Kei te mamae anō hoki tō waewae i mua? Me kōrero tātou mō te Metatarsalgia!

Kei te rongo koe i ētahi wā i te wera, i te mamae rānei i raro i tō waewae, i te wāhi tonu e tīmata ai ō matimati, me te mea kua mau he kōhatu iti? Kei te ahua nei ka piki ake tēnei mamae ina tū koe i te rā roa, ina oma, ina pekepeke rānei? He maha ngā tāngata kua pāngia e tēnei wheako. I tēnei rā kei te kōrero tātou mō tēnei mamae i mua o te waewae, arā, ko te kupu hauora ko 'Metatarsalgia'.

He aha te tikanga o te Metatarsalgia?

Ko te metatarsalgia (e whakahuatia ana ko "meta-ta-sal-jia") he mamae me te pupuhi i te taha mua o tō waewae, te pōro o tō waewae. E rima ngā wheua roa o te waewae e hono ana ki ō matimati, e kiia nei ko ngā wheua metatarsal. Ko te tikanga ka puta te mamae i ngā pito o tētahi, neke atu rānei o ēnei wheua, te wāhi e tūtaki ai ngā matimati.

He maha ngā take mō tēnei. Hei tauira:

• Ko ētahi āhua rerekē o te waewae.
• Ētahi atu āhuatanga hauora e pā ana ki te waewae, ki te pona rānei.
• Ngā kēmu me ngā mahi e uru ana ki te oma me te pekepeke.
• Te mau i ngā hū he kikī rawa, he rahi rawa rānei.

Ko te mea pai rawa atu, he tino māmā noa te rongoā i tēnei mate. Ka taea e koe te tīmata mā te okioki, te whakakori tinana (te totoro), me te rongoā mamae.

He aha ngā tohu matua o tēnei mate?

Ko te tohu matua o te metatarsalgia ko te mamae i te taha mua o te waewae. I ētahi wā ka puta mai tēnei mamae me te pupuhi, kāore rānei. Ka tīmata ohorere ēnei tohu, ka puta mārire rānei i roto i te wā. Me titiro tātou ki ngā tohu matua.

He aha tātou ka pāngia ai e te mate pūkahukahu (Metatarsalgia)? He aha ngā take?

Mena he tangata koe e mahi ana i ngā mahi pēnei i te oma me te pekepeke, tera pea ka pāngia koe e tēnei mate. Waihoki, ko ētahi huringa o te waewae me te momo hu e mau ana koe ka pā nui ki tēnei. E toru ngā wāhanga matua e wehea ana e ngā tākuta ngā take o tēnei.

1. Ngā raruraru ki te hanganga o te waewae tonu (Te Tūmomo Tūmomo Matua)

He panoni tēnei o te pēhanga ki te kapu o tō waewae nā ētahi panonitanga ki te tūranga o ngā wheua o tō waewae. He māmā noa iho, he raruraru ki te āhua o tō waewae.

• Ngā Pūngāwerewere (Hallux Valgus): He āhuatanga e pūwero ana te turanga o te māwaewae nui ki mua nā te piko o te māwaewae nui ki roto. Ka rerekē te tohatoha o te taumaha i a koe e hikoi ana, ka nui ake te pēhanga ki te kapu o te waewae.
• Matimati Hāma: Ka piko ake ngā matimati pērā i te hāma. Ka rerekē anō hoki te pēhanga ki te kapu o te waewae.
• Ngā kiri mārō: Ina pēhia te wāhi kotahi o te kapu o te waewae, ka matotoru te kiri, ka puta he kiri mārō.
• Ngā Āwhata Teitei: He teitei ake ngā āwhata o ētahi tāngata i te mea noa, ka nui ake te taumaha ki mua o ō rātou waewae.
• Te roa o te māikuku tuarua: He roa ake te māikuku tuarua o ētahi tāngata i tō rātou māikuku nui. Ka taea hoki e tēnei te whakarerekē i te pēhanga ki te kapu o te waewae.

2. Ētahi atu āhuatanga hauora, mahi rānei (Secondary Metatarsalgia)

Ko te tikanga o tēnei kei te pēhi rawa tō waewae i tētahi atu mate, i tō momo noho, i ngā mahi rānei.

• Ngā āhuatanga mumura: Ka puta pea tēnei mamae i ngā mate mumura o ngā hononga, pērā i te rumatiki rheumatoid, te kauti , te sesamoiditis, me te neuroma a Morton.
• Ngā mate pūnaha io: Ka taea hoki tēnei āhuatanga te puta mai i ngā mate e pā ana ki te pūnaha io, pērā i te mate Charcot-Marie-Tooth.
• Ngā mate pākia o te pūnaha io: Ka piki te taumaha me te kino o ngā io nā te momonatanga me te mate huka, ka nui ake te pēhanga ki ngā kapu o ngā waewae.
• Ētahi atu raruraru hauora: ngā mea pēnei i te pakaru o ngā hononga me ngā kiritona plantar.
• Whara:Mā ngā mahi auau pēnei i te oma me te mau i ngā hu kua tawhito, kāore i te tau pai, ka pāngia pea ngā kapu o te waewae e te whara tonu.

3. Hei pānga taha o te pokanga (Iatrogenic Metatarsalgia)

He mea onge tēnei. Arā, ka puta pea tēnei mamae hei raruraru o te pokanga i te taha mua o te waewae. Hei tauira, ka puta pea tēnei mamae nā ngā panonitanga o te māhunga nui i muri i te pokanga mō te bunion.

Ko wai te mea tino mōrearea ki te whakawhanake i tēnei mate?

Ka pāngia te tangata katoa e te mate metatarsalgia, engari he nui ake te mōrearea o ētahi tāngata.

Waihoki, ko te hunga e mau ana i ngā hū kāore e tau pai ana, he nui ake te mōrearea. Ina koa ko ngā wāhine e mau ana i ngā hū rekereke teitei, ka waiho te taumaha katoa o te tinana ki mua o te waewae me te rekereke. He tino take tēnei o te Metatarsalgia.

Hei tāpiritanga, e ai ki te kōrero i mua ake nei, ko te hunga he hē te āhua o ō rātou waewae me ngā mate mumura ka nui ake te tūponotanga ka pāngia e tēnei mamae.

Ka aha mēnā ka kore e rongoatia?

Ki te mau tonu ēnei tohu ki a koe, me toro atu koe ki te tākuta. Ki te kore e rongoatia, ka taea e tēnei mamae te whakarerekē i te ara e hikoi ai koe. Ina tīmata koe ki te hikoi me te ngoikore, ka taea e ia te mamae i ētahi atu wāhanga o tō tinana, inā koa tō tuara o raro me ō hope .

Me pēhea e kitea ai tēnei e koe, e Tākuta?

Ina haere koe ki te tākuta, ka pātai tuatahi ia mō ō tohumate. Kātahi ka tirotirohia tō waewae. Ka rapua e ia te mamae, te pupuhi, me ngā huringa o te āhua o tō waewae.

• I ētahi wā ka tonoa pea koe kia tangohia he hihi-X hei tirotiro mēnā he whati ahotea.
• Tērā pea ka tūtohutia he whakamātautau ultrasound , he whakamātautau MRI rānei (magnetic resonance imaging) hei tirotiro mō ngā raruraru o ngā kiko ngohengohe, arā, ngā uaua me ngā uaua.

He aha ngā maimoatanga?

Ka tīmata te maimoatanga o te metatarsalgia me ngā tikanga tino māmā, kāore e pokanga. Ko te tikanga, kāore te tākuta e haere tonu ki ngā mahi pēnei i te pokanga. Ka whakamātau ia i ēnei mahi i te tuatahi.

• Tikanga RICE: He tikanga tino rongonui tēnei.
• R (Okiokinga): Okioki. Āta karohia ngā mahi e whakaaro ana koe i meinga ai te mamae mō tētahi wā.
• Ahau (Hukapapa):Tāpirihia te hukapapa. Tāpirihia te hukapapa ki te wāhi e mamae ana, e pupuhi ana hoki mō te 15-20 meneti, he maha ngā wā i te rā.
• C (Pēhitanga): Tākaihia te wāhi kia piri ki te takai. Ka āwhina tēnei ki te whakaiti i te pupuhi.
• E (Teitei): Kia teitei ō waewae. Ina noho koe i runga i te tūru, kia teitei ō waewae i runga i tētahi atu tūru.
• Rongoā mamae: Ka taea e koe te tango i tētahi rongoā mamae kua tohua e tō tākuta, pērā i te acetaminophen, i te ibuprofen rānei.
• Totoro: Mahia ngā mahi totoro e totoro mārire ai ō waewae me ō pona waewae.
• Te whakawhiti hu: Mauria he hu pai, he hu whakamarie, he hu tau hoki.
• Ngā whakaurunga hū: He takahanga ngohengohe kei roto, he 'papa metatarsal' rānei kua hangaia mō tēnei āhuatanga. Ka taea e ēnei te āwhina ki te whakaiti i te pēhanga ki te kapu o te waewae.

Ki te kore e taea e ēnei maimoatanga ngāwari te whakamamae i te mamae, ka tūtohu pea tō tākuta kia werohia, kia pokanga rānei hei rongoā i te pūtake o te mamae.

Ka taea te ārai i te mate metatarsalgia?

Ahakoa kāore e taea te ārai i ētahi o ngā take, he maha ngā mea ka taea e tātou te mahi hei whakaiti i te mōrearea o tēnei mate.

• Kōwhiria ngā hū tika: Me mau he hū he matotoru te kapu, he whānui te pouaka o te māhunga, he iti hoki te rekereke.
• Ngā takahanga whakamarie: Whakanohoia ngā takahanga whakamarie ki roto i ō hu.
• Kaua e hikoi tahanga: Kaua e hikoi tahanga mō te wā roa, ahakoa i roto i te whare, inā koa i runga i ngā mata mārō.
• Tangohia ngā kiri mārō: Ruia ō waewae kia pai, ā, tangohia mārire ngā kiri mārō mā te whakamahi i te kōhatu pumice. Mā tēnei ka whakamama i te pēhanga.
• Kia mau tonu te taumaha hauora: Ka nui ake tō taumaha, ka nui ake te pēhanga e pā ana ki ō waewae. Nō reira, he mea tino nui te pupuri i te taumaha hauora.

Āhea koe me rapu tohutohu hauora?

I te nuinga o te wā, ka taea te rongoā i tēnei mate i te kāinga. Heoi, ki te mea kei a koe tētahi o ngā mate e whai ake nei, me toro atu koe ki te tākuta.