Ke ʻeha nei hoʻi ʻoe i ka hui o ka manamana wāwae nui ke hele ʻoe, ʻoiai ke komo ʻana i nā kāmaʻa? Ke ʻeha nei ʻoe i kahi paʻa a i ʻole kahi puʻupuʻu liʻiliʻi i kou manamana wāwae, e paʻakikī ai ke kūlou? He pilikia kēia i loaʻa i nā poʻe he nui a ke hoʻopilikia nei i kā lākou hana o kēlā me kēia lā. I kēia lā, e kamaʻilio mākou e pili ana i ke kumu o kēia a me ke kaʻina hana maʻalahi i kapa ʻia ʻo Cheilectomy.
He aha ke ʻano o kēia ʻoʻoleʻa ma ka manamana wāwae nui (Hallux Rigidus)?
I ka ʻōlelo maʻalahi, ʻo Hallux Rigidus kahi maʻi o ka arthritis (`(Osteoarthritis)`) e kū mai ana ma ka hui nui o kou manamana wāwae nui (i ka lāʻau lapaʻau ua kapa mākou i kēia ʻo ka hui MTP a i ʻole ka hui Metatarsophalangeal ). E like me ka pau ʻana o ka hui kuli.
Ke hana ʻia kēia, hoʻomaka nā iwi hou e kū a puni ke ami. Kāhea mākou i kēia mau iwi he mau iwi kū (`(Osteophytes)`). Hoʻokumu kēia mau iwi kū i kahi puʻupuʻu liʻiliʻi ma luna o ke ami. Hiki i kēia puʻupuʻu ke hōʻeha nui i ka wā e pā ai i ke kāmaʻa. Eia kekahi, hoʻopaʻa kēia mau iwi kū i ka neʻe ʻana o ke ami, ʻo ia hoʻi, ʻaʻole hiki ke kūlou pono ʻia ka manamana wāwae nui i luna a i lalo. ʻO kēia ʻoʻoleʻa ka mea a mākou e kapa ai he "Rigidus".
No ke aha e hana ʻia ai ka Cheilectomy?
ʻO ka maʻamau, e ʻōlelo wale aku kāu kauka iā Cheilectomy inā he akahai a kaulike paha kou maʻi Hallux Rigidus a ʻaʻole i hoʻomaha ʻia e nā lāʻau lapaʻau ʻoki ʻole.
Ma mua o ka hoʻohana ʻana i ke ʻoki kino, hoʻāʻo mau nā kauka e hāʻawi i ka hōʻoluʻolu i ka mea maʻi ma o nā ʻano lapaʻau ʻē aʻe.
Eia nā lāʻau lapaʻau ʻokiʻoki i hoʻohana pinepine ʻia:
| ʻAno lapaʻau | Wehewehena |
|---|---|
| Nā inikini Corticosteroid | ʻO kēia inikini, i hāʻawi pololei ʻia i loko o ke hono, hiki ke hoʻomalu i ka ʻeha a me ka pehu no kekahi manawa. |
| Ka palena o ka hana | E noho mamao aku mai nā mea e hoʻonui ai i ka ʻeha, e like me ka holo ʻana a me ka lele ʻana, no kekahi manawa. |
| Nā lāʻau hoʻopau ʻeha (NSAID) | Hiki i nā lāʻau lapaʻau e like me ka ibuprofen ke kōkua i ka hōʻemi ʻana i ka ʻeha a me ka pehu. Pono e hoʻohana ʻia kēia mau mea ma lalo o ke aʻo a ke kauka. |
| Nā kāmaʻa kūikawā a me nā orthotics | Ke komo ʻana i nā kāmaʻa paʻa a mānoanoa hoʻi e kāohi ana i ka neʻe ʻana o nā hono. I kekahi manawa hoʻohana ʻia nā kākoʻo kūikawā (orthotics) i loko o ke kāmaʻa. |
Inā ʻaʻohe o kēia mau mea e kōkua iā ʻoe, ʻo ka hana aʻe a kāu kauka e kamaʻilio ai me ʻoe e pili ana i ke ʻoki ʻana o ka cheilectomy.
He aha ka ʻokoʻa ma waena o Cheilectomy a me ke ʻoki ʻana o Bunion?
He wahi huikau kēia no nā kānaka he nui. Pili nā ʻoki kino ʻelua i ka wehe ʻana i nā ʻāpana iwi keu. Akā ʻo ka ʻokoʻa nui kahi i loaʻa ai kēlā mau ʻāpana iwi .
- Cheilectomy: Pili kēia i ka wehe ʻana i nā iwi spurs e hana ʻia ma luna o ka hui o ka manamana wāwae nui. He ʻoki kino kēia i hana ʻia no ke kūlana o Hallux Rigidus.
- ʻO ke ʻoki ʻana i ka bunion (Bunionectomy): ʻO ka bunion (`(Hallux Valgus)`) he iwi e puka ana ma ka ʻaoʻao o ka hui manamana wāwae nui, ʻo ia hoʻi, ka ʻaoʻao e kū pono ana i nā manamana wāwae ʻē aʻe. No laila, wehe kēia ʻoki ʻana i ka puʻupuʻu ma kēlā ʻaoʻao.
E noʻonoʻo i kēia ʻano: ʻO Cheilectomy e like me ka wehe ʻana i ke kaumaha keu mai ke kaupaku o ka hui, ʻoiai ʻo Bunionectomy e like me ka wehe ʻana i kahi protrusion mai ka paia ʻaoʻao o ka hui.
He aha ka mea e hana ʻia ma mua a i ka wā o ke ʻoki kino?
Ma hope o ka hoʻoholo ʻana e hana i ke ʻoki kino, e nānā pono ke kauka i kou wāwae. E nānā lākou i ka mamao e hiki ai iā ʻoe ke kulou i kou manamana wāwae (range of neation). E lawe pū lākou i kahi X-ray e ʻike maopopo i ke kūlana o ke hono a me ke kūlana o nā iwi spurs.
I ka lā o ke ʻoki kino, e hāʻawi ʻia ʻoe i ka anesthesia. A laila, e hana ke kauka ʻoki i kahi ʻoki liʻiliʻi ma luna o kou wāwae, ma luna pono o ka hono o ka manamana wāwae nui, a e wehe pono i nā iwi keu e hoʻoulu ai i ka ʻeha a me ka ʻoʻoleʻa.
Hiki ke hana ʻia ke ʻoki Cheilectomy ma nā ʻano nui ʻelua:
| ʻAno o ke ʻoki kino | Pehea e hana ai |
|---|---|
| ʻO ka Cheilectomy hāmama | Ma kēia, hana ʻia kahi ʻoki lōʻihi hoʻokahi, wehe ʻia ke hono, a wehe ʻia nā ʻāpana iwi. |
| ʻO ka Cheilectomy Minimally Invasive | Ma kēia ʻano hana, ma kahi o hoʻokahi ʻoki nui, hana ʻia kekahi mau ʻoki liʻiliʻi loa, a hoʻokomo ʻia kahi mea hana kūikawā i kapa ʻia ʻo 'burr' ma o lākou e wāwahi a wehe i nā kui iwi. Hiki i kēia ʻano hana ke hōʻemi i ka manawa ho'ōla. |
He aha ka mea e hana ʻia ma hope o ke ʻoki kino? A pehea ka lōʻihi e hoʻōla ai?
He hana maʻamau kēia no ka poʻe ma waho o ka haukapila . ʻO ia hoʻi, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Ma hope o ke ʻoki ʻana, pono ʻoe e komo i kahi kāmaʻa kūikawā no kekahi mau pule aʻo kou wāwae e ho'ōla ana. ʻO kēia ke pale aku i ke kaumaha pono ʻole mai ke kau ʻia ʻana ma luna o ka hui e ho'ōla ana.
No ka hoʻemi ʻana i ka ʻeha, e kuhikuhi ke kauka iā ʻoe i kahi lāʻau hoʻopau ʻeha e like me Paracetamol a i ʻole Ibuprofen.
ʻOkoʻa ka manawa hoʻōla mai kēlā kanaka a kēia kanaka. Hiki ke mau ka pehu ʻana o ka wāwae no kekahi mau pule a i ʻole nā mahina. ʻO ka maʻamau, hoʻokahi a ʻelua paha mahina e hoʻi ai i ka hana. Eia nō naʻe, inā koi kāu hana i ka hele wāwae a kū paha, hiki ke lōʻihi iki. E aʻo aku kāu kauka iā ʻoe ma kēia.
He aha nā pōmaikaʻi a me nā pilikia kūpono o kēia ʻoki kino?
Nā Pōmaikaʻi
He nui ka poʻe e ʻike nei i ka hoʻomaha piha ʻana o ka ʻeha ma hope o kēia ʻoki kino. Hiki iā lākou ke kulou a hoʻopololei i ka hui manamana wāwae nui ma mua o ka wā ma mua. ʻOi aku ka maʻalahi o ka hele wāwae a me nā hana o kēlā me kēia lā.
Nā pilikia a me nā pilikia
E like me nā ʻoki kino āpau, aia kekahi mau pilikia e pili ana.
- Hiki paha i kekahi poʻe ke loaʻa i ka ʻeha iki i ka neʻe ʻana i ko lākou manamana lima ma hope o ke ʻoki ʻana.
- Hiki ke ulu aʻe kahi maʻi a i ʻole kahi ʻeha ma kahi i ʻoki ʻia.
- Hiki i ka Hallux Rigidus ke lilo i mea koʻikoʻi loa.
- Hiki iā ʻoe ke loaʻa ka ʻeha ma ka pōpō o kou wāwae, ma lalo o kou wāwae.
- I ka manawa kākaʻikahi loa, pono paha ʻoe e hana i kekahi ʻoki kino ʻē aʻe, no ka laʻana, kahi hui hui (arthrodesis).
Mai makaʻu i kēia mau pilikia. E wehewehe kāu kauka i nā mea āpau iā ʻoe. ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i nā ʻōlelo a ke kauka ma hope pono o ke ʻoki ʻana.
I ka wā e ʻike ai i ke kauka i ka wā hikiwawe loa
Ke hoʻi ʻoe i ka home ma hope o ke ʻoki kino, e makaʻala i kēia mau hōʻailona. Inā loaʻa iā ʻoe kekahi o kēia mau mea, e kāhea koke aku i kāu kauka a i ʻole e hele i ka haukapila kahi i loaʻa ai iā ʻoe ka lāʻau lapaʻau.
- Lilo ka ʻili a puni ka ʻoki i ʻulaʻula ʻeleʻele .
- Pehu nui .
- Puka mai kahi wai e like me ka pea mai ka ʻoki mai.
- Loaʻa ka ʻeha hiki ʻole ke hoʻomanawanui a i ʻole ke kuni.
Hiki i kēia ke lilo i mau hōʻailona o kahi maʻi, no laila he mea nui e ʻimi koke i ka lāʻau lapaʻau.
Leka Lawe-Home
- ʻO Hallux Rigidus kahi maʻi ʻāʻī e kū mai ana ma ka hui manamana wāwae nui. Hoʻoulu kēia i nā iwi keu e hana ʻia, e hōʻeha ai a me ka ʻoʻoleʻa.
- ʻO Cheilectomy kahi ʻoki kino e wehe ai i kēia mau iwi keu a hiki i ka hui ke neʻe hou me ka manuahi.
- Hiki i kēia ʻoki kino ke hōʻemi i ka ʻeha a hoʻomaʻalahi i ke ola no nā poʻe he nui.
- He mea nui loa e hahai pono i nā ʻōlelo a ke kauka (e like me ke komo ʻana i nā kāmaʻa kūikawā a me ka hoʻomaha ʻana) i ka wā hoʻōla ma hope o ke ʻoki kino.
- Inā ʻike ʻoe i kekahi mau hōʻailona ʻē, e like me ka ʻulaʻula nui, ka pehu ʻana, a i ʻole ka pus a puni ka ʻoki, e ʻike koke i kāu kauka.
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