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