Ua ʻike anei ʻoe i kahi ʻano ʻūlū a ʻeha paha ma kou wāwae haʻahaʻa a i ʻole kou wāwae? Malia paha he paʻakikī iā ʻoe ke hoʻoneʻe i kou mau manamana wāwae? ʻO ke kumu o kēia mau hōʻailona he pilikia paha me kahi aʻalolo koʻikoʻi loa i kou wāwae. I kēia lā ke kamaʻilio nei mākou e pili ana i ka 'Tibial Nerve'. ʻOiai he ʻano lapaʻau kēia, e hoʻomaopopo maʻalahi kākou.
He aha ke aʻalolo Tibial?
I ka ʻōlelo maʻalahi, ʻo ke aʻalolo tibial kahi aʻalolo nui e hāʻawi ana i ka neʻe a me ka ʻike i ke kua o kou wāwae haʻahaʻa a me kou wāwae. Ua like ia me ke kaula uila i loko o ko mākou hale. Lawe kēia mau aʻalolo i nā leka mai ka lolo a i ke koena o ke kino. Kāhea mākou i kēia mau aʻalolo peripheral "nā aʻalolo peripheral."
E noʻonoʻo ʻoe ua like ke kaula iwi kuamoʻo i loko o ko kākou iwi kuamoʻo me ke kumu o kahi lāʻau. A laila, ʻo kēia mau aʻalolo e puka aku ana mai ia mea ua like ia me nā lālā o kēlā lāʻau. ʻO ke aʻalolo tibial kekahi o nā lālā nui ʻelua o ke aʻalolo sciatic, ke aʻalolo nui loa i loko o ko kākou kino. Loaʻa iā ʻoe kēia aʻalolo tibial ma kou mau wāwae ʻelua.
He aha ka pono o kēia aʻalolo i ko kākou kino?
ʻElua mau hana nui o kēia aʻalolo. ʻO kekahi e hoʻoneʻe i nā ʻiʻo. ʻO kekahi e hāʻawi iā mākou i ka manaʻo. E nānā kākou i kēia mau hana ʻelua.
| Hana o ke aʻalolo | Ke kaʻina hana e hana ʻia |
|---|---|
| Ke kāohi ʻana i nā neʻe (Hana Motor) |
|
| Ke hāʻawi nei i ka manaʻo (Hana Sensory) |
Hoʻoili kēia aʻalolo i nā manaʻo e like me ka pā ʻana, ka ʻeha, a me ka wela i manaʻo ʻia ma kēia mau wahi i ka lolo. |
Aia ma hea kēia aʻalolo?
ʻO ka ʻike pono i kahi o kēia aʻalolo e hōʻike ana i kona koʻikoʻi.
Hoʻomaka kēia aʻalolo ma luna pono o ke kuli, ma ke kua o ka wāwae. Mai laila mai, hele ia penei:
- ʻO ka mea mua, hoʻouna ia i kahi hōʻailona i lalo i ka ʻiʻo nui i loko o ke keiki bipi i kapa ʻia ʻo ka ʻiʻo gastrocnemius e neʻe.
- A laila iho hou ia i lalo a hui pū me kekahi aʻalolo ʻē aʻe e hana i ke aʻalolo sural. ʻO kēia ka mea e hāʻawi ai i ka manaʻo i ke kua o ka ʻāʻī.
- Ma lalo iho, komo nā ʻiʻo ʻē aʻe ma ka wāwae lalo (soleus a me ka tibialis posterior muscle).
- ʻO ka hope loa, komo kēia aʻalolo i loko o ke kuʻekuʻe wāwae. Ma laila, hele ia ma waena o kahi lua liʻiliʻi i kapa ʻia ʻo ke tunnel tarsal . Hana ʻia kēia tunnel i ka iwi a me nā ʻiʻo. ʻO kāna hana nui ka pale ʻana i ke aʻalolo.
- Ma o kēia tunnel e māhele ai nā aʻalolo i nā lālā e lawe i nā leka i nā manamana wāwae a me nā kapuwaʻi o nā wāwae.
He aha ka mea e hana inā ua hōʻino ʻia ke aʻalolo tibial?
Inā ua hōʻino ʻia kēia aʻalolo, hiki ke ʻike ʻia nā ʻano maʻi a me nā hōʻailona like ʻole.
- ʻO ka Tarsal Tunnel Syndrome: He kūlana maʻamau kēia. ʻO kēia kahi e ʻomi ʻia ai ke aʻalolo i loko o ke tunnel a mākou i kamaʻilio ai ma mua. Hiki i kēia ke hōʻeha a me ka mae ʻana ma loko o ke kuʻekuʻe wāwae a me lalo o ka wāwae. Eia naʻe, ʻaʻole kēia he kumu maʻamau o ka ʻeha wāwae.
- ʻO ka Tibial Compartment Syndrome: ʻO ke kaomi nui i hoʻokumu ʻia e ka pehu ʻana o nā ʻiʻo e hoʻopuni ana i ke aʻalolo hiki ke hōʻemi i ke kahe koko i ke aʻalolo, e hoʻoulu ai i ka nāwaliwali a me nā loli i ka ʻike ma ka wāwae a me ka kuʻekuʻe wāwae.
ʻO ka mea nui loa, ʻo ke kumu nui o ka hōʻino ʻana i kēia aʻalolo, ʻo ia ke kaomi ʻana o ke aʻalolo.
| Nā kumu ʻē aʻe o ka hōʻino ʻana o ke aʻalolo | |
|---|---|
| ʻEhaeha | Hiki i nā mea e like me ka iwi wāwae haki a i ʻole kahi ʻeha hohonu ke hōʻino pololei i ke aʻalolo. |
| Nā puʻupuʻu a i ʻole nā pūpū | ʻO kahi ulu kūpono ʻole kokoke i ke aʻalolo e hiki ai ke hoʻopaʻa ʻia ke aʻalolo. |
| Nā pilikia o ke ʻoki kino | Aia kahi pilikia liʻiliʻi o ka hōʻino ʻana i kēia aʻalolo i ka wā o nā hana e like me ke ʻoki ʻana o ka ʻūhā a i ʻole ke kuli. |
| ʻO ka Neuropathy Diabetic | Hiki ke hōʻino ʻia nā aʻalolo ke noho mau nā pae kō koko i kaohi ʻole ʻia no ka manawa lōʻihi. Hiki i kēia ke hoʻopilikia i nā aʻalolo he nui i ka manawa hoʻokahi. |
I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?
Inā loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei, he mea nui e kamaʻilio me ke kauka e pili ana iā lākou. He pilikia paha kēia me ke aʻalolo tibial.
- Inā ʻoe e manaʻo i kahi ʻano wela ma kou wāwae lalo a wāwae paha.
- Inā paʻakikī ke hoʻoneʻe i kahi ʻāpana o ka wāwae a i ʻole ka wāwae.
- Inā manaʻo ʻoe e nāwaliwali ana kou mau ʻiʻo.
- Inā e ʻūlū ana .
- Inā manaʻo ʻoe e hou ʻia ana ʻoe e nā nila (pine a me nā nila).
- Inā he ʻeha koʻikoʻi .
- Inā manaʻo ʻoe e luaʻi mau ana ʻoe.
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou. E ʻike i kāu kauka a haʻi iā lākou e pili ana i ia mea. A laila hiki iā lākou ke ʻike i ke kumu a hoʻomaka i ka lāʻau lapaʻau e pono ai.
He aha kā mākou e hana ai e pale aku i kēia aʻalolo?
ʻAʻole hiki ke pale aku i ka hōʻino ʻana o ke aʻalolo i nā manawa a pau, akā aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia.
- Inā loaʻa iā ʻoe kekahi mau pilikia a ulia paha me kou wāwae a wāwae paha, e ʻimi koke i ke kōkua lapaʻau .
- E ʻaʻahu i nā kāmaʻa maikaʻi . ʻOi aku kou pilikia o ka tarsal tunnel syndrome inā he mau wāwae pālahalaha kou.
- E ʻai i nā meaʻai momona . He mea nui loa ka wikamina D a me ka wikamina B12 no ke olakino o nā aʻalolo.
- Inā loaʻa iā ʻoe nā maʻi mau e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, e kaohi pono iā lākou .
- Inā ʻoe e puhipaka, e noi i ke kōkua e haʻalele . Hoʻemi ka puhipaka i ke kahe koko i nā aʻalolo.
- E mālama i kahi kaumaha olakino e kūpono iā ʻoe.
- E hōʻemi i ke kaumaha ma o nā mea e like me ka noʻonoʻo ʻana a me ka hoʻoikaika kino.
- E hōʻemi i ka inu ʻana i ka waiʻona.He mea make pololei ka waiʻona i nā aʻalolo.
Hoʻomanaʻo pinepine mākou i ko mākou mau aʻalolo ke loaʻa iā mākou kahi pilikia. Akā i kēia manawa ua maopopo iā ʻoe ke koʻikoʻi o nā mea e like me ke aʻalolo tibial i ka neʻe ʻana a me ka ʻike i ko mākou mau wāwae a me nā wāwae. Inā ʻoe e ʻeha a nāwaliwali paha i kou wāwae haʻahaʻa a i ʻole ka wāwae, he pilikia paha ia me kēia aʻalolo. No laila e ʻike i ke kauka a kamaʻilio e pili ana.
Leka Lawe-Home
- ʻO ke aʻalolo tibial kahi aʻalolo e pono ai no ka neʻe ʻana a me ka ʻike ma kou wāwae haʻahaʻa a me kou wāwae.
- Hiki i ka hōʻino ʻana i kēia aʻalolo ke hoʻoulu i ka ʻeha, ka mae ʻana, a me ka nāwaliwali o nā ʻiʻo.
- ʻO ka Tarsal Tunnel Syndrome kahi maʻi maʻamau i hoʻokumu ʻia e ke kaomi ʻana o kēia aʻalolo kokoke i ka kuʻekuʻe wāwae.
- Inā loaʻa iā ʻoe ka ʻeha mau, ka mae ʻana, a i ʻole ka nāwaliwali i kou wāwae a wāwae paha, mai hoʻowahāwahā iā ia a e ʻike koke i kāu kauka.
- ʻO ka mālama ʻana i nā maʻi maʻi e like me ka maʻi diabetes ma lalo o ke kaohi a me ka hahai ʻana i kahi nohona olakino e hiki ke kōkua i ka pale ʻana i kou mau aʻalolo.
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