ʻEhia ka nui o ko kākou noʻonoʻo maoli ʻana i ko kākou mau wāwae, ka mea e hāpai ana i ke kaumaha o ko kākou kino holoʻokoʻa a hāpai iā kākou i nā wahi a pau? I kekahi manawa ke loaʻa iā kākou kahi ʻeha iki i ko kākou mau wāwae, kākau wale mākou ia mea me he "malia paha no ka mea ua hele iki mākou." A i ʻole manaʻo mākou he hewa ia me ko kākou mau kāmaʻa. Akā, ʻo kekahi o nā pilikia e kū mai ana i kou mau wāwae a me kou mau kuʻekuʻe wāwae, ʻaʻole paha e maʻalahi ke hoʻowahāwahā ʻia. No laila, i kēia lā, ke kamaʻilio nei mākou e pili ana i ke kauka hiki ke kōkua iā ʻoe me kekahi pilikia e pili ana i kou mau wāwae a me kou mau kuʻekuʻe wāwae, a he ʻike kūikawā ma ia wahi.
ʻO wai ke kauka wāwae a me ka kuʻekuʻe wāwae (Podiatrist)?
I ka ʻōlelo maʻalahi, he kauka podiatrist i hoʻomaʻamaʻa kūikawā ʻia e mālama i ke olakino o kou mau wāwae, nā kuʻekuʻe wāwae, a me nā wāwae haʻahaʻa. E like me nā kauka cardiologists a me nā dermatologists, he poʻe akamai kēia poʻe i ko mākou mau wāwae. Hiki iā lākou ke ʻike a mālama i nā pilikia āu e loaʻa ai me kou mau wāwae. Kāhea pū kekahi poʻe i kēia mau kauka he 'kauka podiatric' a i ʻole 'nā kauka podiatric'. ʻO ia hoʻi, hiki iā lākou ke hana i ke ʻoki wāwae inā pono.
Inā he pilikia kou me kou mau wāwae, hiki paha i kāu kauka ʻohana (VOGP) ke kuhikuhi iā ʻoe i kahi loea e like me kēia. A i ʻole hiki iā ʻoe ke hele e ʻike iā ʻoe iho. Hana lākou ma nā haukapila, nā keʻena lapaʻau, a i ʻole kā lākou mau kikowaena lapaʻau pilikino ponoʻī.
ʻO ka mea nui loa, ʻaʻole kēia poʻe he poʻe wale nō i ʻike i nā wāwae. He mau kauka mākaukau piha lākou me ke kēkelē Kauka o ka Podiatric Medicine (DPM). No laila hiki iā ʻoe ke hilinaʻi iā lākou me ke olakino o kou mau wāwae.
He aha ka hana a kēia loea?
E noʻonoʻo ʻoe he ʻeha mau kou ma kou kuʻekuʻe wāwae. Ke hele ʻoe e ʻike i kekahi kauka, e kamaʻilio mua ʻo ia me ʻoe a nīnau iā ʻoe e pili ana i kāu mau hōʻailona.
- "Mai ka manawa hea mai ka ʻū ʻana?"
- "Ua kakahiaka nui anei e ala aʻe ai i ke kakahiaka?"
- "He aha ke ʻano o nā kāmaʻa āu e ʻaʻahu nei?"
- "He aha kāu hana? Ke kū nei ʻoe no ka manawa lōʻihi?"
- "Ke pāʻani nei i nā pāʻani?"
Ma ka nīnau ʻana i nā nīnau he nui e like me kēia, e hoʻomaopopo ʻo ia i kou nohona. A laila, e nānā pono ʻo ia i kou mau wāwae. E nānā lākou i ke ʻano o kou kū ʻana a me ke ʻano o kou hele ʻana (ua kapa ʻia hoʻi kēia he 'gait assessment'). No ka mea, i kekahi manawa, ʻo nā loli liʻiliʻi i ke ʻano o ko kākou hele ʻana hiki ke hōʻeha i ka wāwae.
E nānā kākou i nā hana nui a lākou e hana ai ma ka papa ma lalo.
| Ka hana e hana ʻia nei | He wehewehe maʻalahi |
|---|---|
| Ke ʻike ʻana i ka maʻi | E ʻike pono kākou i ke ʻano o nā kūlana ma kou mau wāwae a me nā kuʻekuʻe wāwae. |
| Nā hoʻāʻo kauoha | Inā pono, e kuhikuhi ʻia nā hoʻokolohua e like me nā hoʻokolohua koko, nā kukuna X, a me nā scan iā lākou. |
| Ke kuhikuhi ʻana i nā lāʻau lapaʻau | Paipai ʻia nā lāʻau ʻeha a me nā lāʻau anti-inflammatory. |
| ʻoki kino | Hana ʻia ke ʻoki kino inā pono no nā mea e like me nā kui kuʻekuʻe i ulu i loko o ke kino, nā manamana wāwae i ʻeha, a me nā iwi haʻihaʻi. |
| Ke kauoha ʻana i nā lako kūikawā | Paipai ʻia nā orthotics, nā mea pale kuʻekuʻe wāwae, a me nā plaster of Paris casts. |
| Ke hāpai nei i nā mea kōkua | ʻO ka poʻe pilikia i ka hele wāwae, ua ʻōlelo ʻia e hoʻohana i nā mea hana e like me ke koʻokoʻo a i ʻole nā mea hele wāwae. |
He aha nā kūlana maʻamau i mālama ʻia e kēia mau loea?
Hiki i ke kauka wāwae ke mālama i nā ʻano maʻi like ʻole e hoʻopilikia i kou mau wāwae. E nānā kākou i kekahi o lākou.
Nā pilikia wāwae maʻamau
- Nā kui wāwae i ulu i loko o ka ʻili: He kui e ulu ana i loko o ka ʻili, e hōʻeha ai, e pehu ai, a me ka maʻi.
- Nā ʻano kīnā o ka manamana wāwae: Ke kulou nei nā manamana wāwae, nā manamana wāwae kuʻi.
- Bunions: He iwi e puka mai ana ma ke kumu o ka manamana wāwae nui e hana ana i kahi puʻupuʻu.
- ʻO nā warts plantar: Nā warts ʻeha e kū mai ana ma nā kapuwaʻi o nā wāwae .
- ʻO ka ʻāʻī wāwae a me ke kuʻekuʻe wāwae: ʻEha a me ka ʻoʻoleʻa i nā hono.
- Nā maʻi o ka ʻili a me nā kui o nā wāwae: nā mea e like me nā maʻi fungal, ka ʻili maloʻo, nā kuʻekuʻe wāwae māwae.
- Pehu ʻana o nā lālā haʻahaʻa: Pehu ʻana o nā wāwae a me nā wāwae haʻahaʻa.
Nā ʻeha i nā wāwae a me nā kuʻekuʻe wāwae
- Nā ʻeha haʻuki: Nā ʻeha e kū mai ana i ka wā e pāʻani ana i nā haʻuki holo a me ka lele.
- Kuʻi Kuʻekuʻe Wāwae: Ka haehae ʻana o nā ligaments o ke kuʻekuʻe wāwae.
- ʻO Plantar Fasciitis: He ʻano ʻeha i hoʻokumu ʻia e ka mumū o nā ʻiʻo ma ke kumu o ke kuʻekuʻe wāwae. Nui ka poʻe e ʻeha nei e paʻakikī ai ke kau ʻana i ko lākou mau kuʻekuʻe wāwae ma ka honua ke ala mua lākou i ke kakahiaka.
- ʻO ka haki ʻana o ke aʻalolo Achilles: Ka haki ʻana o ke aʻalolo ma ke poʻo o ke kuʻekuʻe wāwae.
Nā haki
Hiki i kēia mau kauka ke mālama i kekahi mau haki i loaʻa i ka wāwae a i ʻole ka kuʻekuʻe wāwae.
ʻO ka maʻi diabetes a me ke olakino wāwae: Ke kuleana o kēia loea
Inā loaʻa iā ʻoe ka maʻi diabetes (ʻO ka maʻi diabetes Mellitus), hiki i kahi loea e like me kēia ke lilo i kanaka koʻikoʻi loa i kou ola, no ka mea, pili pololei ka maʻi diabetes i ko mākou mau wāwae.
E noʻonoʻo i ko mākou hoalauna, ʻo ʻAnakē Soma. Ua loaʻa iā ia ka maʻi diabetes no nā makahiki. Hoʻopiʻi pinepine ʻo ia ua manaʻo ʻo ia he mae kona mau wāwae. I kekahi manawa, ʻoiai he ʻoki liʻiliʻi, lōʻihi ka manawa e ho'ōla ai. ʻO kēia no ka mea, hoʻemi ka maʻi diabetes i ke kahe koko i nā wāwae a hōʻino i nā aʻalolo ('Diabetic Neuropathy'). Ke hōʻino ʻia nā aʻalolo, emi ka manaʻo ma nā wāwae. A laila, ʻaʻole ʻike ʻia kahi ʻeha liʻiliʻi a i ʻole kahi kui. No ka mea, ʻaʻole maikaʻi ke kahe koko, ʻaʻole e hoʻōla koke nā ʻeha. Hiki i kēia mau ʻeha ke pala a lilo i maʻi nui, i kekahi manawa a hiki i kahi e pono ai ke ʻoki ʻia nā manamana lima a me nā wāwae.
No laila, inā loaʻa iā ʻoe ka maʻi diabetes, he mea nui e ʻike i kahi podiatrist ma ka liʻiliʻi hoʻokahi manawa i ka makahiki e hoʻokolokolo ʻia kou mau wāwae.
Ke hele mai kahi maʻi diabetes, hana kēia kauka i kēia mau mea:
- Nīnau lākou pehea ʻoe e kaohi ai i kou pae kō koko a me nā hōʻailona āu e loaʻa ai.
- E nānā pono ʻia kou mau wāwae, nā manamana wāwae, a me nā wāwae. E nānā lākou i nā loli o ke kala o ka ʻili, ka pehu ʻana, a i ʻole nā ʻeha.
- Hoʻohana ʻia nā lako kūikawā e nānā i ke ʻano o kou mau wāwae. Hiki i kēia ke ʻike i nā mea e like me ke kani ʻana a me ka mae ʻana.
- Inā he ʻōpū palahēhē a pehu paha kou i hoʻokumu ʻia e ka maʻi diabetes, e nānā no ka maʻi (discoloration, pehu, mehana, pus).
- Hiki ke kuhikuhi ʻia ʻoe no kahi hoʻokolohua, e like me ka X-ray, e ʻike inā hohonu ka ʻeha.
Āhea ʻoe e ʻike ai i kahi loea e like me kēia?
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona ma kou wāwae a kuʻekuʻe wāwae paha, ʻoi aku ka maikaʻi o ka ʻike ʻana i kahi kauka lapaʻau maʻamau, a inā pono, e kuhikuhi ʻia i kahi loea e like me kēia.
- ʻEha: ʻEha mau e kū mai ana i ka wā e hele ana a kū paha.
- Nā loli kala: Ke ʻulaʻula nei ka ʻili, polū, a keʻokeʻo paha.
- Pehu: Pehu kūpono ʻole ma kekahi a i ʻole nā wāwae ʻelua.
- Manaʻo wela: Inā ʻike ʻoe i kahi wela ʻē ma kekahi wahi o kou wāwae (hiki i kēia ke hōʻailona o kahi maʻi).
- Nā puʻupuʻu a i ʻole nā pūʻupuʻu hou: Inā ʻike ʻia kahi puʻupuʻu a puʻupuʻu hou ma luna a ma lalo paha o ka ʻili.
- Nā ʻeha ʻaʻole e ho'ōla: ʻOi loa aku inā loaʻa iā ʻoe ka maʻi diabetes, inā he ʻeha liʻiliʻi kou i ho'ōla ʻole ʻia.
He mea nui loa: ʻOiai inā he pilikia wāwae liʻiliʻi kou, mai hele wale a loaʻa ka lāʻau lapaʻau ma muli o kou mau manaʻo ponoʻī a i ʻole kāu mea i heluhelu ai ma ka pūnaewele. I kekahi manawa, ʻo ka mea liʻiliʻi loa āu e hana ai hiki ke hoʻonui i ka pilikia. No laila, e nīnau mua i kāu kauka a e ʻimi i ka ʻōlelo aʻo.
He aha ka ʻokoʻa ma waena o kahi loea wāwae (Podiatrist) a me kahi orthopedist?
He pilikia kēia i loaʻa i nā kānaka he nui. ʻOiai ke mālama nei lāua ʻelua i nā pilikia e pili ana i ka neʻe ʻana o ko kākou mau kino, ʻokoʻa ko lāua mau ʻano akamai.
| Kauka wāwae (loea wāwae a me ka kuʻekuʻe wāwae) | Kauka lapaʻau orthopedic (kauka lapaʻau orthopedic) |
|---|---|
| ʻO ke ʻano nui o ka manaʻo nui ma nā pilikia e pili ana i nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae haʻahaʻa . | Ke nānā nei mākou i nā pilikia e pili ana i nā iwi, nā ʻiʻo, a me nā hono (ʻōnaehana musculoskeletal) o ko mākou kino holoʻokoʻa (e.g., nā pūhaka, nā kuli, ka iwi kuamoʻo, nā poʻohiwi). |
| Ma waho aʻe o ke ʻoki kino, aia ka ʻike loea i nā lāʻau lapaʻau ʻole (e like me nā orthotics, nā lāʻau lapaʻau). | ʻO nā kauka ʻoki mua, akā hana pū kekahi i nā lāʻau lapaʻau ʻoki ʻole. |
| Hoʻōla mākou i nā kūlana e like me nā hopena o ka maʻi diabetes ma nā wāwae, nā pilikia kui, a me nā plantar warts. | ʻAʻole lākou e mālama pinepine i nā mea e like me kēia. Nānā nui lākou i nā pilikia nui o nā hono a me nā haki koʻikoʻi. |
I ka ʻōlelo maʻalahi, inā aia kou pilikia ma lalo o ke kuli, ʻoi aku hoʻi ma ka wāwae a me ka kuʻekuʻe wāwae, ʻo ke kauka wāwae ka koho maikaʻi loa. Eia nō naʻe, i kekahi manawa e mālama pū kēia mau kauka ʻelua iā ʻoe.
Leka Lawe-Home
- He kauka laikini ʻo podiatrist i loea i ke olakino o kou mau wāwae, nā kuʻekuʻe wāwae, a me nā wāwae haʻahaʻa.
- Inā loaʻa iā ʻoe ka ʻeha mau, ka pehu ʻana, ke kala ʻana o ke kala, a i ʻole kahi ʻeha e ho'ōla ʻole ai i kou wāwae a kuʻekuʻe wāwae paha, mai hoʻowahāwahā iā ia. E ʻimi koke i ke kōkua lapaʻau.
- Inā loaʻa iā ʻoe ka maʻi diabetes, he mea nui loa ia e nānā ʻia kou mau wāwae e ke kauka wāwae ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki, ʻoiai inā ʻaʻohe ou hōʻailona.
- Mai hele no ka mālama wāwae ma muli o kou mau manaʻo ponoʻī a i ʻole nā mea a haʻi e ʻōlelo nei. E ʻike mau i ke kauka kūpono.
- ʻO ka mālama ʻana i ko mākou mau wāwae, ʻo ia hoʻi ke kaumaha o ko mākou kino holoʻokoʻa, he mea nui loa ia no ko mākou olakino holoʻokoʻa.
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