Ua ʻike anei ʻoe, a i ʻike paha, i kahi manamana lima i kūlou ʻia ma ke ʻano ʻē a paʻakikī loa ke hoʻopololei? Malia paha ua like ka manamana lima me he mea lā ua kūlou i waenakonu a paʻa, me ka piko e kuhikuhi ana i luna. Hiki i kēia ke lilo i mea hoʻopilikia maoli no kekahi. I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana e kū nei i nā manamana lima, i ʻike ʻia ma ke ʻano lapaʻau ʻo 'Boutonnière Deformity'.
He aha kēia ʻano ʻino o ka Boutonnière?
I ka ʻōlelo maʻalahi, ʻo Boutonnière Deformity kahi kūlana kahi i hiki ʻole ai i ka hui waena o ka manamana lima (a i kekahi manawa, kākaʻikahi, ka manamana wāwae) ke pololei a paʻa i kahi kūlana kūlou. ʻO ke ʻano kēia, ua kūlou ka hui waena o ka manamana lima i lalo a ʻaʻole hiki ke pololei . I ka manawa like, ua kūlou ka hui hope o ka manamana lima, ke hui kahi o ke kui, i luna a ua like me kahi kiko.
He hui ko kākou i loko o ko kākou manamana lima. ʻO kēlā hui waena, ʻo ia hoʻi, ka lua o ka hui mai ka pāma - kapa mākou iā ia ma ka lāʻau lapaʻau ʻo ka 'Proximal Interphalangeal joint' (proximal interphalangeal joint) a i ʻole 'PIP joint' (PIP joint) no ka pōkole - ʻo ia ka mea hiki ʻole ke kulou ʻia, a paʻa i ka wā e kulou ai. I ka manawa like, ʻo ka hui hope o ka manamana lima - kapa mākou iā ia ʻo ka 'Distal Interphalangeal joint' (distal interphalangeal joint) a i ʻole 'DIP joint' (DIP joint) - ua kulou ʻia i hope a kuhikuhi ʻia i luna.
Ua kapa ʻia kēia ʻo `boutonnière`, ʻo ia hoʻi ʻo `buttonhole` ma ka ʻōlelo Palani. ʻO ke kumu o kēia kūlana, ʻoiai ke hōʻino ʻia kahi `tendon`, kahi ʻiʻo ikaika e hoʻopili ana i kahi ʻiʻo i ka iwi, ma ka piko o ka manamana lima, e hana ʻia kahi lua liʻiliʻi ma waena o nā olonā, e like me ka buttonhole. No laila mai ka inoa. Inā ʻaʻole hana pono kēia `tendon`, ʻaʻole hiki iā ʻoe ke hoʻopololei i kou hono manamana lima.
No ke aha lā kēia e hana nei? He aha nā kumu?
ʻO ke kumu nui o kēia `Boutonnière Deformity` ʻo ia ka hōʻino ʻia ʻana o nā ʻiʻo i loko o ka manamana lima i kapa ʻia ʻo `central slip tendon`. ʻO kēia `tendon` ka mea e kōkua iā mākou e hoʻopololei i ka hui waena o ka manamana lima. Holo ia ma ka piko o ka manamana lima. Hiki paha iā ʻoe ke ʻike iā ia ma luna o ke hui.
Ka hōʻino ʻana i ke aʻalolo paheʻe waena i kahi ulia
ʻO ka hapa nui o ka manawa, ua hana ʻia kēia kūlana e kahi ulia. E noʻonoʻo i nā mea e like me kēia:
- Paʻa a paʻi ikaika paha ka manamana lima: No ka laʻana, ke pāʻani nei ʻoe i kahi haʻuki e like me ka volleyball a i ʻole ka netball, paʻi ka pōpō i kou manamana lima me ka ikaika nui. A i ʻole paʻa kou manamana lima i loko o ka puka. I kēlā kūlana, hiki ke huki ʻia a haehae ʻia paha ke olonā.
- Ka haki ʻana o kahi manamana lima: Inā haki kahi iwi ma ka manamana lima, hiki i kahi ʻāpana o ka iwi haʻihaʻi ke hōʻino i ke aʻalolo.
- Ka hemo ʻana o kahi hui manamana lima: Ke hemo kahi hui, hiki ke kīkoʻo a haehae ʻia ke aʻa.
- He ʻoki a i ʻole he hahau ikaika mai kahi mea ʻoi: Inā ʻoki ʻia ka manamana lima e kahi mea e like me ka pahi, a inā hāʻule kekahi mea kaumaha ma ka manamana lima, hiki ke hōʻino ʻia kēia olonā.
ʻOiai hiki ke hōʻeha ʻia kēia ʻano ʻeha o ke `central slip tendon` i kekahi, ʻoi aku ka maʻamau i waena o nā mea pāʻani, no ka mea, ʻoi aku ka nui o ko lākou ʻeha ʻana i nā ʻeha haʻuki.
ʻO ka maʻi ʻaʻai a me nā kūlana ʻē aʻe
Ma waho aʻe o nā pōpilikia, hiki ke hana ʻia ʻo Boutonnière Deformity no kekahi mau kumu ʻē aʻe:
- ʻO ka ʻāʻī rheumatoid: He kumu nui nō hoʻi kēia. Ma muli o ka pehu lōʻihi a me ka ʻeha ma nā hono o ka lima, hiki i ke aʻalolo ke lilo i nāwaliwali, kīkoʻo, a haehae ʻia.
- Nā ʻeha kuni: I kekahi manawa hiki i kahi aʻa ke lilo i nāwaliwali a haki paha ma muli o ke kuni.
- ʻO ka maʻi lima hānau: I kekahi manawa, he maʻi hānau kēia.
- Nā maʻi pili: Hiki i kekahi mau maʻi hoʻoilina ke hoʻonāwaliwali i nā ʻiʻo pili o ke kino. ʻO ia paha kekahi kumu o kēia.
I ka ʻōlelo maʻalahi, inā nāwaliwali a haki paha kēlā 'central slip tendon', ʻaʻole hiki iā ia ke huki i ka hui waena ('PIP joint'). Eia kekahi, hoʻopilikia ia i nā 'extensor tendon' ʻē aʻe e huki ana i ka hui piko ('DIP joint'), a hoʻomaka lākou e huki hou aku. ʻO ia ke kumu e kū ai kēlā kūlou ʻano ʻē.
He aha nā hōʻailona o kēia?
ʻO ka hōʻailona nui o kēia kūlana he kūlana kūpono ʻole o nā hono manamana lima . ʻO ke ʻano kēia:
- ʻAʻole hiki iā ʻoe ke hoʻopololei i ka hui PIP .
- I ka manawa like, ua kulou ʻia ka hui DIP i luna a ua hoʻolōʻihi ʻia .
Ma waho aʻe o kēia, hiki iā ʻoe ke loaʻa nā ʻano like ʻole:
- ʻEha a me ka pehu ʻana o nā hono.
- Hiki ke hoʻonui ʻia ke ʻoʻoleʻa o nā hui, ʻoi aku hoʻi i ka hala ʻana o ka manawa.
I kekahi manawa, hiki ke ʻike ʻia kēia mau hōʻailona ma hope koke iho o ka hōʻeha ʻana i ka manamana lima. A i ʻole hiki ke ʻike ʻia i nā pule ma hope. Eia nō naʻe, inā loaʻa iā ʻoe kahi maʻi e like me ka arthritis, ʻoi aku ka maʻamau o kēia 'Boutonnière Deformity'. E ʻike mua paha ʻoe he mea paʻakikī iki ke kūlou a hoʻopololei i kou manamana lima.
Pehea e ʻike ai ke kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka, e nānā pono lākou i kou manamana lima. E nīnau lākou iā ʻoe e pili ana i kāu mau hōʻailona a me kou mōʻaukala olakino. He maʻalahi ke ʻike ʻia ʻo Boutonnière Deformity ke ʻike ʻoe. Eia nō naʻe, ʻaʻole paha e maopopo loa i ka wā e hoʻomaka mua ai.
A laila hiki i ke kauka ke hana i kahi hoʻokolohua liʻiliʻi i kapa ʻia ʻo ka `hoʻāʻo a Elson`.
Eia ke ʻano o ka hana ʻana: Ke noi ʻia nei ʻoe e kūlou i kou mau manamana lima ma kahi kiko, e like me kēia: he kihi. A laila kaomi ke kauka i lalo ma ka phalanx waena o kou manamana lima kuhikuhi (a i ʻole ka manamana lima i ʻeha) a noi iā ʻoe e hoʻopololei i kou manamana lima. Inā ʻaʻole hiki iā ʻoe ke hoʻopololei i kou manamana lima e kūʻē i ke kūʻē ʻana, hiki iā lākou ke haʻi he pilikia me ke aʻalolo paheʻe waena.
Eia kekahi, hiki i ke kauka ke kauoha i kahi X-ray . Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ka nui o ka ʻeha a me kekahi pōʻino iwi. Hiki iā ia ke kōkua i ka hoʻolālā ʻana i ka lāʻau.
ʻAe, he aha ka lāʻau lapaʻau no kēia?
ʻO ka hapa nui o ka manawa, hoʻomaka nā kauka e mālama i ka Boutonnière Deformity me nā ʻano hana ʻoki ʻole. ʻO ia hoʻi, me nā lāʻau lapaʻau conservative. Akā ʻo ka mea nui loa, ʻo ia ka loaʻa ʻana o ka lāʻau i ka wā hikiwawe loa . ʻO ka lōʻihi o kou kali ʻana e loaʻa ka lāʻau, ʻoi aku ka paʻakikī o ka hoʻoponopono ʻana i kēia deformity, ʻoiai me ke ʻoki ʻana.
Lapaʻau mālama
Inā he mea hou kou maʻi, ʻo ka mea mua a kāu kauka e hana ai , ʻo ke kau ʻana i kahi splint ma kou manamana lima . E mālama kēia splint i kou hui PIP i pololei no kekahi mau mahina. E hāʻawi kēia i ka manawa e ho'ōla ai i ke aʻalolo i hōʻino ʻia. Ma hope o kēia manawa, pono ʻoe e hana i ka physiotherapy no kekahi mau mahina. ʻO ia hoʻi ka hana ʻana i nā hoʻoikaika kino kūikawā.
Lapaʻau ʻoki kino
Eia nō naʻe, inā koʻikoʻi ka ʻeha, a inā he maʻi mau loa ia i hoʻomaikaʻi ʻole ʻia me nā lāʻau lapaʻau ʻole, pono paha ʻoe i ke ʻoki ʻana . Hiki ke hana ʻia kahi ʻiʻo ʻeha ma kou manamana lima, e hoʻopaʻa ai i kahi kūpono ʻole. A i ʻole pono paha ke kauka ʻoki e hoʻopili hou i kekahi o nā ʻāpana.
Hiki i ke kauka lapaʻau ke hana i nā mea e like me:
- E hoʻoponopono a kūkulu hou paha i ke aʻalolo paheʻe waena i hōʻino ʻia.
- E hoʻemi ana i ke koʻikoʻi ma nā tendon extensor ʻē aʻe a i ʻole e lawe mai iā lākou i kahi kūpono.
- Inā he ʻāʻī, hiki ke hoʻoponopono ʻia a hoʻohui ʻia paha ka `PIP joint`.
Ma hope o ke ʻoki ʻana, pono ʻoe e kau i kahi splint ma kou manamana lima no kekahi mau pule. Ma hope o ka pule mua, e hāʻawi ʻia ʻoe i kekahi mau hoʻomaʻamaʻa lima e hana ai. Na kāu physiotherapist e alakaʻi i kāu papahana hoʻōla no nā mahina e hiki mai ana.
He aha ke ʻano o ka manaʻolana e hiki ke loaʻa ma hope o ka mālama ʻana?
He maʻi hiki ke mālama ʻia ka Boutonnière Deformity, akā he mea nui ka manawa .Inā ʻoe e ʻimi koke i ka lāʻau lapaʻau ma hope o kahi ulia, me ke ʻoki kino a i ʻole me ka ʻole o ke ʻoki kino, hiki iā ʻoe ke hoʻōla piha. Eia nō naʻe, inā ʻoe e kali iki e ʻike a ʻimi i ka lāʻau lapaʻau no kēia ʻano, hiki ke paʻakikī iki ke ho'ōla.
Eia kekahi, he mea nui ke kumu o ke kūlana . Inā loaʻa iā ʻoe nā kūlana lōʻihi e like me ka arthritis, hiki ke pale ʻia ke kaʻina hana ho'ōla. ʻOi aku ka paʻakikī o ka hoʻoponopono ʻana i nā ʻeha koʻikoʻi a me nā maʻi hānau ʻia me ke ʻoki ʻana. I kekahi manawa, hiki i nā kauka lapaʻau ke hoʻihoʻi i kekahi o ka palupalu o ka hui manamana lima, akā ʻaʻole nā mea āpau.
Hiki i kēia maʻi ke hala i nā mahina e ho'ōla ai. Pono nō hoʻi i ka nui o ke kūpaʻa ma kāu ʻaoʻao - ʻoiai ke hoʻomaka ʻoe e hoʻomaʻamaʻa i kou manamana lima. Eia nō naʻe, he nui ka poʻe e hahai ana i nā ʻōlelo aʻoaʻo i hāʻawi ʻia e kā lākou hui lapaʻau e loaʻa nā hopena maikaʻi.
E hoʻomanaʻo, inā loaʻa iā ʻoe kahi ulia me kou manamana lima a ʻaʻole hiki ke hoʻoneʻe pono, pono ʻoe e ʻike i ke kauka. No ka mea he liʻiliʻi kou mau manamana lima, mai manaʻo he liʻiliʻi ka ulia. He paʻakikī loa kou mau manamana lima a he palupalu hoʻi nā ʻōpū. ʻOiai kahi ulia liʻiliʻi hiki ke hana i nā pōʻino hou aʻe ma mua o kou manaʻo.
ʻO ka hōʻino ʻana i kekahi tendon i kou manamana lima hiki ke hoʻopilikia i nā tendon ʻē aʻe e pili ana iā ia. Ma mua o kou ʻike ʻana, hiki ke hoʻopilikia ʻia ke ʻano hana e kōkua iā ʻoe e hoʻoneʻe i kou manamana lima. No ka hoʻōla ʻana, pono ʻoe e hoʻoponopono hou i kēia mau ʻāpana liʻiliʻi loa.
ʻO ka mea nui loa e pono ai kākou e hoʻomanaʻo mai kēia moʻolelo! (Leka Lawe-Home)
ʻAe, ua kamaʻilio nui mākou e pili ana i ka Boutonnière Deformity. ʻO ka mea hope loa, eia nā mea nui e pono ai ʻoe e hoʻomanaʻo:
- Inā kūlou ke ami waena o ka manamana lima a kuhikuhi ʻia ke ami hope i luna, he 'Boutonnière Deformity' paha ia.
- Hoʻokumu pinepine ʻia kēia e kahi ʻeha i ka manamana lima (ʻoi aku hoʻi ke aʻalolo paheʻe waena) a i ʻole ka ʻāʻī .
- ʻO nā hōʻailona nui ka ʻeha, ka pehu, a me ka hiki ʻole ke hoʻopololei i ka manamana lima .
- He mea nui loa ka ʻimi ʻana i ke kōkua lapaʻau i ka wā hikiwawe loa. ʻO ka lōʻihi o ka hoʻopaneʻe ʻia ʻana, ʻo ka paʻakikī hoʻi o ka mālama ʻana.
- Hoʻokomo ʻia ka lāʻau lapaʻau i ka splinting, ka physical therapy, a i kekahi manawa ke ʻoki kino .
- He mea nui ka manawa a me kou kūpaʻa no ka ho'ōla hou ʻana. E hahai pono i nā ʻōlelo a kāu kauka.
- Mai lawe māmā i kahi ʻeha liʻiliʻi i kou mau manamana lima. E ʻike koke i ke kauka.
No laila, ke lana nei koʻu manaʻo he kōkua kēia ʻike iā ʻoe. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hopohopo a e ʻike i ke kauka no ka ʻōlelo aʻo. Me ka mālama koke ʻana, hiki iā ʻoe ke loaʻa kahi ho'ōla maikaʻi!
ʻO Boutonnière Deformity, pelu ʻana o ka manamana lima, ʻeha o ka manamana lima, ke aʻalolo paheʻe waena, ka rumatika, ke ʻoki ʻana i ka manamana lima, physiotherapy
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