Ke holo kākou, lele, a hele paha, aia kahi iwi ma ke alo o ko kākou wāwae a kākou e paʻa pono ai, ʻeā? Ke kamaʻilio mau kākou e pili ana i ia mea, kapa mākou ia he 'iwi shin'. ʻO ia ka mea i kapa ʻia ʻo tibia i ka ʻepekema lapaʻau. He iwi koʻikoʻi loa kēia a ikaika hoʻi i loko o ko kākou kino. Akā i kekahi manawa, hiki i nā pilikia me kēia iwi, ʻoiai hoʻi i nā keiki e holo a hele wāwae, ke hōʻeha i nā wāwae a me ka paʻakikī i ka hele wāwae. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia iwi koʻikoʻi me nā kikoʻī hou aku.
He aha kēia Tibia?
I ka ʻōlelo maʻalahi, ʻo ka tibia ka iwi nui a koʻikoʻi hoʻi ma kou wāwae haʻahaʻa, ma waena o ke kuli a me ka kuʻekuʻe wāwae. ʻO ia ka lua o ka iwi lōʻihi loa ma ke kino ma hope o ko kākou iwi ʻūhā (femur).
E noʻonoʻo, ʻaʻole hana hoʻokahi kēia tibia. Loaʻa iā ia kekahi iwi ʻē aʻe e like me ka hoaaloha, ʻo ia ka fibula. He lahilahi iki kēia fibula, i hoʻohālikelike ʻia me ka tibia. Hoʻopili ʻia kēia mau iwi ʻelua e kahi membrane ikaika. Kapa mākou iā ia ʻo ka "membrane interosseous". ʻO kēia ka mea e hoʻopaʻa ai i nā iwi ʻelua a hana e like me kahi hui ikaika.
He aha nā hana nui o ka tibia?
E like me nā iwi āpau i loko o ko mākou kino, he nui nā hana kūikawā a ke tibia.
1. Ke kaumaha o ke kino:
ʻOiai ʻo ka iwi nui loa a ikaika loa hoʻi ma ka wāwae haʻahaʻa, hāpai ka tibia i ke kaumaha holoʻokoʻa o ko mākou kino ke kū mākou, hele, a holo. E like me ke kia nui i loko o kahi hale, kōkua pū ia i ka hoʻopaʻa ʻana i nā hono kuli a me nā kuʻekuʻe wāwae, me ka fibula.
2. Ke komo ʻana o nā ʻiʻo :
He 11 mau ʻiʻo i hoʻopili ʻia i ka tibia e kōkua iā mākou e kūlou, hoʻolōʻihi, a hoʻoneʻe i ko mākou mau wāwae. ʻAʻole wale ia, akā ua hoʻopili pū ʻia nā mea e like me nā tendon a me nā ligaments iā ia.
Ua ʻike paha ʻoe aia i loko o ko kākou mau iwi ka iwi ʻiʻo. Aia i loko o kēia iwi lōʻihi i kapa ʻia ʻo tibia ka nui o ka iwi ʻiʻo melemele. Eia kekahi, aia i nā wēlau o ka iwi kekahi iwi ʻulaʻula.
Aia ma hea ke tibia? He aha kona mau ʻāpana?
Aia ka tibia ma loko o kou wāwae haʻahaʻa, ma waena o ke kuli a me ka kuʻekuʻe wāwae. Aia ka iwi fibula lahilahi ma waho o kou wāwae. He nui nā ʻāpana nui o ka tibia.
- ʻAoʻao kokoke: ʻO kēia ka ʻāpana e pili ana i ka iwi ʻūhā (femur) e hana ana i ke kuli. He ʻelua ʻāpana knobby kona. Kāhea mākou iā lākou he 'medial condyle' a me 'lateral condyle'.
- ʻO ke koʻokoʻo Tibia: ʻO kēia ka ʻāpana lōʻihi loa o ka iwi. ʻO kēia ka ʻāpana e hāpai ana i ke kaumaha o ko kākou kino. ʻO kēia ka ʻāpana e paʻa ana ma lalo o ka ʻili ke kau ʻoe i kou lima ma ke alo o kou wāwae.
- ʻAoʻao mamao: ʻO kēia ka ʻāpana e pili ana i ka hui kuʻekuʻe wāwae. E hoʻomanaʻo i kēlā puʻupuʻu iwi nui ma loko o kou wāwae, kokoke i kou kuʻekuʻe wāwae? ʻO ia ka 'medial malleolus' ma kēia wahi.
Pehea ʻoe e ʻike ai inā he pilikia me kou tibia?
ʻOiai he iwi ikaika ka tibia, ʻaʻole ia he mea hiki ʻole ke luku ʻia. Inā ua hōʻino ʻia, hiki ke hōʻike i nā hōʻailona e like me:
- ʻEha nui i ka wā e hele ai a holo paha.
- ʻAʻole hiki ke kau i ke kaumaha ma ka wāwae.
- Wāwae kūlou.
- ʻO ke komo ʻana i loko o ka wāwae ka wā e huli ai nā manamana wāwae i loko i ka wā e hele ana.
- ʻIke ʻia aku he pōkole loa kekahi wāwae ma mua o kekahi.
- Nā maʻi ʻāʻī kuli.
- Ka pehu ʻana a i ʻole ka ʻeha ma ka wāwae.
- ʻO ke ʻano o kahi puʻu ma lalo o ka ʻili i loaʻa ʻole ma mua.
Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻoiai ma hope o ka hāʻule ʻana a i ʻole kahi ulia paha, he mea nui loa ia e ʻimi i ke kōkua lapaʻau.
He aha nā kūlana maʻamau e hoʻopilikia ai i ka tibia?
Aia kekahi mau kūlana e hiki ke hoʻopilikia i ka iwi tibia. E nānā kākou i kekahi o lākou. He mea maʻalahi iā ʻoe ke hoʻomaopopo i kēia mau mea ma ke ʻano he papaʻaina.
| Kūlana | I ka ʻōlelo maʻalahi... |
|---|---|
| Nā haki Tibia | He ʻeha maʻamau ka wāwae lalo o nā keiki. Hiki ke hana ʻia e ka hāʻule iki ʻana a i ʻole ka wāwae i haki. A i ʻole hiki ke ʻoi aku ka koʻikoʻi, e like me kahi ulia kaʻa a i ʻole ka hāʻule ʻana mai kahi kiʻekiʻe. |
| ʻO ka maʻi ʻo Osgood-Schlatter | He ʻano ʻeha kuli kēia. He mea maʻamau ia i nā keiki e pāʻani ana i nā haʻuki a ke ulu nei. Loaʻa kēia ʻeha i ka wā e huki ʻia ai ka papa ulu ma ka piko o ka tibia. ʻAʻole kēia he mea weliweli a ho'ōla pinepine ia iā ia iho i ka wā e ulu ana ke keiki. |
| Maʻi Blount | He kūlana kēia e hoʻopilikia ai i ka papa ulu o ka tibia i nā keiki. Hoʻokau ke kaumaha o ke kino i ke kaomi ma luna o ka papa ulu a ʻaʻole ulu pono ka iwi. Ua paʻa ka ulu ʻana ma ka ʻaoʻao o loko, ʻoiai ke hoʻomau nei ka ulu ʻana o ka ʻaoʻao o waho, e kūlou ana ka wāwae i waho e like me ke kakaka. |
| ʻO ka maʻi iwi o Paget | ʻO kēia ka manawa e piʻi nui ai ka wikiwiki o ka hoʻoponopono ʻana o ka iwi ma mua o ka maʻamau. ʻO ka hopena, lilo nā iwi i nāwaliwali, palupalu, a nui loa paha. Hiki i kēia ke kumu i nā iwi e kūlou a haki maʻalahi. ʻO ia ka mea maʻamau i waena o ka poʻe ʻelemakule. |
| ʻOsteoporosis | Ke wāwahi mau nei ko kākou mau iwi a ke hoʻololi ʻia nei. Inā ʻaʻole hiki ke hana ʻia ka iwi hou i ka wikiwiki like me ka nalowale ʻana o ka iwi kahiko, e lilo nā iwi i nāwaliwali a palupalu. ʻOiai ka hāʻule iki ʻana hiki ke haki i ka iwi. |
| Nā ʻūpā shin (Shin splints / Tibial stress syndrome) | ʻO kēia ka huaʻōlelo i hoʻohana ʻia e wehewehe i ka ʻeha ma ke alo o ka wāwae haʻahaʻa e kū mai ana i ka wā hoʻoikaika kino, ʻoiai i ka wā e holo ana. Hiki ke loaʻa kēia ʻano i nā poʻe me nā wāwae pālahalaha ke hoʻonui koke lākou i kā lākou hoʻoikaika kino. |
Pehea lā e mālama ai i ko kākou mau iwi, me ke tibia pū kekahi?
I kēia manawa ua ʻike ʻoe i ke koʻikoʻi o ka tibia i kā mākou neʻe ʻana a me ke kūpaʻa, aia kekahi mau hana maʻalahi hiki iā mākou ke hahai e mālama i kēia ʻōnaehana iwi i ke olakino.
- Hoʻoikaika kino mau : ʻO nā hoʻoikaika kino e like me ka hele wāwae a me ka holo ʻana e hoʻoikaika i nā iwi.
- Ka mālama ʻana i ke kaumaha o ke kino: Hoʻokomo ke kaumaha nui i ke kaomi pono ʻole ma nā iwi a me nā hono.
- ʻAi ʻana i ka meaʻai kaulike: ʻO nā meaʻai i waiwai i ka calcium a me ka wikamina D (waiū, yogurt, nā mea kanu ʻōmaʻomaʻo) he mea nui ia no ke olakino o ka iwi.
- Ke komo ʻana i nā mea pale i ka wā e pāʻani ana i nā haʻuki: ʻO ka hoʻohana ʻana i nā mea pale, ʻoi aku hoʻi i nā haʻuki pili, hiki ke kōkua i ka pale ʻana i nā haki iwi.
Inā loaʻa iā ʻoe ka ʻeha mau a koʻikoʻi o ka wāwae, ʻike ʻoe i kahi loli i ke ʻano o kou wāwae, a i ʻole hiki ʻole ke hoʻohana a hāpai paha i ke kaumaha ma kou wāwae, ʻoiai ma hope o kahi ulia , e ʻike koke i ke kauka. I ka hihia o kahi ulia koʻikoʻi, e hele pololei i ka Emergency Department (ETU) o ka haukapila kokoke loa iā ʻoe. Mai hoʻowahāwahā i ka ʻeha wāwae a i ʻole ka pehu.
Leka Lawe-Home
- ʻO ka tibia ka iwi nui e hāpai ana i ke kaumaha o kou wāwae haʻahaʻa. ʻO kēia ka mea a mākou e kapa nei he 'iwi shin'.
- He mea nui kēia iwi no ka aneane o kā mākou mau neʻe ʻana a pau, e like me ka hele wāwae a me ka holo ʻana.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha o ka wāwae, ka pehu ʻana, a i ʻole ka paʻakikī i ka hele wāwae, mai hoʻowahāwahā iā ia. E kamaʻilio me kāu kauka.
- Hiki i nā keiki, ʻoiai ka poʻe e pāʻani haʻuki ana, ke loaʻa i nā maʻi ʻeha no ka manawa pōkole e like me Osgood-Schlatter. Ma mua o ka hopohopo, e ʻimi i ke kōkua lapaʻau.
- Hiki i kahi nohona olakino (ʻai kaulike, hoʻoikaika kino) ke hoʻoikaika i kou mau iwi.
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