Ua nānā anei ʻoe i nā manamana lima o kou makuahine, kupuna wahine, a i ʻole kou mau manamana lima ponoʻī a ʻike ʻoe ua pehu nā hono kokoke i nā wēlau o kou mau manamana lima a ua like me nā puʻupuʻu liʻiliʻi? I kekahi manawa, hiki iā ʻoe ke ʻeha me kēia mau puʻupuʻu liʻiliʻi hiki iā ʻoe ke ʻike ma kou mau lima. ʻOiai he nui ka poʻe e manaʻo nei he ʻāpana maʻamau kēia o ka ʻelemakule, he ʻano maʻi ia i wehewehe ʻia e ke kauka. E kamaʻilio kākou e pili ana i kēia i kēia lā.
He aha nā kikowaena o Heberden?
I ka ʻōlelo maʻalahi, he mau puʻupuʻu liʻiliʻi e like me ka iwi nā kiko o Heberden e hana ʻia ma ka hono kokoke loa i kou manamana lima (ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻo ka hui interphalangeal distal). He mau ulu iwi hou kēia. Ua like ko lākou nui me ka pi.
ʻO ka mea nui, ʻaʻole kēia mau puʻupuʻu he maʻi ʻokoʻa. He hōʻailona nui lākou o kahi maʻi i kapa ʻia ʻo osteoarthritis (OA), ʻo ia hoʻi kahi maʻi degenerative o nā hono ma nā lima.
Ua kapa ʻia kēia mau puʻupuʻu ma muli o ke kauka nāna i wehewehe mua iā lākou, ʻo William Heberden.
No laila he aha nā Nodes a Bouchard?
He ʻano like loa kēia me nā puʻu o Heberden, akā aia kēia mau puʻupuʻu ma ka hui waena o ka manamana lima. He mau hōʻailona ʻelua ia o ka osteoarthritis.
No ke aha e loaʻa ai kēia ʻano osteoarthritis?
E noʻonoʻo i ko kākou mau hono e like me nā ʻīniha puka i hamo maikaʻi ʻia. Pono nā ʻīniha e loaʻa kahi mea e like me ka ʻaila i loko o lākou e hana pono ai. Pēlā nō, ma kahi e hui ai nā iwi ʻelua, ma kahi hono, aia kahi uhi palupalu a pahee i kapa ʻia ʻo ka cartilage e kōkua ana i nā wēlau o nā iwi e neʻe mālie me ka ʻole o ka hamo ʻana kekahi i kekahi.
ʻO ka Osteoarthritis ka ʻaʻai mālie ʻana a me ka haehae ʻana o kēia papa cartilage i ka hala ʻana o ka manawa, me ka ʻelemakule, a ma o ka hoʻohana mau ʻana. I ka pau ʻana o ke cartilage, nalowale ka laumania a hoʻomaka nā wēlau o nā iwi e hamo kekahi i kekahi. Hoʻoulu kēia i ka mumū i loko o ke ami, e alakaʻi ana i ka ʻeha a me ka ʻoʻoleʻa.
I ka pane ʻana i kēia nalowale ʻana o ke cartilage, hoʻāʻo ke kino e hoʻopaʻa i ka hono. Hana ke kino i kēia ma ka hana ʻana i nā ulu iwi liʻiliʻi hou a puni ke hono. ʻO kēia mau ulu iwi hou ka mea a mākou e kapa nei he nodes a i ʻole spurs . Ke hana ʻia lākou ma nā wēlau o nā manamana lima, ua kapa ʻia lākou ʻo "Heberden nodes," a ke hana ʻia lākou ma nā hono waena, ua kapa ʻia lākou ʻo "Bouchard nodes."
ʻOi aku ka maʻamau o kēia maʻi i waena o nā wahine. Ua hōʻike ʻia nā noiʻi i ka hiki ʻana i 85 mau makahiki, e loaʻa i ka hapalua o nā wahine a me ka hapahā o nā kāne ka osteoarthritis ma ko lākou mau lima.
He aha nā hopena e hiki ai i kēia mau puʻupuʻu ke hana iaʻu?
Inā loaʻa iā ʻoe nā puʻu o Heberden, ʻo ia hoʻi, he kiʻekiʻe iki aʻe paha kou pilikia o ka osteoarthritis ma kou mau lima. Eia nō naʻe, hiki nō hoʻi iā ʻoe ke ʻike i kēia mau hōʻailona.
| Hōʻailona | Wehewehena |
|---|---|
| ʻEha, pehu, a me ka ʻoʻoleʻa | ʻEha a pehu nā hono o koʻu mau manamana lima. He mea paʻakikī iaʻu ke kūlou a hoʻopololei i koʻu mau manamana lima, ʻoiai ke ala au i ke kakahiaka. |
| Nā puʻupuʻu i loko o nā puʻupuʻu | E ʻike ʻia nā puʻupuʻu paʻakikī a iwi ma nā hono kokoke i nā manamana lima. |
| Ka emi ʻana o ka neʻe ʻana | Ke paʻakikī nei ke kulou i kou mau manamana lima a me ka ʻūmiʻi ʻana i kou mau lima e like me ka maʻalahi ma mua. |
| Ka hoʻopilikia ʻana i nā hana o kēlā me kēia lā | ʻOiai nā hana maʻalahi e like me ka wehe ʻana i ka pāpale ʻōmole, ke pihi ʻana i ka pālule, a i ʻole ka hoʻohuli ʻana i ka wrench, hiki ke paʻakikī. |
He aha ka mea hiki ke hana ʻia e mālama ai i kēia maʻi?
ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ka hōʻemi ʻana i ka ʻeha a hoʻihoʻi i ka hana maʻamau i kou mau lima . Hiki i kāu kauka ke paipai i nā ʻano lāʻau like ʻole no kēia.
Nā mea hiki iā ʻoe ke hana me ka ʻole o ka lāʻau lapaʻau
- E hoʻomaha i kou lima: E pale i ke kau ʻana i ke kaumaha nui ma kou lima i ka wā e ʻeha ai.
- E komo i kahi splint: ʻO kēia mau mea hana (orthosis) e kākoʻo ana i nā hono o nā manamana lima e hiki ke kōkua i ka hōʻemi ʻana i ka ʻeha.
- Nā ʻūmiʻi wela a me ke anu: Hiki ke hoʻohana ʻia nā ʻūmiʻi mehana a i ʻole nā lāʻau paraffin wax e hōʻemi i ka ʻeha. I kekahi manawa he mea kōkua nui nō hoʻi ka hoʻololi ʻana i nā ʻūmiʻi wela a me ke anu.
- ʻŌlelo Aʻo no ke Kauka Lapaʻau Hana: Hiki i kahi kauka lapaʻau hana loea i nā pilikia lima ke aʻo iā ʻoe pehea e hoʻohana ai i kou mau lima me ka ʻole o ka hōʻino ʻana i kou mau hono, nā hoʻomaʻamaʻa āu e pono ai e hana, a me nā mea hana like ʻole e hiki ai ke maʻalahi i nā hana o kēlā me kēia lā.
Lapaʻau me ka lāʻau lapaʻau
Mea nui: E kūkākūkā mau me kāu kauka ma mua o ka hoʻohana ʻana i kekahi o kēia mau lāʻau.
- Nā lāʻau hoʻopau ʻeha: Hiki i kāu kauka ke ʻōlelo aku i nā lāʻau hoʻopau ʻeha e like me ka paracetamol (Acetaminophen) a me nā NSAID (Nonsteroidal anti-inflammatory drugs) ma ke ʻano o nā pila a i ʻole nā lotion.
- Nā inikini steroid: Inā koʻikoʻi loa ka ʻeha a me ka pehu, hiki i kāu kauka ke hāʻawi iā ʻoe i kahi inikini steroid pololei i loko o ke hono. Hiki i kēia ke hāʻawi i ka hōʻoluʻolu wikiwiki.
E pono anei ke ʻoki kino?
I ka hapanui o nā hihia, ʻaʻole pono ke ʻoki kino. Eia nō naʻe, inā ʻaʻohe lāʻau ʻē aʻe e kāohi i ka ʻeha a he paʻakikī loa ka hana ʻana i nā hana o kēlā me kēia lā, e noʻonoʻo paha kāu kauka i ke ʻoki kino. ʻO ke kaʻina hana maʻamau ka hoʻohuihui hui . Pili kēia i ka wehe ʻana i ke cartilage i pau a me ka hoʻohui ʻana i nā iwi ʻelua.
Āhea ʻoe e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, he mea nui loa e ʻike koke i ke kauka no ka ʻōlelo aʻo.
| Kumu | He aha ka mea e hana ai? |
|---|---|
| Inā ʻike ʻoe i nā puʻupuʻu hou a i ʻole ka pehu ʻana i nā hono o kou manamana lima. | E ʻike i ke kauka e hōʻoia inā he mau node ʻo Heberden kēia a ʻaʻole paha. |
| Inā pilikia ʻoe i ka hana ʻana i nā hana paʻakikī e like me ke pihi ʻana a i ʻole ke kākau ʻana. | E ʻimi i ka ʻōlelo aʻo no ka mea he hōʻailona paha kēia o ka emi ʻana o ka hana a nā hono. |
| Inā loaʻa iā ʻoe ka ʻeha mau, ka ʻoʻoleʻa, a i ʻole ka pehu ʻana i kou mau lima a i ʻole nā manamana lima. | He mea nui e hoʻomaka i ka lāʻau lapaʻau e kaohi i ka ʻeha a pale i ka lilo ʻana o ke kūlana i mea ʻino. |
Leka Lawe-Home
- ʻAʻole he maʻi ʻokoʻa nā puʻu o Heberden. He hōʻailona maʻamau ia o ka osteoarthritis, kahi maʻi hui degenerative o nā lima.
- Hoʻokumu ʻia kēia mau puʻupuʻu i ka wā e pane ai ke kino i ka ʻaʻahu a me ka waimaka o ke cartilage i loko o nā hono i ka hala ʻana o ka manawa.
- Hiki i kēia ke hoʻoulu i ka ʻoluʻolu ʻole e like me ka ʻeha, ka pehu ʻana, a me ka emi ʻana o ka hana ma nā manamana lima.
- Akā me ka mālama kūpono, ka hoʻoikaika kino, a me nā loli o ke ʻano o ka nohona , hiki ke kaohi maikaʻi ʻia kēia mau hōʻailona a hiki iā ʻoe ke ola i kahi ola maʻamau.
- Inā ʻike ʻoe i kahi loli e like me kēia ma kou mau manamana lima, mai hopohopo a e ʻike koke i kāu kauka no ka ʻōlelo aʻo kūpono.
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