Aia kekahi mau ʻāpana o kou kino e paʻa a ʻūmiʻi ana? He ʻūmiʻi paha kēia!

Ke manaʻo nei ʻoe i kekahi manawa ua paʻa a paʻa nā ʻāpana o kou kino, ʻili paha, nā ʻiʻo, a i ʻole kahi hono? Ke ʻike nei ʻoe ʻaʻole hiki iā ʻoe ke kūlou a kīkoʻo paha e like me ka wā ma mua? ʻO kēia ʻano paha he ʻano i kapa ʻia ʻo 'contracture' e like me ka kapa ʻana a nā kauka. Mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana i kēia.

He aha kēia 'contracture'?

I ka ʻōlelo maʻalahi, ʻo ka contracture kahi loli kūkulu e hana ʻia i loko o nā ʻiʻo palupalu a me nā ʻiʻo pili o ko mākou kino. ʻO kēia ke kumu o kēia mau ʻiʻo e lilo i ʻoʻoleʻa, ʻoʻoleʻa, a nalowale ko lākou elasticity, e like me ke kaula laholio . E noʻonoʻo i kou ʻili, nā ʻiʻo, a i ʻole nā ​​​​ʻiʻo a puni kou mau hono e lilo ana i ʻoʻoleʻa a paʻa, e like me nā pōhaku. Hoʻopaʻa kēia i ka laulā o ka neʻe ʻana o kēlā mau ʻāpana.

Ua like kēia me ke ʻano o kahi ʻōpala i loko o ko kākou kino. I kekahi manawa hiki iā ʻoe ke ʻike maopopo ma ka ʻili. No ka laʻana, i ka wā e loaʻa ai i kekahi kahi kuni nui, ma hope o ka ho'ōla ʻana o ka ʻeha, ua ʻike paha ʻoe ua ʻōpala a paʻakikī ka ʻili ma ia wahi. ʻO ia ke ʻano o kēia. Ke loaʻa kēia ʻano ʻōpala i nā ʻiʻo ʻē aʻe, ʻo ia hoʻi, i nā ʻiʻo, i nā ligaments, kapa mākou iā ia he 'fibrosis'. ʻO ka mea e hana ʻia, ua pani mālie ʻia nā ʻāpana o kēia mau ʻiʻo e kahi ʻano ʻiʻo paʻakikī, fibrous, a paʻa ʻole.

No laila, kū mai ka ʻoluʻolu ʻole no ka mea ʻaʻole hiki i kēia mau ʻiʻo paʻa ke kīkoʻo a neʻe pono paha. I kekahi manawa hiki i kēia mau ʻiʻo ke emi a lilo i pōkole. Ke hana ʻia kēlā, hiki ke kīkoʻo ʻia nā ʻiʻo ʻē aʻe a puni ka 'contracture', e hana ana i nā deformities i ke kino.

He aha nā ʻano nui o nā contractures?

Hiki i nā ʻūmiʻi ke hoʻopilikia i nā ʻiʻo like ʻole a me nā ʻāpana o ko mākou kino ma nā ʻano like ʻole. Hoʻohana nā kauka i nā inoa like ʻole e wehewehe iā lākou. E nānā kākou i kekahi o nā ʻano nui:

• Nā ʻūlū ʻōpala: Hoʻokumu ʻia kēia e nā ʻūlū e hana ʻia ma hope o ka ʻeha ʻana a me ka ho'ōla ʻia ʻana o kou ʻili. Inā pale ka ʻūlū ʻōpala i nā ʻiʻo ʻē aʻe a i ʻole nā ​​hono mai ka neʻe pono ʻana, hiki iā ia ke alakaʻi i nā ʻano ʻūlū ʻē aʻe.
• Nā ʻūmiʻi ʻiʻo: Hiki i kēia ke hoʻopilikia i hoʻokahi ʻiʻo a i ʻole kahi hui o nā ʻiʻo i pili pū ʻia. Hiki i kēia mau ʻūmiʻi ʻiʻo ke hana i nā ʻūmiʻi ʻē aʻe, e like me ka hiki ʻole ke hoʻoneʻe pono i nā mea e like me nā hono.
• ʻO nā ʻūmiʻi hui a i ʻole ka ʻūmiʻi capsular: Hoʻopilikia kēia i nā ʻiʻo pili e hoʻopuni ana i nā iwi o kahi hui, i kapa ʻia ʻo ka capsule hui. Ke paʻa kēia capsule, ʻaʻole hiki i nā iwi i loko o ke hui ke neʻe.
• ʻO ke kuʻi ʻana o ka arthrogenic:He ʻūmiʻi nō hoʻi kēia e hana ʻia ana i loko o ke kapule hui. Eia nō naʻe, hana ʻia kēia i loko o ke hui ponoʻī. E like me ka hoʻopilikia ʻana o ka ʻūmiʻi ʻiʻo i kahi hui, hiki i ka ʻūmiʻi i loko o ke kapule hui ke hoʻopilikia maʻalahi i nā ʻiʻo e pili ana me ia.

Aia kekahi mau ʻano kikoʻī o nā 'contractures' a mākou e lohe pinepine ai?

ʻAe, aia kekahi mau ʻano kikoʻī o nā 'contractures', ʻoiai ua hāʻawi ʻia nā inoa kaʻawale. E nānā kākou i kekahi o lākou:

• ʻAmyoplasia: He maʻi hānau kēia. Ma kēia kūlana, ʻike paha ʻoe i nā ʻaelike he nui ma nā lālā o kāu keiki.
• Arthrogryposis: He huaʻōlelo maʻamau kēia. Hoʻohana ʻia kēia inoa ke hānau ʻia kahi keiki me nā ʻūmiʻi he nui. Hiki ke ʻike ʻia me nā kūlana genetic e like me Muscular Dystrophy a me Edwards Syndrome.
• Ka wāwae kalapu: He ʻūmiʻi hānau ʻia nō hoʻi kēia. Hoʻopilikia ia i nā ʻiʻo o ka wāwae a i ʻole nā ​​wāwae o ke keiki, e hoʻohuli ai i ka wāwae i loko, i ke kino. I kekahi manawa, hiki iā ia ke hoʻopilikia i nā ʻiʻo bipi.
• ʻO ke kuʻi ʻana o Dupuytren: He kūlana hoʻoilina kēia. Hoʻoulu ia i nā kuʻi ʻana i loko o nā ʻiʻo palupalu o nā lima, e hoʻoulu ai i kekahi mau manamana lima a ʻoi aku paha e kūlou i loko i ka pālima.
• ʻO ke kuʻekuʻe lima a i ʻole ke kuʻekuʻe lima ʻoʻoleʻa: He kuʻekuʻe kēia e hana ʻia ana ma ke capsule hui kuʻekuʻe lima.
• ʻO ka ʻaelike Equinus: He ʻaelike kēia o ka hui kuʻekuʻe wāwae a i ʻole nā ​​​​ʻiʻo e hoʻopuni ana iā ia, ka mea e pale ai i ka wāwae mai ka lawe ʻia ʻana i kahi kūlana maʻamau a kūlike ʻole (ma kahi kihi 90-degere i ka wāwae).
• ʻO ke kuʻi ʻana o ke ami: He ʻano kuʻi ʻana kēia o nā ami. Ma kēia, lilo ke ami i ʻoʻoleʻa i ke kūlana kūlou a ʻaʻole hiki ke hoʻopololei hou ʻia. Hoʻopilikia nui ia i nā lālā.
• Poʻohiwi paʻa a i ʻole ka capsulitis hoʻopili: He ʻūmiʻi kēia o ke capsule hui poʻohiwi. Ua lohe ka poʻe he nui i kēia.
• ʻO ka Volkmann contracture: ʻO kēia kekahi ʻano o ka contracture e hana ʻia ma ka lima. Ma kēia, kūlou nā manamana lima a me ka pulima i loko, e hāʻawi ana i ka lima i kahi ʻano e like me ka maiʻuu.

He aha nā hōʻailona o ka ʻūlū ʻana?

Inā loaʻa iā ʻoe ka ʻeha ʻeha, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• ʻIke maopopo ʻia, mānoanoa, a paʻakikī hoʻi nā ʻiʻo palapū.
• ʻOʻoleʻa a paʻa paha i nā ʻiʻo, nā hono, a i ʻole nā ​​​​ʻiʻo palupalu ʻē aʻe.
• ʻEha musculoskeletal.
• Ua emi ka laulā o ka neʻe ʻana a me ka mobility holoʻokoʻa.
• Ka emi ʻana o ka nui o nā ʻiʻo (ka emi ʻana o ka nui o nā ʻiʻo).
• Nā maʻi hele wāwae.
• Nā kīnā kūlou (kahi kūlana kūlou mau), ʻoi aku hoʻi ma nā lālā.

No ke aha lā e hana ʻia ai kēia 'contracture'?

ʻO ka Contracture, e like me kā mākou i kūkākūkā ai ma mua, he ʻano i kapa ʻia ʻo scarring a fibrosis paha i loko o kou mau ʻiʻo. Hana pinepine kēia i ka wā e hoʻāʻo nei ka ʻiʻo e hana hou ma hope o kahi ʻeha , a i ʻole i ka wā e atrophy ai nā ʻiʻo ma muli o ka hoʻohana ʻole ʻia . I kekahi manawa, hiki ke hānau ʻia.

Eia kekahi o nā kumu nui:

• ʻEha ʻana: Inā nalowale ʻoe i kahi nui o nā ʻiʻo mai kou kino ma muli o nā mea e like me ke kuni ʻana, nā ʻeha i loaʻa i ka maʻi, a i ʻole ke ʻoki ʻana, hiki ke hana ʻia kahi ʻeha ʻūlū i loko o ka ʻili a i ʻole nā ​​​​ʻiʻo palupalu.
• Ischemia: ʻO ke kahe koko ʻole i nā ʻiʻo ke kumu o ka mumū mau loa, a laila e alakaʻi ai i ka ʻeha. Hiki ke hana koke a lohi paha ka Ischemia. ʻO ka nele o ka neʻe ʻana kekahi kumu o kēia.
• Hoʻopaʻa ʻana: ʻO ke kumu nui o nā ʻūmiʻi palupalu o nā ʻiʻo, ʻo ia ka nele o ka neʻe ʻana. Hiki ke hoʻopaʻa ʻia nā ʻāpana o kou kino ma muli o kahi ʻeha, ke kīnā kino, a i ʻole ke kūlana neurological. E noʻonoʻo, ke haki ʻoe i kahi lima a i ʻole ka wāwae a pono ʻoe e komo i kahi cast no nā pule, manaʻo ʻia kēlā ʻāpana he ʻoʻoleʻa, ʻeā? Pēlā nō ia.
• Nā maʻi neuromuscular: ʻO nā kūlana e like me ka hahau ʻana a me ka cerebral palsy e hoʻopilikia i ka kamaʻilio ma waena o ka lolo a me nā ʻiʻo, e hoʻolilo iā lākou i mea paʻa ʻole a ʻaelike nui paha (hypertonia).
• Nā maʻi pili pili i hoʻoilina: ʻO nā maʻi e hoʻopilikia i ke ʻano o ka ulu ʻana o kāu mau ʻiʻo pili, e like me ka myopathy congenital, hiki ke hoʻolilo i nā ʻiʻo i paʻa loa a palupalu paha (hypotonia).
• Nā kīnā hānau: Hānau ʻia kekahi mau pēpē me nā ʻūmiʻi. Hiki ke hana ʻia kēia mau mea me ka ʻole o kekahi maʻi a kumu maopopo paha. Hiki ke hana ʻia e nā hoʻololi genetic a i ʻole ka neʻe pono ʻole ʻana i loko o ka ʻōpū.

He aha nā pilikia e hiki mai ana ma muli o kēia 'contracture'?

Hiki i ka ʻeha mau loa ke loaʻa ka hopena koʻikoʻi i kou kūlana ola . Hiki iā ia ke hoʻopilikia i kou neʻe ʻana a me kou kūʻokoʻa. Hiki iā ia ke paʻakikī i ka hana ʻana i nā hana o kēlā me kēia lā me ke kōkua ʻole.

Eia kekahi, hiki i nā ʻūmiʻi ke hoʻoulu i ka ʻeha mau loa a hiki ke hoʻopilikia i nā ʻiʻo a me nā hono ʻē aʻe e pili ana, e hoʻonui ai i ke kūlana. E noʻonoʻo, i ka wā e emi ai kou neʻe ʻana, hoʻomaka kou mau ʻiʻo e emi hou aku.

Pehea e ʻike ai i kahi 'contracture'?

Inā loaʻa iā ʻoe kahi ʻeha a i ʻole ke ʻano e hiki ai ke hana i kahi contracture, e ʻike kāu kauka iā ia. Hiki iā ia ke nānā i kou laulā o ka neʻe ʻana a ʻike iā ia me kahi hoʻokolohua kino .

I kekahi manawa, makemake paha kāu kauka e lawe i nā kiʻi o kāu mau ʻiʻo pili a me nā ʻiʻo palupalu e noiʻi hou aku i ke kumu o ka contracture. Hiki i kēia ke komo pū me nā X-ray, kahi ultrasound scan, a i ʻole kahi MRI scan.

He aha nā lāʻau lapaʻau maikaʻi loa no ka contracture?

ʻO ka lāʻau lapaʻau maikaʻi loa no ka contracture ʻo ia ka pale ʻana . I ka hapanui o nā hihia, hiki ke pale ʻia. Inā ʻaʻole ʻoe e neʻe i kēia manawa a i ʻole he maʻi olakino kou e hiki ai ke hana i kahi contracture, hiki i ka lāʻau lapaʻau kino ke kōkua i ka pale ʻana iā ia i ka nui.

Inā loaʻa iā ʻoe kahi ʻūmiʻi, ʻoi aku ka maikaʻi o ka mālama ʻana iā ia i ka wā mua . ʻAʻole koʻikoʻi loa nā ʻūmiʻi hou a hiki ke mālama maʻalahi ʻia me ke ʻoki ʻole ʻana. Eia nō naʻe, ʻaʻole paha e pane nā ʻūmiʻi holomua i nā lāʻau lapaʻau ʻole.

ʻO nā koho lapaʻau no ka ʻaelike ʻana e komo pū me nā ʻano hana kuʻuna, orthopedic, a me ke ʻoki kino. He mea nui hoʻi e mālama i ke kūlana kumu e hoʻokumu ai i kāu ʻaelike.

Lapaʻau ʻoki ʻole

ʻO nā lāʻau lapaʻau e hāʻule ana ma lalo o kēia māhele:

• Hoʻolōʻihi paʻa a me ka hoʻoikaika: Hoʻohana nā kauka i nā ʻano pale like ʻole, nā mea hoʻolei, a me nā splints e hoʻolōʻihi mālie a hoʻomau i ka ʻiʻo i hoʻopaʻa ʻia.
• Lapaʻau wela: ʻO ka hoʻopili ʻana i ka wela therapeutic i kou mau ʻiʻo palupalu e hiki ke kōkua iā lākou e hoʻomaha a hoʻolōʻihi. He mea kōkua nui kēia inā loaʻa iā ʻoe ka hypertonia mau (ka nui o ka hana ʻana o nā ʻiʻo) a i ʻole ka spasticity (ka paʻakikī nui). Hoʻomaikaʻi pū ka wela i ke kahe koko.
• Hoʻōla kino: Hiki i nā hoʻoikaika kino hana ʻole a hana ʻole ke hoʻomaikaʻi i ka maʻalahi a me ka laulā o ka neʻe ʻana i nā ʻiʻo paʻa a me nā hono. Hiki i kēia ke kōkua i ka pale ʻana i ka atrophy o nā ʻiʻo ma muli o ka nele o ka neʻe ʻana.
• Ka lāʻau lapaʻau hoʻokuʻu Myofascial:He ʻano lomilomi lima kēia e kālele ana i kou fascia, ka ʻiʻo hoʻohui ma lalo o kou mau ʻiʻo. Hiki iā ia ke kōkua i ka pale ʻana a me ka mālama ʻana i nā contractures.
• Nā inikini: I kekahi mau hihia, hiki i nā inikini intra-articular a me nā ʻiʻo palupalu ke kōkua i ka hōʻoluʻolu ʻana i nā ʻūmiʻi. Hiki i nā inikini Botox® ke kōkua i ka hoʻomaha ʻana i nā ʻiʻo, a hiki i nā inikini collagenase ke kōkua i ka wāwahi ʻana i ka fibrosis.
• Nā lāʻau lapaʻau anti-inflammatory: ʻO nā lāʻau lapaʻau anti-inflammatory a me nā lāʻau lapaʻau e like me ka laser therapy haʻahaʻa (kukui infrared) hiki ke kōkua i ka hōʻemi ʻana i ka mumū a pale i ka fibrosis ma hope o ka hoʻopaʻa ʻana.

Nā ʻoki ʻana i nā ʻūpā

ʻO nā hana lapaʻau no ka contracture e komo pū me:

• Tenotomy (hoʻolōʻihi ʻana o ke aʻalolo): ʻO kēia ʻoki kino e pili ana i ka hana ʻana i nā ʻoki liʻiliʻi a i ʻole nā ​​​​lua i loko o kou aʻalolo e hōʻemi i ka ʻoʻoleʻa. Ke ulu hou ke aʻalolo, hiki ke hoʻolōʻihi ʻia.
• Hoʻoili ʻana o ke aʻalolo: Ma kēia kaʻina hana, ua wehe ʻia ke aʻalolo i hoʻopaʻa ʻia a ua hoʻoili ʻia kekahi aʻalolo ʻē aʻe, mai kahi mea hāʻawi a i ʻole mai kahi ʻāpana ʻē aʻe o kou kino, i kahi o ka ʻaelike.
• Arthroplasty: No nā ʻaelike capsule hui, pono paha ke ʻoki ʻana e hoʻokuʻu i nā ʻāpana o kāu capsule hui, hoʻololi iā ia, a i kekahi manawa e hoʻololi i ka hui holoʻokoʻa.
• Fasciotomy: ʻO nā ʻaelike e hoʻopilikia i kāu fascia, e like me ka Dupuytren's contracture, hiki ke pōmaikaʻi mai kahi fasciotomy. ʻOki nā kauka lapaʻau i nā lua i loko o ka fascia e hoʻokuʻu iā ia, a wehe paha i nā ʻāpana o ka ʻiʻo scar.
• Z-plasty: ʻO kekahi ala e uhaki ai i nā ʻaelike ma ka ʻili a me ka fascia, ʻo ia ke hana i nā ʻoki ʻano Z i loko o ke kiko e hōʻemi i ka paʻa. Paipai kēia ʻano Z i ke kiko e ulu hou ma mua o ka emi ʻana.
• ʻO ke ʻoki plastik: No nā ʻaelike ʻeha, pono paha i kahi kauka lapaʻau e wehe i ka ʻiʻo ʻeha a hoʻololi iā ia me kahi graft ʻili a i ʻole ka ʻili ʻili i lawe ʻia mai kahi mea hāʻawi a i ʻole kekahi ʻāpana o kou kino.

He aha ka wānana o ka contracture?

ʻOi aku ka maikaʻi o ka pane ʻana o nā ʻeha i ka lāʻau lapaʻau ma mua o ko lākou lilo ʻana i mea koʻikoʻi a koʻikoʻi hoʻi . Hiki i nā kauka ke hana i nā hana e pale aku ai a hōʻemi paha i nā ʻeha i ka poʻe i ka pilikia.

Hoʻololi pinepine nā ʻūmiʻi hou i nā lāʻau lapaʻau conservative. Hiki ke mālama ʻia nā ʻūmiʻi holomua ma ke ʻoki ʻana. Eia nō naʻe, ʻaʻole paha e pane kekahi mau ʻūmiʻi i ka lāʻau lapaʻau a ʻaʻole paha e ho'ōla piha ʻia e ke ʻoki ʻana.

Pehea e hiki ai iaʻu ke pale aku i kēia 'contracture'?

ʻO ke kumu maʻamau o ka ʻūmiʻi ʻana, ʻo ia ka paʻa ʻana . Inā ua hoʻopaʻa ʻia ʻoe i ka haukapila no kahi ʻeha koʻikoʻi, ʻoki kino, maʻi, a i ʻole pono ʻoe e komo i kahi ʻaʻahu no nā pule, aia ʻoe i ka pilikia o ka loaʻa ʻana o kahi ʻūmiʻi.

E hana nā kauka i kā lākou mea maikaʻi loa e pale aku i nā ʻūmiʻi ʻoiai ʻoe e mālama ana iā ʻoe. Eia nō naʻe, pono lākou i kāu kōkua . He mea nui loa ia e hana pololei i kāu mau hoʻomaʻamaʻa kino i kou wā e hoʻōla ai.

Hiki ke paʻakikī a paʻakikī paha ka hoʻoikaika kino ke loaʻa iā ʻoe kahi maʻi, kīnā, a ʻeha paha. I kekahi manawa pono paha ʻoe i ke kōkua me kāu hana hoʻoikaika kino, a i ʻole kekahi e hoʻomanaʻo iā ʻoe a hoʻoikaika iā ʻoe.

Inā loaʻa iā ʻoe a i ʻole kekahi āu e mālama nei kahi maʻi mau loa e hiki ai ke hana i nā ʻūmiʻi, pono paha ʻoe i ka hoʻōla kino e pale aku ai iā lākou. I kēia mau hihia, he mea nui e loaʻa ka mālama ola maikaʻi .

Hiki ke ulu maʻalahi nā ʻūmiʻi i ka wā e hoʻōla ai mai kahi maʻi ʻē aʻe. Hiki iā lākou ke lōʻihi ka manawa e ho'ōla ai. No ka hoʻohuli ʻana i ka pōʻino, pono ʻoe e hana me ka ikaika a me ka hoʻoikaika me ka hoʻōla kino .

Hiki i kekahi mau maʻi mau a me nā maʻi hānau ke pale i kekahi ʻano o nā ʻūmiʻi mai ka ulu ʻana. Eia nō naʻe, hiki i nā hana mua ke hana i kahi ʻokoʻa nui i ka nui o ko lākou hopena iā ʻoe a me ka nui o ke kīnā a lākou e hana ai.

ʻO ka mea hope loa, e hoʻomanaʻo i kēia (Leka Lawe-Home)

ʻO ke kuʻi ʻana he ʻano ia e paʻa ai nā ʻiʻo palupalu o ko kākou kino, ʻoʻoleʻa, a paʻakikī hoʻi ke neʻe. Ua like ia me kahi ʻeha mai loko mai. Hiki ke hana ʻia kēia ʻano e nā mea e like me ke kuni ʻana, nā ʻeha, nā ʻoki kino, ka noho paʻa ʻole no ka manawa lōʻihi, kekahi mau maʻi neurological, a me nā kīnā hānau. ʻO ka mea nui loa, ʻo ia ka hoʻāʻo ʻana e pale aku. ʻOiai inā ʻaʻole ʻoe e neʻe no ka manawa lōʻihi no kekahi kumu, e hana i nā hoʻomaʻamaʻa kino e like me ke kuhikuhi a kāu kauka. No ka mea, inā ulu kahi kuʻi ʻana, hiki ke lōʻihi ka manawa a me ka hoʻoikaika e ho'ōla.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona a i ʻole kānalua paha, e ʻike pono i ke kauka no ka ʻōlelo aʻo . Hiki i ka ʻike mua a me ka mālama ʻana ke kōkua i ka pale ʻana i ka maʻi mai ka ʻino a hoʻomaikaʻi i kou ʻano ola.

`ʻūmiʻi, ʻoʻoleʻa o nā ʻiʻo, ʻoʻoleʻa o nā hono, ʻiʻo ʻeha, neʻe palena, fibrosis, lāʻau lapaʻau kino