ʻO ka haki Metatarsal (koʻikoʻi) - mālama hope
Ua mālama ʻia ʻoe no ka iwi haʻi i kou wāwae. ʻO ka iwi i haki ua kapa ʻia ka metatarsal.
Ma ka home, e mālama pono i nā kuhikuhi a kāu kauka no ka mālama ʻana i kou wāwae haʻihaʻi e hoʻōla maikaʻi ia.
ʻO nā iwi metatarsal nā iwi lōʻihi i kou wāwae e hoʻopili i kou kuʻekuʻe wāwae i kou manamana wāwae. Kōkua pū lākou iā ʻoe i ke kūlike ke kū ʻoe a hele wāwae.
ʻO ke kuʻi koke a i ʻole wili koʻikoʻi o kou wāwae, a i ʻole hoʻohana nui ʻia, hiki ke hana i kahi haki, a haki hoʻi (ʻūhā) i kekahi o nā iwi.
ʻElima mau iwi metatarsal i kou wāwae. ʻO ka metatarsal ʻelima ka iwi o waho e hoʻopili i kou manamana wāwae liʻiliʻi. ʻO ia ka iwi metatarsal haʻi pinepine.
ʻO kahi ʻano haʻihaʻi maʻamau o ka ʻāpana o kou iwi metatarsal ʻelima kokoke loa i ka kuʻekuʻe wāwae ua kapa ʻia ʻo Jones haʻi. He haʻahaʻa kahe o ke kahe o kēia wahi o ka iwi. Hana paʻakikī kēia i ka hoʻōla.
Kū ka haki avulsion ke huki kahi tendon i kahi ʻāpana o ka iwi mai ke koena o ka iwi. ʻO ka haki avulsion ma ka iwi ʻelima metatarsal i kapa ʻia he "haʻihaʻi o ka mea hula."
Inā kūlike mau kou mau iwi (ʻo ia hoʻi ke hui nei nā wili haʻihaʻi), e hoʻokomo paha ʻoe i ka mea hoʻolei a i ʻole ʻūlū ʻia no 6 a 8 mau pule.
- ʻ toldlelo ʻia paha ʻoe ʻaʻole e kau i ke kaupaona ma kou wāwae. Pono ʻoe i nā koʻokoʻo a i ʻole nā kākoʻo ʻē aʻe e kōkua iā ʻoe e kaʻahele.
- Hiki paha iā ʻoe ke hoʻokau i kahi kāmaʻa kūikawā a kīʻaha paha i ʻae iā ʻoe e lawe i ke kaupaona.
Inā kūlike ʻole nā iwi, pono ʻoe i ke ʻoki kino. ʻO kahi kauka kauka (orthopedic surgeon) e hana i kāu ʻokiʻoki. Ma hope o ke kahakaha ʻana e komo ʻoe i ka mea hoʻolei no 6 a 8 mau pule.
Hiki iā ʻoe ke hōʻemi i ka pehu ʻana e:
- Ke hoʻomaha nei a kau ʻole i ka kau ma kou wāwae
- Ke hoʻokiʻekiʻe nei i kou wāwae
E hana i kahi ʻeke hau ma ke kau ʻana i ka hau i loko o kahi ʻeke ea a wahī ʻia i ka lole a puni.
- Mai hoʻokomo pololei i keʻeke o ka hau i kou ʻili. ʻO ke anuanu mai ka hau ka mea e hōʻino i kou ʻili.
- Hau i kou wāwae ma kahi o 20 mau minuke i kēlā me kēia hola ke ala ala no nā hola he 48 mua, a laila 2 a 3 mau manawa i ka lā.
No ka ʻeha, hiki iā ʻoe ke hoʻohana i ka ibuprofen (Advil, Motrin, a me nā mea ʻē aʻe) a i ʻole naproxen (Aleve, Naprosyn, a me nā mea ʻē aʻe).
- Mai hoʻohana i kēia mau lāʻau no 24 mau hola ma hope o kou ʻeha. Hiki iā lākou ke hoʻonui i ka makaʻu o ke kahe.
- E kamaʻilio me kāu kauka olakino ma mua o ka hoʻohana ʻana i kēia mau lāʻau inā loaʻa ʻoe i ka maʻi puʻuwai, ke koko kiʻekiʻe, nā maʻi puʻupaʻa, nā maʻi ate, a i ʻole loaʻa nā puʻuwai ʻōpū a i ʻole nā kahe kūloko i ka wā i hala.
- Mai lawe i ka mea i koi ʻia ma ka ʻōmole a i ʻole ʻoi aku ma mua o ka mea a kāu mea lawelawe e ʻōlelo ai.
I kou ola hou ʻana, e aʻo aku kāu mea lawelawe iā ʻoe e hoʻomaka i ka neʻe ʻana i kou wāwae. Ma hope koke iho o 3 mau pule a i ʻole 8 mau pule lōʻihi ma hope o kou ʻeha.
Ke hoʻomaka hou ʻoe i kahi hana ma hope o ka haki, kūkulu mālie. Inā hoʻomaka kou wāwae e ʻeha, kū a hoʻomaha.
ʻO kekahi mau hana hiki iā ʻoe ke hana e kōkua i ka hoʻonui i kou neʻe wāwae a me ka ikaika.
- Kākau i ka pīʻāpā i ka lewa a i ka papahele me kou manamana wāwae.
- Kuhi i kou manamana wāwae i luna a i lalo, a laila hohola a wili iā lākou. E paʻa i kēlā me kēia kūlana no kekona kekona.
- E kau i kahi lole ma ka papahele. E hoʻohana i kou manamana wāwae e huki mālie i ka lole iā ʻoe ke mālama ʻoe i kou kuʻekuʻe wāwae i ka papahele.
I kou ola hou ʻana, e nānā kāu mea hāʻawi i ke ola o kou wāwae. E haʻi ʻia ʻoe ke hiki:
- E hōʻoki i ka hoʻohana ʻana i nā koʻokoʻo
- Ua hoʻoneʻe ʻia kāu kime
- Hoʻomaka e hana hou i kāu mau hana maʻamau
Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli.
- ʻO ka pehu, ʻeha, numbness, a me ke kani ʻana i kou wāwae, kuʻekuʻe wāwae, a i ʻole ka wāwae e lilo i ʻino
- Huli poni kou wāwae a wāwae paha
- Fiva
Wāwae haʻihaʻi - metatarsal; Uha Jones; Haki ka hulahula; Haki wāwae
ʻO Bettin CC. Nā haki a me nā dislocations o ka wāwae. I: Azar FM, Beaty JH, eds. ʻO Campbell's Operative Orthopedics. 14th ed. Piladelapia, PA: Elsevier; 2021: chap 89.
Kwon JY, Gitajn IL, Richter M ,. Nā hōʻeha wāwae. I: Browner BD, Jupiter JB, Krettek C, Anderson PA, hua. Trauma skeletal: ʻepekema kumu, ka hoʻokele, a me ke kūkulu hou ʻana. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 67.
- Nā hōʻeha wāwae a me nā maʻi ʻole