Ina hikoi koe, ina koa ka ngana koe ki te hapai i tō waewae i te whenua ka whakatakoto ki mua, ka rongo koe i te mamae nui i te hononga o tō māhunga nui? He uaua rānei te piko o te hononga o taua māhunga? I ētahi wā ka rite ki te pupuhi iti i taua wāhi? Ahakoa he tokomaha e whakaaro ana he mea noa tēnei, nā te mea pea kua mau i roto i ō rātou hu, koinei pea te tīmatanga o tētahi mate hauora e kiia nei ko 'Hallux Limitus' . Kaua e manukanuka, ka kōrerohia e tātou ngā mea katoa i roto i ngā kupu māmā.
He aha te tikanga o Hallux Limitus?
Ahakoa te ahua nui o tēnei ingoa, he tino māmā noa iho tōna tikanga. I roto i ngā kupu hauora, ko te kupu "Hallux" e pā ana ki tō māhunga waewae. Ko te tikanga o "Limitus" he whakawhāiti. Nō reira, ina honoa ēnei e rua, ko te tikanga he iti noa te nekehanga o te hononga e hono ana te māhunga waewae, ā, ka puta te mamae.
Whakaarohia, ina hikoi tātou, ka tautoko te hononga o te māikuku nui i te taumaha katoa o tō tātou tinana, ā, ka āwhina i a tātou ki te turaki i a tātou ki mua. Nō reira, ina herea te nekehanga o taua hononga, ka mamae te hikoi.
Ki te kore tēnei āhuatanga e kitea wawetia, ka roa te wā ka pakari haere te hononga, ka kore e neke. Kātahi ka kiia ko 'Hallux Rigidus' . Ko te tikanga o 'Rigidus' he pakari, he kore e neke. Ko tōna tikanga he tata pakari rawa te hononga.
Me pēhea koe e mōhio ai mēnā kei a koe tēnei mate? He aha ngā tohu?
Ka puta pea ēnei tohu i tētahi waewae, i ngā waewae e rua rānei. Kāore pea e kitea i te tīmatanga, engari ka piki haere. Me titiro tātou ki ngā tohu matua.
| Tohu | Whakaahuatanga |
|---|---|
| Te mamae me te pakari | Te mamae me te kōpikopiko, inā koa ki te hononga o te māwaewae nui. Ka piki ake te mamae ina pēhia te hononga, pērā i te hikoi, te oma rānei. |
| Te uaua ki te piko i te maihao | Te uauatanga, te mamae rānei i te wā e ngana ana ki te piko i te māhunga nui ki runga, ki raro rānei. |
| te ngoikore | I ētahi wā, ka kōpiri te io i te pēhanga o te hononga, ka pā te ngoikore o te tihi o te māhunga nui, o te waewae rānei. |
| He puku/pupuhi | I roto i te wā, ka puta he puku wheua (pērā i te pōro) ki runga i te hononga o te māhunga waewae. Ka mau pea tēnei ina kakahuria he hu, ka kino ake te mamae. |
| He puku i te raro o te waewae | Nā te kore e mahi tika te māikuku nui, ka nui rawa te pēhanga ki te kapu o te waewae, ka puta he kiri mārō. |
| Ngā Wheua Spurs | Ina pakaru te hononga, i te ngana a te tinana ki te whakaora i a ia anō, ka puta mai he wheua hou, he wheua tāpiri. Ka kiia ēnei he wheua wheua . Ka ārai anō ēnei i te nekehanga o te hononga. |
He aha i puta ai tēnei āhuatanga?
Kāore he take kotahi mō tēnei. He maha ngā āhuatanga ka pā ki tēnei.
- Te tūnga o te wheua waewae: Ka whānau mai ētahi tāngata me ētahi rerekētanga o te tūnga o ngā wheua o te waewae (ina koa ko te wheua roa e hono ana ki te māhunga nui). Nā tēnei ka pēhia te hononga o te māhunga nui.
- Whara: Ka puta ake tēnei āhuatanga i roto i te wā nā ngā mea pēnei i te puku mārō, te whāwhā, te whati rānei o te māikuku nui, ka kino ai te hononga.
- Mate rumatiki: Mena kei a koe ngā mate pēnei i te osteoarthritis ( mumura hononga), te rheumatoid arthritis , te kauti rānei, ka pā pea ēnei ki te hononga o te māihao nui, ā, ka puta ai tēnei mate.
- Te whakamahinga nui rawa o te hononga: Ko te hunga e mahi ana i ngā mahi e pēhi nui ana i te hononga o te māhunga o te waewae, pērā i te oma me te pekepeke auau (whutupaoro, whutupōro), te hiki taumaha, me te kanikani (ina koa ko te ballet), he nui ake te mōrearea ki te whakawhanake i tēnei mate.
- Ngā hu kāore i te tika: Ka puta pea tēnei āhuatanga i te mau i ngā rekereke teitei, i ngā hu kikī, me ngā hu whaiti ki mua, inā koa ko ngā wāhine e mau ana, ka nui rawa te pēhanga ki te hononga o te māhunga o te waewae.
- Tukunga iho:Mena kei roto i tō whānau tēnei mate, tera pea ka pāngia koe e tēnei mate anō hoki.
Me pēhea te mōhio o te tākuta ki tēnei?
Ki te pā mai ēnei tohu ki a koe, ko te mea pai ko te toro atu ki te tākuta i te wā e taea ai. Ka pātai atu ia ki a koe mō ō tohu, ā, ka tirotirohia tō waewae.
- Whakamātautau tinana: Ka tirohia e te tākuta tō waewae, ka tirohia te tawhiti e taea ai e koe te piko i te hononga o te māikuku nui, te wāhi e mamae ana, me te mea he pupuhi.
- Te tirotiro i tō hikoi: Ka taea e koe te whai whakaaro mō tēnei āhuatanga mā te mātakitaki i tō ara hīkoi, te ara e tū ai ō waewae i runga i te whenua, me te ara e neke ai ō māikuku.
- Whakamātautau hihi-X: Ka tonoa he whakamātautau hihi-X hei tirotiro i te āhua o ngā wheua, hei whakaū mēnā kua puta ngā whēkau wheua tāpiri i whakahuatia ake nei, me te whakaū mēnā kua memeha te kiriuhi i waenganui i ngā hononga.
He āhuatanga motuhake e kiia nei ko te Functional Hallux Limitus: I ētahi wā, ka taea e koe te piko pai i tō māhunga waewae ina tū koe, engari i te wā e hikoi ana koe, arā, ina whakatakoto koe i te taumaha ki runga i tō waewae, ka pakari te māhunga waewae, ka mamae. Ka kiia tēnei ko te 'Functional Hallux Limitus'. Ka whakamahia e te tākuta tētahi tikanga motuhake hei whakamātautau i tēnei.
He aha ngā maimoatanga mō tēnei?
Tuatahi, ka ngana te tākuta ki te whakaiti i tō mamae, me te whakaora anō i te mahi a te hononga mā roto i ngā maimoatanga māmā, kāore he pokanga.
| Tikanga maimoatanga | Me aha? |
|---|---|
| Te whiriwhiri i ngā hu tika | Me mau he hū whānui ki mua, ā, he nui te wāhi mō ōu matimati. Kaua e neke atu i te 1 inihi te teitei o ngā hū. Ko ngā hū he matotoru, he mārō ngā kapu, he hū rānei he rūrū ngā kapu. |
| Te okioki i te waewae | Āta karohia ngā mahi nui rawa e whakanui ana i te mamae (te whakakori tinana uaua, te oma) mō tētahi wā. Okioki pinepine. |
| Te whakamahi i ngā orthotics | He takahanga motuhake ēnei e whakanohoia ana ki roto i ngā hu. Ka tautoko i te āwhata o te waewae, ka whakaiti i te pēhanga ki te māhunga o te waewae ina hikoi ana. Ka taea te hanga i ēnei kia tau ki tō waewae i runga i te taunakitanga a tō tākuta. |
| Te Whakaora Tinana | Mā ngā maimoatanga pēnei i ngā mahi whakakori tinana motuhake me te kukume, e ai ki ngā tohutohu a te kaiwhakaora tinana, ka taea te whakaiti i te mamae me te whakapai ake i te nekenekehanga o ngā hononga. |
| Ngā rongoā whakamamae | Ka taea te whakamahi i ngā rongoā anti-inflammatory kore-steroidal (NSAID) pērā i te ibuprofen me te naproxen e ai ki ngā tohutohu a tō tākuta. Ka taea e ēnei te āwhina ki te whakaiti i te mamae me te pupuhi. |
| Te rewa o te huka | Whakatakotoria he putea hukapapa ki te hononga mamae mō te 15-20 meneti kotahi, e rua rānei i te rā. Mā tēnei ka āwhina i te whakaiti i te mamae me te pupuhi. |
| Ngā werohanga corticosteroid | Ki te kore e taea e ētahi atu maimoatanga te whakamamae i te mamae, ka werohia pea koe e tō tākuta ki roto i te hononga mā te steroid. Ka taea e tēnei te whakaiti tere i te mamae me te pupuhi. |
Āhea te wā e hiahiatia ai te pokanga?
Ko te tikanga, ka whakaarohia te pokanga mēnā kāore ngā maimoatanga ngāwari kua whakahuatia i runga ake nei e āwhina, kāore e taea te manawanui te mamae, kua horapa rānei te mate ki te Hallux Rigidus (te whakapakeketanga katoa o te hononga). He maha ngā momo pokanga.
- Cheilectomy: Ko te tango i ngā wheua tāpiri e ārai ana i te nekehanga o te hononga mā te pokanga, kia taea ai e te hononga te neke noa.
- Osteotomy: Ko te tikanga tēnei ko te tapahi i tētahi wheua roa i te waewae, te whakarerekē i tōna tūranga, me te whakaiti i te pēhanga ki te hononga.
- Te Hononga (Te Whakatōtōtanga o te Arthrodesis):Ki te tino pakaru te hononga, ka tangohia te kiriuhi kua tawhito, ā, ka honoa pūmau ngā wheua e rua. Mā tēnei ka kore rawa e neke te hononga, engari ka ngaro katoa te mamae.
- Whakakapinga hononga (Arthroplasty): Pērā i te whakakapinga turi, ka tangohia te hononga pakaru ka whakakapia ki te hononga horihori whakarewa, uku rānei.
Ka matapakihia e tō tākuta ko tēhea pokanga te mea pai mōu, ā, ka whakatau i te whakatau pai rawa atu i runga i tō āhuatanga.
Karere Tangohia ki te Kāinga
- Kaua e warewarehia te mamae me te kōpiko o tō māhunga waewae, he mea noa iho. Tērā pea koinei te tīmatanga o tētahi mate e kiia nei ko te Hallux Limitus.
- Mā te toro atu ki te tākuta i te wā e taea ai, ka taea e koe te ārai i te kino haere o te mate, me te ora anō mā ngā maimoatanga māmā noa iho.
- He mea tino nui kia mau i ngā hu whakamarie e tau ana ki ō waewae, me karo rawa i ngā rekereke teitei.
- Mā ngā maimoatanga māmā (okiokinga, hukapapa, whakakori tinana) e ai ki te whakahau a te tākuta ka āwhina nui ki te whakahaere i te mamae.
- Mena he nui te mamae, he kore rānei e āwhina ngā maimoatanga māmā, he otinga pumau pea te pokanga. Kōrero ki tō tākuta mō tēnei.
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