Makemake anei kāu keiki e pāʻani i ka cricket, holo a lele, ʻeā? Akā ma hope o ka pāʻani ʻana penei, ʻōlelo pinepine anei ʻoe, 'E Māmā/E Pāpā, ʻeha koʻu kuʻekuʻe wāwae'? I kekahi manawa he mea paʻakikī iki ka hele wāwae ʻana, a me he mea lā e ʻōʻopa ana ʻo ia? ʻOiai he nui nā mākua e hopohopo nei no kēia, he ʻano maʻamau kēia e kū mai ana me ka ulu ʻana o nā keiki a ʻaʻole ia he mea e hopohopo ai. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā.
He aha ka maʻi ʻo Sever? He maʻi maoli anei ia?
ʻOiai ke ʻōlelo nei ka inoa "Maʻi", ʻaʻole kēia he maʻi maoli. Ua like ia me kahi maʻi. Ma nā huaʻōlelo lapaʻau, kapa mākou i kēia ʻo `(Calcaneal Apophysitis)`. He ʻano paʻakikī iki ke kani ʻana o ka inoa, ʻeā? E mālama kākou i ka maʻalahi.
ʻO 'Calcaneus' ka iwi i loko o ko kākou kuʻekuʻe wāwae. ʻO 'Apophysitis' kahi mumū o kahi ʻāpana o kēlā iwi. I ka ʻōlelo maʻalahi, i ka wā e hana ai ke keiki, ʻo ke kaumaha ma ko lākou iwi kuʻekuʻe wāwae ke kumu o ka pehu ʻana o ka wahi e ulu ai. He ʻeha koʻikoʻi hou kēia. ʻO ka mea maikaʻi loa, hoʻōla loa kēia ʻano me ka hoʻomaha kūpono.
E noʻonoʻo penei: ua like nā iwi o ke keiki me ka lālā o kahi lāʻau i ulu piha ʻole. He palupalu loa nā wēlau o nā iwi, ʻoiai nā papa ulu. Hana ʻia lākou me kahi mea palupalu i kapa ʻia ʻo ke cartilage. ʻAʻole ikaika kēia mau ʻāpana cartilage e like me nā iwi i ulu piha. No laila, ʻoi aku ka maʻalahi o ka hōʻino ʻia. I ka wā e ulu ai nā keiki, e lilo mālie kēia cartilage i iwi ikaika.
ʻO ka Apophysitis kahi maʻi e hoʻoulu ai i ka pehu ʻana o nā papa ulu o nā iwi i nā keiki. He maʻi maʻamau loa ia. He mea maʻamau loa ia i ka wā o ka ulu wikiwiki ʻana, ʻoiai ma waena o nā makahiki 8 a me 14.
Pehea e ʻike ai inā loaʻa i kaʻu keiki kēia maʻi?
Inā loaʻa i kāu keiki kēia maʻi, hiki iā lākou ke hōʻike i hoʻokahi a ʻoi aku paha o nā hōʻailona ma lalo nei. E nānā kākou i ke ʻano o ia mau mea.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻEha ma kekahi a i ʻole nā kuʻekuʻe wāwae ʻelua | Ua ʻeha nā keiki he nui ma nā kuʻekuʻe wāwae ʻelua, ʻoiai ma hope o ka holo ʻana, ka lele ʻana, a me ka pāʻani ʻana. |
| ʻEha i ka wā e ʻomi ai a i ʻole ke kau ʻana i ke kaumaha ma ke kuʻekuʻe wāwae | E hoʻonui ʻia ka ʻeha inā ʻoe e kaomi i ke kuʻekuʻe wāwae o ke keiki mai nā ʻaoʻao ʻelua a i ʻole inā e kau ke keiki i ke kaumaha ma luna o ke kuʻekuʻe wāwae. |
| Ka pehu ʻana a i ʻole ke kala ʻana o ke kuʻekuʻe wāwae | E ʻike paha kekahi mau keiki i kahi pehu iki a ʻulaʻula paha ma ko lākou mau kuʻekuʻe wāwae, akā ʻaʻole e ʻike nā mea a pau i kēia. |
| Ke hele wāwae nei a i ʻole ke ʻano ʻē | Ma muli o ka ʻeha, hiki i ke keiki ke hele ma ko lākou manamana wāwae a ʻoʻopa paha me ka ʻole o ke kau ʻana i ko lākou mau kuʻekuʻe wāwae ma ka honua. |
| ʻOʻoleʻa o ke kuʻekuʻe wāwae i ke kakahiaka | E ʻike paha ʻoe i ka ʻoʻoleʻa ma kou mau kuʻekuʻe wāwae, ʻoiai ke ala ʻoe mai kahi moe i ke kakahiaka a i ʻole ma hope o ka noho ʻana no kekahi manawa. |
No ke aha i loaʻa ai kēia maʻi i nā keiki?
ʻO ke kumu nui o kēia, ʻo ia ke kaomi mau ma luna o ka papa ulu o ke kuʻekuʻe wāwae. E noʻonoʻo e like me ke kau ʻana i kahi kaomi liʻiliʻi ma kahi like i nā manawa he nui. Me ka hala ʻana o ka manawa, hoʻomaka kēlā wahi e hōʻino ʻia.
ʻO kekahi mea nui e hoʻopilikia ai i kēia, ʻo ia ke aʻalolo Achilles . ʻO kēia ke kāʻei ikaika e hoʻopili ai i nā ʻiʻo ma ke kua o ko mākou mau wāwae i ka iwi kuʻekuʻe wāwae. I ka ulu wikiwiki ʻana o ke kino o nā keiki, i kekahi manawa ʻaʻole e kīkoʻo kēia aʻalolo e like me ka wikiwiki o nā iwi. A laila paʻa ia a hoʻomaka e huki i hope ma ka iwi kuʻekuʻe wāwae. Hiki i kēia huki ke kau i ke kaomi ma luna o kēlā papa ulu palupalu a hoʻoulu iā ia e pehu.
ʻO ke kuni ke ala o ko mākou kino e ho'ōla ai i kahi ʻeha. Akā, he manawa ka lōʻihi o ke kaʻina hana ho'ōla. Inā hoʻomau ke keiki i nā hana e kau ai i ke kaomi ma ke kuʻekuʻe wāwae, e hoʻomau ka pehu ʻana.
Ma waho aʻe o ke kumu nui o kēia maʻi, hiki i kekahi mau kumu ʻē aʻe ke kōkua i kēia ʻano:
- Nā wāwae pālahalaha: He mau wāwae pālahalaha ko kekahi mau keiki, hiki ke kau i ke kaomi hou aku ma ko lākou mau kuʻekuʻe wāwae i ka wā e hele ana.
- Ka momona o ke kamaliʻi: Inā ʻoi aku ke kaumaha o ke keiki ma mua o ka maʻamau no ko lākou mau makahiki a me ke kiʻekiʻe, pono lākou e hāpai i ke kaumaha ma ko lākou mau kuʻekuʻe wāwae i kēlā me kēia manawa a lākou e hele ai a holo paha.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
I ka hapanui o nā hihia, hiki i ke kauka ke ʻike i kēia kūlana ma ka nānā kino ʻana i ke keiki.
- E hoʻopā mālie ke kauka i ke kuʻekuʻe wāwae a me ka wāwae o ke keiki, e kaomi iki e ʻike pono i kahi e ʻeha ai.
- Hiki paha iā ʻoe ke noi i ke keiki e hele, holo, a lele paha.
ʻAʻole pono ka X-ray no kēia. Eia nō naʻe, inā kānalua ke kauka i kahi maʻi ʻē aʻe, e like me ka haki stress, hiki iā lākou ke paipai i kahi X-ray a i ʻole MRI e hōʻoia ʻaʻohe kumu kumu.
He aha nā lāʻau lapaʻau no kēia?
He maʻalahi loa ka lāʻau lapaʻau no kēia. ʻO ka mea nui, ʻo ia ka hoʻomaha ʻana i ke kuʻekuʻe wāwae.
| ʻAno lapaʻau | He aha e hana ai |
|---|---|
| Hoʻomaha | ʻO kēia ka mea nui loa . Pono ʻoe e hoʻōki i ka holo ʻana, ka lele ʻana, a i ʻole kekahi haʻuki a hana paha e kau ana i ke kaomi ma kou kuʻekuʻe wāwae no kekahi mau lā a i ʻole nā pule. E nīnau i kāu kauka i ka lōʻihi o kou hoʻomaha. |
| Hoʻomaha ʻeha | Hiki i kāu kauka ke ʻōlelo aku i nā NSAID e hōʻemi i ka pehu a me ka ʻeha. Eia naʻe, mai hāʻawi i kāu keiki i kekahi mau mea hōʻeha ʻeha me ka ʻole o ke aʻo ʻana a ke kauka. Eia kekahi, ʻo ka hoʻopili ʻana i kahi ʻeke hau i ka kuʻekuʻe wāwae no kahi o 15 mau minuke i nā manawa he nui i ka lā hiki ke hōʻemi nui i ka ʻeha a me ka pehu. |
| Nā kākoʻo kūikawā (Orthotics) | Hiki i kāu kauka ke ʻōlelo aku i nā kīʻaha kuʻekuʻe wāwae kūikawā a i ʻole nā kāmaʻa kūikawā e kōkua i ka hōʻemi ʻana i ka ʻeha. I kekahi mau hihia, hiki ke aʻo ʻia ʻoe e komo i kahi brace a i ʻole splint. |
| Hoʻōla kino | He mea nui loa ka hana ʻana i nā hoʻomaʻamaʻa hoʻolōʻihi a mākou i kamaʻilio ai no kēlā aʻalolo Achilles paʻa. Hiki iā ʻoe ke hoʻēmi i ke kaomi ma kou kuʻekuʻe wāwae ma ka hoʻoikaika ʻana i nā ʻiʻo wāwae e kākoʻo ana i kou wāwae a me kou kuʻekuʻe wāwae. |
Hiki ke pale ʻia kēia kūlana mai ka hana hou ʻana?
ʻAe, ʻoiaʻiʻo nō. Ke pau loa ka ʻeha o kāu keiki a hiki iā lākou ke hoʻi hou i nā hana, aia kekahi mau hana hiki iā ʻoe ke hana e pale aku ai i kēia ʻano mai ka hoʻi hou ʻana mai.
- Nā kāmaʻa kūpono: E kūʻai i kāu keiki i nā kāmaʻa maikaʻi e hāʻawi ana i ke kākoʻo kuʻekuʻe wāwae maikaʻi a me ka hoʻopili ʻana i ke kūpikipikiʻana, ʻoiai i ka wā e pāʻani ana i nā haʻuki.
- Hoʻoikaika Kino: E hoʻomaʻamaʻa i ka hoʻomehana ʻana ma mua o ka pāʻani ʻana i nā haʻuki a hana i nā hoʻomaʻamaʻa hoʻolōʻihi i ke aʻalolo Achilles i kēlā me kēia lā.
- Kaohi kaumaha: He mea nui hoʻi e mālama i ke kaumaha o kāu keiki ma kahi pae olakino no ko lākou mau makahiki a me ke kiʻekiʻe.
- E hoʻolohe i kou kino: E aʻo i kāu keiki e hoʻōki i ka hana a hoʻomaha i ka wā e ʻeha ai lākou. He mea nui e ʻōlelo, "Mai pāʻani a hiki i ka wā e ʻeha ai."
ʻAʻole koʻikoʻi ka maʻi ʻo Sever, a ʻaʻole ia e hōʻeha i kāu keiki i ka wā lōʻihi. Eia nō naʻe, hiki ke ʻeha loa i kāu keiki ke loaʻa. No laila, inā loaʻa i kāu keiki kēia mau hōʻailona, e ʻike koke i kāu kauka . Inā hoʻomaka ʻoe i ka lāʻau lapaʻau i ka wā mua, e emi koke ka pehu a hiki i kāu keiki ke hoʻi i kā lākou mau hana punahele.
Leka Lawe-Home
- ʻAʻole ka maʻi ʻo Sever he maʻi e makaʻu ai, he maʻi ia e kū mai ana me ka ulu ʻana o nā keiki.
- He mea maʻamau loa kēia i nā keiki ʻeleu, holo a pāʻani.
- ʻO ka lāʻau lapaʻau nui a maikaʻi loa no kēia, ʻo ia ka hoʻomaha.
- Me ka mālama kūpono a me ka hoʻomaha, e hoʻopau loa ʻia kēia maʻi. ʻAʻole ia e hoʻopilikia i ka wā e hiki mai ana o ke keiki.
- Inā ʻōhumu kāu keiki i ka ʻeha kuʻekuʻe wāwae, mai hoʻowahāwahā iā ia. E ʻike koke i ke kauka no ka ʻike kūpono a me ka ʻōlelo aʻoaʻo.
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