Ua ʻike anei ʻoe i kēia koa liʻiliʻi ma ke kuʻekuʻe wāwae? (Iwi Talus)

Ua nānā anei ʻoe i kou kuʻekuʻe wāwae a noʻonoʻo, "Pehea lā e kākoʻo ai kēia hono liʻiliʻi i ke kaumaha o koʻu kino holoʻokoʻa, e kōkua ana iaʻu e holo, lele, a hele?" He mea kupaianaha maoli nō ia. Aia kekahi koa mālie, akā koʻikoʻi loa i kēia kaʻina hana kupaianaha. E kamaʻilio kākou e pili ana iā ia i kēia lā. A ʻo ia ka iwi talus.

I ka ʻōlelo maʻalahi, he aha ka iwi talus?

He iwi liʻiliʻi akā ikaika loa ka talus e hoʻopili ana i kou kuʻekuʻe wāwae, ka wāwae lalo, a me ka wāwae. Ua kapa ʻia hoʻi e kekahi poʻe ʻo ia ka astragalus. ʻO ia ka lua o ka iwi nui loa ma ke kua o kou wāwae. ʻO ka iwi kuʻekuʻe wāwae wale nō ka iwi i ʻoi aku ka nui ma mua o kēia, ʻo ia ka calcaneus.

E noʻonoʻo, ua pili nā iwi nui ʻelua o kou wāwae haʻahaʻa, ʻo ka tibia a me ka fibula, i ka wāwae ma o kēia iwi talus. Ua like ia me ke alahaka ma waena o ka wāwae a me ka wāwae. ʻO kēia pilina ka mea a mākou e kapa nei he hui kuʻekuʻe wāwae.

ʻO kekahi hiʻohiʻona kū hoʻokahi o kēia iwi, ʻaʻole ia e pili pono i nā ʻiʻo e like me ka hapa nui o nā iwi. ʻO ke ʻano kēia, he palena kona kahe koko. No laila, inā haki kēia iwi (haʻihaʻi), lōʻihi ka manawa e ho'ōla ai a ʻoi aku ka nui o nā pilikia. E kamaʻilio kākou e pili ana i kēlā ma hope.

He aha nā hana a kēia iwi liʻiliʻi?

ʻO ka ʻōlelo "He liʻiliʻi akā hana nui ia" kūpono loa i kēia iwi huelo. E maopopo iā ʻoe kēlā ke ʻike ʻoe i kekahi o nā mea āna e hana ai.

ʻO ke ʻano a me nā ʻāpana o ka iwi talus

Inā ʻoe e nānā i ka iwi talus, ua like ia me ke ʻano o ka noho lio ma ke kua o ka lio. He piʻo kona ʻaoʻao luna. Ua uhi ʻia ka iwi holoʻokoʻa me kahi papa laumania a pahee i kapa ʻia ʻo cartilage. Ua like ia me kahi papa o ka 'grease'. Ke hamo nā iwi kekahi i kekahi, ʻo kēia papa o ka cartilage e kōkua i ka neʻe maʻalahi o ke ami ma ka hōʻemi ʻana i ka friction.

Ke kamaʻilio nā kauka e pili ana i kēia iwi, ʻōlelo lākou i ʻekolu mau ʻāpana o ia mea. He mea nui kēia no kou ʻike laulā.

1. Ke poʻo Talus: ʻO kēia ka ʻaoʻao mua o ka iwi. Hoʻopili ia i ka iwi navicular ma ka wāwae.

2. Kino Talus: ʻO kēia ka ʻāpana nui a nui loa o ka iwi. ʻO ka ʻāpana piʻo ma luna o kēia ka mea e hoʻohui i nā iwi ʻelua o ka wāwae e hana i ka hui kuʻekuʻe wāwae.

3. ʻĀʻī Talus: ʻO ka ʻāʻī ka ʻāpana haiki ma waena o ke poʻo a me ke kino.

Inā loaʻa iā ʻoe kahi ʻeha kuʻekuʻe wāwae a lohe i kēia mau ʻōlelo i ke kamaʻilio ʻana me ke kauka, hiki iā ʻoe ke loaʻa kahi manaʻo paʻakikī o kahi o ka pōʻino.

He aha nā pilikia maʻamau e hoʻopilikia ai i ka iwi talus?

E like me nā iwi ʻē aʻe a pau, hiki i ka iwi talus ke loaʻa i nā pilikia like ʻole a me nā ʻeha. ʻO ʻelua o nā mea nui loa o kēia, ʻo ia ka haki ʻana o ka iwi a me ka osteoporosis.

1. Nā haki Talus

ʻO kēia ka ʻeha koʻikoʻi loa i ka iwi talus. ʻO ka maʻamau, pono kahi ulia koʻikoʻi e hana ai i kēia ʻano haki.

• Ka hāʻule ʻana mai kahi kiʻekiʻe mai: Ka hāʻule ʻana mai kahi alapiʻi, lāʻau, a i ʻole kahi kiʻekiʻe ʻē aʻe.
• Nā ulia kaʻa: ʻOi loa aku i nā ulia mokokaikala a i ʻole i ka wā e hoʻōki ikaika ai i loko o ke kaʻa.
• Nā ulia haʻuki: I nā haʻuki e pili ana i ka lele nui ʻana a i ʻole ka wili ʻana i ka kuʻekuʻe wāwae.

E noʻonoʻo i kekahi e piʻi ana i kahi alapiʻi a hana i kekahi hana, a laila paheʻe koke a hāʻule. Inā e kau lākou i ko lākou kaumaha a pau ma luna o kekahi wāwae a kūlou ko lākou kuʻekuʻe wāwae i loko, hiki ke haki ka iwi talus ma muli o ka ikaika nui.

Nā hōʻailona o ka haki

• ʻEha nui ma ka ʻāpana kuʻekuʻe wāwae.
• Pehu kuʻekuʻe wāwae.
• ʻOluʻolu ʻole a hiki ʻole iā ʻoe ke hele a kau paha i kou wāwae i lalo.
• Ke polū nei ka ʻili a i ʻole ke ʻano ua palapū.
• Ka loli ʻana o ke ʻano o ka kuʻekuʻe wāwae a i ʻole ka manaʻo o kahi puʻupuʻu ʻē.

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​ʻoi aku hoʻi ma hope o kahi ulia, pono ʻoe e hele koke i ka Emergency Department (ETU) o ka haukapila.

2. ʻO ka osteoporosis

ʻO ke ʻano maʻalahi o kēia, ʻo ia hoʻi ka 'lahilahi ʻana o nā iwi' a i ʻole nā ​​'iwi porous'. I ko kākou ʻelemakule ʻana, ʻoiai hoʻi i nā wahine ma hope o ka menopause, hoʻomaka ka emi ʻana o ka nui o ka iwi. A laila lilo nā iwi i nāwaliwali a hiki ke haki maʻalahi. I kekahi manawa, ʻoiai ke hele wāwae maʻamau, hiki i ka iwi ke haki.

ʻIke wale ka poʻe he osteoporosis ko lākou ma hope o ka haki ʻana o ka iwi, no ka mea, ʻaʻohe hōʻailona kikoʻī ma mua o kēia.

Nā pilikia ʻē aʻe

• Arthritis: ʻO ke kaumaha a me ka waimaka o ke cartilage i loko o ka hui kuʻekuʻe wāwae e hiki ai ke hoʻoulu i ka ʻeha a me ka paʻakikī i ka hoʻoneʻe ʻana i ka hui.
• ʻO ka maʻi tunnel Tarsal: Nā hōʻailona e like me ka ʻeha a me ke kani ʻana i ka wāwae i hoʻokumu ʻia e ke kaomi ʻana o kahi aʻalolo e hele ana ma waena o ka kuʻekuʻe wāwae.
• ʻO ka necrosis avascular: ʻO ka make ʻana o nā hunaola iwi ma muli o ka nele o ke koko i ka iwi. Hana pinepine ʻia kēia ma ke ʻano he pilikia o ka haki ʻana o ka talus.

Pehea e ʻike ai ke kauka inā he pilikia?

Ke hele ʻoe e ʻike i ke kauka me ka ʻeha kuʻekuʻe wāwae, ʻo ka mea mua āna e hana ai, ʻo ia ke nīnau iā ʻoe. E like me, ua loaʻa anei ʻoe i kahi ulia, pehea ka ʻeha, aia kekahi pehu, a laila e nānā ʻo ia i kou kuʻekuʻe wāwae.

A laila, hiki iā ʻoe ke kuhikuhi i nā hoʻokolohua e like me kēia e hōʻoia pono i ke ʻano o ka pilikia.

• X-ray:ʻO kēia ka hoʻāʻo maʻalahi loa e nānā ai no ka haki.
• CT scan: Kōkua kēia i ka ʻike maopopo ʻana i nā kiʻi 3D inā ua haki ka iwi i mau ʻāpana a pehea lākou i kau ai i loko o kahi haki. He mea nui loa kēia no ka hoʻolālā ʻana i kahi ʻoki kino.
• MRI Scan: Ma waho aʻe o nā iwi, hoʻohana ʻia kēia hoʻāʻo e nānā i nā hōʻino i nā ligaments, cartilage, a me nā ʻiʻo palupalu ʻē aʻe a puni ka hui.
• Hoʻāʻo mānoanoa o ka iwi (DEXA scan): Hana ʻia kēia hoʻāʻo e hōʻoia inā he osteoporosis kou.

He aha nā lāʻau lapaʻau?

Aia ka lāʻau lapaʻau i ka pilikia āu e loaʻa nei.

Lapaʻau no ka haki

ʻO ke ʻano o ka mālama ʻana no ka haki ʻana ma muli o ke ʻano o ka haki.

• Ka Hoʻopaʻa ʻana: Inā ʻaʻole e neʻe ana nā ʻāpana iwi, ua hoʻopili ʻia kahi ʻōmole i hana ʻia me ka Plaster of Paris (POP) a i ʻole fiberglass i ka kuʻekuʻe wāwae e pale aku ai i kona neʻe ʻana.
• ʻOki kino: ʻO ka hapa nui o nā haki talus e pono ai ke ʻoki kino e hoʻoponopono hou i nā ʻāpana iwi a hoʻopaʻa iā lākou me nā wili a me nā papa e pale ai iā lākou mai ka neʻe ʻana. Kōkua kēia i ka iwi e ho'ōla pono a hoʻihoʻi i ke kahe koko.

Ma hope o ke ʻoki ʻana, he mea nui ka physiotherapy e hoʻihoʻi mālie i ka neʻe ʻana o ka kuʻekuʻe wāwae, ka ikaika, a me ke kaulike.

Lapaʻau no ka osteoporosis

ʻO ka mālama ʻana no kēia mea e kālele ana i ka pale ʻana i ka nāwaliwali hou ʻana o ka iwi a me ka hoʻoikaika ʻana i nā iwi.

• Hoʻoikaika Kino: Nā hana e like me ka hāpai kaumaha a me ka hele wāwae.
• Nā wikamina a me nā minelala: Nā mea hoʻohui calcium a me ka wikamina D.
• Nā lāʻau lapaʻau: Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e hoʻōki ai i ka nalowale o ka iwi a hoʻoulu paha i ka ulu ʻana o ka iwi.

Pehea ʻoe e mālama ai i kou mau iwi a pau, me kou talus hoʻi, i ke olakino?

"ʻOi aku ka maikaʻi o ka makaʻala ma mua o ka hoʻōla," wahi a lākou. No laila, ʻoi aku ka maikaʻi o ka pale ʻana i nā ulia a hahai i kahi nohona olakino.

He iwi liʻiliʻi ka talus, akā i kēia manawa ua maopopo paha iā ʻoe kona koʻikoʻi i kou ola o kēlā me kēia lā. No laila, inā ʻoe e ʻeha, pehu, a i ʻole kekahi ʻeha ʻole ma kou kuʻekuʻe wāwae, mai hoʻowahāwahā iā ia a e ʻike i ke kauka. Inā loaʻa kahi ulia, e hōʻoia e hele koke i ka Emergency Department (ETU) o ka haukapila.