Hāʻule Wāwae

Hāʻule wāwae, i kapa ʻia ʻo ka hāʻule wāwae, he huaʻōlelo laulā ia no ka pilikia i ka hāpai ʻana i ka ʻāpana mua o ka wāwae. Inā loaʻa iā ʻoe ka hāʻule wāwae, hiki paha i ka mua o kou wāwae ke huki i ka honua ke hele ʻoe.

ʻAʻole ia he maʻi ka hāʻule wāwae. ʻOi aku, he hōʻailona ia o kahi pilikia neurological, muscular a anatomical paha i lalo.

I kekahi manawa, he manawa pōkole ka hāʻule wāwae, akā hiki ke mau loa. Inā loaʻa iā ʻoe ka hāʻule wāwae, pono paha ʻoe e kau i kahi kāʻei ma kou kuʻekuʻe wāwae a me kou wāwae e kākoʻo i ka wāwae a hoʻopaʻa iā ia i kona kūlana.

Ke hō'ino nei ka hā'ule wāwae i ka hiki ke hāpai i ka māhele mua o ka wāwae, no laila e huki paha ia ma ka papahele i kou hele 'ana. No ke kōkua 'ana i ka wāwae e ho'oma'ema'e i ka papahele, hiki i ka mea i hā'ule ka wāwae ke ho'oki'eki'e i ka 'ūhā ma mua o ka ma'amau i ka hele 'ana, me he mea lā e pi'i ana i nā 'anu'u. Hiki i kēia 'ano hele 'ana ma'amau 'ole, i kapa 'ia 'o ka hele 'ana o ka 'anu'u, ke ho'opilikia i ka wāwae e pā i ka papahele me kēlā me kēia 'anu'u. I kekahi mau hihia, ua lokomaika'i ka 'ili ma luna o ka wāwae a me nā manamana wāwae. Ma muli o ke kumu, hiki i ka hā'ule wāwae ke ho'opilikia i ho'okahi a i 'ole nā ​​wāwae 'elua. Inā e huki ana kou mau manamana wāwae ma ka papahele i kou hele 'ana, e'ōlelo aku i kāu kauka.

Inā e hāpai ana kou mau manamana wāwae i ka papahele i kou hele ʻana, e kūkā me kāu kauka.

ʻO ka hāʻule wāwae ka hopena o ka nāwaliwali a i ʻole ka palupalu o nā ʻiʻo e komo ana i ka hāpai ʻana i ka ʻāpana mua o ka wāwae. ʻO nā kumu o ka hāʻule wāwae paha: ka hōʻeha ʻana o ka aʻalolo. ʻO ka kumu maʻamau loa o ka hāʻule wāwae ka hoʻokaumaha ʻana i kahi aʻalolo ma ka wāwae e kaohi ana i nā ʻiʻo e komo ana i ka hāpai ʻana i ka wāwae. ʻO kēia aʻalolo ka mea i kapa ʻia ʻo ka aʻalolo peroneal. Hiki i kahi hōʻeha nui o ke kuli ke alakaʻi i ka hoʻokaumaha ʻana i ka aʻalolo. Hiki nō hoʻi ke hōʻeha ʻia i ka wā o ka hana hoʻololi hip a i ʻole kuli, kahi e hiki ai ke kumu i ka hāʻule wāwae.

Kahi hōʻeha aʻalolo aʻa — "aʻalolo paʻa" — ma ke kua he kumu nō hoʻi ia o ka hāʻule wāwae. ʻOi aku ka maʻalahi o nā kānaka me ka maʻi diabetes i nā maʻi aʻalolo, kahi e pili ana i ka hāʻule wāwae.

Nā maʻi ʻiʻo a i ʻole aʻalolo. Hiki i nā ʻano like ʻole o ka muscular dystrophy, kahi maʻi hoʻoilina e kumu ana i ka nāwaliwali o nā ʻiʻo holomua, ke kōkua i ka hāʻule wāwae. Pēlā nō hoʻi me nā maʻi neurologic ʻē aʻe, e like me ka polio a i ʻole ka maʻi Charcot-Marie-Tooth.

Nā maʻi lolo a me ke kua. Hiki i nā maʻi e hoʻopilikia ana i ke kua a i ʻole ka lolo — e like me ka hahau, ka multiple sclerosis a i ʻole ka amyotrophic lateral sclerosis (ALS) — ke kumu i ka hāʻule wāwae.

• Ke kū lōʻihi nei. ʻO nā ʻoihana e pili ana i ka noho kuapo lōʻihi a i ʻole ke kūlou ʻana — e like me ka hōʻiliʻili ʻana i nā strawberry a i ʻole ke kau ʻana i nā tile papahele — hiki ke hopena i ka hāʻule wāwae.

ʻO ka hāʻule wāwae ka mea maʻamau i ʻike ʻia i ka wā o ka nānā kino. E nānā kou mea mālama ola iā ʻoe e hele a nānā i kou mau ʻiʻo wāwae no ka nāwaliwali. Hiki nō hoʻi i kāu mea hoʻolako ke nānā i ka ʻōʻiliʻili ma kou ʻūhā a ma luna o kou wāwae a me kou mau manamana wāwae.

• Nā kiʻi X-ray. Hoʻohana nā kiʻi X-ray maʻamau i kahi pae haʻahaʻa o ka radiation e ʻike i kahi ʻāpana palupalu a i ʻole kahi ʻeha iwi e hiki ke kumu i kou mau hōʻailona.
• CT scan. Hoʻohui kēia i nā kiʻi X-ray i lawe ʻia mai nā kihi like ʻole e hana i nā hiʻohiʻona ʻāpana o nā ʻano i loko o ke kino.

Ana ʻo Electromyography (EMG) a me nā haʻawina alakaʻi nerve i ka hana uila i nā ʻiʻo a me nā nerve. Hiki i kēia mau hoʻokolohua ke ʻoluʻolu ʻole, akā he mea pono lākou i ka hoʻoholo ʻana i kahi o ka pōʻino ma ke aʻa i pilikia.