He mea ʻoluʻolu ʻole iki ke mae kou lima a wāwae paha, a i ʻole ke manaʻo ʻoe e holo ana nā ʻanuʻu. I kekahi manawa hana wale kēia a nalowale. Akā inā hoʻomau kēia mae, hiki ke lilo i hōʻailona o kahi pilikia me kekahi o nā aʻalolo i loko o ko mākou kino. I ia mau hihia, ʻo kahi hoʻāʻo maʻalahi a ke kauka e hoʻohana ai ua kapa ʻia ʻo 'Tinel's Sign', a mākou e kamaʻilio nei i kēia lā.
He aha ka hōʻailona a Tinel?
I ka ʻōlelo maʻalahi, ʻo ka hōʻailona o Tinel ke kī mālie kāu kauka i ka ʻili kahi e holo ai ke aʻalolo, ʻike ʻoe i kahi ʻano ʻūlū a ʻūlū paha ma kēlā aʻalolo. Inā ʻike ʻoe i kahi ʻano ʻūlū iki, e like me kahi haʻalulu uila liʻiliʻi, ʻo ia hoʻi ke kaomi ʻia nei ke aʻalolo a ua hōʻino ʻia paha.
Ua kapa ʻia hoʻi ʻo ia ka hōʻailona Hoffmann-Tinel, ma hope o nā kauka nāna i wehewehe mua i kēia hoʻokolohua, ʻo Paul Hoffmann lāua ʻo Jules Tinel. Akā ke kamaʻilio mākou e pili ana i ia mea ma ke ʻano laulā, kapa wale mākou ia ʻo ka 'hōʻailona Tinel'.
Ma lalo o nā kūlana hea e hana ai ke kauka i kēia hoʻokolohua?
Inā kānalua kāu kauka ua ʻūmiʻi ʻia a hōʻino ʻia paha kekahi aʻalolo ma kekahi wahi o kou kino, hiki iā lākou ke hana i kēia hoʻāʻo maʻalahi. Aia kekahi mau kūlana kahi i koʻikoʻi loa ai kēia.
| Kūlana olakino | I ka ʻōlelo maʻalahi, he aha ka mea e hana ʻia? |
|---|---|
| ʻO ka maʻi Carpal Tunnel | Ke hoʻopaʻa ʻia ke aʻalolo waena, kahi aʻalolo nui e holo ana i ko mākou mau lima a me nā manamana lima, ma ka pulima lima, hoʻoulu pinepine ia i ka maneʻo ma ka manamana nui, ka manamana lima kuhikuhi, a me ka manamana lima waena. |
| ʻO ka maʻi ʻeha Cubital Tunnel | Ke pā ko kākou kuʻekuʻe i kekahi mea, hele ke au i lalo o ko kākou lima, e ʻomi ana i ke aʻalolo ulnar. Hiki i kēia ke hoʻomālielie i ka manamana lima liʻiliʻi a me ka manamana lima apo. |
| ʻO ka maʻi Tunnel Tarsal | Hoʻopaʻa ʻia kahi aʻalolo e holo ana i lalo o ko kākou kapuwaʻi (posterior tibial nerve) i kona hele ʻana ma loko o ke kuʻekuʻe wāwae. Hiki i kēia ke hoʻoulu i ka mae ʻana, ka wela, a i ʻole ka ʻeha ma ke kapuwaʻi o ka wāwae. |
He aha nā hōʻailona ʻē aʻe e hiki ke kū mai ke ʻūlū ʻia kahi aʻalolo?
Ma waho aʻe o ka hōʻailona o Tinel, inā ua hoʻokomo ʻia kahi aʻalolo, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:
- Ke kuni ʻana: He ʻano wela, me he mea lā e paʻa ana ʻoe i kahi lanahu ola.
- Manuʻa: He manaʻo o ka nalowale ʻana o ka ʻike ma kahi wahi, a i ʻole he manaʻo e like me nā ʻanuʻu e holo ana a puni.
- ʻEha: Hiki i ka ʻeha ke ʻoi aku ka ʻoi, ke kuʻi ʻana, a i ʻole ka palupalu.
- Nāwaliwali: Ma ka lima, e like paha me ʻoe e hāʻule ana i ke kīʻaha a i ʻole e paʻa ana i kahi peni. Ma ka wāwae, e like paha me ʻoe e kuʻia ana i kou hele ʻana.
Pehea e hana ʻia ai ka hoʻāʻo ʻo Tinel?
He hoʻāʻo maʻalahi loa kēia e emi ana ma mua o hoʻokahi minuke. ʻAʻole pono ʻoe i kekahi hoʻomākaukau no kēia.
KaʻAnuʻu Hana 1: E nīnau aku ke kauka iā ʻoe no nā kikoʻī.
ʻO ka mea mua, e hoʻolohe pono ke kauka iā ʻoe a aʻo e pili ana i kou ʻeha. Eia kekahi laʻana, hiki iā ʻoe ke nīnau i nā nīnau e like me, "I ka manawa hea ʻoe e ʻike nui ai i ka mae ʻana?", "He aha nā ʻano mea āu e hana ai e hoʻonui ai i ka ʻino?", "Ke manaʻo nei ʻoe i ka nāwaliwali ma kou lima?"
KaʻAnuʻu Hana 2: Pehea e hana ai i ka hoʻāʻo
A laila, e pā mālie ke kauka i ka ʻili me kona mau manamana lima ma kahi āna i manaʻo ai ua ʻūmiʻi ʻia ke aʻalolo. I kekahi manawa, hoʻohana paha ʻo ia i kahi mea liʻiliʻi e like me ka hāmare (reflex hammer) no kēia. No ka laʻana, inā kānalua ʻoe i ka carpal tunnel syndrome, e pā ʻo ia i kou pulima.
KaʻAnuʻu Hana 3: E haʻi i kou manaʻo.
Ke pā aku ke kauka iā ʻoe, pono ʻoe e haʻi iā ia inā ʻoe e ʻike nei i kahi ʻano ʻūlū, kahi haʻalulu uila, a i ʻole kahi ʻano ʻūlū ma kēlā aʻalolo. ʻO ka pane āu e hāʻawi ai, ʻo ia ka hopena o kēia hoʻāʻo.
He aha ka ʻōlelo a nā hopena o ka hoʻāʻo?
- Hoʻāʻo Maikaʻi: Inā ʻike ʻoe i ka mae ʻana o ka ʻiʻo i ka wā e pā ai ke kauka iā ʻoe, he hopena maikaʻi ia. ʻO ia hoʻi, ua kaomi ʻia paha ke aʻalolo a ua hōʻino ʻia paha.
- Hoʻāʻo Maikaʻi ʻole: Inā ʻaʻole ʻoe e manaʻo i kekahi mae ʻana, he hopena maikaʻi ʻole ia.
Akā e hoʻomanaʻo i kēia, ʻoiai ua puka mai kēia hoʻokolohua he 'maikaʻi ʻole', ʻaʻole ia he manaʻo ua noa ʻoe 100% mai ka hopohopo.I kekahi manawa, ʻoiai inā he ʻūmiʻi aʻalolo, ʻaʻole paha e ʻike ʻia kēia hōʻailona. No laila, ʻo kēia wale nō ke kōkua i ke kauka e loaʻa kahi manaʻo o kou kūlana.
Ma muli o nā hopena o kēia hoʻāʻo a me kāu mau hōʻailona, hiki i kāu kauka ke ʻōlelo i nā hoʻokolohua hou aʻe inā pono. Eia kekahi laʻana:
- Electromyography (EMG): He hoʻāʻo e ana i ka hana uila o nā aʻalolo a me nā ʻiʻo.
- MRI scan: E kiʻi i kahi kiʻi maopopo o nā ʻiʻo palupalu e like me nā aʻalolo a me nā ʻiʻo.
- X-ray: E ʻike inā he pilikia me nā iwi ke kumu o ke kaomi ʻana o ke aʻalolo.
Aia kekahi mau pilikia me kēia hoʻāʻo?
ʻAʻole loa. He hoʻāʻo palekana loa kēia. Ua like ia me ke kauka e kau ana i kahi stethoscope i kou umauma, a he hoʻāʻo maʻalahi ia ʻaʻole ia e pili ana i nā pilikia a i ʻole ka ʻeha. No laila, ʻaʻohe pono e makaʻu i kēia.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe ka ʻūlū mau, ka mae ʻana, ka ʻeha, a i ʻole ka nāwaliwali ma ka lima, ka wāwae, a i ʻole kekahi ʻāpana o kou kino, mai manaʻo wale, "He hōʻailona wale nō kēia." Hiki ke lilo i aʻalolo i ʻūmiʻi ʻia. ʻO ka loaʻa ʻana o ka lāʻau lapaʻau i ka wā mua e hiki ke kōkua i ka pale ʻana i ka hōʻino ʻana o ke aʻalolo i ka wā lōʻihi. No laila, e ʻike pono i kāu kauka no ka ʻōlelo aʻo.
Mai ho'āʻo e nānā pono iā ʻoe iho ma o ka hana ʻana i ia mau hoʻokolohua. E ʻike mau i ke kauka no ka ʻike kūpono a me ka lāʻau lapaʻau.
Leka Lawe-Home
- He hoʻāʻo maʻalahi a ʻeha ʻole ka Tinel's Sign e nānā ai i ke kaomi ʻana o nā aʻalolo.
- Inā manaʻo ke kauka he mae wale kona wā e pā ai i kahi aʻalolo, hōʻike ia i kahi pilikia me ke aʻalolo.
- Hoʻohana pinepine ʻia ia e ʻike i nā pilikia o ke aʻalolo e pili ana i ka tunnel carpal, ka tunnel cubital, a me ka tunnel tarsal.
- ʻOiai inā ʻaʻole hōʻike ka hoʻāʻo i kekahi ʻano mae, ʻaʻole ia manaʻo ʻaʻohe ou pilikia aʻalolo 100%. Na kāu kauka ia e hoʻoholo.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka mae mau ʻana, ka wela, ka ʻeha, a i ʻole ka nāwaliwali, mai hoʻowahāwahā iā ia a e ʻike pono i ke kauka.
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