Hiki ke hopena i kahi kuʻekuʻe wāwae i ka hopena o kahi ʻeha pū, akā hiki ke pili i kahi pilikia me ke kahe o ke koko.

ʻO ka kuʻekuʻe wāwae i pehu, a i ʻole ka wāwae wāwae, hopena i ka pehu o ka ami, hiki ke hele pū me ka ʻeha, kahi ʻano mehana a me ka ʻulaʻula.

Hiki iā mākou ke hoʻokaʻawale i nā hanana nui ʻelua, ʻoiai inā aia kekahi mau diagnose hiki ʻē aʻe:

• hoʻopili ʻia ʻo edema i kahi ʻeha i ka hui (trauma, sprain a me nā kānana, tendonitis, a me nā mea ʻē aʻe);
• aiʻole edema e pili ana i kahi maʻi kahe o ke koko.

I ka hihia mua, ukali pinepine ka ʻōhū (haʻalulu) i kahi haʻalulu, hāʻule, neʻe hewa… Pehu a ʻeha ka kuʻekuʻe wāwae, hiki i ka polū (a i ʻole ʻulaʻula), wela, a hoʻomaka ka ʻeha. A i ʻole e mau ana.

I ka lua o nā hihia, pehu ka wāwae wāwae no ka maikaʻi ʻole o ke kahe o ke koko i nā wāwae a me nā wāwae. Kapa ʻia kēia ka lawa ʻole o ka venous. ʻAʻole ʻeha ka ʻōhū, ʻoiai hiki ke hoʻonāukiuki. Hele pū me ka manaʻo o "kaumaha" i nā wāwae a i kekahi manawa cramp.

Mai hoʻopaneʻe i ka ʻike ʻana i ke kauka inā kuʻekuʻe ka pehu, no ka mea ʻaʻole ia he hōʻailona liʻiliʻi.

Pono ke kuʻekuʻe wāwae pehu i ke kūkā kūkā ʻana. E hōʻoia ma hope o ka haʻalulu a i ʻole ka ʻehaʻeha ʻaʻohe mea i haki, a i ʻole inā ʻaʻā ʻole ka wehewehe ʻana, ʻaʻole ia he kahe nui o ke kahe, ka maʻi puʻuwai a me nā puʻuwai.

E like me kā mākou i ʻike ai, hiki i ka puhā wāwae ka ukali ma hope o kahi trauma: ke kanana, ka pehu, ka haki, a pēlā aku.

• haʻi ʻōlelo;
• iwi;
• a i ʻole pili i nā tendons (rupture of the Achilles tendon for example).

Hiki i ke kauka ke kauoha i kahi kukuna x a nānā i ka neʻe o ka kuʻekuʻe wāwae, i kahi kikoʻī:

• ka mea i kapa ʻia ʻo "tibio-tarsal" ami, kahi e ʻae ai i ka flexion a me ka neʻe ʻana o ka neʻe ʻana o ka wāwae.
• ka ami subtalar (neʻe hema-ʻākau).

ʻO ka lua o ka hihia ka kuʻekuʻe wāwae, a i ʻole ka edema, ma muli o kahi maʻi kahe o ke koko. Holo maʻamau ke koko mai nā wāwae a i ka puʻuwai mahalo i kahi ʻōnaehana o nā valves venous e pale iā ia mai ke kahe ʻana i hope, a mahalo i ke kaomi o nā mākua bipi i waena o nā mea ʻē aʻe. Hiki i nā hanana he nui ke alakaʻi i ka lawa ʻole o ka venous, kahi e hoʻopilikia ai i ke kahe o ke koko a hiki i ka stagnation o nā wai i nā wāwae. ʻO kekahi o kēia mau kumuhana nā:

• makahiki;
• hāpai keiki (ka paʻa paʻa o ka wai);
• noho lōʻihi a kū paha (huakaʻi, keʻena, a me nā mea ʻē aʻe).

Hiki ke hōʻike i ka pehu i nā kuʻekuʻe wāwae a i ʻole nā ​​wāwae i ka puʻuwai a i ʻole ka hakuʻala ʻole, ʻo ia hoʻi, ka hana nui ʻole o ka puʻuwai a me nā puʻupaʻa.

ʻO ka hope loa, i ka kuʻekuʻe wāwae, ʻo ka ʻeha (maʻamau me ka ʻole o ka pehu, akā) hiki ke hoʻopili ʻia i ka osteoarthritis, e ʻike pinepine ʻia ma hope o ka hōʻeha mau ʻana (e laʻa me nā mea pāʻani mua i ʻokiʻoki i ko lākou kuʻekuʻe wāwae i nā manawa he nui.). Hiki i ke kuʻekuʻe wāwae ke lilo i kahua o ka mumū, i nā hihia o ka rheumatoid arthritis a i ʻole nā ​​rumatika ʻē aʻe. ʻO ka hope loa, hiki i ka gout a i ʻole spondyloarthropathies ke hoʻopili i ka kuʻekuʻe wāwae a hana i ka ʻeha hōʻeha.

Pono ke kuʻekuʻe wāwae i pehu i ke kūkākūkā ʻana, i mea e pale aku ai i ke kuhi o ka naʻau a i ʻole ka hakuʻala ʻole. Inā loaʻa kahi ʻeha, pono pono ka hoʻokele kūpono. ʻO ka kuʻekuʻe wāwae kahi hui palupalu, a hiki ke hōʻeha maʻalahi ʻia. No laila he mea nui e hoʻōla pono ka ʻeha i mea e pale ai i ka hoʻi hou ʻana.

Pili ka mālama ʻana i ke kumu kumu.

Inā loaʻa kahi kānana a sprain paha, noi pinepine ʻia ka noi ʻana o ka hau, ke kiʻekiʻe o ka wāwae a me ka lawe ʻana i nā lāʻau anti-inflammatory. Pono kahi sprain koʻikoʻi a haki paha i ke kau ʻana o kahi cast a i ʻole orthosis.

Ke emi ke ʻeha, pono e hoʻomau i ka hele wāwae wikiwiki ʻana i ka pale ʻana i ka ligament i hoʻopili ʻia (bandage a i ʻole orthosis semi-rigid no kahi laʻana) a pale i ka ʻeha.

Koi ʻia ka hoʻohana ʻana i kahi kō a i ʻole nā ​​koʻokoʻo e hiki ai i ka hele wāwae.

Physiotherapy, rehabilitation or physiotherapy session hiki ke lilo i mea pono no ka hui e hoʻi hou i kāna neʻe a hoʻoikaika i nā mākala nāwaliwali e ka immobilization hoʻolōʻihi.

I ka hihia o ka lawa ʻole o ka venous, mea maikaʻi paha e komo i nā stocking compression a i ʻole nā ​​kākini e kaupalena i ka edema. Hiki ke kūʻai ʻia i kekahi lāʻau i loko o nā hale kūʻai lāʻau lapaʻau, akā ʻaʻole i hōʻike maʻamau ʻia ko lākou hopena.

I ka hanana o ka puʻuwai puʻuwai a i ʻole ke kōkō ʻole, e hoʻokumu ʻia ka mālama olakino. Aia kekahi mau ʻano lapaʻau e hōʻemi i nā ʻōuli a mālama i ka hana ʻana o nā meaola i hiki.