ʻO ka moʻolelo kupaianaha o ko mākou lima a me ka pulima (Anatomy of the Hand and Wrist)

Ua noʻonoʻo paha ʻoe i ke ʻano kupaianaha o ka hana ʻana o ko kākou mau lima a me nā pulima lima? E noʻonoʻo wale, mai ka paʻa ʻana i ke kīʻaha tī i ke kakahiaka, a hiki i ke kikokiko ʻana ma ke kelepona, ke kākau ʻana i kahi puke, a me ka hāpai ʻana i kahi mea kaumaha, hana mākou i hoʻokahi tausani mau mea me kēia mau lima ʻelua. Akā, ʻaʻole mākou e noʻonoʻo nui i ka nui o nā mea paʻakikī e hana pū ana ma kēia wahi liʻiliʻi, ʻeā? I kēia lā, e kamaʻilio kākou e pili ana i kēia ao kupaianaha i loko o kou lima a me kou pulima lima.

He aha nā lima a me nā pulima lima? He aha kā lākou hana?

I ka ʻōlelo maʻalahi, ʻo kou lima a me kou pulima lima ʻelua o nā ʻāpana paʻakikī loa o ko kākou kino. Kōkua lākou iā kākou e launa pū me ke ao waho, e hoʻopā, e ʻike, a e kāohi i nā mea. Ke noʻonoʻo kākou i ka hoʻopā ʻana, ʻo nā lima ka mea e noʻonoʻo ai.

Hana pū kou lima a me kou pulima lima e hana i nā mea āpau āu e hana ai i ka lā a pau. He mea nui ko lākou kākoʻo no nā mea āu e hana ai, inā paha he hopu ʻana, hoʻopā ʻana, a hoʻohana ʻana paha i kahi mea.

Aia ma hea kēia mau mea?

Aia ka pulima lima ma lalo o kou lima, kahi e pau ai ka lima mua . Ua like ia me kahi hinge ma waena o ka lima a me ka lima. ʻAe kēia hui iā mākou e hoʻonoho i ko mākou lima i kekahi ʻano a mākou e makemake ai.

Hoʻomaka kou lima ma kahi e pau ai kou pulima. Hoʻokomo pū ʻia me kou poho lima, nā manamana lima, a me ka manamana nui.

Pehea i hoʻokumu ʻia ai ko lākou ʻano?

Ua hoʻolālā ʻia ke ʻano o ka lima a me ka pulima lima e ʻae iā mākou e kūlou, wili, a hopu i nā mea i kekahi ʻano a mākou e makemake ai.

E noʻonoʻo ʻoe e pāʻani ana i kahi pāʻani crane ma kahi arcade. Ua like ka lima me ka maiʻu e hopu ana i nā makana. Ua like ka pulima me ka hui mīkini e hoʻoneʻe ai i ka maiʻu i luna, i lalo, a me ka ʻaoʻao a i ka ʻaoʻao. Pēlā e hiki ai i ka pulima ke hoʻoneʻe i ko mākou lima i kēlā me kēia ʻaoʻao.

Nā ʻāpana nui o ka lima a me ka pulima lima

Ua hoʻonohonoho ʻia nā ʻāpana o ko kākou lima a me ka pulima lima ma nā papa, kekahi ma luna o kekahi. ʻO kēia ka mea e hāʻawi iā ia i kona ʻano ʻekolu-dimensional a hiki iā ia ke neʻe a hana pono.

ʻO ka lima a me ka pulima lima, ua hana nui ʻia ia mau ʻāpana:

• Nā iwi: Hāʻawi i kahi iwi ikaika.
• Nā ʻiʻo: Hāʻawi i ka neʻe ʻana a me ka ikaika.
• Nā aʻalolo: Kāohi i nā manaʻo a me nā ʻiʻo.
• Nā ʻiʻo: Hoʻohui i nā ʻiʻo i nā iwi.
• Ligaments: E hoʻohui i nā iwi kekahi i kekahi a hoʻopaʻa i nā hono.
• Nā kīʻaha koko: hoʻolako i ke koko.
• Nā kīʻaha lymphatic: ʻĀpana o ka ʻōnaehana lymphatic.

I kēia manawa, e nānā kākou i kēlā me kēia me nā kikoʻī hou aku.

Nā iwi o ka lima a me ka pulima lima

ʻO nā iwi ke kumu nui o ka lima a me ka pulima. ʻO ia hoʻi, hana lākou ma ke ʻano he heleuma e hāʻawi iā lākou i ke ʻano a hoʻopili i nā ʻāpana ʻē aʻe.

Nā iwi ma ka lima

He 19 mau iwi ma kou lima. Ua hoʻonohonoho ʻia lākou e like me ko lākou wahi a me kā lākou hana.

ʻO nā iwi ma ka pulima

He hui paʻakikī kou pulima lima i hana ʻia me nā iwi liʻiliʻi ʻewalu i hoʻonohonoho ʻia i ʻelua lālani. Ua kapa ʻia kēia mau mea he mau iwi carpal.

Nā ʻiʻo o ka lima a me ka pulima lima

He mau ʻiʻo palupalu nā ʻiʻo i hana ʻia me nā olonā elastic. Hana pū nā ʻiʻo i loko o ka lima (nā ʻiʻo kūloko) a me nā ʻiʻo ma waho o ka lima, ʻo ia hoʻi ka lima (nā ʻiʻo extrinsic), e hāʻawi i ka lima i ka ikaika a me ka hiki ke hana i nā neʻe maikaʻi.

ʻO nā meatballs ma ka lima

He 34 ou mau ʻiʻo ma ka lima hoʻokahi. Ua māhele ʻia lākou i kekahi mau pūʻulu nui.

ʻO ka hui pū ʻana o kēia mau ʻiʻo e hopena i ʻelua ʻano nui o nā paʻa lima:

• Paʻa ikaika: Maanei kahi e loaʻa ai ka ikaika i kou lima. E noʻonoʻo i nā mea e like me ka hāpai ʻana i kahi pahu kaumaha a i ʻole ka wehe ʻana i kahi poʻi ʻōmole i pani paʻa ʻia.
• Paʻa pololei: Ke hoʻohana ʻana i ka lima a me nā manamana lima e hopu a hoʻoneʻe i nā mea liʻiliʻi. ʻO nā laʻana e like me ka lawe ʻana i kahi peni mai kahi papaʻaina a i ʻole ka wehe ʻana i ka puka me kahi kī.

ʻO ka puʻupuʻu ma ka pulima

Aia kekahi mau ʻiʻo ma ka pulima e hana i kekahi mau neʻe nui.

• Kulou: Nā ʻiʻo e kōkua i ke kulou ʻana o ka pulima i lalo i ka pālima.
• Hoʻonui: Nā ʻiʻo e kōkua i ka huki ʻana i ka pulima i luna, me he mea lā e hōʻailona ana i kekahi e "kū."
• Adduction (kūlou i loko): Nā ʻiʻo e kōkua i ke kūlou ʻana o ka pulima lima i waenakonu o ke kino.
• ʻO ka Abduction: Nā ʻiʻo e kōkua i ke kulou ʻana i ka pulima i waho mai ke kikowaena o ke kino.

Nā aʻalolo o ka lima a me ka pulima lima

Hoʻomalu nā aʻalolo i kou mau ʻiʻo. Kōkua pū lākou iā ʻoe e ʻike i nā manaʻo like ʻole a lawe i kēlā ʻike i kou lolo.

• Hoʻokaʻaʻike
• Mahana
• ʻEha
• Kaomi

ʻEkolu mau aʻalolo nui e hāʻawi i ka manaʻo i ka lima a me ka pulima lima.

• ʻO ke aʻalolo radial
• ʻO ke aʻalolo waena
• ʻO ke aʻalolo Ulnar

Hohola aʻela kahi pūnaewele o nā aʻalolo liʻiliʻi e lālā ana mai kēia mau aʻalolo nui ʻekolu ma loko o ka lima a me ka pulima lima.

Nā Tendons a me nā Ligaments

He ʻano pili nā mea ʻelua, akā aia kahi ʻokoʻa ma waena o nā mea ʻelua.

Nā ʻūmiʻi

Ua like nā aʻalolo me nā kaula ikaika a palupalu e hoʻopili ana i kou mau ʻiʻo i kou mau iwi . ʻElua ʻano aʻalolo ma ka lima a me ka pulima lima:

• Nā olonā hoʻonui: Nā olonā e kōkua i ka hoʻolōʻihi ʻana i nā manamana lima, lima, a me ka pulima lima.
• Nā olonā Flexor: Nā olonā e kōkua i ke kulou ʻana i nā manamana lima, lima, a me ka pulima lima.

Nā ligaments

Ua like nā tendons me nā kaulahao, ʻoiai ua like nā ligaments me nā kāʻei laholio mānoanoa . ʻO kā lākou mau hana nui:

• Kōkua i nā hono e neʻe mālie.
• Ke pale nei i nā hono mai ke kulou nui ʻana.
• Ka mālama ʻana i nā hono i ke kūlana kūpono.

Aia kekahi mau ʻano ligaments ma ka lima a me ka pulima. No ka laʻana, ʻo nā 'ligaments collateral' ma kēlā me kēia ʻaoʻao o nā manamana lima e pale aku i nā manamana lima mai ka neʻe ʻana i kahi mamao loa.

Nā kīʻaha koko a me nā lymphatic

Loaʻa i kou lima a me kou pulima ke koko mai nā aʻa nui ʻelua. Holo ke aʻa radial ma ka ʻaoʻao o kou manamana nui, a holo ke aʻa ulnar ma ka ʻaoʻao o kou manamana lima liʻiliʻi. Hoʻomaka nā aʻa koko liʻiliʻi mai kēia mau aʻa a hoʻolako i ke koko i kou mau manamana lima.

He pūnaewele o nā kīʻaha koko ka ʻōnaehana lymphatic e hōʻiliʻili i ka plasma keu i loko o ko kākou kino a hoʻihoʻi iā ia i ke koko. Hāʻawi nā kahawai lymph liʻiliʻi ma nā lima i kēia hana.

Nā kūlana maʻamau o ka lima a me ka pulima

Nui nā kumu hiki ke hōʻeha i ka lima a i ʻole ka pulima. Eia kekahi o nā kūlana maʻamau:

• ʻO ka maʻi Carpal Tunnel
• ʻO ka maʻi o ka lima a i ʻole ka pulima lima - e like me ka lāʻau rheumatoid, osteoarthritis.
• Tendinitis - Ka mumū ʻana o nā aʻalolo.
• Manamana lima hoʻokuʻu a i ʻole ka manamana nui hoʻokuʻu - He kani kaomi a i ʻole "ticking" ke kūlou ka manamana lima.
• ʻO ka ʻaelike ʻo Dupuytren - ka mānoanoa o nā ʻiʻo ma lalo o ka ʻili o ka pāma, e hoʻoulu ai i nā manamana lima e wili i loko.

Pehea e mālama ai i kou mau lima a me kou mau poʻohiwi i ke olakino?

ʻO ke ala maikaʻi loa e mālama ai i kou mau lima a me nā pulima lima i ke olakino, ʻo ia ka pale ʻana i ka hoʻoikaika nui ʻana iā lākou. ʻO kēlā me kēia hana a hana paha e pili ana i ka hana hou ʻana i ka neʻe like e hiki ke hana i kahi ʻeha hoʻopaʻa hou .

E makaʻala i kēia mau mea i ka wā e pāʻani ana i nā haʻuki a i ʻole nā ​​​​hana kino ʻē aʻe:

• E ʻaʻahu i nā lako palekana kūpono.
• Inā ʻoe e ʻeha i ka wā a ma hope paha o kahi hana, mai "pāʻani ma o ia mea."
• Hāʻawi i kou kino i ka manawa e hoʻomaha ai a hoʻōla ma hope o ka hana ikaika.
• E hoʻomehana maikaʻi ma mua o ka pāʻani ʻana i nā haʻuki a i ʻole ka hoʻoikaika kino.
• E hoʻomaha a hoʻolōʻihi maikaʻi ma hope o ka hana.
• Mai hoʻonui nui a kūlou paha i kou mau lima a me kou mau pulima lima.

He mea maʻamau ka ʻeha ma ka lima a i ʻole ka pulima lima. Akā, he mea iaMai hoʻowahāwahā iā ia. Inā loaʻa iā ʻoe ka ʻeha hou, a inā e ʻoi aku ka ʻino o kou ʻeha i ka hala ʻana o ka manawa, e ʻike pono i kāu kauka . Ma kēlā ala, hiki iā ʻoe ke loaʻa kahi hopena i kahi pilikia liʻiliʻi ma mua o ka lilo ʻana i mea nui.