Ua ʻike anei ʻoe i kahi ʻeha nui ma ka manamana wāwae nui i kou hele ʻana, ʻoiai ke ala ʻoe i ke kakahiaka? Manaʻo paha ʻoe he paʻa ia i kou kau ʻana i kahi kāmaʻa. ʻOiai paha e manaʻo ʻoe he mea maʻamau kēia, he ʻano paha ia e pono ai ke kōkua lapaʻau. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia pilikia i loaʻa i nā poʻe he nui akā ʻaʻole lākou i ʻike, ʻo ia hoʻi ʻo Hallux Rigidus.
I ka ʻōlelo maʻalahi, he aha ʻo Hallux Rigidus?
ʻO Hallux Rigidus kahi ʻano arthritis e kū mai ana i kou manamana wāwae nui. ʻO ke kikoʻī, hoʻopilikia ia i ka hono kahi e pili ai kou manamana wāwae nui i kou wāwae. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia hono ʻo ka hui 'metatarsophalangeal (MTP)'.
I kēia manawa, ke noʻonoʻo nei paha ʻoe i ke ʻano o ka arthritis. ʻO ka Arthritis kahi huaʻōlelo maʻamau no kahi haneli mau maʻi e hoʻoulu ai i ka mumū a me ka ʻeha i nā hono o ko mākou kino. ʻO ia ke kumu e kapa pinepine ai nā kauka iā Hallux Rigidus ʻo "arthritis of the big feet."
ʻO "Hallux Rigidus" kahi huaʻōlelo Latina ʻo ia hoʻi "manamana wāwae nui ʻoʻoleʻa." ʻO kēia ka hōʻailona nui o kēia maʻi. Hoʻoulu ia i ka ʻeha a me ka ʻoʻoleʻa i ka hui o ka manamana wāwae nui. He ʻano osteoarthritis maoli ia e kū mai ana ma muli o ke komo ʻana a me ka haehae ʻana i ka hala ʻana o ka manawa.
Inā ʻoe e ʻike nei i nā hōʻailona e like me ka ʻeha, ka ʻoʻoleʻa, a i ʻole ka pehu ʻana i kou manamana wāwae nui, he mea nui loa ia e kamaʻilio me ke kauka e pili ana i ia mea.
Pehea ka maʻamau o kēia ʻano?
Ua ʻike ʻia ma kahi o hoʻokahi o 40 mau kānaka ma luna o 50 mau makahiki e loaʻa paha iā Hallux Rigidus. ʻO kēia ke ʻano maʻamau o ka rumatika ma nā wāwae.
ʻO ia hoʻi ka lua o ke kūlana maʻamau e hoʻopilikia ana i ka hui o ka manamana wāwae nui, ma hope o ke kūlana i ʻike nui ʻia ʻo bunion.
He aha nā hōʻailona o Hallux Rigidus?
Hiki i ke kanaka me kēia maʻi ke hōʻike i nā ʻano hōʻailona like ʻole. Akā aia kekahi mau hōʻailona maʻamau. E nānā kākou i ke ʻano o lākou.
| Hōʻailona | Wehewehena |
|---|---|
| ʻEha ma ka manamana wāwae nui | Hiki ke ʻike ʻia kēia ʻeha ma ka piko o ka manamana lima. I kekahi manawa hiki ke manaʻo ʻia me he mea lā e puka mai ana mai loko mai o ka manamana lima. |
| ʻOʻoleʻa ma ka manamana wāwae nui | Lilo i mea paʻakikī ke kūlou a me ka hoʻoneʻe ʻana i ka manamana lima. Me he mea lā ua paʻa. |
| Pehu hui | E ʻike paha ʻoe i ka pehu ʻana a puni ke hono kahi e pili ai ka manamana wāwae nui i ka wāwae. |
| Ka palena o ka neʻe ʻana | E emi mālie ana ka laulā o ka neʻe ʻana e hiki ke hoʻoneʻe ʻia me ka ʻeha ʻole. |
| ʻO kahi mea e like me ka puʻupuʻu | Hiki ke ʻike ʻia kahi puʻupuʻu, e like me ka bunion a i ʻole ka callus, ma luna o ka manamana wāwae nui. |
Nā mea e hoʻonui ai i nā hōʻailona
Hiki i kekahi mau mea ke hoʻonui i kēia ʻeha a me ka pilikia.
- Ke kū a hele paha: Hiki ke hoʻonui ʻia ka ʻeha ke kau ʻia ke kaumaha ma luna o ke hono.
- Anuanu, ʻūlū: E like me ka piʻi ʻana o ka ʻeha o nā hono i nā lā anuanu, hiki ke ʻoi aku ka ʻino o kēia ʻano.
- Ke komo ʻana i nā kāmaʻa paʻa: ʻO ke komo ʻana i nā kāmaʻa paʻa ʻaʻole e ʻae i kahi lawa no nā manamana wāwae e hoʻonui i ke kaomi ma luna o ke hono a hoʻonui i ka ʻeha.
No ke aha mākou e loaʻa ai iā Hallux Rigidus?
Hoʻomohala pinepine ʻo Hallux Rigidus i ka hala ʻana o ka manawa me ke kumu ʻole. I ko kākou ʻelemakule ʻana, e mae ana ke cartilage palupalu i loko o ko kākou mau hono. E like me ka mae ʻana o nā kaila o ke kaʻa, ʻo kēia ʻeha a me ka waimaka ke kumu nui o Hallux Rigidus a me nā ʻano osteoarthritis ʻē aʻe.
E noʻonoʻo wale, me kēlā me kēia kapuaʻi a mākou e hana ai, ʻelua manawa ka hala ʻana o ko mākou kaumaha kino ma luna o kēia hui liʻiliʻi 'MTP'. No laila, ʻaʻole ia he mea kupanaha e mae wale ka hui ma hope o ke ahonui ʻana i kēia ʻano kaomi i loko o ke ola holoʻokoʻa.
Hiki i nā kumu ʻē aʻe ke hoʻopilikia i kēia:
- Ka hoʻohana nui ʻana o ka hui: Inā hoʻokau pinepine ʻia ka hui o ka manamana wāwae nui i ke kaomi i ka wā o nā haʻuki, hana, a i ʻole nā leʻaleʻa.
- ʻEha o ka manamana lima: Ke kuʻi ʻana i ka manamana wāwae nui.
- ʻEha manamana wāwae: Nā kūlana e like me ka 'Turf toe', ʻoi aku hoʻi i nā haʻuki.
- Ke ʻano o nā iwi ma ka wāwae: ʻOi aku ka lōʻihi o nā iwi ma ka wāwae a me nā manamana wāwae o kekahi poʻe ma mua o ka maʻamau. ʻO ia paha kekahi kumu no kēia.
ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?
ʻOiai hiki i kekahi ke loaʻa iā Hallux Rigidus, aia kekahi poʻe i kahi pilikia kiʻekiʻe iki aʻe.
- Nā kānaka ma luna o 50 mau makahiki
- Nā wahine
- Nā mea pāʻani
- No ka poʻe e kū ana i ka lā a pau ma muli o ka hana
Eia kekahi, hiki i kekahi mau kūlana olakino ke hoʻonui i ka pilikia o ka hoʻomohala ʻana iā Hallux Rigidus.
- ʻO ka ʻāʻī rheumatoid
- ʻO ka ʻōpū
- Nā maʻi autoimmune ʻē aʻe e hoʻoulu ai i ka mumū
- ʻO ka maʻi Osteochondritis dissecans
Pehea e ʻike ai ke kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka, ʻo ka mea mua āna e hana ai, ʻo ia ke nānā iā ʻoe. E kulou ʻo ia i kou manamana wāwae nui i luna a i lalo a hoʻoneʻe iā ia e ʻike i ka mamao e hiki ai iā ʻoe ke neʻe. Hiki ke kuhikuhi ʻia ʻoe i kahi loea wāwae (podiatrist).
Eia kekahi, hiki ke hana ʻia kahi X-ray o ka wāwae e nānā i nā iwi spurs.
Nā Pae o Hallux Rigidus
Ma muli o ka nui o ka emi ʻana o kou hiki ke hoʻoneʻe i kou manamana wāwae nui, hiki i kāu kauka ke hoʻokaʻawale i ke kūlana i nā pae. Ua kapa ʻia kēia mau pae, ʻoiai e ʻoi aku ka ʻino o nā hōʻailona i ka hala ʻana o ka manawa.
| Papa | ʻO ke kiʻekiʻe o ka neʻe ʻana i kaupalena ʻia |
|---|---|
| Papa 0 | He 10% - 20% ka emi ʻana o kona neʻe ʻana ma mua o ka manamana wāwae nui ʻē aʻe. |
| Papa 1 | Ua hoʻemi ʻia ka neʻe ʻana ma waena o 20% - 50%. |
| Papa 2 | Ua hoʻemi ʻia ka neʻe ʻana ma waena o 50% - 75%. |
| Papa 3 | Ua hoʻemi ʻia ka neʻe ʻana ma waena o 75% - 100%. |
| Papa 4 | Aia ka emi ʻana o ka neʻe ʻana ma waena o 75% a me 100%, a aia ka ʻeha nui i ka wā e hoʻoneʻe ai i ka manamana lima. |
He aha nā lāʻau lapaʻau maikaʻi loa?
ʻO ke ʻano o ka lāʻau lapaʻau āu e pono ai e hilinaʻi ia i ke koʻikoʻi o kāu mau hōʻailona a me ke kumu o ke kūlana. ʻO ka hapa nui, e hoʻomaka nā lāʻau lapaʻau ʻole me ke ʻoki kino.
| ʻAno lapaʻau | E aha hana ʻoe? |
|---|---|
| Hoʻololi kāmaʻa | ʻO ke komo ʻana i nā kāmaʻa me kahi kapuwaʻi ʻoʻoleʻa a me kahi ākea maikaʻi o nā manamana wāwae hiki ke hōʻemi i ke kaomi ma luna o ke hono. E pale i nā kuʻekuʻe wāwae kiʻekiʻe a me nā kāmaʻa e hoʻopaʻa ai i kou mau manamana wāwae. |
| Ka palena o ka neʻe ʻana o ka manamana lima | Aia nā pale kūikawā i kau ʻia i loko o ke kāmaʻa. Hiki i kēia mau mea ke hāʻawi i ke kākoʻo i ka manamana wāwae a kaupalena i ka neʻe pono ʻole. Hiki iā lākou ke hōʻemi i ke kaumaha ma ke hono i ka wā o nā hana e like me ka holo ʻana. |
| Nā lāʻau hoʻopau ʻeha | Hiki i nā NSAID ma luna o ke kauka ke kōkua i ka hōʻemi ʻana i ka ʻeha a me ka pehu. Eia naʻe, mai lawe i kēia mau lāʻau no nā lā he 10 a ʻoi me ke kamaʻilio ʻole ʻana me kāu kauka. |
| Ka heheʻe ʻana o ka hau | ʻO ke kāʻei ʻana i kahi ʻeke hau i loko o kahi kāwele lahilahi a kau iā ia ma kahi ʻeha e hiki ke kōkua i ka hōʻoluʻolu ʻana i nā hōʻailona. Mai kau pololei i ka hau ma ka ʻili. E nīnau i kāu kauka i ka lōʻihi a me ka nui o nā manawa o ka lā e pono ai ʻoe e kau. |
| Nā Corticosteroids | He mau lāʻau ikaika kēia i kuhikuhi ʻia e ke kauka, i kekahi manawa hāʻawi ʻia ma ke ʻano he inikini pololei i loko o ke hono. |
| Ka hoʻomoʻa ʻana i nā wāwae i ka wai wela/anu | I kekahi manawa, ʻōlelo nā kauka i kēia ʻano hana. Pono ʻoe e hoʻopaʻa i kou wāwae i loko o ka wai wela no 30 kekona, a laila i loko o ka wai anuanu no 30 kekona e hiki mai ana. ʻO ka hana ʻana i kēia ʻano hana ʻē aʻe hiki ke hōʻemi i ka pehu. |
Pono anei au e hana i ke ʻoki kino?
ʻAʻole pono ka hapa nui o ka poʻe i ke ʻoki kino. Hiki i kāu kauka ke noʻonoʻo i ke ʻoki kino inā ʻaʻole hōʻoluʻolu nā lāʻau ʻē aʻe i kou ʻeha, a inā ʻeha loa ka ʻeha a ke pale nei iā ʻoe mai ka hana ʻana i kāu mau hana o kēlā me kēia lā.
Aia kekahi mau ʻano nui o ke ʻoki kino:
- Cheilectomy: ʻO kēia ka wehe ʻana i nā iwi iwi pono ʻole ma luna o ka hui, e hana ana i kahi lumi no ka manamana lima e kūlou ai.
- Osteotomy: Maanei, ʻokiʻoki ke kauka a hoʻonohonoho hou i nā iwi o ka manamana lima e hoʻololi i ke kūlana o ka hui.
- Arthroplasty: He ʻoki hoʻololi hui kēia. Wehe ʻia ka iwi i hōʻino ʻia a hoʻololi ʻia me kahi "spacer" i hana ʻia me nā ʻiʻo ʻē aʻe.
- ʻO Arthrodesis: He ʻoki hui hui kēia. Wehe ʻia ke cartilage i hōʻino ʻia a hoʻohui ʻia nā iwi ʻelua. ʻOiai he hopena mau loa kēia, hiki ke kaupalena ʻia ka neʻe ʻana o ka manamana wāwae nui ma hope o ke ʻoki ʻana.
ʻEhia ka lōʻihi e ho'ōla ai mai ke ʻoki kino?
ʻO ka manawa hoʻōla e pili ana i ke ʻano o ke ʻoki ʻana āu i hana ai.
- Ma hope o nā ʻoki ʻana o ke kino ʻo Cheilectomy a me Arthroplasty, pono ʻoe e komo i kahi kāmaʻa kūikawā no ʻelua pule. Hiki ke hoʻomau ka pehu ʻana no kekahi mau mahina.
- Ma hope o ka osteotomy, e emi iho ka pehu i loko o 6-8 mau pule. Hiki ke hala ma kahi o 3 mau mahina e ho'ōla piha ai.
- Ma hope o ka hui ʻana o ka hui, pono ʻoe e ʻaʻahu i kahi ʻōpeʻa a i ʻole kahi kāmaʻa kūikawā no kahi o 3-6 mau pule. Ma hope o kēlā, pono ʻoe e hoʻohana i nā koʻokoʻo. Hiki ke hoʻomau ka pehu a me ka ʻoʻoleʻa no kekahi mau mahina.
ʻAʻole hiki ke pale ʻia kēia kūlana?
He mea paʻakikī paha ke pale loa iā Hallux Rigidus, akā aia kekahi mau mea hiki iā ʻoe ke hana e kōkua i ka kaohi ʻana i ke kūlana:
- Hoʻomaʻamaʻa: E nīnau i kāu kauka a mea hoʻoponopono kino paha e pili ana i nā hoʻomaʻamaʻa maʻalahi e hiki ke kōkua i ka mālama ʻana i kou hui manamana wāwae nui i ka maʻalahi.
- Hoʻomaha i ke ami: Hoʻomaha i ke ami ma hope o ka hana ikaika. Mai hoʻoikaika kino me ka ʻeha.
- E ʻaʻahu i nā kāmaʻa kūpono: E koho i nā kāmaʻa e kūpono i kou mau wāwae a loaʻa kahi no kou mau manamana wāwae.
E hoʻomanaʻo, inā loaʻa iā ʻoe ka ʻeha ma kou manamana wāwae nui, mai hoʻowahāwahā iā ia. ʻO ka wikiwiki o kou ʻike ʻana i ke kauka a loaʻa kahi hōʻailona, ʻo ka nui aʻe o ka holomua o ka lāʻau.
Leka Lawe-Home
- ʻO ka ʻeha, ka ʻoʻoleʻa, a me ka pehu ʻana i kou manamana wāwae nui paha nā hōʻailona o kahi maʻi arthritis i kapa ʻia ʻo Hallux Rigidus.
- ʻOiai ke kumu nui o kēia ka ʻaʻahu a me ka haehae ʻana o nā hono i ka hala ʻana o ka manawa, hiki i nā ʻeha, kekahi mau kūlana olakino, a me nā kumu genetic ke pāʻani i kekahi kuleana.
- I ka hapanui o nā hihia, hiki ke kaohi ʻia kēia kūlana me nā lāʻau lapaʻau maʻalahi e like me ke komo ʻana i nā kāmaʻa kūpono, nā lāʻau ʻeha, a me ka hoʻomaha.
- Mai hoʻowahāwahā i ka ʻeha. ʻO ka ʻimi ʻana i ke aʻo lapaʻau i ka wā mua e hiki ke pale i ka maʻi mai ka ʻino ʻana a hiki ke kōkua iā ʻoe e loaʻa ka lāʻau lapaʻau holomua.
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