Koinei te take o te mamae i muri i tō pona waewae? Me ako tātou mō (Os Trigonum Syndrome)!

Kua pāngia koe e te mamae rerekē, te kikī rānei i te tuara o tō pona waewae? Kei te ahua piki haere tēnei mamae, ina koa ka tū koe i runga i ō waewae, ka oma rānei, ka peke rānei? Mena koinā, he mea nui ki a koe te kaupapa ka kōrerohia e tātou i tēnei rā. Ka tapaina tēnei mate ko te (Os Trigonum Syndrome) . Ahakoa he ahua rerekē te ingoa, he mate tēnei ka pā ki ētahi tāngata.

He aha te (Os Trigonum Syndrome)? Kia mārama tātou!

Ki te kī māmā noa, ko te (Os Trigonum Syndrome) he mamae e puta ana i te tuara o tō pona waewae, arā, i te hononga pona waewae. Ko te tino take o tēnei he wahi wheua iti tāpiri i muri i te wheua pona waewae ((talus bone)). Ko te ingoa o tēnei wheua tāpiri ko (os trigonum) . Nō reira, ko te huinga tohu i puta mai i tēnei wheua ko tā tātou e kī nei ko (Os Trigonum Syndrome). He tino māmā noa iho, tika?

He ingoa anō tēnei, kua rongo pea koe i tēnei:

• (Posterior pona waewae impingement syndrome): Ko te tikanga tēnei he kōpiripiri, he pāngia rānei kei muri o te pona waewae. Ko te tikanga o (Posterior) ko te tuara, ko te tikanga o (impingement) ko te pāngia.
• Te mate pēhanga o te waewae o muri: He rite anō hoki te tikanga o tēnei, he pēhanga ki te tuara o te kapu o te waewae.
• Nutcracker-type impingement: He ingoa whakakatakata pea tēnei, engari ko tōna tikanga ka pēhia te wheua tāpiri ((os trigonum)) i ngā taha e rua, pērā i te wā e whatiia ai he mowhiti, ka pēhia i ngā taha e rua. Koia te take i huaina ai tēnei.
• (Te mate pāwera o muri o te tibiotalar)
• (Talar compression syndrome)

Ko te mea nui ko tēnei wheua tāpiri e kiia nei ko te (os trigonum) he mea whānau mai . Arā, ka taea tēnei wheua te noho i te wā e whānau ana te tangata. Tērā pea kei roto i te waewae kotahi anake, kei roto rānei i ngā waewae e rua. Ka honoa tēnei wheua tāpiri ki te wheua matua o te pona e tētahi kiko matotoru e kiia nei ko te (cartilage). Nō reira, kāore e nekeneke. Whakaarohia, i te toharite, kei waenganui i te 15% me te 30% o te tangata he wheua (os trigonum) tēnei . Engari ko te mea whakamiharo, kāore te katoa o te hunga he wheua tēnei e whakaatu ana i ngā tohu. He tokomaha te hunga kāore e mōhio kei a rātou tēnei wheua tāpiri!

Ko wai te mea ka nui ake te tūponotanga ka pāngia e te "Os Trigonum Syndrome"?

Kia puta ai te mamae i tēnei wheua (os trigonum), me whai whara ((trauma)) te pona waewae. Arā, he rite ki te hinganga ohorere, ki te aituā rānei. Tērā pea ka puta tēnei āhuatanga i te (repetitive stress), arā, he pēhanga auau ki te tuara o te pona waewae .

Hei tauira, whakaarohia:

• Ngā kaihaka kanikani : He maha ngā wā ka tū rātou me ō rātou matimati e anga ana ki raro, ka nui te pēhanga ki te tuara o te pona.
• Ngā kaitākaro whutupaoro : Ina whana rātou i te pōro (i roto i ngā hākinakina whana), ka anga tonu ō rātou waewae ki raro.
• Ngā kai-oma/kai-hīkoi heke: Kāore hoki i te mōhio ka nui ake te pēhanga i te tuara o te pona.

Ko te hunga e whai wāhi ana ki ēnei mahi he nui ake te mōrearea ki te whakawhanake i te "Posterior pona impingement" me te "Os Trigonum Syndrome" rānei.

He aha te take ka pā ai te pona o muri?

E ai ki tā tātou i kōrero ai i mua, ka puta te "Os Trigonum Syndrome" ina whara te tangata whai wheua tāpiri ki te wāhi e piri ana taua wheua. Hei tauira, he mea pēnei i te pona waewae kua whāwhā .

Hei tāpiritanga, ka taea hoki tēnei te puta mai i te pēhanga tonu ki te pona waewae. Whakaarohia:

• Ina tū te kanikani i runga i ngā māhunga waewae.
• Ina whana tonu te kaitākaro whutupaoro i te pōro.
• Ina pana atu te kai-oma ki tōna waewae ((e pana ana i te tuara o te pona)).

Nā te whara, nā te nui rawa rānei o te whakamahinga, ka tīmata te wheua tāpiri ki te pana, ki te tō atu rānei i te wāhi e piri ana. Ka taea e tēnei te totoro me te haehae i te kiko e karapoti ana. Koinei te wā e puta ai ngā tohu pēnei i te mumura, te pupuhi, me te mamae .

He aha ngā tohu o te (Os Trigonum Syndrome)?

I te nuinga o te wā, ko te hunga he wheua "os trigonum" tō rātou, kāore e mōhio ana, nā te mea kāore he raruraru e pā mai ana.

Engari, ki te mea kei a koe te "Os Trigonum Syndrome", ka kite pea koe i ēnei tohu i te tuara o tō pona waewae:

• Mamae : Ka pā te mamae, inā koa ina panaia tō māikuku nui, ina anga rānei ō māikuku ki raro.
• Te whakaiti i te whānuitanga o te nekehanga : Ka uaua te neke i te waewae ki runga, ki raro hoki, mai i tetahi taha ki tetahi taha.
• Pakari : He pakari te āhua o te pona waewae.
• Pupuhi : Tērā pea kua pupuhi te tuara o te pona.
• Te ngawari ki te pā: Ka mamae ahakoa ka pāngia .

Ka whakarerekē ētahi tāngata i tā rātou hikoi, oma, whana, kanikani rānei hei karo i tēnei mamae. I ētahi wā ka mahia tēnei e rātou me te mōhio, i ētahi wā ka mahia e rātou me te kore mōhio.

Heoi, ina whakarerekētia te tūnga tūturu o te waewae i tēnei ara, ka pā te mamae me te kore whakamarie ki ētahi atu wāhanga o te tinana . Hei tauira, ka taea e te kaihaka kanikani pēre me te "Os Trigonum Syndrome" te huri i te waewae ki roto, ki waho rānei ina tū ana i runga i ngā pito o ngā māikuku. Heoi, i roto i te wā, ka pā te mamae ki ngā māikuku, ngā waewae, ngā turi, ngā hope rānei.

Me pēhea te tautuhi a ngā tākuta i te pānga o te pona waewae ki muri?

Ina mamae tō pona waewae, ka whai te tākuta i ētahi mahi hei whakatau mēnā kei a koe tēnei mate:

1. Ka pātaihia atu ēnei pātai ki a koe : He aha ō tohumate, he aha ngā mahi e pā ai te mamae, me ētahi atu.

2.Te kōrero mō tō hītori hauora: ngā whara o mua, me ētahi atu mate.

3. Tirohia tō waewae me tō pona : Totoro, piko, ka huri i tō waewae kia kite ai he aha te momo nekehanga e puta ai te mamae.

He rite tonu ngā tohu o te Os Trigonum Syndrome ki ētahi atu āhuatanga, pērā i te whara o te uaua Achilles, te whati rānei o te talus . Nō reira, ka whakahau pinepine tō tākuta i ngā whakamātautau whakaahua hei whakaū i te aroaro o te Os Trigonum, hei whakakore hoki i ētahi atu take. Kei roto i ēnei ko:

• Whakamātautau hihi-X ((Hihi-X))
• Matawai MRI ((MRI))
• Matawai CT ((Matawai CT))
• Whakamātautau Ultrasound ((Ultrasound))

Ka taea e ēnei whakamātautau te kite mārama mēnā kei reira te wheua tāpiri, me te mea rānei kua pakaru ngā kiko e karapoti ana.

Me pēhea te rongoā i te (Posterior Ankle Impingement)?

Ka tīmata te maimoatanga mō tēnei whara i te tuara o te pona ki ngā tikanga tino māmā, kāore he pokanga. Ka taea te mahi i ēnei maimoatanga hei whakakotahitanga:

• Okioki mō ētahi rā mai i ngā mahi e whakararu ana i te mamae.
• Ngā mahi whakakorikori tinana o te kāinga, te whakaora tinana rānei : Ka taea e ēnei te āwhina i te whakatika i te tūnga o te pona me te whakapakari i ngā uaua o te waewae me te waewae.
• Te paninga hukapapa i ngā wā maha i te rā : Ka taea e tēnei te whakaiti i te pupuhi.
• Te mau i tētahi pūtu hikoi motuhake hei whakawhāiti i te nekehanga o te pona waewae : Ka āwhina tēnei i te whakaora o te patunga.
• Ngā rongoā anti-inflammatory kore-steroidal (NSAID) : Whakaiti i te mamae me te pupuhi.
• Werohanga steroids : I ētahi wā, mēnā he nui te mamae, ka tūtohu ngā tākuta kia werohia ēnei.

He tokomaha te hunga e kite ana i te whakamarie mā ēnei maimoatanga ngāwari. Heoi, ki te kore ngā tohu e pai ake i muri i ētahi marama o te maimoatanga, inā koa he kaitākaro koe e whai wāhi tonu ana ki tētahi mahi, me mahi pea he pokanga.

Ko te pokanga he tango i te os trigonum me te kiko kua pakaru i tōna taha. Ka taea tēnei te mahi mā te arthroscopic (he tikanga e whakauruhia ai he kāmera me ngā taputapu mā roto i ētahi tapahi iti) he tapahi tuwhera rānei. Ko te wā whakaora he tata ki te kotahi, e rua rānei marama. I te nuinga o te wā ka taea e ngā kaitākaro te hoki ki ngā mahi hākinakina katoa i roto i ngā marama e ono.

Me pēhea tātou e ārai ai i tēnei (Te Pānga o te Pona waewae ki muri) kei puta?

He pono, kāore he huarahi hei aukati i te hanganga o taua wheua tāpiri e kiia nei ko te "os trigonum". He mea kei roto i te whānautanga. Engari ki te mea kotahi (e rua rānei!) tōu, me tūpato koe ki ngā whara o te pona waewae, me te karo i ngā mahi e anga tonu ana ō matimati ki raro , ka taea e koe te whakaiti i tō tupono ki te whakawhanake i tēnei mate.

He aha te momo āpōpō ka taea e te tangata e pāngia ana e te (Os Trigonum Syndrome) te tumanako atu?

Kāore he mea e wehi ai! Ko te nuinga o te hunga e pāngia ana e te (Os Trigonum Syndrome) ka ora pai mā te okioki me te kore rongoā pokanga . Engari kotahi te mea hei maumahara, ki te tīmata anō koe i te mahi i puta ai ngā tohu, tera pea ka puta anō ngā tohu. Nō reira, he pai ake te tūpato.

Me pēhea taku tiaki i ōku pona waewae?

Kia maumahara ki ēnei mea hei tiaki i tō pona mai i ngā whara:

• Kia mau ngā hū e tika ana mō te mahi e mahia ana e koe. Maka atu ngā hū tawhito, kua tawhito.
• Āta karohia ngā wāhi koretake, ngā wāhi poka rānei. Hei tauira, ngā pari heke i te wā e oma ana, ngā papa koretake, ngā papa poka rānei i te wā e takaro whutupaoro ana, ngā papa pakaru rānei i roto i ngā whare kanikani.
• Mena he maha ngā wā ka whara tō pona waewae, whakaarohia te whakamahi i tētahi whitiki motuhake, i tētahi rīpene rānei hei whakau i tō pona waewae.
• Whakanuia mārire te kaha o tō whakakorikori tinana. Hei tauira, ki te mea kāore anō koe kia tākaro whutupaoro i mua, kaua e tīmata ohorere te tākaro mō ngā hāora e toru i te rā. Tīmata mā te iti, kātahi ka whakanuia mārire te wā me te kaha.
• Akohia, whakaharatauhia hoki ngā tikanga tika, inā koa i te wā e oma ana, e whana ana i te pōro, e kanikani ana hoki.
• Whakarongo ki tō tinana. Ki te mamae tetahi mea, kati te mahi.
• Whakamahanahia i mua i tētahi mahi ā-tinana, ā, totorohia ō uaua i muri iho.

He aha te rerekētanga i waenga i te pānga o te pona waewae ki mua me te pānga o te pona waewae ki muri?

Ahakoa he whara pona ēnei e rua, e rua ngā wāhi ka pā mai ai.

• Ko te mate pāwera o muri o te pona waewae (koinei te mea i kōrerohia e tātou i tēnei rā) ka puta i te tuara o tō pona waewae . Ina anga tō waewae ki raro, ka kōpeke te kiko o tēnei wāhi, ā, ka mamae. Mā te whai i taua wheua tāpiri e kiia nei ko te os trigonum ka nui ake te tūponotanga o ēnei tohu.
• Ka puta te mate pāwera o te pona waewae o mua i te taha mua o tō pona waewae . Ka puta mai i ngā wheua tāpiri (ngā wheua) e puta ana i te taha mua o te hononga pona waewae, i te pito o raro rānei o te wheua hope.

I roto i te kīanga māmā, i roto i te "Impingement pona waewae muri" ka puta te mamae mai i te tuara o te pona waewae, ā, i roto i te "Impingement pona waewae mua" ka puta te mamae mai i te mua o te pona waewae.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Ko te "Os Trigonum Syndrome" he mate e mamae ai te tuara o te pona waewae. Nā te wheua tāpiri i te whānautanga mai. He mea noa tēnei i roto i ngā kaioma, ngā kanikani, me te hunga e takaro ana i ngā hākinakina pēnei i te whutupaoro.

Ki te pāngia koe e tēnei momo mamae o te pona waewae, me toro atu ki te tākuta mō ētahi tohutohu. Kātahi ka taea e koe te mōhio ki ngā maimoatanga e tika ana māu, me pēhea hoki te tiaki i tēnei mate. Kia maumahara, kaua e warewarehia te mamae iti nei!

Kia mau te hauora o ō waewae, kia tiakina hoki ō waewae!

Mamae pona waewae, os trigonum, tukinga pona waewae o muri, wheua tāpiri, whara hākinakina, mamae waewae, whakaora tinana