Ua ʻeha anei kou kuʻekuʻe wāwae ma luna o ke kuʻekuʻe wāwae? E aʻo kākou e pili ana i ka High Ankle Sprain!

He mea maʻamau loa ka haki ʻana o kou kuʻekuʻe wāwae, ʻeā? I kekahi manawa he wili iki paha ia, akā i kekahi manawa hiki ke ʻoi aku ka koʻikoʻi. Ua lohe anei ʻoe i ka "High Ankle Sprain"? He ʻokoʻa iki kēia ma mua o ka haki kuʻekuʻe wāwae maʻamau, a he lōʻihi iki hoʻi ka ho'ōla ʻana. E kamaʻilio kākou e pili ana i kēia i kēia lā, e like me ke kamaʻilio ʻana me kahi hoaaloha.

He aha ka ʻeha kuʻekuʻe wāwae kiʻekiʻe?

I ka ʻōlelo maʻalahi, ʻo ka ʻeha kuʻekuʻe wāwae kiʻekiʻe he haehae a hōʻino paha i nā ligaments e hoʻopili ai i kou iwi shin (ka tibia) i waho o kou iwi shin (ka fibula). Ua kapa ʻia kēia ligament i ka lāʻau lapaʻau ʻo syndesmosis. Hiki i kāu kauka ke kapa iā ia he ʻeha syndesmotic.

E noʻonoʻo, pili nā iwi o ko kākou mau wāwae i nā iwi o ka wāwae ma ke kuʻekuʻe wāwae. He ʻāpana o luna a he ʻāpana haʻahaʻa ko ke kuʻekuʻe wāwae. ʻO ka ʻāpana o luna nā iwi "Tibia" a me "Fibula". Ma waena o kēia mau iwi ʻelua a me nā iwi o ka wāwae, aia kahi iwi i kapa ʻia ʻo "Talus". He mau ʻiʻo fibrous nā ligaments, e like me nā kaula ikaika a i ʻole nā ​​​​kāʻei. ʻO kēia nā mea e hoʻopili ai i nā iwi kekahi i kekahi a mālama i nā hono i ke kūpaʻa.

He aha ka ʻokoʻa ma waena o ka ʻeha kuʻekuʻe wāwae kiʻekiʻe a me ka ʻeha kuʻekuʻe wāwae haʻahaʻa?

ʻAʻole wale ka ʻokoʻa ma waena o nā mea ʻelua ma kahi o ka ʻeha. Hiki mai kahi ʻeha kuʻekuʻe wāwae kiʻekiʻe ke kulou kou kuʻekuʻe wāwae i luna a wili ʻoe iā ia i loko a i waho paha. Hoʻokumu pinepine ʻia kēia e kahi puʻupuʻu.

Eia nō naʻe, ʻo ka ʻeha kuʻekuʻe wāwae haʻahaʻa, kahi a mākou e kapa pinepine ai he "kuʻekuʻe wāwae sprained," hiki ke hana ʻia ke ʻōwili ka kuʻekuʻe wāwae i loko. I kekahi manawa hiki ke hana ʻia ke ʻōwili i waho. I loko o kēia mau ʻeha kuʻekuʻe wāwae haʻahaʻa, ʻaʻole i hōʻino ʻia nā ligaments ma luna. ʻO ia hoʻi, inā ʻoe e ʻōwili wale i kou wāwae i ka wā e holo ana a lele paha, e hana pinepine ʻia ka ʻeha kuʻekuʻe wāwae haʻahaʻa.

He aha nā ligaments e hiki ke hōʻino ʻia i kahi ʻeha kuʻekuʻe wāwae kiʻekiʻe?

Aia kekahi mau ligaments nui i hiki ke hōʻino ʻia i kahi ʻeha kuʻekuʻe wāwae kiʻekiʻe:

• ʻO ka Ligament Tibiofibular mua: Aia kēia ma ke alo o nā iwi Tibia a me Fibula.
• ʻO ka Ligament Tibiofibular Posterior Inferior: Aia kēia ma ke kua o nā iwi Tibia a me Fibula.
• ʻO ka Membrane Interosseous: Ua like kēia me ka membrane. Aia ia ma waena o nā iwi ʻelua `(Tibia)` a me `(Fibula)` a kōkua i ka mālama ʻana i nā iwi ʻelua i ke kūpaʻa.

Hiki ke hoʻolōʻihi ʻia kekahi o kēia mau ligaments, haehae ʻia i ka hapalua, a haehae loa paha i kahi ʻeha kuʻekuʻe wāwae kiʻekiʻe.

Pehea ka maʻamau o nā ʻeha kuʻekuʻe wāwae kiʻekiʻe?

ʻO kaʻoiaʻiʻo, ʻaʻole maʻamau nā ʻeha kuʻekuʻe wāwae kiʻekiʻe e like me nā ʻeha kuʻekuʻe wāwae haʻahaʻa.ʻIke pinepine ʻia i waena o nā mea pāʻani, ʻoiai:

• Pōpeku
• Pōpeku
• Hakakā
• Hockey hau
• Heʻe hau
• Pōpeku

ʻO kēia ke ʻano maʻamau i waena o ka poʻe e pāʻani ana i nā haʻuki e like me ka basketball, volleyball, a me ka volleyball. ʻO kēia no ka mea he nui ka pilikia o nā hopena koke, hāʻule, a me ka wili ʻana o nā wāwae i kēia mau haʻuki.

He aha nā hōʻailona o ka ʻeha kuʻekuʻe wāwae kiʻekiʻe?

Inā loaʻa iā ʻoe ka ʻeha kuʻekuʻe wāwae kiʻekiʻe, hiki iā ʻoe ke ʻike i nā hōʻailona penei:

• He pehu iki ma kahi kuʻekuʻe wāwae, akā ʻaʻole paha e like ka koʻikoʻi me ka ʻeha o ka kuʻekuʻe wāwae haʻahaʻa.
• He paʻakikī ke kau i ke kaumaha ma luna o ka wāwae i ʻeha, ʻoiai hoʻi ka hana ʻana i nā mea e like me ke piʻi ʻana i nā alapiʻi.
• ʻAʻole hiki iā ʻoe ke kū ma luna o kou mau manamana wāwae (ʻōwili i kou lauoho). ʻO ka hana ʻana pēlā e hōʻeha nui ai.
• Hoʻomaka ka palapū i kekahi mau lā ma hope o ka ʻeha. Hiki ke ʻike ʻia kēia i kekahi manawa ma luna pono o ka kuʻekuʻe wāwae.

ʻO ka mea nui loa, ʻo ia ke ʻike i ke kauka inā loaʻa iā ʻoe kēia mau hōʻailona, ​​a ʻaʻole e manaʻo wale he "sprain" ia.

He aha nā kumu o nā ʻeha kuʻekuʻe wāwae kiʻekiʻe?

E like me kā mākou i kamaʻilio ai ma mua, hiki mai ka ʻeha o ke kuʻekuʻe wāwae kiʻekiʻe ke kūlou kou wāwae i luna a wili koke i loko, i waho, a i ʻole i ka ʻaoʻao. ʻOi aku ka maʻalahi o kēia me kahi kuʻi ma mua o ka ʻōwili wale ʻana i kou wāwae. Eia kekahi laʻana, inā ʻoe e holo ana a paʻi kekahi i kou wāwae, a inā ʻoe e pae ma kou wāwae me ka hewa i ka wā e lele ana. ʻO kēia ka hihia pinepine i ka wā e holo ana ʻoe a lele paha.

Pehea e ʻike ʻia ai ka ʻeha kuʻekuʻe wāwae kiʻekiʻe?

Ke hele ʻoe i ke kauka, e nīnau mua lākou iā ʻoe pehea i hana ʻia ai kēia, kou mōʻaukala olakino, a pēlā aku. A laila e hana lākou i kahi hoʻokolokolo kino.

No ka hoʻomaopopo ʻana i kahi ʻeha kuʻekuʻe wāwae kiʻekiʻe, hiki i kāu kauka ke hana i kēia mau mea:

• E noho ʻoe ma luna o kahi noho, me kou mau kuli e kūlou ana a me kou mau wāwae a me nā kuʻekuʻe wāwae e kau ana i lalo. A laila e hoʻokuke ke kauka i kou wāwae i luna a hoʻohuli iki iā ia i waho. Inā ʻoe e ʻike i kekahi ʻeha ʻoi, he ʻeha kuʻekuʻe wāwae kiʻekiʻe paha ia. Hiki i ke kauka ke hana i kēia hoʻāʻo i kekahi mau lā ma hope o ka ʻeha.
• Hana ʻia ka hoʻāʻo ʻomi syndesmosis. Ma kēia hoʻāʻo, ʻomi ke kauka i kou mau iwi tibia a me fibula. Hoʻokomo kēia i ke kaomi ma luna o ka membrane interosseous e hoʻokaʻawale ana i nā iwi. Inā ʻoe e ʻeha ma ka piko o kou wāwae, he ʻeha kuʻekuʻe wāwae kiʻekiʻe paha ia.
• Kaomi lākou ma kahi i loaʻa ai ka ``Interosseous Membrane'' e ʻike inā he ʻeha.
• Hoʻopaʻa ʻia ka ligament ma mua o ke kuʻekuʻe wāwae e ʻike inā he ʻeha.
• Eia kekahi, hiki i ke kauka ke kauoha i nā hoʻokolohua kiʻi. No ka laʻana, kahi X-ray, MRI (Magnetic Resonance Imaging) scan, CT (Computed Tomography) scan, a me ka ultrasound paha. ʻO ka MRI ka hoʻāʻo maikaʻi loa e ʻike ai i kahi ʻeha kuʻekuʻe wāwae kiʻekiʻe. Eia nō naʻe, hiki i ke kauka ke kauoha mua i kahi X-ray e nānā i nā kūlana ʻē aʻe, e like me nā haki.

Pehea ʻoe e mālama ai i ka ʻeha kuʻekuʻe wāwae kiʻekiʻe?

Ke loaʻa iā ʻoe kahi ʻeha e like me kēia, hiki iā ʻoe ke hoʻomaka e mālama iā ia me ke ʻano RICE no nā lā ʻekolu a ʻelima mua. ʻO ia hoʻi:

• R - Hoʻomaha: E hoʻomaha i ka wāwae i ʻeha. Mai neʻe nui a puni.
• I - Hau: E kau i ka hau no 15-20 mau minuke i kekahi mau manawa i ka lā. E hōʻemi kēia i ka pehu a me ka ʻeha. Mai kau pololei i ka hau i ka ʻili, akā e wahī iā ia i loko o kahi lole.
• C - Kaomi ʻana: Ke kāʻei paʻa ʻana i ke kuʻekuʻe wāwae me kahi kāʻei elastic. Akā, ʻaʻole paʻa loa e ʻoki ai i ke kahe o ke koko.
• E - Kiʻekiʻe: E hoʻokiʻekiʻe i kou wāwae ma luna o kou puʻuwai i ka hiki, e like me ke kau ʻana ma luna o ka uluna.

Inā makemake ʻoe e neʻe a puni, pono ʻoe e hoʻohana i nā lāʻau pale.

No ka ʻeha a me ka pehu ʻana, hiki iā ʻoe ke hoʻohana i nā lāʻau anti-inflammatory non-steroidal (NSAID) hiki iā ʻoe ke kūʻai ma kahi hale kūʻai lāʻau. Hiki ke lawe ʻia kēia mau mea ma ke ʻano he mau pila a i ʻole i kekahi manawa e hoʻopili ʻia ma ke ʻano he kirīmi, lotion, a i ʻole nā ​​​​​​mea pīpī. ʻOi aku ka maikaʻi o ke nīnau ʻana i ke kauka ma mua o ka hoʻohana ʻana iā lākou.

Hiki paha i kāu kauka ke ʻōlelo aku i kahi mea pale, lipine, a i ʻole ka mea hoʻolei e pale ai i kou kuʻekuʻe wāwae mai ka ʻōwili ʻana i luna.

Eia kekahi, he mea nui loa ka hoʻōla kino . Hiki ke hoʻokomo pū ʻia me nā hoʻoikaika kino kūikawā, nā hoʻoikaika kino e hoʻohana ana i nā kāʻei hoʻōla, a me nā hoʻoikaika kino i loko o ka wai (hydrotherapy). ʻOi aku ka maʻalahi o ka hoʻoikaika kino ʻana i loko o ka wai no ka mea e hoʻemi ana i ke kaumaha ma nā kuʻekuʻe wāwae.

Inā ʻaʻole koʻikoʻi loa ka ʻeha, a i ʻole e kūpaʻa ʻole ana ke kuʻekuʻe wāwae, ʻaʻole paha e pono ke ʻoki ʻana.

ʻEhia ka lōʻihi o ka ho'ōla ʻana o ka ʻeha kuʻekuʻe wāwae kiʻekiʻe?

ʻO ka maʻamau , ma kahi o ʻeono a ʻewalu pule e hoʻōla ai mai kahi ʻeha kuʻekuʻe wāwae kiʻekiʻe. Inā he mea pāʻani ʻoe, ʻoi aku ka lōʻihi o ka manawa e hoʻi ai i ka pāʻani. ʻOi aku ka wikiwiki o ka hoʻōla ʻana o nā ʻeha kuʻekuʻe wāwae haʻahaʻa, no laila he mea nui e hoʻomanawanui a mālama iā lākou.

Pehea e hiki ai iā ʻoe ke hōʻemi i ka pilikia o ka ʻeha kuʻekuʻe wāwae kiʻekiʻe?

He ulia ka ʻeha o ke kuʻekuʻe wāwae. ʻAʻole hiki ke pale loa ʻia nā ulia. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou manawa kūpono e loaʻa ai ka ʻeha o ke kuʻekuʻe wāwae kiʻekiʻe:

• E hahai i kahi papahana hoʻoikaika kino e hoʻoikaika a kulou i kou mau hono.
• E hana i kahi papahana hoʻoikaika kino e hoʻomaikaʻi ai i kou kaulike a me ka proprioception. ʻO ka proprioception ka ʻike o kou lolo i ke kūlana o kou kino . He mea nui kēia no ke kaulike.
• E hoʻohana i nā mea pale e like me nā pale a i ʻole ka lipine e pale i kou mau kuʻekuʻe wāwae i ka wā e pāʻani ana i nā haʻuki.

He aha ka nānā ʻana/prognosis no ka ʻeha kuʻekuʻe wāwae kiʻekiʻe?

I ka hapanui o nā hihia , hiki ke mālama pono ʻia kahi ʻeha kuʻekuʻe wāwae kiʻekiʻe me ka ʻole o ke ʻoki ʻana. Eia nō naʻe, ʻoi aku ka nui o kou hōʻeha hou ʻana i kou kuʻekuʻe wāwae. Hiki paha iā ʻoe ke loaʻa i kahi ʻoʻoleʻa i loko o ke ami i ka wā e hiki mai ana. No laila, he mea nui e mālama iā ia a hiki i ka wā e ho'ōla pono ai a laila e hoʻomau i ka hoʻoikaika kino e hoʻomau i kou kuʻekuʻe wāwae i ka ikaika.

I ka manawa hea e ʻike ai ʻoe i ke kauka no ka ʻeha kuʻekuʻe wāwae kiʻekiʻe?

Inā ua ʻeha kou wāwae a ʻaʻole hiki iā ʻoe ke kau i ke kaumaha ma luna, pono ʻoe e kāhea i ke kauka a i ʻole e hele i kahi lumi pilikia. He mea nui e ʻike inā he iwi haki kou. A laila, pono ʻoe e mālama i ka ʻeha e like me ka ʻōlelo a kāu kauka iā ʻoe.

Ua ʻeha ko kākou mau kuʻekuʻe wāwae i kekahi manawa, akā inā ʻeha kou kuʻekuʻe wāwae i ka wā e lele ana a holo ana paha, he ʻeha kuʻekuʻe wāwae kiʻekiʻe paha ia. No laila, e mālama pono i nā ʻōlelo a kāu kauka a hiki i kou hoʻōla piha ʻana.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

• ʻOi aku ka koʻikoʻi o ke kuʻekuʻe wāwae kiʻekiʻe ma mua o ke kuʻekuʻe wāwae haʻahaʻa. Hana ʻia ia i ka wā e hōʻino ʻia ai nā ligaments ma luna o ke kuʻekuʻe wāwae.
• Hana pinepine kēia i ka wā o nā haʻuki, ʻoiai me nā kuʻi.
• ʻO nā hōʻailona e komo pū me ka pehu ʻana, ka paʻakikī i ka hāpai ʻana i ke kaumaha, ka hiki ʻole ke kū ma nā wēlau o nā manamana lima, a me ka ʻeha ma hope .
• He mea nui e ʻike i ke kauka no ka loaʻa ʻana o kahi hōʻoia pololei a me ka lāʻau lapaʻau. Pono pinepine kahi scan MRI.
• ʻO nā lāʻau lapaʻau nui ka hana RICE, nā mea ʻeha, a me ka physiotherapy. Hiki ke hala he 6-8 mau pule a ʻoi aku paha e ho'ōla ai.
• Inā ʻoe e hoʻomanawanui i ka lāʻau lapaʻau, e hahai i nā ʻōlelo a kāu kauka, a hana i nā hoʻoikaika kino e hoʻoikaika i kou kuʻekuʻe wāwae, hiki iā ʻoe ke hoʻōla maikaʻi.

Inā ua loaʻa iā ʻoe kahi ʻike like, a inā he mau nīnau ʻē aʻe kāu e pili ana i kēia, mai kānalua e kamaʻilio me ke kauka. E noho olakino!

`ʻeha kuʻekuʻe wāwae kiʻekiʻe, ʻeha syndesmotic, ʻeha kuʻekuʻe wāwae, ligaments, tibia, fibula, nā ʻeha haʻuki