Ua pā anei ʻoe i ka piko o kou manamana lima i kou wā e pāʻani ana me ka pōpō? A i ʻole ua paʻa kou manamana lima i loko o ka puka? A laila kūlou ka piko o kou manamana lima i lalo a ʻaʻole hiki ke hoʻopololei iā ia me ka nui o kou hoʻāʻo ʻana? He mea kēia e hana ʻia i nā poʻe he nui. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano "Mallet Finger." ʻOiai paha ʻoe e manaʻo ua ʻeha wale kou manamana lima, he mea kēia e pono ai ka nānā hou aku. E kamaʻilio kākou e pili ana i kēia ma ke ʻano maʻalahi i kēia lā.
He aha maoli ka Mallet Finger?
I ka ʻōlelo maʻalahi, ʻo ka Manamana Mallet kahi ʻeha i ka piko o kou manamana lima. ʻO kēia ʻeha ke kumu o ka piko o kou manamana lima e kūlou i lalo, e like me ke poʻo o ka mallet. Pēlā i loaʻa ai kona inoa.
Hoʻopololei ʻia ka piko o ko kākou manamana lima e kahi ʻiʻo i hoʻopili ʻia iā ia. Kāhea mākou i kēia ʻo ke `extensor tendon`. Hoʻolōʻihi ia e like me ke kaula laholio a hoʻopololei i ka manamana lima. I kēia manawa e noʻonoʻo, i ka wā e pā ai kekahi mea paʻakikī i ka piko o ka manamana lima, hiki i kēia `extensor tendon` ke haehae, haki, a haehae paha i ka iwi. A laila, ʻaʻole hiki i ka ʻāpana i hana e like me ke kaula laholio ke huki i ka piko o ka manamana lima i luna. ʻO ka hopena, ua kūlou ka piko o ka manamana lima i lalo a kau i lalo.
He mea maʻamau kēia i waena o nā mea pāʻani haʻuki, ʻoiai ka poʻe e pāʻani ana i nā haʻuki e like me ka baseball, volleyball, a me ka basketball. ʻO ia ke kumu i kapa ʻia ai i kekahi manawa ʻo "baseball finger." Akā hiki nō hoʻi ke hana i nā mea pāʻani i ka wā e hana ana i nā hana o kēlā me kēia lā, e like me ke kau ʻana i kahi kapa moe i loko o kahi moe, a i ʻole ke paʻa ʻana i loko o ka puka.
He aha nā hōʻailona nui o kēia maʻi?
ʻO ke ʻano nui a maopopo loa o ka Manamana Mallet, ʻo ia ke kūlou ʻana o ka piko o ka manamana lima i lalo a ʻaʻole hiki iā ʻoe ke hoʻopololei iā ia iho. Hiki iā ʻoe ke hāpai i luna me kou lima ʻē aʻe a hoʻopololei iā ia, akā i kou hoʻokuʻu ʻana, hāʻule hou ia i lalo.
Eia kekahi, hiki iā ʻoe ke ʻike i kēia mau mea:
- Ke ʻeha nei ma kahi o ka ʻeha.
- Ka pehu ʻana a me ka ʻulaʻula o ka piko o ka manamana lima.
- I kekahi manawa, ma kahi o 48 mau hola ma hope o kahi ʻeha, e ʻike paha ʻoe i kahi hiʻohiʻona e like me ka polū/poni.
- Hiki paha ke kahe ke koko ma lalo o ke kui a i ʻole ka hōʻino ʻana i ke kui.
Nā kumu o ka manamana lima mallet
ʻO kekahi mea e hōʻino ana i ke aʻalolo extensor e hoʻopololei ana i ka piko o ka manamana lima hiki ke hana i kēia. E nānā kākou i nā kumu nui.
| Kumu | He wehewehe ʻana pehea e hana ai |
|---|---|
| He hahau paʻakikī | He kuʻi koke ʻana me kahi mea e like me ka pōpō ma ka piko o ka manamana lima i paʻa pololei ʻia. Hiki i kēia ke kumu e haehae ai ke aʻalolo i ka iwi. |
| Ke Kāʻei ʻana o ka Manamana Lima | ʻO ka paʻa ʻana o kou manamana lima i loko o ka puka, ka drawer, a i ʻole kahi wahi ʻē aʻe e hiki ai ke huki a haehae ʻia ke aʻalolo. |
| ʻOki ʻana me kahi mea ʻoi | ʻO ka ʻoki ʻana i ka piko o ka manamana lima me kahi mea e like me ka pahi a i ʻole kahi ʻāpana aniani e hiki ai ke ʻoki ʻia ke aʻalolo. |
| Haʻihaʻi | Ua haki ka iwi ma ke poʻo o ka manamana lima a hemo ka ʻāpana iwi i hoʻopaʻa ʻia ai ke aʻalolo. |
| Ka neʻe ʻana | ʻO ka hui manamana lima i pelu ʻia ke kumu o ka hoʻolōʻihi nui ʻana a me ka hōʻino ʻana i ke aʻalolo. |
| Nā maʻi e like me ka arthritis | Ma muli o kekahi mau kūlana, e like me ka rumatika, hiki i nā ʻaʻa ke hoʻonāwaliwali mālie a haki me kahi hopena liʻiliʻi. |
He aha ka mea e hana ʻia inā ʻaʻole ia e mālama ʻia?
Manaʻo ka poʻe he nui, "He manamana lima ʻeha wale nō ia, a e nalowale wale nō ia." Akā inā ʻaʻole mālama ʻia ka manamana lima ʻo Mallet i ka manawa kūpono, hiki i ka manamana lima kūlou ke lilo i mea paʻa loa. ʻO ia hoʻi, hiki i ka piko o ka manamana lima ke noho kūlou no ke koena o kou ola.
ʻAʻole wale kēlā, akā hiki i kēia ke hoʻopilikia i nā hono ʻē aʻe o ka manamana lima, e hoʻololi hou aku ai i ke ʻano o ka manamana lima. I kekahi manawa hiki i kēia ke ulu aʻe i kahi kūlana i kapa ʻia ʻo 'swan neck deformity' (he manamana lima e kūlou ana e like me ka ʻāʻī o ka swan).
ʻOi loa aku i nā keiki, inā loaʻa kēia ʻano ʻeha, ʻaʻole pono e hoʻowahāwahā ʻia, no ka mea hiki ke hōʻino i ka papa ulu, kahi e hoʻopilikia ai i ka ulu ʻana o ka iwi i ko lākou manamana lima, a hoʻopilikia i ka ulu ʻana o ka manamana lima i ka wā e hiki mai ana.
He aha ka mea e hana ʻia ma mua a ma hope o ka hālāwai ʻana me ke kauka?
Inā loaʻa iā ʻoe kahi ʻeha e like me kēia a ʻaʻole hiki ke hoʻopololei i kou manamana lima, ʻoi aku ka maikaʻi o ka ʻike ʻana i ke kauka i ka wā hikiwawe loa.
ʻO ke kōkua mua hiki iā ʻoe ke hana ma mua o ka ʻike ʻana i ke kauka
Eia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka pehu a me ka ʻeha ma mua o ka ʻike ʻana i ke kauka:
- E hoʻomaʻemaʻe i ka ʻeha: E hoʻomaʻemaʻe pono i ka ʻeha, ʻoiai inā e kahe ana ke koko o ka ʻeha a inā paha ua hōʻino ʻia ke kui.
- E hoʻopili i ka hau: E ʻōwili i kekahi mau pahu hau i loko o kahi lole maʻemaʻe a kau iā lākou ma luna o ka manamana lima i ʻeha no kahi o 15-20 mau minuke. E hōʻemi kēia i ka pehu a me ka ʻeha.
- E hoʻokiʻekiʻe i kou manamana lima: E mālama i kou lima ma luna o ka pae o ka puʻuwai e like me ka hiki.
- Kākoʻo manawa pōkole: E akahele, me ke kaomi ʻole ʻana i ka manamana lima, e kau i kahi mea pālahalaha e like me ka puna ʻaikalima (mea hoʻohaʻahaʻa alelo) a e kāʻei mālie iā ia me kahi kāʻei plaster e hana i kahi kākoʻo manawa pōkole (splint).
Pehea e ʻike ai ke kauka i ka maʻi?
Ke ʻike ʻoe i kāu kauka, e nīnau ʻo ia iā ʻoe pehea i hana ʻia ai ka ʻeha. A laila e nānā ʻo ia i kou manamana lima. E kauoha pinepine ʻo ia i kahi X-ray e hoʻoholo ai i ke koʻikoʻi o ka ʻeha, inā he ʻeha aʻalolo wale nō a he iwi haki paha.
He aha nā lāʻau lapaʻau no ka Mallet Finger?
ʻO ka nūhou maikaʻi, hiki ke mālama ʻia ka hapa nui o nā maʻi Mallet Finger me ke ʻoki ʻole ʻana.
Lapaʻau me ka ʻole o ke ʻoki ʻana
Hoʻomaʻamaʻa pinepine ʻia kēia ma ke kau ʻana i kahi ʻāpana kūikawā ma ka manamana lima, e mālama pono ana i ka piko o ka manamana lima, no 6 a 8 mau pule.
- Pono e hoʻokomo mau ʻia kēia ʻāpana palai, 24 mau hola o ka lā.
- E hōʻike ke kauka iā ʻoe pehea e hoʻomaʻemaʻe ai. ʻAʻole ia he manaʻo maikaʻi e wehe iā ia i kekahi manawa ʻē aʻe.
- Hiki iā ʻoe ke lawe i kahi X-ray ʻē aʻe i loko o kekahi mau pule e ʻike ai inā ua kūlike pono nā ʻāpana iwi.
Nā hihia kahi e pono ai ke ʻoki kino
I kekahi mau hihia paʻakikī, pono paha ke ʻoki kino. Eia kekahi laʻana:
- Inā ua haki ka iwi i kekahi mau ʻāpana.
- Inā ua ʻoki loa ʻia ke aʻalolo.
- Inā ʻaʻole i hoʻonohonoho pono ʻia ka hui.
ʻAʻole maʻamau kēia ʻoki kino he hana nui. Hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi me kou lima wale nō i hoʻopau ʻia (anesthesia kūloko a ʻāpana paha). Pono nō ʻoe e komo i kahi splint ma hope o ke ʻoki kino.
ʻEhia ka lōʻihi e ho'ōla ai?
Hoʻōla ka hapa nui o ka poʻe ma hope o ke kau ʻana i kahi splint no kahi o 8 mau pule, ʻoiai hiki i nā ʻeha koʻikoʻi ke hala a hiki i 16 mau pule e ho'ōla ai.
Ma hope o ka wehe ʻia ʻana o ke kāʻei lima, hiki i kou manamana lima ke mae iki a paʻakikī ke kulou. E hāʻawi kāu kauka iā ʻoe i kekahi mau hoʻomaʻamaʻa maʻalahi e hana ma ka home. I kekahi manawa e kuhikuhi ʻia ʻoe i kahi mea lapaʻau lima. Hiki ke hala i kekahi mau pule a i ʻole mau mahina no kou manamana lima e hoʻōla piha a loaʻa hou kona palupalu.
ʻOiai ma hope o ka ho'ōla ʻana, hiki i kekahi poʻe ke loaʻa kahi ʻūmiʻi liʻiliʻi ma ka piko o ko lākou manamana lima, a i ʻole e ʻike ʻia kahi puʻupuʻu liʻiliʻi ma ke kuʻekuʻe lima. Eia naʻe, ʻaʻole kēia e hoʻopilikia nui i ka hana o ka manamana lima.
Leka Lawe-Home
- ʻO ka Manamana Mallet kahi ʻeha i ka piko o ka manamana lima e kūlou ai i lalo a hiki ʻole ke hoʻopololei ʻia.
- Ma muli o ka hōʻino ʻia ʻana o ke aʻalolo extensor e hoʻopololei ana i ka manamana lima kēia.
- Mai hoʻowahāwahā iā ia, me ka ʻōlelo ʻana, "He ʻeha wale nō ia." E ʻike i ke kauka i ka hikiwawe loa.
- Hoʻomaʻamaʻa pinepine ʻia ke kau ʻana i kahi splint ma ka manamana lima no 6-8 mau pule.
- No ka hoʻokō ʻana i nā hopena maikaʻi loa, he mea nui loa e hahai pono i nā ʻōlelo a ke kauka.
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