Paina kuʻekuʻe wāwae: Nā ʻōuli i hoʻokaʻawale ʻia, a i ʻole ka hōʻailona o ka maʻi hānō?

Anter

• Nā ʻano o ke kuʻekuʻe wāwae
• Pākuʻi post-traumatic
• Rheumatoid arthritis
• Kānāwai
• ʻO ka hoʻāʻo hele
• Lapaʻau

ʻEha kuʻekuʻe wāwae

Ma muli o ke kuʻekuʻe wāwae ke kumu o ka ʻeha a me kekahi mea ʻē aʻe, hiki iā ia ke hoʻouna iā ʻoe i ke kauka e ʻimi nei i nā pane. Inā ʻoe e kipa aku i kāu kauka no ka ʻeha wāwae, e nānā lākou i ka ami kuʻekuʻe wāwae. ʻO kēia kahi e hoʻomaha ai ka tibia (shinbone) ma luna o ka iwi (luna wāwae o ka iwi).

Inā loaʻa ʻoe i ka maʻi kōā, loaʻa paha iā ʻoe:

• ʻeha
• palupalu
• pehu
• ʻoʻoleʻa
• hoʻemi i ke kaʻina o ka neʻe

Inā loaʻa iā ʻoe ka ʻeha, ʻike paha ʻoe i mua o kou kuʻekuʻe wāwae. Hiki i kēia hoʻoluhi ke paʻakikī iā ʻoe e hele wāwae.

Nā ʻano o ke kuʻekuʻe wāwae

Hoʻohui ka poʻe i ka hoʻopili ʻana me nā kuli, nā pūhaka, a me nā pulima, akā hiki ke hana ʻia i nā kuʻekuʻe wāwae. Ke kū i ka wīwī ma nā kuʻekuʻe wāwae, pinepine ia ma muli o kahi ʻeha kahiko, e like me ka hemo a i ʻole ka haki. Kāhea nā kauka i kēia "post-traumatic" arthritis.

ʻO kekahi kumu ʻē aʻe ʻo ka rheumatoid arthritis (RA), kahi e hoʻopili ai i ke kino holoʻokoʻa, e pili ana i kahi o nā kuʻekuʻe wāwae. ʻO ka osteoarthritis mua (OA), ka hopena ma muli o ka hoʻohaʻahaʻa a i ʻole "komo-a-waimaka" i ka hala ʻana o ka manawa, ʻaʻole loaʻa iki i nā kuʻekuʻe wāwae.

Pākuʻi post-traumatic

Hiki ke hoʻolohi i ka kuʻekuʻe kuʻekuʻe wāwae i kahi sprain nui, dislocation, a haki paha. E nīnau kāu kauka e pili ana i kēlā me kēia mōʻaukala o ka ʻeha. Hiki i kahi ʻōpala nui ke hōʻeha i ka cartilage a alakaʻi i ka paʻa ʻole o ka hui. Hiki i kēia ke hana i nā loli degenerative.

Hōʻike pinepine ʻia nā hōʻino ma nā X-ray i loko o ʻelua mau makahiki ma hope o ka ʻeha. He mau makahiki paha ia a ʻike ʻoe i ka ʻehaʻeha loa.

Rheumatoid arthritis

E nīnau paha kāu kauka e pili ana i ka ʻeha o nā hono ʻē aʻe. Hōʻike ka hōʻoluʻolu hou paha i ka mumuna ʻōnaehana, e like me RA.

Makemake paha kāu kauka e ʻike iā ʻoe e kū ana me ka wāwae ʻole e nānā i ka hoʻopili ʻana o kou wāwae. Hōʻike paha nā kāmaʻa o kou kāmaʻa i nā hiʻohiʻona ʻaʻahu. Hiki i kēia ke hōʻoia i nā pilikia kaulike e pili ana iā RA i kou kuʻekuʻe wāwae.

Kānāwai

No ke kuhikuhi ʻana i ka maʻi kō, e lawe kāu kauka i kāu mōʻaukala olakino a nīnau e pili ana i nā hōʻeha a me nā maʻi ma mua. E noi paha lākou i nā kukuna X. E lawe ka mea ʻenehana i nā kiʻi o kou kuʻekuʻe wāwae mai nā kihi he nui ke kū ʻoe. E nānā kahi radiologist i kāu kuʻekuʻe wāwae a me ka hoʻopili ʻana i kāu wahi hui.

E nānā pū kāu kauka i kou hele wāwae, ke aʻo ʻana i kāu cadence, ka wikiwiki, a me ka lōʻihi o ke ala. Hiki i kāu kauka ke koho pono inā loaʻa ʻoe i ka maʻi kōpaʻa ma muli o kēia mau hoʻāʻo a me nā ʻike.

Ke kamaʻilio pū nei me kāu kauka e hōʻike i nā hana e alakaʻi ai i nā kuʻekuʻe wāwae. Inā ʻeha ka hele wāwae i uka, hiki paha iā ʻoe ke loaʻa i ka maʻi o mua ma mua o kou kuʻekuʻe wāwae. Inā ʻeha ke kua o ka kuʻekuʻe wāwae ke hele ʻoe i lalo, e loaʻa paha i nā pilikia ka hope o ka ami.

ʻO ka hōʻoluʻolu ke hele ʻoe ma ka lepo kaulike e ʻōlelo paha i kahi kuʻekuʻe wāwae paʻa. He hōʻailona paha ia o nā pilikia i ka mahele subtalar, aia ma lalo o ka ami kuʻekuʻe wāwae. Hōʻike ka maʻalahi a me ka pehu ʻana i nā ligament nāwaliwali.

ʻO ka hoʻāʻo hele

ʻO ka hōʻike maʻa mau e pili iā ʻoe i ka hele wāwae ʻana a i ʻole ka holo ʻana ma luna o kahi wīwī ʻoiai ke nānā nei kāu kauka. Pehea kou wāwae e pā ai i ka honua a haʻi i kahi moʻolelo. ʻO kahi laʻana, inā kapu ʻia kou neʻe wāwae, hiki iā ʻoe ke hāpai i kou kuʻekuʻe mai ka papahele i mua a kūlou i kou mau kuli i kahi ʻano choppy.

E nānā kāu kauka a i ʻole ka loea o ke kuamoʻo i ka hoʻololi o kou wāwae e pili ana i kou wāwae haʻahaʻa. E hāʻawi ana kāu laulima lalo i ka hoʻohālikelike i nā hōʻailona e pili ana i ka maikaʻi o kāu hana, nā kuli, a me nā kuʻekuʻe wāwae.

Lapaʻau

Inā loaʻa iā ʻoe ka maʻi kuʻekuʻe wāwae, pono ʻoe e hoʻomaha i kou kuʻekuʻe e hoʻoliʻiliʻi i ka ʻeha. Inā ʻoluʻolu ʻoe i ka hoʻoikaika kino, hiki i kāu kauka ke koi aku i ka ʻauʻau a me ke kaʻa kaʻa, i mea e pale ai i kou kuʻekuʻe wāwae.

Hāpai ka kuʻekuʻe wāwae liʻiliʻi ʻelima mau manawa i ke kaumaha o kou kino i kēlā me kēia ʻanuʻu, no laila hiki ke kōkua i ka hoʻēmi kino.

ʻO nā lāʻau kekahi i maʻa mau i ka mālama ʻana i ka maʻi kō. Koi paha kāu kauka i ka aspirin, naproxen, a i ʻole ibuprofen. No ka mea ʻoi loa o ke kuʻi, hiki iā lākou ke kuhikuhi iā ʻoe i nā lāʻau antirheumatic (DMARD) e hoʻololi ai i ka maʻi.