E noʻonoʻo e pāʻani ana ʻoe i ka cricket a i ʻole ka badminton me kāu mau hoaaloha. I kou hoʻāʻo ʻana e holo, lohe koke ʻoe i kahi leo 'tuck' mai hope mai, ma luna pono o ke kuʻekuʻe wāwae o kou wāwae, me he mea lā ua hahau kekahi iā ʻoe me ka pōhaku. Ke nānā ʻoe i hope, ʻaʻohe mea, akā i ka manawa like aia kahi ʻeha ʻoi. ʻO ka hapa nui o ka manawa, ʻo kēia ʻike ke kūlana a mākou e kamaʻilio nei i kēia lā, ʻo 'Achilles Tendon Rupture'. ʻAʻole kēia i maʻalahi e like me ka mea i ʻike ʻia, no laila e hoʻomaopopo pono kākou i kēia.
He aha kēia ʻāʻī Achilles?
I ka ʻōlelo maʻalahi, he ʻiʻo ikaika kēia e hoʻopili ai i ka ʻiʻo bipi o ko mākou wāwae i ka iwi kuʻekuʻe wāwae. ʻO ka ʻoiaʻiʻo, ʻo ia ke ʻiʻo nui loa a ikaika loa i loko o ko mākou kino. Kōkua kēia ʻiʻo i ka hāʻawi ʻana i ka ikaika e pono ai ko mākou wāwae i ka wā e hele ai, holo ai, a lele ai.
ʻO ka 'Achilles Tendon Rupture' he haki piha a hapa paha, a i ʻole ka haehae ʻana, o kēia tendon ikaika. He ʻeha koʻikoʻi kēia e hiki koke mai ana. Hana ʻia ia i ka wā e kau ʻia ai ke tendon i ke kaomi nui.
ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia? He aha nā kumu?
ʻIke pinepine ʻia kēia i waena o nā mea pāʻani, ʻoiai ka poʻe ma waena o 30 a me 40 mau makahiki, a ʻoi aku ka nui o ka pilikia o nā kāne ma mua o nā wahine.
E noʻonoʻo e loaʻa ana kekahi poʻe e hana ana ma ke keʻena i nā lā ʻelima o ka pule, a i nā hopena pule wale nō e hele ai lākou e pāʻani i ka cricket a i ʻole kekahi haʻuki ʻē aʻe. Kāhea pū mākou i kēia poʻe he "mau koa hopena pule". No ka mea, hoʻokau lākou i ka nui o ke kaumaha ma ko lākou kino i ka manawa hoʻokahi me ka ʻole o ka hoʻomaʻamaʻa kūpono, ʻoi aku ka pilikia o ia poʻe i ka haki ʻana o ko lākou aʻalolo Achilles ma mua o kahi ʻōpio ʻōpio i hoʻomaʻamaʻa maikaʻi ʻia.
ʻO nā kumu nui e like me kēia:
- Nā hana koke: Hiki ke loaʻa kēia pilikia i ka wā e pāʻani ana i nā haʻuki e pili ana i ka holo koke, ke kū ʻana, a me ka hoʻololi ʻana i nā ʻaoʻao (no ka laʻana, ka pôpeku, ka basketball, ka tennis, ka cricket).
- Nā ulia ʻē aʻe: ʻAʻole kēia he ulia haʻuki mau. Hiki iā ʻoe ke haehae i kēia aa koko inā ʻoe e paheʻe a hāʻule i ka wā e hele ana, e hala i kahi ʻanuʻu i ka wā e iho ana i lalo o kahi alapiʻi, a i ʻole e wili i kou wāwae i loko o kahi ʻauwai.
- ʻO kekahi mau lāʻau lapaʻau: ʻO kekahi mau antibiotics a me nā inikini steroid i loko o ka wahi e hoʻonāwaliwali i kēia aa a hoʻonui i ka pilikia o ka haki ʻana.
He aha nā hōʻailona maoli o kēia?
ʻO ka hōʻailona nui a maopopo loa o kēia ʻano, ʻo ia ka lohe ʻana a me ka manaʻo ʻana i kahi leo 'tuck' a i ʻole 'pop' e puka mai ana mai ke kua o ka wāwae, ma luna o ke kuʻekuʻe wāwae. Manaʻo ka poʻe he nui ua kuʻi kekahi iā lākou mai hope mai, akā ʻo ka mea maoli, he ʻeha ke aʻalolo.
Hōʻike ka papa ma lalo nei i kekahi mau ʻano ʻē aʻe e hiki ke kōkua i ka ʻike ʻana i kēia.
| Hōʻailona | Wehewehena |
|---|---|
| ʻEha koke, ʻeha nui | He ʻeha ʻoi a hiki ʻole ke hoʻomanawanui ma ka ʻāpana ʻūhā, ma luna o ke kuʻekuʻe wāwae. |
| Ka pehu ʻana a me ke kala ʻana o ka uliuli/poni | Hiki ke pehu ka wahi o ka ʻeha, hiki ke kahe ke koko ma lalo o ka ʻili a huli i ka uliuli. |
| Paʻakikī ka hele wāwae | ʻAʻole paha ʻoe e hiki ke hele maʻamau. ʻOi aku ka ʻeha i ka wā e piʻi ai i nā alapiʻi a i ʻole nā puʻu. |
| ʻEha ke hoʻopā ʻia | Inā ʻoe e hoʻopā i ke aʻa koko haʻihaʻi me kou manamana lima, ʻeha nui ia. |
Pehea e ʻike ai ke kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka, e nānā pono mua ʻo ia i kou wāwae a me kou kuʻekuʻe wāwae.
- E nānā inā hiki iā ʻoe ke hoʻohuli i kou mau wāwae i nā ʻaoʻao like ʻole.
- Nānā lima ʻia ka ʻāpana e ʻike inā he hakahaka kahi i ʻoki ʻia ai ke aʻa.
- Hiki ke ʻōlelo ʻia kekahi e hoʻohana i kahi ultrasound a MRI paha e ʻike pono i ka nui o ka pōʻino i hana ʻia i ke aʻa.
ʻO ka mea nui loa, ʻo ka waiho ʻana i kahi ulia e like me kēia me ka mālama ʻole ʻia hiki ke hana i ka nui o ka pōʻino. Inā ʻaʻole mālama ʻia, ʻaʻole e ho'ōla pono ka aʻa. No laila, ʻoi aku ka kiʻekiʻe o ka pilikia o ka haki hou ʻana o ka aʻa like i ka wā e hiki mai ana.
He aha nā lāʻau lapaʻau no kēia?
Ma mua o kou hele ʻana i ke kauka, aia kekahi mea hiki iā ʻoe ke hana ma ka home e hōʻemi i ka ʻeha a me ka pehu. Kāhea mākou iā ia ʻo ke ʻano RICE.
- R - Hoʻomaha: Mai kau i kekahi kaumaha ma luna o ka wāwae i ʻeha. Hoʻomaha.
- I - Hau: E kau i kahi ʻeke hau ma kahi o ka ʻeha a me ka pehu.
- C - Hoʻopili ʻana:No ka kāohi ʻana i ka pehu ʻana, e kāʻei pono i ka wahi me kahi bandage.
- E - Kiʻekiʻe: I nā manawa e hiki ai, e hoʻokiʻekiʻe i kou wāwae ma luna o ka pae o kou puʻuwai, e like me ka uluna.
ʻElua ʻano nui o ka lāʻau lapaʻau. Na kāu kauka e hoʻoholo i ke ʻano o ka lāʻau lapaʻau e pili ana i kou makahiki, ka pae hana, a me ke ʻano o ka ʻeha.
| ʻAno lapaʻau | I ka ʻōlelo maʻalahi... |
|---|---|
| Nā lāʻau lapaʻau ʻoki ʻole | Hoʻokomo ʻia kahi ʻōpala kūikawā a i ʻole ke kākoʻo ma ka wāwae e hoʻopaʻa iā ia. ʻAe kēia i ke aʻa e ho'ōla iā ia iho. Hana ʻia kēia me ka wāwae e kulou ana i lalo. |
| ʻoki kino | Paipai nui ʻia kēia no nā poʻe ʻōpio ikaika. Hoʻopili hou ke kauka lapaʻau i nā wēlau ʻelua o ke aʻa i haehae ʻia. Ma hope o ke ʻoki ʻana, pono ʻoe e kau i kahi ʻaʻahu a hiki i kona ho'ōla ʻana. |
| Hoʻōla kino | He mea pono kēia. Inā paha he ʻoki kino kāu a i ʻole, ma hope o ka ho'ōla ʻana o ke aʻa koko, pono ʻoe e hoʻoikaika kino ma lalo o ke alakaʻi a ke kauka kino e hoʻihoʻi i ka ikaika a me ka maʻalahi i kou wāwae a me kou aʻa koko. |
ʻO ka maʻamau, ma kahi o 4 a 6 mau mahina e ho'ōla piha ai kēia ʻeha.
Hiki ke pale ʻia kahi ulia e like me kēia?
ʻOiai ʻaʻole hiki ke pale ʻia nā ulia i ka 100% o ka manawa, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia:
- E hoʻomehana maikaʻi ma mua o ka hoʻoikaika kino a pāʻani paha.
- Mai hoʻonui koke i ka ikaika o kāu mau hoʻoikaika kino. E hoʻonui mālie iā lākou.
- E hana pinepine i nā hoʻomaʻamaʻa hoʻolōʻihi no nā ʻiʻo hamstring a me ke aʻalolo Achilles.
I ka manawa hea ʻoe e pono ai e ʻike i ke kauka?
Inā loaʻa iā ʻoe kekahi mea e like me kēia, mai hoʻokaʻulua.
- Inā lohe ʻoe i ke kani 'kaomi' mai ke kua o kou wāwae i ka wā e pāʻani ana i kahi haʻuki a i ʻole kekahi hana ʻē aʻe.
- Inā he ʻeha koke a ʻoi i ka manawa like.
- Inā paʻakikī ke hele ma hope o ka ulia.
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻike koke i ke kauka. Inā pono, e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
Leka Lawe-Home
- ʻAʻole ka Achilles Tendon Rupture he mea maʻalahi e like me ka wāwae i haki, he maʻi koʻikoʻi ia.
- ʻO nā hōʻailona nui he kani pahū a me ka ʻeha koke ma ke kua o ka wāwae.
- Inā loaʻa kekahi mea e like me kēia, he mea nui e ʻimi koke i ke kōkua lapaʻau. Mai hoʻokaʻulua.
- Inā paha e hana ʻia ke ʻoki kino a i ʻole, he mea nui ka hoʻōla kino no ka hoʻōla piha ʻana.
- Hiki ke hoʻēmi ʻia kēia pilikia ma ka hoʻomehana ʻana ma mua o ka pāʻani ʻana i nā haʻuki a me ka hana ʻana i nā hoʻomaʻamaʻa kūpono.
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