He ʻeha a nāwaliwali paha kou wāwae? E aʻo kākou e pili ana i ka (Peroneal nerve injury)!

Ua ʻike anei ʻoe i kahi ʻano ʻūlū, ʻeha, a paʻakikī paha i ka hāpai ʻana i kou mau manamana wāwae a i ʻole nā ​​kuʻekuʻe wāwae ma kou wāwae haʻahaʻa, ma lalo o ke kuli? A i ʻole ke manaʻo nei ʻoe e like me kou wāwae e kauō ana ma ka honua ke hele ʻoe? Hiki i kēia mau mea ke hana ʻia e kahi pilikia me ke aʻalolo i loko o ko mākou wāwae. ʻO kekahi o ia ʻano maʻi ua kapa ʻia ʻo ia he ʻeha aʻalolo peroneal. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, ʻeā?

He aha kēia ʻeha o ke aʻalolo Peroneal?

I ka ʻōlelo maʻalahi, ʻo ka neuropathy peroneal kahi hana ʻole o kou aʻalolo peroneal maʻamau . ʻO kēia aʻalolo ka mea e lawe mai i ka manaʻo i mua a me nā ʻaoʻao o kou mau wāwae. ʻO ia nō hoʻi ke aʻalolo e kōkua iā ʻoe e hāpai i kou mau manamana wāwae a me nā kuʻekuʻe wāwae.

E noʻonoʻo, inā e hōʻino kekahi mea i kēia aʻalolo, hiki iā ʻoe ke ʻike i ka maneʻo, ka ʻūlū, ka ʻeha, a i ʻole ka nāwaliwali i kou mau wāwae. I kekahi manawa, hiki iā ʻoe ke ʻike i kahi kūlana i kapa ʻia ʻo "foot drop." ʻO ke ʻano kēia ʻaʻole hiki iā ʻoe ke hāpai i kou wāwae mai kou kuʻekuʻe wāwae. A laila, pono ʻoe e kauō i kou wāwae ma ka honua ke hele ʻoe. ʻAʻole anei he mea hoʻonāukiuki kēia?

Pehea ke ʻano o ke aʻalolo peroneal i loko o ko mākou kino?

Ua like ia me kahi "uea" liʻiliʻi i loko o ko kākou kino. Hoʻomaka ke aʻalolo peroneal ma ka piko o ko kākou mau puʻupuʻu, kahi o ka iwi ʻūhā a me nā glutes, kokoke i kahi aʻalolo nui i kapa ʻia ʻo ke aʻalolo sciatic . Mai laila mai, holo ia i lalo ma ke kua o kou ʻūhā, huli a iho i lalo i mua o kou wāwae ke pololei kou kuli, a laila holo a hiki i kou mau manamana wāwae.

ʻĀnō e nānā, ua māhele ʻia kēia aʻalolo i ʻelua mau lālā kokoke i ke kuli .

ʻO ka ʻokoʻa ma waena o nā aʻalolo peroneal hohonu a me nā aʻalolo superficial

ʻO kēia mau lālā ʻelua:

1. ʻO ke aʻalolo peroneal hohonu : Holo kēia i lalo o loko o kou wāwae, ma luna o kou iwi kuʻekuʻe wāwae. Hoʻomalu ia i ka hana o loko o kou wāwae, ʻoiai kou manamana wāwae nui a me ka manamana wāwae lua.

2. ʻO ke aʻalolo peroneal superficial : Holo kēia ma waho o ka wāwae. Hāʻawi ia i ka ʻike i nā hapakolu ʻelua o waho o ka wāwae a me ka piko o ka wāwae. Kōkua pū ia i ka kaohi ʻana i nā manamana wāwae ʻē aʻe.

Ua maopopo iā ʻoe ke koʻikoʻi o kēia aʻalolo?

ʻO wai ka mea kūpono loa e loaʻa i kēia maʻi?

Hiki i kekahi ke loaʻa i ka hōʻino ʻana o ke aʻalolo peroneal. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o ka poʻe me kekahi mau kūlana olakino a i ʻole nā ​​​​​​ʻeha. Eia kekahi laʻana:

• ʻAnorexia nervosaNā kūlana olakino noʻonoʻo e pili ana i ka meaʻai, e like me "Anorexia nervosa".
• nā maʻi neurological hoʻoilina e like me ka maʻi Charcot- Marie -Tooth.
• Nā maʻi mumū i loko o ke kino, e like me ka rheumatoid arthritis a i ʻole lupus .
• Nā ʻeha kuli a kuʻekuʻe wāwae paha.
• He haʻahaʻa loa ka helu nui o ke kino ( BMI ), ʻo ia hoʻi no ka poʻe wīwī.
• No nā poʻe me ka maʻi diabetes type 2 .

ʻAʻole wale ia, inā ʻoe kekahi e keʻa mau ana i kou mau wāwae me kou mau kuli e kūlou ana, a inā paha ua hoʻolei ʻia kou wāwae, a inā paha ʻoe kekahi e hoʻolōʻihi i ka manawa ma kahi moe (hoʻomaha moe), aia ʻoe i kahi pilikia kiʻekiʻe iki aʻe.

He aha nā kumu o nā maʻi o ke aʻalolo peroneal?

ʻO ka hapa pinepine, ʻo kēia mau pilikia aʻalolo ke kumu o kahi ʻeha ʻeha i ke kuli, ka wāwae, a i ʻole ka kuʻekuʻe wāwae. ʻO kēia mau ʻano ʻeha:

• Ka haki ʻana o ke kuʻekuʻe wāwae.
• ʻO ka haki ʻana o ka fibula ka haki ʻana o ka iwi lōʻihi ma ke kua o ka wāwae, ʻo ia hoʻi ka fibula .
• Ka hemo ʻana o ke kuli.
• He haki kuli .

ʻO ka mea nui, e hoʻomanaʻo inā e hemo kou kuli, aia ʻoe i kahi pilikia kiʻekiʻe loa o ka loaʻa ʻana o ka hōʻino ʻana o ke aʻalolo peroneal. Ua manaʻo ʻia ma kahi o ʻelua o kēlā me kēia ʻelima mau kānaka e hemo ko lākou kuli e loaʻa i kēia hōʻino ʻana o ke aʻalolo.

I kekahi manawa, hiki ke hana ʻia kēia ʻano ma hope o ke ʻoki ʻana, e like me ke pani ʻana i ke kuli a i ʻole ke pani ʻana o ka ʻūhā .

ʻAʻole hiki ke loaʻa kēia maʻi ma muli wale nō o kēia mau pōpilikia, akā, no ka mea, ua ʻomi ʻia ke aʻalolo peroneal. ʻO nā mea e hiki ai ke hana i kēia ʻomi ʻana:

• Ka hoʻokumu ʻia ʻana o kahi ʻūpā koko.
• Hoʻolei wāwae paʻa.
• Ke hoʻokumu ʻia ʻana o kahi puʻupuʻu ma ia wahi.

He aha nā hōʻailona o kēia maʻi?

ʻO kekahi o nā hōʻailona maʻamau o ka hōʻino ʻana o ke aʻalolo peroneal he kūlana i kapa ʻia ʻo "foot drop." ʻO "Foot drop" kahi ʻano hele kūikawā e kū mai ana i kou hele ʻana. ʻO ke ʻano kēia, ʻaʻole hiki iā ʻoe ke kūlou i kou kuʻekuʻe wāwae e kau i kou wāwae i mua. Akā, pono ʻoe e hāpai i kekahi kuli i luna aʻe o kekahi e hāpai i kou wāwae mai ka honua. Me he mea lā e kauō ana kou wāwae ma ka honua. Hiki i kēia ke kumu maʻalahi iā ʻoe e hina a hāʻule.

ʻO nā hōʻailona ʻē aʻe:

• ʻAʻole hiki ke hoʻoneʻe i ka wāwae.
• ʻAʻole hiki ke kulou i nā manamana wāwae a i ʻole ke kuʻekuʻe wāwae i luna (kapa nā kauka i kēia ʻo 'dorsiflexion').
• Ka nalowale ʻana o ka ʻike ma ka ʻaoʻao o luna o ka wāwae a i ʻole ka kuʻekuʻe wāwae.
• ʻEha ma ka wāwae a i ʻole ka wāwae lalo.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ka ʻike ʻana i ke kauka i ka wā hikiwawe loa.

Pehea lā e ʻike pono ai ke kauka i kēia?

Ke hele ʻoe e ʻike i ke kauka, e nānā mua lākou i kou wāwae a nīnau e pili ana i kāu mau hōʻailona. A laila, hana paha lākou i nā hoʻokolohua like ʻole e hōʻoia i ke kūlana pololei.

• Nā hoʻāʻo kiʻi : ʻO kēia mau mea e komo pū me nā hoʻokolohua e like me ka CT scan , ultrasound , a i ʻole MRI .
• ʻO ka neurography resonance magnetic (MR): He hoʻāʻo MRI kūikawā kēia i hoʻohana ʻia e kiʻi i kahi kiʻi maikaʻi o nā aʻalolo.
• Electromyogram (EMG ): Nānā kēia i ke ʻano o ka pane ʻana o kou mau ʻiʻo i ka hoʻoulu ʻana o nā aʻalolo.
• Ke aʻo ʻana i ke alakaʻi ʻana o nā aʻalolo : Ke ana kēia i ka wikiwiki a me ka maikaʻi o ka hele ʻana o nā impulses uila ma kou mau aʻalolo.

Ma hope o kēia mau hoʻokolohua, hiki i ke kauka ke haʻi pololei iā ʻoe inā he hōʻino koʻikoʻi kou i ke aʻalolo peroneal a i ʻole kekahi pilikia ʻē aʻe.

Pehea e mālama ʻia ai ka hōʻino ʻana o ke aʻalolo peroneal?

Aia ka lāʻau lapaʻau ma kahi o ka pōʻino o ke aʻalolo a me kona koʻikoʻi. ʻO ka hapa pinepine, hoʻomaka nā kauka me nā lāʻau lapaʻau ʻoki ʻole.

Nā lāʻau lapaʻau ʻoki ʻole

• Nā mea hoʻokomo kāmaʻa : Ua kapa ʻia kēia he splints , braces , a i ʻole orthotics . Hiki i kēia ke kōkua iā ʻoe e hele pono ʻoiai inā he "foot drop" kou.
• Hoʻōla kino : Pili kēia i nā hoʻomaʻamaʻa e hoʻonui i ka ikaika o kou wāwae a me ke ʻano o ka neʻe ʻana hiki iā ʻoe ke hoʻoneʻe pono i kou wāwae.
• Hoʻomaʻamaʻa hele wāwae: ʻO kēia ke aʻo iā ʻoe pehea e hele pono ai me ka ʻole o ka "hāʻule wāwae".

Lapaʻau ʻoki kino

I kekahi mau hihia, ʻoiai inā ua ʻūmiʻi nui ʻia a hōʻino ʻia paha ke aʻalolo, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino. I ka wā o ke ʻoki kino, hiki paha iā ʻoe ke:

• E hoʻomaha i ke kaomi ma luna o ke aʻalolo kahi i hoʻopili ʻia ai.
• Ke hoʻoponopono nei i ke aʻalolo i hōʻino ʻia.
• Inā ua hōʻino nui ʻia kahi aʻalolo, hiki ke hana hou ʻia me ka hoʻohana ʻana i ka ʻiʻo i hāʻawi ʻia mai kekahi kanaka ʻē aʻe.

Pehea e hiki ai iā ʻoe ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i kēia ʻano maʻi?

ʻAʻohe ala e pale loa ai i ka hōʻino ʻana o ke aʻalolo peroneal. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka loaʻa ʻana o nā pilikia koʻikoʻi:

• E pale i ke keʻa ʻana i kou mau wāwae i ka hiki loa, ʻoiai ma ke kuli.
• E hōʻemi i nā hana e kau ai i ke kaomi ma kou mau kuli, ʻoiai hoʻi nā ʻaoʻao a i ʻole ke kua o nā kuli.
• Inā loaʻa iā ʻoe kekahi ʻeha a i ʻole ka ʻeha ʻana i kou wāwae, e ʻike koke i ke kauka.

Inā ʻoe e mālama i kēia mau mea liʻiliʻi, hiki iā ʻoe ke pale i nā pilikia nui.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka pōʻino o ke aʻalolo peroneal?

Aia ka ho'ōla ʻana ma kahi o ka ʻeha a me kona koʻikoʻi. No nā kānaka he nui, hōʻemi nui nā lāʻau lapaʻau ʻole i nā hōʻailona, ​​i kekahi manawa hoʻopau loa iā lākou.

ʻOi loa aku inā loaʻa iā ʻoe kēia maʻi ma hope o ka arthroplasty kuli holoʻokoʻa , ʻoi aku ka nui o kou ola ʻana. Eia nō naʻe, inā ua hana ʻia kēia maʻi ma muli o ka dislocation o ke kuli, ʻoi aku ka liʻiliʻi o ka manawa e nalowale loa ai nā hōʻailona. Akā, mai hopohopo, e hāʻawi maoli ka lāʻau i ka hōʻoluʻolu.

ʻEhia ka lōʻihi e hoʻōla ai ma hope o ke ʻoki kino?

Inā loaʻa iā ʻoe ke ʻoki kino no kahi ʻeha o ke aʻalolo peroneal, hiki ke ʻokoʻa kou manawa hoʻōla. ʻO ka maʻamau, pono ʻoe e kaupalena i kāu mau hana no nā pule ʻeono mua ma hope o ke ʻoki kino. Ma hope o ʻeono pule, hiki iā ʻoe ke hoʻonui mālie i kāu mau hana. ʻO ka maʻamau, ma kahi o ʻekolu a ʻehā mahina e hoʻōla piha ai.

He aha hou kāu e makemake ai e nīnau aku i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, he mea maikaʻi ke nīnau ʻana i kēia mau nīnau:

• He aha ke kumu kūpono loa noʻu e loaʻa ai kēia maʻi aʻalolo peroneal?
• He aha nā koho lapaʻau e loaʻa iaʻu?
• He aha ka mea e hiki ke hana inā ʻaʻole wau e mālama ʻia i kēia?
• He aha kaʻu e hana ai e pale aku i kēia mai ka hana hou ʻana?

He mea nui loa iā ʻoe ke ʻike i kēia mau mea.

He aha nā maʻi neurological ʻē aʻe i loaʻa nā hōʻailona like?

Aia kekahi mau maʻi neurological e hiki ke hana i nā hōʻailona like me ka neuropathy peroneal. ʻO ia ke kumu e hana ai ke kauka i kahi hoʻokolokolo piha e hoʻoholo ai inā he neuropathy peroneal kou a i ʻole kekahi mea ʻē aʻe.

ʻO kekahi mau kūlana me nā hōʻailona like:

• ALS (Amyotrophic lateral sclerosis - ALS)
• Herniated disk (kahi herniated disk i loko o ka iwi kuamoʻo)
• ʻO ka sclerosis lehulehu
• ka maʻi o Parkinson

No laila, inā ʻike ʻoe i kahi mea ʻē ma kou wāwae, he mea naʻauao ke hōʻike koke aku i ke kauka a ʻike pono i ke kumu o ka pilikia.

I ka hōʻuluʻulu manaʻo (Leka Lawe-Home)

ʻAe, ʻo ka ʻeha o ke aʻalolo peroneal a mākou i kamaʻilio ai i kēia lā, ʻo ia ka hōʻino ʻana i ke aʻalolo e holo ana mai ko mākou puʻupuʻu a iho i ko mākou mau wāwae a hiki i ko mākou mau manamana wāwae. Hiki i kēia ke hana i ka mae ʻana o ka ʻūhā, ka ʻeha, ka nāwaliwali ma ka wāwae lalo, a ʻoi aku hoʻi ka paʻakikī o ka hele wāwae i kapa ʻia ʻo "foot drop."

ʻO ka mea nui loa, ʻaʻole e hopohopo inā ʻike ʻoe i kēia mau hōʻailona, ​​akā e ʻike koke i ke kauka no ka ʻōlelo aʻo. I nā hihia he nui, hiki ke hoʻomaikaʻi ʻia kēia kūlana me nā lāʻau lapaʻau ʻoki ʻole e like me nā mea hoʻokomo kāmaʻa a me ka hoʻōla kino.

No laila, e mālama pono i kou mau wāwae. No ka mea, kākoʻo ko kākou mau wāwae i ko kākou kino holoʻokoʻa, ʻeā?

ʻaʻalolo peroneal , hāʻule ka wāwae, mae wāwae, ʻeha wāwae, ʻeha aʻalolo, mae wāwae, ʻeha aʻalolo