Ke manaʻo nei ʻoe i kekahi manawa i ka ʻeha a me ka ʻoluʻolu ʻole ma kou mau wāwae, ʻoi aku hoʻi ma nā kapuwaʻi o kou mau wāwae a me nā kuʻekuʻe wāwae? A i ʻole ke manaʻo nei ʻoe i kahi kui e komo ana a hoʻopilikia iā ʻoe? Aia kekahi mau manawa ʻaʻole hiki iā mākou ke ʻike pono i ka mea e ʻimi ai i ke kōkua i nā manawa e like me kēia. ʻO ia ke kumu e kamaʻilio ai mākou i kēia lā e pili ana i kahi loea e hiki ke kōkua me kekahi pilikia e pili ana i kou mau wāwae a me nā kuʻekuʻe wāwae.
ʻO wai kēia kauka wāwae?
I ka ʻōlelo maʻalahi, he kauka podiatrist kahi kauka loea i ke olakino o kou mau wāwae, nā kuʻekuʻe wāwae, a me nā wāwae haʻahaʻa. Ua like lākou me kahi kauka cardiologist e mālama ana i kou puʻuwai a i ʻole kahi dermatologist e mālama ana i kou ʻili. Ua kapa pū kekahi poʻe i kēia mau kauka he "podiatric physicians", "podiatric surgeons", a i ʻole "podiatric foot and earring surgeons".
Inā loaʻa iā ʻoe ka ʻeha ma nā kapuwaʻi o kou mau wāwae a i ʻole ka pilikia o ka kuʻekuʻe wāwae, hiki iā ʻoe ke hele pololei e ʻike i kahi podiatrist. A i ʻole, inā ʻike ʻoe i kahi kauka lapaʻau maʻamau, hiki iā lākou ke kuhikuhi iā ʻoe i kahi podiatrist. Hana pinepine kēia mau podiatrist i nā haukapila a i ʻole nā keʻena lapaʻau. Hana kekahi i nā "hui multispecialty" a i ʻole i loko o kā lākou mau keʻena lapaʻau pilikino ponoʻī.
No laila, he aha ka hana a kēia mau kauka wāwae?
Hoʻomaopopo a mālama kēia mau kauka i nā pilikia me kou mau wāwae a me nā kuʻekuʻe wāwae. E hāʻawi lākou iā ʻoe i kahi hoʻokolokolo kino, hana i nā hoʻokolohua inā pono, a ʻike pono i ke kumu o kou pilikia i ka hele wāwae a me ka hoʻohana ʻana i kou mau wāwae. Inā pono, hiki iā lākou ke hana i ke ʻoki kino . Mālama lākou i nā mea āpau mai nā kamaliʻi liʻiliʻi a hiki i ka poʻe ʻelemakule.
Eia kekahi mau mea hiki iā lākou ke hana:
- Ke ʻike ʻana i nā kūlana like ʻole e hiki ke kū i kou mau wāwae a me nā kuʻekuʻe wāwae.
- Inā pono, e kauoha i nā hoʻokolohua lab e like me nā hoʻokolohua koko a me nā hoʻokolohua mimi, a i ʻole nā hoʻokolohua kiʻi e like me nā X-ray.
- Ke kuhikuhi ʻana i nā lāʻau lapaʻau āu e pono ai.
- Ke hana ʻana i ke ʻoki wāwae a me ka kuʻekuʻe wāwae.
- Ke kuhikuhi ʻana i nā mea lapaʻau e like me ke kākoʻo kūikawā (orthotics) i kau ʻia i loko o nā kāmaʻa, nā pale kuʻekuʻe wāwae, a me nā mea hoʻolei no nā wāwae haʻihaʻi.
- Ke aʻo ʻana no ka hoʻohana ʻana i nā mea kōkua hele wāwae e like me ke koʻokoʻo a me nā mea hele wāwae.
Ke hele ʻoe e ʻike i ke kauka e like me kēia, e nīnau mua ʻo ia e pili ana i kou olakino holoʻokoʻa a me nā lāʻau lapaʻau āu e lawe nei.A laila, e nīnau lākou iā ʻoe e pili ana i kou pilikia wāwae, e like me kou mau hōʻailona a me ka lōʻihi o kou loaʻa ʻana. E nānā paha lākou i ke ʻano o kou kū ʻana a me kou hele ʻana (kahi `loiloi hele wāwae`). E nīnau pū lākou iā ʻoe e pili ana i ke ʻano o nā kāmaʻa āu e ʻaʻahu mau ai. Eia kekahi, mai poina e haʻi i ke kauka i kāu hana, he aha kāu mau leʻaleʻa a me nā haʻuki, a inā paha e kau nui lākou i kou mau wāwae. E kōkua kēia mau mea a pau i ka ʻike ʻana i ke kumu o kou pilikia.
He aha ke ʻano o nā pilikia wāwae e kōkua ai kēia mau kauka?
Hiki i nā kauka wāwae ke mālama i nā pilikia maʻamau he nui e hiki ke hoʻopilikia i kou mau wāwae a me kou mau manamana wāwae. E noʻonoʻo i kēia mau mea:
- Nā kui wāwae i ulu i loko: He ʻike ʻeha loa kēia, ʻeā?
- Nā kīnā o ka manamana wāwae: Ua huki ʻia a hohola ʻia nā manamana wāwae o kekahi poʻe, ʻeā? Nā mea like me ia.
- Nā ʻeha o ka wāwae a me ke kuʻekuʻe wāwae.
- Bunions: He kūlana e like me ka pehu ʻana ma ke kumu o ka manamana wāwae nui.
- Nā ʻūlū plantar.
- ʻO ka rumatika wāwae a me nā kuʻekuʻe wāwae.
- Nā ʻano ʻili o nā wāwae a me nā kui.
- Nā pilikia wāwae maʻi diabetes: E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku.
- Tendonitis: ʻO ka pehu ʻana o ke aʻalolo a me ka ʻeha.
- Nā haki o ka wāwae a me ke kuʻekuʻe wāwae.
- Ka pehu ʻana o ka ʻaoʻao haʻahaʻa.
- Nā ʻeha wāwae.
- Nā ʻeha o ka wāwae a me nā manamana wāwae.
Nā ʻeha, ʻoi aku hoʻi i nā wāwae a me nā kuʻekuʻe wāwae
Hiki i kēia mau kauka ke mālama i nā ʻeha e like me kēia:
- Nā ʻeha haʻuki: Nā ulia i kū mai i ka wā e holo ana a lele paha.
- Nā ʻeha kuʻekuʻe wāwae ('Nā ʻeha kuʻekuʻe wāwae' a me nā 'ʻeha kuʻekuʻe wāwae kiʻekiʻe').
- ʻO ka bursitis kuʻekuʻe wāwae kahi maʻi mumū o ka kuʻekuʻe wāwae.
- ʻO ka plantar fasciitis kahi maʻi ʻeha e kū mai ana ma nā kapuwaʻi wāwae.
- Ka haki ʻana o ke aʻalolo Achilles.
Ke kamaʻilio nei e pili ana i nā haki
Inā haki ʻoe i kahi iwi ma kou wāwae a kuʻekuʻe wāwae paha, i kapa ʻia he "haʻi," pono ʻoe e ʻike i ke kauka e like me kēia. Eia kekahi laʻana:
- Nā haki metatarsal ʻelima.
- Nā haki/hemo o ka manamana wāwae.
- ʻO nā haki Lisfranc i waenakonu o ka wāwae.
- ʻIke ʻia nā haki o Jones ma ke kua o ka wāwae.
- ʻO nā haki kikoʻī, e like me nā haki talus, pili i ka kuʻekuʻe wāwae.
ʻO ka mea nui loa: Ke loaʻa iā ʻoe kahi pilikia e like me kēia, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka ma mua o ka hoʻāʻo ʻana e mālama iā ʻoe iho ma ka home. A i ʻole, hiki i kahi pilikia liʻiliʻi ke lilo i mea nui.
ʻO ka maʻi diabetes a me ka mālama wāwae - he aha ka pilina?
Inā loaʻa iā ʻoe ka maʻi diabetes , he mea pono ke kauka wāwae ma kāu hui mālama ola. ʻIke anei ʻoe i ke kumu? ʻOi aku ka nui o ka poʻe me ka maʻi diabetes e loaʻa i nā ʻeha wāwae a me nā maʻi.
I ka manawa pinepine, ke hoʻomaka ka hōʻino ʻana o ke aʻalolo (neuropathy) ma muli o ka maʻi diabetes, ʻike ʻia nā hōʻailona mua ma nā wāwae. ʻO ia ke kumu e nānā pono ai kēia mau kauka i nā wāwae o ka poʻe maʻi diabetes.
Inā loaʻa iā ʻoe ka maʻi diabetes, e hana ana ke kauka wāwae i kēia mau mea:
- E nīnau lākou iā ʻoe i nā hōʻailona āu e ʻike nei a pehea ʻoe e mālama nei i kou pae kō koko ('blood glucose') .
- E nānā pono ʻia kou mau wāwae, nā manamana wāwae, a me nā wāwae lalo.
- Me ka hoʻohana ʻana i nā mea kani like ʻole, e hoʻopā lākou i kou mau manamana wāwae, nā wāwae, a me nā wāwae haʻahaʻa e nānā ai no ka mae ʻole a i ʻole ka nalowale o ka ʻike.
Inā loaʻa koke iā ʻoe kahi ʻōpū a pehu paha i hoʻokumu ʻia e ka maʻi diabetes, e hana ke kauka:
- Ua nānā ʻia no nā hōʻailona o ka maʻi (e.g., ka loli ʻana o ke kala, ka pehu ʻana, ka mehana, ka pus).
- Hiki ke kauoha ʻia nā hoʻokolohua e like me nā X-ray e nānā i ke kūlana ma lalo o ka ʻili.
- No ka hoʻoholo pono ʻana inā he maʻi , lawe ʻia kahi hāpana liʻiliʻi ('sample') mai ka ʻili a i ʻole ka pus a hoʻouna ʻia i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana.
I ka manawa hea ʻoe e ʻike ai i kahi podiatrist?
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona ma kou wāwae a kuʻekuʻe wāwae paha, e ʻike pololei i kahi kauka lapaʻau a i ʻole podiatrist.
- ʻEha
- Ka hoʻololi ʻana o ke kala a ʻulaʻula paha
- Pehu ʻana
- Ka manaʻo o ka wela a mehana paha
- Nā ulu hou a i ʻole nā puʻupuʻu (ma ka ʻili a ma lalo paha o ka ʻili)
ʻOiai ʻaʻole hoʻoweliweli ka hapa nui o nā pilikia wāwae maʻamau i ke ola, he mea naʻauao ke ʻike i ke kauka ma mua o ka hoʻāʻo ʻana e mālama iā ʻoe iho ma ka home. Inā ʻoe e nānā ponoʻī a hoʻohana i nā lāʻau lapaʻau ma luna o ke kauka, hiki iā ʻoe ke hoʻonui i kahi pilikia liʻiliʻi a paʻakikī hoʻi e mālama. No laila e makaʻala.
He kauka maoli anei ke kauka wāwae?
ʻAe, ʻoiaʻiʻo nō! He mau kauka wāwae nā kauka wāwae. Loaʻa iā lākou ke kekelē Kauka Lapaʻau Podiatric (DPM).ʻAe. No kēlā, pono lākou e aʻo ma ke kula podiatry kūikawā. Ua like kēia me ke kēkelē lapaʻau laulā (`Kauka Lapaʻau - MD`) a i ʻole ke kēkelē "Kauka o Osteopathy - DO`. No laila, ua kūpono lākou e ʻike, mālama, a hana i ke ʻoki kino ma kekahi pilikia e pili ana i nā wāwae a me nā kuʻekuʻe wāwae.
Pehea ka lōʻihi e lilo ai i podiatrist?
ʻEhā mau makahiki ka lōʻihi e loaʻa ai ke kēkelē `DPM`. Ua hoʻopau pū kekahi poʻe he nui i ke kēkelē laepua ʻehā makahiki ma mua o kēlā.
Ma hope o ka loaʻa ʻana o ke kēkelē `DPM`, ma ka hapa nui o nā ʻāina, koi ʻia lākou e ke kānāwai e hoʻopau i kahi papahana noho ʻekolu makahiki . Eia kekahi, hoʻopau pū kekahi mau kauka i hoʻokahi makahiki hou o ke `hoʻomaʻamaʻa fellowship`. No laila, ʻaʻole ia he huakaʻi maʻalahi.
He aha ka ʻokoʻa ma waena o kahi Podiatrist a me kahi Orthopedic?
ʻOiai he mau kauka kēia mau mea ʻelua, ʻokoʻa iki ko lāua mau ʻoihana akamai. Eia nō naʻe, i kekahi manawa mālama lāua ʻelua i nā kūlana olakino like.
- Mālama pono kekahi podiatrist i kou mau wāwae, nā kuʻekuʻe wāwae, a me nā wāwae haʻahaʻa .
- He loea kahi orthopedist i nā ʻeha a me nā maʻi e hoʻopilikia ana i kāu ʻōnaehana iwi holoʻokoʻa, ʻo ia hoʻi nā iwi, nā ʻiʻo, nā hono, a me nā ʻiʻo palupalu (ka ʻōnaehana musculoskeletal) . ʻOiai he mau kauka ʻokiʻoki nā orthopedist, hana pū lākou i nā lāʻau lapaʻau ʻole.
ʻO ka mea āu e ʻike ai, ma muli ia o ka ʻeha, ka pilikia, a i ʻole ke kūlana olakino āu e loaʻa nei. I kekahi manawa e hālāwai paha ʻoe me lāua ʻelua.
I ka ʻōlelo maʻalahi, inā he mau pilikia kou me kou mau wāwae, nā manamana wāwae, a i ʻole nā kuʻekuʻe wāwae, e like me ka manamana wāwae i ulu i loko, ka bunion, a i ʻole ka ʻeha kuʻekuʻe wāwae, ʻoi aku ka maikaʻi o ka ʻike ʻana i kahi podiatrist. Hiki iā lākou ke mālama i nā mea āpau mai nā pilikia pōkole e like me kēia a hiki i nā pilikia wāwae e hele mai me nā maʻi lōʻihi e like me ka maʻi diabetes.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
ʻAe, mai kā mākou i kūkākūkā ai i kēia lā, lana koʻu manaʻo ua loaʻa iā ʻoe kahi ʻike maikaʻi aʻe e pili ana i nā kauka wāwae.
ʻO ka mea nui loa, inā ʻike ʻoe i kekahi mea ʻē i kou mau wāwae a i ʻole nā kuʻekuʻe wāwae, e like me ka ʻeha, ka pehu ʻana, a i ʻole ka mae ʻana o ka ʻiʻo, mai hoʻowahāwahā iā ia. Inā koʻikoʻi loa ka pilikia a hiki ke paʻakikī i ka hele wāwae a i ʻole ka hana ʻana i nā hana o kēlā me kēia lā, e ʻike pono i ke kauka, ʻoiai he podiatrist inā hiki.
Lawe kou mau wāwae iā ʻoe i nā wahi āpau. No laila, ʻo kou kuleana ke mālama pono iā lākou. Aia kēia mau kauka loea e hāʻawi i ke kōkua e pono ai. Mai makaʻu a kānalua paha e noi iā lākou no ke kōkua.
Nā maʻi wāwae , ʻeha kuʻekuʻe wāwae, kauka wāwae, mālama wāwae maʻi diabetes, pilikia kui, ʻeha ʻūhā, olakino wāwae











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