ʻAʻole wale i ka wā e holo ai, lele, a hele wāwae ai kākou, akā, i ka wā e kū wale ai kākou, aia kekahi mea e hana nui ana e kākoʻo i ke kaumaha o ko kākou kino holoʻokoʻa a mālama iā kākou i ke kaulike. ʻO ia ko kākou kuʻekuʻe wāwae. Akā, ʻoiai he hui koʻikoʻi ia, ua ʻike maoli anei kākou i ia mea? I kekahi manawa, ma hope o ka wili iki ʻana o ko kākou wāwae, ʻōlelo mākou, "Auē, ua ʻeha koʻu kuʻekuʻe wāwae," ʻeā? No laila, he aha kēia kuʻekuʻe wāwae? Pehea i hana ʻia ai? E hele mai, e kamaʻilio wale kākou e pili ana i kēia lā.
I ka ʻōlelo maʻalahi, he aha ke kuʻekuʻe wāwae?
ʻO ke kuʻekuʻe wāwae ka hui e hoʻopili ai i kou wāwae haʻahaʻa a me kou wāwae. ʻO ka pololei, ʻo ia kahi e hui ai kou mau iwi ʻūhā ʻelua a me kekahi o nā iwi nui o kou wāwae. I kekahi manawa kapa ʻia ia e nā kauka ʻo "tibiotalar joint" a i ʻole "talocrural joint". Mai hopohopo inā lohe ʻoe i kēlā mau inoa, no ka mea, pili lākou i ka kuʻekuʻe wāwae.
E like me nā hui a pau o ko kākou kino, he ʻāpana ka hui kuʻekuʻe wāwae o ko kākou ʻōnaehana iwi. Akā, ʻaʻole ia he iwi wale nō. Ua hoʻopuni ʻia e nā ʻiʻo, nā ligaments, nā cartilage, nā aʻalolo, a me nā kīʻaha koko. Hana pū kēia mau mea a pau e mālama i ka hana pono o kēia hui. Inā loaʻa iā ʻoe ka ʻeha kuʻekuʻe wāwae, mai hoʻowahāwahā iā ia. He mea nui e ʻike koke i kāu kauka e ʻike i ke kumu a loaʻa ka lāʻau lapaʻau.
He aha nā hana nui o kēia hui?
E noʻonoʻo ʻoe e hele ana ʻoe. I kēlā me kēia manawa e paʻi ai kou wāwae i ka honua, pono kou wāwae e hoʻomaʻamaʻa i ke ʻano like ʻole a me ka palahalaha o ka honua. A i ʻole, hiki iā ʻoe ke hāʻule. ʻO kekahi o nā hana nui o ka hui kuʻekuʻe wāwae ke kōkua i kēlā. ʻO ia hoʻi, kōkua ia iā ʻoe e kaulike a paʻa i kou neʻe ʻana.
Hiki i ke kuʻekuʻe wāwae ke neʻe i ʻelua mau ʻaoʻao nui.
- ʻO ke kūlou ʻana o ka wāwae: ʻO ke ʻano kēia o ke kuhikuhi ʻana i kou wāwae i lalo, i ka honua. Me he mea lā e hehi ana ʻoe ma luna o ka mea hoʻolalelale i loko o ke kaʻa.
- Dorsiflexion: ʻO ke ʻano kēia o ka hāpai ʻana i kou wāwae i luna, ʻo ia hoʻi ke hāpai ʻana i kou kino i ka ʻaoʻao.
ʻO kēia mau neʻe ʻelua ka mea e hiki ai iā mākou ke hana maʻalahi i nā mea āpau mai ka hele wāwae, ka holo ʻana, ka piʻi ʻana a me ka iho ʻana i nā alapiʻi.
Pehea e hoʻokaʻawale ʻia ai ka hui kuʻekuʻe wāwae?
ʻO ke kuʻekuʻe wāwae he ʻano hui kūikawā i kapa ʻia ʻo `(Synovial joint)`. ʻO `(Synovial joint)` ke ʻano hui i loko o ko kākou kino nona ke kūʻokoʻa o ka neʻe ʻana. Ua uhi ʻia nā wēlau o nā iwi i loko o kēia mau hui me kahi ʻano cartilage laumania loa i kapa ʻia ʻo `(Hyaline cartilage)`. Eia kekahi, aia kekahi mea e like me ka ʻeke i kapa ʻia ʻo `(Synovial membrane)` ma waena o nā iwi ʻelua. ʻO ke kahe i loko o kēia e ʻae i nā iwi ʻelua e neʻe mālie me ka ʻole o ke kuʻi ʻana kekahi i kekahi. Ua like ia me ke kau ʻana i ka momona ma luna o kahi mīkini.
A, ma ke ʻano hana, he "Hinge joint" kēia, ʻo ia hoʻi he hinge joint. E like me ka hinge puka. E like me ka puka e hiki ke wehe i kekahi ʻaoʻao a kokoke i kekahi, hiki i ka kuʻekuʻe wāwae ke neʻe i luna a i lalo.
He aha nā ʻāpana o ke kuʻekuʻe wāwae?
E nānā kākou i nā ʻāpana nui e hana ana i kēia hui kupaianaha.
Nā iwi
ʻEkolu mau iwi nui o ke kuʻekuʻe wāwae.
| Inoa Iwi | Hoʻolauna wale ʻia |
|---|---|
| ʻO Tibia | ʻO kēia ka iwi mānoanoa a ikaika hoʻi ma kou ʻāpana shin. Kāhea pū mākou iā ia ʻo ka 'iwi shin'. Ua hana ʻia ka puʻupuʻu ma loko o kou kuʻekuʻe wāwae mai kēia iwi. |
| ʻO ka fibula | ʻO kēia ka iwi lahilahi i loaʻa ma waho o ka iwi tibia ma ka ʻāpana shin. Ua hana ʻia ka pōpō o ka wāwae ma waho o ke kuʻekuʻe wāwae mai kēia iwi. |
| Talus | ʻO kēia ka iwi ma ke poʻo o kou wāwae. Hoʻopili ʻia nā iwi tibia a me fibula ma luna o kēia iwi. |
ʻO ke iwi ʻili
He ʻiʻo ikaika a palupalu ke cartilage e pale ana i ko kākou mau hono. Ua like ia me kahi mea hoʻopau haʻalulu i loko o ke kaʻa. Ua uhi ʻia nā wēlau o nā iwi ma ke kuʻekuʻe wāwae me kahi ʻano cartilage laumania i kapa ʻia ʻo `(Hyaline cartilage). ʻO kēia ka mea e hiki ai i nā iwi ke neʻe mālie me ka ʻole o ka hamo ʻana kekahi i kekahi.
Nā ligaments
Ua like nā ligaments me nā kaula ikaika. Hoʻohui lākou i kekahi iwi i kekahi a mālama i ke ami i paʻa. ʻEkolu mau ʻano nui o nā ligaments ma ke kuʻekuʻe wāwae:
- Nā ligaments medial: Hoʻopili kēia i ka tibia i kekahi mau iwi ma ka wāwae.
- Nā ligaments ʻaoʻao:Hoʻopili kēia i ka iwi fibula i nā iwi o ka wāwae. ʻO kēia mau ligaments nā mea i hōʻino nui ʻia i ka wā e haki ai ke kuʻekuʻe wāwae.
- Nā ligaments syndesmotic: Hoʻohui kēia i nā iwi tibia a me fibula.
Nā ʻiʻo
Hoʻoneʻe ʻia kou kuʻekuʻe wāwae e nā ʻiʻo o kou wāwae a me kou wāwae. ʻO kēia nā ʻiʻo e hāʻawi i ka ikaika e hoʻoneʻe i kou kuʻekuʻe wāwae i luna, i lalo, a me ka ʻaoʻao a i ka ʻaoʻao. Kōkua pū kēia mau ʻiʻo i ka pale ʻana i ke ami ke holo a lele ʻoe.
Nā aʻalolo a me nā kīʻaha koko
He mau kaula nā aʻalolo e lawe ana i nā leka mai ka lolo i nā ʻāpana o ke kino, a lawe pū lākou i nā manaʻo (e like me ka wela a me ka ʻeha) mai nā ʻāpana o ke kino a hoʻi i ka lolo. He mea nui nā aʻalolo no ka hoʻomalu ʻana i nā neʻe ʻana o ke kuʻekuʻe wāwae a no ka hoʻouna ʻana i nā leka i ka lolo e pili ana i nā mea i manaʻo ʻia ma laila. Hāʻawi pū nā kīʻaha koko i ka hui me ka oxygen a me nā meaʻai.
He aha nā pilikia kuʻekuʻe wāwae i maʻamau?
Ma muli o ka hoʻohana mau ʻana i ko mākou mau kuʻekuʻe wāwae, nui ka manawa e loaʻa ai nā ʻeha e pili ana i kēia.
He mea maʻamau loa nā ʻeha kuʻekuʻe wāwae i waena o nā mea pāʻani. Eia nō naʻe, ʻoiai i nā hana maʻamau o kēlā me kēia lā, hiki ke loaʻa kahi ʻeha kuʻekuʻe wāwae.
E nānā kākou i kēia mau pilikia maʻamau ma ka papa ma lalo nei.
| Pilikia/kūlana | Wehewehena |
|---|---|
| Nā ʻeha kuʻekuʻe wāwae | ʻO kēia ka ʻeha maʻamau. Pili ia i ka ʻeha a i ʻole ka haehae ʻana o nā ligaments. |
| Nā haki kuʻekuʻe wāwae | He haki o kekahi a ʻoi aku paha o nā iwi e hana ana i kahi hono. He maʻi koʻikoʻi kēia. |
| ʻO ka ʻāʻī o ke kino | Me ka ʻelemakule a i ʻole ma muli o nā kūlana olakino ʻē aʻe, e mae ana ke cartilage i loko o ke hono, e hōʻeha ana i ka ʻeha a me ka ʻoʻoleʻa. |
| ʻO ka ʻeha o ka ʻūhā | Ka pehu ʻana a i ʻole ka mumū ʻana o nā ʻiʻo (tendons) e hoʻopili ana i nā ʻiʻo i nā iwi. |
| ʻO ka ʻōpū | ʻO ka hoʻonui ʻia ʻana o ka uric acid i loko o ke kino ke kumu o ka hoʻokumu ʻia ʻana o nā kristal i loko o nā hono, e hōʻeha koke ana i ka ʻeha nui a me ka pehu. |
Nā hōʻailona e loaʻa paha iā ʻoe ka pilikia kuʻekuʻe wāwae
Inā he pilikia kou me kou kuʻekuʻe wāwae, hiki iā ʻoe ke ʻike i kekahi a ʻoi aku paha o kēia mau hōʻailona:
- ʻEha: ʻEha, ʻoiai i ka neʻe ʻana a i ʻole ke kau ʻana i ke kaumaha ma luna o ke hono.
- Pehu: Pehu a puni ke ami.
- ʻOʻoleʻa: He manaʻo o ka hiki ʻole ke kulou a hoʻopololei paha i ke hono me ka maʻalahi.
- Kūpaʻa ʻole: ʻO ka manaʻo e like me ka kuʻekuʻe wāwae e "lele" ana i ke kū ʻana a i ʻole ke hele ʻana.
- Hoʻololi kala: e huli ana i ka polū, poni, a ʻulaʻula paha, e like me kahi palapū.
- Mehana: ʻOi aku ka mehana o ka ʻāpana a puni ke hono ma mua o nā wahi ʻē aʻe ke hoʻopā ʻia.
Inā ʻike ʻoe i kahi hōʻailona e like me kēia, mai hoʻowahāwahā iā ia, me ka manaʻo he mea liʻiliʻi ia.
He aha kāu e hana ai ma ka home inā ʻeha kou kuʻekuʻe wāwae?
Inā loaʻa koke iā ʻoe ka ʻeha a i ʻole ka pehu ʻana i kou kuʻekuʻe wāwae, aia kekahi ʻano kōkua mua hiki iā ʻoe ke hana ma ka home ma mua o ka ʻike ʻana i ke kauka. Kāhea mākou i kēia ʻo ke ʻano RICE .
| Leka | Manaʻo | He aha e hana ai |
|---|---|---|
| R | Hoʻomaha | E hoʻomaha i ka wāwae i ʻeha. E hoʻōki i ke kau ʻana i ke kaumaha ma luna o kēlā wāwae a me ka hana ʻana i nā mea e like me ka hele wāwae a me ka holo ʻana. |
| ʻO wau | Hau | E hoʻopili i ka hau ma kahi e ʻeha ai a pehu ai. E ʻōwili i kekahi mau pahu hau i loko o kahi lole lahilahi a hoʻopili no kahi o 15 mau minuke i ka manawa. E hana i kēia i nā manawa he nui i ka lā. |
| C | Hoʻopili ʻana | E kāʻei i kou kuʻekuʻe wāwae me kahi kāʻei elastic e kāohi i ka pehu. Akā e hoʻomanaʻo, mai kāʻei iā ia me ka paʻa loa i ʻoki ʻia ai ke kahe o ke koko. |
| E | Kiʻekiʻe | I nā manawa hiki, e hoʻokiʻekiʻe i kou wāwae ma luna o ka pae o kou puʻuwai, e like me ka uluna. E kōkua kēia i ka hōʻemi ʻana i ka pehu. |
Akā he mea nui loa kēia: Inā ʻaʻole e emi ka ʻeha a me ka pehu ma hope o ʻelua a ʻekolu paha lā o ka hahai ʻana i ke ʻano RICE, inā e ʻoi aku ka ʻino o ka ʻeha, a inā paha ua koʻikoʻi loa ka ʻeha a hiki ʻole iā ʻoe ke kau i kou wāwae i lalo, e ʻike pono i kāu kauka. He mea koʻikoʻi paha ia, e like me ka iwi haki.
Leka Lawe-Home
- He hui koʻikoʻi a paʻakikī hoʻi ke kuʻekuʻe wāwae e kākoʻo ana i ke kaumaha o ko mākou kino a mālama iā mākou i ke kaulike.
- Inā loaʻa iā ʻoe ka ʻeha, ka pehu ʻana, a i ʻole ka ʻoʻoleʻa i kou kuʻekuʻe wāwae, mai hoʻowahāwahā iā ia me he mea liʻiliʻi lā.
- I ka wā e loaʻa ai kahi ʻeha ulia pōpilikia, hiki iā ʻoe ke hahai mua i ke ʻano RICE (Rest, Ice, Compression, Elevation).
- Inā ʻaʻohe hoʻomaikaʻi i loko o kekahi mau lā a i ʻole ua koʻikoʻi ka ʻeha, e ʻimi pono i ke kōkua lapaʻau.
- Hiki ke pale ʻia nā maʻi he nui e pili ana i ka kuʻekuʻe wāwae ma ka hoʻoikaika ʻana i nā ʻiʻo a puni ka kuʻekuʻe wāwae ma o ka hoʻoikaika kino kūpono a me ke komo ʻana i nā kāmaʻa kūpono a palekana.
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