He uaua ki te piko i tō māhunga waewae? He mamae? Me ako tātou mō (Hallux Limitus)?

I ētahi wā ka pēnei koe me te mea kāore e taea e koe te piko tika i tō māhunga waewae, ā, ka mamae ina hikoi koe? Ka kino ake tēnei mamae, ina koa ka hikoi koe me ō hu, ka mahi rānei koe i ngā mea pēnei i te oma, te peke rānei? Nō reira, ka kōrero tātou mō tētahi mea nui pea ki a koe. Tērā pea ka uaua ake māu te mahi i ō mahi o ia rā nā tēnei āhuatanga. Kia tirohia tātou he aha te take o tēnei, me te aha hoki ka taea e koe te mahi hei whakakore atu.

He aha te Hallux Limitus?

Āe, me titiro tuatahi tātou he aha tēnei `(Hallux Limitus)`. Ki te whakarāpopototanga, ko te tikanga o te `(Hallux Limitus)` he mamae, he pakari hoki te hononga e hono ana tō māikuku nui ki te waewae, arā, he uaua ki te piko, ki te whakatika tika rānei. I roto i ngā kupu hauora, ko te ingoa o tēnei hononga ko `(first metatarsophalangeal joint)`. Ko te tikanga o te `Hallux` ko te māikuku nui. Ko te tikanga o te `Limitus` he herenga, arā, he herenga te nekehanga.

Nō reira, i ngā wāhanga tōmua o tēnei mate `(Hallux Limitus)`, tērā pea ka rite koe ki te kore e taea te piko tika i te hononga o te māhunga waewae, me te mea he paku piri. Engari ka kino haere tēnei. I a ia e kino haere ana, ka kore rawa e neke te hononga, arā, ka "pakari", ā, ka tino mamae te hikoi. Koinei te wāhanga tino kino, e kiia nei ko `(Hallux Rigidus)` .

Nā, he aha te `(Functional Hallux Limitus)`?

Tērā tētahi atu mea motuhake, ko te "Functional Hallux Limitus". I tēnei wā, ka kitea te pakari me te iti o te nekehanga o te hononga o tō māhunga waewae ina utaina te taumaha ki runga i tō waewae. Arā, ina hikoi, ina tū rānei koe.

He uaua pea tēnei ki te tautuhi i te mate, ina koa mēnā kāore tō tākuta i te tino mōhio ki te mate. He aha tāu e mōhio ana? Ina noho noa koe, me te kore e whakatakoto i tetahi taumaha ki runga i tō waewae, ka neke noa pea tō māikuku nui. Tērā pea ka whakaaro koe kāore he he o taua mate.

Ko wai ka pāngia e tēnei `(Hallux Limitus)`?

He nui ake te noa o tēnei mate i tō whakaaro. E kiia ana ka pāngia e tēnei mate te kotahi i roto i te 40 o ngā pakeke neke atu i te 50 tau te pakeke. Heoi, e whakaarohia ana ka tīmata i te wā taitamariki. Hei tauira, tata ki te 10% o ngā tāngata i waenga i te 20 me te 34 tau te pakeke, he hihi-X kei a rātou e whakaatu ana i ngā huringa o ō rātou hononga. Ko te tikanga ka taea e ēnei huringa te tīmata i mua i te puta mai o ngā tohu.

He aha ngā tohu o te `(Hallux Limitus)`?

Āe, he aha ngā tohu o te Hallux Limitus? Ka puta pea i te waewae kotahi, i ngā waewae e rua rānei. Ka tīmata mārire noa iho, kāore pea koe e mōhio, kātahi ka kino haere.

• Te mamae me te pakari:Ko te mamae, te kore whakamarie, me te pakari ka tino kitea i te tihi o te hononga o te māhunga waewae. Ka kino ake tēnei mamae ina mahi koe i ngā mahi e pēhi ana i te hononga, pērā i te hikoi, te oma, te pekepeke rānei. Hei tauira, ki te mea he kaitākaro netipōro koe, ka tino kaha te mamae ina oma koe, ā, ka mutu ohorere, ka pekepeke rānei.
• Te uaua ki te piko i te māhunga o te waewae: Kāore pea e taea e koe te piko tika i te māhunga ki runga, ki raro rānei. Tērā pea ka pāngia koe e tēnei āhuatanga ina mau ana koe i te hū.
• Te ngoikore : I ētahi wā, ka ngoikore, ka mākūkū rānei te tihi o te māhunga nui, o te waewae rānei i te werohanga o te io.
• Kakara: Mā te pēhanga nui rawa i raro i te māikuku matua ka taratara te kiri, ka tupu he rite ki te kakara.
• Puku wheua: Tērā pea ka puta he puku wheua iti ki runga ake i te hononga o te māhunga o te waewae. Tērā pea ka mau tēnei i roto i te hū, ā, ka nui ake te mamae.
• Ngā whēkau wheua : Ina whara te māhunga o te waewae, ā, ka ngana ki te whakaora, ka puta mai he whēkau wheua hou (e kiia nei ko ngā whēkau wheua) i roto i te hononga. Ka mamae pea te hononga i te wā e nekehia ana.

He aha i puta ai tēnei `(Hallux Limitus)`?

Nā te aha i whanake ai tēnei `(Hallux Limitus)`? He maha ngā take. Kia tirohia tātou ko ēhea ngā mea matua:

• Te āhua o te waewae rerekē: Ka puta pea tēnei āhuatanga mēnā he roa rawa tō wheua metatarsal tuatahi (te wheua roa i roto i tō waewae e hono ana ki tō māhunga nui), he teitei rawa rānei, mēnā rānei he nui rawa te pēhanga o tō hononga māhunga nui nā tētahi atu hanganga rerekē i roto i tō waewae.
• Ngā whara ki te māhunga o te waewae: Whakaarohia i a koe e hikoi ana, ka pā whakarere atu tō māhunga o te waewae ki tētahi wāhi, ka whāwhā, ka whati rānei te wheua. Ka taea e ēnei aituā te hua o te "Wheua Wheua". Ka pā anō hoki ki tēnei ētahi atu aituā i te wā e takaro ana i ngā hākinakina.
• Te Mate Rumati: Mena kei a koe ngā mate hononga pēnei i te Osteoarthritis, te Rheumatoid Arthritis, te Kauti rānei , ka pā ki ngā hononga o ō hope, turi, me ō waewae, ā, i te mutunga ka pā ki te huarahi e hikoi ai koe, ka puta ai te Hallux Limitus.
• Te whakamahi nui rawa o ngā māikuku: Ko te whai wāhi atu ki ngā mahi taumaha e pēhi tonu ana i ngā māikuku. Hei tauira, ko te tūpeke, te oma, te pekepeke, te whutupaoro, te poitūkohu, te tēnehi, te takaro tinana, te kanikani, inā koa te kanikani poi, he nui te pēhitanga o te māikuku nui.
• Ngā hu kāore i te tika: Kaua e mau i ngā hu e pai ana, e tau pai ana, inā koa ngā rekereke teitei .Ka tāpirihia he pēhanga koretake ki te hononga o te māikuku nui.
• Hītori whānau: Mena kua pāngia tētahi o tō whānau e te mate `(Hallux Limitus)`, he nui ake te tūponotanga ka pāngia koe e tēnei mate. He pānga ira pea tēnei.

Me pēhea te tātaritanga o te mate `(Hallux Limitus)`?

Āe, ki te mea kei a koe ēnei tohu, me pēhea te tautuhi a te tākuta he `(Hallux Limitus)`?

Ina haere koe ki te kite i tō tākuta, ka pātai tuatahi ia ki a koe mō ō tohumate. Ka pātai mai rātou i ngā pātai pēnei i te, "Kia pēhea te roa o tēnei mamae?", "Āhea te wā e tino mamae ai?", me te mea kua whara tō waewae, tō māhunga rānei i mua.

Kātahi ka tirohia tō waewae, ō waewae e rua rānei. Ka tirohia te ngāwari o ō matimati, arā, te tawhiti e taea ai e koe te piko. Ka āta tirohia hoki e rātou tō huarahi e hikoi ai koe. Nā te mea he maha ngā mea ka kitea i roto i tō huarahi e hikoi ai koe.

Hei tāpiritanga, ka tonoa hoki e rātou he hihi-X hei tirotiro i ngā wheua o tō waewae, hei whakatau mēnā he whēkau wheua kei roto, mēnā rānei kua whakaitihia te kiriuhi i roto i ō hononga (te kiko ngohengohe e tūtaki ai ngā wheua e rua).

He whakamātautau motuhake hei tautuhi i te `(Functional Hallux Limitus)`

He whakamātautau māmā noa iho tēnei hei kimi mēnā kei a koe te mate "Functional Hallux Limitus" kua whakahuatia ake nei. Whakaarohia kei te noho koe i runga i tētahi tūru, kua wetekina ō hu me ō tōkena, ō waewae i runga i te whenua, ā, kua ara ake ō māikuku.

Kātahi ka whakatakotoria e te tākuta tōna maihao tohu ki raro i tō māhunga nui, ka panaia tō māhunga nui ki runga (ki te waewae). Me ngāwari te paheke whakamuri o tō māhunga.

Kātahi ka mahi anō rātou i taua mahi anō, engari i tēnei wā ka whakatakotoria e te tākuta tētahi ringa ki raro i tō waewae, ka whakamahia te koromatua o tētahi atu ringa hei pupuri pūmau i te hononga o tō māhunga nui. Ināianei ka ngana anō rātou ki te pana i tō māhunga nui ki runga. Ki te kore tō māhunga e piki nui, tera pea kei a koe te `(Functional Hallux Limitus)`.

Ko tēnei whakamātautau – te whakatakoto i tō ringa ki raro i te kapu o tō waewae, me te pēhi i te hononga ki tō koromatua – he whakatauira i te taumaha e whakamahia ana e koe i a koe e hikoi ana. Mēnā he here te mātao i a koe e mahi ana i tēnei, e whakaatu ana ka nui ake te here o te nekehanga ina whakatakotoria tō taumaha katoa ki runga i te waewae, ka hikoi koe.

He aha ngā maimoatanga mō te `(Hallux Limitus)`?

Āe, me titiro tātou ki ngā maimoatanga e wātea ana mō tēnei mate `(Hallux Limitus)`. Tuatahi, ka whakamātau te tākuta i ngā maimoatanga māmā, kāore he pokanga hei whakaiti i tō mamae me tō kore whakamarie.

• Mauria ngā hū e tau pai ana: Mauria ngā hū he whānui te tihi, arā, he nui te wāhi mō tō māhunga waewae, ā, kāore e pītiti i ō māhunga waewae. Āta karohia ngā hū e neke atu i te inihi te teitei. Ko ngā hū he papatahi, he kapu pakari, he kapu rūrū rānei (mā tēnei ka whakaiti i te piko o te māhunga waewae) ngā kōwhiringa pai rawa atu.
• Kaua e whakararuraru rawa i ō waewae:Okioki i ngā wā katoa, ā, kia okioki ō waewae. Āta karohia ngā mahi taumaha pēnei i te oma, te whakapakari tinana, me te pekepeke kia ora rā anō te hononga o tō māhunga, inā koa i muri i te aituā o tō waewae.
• Whakamahia ngā orthotics hei tautoko i ō waewae: Ka taea te whakamahi i ngā orthotics (ngā whakaurunga hū) e wātea ana i ngā whare rongoā, i ngā orthotics rānei i hangaia e te tākuta hei tautoko i ō waewae, hei whakatika hoki i ngā hapa taurite kei a koe i a koe e hikoi ana. Pātai atu ki tō tākuta mō tētahi tūtohutanga mō ngā orthotics i hangaia e koe.
• Whiwhi whakaora tinana: Ko ngā tikanga whakaora tinana ko te kukume, te whakahaere i ngā hononga, te whakaora wai, me te ultrasound. Ka taea e ēnei te āwhina i te whakaiti i te mamae me te whakanui ake i te nekenekehanga o ngā hononga.
• Tangohia ngā rongoā mamae me ngā rongoā ārai-mumura e hokona kore-tohu (OTC): Hei tauira, ngā rongoā e hokona kore-tohu pēnei i te ibuprofen (Advil®, Motrin®), te aspirin (Bayer®), te naproxen rānei (Aleve®). He mea pai kia pātai atu ki tō tākuta, ki tō kaiwhakahaere rongoā rānei i mua i te tango i ēnei.
• Tāpirihia he hukapapa: Tāpirihia he putea hukapapa ki te hononga o tō māhunga waewae mō te 20 meneti pea, kotahi, e rua rānei i te rā. Mā tēnei ka whakaiti i te pupuhi me te mamae.
• Werohanga corticosteroid: Ki te kore e taea e ētahi atu maimoatanga ngāwari te whakaora i tō mamae, ka tūtohu pea tō tākuta i ngā werohanga corticosteroid. He werohanga ēnei ka tukuna tika ki roto i te hononga hei whakaiti tere i te mamae me te pupuhi.

Te rongoā mō te `(Functional Hallux Limitus)`

Koinei te rongoā mō te mate "Functional Hallux Limitus":

• Okiokinga, hukapapa me te hiki i te tihi (he rite ki te tikanga RICE).
• Te whakamahi i ngā orthotics ritenga, i te takahanga waro rānei.
• Te Whakaora Tinana.

Ka matapakihia e tō tākuta ko ēhea ngā kōwhiringa maimoatanga e pai ana mōu.

Āhea koe me whakaaro ki te pokanga?

Ko te tikanga, ka whakaarohia te pokanga ina kua piki te mate `(Hallux Limitus)` ki te `(Hallux Rigidus)`, ina rānei kāore te mamae e marino i ngā maimoatanga ngāwari kua whakahuatia i runga ake nei. Heoi, ki te kino haere tō mate `(Hallux Limitus)` nā te hē o te waewae, ki te nui rānei ō tohumate, ka matapakihia e kōrua ko tō taote pokanga mēnā ka pokangahia, kāore rānei.

He aha ngā kōwhiringa pokanga?

He maha ngā kōwhiringa pokanga. Me titiro tātou ki ēnei:

• Te tango i te haki (cheilectomy):Ko tēnei pokanga he heu i ngā tītaha wheua me tētahi wahi iti o te wheua i runga i te pane o tō metatarsal (te pane o te wheua e hono ana ki te māhunga o te waewae). Mā tēnei heu i te wheua ka taea e te māhunga o te waewae te neke haere noa, ka whakanui ake i te kaha ki te piko i te māhunga, ā, ka whakaiti i te mamae.
• Osteotomy: I tēnei pokanga, ka tapahia te wheua metatarsal o tō waewae, ā, ka whakatikatikahia anō hei whakatika i te āhua o te waewae.
• Te Whakakotahitanga/Te Whakakotahitanga o te Tūhonohono: I roto i tēnei pokanga, ka tangohia te kiriuhi pakaru mai i ngā wheua e rua e hanga ana i te hononga o tō koromatua, ā, ka honoa ngā wheua e rua. Ina honoa ngā wheua e rua, ka mutu te neke o te hononga o tō māikuku nui.
• Whakakapinga Hononga/Whakawhitinga Hononga: I tēnei pokanga, ka tangohia ngā pito pakaru o ngā wheua o te hononga metatarsophalangeal, ka whakakapia ki tētahi hononga horihori i hangaia ki te uku, ki te titanium rānei. Ka taea e tēnei te pupuri i te whānuitanga o te nekehanga o te hononga.
• Te whakahou i ngā hononga/Te pokanga whakawhiti hononga: I tēnei pokanga, ka tangohia ētahi o te wheua kua pakaru, ā, ka whakaurua he āputa, he mea rānei kei waenganui, ki waenganui i ngā wheua o te hononga o te māhunga o te waewae. Ka whakaitihia te nui o te waku i waenganui i ngā wheua.

Tērā pea ka whakaarohia e tō tākuta ētahi atu tikanga pokanga motuhake. Ka matapakihia e kōrua ko tō tākuta mēnā he tika te pokanga mō tō māikuku nui, ā, mēnā he tika, ko tēhea tikanga ka puta ngā hua pai rawa atu.

He aha te momo putanga ka taea e te tangata whai `(Hallux Limitus)` te tumanako?

Ki te kite koe i te tākuta i te wā tonu ka pāngia koe e te mamae, e te koretake rānei o tō māhunga waewae, ka taea e koe te whakanui ake i tō tūponotanga ki te ārai i ngā kino atu ki tō māhunga waewae. Ko te wawe o tō kitenga i te mate (Hallux Limitus), ko te wawe hoki o tō tīmatanga maimoatanga. Koia te mea nui kia kaua e warewarehia ngā tohu iti rawa.

Ka taea te whakaora katoa i tēnei mate?

Kei te pūtake me te maimoatanga i whiriwhiria. Tērā pea ka ora te mate e kiia nei ko te `(Hallux Limitus)` i puta mai i tētahi aituā. I tētahi atu taha, ko te mate e kiia nei ko te `(Hallux Limitus)` i puta mai i tētahi mate pēnei i te rumatiki, kāore pea e memeha rawa, ā, ka kino haere pea ki te `(Hallux Rigidus)`.

Mā ngā maimoatanga kore-pokanga ka whakaiti i ō tohu, engari ka hoki mai pea te mamae, ka kino rānei. Mena he Hallux Rigidus tōu, mā te pokanga pea ka puta he otinga pumau mō te mamae me te pakari.

Kia pēhea te roa o te wā e ora ai?

Kei te pūtake me te tikanga maimoatanga o te `(Hallux Limitus)` anō hoki.

Mena he mahi nui te pānga, he aituā rānei te take, whakangāwarihia tō waewae i ia wā, ā, karohia taua mahi kia ora rā anō tō hononga, tō waewae rānei. Mā tō tākuta e tohutohu te auau o te whakangāwari i tō waewae me te roa o te wā me karo koe i ētahi mahi.

Mena kua pokangahia koe, tera pea ka roa te wā e ora ai koe, ā, tera pea ka roa te wā e hoki ai koe ki ngā mahi o ia rā. Mā tō tākuta koe e kī atu kia pēhea te roa o te wā e ora ai koe, i runga i te momo pokanga i mahia ki a koe me te āhua o te hononga o tō māhunga waewae. Ko te mea nui ko te manawanui.

Ko ngā mea tino nui e hiahia ana mātou ki te kawe ki te kāinga mai i tēnei pūrākau ko

Nō reira, ko te `(Hallux Limitus)` he mate e uaua ai te piko o tō māhunga waewae, ā, e mamae ai te hikoi. Ka kino haere pea tēnei i roto i te wā, ā, ka mutu, ka kore e taea te neke i te hononga o te māhunga waewae (e kiia nei ko `(Hallux Rigidus)`).

Ko te mea nui ko te ngana ki te aukati i te kino haere o tēnei āhuatanga.

Anei ētahi mea ka taea e koe te mahi:

• Kia pai te mau i ngā hū e tau pai ana ki ō waewae. Kaua e mau i ngā rekereke teitei i ngā wā katoa e taea ana.
• Whakamahia ngā orthotics mēnā kua tūtohutia e tō tākuta.
• Tangohia ngā rongoā whakamamae mamae me ngā rongoā ārai-mumura (hei tauira, ibuprofen) ina mamae, ina pupuhi rānei. Engari me toro atu ki te tākuta.
• Whakangāwarihia ō waewae. Kaua e mahi uaua.

Mena kei te mamae tonu koe i muri i te mahi i ēnei mea, ki te uaua rānei te hikoi, kaua e wehi ki te kōrero ki tō tākuta mō ngā werohanga corticosteroid, ngā kōwhiringa pokanga rānei.

Ki te āta tiaki wawe koe i tēnei āhuatanga, ka taea e koe te whakahaere i tēnei āhuatanga ki te whānuitanga nui, ā, ka noho humarie koe!

` Hallux Limitus, Hallux Limitus, Te mamae o te waewae nui, te mamae o te Waewae, te mamae tahi, te Hallux Rigidus, te Hallux Rigidus, te Hauora Waewae