Ina hikoi koe, inā koa kei te mau koe i ngā hū piri, ka rongo koe i tētahi puku, i tētahi puku rānei i te raro o tō waewae? Ka rongo koe i ētahi wā i tētahi āhua rerekē me te mea kua kuruhia he tōkena ki tētahi wāhi? Mena kei te kino haere tēnei mamae, ā, kei te paku ngau ō matimati, tera pea he mate tōu e kiia nei ko te Morton's Neuroma. Kaua e mataku ki te ingoa. Ehara i te mea tino kino. Me kōrero tātou mō tēnei mea katoa i roto i te māmā me te mārama.
He aha te Neuroma a Morton?
He whakarāpopototanga noa iho tēnei, he pupuhi, he matotoru rānei o te io e rere ana i waenganui i ō matimati. Ka rere ngā io interdigital i waenganui i ngā wheua metatarsal o ō tātou waewae. Ina pēhia tonutia ēnei io, ina whara, ina pēhia rānei, ka tīmata te matotoru me te pupuhi o te kiko io.
Whakaarohia he rite ki tētahi paipa wai e takahia ana i runga i ngā wā katoa, ka papatahi, ka pupuhi. He maha ngā wā ka puta tēnei āhuatanga i roto i te io i waenganui i ō matimati tuatoru me tuawhā (ngā matimati e rua e tata ana ki tō matimati iti).
Ko te mea nui, ahakoa te ingoa "neuroma", ehara tēnei i te pukupuku matepukupuku . Nō reira, kāore he take e manukanuka ai. Ko te mea e tupu ana i konei ehara i te tipu o te kiko hou, engari ko te io o nāianei kei te pēhia, kei te pupuhi.
Ka taea e tēnei io pupuhi te whakararu i te mamae nui ina tū koe, ina hikoi rānei, ka pēhia ai.
He aha ngā tohu o tēnei mate?
Ko ngā tohu o te Morton's Neuroma ka puta mārire haere i roto i te wā. I te tīmatanga, tera pea ka mamae ngawari, ka memeha haere mā te tango i ō hu me te mirimiri i tō waewae. Heoi, i te mea ka pupuhi haere te io, ka kitea haere ngā tohu.
Kia titiro tātou ki ngā tohu matua pēnei.
| Tohu | He aha te āhua o tēnā? |
|---|---|
| Te mamae i ngā kapu o ngā waewae | He mamae koi, he mamae wera i te kapu o te waewae i waenganui i ngā mātao ina tū, ina hikoi rānei. Me te mea kei te takahia he mea pērā i te kōhatu, i te māpere rānei i roto i te hū. |
| Ka kino ake te mamae nā te hu | Ka tino kaha te mamae ina mau ana i ngā rekereke teitei, i ngā hū whaiti rānei e pītiti ana i ngā mātao. Ka iti haere te mamae i muri i te tango i ngā hū. |
| Te ngoikore me te ngaronga o te kare ā-roto | Tērā pea ka rongohia he ngau me te wiri o ngā maihao e pāngia ana, i ētahi wā ka ngoikore rānei taua wāhi. |
| Pupuhi | Ahakoa kāore he pupuhi nui e kitea mai i waho i waenganui i ngā māikuku, tera pea ka pāngia koe e te mamae nā te pupuhi o te io mai i roto. |
He aha i puta ai tēnei mea? He aha ngā take?
E ai ki tā mātou i kōrero ai i mua ake nei, ko te tino take o tēnei ko te pēhanga roa, te kopiri rānei i ngā io i waenganui i ō matimati. He maha ngā āhuatanga e whakanui ake ana i tēnei mōrearea.
1. Ngā hu kāore i te tika
Koinei te take matua me te tino noa .
- Rekereke teitei: Ina mau koe i ngā rekereke teitei, ka anga katoa tō taumaha tinana ki mua o tō waewae, ka nui rawa te pēhanga ki runga i ngā io.
- Hu whaiti, piri: Ina mau koe i ngā hu piri, piri tetahi ki tetahi, ka pēhia ngā wheua i waenganui i ngā māikuku, ka pēhia ngā io e rere ana i roto.
2. Ētahi kēmu me ngā mahi
Ka taea hoki tēnei āhuatanga te puta mai i ngā mahi e pēhi tonu ana, e whara ana hoki i te kapu o te waewae.
- Te Oma: Ka pāngia tonutia ngā kapu o ngā waewae, inā koa ko te hunga e oma tawhiti ana.
- Ngā hākinakina pēnei i te tēnehi me te pēminitāni: I ēnei momo hākinakina, me pēhi pinepine koe i te whenua ki te taha o mua o tō waewae.
- Kanikani: Ko te kanikani , inā koa ko te kanikani poi, ka nui te pēhanga ki ngā kapu o ngā waewae.
3. Ētahi atu raruraru tūnga waewae
Mena he raruraru kei te āhua, kei te tūnga rānei o tō waewae, ka piki ake pea te pēhanga ki ngā io.
- Waewae papatahi: Ina kore te āwhata o te waewae, ā, he papatahi te kapu, ka rerekē te huarahi e hikoi ai koe, ā, ka pēhia ngā io.
- Waewae piko teitei: Ka taea hoki e tēnei te whakararu i te waewae me te whakanui ake i te pēhanga.
- Ngā Pūngāwerewere: Ka pupuhi te hononga o te māhunga nui o te waewae i tēnei āhuatanga, ka piri ai ngā māhunga ki a rātou anō.
- Matimati Hammer: He āhua e piko ai ngā matimati ki waenganui. Ka puta hoki te kore taurite o te pēhanga i tēnei.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ina haere koe ki te tākuta, ka pātai tuatahi ia ki a koe mō ō tohumate. He maha ngā mea ka pātai atu ia ki a koe, pērā i te roa o te mamae, te wā ka kino haere, he aha te momo hū e kore e pai ki te mau, me te mea kei te ngoikore te ngākau.
Kātahi ka tirotirohia tō waewae e te tākuta. Ka pēhia e ia te kapu o tō waewae me te wāhi i waenganui i ō matimati, hei tirotiro mēnā he mamae motuhake, he "pāwhiri" rānei. Mā tēnei whakamātautau tinana ka taea te tautuhi i te mate.
Ngā whakamātautau e hiahiatia ana pea
- Hiko-X: Kāore e taea e te hihi-X te whakaatu i tēnei pupuhi io. Heoi, ka taea te tono hihi-X hei whakakore i ētahi atu take o te mamae o te waewae, pērā i te whati taumaha, te rumatiki rānei.
- Ultrasound: Ka taea e tēnei matawai te tirotiro i ngā kiko ngohengohe, pērā i ngā io. Ka taea te whakaatu mārama i ngā io pupuhi me ngā io matotoru.
- Matawai MRI: I ētahi wā, ki te kore e mārama te tautuhi mate, ka taea e te matawai MRI te whakarato pikitia mārama ake.
He aha ngā maimoatanga mō tēnei?
Ko te rongo pai, kāore te nuinga o te tangata e hiahia ki te haere ki te pokanga. Ka taea te whakahaere i tēnei mamae mā ngā maimoatanga māmā me ngā huringa āhua noho. Ko te whāinga matua o te maimoatanga he whakaiti i te pēhanga ki runga i te io me te whakahaere i te pupuhi.
Ngā maimoatanga kore-pokanga
1. Te whakawhiti hu: Koinei te taahiraa tuatahi, te taahiraa nui rawa atu hoki .
- Me mau he hu he whānui te pouaka o te māhunga.
- Kati rawa te mau i ngā rekereke teitei , me te whakawhāiti rānei ki ngā hui motuhake anake.
- I te wā e whiriwhiri ana i ngā hū, whiriwhiria ngā hū he pai te urunga o roto, ā, he pai hoki mō ngā kapu waewae.
2. Ngā papa hū me ngā orthotics:
- He papa motuhake kei reira (ngā papa metatarsal) hei whakanui ake i te āputa i waenga i ngā wheua o te waewae, hei whakaiti hoki i te pēhanga ki te io.
- I ētahi wā ka tūtohu tō tākuta i ngā orthotics ritenga, he mea hanga motuhake kia uru ki tō waewae. Ka tautoko pai ēnei i te waewae, ā, ka tohatoha ōrite te pēhanga.
3. Ngā rongoā whakamamae:
- Hei whakaiti i te mamae me te pupuhi, ka taea e koe te tango i ngā rongoā pēnei i te paracetamol, i ngā NSAID rānei (Nonsteroidal anti-inflammatory drugs) mō te wā poto, e ai ki ngā tohutohu a tō tākuta. Heoi, kaua e tango tonu i ēnei rongoā mō ngā rā neke atu i te 10 me te kore kōrero ki tō tākuta .
4. Te whakatakotoranga hukapapa:
- Mēnā he mamae, he pupuhi hoki, mā te paninga hukapapa ki te wāhi mō te 15-20 meneti ka pai te whakaora. Kaua e pania tika te hukapapa ki te kiri, engari me takai ki te kakahu angiangi.
5. Ngā werohanga cortisone:
- Ki te kore e taea e ēnei tikanga te whakamamae i te mamae, ka whakatau pea tō tākuta ki te werohanga corticosteroid ki taua wāhi anō hei whakaiti tere i te pupuhi me te mamae.
Pokanga
Ka whakaarohia e te tākuta te pokanga mēnā kāore anō te mamae kia marino ahakoa ngā maimoatanga katoa, ā, mēnā he tino kino te mamae, kāore e taea e koe te mahi i ngā mahi o ia rā.
- Neurectomy: Ko te tikanga tēnei ko te tapahi me te tango i te wāhanga kua pakaru, kua pupuhi rānei o te io. Koinei te tikanga pokanga tino noa.
- Ētahi atu tikanga: I ētahi wā, kei reira ngā maimoatanga hou e whakamahi ana i te tino makariri (cryogenic neuroablation) me ngā ngaru hiko (radiofrequency ablation) hei aukati i te tuku tohu mamae i te io.
He aha te wā pai rawa atu hei toro atu ki te tākuta?
Pērā i ngā mate katoa, he mea nui kia tīmata wawe te rongoā, nā te mea ki te kore e rongoatia, ka pā he kino pumau ki ngā io me te mamae mau tonu.
Ki te kore te mamae o tō waewae e pai ake i roto i ngā wiki e rua mā te whakamahi i ngā rongoā kāinga ngāwari (hei tauira, te whakawhiti hu, te okioki), ki te kino haere te mamae, ki te uaua ki te mahi i ngā mahi o ia rā, ki te pāngia rānei koe e te māuiui, me toro atu ki te tākuta i taua wā tonu.
Karere Tangohia ki te Kāinga
- Ko te Morton's Neuroma he pupuhi, he matotoru rānei o te io i waenganui i ngā māikuku. Ehara i te mate pukupuku.
- Ko te tohu matua he mamae nui e rite ana ki te takahi i tētahi kōhatu, i tētahi māpere rānei i raro i te kapu o te waewae i a koe e hikoi ana.
- Ko te take matua mō tēnei ko te mau i ngā hū rekereke teitei, kikī, whaiti mō te wā roa.
- He maha ngā wā, ka taea te whakaora rawa i tēnei mate mā te whiriwhiri tika i ngā hu, te okiokinga, me te maimoatanga māmā a te tākuta.
- Ki te mamae tonu tō waewae, kaua e warewaretia , engari me rapu tohutohu hauora. Ka haria koe e ō waewae ki ngā wāhi katoa, nō reira he mea nui kia tiakina pai.
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