Kei te pāngia koe e tēnei momo mamae i tō waewae? Me kōrero tātou mō te whati o Jones!

Kua takahurihia tō waewae e koe, kua rongo rānei koe i te tangi "pakaru" i waho o tō waewae i a koe e takaro ana i ngā hākinakina? I taua wā, tera pea koe e whakaaro ana, "He aha rawa te mea i tupu? " Tērā pea he āhuatanga e kiia nei ko te whati o Jones , ka kōrerohia e tātou i tēnei rā. Kaua e manukanuka, ka kōrerohia e tātou tēnei mea i roto i te huarahi e mārama ai koe.

He aha te whati o Jones? He māmā noa iho...

Ki te kī māmā noa, ko te whati o te waewae he whati wheua o tō waewae. He wheua roa kei tō māikuku e hono ana ki te toenga o tō waewae, tika? Koinei te ingoa o ngā tākuta ko te wheua tuarima o te metatarsal . Ko te whati o te waewae o Jones he whati i tēnei wheua.

Ka puta tēnei i te nuinga o te wā ina tahuri tō waewae ki roto, ā, ka pā he kaha nui, he pēhanga rānei ki waho o tō waewae. Whakaarohia he āhuatanga ka tūpono koe ki te hinga i tō waewae i a koe e oma ana.

• Te whakamahi nui rawa i te waewae : pērā i te oma i runga i te whenua mārō i te rā katoa, te mahi rānei i tētahi mahi e hiahia ana kia tū roa.
• Ngā whara hākinakina : Ka pā mai ēnei whara, inā koa i ngā hākinakina pekepeke pērā i te poitūkohu me te poipapa, i ngā hākinakina rānei e tere huri ana te ahunga pērā i te whutupaoro me te kirikiti.
• Te hinganga me te paheke : Ka pā mai pea tēnei i ngā āhuatanga pēnei i te hinganga i ngā arawhata, te paheke rānei i runga i te mata pahekeheke ka tau whakarere ki te whenua.

I te nuinga o te wā, me pokanga kia ora tika ai tēnei wheua. E hia pea ngā marama ka ora katoa.

He aha te rerekētanga i waenga i te whati Jones me te whati avulsion?

Ahakoa te āhua pōhēhē o ēnei ingoa e rua, kei roto tonu rāua i te wheua tuarima o te metatarsal i kōrerotia i mua ake nei. Heoi anō, he iti noa ngā rerekētanga engari he mea nui i waenganui i ēnei whati e rua.

Whakaarohia tō wheua tuarima o te wheua he rite ki tētahi wahi rakau iti. Ka wehea e ngā tākuta te wheua kia toru ngā wāhanga, arā, ngā 'rohe'. Mā ēnei rohe ka mārama te tākuta ki te wāhi i whati ai te wheua.

• Rohe 1: Koinei te wāhanga tuatahi o te wheua, e tata ana ki waenganui o te waewae. Ko ngā whati i konei ka kiia ko ngā whati avulsion . I ētahi wā ka kiia ko ngā whati dancer , ko ngā whati pseudo-Jones rānei. Kāore e hiahiatia he pokanga mō ēnei whati. I te nuinga o te wā ka ora i roto i te rua marama pea mā te whakamahi i te pūtu, i te maka rānei.

• Rohe 2 (`Rohe 2`):Koinei te wāhanga o te wheua kei muri tonu i te rohe tuatahi, kei waenganui tonu o te wheua. Hei whakamārama, koinei te wāhanga "tumu" o te wheua e whai ake ana i te rohe tuatahi, he rite ki te "upoko ". Ko ngā whati i tēnei rohe tuarua ko te mea e kiia nei e tātou he 'Whati Jones'. Ko te tikanga me pokanga ēnei. He nui ake te tūponotanga ka puta he raruraru i ērā atu whati o te waewae.

• Rohe 3: Koinei te taha kē atu o te wheua, te wāhi e hono ai ki ngā wheua o ngā maihao. Ko ngā whati i tēnei rohe e kiia ana he whati ahotea, e puta mai ana i te pēhanga tonu. Ka roa ake te whakaora i ēnei, ā, i ētahi wā me pokanga.

Tērā pea he āhua pōhēhē ēnei ingoa ki a koe. Kaua e manukanuka. Ki te whati tō waewae i tētahi wāhi, ko te mahi tuatahi tino nui ko te toro atu ki te tākuta i te wā e taea ai. Mā te tākuta e whakamārama te momo whati kei a koe, me te aha me mahi mōna.

He pēhea te auau o ngā whatiwhatinga o Jones? Ko wai te hunga tino tūpono ka pāngia e ēnei whatiwhatinga?

Ko ngā whati waewae o Jones tētahi o ngā whati waewae tino noa. Ko ngā kaitākaro, ngā kaihaka, me te hunga e mahi ana i ngā mahi e hiahia ana kia tū me te hikoi i te rā katoa te hunga e tino mōrearea ana.

• Ngā kaitākaro (ina koa ko te hunga e takaro ana i ngā hākinakina oma me te pekepeke)
• Ngā kaihaka
• Ko te hunga e tū ana, e hikoi ana mō te wā roa i a rātou e mahi ana

Ko te tikanga, ko ngā tāne kei te 30 tau te pakeke me ngā wāhine neke atu i te 70 tau te pakeke, he nui ake te tūponotanga ka pāngia e ngā whati wheua o Jones i ngā tāngata o ētahi atu reanga tau.

Waihoki, ko te hunga e pāngia ana e te osteoporosis ( he mate e angiangi ai ngā wheua) ka nui ake te mōrearea ki te whakawhanake i te whati Jones, me tetahi atu whati.

He aha ngā tohu o te whati o te wheua o Jones?

Mena he whati Jones tōu, tera pea ka pāngia koe e ngā tohu penei:

• Mamae nui: ina koa ki te taha waho o te waewae.
• Te pupuhi.
• Te ngawari (mamae ina pāngia, ina pēhia rānei).
• Te uaua ki te hikoi noa.
• Te pakarukaru, te huri rānei o te kiri.
• Ka kitea he puku rerekē, he panoni rānei te āhua i te waewae (he "pikopiko, he puku rānei").

He aha te whati "nekehanga" o te hononga o Jones?

Ina haere koe ki te tākuta, tera pea ka rongo koe i ngā kupu "displaced" me "non-displaced" rānei. He māmā noa iho, ko te "displaced fracture" ko te wā e wehea ana ngā wahi wheua whati e rua, ka waiho he āputa nui i waenganui. He "non-displace fracture"Ko te tikanga o tēnei kua whati te wheua, engari kāore ngā wahi whati e rua i nekeneke nui, ā, kāore i te rite te tūnga. I te nuinga o te wā, me pokanga ngā "whati kua nekehia". Kāore pea ngā whati "kāore i nekehia" e hiahiatia he pokanga.

He aha ngā tino take o ngā whati o Jones?

E ai ki tā tātou i kōrero ai i mua, ka puta te whati o Jones ina pāngia tō waewae, inā koa me tō rekereke e ara ake ana, e piko ana. Anei ētahi take matua:

• Te whakamahi nui rawa: Te hikoi tonu, te oma, te tū rānei i runga i ngā mata mārō. Hei tauira, he mahi tā ētahi tāngata e hiahia ana kia tū rātou i te rā katoa, ā, he nui ake te mōrearea mō rātou.
• Ngā whara hākinakina: Ka pā mai ēnei i te wā e pekepeke ana, e heke ana rānei i ngā hākinakina pēnei i te poitūkohu me te poipapa, i te wā rānei e huri tere ana te waewae i ngā hākinakina pēnei i te whutupaoro, te kirikiti, me te netipōro. Ka pā mai hoki ēnei momo whara i te wā e takaro ana i te poipapa i ō tātou kāinga.
• Te hinganga me te paheke: Kei roto i ēnei ko te hinganga i ngā arawhata i te kāinga, te paheke i te wāhi maku pērā i te kaukau, me te pā ohorere o tō waewae ki te papa.

Me pēhea te tautuhi i te whati o te hononga Jones? (`Tautoko`)

Ka tirohia tuatahitia koe e tō tākuta ('whakamātautau tinana'). Kātahi ka whakaritea e rātou ētahi whakamātautau motuhake ('whakamātautau whakaahua') hei tirotiro i te āhua o ō wheua.

He aha ēnei whakamātautau?

• Ngā hihi-X: Ka taea e te hihi-X te whakaatu mārama mēnā he whati wheua Jones tōu, he whati wheua rānei, me te nui o te kino kua pā ki ngā wheua.
• Matawai MRI (Whakaahua Āhua Aukume - MRI): I ētahi wā me kite te tākuta i te whānuitanga katoa o te kino ki ngā wheua me ngā kiko e karapoti ana, pērā i ngā uaua me ngā hononga. Koinā te wā e mahia ai te matawai MRI.
• Matawai CT (`Matawai CT - Matawai Tomography Rorohiko`): Mena me pokanga koe, me mārama te pikitia o te kino o ō wheua e te taote pokanga. Ka taea e te matawai CT te tirotiro i ngā wheua me ngā kiko e karapoti ana me te taipitopito atu i te hihi-X.

Me pēhea te rongoā i te whati o Jones?

Ko te maimoatanga mō te whati o Jones e whakawhirinaki ana ki te kaha o te whati. Heoi, me hono anō ngā wahi wheua whati, me te whakaora. He maha ngā maimoatanga e whakamahia ana e ngā tākuta hei āwhina.

1. Te aukati i te nekehanga

Mena kāore i te tino kino te whati, arā, kāore i te tino tawhiti ngā kongakonga wheua (kāore i nekehia), me tāpiri he maka, he pūtu motuhake rānei ki tō waewae. Ka mau tēnei mō te ono ki te waru wiki pea. I tēnei wā, me tango hoki he hihi-X hei tirotiro kei te ora pai te wheua.

2. Whakaitinga kua kati

Mō ngā whati tino kino (ina koa mēnā kua nekehia), ka whakamahia he tikanga e kiia nei ko te whakaiti kati hei whakatikatika i ngā wheua. Ko tēnei he tikanga kore-pokanga e pupuri ai te tākuta i ngā wahi wheua whati mai i waho o tō tinana, ka pēhi me te kukume anō ki tōna tūranga. Ka mahia tēnei kia kore ai koe e mamae, pēnei i tēnei:

• Ka hoatu he rongoā whakamoe ā-rohe hei whakangāwari i te wāhi whati anake.
• Ka hoatu ngā rongoā whakangāwari hei whakangā i te tinana katoa.
• Ka taea tēnei te mahi i raro i te mate whakamoe whānui.

I muri i te whakaitinga katia, ka tāpirihia e te tākuta he maka, he pūtu rānei ki tō waewae.

3. Pokanga whati o Jones

Mō ngā whati tino kino, me pokanga. Ka whakatikatika anō te taote i ngā wahi wheua whati, ka whakatika kia kore ai e neke kia ora rā anō. Ka kiia tēnei ko te whakapiri ā-roto . Ko te tikanga tēnei ka whakauruhia e te taote he mea whakarewa ki roto i tō wheua hei pupuri i a ia ki tōna tūranga. Ko ngā tikanga e whakamahia ana mō tēnei ko:

• Ngā tokotoko: He tokotoko whakarewa e whakaurua ana mā waenganui o te wheua mai i runga ki raro.
• Ngā pereti me/ngā tīwiri rānei: He pereti me ngā whao whakarewa e whakaurua ana ki roto i te wheua hei pupuri i ngā maramara wheua kia piri tahi.
• Ngā pine me ngā waea: Ka whakamahia ēnei ina he iti ake ngā kongakonga wheua i ērā atu whakapiringa. He maha ngā wā ka whakatakotoria ki ngā tokotoko, ki ngā pereti rānei.

Kei ētahi tāngata ēnei wahi whakarewa kua whakatōkia ki roto i ō rātou tinana mō te toenga o ō rātou oranga. Mō ētahi atu, me pokanga kia tangohia anō i muri i te ora o te wheua.

4. Te honohono wheua

Mena kua tino nekehia tō whati Jones, kāore rānei te wheua e ora tika ana, me whiwhi pea koe i tētahi hononga wheua . Koinei te wāhi e whakauru ai te taote pokanga i tētahi atu kiko wheua hei hono anō i tō wheua whati. Kātahi ka whakapirihia te wheua ki tētahi taputapu whakapiri ā-roto kia tupu anō. Ka taea te tango i ngā hononga wheua e whai ake nei:

• Mai i tētahi atu wāhi o tō tinana ake - i te nuinga o te wā ko te tihi o tō wheua hope.
• Mai i tētahi atu kaituku ('kaituku o waho').
• He wahi whakakapinga horihori.

He maha ngā wā ka mahia ngā pokanga whati Jones hei tikanga ā-waho. Ka taea e koe te hoki ki te kāinga i te rā tonu o te pokanga.

I muri i te pokanga, ka kore e taea te nekeneke i tō waewae. Me mau pūtu, me te maka rānei i mua i te taea e koe te whakakī i te taumaha ki runga, me te whakamahi anō.

He aha ngā rongoā e whakamahia ana mō ngā whati o Jones?

Ka hoatu ētahi rongoā whakamamae mamae , pērā i te aspirin, i te ibuprofen rānei, hei whakaiti i te mamae.Ka puta pea te toto me ētahi atu raruraru i muri i te pokanga. Nō reira, mā tō taote pokanga koe e kōrero ki ngā rongoā ka taea e koe te tango hei whakaiti i te mamae i muri i te pokanga.

He aha ngā raruraru o te maimoatanga whati Jones?

Ko ngā raruraru pea ka puta i muri i te pokanga whati o Jones ko:

• Te Mate Pūtake Koretake (ACS): Ki te piki te pēhanga i roto i te uaua, ā, ka mutu te rere o te toto ki te kiko, ka pā pea te kino tuturu ki te uaua me te io.
• Malunion: Koinei te wā kāore ngā wahi o tō wheua whati e tū tika ana i a rātou e ora ana, engari ka tīmata te neke tahi.
• Kore-hononga: Koinei te mea tino morearea. Kāore ngā wahi wheua e hoki tahi mai, kāore rānei e taurite pai tetahi ki tetahi. He nui ake te mōrearea o te kore-hononga mō ngā whati Jones i ērā atu whati. E kiia ana ka pāngia te tangata e tēnei mate e te kotahi i roto i te toru.
• Ētahi atu kino o roto: Ka taea hoki e te wheua whati te whakararu i ngā uaua, ngā io, ngā oko toto, ngā uaua me ngā hononga e karapoti ana.
• Te whatiwhatinga: He nui ake te tūponotanga ka whati anō te whati Jones i ētahi atu whatiwhatinga.

Ka pā mai hoki ētahi pānga taha i ngā rongoā pēnei i ngā NSAID: te toto, te mate puku, te mamae o te puku, me ngā raruraru whekau.

Kia pēhea te roa ka pai ake ai taku āhua i muri i te maimoatanga?

Tērā pea ka roa ētahi wiki ka memeha haere ō tohumate, ā, ka taea e koe te hikoi anō. I runga i te momo pokanga i mahia ki a koe, tērā pea kāore e taea e koe te whakakaha i tō waewae mō te waru wiki pea. Ka āta haere koe ki te mahi me te hikoi anō. Me taea e koe te hoki anō ki ō mahi o ia rā, tae atu ki ngā hākinakina, i roto i ngā marama e 3-4.

Heoi, ki te mea kei te pāngia koe e te mamae e kore e taea te whakamutu, me toro atu ki tō tākuta tonu.

Me aha ahau hei whakaiti i te mōrearea o te whati o te wheua o Jones?

Whāia ēnei tohutohu haumaru māmā hei karo i ēnei aituā:

• Me mau ngā taputapu haumaru e tika ana i roto i tētahi mahi, i tētahi hākinakina rānei.
• Kia ma tō whare me tō wāhi mahi, kia kore he taonga kāore e hiahiatia, he mea rānei ka arai.
• Whakamahia ngā taputapu tika (pērā i te arawhata) ina toro atu koe ki tētahi mea teitei o te whare. Kaua rawa e piki ki runga i ngā tūru, i ngā tēpu rānei hei toro atu ki tētahi mea.
• Whāia he mahere kai me te whakakori tinana hei āwhina i te pupuri i te hauora o ō wheua .
• Mena kei runga ake koe i te 50 tau te pakeke, kei te pāngia rānei tētahi o tō whānau e te osteoporosis, kōrero ki tō tākuta mō tētahi whakamātautau kiato wheua .

Me pēhea te ārai i te whati o te wheua o Jones?

Kaua e whakamahi nui i ō waewae i ngā wā katoa e taea ana. Hoatu he wā ki tō tinana kia okioki ai, kia ora ai i muri i te mahi tinana uaua. Ki te whakamahi koe i tētahi tokotoko hikoi, i tētahi tokotoko rānei hei āwhina i a koe ki te hikoi, kaua rawa e ngana ki te hikoi me te kore he tokotoko. Kia tino tupato i te wā e hikoi ana koe i runga i ngā mata koretake, pērā i te kirikiri.

He aha te mea ka tupu mēnā he whati Jones tōku?

Mena he whati Jones tō waewae, ka taea e koe te tumanako ka ora katoa koe. Heoi, me whai rongoā tinana koe kia hoki mai ai te kaha me te whānuitanga o te nekehanga o tō waewae.

Kia pēhea te roa e ora ai te whati o te waewae o Jones?

Kei te kaha o tō whati me te maimoatanga e hiahiatia ana e koe tēnei. E toru ki te whā marama te roa o te oranga o te nuinga o te tangata mai i te whati Jones.

Mena he raruraru kei a koe pērā i te kore-hononga, te whati rānei o te wheua, tera pea ka roa ake te wā whakaora. Waihoki, ki te mea kua tāraihia tō wheua hei whakatika i tō whati Jones, ka roa ake te wā e ora ai tō tinana.

Kāore e taea e au te haere ki te mahi/ki te kura?

Mena ka taea tonu e koe te mahi i tāu mahi, te ako rānei i a koe e kore e nekeneke tō waewae, kāore koe e hiahia ki te mutu te haere ki te mahi, ki te kura rānei.

Kōrero ki tō taote pokanga, ki tō tākuta rānei i mua i te tīmata anō i tētahi mahi ā-tinana i a koe e ora ana.

He kupu whakamutunga mō te whati o te wheua o Jones...

He pai te tirohanga mō te whati o te wheua o Jones. Ahakoa ka pokangahia koe, ka taea e koe te ora katoa.

Āhea ahau me haere ki te rūma whawhati tata?

Ki te whakaaro koe he whati wheua tōu – he whati wheua rānei – me toro atu koe ki te tākuta i te wā e taea ai. Haere tonu ki te rūma whawhati tata mēnā kei a koe ētahi o ngā tohu e whai ake nei:

• Mamae kore e taea te whakamanawanui.
• Ki te kore e taea e koe te neke i tētahi wāhanga o te tinana ka taea e koe te neke i te nuinga o te wā.
• Mena he āhua rerekē te āhua o tētahi wāhanga o tō tinana, kua neke kē rānei i tōna tūranga.
• Ki te taea e koe te kite i te wheua mā roto i tō kiri.
• Te pupuhi nui.
• Mena ka kitea ngā marō hou me ēnei atu tohu.

Ki te mea kua pāngia koe e tētahi aituā nui (whara), haere tonu ki te hōhipera.

He aha ngā pātai me pātai atu e au ki taku tākuta?

• Ko tēhea o ōku wheua kua whati?
• He whati Jones tōku, he momo whati rānei o te wheua tuarima o te metatarsal?
• Me pokanga ahau?
• Kia pēhea te roa e ora ai?
• Āhea ahau ka taea ai te tīmata anō i ngā mahi ā-tinana?

He āhua whakararuraru pea te whati wheua o Jones, inā koa mēnā kua takaro koe i tētahi hākinakina e pai ana ki a koe, ā, kua kore e taea te mahi mō ngā marama. Engari kia maumahara, ahakoa kua pokangahia koe, he āhua pai te urupare a te whati wheua o Jones ki te maimoatanga, ā, ka taea e koe te ora katoa. Kōrero ki tō tākuta mō te āhua e taea ai e koe te pupuri i te kaha me te hauora o ō wheua, me te whakamātautau i te kiato o te wheua i ia wā mēnā neke atu i te 50 tau te pakeke, mēnā rānei he osteoporosis tō tētahi o tō whānau.

` Whāwhati o Jones, whati waewae, wheua metatarsal, whati wheua, mamae waewae, whara hākinakina, whakaora wheua