Ke ʻeha nei kou pulima lima ma ka ʻaoʻao o kou manamana nui? E kamaʻilio kākou e pili ana i kēia (De Quervain's Tenosynovitis)!

Ke paʻakikī nei ʻoe i kekahi manawa e hana i nā hana o kēlā me kēia lā ma muli o ka ʻeha ma ka ʻaoʻao manamana nui o kou lima, ka ʻāpana pulima? A i ʻole ke manaʻo nei ʻoe i kahi ʻūlū a wela paha ke hoʻopā ʻoe, ʻomi, a hoʻoneʻe paha i kou manamana nui? Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​loaʻa paha iā ʻoe kahi maʻi i kapa ʻia ʻo `(De Quervain's Tenosynovitis)`. No laila, mai hopohopo. E kamaʻilio kākou e pili ana i ia mea me nā kikoʻī, he aha ia, no ke aha e hana ʻia ai, a pehea e hoʻopau ai.

He aha ka `(De Quervain's Tenosynovitis)`?

I ka ʻōlelo maʻalahi, ʻo "De Quervain's Tenosynovitis" he mumū, ʻo ia hoʻi ka ʻeha a me ka pehu ʻana, a puni nā aʻalolo i kou manamana wāwae nui. I kekahi manawa ua kapa ʻia ʻo "De Quervain's Tendinosis". Hoʻohana pinepine nā kauka i nā inoa ʻelua no ke ʻano like.

E noʻonoʻo e pili ana i ia mea, ua pili ko kākou mau ʻiʻo i ko kākou mau iwi e nā ʻiʻo ikaika, palupalu, e like me ke kaula i kapa ʻia he mau tendon . Ke hoʻopaʻa kākou i kahi ʻiʻo, ʻo kēia tendon ka mea e huki ai i ka iwi pili a hoʻoneʻe iā ia. Ua pili kou manamana nui i kou pulima e ʻelua mau tendon.

ʻO ka maʻamau, neʻe kēia mau olonā i loko o kahi ʻūpā , e like me kahi lua a i ʻole kahi tunnel, a puni lākou. Me ke keʻakeʻa ʻole. Eia naʻe, i ke ʻano o ka "De Quervain's Tenosynovitis", no kekahi kumu, e pehu a mānoanoa paha kēia ʻūpā a puni ke olonā i loko o kou manamana nui. He aha ka mea e hana ai? Ke hoʻohana ʻoe i kou manamana nui a me kou pulima, neʻe ke olonā i loko o kēlā ʻūpā pehu, e hana ana i ka friction keu . ʻO ia ke kumu e hiki ai i kekahi mau neʻe ke ʻeha a paʻakikī. Hoʻomaka pinepine kēia ʻeha ma ke kumu o kou manamana nui, kokoke i kou pulima. I kekahi manawa, hiki i kēia ʻeha ke pālahalaha a hiki i kou lima.

Pehea ka maʻamau o kēia kūlana?

ʻO ka ʻoiaʻiʻo, ʻo ka `(De Quervain's Tenosynovitis)` he maʻi maʻamau i waena o nā mumū o ke aʻalolo (`tenosynovitis`). Ua hōʻike ʻia nā noiʻi ʻoiai ma kahi ʻāina e like me ʻAmelika, hoʻopilikia ia ma kahi o 1% o ka heluna kanaka i kēlā me kēia makahiki. No laila, inā loaʻa iā ʻoe kekahi mea e like me kēia, e hoʻomanaʻo ʻaʻole ʻoe hoʻokahi.

He aha nā hōʻailona o ka `(De Quervain's Tenosynovitis)`?

ʻO ka hōʻailona nui o kēia ʻano, ʻo ia ka ʻeha ma ka ʻaoʻao radial o kou pulima. No kekahi poʻe, hiki ke hiki koke mai kēia ʻeha, a no kekahi poʻe, hiki ke ulu mālie i ka hala ʻana o ka manawa. ʻO kēia ʻeha maʻamau:

• Hoʻonui ia ke hoʻohana ʻoe i kou lima, pulima lima, a me ka manamana nui.
• Hiki ke hoʻomaka ma ka pulima a pālahalaha i ka manamana nui a i ʻole ka ʻaoʻao o ka lae.
• Hoʻonui ka ʻeha ke hoʻopā ʻoe a ʻomi paha i kahi mea.

Ma waho aʻe o kēia ʻeha nui, hiki ke ʻike ʻia kekahi mau hōʻailona ʻē aʻe:

• Ka pehu ʻana: E ʻike paha ʻoe i ka pehu ʻana ma ke kumu o kou pulima a me ka manamana nui.
• He kani a manaʻo paha 'kaomi': Ke lulu ʻoe i kou manamana nui, lohe paha ʻoe i ke kani 'kaomi' mai kou pulima lima mai, a i ʻole e manaʻo paha ʻoe e lele ana kekahi mea i loko.
• ʻOʻoleʻa a nalowale paha o ka laumania: Hiki i nā neʻe ʻana o ka manamana wāwae nui ke ʻano ʻoʻoleʻa iki, a me he mea lā ʻaʻole lākou e neʻe mālie ana.
• Numbness: Hiki paha iā ʻoe ke manaʻo e like me ka nalowale ʻana o kou pulima a i ʻole kou manamana nui.

No ke aha i loaʻa ai kēia ʻano maʻi ʻo De Quervain's Tenosynovitis?

I ka ʻōlelo maʻalahi, hiki ke hana ʻia kēia kūlana e ka huhū, ke kaomi, a i ʻole kekahi mea e kau ai i ke kaumaha nui ma luna o nā tendons i kou manamana wāwae nui. Aia kekahi mau kumu nui e kōkua ai:

• Hoʻohana nui ʻia o ka manamana nui a i ʻole ka pulima lima: Ke hoʻomau ʻoe i ka hana ʻana i nā neʻe like.
• Nā hana a i ʻole nā ​​​​​​leʻaleʻa e pili ana i ka paʻa ʻana a i ʻole ke ʻomi ʻana: No ka laʻana, hiki ke hana kēia me nā hana o ka home, kekahi mau hana, a i ʻole kekahi mau leʻaleʻa.
• ʻO nā kūlana olakino ʻē aʻe e hoʻoulu ai i ka mumū: No ka laʻana, ʻoi aku ka nui o ka poʻe me nā kūlana hui mumū e like me ka arthritis e hoʻomohala i kēia.
• He hahau pololei i ka manamana nui a i ʻole ka pulima lima: me he mea lā mai kahi ulia.

Hiki ke hana ʻia kēia kūlana, ma ke ʻano kūikawā, e nā hana e pili ana i ka paʻa ʻana i kahi mea a me ka hana hou ʻana i nā neʻe like. Eia kekahi mau laʻana:

• Nā haʻuki: Nā haʻuki e like me ka tennis, racquetball, ski.
• Ka hoʻohana ʻana i ka mea hana: Ke hoʻohana nei i ka hāmare a i ʻole nā ​​​​mea hana lima ʻē aʻe.
• Ka hāpai ʻana i nā keiki liʻiliʻi: Hiki ke loaʻa kēia ʻano, ʻoiai no nā makuahine hou, ke hāpai mau ʻoe i kāu pēpē. E noʻonoʻo i ka nui o ke kaumaha a ka makuahine e kau ai ma kona manamana nui a me ka pulima i ka wā e ʻauʻau ai, hānai ʻana, a paʻa paha i kahi pēpē.
• Māla ʻana: Ke hoʻohana ʻana i ka ʻō, ke kanu ʻana i nā mea kanu.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi?

ʻOiai hiki i kekahi ke loaʻa i ka "De Quervain's Tenosynovitis", aia kekahi mau hui i kahi pilikia kiʻekiʻe iki o ka loaʻa ʻana:

• Nā wāhine: ʻOi aku ka maʻamau o kēia ʻano maʻi i nā wāhine ma mua o nā kāne.
• Nā kānaka ma luna o 40 mau makahiki.
• Nā kumu kula kamaliʻi a i ʻole ka poʻe mālama i nā keiki ʻōpio.
• Nā mākua (ʻoi aku hoʻi nā makuahine) me nā keiki ʻuʻuku .
• Nā limahana lima a i ʻole ka poʻe e hana mau ana me ko lākou mau lima.
• Nā mea pāʻani.

Pehea e ʻike ai i ka `(De Quervain's Tenosynovitis)`?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ke ʻike ʻoe i ke kauka, e hana ʻo ia i kahi hoʻokolokolo kino.Penei e hoʻoholo ai ke kauka inā ʻo De Quervain's Tenosynovitis ia. E nānā ʻo ia i kou manamana nui a me kou pulima. He mea nui loa ia e haʻi i ke kauka i nā kikoʻī e like me ka wā i loaʻa ai iā ʻoe kēia ʻeha a me ke ʻano o ka hana e hoʻonui ai i ka ʻeha.

He aha ka `(hoʻāʻo Finkelstein)`?

ʻO kēia ka "hoʻāʻo Finkelstein", kahi hoʻāʻo kūikawā a nā kauka e hoʻohana ai e hōʻoia i ke kūlana "De Quervain's Tenosynovitis". He hoʻāʻo maʻalahi loa ia.

1. E lawe i kou manamana nui a kulou i loko, a laila e pani me kou mau manamana lima ʻē aʻe a kāwili i ka palaoa.

2. A laila, e mālama ana i ka lima e like me ia, e kulou i kou pulima i lalo (i ka manamana lima liʻiliʻi), me he mea lā e peahi ana i kekahi.

Ke hana ʻoe i kēia, ke kau nei ʻoe i kekahi kaomi ma luna o nā aʻalolo o kou manamana wāwae nui. Inā loaʻa iā ʻoe ka "De Quervain's Tenosynovitis", e ʻike ʻoe i kahi ʻeha ʻoi ma kahi ʻeha ke hana ʻoe i kēia "hoʻāʻo Finkelstein".

I kekahi manawa e kauoha paha kāu kauka i kahi X-ray e nānā i nā pilikia ʻē aʻe me kou pulima lima, e like me ka osteoarthritis.

He aha nā lāʻau lapaʻau no ka `(De Quervain's Tenosynovitis)`?

ʻO ka nūhou maikaʻi, aia nā lāʻau lapaʻau kūpono no kēia ʻano. ʻO ka maʻamau, e ʻōlelo aku kāu kauka i nā lāʻau lapaʻau e kōkua i ka hoʻomalu ʻana i kāu mau hōʻailona a hāʻawi i nā tendons a me nā ʻiʻo a puni i ka manawa e ho'ōla ai. ʻO nā lāʻau lapaʻau maʻamau:

• Ke kau ʻana i kahi splint a i ʻole ke kākoʻo: Kōkua kēia i ka hoʻopaʻa ʻana i kou pulima a me ka manamana nui, e hōʻemi ana i ke kaomi ma luna o kēlā mau olonā. Ua like ia me ke nakinaki ʻia ʻana o kou lima i loko o kahi kāʻei.
• E kau i ka hau ma kou pulima lima: Hiki i ka hoʻopili ʻana i ka hau ke kōkua i ka hōʻemi ʻana i ka pehu a me ka hōʻoluʻolu ʻana i ka ʻeha. E kau i kahi ʻeke hau i wahī ʻia i kahi lole lahilahi ma kahi ʻeha no kahi o 20 mau minuke i kekahi mau manawa i ka lā.
• Hoʻomaha: E hōʻemi i ka hoʻohana ʻana i ka lima ʻeha i ka hiki. ʻOi aku hoʻi, pono paha ʻoe e hoʻōki loa i ka pāʻani ʻana i nā haʻuki a i ʻole ka hana ʻana i nā neʻe hou i hoʻoulu ai i ke ʻano a hiki i ka wā e ho'ōla ai.
• Nā NSAID: He mau lāʻau anti-inflammatory non-steroidal kēia ( NSAID) . Loaʻa lākou ma ke kūʻai aku ma luna o ke kauka. Eia naʻe, mai hoʻohana iā lākou no nā lā he 10 a ʻoi me ka ʻole o ke aʻo ʻana a ke kauka.
• Nā inikini Corticosteroid: He mau lāʻau lapaʻau ikaika kēia i kuhikuhi ʻia e ke kauka e kāohi i ka mumū. I kekahi manawa, hiki i ke kauka ke hāʻawi i kahi inikini corticosteroid i loko o ka ʻūpā tendon ʻeha.

Mea nui: He mea nui e hahai i kēia mau lāʻau a pau e like me ke kuhikuhi a kāu kauka.

Aia kekahi mau hoʻoikaika kino e hiki ke hana ʻia no kēia? (Nā hoʻoikaika kino ʻo 'De Quervain's Tenosynovitis')

Hiki i kāu kauka a mea hoʻoponopono kino paha ke aʻo iā ʻoe i kekahi mau kīkoʻo maʻalahi a me nā hoʻomaʻamaʻa e kōkua i ka hoʻonui ʻana i ka ikaika a me ka maʻalahi o kou pulima. ʻO kekahi o nā hoʻomaʻamaʻa i ʻōlelo pinepine ʻia ʻo ia ke ʻomi ʻana i kahi pōpō tennis:

• E lawe i kahi pōpō tenisi a ʻomi mālie no kekahi mau minuke.
• E hoʻomaha i kou mau lima no kekahi mau minuke.
• Inā ʻaʻole ʻoe e ʻeha, e ʻomi iki i ka pōpō me ka ikaika.

E haʻi aku kāu kauka iā ʻoe i ka lōʻihi a me ka pinepine o kāu hana ʻana i kēia mau hoʻoikaika kino. Mai hoʻoikaika kino me ka ʻeha. Inā ʻoe e ʻeha i ka wā e hana ana i kekahi hoʻoikaika kino, e kū a haʻi aku i kāu kauka.

E pono anei ke ʻoki kino?

ʻAʻole pono ka hapa nui o ka poʻe i ke ʻoki kino no ka De Quervain's Tenosynovitis. E ʻōlelo wale ke kauka i ke ʻoki kino inā ʻaʻole hōʻoluʻolu nā lāʻau ʻē aʻe i nā hōʻailona.

ʻO ka maʻamau, he hana ma waho kēia o ka haukapila. ʻO ia hoʻi, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi loa i loko o ka ʻūpā pehu a puni ke aʻalolo i kou manamana wāwae nui. ʻAe kēia i ke aʻalolo e neʻe manuahi. Inā pono ʻoe i ke ʻoki ʻana, e wehewehe hou aku kāu kauka lapaʻau e pili ana i ia mea a me ka lōʻihi o ka manawa e ho'ōla ai.

ʻEhia ka manawa e ʻoi aku ai koʻu maikaʻi ma hope o ka lāʻau lapaʻau?

E haʻi aku kāu kauka iā ʻoe i ka lōʻihi o kou pono e mālama ai i ka De Quervain's Tenosynovitis. Pono ka hapa nui o ka poʻe e komo i kahi splint a i ʻole ke kākoʻo no kekahi mau pule .

ʻOiai inā ua ʻoluʻolu iki kou manaʻo, mai hoʻomaka i kekahi hana kino a ʻōlelo mai kāu kauka, "ʻAe, e hoʻomaka kākou." Inā ʻoe e kaomi hou i kou mau aʻalolo ma mua o ko lākou ho'ōla pono ʻana, ʻoi aku ka nui o kou ʻeha hou ʻana.

Hiki ke pale ʻia ka Tenosynovitis o De Quervain?

ʻAe, aia kekahi mau mea hiki iā kākou ke hana e pale aku i kēia maʻi mai ka ulu ʻana i kekahi ʻano. ʻO ka mea nui, ʻo ia ka pale ʻana i ka hoʻohana nui ʻana i nā manamana nui a me nā pulima lima.

• Inā ʻoe e pāʻani i kahi haʻuki, hana, a i ʻole hana i kekahi hana kino ʻē aʻe, e aʻo i ke ʻano hana kūpono a e ʻaʻahu i nā lako pale inā pono.
• I ka hoʻomaka ʻana i kahi hoʻoikaika kino a hana paha hou, e hoʻomaka mālie ma mua o ka hana nui ʻana i ka manawa hoʻokahi.
• Inā ʻoe e hana hou ana i nā neʻe like, e hoʻomaha iki i kēlā me kēia manawa.
• Inā ʻeha kou pulima lima, i ka wā a ma hope paha o ka hana kino, mai hoʻowahāwahā iā ia a noʻonoʻo, "He aha kēlā?" Mai hoʻomau i ka hana ʻana me ka ʻeha.
• Hāʻawi i kou kino i ka manawa e hoʻomaha ai a hoʻōla ma hope o ka hana ikaika.

ʻEhia ka lōʻihi e ho'ōla ai?

Hiki ke hala kekahi mau pule no kou ʻiʻo e ho'ōla mai ka De Quervain's Tenosynovitis. ʻO ka lōʻihi o ka manawa e pili ana i ke kumu o kou tenosynovitis a me ke koʻikoʻi o kou mau hōʻailona.

E nīnau i kāu kauka i ka wā e hiki ai iā ʻoe ke hoʻi hou i kāu mau hana kino maʻamau. A hiki i ka wā e ʻae ai kāu kauka iā ʻoe, mai hoʻi i ka haʻuki, ka leʻaleʻa, a i ʻole ka hana i hoʻokumu i ke kūlana.

He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia?

He maʻi hiki ke mālama ʻia ka De Quervain's Tenosynovitis, a he maʻi pōkole wale nō ia. Eia nō naʻe, inā ʻaʻole mālama ʻia, ʻoi aku ka nui o kou pono e hana ʻoki kino a loaʻa paha nā pilikia ʻē aʻe.

Inā hoʻomau ʻoe i ke kaomi ʻana i nā aʻalolo i loko o kou manamana nui ma hope o kou hoʻomaka ʻana e hoʻomohala i nā hōʻailona o De Quervain's Tenosynovitis, hiki ke haki ka ʻūpā a haehae paha ke aʻalolo. He mea kākaʻikahi kēia, akā inā hana ia, hiki i kekahi poʻe i mālama ʻole ʻia ke nalowale mau loa ka laulā o ka neʻe ʻana a i ʻole ka hana ma ko lākou manamana nui a me ka pulima lima . No laila, inā loaʻa iā ʻoe nā hōʻailona, ​​e ʻimi pono i ke aʻo lapaʻau.

Āhea wau e ʻike ai i ke kauka?

E ʻike i ke kauka i ka wā e ʻike ai ʻoe i ka ʻeha a i ʻole nā ​​hōʻailona ʻē aʻe o De Quervain's Tenosynovitis. Mai hoʻowahāwahā i nā hōʻailona, ​​​​ʻoiai inā e ʻoi aku ka ʻino i ka wā a ma hope paha o ka hana kino.

He aha nā nīnau āu e nīnau ai i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, he mea maikaʻi ke nīnau i kēia mau nīnau:

• Loaʻa iaʻu ka `(De Quervain's Tenosynovitis)`, a i ʻole he kumu ʻē aʻe no ka ʻeha o koʻu pulima?
• Pehea ka lōʻihi e pono ai iaʻu ke kau i kahi splint a i ʻole ke kākoʻo?
• E pono anei iaʻu ke ʻoki kino no kēia?
• Āhea e hiki ai iaʻu ke hoʻi i kaʻu mau hana kino maʻamau (e like me nā haʻuki, ka hana)?

I ka hōʻuluʻulu manaʻo (Leka Lawe-Home)

ʻAe, ʻo ka `(De Quervain's Tenosynovitis)` he maʻi ʻeha ia i hoʻokumu ʻia e ka mumū o ka ʻūpā a puni ke aʻalolo i kou manamana wāwae nui. Hiki i kēia ke hoʻolilo iā ia i mea ʻeha a paʻakikī hoʻi ke hoʻohana i kou manamana wāwae nui a me kou pulima.

Akā ʻo ka mea maikaʻi loa, hiki ke ho'ōla pinepine ʻia me ka hoʻomaha, nā lāʻau lapaʻau maʻalahi ma ka home, a me ke komo ʻana i kahi splint a i ʻole brace no kekahi mau pule.

Inā ua hoʻomaka ʻoe i kahi hana hou a leʻaleʻa paha, a inā paha e kau ana kāu hana i ke kaumaha hou ma kou mau lima, ʻoiai kou mau manamana nui a me nā pulima lima, e kamaʻilio me kāu kauka. Hiki iā ia ke kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona a hoʻi koke a palekana i nā hana āu e hauʻoli ai.No laila, ʻo ka mea naʻauao loa e hana ai, ʻo ia ke ʻimi koke i ke kōkua lapaʻau, ma mua o ka ʻeha mau ʻana.

ʻEha manamana nui, ʻeha pulima, Diquanes tenosynovitis, tendonitis, ʻeha lima, nā maʻi lima a me ka pulima, lāʻau lapaʻau