Ke ʻeha nei kou wāwae? Hiki paha iā Tarsal Coalition!

Ke ʻeha pinepine nei ʻoe a i ʻole kāu keiki i kou mau wāwae, ʻoi aku hoʻi ma ka ʻāpana kuʻekuʻe wāwae? He ʻano ʻē a ʻoluʻolu ʻole paha ke hele ʻoe? A laila he mea nui loa paha iā ʻoe ke ʻike i kēia kūlana i kapa ʻia ʻo "tarsal coalition" a mākou e kamaʻilio nei i kēia lā. Mai hopohopo, ʻaʻole kēia he mea maʻamau loa, akā he mea maikaʻi ke ʻike i kēia.

He aha kēia ʻAhahui Tarsal? E hoʻomaopopo maʻalahi kākou.

ʻAe, e nānā mua kākou i ke ʻano o kēia mau iwi "tarsal". ʻO nā iwi tarsal he hui iwi ia e waiho ana ma ke kua o kou wāwae, ma kahi e hui ai kou kuʻekuʻe wāwae me kou kuʻekuʻe wāwae. Ua like lākou me nā ʻiliʻili liʻiliʻi i hui pū ʻia. Hoʻopili ʻia kēia mau iwi kekahi i kekahi a hana pū e kōkua i ko mākou mau wāwae e hana pono, e hele, e holo, a e lele.

I kēia manawa, he aha ka "hui"? I ka ʻōlelo maʻalahi, ʻo ka hui ʻana o ka tarsal ka wā e hui pū ai ʻelua a ʻoi aku paha o kēia mau iwi tarsal ma ke ʻano kūlohelohe ʻole, e pili pū ana. E noʻonoʻo e pili ana i ia mea, ma ke ʻano maʻamau he mau hono liʻiliʻi ma waena o kēia mau iwi, i hiki ai iā lākou ke neʻe manuahi. Akā i kēia hihia, ulu ka iwi hou, ka cartilage, a i ʻole ka ʻiʻo fibrous ma waena o kēlā mau iwi, e hoʻopili ana i nā iwi ʻelua. Me he mea lā e hana ʻia ana kekahi alahaka.

He kumu hoʻoilina anei kēia? A i ʻole he mau kumu ʻē aʻe paha?

ʻO ka hapa nui o ka manawa, ʻo kēia kūlana i kapa ʻia ʻo tarsal coalition ua hoʻokumu ʻia e nā kumu genetic**. ʻO ia hoʻi, hiki ke hoʻokumu ʻia e kahi ʻano ʻē liʻiliʻi i ka ulu ʻana o nā iwi wāwae ʻoiai ke pēpē i loko o ka ʻōpū. ʻO ia hoʻi, hiki ke hoʻoilina ʻia.

Akā, ʻaʻole pono ia he genetic i nā manawa a pau. I kekahi manawa,

• Ma muli o kahi maʻi ,
• Ma muli o kahi ʻeha nui i ka wāwae,
• Hiki ke hana ʻia ka hui ʻana o Tarsal i ka wā makua ma muli o kahi maʻi e like me ka arthritis .

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?

ʻIke pinepine ʻia ka hui ʻana o Tarsal i nā keiki a me nā ʻōpio . Hoʻomaka ka ʻike ʻia ʻana o nā hōʻailona ma waena o nā makahiki 9 a me 16, ʻoiai e mānoanoa ana, ʻoʻoleʻa, a ʻeha hoʻi nā iwi i hui pū ʻia.

Eia nō naʻe, hiki i kekahi poʻe mākua ke loaʻa i kēia maʻi no ka manawa mua, a i ʻole ua loaʻa paha mai ka wā kamaliʻi a ʻaʻole hōʻike i nā hōʻailona, ​​​​akā e ʻike ʻia ma hope.

Ua ʻōlelo ʻia he mea maʻamau loa ia e pili ana ma waena o 1% a me 6% o ka heluna kanaka. ʻAʻole ia he manaʻo he mea maʻamau ia. Eia nō naʻe, ma kahi o ka hapalua o ka poʻe me kēia maʻi e loaʻa paha kēia pilikia ma nā wāwae ʻelua (bilateral tarsal coalition).

He aha nā hopena o ka Tarsal Coalition i ke kino? He aha nā hōʻailona?

ʻAʻole loaʻa nā hōʻailona i nā kānaka a pau me ka tarsal coalition. Hiki i kekahi poʻe ke ola i ko lākou ola holoʻokoʻa me ka ʻole o ka ʻeha a me ka ʻoluʻolu ʻole. No laila, i kekahi manawa, ʻaʻole ʻike ka poʻe ua loaʻa iā lākou.

Eia nō naʻe, no ka poʻe i ʻike i nā hōʻailona, ​​​​hiki iā lākou ke ʻano mai ka ʻeha iki, ka ʻeha pinepine a hiki i ka ʻeha nui loa i hiki ʻole iā ʻoe ke hele . ʻO nā hōʻailona nui e ʻike ʻia:

• ʻEha a ʻoʻoleʻa paha ma lalo o ke kuʻekuʻe wāwae, ma waenakonu o ka wāwae, a i ʻole ma ke kua o ka wāwae . Me he mea lā ua paʻa ka wāwae.
• Hoʻopilikia nā wāwae pālahalaha i ka hele ʻana. Hoʻonui pū kēia i ka pilikia o ka ʻeha o ke kuʻekuʻe wāwae.
• Hiki ke hoʻonui ʻia ka ʻeha i ka wā e hoʻoikaika kino ai, holo ai, a lele paha. Hiki ke emi iho ma hope o kahi hoʻomaha pōkole, a laila hoʻi hou mai ke hoʻomaka hou ʻoe e hana.
• I kekahi manawa, ʻike koke ʻia kēia mau hōʻailona ma hope o kahi ʻeha liʻiliʻi i ka wāwae .

ʻOkoʻa ka manawa e ʻike ʻia ai kēia mau hōʻailona mai kēlā kanaka a kēia kanaka. No kekahi poʻe, hoʻomaka ka ʻeha i ka wā ʻōpiopio, ma kahi o 10-15 mau makahiki. No kekahi poʻe, ʻike ʻia kēia mau hōʻailona ma hope o ko lākou hiki ʻana i ka wā makua.

Aia kekahi mau ʻano hui tarsal?

ʻAe, aia nā ʻano like ʻole o kēia. ʻO ia hoʻi, ʻokoʻa nā ʻano ma muli o kahi e hui pū ai ka iwi ʻē. ʻO nā mea maʻamau:

• Hoʻokumu ʻia kahi pilina ma waena o ka iwi nui ma kou kuʻekuʻe wāwae (iwi talus) a me ka iwi kuʻekuʻe wāwae (iwi calcaneus) .
• A i ʻole, ua hoʻokumu ʻia kahi pilina ma waena o ka iwi kuʻekuʻe wāwae (iwi calcaneus) a me ka iwi navicular i mua ona .

ʻO kēia nā ʻano i ʻike pinepine ʻia. Eia kekahi, aia kekahi mau ʻano ʻē aʻe i ʻike pinepine ʻole ʻia.

Pehea e ʻike ai ke kauka i kēia? (Diagnosis)

Inā ʻeha kou wāwae, ʻo ka mea mua a ke kauka e hana ai , ʻo ia ke nānā pono i kou wāwae a me kou kuʻekuʻe wāwae. E nīnau lākou iā ʻoe e pili ana i kahi e ʻeha ai, pehea e ʻeha ai, a me ka manawa hea e ʻeha ai.

A laila, no ka hōʻoia ʻana i ka maʻi, e kauoha lākou i kekahi mau hoʻokolohua kiʻi kūikawā . Eia nā mea:

• Nā kukuna X-ray: Hiki i kēia ke hāʻawi iā ʻoe i kahi manaʻo maʻamau o nā iwi ma kou wāwae. I kekahi manawa hiki ke ʻike maopopo ʻia kēia pilina maʻamau ma kahi kukuna X-ray.
• CT scan (computed tomography scans): Hāʻawi kēia i kahi kiʻi kikoʻī loa ma mua o kahi X-ray. Hoʻohana pinepine ʻia ka CT scan e ʻike i ka hui ʻana o ka tarsal. Hiki iā ia ke hōʻike maopopo i ka pilina ma waena o nā iwi.
• MRI (Magnetic Resonance Imaging): ʻOiai ʻo nā kukuna X a me nā scan CT e hōʻike nui ana i ka iwi, hiki i ka MRI ke hāʻawi i kahi kiʻi maikaʻi o nā ʻiʻo palupalu a puni ka iwi. I kekahi manawa pono paha kēia hoʻāʻo.

E hoʻomanaʻo, ʻo ke kauka ka mea nāna e hoʻoholo i kahi o kēia mau hoʻokolohua āu e pono ai.

He aha nā lāʻau lapaʻau no kēia?

ʻO ka mea maikaʻi loa, ʻo ka hui ʻana o ka tarsal e pono ai ka mālama ʻana inā loaʻa nā hōʻailona . Inā ʻaʻohe ʻeha a ʻoluʻolu ʻole paha, ʻaʻole pono ka mālama ʻana.

Inā loaʻa nā hōʻailona, ​​​​hiki ke ʻōlelo ʻia he lāʻau lapaʻau ʻoki kino a ʻaʻole hoʻi he ʻoki kino, ma muli o ke koʻikoʻi o ke kūlana.

Nā lāʻau lapaʻau ʻoki ʻole

ʻO ka hana mua, ʻo ia ke hoʻāʻo e kaohi i kēia ʻeha me ke ʻoki ʻole ʻana.

• Hoʻomaha: ʻO ka hoʻōki ʻana i nā hana e hoʻonui ai i ka ʻeha (e like me ka holo ʻana, ka lele ʻana) hiki ke hōʻemi i ke kaomi ma luna o nā iwi a hōʻemi i ka ʻeha. ʻO ka maʻamau, e ʻōlelo ʻia ʻoe e hoʻomaha no kahi o 3 a 6 mau pule.
• Nā inikini: I kekahi manawa hiki ke hāʻawi ʻia nā inikini steroid e hōʻemi i ka ʻeha. Hoʻokomo pololei ʻia kēia mau mea i loko o ke ami ʻeha.
• Orthotics: Hiki i nā mea hoʻokomo kāmaʻa a me nā kākoʻo hoʻopololei ke kōkua i ka hoʻopaʻa ʻana i kou mau wāwae a hōʻemi i ka ʻeha. Hana ʻia kēia mau mea e kūpono i kou mau wāwae.
• Hoʻopaʻa ʻana i ka kāmaʻa a i ʻole ka hoʻolei ʻana: Hiki ke hoʻohana ʻia kahi hoʻolei kāmaʻa manawa pōkole a i ʻole ka plaster of Paris (POP) e hoʻopaʻa ai i ka wāwae a hoʻemi i ke kaomi hou ma nā iwi tarsal.
• Ka lilo ʻana o ke kaumaha: Inā piʻi aʻe kou ʻeha i ka piʻi ʻana o ke kaumaha o kou kino, e kamaʻilio me ke kauka a hoʻomohala i kahi hoʻolālā pohō kaumaha e pono ai nāu.

Nā lāʻau lapaʻau

Inā ʻaʻole hiki i nā lāʻau lapaʻau ʻokiʻoki ʻole ke kaohi i ka ʻeha, a inā koʻikoʻi ke kūlana, hiki i ke kauka ke ʻōlelo i ke ʻoki ʻana.

• Resection: ʻO kēia ke ʻoki maʻamau no ka tarsal coalition. Pili ia i ka wehe ʻana i ka iwi i hui pū ʻia (coalition) a hoʻololi iā ia me ka ʻiʻo a i ʻole ka ʻiʻo i lawe ʻia mai kahi ʻāpana ʻē aʻe o kou kino. Hiki i ka hapa nui o ka poʻe ke hoʻi hou i ka hana maʻamau i ko lākou wāwae ma hope o kēia ʻoki.
• Fusion: Inā koʻikoʻi loa ke kūlana, a inā ua hōʻino ʻia ke ami ma muli o nā mea e like me ka arthritis, hiki ke hana ʻia kahi ʻoki kino i kapa ʻia ʻo fusion. Pili kēia i ka hoʻopili mau ʻana i nā iwi i hoʻopilikia ʻia, e kaupalena ana i ka neʻe ʻana. Pili paha kēia i ka hoʻohana ʻana i nā wili, nā staples, a i ʻole nā ​​​​papa metala . Kōkua kēia i ka mālama ʻana i nā iwi i kahi kūlana maikaʻi a hoʻemi i ka ʻeha.

He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia?

No kekahi poʻe, hiki i ka ʻeha a me ka ʻoluʻolu ʻole ke koʻikoʻi loa a hiki ke pale iā lākou mai ka hana ʻana i nā hana a lākou e makemake ai (e like me ka pāʻani a i ʻole ka hele wāwae). Inā ʻaʻole mālama ʻia, i ka hala ʻana o ka manawa, hiki i ka wāwae ke lilo i ʻoʻoleʻa a paʻakikī hoʻi ke hele.No laila, inā loaʻa iā ʻoe nā hōʻailona, ​​​​ʻoi aku ka maikaʻi e ʻike i ke kauka.

Hiki ke loaʻa nā pilikia ma hope o ke ʻoki ʻana?

E like me nā ʻoki kino āpau, aia nā pilikia e pili ana. ʻO kekahi o nā pilikia e hiki ke kū mai ma hope o ke ʻoki kino tarsal coalition:

• Maʻi
• ʻO ke koko paʻa (Hematoma)
• Ho'ōla maikaʻi ʻole ʻia ka ʻeha
• Ho'ōla maikaʻi ʻole o ka iwi
• ʻEha aʻalolo
• ʻO ke koko i loko o nā kīʻaha koko
• Ka loli ʻana i ke ʻano o nā manamana wāwae (Flail toes a i ʻole hammertoes)
• ʻOʻoleʻa a nāwaliwali paha i kou mau manamana wāwae

Akā, mai hopohopo, ke hana nei nā kauka i ka mea maikaʻi loa e hōʻemi i kēia mau pilikia.

Nā mea e hoʻomanaʻo ai i ka wā e noho pū ai me Tarsal Coalition

Inā loaʻa iā ʻoe kēia ʻano maʻi, i ka hōʻailona mua o nā hōʻailona, ​​e hoʻōki i kekahi hana e hiki ke hoʻoulu iā lākou. ʻO ka hapa nui o ka manawa, ua lawa ka hoʻomaha. Akā inā hoʻomau ka ʻeha, e ʻike i ke kauka. Hiki iā ia ke ʻōlelo i nā inikini a i ʻole nā ​​orthotics e kōkua i ka kaohi ʻana i kou ʻeha.

ʻEhia ka lōʻihi e ho'ōla ai mai ke ʻoki kino?

ʻOkoʻa ka manawa hoʻōla mai kēlā me kēia kanaka. ʻO ka maʻamau, ma waena o 6 a me 12 mau mahina e hoʻōla piha ai mai ke ʻoki ʻana o ka tarsal coalition. Eia nō naʻe, ʻoi aku ka lōʻihi o kēia manawa ma muli o kou mau makahiki, ke koʻikoʻi o ke ʻano, a inā he mau maʻi ʻē aʻe kāu, e like me ka arthritis. ʻO ke ala maikaʻi loa e hoʻōla koke ai, ʻo ia ka hahai pololei i nā ʻōlelo a kāu kauka.

Aia kekahi ala e pale aku ai i kēia?

He mea hoʻoilina pinepine ka hui ʻana o Tarsal, no laila ʻaʻole hiki ke pale loa ʻia . Eia nō naʻe, inā loaʻa nā hōʻailona, ​​​​hiki ke mālama pono ʻia. Hiki i ka ʻike mua a me ka mālama kūpono ke kōkua i ka pale ʻana i ke kūlana mai ka ʻino ʻana.

He aha kā mākou e manaʻo ai inā he hui tarsal?

ʻOiai he nui ka poʻe i loaʻa i kēia maʻi, ʻike ʻia nā hōʻailona i ka wā kamaliʻi a i ʻole ka wā ʻōpio. ʻAʻole paha e loaʻa i kekahi poʻe nā hōʻailona. No laila, ʻaʻole like nā kānaka a pau me kēia maʻi.

Hiki iaʻu ke pāʻani haʻuki?

Hiki i ka pāʻani ʻana i nā haʻuki ke lilo i mea paʻakikī iki no ka poʻe me ka tarsal coalition. Eia nō naʻe, ʻaʻole hiki ʻole ke pāʻani i nā haʻuki . Inā ua hōʻoia ke kauka ua loaʻa iā ʻoe kēia ʻano maʻi, e nīnau i kāu kauka e pili ana i nā haʻuki hiki iā ʻoe ke hana a me nā mea hiki ʻole ke hana, a me nā kapu āu e pono ai. Hiki paha iā ʻoe ke hana i nā haʻuki haʻahaʻa (e like me ka ʻauʻau ʻana).

ʻO ka mea nui loa āu e ʻōlelo ai

Hiki i ka ʻeha i hoʻokumu ʻia e ka tarsal coalition ke hoʻonāukiuki maoli, i kekahi manawa a hiki i kahi e hiki ai ke hoʻopilikia i kāu mau hana o kēlā me kēia lā. I kekahi manawa he manawa ka manawa e ʻike ai. Akā, ʻo ka mea pōmaikaʻi, aia nā ala maikaʻi e ʻike ai a mālama iā ia. Hiki i kēia mau lāʻau lapaʻau ke kōkua i ka kaohi ʻana i kāu mau hōʻailona a hoʻomaikaʻi i kou ʻano ola.

Inā loaʻa iā ʻoe a i ʻole kāu keiki ka ʻeha mau a i ʻole ka ʻoʻoleʻa i ko lākou mau wāwae, mai hoʻowahāwahā iā ia, e ʻike koke i ke kauka no ka ʻōlelo aʻo. A laila, hiki ke hoʻomohala ʻia kahi hoʻolālā lapaʻau e kūpono iā ʻoe. Mai hopohopo, me ka ʻōlelo aʻoaʻo lapaʻau kūpono, hiki ke mālama maikaʻi ʻia kēia kūlana!

ʻO ke kuʻi ʻana o Tarsal, ʻeha wāwae, ʻeha kuʻekuʻe wāwae, wāwae pālahalaha, nā maʻi wāwae keiki, nā pilina iwi, ke ʻoki kino