Ka hono tō ACL i tō wheua huha ki tō wheua waewae, ā, ka āwhina i te pupuri i te pumau o tō turi. Mena kua haehae, kua whāwhā rānei tō ACL, ka taea e te hanganga ACL te whakakapi i te hononga kua pakaru ki te tāpiri. He uaua whakakapi tēnei mai i tētahi atu wāhanga o tō turi. He tikanga pokanga kī tēnei e mahia ana. Ko te tikanga ka whakahaerehia e tō taote pokanga te mahi mā roto i ngā kōhao iti i roto i tō kiri, kaua e hiahiatia he tapahi nui ake.
Ehara i te mea ko te katoa he whara ACL e hiahiatia ana he pokanga. Engari tera pea ka tūtohu tō tākuta i te pokanga mēnā:
Ka takaro koe i ngā hākinakina e nui ana te takahurihuri me te hurihuri – pērā i te whutupaoro, te whutupōro, te netipōro rānei – ā, e hiahia ana koe kia hoki anō ki taua mahi
he mahi tino tinana, he mahi ā-ringa rānei tāu – hei tauira, he kaipatu ahi, he pirihimana rānei koe, he mahi hanga whare rānei koe
kua pakaru ētahi atu wāhanga o tō turi, ā, ka taea hoki te whakatika mā te pokanga
ka nui te tukunga o tō turi (e mōhiotia ana ko te kore pumau)
He mea nui kia whakaarohia ngā mōrearea me ngā painga o te pokanga, ā, kia kōrerohia tēnei ki tō taote pokanga. Ka matapakihia e rātou ō whiringa maimoatanga katoa, ā, ka āwhina i a koe ki te whakaaro ko tēhea te mea e pai ana mōu.
1.He aha ngā taputapu e whakamahia ana i roto i te pokanga ACL??
He maha ngā taputapu e whakamahia ana mō te pokanga ACL, pērā i ngā Tendon Strippers Closed, ngā Guiding pin, ngā Guiding Wires, ngā Femoral Aimer, ngā Femoral Drills, te ACL Aimer, te PCL Aimer, me ētahi atu.
2. He aha te wā whakaora mō te hanga anō i te ACL? ?
E ono marama ki te kotahi tau te roa o te ora katoa mai i te hanga anō i te ACL.
Ka kite koe i tētahi kaiwhakaora tinana i roto i ngā rā tuatahi i muri i tō pokanga. Ka hoatu e rātou he kaupapa whakaora me ngā mahi whakakori tinana e tika ana māu. Mā tēnei ka āwhina i a koe ki te whakahoki mai i te kaha katoa me te whānuitanga o te nekehanga o tō turi. He maha ngā whāinga hei whakatutuki māu. He mea takitahi tēnei ki a koe, engari he rite pea te wā whakaora o te hanganga ACL ki tēnei:
0–2 wiki – te whakanui ake i te taumaha ka taea e koe te pikau i runga i tō waewae
2–6 wiki – ka tīmata te hikoi noa me te kore he rongoā mamae, he tokotoko rānei
6–14 wiki – kua hoki mai te whānuitanga o te nekehanga – ka taea te piki me te heke i ngā arawhata
3–5 marama – ka taea te mahi i ngā mahi pēnei i te oma me te kore mamae (engari me karo tonu i ngā hākinakina)
6–12 marama – hoki ki te hākinakina
He rerekē ngā wā whakaora tuturu i ia tangata, i ia tangata, ā, he maha ngā mea e whakawhirinaki ana ki ēnei. Kei roto i ēnei ko te hākinakina e takarohia ana e koe, te kaha o tō whara, te momo i whakamahia ai te hononga me te pai o tō whakaoranga. Ka tono tō kaiwhakaora tinana kia whakaoti koe i ētahi whakamātautau hei tirotiro mēnā kua rite koe ki te hoki ki te hākinakina. Ka hiahia rātou ki te tirotiro mēnā kei te rite tō hinengaro ki te hoki mai anō hoki.
I a koe e ora ana, ka taea tonu e koe te tango i ngā rongoā mamae kāore e hiahiatia he rongoā pēnei i te paracetamol, i ngā rongoā ārai-mumura rānei pēnei i te ibuprofen. Me pānui e koe ngā mōhiohio mō te tūroro e haere tahi mai ana me tō rongoā, ā, ki te mea he pātai āu, kōrero ki tō kaiwhakahaere rongoā mō ētahi tohutohu. Ka taea hoki e koe te tāpiri i ngā peke hukapapa (ngā pīni tio rānei kua takaihia ki te tauera) ki tō turi hei āwhina i te whakaiti i te mamae me te pupuhi. Kaua e tāpiri tika te hukapapa ki tō kiri nā te mea ka taea e te hukapapa te kino i tō kiri.
3. He aha ngā mea ka tāpirihia ki tō turi mō te pokanga ACL? ?
Ko te hanganga anō o te ACL i te nuinga o te wā ka roa i waenga i te kotahi ki te toru haora.
Ko te tikanga o te mahi ko te pokanga pokanga (arthroscopic). Ko te tikanga ka mahia mā te whakamahi i ngā taputapu ka werohia mā roto i ētahi motu iti ki roto i tō turi. Ka whakamahia e tō taote pokanga he arthroscope – he ngongo angiangi, ngāwari me te rama me te kāmera i tōna pito – hei tiro i roto i tō turi.
I muri i te tirotiro i te taha o roto o tō turi, ka tangohia e tō taote pokanga te wahi o te uaua hei whakamahi hei hononga. Ko te hononga he wahi o te uaua mai i tētahi atu wāhanga o tō turi, hei tauira:
● ō uaua hope, arā, ngā uaua kei muri o tō huha
● tō uaua hope, e pupuri ana i tō turi ki tōna tūranga
Kātahi ka hangaia e tō taote pokanga he kauhanga mā roto i tō wheua papa o runga me tō wheua huha o raro. Ka whakaurua e rātou te hononga mā roto i te kauhanga, ka mau ki tōna wāhi, mā te whakamahi i ngā tīwiri, i ngā tāpare rānei. Ka whakarite tō taote pokanga he nui te taumahatanga o te hononga, ā, ka taea e koe te nekeneke i roto i tō turi. Kātahi ka katihia ngā motu ki ngā tuitui, ki ngā rīpene piri rānei.
4. Kia pēhea te roa ka taea e koe te whakaroa i te pokanga ACL ?
Ki te kore koe he kaitākaro taumata teitei, e 4 i roto i te 5 te tūponotanga ka ora tō turi ki te āhua noa me te kore he pokanga. Kāore ngā kaitākaro taumata teitei e pai te mahi me te kore he pokanga.
Ki te ngoikore tonu tō turi, ka pakaru pea tō kiriuhi (mōrearea: 3 i roto i te 100). Ka piki ake te mōrearea o te raru o tō turi ā muri ake nei. I te nuinga o te wā ka hiahiatia he pokanga anō hei tango, hei whakatika rānei i te wahi kiriuhi kua pakaru.
Mena kua piki ake te mamae, te pupuhi rānei o tō turi, whakapā atu ki tō tīma hauora.
Wā tuku: Hakihea-04-2024
