Kua pāngia koe e te mamae, e te kōpikopiko rānei i te pūtake o tō māhunga waewae ina hikoi koe? He uaua ki a koe te piko i tō māhunga waewae ina ara ake koe i te ata? He rite rānei ki te piri o tō māhunga waewae ina mau koe i ō hu? Mena kei a koe ēnei tohu, tera pea he nui ake te take i tō whakaaro. I tēnei rā ka kōrero tātou mō tētahi mate e kiia nei ko te 'Hallux Rigidus' e pāngia ana e te tini tāngata, engari kāore i te tino kōrerohia.
He aha rawa te Hallux Rigidus?
He kupu whakarāpopoto, ko te Hallux Rigidus he momo mate rumatiki e pā ana ki tō māhunga nui. Ina koa, ka pā ki te hononga e hono ana tō māhunga nui ki tō waewae. I roto i te rongoā, ka kiia tēnei hononga ko te hononga metatarsophalangeal, MTP rānei.
Ina rongo koe i te kupu "arthritis," tera pea ka mōhio koe he kupu whānui tēnei mō tētahi rōpū mate e pupuhi ana, e mamae ana hoki ngā hononga. Nō reira, ka kīia e ngā tākuta tēnei mate, arā, ko Hallux Rigidus, i ētahi wā ko te "arthritis of the big feet".
Ko te tikanga o te kupu Latina 'Hallux Rigidus' ko te "matimati mau." Koinei te tohu matua o tēnei mate. Ka puta te mamae me te pakari o te hononga MTP i tēnei mate. E kiia ana he momo mate rumatiki e kiia nei ko te osteoarthritis, e puta mai ana i te pakaru me te haehae i roto i te wā .
Mena kei te pāngia koe e ngā tohu pēnei i te mamae, te pakari, te pupuhi rānei o tō māhunga nui, ko te mea pai ko te toro atu ki te tākuta i te wā e taea ai.
He pēhea te noa o tēnei āhuatanga?
Tērā pea ka ohorere koe ki te rongo i tēnei. E ai ki ngā tohunga, tata ki te kotahi i roto i te 40 o ngā pakeke neke atu i te 50 tau te pakeke he Hallux Rigidus tōna. Koinei hoki te momo mate rumatiki tino noa i roto i ngā waewae.
I roto i ngā āhuatanga e pā ana ki te hononga o te māwae waewae nui, ko te Hallux Rigidus te tuarua o ngā āhuatanga e tino kitea ana i muri i te bunion (Bunions, Hallux Valgus rānei).
He aha ngā tohu o te Hallux Rigidus?
Āe, kia tirohia ngā tohu e whakaatuhia ana e te tangata whai mate pēnei. Kia mārama ai tēnei, me titiro tātou ki tēnei ara.
| Tohu | Whakaahuatanga |
|---|---|
| Mamae | Te mamae i roto, i te taha rānei o te māhunga o te waewae. I te nuinga o te wā, ka pā te mamae ki te tihi o te māhunga. Engari i ētahi wā ka rite ki te mamae hōhonu e puta mai ana i roto i te māhunga. |
| Te pakari/te ngaronga o te ngāwari | Ka uaua te piko, te whakatika rānei i te māhunga o te waewae. Me te mea kua mau. Ka kitea nuitia tēnei i te ata. |
| Pupuhi | Tērā pea ka kite koe i te pupuhi huri noa i te hononga o te māhunga nui. |
| Te hekenga o te kaha ki te neke | I roto i te wā, ka heke haere te whānuitanga o te nekehanga ka taea te neke ake, te neke iho hoki i te matihao me te kore mamae. |
| He mea rite ki te pona | Tērā pea ka puta he puku, he rite ki te bunion, ki te callus rānei, ki te tihi o te māhunga waewae. Tērā pea nā ngā wheua e puta ai ēnei. |
Ngā mea e whakarei ake ana i ēnei āhuatanga
Ka taea e ētahi mea me ētahi āhuatanga te whakakino ake i ō tohumate.
- Ina tū, ina hikoi rānei: Ka piki ake pea te mamae ina u te taumaha ki runga i te hononga.
- Te rangi makariri, te haumākū: Ka kino ake pea te mamae o ngā hononga i ngā rā makariri.
- Te mau hū kikī: Mā te mau hū e herea ana ō matimati, ā, kāore e tau tika ki tō waewae, ka nui ake te pēhanga ki te hononga, ka nui ake hoki te mamae.
He aha i puta ai a Hallux Rigidus?
He maha ngā wā, he uaua ki te kimi i tētahi tino take mō tēnei mate. Ko te take matua ko te pakaru me te haehae e puta ana i roto i ō tātou hononga i te roanga o te wā. I a tātou e pakeke haere ana, ka pakaru te kiriuhi e tiaki ana i ō tātou hononga. Ko tēnei pakaru me te haehae te tino take o te Hallux Rigidus me ētahi atu mate osteoarthritis.
Whakaarohia, i ia hikoinga e mahia ana e tātou, e rua te kaha o te taumaha o tō tātou tinana e pā ana ki tēnei hononga iti o te MTP. Nō reira, ina pāngia koe e tēnei momo pēhanga puta noa i tō oranga, he mea noa te memeha o te hononga.
Haunga tēnei take matua, tera pea ētahi atu take e pāngia ai tēnei:
- Te whakamahinga nui rawa o te hononga MTP: Mena ka pēhia te hononga nui o te māhunga i te wā e takaro ana, e mahi ana rānei.
- Pupuhi mātao: Mēnā kua pupuhi te mātao nui ki tētahi wāhi.
- Matimati waewae: He āhua rite ki te whāwhā i puta mai i te piko kaha o te hononga o te matimati ki runga i te wā e tākaro ana.
- Te tūnga o ngā wheua o te waewae: He roa ake ngā wheua o ngā waewae me ngā matimati o ētahi tāngata i te mea noa. Ka tūpono hoki ēnei tāngata ki te pāngia e tēnei mate.
Ko wai te mea tino mōrearea ki te whakawhanake i tēnei mate?
Ahakoa ka taea e te tangata katoa te pāngia e te Hallux Rigidus, he nui ake te mōrearea o ētahi tāngata.
- Ngā tāngata neke atu i te 50 tau te pakeke
- Ngā wāhine
- Ngā kaitākaro
- Mō te hunga e tū ana i te rā katoa nā te mahi
Waihoki, ka taea e ētahi āhuatanga hauora te whakanui ake i te mōrearea o te whakawhanake i te Hallux Rigidus.
- te mate rumatiki
- Kauti
- Ngā mate autoimmune e puta ai te mumura
- Ngā mate o te Osteochondritis Dissecans
Me pēhea te tātaritanga a te tākuta i tēnei?
Ina haere koe ki te tākuta, ko te mea tuatahi ka mahia e ia ko te tirotiro i tō waewae. Ka piko te tākuta i tō māhunga nui ki runga, ki raro hoki, ka tirohia tōna whānuitanga o te nekehanga. Ka tirohia e ia te tawhiti ka taea e koe te piko i tō māhunga me te kore mamae. Tērā pea ka tukuna koe ki tētahi tākuta waewae, he tohunga waewae.
Hei tāpiritanga, ka taea hoki te tango i tētahi hihi-X o tō waewae hei tirotiro i te āhua o te hononga, me te kite mēnā he whēkau wheua kei roto.
Kei kona ano etahi waahanga o Hallux Rigidus?
Āe, i runga i te kaha o tēnei mate, ka whakarōpū pea tō tākuta kia maha ngā wāhanga, ngā taumata rānei, i runga i te iti o te nekehanga o tō māhunga waewae.
| Tau | Tūnga |
|---|---|
| Tau 0 | Ko te nekehanga o te maihao e pāngia ana he 10% - 20% te iti iho i te maihao hauora. |
| Tau 1 | Ka whakaitihia te nekehanga mā te 20% - 50%. |
| Tau 2 | Ka whakaitihia te nekehanga mā te 50% - 75%. |
| Tau 3 | Ka whakaitihia te nekehanga mā te 75% - 100% (tata tonu te tio). |
| Tau 4 | Ka heke te nekehanga mā te 75% - 100%, ā, ka tino mamae te nekehanga o te maihao. |
He aha ngā maimoatanga pai rawa atu mō te Hallux Rigidus?
Ko te maimoatanga e hiahiatia ana e koe ka whakawhirinaki ki te kaha o ō tohu me te pūtake o tō mate. Tērā pea ka tūtohu tō tākuta i ēnei e whai ake nei: He maimoatanga kore-pokanga ēnei.
- Te whakawhiti i ō hu: Mā te mau i ngā hu e kore e nui te wāhi mō ō matimati ka āwhina i te whakaiti i te pēhanga ki te hononga MTP. Mā te mau i ngā hu he matotoru, he pakari hoki ngā kapu ka āwhina i te whakamamae i te mamae. Āta karohia ngā rekereke teitei me ngā hu he iti ngā pouaka matimati.
- Te whakawhāiti i te nekehanga o te māikuku waewae: Ka tūtohu pea tō tākuta kia whakamahia he papa ka taea te whakanoho ki roto i te hū, hei tautoko i te māikuku waewae nui, hei whakawhāiti hoki i tōna nekehanga. Ka tūtohu pea hoki rātou kia karohia ngā mahi e pēhi ana i te hononga, pērā i te oma me te pekepeke, mō tētahi wā.
- Ngā rongoā mamae: Ka tohua pea e tō tākuta ngā rongoā anti-inflammatory kore-steroidal (NSAID) hei whakaiti i te pupuhi me te mamae.
- Hukapapa: Mā te paninga i te kete hukapapa ka āwhina i te whakamamae i te mamae me te pupuhi. Kia mahara ki te takai i te kete hukapapa ki roto i te tauera angiangi. Kaua e pania tika te hukapapa ki te kiri. Pātai atu ki tō tākuta e hia ngā wā i te rā, ā, e hia te roa.
- Corticosteroids: He momo rongoā kaha ēnei hei whakaiti i te mumura. Me werohanga cortisone tika pea koe ki te hononga o tō māhunga waewae.
- Te ruku i ngā waewae ki te wai wera/matao:Hei whakaiti i te pupuhi, ka tūtohu pea tō tākuta i tētahi "kaukau rerekē", he maimoatanga e whakawhiti ana i waenga i te wai wera me te wai matao. Ko te tikanga tēnei me tuku tō waewae ki roto i te wai wera mō te 30 hēkona, ā, muri iho ka tukuna te wai matao mō ngā hēkona 30 e whai ake nei.
- Te tango i te hū me te pokanga wheua: Me mau koe i tētahi hū motuhake mō te rua wiki pea. Whai muri i tēnā, ka taea e koe te mau i ngā hū noa. Tērā pea ka roa te pupuhi mō ētahi marama.
- Osteotomy: E 6-8 wiki pea te roa ka memeha te pupuhi. E 3 marama pea ka ora katoa.
- Te Hononga Hononga: Me mau koe i te kāpia, i te pūtu motuhake rānei mō te 3-6 wiki. Whai muri i tēnā, me whakamahi koe i ngā tokotoko. Tērā pea ka roa te pupuhi me te pakari mō ētahi marama.
- Whakakorikori Tinana: Mahia ngā whakakorikori ngāwari hei pupuri i te hononga o te māhunga o te waewae kia ngāwari.
- Whakangāwaritia te hononga: Whakangāwaritia te hononga i muri i te mahi uaua. Kaua rawa e whakakorikori tinana i te mamae.
- Te mau i ngā hū tika: Mauria ngā hū e tau pai ana ki ō waewae, ā, he nui te wāhi mō ō māikuku.
- Ko te Hallux Rigidus he mate rumatiki noa e pā ana ki te hononga o tō māikuku nui, ā, ka puta mai i te nui rawa o te whakamahinga.
- Ko ngā tohu matua ko te mamae, te pakari, me te pupuhi.
- I te nuinga o te wā, ka taea te whakahaere pai i ngā tohu mā te whakamahi i ngā maimoatanga kore-pokanga (hū tika, whakakori tinana, rongoā).
- Mena kei te mamae tō māhunga nui, he mea nui kia tere tonu te toro atu ki te tākuta.
- Mena he kino rawa ngā tohu, ā, ka whakararuraru i te oranga o ia rā, ka taea e te pokanga te whakarato i ngā otinga tuturu.
He mea nui: Kaua e whakamahia tonutia ēnei mō ngā rā neke atu i te 10 me te kore e kōrero ki tō tākuta.
Me pokanga ahau?
Kāore te nuinga o te tangata e hiahia ki te pokanga mō te Hallux Rigidus. Mēnā kāore ēnei maimoatanga i runga ake nei e whakahaere i ō tohumate, mēnā rānei kei te whakararuraru te mamae i ō mahi o ia rā, ka tūtohu pea tō tākuta kia pokangahia.
| Ingoa Tukanga | He aha tāu e mahi noa ana? |
|---|---|
| Te tango i te cheilectomy | I konei, ka tangohia e te taote pokanga ngā whēkau wheua i roto i te hononga MTP. Mā tēnei ka ngāwari ake te piko o te maihao, ka whakaiti i te mamae, ā, ka whakahokia mai te whānuitanga o te nekehanga i roto i te hononga. |
| Te tango wheua | Ka tapahia ngā wheua o te māikuku nui, ka whakatikatikahia kia rerekē ai te tūnga o te hononga. Ka whakaitihia te pēhanga ki runga i te hononga. |
| Te Whakatōtōrangapū | He pokanga whakakapi hononga tēnei. Ka tangohia te wheua kua pakaru, ka whakakapia ki tētahi wāhanga horihori, ki tētahi atu kiko rānei hei hanga anō i te hononga. |
| Te Whakatōtōtanga o te Arthrodesis | He pokanga honohono tēnei. Ka tangohia katoatia te kiriuhi kua pakaru, ā, ka whakapirihia ngā wheua e rua o te hononga mā te whakamahi i ngā pine, i ngā pereti rānei. He otinga pumau tēnei, engari i muri i te pokanga, kāore e taea e koe te piko i tō māhunga waewae. |
Kia pēhea te roa o te wā e ora ai?
Ko te roa o te ora ka whakawhirinaki ki te maimoatanga i whiwhi koe me te kaha o te mate. Mena ka taea te whakahaere i ō tohu mā te whakamahi i ngā mea ngāwari pēnei i te whakawhiti hu me te whakamahi i ngā papa, ka taea e koe te hoki ki ngā mahi o ia rā ina whakaaetia koe e tō tākuta.
Mena ka pokangahia koe, ka rerekē te roa o te whakaoranga i runga i te momo pokanga:
Ko te mea nui, he maha ngā rongoā hei āwhina i a koe ki te whakahaere i ō tohumate, te whakaiti i te mamae, me te noho i te oranga noa.
Kāore e taea te ārai i tēnei mea?
He uaua ki te ārai katoa i te Hallux Rigidus, nā te mea he pānga o te pakeketanga me ngā āhuatanga ira. Heoi, mā ēnei e āwhina te whakahaere i te haere whakamua o te mate:
Āhea ahau me toro atu ki te tākuta?
He māmā noa iho te whakautu. Mena kei te pāngia koe e te mamae hou, te pupuhi, te pakari rānei o te hononga o tō māihao nui, me toro atu ki te tākuta i te tīmatanga tonu. Ko te tere o te tātaritanga o te mate me te tīmatanga o te maimoatanga, ko te pai ake o te putanga.
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