He otinga mō te mamae waewae e kore e taea te whakamanawanui: Me ako tātou mō te pokanga Subtalar Fusion?

Kua hoha koe ki te mamae nui o tō waewae, inā koa ki te rekereke? E pāngia ana koe e tēnei mamae, ehara i te mea ko te hikoi anake, ko te piki arawhata, engari ko te tū noa iho? Tērā pea kua whakamātauria e koe ngā maimoatanga maha. Mēnā koinā, he mea nui tēnei tuhinga māu. I tēnei rā ka kōrero tātou mō tētahi pokanga motuhake hei whakaora i te mamae nui o te waewae.

He aha te Subtalar Fusion?

He tikanga pokanga te Subtalar Fusion e hono pūmau ana i ngā wheua e rua o te hononga o tō waewae. Ko tētahi atu ingoa mō tēnei ko te "arthrodesis" e ngā tākuta.

Nā, kia tirohia te wāhi kei reira tēnei hononga. I roto i tō waewae, i raro noa iho i te hononga pona, te wāhi e hono ai te wheua rekereke `(calcaneus)` me te wheua pona i runga ake i a `(talus)`, ka kiia tēnei hononga ko te `(subtalar joint)`. Mā tēnei hononga e āwhina tō waewae ki te huri ki roto, ki waho hoki. Nō reira, he mea tino nui tēnei hononga kia taea ai e koe te hikoi me te oma me te taurite.

Nā te aha rā me pokanga tēnei hononga? Ko te take matua ko te mate rumatiki kino. Mā te mate rumatiki ka memeha te kiriuhi (te wāhanga rite ki te urunga e ārai ana i ngā wheua e rua kia mirimiri tetahi ki tetahi) i roto i ō tātou hononga. Kātahi ka tīmata te mirimiri o ngā wheua e rua tetahi ki tetahi. Whakaarohia te nui o te mamae ina mirimiri tonu ngā wheua e rua tetahi ki tetahi. Hei whakamamae i taua mamae, ka whakauruhia e ngā tākuta ngā tīwiri ki roto i ēnei wheua e rua ka whakapirihia kia kotahi. Ka kiia tēnei ko te "Huitanga Subtalar".

He aha ngā mea ka tupu i mua i te pokanga?

I muri i tō whakatau kia pokangahia, ka tūtaki koe ki tō tākuta me tō taote pokanga i ētahi wā. Ka pātai atu rātou ki a koe i ēnei pātai:

• He aha te pānga o tēnei mamae ki tō oranga o ia rā?
• He aha ngā maimoatanga kua riro i a koe tae noa mai ki tēnei wā? E hia te nui o te whakaoranga kua tukuna mai e rātou?

He mea nui kia pono te kōrero i konei. He mea noa te mataku ina kōrerotia koe mō te pokanga. Engari kaua e whakaititia tō mamae nā te wehi. Kōrero pono atu ki tō tākuta i ngā mea pēnei i te, "Kāore e taea e au te ara ake i te moenga i te ata nā te mamae nei," "Kāore au e hiahia ki te haereere me ōku hoa," "Kāore e taea e au te mahi i te hākinakina i pai ai ahau i mua." Kātahi ka taea e ia te whakatau i te whakatau pai mōu.

Ka tonoa koe kia whai i ēnei whakamātautau i mua i te pokanga:

• He whakamātautau tinana katoa: Tirohia mēnā kei te pai tō hauora hei mahi pokanga.
• Ngā Whakamātautau Whakaahua: Ka tino mahia he hihi-X. Tērā pea ka tonoa koe kia mahia he matawai MRI, CT rānei.
• Ngā whakamātautau toto: Tirohia mēnā he maha ngā mea kei roto i te toto.

Kia tino mōhio koe ki te kōrero ki tō tākuta mō ngā rongoā, ngā huaora, ngā rongoā otaota rānei e tangohia ana e koe. Tērā pea ka tonoa koe kia mutu te tango i ētahi rongoā i ētahi rā i mua i te pokanga. Tērā pea ka tohutohuhia koe kia nohopuku mō ngā haora 12 i mua i te pokanga.

Me pēhea te mahi i te pokanga?

I te rā o te pokanga, ka hoatu he rongoā whakamoe ki a koe. Ko te tikanga ka hoatu he rongoā ki a koe kia kore ai koe e mamae. Tērā pea ka whakamoea rawatia koe (whakamoe whānui) ka whakangāwari noa rānei i tō waewae (whakamoe rohe).

I te wā o te mahi, ka honoa e te taote pokanga ngā wheua e rua o tō waewae.

I te nuinga o te wā, ka mahia tēnei hei pokanga tuwhera. Arā,

1. Ka tapahia e te tākuta he kiri iti ki te wāhi e pāngia ana te hononga o tō waewae.

2. Kātahi ka tangohia ngā kongakonga wheua me ngā maramara wheua kua tawhito, kua pakaru hoki.

3. Muri iho, ka whakanohoia ngā wheua e rua ki te taha, ā, ka whakaurua he tīwiri whakarewa motuhake mā roto hei whakau i a rātou.

4. Hei whakamutunga, ka tuia te tapahi kia kati.

Ka taea hoki e ētahi tāngata te mahi i tēnei pokanga mā te tapahi kotahi e kiia nei ko te arthroscopy. I roto i tēnei, kaua e tapahia he tapahi nui, e rua, e toru rānei ngā tapahi iti ka mahia. Ka whakauruhia he taputapu kei roto i te kāmera e kiia nei ko te arthroscope mā roto i taua tapahi, ā, ka mahia te pokanga i te wā e tirohia ana i runga i te aroturuki. Mā tō tākuta e whakatau ko tēhea o ēnei tikanga e rua te mea pai mōu.

E rua hāora te roa o tēnei pokanga.

He aha ngā mea ka tupu i muri i te pokanga? Ā, he aha ngā painga me ngā huakore?

He pokanga awatea tēnei, ā, ka taea e koe te hoki ki te kāinga. Whai muri i te pokanga, ka whakanohoia koe ki tētahi pūtu motuhake, ki tētahi whitiki rānei hei pupuri i tō waewae kia kore e nekeneke, hei ārai hoki i te pikaunga taumaha ki tō waewae. Ka kīia atu ki a koe kia whakamahia he tokotoko mō ētahi wiki, kia teitei ake hoki tō waewae i te mea e taea ana.

Kia pēhea te roa e ora ai? Ka taea e au te hikoi anō?

Ae, ka taea e koe te hikoi, te oma, me te noho noa anō. Inaa, ka taea e koe te hikoi pai ake i mua nā te mea kāore he mamae!

E hia ngā marama ka ora katoa. E waru ki te tekau mā rua wiki te roa mō ngā wheua e rua i honoa ngātahi kia honoa ngātahi, kia kaha ai. I tēnei wā, me whai rongoā tinana koe. Mā te kaiwhakaora tinana koe e āwhina ki te ako me pēhea te whakamahi tika anō i tō waewae, tae atu ki te amo i te taumaha me ngā mahi whakakori tinana. He pai ake te kore e whakararu i tō waewae mō te marama, e rua rānei.

Āhea te wā me toro atu koe ki te tākuta tonu?

I muri i tō hokinga ki te kāinga i muri i te pokanga, ki te pāngia koe e tētahi o ēnei tohu, me waea atu tonu koe ki tō tākuta.

• He kirika neke atu i te 39 Celsius (101 Fahrenheit).
• Ngā tohu o te mate i roto i te patunga pokanga (hei tauira, te wai rite ki te pūkahukahu e maringi ana i te patunga, te pupuhi, te rerekē te tae, te haunga kino, te mahana rānei ina pā atu).
• Engari i te whakaiti i te mamae, ka nui haere anō.
• Te toto nui rawa atu i te patunga.

E 85% te angitu o tēnei pokanga. Ko te tikanga, e 85 i roto i te 100 tāngata ka tino māmā ake te mamae, ā, ka pai te ora. Ki te kore te mamae o tō waewae e pai ki ētahi atu maimoatanga, kaua e wehi ki te kōrero ki tō tākuta mō tēnei pokanga. Tērā pea ka nui te rerekētanga o tō oranga.