Ko te femur osteotomy he tikanga pokanga e uru ana ki te tapahi me te hanga anō i te femur, te wheua huha rānei, hei whakatika i ngā raruraru hanganga. Ko te mahi matua o tēnei tikanga he whakatikatika i te wheua, he whakapai ake i te mahi hononga, me te whakamamae i te mamae. Ko te femur te wheua roa me te kaha o te tinana tangata, he mea nui ki te tautoko i te taumaha me te whakahaere i te nekehanga. Ina he te tūnga o te femur nā ngā āhuatanga pēnei i te osteoarthritis, te whati, te mate whanaketanga rānei, ka arahi pea ki te mamae nui me te ngoikore o te nekenekehanga.
Ko te kaupapa matua o te tango wheua o te femur he whakahoki mai i te tūnga tika me te mahi o te hononga hope, o te hononga turi rānei. Mā te neke i te tūnga o te femur, ko te whāinga o te tikanga he tohatoha anō i te taumaha kia ōrite puta noa i ngā mata o te hononga, me te whakaiti i te ahotea me te pakaru o te kiriuhi. Ka āwhina tēnei ki te whakaiti i te mamae me te whakapai ake i te kounga whānui o te oranga mō ngā tūroro e pāngia ana e ngā raruraru e pā ana ki te hononga.
He maha ngā wā ka tohua te osteotomy o te femur mō ngā tūroro kāore anō kia kitea he whakaoranga mā roto i ngā maimoatanga matatapu pēnei i te whakaora tinana, te rongoā, te whakarerekētanga rānei i te momo noho. He tino whai hua tēnei mō te hunga whai mate pēnei i te osteoarthritis, te hip dysplasia, te mate rumatiki rānei i muri i te whara, ina pā nui te tūnga o te femur ki te hauora o ngā hononga.
He aha i mahia ai te Osteotomy Femur?
Ko te tikanga, ka tūtohutia te tango i te wheua o te femur mō ngā tūroro e pāngia ana e te mamae mau tonu, e ngā herenga mahi rānei nā te hē o te tūnga o te femur. He maha ngā āhuatanga ka arahi pea ki te hiahia mō tēnei tikanga, tae atu ki:
- Osteoarthritis: Ka taea e tēnei mate hononga ngoikore te whakararu i te kiriuhi o te hope, o te turi rānei, ka mamae, ka pakari hoki. Ina kore e angitu ngā maimoatanga matatika, ka whakaarohia pea te tango i te wheua o te femur hei whakatikatika i te hononga me te whakaiti i te pēhanga ki te wāhi e pāngia ana.
- Hip Dysplasia: He āhuatanga e kore ai e tika te hanganga o te hononga hope, ka hua ake te kore pumau me te mamae. Ka taea e te osteotomy femur te āwhina i te whakanoho anō i te femur hei whakapai ake i te pumau me te mahi a te hononga.
- Arthritis Post-Traumatic: Whai muri i tētahi whara, pērā i te whati, ka raru pea te tūnga o te femur, ka puta ai te mate rumatiki. Ka taea e te osteotomy femur te āwhina i te whakatika i te tūnga me te whakamamae i te mamae.
- Te mate Legg-Calvé-Perthes: Ka pāngia te rere o te toto ki te pane o te femur e tēnei āhuatanga o te tamarikitanga, ka mate te wheua me te hangai o te āhua. I ētahi wā, me tango pea te wheua o te femur hei whakapai ake i te mahi a te hope i te tipu o te tamaiti.
- Te Malunion, te Kore-Union rānei o ngā Whati: Ki te kore e ora tika te whati o te femur, ka arahi pea ki te he o te tūnga me te mamae. Ka taea e te osteotomy femur te whakatika i te tūnga me te whakatairanga i te whakaora tika.
Ko te whakatau kia haere tonu te tango i te wheua femur ka mahia i muri i te aromatawai hohonu a te taote pokanga wheua. Tērā pea ka uru atu ki tēnei aromatawai ngā rangahau whakaahua, pērā i ngā hihi-X, ngā hihi MRI rānei, hei aromatawai i te whānuitanga o te hē o te tūnga me te āhua o ngā hanganga hononga e karapoti ana.
Ngā tohu mō te Osteotomy Femur
He maha ngā āhuatanga haumanu me ngā kitenga tātaritanga e tohu ana i te hiahia mō te osteotomy femur. Kei roto i ēnei:
- Te mamae o nga hononga: Ko ngā tūroro e pāngia ana e te mamae tonu o te hope, o te turi rānei, ā, kāore e pai ki ngā maimoatanga āta, he pai pea te whakamahi i te femur osteotomy. He maha ngā wā ka puta mai tēnei mamae i te hē o te tūnga o ngā hononga, ā, ka pā nui ki ngā mahi o ia rā.
- Te Awhe o te Motini: Mena he uaua ki te tūroro te neke i te hope, i te turi rānei nā ngā raruraru hanganga, ka tūtohuhia pea te tango i te wheua o te femur hei whakapai ake i te nekenekehanga me te mahi.
- Nga kitenga whakaahua: Ka kitea pea e ngā hihi-X, MRI rānei te hē o te tūnga o te femur, te pirau o ngā hononga, ētahi atu āhuatanga rerekē rānei e tika ana kia pokanga.
- I rahua nga maimoatanga atawhai: Ka whakaarohia pea ngā tūroro kua whiwhi i te rongoā, i te rongoā rānei, kāore he whakaora, mō te tango i te wheua o te femur.
- Tau me te Taumata Mahi: Ko ngā tūroro rangatahi, kaha ake te mahi ka whakaritea pea mō te tango wheua o te femur hei tiaki i te mahi a ngā hononga me te whakaroa i te hiahia mō ngā tikanga whakaeke nui atu, pērā i te whakakapinga hononga.
- Hauora whānui: Ka whakaarohia hoki te hauora whānui o te tūroro me tōna āheinga ki te mahi pokanga. Me arotake anō pea te hunga he nui ngā mate tāpiri i mua i te haere tonu me te tikanga.
Hei whakarāpopototanga, he kōwhiringa pokanga whai hua te osteotomy femur mō ngā tūroro e pāngia ana e ngā āhuatanga rerekē e pā ana ki te tūnga me te mahi a te femur. Mā te aro atu ki ēnei take, ko te whāinga o te tikanga he whakaiti i te mamae, he whakapai ake i te nekenekehanga, me te whakarei ake i te kounga whānui o te oranga mō te hunga e pāngia ana e ngā wero e pā ana ki ngā hononga.
Ngā ārai mō te Osteotomy Femur
Ahakoa he tikanga whai hua te tango i te wheua o te femur mō te tini o ngā tūroro, tera pea ētahi āhuatanga, ētahi āhuatanga rānei e kore ai e tika te tangata mō tēnei pokanga. He mea nui te mārama ki ēnei ārai mō ngā tūroro me ngā kaiwhakarato hauora kia pai ai ngā putanga.
- Osteoporosis Tino: Kāore pea ngā tūroro e tino heke ana te mātotoru o te wheua e pai mō te tango i te wheua o te femur. Me whai hanganga wheua pumau mō te whakaora me te whakatikatika tika, ā, ka taea e te osteoporosis te whakararu i tēnei pumau.
- mate: Ka taea e ngā mate pāwera o te waewae, o ngā wāhi e karapoti ana rānei, te whakararuraru nui i te wā e pokanga ana. Mena kei te pāngia te tūroro e te mate tonu, he mea nui kia rongoatia i mua i te whakaaro ki te tango i te wheua o te femur.
- Nga Tikanga Hauora Kore Manakohia: Ka taea e ngā āhuatanga pēnei i te mate huka, te mate ngakau, me ētahi atu mate pūmau kāore i te pai te whakahaere te whakanui ake i te mōrearea o ngā raruraru i te wā me muri i te pokanga. Me whakahaere ēnei āhuatanga e ngā tūroro i mua i te haere tonu.
- Te nui: Ka taea e te taumaha nui te whakararu i ngā wheua me ngā hononga, ka uaua ake pea te mahi pokanga me te whakaora. Me arotake pai te taumaha me te hauora whānui o te tūroro.
- Nga mate mate ki te Anesthetics: Mena e mōhiotia ana he mate pāwera te tūroro ki te rongoā whakamoe, ki ētahi atu rongoā rānei ka whakamahia i te wā o te mahi, me whai whakaaro ki ētahi atu huarahi.
- Te ngoikore o te rere o te toto: Ko ngā āhuatanga e pā ana ki te rere o te toto, pērā i te mate o te uaua ā-taha, ka ārai i te whakaora me te whakanui ake i te mōrearea o ngā raruraru i muri i te pokanga.
- Nga pokanga o mua: Mā te hītori o ngā pokanga maha i runga i te waewae kotahi ka uaua ake te mahi. Mā te kiko kua koha me te whakarerekētanga o te hanganga o te huha ka uaua ake te mahi osteotomy o te femur.
- Whakaarohia te pakeke: Ahakoa ehara te pakeketanga anake i te mea tino ārai, tera pea he nui ake te tūponotanga o ngā raruraru ki ngā tūroro kaumātua. He mea nui te aromatawai hōhonu i tō rātou hauora whānui me te nekenekehanga.
- Nga Take Hinengaro: Kāore pea i te tika ngā tūroro kāore anō kia rite te hinengaro mō te pokanga, he mate rānei kei a rātou e pā ana ki tō rātou kaha ki te whai i ngā tohutohu tiaki i muri i te pokanga.
- Pūnaha Tautoko Takarepa: He maha ngā wā e hiahiatia ana he āwhina mō te whakaoranga i muri i te pokanga. Tērā pea ka pāngia ngā tūroro kāore he pūnaha tautoko pono i roto i tō rātou wā whakaora.
Me pēhea te whakarite mō te Osteotomy Femur
He maha ngā mahi nui hei whakarite mō te pokanga wheua kia maeneene ai te tukanga me te whakaora. Anei ngā mea ka taea e ngā tūroro te tumanako i mua i tā rātou pokanga.
- Whakawhitiwhiti me te Kaituku Hauora: Ko te taahiraa tuatahi he kōrero hōhonu ki te taote pokanga wheua. Kei roto i tēnei ko te matapaki i tōna hītori hauora, ngā rongoā o nāianei, me ngā āwangawanga katoa e pā ana ki te tūroro.
- Whakamātautau i mua i te whakahaere: Tērā pea ka whai whakamātautau ngā tūroro, tae atu ki ngā whakamātautau toto, ngā rangahau whakaahua (pēnei i ngā hihi-X, MRI rānei), me te aromatawai i te ngākau pea, inā koa mēnā he mate hauora kei roto i a rātou. Ka āwhina ēnei whakamātautau ki te aromatawai i te hauora whānui o te tūroro me tōna rite mō te pokanga.
- Arotake rongoa: Me whakarato e ngā tūroro he rārangi katoa o ngā rongoā, tae atu ki ngā rongoā me ngā tāpiringa ka taea te hoko kore utu. Tērā pea ka tohutohu te taote pokanga kia mutu ētahi rongoā, pērā i ngā rongoā whakaiti toto, i te wiki, i ngā wiki e rua rānei i mua i te pokanga hei whakaiti i ngā tūponotanga o te toto.
- Whakarerekētanga o te oranga: Ka taea te akiaki i ngā tūroro kia whai i ngā tikanga hauora i mua i te pokanga. Kei roto i tēnei ko te whakamutu i te kai hikareti, te whakaiti i te inu waipiro, me te pupuri i tētahi kai taurite hei whakatairanga i te whakaora.
- Te Whakaritenga Waka: I te mea kei raro pea i te rongoā whakamoe te tūroro, me whai tangata hei kawe i a rātou ki te kāinga i muri i te tikanga. He mea nui kia whakaritea he pakeke whai kawenga hei āwhina.
- Whakamahere Tiaki Whaimuri-Operative: Me whakarite e ngā tūroro ō rātou kāinga mō te whakaoranga. Tērā pea ka uru atu ki tēnei te whakarite i tētahi wāhi okiokinga pai, te whakarite kia ngāwari te uru atu ki ngā mea e hiahiatia ana, me te whakarite āwhina mō ngā mahi o ia rā.
- Te Maramatanga ki te Tikanga: Me whakaako ngā tūroro i a rātou anō mō te tukanga osteotomy femur, tae atu ki ngā mea hei tumanakohia i mua, i te wā, me muri i te pokanga. Ka taea e tēnei mōhiotanga te āwhina i te whakaiti i te manukanuka me te whakatairanga i te mana whakahaere.
- Nga tohutohu nohopuku: Ka whiwhi ngā tūroro i ngā tohutohu motuhake mō te nohopuku i mua i te pokanga. Ko te tikanga, kāore he kai, he inu rānei i muri i waenganui pō i mua i te pokanga.
- Nga kakahu me nga taonga whaiaro: I te rā o te pokanga, me mau ngā tūroro i ngā kākahu whakamarie, kore e nui te wāhi e tika ana, ā, me waiho hoki ngā taonga utu nui ki te kāinga. He mea tika hoki kia mauria mai ngā taonga whaiaro e tika ana, pērā i ngā mōhiti me ngā taputapu whakarongo.
- Whakaritenga Kare-a-roto: Ka taea e te pokanga te whakararuraru, ā, he mea nui kia aro atu ngā tūroro ki ngā wehi me ngā manukanuka katoa. He pai te whai i ngā tikanga whakangā, pērā i te manawa hōhonu, te whakaaroaro rānei.
Te Osteotomy o te Femur: Te Tukanga Hipanga-i-te-Taumata
Mā te mārama ki te tukanga tango wheua o te femur ka āwhina i te whakamārama i te tukanga me te whakamama i ngā āwangawanga katoa. Anei tētahi tirohanga whānui taahiraa-i-te-taahiraa mō ngā mea ka tupu i mua, i te wā, me muri i te pokanga.
I mua i te hātepe:
- Te taenga ki te hohipera: Ka tae ngā tūroro ki te hōhipera, ki te pokapū pokanga rānei, ki reira rātou takiuru ai, ā, ka whakaoti i ngā tuhinga e tika ana.
- Aromatawai Tuhinga o mua: Ka whakahaerehia e te nēhi he aromatawai whakamutunga, tae atu ki te tirotiro i ngā tohu ora me te whakaū i te tikanga.
- Whakawhitinga Anestheia: Ka tūtaki te tohunga whakamoe me te tūroro ki te matapaki i ngā kōwhiringa whakamoe me te whakautu i ngā pātai.
- Te Tohu i te Wāhi Pokanga: Ka tohua e te taote pokanga te wāhi i pokangahia hei whakarite i te tika i te wā e mahia ana.
I te tukanga:
- Whakahaere Whakamaoritanga: Kia tae ki te rūma pokanga, ka tukuna he rongoā whakamoe ki te tūroro, he rongoā whānui, he rongoā ā-rohe rānei, i runga i te āhua o te take.
- Werohanga: Ka tapahia e te taote pokanga te hope o te wheua hei uru atu ki te wheua.
- Te Whakaritenga Iwi: Ka tapahia marietia te femur, ā, ka nekehia te tūnga hei whakatika i te tūnga. Tērā pea ka tangohia he poro wheua, ka nekehia rānei te tūnga o ngā kongakonga wheua.
- Whakaū: Ka whakamahia e te taote pokanga ngā pereti, ngā tīwiri, ngā tokotoko rānei hei whakau i te wheua ki tōna tūranga hou.
- Ko te kopiri: Kia tika te tūnga me te pumau o te pokanga, ka kati te taote pokanga i te tapahi ki ngā tuitui, ki ngā tāpare rānei.
I muri i te tikanga:
- Rūma Whakaora: Ka nukuhia ngā tūroro ki tētahi wāhi whakaora, ā, ka tirotirohia rātou i a rātou e ara ake ana i muri i te rongoā whakamoe. Ka tirohia ngā tohu ora i ia wā, i ia wā.
- Whakahaere mamae: Ka whakaratohia he whakaora mamae, ā, ka whiwhi ngā tūroro i ngā tohutohu mō te whakahaere i te mamae ki te kāinga.
- Hauora tinana: Kia whakaaetia e te taote pokanga, ka tīmata ngā tūroro ki te whakaora tinana hei whakahoki mai i te kaha me te nekenekehanga. Tērā pea ka tīmata tēnei mā ngā nekehanga ngawari, kātahi ka neke atu ki ngā mahi whakakori tinana uaua ake.
- Whakaritenga Whaiwhai: Ka whakaritea he haerenga tirotiro ā-muri mō ngā tūroro hei aroturuki i te oranga me te whakarerekē i te whakaora ina hiahiatia.
Ngā Tūponotanga me ngā Āhuatanga Raruraru o te Osteotomy Femur
Pērā i ngā tikanga pokanga katoa, he tūponotanga me ngā raruraru pea kei te tango i te wheua o te femur. He mea nui kia mōhio ngā tūroro ki ēnei kia taea ai e rātou te whakatau whai whakaaro.
Mōrearea noa:
- mate: Ko tētahi o ngā mōrearea tino noa e pā ana ki tētahi pokanga, ka pā pea ngā mate ki te wāhi i tapahia ai, ki roto rānei i te tinana.
- Pato: Ko etahi ka puta he toto, engari ko te nui o te toto ka hiahiatia etahi atu wawaotanga.
- Te mamae me te pupuhi: He mea noa te mamae me te pupuhi i muri i te pokanga engari ka rerekē te kaha i ia tūroro, i ia tūroro.
- Nga Toto Toto: Tērā te mōrearea o te puta o ngā toto totoka i roto i ngā waewae, ka kino pea tēnei mēnā ka haere ki ngā pukahukahu (embolism pūkahukahu).
- Whakaoranga kua roa: Tērā pea ka puhoi ake te wā whakaora o ētahi tūroro, ka roa ake pea te wā whakaora.
Morearea onge:
- Te kino o te io: Ahakoa he onge, tera pea ka whara te io i te wā e pokanga ana, ka arahi pea tēnei ki te ngoikore, ki te ngoikore rānei o te waewae.
- Te Kore-hononga o te Whati: I ētahi wā, kāore pea te wheua e ora tika, ka hua ake te kore hononga, ā, me mahi pokanga anō pea.
- Nga raruraru taputapu: Tērā pea ka wetekina, ka whati rānei ngā pereti, ngā tīwiri, ngā tokotoko rānei e whakamahia ana hei whakau i te wheua, ā, me mahi ētahi atu tikanga.
- Maamaa Hononga: Tērā pea ka pāngia ētahi tūroro e te pakari o te hononga turi, o te hope rānei i muri i te pokanga, ka pā pea tēnei ki te nekenekehanga.
- Tauhohenga Anestheia: Ahakoa he onge, tera pea ka pāngia ētahi tūroro e ngā pānga kino ki te rongoā whakamoe, mai i te ngawari ki te kino.
Mā te mārama ki ēnei mōrearea ka āwhina i ngā tūroro ki te whakarite mō tā rātou pokanga me te whakaoranga. He mea nui kia kōrerohia ngā āwangawanga katoa ki te kaiwhakarato hauora kia mārama ai rātou ki te tikanga me ōna pānga.
Te Whakaora i muri i te Osteotomy Femur
He wāhanga nui te whakaoranga mai i te pokanga wheua femur, he mea nui tēnei e pā nui ana ki te angitu whānui o te tikanga. Ka rerekē pea te wā whakaora e tumanakohia ana i runga i ngā āhuatanga hauora o ia tangata, te roa o te pokanga, me te piripono ki te tiaki i muri i te pokanga. I te nuinga o te wā, ka taea e ngā tūroro te tumanako ka roa te wā whakaora mō te 3 ki te 6 marama, me te whakapai haere i te nekehanga me te taumata mamae.
Tiaki Whaimuri I muri i te Whakapakari
I ngā rā tuatahi i muri i te pokanga, ka noho tonu ngā tūroro ki te hōhipera hei aroturuki. He mea nui te whakahaere mamae, ā, ka tohua e ngā kaiwhakarato hauora he rongoā hei āwhina i te whakahaere i te mamae. He maha ngā wā ka tīmata te whakaora tinana i roto i te rā kotahi, e rua rānei i muri i te pokanga, me te arotahi ki ngā nekehanga ngawari hei whakatairanga i te whakaora me te ārai i te pakari o te tinana.
Wiki 1-2: Wāhanga Whakaora Moata
I ngā wiki tuatahi e rua, ka akiakihia ngā tūroro ki te whakamahi i ngā tokotoko toko, i te hikoi rānei, kia kore ai e pā te taumaha ki te waewae e pāngia ana. He mea nui kia whai i ngā aratohu a te taote pokanga mō ngā mahi amo taumaha. Me pupuri hoki e ngā tūroro te wāhi pokanga kia ma, kia maroke hoki, me te whakawhiti i ngā takai e ai ki ngā tohutohu. Ka whakaritea he wā tirotiro auau hei aroturuki i te whakaora me te whakarerekē i te whakahaere mamae ina hiahiatia.
Wiki 3-6: Wāhanga Whakaora Waenga
I te haere tonu o te whakaora, ka tīmata pea ngā tūroro ki te pikau i te taumaha ki runga i te waewae, i te nuinga o te wā i te 4 ki te 6 wiki, i runga i te tohutohu a te taote pokanga. Ka kaha ake te whakaora tinana, ka arotahi ki te whakapakari i ngā mahi whakakori tinana me te whakapai ake i te whānuitanga o te nekehanga. Me haere tonu ngā tūroro ki te whakahaere i te mamae me te pupuhi mā te whakamahi i ngā rongoā kua tohua me te whakaora hukapapa.
Marama 2-3: Wāhanga Whakaora Matatau
I te rua o ngā marama, ka taea e te tini o ngā tūroro te tīmata anō i ngā mahi māmā o ia rā, pērā i te hikoi poto me te kore āwhina. Heoi anō, me karo tonu i ngā mahi taumaha. He mea nui tonu te whakaora tinana i tēnei wā hei whakapakari i te kaha me te nekeneke. Me arotahi hoki ngā tūroro ki tētahi kai taurite e nui ana te pūmua me ngā huaora hei tautoko i te whakaora.
Marama 4-6: Hoki ki ngā Mahi Noa
Ko te nuinga o ngā tūroro ka hoki ki ngā mahi o ia rā, tae atu ki te mahi me te whakakori tinana māmā, i roto i te 4 ki te 6 marama. Heoi, me āta whakaaro ki ngā hākinakina me ngā mahi whai pānga nui, me te kōrero ki tētahi kaiwhakarato hauora. Mā te aroturuki auau ka āwhina i te whakarite kei te ora tika te femur, ā, ka arohia wawetia ngā āwangawanga katoa.
Nga Tohu Tiaki Whaimuri
- Whakaritenga Whaiwhai: Haere ki ngā whakamātautau katoa kua whakaritea hei aroturuki i te oranga.
- Hauora tinana: Puritia te tikanga whakaora tinana kua whakaritea mō te oranga tino pai.
- Whakahaere mamae: Whakamahia ngā rongoā kia rite ki ngā tohutohu, ā, mēnā he mamae nui tōu, me ripoata ki tō tākuta.
- Kaikai: Kia mau ki tētahi kai totika hei tautoko i te whakaora, me te arotahi ki te konupūmā me te huaora D.
- Te whakatikatika: Me noho pai te wai hei awhina i te whakaora.
- Aukati i te kai paipa: Ka ārai pea te momi hikareti i te whakaora; whakaarohia ngā kaupapa whakamutu mēnā e tika ana.
Ngā Hua o te Osteotomy Femur
He maha ngā whakapainga hauora matua me ngā putanga kounga-o-te-oranga e tukuna ana e te osteotomy femur mō ngā tūroro e pāngia ana e ngā āhuatanga rerekē e pā ana ki te femur. Anei ētahi o ngā painga matua:
- Te mamae mamae: Ko tētahi o ngā painga nui o te tango i te wheua i roto i te femur ko te whakaiti i te mamae e pā ana ki ngā āhuatanga pēnei i te osteoarthritis, te femur deformities rānei. Mā te whakatikatika i te wheua, ka whakaitihia te pēhanga ki runga i te hononga, ka pai ake te whakamarie.
- Whakapai ake te nekeneke: He maha ngā wā ka piki ake te nekenekehanga o ngā tūroro i muri i te pokanga. Ka taea e te tikanga te whakahoki mai i te tūnga tika, ka pai ake te nekehanga me te mahi a te waewae.
- Te Kounga o te Ora: I te whakaiti i te mamae me te whakapai ake i te nekenekehanga, he maha ngā tūroro e kī ana kua piki ake te kounga o ō rātou oranga whānui. Ko ngā mahi i uaua, i kore rānei e taea i mua, ka taea te whakahaere, ā, ka taea e te tangata te whai wāhi atu ki te oranga o ia rā.
- Hauora Hononga Roa: Mā te whakatika i ngā take whakarara, ka taea e te tango i te wheua o te femur te āwhina ki te aukati i te pirau o ngā hononga, ka whakaroa pea i te hiahia mō ngā tikanga whakaeke nui atu pēnei i te whakakapinga hononga katoa.
- Maimoatanga Whaiaro: Ka taea te whakarite i te tikanga kia rite ki ngā hiahia motuhake o te tūroro, e aro ana ki ngā take ahurei o te tinana, me te whakarato i tētahi huarahi maimoatanga kua whakaritea.
Te Osteotomy o te Femur me te Whakakapinga Hope Katoa
Ahakoa he tikanga noa te tango i te wheua o te femur hei whakatika i ētahi raruraru femur, he maha ngā wā ka whakaarohia te whakakapinga hope katoa (THR) mō te pirau hononga kua tino whanake. Anei te whakataurite i ngā tikanga e rua:
Āhuahira | Te Osteotomy o te Femur | Te whakakapi Hip Hipanga |
|---|---|---|
| taumu'a | Ka whakatikatika anō i te femur hei whakaiti i te pēhanga | Ka whakakapi katoa i te hononga hope kua pakaru |
| Te wa whakaora | marama 3-6 | 3-6 marama, engari ka rerekē pea |
| Te Maharai mamae | Ka whakaiti i te mamae mā te whakatika i te tūnga | Ka whakaora wawe i te mamae |
| Whakapai ake i te nekeneke | Te whakapai haere | He maha ngā wā ka tere tonu te whakapai ake |
| Nga Putanga Waa-roa | Ka tiaki i te hononga tūturu | Tērā pea ka pakaru te hononga hou i roto i te wā |
| Ko nga kaitono pai | Ngā tūroro taitamariki me ngā hapa | Ngā tūroro pakeke e pāngia ana e te mate rumatiki kino |
Te utu mō te Osteotomy Femur i Inia
Ko te utu toharite mō te tango i te wheua o te femur i Inia kei waenga i te ₹1,00,000 me te ₹2,50,000. Mō te whakatau tata tika, whakapā mai ki a mātou i tēnei rā.
Ngā Pātai Auau mō te Osteotomy Femur
- He aha taku e kai ai i muri i te tango i te osteotomy o te femur?
He mea nui te kai taurite e whai kiko ana i te pūmua, te konupūmā, me ngā huaora hei whakaora. Ka taea e ngā kai pēnei i te mīti kikokore, ngā hua miraka, ngā rau matomato, me ngā nati te tautoko i te whakaora. He mea nui anō hoki te noho wai. - Kia pehea te roa ka noho ahau ki te hohipera i muri i te pokanga?
Ko te nuinga o ngā tūroro ka noho ki te hōhipera mō te 1 ki te 3 ngā rā i muri i te pokanga, i runga i te ahunga whakamua o tō rātou whakaoranga me ngā raruraru ka puta mai. - Ka taea e au te taraiwa i muri i te tangohanga o te wheua femur?
Kāore i te tūtohutia kia taraiwa mō te iti rawa 4 ki te 6 wiki i muri i te pokanga, kia taea rā anō e koe te whakahaere haumaru i te waka me te kore mamae, raruraru nekeneke rānei. - He aha te momo whakaora tinana e hiahiatia ana e au?
Ka arotahi te whakaora tinana ki ngā mahi whakakori tinana ngāwari i te tīmatanga, ka neke haere ki ngā mahi whakapakari tinana me ngā mahi nekenekehanga ina taea e te whakaoranga. - He aha ngā mahi hei karo māku i te wā e ora ana ahau?
Me karo i ngā mahi taumaha pēnei i te oma, te pekepeke rānei, mō te iti rawa o te ono marama. Me kōrero tonu ki tō tākuta i mua i te tīmata anō i ngā mahi ā-tinana. - Me pehea taku whakahaere i te mamae i muri i te pokanga?
Ka taea te whakahaere i te mamae mā te whakamahi i ngā rongoā kua tohua, te rongoā hukapapa, me te okioki. Mēnā ka mau tonu te mamae, ka kino rānei, whakapā atu ki tō kaiwhakarato hauora. - He aha nga tohu o te mate me rapu ahau?
Kia mataara ki te whero haere, ki te pupuhi, ki te mahana, ki te puta rānei he wai i te wāhi i pokangahia, me te kirika hoki. Mēnā ka kite koe i tētahi o ēnei tohu, whakapā atu ki tō tākuta tonu. - Ahea ahau ka hoki mai ki te mahi?
Ka rerekē te wā mō te hoki ki te mahi i runga i te āhua o tō mahi me te ahunga whakamua o te whakaoranga. He maha ngā tūroro ka hoki ki te mahi māmā i roto i ngā wiki 6 ki te 12. - He haumaru te tango i ngā tāpiringa i te wā e ora ana?
Me kōrero ki tō tākuta i mua i te tango i tētahi tāpiringa. He pai ētahi huaora, pērā i te huaora D me te konupūmā, engari he mea nui kia kore e pāngia e ngā rongoā. - Ka taea e ngā tamariki te tango i te femur osteotomy?
Ae, ka taea te mahi i te tango wheua o te femur ki ngā tamariki, inā koa mō ngā mate whānau. Heoi, he rerekē pea te tikanga me te whakaora i ērā o ngā pakeke, nō reira me toro atu ki tētahi tohunga wheua tamariki. - Me aha ahau mēnā ka pupuhi ahau?
He mea noa te pupuhi i muri i te pokanga. Mā te hiki ake i te waewae, te pania he hukapapa, me te whai i ngā tohutohu a tō tākuta mō ngā taumata mahi ka āwhina i te whakahaere i tēnei. Mena ka mau tonu, ka kino rānei te pupuhi, whakapā atu ki tō kaiwhakarato hauora. - Kia pēhea te roa e hiahiatia ai e au he tokotoko?
E 4 ki te 6 wiki te roa o te whakamahinga o ngā tokotoko, engari ko te roa tika ka whakawhirinaki ki te ahunga whakamua o tō whakaoranga me ngā taunakitanga a tō taote pokanga. - He aha mehemea he ahua o mua ahau?
Me whakamōhio atu ki tō taote pokanga mō ngā mate kua pā ki a koe, nā te mea ka pā pea ēnei ki tō whakaoranga me te huarahi e tika ana mō te pokanga. Mā tō tīma hauora koe e whakarite kia rite ki tēnā. - Ka taea e au te haere i muri i te pokanga?
Kāore i te tūtohutia kia haereere mō te iti rawa o ngā wiki e ono i muri i te pokanga. Mena he mea tika kia haereere, me kōrero ki tō tākuta mō ngā tohutohu mō te whakahaere i tō whakaoranga i a koe e ngaro ana. - He aha ngā mōrearea o te tango i te wheua o te femur?
Ko nga mea morearea ko te mate, te toto toto, me nga raruraru e pa ana ki te mate pukupuku. Matapakihia enei morearea me to taakuta kia mohio koe me pehea e pa ana ki to ahuatanga. - Me pēhea taku whakarite mō te pokanga?
Ko te whakarite mō te pokanga ko te whai i ngā tohutohu a tō tākuta i mua i te pokanga, tae atu ki ngā whakarerekētanga kai, ngā whakarerekētanga rongoā, me te whakarite i te tiaki i muri i te pokanga. - Me āwhina ahau i te kāinga i muri i te pokanga?
Ae, he mea pai te whai āwhina a tētahi ki a koe i ngā mahi o ia rā, inā koa i ngā wiki tuatahi, hei āwhina i a koe kia pai ake te whakaora. - He aha mehemea he awangawanga ahau i te wa e ora ana ahau?
Me kōrero tonu ki tō kaiwhakarato hauora mēnā he āwangawanga, he tohu rerekē rānei āu. Kei reira rātou hei āwhina i a koe ki te whakatere i tō oranga. - Me pēhea taku whakarite kia angitu te whakaoranga?
Whāia ngā tohutohu a tō taote pokanga i muri i te pokanga, haere ki ngā wā whakaora tinana, pupuri i tētahi kai hauora, me te noho kaha i roto i ngā herenga kua whakatakotoria e tō tākuta. - Āhea ahau ka taea ai te tīmata anō i ngā mahi hākinakina?
Me karo i ngā hākinakina kaha mō te iti rawa o te ono marama. Me kōrero ki tō tākuta mō ngā tohutohu whaiaro i runga i te ahunga whakamua o tō whakaoranga.
Opaniraa
He tikanga nui te tango i te wheua o te femur, ka taea ai te whakapai ake i te nekenekehanga, te whakaiti i te mamae, me te whakapai ake i te kounga o te oranga mō te tini o ngā tūroro. He mea nui te mārama ki te tukanga whakaora, ngā painga, me ngā mōrearea pea hei whakatau whai whakaaro mō tō hauora. Mena kei te whakaaro koe, kei te whakaaro rānei tētahi o tō whanaunga ki tēnei pokanga, he mea nui kia kōrero koe ki tētahi tohunga hauora hei matapaki i tō āhuatanga motuhake, kia pai ai hoki ngā putanga.
Te Hōhipera Pai rawa atu e tata ana ki ahau i Chennai