He aha te whara o te pona waewae?
He mate noa te whāwhā o te pona waewae i roto i ngā whare hauora, ā, ko te nuinga o ngā whara o ngā hononga me ngā hononga. Ko te hononga pona waewae, te hononga matua o te tinana e amo ana i te taumaha e tata ana ki te whenua, he mahi nui tāna i roto i ngā mahi o ia rā me ngā hākinakina. Ko ngā whara o te hononga e pā ana ki ngā whāwhā o te pona waewae ko ērā e pā ana ki te hononga talofibular o mua, te hononga calcaneofibular o te pona waewae o waho, te hononga medial malleolar deltoid, me te hononga tibiofibular transverse o raro.
Ngā tohu
Ko ngā āhuatanga haumanu o te whara o te pona waewae ko te mamae tonu me te pupuhi i te wāhi, ā, muri iho ka puta te rerekētanga o te kiri. Tērā pea ka kore e taea te nekeneke i ngā wā kino nā te mamae me te pupuhi. I roto i te whara o te pona waewae taha, ka nui ake te mamae i te wā e neke ana te waewae. Ina whara te hononga o te waewae deltoid, ka nui ake ngā tohu mamae mā te ngana ki te valgus o te waewae. Tērā pea ka whakamama i te mamae me te pupuhi, engari ka taea e ngā hononga wetekina te arahi ki te kore pumau o te pona waewae me te whara tonu.
Tātaritanga
★Hītori hauora
He whara pona waewae tō te tūroro, he whara tuatahi, he whara hoki e hokihoki mai ana.
★Tohu
Ko ngā tohu o te pona waewae kua whāwhatihia he kino ake i te nuinga o te wā, he nui te mamae me te pupuhi, tera pea ka takahē te pona waewae, tera pea ka piko te pona waewae ki roto, ā, ka taea e koe te rongo i ngā ira ngawari i te hononga o waho o te pona waewae.
★Whakamātautau whakaahua
Me tirotiro tuatahi te pona waewae ki ngā hihi-X anteroposterior me lateral kia kore ai he whati. Kātahi ka taea te whakamahi i te MRI hei aromatawai anō i ngā whara o te hononga, te capsule hononga, me te cartilage hononga. Ka whakatauhia te wāhi me te kaha o te whara o te pona waewae i runga i ngā tohu ā-tinana me te whakaahua.
Me pēhea te rongoā i te tuke tēnehi mā te whakamahi i ngā hua whakaora hiko?
Ko te tikanga whakamahi motuhake koia tēnei (aratau TENS):
①Whakatauhia te nui o te iahiko tika: Whakatikatikahia te kaha o te iahiko o te taputapu hiko TENS i runga i te nui o te mamae e pā ana ki a koe me te mea e pai ana ki a koe. Ko te tikanga, tīmata me te kaha iti, ka piki haere mārire kia tae rā anō ki te wā e pai ana te ahua.
②Te whakatakotoranga o ngā irahiko: Whakatakotoria ngā pāti irahiko TENS ki te wāhi e mamae ana, ki te taha rānei. Mō te whara o te pona waewae, ka taea te whakanoho ki ngā uaua e karapoti ana i tō pona waewae, ki runga ake rānei i te wāhi e mamae ana. Kia mau tonu te whakapiri o ngā pāti irahiko ki tō kiri.
③Kōwhiria te aratau tika me te auau: He maha ngā momo me ngā auau o ngā taputapu hiko TENS hei whiriwhiri. Mō te whara o te pona waewae, ka taea e koe te whakamahi i te whakaoho tonu, te whakaoho pāorooro rānei. Kōwhiria noa te aratau me te auau e pai ana ki a koe kia whiwhi ai koe i te whakamamae mamae pai rawa atu.
④Te wā me te auau: I runga i te mea e pai ana mōu, ko ia wāhanga o te hiko whakaora TENS me roa i waenga i te 15 ki te 30 meneti, ā, e taunakihia ana kia whakamahia 1 ki te 3 ngā wā i te rā. Ina urupare tō tinana, kaua e mangere ki te whakarerekē haere i te auau me te roa o te whakamahinga ina hiahiatia.
⑤Te whakakotahi me ētahi atu maimoatanga: Hei whakaora i te whara o te pona waewae, tera pea ka whai hua ake mēnā ka whakakotahi koe i te rongoā TENS me ētahi atu maimoatanga. Hei tauira, ngana ki te whakamahi i ngā kōpeke wera, te totoro ngawari i te pona waewae, te whakangāwari rānei i te tinana, te mirimiri rānei – ka taea e ēnei katoa te mahi tahi me te rangimarie!
Tīpakohia te aratau TENS
Ka piri tetahi ki te fibula lateral, ā, ka piri tetahi ki te ligament collateral lateral o te hononga pona.
Wā tuku: Hepetema-26-2023