa, ka taea ai te whakanui ake i te mahi me te whai wāhi ki te whakaora tinana. Ka mahi ngā corticosteroids mā te pehi i te urupare mumura e puta ai te mamae me te kino o ngā hononga.
Ngā Werohanga Waikawa Hyaluronic (Whakapiringa Waikawa)
Ka tāpirihia e ēnei werohanga te wai whakahinuhinu tūturu o tō turi, ka whakapai ake i te whakangāwari me te whakaiti i te waku i roto i ngā hononga mate pukupuku. Ka kiia hoki ko te "werohanga gel", ko te nuinga o te wā ko te whakauru i te viscosupplement he raupapa werohanga e whakarato ana i te whakamarie ka roa pea mō ētahi marama. He pai te mahi a tēnei maimoatanga mō te mate pukupuku turi ngawari ki te taumaha.
Ngā Werohanga Plasma Whai-Platelet (PRP)
Ka whakamahia e te rongoā PRP ngā pereti toto kukū mai i ō ake toto, he nui ngā matū whakatipu hei whakatairanga i te whakaora kiko me te whakaiti i te mumura. He pai te whakamahi i ēnei werohanga whakaora mō ngā momo mate turi tae atu ki te mate rumatiki wawe, ngā raruraru meniscal, me ngā whara uaua. Ka puta haere ngā pānga i roto i ētahi wiki i te wā e ora ai ngā kiko.
Werohanga Pūtau Taketake
Ko te whāinga o ngā maimoatanga whakamātautau mā te whakamahi i ngā pūtau take ko te whakaora i te kiriuhi kua pakaru me ētahi atu kiko. Ahakoa he pai te hua, kei te rangahauhia tonutia ēnei mō te whai huatanga me ngā tikanga tino pai.
- Te mate pukupuku o te turi e hua ai te pirau haere o ngā hononga
- Ka puta te pupuhi wai-kī tonu i te turi i te bursitis
- Tendonitis e pā ana ki te uaua patellar me ētahi atu hanganga rānei
- Te mamae, te mumura rānei i muri i te pokanga
- Nga roimata Meniscal i etahi wa
- Ngā whara o te hononga i te wā e ora ana
- Ngā pukupuku a Baker i muri o te turi
Te Mahi a ngā Werohanga Turi
Ko te tikanga, ko ēnei mahi e whai ake nei:
Ko te whakarite ko te horoi i tō turi ki te wai patu paturopi. Ka whakamahia e ētahi tākuta te ultrasound, te fluoroscopy rānei (he arataki hihi-X) kia tika ai te whakatakotoranga o te ngira, he mea nui rawa atu mō ngā uauatanga o te tinana.
Ka whakangoikore te wāhi i werohia mā te rongoā whakamoe . Ko ētahi werohanga he rongoā whakamoe ā-rohe kua konatunatua ki te rongoā whakaora hei whakaora wawe i te wāhanga.
Ka werohia te rongoā ki roto i tō hononga, ki te bursa, ki ngā uaua rānei e pāngia ana. He hēkona noa iho te roa o te werohanga, engari ko te roa katoa o te mahi he 10-15 meneti pea.
Mā te whakaoranga ka taea te okioki poto i mua i te tukunga ki te kāinga. Ko te nuinga o te tangata ka hoki anō ki ngā mahi o ia rā, ahakoa ka tūtohu mātou kia kaua e whakakorikori tinana mō ngā haora 24-48.
Ngā mea hei tumanakohia i muri i te werohanga
Ka rerekē te urupare i runga i te momo werohanga:
Tērā pea ka piki ake te mamae mō te 24-48 hāora (te kaha o te mamae i muri i te werohanga) i mua i te tīmatanga o te whakaoranga nui. Ko te nuinga o te wā ka puta te painga nui i roto i te kotahi wiki. Ka rerekē te roa o te whakaoranga—ko ētahi ka whai hua mō ngā wiki, ko ētahi ka whai hua mō ngā marama.
Ka āta mahi ngā werohanga waikawa hyaluronic , ā, ko te hua tino pai ka roa i roto i te 4-6 wiki. Tērā pea ka roa te whakaora mō te 3-6 marama, neke atu rānei. Tērā pea ka pai ake ngā hua o ngā werohanga raupapa (3-5 te nuinga o te wā) i ngā werohanga takitahi.
Ka puta te mumura rangitahi i ngā werohanga PRP i te mea ka whakaohokia te whakaora. Tērā pea ka piki ake te mamae mō ētahi rā i mua i te whakapai haere i roto i ngā wiki ki ngā marama. E rua ki te toru marama te roa o te aromatawai i te hua katoa.
Te whakahaere i nga tumanakohanga
He tino pai te mahi a ngā werohanga turi mō ētahi tūroro, ā, he iti noa iho, he rangitahi rānei te painga mō ētahi atu. Ka whakawhirinaki ngā hua ki tō āhua, ki te kaha o te mate rumatiki, ki te momo werohanga, me te urupare a te tangata takitahi. Kāore i te maha ngā wā ka whakakorea rawatia te mamae e ngā werohanga—ko te whāinga he whakaiti i te mamae kia pai ake ai te mahi me te whakaora. Mō te mate rumatiki kua pāngia, ka taea e ngā werohanga te hono atu ki te pokanga whakakapinga hononga i te mutunga, me te pupuri tonu i te kounga o te oranga.
Kia pēhea te auau o ngā werohanga?
He rerekē ngā aratohu i runga i te momo werohanga. Ko te tikanga, e 3-4 ngā werohanga cortisone i ia tau mō ia hononga nā te mea he āwangawanga mō te kino o te kiriuhi ina whakamahia pinepine. Ka taea te whakahoki i ngā raupapa waikawa hyaluronic ina memeha haere ngā pānga, i ia 6-12 marama. Ka taea te whakahoki i ngā werohanga PRP ina hiahiatia, me te kore e pāngia e ngā āwangawanga kiriuhi pērā i te cortisone. Ka tūtohu tō tākuta i te wā tika i runga i tō urupare me tō āhua.
Nga Momo me nga Puta o te Taha
Ahakoa he haumaru te nuinga, he maha ngā tūponotanga o ngā werohanga turi tae atu ki te mate pāwera (onge noa iho, iti iho i te 1%), ngā mate pāwera ki ngā rongoā e whakamahia ana, te pikinga o te mamae wā poto inā koa ka puta te cortisone, ngā huringa kiri, te ngoikore rānei o te ngako nā te cortisone, ā, he onge noa iho, te toto, te whara rānei o ngā io. Mā te whiriwhiri i ngā tākuta mātau e mahi ana i ngā rahinga werohanga nui ka whakaiti i ēnei tūponotanga.
Te Whakakotahi i ngā Werohanga me ētahi atu Maimoatanga
Ka tino whai hua ngā werohanga hei wāhanga o ngā mahere maimoatanga whānui. Ka whakapakari te whakaora tinana i ngā uaua e tautoko ana i tō turi me te whakapai ake i te ngāwari. Ka whakaitihia te ahotea o ngā hononga e te whakahaere taumaha. Ka tautokohia te turi e ngā tautoko tika i ngā wā mahi. Ka tiakina tō turi e ngā whakarerekētanga mahi me te pupuri i te hauora. He pai ake ngā hua mō te wā roa mai i tēnei huarahi maha-ahurea i ngā werohanga anake.
Ina Kāore e Rawa Ngā Werohanga
Mena he wā poto noa iho, he koretake rānei te whakaora i ngā werohanga maha, tera pea he tohu kua neke haere tō mate rumatiki ki tua atu i ngā maimoatanga matatika. Ka matapakihia e tō tākuta ētahi atu kōwhiringa tae atu ki ngā pokanga ina tika.
Mātakihia kia nui ake ai te mōhio
He aha i whiriwhiri ai koe i te Madison Medical
Mā ā mātou pūkenga whakaahua wā-tūturu ka taea e koe te whakautu wawe i ngā whakautu tātaritanga i a koe e kōrero ana, kia tere ake ai tō whakamahere maimoatanga. Mā ngā mahere maimoatanga whaiaro kua whakaritea mō tō āhua motuhake, ngā hiahia o tō momo noho, me ngā whāinga whakaora, ka whakakotahi te tīma toa i te wheako whānui me te whakangungu tonu i ngā tikanga me ngā hangarau pokanga hou.