Kei te mamae tonu te tihi o tō waewae? Tērā pea he whara Lisfranc!

Kua hikoi koe i runga i te arawhata, e oma ana, e takaro hākinakina ana rānei, ā, ka pāngia koe e te mamae nui me te pupuhi i te tihi o tō waewae, i waenganui rānei o tō waewae? Mēnā koinei te āhua, he nui te tūponotanga kua pāngia koe e te whara Lisfranc . He whara uaua tēnei, nō reira kia mārama ake tātou i tēnei rā.

He aha te hononga Lisfranc? He māmā noa iho...

Whakaarohia he matimati ōu. Ko te hononga Lisfranc te wāhi e hono ana ngā wheua e haere ana mai i ngā matimati (e kiia ana ēnei he "wheua metatarsal") ki te toenga o te waewae. He rite ki te hononga nui i roto i te tāone nui. Nā te mea he maha ngā mea e mahi tahi ana i te wāhi kotahi, he mea tino nui tēnei hononga mō tō tātou taurite me te hikoi o ō tātou waewae. Nō reira, ki te mea he kino ki tēnei hononga, ka kiia he "whara Lisfranc".

He aha ngā momo whara o Lisfranc?

Ka taea te pakaru o tēnei hononga Lisfranc e ngā wheua o roto, e ngā hononga rānei e pupuri ana i a rātou. I runga i te āhua o te pakaru, ka taea te wehewehe ki ētahi momo:

• Te nekehanga o Lisfranc : Koinei te wā e neke atu ai ngā wheua o te hononga i tō rātou tūranga noa. He rite ki te kī "ka neke" te hononga.
• Te whati o Lisfranc : He whati tēnei i te wheua waewae. Tērā pea ka whati tetahi wheua e pā ana ki te hononga.
• Te whāwhā o Lisfranc : Koinei te wā ka tōia, ka whara hoki ngā hononga e pupuri ana i ngā wheua. E kiia ana tēnei he "pōtae waewae whāwhā".

Me pēhea te mōhio ki ngā tohu o te whara o Lisfranc?

Mena he whara Lisfranc tōu, ka pāngia pea koe e ēnei tohu, i te nuinga o te wā i te taha whakarunga, waenganui o tō waewae:

• Maru : Ka puta pea ngā marū ki te taha whakarunga o te waewae. I ētahi wā, ka puta anō hoki ngā marū ki te kapu o te waewae.
• Mamae waewae : Ka kaha ake pea te mamae, inā koa i te tū, i te hikoi, i te neke rānei o te waewae.
• Pupuhi : Tērā pea ka pupuhi nui te wāhi i whara.
• Te uaua ki te tuku i tō waewae ki raro : Ka uaua pea te whakatakoto i te taumaha ki runga i tō waewae i te mamae.

Whakaarohia, ina ara ake koe i te ata ka whakatakoto i tō waewae ki te papa, ka pāngia koe e te mamae e kore e taea te whakamanawanui, me te mea kua pupuhi tō waewae... Mēnā koinā, me toro atu koe ki te tākuta.

He aha i puta ai tēnei whara o Lisfranc?

Ko te nuinga o te wā, ka puta mai ēnei whara i te hinganga, i te paheke, i ngā aituā hākinakina rānei .

Ki te kī ngāwari, ki te huri whakarere tō rekereke ki roto, ki waho rānei, ā, ka taka tō taumaha ki runga i ngā mātao, ka pakaru pea tēnei hononga Lisfranc. Ka pāngia pea ngā kaitākaro e ēnei momo aituā i a rātou e takaro ana i ngā hākinakina, ā, i ētahi wā, ahakoa he iti noa te tūtukitanga, he takahanga rānei, ka whara pea tēnei. Whakaarohia, ki te tūtuki ohorere koe i roto i te urupā i a koe e hikoi ana, ki te paheke rānei koe, ka taka atu i te tūru i a koe e mahi ana i ngā mahi o te whare, ka tupu pea tēnei.

Hei tāpiritanga, ka taea hoki ēnei whara te puta mai i ngā whara kino e pēhi ana i te hononga Lisfranc. Hei tauira:

• Ngā aituā waka
• Te hinganga mai i te arawhata
• Te hinganga o tētahi mea taumaha ki te waewae
• Te heke iho i te arawhata i te taha o te rori

Ko wai kei te nui ake te mōrearea ki te pāngia e te whara o Lisfranc?

Ahakoa ka pāngia te tangata e tēnei whara, tera pea ka nui ake tō mōrearea mēnā:

• Mena he mate tōu e kino ai ō waewae, pērā i te mate huka, e whakaiti ana rānei i te kare o ō waewae (ina koa ko te mate waewae mate huka me te neuropathy e pā ana ki te mate huka)
• Mena he mahi uaua ki te tinana tāu , me hiki taumaha pinepine koe, me mahi rānei me ngā patu.
• Ki te tākaro koe i ngā hākinakina whakataetae, i ngā hākinakina whakapā rānei . Hei tauira, ko te hunga e tākaro ana i ngā hākinakina pēnei i te whutupōro, te whutupaoro rānei, he nui ake te mōrearea ki tēnei.

Ka aha mēnā kāore te whara o Lisfranc e rongoatia tika?

He mea tino nui tēnei. Mēnā kāore te whara o Lisfranc e rongoatia tika, ā, e tere tonu ana, ka pā mai pea he raruraru nui i muri mai. Kei roto i ēnei ko:

• Mate rumatiki : He mate mamae e puta mai ana i te mumura o ngā hononga.
• Mamae mau tonu : He āhua e mamae tonu ai te waewae.
• Te pūnga o te waewae me ētahi atu āhua rerekē o te waewae : Ka rerekē te āhua o te waewae, ka uaua ai te hikoi.

Nō reira, he mea tino nui te rapu tohutohu hauora, kaua e whakaaro he whara iti noa iho.

Me pēhea te tautuhi a ngā tākuta i te whara o Lisfranc?

Ina kite koe i tētahi tākuta, ka tirohia tuatahitia tō waewae. Ka aro atu rātou ki ngā mea pēnei i te āhua o tō waewae, te pupuhi, me ngā wāhi e mamae ana ina pēhia. Me kōrero koe ki te tākuta mō te āhua o te whara i pā mai ki a koe, me te wā i tīmata ai ō tohumate.

Kātahi ka tonoa pea koe kia whai i tētahi, neke atu rānei, i ētahi whakamātautau whakaahua motuhake, pēnei i:

• X-ray o te waewae : Hei tirotiro mēnā he whati ngā wheua.
• Matawai MRI : Ka taea e tēnei te kite i ngā pakaru o ngā hononga me ngā whati iti o ngā wheua.
• Matawai CT (`(Matawai CT)`)Mā tēnei ka mārama ake te kite i te āhua o ngā wheua.

Me pēhea te rongoā i te whara o Lisfranc?

Ko te tikanga maimoatanga e whakawhirinaki ana ki te āhua o te whara, arā, te kaha o tōna whara. Ko ngā maimoatanga e whai ake nei te tikanga e whakamahia ana:

• Hukapapa, me te Whakaara i tō Waewae : Ngāna kia teitei ake tō waewae i tō ngākau i te mea e taea ana. Ka taea e koe te pupuri i runga i ngā urunga. Tākaihia he putea hukapapa ki roto i tētahi tauera angiangi ka whakatakotoria ki te wāhi whara mō te 20 meneti pea. Me mahi tēnei i ētahi wā i te rā.
• Te Whakakore i te Nekeneke : He maha ngā wā ka tāpirihia e tō tākuta he pūtu motuhake, he mea whakarewa rānei ki tō waewae. Mā tēnei ka āwhina i te whakaiti i te taumaha koretake o tō waewae, ka whakaiti i te nekehanga, ā, ka āwhina i tōna whakaora. Me whakamahi pea koe i ngā tokotoko .
• Pokanga Lisfranc : Mena kua kore e pumau te hononga nā te whara, arā, kāore i te tika te whakatika, me pokanga pea koe. Tērā pea ka whakatikatika anō te taote pokanga i te hononga Lisfranc ka whakauru i ngā pereti whakarewa me ngā tīwiri hei pupuri i te pumau o te hononga. I muri i te pokanga, me okioki tō waewae mō te marama, e rua rānei. Me mau koe i tētahi hū motuhake, i tētahi mea whakarewa rānei mō ētahi marama. Kia ora te hononga, tērā pea ka tangohia e te tākuta ngā pereti me ngā tīwiri.
• Rongoā mamae : Ka taea e koe te whakamahi i ngā rongoā mamae pērā i ngā rongoā anti-inflammatory kore-steroidal (NSAID) (pērā i te ibuprofen) me te acetaminophen (paracetamol) hei whakaiti i te mamae me te pupuhi. Heoi, he pai ake te kōrero ki tō tākuta i mua i te tango i ēnei rongoā mō ngā rā neke atu i te 10. Tērā pea ka tohua e tō tākuta he rongoā mamae māu. Ma tō tākuta koe e kī atu ki te nui me te auau o te tango.

Āhea ahau me toro atu ki te tākuta?

Ki te pā mai ngā tohu o te whara o Lisfranc, okioki mō ētahi rā, pania he hukapapa, ā, ki te kore te mamae me te pupuhi e memeha, me toro atu ki te tākuta. Kaua e whakaroa, ina koa mēnā kāore e taea e koe te tuku i tō waewae ki raro, te hikoi rānei i te āhua noa.

Ki te hoki mai anō ngā tohu, ki te kino rānei, ahakoa kei te herea te waewae (i roto i te maka), i muri rānei i te pokanga, me kōrero ki tō tākuta.

Kia pēhea te roa o te whakaora i te whara o Lisfranc?

Kei te āhua o te whara tēnei, arā, te momo whara, me te āhua o te pānga. Kia maumahara, kāore e rite te tere o te whakaora o te tinana o te katoa. Nō reira, kōrero ki tō tākuta mō tō āhuatanga.

• Maimoatanga kore-pokanga : Ko te tikanga ka herea te waewae mō te 6 ki te 8 wiki, ā, muri iho ka whai i te whakaora tinana ("Physical Therapy, PT rānei)`).Me mahi koe. Ka taea e te kaiwhakaora tinana te āwhina i a koe kia hoki mai te kaha, te taurite, me te nekehanga o tō waewae.
• Pokanga Lisfranc : Me mau koe i tētahi hū motuhake, i tētahi maka rānei mō te 3 marama pea i muri i te pokanga. Mā tō taote pokanga koe e kī atu āhea koe ka taea te tīmata i te whakaora tinana.

Ka taea e koe te hikoi me te whara o Lisfranc?

Tērā pea ka taea e koe te hikoi me te whara o Lisfranc. Heoi, ki te mamae koe, ki ētahi atu tohu rānei, kaua e whakamahia tō waewae kia kaha rawa . Mā te mahi pēnā ka kino ake pea te whara ahakoa he iti noa iho, ā, me pokanga.

Tērā pea ka taea e koe te hikoi me te mau i tētahi hū motuhake, i tētahi mea rānei e piri ana ki a koe, engari kaua e oma, e pekepeke, e whakakorikori tinana rānei. Pātai atu ki tō tākuta he aha ngā mea me karo e koe i a koe e ora ana.

Karere Tangohia ki te Kāinga

Ka puta pea te whara o Lisfranc i tētahi mea iti noa iho pērā i te hinganga ohorere i ngā arawhata, i tētahi mea nui rānei pērā i te aituā motuka. Ahakoa te take, ki te mamae rerekē, ki te pupuhi, ki te maru rānei tō waewae, he mea nui kia kite wawe koe i te tākuta.

Kāore pea te whara i te kino rawa. Heoi, ko te whara o Lisfranc, inā koa he whati, ka pā mai he raruraru nui i muri mai mēnā kāore e rongoatia wawetia. Nō reira, he mea whakaaro nui te rapu tohutohu hauora, kaua e whakaaro noa "ka ngaro."

He tino taonga ō waewae ki a koe. Nāu te kawenga ki te tiaki i a rātou!

` Whara o Lisfranc, mamae waewae, mate waewae, wheua metatarsal, whāwhā waewae, whati waewae, nekeneke hononga