I roto i te ao rongoā hou, kua kawea mai e te wheua horihori, hei hangarau hauora nui, he tumanako hou ki te tini o ngā tūroro. Mā te āwhina o te pūtaiao rauemi me te hangarau hauora, ka nui haere te hiranga o te wheua horihori ki te whakatikatika me te hanga anō i te wheua. I taua wā anō, he maha ngā pātai a te tangata mō te wheua horihori. Hei tauira, he aha ngā mate e tika ana mō te wheua horihori? He kino ki te tinana tangata ngā rauemi e whakamahia ana hei hanga i te wheua horihori? He aha ngā pānga taha o te wheua horihori? Muri iho, ka whakahaerehia e mātou he tātaritanga hohonu mō ēnei take.
Ngā mate e tika ana mō ngā whakaurunga wheua horihori
He whānuitia te whakamahinga o te hangarau whakato wheua horihori hei rongoā i ngā mate e pā ana ki te wheua. I roto i te mara o te whara wheua, ina puta ngā hapa wheua i ngā whati kino, ka taea te whakamahi i te wheua horihori hei whakakī hei whakakī i te wāhanga ngaro o te wheua, hei whakatairanga i te whakaora o te wāhi whati. Hei tauira, ki te mea he whati tuwhera te tūroro, kua tino pakaru te wheua, ā, kua pakaru te wheua autologous, ka taea e te wheua horihori te tautoko i te wāhi whati me te hanga i tētahi taiao moroiti e pai ana mō te tipu o ngā pūtau wheua.
Mō te rongoā i te pukupuku wheua, he maha ngā wā ka mahue ngā hapa nui o te wheua i muri i te tangohanga o te pukupuku. Ka taea e te whakaurunga wheua horihori te āwhina i te whakahoki mai i te āhua me te mahi o ngā wheua, te pupuri i te āhua o ngā peka, me te karo i te hauātanga o te peka i puta mai i te ngaronga o te wheua. Hei tāpiri, i roto i te pokanga tuaiwi, he maha ngā wā ka whakamahia te wheua horihori mō te honohono hope, te honohono o mua o te kaki me ētahi atu pokanga. Ka taea te whakamahi hei whakakī i te wāhi intervertebral, te whakatairanga i te honohono wheua i waenga i ngā tuaiwi, te whakaū i te hanganga tuaiwi, me te whakamamae i te mamae me ngā tohu pēhanga io i puta mai i ngā whara kōpae intervertebral me te kore pumau. Hei tāpiri, mō ētahi tūroro kaumātua me ngā whati pēhanga tuaiwi osteoporosis, ka taea e te wheua horihori te whakapai ake i te kaha o te tuaiwi i muri i te whakaurunga, te whakamamae i te mamae, me te whakapai ake i te kounga o te oranga o te tūroro.
Te haumaru o ngā rauemi wheua horihori hangai
Ko te haumaru o ngā rauemi o ngā wheua horihori hangai te arotahi a te tangata. I tēnei wā, ko ngā rauemi wheua horihori e whakamahia whānuitia ana ko ngā rauemi koiora-uku (pēnei i te tricalcium phosphate me te hydroxyapatite), te karāhe koiora, ngā rauemi whakarewa (pēnei i te titanium alloy me te titanium) me ngā rauemi polymer (waikawa polylactic). Kua maha ngā rangahau whakamātautau me te manatoko haumanu mō ēnei rauemi i mua i te whakamahinga ki te tinana tangata.
He pai te hototahitanga koiora me te kawe wheua o ngā rauemi koiora-uku. He rite te hanganga matū ki ngā wāhanga kore-ora i roto i ngā wheua tangata. Ka taea e rātou te ārahi i ngā pūtau wheua kia tipu me te rerekē i runga i te mata o te rauemi, ā, ka hanumi mārire ki te tinana tangata. I te nuinga o te wā, kāore e puta he tauhohenga whakakorenga ārai mate. He pai hoki te mahi koiora o te Bioglass, ā, ka taea e rātou te hanga hononga matū kaha ki te kiko wheua hei whakatairanga i te whakatikatika me te whakaora i te kiko wheua. He kaha teitei, he ātete ki te waikura, ā, he pai te hototahitanga koiora o ngā koranu titanium me te titanium. He whānuitia te whakamahinga i roto i ngā hononga horihori me ngā taputapu whakapiri wheua. E whakaatu ana hoki ngā raraunga tono haumanu roa he tino haumaru. Ka taea e ngā rauemi polymer pirau te pirau mārire ki ngā ngota iti kino kore i roto i te tinana, ā, ka tukatukahia, ka tukuna e te tinana tangata, ka karo i te tūponotanga o te pokanga tuarua. Heoi, ahakoa he haumaru te nuinga o ēnei rauemi, tera pea ētahi tūroro he mate pāwera ki ētahi kai, he pānga kino rānei nā ngā rerekētanga takitahi.
Ngā pānga taha o te wheua horihori
Ahakoa ka taea e te wheua horihori te whakatairanga i te whakatikatika wheua i te nuinga o te wā, tera pea ētahi pānga taha. He tūponotanga anō tō te pokanga whakatō, pērā i te mate me te toto. Ki te kore e tika te whakahaere i te patunga i muri i te pokanga, ka uru pea ngā huakita ki te wāhi pokanga ka pangia, ka puta he mate, ā, ka mutu ka whero, ka pupuhi, ka mamae, ka kirika. I ngā wā tino kino, ka pā pea ki te whakaora o te wheua horihori, ā, me tango te wheua horihori hei tango i te kiri. Hei tāpiri, i muri i te whakatō wheua horihori, ka pāngia ētahi tūroro e te mamae me te pupuhi o te rohe, e pā ana pea ki te urupare ahotea o te tinana i muri i te whakatōnga o te rauemi me ngā huringa urutau o ngā kiko e karapoti ana. I te nuinga o te wā, ka memeha haere te mamae i roto i te wā, engari i roto i ētahi tūroro, ka roa ake te mamae, ā, ka pā ki tō rātou oranga o ia rā.
Hei tāpiritanga, ka roa te wā e honoa ai ngā wheua horihori ki ngā wheua tangata. Mēnā ka pāngia rātou e ngā kaha o waho, e te nui rawa rānei o te mahi i te wā e whakaora ana, ka neke, ka wetekina rānei ngā wheua horihori, ka pā ki te pānga whakatikatika, ā, me pokanga hei whakatikatika, hei whakatika anō rānei i a rātou. Hei tāpiritanga, mō ngā wheua horihori i hangaia mai i ngā rauemi pirau, he rerekētanga takitahi kei roto i te tere pirau me te tukanga pākia o ngā hua pirau. Mēnā ka tere rawa te pirau, kāore pea e nui te wā tautoko mō te whakatikatika wheua. Mēnā kāore e taea te whakaputa i ngā hua pirau mai i te tinana i te wā tika, ka kohia ā-rohe, ka puta pea he tauhohenga mumura, ka pā ki te whakatikatika kiko.
II te nuinga o te wā, he rongoā whai hua te wheua horihori mō te tini o ngā tūroro e pāngia ana e ngā mate wheua. Ina whakamahia i raro i ngā āhuatanga tika, ka taea e ia te whakapai ake i te kounga o te oranga o ngā tūroro. Ahakoa he haumaru ngā rauemi e whakamahia ana hei hanga i ngā wheua horihori, tera tonu ētahi mōrearea me ngā pānga taha. I te whanaketanga o te pūtaiao me te hangarau, e tūmanakohia ana ka tino pai ake ngā rauemi me ngā hangarau wheua horihori a meake nei, ka taea ai e ēnei te kawe mai i tētahi wheako maimoatanga teitei ake me ngā pānga maimoatanga tino pai ake ki ngā tūroro.
Wā tuku: Hōngongoi-04-2025



