Ke ʻike nei hoʻi ʻoe i ka mae ʻana o kou mau lālā? E aʻo kākou e pili ana i ka Tinel's Sign, kahi e hōʻike ana i kahi aʻalolo i ʻoki ʻia!

I kekahi manawa, manaʻo mākou i ka mae ʻana o kekahi o ko mākou mau lima a i ʻole nā ​​wāwae, e like me ka manaʻo ʻoniʻoni, ʻeā? I kekahi manawa he hōʻailona wale nō kēia, akā i kekahi manawa hiki ke kumu o kahi pilikia me ke aʻalolo i loko o ko mākou kino. I ia mau hihia, aia kahi hoʻāʻo maʻalahi a nā kauka e hoʻohana ai, i kapa ʻia ʻo Tinel's Sign . E kamaʻilio iki kākou e pili ana i kēia i kēia lā?

He aha ka hōʻailona a Tinel?

I ka ʻōlelo maʻalahi, ʻo ka Tinel's Sign he manaʻo "tingling" a i ʻole "pins and needles" āu e ʻike ai i ka wā e pā mālie ai kāu kauka i kou ʻili kahi e holo ai ke aʻalolo. Manaʻo ia e like me ka ʻakaʻaka iki, e like me ka haʻalulu uila . Hiki i kēia manaʻo ke lilo i hōʻailona ua ʻūmiʻi a hōʻino ʻia paha ke aʻalolo ma kahi e pā ʻia ana.

He aha maoli kāu e ʻimi nei ma kēia?

Hoʻohana ʻia kēia hoʻāʻo (Tinel's Sign) e nā kauka e loiloi inā ua hōʻino ʻia a hoʻonāukiuki ʻia paha kekahi aʻalolo ma kahi kikoʻī. ʻO ia hoʻi, ʻo ke kumu o kēia hoʻāʻo, ʻo ia ka hoʻāʻo ʻana e ʻike inā ua ʻomi ʻia ke aʻalolo ma ia wahi ma kekahi ʻano a i ʻole inā ua hoʻopilikia ʻia kāna hana.

Aia kekahi mau inoa ʻē aʻe? Na wai i hana i kēia?

ʻAe, i kekahi manawa kapa ʻia ia e nā kauka ʻo ka hōʻailona Hoffmann-Tinel . Loaʻa nā inoa ʻelua mai nā inoa o nā kānaka ʻelua i wehewehe mua i ka hōʻailona i ka makahiki 1915. ʻO lāua ʻo ka physiologist ʻo Paul Hoffmann a me ka neurologist ʻo Jules Tinel. No laila ua hoʻohana ʻia ka inoa no ka hoʻohanohano ʻana iā lāua.

I ka manawa hea e hoʻohana ai nā kauka i kēia hoʻāʻo (Tinel's Sign)?

Inā kānalua ke kauka i ka hōʻino ʻana o ke aʻalolo a i ʻole ka huhū o ke aʻalolo, hiki iā lākou ke hana i kēia hoʻāʻo (Tinel's Sign). Inā loaʻa iā ʻoe ka mae mau, ka ʻeha, a i ʻole ka nāwaliwali ma kahi wahi, hiki i kēia ke kōkua i ka hoʻoholo ʻana inā ma muli o kahi pilikia aʻalolo.

E nānā kākou i kekahi mau laʻana?

Aia kekahi mau kūlana kahi e pono ai kēia hōʻailona (Tinel's Sign). E nānā kākou i ke ʻano o lākou:

• ʻO ka Carpal Tunnel Syndrome: Ua lohe paha ʻoe i kēia. Hiki mai kēia ʻano ke kaomi ʻia ke aʻalolo waena, ka mea e holo ana ma ko mākou pulima. Hiki i kēia ke hana i ka ʻeha, ka ʻeha, a i kekahi manawa ka nalowale o ka ikaika ma ka lima a me nā manamana lima. E noʻonoʻo, ʻo ka mea e paʻi ana ma kahi kamepiula i ka lā a pau a hana paha i ka hana lima kaumaha e loaʻa paha kēia ʻano. A laila, inā e paʻi pono ke kauka i ka pulima a manaʻo i ka ʻeha, hiki ke lilo i Carpal Tunnel Syndrome.

• ʻO Cubital Tunnel Syndrome: Hana ʻia kēia i ka wā e hoʻopaʻa ʻia ai ke aʻalolo ulnar i loko o ko mākou kuʻekuʻe.- Ua kapa pū kekahi poʻe i kēia he "iwi leʻaleʻa", ʻo ia ka wā e hōʻino ʻia ai a ʻūlū ʻia paha ke aʻalolo. Hiki i kēia ke hana i ka mae a me ka ʻeha ma ka lima (ʻoi aku ka manamana lima liʻiliʻi a me ka manamana lima apo) a me nā manamana lima. ʻO kekahi poʻe, ka poʻe i maʻa mau i ka hoʻopaʻa ʻana i ko lākou mau kuʻekuʻe i ka papaʻaina, a i ʻole ka poʻe i loaʻa i kahi ulia me ko lākou mau kuʻekuʻe, hiki ke loaʻa i kēia maʻi.

• ʻO ka Tarsal Tunnel Syndrome: ʻO kēia ka wā e ʻomi ʻia ai ke aʻalolo Posterior Tibial, ka mea e holo ana ma loko o ko mākou kuʻekuʻe wāwae. Hiki i kēia ke hōʻeha, mae, a nalowale paha ka ʻike i ko mākou mau wāwae, ʻoiai hoʻi nā kapuwaʻi o ko mākou mau wāwae. I kekahi manawa, hiki ke ʻomi ʻia kēia aʻalolo ke komo mākou i nā kāmaʻa kūpono ʻole a i ʻole ke loaʻa iā mākou kahi ʻeha i ko mākou kuʻekuʻe wāwae.

Mea nui: He mau laʻana wale nō kēia. Hiki i kēia hoʻāʻo (Tinel's Sign) ke kōkua i ka ʻike ʻana i nā pilikia aʻalolo ʻē aʻe he nui.

He aha nā hōʻailona o ke aʻalolo i ʻoki ʻia a i ʻole ka hōʻino ʻia ʻana o ke aʻalolo?

Inā loaʻa iā ʻoe kahi aʻalolo i ʻoki ʻia a hōʻino ʻia paha, hiki iā ʻoe ke ʻike i kekahi a ʻoi aku paha o kēia mau hōʻailona:

• Manaʻo wela
• ʻO ka maneʻo a i ʻole ka nalowale piha ʻana o ka ʻike
• ʻEha (hiki ke ʻoi a ʻūlū paha)
• Manaʻo ʻūlū
• Ka nāwaliwali ma kahi kūpono, ʻo ia hoʻi, ka emi ʻana o ka ikaika.

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​mai kali wale a nalo aku lākou. ʻOi aku ka maikaʻi o ke ʻike ʻana i ke kauka.

ʻO wai ka mea e hana i ka hoʻāʻo Tinel's Sign?

Hiki i kekahi mea mālama ola kino e kānalua nei i kahi aʻalolo i ʻoki ʻia, inā paha he kauka ʻohana a he loea paha, ke hana i kēia hoʻāʻo (Tinel's Sign). He mea maʻalahi loa ia.

Pono ʻoe e hoʻomākaukau no kēia hoʻokolohua ma mua?

ʻAʻole, ʻaʻohe pono no kekahi hoʻomākaukau kūikawā. Hiki iā ʻoe ke hana i kēia hoʻāʻo ma laila ke hele ʻoe e ʻike i kāu kauka e like me ka mea maʻamau.

He aha ka mea e hana ʻia ma mua o ka hoʻāʻo?

E nīnau mua ke kauka iā ʻoe i ka wehewehe piha o kāu mau hōʻailona. Eia kekahi laʻana, kahi āu e ʻeha ai, i ka manawa hea ʻoe e ʻike nui ai, a me ke ʻano o nā hana e hoʻonui ai i ka ʻino. A laila, ma ke ʻano he ʻāpana o ka hoʻokolokolo kino, e nānā ʻia kēia (Tinel's Sign).

He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?

He hana maʻalahi loa kēia. E pā mālie ke kauka i ka ʻāpana o kou ʻili kahi a lākou e manaʻo ai aia ke aʻalolo, me ka hoʻohana ʻana i ko lākou manamana lima a i ʻole ka hāmare liʻiliʻi. E nīnau ke kauka iā ʻoe pehea kou manaʻo ke pā lākou. ʻAʻole ʻeha kēia, no laila ʻaʻohe pono e makaʻu.

He aha ka ʻōlelo a nā hopena o ka hoʻāʻo?

• He hopena maikaʻi:Inā ʻoe e manaʻo i kahi ʻano ʻūlū a ʻōniʻoniʻo paha ke pā ʻia ʻoe e ke kauka ma ia ʻano, ʻo ia hoʻi he hōʻino a huhū paha ke aʻalolo ma ia wahi.
• Hopena maikaʻi ʻole: Inā ʻaʻole ʻoe e manaʻo i ka mae ʻana o ke aʻalolo i ka wā e pā ʻia ai, he hopena maikaʻi ʻole ia. Eia nō naʻe, aia kahi mea nui e hoʻomanaʻo ai ma ʻaneʻi. ʻAʻole manaʻo ka hopena maikaʻi ʻole ʻaʻohe ʻōmiʻi o ke aʻalolo. I kekahi manawa, ʻoiai inā ua ʻōmiʻi ʻia ke aʻalolo, ʻaʻole paha e hōʻike kēia (Hōʻailona o Tinel).

No laila, ʻo kēia hoʻāʻo (Tinel's Sign) he kōkua wale nō ia i ke kauka i ka hoʻomaopopo ʻana i kou kūlana. Hoʻoholo piha ʻia kahi hoʻoholo me nā hōʻailona ʻē aʻe a me ka mōʻaukala olakino.

He aha ka mea e hana ʻia ma hope o ka hoʻāʻo?

Ma muli o nā hopena o ka hoʻāʻo Tinel's Sign, kāu mau hōʻailona ʻē aʻe, a me nā ʻike o ka hoʻokolokolo lapaʻau, hiki i kāu kauka ke paipai i kekahi mau hoʻokolohua ʻē aʻe. Eia kekahi laʻana:

• Electromyography (EMG): Hoʻāʻo kēia i ka hana uila o nā aʻalolo a me nā ʻiʻo. Kōkua kēia i ka hoʻoholo ʻana inā he pōʻino aʻalolo a me ka nui.
• MRI scan: Hiki i kēia ke ʻike maopopo i nā aʻalolo a me nā ʻiʻo a puni. He mea nui kēia e ʻike i ke kumu o ke kaomi ʻana o ke aʻalolo (e.g. he puʻupuʻu, pehu).
• X-ray: Hiki i kēia ke kōkua e ʻike inā ua ʻūmi ʻia ke aʻalolo e kahi pilikia me ka iwi (e.g., kahi haki, kahi kīnā o ka iwi).

Aia kekahi mau pilikia me kēia hoʻāʻo (Tinel's Sign)?

ʻAʻole, ʻaʻohe pilikia. He hoʻāʻo maʻalahi loa kēia a palekana hoʻi. He kīkēkē iki wale nō ia. No laila, mai makaʻu i kekahi mea.

ʻEhia ka lōʻihi e loaʻa ai nā hopena hoʻāʻo?

ʻO ka mea maikaʻi loa, hiki iā ʻoe ke ʻike koke i nā hopena . Hiki iā ʻoe ke haʻi koke inā ʻoe e manaʻo nei i ka mae a i ʻole ke kani ʻana ke pā ʻoe ma luna. A laila e kamaʻilio ke kauka me ʻoe a kūkākūkā i ka mea e hana ai ma hope.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona e hōʻike ana he ʻūmiʻi a huhū paha kou aʻalolo (e like me ke kuni ʻana, ka mae ʻana o ka ʻiʻo, ka nāwaliwali, ka ʻeha mau), e ʻike pono i ke kauka. Mai hoʻowahāwahā i kēia mau mea me he mea maʻalahi lā. ʻO ka loaʻa ʻana o ka lāʻau lapaʻau i ka wā mua e hiki ke kōkua i ka pale ʻana i ka maʻi mai ka ʻino ʻana.

Hiki iaʻu ke hoʻāʻo i kēia (Tinel's Sign) ma ka home?

He kūpono ke nīnau i kēia. Eia nō naʻe, ʻoi aku ka maikaʻi o ke kauka e hana i kēia hoʻokolohua. No ka mea, pono ka ʻike lapaʻau e hoʻomaopopo pono ai i kahi o ke aʻalolo, pehea e pā ai, a me nā hopena. Hiki iā ʻoe ke hele a hana iā ʻoe iho a hiki i ka hopena hewa. No laila, inā he kānalua kāu, e ʻike i ke kauka a hana i kēia.

Nā mea nui loa āu e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, eia nā mea nui e pono ai ʻoe e hoʻomanaʻo mai kā mākou i kamaʻilio ai i kēia lā:

• He hoʻāʻo maʻalahi, wikiwiki, a ʻeha ʻole ka Tinel's Sign e hōʻike ana i ke kaomi ʻana a i ʻole ka hōʻino ʻia ʻana o nā aʻalolo.
• Inā loaʻa iā ʻoe nā hōʻailona e like me ka mae ʻole, ka ʻeha, a i ʻole ka nāwaliwali i kou mau lālā, mai ʻeha me lākou. Mai hoʻowahāwahā iā lākou.
• Inā ʻike ʻoe i kēia mau hōʻailona, ​​e ʻike koke i ke kauka e kūkākūkā i kāu mau hōʻailona, ​​​​nā koho lapaʻau, a me nā ala e loaʻa ai ka hōʻoluʻolu ma ka home.
• E hoʻomanaʻo, me ka ʻike mua ʻana a me ka mālama kūpono ʻana, hiki iā ʻoe ke ho'ōla koke.

Manaʻolana wau he mea pono kēia ʻike nou. E ola kino!

ʻO ka hōʻailona o Tinel, ke kaomi ʻana o ke aʻalolo, ka mae ʻana o ka hanu, ka tunnel carpal, ka tunnel cubital, ka tunnel tarsal, ka hōʻino ʻana o ke aʻalolo