Holo ka wāwae: nā ʻōuli, kōkua mua, mālama ʻana a me ka hoʻoponopono hou ʻana * ʻO Crossfit

ʻO nā wāwae ke kākoʻo o ke kino, a ʻo nā wāwae ke kākoʻo o nā wāwae. ʻO ka manawa pinepine, hoʻowahāwahā nā mea pāʻani i ka mea nui o ka wāwae olakino a me ka kuʻekuʻe wāwae i ka loaʻa ʻana o ka haʻuki maikaʻi loa, me ka ʻole o ke olakino a me ke olakino holoʻokoʻa. ʻO ka mea ʻoluʻolu ʻole ʻoiai ʻo nā hōʻeha liʻiliʻi i ka wāwae a me nā kuʻekuʻe wāwae hiki ke loaʻa nā hopena lōʻihi lōʻihi maikaʻi loa no ke olakino i ka wā e hiki mai ana. Pehea e loaʻa ai nā ʻeha o ka wāwae, he aha ka dislocation wāwae a pehea e ʻike ai, pale a mālama iā ia - e haʻi mākou iā ʻoe i kēia ʻatikala.

Kūkulu wāwae

ʻO ka wāwae kahi hana anatomical paʻakikī. Hoʻokumu ʻia ia ma luna o kahi iwi iwi, i kū ʻia e nā iwi, a me nā iwi manamana.

Kahua iwi

Mālama ka talus ma ke ʻano he "adaptor" ma waena o ka wāwae a me ka wāwae o lalo, ma muli o kona ʻano, e hāʻawi ana i ka neʻe o ka ami kuʻekuʻe wāwae. E moe pololei ia i ka iwi kuʻekuʻe.
'O ka iwi kuʻekuʻe ka mea nui e hana ana i ka wāwae. ʻO ia kahi hōʻailona iwi nui a me kahi kiko paʻa no nā mākia o nā mākala a me ka aponeurosis o ka wāwae. Hana kūpono, hana ia i kahi hana kākoʻo ke hele wāwae. I mua, i ka pili ʻana me ka iwi cuboid.
Hoʻokumu ka iwi cuboid i ka lihi aoao o ka tarsal ʻāpana o ka wāwae, ʻo ka iwi ʻekolu a me ka 4 metatarsal iwi e pili pono ana iā ia. Me kona lihi waena, pili ka iwi i wehewehe ʻia me ka iwi scaphoid.
Hoʻokumu ka iwi scaphoid i ka hapa waena o ka tarsal o ka wāwae. Moe i mua a medial i ka calcaneus. I mua, pili ka iwi scaphoid me nā iwi sphenoid - pili, medial a me medial. Hoʻokumu pū lākou i ke kumu iwi no nā iwi metatarsal.
Pili nā iwi metatarsal i ke ʻano me nā iwi tubular i kapa ʻia. I kekahi lima, pili pili ʻole lākou i nā iwi o ka tarsus, ma kekahi ʻaoʻao, hana lākou i nā hono neʻe me nā manamana wāwae.

ʻElima mau manamana wāwae, ʻehā o lākou (mai ka lua a i ka ʻelima) ʻekolu o nā phalanges pōkole, ʻo ka mua he ʻelua wale nō. Ke nānā nei i mua, he mea nui nā manamana wāwae i ke ʻano o ka hele: ʻo ka pae hope loa o ka hoʻokuʻi ʻana i ka wāwae mai ka honua aku hiki wale me nā manamana mua a me ka ʻelua.

Mea hana ligamentous

Hoʻoikaika ʻia nā iwi i helu ʻia e nā hāmeʻa ligamentous, hana lākou i kēia mau ami i waena o lākou iho:

Subtalar - ma waena o ka talus a me ka calcaneus. ʻEha ʻino ia ke hoʻolōʻihi ʻia nā kuʻekuʻe wāwae, me ka hoʻokumu ʻana o subluxation.
Talocalcaneonavicular - a puni ke axis o kēia ami hiki ke hana i ka pronation a me ka supination o ka wāwae.
Eia kekahi, he mea nui e hoʻomaopopo i ka tarsometatarsal, intermetatarsal a me nā hono interphalangeal o ka wāwae.

ʻO nā mākala ma ka ʻaoʻao kanu o ka wāwae o lalo ka mea nui loa no ka hoʻokumu ʻana i ka pio bipi kūpono. Māhele ʻia lākou i ʻekolu mau hui:

waho;
kūloko;
awelika.

Mālama ka hui mua i ka manamana liʻiliʻi, lawelawe ka hui ʻelua i ka manamana nui (kuleana no ka flexion a me ka hoʻohui). ʻO ka pūʻulu mākala waena ke kuleana no ka flexion o ka manamana ʻelua, ʻekolu a me ka ʻehā.

ʻO Biomechanically, hoʻolālā ʻia ka wāwae i kekahi ala e, me ke kani o ka mākala kūpono, hana ʻia kona ʻili plantar i kekahi mau pio.

kūwaho kūwaho kūwaho kūwaho - hele i waena o ka laina mentally draw ma waena o ka tubercle calculaneal a me ke poʻo distal o ka iwi ʻelima phalangeal;
kūlou longitudinal kūloko - hele ma waena o kahi laina i kahakaha ʻia ma waena o ka tuberosity calcaneal a me ke poʻo distal o ka iwi metatarsal mua;
transverse longitudinal arch - hele ma waena o kahi laina i kahakaha ʻia ma waena o nā poʻo distal o nā iwi metatarsal mua a ʻelima.

Ma waho aʻe o nā mākala, kahi aponeurosis plantar mana, i ʻōlelo ʻia ma luna aʻe, e pili ana i ke ʻano o ia ʻano.

Nā ʻano dislocation o ka wāwae

Hiki ke hoʻokaʻawale ʻia nā dislocations o ka wāwae i ʻekolu mau ʻano:

Nā dislocations subtalar o ka wāwae

Me kēia ʻano ʻeha o ka wāwae, noho mau ke talus ma kahi, a me ka kalena pili, scaphoid a me cuboid, me he mea lā, he ʻokoʻa. I kēia hihia, aia kahi trauma nui i nā aʻa palupalu o ka ami, me ka hōʻino ʻana i nā kīʻaha koko. Hoʻopiha ʻia ka iwi āpau a me nā aʻa periarticular me ka hematoma ākea. Ke alakaʻi nei kēia i ka nui o ka pehu, ʻeha a, ʻo ia ka mea weliweli loa, e hōʻino i ka lawe ʻana o ke koko i ka lālā. Hiki i ke kūlana hope ke lilo i kumu no ka hoʻomohala ʻana i ka gangrene wāwae.

Hōʻoki ʻia o ka ami tarsal transverse

Kū kēia ʻano ʻeha o ka wāwae me ka trauma kū pololei. He helehelena ke ʻano o ka wāwae - hoʻoili ʻia i loko, hohola ʻia ka ʻili ma ka hope o ka wāwae. Hoʻomaopopo ʻia ka edema e like me ka hihia ma mua.

Hōʻalo o ka hui metatarsal

He ʻeha wāwae wāwae laha ʻole. Kū pinepine ka hapanui me ka hōʻeha pololei i ka lihi mua o ka wāwae. ʻO ke ʻano o ka ʻeha e pae mai ana mai kahi kiʻekiʻe ma nā manamana wāwae. I kēia hihia, hiki i nā iwi phalangeal mua a ʻelima paha ke neʻe i kahi kaʻawale, a i ʻole ʻelima i ka manawa hoʻokahi. ʻO ka maʻi, aia kahi hemahema e like me ka wāwae o ka wāwae, pehu, hiki ʻole ke hehi i ka wāwae. He paʻakikī ka neʻe ʻana o nā manamana wāwae.

Manamana wāwae Sprained

Loaʻa ka dislocation maʻamau i ka hui metatarsophalangeal o ka manamana wāwae mua. I kēia hihia, neʻe ka manamana i loko a i waho paha, me ka loli like. Hele pū ka ʻeha me ka ʻeha, nā manaʻo ʻeha nui ke hoʻāʻo e pahu i ka honua me ka wāwae ʻeha. He mea paʻakikī ke komoʻana i nā kāmaʻa, ʻaʻole hiki pinepine.

Nā hōʻailona dislocation a me nā ʻōuli

ʻO nā ʻōuli nui o ka wāwae dislocated:

ʻEha, ke ala mai nei me ka maikaʻi, ma hope koke o ka hopena o ka hopena traumatic ma ka wāwae. I kēia hihia, ma hope o ka pau ʻana o ka hōʻike, hoʻomau ka ʻeha. Kū ka hoʻoikaika ʻana ke hoʻāʻo ʻoe e hilinaʻi i ka lālā ʻeha.
ʻO Edema... Hoʻonui ka wahi o ka ami i hōʻino ʻia i ka nui, ua kīloi ʻia ka ʻili. Aia kekahi manaʻo o ka hoʻonui ʻana o ka ami mai loko. Pili kēia kūlana me ka ʻeha pū o ka hana palupalu, i nā moku.
Lilo o ka hana... ʻAʻole hiki ke hana i kahi neʻe manawaleʻa i loko o ka ami i hōʻino ʻia; ʻo ka hoʻāʻo e hana i kēia e lawe mai i nā ʻano ʻehaʻeha koʻikoʻi.
Kūkaʻi paʻa o ka wāwae - kahi o ka wāwae a i ʻole ka wāwae āpau i kahi kūlana kūlohelohe.

E akahele a hoʻolohe! ʻAʻole hiki ke hoʻokaʻawale i kahi dislocation o ka wāwae mai kahi kīʻaha a me ka haki o ka wāwae i ka ʻike maka, me ka ʻole o ka lole X-ray.

Kōkua mua no ka hemo

ʻO ke kōkua mua no ka wāwae dislocated i loko o kēia algorithm o nā hana:

E hoʻonoho i ka mea i hōʻeha ʻia ma luna o kahi ʻoluʻolu a pae.
ʻO ka mea aʻe, pono ʻoe e hāʻawi i ka lālā ʻeha i kahi kūlana kiʻekiʻe (ʻo ka wāwae ma luna o ke kuli a me nā hui pūhaka), e waiho ana i kahi uluna, ʻahu a i ʻole nā ala kūpono ma lalo o ia.
I mea e hōʻemi ai i ka edema post-traumatic, pono e hōʻalili ʻia ka ʻeha. No kēia, he hau a i ʻole kekahi huahana i paʻa i ka pahu hau (no ka laʻana, he ʻūlū dumplings) kūpono.
Inā hōʻino ʻia ka ʻili, pono ia e hoʻopili i kahi kapa komo aseptic i ka ʻeha.
Ma hope o nā ʻanuʻu a pau i hōʻike ʻia ma luna, pono ʻoe e lawe i ka mea i hōʻeha ʻia i kahi wahi lapaʻau i ka wā hiki loa, kahi e loaʻa ai kahi traumatologist a me kahi mīkini X-ray.

Lapaʻau hoʻoneʻe

Hoʻopili ʻia ka lāʻau dislocation i ke kaʻina hana o ka hoʻonohonoho ʻana i ka wāwae a hāʻawi iā ia i kahi kūlohelohe. Hiki ke pani ʻia ka hōʻemi - me ka ʻole o ke ʻoki lāʻau, a wehe, ʻo ia hoʻi - ma o ka ʻoki kino.

ʻAʻole hiki ke hāʻawi i kekahi ʻōlelo aʻoaʻo e pili ana i ka mea a pehea e mālama ai i ka wāwae dislocated ma ka home, ʻoiai ʻaʻole hiki iā ʻoe ke hana me ke kōkua ʻole o kahi traumatologist ʻike. Ke hoʻoponopono nei i ka dislocation, hiki iā ia ke hāʻawi iā ʻoe i kekahi mau ʻōlelo aʻoaʻo e pili ana i ka mea e hana ai ke heʻe ka wāwae e hoʻihoʻi i ka hana kaʻa i ka wā hiki.

Ma hope o nā kaʻina hana hōʻemi, hoʻopili ʻia kahi kaula hoʻopaʻa, no kahi manawa o ʻehā mau pule i ʻelua mau mahina. Mai kāhāhā i ka wā e hoʻopaʻa ana i ka wāwae o lalo, e hoʻopili ʻia ka splint a hiki i ka hapakolu o ka ʻūhā - me ka paʻa o ke kuli. He kūlana kūpono kēia, ʻoiai ke kaʻina o ka hele wāwae ʻana me ka kuʻekuʻe wāwae paʻa loa ka weliweli no ka hui kuli.

Hoʻihoʻi hou

Ma hope o ka hemo ʻana o ka immobilization, hoʻomaka ke kaʻina hoʻoponopono - ka hoʻokomo mālie ʻana o nā mākala o ka lālā immobilized i ka hana. E hoʻomaka ʻoe me nā neʻe hana, akā me ka ʻole o ke kākoʻo ma ka lālā ʻeha.

No ka hoʻihoʻi ʻana i ka iwi iwi ma kahi o ka ʻeha, pono ʻoe e hele wāwae i kahi manawa pōkole i kēlā me kēia lā, e hoʻonui ana i kēlā me kēia ʻāpana.

No ka hoʻihoʻi hou o ka neʻe ʻana o ka lālā, hāʻawi mākou i nā ʻano hoʻoikaika kino. No ka hoʻokō ʻana iā lākou, pono ʻoe i kahi cuff me ke apo paʻa a me ke kaula no ka hoʻopili ʻana i ka tendon Achilles. Hoʻokomo mākou i ka cuff ma ka māhele o nā iwi metatarsal. Hoʻoponopono mākou i ke kaula ma o ka tendon Achilles ma luna pono o ka kuʻekuʻe wāwae. Moe mākou i luna o ka moena, kau i kā mākou shins ma ke keʻena haʻuki. ʻEkolu mau koho e ukali nei:

Lilo mākou i mau pūpū kokoke i ka hāmeʻa poloka. Hoʻopili mākou i kahi kaupaona liʻiliʻi (ʻaʻole i ʻoi aku ma mua o 10 kg) i ke apo hoʻopaʻa mai ka palaka lalo. Hana mākou i ka flexion i ke kuʻekuʻe wāwae a hiki i ka wā e ʻike ʻia ai ke ahi ikaika i mua o ka ʻūlū lalo.
Kū mākou ʻaoʻao i ka hāmeʻa poloka (pono ka poloka ma ka ʻaoʻao o ka manamana nui). Hoʻopili mākou i nā kaupaona (ʻaʻole ma mua o 5 kg) a pronate i ka wāwae. A laila, hoʻololi mākou i ke kūlana i hiki i ka palaka ma ka ʻaoʻao o ka manamana liʻiliʻi a hoʻomaka e hana i ka supination. ʻO ke kaupaona o nā mea kaupaona e like me ka wā e puana ai.
ʻO ka hana hou he manamana wāwae. Hiki ke hana ʻia mai kahi kūlana kū i ka papahele, kū i luna o kahi dais, a mai kahi noho paha. I ka hihia hope, pono ke pelu nā kuli a me nā hui pūhaka ma ke kihi o 90 kekelē, aia nā wāwae ma ka papahele. Hiki iā ʻoe ke kau i kahi kaupaona liʻiliʻi ma kou mau kuli. Lawe mākou i mua i mua i nā manamana wāwae me nā kuʻekuʻe wāwae mai ka papahele.
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Ma waho aʻe o nā hana i ho'ākāka ʻia no ka hoʻomohala ʻana i ka wāwae ma hope o kahi ʻeha ma ka home, hiki iā ʻoe ke hoʻohana i nā ʻano hana ʻē aʻe a me nā ala improvised: ʻolokaʻa i kahi pōpō me kou wāwae, hana i nā backbends me ke kāwele, a me nā mea hou aʻe.