Kua pāngia koe e te mamae nui i te māhunga o te waewae ina hikoi koe, inā koa ka ara ake koe i te ata? Tērā pea ka pēhia koe ina mau koe i ō hu. Ahakoa kei te whakaaro koe he mea noa tēnei, he mate pea e hiahia ana kia tirohia e te rata. I tēnei rā ka kōrero tātou mō tēnei raruraru e pāngia ana e te tini o te tangata engari kāore i te mōhiotia, arā, ko te Hallux Rigidus.
He aha te tikanga o Hallux Rigidus?
Ko te Hallux Rigidus he momo mate rumatiki e pā ana ki tō māhunga waewae. Ina koa, ka pā ki te hononga e hono ana tō māhunga waewae ki tō waewae. I roto i ngā kupu hauora, ka kiia tēnei hononga ko te 'hononga metatarsophalangeal (MTP)'.
Tērā pea kei te whakaaro koe he aha te mate rumatiki. Ko te mate rumatiki he kupu whānui mō te tata ki te kotahi rau ngā mate e puta ai te mumura me te mamae i ngā hononga o te tinana. Koia te take e kīia ai e ngā tākuta te Hallux Rigidus ko te "mate rumatiki o te māhunga waewae nui."
Ko "Hallux Rigidus" he kupu Latina e tohu ana i te "mārō o te waewae nui." Koinei te tohu matua o tēnei mate. Ka mamae, ka pakari hoki te hononga o te mārō o te waewae nui. He momo osteoarthritis tēnei e puta mai ana i te pakaru me te haehae i te roanga o te wā.
Mena kei te pāngia koe e ngā tohu pēnei i te mamae, te pakari, te pupuhi rānei i tō waewae nui, he mea tino nui kia kōrero koe ki te tākuta.
He pēhea te noa o tēnei āhuatanga?
Kua kitea e ngā rangahau tata ki te kotahi i roto i te 40 tāngata neke atu i te 50 tau te pakeke ka pāngia e te Hallux Rigidus. Koinei te momo mate rumatiki tino noa i roto i ngā waewae.
Koia hoki te tuarua o ngā mate e pā ana ki te hononga o te māwae waewae nui, whai muri i te mate e mōhiotia whānuitia ana ko te bunion.
He aha ngā tohu o te Hallux Rigidus?
He maha ngā tohu ka puta i te tangata whai mate pēnei. Engari he maha ngā tohu noa. Me titiro tātou ki ēnei tohu.
| Tohu | Whakaahuatanga |
|---|---|
| Te mamae i te koromatua | Ka kitea tēnei mamae i te tihi o te maihao. I ētahi wā ka rite ki te mea e puta mai ana i roto rawa i te maihao. |
| Te pakari o te waewae nui | Ka uaua te piko me te neke i te matihao. Me te mea kua mau. |
| Te pupuhi o ngā hononga | Tērā pea ka kite koe i te pupuhi huri noa i te hononga e hono ana te māhunga nui ki te waewae. |
| Te herenga o te nekehanga | Ka heke haere te whānuitanga o te nekehanga ka taea te neke me te kore mamae. |
| He mea rite ki te pona | Tērā pea ka puta he puku, pērā i te bunion, i te callus rānei, i te tihi o te māhunga waewae. |
Ngā mea e whakanui ana i ngā tohu
Ka taea e ētahi mea te whakanui ake i tēnei mamae me tēnei uauatanga.
- Ina tū, ina hikoi rānei: Ka piki ake pea te mamae ina u te taumaha ki runga i te hononga.
- Te rangi makariri, makuku: Pērā i te mamae o ngā hononga i ngā rā makariri, ka kino haere anō hoki tēnei āhua.
- Te mau hū piripono: Mā te mau hū piripono kāore e nui te wāhi mō ngā māikuku ka nui ake te pēhanga ki te hononga, ka nui ake hoki te mamae.
He aha tātou ka pāngia ai e te Hallux Rigidus?
He maha ngā wā ka puta te Hallux Rigidus i roto i te wā, kāore he take e kitea ana. I a tātou e pakeke haere ana, ka memeha haere te kiriuhi ngohengohe o ō tātou hononga. Pērā i te memeha haere o ngā potae o te motuka, ko tēnei memeha haere te tino take o te Hallux Rigidus me ētahi atu momo osteoarthritis.
Whakaarohia, i ia hikoinga e takahia ana e tātou, e rua ngā wā ka pā te taumaha o tō tātou tinana ki tēnei hononga iti 'MTP'. Nō reira, ehara i te mea miharo ka pakaru te hononga i muri i te manawanui ki tēnei momo pēhanga puta noa i te oranga.
Tērā pea ētahi atu take ka pā ki tēnei:
- Te whakamahinga nui rawa o te hononga: Mena he maha ngā pēhanga o te hononga nui o te māhunga i te wā e takaro ana, e mahi ana, e mahi whakangahau ana rānei.
- Whara o te matihao: Te wero i te māhunga nui.
- Te whāwhā o te matimati: Ngā āhuatanga pēnei i te 'turf toe', inā koa i roto i ngā hākinakina.
- Te āhua o ngā wheua o te waewae: Ko ētahi tāngata he roa ake i te mea noa ngā wheua o te waewae me ngā māikuku. Tērā pea tētahi o ngā take mō tēnei.
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
Hei tāpiri, ka taea e ētahi āhuatanga hauora te whakanui ake i te mōrearea o te whakawhanake i te Hallux Rigidus.
- te rumatiki
- Kauti
- Ētahi atu mate pūnaha ārai mate e puta ai te mumura
- Ngā mate o te osteochondritis
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 a koe. Ka pikohia e ia tō māhunga nui ki runga, ki raro hoki, ka nekehia kia kite ai koe i te tawhiti ka taea e koe te neke. Tērā pea ka tukuna koe ki tētahi tohunga waewae (hediatrist).
Hei tāpiritanga, ka taea te mahi i tētahi hihi-X o te waewae hei tirotiro mō ngā wheua e piko ana.
Ngā Wāhanga o te Hallux Rigidus
I runga i te nui o te hekenga o tō kaha ki te neke i tō māikuku nui, ka whakarōpūtia pea e tō tākuta te mate ki ngā taumata. Ka kiia hoki ēnei he wāhanga, nā te mea ka kino haere ngā tohu i te roanga o te wā.
| Tau | Te whānuitanga o te herenga o te nekehanga |
|---|---|
| Tau 0 | E 10% – 20% te iti iho o tōna nekehanga i tō te māikuku nui kē atu. |
| Tau 1 | Ka whakaitihia te nekehanga i waenga i te 20% – 50%. |
| Tau 2 | Ka whakaitihia te nekehanga i waenga i te 50% – 75%. |
| Tau 3 | Ka whakaitihia te nekehanga i waenga i te 75% – 100%. |
| Tau 4 | Ka heke te nekehanga i waenga i te 75% me te 100%, ā, ka tino mamae te nekehanga o te matihao. |
He aha ngā maimoatanga pai rawa atu?
Ko te momo maimoatanga e hiahiatia ana e koe ka whakawhirinaki ki te kaha o ō tohu me te pūtake o te mate. I te nuinga o te wā, ka tīmata ngā maimoatanga kore-pokanga.
| Tikanga maimoatanga | Kei te aha koe? |
|---|---|
| Te whakawhiti hu | Mā te mau i ngā hū he pakari te kapu me te wāhi pai mō ngā māikuku ka taea te whakaiti i te pēhanga ki te hononga. Āta karohia ngā rekereke teitei me ngā hū e mau ai ō māikuku. |
| Te herenga o te nekehanga o ngā maihao | He papa motuhake kei roto i te hū. Ka taea e ēnei te tautoko i te matimati me te whakawhāiti i ngā nekehanga kore e hiahiatia. Ka taea hoki e ēnei te whakaiti i te taumahatanga ki te hononga i ngā wā mahi pēnei i te oma. |
| Ngā rongoā whakamamae | Ka taea e ngā NSAID e hokona kore utu te āwhina ki te whakaiti i te mamae me te pupuhi. Heoi, kaua e tango i ēnei rongoā mō ngā rā neke atu i te 10 me te kore kōrero ki tō tākuta. |
| Te rewa o te huka | Mā te takai i tētahi kete hukapapa ki roto i tētahi tauera angiangi, ka pania ki te wāhi mamae, ka āwhina i te whakamamae i ngā tohu. Kaua rawa e whakatakoto tika te hukapapa ki te kiri. Pātai atu ki tō tākuta kia pēhea te roa me te maha o ngā wā me pania e koe i te rā. |
| Ngā corticosteroids | He rongoā kaha ēnei e tohua ana e te tākuta, i ētahi wā ka werohia tika atu ki roto i te hononga. |
| Te ruku i ngā waewae ki te wai wera/matao | I ētahi wā ka tūtohu ngā tākuta i tēnei tikanga. Me waiho tō waewae ki roto i te wai wera mō te 30 hēkona, kātahi ki roto i te wai matao mō ngā hēkona 30 e whai ake nei. Mā te mahi i tēnei tikanga ka taea te whakaiti i te pupuhi. |
Me pokanga ahau?
Kāore te nuinga o te tangata e hiahia ki te pokanga. Tērā pea ka whakaarohia e tō tākuta te pokanga mēnā kāore ētahi atu maimoatanga e whakaora i tō mamae, mēnā rānei he tino kino te mamae, ā, kei te aukati i a koe ki te mahi i ō mahi o ia rā.
He maha ngā momo pokanga matua:
- Cheilectomy: Ko te tango i ngā wheua kore e hiahiatia i runga ake i te hononga, kia nui ake ai te wāhi hei piko i te maihao.
- Osteotomy: I konei, ka tapahia e te taote pokanga ngā wheua o te maihao, ka whakaritea anō hei whakarerekē i te tūranga o te hononga.
- Te pokanga whakakapi hononga: He pokanga whakakapi hononga tēnei. Ka tangohia te wheua kua pakaru, ka whakakapia ki tētahi "mokowā" i hangaia mai i tētahi atu kiko.
- Te Whakatōtōtanga o te hononga: He pokanga honohono tēnei. Ka tangohia te kiriuhi kua pakaru, ā, ka honoa ngā wheua e rua. Ahakoa he otinga pumau tēnei, tera pea ka whakawhāitihia te nekehanga o te māhunga o te waewae i muri i te pokanga.
Kia pēhea te roa o te wā e ora ai i muri i te pokanga?
Ko te roa o te whakaoranga e whakawhirinaki ana ki te momo pokanga i mahia ki a koe.
- I muri i ngā pokanga `Cheilectomy` me `Arthroplasty`, me mau koe i tētahi hū motuhake mō te rua wiki pea. Tērā pea ka roa te pupuhi mō ētahi marama.
- I muri i te tangohanga wheua, ka memeha te pupuhi i roto i ngā wiki 6-8. E toru pea ngā marama ka ora katoa.
- I muri i te hononga hononga, me mau he kāpia, he pūtu motuhake rānei mō te 3-6 wiki pea. Whai muri i tēnā, me whakamahi koe i ngā tokotoko. Tērā pea ka roa te pupuhi me te pakari mō ētahi marama.
Kāore e taea te ārai i tēnei āhuatanga?
He uaua pea te ārai katoa i te Hallux Rigidus, engari he iti noa ngā mea ka taea e koe te mahi hei āwhina i te whakahaere i te mate:
- Whakakorikori Tinana: Pātai atu ki tō tākuta, ki tō kaiwhakaora tinana rānei mō ngā mahi whakakorikori tinana māmā hei āwhina i te pupuri i te hononga o tō māikuku nui kia ngāwari.
- Whakangāwaritia te hononga: Whakangāwaritia te hononga i muri i te mahi uaua. Kaua rawa e whakakorikori tinana i te mamae.
- Mauria ngā hū tika: Kōwhiria ngā hū e tau pai ana ki ō waewae, ā, he wāhi anō hoki mō ō māikuku.
Kia maumahara, ki te mamae tō māhunga waewae, kaua e warewarehia. Ko te tere o tō haerenga ki te tākuta me te whiwhi tātaritanga, ko te tūponotanga ka angitu te maimoatanga.
Karere Tangohia ki te Kāinga
- Ko te mamae, te pakari, me te pupuhi o tō waewae nui he tohu pea nō te mate rumatiki e kiia nei ko te Hallux Rigidus.
- Ahakoa ko te pakaru me te haehae o ngā hononga i roto i te wā te tino take o tēnei, ka whai wāhi anō hoki ngā whara, ētahi āhuatanga hauora, me ngā āhuatanga ira.
- I te nuinga o te wā, ka taea te whakahaere i tēnei āhuatanga mā ngā maimoatanga māmā pēnei i te mau i ngā hū tika, ngā rongoā whakamamae mamae, me te okioki.
- Kaua e warewarehia te mamae. Mā te rapu tohutohu hauora i te wā wawe ka ārai i te kino haere o te mate, ā, ka āwhina i a koe kia angitu te maimoatanga.
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