Ke ʻeha nei ʻoe a i ʻole ka mae ʻana ma loko o kou wāwae? Pili paha kēia i ke aʻalolo saphenous!

I kekahi manawa ua manaʻo paha ʻoe i kahi ʻano ʻē a ʻeha paha ma loko o kou wāwae, ʻoi aku hoʻi ma kahi ma lalo o ke kuli. I kekahi manawa e ʻoi aku ka ʻino ke hele ʻoe a kūlou paha i kou wāwae. Manaʻo pinepine mākou he aʻa koko i ʻoki ʻia a he ʻiʻo haehae paha kēia. ʻAe, aia kekahi ʻoiaʻiʻo i kēlā moʻolelo. I kēia lā e kamaʻilio mākou e pili ana i kahi aʻalolo koʻikoʻi loa i loko o ko mākou wāwae, akā ʻaʻole ʻike ka nui o ka poʻe i kona inoa. ʻO ia ke aʻalolo saphenous. ʻOiai kahi pōʻino liʻiliʻi i kēia aʻalolo hiki ke hoʻoulu i kēlā ʻano ʻoluʻolu ʻole.

ʻĀ, he aha kēia aʻalolo saphenous?

I ka ʻōlelo maʻalahi, ʻo ke aʻalolo saphenous kahi aʻalolo sensory e holo ana i lalo o kou wāwae. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o ke aʻalolo sensory. E noʻonoʻo i ko mākou kino e like me kahi kaapuni uila paʻakikī. ʻO nā uea i loko o kēia kaapuni ua kapa ʻia ʻo nā aʻalolo. ʻElua ʻano o kēia mau uea.

1. Nā aʻalolo hoʻokele: Lawe kēia i nā leka mai ka lolo a i nā ʻiʻo. Hāʻawi kēia mau aʻalolo i nā kauoha e like me "e lūlū i kou lima" a me "e hāpai i kou wāwae."

2. Nā aʻalolo Sensory: Hana kēia i ka mea ʻē aʻe. Lawe lākou i ka ʻike e pili ana i nā mea a mākou e manaʻo ai i loko o ko mākou ʻili a me nā ʻiʻo (wela, anu, ʻeha, hoʻopā) i ka lolo.

No ke aʻalolo saphenous ke ʻano ʻelua, ʻo ia hoʻi ke aʻalolo sensory. ʻO ke ʻano kēia, ʻaʻole ia e kauoha i nā ʻiʻo e neʻe, akā, ʻo ia ka mea e hōʻike i nā mea a pau i manaʻo ʻia ma loko o kou wāwae i ka lolo. He ʻāpana kēia o ka ʻōnaehana nerve peripheral o ko mākou kino. ʻO ia hoʻi, he ʻāpana ia o ka pūnaewele o nā aʻalolo e hohola ana ma ke kino holoʻokoʻa, ma waho o ka ʻōnaehana waena, ʻo ia hoʻi ka lolo a me ke kaula spinal.

He aha ka pono o kēia aʻalolo i ko kākou kino?

ʻO ka hana nui o ke aʻalolo saphenous ka hoʻoili ʻana i nā manaʻo mai loko mai o kou wāwae i ka lolo a me ke kaula kuamoʻo. Ua like ia me kahi laina kelepona mai ka ʻili o kou wāwae i kou lolo. He aha ke ʻano o ka ʻike e hele ana ma o kēia laina?

Ma hea pololei o ka wāwae i loaʻa mai ai kēia manaʻo?

Hoʻokahi kou aʻalolo saphenous i loko o kēlā me kēia o kou mau wāwae. Hāʻawi kēia aʻalolo i ka ʻike i loko o kou wāwae. ʻO ia hoʻi:

• Ma lalo o ke kuli i ka ʻaoʻao o loko
• I loko o ka umauma
• I loko o ke kuʻekuʻe wāwae
• Ke kūlou o kou wāwae

I ka ʻōlelo maʻalahi, kōkua kēia aʻalolo i ka hāʻawi ʻana i ka manaʻo ma loko o kou wāwae, mai ke kuli a hiki i ka kapuwaʻi o kou wāwae.

Pehea ke koʻikoʻi o kēia aʻalolo iā kākou i ka ʻoihana lapaʻau?

Ma waho aʻe o ka haʻi ʻana i ka lolo i ko kākou manaʻo, he mea pono loa kēia aʻalolo i nā kauka. ʻO ia no kahi lāʻau i kapa ʻia ʻo nerve block .

Hana nā kauka i kahi poloka nerve ma ke aʻalolo saphenous no ʻekolu mau kumu nui:

1. E hoʻōki i ka ʻeha inā loaʻa kahi ulia: E noʻonoʻo ua loaʻa iā ʻoe kahi ʻeha nui i loko o kou wāwae. I kēlā manawa, ʻo ka hoʻomāʻū ʻana i kēia aʻalolo e kāohi i ka ʻeha no kekahi manawa hiki ke hāʻawi i ka hōʻoluʻolu nui.

2. No ka hoʻomāʻū ʻana i ka wahi ma mua o ke ʻoki ʻana:Ma kahi o ka nalowale loa ʻana o ka ʻike ma mua o kahi ʻoki liʻiliʻi ma loko o ka wāwae, kuʻekuʻe wāwae, a i ʻole ka ʻūhā, hiki ke hana ʻia ke ʻoki ma ka ʻoki ʻana i kēia aʻalolo wale nō.

3. Ma ke ʻano he lāʻau lapaʻau no ka ʻeha mau: I kekahi manawa hiki ke loaʻa ka ʻeha mau e pili ana i kēia aʻalolo. I ia mau hihia, hoʻohana ʻia kēia ʻano hana e kāohi i ka ʻeha.

Pehea ke ʻano o kēia aʻalolo i loko o ko kākou wāwae?

ʻOiai he ʻano loea iki kēia, e hoʻomaopopo maʻalahi kākou.

Hoʻomaka ke aʻalolo saphenous ma ke poʻo o kou ʻūhā, ma loko, ma kahi i kapa ʻia ʻo ka huinakolu femoral . Ua like kēia me kahi hui nui. Hele kekahi mau kīʻaha koko koʻikoʻi a me nā aʻalolo i ka wāwae ma kēia wahi.

• ʻO ke aʻalolo saphenous, e hoʻomaka ana ma kēia hui ʻana, e hele ana i lalo ma o nā ʻiʻo ma ka ʻaoʻao o loko o ka ʻūhā, ma o kahi ala e like me ke tunnel i kapa ʻia ʻo ke kahawai adductor .
• I kona puka ʻana mai loko mai o kēia tunnel, kokoke i ke kuli, māhele ʻia ke aʻalolo i ʻelua mau lālā nui.
• Hāʻawi kekahi lālā (ka 'lālā infrapatellar') i ka manaʻo i ka ʻili ma lalo o ke poʻo kuli.
• ʻO kekahi lālā nui ʻē aʻe (ka 'lālā sartorial') e iho ana ma mua o ke kuli a hāʻawi i nā lālā liʻiliʻi e hāʻawi i ka manaʻo i ka ʻūhā, ka kuʻekuʻe wāwae, a me ka ʻaoʻao o loko o ka wāwae.

He aha nā kūlana e hoʻopilikia ai i ke aʻalolo saphenous?

E like me kā mākou i ʻōlelo ai ma mua, ua pale maikaʻi ʻia kēia aʻalolo i loko o ka wāwae, no laila ʻaʻole hiki ke hōʻeha ʻia. Eia nō naʻe, i kekahi mau hihia, hiki ke hōʻino ʻia a ʻūmiʻi ʻia paha kēia aʻalolo.

ʻO nā kumu nui ʻelua:

• Pahele / Pinched Aʻalolo: Kaomi maʻamau ʻole ma luna o kahi aʻalolo mai nā ʻiʻo a puni, nā ligaments, a i ʻole nā ​​​​ʻiʻo ʻē aʻe.
• ʻEha: Nā ʻoki hohonu a i ʻole nā ​​​​ʻeha i loko o ka wāwae.

Eia nō naʻe, ʻoi aku ma mua o kēia mau kumu ʻelua, ʻo ke kumu maʻamau a me ke kumu nui no ka hōʻino ʻana i ke aʻalolo saphenous ʻo ia ka hōʻino e kū mai ana ma ke ʻano he pilikia o kekahi mau ʻoki kino . No ka mea, i ka wā o nā ʻoki kino i hana ʻia ma ke ala o kēia aʻalolo, aia kahi hiki ke hōʻino ʻia ke aʻalolo me ka manaʻo ʻole.

He aha nā hōʻailona e pono ai iaʻu e ʻike i ke kauka?

Inā hoʻomau ʻoe i ka ʻike ʻana i hoʻokahi a ʻoi aku paha o nā hōʻailona ma loko o kou wāwae, ʻoiai a puni ke kuli, ka ʻūhā, a i ʻole ka kuʻekuʻe wāwae, he mea nui e ʻike i ke kauka e kūkākūkā iā ia.

• ʻO ka ʻūlū a me ka mae
• Manaʻo wela
• ʻEha pana
• ʻEhaʻeha, ʻehaʻeha
• ʻO ka paʻa ʻana o nā ʻiʻo ma ia wahi

Ke haʻi aku ʻoe i kāu kauka e pili ana i kēia mau hōʻailona, ​​e nānā ʻo ia iā ʻoe. Inā pono, hiki iā lākou ke kuhikuhi iā ʻoe i kahi neurologist. I kekahi manawa, hiki iā lākou ke paipai i kahi hoʻokolohua kūikawā, e like me ka EMG (Electromyography), e hoʻoholo ai i ka hana pololei o ke aʻalolo.

Inā ua hoʻonohonoho ʻia ʻoe e hana i ke ʻoki kino, ʻo kou kuleana ia e kamaʻilio mua me kāu kauka e pili ana i kēia mau pilikia. ʻO ka loaʻa ʻana o kahi kauka akamai e hana i ke ʻoki kino hiki ke hōʻemi nui i kēia mau pilikia.