Ua ʻike anei ʻoe i ka ʻeha hiki ʻole ke hoʻomanawanui i kou mau wāwae ke ala ʻoe mai kahi moe i ke kakahiaka? A i ʻole he ʻeha kou ma kou mau kuʻekuʻe wāwae ke hele ʻoe a holo paha no kekahi manawa? ʻAʻole mākou e noʻonoʻo nui e pili ana i ko mākou mau wāwae i ko mākou ola o kēlā me kēia lā, ʻeā? Akā, ʻo kēia mau wāwae ke hāpai nei i ke kaumaha o ko mākou kino holoʻokoʻa a lawe iā mākou mai kekahi wahi a i kekahi wahi. No laila, ua pili pū nā iwi liʻiliʻi he nui i loko o kēia mau wāwae a ua hoʻopaʻa ʻia e like me kahi ʻōnaehana ikaika e nā ʻiʻo kūikawā i kapa ʻia he ligaments . No laila i kēia lā, ma kēia ʻatikala, e kamaʻilio mākou e pili ana i nā mea āpau e pili ana i kēia mau ligaments, he mea nui loa ia no ke olakino o kou mau wāwae.
I ka ʻōlelo maʻalahi, he aha kēia mau ligaments i ka wāwae?
E noʻonoʻo ʻoe ua hana ʻia kou wāwae me kahi puʻu o nā piliki liʻiliʻi (iwi). Inā ʻoe e waiho wale i kēia mau piliki, e hāʻule lākou, ʻeā? Ua like nā ligaments me nā kaula ikaika e hoʻopaʻa ana i kēlā mau piliki a mālama iā lākou i ka ikaika.
I ka ʻōlelo maʻalahi, he mau kaula ikaika a mānoanoa nā ligaments o nā ʻiʻo e hoʻopili ana i nā iwi like ʻole o kou wāwae. Inā ʻaʻohe o lākou, ʻaʻohe ʻano o ko mākou mau wāwae, a ʻaʻole e paʻa pū nā iwi. Hoʻopaʻa kēia mau ligaments i ko mākou mau wāwae a hāʻawi i ke kākoʻo no ke kūlou o ka wāwae.
He nui nā hana nui a kēia mau ligaments:
- Kōkua i ka mālama ʻana i nā iwi ma kahi: Kōkua kēia mau ligaments i ka mālama ʻana i nā iwi 26 a pau o ka wāwae ma ko lākou mau kūlana kūpono.
- Hoʻōki i ka kuʻekuʻe wāwae mai ka ʻōwili ʻana: Mālama kēia mau ligaments a mālama i ka kuʻekuʻe wāwae mai ka ʻōwili koke ʻana i ka wā e hele ai a holo paha.
- Mālama i nā hono i ke kūpaʻa: He mea nui kēia no ka mālama ʻana i nā hono koʻikoʻi, ʻoiai ke kuʻekuʻe wāwae, i ke kūpaʻa a me ka ikaika.
Hoʻomanaʻo pinepine mākou i kēia mau ligaments ke ʻōwili mākou a i ʻole ka ʻeha ma ke kapuwaʻi o ko mākou mau wāwae. ʻO ka mea pōmaikaʻi, hiki ke mālama ʻia ka hapa nui o kēia mau ʻeha me ka hoʻomaha a me nā lāʻau maʻalahi.
He aha nā ligaments nui i loko o ko mākou wāwae?
ʻOiai he 26 mau iwi ko kākou i loko o ko kākou wāwae wale nō, he nui nā ligaments e hoʻopili ana iā lākou. E aʻo iki kākou e pili ana i kekahi o lākou.
- ʻO ka ligament plantar calcaneonavicular: ʻIke ʻia hoʻi ʻo ka ligament spring , ʻo ia ka ligament ikaika loa i ko mākou wāwae. Hoʻopili ia i nā iwi kuʻekuʻe wāwae a me nā iwi wāwae. Hāʻawi kēia ligament i ke ʻano i ke apo o kou wāwae a kōkua i ke kākoʻo ʻana i ke kaumaha o kou kino holoʻokoʻa. E noʻonoʻo e pili ana i ia mea, ke iho ʻoe i lalo i kahi alapiʻi, holo, a lele paha, ka haʻalulu mai ka honua mai... Kōkua kēia i ka pale ʻana iā ʻoe mai kēlā.
- ʻO ke kaulahao calcaneocuboid:Hoʻohui kēia ligament i kou iwi kuʻekuʻe wāwae i nā iwi ʻē aʻe e hana ana i ke apo o kou wāwae (nā iwi tarsal).
- Nā ligaments Lisfranc: Aia kēia mau mea ma waenakonu o kou wāwae, ma lalo pono o ka hui Lisfranc ma ka waena wāwae.
He aha ka hana nui loa a kēia mau ligaments?
E like me kā mākou i ʻōlelo ai ma mua, ʻo ka hana nui a koʻikoʻi loa o nā ligaments i loko o ka wāwae, ʻo ia ka mālama ʻana i ke kūlou o kou wāwae i paʻa a ikaika. Hana ʻia kēia kūlou me nā iwi, nā ligaments, a me nā tendons. Ma muli o kēia kūlou i loaʻa ai i ko mākou mau wāwae ko lākou ʻano a me ke ʻano kūikawā.
Eia kekahi, hana kēia mau ligaments i kahi hana koʻikoʻi ʻē aʻe.
E like me nā mea hoʻopaʻa haʻalulu i loko o ke kaʻa, hoʻopū kēia mau ligaments i ke haʻalulu a ko mākou kino e ʻike ai me kēlā me kēia kapuaʻi a mākou e lawe ai. ʻO lākou ka mea e pale ai i ko mākou mau hono a me nā iwi ma ka hōʻemi ʻana i ka hopena mai ka lepo i ko mākou hele ʻana, holo ʻana, a lele ʻana.
Hana ʻia kēia mau ligaments me ka ʻiʻo hoʻohui fibrous ikaika, akā elastic iki, waiwai i ka protein collagen . ʻO ia ke kumu e hiki ai iā lākou ke kū i ke kaomi nui.
Nā kūlana maʻamau e pili ana i nā ligaments o ka wāwae
E like me nā ligaments ʻē aʻe i loko o ko kākou kino, hiki ke kīkoʻo ʻia, hoʻoluhi ʻia, a haehae ʻia paha nā ligaments i loko o ko kākou mau wāwae. ʻO ka poʻe e pāʻani ana i nā haʻuki e pili ana i nā huli koke, ka holo ʻana, a i ʻole ka lele ʻana (no ka laʻana, ka basketball, ka pôpeku, a me ka hula) ʻoi aku ka pilikia no kēia mau ʻeha.
Pono kākou e makaʻala iki i kēia mau kūlana.
| Kūlana | He Wehewehe Maʻalahi |
|---|---|
| ʻO ka fasciitis plantar | ʻO kēia ka maʻi maʻamau e hoʻopilikia ana i nā ligaments o ka wāwae a me ke kumu nui o ka ʻeha kuʻekuʻe wāwae.ʻO ke kumu o kēia, ʻo ia ka mumū o ka ligament mānoanoa i kapa ʻia ʻo "plantar fascia" e holo ana ma lalo o ka wāwae. ʻO ka hōʻailona nui, ʻo ia ka ʻeha nui, ʻoiai ke ala mua ʻoe mai kahi moe i ke kakahiaka. |
| ʻO ka ʻeha o ka ligament wāwae | Hiki ke hana ʻia kēia kūlana ma ka wili koke ʻana o kou wāwae i loko a i waho paha a i ʻole ka ʻōwili ʻana i kou kuʻekuʻe wāwae. Hana pinepine ʻia kēia me ka ʻeha kuʻekuʻe wāwae. ʻO nā hōʻailona e komo pū me ka ʻeha koke, ka pehu ʻana, a i kekahi manawa ka palapū. |
| ʻEha ʻo Lisfranc | He ʻeha kēia i ka waena o ka wāwae. ʻO ka hāʻule koke ʻana a i ʻole ka ʻeha o ke kuʻekuʻe wāwae e hiki ai ke haki nā iwi o ka hui Lisfranc a haehae nā ligaments pili. Hiki i kēia ke lilo i ʻeha koʻikoʻi. |
| Nā wāwae pālahalaha | Hiki ke hānau ʻia kekahi poʻe me kēia maʻi. Akā i kekahi manawa, hiki ke loaʻa kēia maʻi ma muli o ke kīkoʻo ʻana o nā aʻalolo a me nā ligaments i loko o ke ā o ka wāwae, haehae ʻia, a pehu ʻia. Hiki i kēia ke hōʻeha i nā wāwae i ka wā e hele ai. |
Pehea mākou e mālama ai i ke olakino o nā ligaments i ko mākou mau wāwae?
"ʻOi aku ka maikaʻi o ka pale ʻana ma mua o ka hoʻōla ʻana," wahi a lākou. No laila, ʻoi aku ka maikaʻi o ka pale ʻana i kēia mau pilikia ma mua o ko lākou hiki ʻana mai. ʻO ke kumu nui o nā ʻeha ligament i ka wāwae, ʻo ia ka nāwaliwali o nā ʻiʻo a puni ke kuʻekuʻe wāwae. No laila, he mea nui loa ka hoʻoikaika ʻana i nā ʻiʻo e hoʻopaʻa a kākoʻo i ke kuʻekuʻe wāwae.
Eia kekahi, hiki iā ʻoe ke noʻonoʻo e pili ana i kēia mau mea:
- E akahele: Inā he mea hou ʻoe i ka hoʻoikaika kino, mai hoʻoikaika nui iā ʻoe iho i ka manawa hoʻokahi. E hoʻonui mālie i ka lōʻihi a me ka ikaika o kāu hoʻoikaika kino. He mea nui hoʻi e hoʻomehana ma mua o ka hoʻomaka ʻana a hoʻomaʻalili ma hope.
- Mai hana i ka mea like i nā manawa a pau: Ke hana ʻoe i ke ʻano hana like i kēlā me kēia lā (e.g., holo wale), hoʻomau ʻoe i ke kaomi ʻana ma nā ʻāpana like o kou wāwae. No laila e hoʻohui i kāu mau hana. Inā holo ʻoe i kekahi lā, e hana i kahi mea e like me ka ʻauʻau a i ʻole ke kaʻa paikikala i ka lā aʻe.
- E ʻaʻahu i nā kāmaʻa kūpono: He mea nui loa kēia. KouE ʻaʻahu i nā kāmaʻa e hāʻawi ana i ke kākoʻo maikaʻi o ke kūlou a ua hoʻopaʻa maikaʻi ʻia. E pale i ke komo ʻana i nā kāmaʻa kahiko a pau. Pono paha kekahi poʻe e hoʻohana i nā orthotics i hoʻolālā kūikawā ʻia, e like me ke kauoha a ke kauka.
Āhea wau e ʻike ai i ke kauka?
ʻAʻole loa he mea e lawe māmā ʻia ai ka ʻeha o ka wāwae. No ka mea, ʻo ko mākou mau wāwae ke kaumaha o ko mākou kino holoʻokoʻa, inā mākou e hoʻowahāwahā i ka ʻeha, hiki i ka pilikia ke lilo i mea koʻikoʻi.
Inā loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei, e ʻike koke i kāu kauka.
Inā nui loa ka ʻeha a hiki ʻole ke kau i ke kaumaha ma kou wāwae .
Inā loaʻa iā ʻoe ka ʻeha hiki ʻole ke hoʻomanawanui a i ʻole ka pehu nui ma hope o ka wili ʻana i kou kuʻekuʻe wāwae.
Inā he ʻeha mau kou kuʻekuʻe wāwae (ʻoi aku hoʻi i ke kakahiaka).
Inā ʻoe e manaʻo i ka palupalu ma lalo o ke apo o kou wāwae .
Ke ʻike ʻoe i ke kauka, e nīnau ʻo ia iā ʻoe i nā nīnau a nānā i kou wāwae. Inā pono, hiki iā lākou ke ʻōlelo aku i nā hoʻokolohua e like me ka X-ray a i ʻole ka ultrasound scan. No laila, mai makaʻu e ʻimi koke i ka ʻōlelo aʻoaʻo lapaʻau inā he mau hopohopo kāu.
Leka Lawe-Home
- ʻO nā ligaments i loko o ka wāwae he mau kāʻei ikaika o nā ʻiʻo e hoʻopili ana i nā iwi o ko mākou mau wāwae.
- Kākoʻo kēia i ke kūlou o ko mākou wāwae, e kōkua ana i ke kākoʻo ʻana i ke kaumaha o ke kino a me ka omo ʻana i ke kaumaha o ka hele wāwae.
- ʻO nā mea e like me ka ʻeha wāwae, ka ʻeha kuʻekuʻe wāwae, a me nā ʻeha kuʻekuʻe wāwae hiki ke lilo i mau pilikia e pili ana i ka ligament.
- Hiki ke pale ʻia ka nui o kēia mau maʻi ma ke kau ʻana i nā kāmaʻa kūpono, ka hoʻoikaika kino mau, a me ka mālama ʻana i nā ʻiʻo ikaika.
- Inā loaʻa iā ʻoe ka ʻeha hiki ʻole ke hoʻomanawanui, ka pehu ʻana, a i ʻole kahi kūlana e hiki ʻole ai iā ʻoe ke hāpai i ke kaumaha ma kou wāwae, mai hoʻonele i ka manawa a e ʻike pono i kāu kauka.
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