Ke manaʻo nei ʻoe i kekahi manawa i kahi ʻeha a wela paha ma lalo o kou wāwae, ma kahi e hoʻomaka ai kou mau manamana wāwae, me he mea lā ua paʻa kahi pōhaku liʻiliʻi? Ke hoʻonui nei anei kēia ʻeha ke kū ʻoe i ka lā a pau, holo, a lele paha? Nui ka poʻe i loaʻa i kēia ʻike. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia ʻeha ma ke alo o ka wāwae, a i ʻole ka huaʻōlelo lapaʻau ʻo 'Metatarsalgia'.
I ka ʻōlelo maʻalahi, he aha ka Metatarsalgia?
ʻO ka metatarsalgia (i kapa ʻia ʻo "meta-ta-sal-jia") he ʻeha a me ka pehu ʻana ma ke alo o kou wāwae, ka pōpō o kou wāwae. ʻElima mau iwi lōʻihi ma ka wāwae e pili ana i kou mau manamana wāwae, i kapa ʻia ʻo nā iwi metatarsal. ʻO ka maʻamau, ʻo ka ʻeha ma nā wēlau o kekahi a ʻoi aku paha o kēia mau iwi, kahi e hui ai nā manamana wāwae.
Aia paha he nui nā kumu no kēia. Eia kekahi laʻana:
- Kekahi mau kīnā o ka wāwae.
- Nā kūlana olakino ʻē aʻe e pili ana i ka wāwae a i ʻole ka kuʻekuʻe wāwae.
- Nā pāʻani a me nā hana e pili ana i ka holo a me ka lele ʻana.
- Ke komo ʻana i nā kāmaʻa paʻa loa a nui loa paha.
ʻO ka mea maikaʻi loa, ʻo ka mālama ʻana i kēia maʻi he mea maʻalahi loa ia. Hiki iā ʻoe ke hoʻomaka me nā mea e like me ka hoʻomaha, nā hoʻoikaika kino (hoʻolōʻihi), a me nā lāʻau hōʻeha.
He aha nā hōʻailona nui o kēia maʻi?
ʻO ka hōʻailona nui o ka metatarsalgia ka ʻeha ma ke alo o ka wāwae. I kekahi manawa hiki ke hele mai kēia ʻeha me ka pehu ʻole a i ʻole me ka ʻole. Hiki i kēia mau hōʻailona ke hoʻomaka koke, a i ʻole hiki iā lākou ke ulu mālie i ka hala ʻana o ka manawa. E nānā kākou i nā hōʻailona nui.
| Hōʻailona | ʻO ke ʻano o kona manaʻo |
|---|---|
| ʻEha ma ke alo o ke kapuwaʻi wāwae | Hiki ke loaʻa kēia ʻeha i nā ʻano like ʻole. No kekahi poʻe, ua like ia me ka ʻeha ʻoi, no kekahi poʻe ua like ia me ka ʻeha pana, a no kekahi poʻe, ua like ia me ka ʻeha ʻeha a wela paha. Hiki i kēia ʻeha ke ʻoi aku ka ʻino i ka wā e kū ai, holo ai, a hele wāwae paha. |
| Ka mae ʻana o nā manamana lima | Hiki ke manaʻo ʻia he mae wale nā manamana wāwae a i ʻole e like me nā ʻanuʻu e hele wāwae ana (ʻūlū). |
| He pōhaku i loko o ke kāmaʻa | He nui ka poʻe i ʻike i ka manaʻo o ka loaʻa ʻana o kahi mea e like me ka ʻiliʻili liʻiliʻi i loko o ko lākou kāmaʻa. He manaʻo hoʻonāukiuki loa kēia. |
No ke aha mākou e loaʻa ai iā Metatarsalgia? He aha nā kumu?
Inā ʻoe kekahi kanaka e hana mau ana i nā hana e like me ka holo a me ka lele ʻana, e loaʻa paha iā ʻoe kēia maʻi. Eia kekahi, hiki i kekahi mau loli i ka wāwae a me ke ʻano o nā kāmaʻa āu e ʻaʻahu ai ke hoʻopilikia nui i kēia. Ua hoʻokaʻawale nā kauka i nā kumu o kēia i ʻekolu mau ʻāpana nui.
1. Nā pilikia me ke ʻano o ka wāwae ponoʻī (Primary Metatarsalgia)
He loli kēia i ke kaomi ma ke kapuwaʻi o kou wāwae ma muli o kekahi mau loli i ke kūlana o nā iwi i kou wāwae. I ka ʻōlelo maʻalahi, nā pilikia me ke ʻano o kou wāwae.
- ʻO nā Bunions (Hallux Valgus): He kūlana kahi e puka ai ke kumu o ka manamana wāwae nui i mua ma muli o ke kūlou ʻana o ka manamana wāwae nui i loko. Hoʻololi kēia i ke ʻano o ka hoʻolaha ʻana o ke kaumaha i ka wā e hele ana, e kau ana i ke kaomi hou aku ma ka ʻaoʻao o ka wāwae.
- Nā manamana wāwae hāmare: Kūlou nā manamana wāwae i luna e like me ka hāmare. Hoʻololi pū kēia i ke kaomi ma ka ʻāwae o ka wāwae.
- Nā Kāpili: Ke kau ʻia ke kaomi ma kahi like ma ke kapuwaʻi o ka wāwae, mānoanoa ka ʻili a hana ʻia nā kāpili.
- Nā ʻAka Kiʻekiʻe: ʻOi aku ke kiʻekiʻe o nā ʻaka o kekahi poʻe ma mua o ka maʻamau, kahi e kau ai i ke kaumaha ma ke alo o ko lākou mau wāwae.
- Manamana wāwae lua lōʻihi: ʻOi aku ka lōʻihi o ka manamana wāwae lua o kekahi poʻe ma mua o ko lākou manamana wāwae nui. Hiki i kēia ke hoʻololi i ke kaomi ma ka ʻāwae o ka wāwae.
2. Nā kūlana olakino ʻē aʻe a i ʻole nā hana (Secondary Metatarsalgia)
ʻO ke ʻano kēia aia kekahi maʻi ʻē aʻe, kou nohona, a i ʻole kāu mau hana e kau nei i ke kaomi nui ma ke alo o kou wāwae.
- Nā kūlana mumū: Hiki ke hana ʻia kēia ʻeha e nā maʻi mumū o nā hono, e like me ka rheumatoid arthritis, gout , sesamoiditis, a me ka neuroma o Morton.
- Nā maʻi neurological: Hiki ke hana ʻia kēia ʻano e nā maʻi e hoʻopilikia ai i ka ʻōnaehana nerve, e like me ka maʻi Charcot-Marie-Tooth.
- Nā maʻi metabolic: ʻO ka momona a me ka maʻi diabetes hiki ke hoʻonui i ke kaumaha a me ka hōʻino ʻana i nā aʻalolo, hiki ke kau i ke kaomi hou aʻe ma nā kapuwaʻi o nā wāwae.
- Nā pilikia olakino ʻē aʻe: nā mea e like me nā ligaments haehae a me nā plantar warts.
- ʻEha:ʻO nā hana pinepine e like me ka holo ʻana a me ke komo ʻana i nā kāmaʻa kūpono ʻole a pau, hiki ke hana i ka ʻeha mau i nā kapuwaʻi wāwae.
3. Ma ke ʻano he hopena ʻaoʻao o ke ʻoki kino (Iatrogenic Metatarsalgia)
He mea kākaʻikahi kēia. ʻO ia hoʻi, hiki ke loaʻa kēia ʻeha ma ke ʻano he pilikia o ke ʻoki ʻana ma ke alo o ka wāwae. No ka laʻana, hiki ke loaʻa kēia ʻeha ma muli o nā loli i ka manamana wāwae nui ma hope o ke ʻoki ʻana no ka bunion.
ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?
Hiki i ka metatarsalgia ke hoʻopilikia i kekahi, akā ʻoi aku ka nui o ka pilikia o kekahi poʻe.
He mea maʻamau kēia ʻano i ka poʻe e pāʻani ana i nā haʻuki koʻikoʻi e like me ka holo a me ka lele ʻana, a me ka poʻe e kau ana i ke kaumaha nui ma ke alo o ka wāwae.
Eia kekahi, ʻoi aku ka nui o ka pilikia o ka poʻe e ʻaʻahu ana i nā kāmaʻa kūpono ʻole . ʻOi aku ka nui o nā wahine e ʻaʻahu ana i nā kāmaʻa kuʻekuʻe wāwae kiʻekiʻe e kau i ke kaumaha holoʻokoʻa o ke kino ma ke alo o ka wāwae a me ke kuʻekuʻe wāwae. He kumu nui kēia o Metatarsalgia.
Eia kekahi, e like me ka mea i ʻōlelo ʻia ma mua, ʻoi aku ka nui o ka poʻe me nā kīnā o ka wāwae a me nā kūlana mumū e ʻike i kēia ʻeha.
He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia?
Inā hoʻomau ʻoe i kēia mau hōʻailona, pono ʻoe e ʻike i ke kauka. Inā ʻaʻole mālama ʻia, hiki i kēia ʻeha ke hoʻololi i ke ʻano o kou hele ʻana. Ke hoʻomaka ʻoe e hele me ka ʻōʻopa, hiki iā ia ke hōʻeha i nā ʻāpana ʻē aʻe o kou kino, ʻoiai kou kua haʻahaʻa a me nā pūhaka .
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia e pili ana i kāu mau hōʻailona. A laila e nānā ʻo ia i kou wāwae. E nānā ʻo ia i ka ʻeha, ka pehu, a me nā loli i ke ʻano o kou wāwae.
- I kekahi manawa e noi ʻia paha ʻoe e lawe i kahi X-ray e nānā ai no kahi haki stress.
- Hiki ke ʻōlelo ʻia kekahi hoʻokolohua ultrasound a i ʻole MRI (magnetic resonance imaging) e nānā i nā pilikia me nā ʻiʻo palupalu, ʻo ia hoʻi, nā tendons a me nā ʻiʻo.
He aha nā lāʻau lapaʻau?
Hoʻomaka ka mālama ʻana o ka metatarsalgia me nā ʻano maʻalahi loa, ʻaʻole invasive. ʻO ia hoʻi, ʻaʻole hele koke ke kauka no nā mea e like me ke ʻoki kino. Hoʻāʻo mua ʻo ia i kēia mau mea.
- Ke ʻano RICE: He ʻano hana kaulana loa kēia.
- R (Hoʻomaha): Hoʻomaha. E noho mamao mai nā hana āu i manaʻo ai ua hoʻoulu i ka ʻeha no kekahi manawa.
- ʻO wau (Hau):E hoʻopili i ka hau. E hoʻopili i ka hau i kahi o ka ʻeha a me ka pehu no 15-20 mau minuke i kekahi mau manawa i ka lā.
- C (Compression): E ʻōwili pono i ka ʻāpana me kahi bandage. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka pehu.
- E (Kiʻekiʻe): E hoʻokiʻekiʻe i kou mau wāwae. Ke noho ʻoe ma luna o kahi noho, e hoʻokiʻekiʻe i kou mau wāwae ma luna o kekahi noho ʻē aʻe.
- Nā lāʻau hoʻopau ʻeha: Hiki iā ʻoe ke lawe i kahi lāʻau hoʻopau ʻeha i ʻōlelo ʻia e kāu kauka, e like me ka acetaminophen a i ʻole ibuprofen.
- Hoʻolōʻihi: E hana i nā hoʻomaʻamaʻa hoʻolōʻihi e hoʻolōʻihi mālie i kou mau wāwae a me nā kuʻekuʻe wāwae.
- Ke hoʻololi nei i nā kāmaʻa: E ʻaʻahu i nā kāmaʻa maikaʻi a ʻoluʻolu hoʻi me nā ʻaoʻao maikaʻi.
- Nā mea hoʻokomo kāmaʻa: Aia nā insoles palupalu a i ʻole nā `metatarsal pads` i hoʻolālā kūikawā ʻia no kēia kūlana. Hiki i kēia mau mea ke kōkua i ka hōʻemi ʻana i ke kaomi ma ka ʻaoʻao o ka wāwae.
Inā ʻaʻole hiki i kēia mau lāʻau maʻalahi ke hōʻoluʻolu i ka ʻeha, hiki i kāu kauka ke ʻōlelo aku i kahi inikini a i ʻole ke ʻoki kino e mālama i ke kumu o ka ʻeha.
Hiki ke pale ʻia ka Metatarsalgia?
ʻOiai ʻaʻole hiki ke pale ʻia kekahi mau kumu, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia o kēia ʻano.
- E koho i nā kāmaʻa kūpono: E ʻaʻahu i nā kāmaʻa me kahi ʻaoʻao maikaʻi a mānoanoa, kahi pahu manamana wāwae ākea, a me kahi kuʻekuʻe wāwae haʻahaʻa.
- Nā insoles ʻoluʻolu: E kau i nā insoles ʻoluʻolu i loko o kou mau kāmaʻa.
- Mai hele wāwae ʻole: Mai hele wāwae ʻole no ka manawa lōʻihi, ʻoiai i loko o ka hale, ʻoi aku hoʻi ma nā ʻili paʻakikī.
- Wehe i nā calluses: E hoʻomaʻū maikaʻi i kou mau wāwae a wehe mālie i nā calluses me ka hoʻohana ʻana i ka pōhaku pumice. E hōʻoluʻolu kēia i ke kaomi.
- E mālama i ke kaumaha olakino: ʻO ka nui o kou kaumaha, ʻo ka nui o ke kaomi āu e kau ai ma kou mau wāwae. No laila, he mea nui loa ka mālama ʻana i ke kaumaha olakino.
I ka manawa hea ʻoe e ʻimi pono ai i ke aʻo lapaʻau?
I ka hapa nui o ka manawa, hiki ke mālama ʻia kēia maʻi ma ka home. Eia nō naʻe, inā loaʻa iā ʻoe kekahi o kēia mau maʻi, pono ʻoe e ʻike i ke kauka.
| Manawa kūpono | Wehewehena |
|---|---|
| E ʻike i kāu kauka... | |
| Inā ʻaʻohe hoʻomaikaʻi me ka mālama ʻana | Inā ʻaʻole i emi ka ʻeha ma hope o ʻelua pule o ka mālama ʻana ma ka home. |
| Inā hoʻopilikia ia i ka hana o kēlā me kēia lā | Inā ʻaʻole hiki iā ʻoe ke hana i kāu mau hana maʻamau ma muli o ka ʻeha. |
| Inā piʻi ka ʻeha | Inā e ʻoi aku ka ʻino a i ʻole e hoʻi hou ana ka ʻeha. |
| Inā he mae wale | Inā he ʻeha kou a he manaʻo paha o ka ʻeha i kou wāwae. |
| Inā loaʻa iā ʻoe ka maʻi diabetes | Inā loaʻa iā ʻoe ka maʻi diabetes, pono ʻoe e makaʻala i kekahi ʻeha ma kou mau wāwae, no ka mea, he hōʻailona paha ia o kahi maʻi koʻikoʻi. |
| E hele koke i ka ETU (Emergency Treatment Unit)... | |
| Inā he ʻeha nui | Inā loaʻa iā ʻoe ka ʻeha hiki ʻole ke hoʻomanawanui ma kou kua haʻahaʻa. Inā hoʻomāʻuleʻule ʻoe, poniuniu, a luaʻi paha ka ʻeha. |
| Inā ʻaʻole hiki iā ʻoe ke hele | Inā ʻaʻole hiki iā ʻoe ke hele ma muli o ka ʻeha. |
| Inā ua loli ke ʻano o ka wāwae | Inā ʻike ʻoe i kahi loli maopopo i ke ʻano o kou wāwae. |
| Inā he ʻeha a lohe ʻia ke kani | Inā ua loaʻa iā ʻoe kahi ulia a lohe i kahi leo "pop" a i ʻole ka pahū ʻana mai kou wāwae, he iwi haki paha kēia. |
Leka Lawe-Home
- He ʻeha maʻamau ka metatarsalgia ma ke alo o ka pōpō wāwae. ʻAʻole ia he mea weliweli, akā hiki ke hoʻonāukiuki loa.
- ʻO ka hapa pinepine, ma muli o ke kaomi nui, nā kāmaʻa kūpono ʻole, a i ʻole kekahi mau loli i ke ʻano o ka wāwae.
- Hiki ke ho'ōla pinepine ʻia kēia me nā lāʻau lapaʻau maʻalahi ma ka home e like me ka hoʻomaha, ka hau, a me ke komo ʻana i nā kāmaʻa ʻoluʻolu.
- Inā hoʻomau ka ʻeha, e ʻoi aku ka ʻino, a i ʻole he maʻi diabetes kou, mai hoʻonele i ka manawa a e ʻike i ke kauka.
- ʻO ke koho ʻana i nā kāmaʻa kūpono a me ka mālama ʻana i ke kaumaha olakino nā ala maikaʻi loa e pale aku ai i kēia maʻi.











💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment