ʻEha pū kekahi ke kua o kou kuʻekuʻe wāwae? He Heel Bursitis paha kēia?

Ke ʻike nei hoʻi ʻoe i ka ʻeha ma ke kua o kou kuʻekuʻe wāwae ma hope o ke kū ʻana no ka manawa lōʻihi, ka holo ʻana, a i ʻole ka hoʻomaka koke ʻana e hoʻoikaika kino? Ke manaʻo nei paha ia i kekahi manawa he pehu iki? Hoʻowahāwahā ka poʻe he nui i kēia ʻeha, me ka manaʻo, "E nalo wale nō ia." Akā hiki i kēia ke lilo i hōʻailona o kahi maʻi i kapa ʻia ʻo 'Heel Bursitis.' No laila i kēia lā, e kamaʻilio kākou e pili ana i ia mea me nā kikoʻī, he aha ia, no ke aha e hana ʻia ai, a pehea e hiki ai iā mākou ke mālama iā ia.

He aha maoli ka Heel Bursitis?

I ka ʻōlelo maʻalahi, ʻo ka Heel Bursitis kahi mumū o kahi bursa i kou kuʻekuʻe wāwae. I kēia manawa ke noʻonoʻo nei paha ʻoe, "He aha ka bursa?"

E noʻonoʻo aia kekahi mau wahi i loko o ko kākou kino kahi e pili ai nā iwi, nā ʻiʻo, nā tendon, a me nā mea ʻē aʻe kekahi i kekahi, ʻeā? I mea e pale ai i kēia mau mea mai ka hamo ʻana kekahi i kekahi a me ka hōʻino ʻana, aia kahi ʻeke liʻiliʻi e like me ka gel i piha i ka wai ma waena o lākou. E like me ke kau ʻana i ka momona ma luna o kahi mīkini, hōʻemi kēia i ka friction ma waena o kēlā mau ʻāpana ʻelua a kōkua iā lākou e neʻe mālie. Ua kapa ʻia kēlā ʻeke liʻiliʻi he 'bursa'.

Aia kekahi mau bursae kokoke i kou iwi kuʻekuʻe wāwae (Calcaneus). Inā hoʻokomo ʻia kekahi o kēia mau bursae i ke kaomi a i ʻole ke kaomi no kekahi kumu, lilo ia i pehu, ʻulaʻula, a ʻeha. ʻO kēia ka mea a mākou e kapa ai he bursitis. Ke hana ʻia kēia ma ke kuʻekuʻe wāwae, kapa mākou ia he Heel Bursitis.

ʻElua mau ʻano nui o ka Heel bursitis:

ʻElua ʻano nui o nā kuʻekuʻe wāwae, ma muli o kahi e loaʻa ai lākou.

1. Retrocalcaneal bursitis: ʻO kēia ke ʻano maʻamau. Hana ʻia ia i ka wā e pehu ai ka bursa ma waena o kou iwi kuʻekuʻe wāwae a me ke aʻalolo Achilles, ke aʻalolo nui loa ma ke kua o kou wāwae. Ua kapa ʻia hoʻi ʻo ia he Achilles tendon bursitis.

2. ʻO ka bursitis calcaneal subcutaneous: Hoʻokumu ʻia kēia ʻano e ka pehu ʻana o ka bursa ma waena o ke aʻalolo Achilles a me ka ʻili ma luna.

Ua like loa ka ʻeha a me ke kaumaha i hoʻokumu ʻia e nā ʻano ʻelua.

He aha nā hōʻailona o kēia maʻi?

Inā loaʻa iā ʻoe ka Heel Bursitis, hiki iā ʻoe ke ʻike i hoʻokahi a ʻoi aku paha o nā hōʻailona ma lalo nei. E nānā kākou i kēia mau mea ma kahi papa.

No ke aha mākou e loaʻa ai i ka bursitis kuʻekuʻe wāwae?

Aia kekahi mau kumu no kēia. ʻO ke kumu nui, ʻo ia ke kaomi mau ʻana ma ka bursa ma ke kuʻekuʻe wāwae.

ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?

Ma waho aʻe o nā kumu i luna aʻe nei, ʻoi aku ka nui o ka pilikia o ka poʻe me kekahi mau kūlana olakino i ka hoʻomohala ʻana i ka Heel Bursitis.

• ʻO ke ʻano ʻino o Haglund: He kūlana kēia e ulu ai kahi iwi spur keu ma ke kua o ka iwi kuʻekuʻe wāwae. Hiki i kēia spur ke hamo i ke kāmaʻa a kaomi i ka bursa.
• ʻO ka ʻāʻī rheumatoid
• ʻO ka maʻi spondylitis Ankylosing (AS)
• ʻO ka maʻi ʻaʻai psoriatic
• ʻO ka ʻōpū

Ke loaʻa iā ʻoe nā maʻi e pili ana i nā hono e like me kēia, ʻoi aku ka nui o ka pehu ʻana o nā hono a me nā bursae like ʻole i loko o ke kino.

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Ke hele ʻoe e ʻike i ke kauka no ka ʻeha kuʻekuʻe wāwae, e hoʻolohe mua ʻo ia i kāu mau hōʻailona a laila e hana i kahi hoʻokolokolo kino.

Nā nīnau e nīnau mua aku iā ʻoe

• Ke kū nei ʻoe no ka manawa lōʻihi? He aha ke ʻano o kāu hana?
• He aha ke ʻano o nā hoʻoikaika kino a me nā haʻuki āu e komo ai?
• He aha ke ʻano kāmaʻa āu e ʻaʻahu mau ai?
• Ua loaʻa anei kēia ʻeha ma mua?

Hoʻokolohua kino aʻe

• Ke nānā nei au e ʻike inā he pehu i kou kuʻekuʻe wāwae.
• Hoʻoomi lākou i lalo i nā wahi kikoʻī o ka ʻeha me ko lākou mau lima.
• Nānā ʻia ka laulā o ka neʻe ʻana o kou wāwae a me kou kuʻekuʻe wāwae.
• Ua noi ʻia ʻoe e kū ma kou mau manamana wāwae a kūlou i kou wāwae i luna a i lalo e ʻike inā e hoʻonui ana ka ʻeha.

Inā manaʻo ʻoe he maʻi bacteria ...

Inā loaʻa iā ʻoe ka ʻeha kuʻekuʻe wāwae me nā hōʻailona e like me ke kuni a me ke anu, manaʻo paha kāu kauka he maʻi bacteria. Inā pēlā,

• Ke nānā ʻia nei ka mahana o kou kino.
• I kekahi manawa, hiki ke lawe ʻia kahi liʻiliʻi o ka wai mai ka bursa mumū me kahi nila liʻiliʻi (syringe) (bursal aspiration) a hoʻouna ʻia e hoʻāʻo ʻia no ka bacteria.

He aha nā hoʻokolohua e hana ʻia e hōʻoia ai?

I ka hapa nui o ka manawa, hiki ke ʻike ʻia kēia maʻi me kahi hoʻokolokolo kino. Eia nō naʻe, i kekahi mau hihia, hiki i kāu kauka ke paipai i kekahi mau hoʻokolohua e hoʻoholo ai inā he kumu ʻē aʻe no ka ʻeha.

• X-ray: Hiki i kēia ke nānā i nā loli i ke ʻano o ka iwi kuʻekuʻe wāwae, nā kūlana e like me ka deformity o Haglund, a i ʻole nā ​​​​haʻi.
• MRI scan: Hiki i kēia ke hōʻike maopopo i ka pehu ʻana ma ka bursa, kekahi hōʻino i ka tendon Achilles (Achilles tendinitis), a me ke kūlana o nā ʻiʻo palupalu a puni.
• ʻO ke nānā ʻana o ka Ultrasound: Hiki i kēia ke kōkua i ka loiloi maikaʻi ʻana i ke kūlana o ka bursa a me nā tendon a puni.

He aha nā lāʻau lapaʻau no ka Heel Bursitis?

ʻO ka mea maikaʻi loa, hiki ke mālama pinepine ʻia kēia maʻi me ke ʻoki ʻole ʻana. Hiki ke hoʻokaʻawale ʻia nā koho lapaʻau i ʻelua mau ʻāpana.

Nā mea hiki iā ʻoe ke hana ma ka home (ʻano RICE)

• Hoʻomaha: E hoʻōki i kekahi hana e hoʻoulu ai a hoʻonui paha i ka ʻeha. E hoʻōki i ka hele wāwae, ka holo ʻana, a i ʻole ka lele ʻana no kekahi manawa a e hoʻomaha i kou wāwae. E hāʻawi kēia i ka manawa no ka bursa pehu e ho'ōla ai.
• Hau: E kau i kekahi mau pahu hau i loko o kahi ʻeke palaki, e kāʻei iā ia i loko o kahi kāwele lahilahi, a hoʻopili iā ia ma kahi ʻeha no kahi o 15-20 mau minuke ʻekolu a ʻehā manawa i ka lā. E hōʻemi nui kēia i ka ʻeha a me ka pehu.
• Nā Kāmaʻa Kūpono: E pale i ke komo ʻana i nā kāmaʻa paʻa a paʻa loa. E ʻaʻahu i nā kāmaʻa palupalu a kūpono hoʻi ʻaʻole e ʻūmiʻi i ke kua o ke kuʻekuʻe wāwae.
• Nā lāʻau lapaʻau: Hiki i nā lāʻau anti-inflammatory non-steroidal (NSAIDs) e like me ka ibuprofen a me ka naproxen ke kōkua i ka hōʻemi ʻana i ka ʻeha a me ka pehu. Eia nō naʻe, e hoʻomanaʻo, pono ʻoe e nīnau mau i kāu kauka ma mua o ka hoʻohana ʻana i kekahi lāʻau lapaʻau.

Lapaʻau i ʻōlelo ʻia e ke kauka

Inā ʻaʻole kōkua nā lāʻau lapaʻau ma ka home, hiki i kāu kauka ke ʻōlelo i nā lāʻau lapaʻau e like me kēia.

• Nā Orthotics:He mau mea hana kūikawā kēia i hoʻokomo ʻia i loko o ke kāmaʻa. Ke kau ʻoe i kahi mea e like me nā wedges kuʻekuʻe wāwae, hoʻoponopono ʻia ke ʻano o kou wāwae e kuʻi ai i ka lepo i kou hele ʻana, e hōʻemi ana i ke kaomi ma kou kuʻekuʻe wāwae.
• Hoʻōla kino: He mea nui loa kēia. E aʻo aku kahi mea hoʻōla kino iā ʻoe i nā hoʻomaʻamaʻa hoʻolōʻihi no kou tendon Achilles a me nā ʻiʻo e kākoʻo ana i kou kuli. E hōʻemi kēia mau hoʻomaʻamaʻa i ke kaomi ma ka bursa a kōkua i ka hōʻoluʻolu ʻana i ka ʻeha.
• Nā lāʻau antibiotics: Inā loaʻa kāu bursitis i kahi maʻi bacteria, e kuhikuhi kāu kauka i nā lāʻau antibiotic waha.
• Nā inikini Bursa: He hana kakaikahi loa kēia. Inā ʻaʻole e emi ka ʻeha a me ka pehu, hiki i kāu kauka ke inikini i kahi steroid i loko o ka bursa.
• ʻO ke ʻoki kino: ʻO kēia ke ala hope loa. Inā ʻaʻohe hoʻomaikaʻi ma hope o 6-12 mau mahina o ka mālama ʻana, pono paha ke kaʻina hana ʻoki kino i kapa ʻia ʻo bursectomy e wehe i ka bursa i hōʻino ʻia.

Pehea ka lōʻihi e ola ai kēia maʻi?

Me ka ʻike kūpono a me ka mālama ʻana, ʻaʻohe mea e makaʻu ai i kēia kūlana. Hoʻōla ka hapa nui o ka poʻe i loko o ʻelua a ʻekolu mau pule me ka mālama ʻana ma ka home. No ka poʻe me ke kūlana koʻikoʻi, hiki ke hala kekahi mau mahina e hoʻōla piha ai. ʻO ka mea nui loa, ʻo ke ahonui a hahai i nā ʻōlelo a kāu kauka.

Pehea e pale ai i ka hoʻi hou ʻana?

• E hōʻoia e hoʻomehana maikaʻi ma mua o ka hoʻoikaika kino ʻana.
• E ʻaʻahu i nā kāmaʻa kūpono no kāu hana. E pale i nā kāmaʻa paʻa a paʻa loa.
• Inā ʻoe e holo a hele wāwae paha, e pale i nā ʻili paʻakikī (sima) i ka hiki a hoʻoikaika kino ma nā ʻili palupalu e like me ka mauʻu .
• E hana i nā hoʻomaʻamaʻa hoʻolōʻihi i ke kuʻekuʻe hamstring a me ke kuʻekuʻe Achilles i kēlā me kēia lā.

He maʻi maʻamau ka Heel Bursitis i waena o nā mea pāʻani, ka poʻe hana ikaika, a me ka poʻe e kū ana no ka manawa lōʻihi. ʻOiai he ʻeha iki ia, me ka mālama kūpono, hiki iā ʻoe ke hoʻi koke i kou ola maʻamau.