He puʻupuʻu kou ma kou manamana wāwae nui? E kamaʻilio kākou e pili ana i kēia bunion (Hallux Valgus)!

Ua ʻike anei ʻoe i kahi iwi liʻiliʻi e like me ka puʻupuʻu e puka mai ana mai ke kumu o kou manamana wāwae nui? Ua ʻike paha ʻoe i kēia iho, a i ʻole ua ʻike paha ʻoe i kekahi āu i ʻike ai e hana ana. ʻO kēia ka mea a mākou e kapa pinepine ai he 'bunion'. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, no ka mea, hoʻopilikia ia i nā poʻe he nui.

He aha ka bunion? He aha maoli ka Hallux Valgus?

I ka ʻōlelo maʻalahi, he iwi spur ka bunion e ulu ana ma ke kumu o kou manamana wāwae nui, kahi hui e pili ai ka manamana wāwae i ka wāwae, i ʻike ʻia ma ke ʻano lapaʻau ʻo ka metatarsophalangeal joint (MTP joint) . Ua like ia me kahi puʻupuʻu liʻiliʻi e like me ka pōpō. Hoʻoulu pinepine ia ma loko o ka manamana wāwae nui. Ma ke ʻano lapaʻau, kapa mākou i kēia ʻo Hallux Valgus .

E noʻonoʻo, ua huki mālie ʻia kou manamana wāwae nui i nā manamana wāwae ʻē aʻe, a laila puka mai kēlā hui. Ua kapa ʻia kēlā puka ʻana he bunion.

Inā manaʻo ʻoe he puʻupuʻu kēia ma kou manamana wāwae nui, ʻoiai inā he ʻeha a he mae paha ia i kou mau manamana lima, pono ʻoe e ʻike i ke kauka . No ka mea, ʻoi aku ka maʻalahi o ka mālama ʻana inā ʻike ʻia i ka wā mua.

Aia kekahi mau ʻano bunions like ʻole?

ʻAe, aia kekahi mau ʻano bunions. ʻO ke ʻano maʻamau a mākou e ʻike ai ʻo ia ka mea e ulu ana ma muli o ke kaomi ʻana ma ka manamana wāwae nui. Eia nō naʻe, hiki i nā bunions ke ulu ma nā manamana wāwae ʻē aʻe a no nā kumu ʻē aʻe. Eia kekahi o nā ʻano:

• ʻO Congenital Hallux Valgus: He mea kupanaha paha kēia, akā ua hānau ʻia kekahi mau pēpē me nā bunions. He kūlana kēia e kū nei mai ka hānau ʻana mai.
• ʻO ka Hallux Valgus ʻōpio a ʻōpio paha: ʻO kēia nā ʻano bunions e kū mai ana i nā keiki a me nā ʻōpio ma lalo o 18 makahiki. Hiki ke loaʻa ke ʻano i kēia makahiki.
• ʻO ka Bunion a ke Tailor a i ʻole Bunionette: Hana ʻia kēia ma ke kumu o kou manamana wāwae liʻiliʻi. Mai kahaha i ka inoa, loaʻa kona inoa no ka mea ua noho nā mea hana lole ma ke kūlana like no nā hola i ka manawa, e hoʻopaʻa ana i ko lākou manamana wāwae nui . Hoʻokumu pinepine ʻia kēia e ke komo ʻana i nā kāmaʻa kūpono ʻole a i ʻole ka hana ʻana i nā hana e paʻi i kou manamana wāwae nui i nā manamana wāwae ʻē aʻe.

Pehea ka maʻamau o kēia ʻano i kapa ʻia ʻo bunion?

ʻOi aku ka maʻamau o kēia ma mua o kou manaʻo. Hōʻike ka noiʻi ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa, ma kahi o hoʻokahi o ʻekolu poʻe i loaʻa i ka bunions. Hiki ke ʻike ʻia kēia maʻi ma ko mākou ʻāina, ʻoi aku hoʻi i waena o nā wahine a hiki ke ʻike ʻia e hoʻonui me ka ʻelemakule.

He aha nā hōʻailona o kahi bunion?

ʻO ka pinepine ka hōʻailona nui loa ʻo ia ka puʻupuʻu ma ke kumu o ka manamana wāwae nui. Hiki iā ʻoe ke ʻike a hoʻopā iā ia. Ma waho aʻe o kēlā, aia paha nā hōʻailona ʻē aʻe e like me:

• ʻEha a ʻoʻoleʻa paha ma ka manamana wāwae nui. Hiki ke ʻeha i ke kū wale ʻana a i ʻole i ka wā e hele ana.
• Aia paha he pehu a me ka ʻulaʻula a puni ka puʻu.
• I kekahi manawa aia kahi loli o ke kala a i ʻole ka ʻulaʻula .
• ʻAʻole hiki ke kūlou a hoʻoneʻe paha i ka manamana wāwae nui ma ke ʻano kūpono. I kekahi manawa aia paha kahi manaʻo wela i ka wā e kūlou ai i ka manamana wāwae.
• Paʻakikī ke kau ʻana i kekahi mau ʻano kāmaʻa , a i ʻole ka hoʻonui ʻia o ka ʻeha i ke komo ʻana i nā kāmaʻa. ʻIke nui ʻia kēia i ke kau ʻana i nā kāmaʻa haiki ma ke alo.
• ʻO nā ʻōniʻoniʻo a i ʻole nā ​​calluses he mau ulu ʻili mānoanoa. Hiki i kēia ke ulu ma ka bunion a i ʻole ma waena o nā manamana wāwae.
• ʻO nā manamana wāwae hammer he ʻano ia e ʻoʻoleʻa ai a kūlou nā hono a me nā aʻalolo o nā manamana wāwae, e like me ke aʻalolo Achilles. Hiki i ka bunion ke hoʻololi i ke ʻano o nā manamana wāwae ʻē aʻe.
• Manuʻa a puni ka manamana wāwae nui.

No ke aha mākou e loaʻa ai nā bunions?

He mea paʻakikī loa ke ʻōlelo aku hoʻokahi wale nō kumu e ulu ai nā bunions. Hiki ke hui pū ʻia o kekahi mau kumu . E noʻonoʻo iā ia e like me ke kaulahao o nā hanana i hoʻopili ʻia.

ʻO nā mea nui e pili ana i:

• Moʻolelo ʻohana: Inā loaʻa i kekahi o kou ʻohana, e like me kou makuahine, makuakāne, kupuna wahine, a kupuna kāne paha, nā bunions, ʻoi aku ka nui o ka loaʻa ʻana iā ʻoe. He mea kēia i loaʻa mai nā genes.
• ʻAno ʻē o ka iwi: ʻOi aku ka maʻalahi o kekahi poʻe i ka hoʻomohala ʻana i nā bunions ma muli o ke ʻano o ka hoʻonohonoho ʻana o ko lākou mau iwi i ko lākou mau wāwae.
• Koho kāmaʻa: ʻO kēia ka mea nui loa a hiki iā mākou ke kaohi. ʻOi loa aku no nā wahine, ʻo nā kuʻekuʻe wāwae kiʻekiʻe a me nā pahu manamana wāwae haiki e kau i ka nui o ke kaomi ma ka manamana wāwae nui, e paʻi ana iā ia i nā manamana wāwae ʻē aʻe. Inā hana kēia no ka manawa lōʻihi, hiki ke ulu kahi bunion.
• Ke ʻano o kou hele ʻana (Foot mechanics): ʻO kāu mau foot mechanics, ʻo ia hoʻi, ke ʻano o kou kau ʻana i kou wāwae ma ka honua, hiki ke hoʻopilikia i ke ʻano o kou kau ʻana i ke kaumaha ma kou wāwae.
• ʻO kekahi mau kūlana mumū: No ka laʻana, ʻoi aku ka nui o ka pilikia o ka poʻe me nā maʻi hui e like me ka rheumatoid arthritis a lupus paha i ka hoʻomohala ʻana i nā bunions.
• Ke kū ʻana no ka manawa lōʻihi a i ʻole ke hana ʻana i nā hana e kau ai i ke kaumaha nui ma kou mau wāwae.

I ka ʻōlelo maʻalahi, aia kou hui manamana wāwae nui ma lalo o ke kaomi mau no kahi manawa lōʻihi (malia paha he mau makahiki). ʻO ka mea e hana ʻia, ʻo ke kaomi e hoʻoneʻe mālie i kou hui i mua a huki iā ia i nā manamana wāwae ʻē aʻe. I ka hopena, i ka wā e kīkoʻo ʻia ai kou manamana wāwae e like me kēlā, e hana ʻia kahi puʻupuʻu ma ka hui MTP i ka wā e hoʻāʻo ai kou kino e hoʻololi.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i nā bunions?

Hiki i kekahi ke hoʻomohala i nā bunions, akā ʻoi aku ka nui o ka pilikia o kekahi mau hui:

• No nā wāhine: ʻOi aku ka nui o ka loaʻa ʻana o nā bunions i nā wāhine ma mua o nā kāne. ʻO ka pinepine, ʻo nā kāmaʻa paʻa a ʻoi hoʻi i ʻaʻahu ʻia i ke ʻano he kumu, ʻeā?
• Mana hoʻoilina : E like me ka mea i ʻōlelo ʻia ma mua, inā he mau bunions a i ʻole nā ​​pilikia wāwae ʻē aʻe nā mākua, loaʻa paha i kā lākou mau keiki. Ua ʻike ʻia he ʻoi aku ma mua o 70% o ka poʻe me nā bunions he mau mākua ko lākou i loaʻa pū kekahi i ke ʻano.
• No ka poʻe i loaʻa nā ʻeha wāwae ma mua: ʻO ka poʻe i hōʻeha pinepine i ko lākou mau wāwae, e like me nā mea pāʻani, ua ʻoi aku ka nui o ka pilikia.

Hiki i kahi bunion ke hoʻoulu i nā pilikia ʻē aʻe?

ʻAe, ʻo ka loaʻa ʻana o kahi bunion hiki ke hoʻonui i ka pilikia o nā kūlana ʻē aʻe e like me:

• Bursitis: ʻO kēia ka wā e pehu ai a ʻeha nā ʻeke piha i ka wai a puni nā hono, i kapa ʻia ʻo bursa. Ke hana ʻia kēia ma luna o kahi bunion, e ʻoi aku ka ʻino o ka ʻeha.
• Nā manamana wāwae hāmare: Ma muli o ka hoʻonui ʻia ʻana o ka manamana wāwae nui, hiki ke hoʻolōʻihi ʻia a kūlou ʻia nā manamana wāwae ʻelua a me ke kolu e like me ka hāmare.
• Osteoarthritis: ʻO ke ʻano kēia o ka ʻaʻahu a me ka haehae ʻana o nā hono. Hiki i kahi bunion ke hoʻopau i ke cartilage i loko o ka hui MTP, e alakaʻi ana i ka arthritis.

Pehea ʻoe e ʻike pono ai inā he bunion kou?

E hana ke kauka i kahi hoʻokolokolo kino e hoʻoholo ai inā he bunion kou. E nānā ʻo ia i kou wāwae, e hoʻopā i kou manamana wāwae nui, a e nīnau iā ʻoe e pili ana i kāu mau hōʻailona. Pono ʻoe e kikoʻī e pili ana i ka lōʻihi o kou loaʻa ʻana i ka bunion, nā hana e hoʻonui ai i ka ʻino, a inā paha he maʻi ko kekahi o kou ʻohana.

Pono paha ʻoe e ʻike i kahi podiatrist, he kauka i loea i nā pilikia wāwae.

He aha nā hoʻokolohua e hana ʻia e ʻike ai i ka bunion?

ʻO ka hapa nui o ka manawa, ʻaʻohe hoʻokolohua nui e pono ai e ʻike i kahi bunion. Eia nō naʻe, hiki i kāu kauka ke kauoha i nā X-ray e nānā i ke kūlana o nā iwi i kou wāwae, pehea ka mamao o kou manamana wāwae nui e pili ana i nā manamana wāwae ʻē aʻe, a me ke kūlana o ka hui MTP. ʻO nā X-ray wale nō ke ala e loiloi pololei ai i ke kūlana, ʻoiai inā e noʻonoʻo ʻia ke ʻoki ʻana.

He aha nā lāʻau lapaʻau no nā bunions?

ʻO ka mālama ʻana no nā bunions e pili ana i ke kiʻekiʻe o ka ʻeha āu e loaʻa ai, ka nui o ka bunion, a me ka nui o kona hopena i kou ola o kēlā me kēia lā. Eia kekahi mau mea hiki iā mākou ke hana iā mākou iho.

• E hoʻololi i kou mau kāmaʻa: ʻO kēia ka mea mua e hana ai. ʻO ka hoʻololi ʻana i nā kāmaʻa me nā pahu manamana wāwae ākea a hohonu hiki ke hōʻemi i ke kaomi ma kou mau manamana wāwae. E pale i nā kāmaʻa ʻoi a paʻa. Aia kekahi mau mea hoʻolōʻihi e hiki ke kōkua iā ʻoe e hoʻonui i nā kāmaʻa āu e ʻaʻahu nei.
• Nā pale Bunion a me ke kāpili ʻana: Hiki ke kau ʻia nā pale Bunion, i loaʻa ma nā hale kūʻai lāʻau lapaʻau, a puni ka bunion e hōʻemi i ke kaomi a me ka friction mai ke kāmaʻa. Hiki i kāu kauka ke ʻōlelo aku e hoʻohana i ka lipine lapaʻau e hoʻopaʻa i kou mau manamana wāwae.
• Nā mea hana Orthotic: ʻO nā Orthotics nā mea hana i hoʻokomo ʻia i loko o kou mau kāmaʻa e hāʻawi i ke kākoʻo no kou wāwae. Hiki i kēia ke lilo i orthotics ma luna o ke kauka a i ʻole nā ​​​​​​mea hoʻokomo i hana ʻia. Hiki i kāu kauka ke ʻōlelo aku iā ʻoe e kau i kahi mea hoʻokaʻawale liʻiliʻi ma waena o kou manamana wāwae nui a me kou manamana wāwae lua. Pono paha ʻoe e hoʻohana i kahi splint e mālama pololei i kou manamana wāwae nui ke ʻaʻole ʻoe e ʻaʻahu i nā kāmaʻa (ʻoi aku hoʻi i ka pō).
• Nā lāʻau hoʻopau ʻeha : Hiki i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) , e like me ka ibuprofen , ke kōkua i ka hōʻemi ʻana i ka ʻeha a me ka pehu. Hiki ke lawe ʻia kēia mau mea ma ke ʻano he mau pila a i ʻole he mau NSAID topical. Akā e hoʻomanaʻo, mai lawe i nā NSAID no nā lā he 10 a ʻoi aku i ka manawa me ka ʻole o ke aʻo ʻana a ke kauka.
• Hau: ʻO ke kau ʻana i kahi ʻeke hau i ka manamana lima ʻeha no 15-20 mau minuke i nā manawa he nui i ka lā hiki ke hāʻawi i ka hōʻoluʻolu. Eia naʻe, mai kau pololei i ka ʻeke hau ma luna o ka ʻili, akā e kāʻei iā ia i loko o kahi ʻāpana lole lahilahi.
• Nā inikini Corticosteroid: Inā koʻikoʻi ka pehu a me ka ʻeha, hiki i kāu kauka ke hāʻawi iā ʻoe i kahi inikini corticosteroid i loko o ka bunion. He mau lāʻau lapaʻau kēia e hōʻemi koke i ka mumū .
• Hoʻōla kino : Hiki iā ʻoe ke hana pū me kahi mea hoʻōla kino e hoʻoikaika i nā ʻiʻo o kou wāwae, hoʻonui i ka neʻe ʻana o nā hono, a hoʻēmi i ka ʻeha. Hiki iā lākou ke aʻo iā ʻoe i nā hoʻomaʻamaʻa kino a me nā kīkoʻo e kōkua i ka mālama ʻana i kou mau manamana wāwae ma kahi.
• ʻO ke ʻoki kino :Inā ʻaʻole i kōkua nā lāʻau ʻē aʻe no nā mahina, a inā ʻeha loa ka ʻeha a hiki ʻole iā ʻoe ke hele a hana paha i kāu mau hana o kēlā me kēia lā ma muli o ka bunion, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki hoʻoponopono bunion . Aia kekahi mau ʻano ʻoki. E haʻi aku kāu kauka a kauka paha iā ʻoe i ke ʻano o ke ʻoki āu e pono ai a me nā kikoʻī.

E ola maikaʻi anei nā bunions iā lākou iho?

ʻAʻole, ʻaʻole e ho'ōla nā bunion iā lākou iho, a ʻaʻole hiki iā ʻoe ke mālama iā lākou ma kāu iho. ʻO ka bunion kahi hoʻololi i ke ʻano o nā iwi. No ka hoʻohuli ʻana iā ia, pono ʻoe i ke kōkua lapaʻau. Inā he bunion kou, e ʻike pono i ke kauka a i ʻole ke kauka wāwae. A laila wale nō hiki iā ʻoe ke ʻike pono ʻia a hoʻomaka i ka lāʻau lapaʻau e hōʻoluʻolu i kāu mau hōʻailona.

Hiki ke pale ʻia ka bunion?

No ka mea hiki ke ulu nā bunions no nā kumu like ʻole (ʻoi aku hoʻi nā kumu genetic), he paʻakikī ke pale loa iā lākou. Eia nō naʻe, ʻo ke komo ʻana i nā kāmaʻa kūpono a me ka lawe ʻana i kahi nohona maikaʻi no kou mau wāwae hiki ke kōkua i ka hoʻolohi ʻana i ka ulu ʻana o nā bunions a pale aku paha iā lākou mai ka ʻino ʻana. Ma ke ʻano laulā, e hahai i kēia mau ʻōlelo aʻoaʻo e koho i nā kāmaʻa kūpono a ʻoluʻolu hoʻi no kou mau wāwae:

• E pale i ke komo ʻana i nā kāmaʻa haiki loa, ʻoi, a me nā kuʻekuʻe wāwae kiʻekiʻe - ʻoiai inā e ʻūmiʻi lākou i kou mau manamana wāwae. ʻO kēia kou mau ʻenemi nui loa!
• ʻOiai inā ʻike ʻoe i ka nui o kou kāmaʻa, e hoʻāʻo i kekahi mau pālua kāmaʻa e ʻike i ka mea kūpono loa . No ka mea, ʻaʻole like ka nui o nā kāmaʻa a pau, mai kekahi lama a i kekahi.
• Ma mua o ke kūʻai ʻana i nā kāmaʻa hou , e hoʻāʻo iā lākou ma ka noho ʻana, kū ʻana, a hele wāwae iki . E nānā inā ʻeha kou mau manamana wāwae, ʻūmiʻi ʻia, a ʻūmiʻi ʻia paha ma kekahi ʻano. Pono e loaʻa kahi hakahaka liʻiliʻi ma waena o ke kāmaʻa a me kou manamana wāwae lōʻihi loa.
• Hiki iā ʻoe ke loaʻa kahi kūpono pololei ma ke kūʻai ʻana i nā kāmaʻa i ka hopena o ka lā , ʻoiai e pehu iki kou mau wāwae i ka lā a ʻoi iki ka nui i ke ahiahi ma mua o ke kakahiaka.

Hiki i kāu kauka a podiatrist paha ke ʻōlelo aku i ke ʻano kāmaʻa maikaʻi loa a i ʻole ka brand no kou mau wāwae. Inā he mau pilikia wāwae ʻē aʻe kou, e like me nā wāwae pālahalaha a i ʻole nā ​​​​​​kiʻekiʻe kiʻekiʻe , e nīnau i kāu kauka inā pono ʻoe i nā orthotics e pale aku i nā bunions.

He aha ka mea e hiki ai i kekahi me nā bunions ke manaʻo?

Hiki i ka hapa nui o ka poʻe me nā bunions ke hoʻokele i ko lākou mau hōʻailona a ola i kahi ola maʻamau me ka ʻole o ka hopena nui i kā lākou hana o kēlā me kēia lā. E hana pū kāu kauka me ʻoe e ʻimi i kahi hui pū ʻana o nā lāʻau lapaʻau e hōʻoluʻolu i kāu mau hōʻailona a kōkua i ka mālama ʻana i kou mau wāwae a me kou mau manamana wāwae i ke olakino a me ka ikaika.

ʻO ka mea nui loa, inā loaʻa iā ʻoe nā hōʻailona o nā bunions, mai hoʻokaʻulua e ʻike i ke kauka.ʻO ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau, ʻoi aku ka maikaʻi o kou kūlana e kaohi ai i kāu mau hōʻailona me ka ʻole o ka pono no ke ʻoki ʻana.

Hiki i ka poʻe i hana ʻia i ke ʻoki bunion ke hoʻi hou i kā lākou mau hana maʻamau i loko o ʻelua a ʻekolu mahina , akā hiki ke lōʻihi ka manawa e hoʻōla piha ai.

Āhea wau e ʻike ai i ke kauka?

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e ʻike koke i ke kauka a i ʻole podiatrist :

• ʻEha pinepine ma kou mau wāwae a i ʻole nā ​​​​manamana lima.
• He paʻakikī ke hele wāwae a hoʻoluliluli paha i kou mau manamana lima .
• He puʻu i ʻike ʻia ma ke kumu o ka manamana wāwae nui (inā paha he ʻeha a ʻaʻole paha).
• Pehu, ʻulaʻula, a mehana paha i loko a puni paha o nā manamana lima.
• Ka mae a i ʻole ka nalowale o ka ʻike ma nā manamana lima.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Ke hālāwai ʻoe me ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia e hoʻomaopopo maikaʻi ai i ke kūlana:

• No ke aha i loaʻa ai iaʻu kēia bunion? He pilikia paha ia me ke ʻano o koʻu wāwae?
• He aha ke ʻano o ka lāʻau lapaʻau kūpono loa iaʻu? Pono anei au i ke ʻoki kino?
• Pehea ka lōʻihi e hiki ai iā mākou ke manaʻo i ka hōʻoluʻolu mai kēia mau lāʻau lapaʻau?
• He aha kaʻu e hana ai e pale aku i ka ulu ʻana o kahi bunion ma koʻu wāwae ʻē aʻe?
• Pono anei iaʻu e hōʻalo loa i ke komo ʻana i kekahi mau ʻano kāmaʻa?
• He aha nā hoʻoikaika kino e hiki iaʻu ke hana ma ka home?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻO nā bunions, a i ʻole hallux valgus, he pilikia wāwae maʻamau. Loaʻa lākou i ka wā e paʻi ʻia ai kou manamana wāwae nui mai kona kūlana maoli, i nā manamana wāwae ʻē aʻe. I ka hopena, hiki ke ulu kahi puʻupuʻu iwi ma ka hono kahi e pili ai kou manamana wāwae nui i kou wāwae.

Inā ʻeha ʻoe i kahi bunion a keʻakeʻa nei paha i kāu mau hana o kēlā me kēia lā, he mea nui e ʻimi i ka lāʻau lapaʻau . He mea maʻalahi paha ia e like me ka hoʻololi ʻana i ke ʻano o nā kāmaʻa āu e ʻaʻahu ai, akā no ka ʻike ʻana i kahi bunion, pono ʻoe e ʻike i ke kauka a i ʻole podiatrist. A laila hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e kōkua i ka hōʻoluʻolu i kāu mau hōʻailona a kōkua iā ʻoe e hoʻi i nā hana āu e makemake ai. ʻOi aku ka maikaʻi o ka ʻimi ʻana i ka ʻōlelo aʻo i ka wā hikiwawe loa, me ka hoʻokaʻulua ʻole!