No Ankle Bursitis: He aha ia a he aha e hana ai

Anter

• Ankle bursa
• Nā kumu o ka bursitis i ka kuʻekuʻe wāwae
• Bursae ʻē aʻe
• Nā ʻōuli o ka wāwae wāwae bursitis
• Pehea e hōʻoia ai ka ankle bursitis?
• Ke mālama nei i ka bursitis ankle
• Ka pale ʻana i ka bursitis ankle
• ʻO ka lawe lawe ʻana

Iwi kuekue wāwae

Hoʻokumu ʻia kou kuʻekuʻe wāwae i ka hui pū ʻana o nā iwi ʻehā. ʻO ka iwi kuʻekuʻe ponoʻī ua kapa ʻia ʻo ka talus.

E noʻonoʻo eʻaʻahu anaʻoe i kahi mau sneakers. E kū ka talus ma kahi kokoke o ke alelo sneaker.

Hoʻokomo ka talus i loko o ʻekolu mau iwi ʻē aʻe: ka tibia, fibula, a me ka calcaneus. ʻO nā iwi ʻelua o kou wāwae haʻahaʻa (tibia a me fibula) e hana i nā kumu e kīʻaha ai a puni ka ʻaoʻao o ka talus. Hoʻopili ka ʻaoʻao haʻahaʻa o ka talus i ka iwi kuʻekuʻe (calcaneus).

Ankle bursa

ʻO kahi bursa kahi ʻeke piha piha i ka wai e cushions a lubricates i nā iwi ke neʻe lākou.

Aia kekahi bursa ma ka hope o kou wāwae, ma waena o kou iwi kuʻekuʻe (calcaneus) a me kou Achilles tendon. Hoʻopili kēia bursa a lubricates i ka kuʻekuʻe wāwae. Kapa ʻia ia ʻo bursa retrocalcaneal.

Ke hoʻā i ka retrocalcaneal bursa, kapa ʻia ke ʻano he retrocalcaneal bursitis a i ʻole Achilles tendon bursitis mua.

Nā kumu o ka bursitis i ka kuʻekuʻe wāwae

Kū ka wāwae wāwae i ka wā e wela ai ka bursae. Hiki i kēia ke hana ma lalo o ke koʻikoʻi mai ka neʻe ʻana a mai kahi ʻeha hopena paha, a i ʻole ke kaomi ʻana i kekahi mau kiko mai nā kāmaʻa kūpono ʻole.

Eia kekahi o nā mea i hiki ke kumu i ka bursae i hoʻā ʻia.

• e hoʻohana nui aʻe a kānana paha i ka kuʻekuʻe wāwae mai ka hana kino hou ʻana, e like me ka hele wāwae, ka lele ʻana, a me ka holo ʻana paha
• holo i uka me ka ʻole o ka hoʻolōʻihi kūpono ʻole a hoʻomaʻamaʻa paha
• kāmaʻa kāmaʻa maikaʻi ʻole
• ʻeha ma mua
• ʻōiwi wāwae
• gout
• maʻi ʻaʻai a septic bursitis paha
• rumatika
• ka hoʻonui ʻana i ka iwi kuʻekuʻe, i kapa ʻia ʻo Haglund deformity
• kuʻi pololei i kahi

Bursae ʻē aʻe

I kekahi manawa hiki i ke koʻikoʻi ma ka kuʻekuʻe wāwae ke kumu i kahi bursa hou e hana ma lalo o ka ʻili e pili ana i nā ʻāpana ʻē aʻe o ka ami kuʻekuʻe wāwae. Hiki i kēia mau bursae ke lilo i mea hoʻā, a hiki i ka wāwae o ka bursitis.

ʻO nā inoa a me nā wahi maʻamau no kēia mau bursae hou aʻe:

• Pākuʻi kālani subcutaneus. Hana kēia i ka hope o ka kuʻekuʻe, ma lalo o ka retrocalcaneal bursa. ʻO ka wela o kēia bursa ka mea nui i nā wahine ʻōpio e kau ana i nā kuʻekuʻe wāwae kiʻekiʻe. Kapa ʻia ʻo ia ʻo Achilles tendon bursitis ma hope.
• ʻO ka bursa lalo o malleolus medial. Hana kēia bursa i ka protrusion o loko o ka kuʻekuʻe wāwae kahi e pau ai ka iwi shin (tibia).

Nā ʻōuli o ka wāwae wāwae bursitis

Hiki ke ulu lohi i nā ʻōuli. E ʻeha paha ʻoe a puni ke kuʻekuʻe wāwae. ʻO kekahi mau mea ʻē aʻe e nānā ai ʻo:

• pehu o nā mea palupalu ma ka piko o ka iwi kuʻekuʻe
• ʻeha ke kau ʻia kaomi ma ke kua o ka kuʻekuʻe a i ʻole ke kuʻi ʻana i kou wāwae
• ʻeha ke kū ʻana ma luna o nā wīwae a i ʻole ke hilinaʻi ʻana i kou kuʻekuʻe wāwae
• leha i ka hele wāwae ʻana e pale i ka ʻeha o ke kau ʻana i ke kaumaha nui ma kou kuʻekuʻe wāwae
• ʻulaʻula (me ka hope Achilles tendon bursitis)
• ke kuni a me ka haʻalulu, he hōʻailona paha ia o ka maʻi

Pehea e hōʻoia ai ka ankle bursitis?

Kuhi ʻia ka ankle bursitis me kahi loiloi kino. E nānā ana kāu kauka no ka huehue ʻike ʻia a ʻike i ka kuʻekuʻe wāwae no ka ʻike i ka neʻe.

Hiki ke hoʻohana ʻia kahi X-ray e kāpae i ka haki a dislocation paha o ka ami kuʻekuʻe wāwae. ʻAʻole hōʻike nā mea palupalu o ka bursa ma kahi X-ray.

Kauoha paha kāu kauka i kahi scan MRI e ʻike inā pehu ka bursa.

Inā kānalua kāu kauka i kahi maʻi, pono paha lākou e hoʻohana i kahi syringe e hōʻiliʻili ai i ka wai mai ka bursa. Hana ʻia kēia me kahi anesthetic, a alakaʻi ʻia e CAT scan, X-ray, a i ʻole kiʻi ultrasound.

ʻO nā ankle bursitis a me Achilles tendinopathy he mau ʻōuli ʻōwili, a he hiki ke loaʻa nā mea ʻelua i ka manawa like. He mea nui ia e ʻike i kahi mea mālama ola e ʻike i ke kumu o kāu mau hōʻailona.

Ke mālama nei i ka bursitis ankle

Hoʻomaka ka lapaʻau me nā hana conservative:

• ʻO ka hau a hoʻomaha i kou kuʻekuʻe wāwae no nā lā mua ma hope o ka hoʻomaka ʻana o nā ʻōuli e hoʻemi i ka puhū.
• Lawe i nā NSAID e like me ka ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), a i ʻole nā ​​mea hōʻoluʻolu ʻeha kuhikuhi.
• E komo i nā kāmaʻa lumi, ʻoluʻolu.
• E noʻonoʻo i ka hoʻokomoʻana i nā kāmaʻa no ka paleʻana i ka hakakā ma nā helu kuni.

E heluhelu e pili ana i ka hana ʻana a me ka hoʻohana ʻana i kahi pāomi anu.

Kauoha paha kāu kauka i ka lāʻau hoʻoikaika kino e kōkua i ka hōʻemi ʻana i ka ʻeha i nā wā mua o ka mālama ʻana a ma hope e kōkua i ke ola ʻana.

Inā ʻaʻole pane ka kuʻekuʻe wāwae i kēia mau ana, hiki i kāu kauka ke koi aku i ka injection o ka bursa me ka corticosteroid e hōʻoluʻolu i ka pehu. E hana ʻia kēia kaʻina hana me kahi anesthetic kūloko.

Ua hōʻike kekahi mau kauka i ka kūleʻa i ka hoʻomaikaʻi ʻana i ka pololei o ka hoʻopili ʻana o corticosteroid ma o ka hoʻohana ʻana i ke kiʻi ultrasound e alakaʻi ai i ke kau ʻana o ka nila.

Inā hōʻike nā hōʻike i kahi maʻi i loaʻa (septic bursitis), e kauoha ana kāu kauka i nā antibiotic kūpono.

Ka pale ʻana i ka bursitis ankle

ʻO kēia nā mea nui hiki iā ʻoe ke hana e pale aku i ka wāwae wāwae:

• E hoʻolōʻihi a hoʻomehana mau ma mua o ka hoʻoikaika kino, kekahi ʻano haʻuki, a i ʻole ka hana ikaika.
• E komo i nā kāmaʻa kūpono e hāʻawi iā ʻoe i ke kākoʻo a ʻaʻole paʻa loa a hoʻokuʻu nui paha.
• Hōʻalo i nā neʻe hikiwawe a me ka piʻi koke ʻana o nā kaupaona i ka hana ʻana.

He mea nui kēia mau akahele inā e hoʻonui anaʻoe i kāu pae hana a me ka manawa i lilo i kou mau wāwae. He mea nui loa lākou inā ʻoe e pāʻani i kahi haʻuki e pili ana i ka hopena kiʻekiʻe i kou mau wāwae, e like me ka kinipōpō hīnaʻi, ke kinipōpō hīnaʻi, ka tennis, a me ka holo ʻana. Pili lākou i ka hoʻomaʻamaʻa kaumaha no nā wāwae.

ʻO ka lawe lawe ʻana

Inā hoʻomohala ʻoe i kahi kuʻekuʻe wāwae, e mālama pono ia. Mai nānā ʻole i ka ʻeha - mahalo. Ke haʻi aku nei iā ʻoe ua hewa kekahi mea. ʻO ka mālama mua ʻana iā ʻoe e hoʻi i kou mau wāwae a hoʻi i kāu hana punahele ma mua o ka nānā ʻole ʻana iā ia. ʻOi aku ka maikaʻi o ka mālama conservative e like me ka hoʻomaha a me nā anti-inflammatories inā ʻoe e hana koke.