I kēia lā, e kamaʻilio kākou e pili ana i kahi iwi liʻiliʻi i loko o ko kākou kino āu i nānā ʻole ai, akā he mea nui loa ia. Hana ʻoi aku ka nui o kāna hana ma mua o kou manaʻo. Ua kapa ʻia ʻo ia ʻo ka iwi Talus . I kekahi manawa ua kapa ʻia ʻo ia ʻo ka iwi Astragalus. E nānā kākou i ke ʻano o ia mea, kāna hana i ko kākou kino, a pehea e hiki ai iā kākou ke mālama i kēia koa liʻiliʻi.
He aha ka iwi Talus? Aia i hea ia?
I ka ʻōlelo maʻalahi, ʻo ka talus kahi iwi liʻiliʻi ma kou kuʻekuʻe wāwae. ʻOi aku ka pololei, ʻo ia kahi e hui ai nā iwi ʻelua ma kou wāwae haʻahaʻa - ka iwi nui ma lalo o ke kuli (ka iwi tibia a i ʻole ka iwi shin) a me ka iwi liʻiliʻi ma kona ʻaoʻao (ka fibula a i ʻole ka iwi bipi) - i kou wāwae.
E noʻonoʻo e pili ana i ia mea, ʻo nā iwi o kou wāwae hope, ʻo ia ka lua ma hope o ka iwi kuʻekuʻe wāwae (ka calcaneus). ʻO ia hoʻi, ʻo ka talus ka lua o ka iwi nui loa. Akā, ʻoiai he "nui" ia, he ʻelua wale nō ʻīniha ka lōʻihi, ʻoiai i ke kanaka makua. He liʻiliʻi ia, akā hana nui ia!
Pehea ke ʻano o ka iwi talus?
He iwi kēia me ke ʻano hoihoi loa. Ua kapa ʻia ʻo ia he ʻano noho lio. ʻO ia hoʻi, ua ʻoi aku ka laulā o nā ʻaoʻao haʻahaʻa ʻelua, a ua hāpai ʻia ka waena e like me ke kuahiwi.
ʻO ka mea kūikawā loa, ua uhi ʻia kēia iwi `talus` me kahi papa palupalu, ʻano laholio iki i kapa ʻia ʻo `cartilage` . Ua like kēia `cartilage` me kahi `shock absorber` i loko o ke kaʻa. Hana pū ia ma ke ʻano he lubricant e kōkua ai i ka neʻe mālie ʻana o ke ami. ʻO ia ke kumu e hiki ai i ko kākou ami kuʻekuʻe wāwae ke neʻe mālie loa, me ka ʻeha ʻole, a me ka maʻalahi.
ʻO kekahi mea nui, ʻaʻohe ʻiʻo i hoʻopili ʻia i kēia iwi talus, ʻaʻole e like me nā iwi ʻē aʻe he nui.
He aha nā ʻāpana o ka iwi talus?
He mea maikaʻi ke ʻike i kēia mau huaʻōlelo no ka mea hiki i ke kauka ke hoʻohana iā lākou i ka wā e wehewehe ai i kahi mea iā ʻoe. ʻEkolu mau ʻāpana nui o ka iwi talus:
- Ke poʻo Talus: ʻO kēia ka mea e pili ana i ka iwi navicular ma ke kua o ka wāwae.
- Kino Talus: ʻO kēia ka ʻāpana piʻo, e like me ka puʻu o ka iwi. I kekahi manawa ua kapa ʻia ʻo ia ʻo ka trochlea o ka talus. ʻO kēia ka ʻāpana e hoʻohui i nā iwi tibia a me fibula i ʻōlelo ʻia ma luna e hana i ka hui kuʻekuʻe wāwae.
- ʻĀʻī Talus: ʻO kēia ka ʻāpana e hoʻohui i ke poʻo a me ke kino o ka talus. Piʻo iki ia i lalo a kū pono i loko o ka wāwae.
Inā haki kou iwi talus (talus fracture), hiki i kāu kauka ke hoʻohana i kēia mau huaʻōlelo e haʻi pololei iā ʻoe i kahi o ka ʻeha.
He aha ka hana a ka iwi talus i ko kākou kino? He aha kona koʻikoʻi?
Hana maikaʻi loa kēia iwi liʻiliʻi. E nānā i kāna hana koʻikoʻi:
- Ke kūkulu ʻana i kou hui kuʻekuʻe wāwae: ʻO kēia ka mea nui loa. ʻO kēia hui ka mea e hiki ai iā ʻoe ke hoʻoluliluli i kou wāwae i luna a i lalo, hele, holo, a lele.
- Kōkua ia i ke kākoʻo ʻana i ke kaumaha o kou wāwae: E noʻonoʻo e pili ana iā ia, ʻo ke kuʻekuʻe wāwae, kahi i loaʻa ai ka iwi talus, ʻo ia kahi nui e kōkua ai i ke kākoʻo ʻana i ke kaumaha o kou wāwae holoʻokoʻa ke kū ʻoe, hele, a holo.
- Ke neʻe nei i ka wāwae i luna a i lalo: Inā ʻaʻole kēia, ʻaʻole hiki iā mākou ke hele, ʻeā?
- Kōkua i ka mālama ʻana i ke kaulike: Kōkua kēia iā ʻoe mai ka hāʻule ʻana ma ke kōkua ʻana iā ʻoe e hoʻoluliluli i ke kua o kou wāwae mai kēlā ʻaoʻao a i kēia ʻaoʻao.
- Ka mālama ʻana i ke kūlou o kou wāwae i paʻa: Kōkua pū kēia i ka mālama ʻana i ke ʻano piʻo (arch) o ka wāwae ma kahi.
- Ke kākoʻo ʻana i nā ligaments ma ke kuʻekuʻe wāwae, kuʻekuʻe wāwae, a me ka wāwae: He mau kāʻei ikaika nā ligaments e hoʻopili ai i nā iwi. Kōkua pū ka iwi talus me kēia.
ʻIke ʻoe, ʻoiai he liʻiliʻi ʻoe, ke hana nei ʻoe i kekahi hana koʻikoʻi loa, ʻeā?
He aha nā pilikia maʻamau e hiki ke kū mai me ka iwi talus?
E like me nā iwi ʻē aʻe a pau, hiki i ka iwi talus ke loaʻa kekahi mau pilikia. E nānā kākou i ke ʻano o ia mau mea.
E aʻo kākou e pili ana i nā Talus Fractures
I ka lāʻau lapaʻau, ua kapa ʻia ka iwi haki he `fracture`. Hiki i ka iwi `talus` ke haki. Pehea lā e hana ʻia ai kēlā?
- Ulia: Hiki ke like me ka hāʻule ʻana mai kahi kiʻekiʻe a i ʻole kahi ulia kaʻa.
- ʻOiai e pāʻani ana i nā haʻuki: Hiki i kēia iwi ke haki i kekahi mau haʻuki, ʻoiai inā ʻoe e hehi ma luna o ia mea ma ke ala hewa.
He aha nā hōʻailona o ka iwi haki?
- ʻEha nui: Hiki ke ʻeha loa ka wahi i hiki ʻole iā ʻoe ke hoʻopā aku.
- Pehu: Hiki i ke kuʻekuʻe wāwae ke pehu loa.
- ʻOluʻolu: Hoʻonui ka ʻeha ke kaomi ʻoe iā ia.
- Paʻakikī ke hele wāwae: ʻAʻole paha ʻoe e hiki ke kau i kou wāwae ma ka honua.
- ʻEha a ʻulaʻula paha: Hiki i ka ʻili ma ia wahi ke poni a poni paha.
- He ʻano kīnā a i ʻole ke ʻano o ka puʻupuʻu: Me he mea lā e puka mai ana ka iwi, e like me kahi puʻupuʻu maʻamau ʻole.
ʻO ka mea nui loa: Inā ua loaʻa ʻoe i kahi ulia a loaʻa iā ʻoe kēia mau hōʻailona, pono ʻoe e hele koke i ka lumi pilikia kokoke loa. Mai hoʻonele i ka manawa.
ʻO ka Osteoporosis a me ka iwi Talus
He maʻi ka Osteoporosis kahi e nāwaliwali ai nā iwi a haki maʻalahi. Ua like ia me kahi ʻāpana lāʻau i ʻai ʻia e ka pi. ʻAʻole ʻike ka nui o ka poʻe he osteoporosis ko lākou a hiki i ka wā e haki ai ka iwi. ʻO kēia no ka mea , ʻaʻohe hōʻailona waho maopopo.
ʻOi aku ka nui o ka pilikia o nā wāhine a me nā kānaka ma luna o 50 mau makahiki i ka loaʻa ʻana o ka osteoporosis. He manaʻo maikaʻi e kamaʻilio me kāu kauka e pili ana i ka loaʻa ʻana o kahi nānā ʻana i ka nui o ka iwi. Hiki i kēia ke kōkua i ka ʻike ʻana i ke kūlana ma mua o ka haki ʻana o ka iwi. Hiki i ka Osteoporosis ke hoʻopilikia i kekahi iwi, me ka talus.
ʻO kekahi mau kūlana ʻē aʻe e hoʻopilikia ai i ka iwi talus
Ma waho aʻe o kēia mau mea nui ʻelua, hiki i kekahi mau kūlana ʻē aʻe ke hoʻopilikia i ka iwi talus:
- ʻO ka ʻāʻī wāwae a me ka kuʻekuʻe wāwae: He kūlana e hoʻoulu ai i ka pehu a me ka ʻeha i nā hono.
- ʻO ka maʻi tunnel Tarsal: ʻO ka ʻeha a me ka mae ʻana i hana ʻia e ke kaomi ʻana o kahi aʻalolo i loko o ka kuʻekuʻe wāwae.
- ʻO ka necrosis avascular a i ʻole osteonecrosis: ʻO kēia ka manawa e emi ai ke kahe koko i ka iwi, e make ai nā hunaola iwi. ʻOi aku ka nui o ka pilikia o ka iwi talus i kēia maʻi no ka mea he palena kona kahe koko.
Pehea e nānā ai i ke olakino o ka iwi talus?
ʻO ka hoʻāʻo koʻikoʻi loa e nānā i ke olakino o kou iwi, ʻoiai inā ʻoe e pilikia ana i ka osteoporosis, he hoʻāʻo mānoanoa o ka iwi . Ua kapa ʻia kēia he scan DEXA a i ʻole DXA scan. Hoʻohana kēia i nā kukuna X-pae haʻahaʻa e ana i ka ikaika o kou mau iwi a me ka nui o kā lākou i nalowale me ka ʻelemakule.
Inā ua loaʻa iā ʻoe kahi ʻeha a ulia paha, pono paha i kāu kauka a kauka paha ke hana i nā hoʻokolohua kiʻi e like me kēia:
- Nā kukuna X: He hoʻāʻo i hana mua ʻia e nānā i nā haki.
- MRI (Magnetic Resonance Imaging - MRI): He mea nui loa kēia e ʻike i ka hōʻino ʻia ʻana o nā ʻiʻo palupalu e like me ke cartilage a me nā ligaments, ʻaʻole wale nā iwi.
- CT scan: Kōkua kēia i ka ʻike maopopo ʻana i ka paʻakikī o ka haki a inā ua ʻāpana ʻia ka iwi.
He aha nā lāʻau lapaʻau no ka iwi talus?
ʻO ka maʻamau, ʻaʻole pono kou iwi talus i kekahi lāʻau kūikawā, ke ʻole ua ʻeha a haki paha, a inā ua ʻike ʻia ʻoe me kahi maʻi e like me ka osteoporosis.
Ka mālama ʻana i ka haki ʻana o Talus
ʻO ke ʻano o ka mālama ʻana no ka haki ʻana o ka talus e pili ana i ke ʻano o ka haki a me kona kumu.
- Hoʻopaʻa ʻana:I ka manawa pinepine, pono ʻia kahi splint a i ʻole plaster of Paris (cast) e pale ai i ka iwi mai ka neʻe ʻana.
- ʻOki kino: I kekahi manawa, ʻoiai inā ua haki ka iwi i mau ʻāpana a ua neʻe i nā wahi like ʻole, pono ke ʻoki kino e "hoʻonohonoho" i nā ʻāpana, me ka hoʻohana ʻana i nā uea, nā pine, a me nā mea ʻē aʻe e hoʻopaʻa iā lākou ma kahi. A laila wale nō e ho'ōla pono ai ka iwi.
Hiki i ka haki talus ke lōʻihi ka manawa e ho'ōla ai no ka mea he emi kona kahe koko ma mua o kekahi mau iwi ʻē aʻe. ʻOi aku ka nui o ka hiki ke loaʻa nā pilikia. No laila, he mea nui loa e hahai i nā ʻōlelo a kāu kauka no ka mālama ʻana.
Lapaʻau no ka Osteoporosis
Hoʻōla ʻia ka Osteoporosis me ka hoʻoikaika kino, nā mea hoʻopihapiha huaora a me nā minelala, a me kekahi mau lāʻau lapaʻau.
- Hoʻoikaika Kino: He mea maikaʻi no nā iwi nā hoʻoikaika kino e hali ana i ke kaumaha a me nā hoʻoikaika kino e hoʻoikaika i nā ʻiʻo.
- Nā wikamina a me nā minelala: He mea nui ka calcium a me ka wikamina D no ke olakino o ka iwi.
- Nā lāʻau lapaʻau: Aia nā lāʻau lapaʻau e hōʻemi i ka pohō o ka iwi a hoʻoikaika i nā iwi.
I ka hapanui o nā hihia, hiki ke pale ʻia ka osteoporosis me ka hoʻoikaika kino maikaʻi a me nā mea hoʻopihapiha meaʻai. E hoʻomohala kāu kauka i kahi hoʻolālā lapaʻau kūpono iā ʻoe.
Pehea mākou e mālama ai i ko mākou iwi talus i ke olakino?
ʻO ka hahai ʻana i kahi papaʻai maikaʻi a me ka hoʻolālā hoʻoikaika kino, a me ka ʻike ʻana i kāu kauka no nā nānā maʻamau, hiki ke kōkua i ka mālama ʻana i kou mau iwi (a me kou kino holoʻokoʻa) i ke olakino. Inā ʻoi aku ʻoe ma mua o 50 a i ʻole he mōʻaukala ʻohana o ka osteoporosis, e kamaʻilio me kāu kauka e pili ana i ka loaʻa ʻana o kahi hoʻāʻo mānoanoa o ka iwi.
Eia kekahi, e hoʻomanaʻo i kēia mau mea liʻiliʻi e pale iā ʻoe iho mai nā pōpilikia:
- E kau mau i ke kāʻei palekana i ka wā e holo ana i loko o ke kaʻa.
- I ka wā e pāʻani ai i nā haʻuki a i ʻole e hana i nā hana ʻē aʻe, e ʻaʻahu i nā lako palekana kūpono.
- E mālama i kou home a me kahi hana maʻemaʻe ma ka wehe ʻana i nā mea e hiki ai ke paheʻe a hāʻule, a me nā mea e hiki ai ke kuʻia.
- I ka hiki ʻana aku i kahi mea kiʻekiʻe, e hoʻohana i kahi mea kūpono, e like me ke alapiʻi. Mai piʻi ma luna o nā noho a i ʻole nā papa ʻaina.
- E hahai i kahi papaʻai a me ka hoʻolālā hoʻoikaika kino olakino no ka iwi.
- Inā pilikia ʻoe i ka hele wāwae a i ʻole ua pilikia nui ʻoe i ka hāʻule ʻana, mai hilahila e hoʻohana i ke koʻokoʻo a i ʻole ka mea hele wāwae.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
ʻOiai he liʻiliʻi ka iwi talus, he kuleana nui kāna i ko kākou hiki ke hele, kū, a neʻe. Inā haki kēia iwi, hiki ke lōʻihi iki ka ho'ōla ʻana, a ʻoi aku ka nui o ka pilikia o nā pilikia.
No laila, inā ʻike ʻoe i kekahi ʻeha, pehu, a i ʻole kekahi mea ʻē aʻe i kou kuʻekuʻe wāwae, mai hoʻowahāwahā iā ia.E ʻike koke i ke kauka. Inā loaʻa iā ʻoe kahi ulia, e hele koke i ka lumi pilikia.
E kamaʻilio me kāu kauka e pili ana i kou pilikia o ka osteoporosis. E nīnau e pili ana i nā ala e hoʻomau ai i kou mau iwi i kou wā ʻelemakule. E hoʻomanaʻo, he waiwai nui kēlā me kēia ʻāpana o ko mākou kino, no laila ʻo kā mākou kuleana ke mālama i nā mea āpau.
Iwi talus, kuʻekuʻe wāwae, haki, osteoporosis, olakino wāwae, ʻeha kuʻekuʻe wāwae, olakino iwi











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