He aha ngā tūroro e whiriwhiri ai i ngā Hōhipera Apollo i Lucknow mō te whakakapinga turi karetao
- He wāhanga nō te Apollo Hospitals Group, i whakatūria i te tau 1983 Ko te mekameka hōhipera umanga tuatahi o Īnia, me te neke atu i te whā tekau tau o te tukunga haumanu, ā, ko tētahi o ngā rahinga whakakapinga hononga nui rawa atu i te motu puta noa i tana whatunga.
- Te Tari Motuhake mō ngā Orthopaedics me te Whakakapinga Hononga i te Hōhipera Motuhake o Apollomedics, Lucknow, me te tīma taote maha e kapi ana i te whakakapinga turi tuatahi, ngā turi uaua me ngā turi kua hē, te pokanga whakatikatika, te whakakapinga hope, te arthroscopy me ngā whara hākinakina, me te whara.
- Ko te wheako o ngā kaitohutohu katoa e maha ngā tekau tau te roa puta noa i te tīma orthopaedic, me ngā taote pokanga matua e pupuri ana i te 15-25 tau o te mahi arthroplasty. Ka taea te tohatoha i ngā kōtaha o ngā taote pokanga, ngā tohu karahipi me ngā tau take e te tēpu OPD orthopaedic mēnā ka tonoa.
- Te hangarau arthroplasty robotic me te āwhina rorohiko, me ngā pūmanawa whakamahere i mua i te pokanga, te taurite o ngā āputa i mua i te pokanga me te urupare whakatikatika wā-tūturu, kia manatokohia ai ngā tapahi wheua me te tūranga o te whakatō i mua i te hanga.
- Tautoko katoa ā-whare i raro i te tuanui kotahi · te whakaahua matihiko, te CT me te MRI, te pēke toto o roto, ngā whare pokanga orthopedic motuhake, te tautoko tiaki nui, me ngā ratonga ohorere 24/7 mō ngā huihuinga hauora i te wā e ora ana.
- Ngā ara whakaora kua hangaia, kua hoahoatia motuhaketia mō ngā rōpū rerekē: ngā pakeke e mahi ana e hoki ana ki ngā mahi tēpu, ki ngā mahi mara rānei, ngā tūroro kaumātua he raruraru ngākau, whatukuhu, mate huka rānei, ngā pakeke hohe me ngā kaitākaro whakangahau e hoki ana ki te hikoi, te eke pahikara, te korowha, te pēnitimana takirua rānei, me ngā mate wheua o ngā tamariki, taiohi rānei (e whakahaeretia ana mā te pokanga tiaki hononga, ehara i te whakakapinga).
- Ngā whāinga whakaora e pā ana ki Īnia · ngā mahere whakaora tinana e aro nui ana ki ngā arawhata, ngā wharepaku papatahi, ngā haerenga ki ngā temepara, te moe papa me te whakamahi haumaru i te wharepaku o te Hauāuru i te kāinga.
- Te tēpu inihua me te TPA kei te papaanga mō te whakamanatanga mua kore moni me ngā kamupene inihua nui, CGHS/ECHS me ngā rōpū kamupene, me te tuku tohutohu mō ngā tūroro e haere mai ana i Uttar Pradesh.
- Te pūtake tuku e horapa ana i waenganui me te rawhiti o UP ? haere tonu nga turoro mai i Kanpur, Barabanki, Sitapur, Unnao, Raebareli, Hardoi, Sultanpur, Faizabad / Ayodhya, Gorakhpur, Bahraich me Nepal rohe rohe.
Overview
Ko te whakakapinga turi karetao he momo whakakapinga turi katoa, wāhanga rānei, e āwhina ana te ringa karetao, te tūāpapa āwhina karetao rānei i te taote pokanga ki te whakamahere me te mahi i ngā tapahi wheua me te whakanoho i te tākuta me te tino tika. Ehara i te karetao e mahi takitahi ana - ka noho tonu te taote pokanga ki te mana whakahaere i ia taahiraa, ā, ka mahi te hangarau hei aratohu tika me te rohe haumaru.
I Apollo Hospitals Lucknow, ka tukuna te whakakapinga turi āwhina-rorohiko hei wāhanga o te ratonga whakakapinga hononga whānui. Ko ā mātou whare, me te taha o tētahi rōpū taote pokanga wheua, kaiwhakamoe me ngā kaiwhakaora tinana mātau, e aro ana ki te hoatu ki a koe he mahere maimoatanga e rite ana ki tō ake hanganga, taumata mahi me tō hauora whānui. Ko tā mātou whāinga he turi e tū tika ana, e pumau ana, e whakamarie ana - me te mārama hoki kāore he tikanga pokanga e taea te kī taurangi ka puta he hua motuhake mō tētahi tangata.
He aha te mea e tika ana te whakakapi i te turi robotic
Ka taea e te mamae o te turi te whakaiti i te kounga o te oranga, ka uaua, ka kore rānei e taea ngā mahi o ia rā pēnei i te hikoi, te piki arawhata, te whakamahi i te wharepaku ā-Inia, te noho whakawhiti waewae rānei. Ko ngā āhuatanga pēnei i te osteoarthritis, te rheumatoid arthritis me te arthritis i muri i te whara ka arahi pea ki te kino nui o ngā hononga ka hiahiatia he maimoatanga pokanga. Ko te whakakapinga turi te mea e whakaarohia ana mō ngā tūroro e mamae tonu ana me te whakawhāiti i te mahi ahakoa te maimoatanga matawhānui pēnei i te whakaiti taumaha, te whakarerekētanga mahi, te whakaora tinana, ngā rongoā mamae, ā, i ētahi wā, he werohanga.
Mēnā e hiahiatia ana te whakakapinga, ka tukuna e te huarahi āwhina-rorohiko ētahi painga:
- Te whakaoti: Mā te hangarau āwhina a te karetao ka taea te tapahi koiwi me te whakanoho i te whakaurunga kia tino tika, ka taea hoki te tautoko i te whakatikatika pai ake o ngā peka me te taurite o ngā kiko ngohengohe.
- Tikanga tiaki kiko: He maha ngā wā ka taea te whakahaere i te pānga o tēnei huarahi, me te iti ake o te ngangau ki ngā kiko ngohengohe, ka iti ake ai te mamae i te wā tōmua, ā, ka maeneene ake te whakaoranga tuatahi.
- Maimoatanga whaiaro: Mā te pūmanawa whakaahua me te whakamahere i mua i te pokanga ka taea te hanga mahere pokanga e hangai ana ki tō ake hanganga me te tauira o te hapa, he mea tino whai hua tēnei mō ngā turi varus (waewae-piko) kino e kitea ana i roto i ngā tūroro Inia.
E whakaatu tonu ana ngā taunakitanga o nāianei ka pai ake te whakatakotoranga me te whakaritenga o ngā wāhanga mā te āwhina karetao, ki te whakataurite ki ngā taputapu tuku iho. Kei te rangahauhia tonutia mēnā he pono te whakamaoritanga o tēnei hei whakapai ake i ngā kaute mamae, te mahi, te oranga rānei o te whakaurunga mō ngā tau 10-15, ā, he iti noa iho ngā raraunga whakatairite mō te wā roa. Me matapaki pono tēnei i a koe e kōrero ana.
Nga Morearea o te Roa
Ka pā mai pea ngā hua kino mēnā ka whakaroahia te pokanga i te wā e mārama ana te tohu. I te haere tonu o te mate hononga, ka nui haere te mamae, ka heke te nekenekehanga, ā, ka heke te hauora whānui. Mā te tōmuri rawa o te whakaaturanga ka nui ake te uaua o te pokanga, ā, ka puhoi ake te whakaoranga.
- Te kino haere o ngā hononga: Mā te mau tonu o te pakaru, te ngaronga o te wheua, me te āhua kēkē kua pumau ka uaua ake te mahi, ā, i ētahi wā ka hiahiatia he tāpiringa motuhake.
- Te ngoikore o te uaua: Ka ngoikore ngā uaua o te quadriceps me te hope i te kore mahi mō te wā roa, ka whakaroa i te whakaoranga i muri i te pokanga.
- Te mamae mau tonu me te whakahekenga o te hauora: Ka heke te mahi tinana i te mamae tonu, ā, ka kino ake pea te taumaha, te whakahaere huka toto, te hauora o te ngakau me te wairua.
- Te tūponotanga o te hinga: Ka nui ake te mōrearea o te hinga me te whatiwhatinga i te turi kāore i te pumau, te mamae, me te āhua kē, inā koa i ngā tūroro kaumātua.
Waihoki, kaua e tere te pokanga. Kāore he painga o te pokanga i mua i te whakawā tika i ngā mahi tiaki, ā, kāore he "rā mutunga" kua whakaritea e kore ai e taea te pokanga i tua atu. Ma tā mātou tīma koe e āwhina ki te whakatau i te wā tika i runga i ō tohu, i ō hihi-X me te hauora tinana, kaua i runga i te tau anake.
Nga Painga o te Whakakapinga Turi Robotic
- Whakanuia te tika: Ka whakaitihia e te arataki karetao ngā mea rerekē i roto i te whakaritenga me te hurihanga o te tāpiringa, ā, ka tautuhia hoki ngā rohe tapahi haumaru i te wā e pokanga ana.
- Te whakaiti i te mamae me te pupuhi i te wā tōmua: He maha ngā tūroro e kī ana he iti ake te mamae me te pupuhi i ngā rā me ngā wiki tuatahi ki te whakaritea ki te tikanga tuku iho, ahakoa he rerekē ngā wheako takitahi.
- He pai ake te whakaora wawe: He tokomaha ngā tūroro ka hoki wawe mai te māia ki te hikoi, mā te rongoā whakamoe hou me ngā tikanga whakaohooho i te rā kotahi, i te rā e whai ake nei rānei.
- Kua pai ake te mahi: Ko te pai ake o te tūnga me te taurite o ngā hononga e pā ana ki te turi e pai ake ana te kare ā-taiao me te whānuitanga o te nekehanga mō te nuinga o ngā tūroro.
- Te pūmanawa mō ngā hua pumau: E tūmanakohia ana ka ōrite ake te mau o ngā whakakapinga turi kua taurite te tūnga, ā, he pai te tūnga. Ko ngā raraunga rēhita mō ngā whakakapinga turi hou e whakaatu ana i te oranga roa mō te 10-15 tau; kei te pakari tonu ngā raraunga oranga roa mō ngā karetao.
Ko te whiriwhiri i te whakakapinga turi karetao ko te tikanga he whiriwhiri i tētahi tikanga e arotahi ana ki te tika me te whakamahere takitahi - ehara i te taurangi mō tētahi putanga kore mamae, kore raruraru rānei.
Ngā Aratohu Hauora kei Muri i ā Mātou Tikanga
E hangai ana tā mātou ara whakakapinga hononga ki ngā aratohu rongonui o Īnia me te ao whānui:
- Association Orthopedic Inia (IOA) me tōna tinana motuhake mō te arthroplasty, te Te Rōpū Inia o nga Kaipupuri Hip me te Turi (ISHKS), e pupuri ana i te ISHKS Joint Registry? Ko te rēhita ā-motu mō te arthroplasty o Īnia, e tuku pūrongo ana i ia tau mai i te tau 2015, ā, koinei te puna tohutoro mō ngā raraunga whakaurunga me ngā putanga o Īnia.
- Ngā kōrero whakaae a te Rōpū Whakatō Pona Inia / ISHKS mō te ārai i te venous thromboembolism (VTE) i roto i ngā tūroro whakatō pona Inia, e tautoko ana i te chemoprophylaxis kua whakarōpūtia mōrearea me te whakaoho wawe me ngā mahi miihini kaua ki te aukati i te toto i roto i te wā roa mō ia tūroro - he tūranga rerekē i ētahi tikanga o te Hauāuru, ā, e whakaata ana i ngā reiti VTE turanga iti ake i pūrongohia i roto i ngā raupapa Inia.
- Aratohu NICE NG157, "Whakakapinga hononga (tuatahi): hope, turi me te pakihiwi" (2020, me te tirotiro 2023), e taunaki ana kia tukuna he whakakapinga hononga i runga i te kaha o ngā tohu me te pānga mahi, kaua ki ngā paepae tūpono o te tau, te ira tangata, te BMI, te tohu X-ray rānei - he huringa nui mai i ngā paearu whakarāpopototanga tawhito.
- Aratohu NICE NG226, "Te mate wheua o te ngākau i roto i ngā tau neke atu i te 16: te tautuhi me te whakahaere" (2022), i whakakaha ake i te arotahi ki te whakakori tinana whakaora hei maimoatanga matua, ā, i tohutohu kia kaua e whakamahia te glucosamine i ia wā, me ngā werohanga corticosteroid ā-tinana, engari kaua e whakamahia mō te wā poto noa iho.
- He aratohu hangarau hauora a NICE mō ngā papaaho whakakapinga turi āwhina-rorohiko, e whakaae ana ki te tika o te whakarārangitanga kua pai ake, me te mōhio anō kei te whakaputahia tonutia ngā taunakitanga hua whakatairite mō te wā roa.
- Te utu teitei o te Kāwanatanga o Īnia / NPPA mō ngā whakaurunga turi (e whai mana ana mai i te tau 2017, e whakahoutia ana i ia wā), e whakawhāiti ana i te utu hokohoko mōrahi o ngā kāwai whakaurunga turi nui i Inia.
Ki te kore e mārama te arataki, ko tā mātou e kī nei. Ko te āwhina karetao te mea e māramahia ana i ēnei rā hei taputapu e whakapai ake ana i te tika o te pokanga, ehara i te mea hei whakakapi mō te wheako pokanga, te whiriwhiri tika i te tūroro me te whakaora tika.
Te Wā o te Pokanga me te Wāhanga o mua i te Tukanga
Ko te nuinga o ngā whakakapinga turi kua whakaritea i ngā Hōhipera Apollo Lucknow e whai ana i tētahi raupapa e rua ki te ono wiki, i runga i te tere o te whakaoti i ngā whakaaetanga hauora.
| wāhanga | Te wā noa | He aha te tupu |
|---|---|---|
| Kōrero tuatahi | Day 0 | Hītori, whakamātautau, hihi-X e amo ana i te taumaha o ngā turi e rua me ngā tirohanga whānui mō ngā peka; te matapakinga o ngā kōwhiringa kore-pokanga. |
| Te whakatau me te whakamahere | Te haerenga kotahi, i roto rānei i te 1-2 wiki | He kōwhiringa mō te whakakapinga katoa, te whakakapinga wāhanga rānei, te momo tāpiringa, te tikanga karetao, te tikanga tuku iho rānei, te turi kotahi, ngā turi e rua rānei. |
| Te tirotiro i mua i te whakamoe | 1-3 wiki i mua i te pokanga | Ngā whakamātautau toto, ECG, X-ray uma, echocardiogram mēnā e tika ana, HbA1c, tirotiro niho me te mimi mō ngā pūtake o te mate. |
| Matapihi arotau | 2-6 wiki i mua i te pokanga | Te whakahaere i te huka toto me te toto toto tiketike, te whakatikatika i te toto toto iti, te korenga huaora D rānei, te whakamutu i te momi hikareti, te tohutohu i te taumaha, te whakamutu, te hono rānei i ngā rongoā whakangawari toto ki ngā tohutohu a te taote ngakau. |
| Pre-habilitation | 2-6 wiki i mua i te pokanga | Te whakapakari i ngā uaua o te hope me te hope, te whakangungu hikoi, ngā mahi manawa, te ako i ngā mahi muri i te pokanga i mua i te pokanga. |
| Whakamanatanga mua i te inihua | 3-10 ngā rā mahi i mua i te whakaurunga | Ngā tuhinga i tukuna ki te kaiinihua, ki te TPA rānei mā te tēpu inihua hōhipera hei whakaaetanga kore moni. |
| Urunga | I te nuinga o te wā kotahi te rā i mua atu, i te ata rānei o te pokanga | Arotake whakamutunga, whakaaetanga, tohutohu nohopuku, tohu wāhi, kaukau paturopi i mua i te pokanga. |
Ngā Kōwhiringa Hangarau i Whakatauritea
Ko te āwhina karetao tētahi o ngā huarahi maha hei whakakapi i te turi. Ko te kōwhiringa tika e whakawhirinaki ana ki tō āhua hē, te tauira o te ngaronga o te kiriuhi, te kounga o tō wheua me ō whāinga.
| kōwhiringa | He pai rawa atu mo | painga | Nga whakataunga |
|---|---|---|---|
| Whakakapinga turi katoa e āwhinahia ana e te karetao | Ko te nuinga o ngā tūroro e pangia ana e te mate rumatiki whānui o te turi katoa, tae atu ki te rerekētanga nui o te piko me te waewae | Ngā tapahi me te whakarārangi tika, te taurite o ngā kiko ngohengohe i te wā tūturu, te mahere kua manatokohia i mua i te tapahi i te wheua | He nui ake te utu; he roa ake te wā whakatū; kāore anō kia whakamātauhia te hiranga mō te wā roa i te pokanga tikanga |
| Te whakakapinga turi katoa (e ahu mai ana i te jig ā-ringa) | Ngā tūroro e whai wāhi nui ana te utu, e kore rānei e tika te whakamahi i te karetao | Tekau tau o ngā hua kua whakamātauhia; ngā putanga tino pai i roto i ngā ringa mātau; te utu iti iho | He nui ake te whakawhirinaki ki te whakatau a te taote; he nui ake te rerekētanga o te whakataurite puta noa i ngā kēhi |
| Te whakakapinga turi e whakaterehia ana e te rorohiko | Ngā tūroro e hiahia ana ki te āwhina whakatikatika i te utu waenga | He pai ake te tika o te whakarārangi i runga i ngā jigs ā-ringa | Kāore he rohe tapahi karetao; kāore e aukati ā-tinana i te kani |
| Whakakapinga turi wāhanga (kotahi te wāhanga), he taputapu karetao, he ā-ringa rānei | Te mate rumatiki e herea ana ki te wāhanga kotahi, ngā hononga hononga e kore e pakaru, he iti noa te āhua o te tinana | He tiaki wheua, he tikanga iti ake, he tere ake te whakaora, he āhua tūturu ake o te turi | Kāore i te pai mēnā he whānui te mate rumatiki; he nui ake te tūponotanga ka hurihia ā muri ake nei ki te whakakapinga katoa |
| Te pokanga tiaki hononga (arthoscopy, osteotomy, tikanga tiaki kiriuhi) | Ngā tūroro taitamariki, he mate wawe, he mate taha kotahi rānei, me te whakatikatika tika | Ka pupuri i te hononga tūturu; ka whakaroa i te whakakapinga | Kāore e āwhina i te rumatiki kua horapa; ka roa pea te whakaoranga; me whakakapi pea i muri mai |
| Te tiaki tonu kāore he pokanga | Ngā tohu ngawari ki te āhua ngoikore, ngā tūroro rānei kāore e tika ana mō te rongoā whakamoe | Kāore he mōrearea pokanga; kua kitea te whai huatanga o te rongoā whakakori tinana | Kāore e whakakore i ngā kino hanganga; ka heke pea te painga i roto i te wā |
Ngā Tukanga e Mahihia Ana i te Wā Kotahi i Ētahi Wā
- Te whakakapinga o ngā turi e rua i te wā kotahi: Ka whakaarohia i roto i ngā tūroro kua tohua, he hauora pai, he nui te mate rumatiki i ngā turi e rua. Ko te tikanga he kotahi te whakamoe, kotahi te noho hōhipera me te kotahi te wā whakaora, engari he nui ake te toto e ngaro ana me te nui ake o te ahotea tinana. He maha ngā taote pokanga e pai ake ana ki te whakarite i te turi tuarua mā roto i ētahi rā ki ētahi marama, inā koa mō ngā tūroro pakeke ake, mō te hunga rānei he mate ngākau, he mate pukahukahu, he mate tākihi rānei.
- Te whakatikatika i te āhua o te tinana me te tuku i ngā kiko ngohengohe: E mahia ana i roto i taua mahi anō mō ngā turi kua mārō, kua piko kino rānei ngā waewae.
- Te tāpiri wheua, te whakanui rānei: Ka whakamahia mēnā kei te ngaro te wheua.
- Te whakahou i te papa o te patellar: Tāpirihia mā te tīpakonga i runga i te kino o te kiriuhi o te turi.
- Te tango i ngā mea tāpiri tawhito, i ngā taputapu rānei: Me tango anō pea ngā pereti, ngā tīwiri rānei mai i ngā whati o mua i te wā kotahi.
- Te hope me te turi i te urunga kotahi: I ētahi wā ka whakaritea mō ngā tūroro he maha ngā hononga e pāngia ana, i muri i te aromatawai tika i te hauora o te tinana.
Te Whakarite me te Whakaora
Tohu Awhina
- Whakawhitiwhiti whakaaro: Kōrerohia tō hītori hauora katoa, ngā rongoā o nāianei (tae atu ki ngā rongoā ayurvedic, homeopathic me ngā rongoā mamae), ngā mate pāwera me ngā āwangawanga ki ā mātou tohunga wheua.
- Ngā whakamātautau i mua i te pokanga: Te whakamātautau toto katoa, te whakaahua me te aromatawai i te ngākau hei whakaū i te pai mō te pokanga.
- Te whakamahinga tinana: Me tīmata te whakapakari i ngā uaua huri noa i te turi me te hope i mua i te pokanga - he tino āwhina tēnei i te whakaoranga wawe.
- Whakaritenga kainga: Tangohia ngā whāriki takahē me ngā tūpono tūtuki i te paepae o te tatau, whakapai ake i te māramatanga, whakaritea he moenga mārō kia rite ki te teitei o te turi, ā, – he mea nui ki ngā kāinga Īnia – whakaritea he wharepaku o te Hauāuru, he tūru wharepaku rānei i runga ake i te wharepaku Īnia, me he tūru kirihou hei kaukau.
Tohu Whakaora
- Whāia ngā tohutohu i muri i te pokanga: Tangohia ngā rongoā e ai ki te whakahaunga, kia mau ki ngā herenga mahi, ā, me tirotiro hoki i te patunga.
- Te whakamahinga tinana: Whāia te kaupapa whakaora kua whakaritea; ko te auau te mea nui i te kaha.
- Kia kaha: Me hikoi poto i ngā tawhiti e ai ki ngā tohutohu, hei whakatairanga i te rere o te toto me te whakaiti i te mōrearea o te toto totoka.
- Aroturuki i to ahunga whakamua: Aroturuki i te tawhiti hikoi me te piko o te turi, ka ripoata wawe i ngā tohu rerekē.
Ka tautokohia koe e tā mātou tīma mai i te aromatawai i mua i te whakamoenga tae noa ki ō haerenga whai muri i te wā whakamoe.
Wāhanga-a-Waihanga Whakaora Wāhanga
He whānuitanga noa ēnei. Ka whakawhirinaki tō tere ki te pakeketanga, te kaha o te uaua, te whakakapinga o tētahi, o ngā turi e rua rānei, me ētahi atu āhuatanga hauora.
| Waahi | Wā noa | Ngā mea ka taea e te nuinga o ngā tūroro te mahi | Te arotahi o te tiaki |
|---|---|---|---|
| Te rā o te pokanga | 0-24 hāora | Noho ake, nekehia ngā pona me ngā waewae, tū pinepine, hikoi rānei me te tautoko | Te whakahaere mamae, te hukapapa, ngā mahi whakakori waewae, te ārai toto totoka |
| Noho i te hohipera | E 2-4 rā te nuinga | Hīkoi me te kaiārahi, whakamahia ngā arawhata me te āwhina, piko haere te turi | Te tiaki i te patunga, te whakaora tinana e rua i te rā, te whakahaere i te huka toto, te whakangungu tukunga |
| Wāhanga kāinga wawe | Wiki 1-2 | Te hikoi i roto me te taputapu hikoi, te tokotoko rānei, te tiaki i a koe anō me te iti o te āwhina | Te whakahaere i te pupuhi, te arotake i te patunga, te whakawhiti takai, te tango tuitui, te tango topenga rānei i te rā 12-14 |
| Wāhanga whakapakari | Wiki 3-6 | Hīkoi ki waho, piki arawhata, whakamutua te kaihāereere mō te nuinga o ngā mahi o roto, tīmata anō te taraiwa ina wātea | Te whakapakari i ngā uaua whāwhā, te whakatutuki i te piko whakamarie i tua atu i te 100-110 nekehanga, te mahi taurite |
| Te whakaora mahi | 6 wiki? 3 marama | Hoki atu ki ngā mahi tēpu, ngā mahi māmā o te whare, te haereere, te temepara me ngā haerenga hapori | Te manawanui, te whakatikatika i te hikoi, te whakamutu i ngā taputapu hikoi |
| Whakakotahi | 3-6 marama | He hikoi roa, he eke pahikara, he kaukau, he mahi māmā i roto i te whare takaro, te nuinga o ngā mahi i te mara, i te papa toa rānei | Te kaha me te manawanui, te whakahaere taumaha, te tohutohu mahi |
| Te putanga tōmuri | 6-12 marama me tua atu | Turi kua tau, kua pumau; tera pea ka mau tonu te pupuhi ngawari, te pāwhiri rānei i roto i ētahi tūroro | Arotake ā-tau, X-ray e ai ki ngā tohutohu, tiaki whakatō mō te wā roa |
Āhea koe ka taea ai te hoki ki ngā mahi noa me ngā hākinakina?
Ko te hokinga mai e hangai ana ki te whakatutukitanga o ngā tohu mahi, ehara i te mea i runga i te maramataka anake. Ka aromatawaihia e tō taote pokanga me tō kaiwhakaora tinana:
- Kua ora katoa te patunga, kāore he rerenga wai, he whero rānei
- Mamae e whakahaeretia ana me te kore he rongoā mamae kaha
- He pai te piko o te turi kia 100-110 nekehanga te iti rawa, me te whakatikatika katoa, tata rānei ki te katoa.
- Te kaha ki te hikoi me te kore e piko, me te kore āwhina i runga i te tawhiti e tika ana
- Te kaha ki te piki me te heke i ngā arawhata kotahi putu i ia taahiraa
- He pai te whakahaere i ngā uaua o te hope? ka taea te hapai i te waewae tika me te tū mai i te tūru me te kore e pana ake i ngā ringa
- Mō te taraiwa: he tere tauhohenga me te whakamarie e tika ana hei mahi i te pēhi ohorere, e 4-8 wiki te roa mō te turi matau.
Ko ngā mahi e akiakihia ana mō te wā roa
- Te hikoi, te hikoi tere, te mīhini oma i te pikinga taurite
- Te eke pahikara tū me te eke pahikara o waho i runga i ngā rori papatahi
- Kauhoe me te whakakorikori tinana i te wai ina ora katoa te patunga
- Yoga me ngā whakarerekētanga, me te karo i ngā āsana piko-turi-hohonu
- Korowha, pōro takirua me te tēnehi tēpu mō te hunga i takaro i mua
- Mahi whare takaro māmā, whakangungu whakawhiti-whakangungu, me te whakangungu ātete e tirotirohia ana
Ko ngā mahi e kore e whakaaetia i te nuinga o te wā
- Te oma, te pekepeke, ngā hākinakina whakapā atu, te poipapa takitahi, te kabaddi whakataetae, te whutupaoro rānei
- Te hiki me te amo kawenga taumaha i runga i ngā arawhata
- Te noho piko hōhonu, te noho whiti waewae mō te wā roa, me te tuturi Mā te whakakapinga turi o ēnei rā ka taea te noho poto me te noho pai me te whakawhiti waewae mō te nuinga o ngā tūroro, engari ko te noho kūpapa me te mahi papa te mea pai kia karohia nā te mea ka taumaha rawa te whakatō, ā, ka nui ake te tūponotanga o te wetekina, te pakaru rānei i roto i te wā.
- Wharepaku ā-Inia (noho pōturi) - e taunakihia ana kia whakamahia he tūru kaukau, he tūru kaukau rānei mō te hunga e noho ana i te taha Hauāuru mō ngā wā katoa, kaua i te wā e ora ana anake.
- Te moe me te noho ki te papa He uaua ki te turi kua whakakapia te tūru ki runga i te papa; he pai ake te whakamahi i tētahi moenga me tētahi tūru mārō me ngā okiokinga ringa.
Te Tiaki i te Hua me te Ārai i ngā Raru
- Kia mau ki te taumaha hauora; ia kirokaramu tāpiri ka whakanuia te kawenga i runga i te turi i ia hikoinga.
- Me whakapakari tonu i ngā uaua o te hope, te uaua o ....
- Whakaorahia ngā mate niho, mimi, kiri me te uma i te wā tonu; ka taea e ngā huakita mai i tētahi mate tawhiti te noho ki runga i tētahi mea tāpiri. Kōrero atu ki tō tākuta niho he hononga whakakapinga tōu.
- Kia mau tonu te mate huka, te toto toto tiketike me te huaora D ki roto i te awhe e hiahiatia ana.
- Kati te momi hikareti me te whakaiti i te waipiro - ka pā kino ēnei ki te whakaora o te wheua me te patunga.
- Ārai i te hinganga: he hu pai me te pupuri i te kaha, he reera i runga i ngā arawhata, he rama pō, he katarata me ngā tirotiro taringa mō ngā tūroro kaumātua.
- Me haere ki te tirotiro whai muri i te mate e ai ki te tohutohu, i te nuinga o te wā i muri i te 6 wiki, 3 marama, 1 tau, kātahi ka tirotirohia i ia wā me ngā hihi-X, ahakoa kua pai te āhua o te turi.
- Me ripoata he mamae hou, he pupuhi, he mahana, he kirika, he huringa rānei o te āhua o te turi - ko te aromatawai wawe ka homai te tūponotanga pai rawa atu mō te maimoatanga māmā.
Ngā Whakaaroaro mō ngā Pakeke, ngā Tūroro Rangatahi me ngā Tamariki
Nga pakeke
Ehara te pakeketanga i te arai. He maha ngā tūroro kei roto i ō rātou tau whitu tekau me waru tekau ka angitu te whakakapinga turi. Ko te mea nui ko te hauora o te ngākau, te manawa, te whatukuhu me te hinengaro, te āhua kai me te tautoko i te kāinga. Ko te whakatikatika i te toto totoka, te whiriwhiri āta i te rongoā whakamoe (he maha ngā wā ka āraihia te tuaiwi me te io), te ārai i te pōrangi, te nekeneke wawe me te ārai i te hinga i te kāinga he wāhanga katoa o te mahere. Mō ngā tūroro ngoikore, he haumaru ake te pokanga takirua i te mahi tahi i ngā turi e rua.
Ngā tūroro taitamariki me ngā tūroro e mahi ana
Mō ngā tūroro kei raro iho i te 55-60 tau te pakeke, ko te āwangawanga matua ko te roanga o te oranga o te tārai – tera pea ka roa ake te oranga o te tūroro taitamariki, kaha hoki i te tārai tuatahi, ā, me hiahia he pokanga whakatikatika i muri mai. Ko ngā kōwhiringa tiaki hononga pēnei i te osteotomy, te whakakapinga wāhanga rānei ka whakaarohia tuatahitia mēnā e tika ana. He mea nui te mahi: ko te hunga e mahi ana me noho pōturi, mahi arawhata, hiki taumaha rānei, me whai kōrero pono i mua i te pokanga, nā te mea me whakarerekē pea ngā mahi.
Nga tamariki me nga taiohi
Ehara te whakakapinga turi i te mahi noa mō ngā tamariki. Ko ngā tamariki e tipu haere ana me ngā raruraru turi - mai i te rumatiki idiopathic taitamariki, te arthropathy haemophilic, te whara, te haehae o te hononga, te hapa, te mate urutā rānei - ka whakahaerea mā te maimoatanga hauora whakarerekē-mate, ngā tikanga whakatipu-ārahi, te osteotomy, te pokanga arthroscopic me te whakaora tinana, me te whāinga kia tiakina te hononga tūturu. Ko te whakakapinga mō ngā tūroro taitamariki rawa ka rāhuitia mō ngā hononga tino kino, kua tino pakaru, ā, ka whakaritea i roto i te tautuhinga orthopaedic me te rheumatology tamariki.
Ngā tūroro nō ngā whānau tahi
He painga haumanu tūturu te tautoko a te whānau. Ka akiaki mātou i tētahi, i ētahi rānei o te whānau kia tae atu ki ngā wāhanga whakaora tinana i te wā whakaurunga, kia mārama ai ki te kāinga ngā whakawhiti haumaru, te tirotiro i ngā mahi whakakori tinana, te tirotiro i te patunga me te wā rongoā. I taua wā anō, ka whakaroa te whakaora i te tūroro mēnā ka nui rawa te tiaki – me whakaae kia hikoi, kia whakatenatenahia hoki kia mahi i ā rātou ake mahi whakakori tinana.
Ki te kore koe e whiriwhiri kia pokanga
He kōwhiringa tika te whakakore, te whakaroa rānei i te pokanga, ā, ka haere tonu tā mātou manaaki i a koe. Ka taea te whakarite i te whakahaere kore-pokanga i roto i tētahi huarahi hanganga:
- He mahi whakakori tinana me te whakapakari tinana e tirotirohia ana, koinei te pūtake taunakitanga tino kaha o ngā kōwhiringa kore-pokanga katoa
- Te whakaiti i te taumaha, ka taea te whakaiti nui i te mamae
- I whakamaheretia te rongoā whakangāwari hei tiaki i te puku, ngā whatukuhu me te ngākau, inā koa i ngā tūroro kaumātua
- Ngā taputapu hikoi, ngā tautoko turi i ngā wā e tika ana, me ngā tohutohu mō ngā hu
- Ngā werohanga ā-roto-honohono whiriwhiri hei whakaora i te mamae mō te wā poto, he iti noa te whakamahinga
- Te whakarerekētanga o te kāinga me te wharepaku hei whakaiti i te taumahatanga o ia rā ki te turi
Me mārama koe ki te ara pea: ka tere haere te mate rumatiki, ka piki ake pea te mamae me te āhua rerekē, ka heke pea te tawhiti hikoi, ā, ka piki ake te whakawhirinaki ki ētahi atu. Mēnā ka whiriwhiria te pokanga i te mutunga rawa, ka uaua ake pea te mahi, ā, ka puhoi ake te whakaora. He mea tika kia arotakehia te whakatau i ia 6-12 marama.
He aha ngā mea e whakarerekē ana i te utu o te whakakapinga turi karetao
Kāore mātou e whakaputa i ngā utu mōkihi ki tēnei whārangi, nā te mea ko te whakatau tata whakamutunga e whakawhirinaki ana ki ētahi taurangi motuhake mō te tūroro. Tena koa pātai atu ki te tari whakawhiwhinga, ki te tari tiaki wheua, ki te tari utu me te inihua rānei i Apollo Hospitals Lucknow mō tētahi whakatau tata tuhituhi mō tō keehi.
| Tuhinga | He aha i whakarerekē ai i te whakatau tata |
|---|---|
| Kotahi te turi, e rua rānei | He nui ake te utu mō te pokanga rua i te kotahi turi i te wā kotahi, engari he iti iho i te rua ngā whakaurunga motuhake. |
| Te hangarau karetao me te hangarau tuku iho | Ka tāpirihia e te āwhina karetao te hangarau me ngā utu pau. |
| Whakakapinga katoa, whakakapinga wāhanga rānei | Ngā huinga whakaurunga rerekē me ngā whakaritenga whakahaere. |
| Momo me te rauemi o te whakaurunga | He rerekē te utu mō ngā whakaurunga turi kobalt-chrome, oxidised zirconium, high-flexion, rotating platform, hypoallergenic rānei. Kei raro i ngā herenga tuanui NPPA ngā utu whakaurunga turi i Inia. |
| Pokanga tuatahi, pokanga whakatikatika rānei | Me whakamahi ngā tāpiringa motuhake he kakau, he here rānei, he tāpiringa me te wā roa ake mō te mahi whakatikatika. |
| Kāwai rūma | He rūma noho tahi, he rūma takitahi, he rūma papai rānei, he rūma whakarerekētanga, he rūma tiaki nēhi, me te nuinga o ngā utu mōkihi. |
| Tuhinga o mua | Ka tāpirihia he utu ki ngā rā tāpiri mō ngā take hauora, ngā āwangawanga patunga, te puhoi rānei o te nekenekehanga. |
| Ngā āhuatanga hauora e noho tahi ana | Tērā pea me toro atu ki te taote, ki te whare hauora whānui, ki te whare hauora whānui rānei mō te mate huka, te mate ngākau, te mate whatukuhu, te mate pūkahukahu rānei. |
| Te tikanga o te whakangote me te mamae | He utu anō tā ngā aukati io, ngā katitere me ngā rongoā mamae matatau. |
| Nga hua toto | He nui ake te hiahia mō te whakawhiti toto i ngā pokanga taha e rua me ngā tūroro he toto toto tiketike. |
| Te whakaora tinana me ngā āwhina | Te maha o ngā wā i te hōhipera me muri i te putanga mai i te hōhipera, te taputapu hikoi, te wharepaku, te taputapu ārai turi, ngā tōkena. |
| tūhuratanga | Ngā matawai whakamahere e hangai ana ki te CT, ki te MRI rānei i mua i te pokanga, ngā whakamātautau ngākau me ngā taiwhanga tāruarua. |
| Ara utu | He rerekē ngā utu mō te moni, te inihua, te komiti umanga, te CGHS, te ECHS, te kaupapa ā-rohe rānei, me ngā taonga pau kāore e utua. |
Inihuarangatia, Maimoatanga Kore Moni me te Tukanga TPA i Inia
Ko te whakakapinga turi he tikanga pokanga e hipokina ana i raro i te nuinga o ngā kaupapa here inihua hauora Inia, engari he mea nui ngā taipitopito.
- Te wā tatari mō te mate kua pā mai i mua: Ko te mate osteoarthritis i kitea i mua i te hoko i te kaupapa here ka kiia he mate kua pāngia e te mate, ā, ko te wā tatari he 2-4 tau te roa, i runga i te kaupapa here. I raro i te paerewa a IRDAI mō ngā whakakorenga i te tau 2020, me whakamārama mārama ngā kaiinihua i ēnei wā.
- Te wā tatari mō ngā tikanga motuhake: He maha ngā kaupapa here e whakarārangi ana i te whakakapinga hononga i raro i tētahi wā tatari kua whakaingoatia, he maha ngā tau e 2-4, e pā ana tēnei ahakoa kua puta te mate rumatiki i muri i te hoko. Tirohia ngā kupu o tō kaupapa here.
- Utu ā-mahere, ā-aituā rānei: Me utu wawe te whakakapinga i muri i te whara i te rori, i te hinga rānei, nā te mea ka karohia e ngā kereme e pā ana ki ngā aituā ngā wā tatari mō te mate. Puritia te FIR, ngā tuhinga whara, ngā hihi-X whara me ngā tuhinga maimoatanga tuatahi - he mea nui ēnei mō ēnei kereme.
- Ngā wāhanga mō te pokanga karetao: Ka herea, ka whakawhāitihia rānei e ētahi kaupapa here ngā utu mō ngā momo hangarau matatau, ka kiia rānei ko te utu hangarau he wāhanga kāore e utua. Pātai atu ki tō kaiinihua mā te tuhituhi i mua i te whakaurunga.
- Te whakahekenga ōwehenga e hono ana ki te reti rūma: Ki te whiriwhiri koe i tētahi kāwai rūma i runga ake i te rohe e tika ana mō tō kaupapa here, ka whakaitihia e te nuinga o ngā kaupapa here te kereme katoa, ehara i te utu rūma anake.
- Ngā ture mō te whakatō me te pau: Ko te tikanga me utu ngā tāpiringa; ko ngā taonga pēnei i ngā karapu, ngā takai waewae, ngā kaiārahi waewae, ngā tōkena me ngā potae turi ka whakarārangihia he utu kāore e taea te utu, ā, ka riro hei utu māu ake.
- Te tukanga kore moni: Ka tukuna atu e tā mātou tēpu inihua tō tātaritanga, ngā hihi-X, te mahere a te taote pokanga, te whakatau tata me ngā taipitopito kaupapa here ki tō kaiinihua, ki tō TPA rānei. Ko te tikanga, kotahi ki te rima rā mahi te roa mō ngā whakaaetanga mō te pokanga kua whakaritea; ka oti te whakatau whakamutunga i te putanga mai i te hōhipera, ā, ko ngā tangohanga me ngā mea kāore e utua ana e koe anake ka utua e koe. Kawea mai tō kape kaupapa here, tō kāri hiko, tō tuakiri whakaahua me ngā tuhinga maimoatanga o mua mō taua turi.
- Ara whakahoki moni: Ki te utu koe i a koe anō, puritia ngā pire taketake, te whakarāpopototanga tukunga, te tapanga me te nama whakauru, ngā pūrongo tirotiro me ngā rongoā hei tuku i tō kereme.
- Ngā kaupapa a te kāwanatanga me ngā umanga: He utu kua whakaaetia, he reta tuku me ngā whakaritenga whakaaetanga o mua mō ngā rōpū CGHS, ECHS, rēriwe, PSU me ngā rōpū kamupene. Me whakaū mēnā kei tēnei hōhipera tō kaupapa motuhake, ā, mō tēhea mōkihi, me te tēpu inihua i mua i tō haerenga.
Te Whakamahere i tō Whakauru me ngā Mea hei Kawea Mai
- Ngā kiriata X-ray, MRI, CT rānei o mua me ngā pūrongo o ngā turi kua pāngia
- Te rārangi rongoā o nāianei me ngā horopeta, ā, ka tangohia atu e te rongoā
- Ngā pūrongo mō te huka toto, te HbA1c, te mahi a te whatukuhu, te ECG, te echocardiogram me tetahi whakaaetanga a te taote, a te rata rānei.
- Whakaahua tuakiri, kāri inihua, kape kaupapa here rānei, taipitopito TPA, reta tuku kaupapa here
- He kākahu korekore, he tarau poto, he lungi rānei hei tirotiro i te turi, he hu kore-paheke me te whitiki kei muri
- Ngā mōhiti kanohi, ngā āwhina whakarongo, ngā niho rūpahu, te mīhini CPAP mēnā ka whakamahia e koe
- He tokotoko hikoi, he tokotoko tuke rānei mēnā kei a koe kē
- Ngā taputapu horoi tinana, he kapu, he tauera māmā, he rihi waea me te taura utu roa
- Kotahi te kaimahi motuhake mō te noho, ā, ko te mea pai ko tētahi atu mema o te whānau e wātea ana ki te kāinga mō ngā wiki tuatahi e rua.
Whāia ngā tohutohu nohopuku kua hoatu ki a koe. Me whakamōhio atu ki te tīma i mua i te wā mō ngā rongoā whakaiti toto, ngā horopeta ārai mate huka me te insulin, ngā tāpiringa otaota, me ngā hītori raruraru whakamoe, mate pāwera, mate kohi, mate turi rānei o mua.
Ngā Tohu Whakatūpato e Hiahia Ana kia Arotakehia Tere
Whakapā atu ki te tīma orthopedic, ki te tari urupare rānei, me tere tonu te whakapā atu ki te tari ohorere mēnā ka kite koe i ēnei mea:
- Te kirika i runga ake i te 100.4°F (38°C), te makariri, te māuiui rānei
- Te whero haere, te mahana haere, te pupuhi haere, te pupuhi rānei, te waikura rānei, te paru rānei mai i te patunga
- Te wehenga o ngā taha o te patunga, te rere tonu rānei i tua atu i ngā rā tuatahi
- Te mamae ohorere o te turi, te ahua o te tuku, te kore rānei e taea te pikau i te taumaha i muri i te hikoi
- Mamae te kuao kau, te ngawari, te pupuhi rānei o te waewae i te taha kotahi? tera pea he toto toto hohonu
- Te kore manawa, te mamae o te uma, te maremare toto rānei? tērā pea he mate pūkahukahu, he āhuatanga ohorere hauora
- Ngoikore, tahi
Kua honoa mai nei
Ā Mātou Tohunga.
Tō Rōpū Manaaki.
Whakakape:
Ko ngā mōhiohio kei runga i tēnei whārangi he mea whakarite mō ngā kaupapa mōhiohio whānui me ngā kaupapa mātauranga anake. Ahakoa e whakapau kaha ana mātou ki te whakarite kia tika, kia pono, kia arotakehia hoki ngā mōhiohio i ia wā, kaua e kiia he whakakapi mō ngā tohutohu hauora ngaio, te tātaritanga, te maimoatanga rānei.
Tērā pea ka rerekē te tika o tētahi tikanga hauora, me ōna painga, mōrearea, whakaritenga, whakaoranga, raruraru pea, me ngā putanga e tumanakohia ana, i ia tangata, i ia tangata. Mā tō tohunga hauora e whakatau mēnā he tika tētahi tikanga i runga i tō āhua ake me tō hītori hauora.
Tena koa kōrero ki tētahi tohunga hauora whai tohu mō ngā tohutohu whaiaro i mua i te whakatau i tētahi tikanga hauora.
Mō ētahi atu kōrero e pā ana ki te waihanga, te arotake, te whakahou, me te tiaki i ā mātou ihirangi hauora, pānuihia tā mātou [Kaupapahere Etita].