Ke hele ʻoe, ʻoiai me nā kāmaʻa paʻa, ke manaʻo nei ʻoe i ka ʻoluʻolu ʻole a me ka ʻeha ma nā kapuwaʻi o kou mau wāwae, me he mea lā e hehi ana ʻoe i kahi pōhaku a i ʻole kahi puʻupuʻu liʻiliʻi? Ke manaʻo nei ʻoe i kekahi manawa i kahi manaʻo ʻē e like me ka ʻūlū ʻia ʻana o kahi sock ma kahi hoʻokahi? Inā e ʻoi aku ka ʻino o kēia ʻeha, a inā e ʻā iki kou mau manamana wāwae, loaʻa paha iā ʻoe kahi maʻi i kapa ʻia ʻo 'Morton's Neuroma'. Mai makaʻu i ka inoa. ʻAʻole ia he mea koʻikoʻi. E kamaʻilio kākou e pili ana i nā mea āpau me ka maʻalahi a me ka maopopo.
He aha ka Neuroma o Morton?
I ka ʻōlelo maʻalahi, he pehu a mānoanoa paha kēia o ke aʻalolo e holo ana ma waena o kou mau manamana wāwae. Holo nā aʻalolo interdigital ma waena o nā iwi metatarsal o ko kākou mau wāwae. Ke kau ʻia kēia mau aʻalolo i ke kaomi mau, ka trauma, a i ʻole kekahi ʻano kaomi, hoʻomaka ka ʻiʻo aʻalolo e mānoanoa a pehu.
E noʻonoʻo e like me kahi paipu wai i hehi pinepine ʻia, e hoʻopālahalaha a pehu ai. Loaʻa pinepine kēia ʻano ma ke aʻalolo ma waena o kou mau manamana wāwae ʻekolu a me ʻehā (nā manamana wāwae ʻelua kokoke loa i kou manamana wāwae liʻiliʻi).
ʻO ka mea nui, ʻoiai ka inoa ʻo "neuroma," ʻaʻole kēia he puʻupuʻu kanesa . No laila, ʻaʻohe pono e hopohopo iki no ia mea. ʻO ka mea e hana nei ma ʻaneʻi, ʻaʻole ia he ulu ʻana o nā ʻiʻo hou, akā, ke ʻūlū ʻia nei a pehu ʻia ke aʻalolo e kū nei.
Hiki i kēia aʻalolo pehu ke hōʻeha nui i kou kū ʻana a hele paha, e kau ana i ke kaomi ma luna.
He aha nā hōʻailona o kēia maʻi?
ʻO ka maʻamau, ulu mālie nā hōʻailona o ka Morton's Neuroma i ka hala ʻana o ka manawa. I ka wā mua, aia paha ka ʻeha iki, hiki ke emi iho me ka wehe ʻana i kou mau kāmaʻa a me ka lomilomi ʻana i kou wāwae. Eia nō naʻe, i ka wā e pehu ai ke aʻalolo, ʻike nui ʻia nā hōʻailona.
E nānā kākou i nā hōʻailona nui e like me kēia.
| Hōʻailona | Pehea kēlā manaʻo? |
|---|---|
| ʻEha ma nā kapuwaʻi | He ʻeha ʻoi a wela hoʻi ma ka ʻā o ka wāwae ma waena o nā manamana wāwae i ke kū ʻana a i ʻole ka hele ʻana. Me he mea lā e hehi ʻia ana kekahi mea e like me ka pōhaku a i ʻole ke kinikini i loko o ke kāmaʻa. |
| Hoʻonui ʻia ka ʻeha e nā kāmaʻa | ʻOi aku ka ʻeha i ka wā e komo ai i nā kuʻekuʻe wāwae kiʻekiʻe a i ʻole nā kāmaʻa haiki e ʻūmiʻi i nā manamana wāwae. Hoʻomaha iki ka ʻeha ma hope o ka wehe ʻana i nā kāmaʻa. |
| Ka numbness a me ka nalowale o ka manaʻo | Hiki paha ke loaʻa kahi manaʻo ʻūlū (pine a me nā nila) ma nā manamana lima i hoʻopilikia ʻia a i kekahi manawa he ʻano mae wale paha ma ia wahi. |
| Pehu ʻana | ʻOiai inā ʻaʻohe pehu nui i ʻike ʻia mai waho ma waena o nā manamana wāwae, hiki paha iā ʻoe ke manaʻo i kahi ʻoluʻolu ʻole ma muli o ka pehu ʻana o ke aʻalolo mai loko mai. |
No ke aha e hana ʻia ai kekahi mea e like me kēia? He aha nā kumu?
E like me kā mākou i ʻōlelo ai ma mua, ʻo ke kumu nui o kēia, ʻo ia ke kaomi lōʻihi a i ʻole ke kaomi ʻana ma nā aʻalolo ma waena o kou mau manamana wāwae. Aia kekahi mau kumu e hoʻonui ai i kēia pilikia.
1. Nā kāmaʻa kūpono ʻole
ʻO kēia ke kumu nui a maʻamau loa .
- Nā kuʻekuʻe wāwae kiʻekiʻe: Ke komo ʻoe i nā kuʻekuʻe wāwae kiʻekiʻe, e kuhikuhi ʻia ke kaumaha o kou kino holoʻokoʻa i mua o kou wāwae, kahi e kau ai i ke kaomi nui ma luna o nā aʻalolo.
- Nā kāmaʻa haiki a paʻa: Ke komo ʻoe i nā kāmaʻa paʻa a pili pū kekahi, e paʻi pū ʻia nā iwi ma waena o nā manamana wāwae, e ʻomi ana i nā aʻalolo e holo ana ma o lākou.
2. Kekahi mau pāʻani a me nā hana
Hiki ke hana ʻia kēia kūlana e nā hana e kau ai i ke kaomi mau a me ka trauma ma ka ʻāwae o ka wāwae.
- Holo: ʻO nā kapuaʻi wāwae, ʻoiai ka poʻe e holo ana i nā wahi lōʻihi, ua pilikia mau lākou i ka haʻalulu.
- Nā haʻuki e like me ka tennis a me ka badminton: I kēia ʻano haʻuki, pono pinepine ʻoe e kaomi i ka lepo me ka ʻaoʻao mua o kou wāwae.
- Hula: ʻO ka hula , ʻoi aku hoʻi ka ballet, hoʻokau i ka nui o ke kaomi ma nā kapuwaʻi o nā wāwae.
3. Nā pilikia kūlana wāwae ʻē aʻe
Inā he mau pilikia me ke ʻano a i ʻole ke kūlana o kou wāwae, hiki i kēia ke hoʻonui i ke kaomi ma luna o nā aʻalolo.
- Nā wāwae pālahalaha: Ke ʻole ke apo o ka wāwae a pālahalaha ke kapuaʻi, hiki ke loli ke ala āu e hele ai a hiki ke kau ʻia ke kaomi ma luna o nā aʻalolo.
- Nā wāwae kiʻekiʻe: Hiki i kēia ke hana i ka paʻa ʻole o ka wāwae a hoʻonui i ke kaomi.
- Bunions: ʻO kēia kūlana ke kumu o ka pehu ʻana o ka hui manamana wāwae nui, hiki ke hoʻopaʻa pū i nā manamana wāwae.
- Nā manamana wāwae hammer: He kūlana kahi e kūlou ai nā manamana wāwae i waenakonu. Hoʻopilikia pū kēia i ke kaulike ʻole o ke kaomi.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona. E nīnau ʻo ia iā ʻoe i nā mea he nui, e like me ka lōʻihi o ka ʻeha, ka wā e ʻoi aku ai ka ʻino, ke ʻano o nā kāmaʻa ʻoluʻolu ʻole ke komo, a inā paha he ʻano mae.
A laila, e nānā pono ke kauka i kou wāwae. E kaomi ʻo ia ma ke kapuwaʻi o kou wāwae a me ka ʻāpana ma waena o kou mau manamana wāwae, e nānā ana i kekahi ʻeha kikoʻī a i ʻole ke kaomi ʻana. Hiki i kēia hoʻokolohua kino ke ʻike pinepine i ke kūlana.
Nā hoʻokolohua e pono ai paha
- X-ray: ʻAʻole hiki i kahi X-ray ke hōʻike i kēia pehu ʻana o ke aʻalolo. Eia nō naʻe, hiki ke kauoha ʻia kahi X-ray e kāpae i nā kumu ʻē aʻe o ka ʻeha wāwae, e like me ka haki ʻana o ke kaumaha a i ʻole ka ʻāʻī.
- Ultrasound: Hiki i kēia scan ke nānā i nā ʻiʻo palupalu, e like me nā aʻalolo. Hiki iā ia ke hōʻike maopopo i nā aʻalolo pehu a mānoanoa.
- MRI scan: I kekahi mau hihia, inā maopopo ʻole ka hōʻailona, hiki i kahi MRI scan ke hāʻawi i kahi kiʻi maopopo aʻe.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka nūhou maikaʻi, ʻaʻole pono ka hapa nui o ka poʻe e hele i ke ʻoki kino. Hiki ke mālama ʻia kēia ʻeha me nā lāʻau lapaʻau maʻalahi a me nā hoʻololi ʻana i ke ʻano o ka nohona. ʻO ka pahuhopu nui o ka lāʻau lapaʻau, ʻo ia ka hoʻēmi ʻana i ke kaomi ma ke aʻalolo a me ka kaohi ʻana i ka pehu ʻana.
Nā lāʻau lapaʻau ʻoki ʻole
1. Ke hoʻololi ʻana i nā kāmaʻa: ʻO kēia ka hana mua a koʻikoʻi loa .
- E komo i nā kāmaʻa me kahi pahu manamana wāwae ākea.
- E hoʻōki loa i ke komo ʻana i nā kuʻekuʻe wāwae kiʻekiʻe a i ʻole e kaupalena iā lākou i nā hanana kūikawā wale nō.
- I ke koho ʻana i nā kāmaʻa, e koho i nā kāmaʻa me ka cushion maikaʻi ma loko a ʻoluʻolu hoʻi no nā ʻaoʻao.
2. Nā pale kāmaʻa a me nā orthotics:
- Aia nā pads kūikawā (metatarsal pads) hiki ke hoʻonui iki i ka hakahaka ma waena o nā iwi o ka wāwae a hoʻemi i ke kaomi ma ke aʻalolo.
- I kekahi manawa e ʻōlelo aku kāu kauka i nā orthotics i hana kūikawā ʻia e kūpono i kou wāwae. Hāʻawi kēia i ke kākoʻo maikaʻi a hāʻawi pono i ke kaomi.
3. Nā lāʻau hoʻopau ʻeha:
- No ka hōʻemi ʻana i ka ʻeha a me ka pehu ʻana, hiki iā ʻoe ke lawe i nā lāʻau lapaʻau e like me ka paracetamol a i ʻole NSAID (Nonsteroidal anti-inflammatory drugs) no kahi manawa pōkole, e like me ke kuhikuhi a kāu kauka. Eia naʻe, mai lawe mau i kēia mau lāʻau lapaʻau no nā lā he 10 a ʻoi me ka ʻole o ke kūkākūkā ʻana me kāu kauka .
4. Ke kau ʻana o ka hau:
- Ke loaʻa ka ʻeha a me ka pehu, hiki i ka hoʻopili ʻana i ka hau ma ia wahi no 15-20 mau minuke ke hāʻawi i ka hōʻoluʻolu maikaʻi. Mai hoʻopili pololei i ka hau i ka ʻili, e kāʻei iā ia i loko o kahi lole lahilahi.
5. Nā pana Cortisone:
- Inā ʻaʻole e hōʻoluʻolu nā hana i luna nei i ka ʻeha, hiki i kāu kauka ke hoʻoholo e hāʻawi i kahi inikini corticosteroid i kahi like e hōʻemi koke i ka pehu a me ka ʻeha.
ʻoki kino
E noʻonoʻo wale ke kauka i ke ʻoki kino inā ʻaʻole i emi ka ʻeha me nā lāʻau lapaʻau ʻē aʻe a pau a inā ua koʻikoʻi loa ka ʻeha a hiki ʻole iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā.
- Neurectomy: Pili kēia i ka ʻoki ʻana a me ka wehe ʻana i ka ʻāpana i hōʻino ʻia a pehu paha o ke aʻalolo. ʻO kēia ke kaʻina hana ʻoki maʻamau.
- Nā ʻano hana ʻē aʻe: I kekahi manawa aia nā lāʻau lapaʻau hou e hoʻohana ana i ke anu nui (cryogenic neuroablation) a i ʻole nā nalu uila (radiofrequency ablation) e kāohi i ke aʻalolo mai ka hoʻouna ʻana i nā hōʻailona ʻeha.
He aha ka manawa kūpono loa e ʻike ai i ke kauka?
E like me nā maʻi āpau, he mea nui e hoʻomaka i ka lāʻau lapaʻau i ka wā mua, no ka mea, inā ʻaʻole mālama ʻia, hiki iā ia ke hōʻeha mau loa i nā aʻalolo a me ka ʻeha mau loa.
Inā ʻaʻole e hoʻomaikaʻi ka ʻeha o kou wāwae i loko o ʻelua pule me nā lāʻau lapaʻau maʻalahi ma ka home (e.g., hoʻololi i nā kāmaʻa, hoʻomaha), inā e ʻoi aku ka ʻino o ka ʻeha, inā e paʻakikī ana ka hana ʻana i nā hana o kēlā me kēia lā, a inā ʻike ʻoe i ka maneʻo, e ʻike koke i ke kauka.
Leka Lawe-Home
- ʻO ka Neuroma o Morton kahi pehu a i ʻole ka mānoanoa o ke aʻalolo ma waena o nā manamana wāwae. ʻAʻole ia he maʻi kanesa.
- ʻO ka hōʻailona nui ka ʻeha ʻoi e like me ke hehi ʻana ma luna o kahi pōhaku a i ʻole ke kinikini ma lalo o ka ʻāwae o ka wāwae i ka wā e hele ana.
- ʻO ke kumu nui o kēia, ʻo ke komo ʻana i nā kāmaʻa kuʻekuʻe wāwae kiʻekiʻe, paʻa, a haiki no ka manawa lōʻihi.
- I ka manawa pinepine, hiki ke ho'ōla loa ʻia kēia maʻi me ke koho kūpono o nā kāmaʻa, ka hoʻomaha, a me ka lāʻau maʻalahi mai ke kauka.
- Inā loaʻa iā ʻoe ka ʻeha mau o kou wāwae, mai hoʻowahāwahā iā ia a e ʻimi i ke kōkua lapaʻau. Lawe kou mau wāwae iā ʻoe i nā wahi āpau, no laila he mea nui e mālama pono iā lākou.
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