He aha te waewae whati? Tohutohu, Take, me te Maimoatanga

Ko te waewae whati te whati i tetahi, neke atu rānei o ngā wheua e hanga ana i tō hononga waewae. Ka puta tēnei whara ina pakaru, whati rānei ngā wheua i roto i tō waewae, te nuinga mai i te oioi, te hinga, te pānga tika rānei.

Ko ō wheua waewae e toru ngā wheua e mahi tahi ana, ano he kōwae. Ko te tibia me te fibula mai i raro i ō waewae, me te wheua talus mai i ō waewae, e hono ana katoa ki te hanga i tēnei hononga nui. Ki te pakaru, whati rānei tetahi o ēnei wheua, kei a koe te mea e kiia ana e ngā tākuta he whati waewae.

He aha ngā tohu o te waewae whati?

Ka mōhio pea koe i te wa tonu kua puta he mea nui ki tō waewae. Ko te mamae mai i te waewae whati he mea tonu, he tino kaha, te nuinga ka whakaahuatia he koi, he pupuhi rānei.

Ko ēnei ngā tohu matua e whakaatu ana pea kua whati tō waewae:

• Te mamae nui e kaha ake ana ina ngana koe ki te whakanoho taumaha ki runga i tō waewae
• Te pupuhi e tere ana te puta mai i te taha o te waewae
• Te whero e puta mai pea i te wa tonu, i roto i ngā haora rānei
• Kei te ahua kīhai tō waewae, kei te noho rānei i te kokonga ke
• Kāore e taea e koe te mau i tetahi taumaha ki runga i taua waewae, kāore he mamae nui
• Te ngenge, te wiri rānei i roto i tō waewae, i ō maihao rānei
• He tangi ngākau, he pupuhi rānei i te wā i puta ai te whara

I etahi wā, ka raru pea ngā tohu, no te mea ka rite pea te mamae o te kōkī nui ki te waewae whati. Ko te rerekētanga matua ko te kaha o te mamae me tō kore e taea te haere noa. Ki te whakaaro koe kei te whati, he pai tonu te tirotiro.

I etahi wā, ka kite pea koe i te mea e kiia nei he whati tuwhera, kei reira te wheua whati e pū mai ana i tō kiri. Ko tēnei he āwangawanga hauora e hiahia ana ki te tiaki tonu. Ka kite pea koe i te makariri o tō waewae, i te ma, i te pārera rānei, ā, koinei pea te tohu kua pā te rere o te toto.

He aha ngā momo waewae whati?

Kāore i rite katoa ngā whati waewae, ā, ko te mārama ki ngā momo rerekē ka āwhina i a koe ki te mohio pai ki te aha te mea kei te puta ki tō whara. Ka whakarōpū ngā tākuta i ngā whati waewae i runga i ngā wheua i whati me te kaha o te kino.

Ko ēnei ngā momo tino noa:

• Whati malleolus taha - ka whati te wheua waewae o waho (fibula)
• Whati malleolus waenganui - ka pā ki te wheua waewae o roto (tibia)
• Whati malleolus muri - ka pā ki te taha muri o te tibia
• Whati bimalleolar - ka whati e rua o ngā wheua waewae
• Whati trimalleolar - ka pā ki ngā wheua waewae e toru

Ko ngā whati ngāwari te tikanga kua pakaru te wheua engari kei te noho tonu, engari ko ngā whati neke atu ka puta ina neke atu ngā pīpī wheua i tō rātou tūnga noa. Ka titiro hoki ngā tākuta ki te pumau, ki te kore rānei te whati, e pā ana ki te ora o tō waewae me te maimoatanga e hiahia ana koe.

E whakaarohia ana he nui ake te kino o etahi whati i ētahi atu. Hei tauira, ko te whati trimalleolar, te nuinga o te wā e hiahia ana ki te pokanga, no te mea ka pā ki te pumau o te hononga waewae katoa. Ka whakamahi ngā tākuta i ngā X-rays me ngā CT scan i etahi wā ki te whakatau i te momo whati kei a koe.

He aha ngā take o te waewae whati?

Ko te nuinga o ngā whati waewae ka puta ina ka pēhia tō waewae ki tua atu i tō rōpū nekehanga noa. Ka taea tēnei i roto i ngā āhuatanga o ia rā, ā, kāore koe e hiahia kia kaitākaro ki te whiwhi i tēnei whara.

Ko ēnei ngā take tino noa:

• Te oioi, te pororaru rānei i tō waewae i te wā e haere ana, ina koa i runga i ngā papa koretake
• Ngā hinga mai i tetahi teitei, tae atu ki te taka noa i te taha o te ara
• Ngā whara hākinakina, ina koa i roto i ngā mahi e pīrangi ana ki te pī, ki te huri tere rānei
• Ngā aituā waka, ngā pakaru nui atu rānei
• Ngā pānga tika ki te waewae mai i ngā mea taimaha
• Te taka ki roto i te rua, i te pothole rānei kaore i te tūmanako

I etahi wā, ko te mea e whakaarohia ana he mea iti ka puta he whati. Ka whati pea tō waewae mai i te mea ngāwari penei i te taka i te taumata he, te mau rānei i tō waewae ki te wahi pakaru i te taha.

I roto i ngā āhuatanga onge, ka taea te whanake haere i ngā whati ahotea i te roa o te wā mai i ngā mahi ā-whakahoki. Ko ēnei he mea noa i roto i ngā kaiwhakahaere, i ngā tāngata rānei e noho roa ana i o rātou waewae. Kei reira hoki ngā whati mate e puta ana ina ngoikore ngā mate wheua i raro i ngā wheua waewae, ka nui ake te tupono ki te whati mai i te trauma iti.

Nōhea te haere ki te tākuta mō te waewae whati?

Me kimi e koe te tiaki hauora i te wa tonu ki te whakaaro koe kua whati pea tō waewae. Ahakoa ka taea e etahi whara waewae te tatari, me whakamātau tonu ngā whati kia kore ai e puta ngā raruraru, kia pai ai te ora.

Haere ki te rūma āwangawanga i te wa tonu ki te kite koe i ētahi o ēnei tohu whakatūpato:

• Kāore e taea e koe te whakanoho i tetahi taumaha ki runga i tō waewae, kāore he mamae nui
• Kei te ahua kīhai tō waewae, kei te piko rānei i te kokonga ke
• Ka taea e koe te kite i te wheua e pū ana i te kiri
• Kei te ngenge, te makariri rānei tō waewae, kei te ma, kei te kikorangi rānei
• I rongo koe i te pupuhi nui, i te pupuhi rānei i te wā i puta ai te whara
• He nui rawa te mamae, ka ngoikore rānei koe, ka ruaki rānei

Ahakoa ka iti ake te nui o ō tohu, he mea tika te tirotiro i roto i ngā haora 24 ki te raruraru koe ki te haere noa, ki te kore rānei e pai ake te mamae me te okioki me te huka.

Kaua e ngana ki te "haere noa" ki te tatari rānei kia pai ake. Ka taea e ngā whati waewae kore-maimoa te arahi ki ngā raruraru roa me te haere, te mate pūngāwerewere, me te mamae roa. Ko te maimoatanga wawe te nuinga o te wā ka arahi ki ngā hua pai ake.

He aha ngā take morearea mō te waewae whati?

Ahakoa ka taea e te tangata te whati i tōna waewae, ka taea e etahi take te nui ake te tupono o tēnei whara. Ko te mārama ki ēnei take morearea ka āwhina i a koe ki te tango i ngā mahi hei tiaki i a koe, engari kia mahara ko ngā aituā ka taea te puta ki te tangata katoa.

Ko ngā take e whakanui ana i tō morearea ko ēnei:

• Ko te neke atu i te 50, ina ngoikore noa ngā wheua
• Te osteoporosis, ētahi atu āhuatanga ngoikore wheua rānei
• Te whakauru ki ngā hākinakina nui penei i te pātene, te whutupōro, te skiing rānei
• Te whiwhi i ngā whara waewae o mua, te kore pumau waewae roa rānei
• Te taumaha nui, e whakanoho ana i te taumaha atu ki ngā hononga waewae
• Te tango i ētahi rongoā e pā ana ki te mātotoru o te wheua
• Te mate huka, te raruraru rere toto rānei

He iti ake te tupono o ngā wāhine ki te whiwhi i ngā whati waewae, ina koa i muri i te menopause ina he iti ake te mātotoru o te wheua. Ki te mahi koe i te mahi e hiahia ana ki te haere roa i runga i ngā papa koretake, ki te piki rānei, ka nui ake pea tō morearea.

Ka taea e etahi āhuatanga ira te ngoikore o ngā wheua, ahakoa he onge ēnei. Ka pā hoki te whakakī i te ora o te wheua, ka nui ake te tupono o ngā whati. Ko te rongo pai ko te nuinga o ēnei take morearea ka taea te whakahaere ma ngā huringa ora me te tiaki hauora tika.

He aha ngā raruraru pea o te waewae whati?

Ko te nuinga o ngā whati waewae ka ora pai me te maimoatanga tika, engari he mea nui te mārama ki ngā raruraru pea kia taea ai e koe te titiro ki ngā tohu whakatūpato. Ko te mohiotanga wawe me te maimoatanga o ngā raruraru ka taea te aukati i ngā raruraru roa.

Ko ēnei ngā raruraru pea:

• Te whanake o te mate pūngāwerewere i roto i te hononga waewae i muri i ngā tau
• Te mamae roa, te ngoikore rānei e kore e ora rawa
• Te mate, ina koa ki te hiahia koe ki te pokanga
• Ngā toto e hanga ana na te iti o te nekehanga
• Te kino o te io e puta ai te ngenge, te ngoikore rānei
• Ngā wheua e ora ana i te tūnga he
• Te kore hononga, kei reira ngā wheua e kore e ora tahi

Ko te morearea o ngā raruraru he nui ake te nuinga ki ngā whati nui ake, ki te whakaroa rānei te maimoatanga. Ko te whai i ngā tohutohu a tō tākuta, ina koa mo ngā herenga taumaha me te whakaora tinana, ka whakaiti i tō morearea o te whanake i ngā raruraru.

Ko etahi raruraru onge engari he kino ko te compartment syndrome, kei reira te pupuhi e tapahi ana i te rere o te toto, me te complex regional pain syndrome, e puta ai te mamae nui tonu. Me tiaki tonu ēnei. Ka tirotiro tata atu tō rōpū hauora ki a koe mo ētahi tohu o ngā raruraru i te wā e ora ana koe.

Me pēhea te aukati i te waewae whati?

Ahakoa kāore e taea e koe te aukati i ngā aituā katoa, kei reira ngā mahi whai hua ka taea e koe te tango hei whakaiti i tō morearea o ngā whati waewae. Ko te nuinga o ngā rautaki aukati e aro ana ki te pupuri i ngā wheua kaha me te karo i ngā āhuatanga kei reira ngā whara waewae e tino pā ana.

Ko ēnei ngā rautaki aukati whai hua:

• Kakahu i ngā kākahu tika me te tautoko waewae pai mō ō mahi
• Pupuri i tō kāinga kia mārama, kia kore ai e tūtaki
• Whakamahia ngā poutoko i runga i ngā kaupae me ngā pou hopu i roto i ngā ruma kaukau
• Pupuri i ngā wheua kaha ma te kai kōhatu me te hua D
• Whakahaerehia te whakakori tinana kia pai ai te taurite me te kaha o te wheua
• Kia tupato atu ki ngā papa huka, koretake rānei
• Whakakapihia ngā kākahu kua whakamahia kāore e tautoko pai

Ki te whakauru koe ki ngā hākinakina, ka taea e te whakangungu tika me te hangarau te tiaki i ō waewae. Whakaarohia ngā taura waewae, te tāpiringa rānei ki te pēnei koe i ngā raruraru waewae. Whakamahana tonu i mua i te mahi tinana, whakarongo ki tō tinana ina ngenge koe.

Mō ngā kaumātua, ka taea te awhina nui te whakangungu taurite me ngā kaupapa aukati hinga. Ko ngā tirotiro kanohi ā-whakahoki e whakarite ana ka taea e koe te kite i ngā āhuatanga mārama, ā, ko te arotake i ngā rongoā me tō tākuta ka taea te whakatau i ētahi mea ka pā pea ki tō taurite, ki te kaha o te wheua rānei.

Me pēhea te whakatau i te waewae whati?

Ko te whakatau i te waewae whati ka tīmata ma tō tākuta e tirotiro ana i tō whara me te uiui mo te āhua o te putanga. Ka titiro rātou ki tō waewae, ka ngawari te pā ki ngā wheua, ka whakamātau i tō kaha ki te neke i tō waewae me te mau i te taumaha.

Ko ēnei ngā taputapu whakatau matua:

• Te tirotiro tinana hei tirotiro i te kīhai, te pupuhi, me ngā tohu mamae
• Ngā X-rays mai i ngā kokonga maha hei kite i te wheua mārama
• CT scan mō ngā whati uaua e hiahia ana ki ngā whakaahua taipitopito ake
• MRI ki te whakaarohia te kino o te ngohengohe me te whati
• Ngā whakamātautau ahotea hei tirotiro i te pumau o te waewae

Ka whakamahi tō tākuta i te mea e kiia nei ko ngā Rūru o te Waewae Ottawa hei awhina i te whakatau mena e hiahiatia ana ngā X-rays. Ko ēnei ngā aratohu e titiro ana ki te wāhi o tō mamae me te haere rānei.

I etahi wā, ka tono pea tō tākuta i te scan wheua ki te whakaarohia e rātou he whati ahotea kāore e puta i runga i ngā X-rays noa. Ko te tukanga whakatau te nuinga o te wā he ngāwari, ā, ka mōhio pea koe ki te whati o tō waewae i roto i ngā haora torutoru o tō haerenga.

He aha te maimoatanga mō te waewae whati?

Ko te maimoatanga mō te waewae whati e whakahaeretia ana e ngā take maha, tae atu ki ngā wheua i whati, te neke atu rānei o ngā pīpī, me tō hauora whānui. Ko te whāinga tonu ko te awhina i ō wheua kia ora i te tūnga tika kia mahi noa ai tō waewae.

Ko ēnei ngā whiringa maimoatanga kore-pokanga:

• Te whakahoki tuwhera hei whakatika i ngā wheua neke atu, kāore he pokanga
• Te whakakakahu, te tautoko rānei hei pupuri i ngā wheua i te tūnga tika
• Ngā tokotu, ngā waka haere rānei hei karo i te whakanoho taumaha ki te waewae
• Ngā rongoā mamae me ngā rongoā anti-mumura
• Te whakaora tinana ina tīmata te ora

Ki te pumau tō whati, kei te noho tonu ngā wheua i te tūnga pai, ka hiahia pea koe ki te whakakakahu, ki te kākahu haere rānei. Ka mau pea koe i tēnei mō ngā wiki 6-8 i te wā e ora ana te wheua. Ka tango ngā tākuta i ngā X-rays ā-whakahoki kia mau tonu ngā mea katoa i te raina tika.

Ka hiahiatia te pokanga ina neke atu ngā wheua, ina whati ngā wheua maha, ina pā rānei te whati ki te pumau o te hononga. I te wā o te pokanga, ka taea e tō taote te whakamahi i ngā papa, i ngā wiri, i ngā rakau rānei hei pupuri i ngā wheua i te wāhi.

Me pēhea te whakahaere i te maimoatanga kāinga i te wā e ora ana te whati waewae?

Ko te whakahaere i tō ora i te kāinga he mahi nui ki te ora pai o tō waewae. Ko te whai i ngā tohutohu a tō tākuta ka āwhina i te whakarite i te hua pai rawa atu me te whakaiti i tō morearea o ngā raruraru.

Ko ēnei ngā rautaki tiaki kāinga matua:

• Pupuri i tō waewae kia teitei ake i te taumata ngakau i te wā e okioki ana
• Whakamahia te huka mō ngā meneti 15-20 i ngā wā maha i te rā hei whakaiti i te pupuhi
• Tangohia ngā rongoā rite tonu ki te tohu
• Pupuri i tō whakakakahu, kākahu rānei kia ma, kia maroke
• Whai i ngā herenga taumaha
• Me mahi ngā whakakorikori i tohua hei pupuri i te rere o te toto
• Tirohia ngā tohu o ngā raruraru penei i te nui ake o te mamae, te pupuhi rānei

I ngā rā tuatahi, ko te okioki tō mahi nui. Me whai kaha tō tinana hei whakaora i te wheua whati, na kaua e whakama i te ngāwari.

Ko te kai tika e tautoko ana i te ora o te wheua, na kia arotahi ki te whiwhi i te nui o te pūmua, te kōhatu, me te hua D. Kia makona te inu wai, kia karo i te whakakī, i te waipiro nui rānei, no te mea ka whakaiti ēnei i te ora o te wheua.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō ō haerenga ki te tākuta ka āwhina i te whakarite ka whiwhi koe i te hua pai rawa atu o ō hui, ā, kei te haere tonu tō ora.

I mua i tō hui, kohikohia ēnei korero:

• Tuhia te āhua o te putanga o tō whara
• Rārangihia ngā rongoā me ngā tāpiringa katoa e tangohia ana e koe
• Tātaihia ngā huringa i te mamae, te pupuhi, te nekehanga rānei mai i tō haerenga whakamutunga
• Whakaritea ngā pānui mo tō wa ora me ngā herenga
• Kawea mai tetahi ki a koe ki te hiahia koe ki te awhina ki te haere
• Kia rite ō kāreti inihua me tō whakaatu

Kaua e whakaroa ki te uiui mo tetahi mea kaore koe e mārama. Ko ngā pānui noa ko te wā ka taea e koe te hoki ki te mahi, ki ngā hākinakina rānei, ngā tohu e manukanuka ana koe, me te whakarereke i ngā mahi o ia rā.

Ki te raruraru koe ki tō whakakakahu, kākahu, tokotu rānei, whakahuahia tēnei i te wa tonu. I etahi wā, ka taea e ngā whakatikatika iti te whakarereke nui ki tō mārire me tō ora. Kei te hiahia tō rōpū hauora ki te awhina i a koe kia angitu, na kia kōrerohia ngā awangawanga, ngā raruraru rānei e pā ana ki a koe.

He aha te mea nui mō ngā waewae whati?

Ko te waewae whati he whara nui e hiahia ana ki te tiaki hauora tika, engari me te maimoatanga tika, ka ora pai te nuinga o ngā tāngata ka hoki ki ō rātou mahi noa.

Kia mahara ko te ora he wā, te nuinga o ngā wiki 6-12 mō te wheua kia ora, ka whai muri i te wā atu hei whiwhi i te kaha me te nekehanga katoa. Ka ora ia tangata i tōna tere ake, na kaua e whakataurite i tō ora ki ētahi atu, kaua e tere i te tukanga.

Ko te mea nui rawa atu ka taea e koe ko te manawanui ki a koe me te whakawhirinaki ki te tukanga ora. Ahakoa ka pouri, ka raru rānei te waewae whati ki tō oranga, ko te whai i te maimoatanga tika te nuinga o te wā ka arahi ki ngā hua pai. Kia pai te ngākau, whai i tō mahere maimoatanga, kaua e whakaroa ki te whakapā atu ki tō rōpū hauora mo ētahi awangawanga.

Ngā pānui noa e pā ana ki ngā waewae whati

P1: E hia te roa o te ora katoa o te waewae whati?

Ko te nuinga o ngā whati waewae e 6-8 wiki te roa mō te wheua kia ora rawa hei tango i te whakakakahu, i te kākahu rānei. Heoi, ko te ora katoa tae atu ki te kaha me te nekehanga katoa ka taea te roa atu i te 3-6 marama, ina koa ki te hiahia koe ki te pokanga. Ko tō wā ora e whakahaeretia ana e ngā take penei i tō tau, hauora whānui, te kaha o te whati, me te pai o tō whai i ngā tohutohu maimoatanga.

P2: Ka taea e au te taraiwa me te waewae whati?

Kaua e taraiwa i te wā kei roto koe i te whakakakahu, i te kākahu rānei, ina koa ki runga i tō waewae matau, ki te taraiwa rānei koe i te waka whakawhiti. Ahakoa he whati waewae maui, ka taea e te whakakakahu te whakaroa i te taraiwa haumaru. Ko te nuinga o ngā tākuta e tūtohutia ana te tatari kia mutu koe i te whakakakahu, ka taea te mahi i te mutu āwangawanga i mua i te hoki ki te taraiwa.

P3: Ka whanake pea te mate pūngāwerewere i muri i te waewae whati?

Ahakoa ko te mate pūngāwerewere he raruraru roa pea, kāore e puta ki te katoa e whati ana tōna waewae. Ko tō morearea he nui ake ki te pā te whati ki te mata hononga, ki te kore rānei ngā wheua i ora i te raina tika. Ko te whai i te maimoatanga tika me te mahi i te whakaora tinana i tohua ka whakaiti i tō morearea o te whanake i te mate pūngāwerewere i muri mai.

P4: Nōhea ka taea e au te hoki ki ngā hākinakina i muri i te waewae whati?

Ko te hoki ki ngā hākinakina te nuinga o te wā e 3-6 marama te roa i muri i te waewae whati, e whakahaeretia ana e te kaha o tō whati me ngā tono o tō hākinakina. Me whakaoti e koe te whakaora tinana me te whakaatu kua whiwhi anō tō waewae i te kaha, te pumau, me te rōpū nekehanga katoa i mua i te whakaae a tō tākuta mō ngā mahi hākinakina.

P5: He mea noa te pupuhi i ngā marama i muri i te ora o tō whati waewae?

Ka taea te pupuri i etahi pupuhi mō ngā marama maha i muri i te whati waewae, ina koa i te mutunga o te rā, i muri rānei i te noho roa i runga i ō waewae. Ko tēnei he mea noa te nuinga i te wā e ora tonu ana tō tinana me te whakarite. Heoi, ki te kaha te pupuhi, te mamae rānei, kei te kino ake i te pai ake, whakapā atu ki tō tākuta kia kore ai e puta ngā raruraru.