ʻEha pū kekahi kou manamana nui? E kamaʻilio kākou e pili ana i ka maʻi ʻāʻī o ka manamana nui!

He manamana nui koʻikoʻi ka manamana nui ma ko kākou lima. E noʻonoʻo e pili ana i ia mea, e hoʻohuli ana i kahi kī, e paʻa ana i ke kīʻaha, e hoʻoneʻe ana i ka `pale` o ke kelepona i mua a i mua, e kākau ana, e kaha kiʻi ana... He mea hiki ʻole kēia mau mea a pau me ka ʻole o ka manamana nui. Akā, ua manaʻo anei ʻoe e hiki i kēia hui makamae o ka manamana nui ke lilo i ʻeha, pehu, a hiki ʻole ke hana i nā hana o kēlā me kēia lā i kekahi lā? ʻAe, he pilikia kēia no nā kānaka he nui, ʻoiai me ka ʻelemakule. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia maʻi i kapa ʻia ʻo ka maʻi ʻāʻī o ka manamana nui.

He aha ka ʻeha o ka manamana lima?

I ka ʻōlelo maʻalahi, ʻo ka ʻāʻī o ka manamana nui ka haki ʻana o ke cartilage pale i loko o nā hono o kou manamana nui. Ua like kēia cartilage me nā mea hoʻokuʻu haʻalulu i loko o ke kaʻa. Hana ia ma ke ʻano he uluna e kōkua ai i nā iwi o ke hono e neʻe mālie me ka ʻole o ka hamo ʻana kekahi i kekahi. I ka hala ʻana o ka manawa, i ko mākou hoʻohana ʻana i ko mākou mau lima, e mae ana kēia cartilage. Ma nā ʻōlelo lapaʻau, ua kapa ʻia kēia he osteoarthritis.

ʻO ka hapa pinepine, loaʻa kēia ʻāʻī ma ka hui carpometacarpal (CMC) i loko o kou manamana nui. Aia kēia ma kahi kokoke i ka pulima, ma ke kumu o ka manamana nui, ma ka ʻāpana ʻiʻo o kou lima. I kekahi manawa ua kapa ʻia ʻo ia ʻo ka hui basal. ʻO ka hui CMC ka mea e kōkua ai i kou manamana nui e neʻe maʻalahi mai kēlā ʻaoʻao a i kēia ʻaoʻao a paʻa i nā mea. ʻO ia ke kumu i kapa ai nā kauka iā ia he ʻāʻī CMC. ʻO ka ʻoiaʻiʻo, ma hope o ka ʻāʻī ma nā hui o nā manamana lima, ʻo ia ke ʻano maʻamau o ka ʻāʻī ma ka lima.

Loaʻa iā ʻoe kēia mau hōʻailona?

I kēia manawa, e nānā kākou i nā hōʻailona āu e ʻike ai inā loaʻa iā ʻoe ka maʻi ʻāʻī manamana wāwae nui. ʻAʻole e ʻike like nā kānaka a pau i kēia mau hōʻailona, ​​akā eia nā mea maʻamau:

• ʻEha a ʻoluʻolu ʻole paha kou manamana nui ma hope o ka hoʻohana ʻana i kou lima no ka manawa lōʻihi. E noʻonoʻo, inā ʻoe e hoʻolilo i ka manawa nui e hana ana ma ka māla, e kākau ana i kekahi mea, a i ʻole e hana ana i nā hana o ka hale, e like me ka kuke ʻana, e hoʻomaka ana kou manamana nui e ʻeha ma hope o kekahi manawa.
• Ma ke kumu o ka manamana nui, kahi o ka hui `CMC`, hiki ke ulu aʻe kahi iwi ʻōpuʻu liʻiliʻi. ʻO ia hoʻi, kahi mea liʻiliʻi e puka mai ana ma luna o ka iwi.
• Me he mea lā ua nui a pehu ke ami o ka manamana nui. I kekahi manawa he ʻulaʻula paha.
• E emi ana ka ikaika o ka manamana nui, a lilo ia i mea paʻakikī ke hoʻoneʻe pono. Eia kekahi laʻana, lilo ia i mea paʻakikī ke wehe i kahi poʻi ʻōmole wai, wehe i kahi ʻōmole jam, a hoʻohuli paha i kahi kī. Lilo ia i mea paʻakikī ke paʻa pono i kekahi mea me ka lima.
• ʻEha nui ka manamana nui i ka wā e hopu ai, e paʻa ai, a i ʻole e ʻūmiʻi i kahi mea me nā manamana lima. Hiki ke manaʻo ʻia he ʻeha ʻoi mai loko mai.
• E ʻike paha ʻoe i ka pehu ʻana, ka ʻoʻoleʻa, a i ʻole ka palupalu ma ke kumu o kou manamana nui. E paʻakikī paha iā ʻoe ke kulou a hoʻopololei paha i kou manamana nui ke ala ʻoe i ke kakahiaka.

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻoi aku ka maikaʻi o ka ʻike koke ʻana i ke kauka.

No ke aha mākou e loaʻa ai i ka rumatika manamana wāwae nui?

E like me ka mea i ʻōlelo ʻia ma mua, ʻo ke kumu nui ka palaho ʻana o ke cartilage i loko o nā hono manamana nui. He membrane kēia cartilage e pale ai i nā iwi mai ka hamo ʻana kekahi i kekahi a hāʻawi i nā hono i ko lākou laumania. Me ka ʻelemakule a me ko mākou hoʻomau ʻana i ka hoʻohana ʻana i ko mākou mau lima, e mae maoli kēia cartilage. ʻO ka mea e hana ʻia, ʻo ia ka hoʻomaka ʻana o nā iwi ma lalo e hamo kekahi i kekahi. ʻO kēia ke kumu o ka ʻeha, ka pehu ʻana, a me ka hōʻino ʻana i ke hono.

ʻO wai ka mea i pilikia nui no kēia?

ʻAʻole loaʻa i nā kānaka a pau kēia. Akā, ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi i kekahi poʻe. E nānā kākou iā lākou:

• No nā wahine: ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi ʻeha manamana wāwae nui i nā wahine ma mua o nā kāne.
• Ma luna o 40 mau makahiki: I ko kākou ʻelemakule ʻana, nui nā mea i loko o ko kākou kino e palaho ana, a he mea maʻamau nō hoʻi ka palaho ʻana o ke cartilage i loko o ko kākou mau hono.
• ʻO ka predisposition genetic: Inā loaʻa i kekahi o kou ʻohana, e like me kou makuahine a makuakāne paha, ka osteoarthritis, loaʻa paha iā ʻoe kahi predisposition genetic e hoʻomohala iā ia.
• Nā ʻeha o ka manamana nui ma mua: Inā ua haki kou manamana nui, ʻeha nui, a ʻūlū paha, hiki iā ʻoe ke loaʻa i ka maʻi ʻaʻai i ka wā e hiki mai ana.
• Nā kūlana olakino ʻē aʻe: ʻO ka poʻe me nā maʻi ʻē aʻe e hoʻopilikia ai i nā hono, e like me ka lupus a me ka rheumatoid arthritis, aia pū kekahi i ka pilikia o ka hoʻomohala ʻana i kēia ʻeha manamana wāwae nui.

Pehea e ʻike ai ke kauka i kēia?

Ke hele ʻoe e ʻike i ke kauka me nā hōʻailona āu i ʻōlelo ai ma luna, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona.

• Pehea ka lōʻihi o kēia ʻeha ma laila?
• Ke ʻeha mau nei kou manamana nui, a i ʻole ke ʻeha wale nō i ka wā e hana ai i kekahi mau mea?
• Ua loaʻa anei iā ʻoe kekahi mau ʻeha ma kou manamana nui ma mua?

Hiki iā ʻoe ke nīnau i nā nīnau e like me.

A laila e nānā ke kauka i kou lima a me kou manamana nui. Hiki iā ia ke paʻa i ke ami o kou manamana nui a hoʻoneʻe iā ia i nā ʻaoʻao like ʻole. A laila,

• Inā ʻoe e ʻeha i ka wā e neʻe ai kou manamana nui i mua a i mua,
• Inā manaʻo ʻoe i kahi "manaʻo ʻōniʻoniʻo" e like me kahi mea i paʻa i loko o ke hono, e like me nā huna one,
• Inā lohe ʻoe i ke kani "crackling" (`crepitus`) i ka wā e hamo ai nā iwi,

Hiki paha i ke kauka ke kānalua he maʻi ʻāʻī manamana wāwae nui kēia.

No ka hōʻoia ʻana i ka maʻi, hiki i kāu kauka ke kauoha i kahi X-ray. Hiki i kahi X-ray ke hōʻike i ka nui o ke kāʻei ʻana o ke cartilage ma ke hono, inā e hamo pū ana nā iwi, a inā paha ua hana ʻia nā iwi spurs.

He aha nā lāʻau lapaʻau no kēia?

ʻOkoʻa ka mālama ʻana no ka maʻi ʻeha manamana wāwae nui ma muli o ke koʻikoʻi o kāu mau hōʻailona.

Nā lāʻau lapaʻau hiki iā ʻoe ke hana ma ka home

I nā pae mua, inā ʻaʻole koʻikoʻi loa nā hōʻailona, ​​​​hiki i kāu kauka ke ʻōlelo i nā lāʻau lapaʻau maʻalahi hiki iā ʻoe ke hana ma ka home, e like me:

• Hau a wela paha: E kau i kahi ʻeke hau a i ʻole kahi pā hoʻomehana i ka hui o kou manamana nui no 5 a 15 mau minuke i kekahi mau manawa i ka lā. E hoʻāʻo i nā mea ʻelua a ʻike i ka mea e hāʻawi iā ʻoe i ka hōʻoluʻolu. Manaʻo kekahi poʻe he kōkua ka hau, aʻo kekahi poʻe he kōkua ka wela.
• Nā lāʻau hoʻopau ʻeha: No ka hōʻemi ʻana i ka ʻeha a me ka pehu ʻana, hiki iā ʻoe ke lawe i nā lāʻau anti-inflammatory nonsteroidal (NSAID), e like me ibuprofen (Advil®), aspirin (Aspirin), a i ʻole acetaminophen (Tylenol®). Akā e hoʻomanaʻo, mai lawe mau i kēia mau lāʻau me ka ʻole o ka nīnau ʻana i ke kauka.
• Ke komo ʻana i kahi Splint: Hiki i kāu kauka ke ʻōlelo aku iā ʻoe e komo i kahi splint e hoʻomaha ai i kou hui manamana nui a pale iā ia mai ka neʻe pono ʻole ʻana. Hiki iā ʻoe ke komo i kēia i ke ao a i ʻole ʻoe e hiamoe ana i ka pō. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka ʻeha a kōkua i ka ho'ōla wikiwiki ʻana o ke hui.

Lapaʻau lapaʻau

Inā ʻaʻole hōʻoluʻolu ka mālama home i ka ʻeha, a inā e ʻoi aʻe ka ʻino o nā hōʻailona i ka hala ʻana o ka manawa, e haʻi aku kāu kauka iā ʻoe e pili ana i nā lāʻau lapaʻau ʻē aʻe.

• Nā Inikini Steroid: Ma kēia ʻano, ua hoʻokomo pololei ʻia kahi steroid i loko o ka hui CMC o ka manamana nui, kahi e loaʻa ai ka ʻeha a me ka pehu. Hāʻawi pinepine kēia i ka hōʻoluʻolu ʻeha maikaʻi no kekahi mau mahina. Eia nō naʻe, hiki i nā pono o kēia mau inikini ke nalowale i ka hala ʻana o ka manawa. Eia kekahi, ʻaʻole maikaʻi ka loaʻa pinepine ʻana o kēia mau inikini.

Āhea e pono ai ke ʻoki kino?

Inā ʻaʻole hiki i nā lāʻau lapaʻau ʻē aʻe ke kāohi i ka ʻeha a ua pilikia loa ka hana o kou manamana nui a hiki ʻole iā ʻoe ke hana i nā hana o kēlā me kēia lā, hiki i kāu kauka ke kuhikuhi i ke ʻoki kino. Aia kekahi mau ʻano ʻoki kino no ka maʻi ʻāʻī o ka manamana nui:

• Arthroplasty (hoʻololi hui): Ma kēia, ua wehe piha ʻia a hapa paha ka hui i hōʻino ʻia o ka manamana nui a hoʻololi ʻia me kahi hui hana (artificial implant).
• Denervation: ʻAʻole kēia e hoʻololi pololei i ka hui ʻana. Akā, ke ālai nei ia i nā hōʻailona mai nā hopena aʻalolo e lawe ana i nā hōʻailona ʻeha i ka lolo. Hoʻemi kēia i ka manaʻo o ka ʻeha.
• Fusion (arthrodesis): Pili kēia i ka hoʻohui ʻia ʻana o nā iwi o ka hui manamana nui e hoʻopaʻa mau loa. Hiki i kēia ke hōʻemi nui i ka ʻeha a hoʻonui i ka ikaika. Eia nō naʻe, ua kaupalena ʻia ka neʻe ʻana o ka hui manamana nui. ʻO ia hoʻi, ʻaʻole hiki ke pelu a hoʻolōʻihi ʻia paha ke hui.
• `Ke Kūkulu Hou ʻana o ke Ligament a me ke Kuhikuhi ʻana o nā Tendon (LRTI)`:ʻOiai he inoa paʻakikī iki ia, pili kēia i ka wehe ʻana i kahi ʻāpana o ke ami i hōʻino ʻia (ʻo ka maʻamau he iwi liʻiliʻi i kapa ʻia ʻo trapezium) a me ka hoʻohana ʻana i kahi tendon kokoke i kou pulima lima e hana i kahi manamana nui. Hiki i kēia ke hōʻemi i ka ʻeha a mālama i kekahi ʻano o ka neʻe ʻana.
• Trapeziectomy me ka suspensionplasty: He hana kēia e like iki me LRTI. Wehe ʻia kahi ʻāpana o ka hui i hōʻino ʻia a kau ʻia ka manamana nui me ka hoʻohana ʻana i nā tendon kokoke a i ʻole nā ​​​​sutures ikaika. Hoʻemi pū kēia i ka ʻeha a ʻae i ka neʻe ʻana.

Na kāu kauka e hoʻoholo i ke ʻano hana kūpono loa iā ʻoe, e noʻonoʻo ana i kou kūlana, ka makahiki, a me kou mau pono.

He aha kaʻu e manaʻo ai me kēia kūlana?

He maʻi hiki ke mālama ʻia a mālama ʻia ka ʻāʻī o ka manamana wāwae nui. Hiki i nā poʻe he nui ke hōʻemi nui i ko lākou mau hōʻailona me nā lāʻau lapaʻau ʻoki ʻole i ʻōlelo ʻia ma luna, e like me ka mālama home, ka lāʻau lapaʻau, a me nā splints. Manaʻo ʻia ke ʻoki ʻana inā ʻaʻohe hōʻoluʻolu.

I kekahi manawa, e ʻōlelo paha kāu kauka i ka hoʻōla kino a i ʻole ka hoʻōla hana . Hiki i kahi mea hoʻōla lima i hōʻoia ʻia, ka mea i aʻo kūikawā ʻia i nā maʻi lima, ke kōkua iā ʻoe e hoʻihoʻi i ka ikaika, ka neʻe ʻana, a me ka hana i kou lima a me kou manamana nui. Hiki iā lākou ke aʻo iā ʻoe i nā hoʻomaʻamaʻa kikoʻī, nā ala e maʻalahi ai nā hana o kēlā me kēia lā, a me nā ala e pale ai i kou mau hono.

ʻO ka mea nui e hoʻomanaʻo (Leka Lawe-Home)

E noʻonoʻo i ka nui o nā mea a mākou e hoʻohana ai i ko mākou mau manamana nui i kēlā me kēia lā, e like me ka hoʻohuli ʻana i nā kī, ka paʻa ʻana i nā puke, a me ke kāwele ʻana ma ka pale papa. Akā ke loaʻa iā ʻoe ka ʻāʻī ma kou manamana nui, hiki i kēia hana maʻalahi ke lilo i mea ʻeha. He mea maʻamau ia ma mua o kou manaʻo, a hiki iā ia ke loaʻa ka hopena nui i kou ola o kēlā me kēia lā.

No laila, inā ʻike ʻoe i ka ʻeha, ka pehu ʻana, ka ʻoʻoleʻa, a i ʻole ka mae ʻana o kou manamana nui, mai hoʻowahāwahā wale iā ia a e ʻike i ke kauka. Hiki iā ia ke kōkua iā ʻoe e loaʻa ka hōʻoluʻolu a aʻo iā ʻoe i nā ala e maʻalahi ai kāu mau hana o kēlā me kēia lā. ʻO ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau, ʻo ka wikiwiki o kou hoʻōla ʻana.

ʻO ka ʻāʻī, ka ʻeha o ka manamana nui, ka Osteoarthritis, ka ʻāʻī CMC, ka ʻeha o ke ami, ka ʻeha o ka lima, ka ʻāʻī manamana nui