Ua manaʻo paha ʻoe he ʻiliʻili liʻiliʻi i loko o kou kāmaʻa i kou hele ʻana? A i ʻole ua like paha me he mea lā ua paʻa kou kāmaʻa wāwae i loko o kahi lua? Akā i kou wehe ʻana i kou kāmaʻa, ʻaʻohe mea ma laila. Inā ʻoe e ʻike nei i kēia ʻeha ʻē, ka wela, a i ʻole ka ʻoluʻolu ʻole, he maʻi paha ia i kapa ʻia ʻo Morton's Neuroma. Mai hopohopo, ʻaʻole ia he mea koʻikoʻi e like me kou manaʻo. 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, ʻo Morton's Neuroma kahi maʻi kahi e pehu ai a mānoanoa ai ke aʻalolo ma waena o kou mau manamana wāwae. ʻO ke kikoʻī, ʻo ke aʻalolo e holo ana ma waena o nā iwi e hoʻopili ai i kou mau manamana wāwae (i kapa ʻia ʻo nā iwi metatarsal) e pehu a ʻomi ʻia. ʻO ka mea maʻamau, loaʻa ia ma waena o kou mau manamana wāwae ʻekolu a me ʻehā (nā manamana wāwae waena ʻelua kokoke loa i kou manamana lima liʻiliʻi).
I kēia manawa, ke noʻonoʻo nei paha ʻoe inā he mea like kēia me ke kanesa. He mea kūpono ke manaʻo pēlā ma muli o ka ʻāpana "Neuroma" o ka inoa. Akā, ʻaʻole kēia he kanesa. ʻO ka maʻamau, ʻo Neuroma ka mea e pili ana i nā puʻupuʻu ʻaʻole kanesa (benign) e hana ʻia ma nā aʻalolo. Akā, ʻaʻole ʻo Morton's Neuroma he puʻupuʻu e hana ana i nā ʻiʻo hou. ʻO ka mea e hana nei ma ʻaneʻi, ʻo ke aʻalolo ponoʻī ke kaomi ʻia, pehu, a mānoanoa. No laila, mai hopohopo e pili ana i ka maʻi kanesa.
He aha nā hōʻailona o kēia maʻi?
ʻO ka maʻamau, ʻoi aku ka ʻino o nā hōʻailona o ka Morton's Neuroma i ka hala ʻana o ka manawa. I ka wā mua, aia paha he ʻeha iki e nalowale paha ma hope o ka wehe ʻana i kou mau kāmaʻa a me ka lomilomi ʻana i kou wāwae. Eia naʻe, i ka holomua ʻana o ke kūlana, hiki i ka ʻeha ke lilo i mea koʻikoʻi. E nānā kākou i nā hōʻailona nui.
| Hōʻailona | Pehea kou manaʻo |
|---|---|
| ʻEha ma nā kapuwaʻi | ʻEha ma waena o nā manamana wāwae (ʻoi aku hoʻi ke kolu a me ka hā o nā manamana wāwae) ma nā kapuwaʻi o nā wāwae i ka wā e hele ana a kū paha. He ʻeha loa kēia i ka wā e komo ai i nā kuʻekuʻe wāwae kiʻekiʻe. |
| Manaʻo e like me ka hele ʻana ma luna o ka pōhaku | Me he mea lā ua komo kahi pōhaku liʻiliʻi a kinikini paha i loko o ke kāmaʻa a ke hele nei ʻoe ma luna. Malia paha e like me ka ʻōwili ʻia ʻana o ke kāmaʻa wāwae. |
| Manaʻo kuni/ʻō | He ʻeha ʻoi, wela, a hou. |
| Ka numbness a me ka nalowale o ka manaʻo | I kekahi manawa e manaʻo paha nā manamana lima he mae a ua emi iho ka manaʻo ma kahi o ka ʻeha. |
| Pehu ʻana | E ʻike paha ʻoe i kahi pehu iki ma waena o kou mau manamana wāwae, akā ʻaʻole e ʻike nā mea a pau i kēia ma waho. |
No ke aha mākou e loaʻa ai i ka Neuroma ʻo Morton?
ʻO ke kumu nui o kēia, ʻo ia ke kaomi mau ʻia nei ke aʻalolo a mākou i kamaʻilio ai ma mua. Lilo kēlā aʻalolo i ka huhū a me ka pehu. Aia kekahi mau kumu e hiki ai ke hana ʻia kēia kaomi.
| ʻO nā kumu nui o ka Neuroma o Morton | |
|---|---|
| Nā kumu e pili ana i ke ʻano o ka nohona a me ka hana | |
| Hila ʻauliʻi | ʻO ke kau ʻana i nā kuʻekuʻe wāwae kiʻekiʻe e kau i ke kaumaha o ke kino holoʻokoʻa ma ke alo o ka wāwae, kahi e kau ai i ke kaomi ma luna o nā aʻalolo ma waena o nā manamana wāwae. |
| Nā kāmaʻa pani | ʻOiai ke komo ʻana i nā kāmaʻa haiki ma ke alo a ʻūmiʻi i kou mau manamana wāwae hiki ke hoʻoulu i nā aʻalolo. |
| Nā pāʻani kaomi kiʻekiʻe | ʻO ka pāʻani ʻana i nā haʻuki e kau mau ana i ke kaomi ma nā kapuwaʻi wāwae, e like me ka holo ʻana, ka tennis, a me ka badminton. |
| ʻO Ioba | Ke hana nei i nā hana e pono ai ke kū ʻana i ka lā a pau. |
| Nā kūlana olakino ʻē aʻe ma nā wāwae | |
| Ke ʻano o nā wāwae | ʻOi aku ke kiʻekiʻe o kēia pilikia no nā poʻe me nā wāwae pālahalaha a i ʻole nā wāwae kiʻekiʻe. |
| Nā kūlana ʻē aʻe | ʻO nā kūlana e like me nā bunions (ka pehu ʻana o ka hui manamana wāwae nui) a me nā manamana wāwae hāmare (nā manamana wāwae kūlou). |
He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia?
He mea nui loa kēia. Inā ʻaʻole mālama ʻia ka Morton's Neuroma, hiki i ka hōʻino ʻana i ke aʻalolo ke ʻoi aku ka ʻino a alakaʻi i ka hōʻino mau loa ʻana o ke aʻalolo . Hiki i ka ʻeha ke lilo i mea maʻi .
ʻO ke ʻano kēia, hiki ke loaʻa ka ʻeha ma hope, ʻoiai ke kū wale nei ʻoe. No laila he mea nui loa ia e ʻike i kāu kauka i ka wā e hoʻomaka ai ʻoe e ʻike i nā hōʻailona mua. ʻO ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau, ʻoi aku ka maikaʻi o kou manawa e hoʻōla piha ai.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke hele ʻoe e ʻike i ke kauka, ʻo ka mea mua āna e hana ai, ʻo ia ke nīnau iā ʻoe e pili ana i kāu mau hōʻailona. E nīnau ʻo ia iā ʻoe i nā mea e like me ka wā e hoʻomaka ai ka ʻeha, ke ʻano o nā kāmaʻa āu e ʻaʻahu ai, a me nā mea āu e hana ai e hoʻonui ai i ka ʻeha.
A laila e nānā pono ʻia kou wāwae, ʻoiai ma waena o nā manamana wāwae, e ʻike inā he ʻeha. Hiki ke ʻike pinepine ʻia kēia ʻano ma o ka hoʻokolokolo kino.
Eia nō naʻe, i kekahi manawa hiki ke kauoha ʻia kahi X-ray e kāpae i nā kūlana ʻē aʻe (e like me ka haki stress a i ʻole ka arthritis). ʻAʻole hiki i kahi X-ray ke hōʻike i ka Morton's Neuroma , akā hiki iā ia ke kōkua i ka kāpae ʻana i nā kumu ʻē aʻe.
I kekahi manawa, inā ʻaʻole maopopo ka hōʻailona, hiki i kāu kauka ke kuhikuhi iā ʻoe no kahi scan ultrasound, hiki ke ʻike maopopo i ke aʻalolo a me nā ʻiʻo a puni. I ka manawa kākaʻikahi, hiki iā lākou ke kuhikuhi iā ʻoe no kahi hoʻokolohua i kapa ʻia ʻo "Electromyography (EMG)", kahi e ana ai i ka hana aʻalolo.
He aha nā lāʻau lapaʻau e loaʻa ai ka Neuroma o Morton?
ʻO ka nūhou maikaʻi, hiki i ka hapa nui o nā kānaka ke ho'ōla mai kēia maʻi me ke ʻoki ʻole ʻana. ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ka hoʻēmi ʻana i ke kaomi ma ke aʻalolo, a me ka hoʻomaha ʻana i ka pehu a me ka ʻeha.
Nā mea hiki ke hana me ke ʻoki ʻole ʻana
- E hoʻololi i nā kāmaʻa: ʻO kēia ka mea nui loa a me ka mea mua e hana ai. E hoʻololi i nā kāmaʻa ākea ma ke alo, he pahu manamana wāwae ākea, a ʻaʻole kiʻekiʻe loa . Aia kekahi mau mea hoʻolōʻihi e hiki ke kōkua iā ʻoe e hoʻolōʻihi iki i kāu mau kāmaʻa o kēia manawa.
- Nā pale kāmaʻa a me nā mea hana orthotic: Hiki i nā pale kūikawā a i ʻole nā mea hoʻokomo i kau ʻia i loko o kou mau kāmaʻa ke kōkua i ka hōʻemi ʻana i ke kaomi ma nā kapuwaʻi o kou mau wāwae. Pono paha ʻoe i nā orthotics i hana kūikawā ʻia. E aʻo aku kāu kauka iā ʻoe ma kēia mau mea.
- Nā lāʻau hoʻopau ʻeha: Hiki i kāu kauka ke ʻōlelo aku i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) (e.g., ibuprofen) e hōʻemi i ka pehu a me ka ʻeha. Akā e hoʻomanaʻo, mai lawe mau i kēia mau lāʻau no nā lā he 10 a ʻoi me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
- Hau: E kau i ka hau ma kahi o ka ʻeha a me ka pehu no 15-20 mau minuke i kekahi mau manawa i ka lā. Mai kau pololei i ka ʻili, akā e wahī iā ia i loko o kahi lole lahilahi.
- Nā inikini Corticosteroid: Inā ʻaʻole hōʻoluʻolu nā lāʻau lapaʻau i luna nei i ka ʻeha, hiki i kāu kauka ke inikini i kahi lāʻau ikaika (kahi pana cortisone) pololei i loko o ka wahi ʻeha. Hāʻawi kēia i ka hōʻoluʻolu wikiwiki no nā poʻe he nui.
He aha inā pono kahi hana?
Inā ʻaʻole kōkua nā lāʻau lapaʻau i luna a ua koʻikoʻi loa ka ʻeha a hiki ʻole iā ʻoe ke hele, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino. Aia kekahi mau koho no kēia.
- Neurectomy: ʻO kēia ke ʻoki maʻamau. Ma kēia kaʻina hana, ua wehe ʻia kahi ʻāpana o ke aʻalolo i hōʻino ʻia ma ke ʻoki ʻana.
- ʻO ka neuroablation Cryogenic: Hoʻemi i ka ʻeha a me ka pehu ma ka luku ʻana i nā hunaola nerve me ka hoʻohana ʻana i ke anu nui.
- ʻO ka hoʻopau ʻana i ke alapine radio: Me ka hoʻohana ʻana i ke au uila a me ka wela, ua luku ʻia kahi ʻāpana liʻiliʻi o ke aʻalolo. Hoʻōki kēia i nā hōʻailona ʻeha mai ka hoʻouna ʻia ʻana i ka lolo.
Hiki ke pale ʻia ka Neuroma o Morton?
ʻAe, ʻoiaʻiʻo nō. Inā mākou e hana i kekahi mau hoʻololi i kā mākou mau hana, hiki iā mākou ke hōʻemi nui i kēia pilikia.
- E koho i nā kāmaʻa kūpono: ʻO kēia ka mea nui loa. E pale i ke komo ʻana i nā kāmaʻa kuʻekuʻe wāwae kiʻekiʻe a pani ʻia no ka manawa lōʻihi. Inā ʻoe e hele ana i ke keʻena a i ʻole kahi hanana, e hoʻololi i nā kāmaʻa e ʻoluʻolu ai kou mau wāwae i nā manawa he nui.
- E ʻae i kahi no kou mau manamana wāwae: I ke kūʻai ʻana i nā kāmaʻa, koho i nā kāmaʻa ākea me ka nui o kahi no kou mau manamana wāwae.
- E makaʻala i ka wā e hoʻoikaika kino ai: I ka wā e hoʻoikaika kino ai, e like me ka holo ʻana, e ʻaʻahu i nā kāmaʻa haʻuki maikaʻi me ka palupalu maikaʻi ma lalo o nā wāwae.
- E mālama i ke kaumaha olakino: I ka piʻi ʻana o ke kaumaha o ke kino, piʻi pū kekahi ke kaomi ma nā wāwae. No laila, he mea nui nō hoʻi ka mālama ʻana i ke kaumaha olakino.
Leka Lawe-Home
- ʻO ka Neuroma o Morton kahi pehu a me ka mānoanoa o ke aʻalolo ma waena o nā manamana wāwae ma ke kapuwaʻi o ka wāwae. ʻAʻole ia he maʻi kanesa.
- ʻO ka hōʻailona nui ka ʻeha, ka wela, a me ka maneʻo e like me ka pōhaku i loko o ke kāmaʻa .
- Hoʻokumu pinepine ʻia kēia ma muli o ke kau ʻana i nā kāmaʻa paʻa a kiʻekiʻe.
- Hiki i nā poʻe he nui ke ho'ōla me nā lāʻau lapaʻau maʻalahi e like me ka hoʻololi ʻana i nā kāmaʻa, ka hoʻohana ʻana i nā pads, a me ke kau ʻana i ka hau.
- Inā hoʻomau ka ʻeha o kou wāwae, mai hoʻowahāwahā a e ʻike i kāu kauka. Hiki i ka mālama koke ke pale i ka hōʻino mau ʻana o ke aʻalolo.
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