E mamae ana tō māhunga waewae ina mau koe i ō hu? He puku mārō rānei tōu e rite ana ki te wheua e piri mai ana i te hononga? Tērā pea ka whakaaro koe he raruraru iti noa iho tēnei nā te mau hu kikī. Engari he mate hauora tēnei e pāngia ana e te tini tāngata. E kiia ana e mātou he 'bunion'. Ehara i te mea hei wehi, engari ka paku whakarihariha pea mēnā ka warewarehia. Nō reira, me kōrero tātou mō ēnei mea katoa i tēnei rā.
He aha te bunion?
He puku wheua te bunion e tupu tata ana ki te hononga e tīmata ai te māhunga o te waewae. Hei whakamārama, ka pā ki te hononga e hono ana te turanga o te māhunga ki te kapu o te waewae. I roto i te reo hauora, ka kiia tēnei ko te Hallux Valgus .
Whakaarohia, nā te pēhanga roa ki tō māhunga waewae, ka kumea taua māhunga waewae, ka panaia ki ngā māhunga waewae kē atu. Kātahi ka puta te hononga i te pūtake o te māhunga waewae ki tērā taha, arā, ki roto o te waewae. Ko taua puku wheua e puta mai ana ko te bunion. Ehara tēnei i te mea ka rerekē i roto i te rā kotahi, e rua rānei, engari ka whanake haere i roto i ngā tau. Ki te kite koe i tētahi puku i tō māhunga waewae, ki te mamae, ki te pakari, ki te kore rānei e hono, he mea nui kia kite koe i tō tākuta me te tiki tohutohu.
He momo bunion kei reira?
Ae, he maha ngā momo matua o ngā pūngāwerewere e kitea ana e tātou. Kia kite tātou he aha rātou.
- Pūngāwerewere noa: Koinei te momo tino kitea. Ka puta mai i te pēhanga ki te māhunga o te waewae.
- Te Hārukenga Whānau: Ka whānau mai ētahi pēpi me tēnei mate. He onge noa iho.
- Te Hallux Valgus o te Taiohi, Taiohi rānei: Ka pā tēnei āhuatanga ki ngā tamariki kei raro iho i te 18 tau te pakeke.
- Te Pūngāwerewere o te Kaihanga Huruhuru: He rerekē tēnei. Ka puta i te pūtake o te māikuku iti. I ngā wā o mua, i noho ngā kaihanga huruhuru ki runga i te papa me ō rātou waewae whakawhiti, nō reira he mea noa tēnei āhuatanga nā te mea ka pēhi ō rātou māikuku iti ki te papa. Koia i huaina ai ko te 'pūngāwerewere o te kaihanga hu'. He maha ngā wā ka puta tēnei i te mau hu he kikī rawa, he kore rānei e tau tika.
He aha ngā tohu o te bunion?
Mena he pūngāwerewere tōu, he iti noa ngā mea ka taea e koe te rongo me te kite. Ko te mea matua ko te puku e kitea ana i te pūtake o te māhunga o te waewae. Haunga tēnā, tera pea ētahi atu tohu.
| Tohu | He aha ngā kare ā-roto e pā ana ki a koe? |
|---|---|
| Te mamae me te pakari | Ka mamae tō māhunga nui, tō hononga rānei. I ētahi wā he uaua ki te piko, ki te whakatika rānei i tō māhunga, ā, ka mārō te āhua. |
| Te pupuhi me te whero | Tērā pea ka pupuhi, ka whero hoki te rohe huri noa i te bunion. |
| Te uaua ki te piko i te maihao | Tērā pea ka mamae koe, ka wera rānei ina ngana koe ki te piko i tō māhunga nui. Tērā pea ka pēnei koe me te mea kāore e taea e koe te piko tika i tō māhunga. |
| Te uaua ki te mau hu | He uaua te mau i ētahi hū, inā koa ko ērā he piri te pito o mua. Ka piki ake te mamae ina mau. |
| Ngā kānga, ngā karu rānei | Ka mātotoru pea te kiri, ka hanga he pakaka ki ngā wāhi e pā ai ngā matimati, e mau ai rānei i roto i ngā hū. |
| te ngoikore | Tērā pea ka rongo koe i te ngau kino i roto, i te taha rānei o tō māikuku nui. |
He aha i puta ai ēnei pūngāwerewere? He aha ngā take?
Kāore he take kotahi mō tēnei. He huinga pea o ngā āhuatanga. Hei tauira, whakaarohia ngā ira, ngā panonitanga o te tūranga o ngā wheua o tō waewae, te huarahi e hikoi ai koe, me te momo hu e whiriwhiria ana e koe.
Ko ngā tino take o te pēhanga ki te hononga o te māhunga waewae ko:
- Ngā hu kāore i te ōrite:Koinei te tino take, ā, koinei te tino take e kitea whānuitia ana. Ina koa ka mau koe i ngā hū koi, i ngā rekereke teitei rānei, ka panaia ngā mātao ki mua, ā, ka panaia te mātao nui ki ngā mātao kē atu.
- Te awe ira: Mena he pūngāwerewere tō whaea, tō pāpā, tō mema rānei o te whānau, he nui ake te tūponotanga ka pāngia koe e ēnei pūngāwerewere. Neke atu i te 70% o te hunga he pūngāwerewere tō rātou hītori whānau.
- Te ara hīkoi (Te tikanga o te waewae): Mā ngā tauira hīkoi a ētahi tāngata, mā ngā rerekētanga rānei o te tohatoha taumaha ki ō rātou waewae ka nui ake te pēhanga ki te hononga o te māhunga waewae.
- Ngā mate mumura: Ka puta hoki ngā pūngāwerewere nā ngā āhuatanga e mumura ai ngā hononga, pērā i te mate rumatiki.
- Te tū mō ngā wā roa: He nui ake anō hoki tēnei mōrearea mō te hunga e tū ana i te rā katoa nā te mahi, nā ētahi atu take rānei.
- Ngā whara o ngā waewae: Ka pāngia pea ngā whara o mua o te waewae, inā koa te māikuku nui.
Ko te mea nui, ehara te bunion i te tipu wheua tāpiri noa iho. He nekehanga kē o te hononga o tō māikuku nui.
Ka taea e ngā bunion te whakaputa i ētahi atu raruraru?
Ae, ki te kore e rongoatia tika te mate pūkahukahu, ki te kore rānei e arohia, ka puta pea ētahi atu raruraru.
- Te Pūngāwerewere: Ka pupuhi, ka mamae hoki ngā pēke iti, kī tonu i te wai e karapoti ana i ngā hononga. He nui ake te tūponotanga ka puta tēnei ina mirimiri te pūngāwerewere ki te hu.
- Matimati Hāma: Ka pēhi te matimati nui ki ngā matimati kē atu, ka piko ake te hononga waenga o te matimati tuarua, tuatoru rānei, ka hanga he āhua rite ki te hāma. He mate mamae anō hoki tēnei.
- Osteoarthritis: Ka memeha haere te kiriuhi o te hononga, ā, ka tīmata ngā wheua te mirimiri tetahi ki tetahi. Ka pā mai pea te mamae nui me te pakari o te hononga.
Me pēhea te tautuhi a te tākuta i te bunion?
Ina haere koe ki te tākuta, ko te mea tuatahi māna ko te tirotiro i tō waewae. Ka pātai atu ia ki a koe mō ō tohumate. Ka pātai atu ia ki a koe i ngā mea pēnei i te roa o te wā e pāngia ana koe e te puku, te mamae, me te wā ka kino haere te mamae.
I te nuinga o te wā, ka taea te tautuhi i te pūngāwerewere mā te tirotiro tinana anake. Heoi, ka tonoa pea koe kia tangohia he hihi-X hei tirotiro i te āhua o te hononga me te whānuitanga o te toronga o te māikuku. Ka tukuna pea koe ki tētahi tākuta waewae.
He aha ngā maimoatanga mō tēnei?
Ko te mea pai rawa atu, he maha ngā maimoatanga mō ngā pūngāwerewere. Kāore e hiahiatia he pokanga mō te katoa. I roto i te nuinga o ngā wā, ka taea e ngā mea ngāwari te āwhina i te whakahaere i te mamae me te ārai i te kino haere o te mate. Ko te maimoatanga e whakawhirinaki ana ki te kaha o ō tohu.
| Tikanga maimoatanga | Whakaahuatanga |
|---|---|
| Te whakawhiti hu | Koinei te mea tuatahi hei mahi. Huri ki ngā hu he whānui te pouaka o te māhunga. Kati rawa te mau i ngā rekereke teitei me ngā hu piri. |
| Ngā Papa Bunion | Kei ngā whare rongoā ētahi papa urunga rite ki te urunga ka taea te whakatakoto ki runga i te pūngāwerewere. Ka āwhina tēnei ki te whakaiti i te piri o te pūngāwerewere ki roto i te hu. |
| Ngā mahi tiaki tinana | Tērā pea ka tūtohu tō tākuta i ngā takahanga waewae motuhake, i ngā mea whakawātea rānei, ka whakatakotoria e koe ki waenganui i ō mātao waewae. Ka taea e ēnei te āwhina i te taurite o te pēhanga ki tō waewae, me te pupuri i ō mātao waewae ki te tūranga tika. |
| Ngā rongoā whakamamae | Tērā pea ka tohua e tō tākuta ngā NSAID (ngā rongoā anti-inflammatory kore-steroidal) (hei tauira, Ibuprofen) hei whakaiti i te mamae me te pupuhi. Heoi, kaua e tangohia ēnei mō ngā rā neke atu i te 10 me te kore kōrero ki tō tākuta. |
| Hukapapa | Mēnā he mamae, he pupuhi hoki, mā te pani i tētahi putea hukapapa (kua takaihia ki tētahi kakahu angiangi) mō te 15-20 meneti pea ka taea te whakaora. |
| Te Whakaora Tinana | Ka whakaakona e te kaiwhakaora tinana ngā mahi whakakori tinana me ngā totoro hei whakapakari i ngā uaua o te waewae me te whakaora i te nekenekehanga o ngā hononga. |
| Pokanga | Mena kāore he maimoatanga kē atu i whakaiti i te mamae, ki te tino kino rānei te mamae, kāore e taea e koe te hikoi, ka whakatau pea tō tākuta ki te mahi pokanga hei huarahi whakamutunga. Ko te pokanga he whakatikatika anō i te wheua me te hononga kua nekehia. |
Ka pai ake te pūngāwerewere i a ia anō?
Kāo. Kāore ngā pūngāwerewere e ora ake i a rātou anō. Kāore e taea te whakatika i a rātou anō. Ki te kore e rongoatia, ka kino haere i roto i te wā. Nō reira, ki te whakaaro koe he pūngāwerewere tōu, me toro atu ki te tākuta tonu. Ko te wawe o te tīmatanga o te maimoatanga, ka nui ake te tūponotanga ka taea e koe te whakahaere i tēnei mate mā ngā mea ngāwari, me te kore e hiahiatia he pokanga.
Ka taea te ārai i ngā pūngāwerewere?
Ahakoa kāore e taea e tātou te whakahaere i ngā āhuatanga tuku iho, ka taea e tātou te whakaiti i te mōrearea o te pāngia e te bunion mā te tupato ki ētahi atu āhuatanga mōrearea, inā koa te whiriwhiri hu.
Anei ētahi mea ka taea e koe te mahi:
- Kōwhiria ngā hū tika: Kaua rawa e mau i ngā hū he kikī rawa, he koi rawa rānei te taha o mua. Kōwhiria he hū he tapawhā, he porowhita rānei te pouaka o te matimati e taea ai e ō matimati te neke noa.
- I te hoko hu, tirohia marietia: Ahakoa e mōhio ana koe ki te rahi o tō hu, ka rerekē pea te rahi mai i te waitohu ki te waitohu. Nō reira, i mua i te hoko hu, whakamātauria mā te noho, te tū, me te hikoi haere mō tētahi wā. Tirohia mēnā ka mamae, ka kōpiri rānei i a koe.
- Hokona he hū i te ahiahi: Ka pupuhi ake ō tātou waewae i muri i te hikoi i te rā roa. Nō reira, ki te hoko hū koe i muri mai i te rā, ka taea e koe te whiriwhiri i tētahi rahi tika ake.
Mena he raruraru waewae kē atu ōu (hei tauira, he waewae papatahi), pātai atu ki tō tākuta mēnā e hiahia ana koe ki ngā orthotics motuhake hei ārai i ngā bunion.
Karere Tangohia ki te Kāinga
- He puku wheua te bunion e puta mai ana i te hē o te hononga o te māhunga o te waewae. Kaua e warewarehia tēnei.
- Ko te take matua ko te mau i ngā hū e kore e tau pai, e piripono ana hoki. Tērā pea nā ngā awe ira anō hoki tēnei.
- Ki te puta mai ngā tohu pēnei i te mamae, te pupuhi, te uaua rānei ki te hikoi, me toro atu ki te tākuta tonu.
- Mā ngā maimoatanga māmā pēnei i te whakawhiti hu, te whakamahi i ngā papa, me te whakakori tinana ka taea te whakaora. Ka hiahiatia te pokanga i ngā wā tino kino anake.
- Ko te wawe o tō tautuhi me te tīmata i te maimoatanga, ko te māmā ake o te whakahaere i te mate. Nō reira, ahakoa he raruraru iti noa iho, kaua e wehi ki te kōrero ki tō tākuta mōna.
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