I kekahi manawa ke hele mākou, holo, a kū wale paha, manaʻo mākou i kahi ʻeha ʻē ma ke alo o ke kapuaʻi, ma kahi e hoʻomaka ai nā manamana wāwae, ʻeā? No kekahi poʻe, hiki ke manaʻo ʻia he pōhaku i loko o ke kāmaʻa. ʻO kēia ʻeha hoʻonāukiuki loa ke ʻano a mākou e kamaʻilio ai i kēia lā, i kapa ʻia ʻo `(Metatarsalgia)` . No laila, e nānā kākou i ke ʻano o ia mea, no ke aha e hana ʻia ai, a pehea e pale aku ai.
He aha ka Metatarsalgia? Ma hea mai kēia ʻeha?
I ka ʻōlelo maʻalahi, ʻo `(Metatarsalgia)` ka ʻeha a me ka pehu ʻana ma ke alo o kou wāwae, kahi e hoʻomaka ai nā manamana wāwae . Ua kapa ʻia kēia ʻo "pōpō o kou wāwae". ʻO kēia ka ʻāpana palupalu o kou wāwae ma waena o ke kūlou a me nā manamana wāwae. ʻO ka hapa pinepine, ʻike ʻia kēia ʻeha ma lalo o hoʻokahi a ʻoi aku paha o nā poʻo metatarsal, nā wēlau o nā iwi ʻelima ma ka wāwae kahi e hoʻomaka ai nā manamana wāwae ʻelima.
E noʻonoʻo wale, inā ʻoe e hana kū ana i ka lā a pau, a inā ʻoe e holo a pāʻani, ua ʻike paha ʻoe i kēia ʻeha. Aia paha he ʻoi aku ma mua o hoʻokahi kumu no kēia, he nui paha.
- Malia paha he ʻano ʻē kekahi i ke kūlana o kou wāwae.
- A i ʻole nā haʻuki āu e pāʻani ai, ʻoiai nā mea e pili ana i ka holo a me ka lele ʻana.
- Inā paʻa loa nā kāmaʻa a mākou e ʻaʻahu ai, inā nui loa, a i ʻole ʻaʻole lawa ke kākoʻo i loko o nā kāmaʻa.
- Hiki ke hana ʻia kēia e kekahi mau kūlana olakino.
ʻO nā hana mua i ka mālama ʻana, ʻo ia ka hoʻomaha, ka hau, a me nā hoʻoikaika kino maʻalahi. E kamaʻilio mākou e pili ana i kēlā ma hope.
He aha nā hōʻailona o ka maʻi metatarsalgia?
ʻO ka hōʻailona nui o kēia ʻano, ʻo ia ka ʻeha ma ke alo o ka wāwae, kokoke i ke kumu o nā manamana wāwae. Hiki i kēia ʻeha ke hele pū me ka pehu ʻana a i ʻole. Hiki i nā hōʻailona o ka "Metatarsalgia" ke hoʻomaka koke, a i ʻole hiki iā lākou ke ulu mālie i ka hala ʻana o ka manawa. E nānā e ʻike inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:
- ʻEha ma ke alo o ka wāwae: Hiki i kēia ke manaʻo e like me ka ʻeha ʻoi, ka ʻeha pana, ka ʻeha ʻeha, a i ʻole ka ʻeha wela . Hiki ke ʻoi aku ka ʻino o kēia ʻeha ke kū ʻoe, holo, a hele paha.
- ʻO ka ʻūlū a i ʻole ke ʻūlū ʻana i nā manamana lima: Hiki i kekahi poʻe ke ʻike i ka ʻūlū a i ʻole ke ʻūlū ʻana i nā manamana lima.
- Manaʻo e like me he pōhaku lā i loko o ke kāmaʻa: He hōʻailona maʻamau kēia a ka poʻe he nui e hōʻike nei. Me he mea lā ua paʻa kahi ʻiliʻili liʻiliʻi i loko o ke kāmaʻa.
No ke aha e hana ai kēia (Metatarsalgia)? He aha nā kumu?
Inā ʻoe kekahi kanaka e komo pinepine ana i nā hana holo a lele, ʻoi aku ka nui o ka loaʻa ʻana o ka `(Metatarsalgia).` Eia kekahi, ʻo nā ʻano wāwae ʻē, ke komo ʻana i nā kāmaʻa kuʻekuʻe wāwae kiʻekiʻe, nā kāmaʻa me nā ʻaoʻao palupalu loa, nā kāmaʻa me ke kākoʻo ʻole o ka wāwae, a i ʻole nā kāmaʻa kahiko loa hiki ke hana i kēia.
Ua māhele nā kauka i nā kumu o Metatarsalgia i ʻekolu mau ʻāpana nui:
1. Māhele mua: Ma muli o nā loli i ke kūlana o nā iwi wāwae (metatarsals)
ʻO ke ʻano kēia, aia kahi loli i ke kūlana o nā iwi ma ke kumu o kou mau manamana wāwae (metatarsals), kahi e hoʻopilikia ai i ko lākou pilina me ke koena o ka wāwae, e hana ana i ka "metatarsalgia", kahi i hoʻokumu ʻia e ke kaomi nui. Eia kekahi mau laʻana:
- ʻO nā Bunions a i ʻole Hallux Valgus he mau mea e puka mai ana o ka iwi manamana wāwae nui ma ke kapuwaʻi o ka wāwae, i ʻike ʻia hoʻi ʻo 'bunions'.
- Nā manamana wāwae hāmare .
- Lilo ka ʻili ma nā kapuwaʻi i ʻāwili a hana i nā calluses.
- Nā ʻōpae kiʻekiʻe.
- ʻOi aku ka lōʻihi o ka manamana wāwae ʻelua ma mua o ka manamana wāwae nui.
2. ʻO ka lua o ka māhele: Ma muli o nā maʻi a i ʻole nā hana ʻē aʻe
ʻO kēia māhele ka "Metatarsalgia", kahi i hoʻokumu ʻia e ke kaomi nui ma ke alo o ka wāwae, ma muli paha o nā pilikia olakino ʻē aʻe āu i loaʻa ai a i ʻole ma muli o kekahi mau hana āu e hana ai. Nā Laʻana:
- Nā kūlana mumū: Nā kūlana ʻeha e like me ka `(Rheumatoid Arthritis)`, `(Gout)` (i kapa ʻia hoʻi he gout), `(Sesamoiditis)` (ka mumū ʻana o nā iwi liʻiliʻi ʻelua ma ke kumu o ka manamana wāwae nui), `(Morton's Neuroma)` (ka pehu ʻana o ke aʻalolo ma ka ʻūhā).
- Nā maʻi neurological: Nā kūlana e like me `(Charcot-Marie-Tooth Disease)`, `(Freiberg Disease)`.
- Nā maʻi metabolic: Momona, Maʻi diabetes.
- Nā pilikia olakino ʻē aʻe: nā mea e like me nā ligaments haehae i ka wāwae, nā warts plantar.
- ʻEha: Hiki ke hana ʻia e nā mea e like me ka holo wikiwiki ʻana a i ʻole ke komo ʻana i nā kāmaʻa kūpono ʻole.
3. ʻO ke kolu o ka māhele: Ma muli o nā pilikia ma hope o ke ʻoki ʻana (Iatrogenic metatarsalgia)
He mea kākaʻikahi kēia. Eia nō naʻe, i kekahi manawa hiki ke loaʻa ka `(Metatarsalgia)` ma ke ʻano he pilikia ma hope o ke ʻoki ʻana ma ke alo o ka wāwae. No ka laʻana, ma hope o ke ʻoki ʻana no nā ``bunions`` i ʻōlelo ʻia ma luna, hiki ke loaʻa kēia ʻeha ma muli o nā loli i ka manamana wāwae nui. Eia kekahi, ʻo nā pilikia e like me ka haki ʻana i hoʻōla pono ʻole ʻia, `(Avascular Necrosis)` (make ʻana o nā hunaola iwi ma muli o ka emi ʻana o ke kahe koko i ka iwi), ʻoiai he mea kākaʻikahi, hiki ke loaʻa ma hope o ke ʻoki ʻana.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka metatarsalgia?
ʻO ka ʻoiaʻiʻo, hiki i kekahi ke loaʻa i ka "Metatarsalgia". Eia nō naʻe, aia kekahi poʻe i kahi pilikia kiʻekiʻe iki.
- No nā mea holo a me nā haʻuki hopena kiʻekiʻe: ʻO kēia no ka mea ke kaomi mau nei ke alo o ko lākou mau wāwae. E noʻonoʻo i kahi mea pāʻani netball, basketball, a i ʻole athletics.
- No ka poʻe e ʻaʻahu ana i nā kāmaʻa kūpono ʻole: Hiki ke loaʻa kēia ʻano inā paʻa loa nā kāmaʻa, nui loa, a inā ʻaʻole lawa ke kākoʻo o ka kāmaʻa.
- No ka poʻe e ʻaʻahu pinepine ana i nā kāmaʻa kuʻekuʻe wāwae kiʻekiʻe: Hoʻokomo kēia i ke kaomi pono ʻole ma nā iwi mua o ka wāwae a me ke kuʻekuʻe wāwae.
- No ka poʻe e hoʻoikaika kino me ke kāmaʻa ʻole, piʻi i nā alapiʻi, a hoʻohana paha i nā alapiʻi: Hiki ke loaʻa kēia mau pilikia ke nele ka wāwae i ke kākoʻo e pono ai.
- No ka poʻe me nā kīnā wāwae: e like me nā `(Bunions)` i ʻōlelo mua ʻia.
- No nā poʻe me nā maʻi mumū: e like me `(Rheumatoid Arthritis)`, `(Gout)`.
(Metatarsalgia) He aha ka mea e hana inā ʻaʻole mālama ʻia? (Nā pilikia)
Inā hoʻomau ʻoe i nā hōʻailona o ka `(Metatarsalgia)`, he mea nui loa ia e ʻike i ke kauka . No ka mea, inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i nā pilikia wāwae a me nā kuʻekuʻe wāwae hou aʻe. Pono paha ʻoe e ʻōʻopa.
ʻAʻole wale ia, ke hoʻololi mākou i ke ʻano o ko mākou hele ʻana ma muli o ka ʻeha, hiki iā ia ke hoʻopilikia i nā pūhaka, nā ʻūhā, a me ke kua, e hōʻeha ana i kēlā mau wahi. E like me ka pilikia ma kekahi wahi e hiki ke hoʻopilikia i nā wahi ʻē aʻe.
Pehea e ʻike ai i ka maʻi metatarsalgia? (Diagnosis)
Ke hele ʻoe e ʻike i ke kauka, e nīnau mua lākou iā ʻoe e pili ana i kāu mau hōʻailona. Pehea ka lōʻihi o ka ʻeha, pehea kona manaʻo, a i ka manawa hea ka ʻeha nui? A laila e hana lākou i kahi nānā lima o kou wāwae, e nānā ana i ka ʻeha a me ka pehu.
Eia kekahi, hiki ke hana i nā hoʻokolohua e like me:
- X-ray: ʻO kēia ke nānā i nā pilikia ʻē aʻe, e like me ka haki stress.
- Ultrasound a i ʻole MRI: Hiki i kēia ke ʻike maopopo i ke kūlana o nā ʻiʻo palupalu, i.e. nā ligaments a me nā tendons, a puni nā hono metatarsophalangeal.
He aha nā lāʻau lapaʻau no ka Metatarsalgia?
ʻO ka nūhou maikaʻi, hoʻomaka ka mālama ʻana no ka metatarsalgia me nā ʻano maʻalahi loa, ʻaʻole invasive. ʻO ia hoʻi, ma kahi o ka hele pololei ʻana i ke ʻoki kino nui, hiki iā ʻoe ke hoʻāʻo i nā mea liʻiliʻi e like me:
- `(ʻAno RICE)`: He ʻano hana kaulana loa kēia.
- Hoʻomaha : E hāʻawi i kou wāwae i ka hoʻomaha e like me ka hiki. E pale i nā hana e hoʻonui ai i ka ʻeha.
- Hau : E kau i ka hau (i wahī ʻia i ka lole) i kahi o ka ʻeha a me ka pehu no 15-20 mau minuke i kekahi mau manawa i ka lā.
- Kaomi : ʻO ke kāʻei ʻana i ke kapuwaʻi o ka wāwae me kahi kāʻei elastic e hiki ke kōkua i ka hōʻemi ʻana i ka pehu.
- Kiʻekiʻe : E mālama i kou mau wāwae ma luna o ka pae o ka puʻuwai i nā manawa hiki.
- Nā lāʻau lapaʻau ʻeha ma ke kūʻai ʻole ʻia: Hiki iā ʻoe ke lawe i kahi mea hoʻopau ʻeha e like me `(Acetaminophen (e.g. Tylenol®))` a i ʻole `(Ibuprofen (e.g. Advil®)` e like me ke kuhikuhi a kāu kauka.
- Nā Hoʻoikaika Kino (Hoʻolōʻihi):Hiki i nā hoʻomaʻamaʻa mālie no ka hoʻolōʻihi ʻana i nā wāwae a me nā kuʻekuʻe wāwae ke hāʻawi i ka hōʻoluʻolu. Hiki iā ʻoe ke nīnau i kahi physiotherapist he aha kēia mau mea.
- Ke hoʻololi nei i kou mau kāmaʻa: He mea nui loa kēia. E ʻaʻahu i nā kāmaʻa haʻuki maikaʻi a kākoʻo, a i ʻole nā kāmaʻa me nā kapuaʻi pōhaku. E pale i nā kuʻekuʻe wāwae kiʻekiʻe a me nā kāmaʻa paʻa.
- Nā hoʻokomo kāmaʻa: ʻO ka hoʻohana ʻana i nā insoles palupalu a i ʻole nā pad metatarsal, i hana kūikawā ʻia no Metatarsalgia, hiki ke kōkua i ka hoʻēmi ʻana i ke kaomi ma ka ʻāpana ʻeha.
Inā ʻaʻole hiki i kēia mau lāʻau lapaʻau maʻalahi ke hōʻoluʻolu i ka ʻeha, hiki i kāu kauka ke ʻōlelo aku i kahi inikini (e like me ka inikini corticosteroid) a i ʻole ke ʻoki kino e mālama i ke kumu o ka ʻeha. Eia nō naʻe, hana pinepine ʻia kēia inā ʻaʻole i holo pono nā mea ʻē aʻe.
Hiki ke pale ʻia ka Metatarsalgia?
ʻOiai ʻaʻole hiki ke pale loa i ka Metatarsalgia, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia o kēia ʻano. He manaʻo maikaʻi e hoʻolilo i kēia mau mea i mea maʻamau:
- Ke koho ʻana i nā kāmaʻa kūpono: E koho i nā kāmaʻa me nā ʻaoʻao maikaʻi a paʻa, kahi pahu manamana wāwae ākea, a me kahi kuʻekuʻe wāwae haʻahaʻa.
- E hoʻohana i nā mea hoʻokomo ʻoluʻolu: E kau i nā mea hoʻokomo maikaʻi a palupalu i loko o kou mau kāmaʻa, ʻoiai inā ʻo ʻoe ke kanaka e kū ana i ka lā a pau.
- Mai hele wāwae ʻole: E hōʻemi i ka hele wāwae ʻole, ʻoiai ma nā ʻili ʻāʻī a paʻakikī.
- Ka wehe ʻana i nā calluses: ʻO ka hoʻomohu pinepine ʻana i nā kapuwaʻi o kou mau wāwae i ka wai mahana a me ka hamo ʻana iā lākou me ka pōhaku pumice hiki ke kōkua i ka hōʻemi ʻana i ke kaomi pono ʻole ma nā kapuwaʻi o kou mau wāwae.
- E mālama i ke kaumaha olakino: Ke piʻi aʻe ke kaumaha o kou kino, piʻi pū ke kaomi ma kou mau wāwae. No laila, e hoʻāʻo e mālama i ke kaumaha olakino e kūpono iā ʻoe.
He aha ka mea e manaʻo ai kekahi me ka metatarsalgia?
Inā loaʻa iā ʻoe ka `(Metatarsalgia)`, hiki iā ʻoe ke ʻike i ka ʻeha nui a me ka pehu ʻana ma lalo o kou wāwae. Hiki ke hele koke mai ka ʻeha a i ʻole e hoʻonui mālie ʻia. Hiki nō hoʻi ke ʻike ʻia nā hōʻailona ʻē aʻe.
ʻO ka mea mua e hana ai, ʻo ia ke hoʻomaha i kou wāwae . Mai hana i kekahi hana a haʻuki paha āu e manaʻo nei ke kumu o ka ʻeha. Inā hiki, e kū no ka manawa lōʻihi a hele iki. Mai komo i nā kāmaʻa i kākoʻo ʻole iā ʻoe. Mai hele a puni me nā socks.
I ka hapanui o nā hihia, hiki iā ʻoe ke hoʻokele i kāu metatarsalgia me nā lāʻau lapaʻau maʻalahi e like me kēia. Eia nō naʻe, inā hoʻomau ka ʻeha ma hope o ka hoʻāʻo ʻana i nā lāʻau lapaʻau home, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka no ka loiloi hou aku.
Āhea ʻoe e ʻike ai i ke kauka?
ʻOiai hiki ke mālama ʻia ka metatarsalgia ma ka home, pono ʻoe e ʻike i ke kauka i nā hihia aʻe:
- Inā ʻaʻole i emi ka ʻeha ma hope o ʻelua pule o ka mālama ʻana ma ka home.
- Inā ʻaʻole hiki iā ʻoe ke hana i kāu mau hana maʻamau o kēlā me kēia lā ma muli o ka ʻeha.
- Inā e ʻoi aku ka ʻino o ka ʻeha a/a i ʻole e hoʻi hou ana .
- Inā he ʻeha kou a he manaʻo paha o ka ʻeha i kou mau wāwae.
- Inā loaʻa iā ʻoe ka maʻi diabetes a ke ʻeha nei kou wāwae , he mea nui e ʻimi i ke aʻo lapaʻau no ka mea hiki i nā pilikia wāwae ke lilo i mea koʻikoʻi no ka poʻe me ka maʻi diabetes.
I ka manawa hea ʻoe e hele ai i kahi Emergency Treatment Unit (ETU) ?
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e hele koke i ka ʻOihana Pōpilikia (ETU) . Loaʻa paha iā ʻoe kahi ʻeha nui, e like me ka iwi haki.
- ʻEha nui loa ma ke alo o ka ʻūhā.
- Inā hoʻomaka ka ʻeha e nāwaliwali, ka poniuniu, a i ʻole ka nausea .
- Inā ʻaʻole hiki iā ʻoe ke hele .
- Inā ua like ke ʻano o ka wāwae me he mea lā ua loli .
- Inā loaʻa iā ʻoe kahi ʻeha a lohe i kahi 'click', 'pop', a i ʻole kahi leo e like me nā iwi e haki ana ,
He aha nā nīnau āu e nīnau ai i ke kauka?
Ke hele ʻoe e ʻike i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia e pili ana i ka `(Metatarsalgia)`. Ma kēlā ala, hiki iā ʻoe ke hoʻomaopopo maikaʻi i kēia kūlana.
- "E ke kauka, he aha kou manaʻo i ke kumu o kēia maʻi iaʻu?"
- "He aha ke ʻano o ka lāʻau lapaʻau āu e ʻōlelo mai nei noʻu?"
- "Hiki iaʻu ke hoʻomau i ka hana ʻana i nā mea aʻu e makemake ai, e like me nā haʻuki?"
- "Āhea wau e ʻoluʻolu ai? Pehea ka lōʻihi e pono ai kēia?"
- "He aha kaʻu e hana ai e pale aku i kēia `(Metatarsalgia)` mai ka hana hou ʻana i ka wā e hiki mai ana?"
ʻO ka mea hope loa, he aha nā mea e hoʻomanaʻo ai! (Leka Lawe-Home)
Hiki i ka metatarsalgia ke hoʻoluhi i kekahi manawa. Hiki iā ia ke paʻakikī i ka hana ʻana i nā mea āu e makemake ai, ʻoiai ke hele wāwae maʻamau. Akā, mai hopohopo. ʻO ka mea pōmaikaʻi, hiki ke mālama pinepine ʻia kēia ʻano me nā lāʻau lapaʻau maʻalahi ma ka home.
E hoʻāʻo i nā mea e like me ka hoʻomaha ʻana i kou wāwae, ka hoʻopili ʻana i ka hau, a me ke komo ʻana i nā kāmaʻa kākoʻo mua. Inā ʻaʻole kōkua kēia mau mea, a inā paha he koʻikoʻi ka ʻeha, e ʻike koke i ke kauka. A laila hiki iā ia ke loiloi pololei i kāu mau hōʻailona a hoʻoholo i ka lāʻau kūpono nou. He mea nui loa kou mau wāwae iā ʻoe, no laila ʻo kou kuleana ke mālama iā lākou!
metatarsalgia , ʻeha wāwae, ʻeha wāwae, metatarsalgia, kāmaʻa, ʻeha manamana wāwae, ʻeha wāwae mua











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