He mārō, he mamae hoki tō māikuku nui? Me ako tātou mō te pokanga Cheilectomy

Kua pāngia koe e te mamae nui o tō māhunga waewae ina hikoi koe, inā koa ka mau koe i ngā hū piri? E ahua ana koe kāore e taea te piko tika i tō māhunga waewae, he pakari, he piri... he ahua kua mau ki roto i te toka. Ahakoa e whakaaro ana koe he mea noa tēnei, tera pea nā tētahi āhuatanga o te hononga o tō māhunga waewae. I tēnei rā, e kōrero ana tātou mō tētahi pokanga e kiia nei ko te `Cheilectomy`, e whakamahia ana puta noa i te ao hei otinga pai mō tēnei raruraru.

He aha te Cheilectomy?

Āe, me whakamārama ngāwari tātou i tēnei. Ko te Cheilectomy (e kīia ana ko 'kee-lek-to-mee') he tikanga pokanga e tango ana i ngā wheua koiwi tāpiri (e kiia ana ko ngā 'bone spurs' ) e tupu ana i runga ake i te hononga o te māhunga waewae. Whakaarohia he rite ki te pou tatau e aukati ana i tō māhunga waewae kia piko, kia neke tika rānei. Nō reira, mā te tango i ngā wheua koiwi, ka taea e tō māhunga waewae te piko me te neke noa anō.

He aha te momo mate e mahia ai te Cheilectomy?

Ko te tikanga o tēnei pokanga he "Hallux Rigidus" te mate e kiia nei ko te "mārō o te waewae nui" . Ko te tikanga o "Hallux" ko te mārō o te waewae nui, ko te tikanga o "Rigidus" ko te mārō. He mate mumura hononga tēnei e puta ana i te hononga matua o tō mārō (e kiia ana i roto i te rongoā ko te "hononga metatarsophalangeal (MTP)"). He momo "osteoarthritis" tēnei e pā ana ki ngā hononga pēnei i ngā turi me ngā hope.

Ina pāngia koe e tēnei āhuatanga e kiia nei ko te 'Hallux Rigidus', ka tīmata te hanga o ngā wheua mamae (osteophytes) ki runga i te hononga. Ko ēnei wheua te mea e pupuhi ai te kiri ki runga i te hononga. Nō reira, ina kakahuria ō hu, ka piri ēnei wheua ki te tihi o te hu, ka mamae rawa. I muri i tētahi wā, ka uaua rawa te hikoi me te mamae o te waewae nā tēnei mamae.

Me pokanga te katoa?

Kāo. Kāore te tākuta e tūtohu tonu kia pokanga ina kitea e rātou tēnei mate. Ka ngana tuatahi rātou ki te whakahaere i te mamae mā roto i ētahi atu tikanga, engari kāore he pokanga, kia pai ai te whakaora i a koe. Ko te pokanga te huarahi whakamutunga mēnā kāore e angitu ngā mahi katoa.

Koinei ngā maimoatanga e taunakitia ana i mua i te pokanga:

Ki te kore tō mamae e memeha ahakoa ēnei maimoatanga, ā, ka raru tonu koe ki te mahi i ngā mahi o ia rā, ka kōrero tō tākuta ki a koe mō te pokanga 'Cheilectomy'.

He rerekē te Cheilectomy me te Bunion Surgery?

Ae, he rerekētanga mārama kei waenganui i ngā mea e rua. He tokomaha e whakapoauau ana i ngā mea e rua. Ko te tango i te wheua nui e rua, engari ko te rerekētanga matua kei te wāhi o te koiwi wheua.

Whakaarohia he rūma te hononga o tō māhunga nui.

• He pokanga te Cheilectomy e mahia ana i runga i tētahi puku i te tuanui o te hononga. Ko tēnei ko te tango i ngā wheua e puta mai ana i te tihi o te hononga. Ko te ingoa o tēnei mate ko te Hallux Rigidus.
• Ko te pokanga bunion `(Bunionectomy)` ka mahia ki runga i tētahi puku i te taha o te hallux valgus. Arā, ka tangohia he puku wheua `(bunion)` e puta mai ana i te taha (o roto) o te hononga. Ka kiia tēnei āhuatanga ko 'Hallux Valgus'.

I te kī ngāwari, ko te momo pokanga e mahia ana e whakawhirinaki ana ki te mea kei runga ake, kei te taha rānei o te hononga te whēkau wheua.

He aha ngā mea ka tupu i mua i te pokanga?

I mua i te whakatau i te rā mō te pokanga, ka tirotirohia koe e tō tākuta.

• Whakamātautau tinana: Tuatahi, ka tirotirohia e rātou te tawhiti e taea ai e koe te piko i tō māikuku nui ki runga, ki raro hoki, te mamae o te piko, me te mea kei te pupuhi.
• Whakamātautau hihi-X: Kātahi ka tangohia he hihi-X hei tirotiro i te āhua o te hononga, te nui o te kiriuhi kua memeha, me te rahi o ngā wheua kua pakaru. Ka whakamahia ēnei mōhiohio hei whakatau mēnā he tika te pokanga māu.

Me kōrero paku tātou mō te whakahaeretanga o te pokanga.

I te wā o te pokanga, ka tapahia he wahi iti ki te tihi o tō waewae, i runga ake i te hononga o te māhunga nui. Kātahi, mā roto i taua tapahi, ka tangohia marietia ngā kongakonga wheua mamae e aukati ana i a koe ki te piko i tō māhunga.

E rua ngā huarahi matua e taea ai tēnei pokanga:

1. Tuwhera te Cheilectomy

I tēnei mahi, ka tapahia he tapahi nui ake, ka whakatuwheratia te hononga kia pai ake ai te kitea, ā, ka tangohia ngā wihi wheua.

2. Te tango i te Cheilectomy iti rawa te whakaekenga

I tēnei tikanga, kaua e tapahia nui, ka hangaia he kōhao iti ki te kiri. Kātahi ka whakauruhia he taputapu motuhake e kiia nei ko te 'burr' mā roto i aua kōhao hei kuru me te tango i ngā koiwi wheua. Ko te painga o tēnei tikanga he iti ake te kiri, ā, he tere ake pea te wā whakaora.

Mā tō tākuta e whakatau ko tēhea tikanga te mea pai māu.

He aha ngā mea ka tupu i muri i te pokanga?

Ehara tēnei i te pokanga nui e hiahia ana kia noho koe ki te hōhipera mō ētahi rā, nō reira ka taea e koe te hoki ki te kāinga i taua pō tonu ( pokanga o waho ).

• He hū motuhake: I muri i tō hokinga ki te kāinga, me mau koe i tētahi hū motuhake mō ētahi wiki i te wā e ora ana tō waewae. Mā tēnei ka āwhina i te whakaiti i te taumaha i te wāhi i pokangahia.
• Te whakahaere mamae: Hei whakahaere i te mamae, ka tūtohu pea te tākuta i tētahi rongoā mamae pēnei i te ibuprofen, te acetaminophen rānei.
• Pupuhi: Tērā pea kua paku pupuhi tō waewae. He pai ake te pupuri i tō waewae kia teitei rawa.

He aha ngā painga o tēnei pokanga?

Ko te painga nui o te pokanga 'cheilectomy' ko te whakamamae i te mamae.

Kāore he mōrearea, he raruraru rānei?

Pērā i ngā pokanga katoa, kei reira ētahi tūponotanga. Heoi, he onge ēnei, ā, ka whakapau kaha ngā tākuta ki te whakaiti i aua tūponotanga.

• Te mamae tonu: Tērā pea ka mamae tonu ētahi tāngata i te piko o ō rātou maihao i muri i te pokanga.
• Me mahi pokanga anō: I ētahi wā, ki te kino haere te āhua o te `Hallux Rigidus`, me mahi pokanga anō pea koe hei rongoā. Hei tauira:
• He pokanga te arthrodesis e hono ai ngā wheua o te hononga.
• He pokanga hei whakaiti i te pēhanga ki runga i te kiriuhi kua whara o te hononga (pokanga osteotomy a Moberg) .
• Ētahi atu raruraru: Pērā i ngā pokanga katoa, he iti noa te tūponotanga o te pangia me te whara. Tērā pea ka pāngia koe e te mamae i te raro o tō waewae.

Kaua e manukanuka ki tēnei. Ka kōrero mārama atu tō tākuta ki a koe mō ēnei mea i mua i te pokanga.

Kia pēhea te roa ka ora ake ahau? Āhea ahau ka hoki ki te mahi?

He rerekē te roa o te wā whakaora i ia tangata, i ia tangata.

• Te pupuhi: Tērā pea ka pupuhi paku tō waewae mō ētahi wiki, mō ētahi marama rānei, i muri i te pokanga. He mea noa tēnei.
• Hu: Me mau aua hu motuhake mō te iti rawa i te rua wiki , kia tohua rā anō e te tākuta.
• Te hoki ki te mahi: Ka taea e te nuinga o te tangata te hoki ki te mahi i roto i te marama, i ngā marama e rua rānei . Heoi, ki te mea he nui te hikoi, te tū rānei e hiahiatia ana mō tō mahi, ki te kaha ake rānei tō mamae me tō pupuhi, tera pea ka roa ake te wā ki te hoki ki te mahi. He pai ake te kōrero mō tēnei ki tō tākuta.

Ina hiahia koe ki te toro wawe ki te tākuta

Ina hoki koe ki te kāinga i muri i te pokanga, kia tūpato ki ēnei tohu. Mena kei a koe tētahi o ēnei, waea atu ki tō tākuta tonu atu.

• Mena he whero rawa te kiri huri noa i te wahi i tapahia.
• Mena kua pupuhi rawa taua wāhi.
• Mena ka puta mai he wai kōwhai pērā i te pirau i te motu.
• Mena kei te mau tonu tō mamae kāore e taea te tohe ahakoa te tango i ngā rongoā whakamamae, kei te kino haere rānei te mamae i ia rā, i ia rā.
• Ki te mea he kirika tōu .

He tohu pea ēnei o te mate urutā, nō reira he mea nui kia rapu wawe i te rongoā.