Nā CAH Medical | Sichuan, Haina
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Ⅰ. He aha ngā whakamahinga o te pereti tirotiro?
Ko ngā pereti maitai whakahou e whakamahia ana mō te whakapiri i ngā whati o ngā wāhanga wheua koretake pērā i te hope, te clavicle, me te pona taha, ā, nā te kaha o te kirihou ka taea e rātou te urutau ki ngā āhua uaua o te tinana.
Ngā wāhanga me ngā āhuatanga e tika ana
Ngā whati o te hope: Ka taea te piko me te hanga i te pereti maitai kua hangaia anō, kia rite ki te mata piko o te hope, kia mau tonu ai te mau.
Te whati o te kōiwi waewae: He tino pai mō ngā whati o waenganui o te wāhanga, he tino ngāwari ki te whakakorikori, ā, ka taea te ōrite ki te piko āhua-S o te kōiwi waewae
Ngā whati o te taha o te malleolus: hei whakakore i te piri o te pereti, hei whawhai i ngā kaha kutikuti, hei ārai hoki i te nekehanga o te poraka whati.
Ko ētahi atu wheua koretake: pērā i ngā whati uaua o te waewae me te ringa, e hiahiatia ana he maha ngā tīwiri hei āwhina i te whakapiri
Ko tōna painga he taea te piko me te whakarite i te wā o te pokanga hei whakaiti i te kino o te periosteal, engari he iti te kaha o te torsional, ā, me karo.
Ⅱ. He aha te āhua o te whare tuaiwi?
Ko te pokanga hanga-anō orthopedic he mea nui mā ngā tūroro he nui te ngoikore o te mahi wheua, hononga, kiko ngohengohe rānei nā te whara, te mate, te whānautanga rānei o te tinana, ā, me whakaora anō ō rātou hanganga me ā rātou mahi mā te pokanga. Ko ngā mea e whai ake nei ko ngā taupori matua me ngā tohu e hiahiatia ai taua pokanga:
1. Ngā tūroro e whara ana i te tinana
Ngā whati kino: Ko ngā whati o roto i ngā hononga (pērā i ngā hononga hope, ngā hononga turi) me ngā whati rānei kāore e whai hua i roto i te maimoatanga kore-pokanga, me whakaiti me te whakatika i te taha pokanga kia kore ai e pāngia e ngā raruraru pērā i te malunion, te necrosis rānei o te pane o te femur.
Te tapahi/te whakato anō i te matihao: Ina momotu katoa te peka, ā, e pai ana te āhua, ka hangaia anō ngā uaua toto, ngā io, me ngā wheua mā roto i ngā tikanga pokanga moroiti.
Pakaru o te hononga: Ko ngā tūroro e whara ana i ngā hākinakina pēnei i te hononga o mua, me mahi pokanga whakahou hononga mēnā kāore e whai hua te maimoatanga āta, ā, me whakahoki mai te pumau o ngā hononga.
2. Ngā tūroro e pāngia ana e ngā mate wheua me ngā mate pirau
Puku wheua, mate rānei: Me whakatika ngā hapa nui o te wheua (pēnei i ngā hapa o te kauae) me te osteomyelitis mau tonu i muri i te tango i te puku mā roto i ngā tikanga hanga anō pēnei i te tākai fibula.
Osteoarthritis pirau: Ko te hononga kua horapa haere te pakaru me te ngaromanga nui, me whakakapi pea te hononga, me kirihou rānei (pēnei i te whakakapinga hope me te turi).
Ngā mate tuaiwi: te stenosis tuaiwi nui me te pēhanga io (pēnei i te claudication intermittent, te incontinence) ngā pukupuku tuaiwi rānei, e hiahia ana kia pokangahia te tango i te pēhanga, te aukati rānei i te nekeneke.
Ⅲ. Kia pēhea te roa e noho ai ngā pereti wheua ki roto?
Ka rerekē te wā whakaora mō ngā pereti wheua kua hangaia anō, i runga i ngā rerekētanga takitahi, te wāhi i pokangahia ai, me te whānuitanga o te whara. Ko te whakaora haumanu e 3 ki te 6 marama te roa, ā, ko te whakaoranga katoa ka roa pea i waenga i te 6 marama ki te 1 tau.
Wā tuku: Whiringa-ā-rangi 14-2025
