Ua manaʻo paha ʻoe i kahi ʻeha ʻē e like me ke kuʻi uila ma kou kuʻekuʻe? He nui ka poʻe o mākou e kapa nei he iwi ʻakaʻaka. Akā, ʻaʻole ia he iwi maoli. He aʻalolo koʻikoʻi ia ma ko mākou lima, a i kēia lā e kamaʻilio mākou e pili ana i ke aʻalolo Ulnar .
He aha maoli ke ʻano o ke aʻalolo ʻUlnar'?
I ka ʻōlelo maʻalahi, ʻo kou Ulnar Aderve ke aʻalolo e holo ana mai kou lima a i kou lima, mai kou kuʻekuʻe lima a i kou pulima lima, a kōkua iā ʻoe e hoʻoneʻe i kou mau manamana lima ʻehā a me ʻelima (ka manamana lima liʻiliʻi a me ka manamana lima apo) . ʻAʻole wale ia e kāohi i ka neʻe ʻana, akā lawe pū ia i nā manaʻo e like me ka pā ʻana, ka mahana, a me ka ʻeha i ka lolo. Ua kapa pinepine ʻia kēia aʻalolo ʻo ka 'iwi leʻaleʻa'.
No ke aha mākou i kapa ai i kēia ʻo 'Funny Iwi'?
Aia kekahi kumu maʻalahi loa. Holo ka Ulnar Anerve ma lalo pono o ka ʻili, kokoke i ka papa mua o ka ʻili, i kona hele ʻana ma ke kuʻekuʻe. No laila, inā paʻi kou kuʻekuʻe i kahi ʻili paʻakikī, hiki iā ia ke ʻūmiʻi i ka Ulnar Anerve no kekahi manawa. ʻO ia ka manawa e ʻike ai ʻoe i kēlā ʻūmiʻi, e like me ke kani uila, ʻūmiʻi, a me ke kuni ʻana i kapa ʻia he 'iwi leʻaleʻa'. ʻAʻole ia he iwi maoli, akā he aʻalolo i ʻūmiʻi ʻia. E noʻonoʻo e like me kēlā manaʻo ʻē āu e loaʻa ai ke paʻi ʻoe i kou kuʻekuʻe ma ka puka!
He aha ka hana a ke aʻalolo Ulnar?
He aʻalolo koʻikoʻi ko kākou Ulnar Acid. Hoʻomalu ia i nā ʻiʻo liʻiliʻi he nui i loko o ko kākou lima. E hoʻomaka ana mai kou ʻāʻī lima, hoʻomaka kēia aʻalolo e hana ma hope o ke komo ʻana i loko o kou lima. E nānā kākou i ka mea e hana ʻia me kēia?
Pehea e kāohi ʻia ai nā neʻe (Nā Hana Motor)
Ma ke ʻano he aʻalolo hoʻokele, hoʻoikaika ka Ulnar Aʻalolo i nā ʻiʻo ma kou lima, lima, a me nā manamana lima. No laila hiki iā ʻoe ke:
- E kulou a hoʻolōʻihi i kou mau manamana lima liʻiliʻi a me kou mau manamana lima apo .
- E paʻa i nā mea, e paʻa pono .
- E hana i nā hana haʻahaʻa, ʻo ia hoʻi, e hana i nā hana akahai e like me ke kākau ʻana me ka peni, ke pihi ʻana i kahi pālule, a i ʻole ka hoʻohuli ʻana i nā ʻaoʻao o kahi puke .
Nā Hana Sensory
Ma ke ʻano he aʻalolo sensory, hāʻawi ka Ulnar Nerve i ka ʻike i nā wahi aʻe:
- Kou manamana lima liʻiliʻi .
- ʻO ka ʻāpana o kou manamana lima apo ma ka ʻaoʻao liʻiliʻi .
- ʻO ka ʻāpana o kou poho lima a me ke kua o kou lima ma ka ʻaoʻao o kou manamana lima liʻiliʻi .
Aia ma hea ke aʻalolo Ulnar? (Anatomy)
ʻO ke aʻalolo Ulnar kou Brachial Plexus.ʻO kekahi o nā lālā nui ʻelima o ke aʻalolo cranial. Hāpai kēia pūʻulu o nā aʻalolo i ka manaʻo a kōkua iā ʻoe e hoʻoneʻe i kou mau poʻohiwi, nā lima, a me nā lima. He ʻano paʻakikī loa ia, ʻeā?
Hoʻomaka ka Brachial Plexus mai nā aʻa o ke aʻalolo i loko o kou iwi kuamoʻo cervical. A laila hele ia ma hope o kou iwi collar (clavicle), ma o kou axilla, a i lalo i kou lima.
Loaʻa iā ʻoe ʻelua mau aʻalolo ulnar - hoʻokahi hema a me hoʻokahi ʻākau - hoʻokahi ma kēlā me kēia lima. Hoʻomaka kou aʻalolo ulnar ma ka brachial plexus i loko o kou armpit a:
- Hoʻopili ia i kou C8 cervical vertebra a me T1 thoracic vertebra (ʻo ia hoʻi, ka waenakonu o kou brachial plexus).
- Ke holo pili loa nei kou aʻa axillary a me kou aʻa brachial, i lalo i mua o kou lima luna.
- Holo ka medial epicondyle ma loko o kou kuʻekuʻe lima ma loko o kahi tunnel i kapa ʻia ʻo ka cubital tunnel . Maanei ʻoe e ʻike ai i kēlā 'iwi leʻaleʻa' ke kuʻi ʻia ʻoe.
- Ma lalo o nā ʻiʻo ma loko o kou lima kaua, holo kou aʻalolo waena ma ka ulna (kahi iwi lōʻihi ma ka lima kaua).
- Māhele nā aʻalolo i nā lālā liʻiliʻi.
- ʻO ka mea hope loa, komo ia i loko o kou poho lima mai ka ʻaoʻao o kou manamana lima liʻiliʻi ma o kahi puka i kapa ʻia ʻo Guyon's Canal, a i ʻole ulnar tunnel , kahi e noho ai kou aʻa ulnar.
He aha nā lālā o ke aʻalolo Ulnar?
ʻAʻole hoʻokahi wale nō aʻalolo ke aʻalolo Ulnar. He nui nā lālā liʻiliʻi e lālā ana mai ia mea. ʻO nā mea nui:
- Lālā ʻiʻo: Hoʻomalu kēia i nā neʻe o ke alo o kou lima.
- Lālā ʻili dorsal: ʻO kēia ke aʻalolo e lawe ana i ka ʻike sensory mai ka ʻaoʻao waena o ke kua o kou lima, ma waena o ka manamana lima liʻiliʻi a me ka manamana lima apo, a i a mai ka lolo.
- Lālā ʻili Palmar: Hoʻouna kēia lālā a loaʻa i ka ʻike sensory i ka ʻaoʻao waena o kou pāma, ka manamana lima liʻiliʻi, a me ka manamana lima apo.
He aha nā kūlana e hoʻopilikia ai i ka Ulnar Nerve?
I kekahi manawa, hiki i ko kākou aʻalolo 'iwi leʻaleʻa', ʻo ia hoʻi ke Ulnar Aʻalolo, ke loaʻa i nā pilikia like ʻole. E nānā kākou i ke ʻano o ia mau mea:
- Pahele ʻana o ke aʻalolo Ulnar: Hiki ke pahele ʻia ke aʻalolo Ulnar ke kaomi ʻia ke aʻalolo ma kou kuʻekuʻe lima a i ʻole ka pulima lima. Hiki i kēia ke hana i ka ʻeha neuropathic , ka mae ʻana, a me ka hōʻino ʻana o ke aʻalolo (neuropathy) .
- ʻO ka maʻi tunnel Cubital:Hiki ke loaʻa kēia kūlana inā ua ʻomi ʻia ke aʻalolo ulnar i loko o ke ana cubital ma ke kuʻekuʻe no ka manawa lōʻihi. Hiki ke loaʻa kēia i nā poʻe e kūlou pinepine ana i ko lākou mau kuʻekuʻe, a i ʻole i nā poʻe e hana ana ma ke ʻano e kau ai i ke kaomi ma luna o nā kuʻekuʻe. E noʻonoʻo, inā ʻoe e hana mau ana ma ke kamepiula me kou mau kuʻekuʻe e paʻi ana i ka papaʻaina, a inā ʻoe e hoʻomau i kou mau kuʻekuʻe e kūlou no ka manawa lōʻihi i ka wā e hiamoe ana i ka pō, ua pilikia ʻoe.
- ʻO ka maʻi tunnel Ulnar (i ʻike ʻia hoʻi ʻo Guyon's canal syndrome): He kūlana i hoʻokumu ʻia e ke kaomi ʻana o ke aʻalolo ulnar i loko o ke kahawai ʻo Guyon ma kou pulima. Ua like nā hōʻailona me nā hōʻailona o ka carpal tunnel syndrome . Hiki ke loaʻa i nā poʻe holo paikikala a me nā poʻe e hana ana i nā hana e kau ana i ke kaomi ma ko lākou mau lima.
- Ka neʻe ʻana o ke aʻalolo Ulnar: I kekahi manawa, ʻoiai ma hope o kahi ulia koʻikoʻi, hiki i ke aʻalolo ulnar ke neʻe a puka i waho o kona wahi. Hiki iā ʻoe ke lohe a manaʻo paha i kahi leo pahū ma kou kuʻekuʻe lima.
Pehea e ʻike ai inā he pilikia me ke aʻalolo Ulnar? (Nā hōʻailona)
Inā loaʻa iā ʻoe ka Ulnar Nerve Impingement a i ʻole kekahi pilikia ʻē aʻe, hiki iā ʻoe ke ʻike i nā hōʻailona e like me kēia:
- Ua kulou kou manamana lima liʻiliʻi a me kou manamana lima apo i loko (lima maiʻuʻu) . Ua piʻo lāua i loko e like me ka maiʻuʻu.
- ʻEha kuʻekuʻe a i ʻole ka ʻeha pulima . I kekahi manawa hiki i kēia ʻeha ke hele i lalo i ka lima.
- E emi ana ka ikaika o ka lima . Lilo ia i mea paʻakikī ke paʻa i nā mea, lilo ia i mea paʻakikī ke hana i nā hana e like me ke kākau ʻana a i ʻole ke paʻi ʻana. Hiki paha iā ʻoe ke hāʻule i kahi kīʻaha.
- Ka ʻinoʻino o nā ʻiʻo ma ka lima a me nā manamana lima i hoʻopilikia ʻia (he hōʻailona kakaikahi kēia, akā hiki ke hana inā ua ʻomi ʻia ke aʻalolo no ka manawa lōʻihi).
- Ka mae a ʻūlū paha i kou manamana lima liʻiliʻi a me kou manamana lima apo . ʻO kēia ka hōʻailona mua āu e ʻike ai.
Āhea ʻoe e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, e ʻike pono i ke kauka. ʻAʻole kēia nā mea āu e pono ai e hoʻowahāwahā wale.
- Inā manaʻo kou manamana lima apo a manamana lima liʻiliʻi paha e kūlou ana i loko .
- Inā nāwaliwali ʻoe i ka paʻa ʻana i nā mea, inā hāʻule nā mea mai kou mau lima .
- Inā loaʻa iā ʻoe ka ʻeha mau, ka mae ʻana, a i ʻole ke ʻano ʻūlū ma kou kuʻekuʻe lima, ka pulima lima, ka manamana lima liʻiliʻi, a i ʻole ka manamana lima apo .
- Inā pilikia ʻoe i ka hana ʻana i nā hana paʻakikī e like me ke pihi ʻana i kahi pālule a i ʻole ke kākau ʻana .
Inā hoʻomau kēia mau hōʻailona a ʻaʻole hoʻomaikaʻi i loko o hoʻokahi a ʻelua paha lā, a inā e lilo lākou i mea koʻikoʻi , ʻoi aku ka maikaʻi o ka ʻimi koke ʻana i ke kōkua lapaʻau. No ka mea, hiki i ka mālama mua ʻana ke hōʻemi i ka pilikia o ka hōʻino mau ʻana o ke aʻalolo.
Leka Hoʻihoʻi Hope Loa
E like me kā mākou i kūkākūkā ai, ʻo ka ʻakaʻaka e hiki mai ana ke kuʻi ʻoe i kou "iwi leʻaleʻa" ʻaʻole ia he ʻakaʻaka maoli. ʻAʻole ia he iwi. He pane ia i ke kaomi ma luna o ke aʻalolo ulnar e holo ana mai kou kuʻekuʻe lima. ʻO ke aʻalolo ulnar ka mea e kōkua ai i ka hoʻokele ʻana i ka neʻe ʻana a me ka manaʻo ma kou lima lima, ka pulima lima, a me nā manamana lima ʻehā a me ʻelima.
Eia nō naʻe, inā he kaomi ma kēia aʻalolo, hiki ke loaʻa nā pilikia like ʻole, e like me ka paʻa ʻana o ke aʻalolo ulnar . No laila, inā ʻike ʻoe i kekahi o nā ʻeha i ʻōlelo ʻia ma luna nei, ka mae ʻana, a i ʻole ka nāwaliwali o kou lima ma kēia mau wahi, e ʻoluʻolu e ʻike i ke kauka. Hiki iā ia ke hoʻoholo i ke ʻano o ka lāʻau āu e pono ai a alakaʻi iā ʻoe e loaʻa ka hōʻoluʻolu. He mea nui e makaʻala i nā mea e like me kēia, ʻeā?
ʻO ke aʻalolo Ulnar, iwi leʻaleʻa, aʻalolo kuʻekuʻe, mae lima, mae manamana lima, maʻi aʻalolo, aʻalolo ulnar











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