Kua titiro koe ki tō pona waewae, ā, kua whakaaro koe, "Me pēhea te tautoko a tēnei hononga iti i te taumaha o tōku tinana katoa, e āwhina ana i ahau ki te oma, ki te peke, me te hikoi?" He mea whakamiharo rawa atu. He toa puku, engari he tino hirahira kei roto i tēnei tukanga whakamiharo. Ka kōrero tātou mōna i tēnei rā. Ā, koia te wheua talus.
He aha te wheua talus?
He wheua iti engari he tino kaha te talus e hono ana i tō pona waewae, tō waewae o raro, me tō waewae. E kiia ana hoki e ētahi ko te astragalus. Ko te wheua tuarua nui rawa atu tēnei i te tuara o tō waewae. Ko te wheua rekereke anake te wheua nui ake i tēnei, arā, ko te calcaneus.
Whakaarohia, ko ngā wheua matua e rua o tō waewae o raro, te tibia me te fibula, e honoa ana ki te waewae mā roto i tēnei wheua talus. He rite ki te piriti i waenganui i te waewae me te waewae. Ko tēnei hononga te mea e kiia nei e tātou ko te hononga pona.
Ko tētahi atu āhuatanga ahurei o tēnei wheua, kāore i te hono tika ki ngā uaua pērā i te nuinga o ngā wheua. Ko te tikanga he iti noa te rere o te toto. Nō reira, ki te whati tēnei wheua (ngā whati), ka roa te wā e ora ai, ā, he nui ake te tūponotanga ka pā mai ngā raruraru. Ka kōrerohia tēnei e tātou i muri mai.
He aha ngā mahi a tēnei wheua iti?
He tino pai te whakataukī "He iti engari he nui te mahi" mō tēnei hiku. Ka mārama koe ki tēnā ina kite koe i ētahi o ana mahi.
| Mahi | He whakamārama māmā |
|---|---|
| Te hanga i te hononga pona waewae | Ko te mea matua ko te hono i ngā wheua waewae (tibia me fibula) ki te waewae, ka hanga he hononga e taea ai e koe te piko me te toro atu i tō pona waewae. |
| Te taumaha o te tinana | Ina tū koe, ina hikoi koe, ina oma rānei, ka whakawhitia te taumaha o tō tinana katoa mai i ō waewae ki ō waewae mā roto i tēnei wheua talus. |
| Te hiki me te whakaheke i te waewae | Mā tēnei hononga koe e āwhina ki te neke i tō waewae ki runga, ki raro hoki (pērā i te takahi i te whakateretere i roto i te motuka). |
| Te pupuri i te taurite | Ka āwhina tēnei wheua ki te pupuri i te taurite mā te huri i te waewae mai i tētahi taha ki tētahi taha ina hikoi ana i runga i te whenua kāore i te ōrite. |
| Te whakau i te piko o te kapu | He tautoko tēnei wheua hei pupuri i te piko tūturu (āwhati) o tō waewae. |
Te āhua me ngā wāhanga o te wheua talus
Ki te titiro koe ki te wheua talus, he rite tōna āhua ki te nohoanga hoiho i runga i te tuara o te hōiho. He piko te tihi. Kua kapi katoa te wheua i tētahi paparanga maeneene, pahekeheke e kiia nei ko te kiriuhi. He rite ki tētahi paparanga 'hinu'. Ina mirimiri ngā wheua tetahi ki tetahi, ko tēnei paparanga kiriuhi te mea e āwhina ana i te hononga kia neke ngāwari mā te whakaiti i te waku.
Ina kōrero ngā tākuta mō tēnei wheua, e toru ngā wāhanga e whakahuatia ana e rātou. He mea nui ēnei mō tō mōhiotanga whānui.
1. Te pane o te talus: Koinei te wāhanga o mua o te wheua. E hono ana ki te wheua navicular i te waewae.
2. Tinana o te talus: Koinei te wāhanga matua, te wāhanga nui rawa atu o te wheua. Ko te wāhanga piko i runga ake i tēnei te mea e hono ana i ngā wheua e rua o te waewae hei hanga i te hononga pona waewae.
3. Kaki o te tungāne: Ko te kaki te wāhanga whaiti i waenganui i te upoko me te tinana.
Mena ka whara tō pona waewae, ā, ka rongo koe i ēnei kupu i a koe e kōrero ana ki te tākuta, ka taea e koe te mārama ki te wāhi i whara ai.
He aha ngā raruraru noa e pā ana ki te wheua talus?
Pērā i ngā wheua katoa, ka taea e te wheua talus te pāngia e ngā momo raruraru me ngā whara. Ko ētahi o ēnei ko ngā whati me te osteoporosis.
1. Ngā whati o te talus
Koinei te whara tino kino ki te wheua talus. I te nuinga o te wā, me whai aituā tino kino hei puta ai tēnei momo whati.
- Te hinganga mai i te teitei: Te hinganga mai i te arawhata, i te rākau, i tētahi atu wāhi teitei rānei.
- Ngā aituā motuka: Ina koa i ngā aituā motopaika, i te wā rānei e pēhi kaha ana te pēhi i te motuka.
- Ngā aituā hākinakina: I roto i ngā hākinakina e nui rawa ai te pekepeke, te takai rānei i te pona waewae.
Whakaarohia tētahi e piki ana i tētahi arawhata, e mahi ana i tētahi mahi, ā, ka paheke whakarere, ka hinga. Mēnā ka tukua e ia tōna taumaha katoa ki tētahi waewae, ā, ka piko tōna pona ki roto, ka whati pea te wheua o te uaua i te kaha rawa.
Ko te mea nui, kaua te whati o te uaua e waiho hei mea māmā noa iho. Ko te take o tēnei, e ai ki taku kōrero i mua ake nei, ko te iti o te rere o te toto ki tēnei wheua. Ina puta he whati, ka pakaru pea ēnei uaua toto. Ki te puta tēnā, kāore e ranea te toto e whiwhihia ana e ētahi wāhanga o te wheua, ā, ka tīmata te mate (avascular necrosis). Nō reira, he mea morearea te whakaroa i te maimoatanga.
Ngā tohu o te whati
- Te mamae nui i te rohe o te pona waewae.
- Te pupuhi o te pona waewae.
- Te tino māuiui, kāore e taea te hikoi, te whakatakoto rānei i tō waewae ki raro.
- Ka kikorangi te kiri, ka puta rānei he marutanga.
- He panonitanga o te āhua o te pona waewae, he ahua rerekē rānei o te puku.
Mena kei a koe ēnei tohu, inā koa i muri i tētahi aituā, me haere tonu koe ki te Tari Ohotata (ETU) o te hōhipera.
2. Te Osteoporosis
Ko te tikanga o tēnei ko te 'angiangi o ngā wheua' me ngā 'wheua pūngāwerewere'. I a tātou e pakeke haere ana, inā koa i ngā wāhine i muri i te paheketanga, ka tīmata te heke o te mātotoru o te wheua. Kātahi ka ngoikore ngā wheua, ā, ka ngawari te whati. I ētahi wā, ahakoa e hikoi noa ana, ka whati pea te wheua.
He tokomaha te hunga ka mōhio noa he mate wheua tō rātou i muri i te whati o te wheua, nā te mea kāore he tohu motuhake i mua i tēnei.
Mena kua neke atu i te 50 ōu tau, inā koa he wahine koe, he mate wheua rānei tētahi o tō whānau, he mea tino nui kia kōrero koe ki tō tākuta mō te tirotiro i te kiato o te wheua.
Ētahi atu raruraru
- Mate rumatiki: Ka mamae, ka uaua hoki te neke i te hononga nā te pakaru me te haehae o te kiriuhi i roto i te hononga pona.
- Te mate o te tūru tarsal: Ngā tohu pēnei i te māuiui me te ngau o te waewae nā te pēhanga o te io e tika ana mā roto i te pona waewae.
- Te mate o te wheua nā te korenga o te toto e rere ki te wheua. He maha ngā wā ka puta tēnei hei raruraru o te whati o te wheua.
Me pēhea te mōhio o te tākuta mēnā he raruraru?
Ina haere koe ki te kite i tētahi tākuta mō te mamae o te pona waewae, ko tāna mahi tuatahi he pātai atu ki a koe. Pēnei i te mea kua pāngia koe e tētahi aituā, he aha te mamae, he pupuhi rānei, kātahi ka tirohia e ia tō pona waewae.
Kātahi ka taea e koe te tirotiro i ngā whakamātautau pēnei hei whakaū i te take o te raruraru.
- X-ray:Koinei te whakamātautau tino taketake hei tirotiro mō te whati.
- Matawai CT: Mā tēnei ka mārama te kite i roto i ngā whakaahua 3D mēnā kua whati te wheua hei kongakonga, me pēhea hoki te tūnga o aua wheua i roto i te whati. He mea tino nui tēnei mō te whakamahere i tētahi pokanga.
- Matawai MRI: Haunga ngā wheua, ka whakamahia tēnei whakamātautau hei tirotiro i ngā pakaru o ngā hononga, te kiriuhi, me ētahi atu kiko ngohengohe huri noa i te hononga.
- Whakamātautau kiato wheua (matawai DEXA): Ka mahia tēnei whakamātautau hei whakaū mēnā he osteoporosis tōu.
He aha ngā maimoatanga?
Ko te maimoatanga e whakawhirinaki ana ki te raruraru kei a koe.
Te maimoatanga mō te whati
Ko te maimoatanga mō te whati ka whakawhirinaki ki te āhua o te whati.
- Te aukati: Ki te kore e neke ngā kongakonga wheua, ka pania he mea hanga ki te Pāreti o Parī (POP) me te muka karāhe rānei ki te pona hei ārai i te nekeneke.
- Pokanga: Ko te nuinga o ngā whati o te wheua e hiahiatia ana he pokanga hei whakatikatika i ngā kongakonga wheua, hei whakamau hoki ki ngā tīwiri me ngā pereti hei ārai i te nekeneke. Ka āwhina tēnei i te wheua kia ora tika, kia whakahokia mai ai te rere o te toto.
I muri i te pokanga, he mea nui te whakaora tinana kia hoki mārire ai te nekenekehanga, te kaha, me te taurite o te pona.
Te maimoatanga mō te osteoporosis
Ko te maimoatanga mō tēnei he arotahi ki te aukati i te ngoikore haere o te wheua me te whakapakari i ngā wheua.
- Korikori tinana: Ngā mahi pēnei i te hiki taumaha me te hikoi.
- Ngā huaora me ngā kohuke: Ngā tāpiringa konupūmā me te huaora D.
- Ngā Rongoā: Ka tohua pea e tō tākuta he rongoā hei aukati i te ngaronga o te wheua, hei whakaoho rānei i te tipu o te wheua.
Me pēhea te pupuri i ō wheua katoa kia ora, tae atu ki tō wheua tuarā?
"He pai ake te tūpato i te rongoā," te kī a rātou. Nō reira, he pai ake te karo i ngā aituā, me te whai i te oranga hauora.
| Tohutohu | He aha te mea nui? |
|---|---|
| Whāia ngā tikanga haumaru. | Me mau tonu he whitiki nohoanga ina eke waka. Me mau he potae pai ina eke motopaika. Me mau ngā taputapu haumaru e tika ana ina takaro hākinakina. |
| Ārai i ngā hinganga | Kia ma tō whare me tō wāhi mahi, kia kore hoki he mea e paheke ai, e hinga ai koe. Whakamahia he arawhata e tika ana , kaua e piki ki runga i ngā tūru me ngā tēpu hei toro atu ki ngā mea. |
| Kai i tētahi kai hauora. | He mea nui ngā kai whai konupūmā (miraka, tīhi, miraka kawa, ika ririki, huawhenua matomato) me te huaora D (te whitinga o te rā, ngā hua manu) mō te hauora o te wheua. |
| Whakakorikori tinana i ia wā, i ia wā. | Mā ngā mahi whakakori tinana pēnei i te hikoi, te oma, me te hiki taumaha ka whakapakari i ngā wheua. |
| Rapua he tohutohu hauora. | Pātai atu ki tō tākuta mēnā me whai whakamātautau mō te osteoporosis koe i runga i tō tau me ngā āhuatanga mōrearea. |
He wheua iti te talus, engari kua mārama pea koe ki tōna hiranga ki tō oranga o ia rā. Nō reira, ki te mamae koe, ki te pupuhi, ki te kore rānei e pai ki tō pona waewae, kaua e warewaretia, engari me toro atu ki te tākuta. Mēnā ka pā he aituā, me haere tonu ki te Tari Urupare (ETU) o te hōhipera.
Karere Tangohia ki te Kāinga
- He wheua tino nui te talus e hono ana i tō waewae me tō waewae, e tautoko ana i te taumaha o tō tinana, ā, e āwhina ana hoki i te nekehanga.
- He tino kino ngā whati o tēnei wheua. Nā te mea he iti noa te rere o te toto. Nō reira, ki te mamae nui tō pona waewae i muri i tētahi aituā, haere tonu ki te tari urupare ohorere o te hōhipera (ETU).
- He mate te osteoporosis e ngoikore ai ngā wheua. Ka taea te whakaiti i tēnei mōrearea mā te kai tika, te whakakori tinana, me ngā tirotiro hauora.
- Kia tiakina te hauora o tō wheua. Mā te whai i ngā tikanga haumaru me te noho ora, ka taea e koe te ārai i ngā aituā me ngā mate maha.
- Mena he mamae tonu tō pona, tō waewae rānei, he mea nui kia kaua e warewaretia, me rapu tohutohu anō hoki i tētahi tohunga hauora.











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