Ke hoʻomanaʻo nei ʻoe i nā manawa i ʻōwili koke ai kou wāwae i ka wā e holo ana, e hele ana, a i ʻole e iho wale ana i lalo o ke alapiʻi? ʻO ka hapa nui o ka manawa, ʻaʻole mākou e manaʻo he ʻeha liʻiliʻi ia. Akā inā pilikia ʻoe i ka hele ʻana me ka ʻeha ma ke kua o kou wāwae, hiki ke ʻoi aku ia ma mua o ka ʻeha maʻalahi. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻano haki kūikawā e hiki ke hana i ia mau manawa. I ka lāʻau lapaʻau, kapa mākou i kēia he Jones Fracture.
He aha ka Jones Fracture?
I ka ʻōlelo maʻalahi, aia kahi iwi lōʻihi ma ke kua o kou wāwae e pili ana i kou manamana wāwae liʻiliʻi. Ua kapa ʻia kēia ʻo ka iwi metatarsal ʻelima . ʻO kahi haki kikoʻī ma kēia iwi ua kapa ʻia ʻo Jones Fracture.
ʻOiai he ʻeha maʻamau loa kēia, ʻo ka mea kūikawā o kēia, ʻo ia ka lōʻihi o ka manawa e ho'ōla ai. ʻO ke kumu o kēia, ua emi iki ka lako koko i kēlā ʻāpana o ka iwi. No laila, inā loaʻa kēia ʻeha, he mea nui loa ia e hahai pono i ka hoʻolālā lapaʻau i hāʻawi ʻia e ke kauka.
E noʻonoʻo e pili ana i ia mea, inā he ʻokiʻoki iki aʻe kou ma kou wāwae, ʻoi aku kou pilikia i kēia ʻano haki. No ka mea, i kou hele ʻana, ʻaʻole i puʻunaue like ʻia ke kaumaha o kou kino ma ke kapuwaʻi o kou wāwae, a ʻoi aku ka nui o ke kaomi i waho.
He aha nā hōʻailona? Pehea ʻoe e ʻike ai?
He ʻeha nui ka haki ʻana o ka iwi. I ke ʻano o ka Jones Fracture, ʻike ʻia ka ʻeha a me ka pehu ma waho o ka wāwae. E nānā inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona.
| Hōʻailona | Wehewehena |
|---|---|
| ʻEha | ʻEha ʻoi ma ke kua o ke kapuwaʻi wāwae, ma lalo o ka manamana wāwae liʻiliʻi. |
| Pehu ʻana | Ka pehu ʻana ma kahi i hōʻeha ʻia. |
| ʻEha | Ka loli ʻana o ka ʻili, huli i ka polū/poni. |
| Paʻakikī ka hele wāwae | Ka paʻakikī o ka hele wāwae ma muli o ka ʻeha nui i ke kau ʻana i ke kaumaha ma ka wāwae. |
I kekahi manawa, ma mua o ka haki ʻana o ka iwi, e ʻike paha ʻoe i kahi ʻeha iki ma ke kua o kou wāwae no kekahi mau lā. Hiki ke ʻoi aku ka ʻino o kēia ʻeha, ʻoiai i ka wā e hoʻoikaika kino ai e like me ka holo ʻana. He mea nui e kamaʻilio me kāu kauka e pili ana i kekahi ʻeha mau e like me kēia.
He aha nā kumu o ka Jones Fracture?
ʻO ka hapa pinepine, hiki mai kēia haki ma muli o ka wili ʻana o ka wāwae . Hiki ke hana ʻia kēia ke hoʻololi koke ka wāwae i ke kuhikuhi, e like me ka hāʻule ʻana o ka wāwae i loko o kahi lua. Eia kekahi, hiki ke hana ʻia e ke kaomi mau ʻana ma ka iwi. No ka laʻana, hiki ke hana ʻia kēia i nā mea holo marathon a i ʻole ka poʻe e hoʻomaʻamaʻa ana i ka pūʻali koa. Kāhea mākou i kēia he haki stress .
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke hele ʻoe i ke kauka, e nānā mua ʻo ia i kou wāwae. A laila, e kauoha ʻo ia i kahi X-ray e hōʻoia inā he haki. ʻO ka hapa nui o ka manawa, hiki ke ʻike maopopo ʻia kahi Jones Fracture ma kahi X-ray.
Eia nō naʻe, i kekahi manawa inā liʻiliʻi loa ka haki (he haki lauoho), ʻaʻole paha e ʻike ʻia ma kahi X-ray. I ia mau hihia, hiki i kāu kauka ke kauoha i kahi hoʻāʻo MRI (Magnetic Resonance Imaging) . Hiki i kahi MRI ke ʻike maopopo ʻaʻole wale i ka iwi, akā, i nā ʻiʻo a me nā ligaments a puni.
Ma muli o ka lōʻihi o ka manawa e ho'ōla ai kēia haki, hiki i ke kauka ke hana i kahi mea e like me ka CT scan ma kahi lā ma hope aku e ʻike ai i kona maikaʻi e ho'ōla nei.
Pehea e mālama ʻia ai?
Ke ʻike ʻia ʻoe me ka Jones Fracture, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi kauka ʻoki iwi . Akā, mai hopohopo, ʻaʻole pono mau ke ʻoki kino. Aia ka lāʻau lapaʻau i ke ʻano o ka haki.
Lapaʻau me ka ʻole o ke ʻoki ʻana
ʻO ka mea mua e hana ai, ʻo ia ke hoʻomaha i kou wāwae a hoʻōki i ke kau ʻana i ke kaumaha ma luna. No kēia, hiki i kāu kauka ke kau i kahi kāmaʻa kūikawā a i ʻole ka ʻaila ma luna ou. ʻAʻole kēia e kau i kekahi kaomi ma kou wāwae. Pono ʻoe e ʻaʻahu i kēia no kahi o 6 mau pule . I loko o kēia manawa, e kuhikuhi kāu kauka i ka lāʻau lapaʻau e hōʻemi i ka ʻeha a me ka pehu.
Āhea e pono ai ke ʻoki kino?
Inā ʻaʻole hōʻike ka iwi i nā hōʻailona o ka ho'ōla ʻana ma hope o 6 mau pule, a inā he koʻikoʻi ka haki, pono paha ke ʻoki kino. ʻO ka maʻamau, ʻo ke ʻoki kino e pili ana i ka hoʻopili ʻana i nā ʻāpana iwi ʻelua i haki a hoʻokomo i kahi pine liʻiliʻi a i ʻole ka wili e hoʻopaʻa iā lākou ma kahi. He mea paʻa mau kēia pine i loko o ke kino a ʻaʻole e wehe ʻia ma hope o ka ho'ōla ʻana o ka iwi.
He mea kākaʻikahi loa, inā ua hōʻino ka haki i nā ʻiʻo a puni, pono paha ke ʻoki ʻana i ka iwi .
He aha kāu e hana ai i ka wā e hoʻomaha ai ma ka home? (ʻano hana RICE)
ʻOiai ʻoe e komo ana i ka kāmaʻa, pono ʻoe e hahai i ke ʻano RICE. E kōkua kēia i ka ho'ōla wikiwiki ʻana o ka ʻeha.
| ʻAno hana | He aha e hana ai |
|---|---|
| R - Hoʻomaha | E hoʻomaha i kou wāwae i ka hiki, me ke kau ʻole ʻana i kekahi kaumaha ma luna. ʻO ka nui o ka hoʻomaha āu e loaʻa ai, ʻo ka wikiwiki o kona ho'ōla ʻana. |
| ʻO wau - Hau (Hau ʻAi) | No ka hōʻemi ʻana i ka pehu a me ka ʻeha, e kau i ka hau no 20 mau minuke, a laila e hoʻomaha no 20 mau minuke. E hana i kēia i nā manawa he nui i ka lā. |
| C - Hoʻopili ʻana | No ke kāohi ʻana i ka pehu ʻana, e kāʻei i ka wāwae me kahi kāʻei elastic, e hoʻopaʻa iki iā ia. Akā, ʻaʻole paʻa loa i hiki ʻole ke hoʻōki i ke kahe ʻana o ke koko. |
| E - Kiʻekiʻe | No ka hōʻemi ʻana i ka pehu, e hoʻokiʻekiʻe i kou wāwae, e like me ke uluna, ma luna iki aʻe o ka pae o kou puʻuwai i ka hiki. |
Aia kekahi mau pilikia i ke ʻoki kino?
E like me nā ʻoki kino āpau, hiki i ke ʻoki kino ʻo Jones Fracture ke lawe mai i kekahi mau pilikia. ʻOiai he mea kakaikahi loa kēia, he mea nui e makaʻala iā lākou.
- ʻAnestesiaNā pilikia e pili ana i ka anesthesia
- Maʻi
- Ka hōʻino ʻana i nā aʻalolo a i ʻole nā kīʻaha koko
- Ke kahe koko nui
- Nā ʻūpā koko
Inā he mea pāʻani ʻoe a he hana kino koʻikoʻi paha kāu, hiki ke hala he 8 pule a ʻoi aku paha e hoʻōla piha ai a hoʻi i ka hana. He mea nui e kamaʻilio me kāu kauka e pili ana i ka wā e hiki ai iā ʻoe ke hoʻi i nā hana maʻamau a hahai pololei i kāna mau kuhikuhi.
Leka Lawe-Home
- Mai hoʻowahāwahā i nā hōʻailona e like me ka ʻeha, ka pehu ʻana, a i ʻole ka palapū ma waho o kou wāwae. E ʻimi koke i ke kōkua lapaʻau.
- ʻOiai he lōʻihi ka manawa e ho'ōla ai i ka Jones Fracture, e hahai pono i nā ʻōlelo a ke kauka (e hoʻomaha, me ka hoʻohana ʻana i kahi kāmaʻa).
- Ma ka hahai ʻana i ke ʻano RICE (Rest, Ice, Compression, Elevation) ma ka home hiki ke hoʻolalelale i ka ho'ōla hou ʻana.
- Mai makaʻu inā pono ke ʻoki kino, he hana maʻamau ia e hāʻawi ana i nā hopena holomua.
- He mea nui loa e noho mamao aku mai nā haʻuki a me nā hana hoʻoikaika a hiki i kou ho'ōla piha ʻia ʻana. Nui ka manawa kūpono e hōʻeha hou ai.
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