ʻEha pū kekahi kēia ʻāpana o kou wāwae? E kamaʻilio kākou e pili ana i (5th Metatarsal Fracture)!

ʻAuē, i kekahi manawa, inā paha he hāʻule iki, he kuʻi, a he wili iki paha i ka wāwae, hiki i ka ʻaoʻao o ko kākou manamana wāwae liʻiliʻi ke ʻeha, ʻeā? Hiki ke ʻeha loa a hiki ʻole iā ʻoe ke hele, a hiki ke pehu a uliuli. ʻO ke kumu o kēia he haki paha o kahi iwi liʻiliʻi i kou wāwae. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi ʻano e like me kēia, i kapa ʻia ʻo `(5th Metatarsal Fracture)`, hiki ke hana i nā poʻe he nui.

He aha kēia haki metatarsal 5?

I ka ʻōlelo maʻalahi, aia kahi iwi lōʻihi ma ka ʻaoʻao o waho o kou wāwae, kahi e pili ai i kou manamana wāwae liʻiliʻi . Hiki iā ʻoe ke hoʻopā iā ia me kou lima. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia iwi ʻo ka '5th Metatarsal bone' . No laila, ke haki a māhele paha kēia iwi no kekahi kumu, kapa mākou ia he '5th Metatarsal Fracture'. He ʻeha wāwae maʻamau kēia ma mua o ko mākou manaʻo.

Aia kekahi ʻano o kēia mau haki?

ʻAe, ua māhele ʻia kēia `(5th Metatarsal Fracture)` i ʻekolu ʻano nui, ma muli o kahi e haki ai ka iwi. Kāhea nā kauka i kēia mau mea e like me ka ʻāpana pili. Kāhea mākou iā lākou ʻo Zone 1, Zone 2, a me Zone 3 .

Māhele 1: Haʻihaʻi Avulsion

ʻO kēia ke ʻano haki maʻamau . E noʻonoʻo, ma kahi o 93 pakeneka o lākou i kapa ʻia ʻo "Avulsion Fractures". ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka wā e huki koke ʻia ai kahi tendon a i ʻole ligament i hoʻopaʻa paʻa ʻia i ka iwi me ka ikaika loa, e hemo ana kēlā tendon a ligament paha mai ka iwi me kahi ʻāpana liʻiliʻi. Ua like ia me ka wā e huki ai mākou i kahi pihi ma kahi pālule kahiko me ka ikaika loa, e hemo pū ana ia me kahi ʻāpana lole.

Hana pinepine kēia i ka wā e ʻōwili ai ka wāwae i loko (e like me ka ʻeha o ke kuʻekuʻe wāwae). I kekahi manawa hiki i nā kauka ke kuhihewa i ka ʻeha o ke kuʻekuʻe wāwae no ka haki avulsion no ka mea he mea maʻamau ka ʻeha a me ka pehu i nā mea ʻelua.

ʻĀpana 2: Jones Fracture

ʻO kēia ʻano haki, i kapa ʻia ʻo "Jones Fracture," e hana ʻia ma kahi wahi liʻiliʻi a kikoʻī o ka iwi metatarsal ʻelima. ʻO ia wale nō ka emi iki o ke kahe koko ma mua o ke koena o ka iwi . ʻIke ʻoe, i ka wā e emi ai ke kahe koko, ʻoi aku ka lōʻihi o ka ho'ōla ʻana o kekahi ʻeha, a ʻoi aku ka kiʻekiʻe o nā pilikia like ʻole. ʻO ia ke kumu e lōʻihi iki ai ka ho'ōla ʻana o kēia "Jones Fracture", a hiki nō hoʻi ke hana i nā pilikia.

Hiki i kēia ke lilo i haki koʻikoʻi, ʻo ia hoʻi kahi māwae liʻiliʻi i hoʻokumu ʻia e ke kaomi mau ʻana ma ka iwi i ka hala ʻana o ka manawa. A i ʻole he haki koke paha ia i hoʻokumu ʻia e kahi ulia koke.Hiki nō hoʻi ke hana ʻia ma nā ʻano aʻe. Hoʻokumu pinepine ʻia ia e ka hoʻohana nui ʻana o ka wāwae (ʻoi aku hoʻi i nā mea pāʻani), ke kaumaha pinepine, a i ʻole kahi ʻeha koke. ʻAʻole maʻamau kēia ma mua o ka Avulsion Fracture i ʻōlelo ʻia ma mua, a he ʻoi aku ka paʻakikī o ka ho'ōla ʻana.

Māhele 3: Haʻihaʻi waena o ke koʻokoʻo a i ʻole ka Haʻihaʻi a ka Mea Hula

Ua kapa ʻia kēia he "Mid-shaft Fracture", a i kekahi manawa he "Dancer's Fracture" . Ua kapa ʻia paha ia no ka mea he mea maʻamau ia i nā mea hula, ʻoiai ke pae ʻana mai kahi lele. ʻO ka maʻamau, hiki mai ia mai kahi ulia pōpilikia koke, e like me ka "trauma" a i ʻole ka wili ʻoi o ka wāwae. Hiki mai ka haki ma waenakonu o ka iwi, kokoke i ke "poʻo" a me ka "ʻāʻī".

ʻO wai ka mea hiki ke loaʻa i kahi haki e like me kēia?

ʻOiaʻiʻo, hiki i kēia `(5th Metatarsal Fracture)` ke hiki i kekahi . Hiki i kekahi mai ke keiki ʻuʻuku a i ka poʻe ʻelemakule ke loaʻa i kēia maʻi. Eia nō naʻe, i ka nānā ʻana i nā hōʻike lapaʻau a me ka ʻikepili, ua ʻōlelo ʻia he mea maʻamau ia i nā kāne i ko lākou mau makahiki 30 a i nā wahine i ko lākou mau makahiki 70. Ua ʻōlelo ʻia hoʻi ʻo ka `(Avulsion Fracture)` a me ka `(Mid-shaft Fracture)` i ʻōlelo ʻia ma mua he mea maʻamau iki ia i nā wahine ma mua o nā kāne.

He aha ke kumu o kēia mau haki?

I ka ʻōlelo maʻalahi, ʻo ke kumu nui o kēia he ʻano ulia a i ʻole ke kaumaha lōʻihi (trauma a i ʻole ke kaumaha hou) i kou wāwae. E noʻonoʻo i nā mea e like me kēia:

• He hahau koke a ikaika i ka wāwae: E like me kahi mea kaumaha e hāʻule ana ma luna o ka wāwae, a i ʻole e kuʻi ana i kahi mea.
• Nā ʻāʻī kiʻekiʻe: Loaʻa i kekahi poʻe kahi ʻāʻī kiʻekiʻe iki aʻe ma lalo o ko lākou wāwae, hiki ke kau i ke kaomi hou aku ma ke kua o ko lākou wāwae i ka wā e hele ana.
• Hoʻohana nui ʻia: He kiʻekiʻe loa kēia pilikia i nā mea pāʻani, nā mea holo, a me ka poʻe e hana ana i ke kū ʻana no ka manawa lōʻihi.
• ʻEha hoʻohuli: ʻO kēia ke kumu maʻamau. Hiki ke hana ʻia e nā mea e like me ka hāʻule ʻana i loko o kahi lua i ka wā e hele ana a i ʻole ka ʻōwili ʻana i kou wāwae i ka wā e iho ana i kahi alapiʻi.
• Ke wili ʻana a i ʻole ke wili ʻana i ka wāwae ma muli o kahi ulia a i ʻole ka ʻeha haʻuki: Hiki ke hana ʻia kēia ʻano haki inā wili ʻia ka wāwae a wili ʻia paha i kahi ala i manaʻo ʻole ʻia.

He aha nā hōʻailona?

Inā loaʻa iā ʻoe kahi `(5th Metatarsal Fracture)`, ʻo ka mea mua āu e ʻike ai, ʻo ia ka paʻakikī i ka hele wāwae . ʻAʻole paha ʻoe e hiki ke kau i kou wāwae i lalo. Eia kekahi, e ʻike paha ʻoe i nā hōʻailona ma ke kua o kou wāwae (ma ka manamana wāwae liʻiliʻi):

• ʻEha a me ka Polū : Hiki ke hoʻomaka ka ʻāpana e polū ma hope o hoʻokahi a ʻelua paha lā.
• ʻEha a ʻoluʻolu ʻole pahaʻEha nō ia ke paʻa ʻoe i kou lima, a he ʻeha nō paha ke kū wale ʻoe ma laila.
• Pehu : E hoʻomaka ana ka ʻāpana e pehu, ma hope koke iho o ka ulia a i ʻole ma hope koke iho.
• Palupalu : ʻEha ka ʻāpana i ka wā e hoʻopā ʻia ai.

Pehea ʻoe e ʻike pono ai i kēia?

Ke hele ʻoe e ʻike i ke kauka me kēia mau hōʻailona, ​​e nīnau mua ʻo ia iā ʻoe i kekahi mau nīnau . Pehea i hana ʻia ai, pehea ka lōʻihi o ka ʻeha, a i ka manawa hea i ʻoi aku ai ka ʻeha? A laila e nānā pono ke kauka i kou wāwae e ʻike i kahi e ʻeha ai, pehea kona pehu ʻana, a inā paha e like me ka neʻe ʻana o ka iwi.

A laila, hiki ke hana ʻia kekahi mau hoʻokolohua kiʻi e hōʻoia i ke kūlana a hoʻoholo i ke ʻano pololei o ka haki:

• X-ray: ʻO kēia ka hoʻāʻo maʻamau. Hiki i kahi X-ray ke hōʻike i kahi i haki ai kou iwi a pehea i haki ai. Eia nō naʻe, ʻaʻole paha e ʻike ʻia kekahi mau haki, e like me ka Jones Fracture i ʻōlelo ʻia ma mua, ma kahi X-ray.
• ʻO ke scan CT (computed tomography scan) a i ʻole MRI (magnetic resonance imaging): Inā kānalua kāu kauka i kahi Jones Fracture a makemake paha e ʻike i nā kikoʻī hou aku e pili ana i ka haki, hiki iā lākou ke kauoha i kahi CT scan. Hiki i kēia mau scan ke hōʻike i ka iwi a me nā ʻiʻo palupalu e hoʻopuni ana me nā kikoʻī nui.

Pehea e mālama ʻia ai?

ʻO ke ʻano o ka mālama ʻana no ka "5th Metatarsal Fracture" e pili ana i kekahi mau kumu. ʻO ka mea nui e noʻonoʻo ai, ʻo ia ka "neʻe ʻia" a i ʻole "kūpono" paha nā ʻāpana iwi haʻihaʻi . Eia kekahi, ʻo kāu:

• Pae hana: Nā mea e like me he mea pāʻani ʻoe a i ʻole kekahi mea hele wāwae nui.
• Makahiki.
• Ola kino holoʻokoʻa.

Ma hope o ka noʻonoʻo ʻana i kēia mau mea a pau, e hoʻoholo kāu kauka i ka lāʻau lapaʻau kūpono loa nāu. ʻElua mau koho lapaʻau nui:

1. Hoʻopaʻa ʻana

Inā ʻaʻole i neʻe kou mau ʻāpana iwi, ʻo ia hoʻi, aia nō lākou ma kahi hoʻokahi, e haʻi aku paha kāu kauka iā ʻoe e hoʻopaʻa i kou wāwae. Ua kapa ʻia kēia he immobilization .

• No ka Zone 1 Avulsion Fracture a mākou i kamaʻilio ai, ʻo kēia wale nō ka lāʻau lapaʻau.
• Hiki ke hana ʻia kēia "(Immobilization)" ma ke ʻano he hana mua no ka Zone 2 Jones Fracture .

ʻO kēia ka hoʻopaʻa ʻana i kou wāwae i loko o kahi hoʻolei, kahi kāmaʻa kūikawā, a i ʻole kahi kāmaʻa me nā kapuaʻi ʻoʻoleʻa.. E hāʻawi kēia i ka iwi haki i kahi manawa e ho'ōla pono ai. Pono nō hoʻi ʻoe e hoʻohana i nā koʻokoʻo i kēia manawa, no ka mea, ʻaʻole maikaʻi ke kau ʻana i ke kaumaha ma ka wāwae. Pono ʻoe e hoʻopaʻa iā ia no kahi o ʻeono a ʻewalu pule .

2. ʻOki kino

I kekahi mau hihia, pono ke ʻoki kino. ʻO kēia mau mea:

• Inā ua neʻe kou mau ʻāpana iwi ma mua o 3 millimeters ('neʻe ʻia') .
• Inā he mea pāʻani elite ʻoe ( no ka mea makemake ʻoe e hoʻōla koke a hoʻi i nā haʻuki).
• Inā ʻaʻole pane ka Zone 2 Jones Fracture i ka lāʻau hoʻopaʻa i manaʻo ʻia.
• Hoʻoikaika pinepine ʻia ke ʻoki kino no ka Zone 3 ('Zone 3 Mid-shaft a i ʻole Dancer's Fracture') .

Ma kēia ʻoki kino, hoʻokomo kahi kauka wāwae a me nā kuʻekuʻe wāwae (Foot and Ankle Surgeon) i kahi pine liʻiliʻi, wili, koʻokoʻo, a i ʻole pā i loko o ka iwi e hoʻopaʻa i ka iwi haʻihaʻi ma kahi. ʻO ka maʻamau, noho kēia mau mea hoʻokomo i loko o ke kino ma hope o ka ho'ōla ʻana o ka iwi a ʻaʻole i wehe pinepine ʻia.

I kekahi mau hihia paʻakikī, pono paha e wehe ʻia ka iwi i hōʻino ʻia a puni ka haki a hoʻololi ʻia me kahi kāpili iwi . Pili kēia i ka hoʻololi ʻana i ka iwi i hōʻino ʻia me kahi ʻāpana iwi mai kahi ʻāpana ʻē aʻe o kou kino a i ʻole kekahi kumu ʻē aʻe. Hiki nō hoʻi iā ʻoe ke hoʻohana i kahi mea i kapa ʻia he mea hoʻoulu ho'ōla iwi , e kōkua ana i ka ho'ōla wikiwiki ʻana o ka iwi.

Hiki ke loaʻa nā pilikia ma hope o ka mālama ʻana?

E like me nā lāʻau lapaʻau āpau, hiki ke loaʻa kekahi mau pilikia ma hope o ka mālama ʻana no ka `(5th Metatarsal Fracture)`. Eia naʻe, ʻaʻole kēia mau mea i loaʻa i nā kānaka a pau, a he ʻokoʻa kēlā me kēia kanaka. ʻO kekahi o nā pilikia maʻamau:

• Nā ʻūpā koko : ʻOi loa ma hope o ke ʻoki ʻana no ka mea ʻaʻole hiki ke neʻe ka wāwae.
• Ka hōʻino ʻana i nā kīʻaha koko a i ʻole nā ​​aʻalolo : Hiki ke hana i kēia i ka wā o ke ʻoki ʻana a i ʻole i ka wā o kahi ulia.
• Ke kahe koko nui ʻana .
• Ka maʻi : ʻOi loa aku inā hana ʻia ʻoe i ke ʻoki kino.
• Ka liʻiliʻi o nā ʻiʻo : Hiki i nā ʻiʻo ke lilo i nāwaliwali ma muli o ka hoʻohana ʻole ʻia.
• Nonunion a i ʻole Malunion : I kekahi manawa, ʻaʻole hiki ke hui pono nā ʻāpana iwi haki a i ʻole hui hewa paha.
• ʻEha mau (ʻEhaʻeha)

Mea nui: I mea e hōʻemi ai i ka pilikia o nā pilikia e like me kēia, he mea nui loa ia e hahai pololei i nā ʻōlelo a kāu kauka.

Pehea e hiki ai iaʻu ke mālama iaʻu iho a hiki i koʻu ho'ōla ʻana? Pehea e hiki ai iaʻu ke hoʻokele i kaʻu mau hōʻailona?

Hiki iā ʻoe ke hana i kēia mau mea e kōkua iā ʻoe e ho'ōla wikiwiki a hōʻemi i ka ʻeha:

• Ke hāpai ʻana i kou wāwae i ka hiki: Ke noho ʻoe, e kau i kou wāwae ma luna o kahi uluna a noho paha i luna iki aʻe o ka pae o kou puʻuwai. E hōʻemi kēia i ka pehu.
• Ke kau ʻana i ka hau i kou wāwae: E kau i kahi ʻeke hau i wahī ʻia i ka lole ma kahi i ʻeha no 15-20 mau minuke i kekahi mau manawa i ka lā no nā hola 24-48 mua ma hope o ka ʻeha a ma hope. E hōʻemi kēia i ka ʻeha a me ka pehu. Akā, mai kau pololei i ka hau i ka ʻili.
• Mai kau i ke kaumaha ma kou wāwae a hiki i kāu kauka ke ʻōlelo iā ʻoe ('Ke mālama ʻana i ke kaumaha mai kou wāwae'): Inā ʻoe e hoʻohana i nā koʻokoʻo, e hoʻohana pono iā lākou.
• Inā ʻoe e puhipaka, e hoʻōki iā ia ('Ka haʻalele ʻana i ka puhipaka'): Hoʻopaneʻe ka puhipaka a me ka hoʻohana ʻana i nā huahana paka i ka ho'ōla ʻana o nā ʻeha. No laila, ʻo ka haʻalele ʻana i kēia ʻano e kōkua nui i ka ho'ōla wikiwiki ʻana.
• Ke lawe nei i nā lāʻau ʻeha: E lawe i nā lāʻau ʻeha i kuhikuhi ʻia e kāu kauka, e like me ka ibuprofen a i ʻole naproxen, e like me ke kuhikuhi ʻana. Hiki i kēia ke kōkua i ka hoʻomalu ʻana i ka ʻeha i nā lā mua. Eia nō naʻe, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i ka lāʻau kūpono iā ʻoe.

Hiki ke hoʻemi ʻia ka pilikia o kēia ʻano haki?

ʻOiai ʻaʻole hiki ke pale loa ʻia, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia:

• E mālama i ke kaumaha o ke kino: ʻO ka momona nui e kau i ke kaomi hou ma kou mau wāwae.
• Inā loaʻa iā ʻoe ka maʻi diabetes, e kāohi pono iā ia: ʻOi aku ka nui o ka pilikia o ka poʻe me ka maʻi diabetes i nā haki a me nā pilikia e hele pū me lākou. ʻOi aku ka nui o ka pilikia o ka poʻe me ka momona.
• E ʻaʻahu i nā kāmaʻa kūpono: E ʻaʻahu i nā kāmaʻa e hāʻawi ana i ke kākoʻo maikaʻi no kou mau wāwae, ʻoiai ke pāʻani nei i nā haʻuki a i ʻole ka hana ʻana.
• E hahai i nā ʻano hana hoʻoikaika kino kūpono: Mai hoʻomaka e hoʻoikaika kino nui i ka manawa hoʻokahi, akā e hoʻonui mālie i ka ikaika.
• E makaʻala i ke kaiapuni: E makaʻala i nā ʻili pahee ma ka home a ma ka hana, a e makaʻala hoʻi i nā lua ma ke alanui.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu kahi haki e like me kēia?

Inā ua mālama ʻia kou haki me ke ʻano immobilization (plaster), hiki iā ʻoe ke manaʻo e ho'ōla ʻia ia ma kahi o ʻeono a ʻewalu pule .

Inā ua hana ʻia ʻoe i ke ʻoki kino, hiki ke hala ma kahi o ʻehiku pule a ʻoi iki paha ka lōʻihi e ho'ōla ai. Eia nō naʻe, me ka nānā ʻole i ka lāʻau lapaʻau, pono ʻoe e pale i ke kau ʻana i ke kaumaha ma kou wāwae no ka liʻiliʻi o ʻeono pule .

Ma hope o ka ho'ōla piha ʻana, ʻo ia hoʻi, maʻamauMa hope o ʻekolu a ʻehā mahina, hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau a me nā haʻuki. Akā, pono e hana ʻia kēlā me ka ʻae ʻia e ke kauka. Hiki i ke kauka ke ʻōlelo aku i ka hoʻōla kino e hoʻihoʻi i ka neʻe ʻana a me ka ikaika o kou wāwae. He mea nui loa ka hana pololei ʻana i kēia mau hoʻomaʻamaʻa no ka hoʻōla wikiwiki ʻana.

Āhea wau e pono ai e ʻike hou i ke kauka?

Ma hope o ka hoʻi ʻana i ka home mai ka lāʻau lapaʻau, pono ʻoe e ʻike koke i kāu kauka inā loaʻa iā ʻoe ke kuni a i ʻole he hoʻokahi a ʻoi aku paha o kēia mau hōʻailona ma kou wāwae:

• Inā lilo ka ʻeha i mea hiki ʻole ke hoʻomanawanui ('ʻEha nui aʻe') .
• Inā e piʻi ana ka pehu ('Hoʻonui ʻia ka pehu') .
• Inā ʻoe e manaʻo ana i ka mae a i ʻole ke kani ʻana i kou mau wāwae .
• Inā e lilo ana ka ʻili ma kou mau wāwae i poni , a inā paha ʻoe e manaʻo ana ua ʻoi aku kou anu ma mua o ka maʻamau.
• Inā he pus e puka mai ana mai loko mai o ka ʻeha, a inā paha he ʻala ʻino (inā ua hana ʻia ʻoe i ke ʻoki kino).

ʻO nā hōʻailona e like me kēia ke ʻano he pilikia paha. No laila, he mea nui e ʻimi koke i ke kōkua lapaʻau.

No laila, he aha nā mea e pono ai kākou e hoʻomanaʻo? (Leka Lawe-Home)

ʻAe, no laila ke lana nei koʻu manaʻo ua ʻike maikaʻi ʻoe i ka 5th Metatarsal Fracture a mākou i kamaʻilio ai i kēia lā.

ʻOiai he ʻano maʻamau kēia ma mua o kou manaʻo, hiki ke ho'ōla koke ʻia inā loaʻa iā ʻoe kahi hōʻailona kūpono, loaʻa ka lāʻau kūpono, e hahai pololei i nā ʻōlelo a kāu kauka, a e hoʻomaha nui.

ʻO ka mea nui loa, ʻo ia ke ʻike koke i ke kauka inā ʻeha kou manamana wāwae liʻiliʻi, pehu, a paʻakikī paha ke hele. Ma kēlā ala, hiki iā ʻoe ke ʻike koke i ke kumu o ka pilikia, e kiʻi i kahi X-ray inā pono, a hoʻomaka i ka lāʻau kūpono. Ma kēlā ala, hiki iā ʻoe ke hoʻi koke i kāu mau hana maʻamau!

Haʻihaʻi , ʻEha Kapuaʻi, Metatarsal, Haʻihaʻi Jones, Haʻihaʻi Avulsion, Nā Maʻi Kapuaʻi, Kuʻekuʻe Kuʻekuʻe Kuʻekuʻe