I kekahi manawa ke ala ʻoe i ke kakahiaka, manaʻo kou lima he mae a make, ʻeā? A i ʻole ʻoiai ʻoe e hana ana i kekahi mea, manaʻo koke kou mau manamana lima he mae a manaʻo ʻoe e like me nā ʻanuʻu e hele wāwae ana. He mea kēia a mākou e ʻike mau ai. ʻO ka hapa nui o ka manawa, ʻaʻole mākou e nānā nui iā ia, me ka manaʻo he no ka mea ua paʻa mākou i ko mākou mau lima ma ke ʻano like. Eia naʻe, hiki i kēia ʻūlū ʻana i nā lima ke lilo i hōʻailona o kahi maʻi ʻoi aku ka koʻikoʻi ma mua o ko mākou manaʻo. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke kumu o ka mae ʻana o kēia mau lima, he aha ke kumu, a i ka wā e pono ai mākou e hopohopo maoli no ia mea.
He aha maoli ke ʻano o ka ʻūlū ʻana ma nā lima?
He ʻano ʻē ka ʻūlū ʻana i kou mau lima. I ka pololei, manaʻo ia e emi ana kou ʻike o ka hoʻopā. I kekahi manawa hiki iā ʻoe ke manaʻo i kahi ʻūlū ʻana me kahi ʻano wela , e like me nā ʻanuʻu e kolo ana ma kou lima a i ʻole e hou ʻia e nā nila. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano he "paresthesia." ʻO ka hapa nui o ka manawa, loaʻa kēia ʻano no kekahi manawa a laila nalowale ke kaomi ʻia kahi aʻalolo i kou kūlana like. Akā inā hoʻomau a pinepine paha, he hōʻailona paha ia o kahi maʻi.
He aha nā kumu nui o ka ʻāʻī ma nā lima?
Nui nā kumu hiki ke ʻāʻī i nā lima. He maʻalahi loa kekahi o lākou, no ka manawa pōkole, aʻo kekahi he mau maʻi koʻikoʻi. ʻO ke kumu nui ka ʻūlū ʻana a i ʻole ka hōʻino ʻana i kahi aʻalolo ma ka lima, ka lima, a i ʻole ka ʻāʻī.
E ʻike pono kākou i kēia mau kumu mai ka papa ma lalo.
| ʻAno kumu | Ka wehewehe a me nā laʻana |
|---|---|
| Nā kumu e pili ana i ke aʻalolo | |
| ʻO ka maʻi Carpal Tunnel | ʻO ke kaomi ʻana o kahi aʻalolo nui e holo ana ma ka pulima. He mea maʻamau kēia i nā poʻe e hana ana i nā hana hou e like me ka hoʻohana ʻana i nā kamepiula, ke kikokiko ʻana, a i ʻole ka humuhumu ʻana. |
| Ke kaomi ʻana o ke aʻalolo spinal | ʻO kahi disc herniated, kahi disc ma waena o nā vertebrae ma ka ʻāʻī a i ʻole ke kua, hiki ke hoʻoulu i ka numbness ma nā lima a me nā wāwae. |
| Ka hoʻopaʻa ʻana o ke aʻalolo Ulnar | ʻO ke kaomi ʻana o nā aʻalolo mai ke kau ʻana i ke kaumaha ma luna o ke kuʻekuʻe lima no ka lōʻihi loa a i ʻole ke kulou pinepine ʻana i ke kuʻekuʻe lima. |
| Ma muli o nā kūlana olakino ʻē aʻe | |
| ʻO ka maʻi diabetes (Diabetes Mellitus) | Hoʻopilikia ka maʻi diabetes i ke kahe koko maikaʻi ʻole a me ka hōʻino ʻana o nā aʻalolo (Diabetic Neuropathy). |
| Hahau | He maʻi koʻikoʻi i hoʻokumu ʻia e ka poloka a i ʻole ka haki ʻana o kahi kīʻaha koko e hoʻolako ana i ke koko i ka lolo. |
| Nā maʻi ʻē aʻe | ʻO nā maʻi e like me ka hypothyroidism, migraine, multiple sclerosis (MS), Raynaud's syndrome, a me nā shingles, i hoʻokumu ʻia e ka maʻi chickenpox. |
| Nā Kumu ʻē aʻe | |
| Nā hemahema meaʻai | ʻOi aku hoʻi ka nele o ka wikamina B12. |
| Nā kaulike ʻole o ka paʻakai i loko o ke kino | Nā pae calcium, potassium, a i ʻole sodium maʻamau ʻole. |
| ʻĒ aʻe | ʻO kekahi mau lāʻau lapaʻau, ka inu nui ʻana i ka waiʻona, nā nahu holoholona a pepeke paha. |
He aha nā hoʻokolohua a ke kauka e hana ai e ʻike ai i ke kumu?
Ke hele ʻoe e ʻike i ke kauka e pili ana i kou mau lima ʻūlū, e nīnau mua ʻo ia iā ʻoe a loaʻa iā ia kahi wehewehe kikoʻī. Pehea ka lōʻihi o ia mea, i ka manawa hea e hana pinepine ai, a inā he mau hōʻailona ʻē aʻe kāu. A laila, hiki iā lākou ke paipai i kekahi mau hoʻokolohua e ʻike i ke kumu pololei.
E hoʻomanaʻo, ʻaʻole pono nā kānaka a pau i kēia mau hoʻokolohua a pau . Na kāu kauka e hoʻoholo i nā hoʻokolohua e pono ai ma muli o kou mau hōʻailona a me kou kūlana.
- Nā hoʻāʻo koko: Hiki i ka helu koko piha ke nānā i nā mea e like me nā pae hormone thyroid, nā pae huaora (ʻoi aku ka B12), a me nā electrolytes.
- Nā Scan: E noi ʻia paha ʻoe e hana i kahi scan `CT (Computed Tomography)` a i ʻole ka scan `MRI (Magnetic Resonance Imaging)` o kou lolo a i ʻole ka iwi kuamoʻo. Hiki i kēia ke ʻike i nā mea e like me nā puʻupuʻu a me ke kaomi ʻana o ke aʻalolo.
- Nā hoʻāʻo hana neurological: ʻO kahi hoʻāʻo i kapa ʻia ʻo `EMG (Electromyography)` e nānā i ka hana a me ke olakino o kou mau aʻalolo a me nā ʻiʻo.
- Nā hoʻokolohua ʻē aʻe: Hiki ke hana ʻia kahi ultrasound o nā kīʻaha koko ma ka ʻāʻī, kahi X-ray, kahi angiogram e nānā i loko o nā kīʻaha koko, a i ʻole kahi lumbar puncture e nānā i nā maʻi o ka ʻōnaehana nerve inā pono.
He aha nā lāʻau lapaʻau no ka ʻūlū ʻana ma nā lima?
ʻAe, i kēia manawa ua kamaʻilio mākou e pili ana i nā kumu a me nā hoʻokolohua, pehea ʻoe e mālama ai i kēia? ʻO ka mea nui loa, ʻo ka mālama ʻana e pili ana i ke kumu o kou mau lima ʻūlū.
Eia kekahi laʻana, inā ʻo kou ʻano ʻeha ka mea i hoʻoulu ʻia e ka lāʻau lapaʻau āu e lawe nei, e hoʻololi kāu kauka i ka lāʻau lapaʻau. Inā he hemahema ia o ka wikamina, e paipai ʻo ia i nā wikamina kūpono a i ʻole ka ʻai momona. Inā he ʻano ia e like me ka 'Carpal Tunnel Syndrome', pono paha ʻoe e komo i kahi splint, hana i nā hoʻoikaika kino, a i kekahi mau hihia, e hana i kahi ʻoki liʻiliʻi.
Inā loaʻa iā ʻoe kahi maʻi mau e like me ka maʻi diabetes, ʻo ka lāʻau lapaʻau koʻikoʻi ka kaohi ʻana i ke kūlana. I kekahi mau hihia, hiki ke kuhikuhi ʻia ʻoe i kahi loea, e like me ke kauka neurologist, rheumatologist, a i ʻole ke kauka ʻoki kino.
Aia kekahi mau mea hiki iā ʻoe ke hana ma ka home?
ʻAe, ma waho aʻe o nā ʻōlelo aʻoaʻo a ke kauka, aia kekahi mau mea maʻalahi hiki iā ʻoe ke hana ma ka home.
- Ke lawe nei i nā lāʻau ʻeha (e like me Paracetamol) me ka ʻae ʻia e ke kauka.
- Ke hāʻawi nei i kou mau lima i kahi hoʻomaha mai ka hana mau (e.g. ke kikokiko ʻana).
- E hoʻohana i nā splints inā ʻōlelo ʻia e kāu kauka.
- Ka palai ʻana i ka wela a i ʻole ke anu.
- Ke komo ʻana i nā hoʻomaʻamaʻa maʻalahi e hoʻoikaika ai i nā lima a me nā pulima lima.
Āhea ʻoe e ʻike koke ai i ke kauka?
ʻO kēia ka ʻāpana koʻikoʻi loa. He mea maʻamau ka manaʻo ʻana i ke kani ʻana ma kou mau lima ke ala ʻoe i ke kakahiaka ma hope o ka hiamoe ʻana ma ke ʻano like. E nalo wale nō ia ma hope o kekahi manawa. Eia nō naʻe, inā mau kou kani ʻana ma kou mau lima no nā hola he nui, a inā hele pinepine mai ia , pono ʻoe e ʻike i ke kauka.
ʻOi aku hoʻi, inā loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei me ka mae ʻole o kou mau lima, he hōʻailona paha ia o kahi pilikia, e like me ka hahau ʻana. E ʻike koke i ke kauka. Inā pono, e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- ʻO ke kuni ʻana ma nā wahi ʻē aʻe o ke kino (e.g., wāwae, maka).
- He kūlana o ka maʻi lolo, ʻo ia hoʻi ka nalowale ʻana o nā lālā .
- Ka huikau , ka nalowale o ka ʻike.
- Pōʻaiʻī .
- ʻŌlelo ʻole a i ʻole ka ʻōlelo ʻole ʻana o nā huaʻōlelo i ka wā e ʻōlelo ana.
- Ka hiki ʻole ke kāohi i ka ʻōpū a me ka ʻōpū mimi.
- He ʻulaʻula ʻili.
Mai hoʻowahāwahā i nā hōʻailona e like me kēia. Hiki i ka mālama mua ke pale i nā pilikia koʻikoʻi.
Leka Lawe-Home
- ʻAʻohe mea e hopohopo ai ka ʻūlū ʻana o nā lima i kekahi manawa. Hoʻokumu pinepine ʻia ia e kahi aʻalolo i ʻoki ʻia no kekahi manawa.
- Eia nō naʻe, inā hoʻomau ka ʻūlū ʻana, pinepine pinepine ʻia, a i ʻole e hele pū me ka ʻeha, e ʻimi pono i ke kōkua lapaʻau.
- Hiki i ke kani ʻana o nā lima ke hōʻailona o nā mea he nui, mai kahi hemahema wikamina maʻalahi a hiki i kahi maʻi koʻikoʻi e like me ka maʻi lolo.
- ʻOiai inā ʻike ʻoe i nā hōʻailona e like me ka mae ʻana ma nā wahi ʻē aʻe o ke kino, ka paʻakikī i ka ʻōlelo ʻana, a i ʻole ka poniuniu ma waho aʻe o ke kani ʻana, e noʻonoʻo he pilikia ia a hele koke i ka haukapila.
- E hahai i nā ʻōlelo a kāu kauka a e loaʻa i nā hoʻokolohua a me ka lāʻau kūpono.
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