Ka pāngia koe e te mamae i roto i tō waewae, inā koa tō pona waewae, ina hikoi poto koe, ina piki arawhata rānei? Tērā pea kei te memeha haere te āhua o tō āwhata, ā, kei te papatahi haere tō waewae? Ehara i te mea noa ēnei tohu. I tēnei rā kei te kōrero tātou mō tētahi āhuatanga e kiia nei ko te Posterior Tibial Tendon Dysfunction, koinei pea te take o tēnei. Ahakoa he kupu taumaha tēnei, me mārama noa iho.
He aha rawa te ngoikore o te uaua tibial o muri (PTTD)?
He whakarāpopototanga noa iho, ko ngā uaua he here kiko kaha e hono ana i ngā uaua ki ngā wheua. Ko te uaua tibial muri tētahi o aua uaua motuhake. Ka tīmata i te uaua o te kuao kau, ka rere i te taha o roto o te pona waewae, ka piri ki tētahi wheua i waenganui o te waewae.
Ko tāna mahi matua he tautoko i te āwhata o tō tātou waewae . Koinei hoki te mea e āwhina ana i a tātou ki te hapai i ō tātou matimati ina hikoi, ina oma, ina peke rānei tātou.
Ko te PTTD te wā e pupuhi ai, e haehae ai rānei te hononga kua whakahuatia ake nei. Ina tupu tēnei, kāore e taea e te hononga te tautoko i te piko o te waewae. Nō reira, ka memeha haere te piko o te waewae, ka puta he āhuatanga e kiia nei ko te ' waewae papatahi '. Koinei te take matua e papatahi ai ngā waewae i roto i ngā pakeke.
E whā ngā wāhanga matua o tēnei mate e whanake ana.
| Atamira | Ngā āhuatanga me te whakaahuatanga |
|---|---|
| Wāhanga 1 | Kua kumea te uaua, engari kāore i motu. Ka mamae ina hikoi. Tērā pea he pupuhi. Engari ka taea tonu e koe te tū ki runga i te waewae kotahi, ki runga i ō māikuku. |
| Wāhanga 2 | Kua paku haehae te uaua. He nui ake te mamae me te pupuhi i tō mua. E kitea mārama ana te papatahi o te kapu. He uaua, he kore rānei e taea te tū ki runga i te waewae kotahi i runga i ngā pito o ngā māikuku. |
| Wāhanga 3 | Kua tino hē te āhua o te waewae. Ka ngaro te ngāwari o te rekereke, ā, ka pakari te waewae. |
| Wāhanga 4 | Koinei te mate tino kino. Kua hē te āhua o te pona me te waewae. Ka taea e tēnei mate te whanake hei mate rumatiki o te pona. |
He aha i puta ai tēnei āhuatanga?
Whakaarohia tō hinganga ohorere. I roto i tētahi aituā nui pēnei, ka pakaru, ka pupuhi rānei tēnei hononga. Hei tāpiri, ko te whakamahi nui rawa tētahi o ngā tino take. He nui ake tēnei mōrearea mō te hunga e takaro ana i ngā hākinakina pēhanga teitei pēnei i te tēnehi, te whutupaoro, te poitūkohu, me ngā oma tawhiti. Ina pakaru, ina pupuhi rānei te hononga, ka tīmata mārire te hinga o te piko o te kapu o te waewae.
Hei tāpiritanga, he maha atu anō ngā āhuatanga mōrearea :
- Momona: Ka piki ake te pēhanga ki ngā waewae i te nui haere o te taumaha o te tinana.
- Te toto toto tiketike (hypertension)
- Mate huka
- Te whakamahinga o ngā rongoā steroids
- Ngā pokanga o mua i taua rohe
- Ngā mate rumatiki pērā i te mate a Reiter
- Ngā mahi e tino pāngia ai ngā waewae, pērā i te oma ki runga puke
- Ka ngoikore haere tēnei raina makawe i te kaumātuatanga (ina koa mō ngā wāhine neke atu i te 40 tau te pakeke).
Kei a koe anō ēnei tohu? Ngā tohu PTTD
Ko ngā tohu matua ko te mamae me te pupuhi i te taha o roto o te waewae me te pona. Ka kino rawa atu tēnei mamae ina tū, ina hikoi rānei.
Hei tāpiri, ka puta pea ēnei tohu:
- Ka ngaro te āwhata o te waewae, ka papatahi.
- Te kore e taea te tū i runga i ngā māhunga waewae.
- Te uaua ki te hikoi i runga i te whenua koretake.
- Te uaua ki te piki me te heke i ngā arawhata.
- Te mau i te hū i te waewae kotahi he rerekē i te waewae kē.
- Te hurihuri o te pona waewae ki roto.
- Ka taea hoki e ngā waewae papatahi te pēhi i te taha waho o te pona, ka mamae ai hoki.
- Ka tīmata te waewae me ngā matimati ki te tahuri ki waho.
Me pēhea te whakaū a te tākuta mēnā he PTTD tēnei?
Ina haere koe ki te tākuta, ka pātai tuatahi ia ki a koe mō ō tohumate, ā, ka āta tirotirohia tō waewae me tō pona. Tērā pea ka tukuna koe ki tētahi taote pokanga waewae me tō pona.
I te nuinga o te wā ka mahia he maha o ngā whakamātautau penei:
- Whakamātautau Whakaara Rekereke Waewae Kotahi: I konei, ka tonoa koe kia tū me tō tuara e anga ana ki te pakitara, kia hiki ake tō waewae pai, ka hiki ake i tō waewae e pāngia ana me ō matimati. I te nuinga o te wā, ka hurihuri te rekereke ki roto ina mahi koe i tēnei. Ki te kore, he tohu pea tēnei o te PTTD. I te wāhanga tuarua o te mate, kāore pea koe e taea te mahi i tēnei ahakoa kotahi.
- "Tohu tini ngā mātiti waewae": Koinei te wā e tū ai te tākuta i muri i a koe, ka titiro ki ō waewae. I te nuinga o te wā, ina titiro koe ki tētahi i muri, ko te mātiti waewae iti me tētahi wāhanga iti o te mātiti waewae kei tua atu ka kitea e koe. Heoi, nā te mea he papatahi ngā kapu o te tangata whai PTTD, ā, kua tahuri ki waho ngā mātiti waewae, he nui ake ngā mātiti waewae e kitea ana i muri i a rātou i te mea noa .
Haunga ēnei whakamātautau, ka tūtohu pea tō tākuta i ngā whakamātautau pēnei i te hihi-X, te MRI, te Ultrasound, te CT scan rānei hei whakaū i te āhua me te aromatawai i te whānuitanga o te kino.
He aha ngā maimoatanga mō tēnei?
Ko te mea pai ko te kite wawe i tēnei mate . Kātahi ka nui ake te tūponotanga ka taea te rongoā i tēnei mate, kāore he pokanga. Mā tō tākuta e whakatau te rongoā i runga i te kaha o ō tohumate.
Ngā maimoatanga kore-pokanga
| Tikanga maimoatanga | He aha te mea e tupu ana? |
|---|---|
| Te aukati i te nekehanga | E rua marama pea ahau e mau ana i te rimurapa, i te pūtu hikoi motuhake rānei ki tōku waewae. Ka āwhina tēnei ki te whakaiti i te pupuhi, ā, ka āwhina hoki i te whakaora o te uaua. |
| Ngā whīwhiwhi (tautoko motuhake) | Ka hoatu he whitiki pona waewae ritenga ki a koe hei mau hei tautoko i tō pona me tō waewae. |
| Ngā rongoā | Tērā pea ka tohua e tō tākuta he rongoā whakamamae mamae pērā i ngā rongoā anti-inflammatory kore-steroidal (NSAID) (hei tauira, ibuprofen) hei rongoā mō te mamae me te pupuhi. Engari kia maumahara, kaua e whakamahi tonu i tētahi rongoā me te kore he tohutohu a tō tākuta. |
| Te whakaora tinana | Ka whakaratohia he korikori tinana me te okiokinga e tika ana hei whakapakari i ngā uaua me ngā hononga e karapoti ana i te wāhi e pāngia ana. |
| Ngā mahi tiaki tinana | He taputapu hauora ēnei e taunakihia ana e ngā tākuta. He mea pēnei i ngā takahanga motuhake (ngā whakaurunga hū) e whakanohoia ana ki roto i ngā hū. Ka tautokohia e ēnei te piko o te takahanga me te āwhata o te waewae. |
Pokanga
Ki te kore te mamae e pai ake i muri i te ono marama o te maimoatanga kore-pokanga, ka whakaarohia pea e tō tākuta te pokanga. Ko te pokanga tino tika ka whakawhirinaki ki te wāhi o te mamae me te nui o te kino ki te hononga. Ko ētahi o ēnei ko:
- Tenosynovectomy: Te tango me te horoi i te kiko mumura huri noa i te uaua.
- Osteotomy: Te hanga anō i te wheua rekereke.
- Te whakawhiti uaua: Te tango i tētahi wāhanga o te uaua hauora mai i tētahi atu wāhanga o te tinana ka whakatō ki roto i te uaua kua pakaru.
- Arthrodesis: Ko te honohono o ngā wheua e rua, neke atu rānei, hei aukati i te nekehanga o te hononga e pāngia ana.
Kia pēhea te roa e ora ai?
He mate mamae te PTTD. E hia pea ngā marama ka ora katoa. I roto i tēnei wā whakaora, me huri e koe tō mahinga o ia rā , me tino tupato hoki i mua i te hokinga atu ki tō oranga noa. He mea tino nui kia tino whai i ngā tohutohu a tō tākuta.
Karere Tangohia ki te Kāinga
- Ko te mamae i te taha o roto o te waewae, i te taha o te pona, me ngā waewae papatahi ngā tohu matua o te PTTD. Kaua rawa ēnei e warewaretia.
- Ki te pā mai ēnei tohu, me toro atu ki te tākuta tonu . Ki te kitea wawetia, ka taea te whakaora me te kore pokanga.
- He nui ake tēnei mōrearea mō te hunga whai mate pēnei i te mate huka, te toto toto tiketike, me te momona. Nō reira, he mea nui kia whakahaerea hoki ēnei mate.
- Me whai i te maimoatanga (okiokinga, whakakori tinana, rongoā) i whakaritea e tō tākuta. Kaua e tango rongoā i a koe anō.
- Kia manawanui i te wā e ora ana koe. He mea tino nui kia hoatu e koe te wā e hiahiatia ana e tō tinana hei whakaora.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 🦵 He aha tēnei wheua 'Tibia'? Kei hea ia e tū ana?
Ko te tibia te wheua matua kei mua o tō tātou waewae, i raro i te turi. I te reo Sinhala, ka kiia hoki ko te wheua shin. I roto i tēnei wheua, ka rere iho tētahi uaua nui (Posterior Tibial Tendon), e āwhina ana ki te pupuri i te āwhata o tō tātou waewae kia tika.
💬 🦶 He aha te mamae i pā mai i te wheua o taku paparinga (wheua tibia) tae noa ki te kapu o taku waewae?
He maha ngā wā ka puta mai tēnei i te raruraru o te Posterior Tibial Tendon (PTTD). Kei roto i te wheua tibia tēnei uaua. Ina ngoikore, ina whara rānei tēnei uaua, ka ngaro pea te āwhata o te waewae, ā, ka papatahi te waewae. Koia te take ka mamae koe mai i te wheua o te waewae tae noa ki raro ki te kapu o te waewae.
💬 👟 He aha ngā mea ka taea te mahi mō te mamae e puta mai ana i te wheua tibia me ngā waewae papatahi?
Tuatahi, ka taea e koe te whakangā i te waewae, ka pania he hukapapa. I te nuinga o te wā, me whakamahi koe i ngā hu motuhake (orthotics) hei tautoko i te āwhata o te waewae. Mena ka mau tonu te mamae, me toro atu koe ki te tākuta kia mōhio ai mēnā he mate PTTD.
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