Kei te mamae tō waewae? Tērā pea nā Tarsal Coalition!

Kei te mamae tonu ō waewae, tō tamaiti rānei, inā koa te pona waewae? He ahua rerekē, he ahua koretake hoki te āhua ina hikoi koe? He mea nui pea kia mōhio koe ki tēnei mate e kiia nei ko te "tarsal coalition" ka kōrerohia e tātou i tēnei rā. Kaua e manukanuka, ehara tēnei i te mea noa, engari he mea pai kia mōhio koe ki tēnei.

He aha tēnei Tarsal Coalition? Kia mārama tātou ki tēnei mea.

Āe, tuatahi, me titiro tātou ki ēnei wheua "tarsal". Ko ngā wheua tarsal he rōpū wheua kei muri o tō waewae, kei te wāhi e tūtaki ai tō rekereke ki tō pona waewae. He rite ki ngā kirikiri ririki e honoa ana. Ka honoa ēnei wheua tetahi ki tetahi, ā, ka mahi tahi hei āwhina i ō tātou waewae kia mahi tika, kia hikoi, kia oma, kia pekepeke hoki.

He aha te "whakakotahitanga"? He whakarāpopototanga noa iho, ko te whakakotahitanga o te tarsal he hononga e rua, neke atu rānei o ēnei wheua tarsal i roto i te āhua koretake, e piri tahi ana. Whakaarohia, ko te tikanga me whai hononga iti i waenganui i ēnei wheua, kia taea ai e rātou te neke noa. Engari i tēnei wā, ka tupu he wheua hou, he kiriuhi, he kiko muka rānei i waenganui i aua wheua, e hono ana i ngā wheua e rua. He rite ki te piriti e hangaia ana.

He take ira tēnei? He take kē atu rānei?

I te nuinga o te wā, ko tēnei āhuatanga e kiia nei ko te tarsal coalition ka puta mai i ngā āhuatanga ira**. Arā, ka puta mai i tētahi hapa iti i roto i te whanaketanga o ngā wheua waewae i te wā e noho tonu ana te pēpi i roto i te kōpū. Arā, ka taea hoki te tuku iho.

Engari, kāore e tika kia puta tonu mai i ngā ira. I ētahi wā,

• Nā te mate urutā ,
• Nā te whara kino o te waewae,
• Ka taea hoki te puta te hononga o te tarsal i te pakeketanga nā te mate hauora pērā i te mate rumatiki .

Ko wai te mea tino pāngia e tēnei āhuatanga?

Ko te hononga o te tarsal te mea e kitea nuitia ana i roto i ngā tamariki me ngā taiohi . Ka tīmata ngā tohu i waenga i te 9 me te 16 tau te pakeke, i te mea ka matotoru haere, ka pakari haere, ka mamae haere ngā wheua kua honoa kētia.

Heoi anō, ka pāngia pea ētahi pakeke e tēnei mate mō te wā tuatahi, kāore rānei i kitea mai i te tamarikitanga, ā, kāore e whakaatu i ngā tohu, engari ka puta mai i muri mai.

E kiia ana he tino noa tēnei mate, ā, e pāngia ana te 1% ki te 6% o te taupori. Ehara i te mea he tino noa. Heoi, tata ki te haurua o te hunga whai mate pēnei ka pāngia pea e tēnei raruraru i ngā waewae e rua (bilateral tarsal coalition).

He aha ngā pānga o te Tarsal Coalition ki te tinana? He aha ngā tohu?

Kāore e kitea ngā tohumate o te katoa e pāngia ana e te mate tarsal coalition. Ka taea e ētahi tāngata te ora tonu me te kore mamae, te kore whakamarie rānei. Nō reira, i ētahi wā, kāore rātou e mōhio kei a rātou tēnei mate.

Heoi, mō te hunga e pāngia ana e ngā tohu, ka rerekē pea i te mamae ngawari, ā-wā, ki te mamae nui rawa atu, ā, kāore e taea te hikoi . Ko ngā tohu matua ka kitea ko:

• Te mamae, te kōpiko rānei i raro i te pona waewae, i waenganui o te waewae, i muri rānei o te waewae . Me te mea nei kua mau te waewae.
• Ka uaua te hikoi i ngā waewae papatahi . Ka piki ake hoki te tūponotanga o te whara o te pona waewae.
• Ka piki ake pea te mamae i te wā e whakakorikori tinana ana, e oma ana, e pekepeke ana rānei. Tērā pea ka memeha haere i muri i te okiokinga poto, kātahi ka hoki mai anō ina hoki anō te kaha o te tinana.
• I ētahi wā, ka puta ohorere mai ēnei tohu i muri i te whara iti o te waewae .

He rerekē te wā e puta ai ēnei tohu i ia tangata, i ia tangata. Mō ētahi tāngata, ka tīmata te mamae i te wā taitamariki, i te 10-15 tau te pakeke. Mō ētahi atu, ka puta noa ēnei tohu i muri i te pakeketanga.

He momo hononga tarsal kei reira?

Ae, he rerekē ngā momo o tēnei. Arā, he rerekē ngā momo i runga i te wāhi e honoa ai te wheua rerekē. Ko ngā mea tino kitea ko:

• Ka hangaia he hononga i waenganui i te wheua matua o tō pona waewae (wheua talus) me te wheua rekereke (wheua calcaneus) .
• Ki te kore rānei, ka hangaia he hononga i waenganui i te wheua rekereke (wheua calcaneus) me te wheua navicular i mua .

Koinei ngā momo e kitea nuitia ana. Hei tāpiritanga, tera atu anō ētahi atu momo kāore e kitea pinepinetia ana.

Me pēhea te tātaritanga a te tākuta i tēnei? (Tauātanga)

Ki te mamae ō waewae, ko te mea tuatahi ka mahia e te tākuta ko te tirotiro marie i tō waewae me tō pona. Ka pātai atu rātou ki a koe mō te wāhi e mamae ai, te āhua o te mamae, me te wā e mamae ai.

Kātahi, hei whakaū i te mate, ka tonoa e rātou ētahi whakamātautau whakaahua motuhake . Ko ēnei:

• Ngā hihi-X: Mā ēnei ka taea e koe te whakaatu i te āhua o ngā wheua o tō waewae. I ētahi wā ka kitea mārama tēnei hononga rerekē i runga i te hihi-X.
• Matawai CT (matawai tomografi rorohiko): Ka homai he pikitia taipitopito ake i te hihi-X. He maha ngā wā ka whakamahia te matawai CT hei tātaritanga i te hononga o te tarsal. Ka taea e ia te whakaatu mārama i te whanaungatanga i waenga i ngā wheua.
• MRI (Whakaahua Āhua Aukume): Ahakoa e whakaatu ana ngā hihi-X me ngā karapa CT i te wheua, ka taea e te MRI te whakarato i tētahi pikitia pai o ngā kiko ngohengohe e karapoti ana i te wheua. I ētahi wā, me whai anō hoki tēnei whakamātautau.

Kia maumahara, ko te tākuta te kaiwhakatau ko tēhea o ēnei whakamātautau e hiahiatia ana e koe.

He aha ngā maimoatanga mō tēnei?

Ko te mea pai rawa atu, ko te hononga tarsal anake e hiahiatia ana he maimoatanga mēnā ka puta ngā tohu . Mēnā kāore he mamae, he koretake rānei, kāore e hiahiatia he maimoatanga.

Mena kei te kitea ngā tohu, ka tūtohutia pea kia whakahaerehia he maimoatanga kore-pokanga, he maimoatanga pokanga rānei, i runga i te kaha o te mate.

Ngā maimoatanga kore-pokanga

Ko te taahiraa tuatahi ko te ngana ki te whakahaere i tēnei mamae me te kore he pokanga.

• Okiokinga: Mā te whakamutu i ngā mahi e whakanui ana i te mamae (pēnei i te oma, te pekepeke) ka taea te whakaiti i te pēhanga ki ngā wheua, me te mamae anō hoki. I te nuinga o te wā, ka kīia koe kia okioki mō te 3 ki te 6 wiki.
• Werohanga: I ētahi wā ka taea te hoatu werohanga steroid hei whakaiti i te mamae. Ka werohanga tika ēnei ki roto i te hononga e mamae ana.
• Orthotics: Ka taea e ngā whakaurunga hū me ngā tautoko āwhata te āwhina i te whakau i ō waewae me te whakaiti i te mamae. He mea hanga motuhake ēnei kia uru ki ō waewae.
• Te whakaū i te pūtu, te whakarewa rānei: Ka taea te whakamahi i te whakarewa pūtu rangitahi, i te whakarewa rānei o te pāreti o Paris (POP) hei whakaū i te waewae me te whakaiti i te pēhanga tāpiri ki ngā wheua tarsal.
• Te whakaiti taumaha: Ki te piki haere tō mamae i te pikinga o tō taumaha tinana, kōrero ki te tākuta, ka whakawhanake i tētahi mahere whakaiti taumaha e pai ana māu.

Ngā maimoatanga pokanga

Ki te kore e taea e ngā maimoatanga kore-pokanga te whakahaere i te mamae, ki te kaha rawa rānei te mate, ka tūtohu pea te tākuta kia pokangahia.

• Te tango: Koinei te pokanga tino noa mō te hononga tarsal. Ko te tango i te wheua kua honoa kētia (koiora) ka whakakapia ki te kiko, ki te uaua rānei i tangohia mai i tētahi atu wāhanga o tō tinana. Ka taea e te nuinga o te tangata te hoki ki te mahi noa o ō rātou waewae i muri i tēnei pokanga.
• Hononga: Mena he tino kino te mate, mena rānei kua pakaru te hononga nā te mate rumatiki, ka taea te mahi i tētahi pokanga e kiia nei ko te hono. Ko te tikanga o tēnei ko te hono tuturu i ngā wheua e pāngia ana, me te whakawhāiti i te nekehanga. Tērā pea ko te whakamahi i ngā tīwiri, ngā tāpiri, ngā pereti whakarewa rānei . Ka āwhina tēnei ki te pupuri i ngā wheua ki te tūranga pai ake, ā, ka whakaiti i te mamae.

Ka aha mēnā ka kore e rongoatia?

Mō ētahi tāngata, ka tino kaha te mamae me te kore whakamarie, ā, ka kore e taea e rātou te mahi i ngā mahi e pai ana ki a rātou (pēnei i te tākaro, te hikoi rānei). Ki te kore e rongoatia, ka roa te wā, ka pakari haere te waewae, ka uaua ake te hikoi.Nō reira, ki te puta mai ngā tohu, he pai ake te toro atu ki te tākuta.

Ka taea te puta he raruraru i muri i te pokanga?

Pērā i ngā pokanga katoa, he tūponotanga anō kei roto. Ko ētahi o ngā raruraru ka puta i muri i te pokanga hononga tarsal ko:

• Mate pāwera
• Pukupuku toto (Hematoma)
• Te whakaora ngoikore o te patunga
• Te whakaora ngoikore o te wheua
• Te whara o te io
• Te toto totoka i roto i ngā oko toto
• Te panoni i te āhua o ngā matimati (ngā matimati whīwhiwhi, ngā matimati hāmare rānei)
• Te pakari, te ngoikore rānei o ō waewae

Kaua e manukanuka, kei te whakapau kaha ngā tākuta ki te whakaiti i ēnei mōrearea.

Ngā mea hei maumahara māu i te wā e noho tahi ana me Tarsal Coalition

Ki te pāngia koe e tēnei mate, kati te mahi i te tīmatanga o te tohu. I te nuinga o te wā, he nui te okioki. Engari ki te mau tonu te mamae, tirohia he tākuta. Tērā pea ka tūtohu ia i ngā werohanga, i ngā orthotics rānei hei āwhina i te whakahaere i tō mamae.

Kia pēhea te roa o te wā e ora ai i muri i te pokanga?

He rerekē te wā whakaora i ia tangata, i ia tangata. I te nuinga o te wā, e 6 ki te 12 marama te roa hei whakaora katoa i te pokanga hononga tarsal. Heoi, ka roa ake pea tēnei wā i runga i tō tau, te kaha o te mate, me te mea kei a koe ētahi atu mate, pērā i te mate rumatiki. Ko te huarahi pai ki te whakaora wawe ko te whai i ngā tohutohu a tō tākuta.

He ara hei ārai i tēnei?

He maha ngā wā he mea tuku iho te hononga o te tarsal, nō reira kāore e taea te ārai katoa . Heoi, ki te puta mai ngā tohu, ka taea te whakahaere tika. Mā te tātaritanga wawe me te maimoatanga tika ka āwhina i te ārai i te kino haere o te mate.

He aha tā tātou e tumanako ai mēnā he hononga ā-tarsal?

Ahakoa he tokomaha te hunga e pāngia ana e tēnei mate, ka puta ngā tohu i te tamarikitanga, i te taiohitanga rānei. Tērā pea ētahi tāngata kāore e pāngia e ngā tohu. Nō reira, ehara i te mea he ōrite te katoa o te hunga e pāngia ana e tēnei mate.

Ka taea e au te tākaro hākinakina?

He uaua pea te tākaro hākinakina mō te hunga whai mate tarsal coalition. Heoi, ehara i te mea kāore e taea te tākaro hākinakina . Mena kua whakaū mai te tākuta kei a koe tēnei mate, pātai atu ki tō tākuta mō ngā hākinakina ka taea e koe te mahi, me ngā mea kāore e taea e koe te mahi, me ngā here me whai koe. Tērā pea ka taea e koe te mahi i ngā hākinakina iti te pānga (pēnei i te kaukau).

Ko te mea nui rawa atu me kī atu e koe

Ka tino hoha te mamae e puta mai ana i te hononga o te tarsal, i ētahi wā ka pā ki ō mahi o ia rā. I ētahi wā ka roa te wā e mōhiotia ai. Engari, waimarie, he huarahi pai hei mōhio me te rongoā. Ka taea e ēnei maimoatanga te āwhina i te whakahaere i ō tohu me te whakapai ake i te kounga o tō oranga.

Ki te mamae tonu, ki te kōpiko rānei ō waewae, kaua e warewarehia, me toro atu ki te tākuta tonu mō ētahi tohutohu. Kātahi ka taea te whakarite i tētahi mahere maimoatanga e tika ana māu. Kaua e manukanuka, mā te tohutohu hauora tika, ka taea te whakahaere pai i tēnei mate!

` Tukinga Tarsal, Mamae Waewae, Mamae Pona, Waewae Papatahi, Mate Waewae Tamariki, Hononga Wheua, Pokanga