1. He aha te OA (Osteoarthritis)?
Papamuri:
Ko te Osteoarthritis (OA) he mate e pā ana ki ngā hononga synovial e meinga ai te pirau me te whakangaromanga o te kiriuhi hyaline. Tae noa ki tēnei wā, kāore anō kia kitea he rongoā whakaora mō te OA. Ko ngā whāinga matua mō te rongoā OA ko te whakamamae i te mamae, te pupuri, te whakapai ake rānei i te āhua mahi, me te whakaiti i te āhua o te whara. Ko te whakaohooho io hiko transcutaneous (TENS) he tikanga kore-whakaeke e whakamahia whānuitia ana i roto i te whakaora tinana hei whakahaere i te mamae whakapeka me te mamae mau tonu e puta mai ana i ētahi āhuatanga. He maha ngā whakamātautau kua whakaputaina hei aromatawai i te whai huatanga o te TENS i roto i te OA.
Ko te Osteoarthritis (OA) he mate e ahu mai ana i ngā huringa pirau. Ko te nuinga o te wā ka pā ki te hunga waenga-pakeke me te hunga kaumātua, ā, ko ōna tohu he whero me te pupuhi o te turi, te mamae i runga me te heke i ngā arawhata, te mamae o te turi me te kore e pai i te noho me te hikoi. Ka puta hoki he tūroro e pupuhi ana, e pekepeke ana, e rere ana te wai, me ētahi atu, ki te kore e rongoatia i te wā tika, ka puta he hapa o ngā hononga me te hauātanga.
2. Ngā Tohu:
*Mamae: Ka pāngia ngā tūroro taumaha rawa e te mamae nui, inā koa i te wā e noho pōturi ana, e piki ana, e heke ana rānei i ngā arawhata. I ngā wā tino kino o te mate rumatiki, ka pāngia pea e te mamae ahakoa i te wā e okioki ana, ā, i te oho ake i te moe.
*Ko te ngawari me te hē o ngā hononga te tohu matua o te osteoarthritis. Tērā pea ka kitea he hē varus, he hē valgus rānei i te hononga turi, me te whakanui ake i ngā taha wheua o te hononga. Tērā pea he iti noa te toronga o te hononga turi i ētahi tūroro, engari ko ngā wā kino ka hua ake he hē piko, he hē whakawhāiti.
*Ngā tohu o te maukati hononga: He rite ki ngā tohu o te whara o te meniscus, ka taea e ngā mata taratara o te hononga, ngā piri rānei, te meinga i ētahi tūroro kia wetekina ngā hononga.
* Te pakari, te pupuhi rānei o ngā hononga: Ka ārai te mamae i te nekehanga, ka pakari ai ngā hononga, ā, ka taea te whakawhāiti i te āhua o te hononga, ka puta he hapa. I te wā o te synovitis, ka pā te pupuhi ki te nekehanga o ngā hononga.
3. Tātaritanga:
Ko ngā paearu tātaritanga mō te OA ko ēnei e whai ake nei:
1. Te mamae o te turi i roto i te marama kua taha ake nei;
2. He hihi-X (i tangohia i te tūnga, i te tūnga amo taumaha rānei) e whakaatu ana i te whaiti o te āputa hononga, te osteosclerosis subchondral, ngā huringa cystic, me te hanganga o ngā osteophytes i te taha o te hononga;
3. Te tātaritanga wai hononga (kia rua ngā mahi i te iti rawa) e whakaatu ana i te āhua mātao me te matotoru me te maha o ngā toto toto mā i raro i te 2000/ml;
4. Ngā tūroro pakeke me ngā kaumātua (≥40 tau te pakeke);
5. Te pakari o te ata e iti iho i te 15 meneti te roa;
6. Te waku o te wheua i te wā e mahi ana;
7. Te pikinga o te pito o te turi, te pupuhi ā-rohe ki ngā nekehanga rerekē, te whakaiti, te whakawhāiti rānei i te whānuitanga o te nekehanga mō te piko me te toronga.
4.hōtaka rongoā:
Me pēhea te rongoā i te OA mā te whakamahi i ngā hua hiko whakaora?
Ko te tikanga whakamahi motuhake koia tēnei (aratau TENS):
①Whakatauhia te nui o te iahiko tika: Whakatikatikahia te kaha o te iahiko o te taputapu hiko TENS i runga i te nui o te mamae e pā ana ki a koe me te mea e pai ana ki a koe. Ko te tikanga, tīmata me te kaha iti, ka piki haere mārire kia tae rā anō ki te wā e pai ana te ahua.
②Te whakatakotoranga o ngā irahiko: Whakatakotoria ngā pāti irahiko TENS ki te wāhi e mamae ana, ki te taha rānei. Mō te mamae OA, ka taea te whakanoho ki ngā uaua huri noa i tō turi, ki runga ake rānei i te wāhi e mamae ana. Kia mau tonu te whakapiri o ngā pāti irahiko ki tō kiri.
③Kōwhiria te aratau me te auau tika: He maha ngā momo me ngā auau rerekē o ngā taputapu hiko TENS hei whiriwhiri. Mō te mamae o te turi, ka taea e koe te whakamahi i te whakaoho tonu, te whakaoho pāorooro rānei. Kōwhiria noa te aratau me te auau e pai ana ki a koe kia whiwhi ai koe i te whakamamae mamae pai rawa atu.
④Te wā me te auau: I runga i te mea e pai ana mōu, ko ia wāhanga o te hiko whakaora TENS me roa i waenga i te 15 ki te 30 meneti, ā, e taunakihia ana kia whakamahia 1 ki te 3 ngā wā i te rā. Ina urupare tō tinana, kaua e mangere ki te whakarerekē haere i te auau me te roa o te whakamahinga ina hiahiatia.
⑤Te whakamahi tahi me ētahi atu maimoatanga: Hei whakaora i te mamae o te turi, tera pea ka whai hua ake mēnā ka whakamahia te rongoā TENS me ētahi atu maimoatanga. Hei tauira, ngana ki te whakamahi i ngā kōpeke wera, te totoro ngawari i te kaki, te whakangā rānei, tae noa ki te mirimiri – ka taea e ēnei katoa te mahi tahi me te rangimarie!
Tohutohu whakamahi：Me whiriwhiri te tikanga whakawhiti irahiko. Ko te Hongere 1 (kikorangi), ka whakamahia ki te uaua vastus lateralis me te tuberositas tibiae medial. Ko te Hongere 2 (kakariki) ka piri ki te uaua vastus medialis me te tuberositas tibiae lateral.
Wā tuku: Hakihea-04-2023
