Ka pakaru te uaua o Achilles - muri i te tiaki
Ko te uaua Achilles e hono ana i ou uaua kuao kau ki to koiwi rekereke. Ka awhina ngatahi koe ki te turaki i to rekereke i te whenua ka piki ki runga i o maihao. Ka whakamahia e koe enei uaua me to uaua Achilles i a koe e hikoi ana, e oma ana, e peke ana.
Mena he roa rawa to uaua Achilles, ka pakaru, ka pakaru ranei. Mena ka pa ana tenei, akene:
- Ka rongo i te tangi, i te pakaru, i te tangi puoro ranei ka rongo koe i te mamae mamae i muri o to waewae, o to waewae ranei
- He raru ki te neke i to waewae ki te hikoi, ki te piki ranei i te arawhata
- Kia uaua te tu ki o maihao
- He maru, he pupuhi ranei to waewae, waewae ranei
- Ka rite ki te tuara o tou waewae i patua ki te pate
Ko te mea pea i whara koe i a koe:
- Ka ohorere ka pana to waewae mai i te whenua, mai i te hikoi ki te rere, ki te rere ranei ki runga
- I tutuki, kua hinga, kua tupono ranei tetahi aitua
- I purei i tetahi hakinakina penei i te tenehi poitūkohu ranei, he maha te tu me te huri koi
Ko te nuinga o nga whara ka kitea i te wa o te whakamatautau tinana. Akene me hiahiatia he tirotiro MRI kia kite koe he aha te roimata o te tarai Achilles i a koe. Ko te MRI tetahi momo whakamatautau atahanga.
- Ko te roimata haangai he mea pai tonu etahi o nga uaua.
- Ko te roimata kapi ka haehae katoa to taura kaore e piri nga taha e rua ki a raatau.
Mena kua tino haehae koe, akene me pokanga koe ki te whakatika i to uaua. Ka korerohia e to taakuta nga painga me nga huakore o te pokanga me koe. I mua i te pokanga, ka mau koe i te puutu motuhake kia kore ai koe e neke i to waewae o raro me to waewae.
Mo te roimata waahanga:
- Akene he hiahia pokanga koe.
- Tena ki te mahi pokanga, me kakahu e koe te kiripaka, ka huri ranei mo te 6 wiki. I tenei wa, ka tupu ngatahi to uaua.
Mena he hononga waewae to waewae, he whatiiti, he miihini ranei, ka kore koe e neke i to waewae. Ma tenei ka aukati i te whara ano. Ka taea e koe te hikoi i te wa e kii ana to taakuta he pai ki a koe.
Hei whakaora i te pupuhi:
- Whakanohia he kohinga tio ki te rohe i muri tonu o te whara.
- Whakamahia nga urunga hei hiki i to waewae ki runga ake i te taumata o to ngakau ina ka moe koe.
- Kia piki ake to waewae i a koe e noho ana.
Ka taea e koe te tango i te ibuprofen (penei i te Advil or Motrin), naproxen (penei i a Aleve me Naprosyn), i te acetaminophen (penei i te Tylenol) mo te mamae.
Kia mahara ki:
- Whakawhiti korero ki to kaiwhakarato hauora mena he mate ngakau koe, he mate ate, he toto toto nui, he mate whatukuhu, kua mate ranei koe i te puku o te puku, i te whakaheke toto ranei.
- Whakaarohia te whakamutu i te momi momi (ka pa te paowa ki te whakaora i muri o te pokanga).
- Kaua e hoatu ahipirini ki nga tamariki kei raro i te 12 tau.
- Kaua e tango i te kaikohuru mamae nui atu i te inenga kua tohua ki te pounamu na to kaiwhakarato ranei.
I tetahi wa ka ora koe, ka tono atu to kaiwhakarato ki a koe kia tiimata te neke i to rekereke. Akene ko tenei ka rite ki te 2 ki te 3 wiki te roa ranei o te 6 wiki i muri o to whara.
Ma te awhina o te whakaora tinana, ka taea e te nuinga o te iwi te hoki ki nga mahi noa i te 4 ki te 6 marama. I roto i te whakamaimoa a-tinana, ka ako koe i nga mahi whakaharatau kia kaha ai to uaua kuao kau, kia ngawari hoki to uaua Achilles.
Ka toro ana o uaua i te kuao kau, kia ata haere. Ano hoki, kaua e pupuhi, kaua hoki e whakamahi i te kaha nui ina whakamahia e koe to waewae.
Whai muri i te rongoa, ka nui ake te tuponotanga ki te whara koe i to uaua Achilles. Me matua:
- Me noho pai, kia totika hoki i mua o nga mahi whakangungu
- A ape i nga huu rekereke teitei
- Patai ki to kaiwhakarato mena he pai ki a koe te purei tenehi, poitūkohu, poitūkohu, me etahi atu hakinakina ka tu koe ka tiimata
- Whakamahia te whakamahana me te toro totika i mua o te waa
Karangahia to kaiwhakarato mena kei a koe etahi o enei tohu:
- Ko te pupuhi o te mamae o to waewae ranei, o to waewae, o to waewae ranei ka kino ake
- Tae papura ki te waewae, ki te waewae ranei
- Fever
- Te pupuhi i roto i to kuao kau me to waewae
- Te manawa poto, te uaua ranei o te manawa
Karangahia hoki to kaiwhakarato mena he paatai, he awangawanga ranei koe kaore e tatari kia tae mai ra ano to haerenga mai.
Haehae taura rekereke; Ka pakaru te uaua o te Calcaneal
Rose NGW, Green Green. Te rekereke me te waewae. I roto i: Walls RM, Hockberger RS, Gausche-Hill M, eds. Te rongoa ohorere a Rosen: Nga Kaupapa me nga Mahi Haumanu. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 51.
Sokolove PE, Barnes DK. Nga whara o te extensor me te flexor tendon i te ringaringa, i te ringaringa me te waewae. I roto i: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts me Hedges ’Nga Tikanga Haumanu mo te Maimoatanga ohorere me te Tiakitanga Tino. Ed 7. Philadelphia, PA: Elsevier; 2019: chap 48.
- Nga Tino Raru me Nga Mate