Ke ʻūlū nei i nā lima a me ka ʻeha o ka pulima? E kamaʻilio kākou e pili ana i ka Carpal Tunnel Syndrome!

Ke ala aʻe nei ʻoe i kekahi manawa i ka pō me ka lima mae? A i ʻole ke manaʻo nei ʻoe i ka ʻūlū a me ka ʻeha ke paʻa ʻoe i kāu kelepona, ke kikokiko ʻana ma ke kamepiula, a i ʻole ke manaʻo nei ʻoe ʻaʻole hiki iā ʻoe ke paʻa pono i kekahi mea? ʻAʻole kēia he mau hōʻailona e hoʻowahāwahā ʻia. I kēia lā e kamaʻilio mākou e pili ana i ka Carpal Tunnel Syndrome , kahi maʻi e hoʻopilikia i nā poʻe he nui, akā hiki ke hana i kekahi mau pilikia inā ʻaʻole mālama pono ʻia.

He aha ka Carpal Tunnel Syndrome? I ka pōkole…

E noʻonoʻo ʻoe aia kekahi tunnel liʻiliʻi e hele ana ma kou pulima a i loko o kou lima. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻo "Carpal Tunnel." Ua like ia me kahi tunnel ma waena o kahi mauna, akā ʻaʻole i hana ʻia no nā kaʻa. I loko o kēia tunnel, nā aʻalolo koʻikoʻi, nā tendons , a me nā ligaments e lawe mai i ka manaʻo i kou lima a kōkua iā ʻoe e hoʻoneʻe i kou lima.

I kēia manawa, inā ua ʻomi ʻia a ua ʻomi ʻia paha ke aʻalolo waena, ke aʻalolo nui i loko o kēia tunnel carpal, no kekahi kumu, a laila e kū mai kēia mea i kapa ʻia ʻo carpal tunnel syndrome. ʻO ke aʻalolo waena ka mea e kōkua iā mākou e hoʻohuli i ko mākou lima a hāʻawi i ka manaʻo i ka hapa nui o nā manamana lima. No laila, ke ʻomi ʻia kēia aʻalolo, hoʻomaka ia e hoʻouna i nā hōʻailona hewa i ka lima a me nā manamana lima. ʻO ia ka manawa e hoʻomaka ai ka ʻeha a me ka ʻeha i ʻōlelo ʻia ma mua. I ka ʻōlelo maʻalahi, ua like kēia me ke ʻomi ʻana i kahi paipu wai a me ka hoʻēmi ʻana i ke kahe o ka wai.

Inā ʻike ʻoe i ka ʻeha, ka mae ʻana, a i ʻole ke kani ʻana ma kou lima a i ʻole ka pulima lima, e ʻike koke i ke kauka. Hoʻopau pinepine ʻia kēia ʻano me ka mālama ʻana. Eia nō naʻe, inā ʻaʻole mālama ʻia, hiki iā ia ke hōʻeha mau loa i ke aʻalolo waena.

Pehea ka maʻamau o kēia kūlana?

He mea maʻamau loa ka Carpal Tunnel Syndrome. Ua hōʻike ʻia nā noiʻi he 3 o 1,000 mau kānaka ma ka honua e loaʻa i kēia maʻi i kēlā me kēia makahiki. No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻaʻole ʻoe hoʻokahi.

He aha nā hōʻailona nui o kēia? Pehea ʻoe e ʻike ai?

ʻO ka maʻamau, ulu mālie nā hōʻailona o ka carpal tunnel syndrome. Hiki iā lākou ke hoʻomaka me kahi ʻeha iki a lilo i mea koʻikoʻi i ka hala ʻana o ka manawa.

• ʻO ka ʻeha ma ka pulima, ka lima, a i ʻole nā ​​​​manamana lima: ʻoiai ka manamana wāwae nuiHiki ke ʻike ʻia kēia mae ʻana ma kahi o ka hapalua o ka manamana lima kuhikuhi, ka manamana lima waena, a me ka manamana lima apo. I kekahi manawa ua like nā manamana lima me he mea lā ua make.
• ʻEha ma ka pulima, ka lima, a i ʻole nā ​​​​manamana lima: Hiki i kēia ʻeha ke manaʻo i kekahi manawa e like me ka manaʻo wela a i ʻole ka manaʻo hou.
• He ʻūlū ma ka lima: Ua like ia me ka manaʻo i ka wā e hiamoe ai ka lima.
• Paʻakikī i ka paʻa ʻana a i ʻole ka kaohi ʻana i kahi mea: Eia kekahi laʻana, manaʻo paha ʻoe ʻaʻohe ou ikaika i kou lima i ka wā e paʻa ana i ke kelepona, e paʻa ana i ka huila hoʻokele o ke kaʻa, e kākau ana me ka peni, a i ʻole e paʻi ana ma ke kamepiula. ʻOiai ke kīʻaha, manaʻo paha ia e hoʻāʻo ana e hemo mai kou lima aku.

ʻIke pinepine ʻia kēia mau hōʻailona i ka pō. Hiki i ka ʻeha a i ʻole ka mae ʻana ke hoʻāla iā ʻoe mai ka hiamoe. I ka hala ʻana o ka manawa, hiki ke hoʻomaka kēia mau hōʻailona e kū mai i ke ao, ʻoiai inā ʻo ʻoe kekahi e hana ana i ke ʻano hana like (e laʻa, ke kikokiko ʻana, ke kākau ʻana, ka hoʻohana ʻana i kahi mea hana).

No kekahi poʻe, ua like kēia me he mea lā ua "hiamoe" ko lākou lima. A laila ua like lākou me he mea lā e wehe ana i ka lima me ka paʻi lima, me he mea lā e ninini ana i ka wai ma luna o ko lākou lima a paʻi lima.

ʻO ka maʻamau, ua like ka ʻeha me he mea lā e puka mai ana mai loko mai o ka lima, ʻaʻole like me ka ʻeha ma ka pae ʻili. Manaʻo kekahi poʻe he emi ko lākou ikaika ma ko lākou mau lima, a ʻaʻole hiki iā lākou ke paʻa i nā mea. Loaʻa paha iā lākou ka pilikia i ka hana ʻana i nā hana paʻakikī e like me ke pihi ʻana i kahi pālule a i ʻole ke kau ʻana i ke kī i loko o kahi puka kī.

No ke aha mākou e loaʻa ai i ka Carpal Tunnel Syndrome? He aha nā kumu?

E like me ka mea i ʻōlelo ʻia ma mua, ʻo ke kumu nui, ua kau ʻia ke aʻalolo waena ma lalo o ke kaomi keu. Ua kaupalena ʻia ka hakahaka i loko o ka carpal tunnel. No laila, inā pehu a hōʻino ʻia paha kekahi ʻāpana o ka pulima, hiki iā ia ke paʻi i nā ʻiʻo ʻē aʻe. ʻO kēia ka manawa e ʻomi ʻia ai ke aʻalolo waena. Hoʻomaka ka pilikia.

Eia kekahi mau mea e hiki ai ke pehu a ʻoʻoleʻa kou pulima lima:

• Nā ʻeha ʻeha hou: Eia kekahi laʻana, kahi mea e paʻi ana ma kahi kamepiula i ka lā a pau, kahi mea e humuhumu lole ana, a i ʻole kekahi e hana mau ana me kahi mea hana e like me ka hāmare.
• Nā kūlana o ka rumatika : ʻoi aku ka rumatika rheumatoid .
• Nā ʻeha a haki paha o ka pulima.
• Nā mea e like me nā cysts ganglion e hana ana ma ka pulima.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia?

ʻOiai hiki i kekahi ke hoʻomohala i kēia kūlana, ʻoi aku ka nui o ka pilikia o kekahi poʻe:

• ʻO ka poʻe e hana pinepine ana i nā ʻano neʻe like me ko lākou mau lima a me nā pulima lima: e.g., ke kuʻi ʻana me ka hāmare, ka hana ʻana me ka screwdriver, ka pena ʻana.
• ʻO ka poʻe e hoʻohana ana i nā lako uila haʻalulu (nā mea hana mana): e.g. nā mīkini wili, nā jackhammers.
• Nā wahine hāpai: Hiki ke pehu ma muli o ka hoʻonui ʻia o ka paʻa ʻana o ka wai i loko o ke kino i ka wā hāpai.
• No nā wahine: ʻOi aku ka maʻamau o kēia ʻano i nā wahine ma mua o nā kāne, malia paha ma muli o ka liʻiliʻi o ka nui o ka carpal tunnel.
• Nā kānaka ma luna o 40 mau makahiki.
• Inā loaʻa kēia maʻi i kekahi o ka ʻohana (he maʻi hoʻoilina paha).

Eia kekahi, hiki i kekahi mau maʻi maʻi ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i ka carpal tunnel syndrome:

• ʻO ka ʻāʻī rheumatoid
• ʻO ka ʻōpū
• Hypothyroidism (thyroid hana ʻole)
• ʻO ka maʻi diabetes Mellitus)
• Momona
• Nā maʻi laha ʻole e like me ka amyloidosis.

He aha nā pilikia e hiki ai i kēia ke hana? Pono anei au e hopohopo?

ʻAʻohe mea e makaʻu ai, akā ʻaʻole ia he manaʻo maikaʻi e hoʻowahāwahā iā ia. Inā ʻaʻole i ʻike koke ʻia a mālama ʻia e ke kauka, hiki i ke kaomi ʻana ma ka pulima ke hōʻeha mau loa i ke aʻalolo waena. Inā hana ʻia kēia, hiki ke lilo i mea paʻakikī, inā ʻaʻole hiki ʻole, ke hoʻopā, neʻe, a hana i nā hana o kēlā me kēia lā ma ka lima.

No laila, inā loaʻa iā ʻoe kahi kānalua iki he mau hōʻailona o ka carpal tunnel syndrome, e ʻimi koke i ke kōkua lapaʻau.

Pehea e ʻike pono ai ke kauka inā loaʻa kēia a ʻaʻole paha?

ʻO ka maʻamau, hōʻoia ke kauka i kēia ma ka hana ʻana i kekahi mau hoʻokolohua kino a me nā hoʻokolohua ʻē aʻe inā pono.

• Hoʻokolokolo kino: E nānā ke kauka i kou pulima lima, lima, a me nā manamana lima. E nīnau lākou iā ʻoe e pili ana i kāu mau hōʻailona. E kikoʻī e pili ana i ka lōʻihi o kou loaʻa ʻana o kēia mau pilikia, i ka wā e ʻoi aku ai ka ʻino, a inā e ʻoi aku ka ʻino ke hana ʻoe i kekahi mea.
• Nā hoʻokolohua kūikawā:
• Hōʻailona o Tinel: E pā mālie ke kauka i ke aʻalolo waena e holo ana ma kou pulima. A laila e nānā lākou no kekahi ʻano mae a ʻūlū paha.
• Ka hoʻāʻo ʻana o Phalen: Ua kau ʻia kou mau poho lima ma hope ou, ua kūlou kou mau pulima, a ua noi ʻia ʻoe e paʻa iā lākou no hoʻokahi minute. A laila, nānā lākou no ka mae a i ʻole ka ʻeha.
• Nā kukuna X-ray o ka pulima: Hiki ke noi ʻia ʻoe e lawe i kahi kukuna X-ray e nānā i kahi pilikia ʻē aʻe, e like me ka ʻāʻī, a i ʻole ka haki.
• Electromyography (EMG): Ke ana kēia i ka hana uila o nā aʻalolo a me nā ʻiʻo. Hiki iā ia ke kōkua i ka hoʻoholo ʻana inā he pōʻino o ke aʻalolo.
• ʻO ke scan Ultrasound: Hiki ke ʻike ʻia ka nui o ke aʻalolo median a me nā ʻiʻo a puni.
• ʻO ke kiʻi MRI (MRI):I kekahi manawa, hiki ke hana ʻia kahi MRI no ka loaʻa ʻana o kahi kiʻi maopopo a e ʻike inā he kaomi ma ke aʻalolo mai kekahi kumu ʻē aʻe.

He aha nā lāʻau lapaʻau no kēia? Hiki ke ho'ōla ʻia?

ʻAe, ʻoiaʻiʻo nō! I ka hapa nui o ka manawa , ʻo nā lāʻau lapaʻau maʻalahi ʻaʻole ʻoki kino ke kaʻina mua. Inā ʻaʻole lākou e kōkua, ua noʻonoʻo ʻia ke ʻoki kino.

Nā lāʻau lapaʻau ʻoki ʻole (nā lāʻau lapaʻau kuʻuna)

• Ke kau nei i kahi splint: Manaʻo paha kāu kauka e kau i kahi splint e hāpai i kou pulima, ʻoi aku hoʻi i ka pō, ʻoiai ʻoe e hiamoe ana. E hōʻemi kēia i ke kaomi ma ke aʻalolo median.
• Hoʻōla kino: E aʻo aku kekahi mea hoʻōla kino iā ʻoe i nā hoʻomaʻamaʻa e hoʻoikaika i nā ʻiʻo a puni kou pulima a hoʻonui i ka maʻalahi.
• Ke hoʻololi nei i ke kūlana a me ke ʻano hana: Hiki i kahi mea lapaʻau hana ke kōkua iā ʻoe e hōʻemi i ka ʻoluʻolu ʻole ma ka hoʻololi ʻana i nā mea e like me ke ʻano o kāu hana, ke ʻano o kou noho ʻana, a me ke ʻano o kāu paʻa ʻana i ka papa kī kamepiula.
• Nā lāʻau hoʻopau ʻeha: Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e hōʻemi i ka ʻeha a me ka pehu, e like me ka paracetamol a i ʻole nā ​​​​lāʻau anti-inflammatory non-steroidal (NSAID). Eia naʻe, mai lawe mau i kēia mau mea no nā lā he 10 a ʻoi me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
• Nā inikini Corticosteroid: He mau lāʻau anti-inflammatory ikaika kēia. Hiki i kāu kauka ke hāʻawi iā ʻoe i kahi inikini corticosteroid pololei i loko o kou tunnel carpal.

ʻO ke ʻoki kino ʻana o ka Carpal Tunnel Syndrome

Inā ʻaʻole kōkua nā lāʻau lapaʻau maʻamau i ʻōlelo ʻia ma luna, a inā he koʻikoʻi ke kūlana, hiki i kāu kauka ke kuhikuhi i ke ʻoki hoʻokuʻu ʻana i ka tunnel carpal . Ma kēia kaʻina hana, ʻoki ke kauka lapaʻau i kahi ʻāpana liʻiliʻi o ka ligament carpal transverse i loko o kou pulima e hoʻopili ai i kou lima i kou pulima, e hoʻonui ana i ka hakahaka i loko o ka tunnel carpal. Hoʻomaha kēia i ke kaomi ma ke aʻalolo median, e ʻae ana i ke aʻalolo a me nā tendons e neʻe manuahi.

ʻAʻole kēia he hana nui, a he hana outpatient kahi e hiki ai iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi . E wehewehe kāu kauka ʻoki i nā mea āpau ma mua o ke ʻoki ʻana.

I ka manawa hea e hoʻomaka ai iaʻu e ʻoi aku ka maikaʻi ma hope o ka lāʻau lapaʻau?

E hoʻomaka ʻoe e ʻoluʻolu ke hoʻomaka ʻoe i ka lāʻau lapaʻau. Hiki i nā lāʻau lapaʻau ʻoki ʻole ke hala i kekahi mau pule (a ʻoi aku paha) e hōʻoluʻolu i ke kaomi ma ke aʻalolo waena, akā pono e hoʻomaikaʻi mālie nā hōʻailona.

Ma hope o ke ʻoki ʻana, pono e emi nā hōʻailona i ka wā e ho'ōla ai ka pulima. ʻO ka maʻamau, hiki ke hoʻokō ʻia kahi ho'ōla piha i loko o hoʻokahi a ʻelua paha mahina.

Inā loaʻa iaʻu kēia maʻi, he aha kaʻu e manaʻo ai?

Pono paha ʻoe e hana i nā hoʻololi liʻiliʻi i kāu mau hana o kēlā me kēia lā, e hoʻāʻo i nā lāʻau lapaʻau ʻoki ʻole e kākoʻo i kou pulima lima, a hōʻemi i ka pehu. E paipai kāu kauka i nā lāʻau lapaʻau e kōkua i ka hōʻoluʻolu ʻana i nā hōʻailona a pale i ka hōʻino ʻana o nā aʻalolo.

He lōʻihi paha ka manawa e loaʻa ai ka lāʻau kūpono nou, akā hiki i ka hapa nui o ka poʻe ke loaʻa ka hōʻoluʻolu. E hoʻomanaʻo, ʻo ka mea nui loa, ʻo ia ka hoʻomaka ʻana i ka lāʻau i ka wā hikiwawe loa.

Inā ʻaʻole holo pono nā lāʻau lapaʻau maʻamau, a inā koʻikoʻi ke kūlana, e ʻōlelo ke kauka i ke ʻoki kino.

Aia kekahi mea e hiki ai iā kākou ke hana e pale aku ai i kēia mai ka hana ʻana?

He mea paʻakikī ke pale loa i ka carpal tunnel syndrome, ʻoiai inā i hoʻokumu ʻia e kahi kūlana hiki ʻole iā ʻoe ke kaohi a i ʻole ka hana āu e hana ai. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia:

• E hana i nā hoʻoikaika kino ma mua a ma hope o nā hana e hoʻoluhi ai i kou mau lima a me nā pulima lima.
• E komo i nā lako palekana kūpono i ka wā e hana ana a i ʻole e pāʻani ana i nā haʻuki.
• E hoʻomaha pinepine i ka wā e hana ai me kou mau lima.
• I ka hoʻohana ʻana i nā lako, me ke kikokiko ʻana ma ke kamepiula, e mālama i ke kūlana maikaʻi a hoʻohana i nā ʻano hana kūpono.

Ke ho'ōla ponoʻī nei anei ka Carpal Tunnel Syndrome?

I kekahi manawa, inā hoʻomaha ʻoe i kou pulima a hoʻōki i ka hana ʻana i ke ʻano o nā neʻe like no kekahi manawa, e emi iho paha nā hōʻailona ma o lākou iho. Eia naʻe, ʻaʻole paha e hoʻomaikaʻi me ka ʻole o ka lāʻau lapaʻau.

ʻOi aku ka maikaʻi o ke kipa ʻana i ke kauka i ka wā e lohe ai ʻoe i ka mae ʻana, ka ʻeha, a i ʻole ka mae ʻana o kou lima, ka pulima lima, a i ʻole nā ​​manamana lima ma mua o ka hōʻino mau ʻana i ke aʻalolo waena.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka e pili ana i kēia?

Ke hele ʻoe e ʻike i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• He maʻi carpal tunnel syndrome maoli anei koʻu, a i ʻole he pilikia ʻē aʻe paha ia ma ka pulima?
• He aha ke kumu o koʻu kūlana?
• He aha ke ʻano o ka lāʻau lapaʻau e pono ai iaʻu?
• Pono anei au e hana i ke ʻoki kino?
• He aha ke ʻano o ka splint e pono iaʻu ke kiʻi? Pehea ka lōʻihi e pono ai iaʻu ke kau?

He aha ka lāʻau lapaʻau maikaʻi loa no kēia?

ʻAʻohe pane hoʻokahi e kūpono i nā mea āpau i kēia. ʻO ka lāʻau lapaʻau maikaʻi loa nāu e pili ana i ke kumu o kou carpal tunnel syndrome a me ke koʻikoʻi o ke kūlana.

Hiki i ka hapa nui o ka poʻe ke hoʻokele i kēia me nā lāʻau lapaʻau maʻalahi. Akā i kekahi manawa ʻo ke ʻoki ʻana ka hopena maikaʻi loa. ʻAʻohe pane pololei a hewa paha i ka wā e pili ana i kou olakino. E wehewehe kāu kauka iā ʻoe i ka lāʻau lapaʻau kūpono iā ʻoe a no ke aha.

Pehea e maopopo ai iaʻu inā loaʻa iaʻu ka carpal tunnel syndrome?

ʻAʻole like ka ʻike ʻana o nā kānaka a pau i kēia. E ʻike mua paha ʻoe i nā hōʻailona i ka pō. E ala paha ʻoe mai ka hiamoe me ka ʻeha a me ka mae ʻana o kou pulima. A i ʻole, e ʻike paha ʻoe i ka ʻeha ʻole o kou pulima i ke ahiahi ma hope o ka hana ʻana me kou mau lima i ka lā a pau.

ʻO ka mea nui loa, ʻo ke kauka wale nō ke hōʻoia inā he carpal tunnel syndrome kou a i ʻole kekahi pilikia pulima ʻē aʻe. ʻOiai inā ʻaʻohe ou carpal tunnel syndrome, hiki i kāu kauka ke kōkua iā ʻoe e ʻike i ke kumu o kāu mau hōʻailona a mālama iā ia.

Hiki ke hopohopo a hoʻoluhi hoʻi ke hoʻopilikia kekahi mea i kou hiki ke hoʻohana i kou mau lima a me kou mau wāwae. ʻO ka Carpal tunnel syndrome kekahi o ia ʻano maʻi. Akā e hoʻomanaʻo, he maʻi hiki ke mālama ʻia inā ʻike mua ʻia.

Leka Lawe-Home

Inā loaʻa iā ʻoe nā hōʻailona e like me ka mae ʻole, ka ʻeha, a i ʻole ka nāwaliwali ma kou lima a i ʻole ka pulima lima, mai hoʻowahāwahā wale iā lākou. ʻO ka manaʻo, "E nalo wale nō ia," hiki ke alakaʻi i ka hōʻino mau loa ʻana i kou aʻalolo waena.

He maʻi hiki ke mālama ʻia ka Carpal Tunnel Syndrome. Hiki i kāu kauka ke kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona a pale i ka hōʻino hou ʻana i kou pulima. No laila, inā manaʻo ʻoe i kekahi ʻeha, e ʻimi koke i ke kōkua lapaʻau. He mea nui loa kou mau lima iā ʻoe, ʻeā?

ʻO ka Carpal Tunnel Syndrome, Median Acid, Heʻe Lima, ʻEha Pulima, Compression Acid, Carpal Tunnel, Splint, Hoʻōla Kino