Ke ʻūlū nei kou manamana lima liʻiliʻi a me kou manamana lima apo? He Cubital Tunnel Syndrome paha ia!

Ua manaʻo paha ʻoe i kahi manaʻo ʻē e like me ka haʻalulu e holo ana i lalo o kou lima ke kuʻi ʻoe i kou kuʻekuʻe? Kāhea mākou a pau iā ia he "iwi leʻaleʻa." Akā, ʻaʻole ia he iwi maoli. He manaʻo ia e hele mai ana mai kahi aʻalolo koʻikoʻi loa e holo ana ma loko o kou kuʻekuʻe. I kekahi manawa, ua ʻūmiʻi wale ʻia kēia aʻalolo. A laila, hiki i kou manamana lima liʻiliʻi a me kou manamana lima apo ke manaʻo he mae a ʻeha. ʻO ia ka mea a mākou e kapa nei he Cubital Tunnel Syndrome. E kamaʻilio kākou e pili ana i ia mea ma nā ʻōlelo maʻalahi i kēia lā.

I ka ʻōlelo maʻalahi, he aha ka Cubital Tunnel Syndrome?

ʻO ka Cubital tunnel syndrome kahi kūlana kahi e ʻomi ʻia ai ke aʻalolo ulnar, aia ma loko o ko mākou kuʻekuʻe lima, a i ʻole e ʻomi ʻia. Ua kapa ʻia kēia he ulnar nerve entrapment.

I kēia manawa, ke noʻonoʻo nei paha ʻoe i ke ʻano o ke aʻalolo Ulnar. Ke lawe nei ka lolo o ko mākou kino i nā leka ma ke kino holoʻokoʻa ma o nā aʻalolo. E like me nā uea uila. ʻEkolu mau aʻalolo nui ma ko mākou lima. ʻO kekahi o lākou ʻo ke aʻalolo Ulnar. Hoʻomaka ia ma ko mākou ʻāʻī, iho i lalo i ko mākou lima, a hoʻopau i ko mākou poho lima.

I ka hele ʻana o kēia aʻalolo ma ke kuʻekuʻe, hele ia ma kahi lua liʻiliʻi i hana ʻia me ka iwi a me nā ʻiʻo ʻē aʻe. ʻO kēia ka mea a mākou e kapa nei he lua cubital . Aia kēia lua ma lalo o kahi puʻupuʻu iwi liʻiliʻi ma loko o ke kuʻekuʻe. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia puʻupuʻu ʻo ka medial epicondyle . Hiki iā ʻoe ke ʻike me kou lima, ʻo ia iwi ʻoi ma loko o ke kuʻekuʻe. ʻO ia ke ʻano o ka wā e paʻi ai ʻoe i kēlā "iwi leʻaleʻa."

He haiki loa kēia tunnel. A he kakaikahi loa nā ʻiʻo e pale aku i kēia aʻalolo. No laila, kiʻekiʻe ka hiki ke hōʻino ʻia kēia aʻalolo. Inā no kekahi kumu e ʻomi ʻia ai ke aʻalolo a paʻa paha i loko o kēia tunnel, ʻo ia ka manawa e ʻike ʻia ai nā hōʻailona o ka cubital tunnel syndrome.

He aha ka mea e hana ʻia i ko mākou lima me kēia aʻalolo ulnar?

He mea nui kēia aʻalolo no ka hana a ko mākou lima.

• Paʻa ʻana: Hoʻomalu kēia aʻalolo i kekahi o nā ʻiʻo nui i loko o ko mākou mau lima, no laila e kōkua iā mākou e paʻa pono i nā mea.
• Ke manaʻo nei i nā manamana lima: Hāʻawi kēia aʻalolo i ka manaʻo i kou manamana lima liʻiliʻi a me ka ʻaoʻao māmā o kou manamana lima apo.
• Nā neʻe maikaʻi: Hoʻomalu kēia aʻalolo i nā ʻiʻo liʻiliʻi he nui o ka lima. He mea nui kēia aʻalolo no nā neʻe maikaʻi, e like me ke kikokiko ʻana ma ke kamepiula a i ʻole ke pāʻani ʻana i kahi mea kani.

No laila, i kēia manawa ua maopopo iā ʻoe ke ʻano o nā pilikia e hiki mai ana inā ʻuʻumi ʻia kēia aʻalolo.

✨ Medical equipment Verified Partner

Medical test equipment that can be used at home

Essential home medical devices including blood pressure monitors, oximeters and digital thermometers.

Check Availability →

ʻO wai ka mea i pilikia nui no kēia maʻi?

Aia kekahi mau mea pilikia e hiki ke kōkua i ka ulu ʻana o ka cubital tunnel syndrome. Eia nō naʻe, ʻaʻole nā ​​​​mea āpau i loaʻa i kēia mau mea e loaʻa i kēia maʻi. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kekahi poʻe ma mua o nā poʻe ʻē aʻe.

• Loaʻa ka maʻi ʻaʻai ma ke kuʻekuʻe lima.
• Ke kūlou nei kou mau kuʻekuʻe no ka manawa lōʻihi (e laʻa me ke kūlou ʻana o kou mau lima a ma lalo o kou poʻo i ka wā e hiamoe ana).
• Ke kū mai nei nā iwi hou e ulu ana ma nā iwi o ke kuʻekuʻe lima.
• Nā cysts ma ke kuʻekuʻe lima.
• Loaʻa kahi moʻolelo o ka dislocation kuʻekuʻe mua.
• Ma hope o ka haki ʻana o ke kuʻekuʻe lima ma mua.
• Ka pehu ʻana o ke kuʻekuʻe lima.

He aha ka ʻokoʻa ma waena o ka Carpal Tunnel Syndrome a me ka Cubital Tunnel Syndrome?

ʻO kēia kahi e huikau ai nā kānaka he nui. ʻOiai ua hoʻokumu ʻia nā maʻi ʻelua e kahi aʻalolo i ʻoki ʻia, ʻokoʻa ke aʻalolo i hoʻopilikia ʻia a me kahi o nā hōʻailona.

E hoʻomanaʻo wale: Inā ʻo kou pilikia ma kou manamana lima liʻiliʻi a me kou manamana lima apo , ʻo ia paha ka cubital tunnel syndrome . Inā ʻo kou pilikia ma kou manamana nui, ka manamana lima kuhikuhi, a me ka manamana lima waena , ʻo ia paha ka carpal tunnel syndrome .

No ke aha e kū mai ai ka cubital tunnel syndrome?

I kekahi manawa, ʻaʻole hiki i ke kauka ke ʻike i ke kumu kūpono, akā aia kekahi mau kumu maʻamau.

• ʻAnatomy: Loaʻa paha i kekahi poʻe kahi papa mānoanoa o nā ʻiʻo ma luna o ke aʻalolo ulnar. A i ʻole he ʻiʻo keu paha ko lākou. Hiki i kēia mau mea ke hoʻopili i ke aʻalolo i ka hala ʻana o ka manawa.
• Kaomi: E noʻonoʻo ʻoe e hana mau ana me kou kuʻekuʻe lima ma ka papa ʻaina, a i ʻole e hoʻomaha ana i kou kuʻekuʻe lima ma ke kua o kou noho. ʻOiai kekahi mea maʻalahi e like me kēia hiki ke kau i ke kaomi mau ma luna o ke aʻalolo ulnar. A laila hoʻomaka kou lima, ka manamana lima liʻiliʻi, a me ka manamana lima apo e like me ka ʻūlū ʻana.
• Ka haki ʻana o ke aʻalolo: ʻIke kekahi poʻe i ka haki ʻana o ke aʻalolo ulnar i mua a i hope ke kūlou a hoʻopololei paha i ko lākou kuʻekuʻe lima. Inā hoʻomau kēia, hiki i ke aʻalolo ke hōʻino ʻia a pehu.
• Ke kīkoʻo ʻana: Inā ʻoe e kulou i kou kuʻekuʻe no ka manawa lōʻihi (ʻoi aku hoʻi i ka wā e hiamoe ana), hiki i ke aʻalolo ke kīkoʻo nui. ʻO kēia kīkoʻo mau kekahi kumu o kēia maʻi.

He aha nā hōʻailona o kēia maʻi?

Inā ua loaʻa iā ʻoe nā hōʻailona ma lalo nei no nā pule ʻeono a ʻoi , a inā manaʻo ʻoe he koʻikoʻi lākou , e ʻike pono i kāu kauka. ʻO kēia no ka mea inā ʻaʻole mālama ʻia, hiki i kēia ʻūlū aʻalolo ke alakaʻi i ka hoʻopau ʻana o nā ʻiʻo i ka lima. ʻO ke ʻano kēia e lahilahi a nāwaliwali paha ka lima. Eia nō naʻe, inā loaʻa koke iā ʻoe ka lāʻau lapaʻau, hiki ke kāohi ʻia kēia mau hōʻailona a hoʻōla loa ʻia paha.

ʻO nā hōʻailona nui kēia:

• ʻO ke kaniʻuhū a me ke kui a me nā nila ma nā lima a me nā manamana lima. ʻAʻole kēia he mea mau, hele mai a nalo aku.
• ʻEha ma loko o ke kuʻekuʻe lima.
• He paʻakikī ke hoʻoneʻe pono i kou mau manamana lima i ka wā e mae ai lākou.
• Paʻakikī ke paʻa ʻana i nā mea, nāwaliwali ka paʻa lima.
• Me ka hala ʻana o ka manawa, nāwaliwali nā ʻiʻo o ka lima a wiwi ka lima.

ʻO kēia mau hōʻailona, ​​ʻoiai ke kani ʻana a me ka ʻeha, ʻike pinepine ʻia i ka wā e kūlou ai ke kuʻekuʻe . Eia kekahi laʻana:

• I ka wā e hoʻokele ana i kahi kaʻa
• I ka paʻa ʻana i ke kelepona a kamaʻilio
• ʻOiai e hiamoe ana

Pehea e ʻike ai ke kauka i kēia?

Ke hele ʻoe i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona. A laila e hana ʻo ia i kahi hoʻokolokolo kino. Ma hope o kēlā, hiki iā ia ke paipai i kekahi mau hoʻokolohua e hōʻoia i ka maʻi a hoʻoholo i kona koʻikoʻi.

• Nā hoʻāʻo koko: E nānā i nā pilikia olakino ʻē aʻe, e like me ka maʻi diabetes a me ka maʻi thyroid.
• Nā hoʻāʻo X-ray: E nānā i nā pilikia me nā iwi o ke kuʻekuʻe lima (nā spurs o ka iwi, ka rumatika) a e ʻike inā e ʻūmiʻi ana ka iwi i kahi aʻalolo.
• Nā Haʻawina Hoʻoili Aʻalolo a me ka Hoʻāʻo EMG: ʻO kēia ka hoʻāʻo koʻikoʻi loa e ʻike ai i kēia maʻi. Ua kapa ʻia hoʻi he Electromyogram (EMG) . Ana ia i ka wikiwiki o nā impulses aʻalolo a me ka hana ʻiʻo. Hiki i kēia hoʻāʻo ke hoʻoholo pololei i kahi i hoʻopaʻa ʻia ai ke aʻalolo a me ka nui o kona hoʻopaʻa ʻia ʻana.

Pehea e mālama ʻia ai?

ʻElua ʻano lapaʻau no kēia maʻi: ka lapaʻau ʻoki ʻole a me ke ʻoki kino. Hoʻāʻo mau nā kauka e mālama mua i kēia maʻi me ke ʻoki ʻole.

Nā Lapaʻau ʻAʻole ʻoki kino

• Ke kau nei i kahi mea pale a i ʻole splint e hoʻopaʻa pololei i kou kuʻekuʻe: Kūlou pinepine kou kuʻekuʻe, ʻoiai i ka pō ke hiamoe ʻoe. I mea e pale ai i kēia, e ʻōlelo paha kāu kauka e kau i kahi mea pale a i ʻole splint e kōkua i ka hoʻopaʻa pololei ʻana i kou kuʻekuʻe.
• Nā Hoʻomaʻamaʻa Kino: Aia nā hoʻomaʻamaʻa kūikawā (nā hoʻomaʻamaʻa hoʻoheheʻe aʻalolo) e kōkua i ke aʻalolo e neʻe maʻalahi ma o ke ana cubital. Kōkua pū kēia i ka pale ʻana i ka maneʻo ma ka lima a me ka pulima lima. Eia nō naʻe , pono ʻoe e nīnau i kāu kauka a i ʻole physiotherapist i nā hoʻomaʻamaʻa kino kūpono iā ʻoe.
• Ka Lapaʻau Lima: Hiki i ka mea hoʻoponopono lima ke aʻo iā ʻoe pehea e hana ai i kāu mau hana o kēlā me kēia lā me ka ʻole o ke kaomi ʻana i ke aʻalolo ulnar.
• Nā lāʻau hoʻopau ʻeha (NSAID): Hiki i nā lāʻau anti-inflammatory nonsteroidal (NSAID) e like me ka ibuprofen ke hōʻemi i ka pehu a puni ke aʻalolo a kāohi i ka ʻeha. Eia nō naʻe, pono e hoʻohana ʻia kēia mau mea ma lalo o ke aʻo a ke kauka.

Nā Hana Lapaʻau

Inā ʻaʻole kōkua nā lāʻau lapaʻau i luna, inā paʻa loa ke aʻalolo, a inā paha e hoʻomaka ana nā ʻiʻo e nāwaliwali, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino. No kēia, e kuhikuhi pinepine ʻia ʻoe i kahi kauka ʻoki kino orthopedic.

Aia kekahi mau ʻano nui o ke ʻoki kino:

• Hoʻokuʻu ʻia ke ana ʻo Cubital:Maanei, ʻoki ke kauka lapaʻau i kahi ligament e hana ana ma ke ʻano he hale o ke tunnel cubital a hoʻonui i ke tunnel, e hoʻomaha ana i ke kaomi ma ke aʻalolo.
• Ke hoʻololi mua ʻana o ke aʻalolo Ulnar: Ma kēia ʻoki kino, ua wehe ʻia ke aʻalolo mai hope o ka iwi o ke kuʻekuʻe a kau ʻia i mua o ka iwi (kokoke i ka ʻili). Pale kēia i ke aʻalolo mai ka ʻūmi ʻia e ka iwi i ka wā e kūlou ai ke kuʻekuʻe.
• ʻO ka epicondylectomy medial: Pili kēia i ka wehe ʻana i kahi ʻāpana liʻiliʻi o ka puʻu iwi (medial epicondyle) ma loko o ke kuʻekuʻe kahi i ʻoki ʻia ai ke aʻalolo, e ʻae ana i ke aʻalolo e neʻe manuahi.

ʻO ka maʻamau, he mau hana lapaʻau ma waho kēia mau ʻoki kino, ʻo ia hoʻi, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi me ka ʻole o ka noho ʻana i ka haukapila. Eia nō naʻe, pono paha ʻoe e noho i ka haukapila i ka pō. Pono ʻoe e komo i kahi splint no ʻelua a ʻekolu mau pule ma hope o ke ʻoki kino. A laila pono paha ʻoe i ka physiotherapy e hoʻihoʻi i ka neʻe a me ka ikaika i kou lima.

He aha kā mākou e hana ai e pale aku i kēia kūlana?

ʻOiai ʻaʻole hiki ke pale loa ʻia, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka pilikia.

• Mai kau i ke kaumaha ma luna o kou mau kuʻekuʻe. E pale i ka maʻa mau o ke kau ʻana i kou mau kuʻekuʻe ma luna o nā lima o nā pākaukau a me nā noho.
• Inā ʻoe e hana ma ke keʻena, e hoʻoponopono i ke kiʻekiʻe o kou noho i ʻole e kūlou ʻia kou mau kuʻekuʻe ma mua o 90° .
• Ke hiamoe ʻoe i ka pō, e hoʻāʻo e hiamoe me kou mau kuʻekuʻe pololei . E hoʻohana i kahi mea e like me ka uluna inā pono.
• E hōʻalo i nā hana e pono ai ʻoe e kūlou i kou mau kuʻekuʻe no ka manawa lōʻihi (e laʻa, ke kamaʻilio mau ʻana ma ke kelepona).