ʻO ka Carpal Tunnel Syndrome ke kumu o ka ʻeha o ka pulima? E aʻo kākou e pili ana i ka Phalen's Test!

Ua ʻike anei ʻoe i ka mae ʻana o kou mau lima, nā manamana lima, a i ʻole ka ʻeha ma kou pulima lima? Malia paha ʻoi aku ka ʻino o kēia ʻeha i ka pō, a i ʻole ka mae ʻana o kou lima i ke kakahiaka. ʻO kekahi o nā kumu nui o kēia ʻeha ʻole, ʻo ia ke ʻano i kapa ʻia ʻo Carpal Tunnel Syndrome . No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​aia kekahi ala maʻalahi no ke kauka e nānā iā ʻoe. ʻO ia ka mea a mākou e kapa nei ʻo ka Phalen's Test . I kēia lā, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī, me he mea lā e haʻi ana ʻoe i kahi hoaaloha.

He aha ka hoʻāʻo ʻana o Phalen?

I ka ʻōlelo maʻalahi, ʻo ka Phalen's Test kahi hoʻomaʻamaʻa liʻiliʻi āu e hana ai me kou lima a me kou pulima. Hoʻohana nā kauka iā ia e ʻike inā he carpal tunnel syndrome kou. Kapa pū kekahi poʻe iā ia he hōʻailona Phalen. ʻO ke ʻano o nā inoa ʻelua he like ia, no laila mai hopohopo inā haʻi aku kāu kauka iā ʻoe e hana.

He hoʻāʻo kēia e hiki ke hana ʻia ma ke keʻena o ke kauka. ʻO ia hoʻi, ʻaʻole ia e koi i kekahi lako kūikawā a i ʻole kahi manawa hoʻonohonoho ʻokoʻa. E noi ke kauka iā ʻoe e paʻa i kou lima a me kou pulima lima ma nā kūlana like ʻole. E kau kēia mau kūlana i kahi kaomi iki ma ke aʻalolo waena i loko o kou pulima lima. Inā ʻike ʻoe i ka mae a i ʻole ke kani ʻana i kou mau manamana lima ke hana ʻoe i kēia, he hōʻailona maikaʻi ia he carpal tunnel syndrome kou.

Eia nō naʻe, i kekahi manawa ma hope o kēia hoʻāʻo, hiki ke hana ʻia kahi hoʻāʻo kiʻi , e like me ka scan, e hōʻoia i loaʻa iā ʻoe ka Carpal Tunnel Syndrome , a i ʻole e ʻike inā he pilikia ʻē aʻe i loko o ka pulima.

I ka manawa hea e pono ai ka hoʻāʻo ʻana o Phalen?

Pono paha ʻoe i kahi Phalen's Test inā manaʻo kāu kauka he carpal tunnel syndrome kou. Inā hele ʻoe e ʻike i ke kauka me ka ʻeha pulima a i ʻole nā ​​​​hōʻailona ʻē aʻe ma kou mau lima a i ʻole nā ​​​​manamana lima, hiki iā lākou ke hana i kēia Phalen's Test ma ke ʻano he ʻāpana o kāu hoʻokolohua kino maʻamau.

E noʻonoʻo e pili ana i ia mea, inā ʻoe kekahi e hana ana ma kahi kamepiula i ka lā a pau, a i ʻole kekahi e hana mau ana i nā hana lima kaumaha, e like me ka humuhumu a me ka ulana ʻana, ʻoi aku ka nui o kou loaʻa ʻana i kēia maʻi. ʻO ka Carpal Tunnel Syndrome kahi maʻi maʻamau e hoʻopilikia i nā lima a me nā pulima o kānaka.

E nānā kākou i ke ʻano o kēia Carpal Tunnel . I loko o kou pulima, aia kahi ala liʻiliʻi e like me ke tunnel. ʻO kēia ka mea a mākou e kapa nei ʻo ke carpal tunnel. Hana ʻia kēia tunnel me nā iwi liʻiliʻi i loko o kou pulima. Ma o kēia tunnel ʻoe e hoʻoneʻe ai i kou mau manamana lima.ʻO nā mea nui e like me nā aʻalolo , nā tendon , a me nā ligaments e hele ana ma o ia mea. Hana ʻia ka Carpal Tunnel Syndrome i ka wā e ʻomi ʻia ai, ʻūmiʻi ʻia, a hoʻonāukiuki ʻia paha ke aʻalolo median, ka mea e hele ana ma kēia carpal tunnel, e kekahi mea.

ʻO wai ka mea nāna e hana i ka hoʻāʻo ʻo Phalen?

ʻOiaʻiʻo, ʻo ʻoe ka mea e hana ana i nā neʻe lima a me nā kūlana ma kēia Phalen's Test. ʻAʻole ia e koi i kekahi lako kūikawā, a ʻaʻole pono ʻoe e hoʻomākaukau i kekahi mea ma mua. E hōʻike ke kauka iā ʻoe pehea e paʻa pono ai i kou mau lima a me nā pulima lima. E nānā ke kauka iā ʻoe ʻoiai ʻoe e paʻa ana i kou mau lima ma kēlā mau kūlana. No laila, ʻaʻohe mea e makaʻu ai.

Pehea e hana ʻia ai ka hoʻāʻo ʻo Phalen?

ʻO ka Phalen's Test e pili ana i kahi ʻano o nā kūlana like ʻole e kau mālie ana i ke kaomi i kāu carpal tunnel . E hoʻomanaʻo, inā loaʻa iā ʻoe kekahi ʻeha a ʻoluʻolu ʻole paha i kekahi ʻāpana o ka hoʻāʻo, pono ʻoe e haʻi i kāu kauka.

He maʻalahi loa kēia hoʻāʻo. Eia nā kūlana o ka lima a me ka pulima lima:

• ʻO ka mua, e hoʻohui i kou mau lima ma kahi o ka pae pūhaka. A laila, e hoʻohui i ke kua o kou mau lima (ʻo ia hoʻi, ka ʻaoʻao dorsal), e kū pono ana nā poho lima i luna.
• E mālama i kou mau lima ma kēlā kūlana, e hāpai i kou mau lima a hiki i ka pae ʻana o kou mau kuʻekuʻe i ka pae umauma.
• E haʻi aku ke kauka iā ʻoe e paʻa i kēlā kūlana no hoʻokahi minute.
• I kēlā manawa, e nīnau ke kauka iā ʻoe inā ʻoe e manaʻo nei i kekahi mae ʻana ma kou mau manamana lima a i ʻole kekahi mau manaʻo ʻē ma nā ʻaoʻao o kou lima.

ʻO ka mea nui loa, ʻo ia ke haʻi aku i kāu kauka inā manaʻo ʻoe i kekahi mea ʻoluʻolu ʻole. A laila hiki iā ia ke hana i ka hana e pono ai.

He aha ka hoʻāʻo Reverse Phalen?

Ua like loa ka Hoʻāʻo Phalen Hoʻohuli me ka Hoʻāʻo Phalen. Pili pū kekahi i kekahi mau neʻe lima a me nā kūlana like ʻole. Ke nānā nei hoʻi ia i nā hōʻailona o ka carpal tunnel syndrome . Hiki i kāu kauka ke noi iā ʻoe e hana i kekahi a i ʻole nā ​​​​​​hoʻāʻo ʻelua.

Eia nā ʻanuʻu e hana ai i ka Reverse Phalen's Test:

• E lawe mai i kou mau lima i luna i ka pae umauma, e hui pū nā poho lima. Pono kou mau kuʻekuʻe e kuhikuhi i nā ʻaoʻao (mai ke kikowaena o kou kino). E noʻonoʻo e like me ke ʻano o kekahi poʻe e paʻa ai i ko lākou mau lima i ka wā e oli ai lākou iā Pirith a i ʻole e hana i kahi makemake.
• E mālama i kou mau kuʻekuʻe ma ke kūlana like, e hoʻohaʻahaʻa i kou mau lima i kou ʻōpū.
• E haʻi aku ke kauka iā ʻoe e paʻa i kou mau lima kokoke i kou pihi ʻōpū no hoʻokahi minute. E nīnau ʻo ia inā ʻoe e manaʻo nei i kekahi ʻano mae a ʻoluʻolu ʻole paha i kēia manawa.

Pono ʻoe e hoʻomākaukau no ka Phalen's Test?

ʻAʻole, ʻaʻole pono ʻoe e hana i kekahi mea e hoʻomākaukau ai no kahi Phalen's Test. Inā loaʻa iā ʻoe kekahi mau hōʻailona hou ma kou pulima, lima, a i ʻole nā ​​​​manamana lima, pono ʻoe e ʻike i ke kauka.

He aha kāu e manaʻo ai i ka wā e lawe ai i ka hoʻokolohua?

E ho'āʻo e hana i kēlā mau neʻe lima a paʻa i nā kūlana a hiki i ka lōʻihi, e like me ka ʻōlelo a kāu kauka iā ʻoe. Inā loaʻa iā ʻoe ka carpal tunnel syndrome , hiki iā ʻoe ke manaʻo i kahi ʻoluʻolu ʻole, e like me ka numbness. Akā, ʻaʻohe ala e manaʻo ai i ka ʻeha nui a ʻoi.

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

Ma hope o ka Phalen's Test, pono paha ʻoe e hana i kahi hoʻokolohua kiʻi , kahi e lawe ai i nā kiʻi, e nānā i ke kūlana o kou pulima lima, lima, a i ʻole nā ​​aʻalolo. Eia kekahi laʻana:

• Hoʻāʻo MRI (Magnetic Resonance Imaging) .
• Hoʻokolokolo ʻana o ka ultrasound .
• ʻO ka EMG (Electromyogram) kahi hoʻokolohua e ana i ka hana a nā aʻalolo.

Inā ua ʻike ʻia ʻoe me ka carpal tunnel syndrome , na kāu kauka e mālama iā ia. E haʻi aku ʻo ia iā ʻoe i ke ʻano o ka lāʻau āu e pono ai a me ka mea e manaʻo ai. I kekahi manawa, inā pono ke ʻoki ʻana e hoʻoponopono i ka pōʻino i loko o kou pulima, e kuhikuhi ʻia ʻoe i kahi loea orthopedic .

Aia kekahi mau pilikia me ka Phalen's Test?

ʻO kaʻoiaʻiʻo, ʻaʻohe pilikia nui ma kēlā me kēia ʻano o ka Phalen's Test.

Hiki paha iā ʻoe ke manaʻo i kekahi ʻeha a ʻoluʻolu ʻole paha i ka wā o ka hoʻāʻo ʻana. Eia nō naʻe, inā loaʻa iā ʻoe ka carpal tunnel syndrome , wikiwiki loa kēia hoʻāʻo. Eia kekahi, inā ʻoe e ʻike nei i ka nui o ka ʻoluʻolu ʻole, hiki iā ʻoe ke hoʻōki i kēlā me kēia manawa. No laila, inā ʻoe e manaʻo i ka ʻeha i kekahi ʻāpana o ka hoʻāʻo, e hōʻoia e haʻi i kāu kauka.

He aha nā hopena? He aha kā lākou e haʻi mai ai iā mākou?

E hoʻokaʻawale kāu kauka i nā hopena o ka hoʻāʻo ʻana o Phalen ma ke ʻano he "maikaʻi" a "maikaʻi ʻole paha."

ʻO ka hoʻāʻo Phalen maikaʻi ʻo ia hoʻi ua ʻike ʻoe i kekahi o nā hōʻailona o ka Carpal Tunnel Syndrome (e like me ka maneʻo a me ka ʻeha) i ka wā o ka hoʻāʻo ʻana.

ʻO ka hoʻāʻo Phalen maikaʻi ʻole, ʻo ia hoʻi, ʻaʻole ʻoe i ʻike i kekahi mau hōʻailona o ka Carpal Tunnel Syndrome i kou paʻa ʻana i kēlā mau kūlana.

Pololei loa kēia hoʻāʻo.ʻO ia hoʻi, he 85% pololei ia, ʻoiai inā ʻoe e paʻa i ke kūlana no ka ʻoi aku ma mua o hoʻokahi minuke. Eia nō naʻe, ʻo ka Phalen's Test hoʻokahi wale nō ʻāpana o kāu loiloi lapaʻau holoʻokoʻa. ʻOiai inā loaʻa iā ʻoe kahi hopena maikaʻi ʻole, aia nō kahi manawa liʻiliʻi e loaʻa iā ʻoe ka carpal tunnel syndrome . No laila, e hōʻoia e haʻi pololei i kāu kauka i ka wā e ʻike ai ʻoe i kāu mau hōʻailona a pehea ko lākou koʻikoʻi.

He aha ka ʻokoʻa ma waena o ka hōʻailona ʻo Tinel a me ka hoʻāʻo ʻo Phalen?

ʻO ka hoʻāʻo ʻana o Phalen a me ka hōʻailona ʻo Tinel ʻelua mau hoʻokolohua kino e hiki i ke kauka ke hana ma ke keʻena e kōkua i ka hoʻoholo inā he carpal tunnel syndrome kou ma kou lima.

• ʻO ka Phalen's Test kahi moʻo o nā kūlana lima a me nā neʻe ʻana. Inā loaʻa iā ʻoe ka carpal tunnel syndrome, hiki i kou lima a i ʻole nā ​​​​manamana lima ke manaʻo he mae a he mae paha ke hana ʻoe i kēia mau mea.
• ʻO ka Hōʻailona Tinel kahi ʻano ʻūlū āu e ʻike ai i ka wā e paʻi mālie ai kāu kauka i ka ʻili ma luna o ke aʻalolo i hoʻopilikia ʻia. Inā manaʻo kāu kauka he carpal tunnel syndrome kou, e paʻi ʻo ia i ka ʻili ma luna o ke aʻalolo median i loko o kou pulima. Inā ʻo kēlā paʻi mālie e hoʻoulu ai i ka numbness a i ʻole ka manaʻo "pins-and-needles" i kou mau manamana lima, loaʻa paha iā ʻoe ka carpal tunnel syndrome a i ʻole kekahi ʻano ʻē aʻe o ke kaomi ʻana o ke aʻalolo .

ʻO nā mea nui e pono ai ʻoe e hoʻomanaʻo ma kēia ʻatikala

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

• ʻO ka hoʻāʻo ʻo Phalen kahi hoʻāʻo wikiwiki a maʻalahi hoʻi i ke kūlana o ka lima a me ka pulima e hiki ke kōkua i ka ʻike ʻana i ka carpal tunnel syndrome .
• ʻAʻohe mea kūikawā e pono ai ʻoe e hoʻomākaukau ma mua o kēia.
• Inā loaʻa iā ʻoe ka ʻeha pulima hou, a inā he mau hōʻailona kou e like me ka mae ʻole a nāwaliwali paha i kou mau lima a i ʻole nā ​​manamana lima, e ʻike pono i ke kauka . Hiki iā lākou ke ʻike pololei i kou pilikia a hāʻawi iā ʻoe i ka lāʻau lapaʻau e pono ai.

E hoʻomanaʻo, mai hoʻowahāwahā i nā hōʻailona e like me kēia. Ma ka ʻimi ʻana i ke aʻo lapaʻau i ka wā mua, hiki iā ʻoe ke pale i ka piʻi ʻana o ka maʻi.

No laila, ke lana nei koʻu manaʻo ua ʻoi aku kou maopopo i ka Phalen's Test. Inā he mau nīnau hou aku kāu, mai kānalua e nīnau i ke kauka. E noho olakino!

Hoʻāʻo Phalanx , Carpal tunnel syndrome, ʻEha pulima, Hemohemo lima, Median nerve, Hoʻokolokolo lima, Nā maʻi neurological