He puʻupuʻu iwi ʻē paha kou ma kou pulima? (Carpal Boss) E kamaʻilio kākou e pili ana i kēia!

Ua ʻike anei ʻoe i kekahi manawa he puʻupuʻu iwi liʻiliʻi kou, e like me ka puʻupuʻu, ma kou lima, ʻoi aku hoʻi ma ka ʻaoʻao o luna o kou pulima? Hopohopo iki kekahi poʻe ke ʻike lākou i kēia, me ka manaʻo, "Auē, he aha ka pilikia iaʻu?" Akā ʻo ka ʻoiaʻiʻo, ʻo ka hapa nui o ka manawa, ʻaʻole kēia he mea e makaʻu ai. I kēia lā, e kamaʻilio mākou e pili ana i kahi puʻupuʻu iwi e like me kēia. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia he (Carpal Boss) .

He aha kēia puʻu iwi ma ka iwi carpal (Carpal Boss)?

I ka ʻōlelo maʻalahi, ʻo ka carpal boss kahi ulu ʻana o ka iwi keu ma waho o kou pulima. ʻO ia kahi e hui ai kou mau manamana lima kuhikuhi a me waena ma ke kumu o kou pulima. Manaʻo paʻakikī loa ia, e like me ka iwi, a ʻaʻole hiki iā ʻoe ke hoʻoneʻe . ʻAʻole ʻeha ka hapa nui o ka poʻe mai ia mea. Kapa pū kekahi poʻe iā ia he carpometacarpal boss .

I kekahi manawa, huikau ka poʻe i kēia (Carpal Boss) me kekahi maʻi ʻē aʻe, no ka laʻana ( Ganglion Cyst). ʻO (Ganglion Cyst) he puʻupuʻu nō hoʻi ia e kū mai ana ma ka iwi carpal, akā ʻaʻole ia he paʻakikī e like me kēia, he puʻupuʻu palupalu ia i piha i ka wai i loko. No laila, inā loaʻa iā ʻoe kēia puʻupuʻu, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka e ʻike pono i ke ʻano o ia mea. Eia nō naʻe, inā ʻaʻohe ou ʻeha a i ʻole nā ​​pilikia ʻē aʻe, ʻaʻole pono kēia (Carpal Boss) i kahi lāʻau kūikawā.

He aha nā hōʻailona o kēia?

ʻO ka hapa nui o ka manawa, ʻike ʻia kēia ʻano (Carpal Bossing) ma ka lima āu e hoʻohana nui ai (lima dominant). ʻO ia hoʻi, inā he lima ʻākau ʻoe, aia ia ma ka lima ʻākau, a inā he lima hema ʻoe, aia ia ma ka lima hema. Eia nō naʻe, hiki ke hana ma ka lima ʻē aʻe, a i kekahi manawa ma nā lima ʻelua.

ʻO ka hōʻailona nui, e like me kaʻu i ʻōlelo ai ma mua, he puʻupuʻu paʻakikī a paʻa ʻole ma luna o ka iwi ʻāʻī. ʻAʻole ʻike ka hapa nui o ka poʻe i kekahi ʻeha, akā hiki i kekahi poʻe ke ʻeha i ka wā e neʻe ai a kūlou paha i ka iwi ʻāʻī. Eia kekahi, hiki iā ʻoe ke manaʻo i kahi palupalu iki ke hoʻopā ʻoe i ka puʻupuʻu.

ʻO kekahi mea ʻē aʻe, hiki i kēia iwi spur ke hoʻonāukiuki i nā aʻalolo e holo ana ma luna o ka lima. Inā hana ʻia kēlā, hiki iā ʻoe ke manaʻo i kahi manaʻo "haʻi" i ka wā e hele ai ke aʻalolo ma luna o ka spur ke neʻe ʻoe i kou lima.

No ke aha e hana ʻia ai kēia ʻano puʻupuʻu? (Nā kumu o ka Carpal Bossing)

ʻO kaʻoiaʻiʻo, ʻaʻole hiki i nā kauka ke ʻōlelo pololei i ke kumu e loaʻa ai i kekahi poʻe ka carpal tunnel syndrome. Eia nō naʻe, aia kekahi mau kumu i manaʻo ʻia e kōkua i ia mea:

• ʻO ka Osteoarthritis): I ka ʻōlelo maʻalahi, ke pau ke cartilage i loko o kou mau hono, hoʻomaka nā iwi e hamo kekahi i kekahi. Hiki i kēia ke kumu i ka ulu ʻana o kahi carpal boss.
• Pilikia hānau: I kekahi manawa hiki ke kū mai kēia ʻano ma muli o ka hana pono ʻole ʻia o nā iwi o ke poʻo i ka wā hānau.
• Hoʻohana nui ʻia: E noʻonoʻo, inā he hana kāu e hoʻohana ai i kou pulima lima ma ke ʻano like i ka lā a pau (no ka laʻana, ka hana ʻana ma ka ʻoihana kūkulu hale), a i ʻole e pāʻani i kahi haʻuki e kau mau ana i ke kaomi ma kou pulima lima, e like me ka tennis a i ʻole ka badminton, hiki nō hoʻi kēia puʻupuʻu ma muli o ka hoʻohana nui ʻia.
• ʻEha : Inā ua loaʻa iā ʻoe kahi ʻeha ma kou lima a i ʻole ka pulima lima, e like me ka iwi haki a i ʻole ka ʻeha o ka pulima lima, hiki i kēia ke kumu o ka loaʻa ʻana o kahi ʻeha carpal ma hope aku.

ʻO wai ka mea i pilikia nui no kēia maʻi?

Ua ʻike ʻia ʻo kēia ʻano (Carpal Boss) ka mea i ʻike pinepine ʻia i nā poʻe ma waena o 20 a me 40 mau makahiki .

Pehea e ʻike ai nā kauka i kēia? (Ke ʻike ʻana i kahi ʻeha Carpal)

Ke hele ʻoe e ʻike i ke kauka me kahi puʻupuʻu e like me kēia, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona . Pehea ka lōʻihi o ka loaʻa ʻana o ka puʻupuʻu iā ʻoe, he ʻeha anei, i ka manawa hea i ʻoi aku ai ka ʻino o ka ʻeha, a pehea kona hopena i kāu mau hana o kēlā me kēia lā.

A laila, e nānā ke kauka i kou pulima . E hoʻoneʻe lākou i kou lima i mua a i mua e ʻike i ka mamao e hiki ai iā ʻoe ke hoʻoneʻe iā ia (range of motion). E hoʻopā lākou i ke ami a ʻike inā paʻa, wehe, a neʻe paha.

Eia kekahi, hiki i kāu kauka ke kauoha i kekahi mau hoʻokolohua kūikawā e hoʻoholo ai inā he carpal boss kēia, he ganglion cyst, a i ʻole kekahi kūlana ʻē aʻe (e laʻa me ka tendonitis, nā haki). ʻO kekahi o kēia mau hoʻokolohua:

• X-ray o ka pulima
• ʻO ke kiʻi ʻana o ka ultrasound
• ʻO ke kiʻi CT (CT - Computed Tomography scan)
• MRI - Nānā kiʻi Magnetic Resonance
• hoʻāʻo EMG (Electromyography) (nānā kēia i ka hana o nā aʻalolo a me nā ʻiʻo)

Ma hope o kēia mau hoʻokolohua, hiki i ke kauka ke haʻi iā ʻoe i ke ʻano o kāu maʻi.

Pehea e hoʻopau ai i kēia puʻupuʻu iwi? (Lāʻau no ka ʻeha Carpal)

E noʻonoʻo he ʻeha kou (Carpometacarpal boss), akā, ʻaʻole ia e hōʻeha., ʻaʻohe ou pilikia nui me kēlā puʻupuʻu. No laila, e ʻōlelo paha ke kauka, "Mai hana kākou i kekahi mea e pili ana i kēia manawa, akā e ʻike kākou inā he ʻokoʻa ia." ʻO ia hoʻi, e nānā wale lākou me ka ʻole o ka mālama ʻana.

Eia nō naʻe, inā loaʻa iā ʻoe ka ʻeha a i ʻole nā ​​​​hōʻailona ʻē aʻe , a laila pono ka lāʻau lapaʻau. ʻO nā lāʻau lapaʻau ʻoki ʻole ke koho mua. ʻO kēia mau mea:

• Ke kau nei i kahi ʻāpana lima: ʻO ke kau ʻana i kēia ʻāpana e mālama i ka pulima ma kahi hoʻokahi, e ʻae ana iā ia e hoʻomaha a hōʻemi i ka ʻeha.
• Hau: ʻO ka hoʻopili ʻana i ka hau e hoʻopaʻa i nā kīʻaha koko ma ia wahi, e hōʻemi ana i ka pehu a me ka mumū.
• Nā lāʻau hoʻopau ʻeha : ʻO ka lawe ʻana i nā lāʻau hoʻopau ʻeha e like me ka acetaminophen hiki ke hōʻemi i ka ʻeha a me ka pehu.
• Nā inikini steroid : Inā ʻaʻole kōkua ka hau a me nā mea ʻeha, hiki i kāu kauka ke hoʻokomo i kahi inikini steroid i loko o ka wahi e hōʻemi ai i ka ʻeha a me ka pehu.

Hāʻawi kēia mau lāʻau lapaʻau maʻalahi ʻole i ka hōʻoluʻolu ma 70% a 80% o nā hihia . ʻO ke ʻano kēia e hiki i ka hapa nui o ka poʻe ke loaʻa ka hōʻoluʻolu mai kēia mau lāʻau lapaʻau. Eia nō naʻe, inā ʻaʻole hāʻawi kēia mau lāʻau lapaʻau i ka hōʻoluʻolu, a laila ʻo ke ʻoki ʻana ke koho palekana aʻe.

E pono anei ke ʻoki kino (Carpal Boss Surgery)?

ʻO ke ʻoki ʻana ʻo Carpal Boss kahi ʻoki e wehe ai i ka iwi spur mai kou pulima. ʻAʻole ia he ʻoki nui . He hola paha ka lōʻihi.

ʻO ka mea mua, e hāʻawi ʻia ʻoe i ka anesthesia kūloko . ʻO ke ʻano kēia e ʻike ʻoe, akā e mae ka wahi e hana ʻia ai ke ʻoki ʻana, no laila ʻaʻole ʻoe e ʻeha. A laila, e hana ke kauka ʻoki i kahi ʻoki liʻiliʻi ma ka ʻaoʻao o luna o kou lima a wehe a ʻokiʻoki paha i ka iwi spur. I kekahi manawa, inā he iwi a cartilage paha i hōʻino ʻia a puni ka spur, hiki ke wehe ʻia i ka wā o ke ʻoki ʻana.

Ma hope o ke ʻoki ʻana, pono ʻoe e komo i kahi splint no hoʻokahi pule a hiki i ka hoʻōla ʻana o kou kuʻekuʻe wāwae. Ma ke ʻano maʻamau, hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau i loko o ʻelua a ʻeono pule.

He aha ka mea e hana ai inā loaʻa iaʻu kēia (Carpal Boss)?

ʻO ka hapa nui o ka manawa, ʻaʻohe mea ʻino kēia mau luna carpal a ʻaʻohe pilikia.He ʻoluʻolu lākou, ʻaʻohe ʻeha, a ʻaʻole alakaʻi i kekahi pilikia. Inā he ʻeha carpal kou, akā ʻaʻole ia e hoʻopilikia iā ʻoe, hiki iā ʻoe ke waiho wale ia a mai hopohopo e pili ana i ka mālama ʻana. Eia nō naʻe, e ʻōlelo paha kāu kauka e kali a ʻike inā loli ka puʻupuʻu a i ʻole e nui aʻe.

Eia nō naʻe, i kekahi manawa hiki i kēia (Carpal Boss) ke hōʻeha a ʻoluʻolu ʻole paha . Hiki ke hana kēia inā e kaomi ana ka puʻupuʻu i kahi aʻalolo a inā e hamo ana i kekahi iwi ʻē aʻe. Inā hana kēia, pilikia paha ʻoe i ka hoʻohana ʻana i kou lima a i ʻole ke kulou ʻana i kou pulima lima ma kekahi mau ʻano. I kēlā mau hihia, pono ʻoe e kamaʻilio me ke kauka a aʻo e pili ana i nā koho lapaʻau. E ʻike paha ʻoe e hāʻawi nā lāʻau lapaʻau ʻoki ʻole i ʻōlelo ʻia ma luna iā ʻoe i ka hōʻoluʻolu. Inā ʻaʻole kōkua kēia mau mea, hiki i kāu kauka ke kuhikuhi i ke ʻoki ʻana.

Hiki ke pale ʻia kēia (Carpal Bossing)?

ʻO kaʻoiaʻiʻo, he paʻakikī ke pale aku i ka hapa nui o ka carpal tunnel syndrome no ka mea ʻaʻole mākou i ʻike pono i ke kumu. Eia nō naʻe, hiki ke pale ʻia ka carpal tunnel syndrome, i hoʻokumu ʻia e ka hoʻohana nui ʻana, i kekahi ʻano. Pehea ʻoe e hana ai i kēlā? Pono ʻoe e pale i kou pulima i ka wā e pāʻani ai ʻoe i nā haʻuki. Pono ʻoe e hoʻolōʻihi maikaʻi i kou mau ʻiʻo ma mua o ka pāʻani ʻana, a pono paha ʻoe e komo i kahi pale pulima. Hiki iā ʻoe ke nīnau i kāu kauka i nā mea ʻē aʻe āu e hiki ai ke hana e mālama i ke olakino o kou pulima.

Āhea wau e ʻike ai i ke kauka?

Inā ʻike ʻoe i kahi puʻupuʻu hou a i ʻole ka puʻupuʻu ma kou pulima, pono ʻoe e ʻike i ke kauka e kamaʻilio e pili ana i ia mea. No ka mea, ʻo ka mea āu e manaʻo ai he carpal boss hiki ke lilo i mea ʻē aʻe, e like me ka ganglion cyst aʻu i ʻōlelo ai ma mua. Ua like loa nā hōʻailona o ka ganglion cyst me nā hōʻailona o ka carpal boss. ʻO nā mea ʻelua he mau puʻupuʻu ʻeha ʻole ma ka pulima. Eia naʻe, ʻoiai he paʻakikī ka carpal boss, he palupalu ka ganglion cyst a piha i ka wai. Hiki i kāu kauka ke hoʻoholo i ke ʻano o ia mea a inā pono ʻoe i ka lāʻau lapaʻau. He mea nui hoʻi e hōʻoia ʻaʻole ia he mea koʻikoʻi .

He aha kaʻu e nīnau aku ai i ke kauka?

Inā ʻike ʻoe he carpal boss kou, hiki iā ʻoe ke nīnau i kāu kauka i nā nīnau e like me kēia:

• Pono anei au i ka lāʻau lapaʻau koke?
• He aha nā manawa kūpono o kēia (Carpal Boss) e hoʻi hou mai ma hope o ka mālama ʻana?
• Ma lalo o nā kūlana hea ʻoe e manaʻo ai e pono iaʻu ke hana ʻoki ma kaʻu hui (Carpal Boss)?
• He aha nā pilikia a me nā pono o ke ʻoki ʻana e wehe i kēia (Carpal Boss)?

No laila, ʻo ka leka lawe home hope loa:

He aha kēlā puʻupuʻu iwi ma ke kua o kou lima? ʻO ia kou luna carpal. E like me ke luna ma ke keʻena, hiki i kēia luna carpal ke hoʻonāukiuki iki i kekahi manawa. Akā, ʻo ka mea pōmaikaʻi, i ka hapa nui o ka manawa, ʻaʻohe mea ʻino a ʻaʻole pono ka mālama ʻana.Inā ʻaʻohe hōʻailona, ​​hiki i ka hapa nui o ka poʻe ke ola maʻamau me kēia mau puʻupuʻu.

Eia nō naʻe, inā hōʻeha ia a i ʻole kekahi ʻano ʻoluʻolu ʻole, aia nā koho lapaʻau e kōkua i ka hōʻoluʻolu ʻana . No laila, inā pilikia kēlā puʻupuʻu ma kou lima iā ʻoe, e kamaʻilio pono me ke kauka. Mai hopohopo, ʻo ka hapa nui o ka manawa he mea ia e hiki ke hoʻoponopono maʻalahi!