Kulu wāwae

'O ka hāʻule wāwae ke loaʻa iāʻoe kahi pilikia e hāpai i mua o kou wāwae. E huki paha kēia iā ʻoe i kou wāwae ke hele ʻoe. ʻO ka hāʻule wāwae, i kapa ʻia he wāwae wāwae, hiki ke kumu ʻia e kahi pilikia me nā mākala, nā ʻalolo, a i ʻole ka anatomy o kou wāwae a me kou wāwae.

ʻAʻole kū ka wawae wawae iā ia iho. He hōʻailona ia o kekahi maʻi ʻē aʻe. Hiki ke kumu i nā kulu wāwae e kekahi mau kūlana olakino.

ʻO ke kumu maʻamau o ka hāʻule ʻana o ka wāwae he ʻeha nerve peroneal. ʻO ke aʻalolo peroneal kahi lālā o ke aʻalolo sciatic. Hāʻawi ia i ka neʻe a me ke ʻano i ka wāwae lalo, ka wāwae, a me nā manamana wāwae.

Hiki i nā kūlana e hoʻopili i nā aʻalolo a me nā mākala i ke kino ke alakaʻi i ka hāʻule o ka wāwae. Pākuʻi ʻia lākou:

• Neuropathy ākea. ʻO ka maʻi diabetes ke kumu maʻamau o ka neuropathy ākea
• ʻO ka dystrophy muscular, kahi hui o nā maʻi e kumu i ka nāwaliwali o nā mākala a me ka nalo ʻana o nāʻiʻo muscle.
• ʻO ka maʻi Charcot-Marie-Tooth kahi maʻi hoʻoilina i pili i nā ʻalolo ākea
• Hoʻokumu ʻia ka polio e kahi maʻi, a hiki ke hoʻonā i ka nāwaliwali o nā mākala a me ka maʻi lōlō

Hiki i nā maʻi o ka lolo a me ke kuamoʻo ke kumu i ka nāwaliwali o nā mākala a me ka lōlō a hoʻokomo pū i:

• Hahau
• ʻO Amyotrophic lateral sclerosis (ALS)
• Sclerosis lehulehu

Hiki i ke kulu wāwae ke hana i nā pilikia i ka hele wāwae ʻana. Ma muli o ka hikiʻole iāʻoe ke hāpai i mua o kou wāwae, ponoʻoe e hāpai i kou wāwae i kiʻekiʻe ma mua o ka mea maʻamau e hana i kahiʻehi e pale i ke kauōʻana i kou manamana wāwae a me ka wāwae wāwae. E kani paha ka wāwae i ka wāwae i ka wā e ku ana i ka honua. Kapa ʻia kēia he ala hele wāwae.

Ke hilinaʻi nei i ke kumu o ka hāʻule ʻana o ka wāwae, ʻike paha ʻoe i ka helu a i ʻole ke kani ʻana ma ka piko o kou wāwae a i ʻole shin. Hiki ke hāʻule ka wāwae wāwae i hoʻokahi a ʻelua mau wāwae paha, kaukaʻi ʻia i ke kumu.

E hana kāu mea mālama ola i kahi hoʻokolohua kino, i hōʻike ʻia:

• ʻO ka nalowale o ka kaohi muscle i nā wāwae o lalo a me nā wāwae
• Atrophy o ka wāwae a i ʻole nā ​​mākala wāwae
• Hāpai ka paʻakikī i ka wāwae a me nā manamana wāwae

E kauoha paha kāu mea hāʻawi i hoʻokahi a ʻoi paha o nā hōʻike aʻe e nānā i kou mau mākala a me nā ʻalolo a hoʻoholo i ke kumu.

• Electromyography (EMG, kahi hōʻike o ka hana uila i nā mākala)
• Nā ho'āʻo conduction nerve e ʻike ai i ka wikiwiki o nā neʻe uila e neʻe ma waena o kahi nerve āpau)
• Nā hoʻokolohua kiʻi e like me MRI, X-ray, CT scans
• ʻO ke ultrasound nerve
• Nā hoʻāʻo koko

ʻO ka mālama ʻana i ka hāʻule o ka wāwae kaukaʻi ʻia i ka mea ke kumu. I kekahi mau hihia, ʻo ka mālama ʻana i ke kumu e hoʻōla ai hoʻi i ke kulu wāwae. Inā he maʻi mau a hoʻomau paha ke kumu, paʻa mau paha ke kulu wāwae.

Pōmaikaʻi paha kekahi poʻe i ke ʻano hoʻoikaika kino a me ka ʻoihana hana.

ʻO nā hana kūpono e pili ana paha:

• Hoʻopili, pale, a i ʻole nā ​​mea hoʻokomo kāmaʻa e kōkua i ke kākoʻo i ka wāwae a mālama iā ia i kahi kūlana maʻamau.
• Hiki i ke olakino kino ke kōkua i ka hoʻolōʻihi a me ka hoʻoikaika ʻana i nā mākala a kōkua iā ʻoe e hele maikaʻi.
• Hiki ke kōkua i ka hoʻonāukiuki ʻana i ke aʻalolo e hoʻopaʻa hou i nā aʻalolo a me nā mākala o ka wāwae.

Pono paha ke ʻoki e hoʻomaha i ke kaomi ma ke aʻa a i ʻole e hoʻāʻo e hoʻoponopono. No ka kulu wāwae wā lōʻihi, e ʻōlelo paha kāu mea hāʻawi i ka fusing ʻana i ka kuʻekuʻe wāwae a i ʻole nā ​​iwi wāwae. A i ʻole hiki iā ʻoe ke hōʻoki i ke kahena. I kēia, hoʻoneʻe ʻia kahi kuhi hana a me nā mākala i kahi ʻāpana ʻokoʻa o ka wāwae.

Maikaʻi kou ola ʻana e pili ana i ka hopena o ka hāʻule o ka wāwae. E hele pinepine ka hele a ka wāwae wāwae. Inā ʻoi aku ke koʻikoʻi o ke kumu, e like me ka hahau ʻana, ʻaʻole ʻoe e ola loa.

Kāhea i kāu mea mālama ola inā pilikia ʻoe i ka hele wāwae ʻana a i ʻole ka kaohi ʻana i kou wāwae:

• Kauo kou manamana wāwae i ka papahele i ka wā e hele wāwae ana.
• Loaʻa iā ʻoe kahi ala hele wāwae (ka hele wāwae i kahi kani a kēlā me kēia ʻanuʻu)
• ʻAʻole hiki iā ʻoe ke hoʻopaʻa i mua o kou wāwae.
• Ua hoʻohaʻahaʻa ʻoe i ke ʻano, numbness, a me ke kani ʻana i kou wāwae a me nā manamana wāwae.
• Loaʻa kou kuʻekuʻe wāwae a wāwae paha.

ʻEha ʻeha o Peroneal - hāʻule wāwae; Pā palu wāwae; Neuropathy Peroneal; Holo wāwae

• ʻO ke kīnā ʻole o ke aʻalolo peroneal

Del Toro DR, Seslija D, King JC. Fibular (peroneal) neuropathy. I: Frontera WR, Silve JK, Rizzo TD, eds. Nā mea nui o ka lāʻau lapaʻau a me ka hoʻoponopono hou. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap75.

Katirji B. Nā maʻi o nā aʻa ākea. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 107.

ʻO Thompson PD, Nutt JG. Nā maʻi Gait. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 24.