He puku kei tō māhunga waewae? Me kōrero tātou mō tēnei mate pūpū (Hallux Valgus)!

Kua kite koe i tētahi puku iti, he rite ki te wheua e puta mai ana i te pūtake o tō māhunga waewae? Kua pā pea tēnei ki a koe anō, kua kite rānei koe i tētahi e mōhio ana koe e pērā ana. Koinei te mea e kiia nei e tātou he 'bunion'. Me kōrero taipitopito atu tātou mō tēnei i tēnei rā, nā te mea he tini ngā tāngata e pāngia ana.

He aha te bunion? He aha tonu te Hallux Valgus?

I te whakarapopototanga, ko te bunion he wheua koiwi e tupu ana i te pūtake o tō māhunga nui, te hononga e hono ai te māhunga ki te waewae, e mōhiotia ana i te taha hauora ko te hononga metatarsophalangeal (hononga MTP) . He rite ki te puku iti, he rite ki te pōro. Ko te nuinga o te wā ka tupu i te taha o roto o te māhunga nui. I te taha hauora, ka kiia tēnei ko te Hallux Valgus .

Whakaarohia, ka kumea mārire tō māikuku nui ki ngā māikuku kē atu, kātahi ka puta te hononga. Ko te bunion te ingoa o taua hononga.

Ki te mea kei te pēhia koe e tētahi puku pēnei i tō māhunga nui, ina koa mēnā kei te mamae, kei te ngoikore rānei ō maihao, me toro atu koe ki tētahi tākuta . Nā te mea he māmā ake te rongoā mēnā ka kitea wawetia.

He rerekē ngā momo bunion?

Ae, he maha ngā momo pūngāwerewere. Ko te momo e kitea whānuitia ana ko te mea e puta mai ana i te pēhanga ki te māhunga o te waewae. Heoi, ka taea hoki e ngā pūngāwerewere te puta ki ētahi atu māhunga, me ētahi atu take anō hoki. Anei ētahi o ngā momo:

• Te Hārukenga Whānau: He ahua rerekē pea tēnei, engari ka whānau mai ētahi pēpi me ngā pūngāwerewere. He mate tēnei e kitea ana mai i te whānautanga.
• Te Huruhuru Valgus Taiohi, Taiohi rānei: Koinei ngā momo pūpū e pā ana ki ngā tamariki me ngā taiohi kei raro iho i te 18 tau te pakeke. Ka pā anō hoki tēnei āhuatanga i tēnei tau.
• Te Pūngāwerewere a te Kaihanga Huruhuru, te Pūngāwerewere rānei: Ka puta tēnei i te pūtake o tō māikuku iti. Kaua e miharo ki te ingoa, i ahu mai tōna ingoa nā te mea i noho ngā kaimahi hanga hu i te tūranga kotahi mō ngā hāora i te wā kotahi, ā, ka pēhia ō rātou māikuku nui . He maha ngā wā ka puta tēnei i te mau i ngā hū kāore i te tau , i te mahi rānei i ngā mahi e pana ana i tō māikuku nui ki ngā māikuku kē atu.

He pēhea te noa o te ingoa o tēnei mate ko te bunion?

He mea noa ake tēnei i tō whakaaro. E whakaatu ana ngā rangahau i roto i ngā whenua pēnei i te Hononga o Amerika, tata ki te kotahi i roto i te toru o ngā tāngata he pūpū. Ka kitea anō hoki tēnei mate i roto i tō tātou whenua, inā koa i waenga i ngā wāhine, ā, ka kitea ka piki haere i te kaumātuatanga.

He aha ngā tohu o te bunion?

Ko te tohu nui rawa atu ko te puku i te pūtake o te māwaewae matua. Ka taea e koe te kite, te rongo hoki. Haunga tēnā, tera pea ētahi atu tohu pēnei i:

• Te mamae, te kōpiko rānei o te māhunga o te waewae. Tērā pea ka mamae i te tū noa, i te hikoi rānei.
• Tērā pea ka pupuhi , ka whero hoki te taha o te puku.
• I ētahi wā ka huri te tae, ka whero rānei .
• Kāore e taea te piko, te neke rānei i te māhunga o te waewae. I ētahi wā ka pā te werawera i te wā e piko ana te māhunga.
• He uaua ki te mau i ētahi momo hū , he mamae nui rānei i te wā e mau ana i ngā hū. Ka kitea nuitia tēnei ina mau ana i ngā hū whaiti kei mua.
• He kiri matotoru ngā kōpura, ngā kiri mārō rānei . Ka puta ēnei i te pūngāwerewere, i waenganui rānei i ngā māikuku.
• Ko ngā matimati waewae hāmare he āhua e pakari ana, e piko ana hoki ngā hononga me ngā uaua o ngā matimati waewae, he rite ki te uaua Ākihi. Ka taea hoki e te bunion te whakarerekē i te āhua o ētahi atu matimati waewae.
• Te ngenge huri noa i te māhunga nui.

He aha tātou ka pāngia ai e ngā bunion?

He tino uaua ki te kī kotahi anake te take e puta ai ngā bunion. He maha ngā take ka taea te whakakotahi . Whakaarohia he mekameka o ngā mahi e hono tahi ana.

Ko ngā mea matua e pāngia ana ko:

• Hītori whānau: Mena he pūngāwerewere tō tetahi o tō whānau, pērā i tō whaea, tō pāpā, tō kuia, tō koroua rānei, ka nui ake te tūponotanga ka pāngia koe e ēnei pūngāwerewere. He mea tēnei e ahu mai ana i ngā ira.
• Hanganga wheua rerekē: Ko ētahi tāngata he nui ake te tūponotanga ki te pāngia e te pūngāwerewere nā te āhua o te whakaritenga o ō rātou wheua i roto i ō rātou waewae.
• Te whiriwhiri hu: Koinei te mea tino nui, ā, he mea ka taea e tātou te whakahaere. Ina koa mō ngā wāhine, ko ngā rekereke teitei me ngā pouaka matimati whaiti ka nui te pēhanga ki te matimati nui, ka panaia ki ngā matimati kē atu. Ki te roa tēnei, ka puta he bunion.
• Te āhua o tō hikoi (Te tikanga o te waewae): Ka pā anō hoki tō tikanga o te waewae, arā, te āhua o tō whakatakoto i tō waewae ki te whenua, ki te āhua o tō whakatakoto i te taumaha ki runga i tō waewae.
• Ētahi āhuatanga mumura: Hei tauira, ko te hunga whai mate hononga pēnei i te mate rumatiki , te lupus rānei, he nui ake te tūponotanga ki te whakawhanake i ngā bunion.
• Te tū roa mō te wā roa , te mahi rānei i ngā mahi e taumaha rawa ai ō waewae.

Ki te kī ngāwari, kei raro tonu te hononga o tō māikuku nui i te pēhanga mō te wā roa (tērā pea mō ngā tau). Ko te mea ka tupu, ka pana haeretia tō hononga e te pēhanga ki mua, ka kukumea ki ngā māikuku kē atu. Ā tōna wā, i te totoro haere o tō māikuku pērā, ka puta he puku ki te hononga MTP i a tō tinana e ngana ana ki te whakarite.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i ngā bunions?

Ka taea e te tangata katoa te pāngia e te bunions, engari he nui ake te mōrearea o ētahi rōpū:

• Mō ngā wāhine: He nui ake te tūponotanga o ngā wāhine ki te pāngia e te mate pūkahukahu i ngā tāne. He maha ngā wā, ko ngā hū piripono, koi hoki e mau ana i te ao ahua te take, tika?
• Te awe ira : E ai ki te kōrero i mua ake nei, mēnā he pūngāwerewere, he raruraru waewae rānei ō ngā mātua, tera pea ka pāngia anō hoki ā rātou tamariki e ēnei mate. Kua kitea neke atu i te 70% o te hunga he pūngāwerewere ō rātou mātua he mate anō hoki.
• Mō te hunga kua whara ō rātou waewae: Ko te hunga e whara pinepine ana ō rātou waewae, pērā i ngā kaitākaro, he nui ake te mōrearea ki tēnei.

Ka taea e te bunion te whakaputa i ētahi atu raruraru?

Ae, mā te whai i te bunion ka nui ake te mōrearea o ētahi atu mate pēnei i:

• Te Pūngāwerewere (Bursitis): Koinei te wā ka mumura, ka mamae hoki ngā pēke wai e karapoti ana i ngā hononga, e kiia nei ko te bursa. Ina pā tēnei ki runga i te pūngāwerewere, ka kino rawa atu te mamae.
• Ngā Matimati Hāma: Nā te toronga o te māikuku nui, ka taea hoki te toro me te piko o te māikuku tuarua me te tuatoru pērā i te hāma.
• Osteoarthritis: Ko te tikanga o tēnei ko te pakaru me te haehae o ngā hononga. Ka taea e te bunion te pakaru o te kiriuhi i roto i te hononga MTP, ka hua ake te mate rumatiki.

Me pēhea koe e tino mōhio ai mēnā he bunion tōu?

Ka tirotirohia e te tākuta tō tinana hei whakatau mēnā he pūngoi tōu. Ka tirohia e ia tō waewae, ka pā ki tō māikuku nui, ka pātai atu ki a koe mō ō tohu. Me mārama koe ki te roa o te wā e pāngia ana koe e te pūngoi, he aha ngā mahi e kino ake ai, me te mea kei roto i tō whānau te mate.

Me toro atu pea koe ki tētahi rata waewae, he tākuta e tohunga ana ki ngā raruraru waewae.

He aha ngā whakamātautau e mahia ana hei tautuhi i te bunion?

I te nuinga o te wā, kāore he whakamātautau nui e hiahiatia ana hei tautuhi i te bunion. Heoi, ka tono pea tō tākuta i ngā hihi-X hei tirotiro i te tūranga o ngā wheua i roto i tō waewae, te tawhiti o tō māikuku nui ki ngā māikuku kē atu, me te āhua o te hononga MTP. Ko ngā hihi-X anake te huarahi hei aromatawai tika i te āhua, inā koa mēnā kei te whakaarohia te pokanga.

He aha ngā maimoatanga mō ngā bunion?

Ko te maimoatanga mō ngā pūngāwerewere e whakawhirinaki ana ki te nui o te mamae e pā ana ki a koe, te rahi o te pūngāwerewere, me te nui o tōna pānga ki tō oranga o ia rā. Tērā ētahi mea ka taea e tātou te mahi.

• Whakawhitihia ō hu: Koinei te mea tuatahi hei mahi. Mā te whakawhiti ki ngā hu he whānui, he hōhonu hoki ngā pouaka o te māhunga ka taea te whakaiti i te pēhanga ki ō māhunga. Kaua e whakamahi i ngā hu koi, kikī. He taputapu totoro anō hoki hei āwhina i a koe ki te whakawhānui i ngā hu kua mau kē koe.
• Ngā papa Bunion me te rīpene: Ka taea te whakanoho i ngā papa Bunion, e wātea ana i ngā whare rongoā, ki te taha o te bunion hei whakaiti i te pēhanga me te waku mai i te hu. Tērā pea ka tūtohu tō tākuta kia whakamahia he rīpene hauora hei pupuri i ō matimati.
• Ngā taputapu orthotic: Ko ngā orthotic he taputapu e whakanohoia ana ki roto i ō hu hei tautoko i tō waewae. Ka taea ēnei te hoko kore utu, te whakauru ritenga rānei. Ka tūtohu pea tō tākuta kia whakatakotoria he mokowā iti i waenganui i tō māhunga me tō māhunga tuarua. Me whakamahi pea koe i te whitiki hei pupuri i tō māhunga kia tika ina kore koe e mau hu (ina koa i te pō).
• Ngā rongoā mamae : Ka taea e ngā rongoā anti-inflammatory kore-steroidal (NSAID) , pērā i te ibuprofen , te āwhina ki te whakaiti i te mamae me te pupuhi. Ka taea ēnei te tango hei pire, hei rongoā NSAID rānei. Engari kia mahara, kaua e tango i ngā NSAID mō ngā rā neke atu i te 10 me te kore he tohutohu hauora.
• Hukapapa: Mā te paninga o te tio ki te maihao mamae mō te 15-20 meneti, he maha ngā wā i te rā, ka taea hoki te whakaora. Heoi, kaua e whakatakotoria te tio ki runga i te kiri, engari me takai ki tētahi kakahu angiangi.
• Werohanga corticosteroid: Mena he nui te pupuhi me te mamae, ka werohia pea koe e tō tākuta ki te bunion. He rongoā whakahaunga ēnei hei whakaiti tere i te mumura .
• Whakaora tinana : Ka taea e koe te mahi tahi me te kaiwhakaora tinana hei whakapakari i ngā uaua o ō waewae, hei whakanui ake i te nekenekehanga o ngā hononga, hei whakaiti hoki i te mamae. Ka taea e rātou te whakaako i a koe ki ngā mahi whakakori tinana me ngā totoro tinana hei āwhina i a koe kia mau tonu ō matimati.
• Pokanga :Mena kāore ētahi atu maimoatanga i āwhina mō ngā marama, ki te tino kino rānei te mamae, ā, kāore e taea e koe te hikoi, te mahi rānei i ō mahi o ia rā nā te pūngāwerewere, ka tūtohu pea tō tākuta i te pokanga whakatikatika pūngāwerewere . He maha ngā momo pokanga. Ma tō tākuta, ma tō taote rānei e kōrero ki a koe te momo pokanga e hiahiatia ana e koe me ngā taipitopito.

Ka pai ake ngā pūngāwerewere i a rātou anō?

Kāo, kāore ngā pūngāwerewere e ora i a rātou anō, ā, kāore e taea e koe te rongoā i a rātou anō. Ko te pūngāwerewere he huringa i roto i te hanganga o ngā wheua. Hei whakakore i tēnei, me āwhina koe e te hauora. Mena he pūngāwerewere tōu, me toro atu ki te tākuta, ki te rata waewae rānei. Ko reira anake ka taea ai te tātaritanga tika me te tīmata i te maimoatanga hei whakaora i ō tohumate.

Ka taea te ārai i te bunion?

Nā te mea he maha ngā take ka pā mai ngā pūngāwerewere (ina koa ko ngā āhuatanga ira), he uaua ki te ārai katoa i a rātou. Heoi, mā te mau i ngā hu e tika ana te rahi me te whai i tētahi momo noho e pai ana mō ō waewae ka āwhina i te whakaroa i te whanaketanga o ngā pūngāwerewere, te ārai rānei i te kino haere. I te nuinga o te wā, whai i ēnei tohutohu hei whiriwhiri i ngā hu e tika ana, e whakamarie ana hoki mō ō waewae:

• Kaua e mau i ngā hū whaiti rawa, he koi rawa, me ngā rekereke teitei rawa – ina koa mēnā ka pēhia ō matimati. Koinei ō hoariri nui rawa!
• Ahakoa e mōhio ana koe ki te rahi o tō hu, whakamātauria kia maha ngā takirua hu hei kimi i te mea e pai ana mōu . Nā te mea kāore e rite te rahi o ngā hu katoa, mai i tētahi waitohu ki tētahi atu.
• I mua i te hoko hu hou , whakamātauria mā te noho, te tū, me te hikoi haere . Tirohia mēnā kei te mamae ō matimati, kei te kōpeke, kei te kōpeke rānei. Me whai wāhi iti i waenganui i te hu me tō matimati roa rawa.
• Ka kitea e koe he hu tika ake mā te hokohoko hu i te mutunga o te rā , nā te mea ka pupuhi ō waewae i te roanga o te rā, ā, he nui ake i te ahiahi i tō te ata.

Ka taea e tō tākuta, e tō tākuta waewae rānei te tūtohu i te momo hū, te waitohu rānei e pai ana mō ō waewae. Mena he raruraru hanganga waewae anō ōu, pērā i te waewae papatahi , te āwhata teitei rānei, pātai atu ki tō tākuta mēnā me whakamahi koe i ngā orthotics hei ārai i te bunions.

He aha ngā mea ka taea e te tangata whai bunion te tumanako?

Ka taea e te nuinga o te hunga whai pūngoi te whakahaere i ō rātou tohumate, ā, ka ora tonu me te kore e pā nui ki ā rātou mahi o ia rā. Ka mahi tahi tō tākuta me koe ki te kimi i tētahi huinga maimoatanga hei whakaora i ō tohumate, hei āwhina hoki kia ora, kia kaha hoki ō waewae me ō matimati.

Ko te mea nui, ki te puta ngā tohu o te pūkahukahu, kaua e whakaroa ki te toro atu ki te tākuta.Ko te wawe o te tīmatanga o te maimoatanga, ka nui ake te tūponotanga ka taea e koe te whakahaere i ō tohumate me te kore e hiahiatia he pokanga.

Ko te hunga kua pokangahia ō rātou huha, ka taea e rātou te hoki anō ki ā rātou mahi o ia rā i roto i ngā marama e rua ki te toru , engari ka roa ake pea te wā ka ora katoa.

Āhea ahau me toro atu ki te tākuta?

Ki te kite koe i tētahi o ēnei tohu, me toro atu ki te tākuta, ki te rata waewae rānei i te wā e taea ai :

• Te mamae pinepine i ō waewae, i ō maihao rānei.
• He uaua ki te hikoi, ki te whakakorikori rānei i ō matihao .
• He puku e kitea ana i te pūtake o te māhunga o te waewae (ahakoa he mamae, kāore rānei).
• Te pupuhi, te whero, te mahana rānei i roto, i te taha rānei o ngā maihao.
• Te ngenge, te ngaro rānei o te kare ā- roto o ngā maihao.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ina tūtaki koe ki te tākuta, ka taea e koe te pātai i ēnei pātai kia pai ake ai tō mārama ki te āhuatanga:

• He aha i pā mai ai tēnei mate pūkahukahu ki ahau? He raruraru kei te āhua o tōku waewae?
• He aha te momo maimoatanga pai mōku? Me pokanga ahau?
• Kia pēhea te roa ka taea e tātou te tumanako kia ora mai i ēnei maimoatanga?
• Me aha ahau hei ārai i te whanaketanga o te bunion i runga i taku waewae kē?
• Me karo katoa ahau i te mau i ētahi momo hū?
• He aha ngā mahi whakakori tinana ka taea e au te mahi i te kāinga?

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He raruraru waewae noa te bunions, te hallux valgus rānei. Ka puta ēnei ina panaia tō māikuku nui i tōna tūranga tūturu, ki te taha o ngā māikuku kē atu. Ā tōna wā, ka puta he puku wheua i te hononga e hono ana tō māikuku nui ki tō waewae.

Mena kei te mamae koe i te pūngāwerewere, kei te whakararuraru rānei i ō mahi o ia rā, he mea nui kia rapu maimoatanga koe . He māmā noa iho pea te whakarerekē i te momo hu e mau ana koe, engari hei tautuhi i te pūngāwerewere, me toro atu koe ki te tākuta, ki te rata waewae rānei. Kātahi ka taea e tō tākuta te tūtohu i ngā maimoatanga hei āwhina i te whakamamae i ō tohu me te āwhina i a koe ki te hoki ki ngā mahi e pai ana koe. He pai ake te rapu tohutohu i te wā e taea ai, me te kore e whakaroa!