Kua whati te wheua i runga ake i tō rekereke? Me kōrero tāua mō tēnei whati o te uaua!

Kua pōturitia tō waewae i tētahi wā, kua pupuhi, kua mamae hoki tō pona waewae, ā, kāore e taea e koe te hikoi? Mena koinā, kua whati pea te talus, he wheua nui i roto i tō pona waewae. I tēnei rā, ka kōrero tātou mō te whati o te talus, me pēhea te puta, me ngā mea ka taea te mahi mōna.

He aha te wheua Talus? He aha tōna hiranga?

Ki te kī māmā noa, he wheua iti engari he mea nui tō talo i roto i tō waewae e hono ana i tō pona ki tō waewae. Whakaarohia, ka honoa ngā wheua roa e rua o tō waewae o raro (te tibia me te fibula) hei hanga i tō hononga pona. Mā tēnei hononga ka taea e koe te neke ake, te heke iho rānei i tō waewae.

Waihoki, kei runga ake i tō wheua rekereke (calcaneus) te wheua talus. Ka honoa ēnei wheua e rua hei hanga i tētahi hononga e kiia nei ko te hononga subtalar. Mā tēnei hononga ka taea e koe te neke i tō waewae mai i tētahi taha ki tētahi taha, ki roto, ki waho hoki.

He mahi nui anō tā te wheua talus. Arā, ka āwhina i te whakawhiti i te taumaha o tō tinana ki te waewae mā te hononga pona. Ko te nuinga o tēnei wheua he kiko maeneene, pahekeheke e kiia nei ko te cartilage . Mā tēnei cartilage ka taea e ngā wheua te neke maeneene me te kore e mirimiri tetahi ki tetahi. Nō reira, ka kite pea koe i te hiranga o te wheua talus ki te nekehanga me te pumau o te pona. Koia te take mēnā ka whati te wheua talus, ka taea e ia te whakawhāiti i tō nekehanga me te uaua ki te mahi i ngā mahi o ia rā.

He aha ngā momo whati o te Talus?

Ka whati te wheua talus i ngā wāhi rerekē, ā, i ngā huarahi rerekē. Me titiro tātou ki ētahi o ngā momo matua:

• Te Whati o te Kaki o te Talus: Koinei te momo whati o te talus e tino kitea ana. Ko te "kaki" o te talus te waenganui o te wheua. Ko te kaki te wāhi whaiti i waenganui i te "tinana" o te talus - te wāhanga e tata ana ki te hononga pona, i raro i te tibia - me te "upoko" - te wāhanga kei raro iho i te waewae.
• Ngā whati o te tukanga taha: Ko te tukanga taha te wāhanga e pupū ake ana o te wheua talus. Ka puta ēnei whati ina huri ohorere te pona ki waho, ā, ka tere tonu te huri. I ētahi wā ka kiia ko "ngā whati o te hunga retihuka" nā te mea he mea noa i waenga i ngā kai retihuka.
• Ngā whati avulsion: Ka puta tēnei ina kumea ohoreretia te hononga (pēnei i te whitiki e hono ana i ngā wheua) te uaua rānei (pēnei i te whitiki e hono ana i te uaua ki te wheua) e piri ana ki te wheua talus, ka mawehe atu tetahi wahi iti o te wheua talus i te pūwāhi piri.
• Ngā whati ahotea: He whati iti rawa ēnei i roto i te wheua talus. He maha ngā wā ka puta mai i te whakamahinga nui rawa o te wheua talus, i te ahotea auau rānei ki te wheua. Hei tauira, ka pā pea tēnei ki ngā kaioma tawhiti.

Me pēhea te whakarōpūtanga o ngā whati talus?

Ka whakarōpūtia ēnei whati e ngā tākuta i runga i te tawhiti o te nekenga o ngā kongakonga wheua whati mai i tō rātou tūranga noa.

• Ngā whati iti noa te neke, te pumau rānei: Ahakoa kua whati te wheua talus, kāore ngā kongakonga wheua i neke nui mai i tō rātou tūranga taketake. Kei te rārangi tonu te nuinga, tata tonu.
• Ngā whati kua nekehia: I tēnei, kua whati te wheua, ā, kua neke ngā kongakonga i tō rātou tūranga noa .
• Ngā whati tuwhera, ngā whati pūhui rānei: He mate kino ake tēnei. I konei, ka pakaru te wheua whati mā roto i te kiri, ka puta. I tēnei wā, he nui ake te tūponotanga o te kino ki ngā uaua, ngā uaua, me ngā hononga e karapoti ana. Waihoki, ka taea e ngā iroriki te tomo mai, ka puta he mate.

He aha ngā tohu o te whati o te wheua talus?

Nā, he aha ngā tohu mēnā he whati te hope o tō waewae pēnei? Ko te mea nui ko te mamae nui o te pona waewae me te pupuhi. Whakaarohia, me kī ka taka ohorere koe i te teitei, ka pāngia rānei koe e te aituā pahikara. Kātahi ka pā mai he mamae nui ki te pona waewae, ā, ka pupuhi tō waewae.

He aha atu anō ka tupu?

• Ka uaua te hikoi. Tērā pea kāore e taea e koe te whakatakoto i tō waewae ki te whenua.
• Kāore e taea e au te whakaū i te taumaha ki runga i tōku waewae.
• Tērā pea ka puta he marō.
• Ina pā atu koe ki tō ringa , ka rongo koe i te ngawari.
• Tērā pea ka pāngia ētahi tāngata e ngā whara whati . Ki te kite koe i ēnei, kaua e mataku, engari he pai ake te toro atu ki te tākuta tonu.

Ko te mea nui ko te rapu tohutohu hauora tonu atu mēnā ka pāngia koe e ēnei tohu.

Me pēhea te puta o ēnei whati o te talus?

Ko te tikanga ka puta mai ēnei whati o te uaua i ngā whara pūngao nui .

• Ngā aituā motuka, ngā aituā motopaika.
• He hinganga mai i ngā teitei nui. Whakaarohia he rite ki te hinganga o tētahi i te rākau, i te whare teitei rānei.
• Ka taea hoki ēnei te puta i te wā e takaro ana (ngā whara hākinakina) . E ai ki te kōrero i mua ake nei, he mea tino noa tēnei i waenga i ngā kaitākaro hukarere.
• I ētahi wā, ka takahuri noa tō pona waewaeHeoi, ka taea e ngā wahi iti te whati mai i ngā taha o te uaua. Heoi, kāore ēnei i te tino kino pērā i ngā whati e puta ana i ngā aituā nui.

Me pēhea te tautuhi a ngā tākuta i te whati o te talus?

Ina kite koe i tētahi tākuta he whara pēnei tōu, ka tirotirohia tuatahitia e rātou tō pona me tō waewae. Ka tirohia e rātou mēnā he pupuhi, he maru, me ngā motu, ngā patunga rānei kei runga i te kiri. Hei tāpiri:

• Ka tono atu rātou kia nekenekehia ōu maihao kia kite ai mēnā he kino kei te io .
• Ka tirohia e rātou tō manawa, ā, ka whakarite kia pai te rere o tō toto .
• Ka tirohia e rātou mēnā he wai e pupū ake ana i roto i ngā uaua o tō waewae. Ka kiia tēnei ko te compartment syndrome . He āhuatanga morearea tēnei nā te mea ka ngaro pea te rongo me te mahi o tō waewae.
• Ka tirohia hoki ētahi atu whara, i runga anō i te āhua o te aituā.

Kātahi ka tonoa pea e te tākuta ngā whakamātautau whakaahua pēnei i ēnei:

• X-ray: Ka taea e tēnei te whakaatu i ngā mea maha, pēnei i te whati o tō wheua, te wāhi tika o ngā kongakonga wheua, te maha o ngā kongakonga kei reira, me te wāhi kei reira te whati.
• Matawai CT (Tomography Rorohiko - matawai CT): I ētahi wā, kāore pea e taea e te hihi-X anake te whakaatu i te whānuitanga katoa o te whati. Ka taea e te matawai CT te tango whakaahua whakawhiti taipitopito o tō waewae. He tino āwhina tēnei ki te aromatawai tika i te kaha o te whara me te uaua o te whati.

Me pēhea te rongoā i te whati o te talus?

He rerekē te maimoatanga mō te whati o te talus i runga i te momo whati me te kaha o te whara.

Tuatahi, ka whakatakotoria he whitiki tautoko (he tautoko rangitahi) ki tō waewae me tō pona hei ārai i a koe kei nekehia.

Kātahi, ki te pumau te whati, ā, kei te tika te tūnga o ngā kongakonga wheua, kāore pea e hiahiatia he pokanga. I roto i ēnei āhuatanga, ka tūtohu pea te tākuta i ēnei e whai ake nei:

• Te Maka: Ka whakatakotoria he maka ki tō waewae me tō pona hei pupuri i a rāua kia ora rā anō ngā wheua. E ono ki te waru wiki te roa o te mau i tēnei maka. I tēnei wā, me tino tupato kei nui rawa te taumaha e utaina ki tō waewae.
• Whakaoraora: Whai muri i te tango i te rapa, ka whakawhiwhia koe ki ngā mahi whakakori tinana motuhake hei āwhina i a koe ki te whakahoki mai i te kaha me te mahi o tō waewae me tō pona. Ka mahia ēnei i raro i te tirotiro a te kaiwhakaora tinana.

Heoi, e taunakihia ana te pokanga mō te nuinga o ngā whati o te hononga o raro.Nā te mea he maha ngā wā ka puta mai ēnei whara i te whara nui, he nui te tūponotanga ka nekehia ngā kongakonga wheua. Mēnā kāore i te tika te tūnga o ngā kongakonga wheua, ka mahi te taote waewae me te pona i te pokanga hei whakahoki i a rātou ki te tūnga tika.

• Whakaiti Tuwhera me te Whakatikatika ā-Roto (ORIF): Mena ka whati te wheua kia maha ngā wāhanga, ka mahi pea te tākuta i tētahi tikanga e kiia nei ko te ORIF. I roto i tēnei tikanga, ka tapahia e te taote pokanga te kiri, ka nekehia ngā kongakonga wheua ki ō rātou tūranga tika, ā, ka whakamahia he pereti whakarewa me/ngā tīwiri rānei hei pupuri i te wheua kia ora rā anō.
• Kaiwhakatikatika o waho: I ētahi wā, kāore pea e taea te pokanga ORIF tonu nā te nui o te pupuhi i muri i te whara. I ēnei wā, ka whakamahia pea e te tākuta he kaiwhakatikatika o waho. I tēnei wā, ka whakaurua e te tākuta ētahi pine nui ki roto i ō wheua mā te kiri, ka honoa ki ngā pae motuhake i waho hei pupuri i ngā kongakonga wheua ki te wāhi mō te wā poto. Kia memeha te pupuhi, ka whakamātau anō pea te tākuta i te pokanga ORIF.

He aha ngā raruraru ka pā mai mēnā kāore e rongoatia, kāore rānei e tika te rongoā?

Ki te kore e rongoatia tika te whati o te uaua, ki te kore rānei e ora tika, ka puta pea ngā raruraru . I ētahi wā ka roa pea ēnei raruraru.

• Te rumatiki i muri i te whara: E ai ki tā tātou i kōrero ai i mua ake nei, ko te nuinga o te wheua talus he mea kapi ki te kiriuhi. Ina whara te talus, ka pakaru hoki te kiriuhi e karapoti ana i a ia. Ina koretake, ka taratara hoki te mata o tēnei kiriuhi, ka tīmata te pakaru me te haehae o te hononga. I roto i te wā, ka arahi pea tēnei ki te rumatiki, ka puta ai te mamae me te pakari tonu.
• Malunion: Ko te tikanga tēnei kua ora hē te wheua whati, kei roto i tētahi tūranga rerekē . Mēnā ka tupu tēnei, ka pā mai pea ngā raruraru roa pērā i te panoni i te āhua o te waewae, te uaua ki te hikoi, me te mamae.
• Kore-hononga: Ko te tikanga tēnei kāore te wheua whati i ora tika i muri i te wā roa, ahakoa te maimoatanga . Mēnā ka tupu tēnei, me mahi pea ētahi atu pokanga.
• Te mate pūkahukahu, te mate wheua rānei: He uaua te rere o te toto ki te uaua o te wheua. Ina whati te wheua, inā koa ki te kaki, ka pakaru pea ēnei uaua toto, ā , ka whakaitihia, ka motuhia rānei te rere o te toto ki te wheua.Ki te tupu tēnei, kāore ngā pūtau wheua e whiwhi hāora me ngā matūkai, ā, ka tīmata te mate. Ka kiia tēnei ko te avascular necrosis. Ka ngoikore te wheua, ā, ka hinga pea i te mutunga. He raruraru tino kino anō hoki tēnei.

Kei te pēhea te tukanga whakaora? He aha ngā mea me tumanako atu ahau?

I muri i te pokanga, ka pāngia koe e te mamae. Ka tohua e tō tākuta he rongoā mamae . Tērā pea he opioids, he rongoā anti-inflammatory kore-steroidal (NSAIDs), he rongoā whakangote ā-rohe rānei.

Kia ora tō wheua talus, ka tukuna koe e tō tākuta ki te whakaora tinana, ki te whakaora tinana rānei. He mea tino nui tēnei. Mā ēnei mahi whakakori tinana koe e āwhina ki te whakahoki mai i te whānuitanga o te nekehanga, te pumau, me te kaha o tō pona waewae.

Ina tīmata anō koe ki te hikoi, me mau pea koe i tētahi pūtu motuhake, me whakamahi rānei i tētahi tokotoko i te tīmatanga. Kāore e taea e koe te hāpai tonu i tō waewae i te taumaha katoa. Tērā pea ka roa pea ētahi marama.

Ka tangohia e te tākuta he hihi-X i ētahi wā hei tirotiro mēnā kua ora pai te wheua, me te mea kei te tika tonu ngā pereti e piri ana.

He aha te matapae mō te whati o te talus i te wā roa?

Ahakoa he pokanga tō waewae, kāore rānei, ka mau tonu tō waewae i te mea whakapiko, i te mea whakapiko rānei. I taua wā, kāore e taea e koe te whakakaha i te taumaha ki runga, te hikoi rānei ki runga. I runga i te kaha o tō whara, me mau pea koe i te mea whakapiko mō te 8 ki te 12 wiki, neke atu rānei .

Ka nui ake te kino o te whara, ka roa ake te maka. Ahakoa kua ora te wheua, ka pā tonu pea te mamae, te pakari, me te pupuhi o te pona waewae ki ētahi tāngata. Heoi, mā te maimoatanga tika me ngā mahi whakaora, ka taea e te nuinga o te tāngata te hoki ki ā rātou mahi o ia rā ina whakaaetia e tā rātou tākuta.

Āhea ahau ka taea te hoki ki te mahi?

Ka rerekē anō hoki tēnei i runga i te kaha o tō whara me te āhua o tō mahi. I te nuinga o te wā, kāore e taea e koe te hoki ki te mahi mō te iti rawa i te rua wiki . Mena ka mahi koe i runga i ō waewae i te rā katoa (hei tauira, he kaiawhina toa, he kaiako), tērā pea kāore e taea e koe te hoki katoa ki te mahi mō te tau .

Ka taea e koe te hikoi i runga i te wheua talus whati?

Kei te momo whati o te hononga o te waewae tēnei. He whara kino te whati o te hononga o te waewae. Ka taea e ia te ngaro nui o te nekehanga me te mahi i roto i ngā hononga o te pona me te waewae. Ka pā pea tēnei ki tō kaha ki te hikoi me tō kaha ki te pikau i te taumaha i runga i tō waewae. Nō reira, kaua rawa e ngana ki te hikoi i runga i te waewae whati me te kore he tohutohu hauora.

Kia pēhea te roa o te whakaora i te whati o te talus?

I runga i te uauatanga o te aituā, e toru pea ngā marama, neke atu rānei, e toe ana ki a koe.Me mau pea he rimurapa. Tērā pea ka mau tonu te mamae, te pupuhi, me te kōpikopiko ahakoa kua tangohia te rimurapa. Tērā pea ka roa ake te wā e ora katoa ai, ā, ka hoki anō ki te āhua noa.

He aha te āhua o te mamae o te whati o te talus?

He whara nui te whati o te uaua o te hononga o raro. E ai ki te hunga kua pāngia e tēnei whara he tino mamae rawa .

Me pēhea te whakatika i te wheua talus whati?

Ka taea te rongoā i ētahi whati iti o te wheua mā te whakamahi i te paninga whakarewa, kātahi ka whakamahia he mahi whakaora. Heoi, ko te nuinga o ngā whati o te wheua me mahi pokanga hei whakatikatika i ngā kongakonga o te wheua.

He whara mamae te whati o te talus e puta pinepine ana i te pānga nui, pērā i te aituā motuka, i te hinganga rānei i te teitei. Mena he whati o te talus tōu, me toro atu koe ki te tākuta tonu. Ko te tikanga me pokanga tēnei. I runga i te kaha o te whara, me mau pea he maka mō te rua wiki (mō te whati iti) ki te 12 wiki, neke atu rānei. Ahakoa he mamae te whati o te talus, ka taea e te maimoatanga tika te āwhina i te tukanga whakaora me te whakahoki wawe i a koe ki tō oranga noa.

Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)

Āe, mai i ngā mea kua kōrerotia e tātou, koinei ngā mea matua hei maumahara māu:

• He whara kino te whati o te hononga o te hope, nō reira, ki te puta mai ngā tohu , rapua tonutia he tohutohu hauora.
• He maha ngā wā ka hiahiatia he pokanga mō tēnei.
• Tērā pea ka roa te wā whakaora, ā, me tūpato kei tau te taumaha ki te waewae i taua wā.
• He wāhanga nui ngā mahi whakapakari tinana i roto i te tukanga whakaora. Mēnā ka tika te mahi, ka taea e koe te whakaora anō i tō waewae.
• Ki te kore e rongoatia, ka puta pea ngā raruraru nui pērā i te rumatiki, te malunion, te avascular necrosis rānei .
• Ahakoa he wheako uaua, he mamae hoki tēnei, mā te maimoatanga hauora me te whakaora tika, ka taea e te tini o te tangata te ora pai. Nō reira, he mea nui kia kaha tonu.

Mena he pātai anō āu mō tēnei, kaua e mangere ki te pātai atu ki tō tākuta. Kia ora tonu koe!

` Taru, whati, pona waewae, mamae, pupuhi, pokanga, paraikete, whakaora