E hoʻopā i kou lima, mai kou kuʻekuʻe a i kou pulima lima, ma loko (ʻo ia hoʻi, ka ʻaoʻao kahi o ka manamana lima liʻiliʻi). Hiki iā ʻoe ke hoʻopā i kahi iwi lōʻihi? ʻO ia ka iwi a mākou e kamaʻilio ai i kēia lā, ʻo ia hoʻi ka 'Ulna'. He mea nui kēia iwi no ka neʻe ʻana a me ka ikaika o ko mākou lima. No laila, e kamaʻilio kākou e pili ana i kēia hoaaloha o kākou me nā kikoʻī hou aku.
I ka ʻōlelo maʻalahi, he aha kēia iwi Ulna?
ʻO ka iwi ulna ka iwi lōʻihi o nā iwi ʻelua o kou lima. ʻO kekahi, ʻo ia ka radius. Hana pū kēia mau mea ʻelua e like me nā hoahānau. Hana maikaʻi ka iwi ulna i ka neʻe ʻana, ke kūlou ʻana, a me ka mālama ʻana i kou lima, kou pulima lima, a me kou lima i ikaika. ʻAʻole wale ia, akā, ua pili pū kekahi mau ʻiʻo koʻikoʻi, nā tendon, nā ligaments, a me nā kīʻaha koko i loko o ko kākou mau lima i kēia iwi.
E noʻonoʻo, wehe ʻoe i ka laka o ka puka, hāpai i ke kīʻaha, a paʻi paha ma kāu kelepona. Ma hope o kēia mau hana maʻalahi a pau, aia ka hana o ka iwi Ulna. No laila, inā he pōʻino i kēia iwi, no ka laʻana, he haki, hiki iā ʻoe ke noʻonoʻo i ka paʻakikī o ka hoʻokō ʻana i kā mākou mau hana o kēlā me kēia lā.
He aha nā hana nui o ka iwi ulna?
E nānā kākou i ke koʻikoʻi o kēia iwi i ko kākou kino.
- Kōkua i ka neʻe ʻana: ʻO ka hana nui ke kōkua i kou lima a me kou pulima e kūlou, e hoʻohuli, a hana i nā ʻano neʻe like ʻole. ʻO ke kikoʻī, ke hoʻohuli ʻoe i kou lima i luna a i lalo, ʻo ka iwi ulna ka mea e noho ana e like me kahi heleuma a kōkua i ka iwi ʻē aʻe (radius) e hoʻohuli a puni ia.
- He heleuma no nā ʻiʻo: Ua pili nā ʻiʻo he ʻumikūmālua i loko o ko kākou lima i ka iwi ulna. ʻO kēia mau ʻiʻo ka mea e hāʻawi iā kākou i ka ikaika e hoʻoneʻe i ko kākou mau manamana lima a me ka pulima lima.
- Ke hāʻawi nei i ke kūpaʻa: Hāʻawi kēia iwi i ke kūpaʻa a me kahi kahua paʻa no kou lima holoʻokoʻa, ka pulima lima, a me ka pāma.
- Hana hui: He mea nui kēia no ka hana pono ʻana o nā hui kuʻekuʻe lima a me nā hui pulima.
He aha ke wahi a me ke ʻano o ka iwi ulna?
Aia ka iwi ulna ma ka ʻaoʻao medial o kou lima, a aia ka iwi radius ma kēlā ʻaoʻao, ka ʻaoʻao kahi o kou manamana nui.
I ke ʻano o ka helehelena, ʻoiai he iwi lōʻihi hoʻokahi kēia, he nui nā ʻāpana ona.
- Wāhi kokoke: ʻO kēia ka ʻāpana nui o ke kuʻekuʻe lima. E hoʻomanaʻo i kēlā iwi ʻoi āu e ʻike ai i kou wā e hoʻomaha ai i kou kuʻekuʻe lima ma luna o kahi papaʻaina? ʻO ia ka mea i kapa ʻia ʻo Olecranon ma nā ʻōlelo lapaʻau. ʻO kahi ʻano e like me ke kuʻi (ka `Trochlear notch`) ma kēia ʻāpana e kūpono pono i loko o ko mākou iwi lima luna (ka `Humerus`) a kōkua iā mākou e kūlou a hoʻolōʻihi i ko mākou kuʻekuʻe lima.
- ʻAu: ʻO kēia ka ʻāpana lōʻihi loa o ka iwi. Hāʻawi ia i ka lima i kona ʻano a me kona ikaika.
- ʻO ka hopena distal: ʻO kēia ka ʻāpana e kōkua i ka hui pulima. Ma luna o kou pulima, e pili ana i ka manamana lima liʻiliʻi, aia kahi puʻupuʻu iwi liʻiliʻi e puka mai ana mai kou lima, ʻeā? Ua kapa ʻia kēlā ʻo ke kaʻina hana styloid . ʻO ia ka hopena lalo o ka iwi ulna.
Ke kamaʻilio ke kauka e pili ana i kahi pilikia ma kou lima, hoʻohana paha lākou i kēia mau huaʻōlelo (e like me "Olecranon", "Styloid process"), no laila he mea maikaʻi ke loaʻa iki kahi ʻike o kēia mau mea.
Nā maʻi maʻamau a me nā pilikia e pili ana i ka iwi ulna
E like me nā iwi ʻē aʻe a pau, hiki ke hōʻino ʻia ka ulna e nā maʻi like ʻole a me nā ulia pōpilikia. E nānā kākou i nā mea koʻikoʻi loa.
1. Nā haki Ulna
ʻO kēia ka pilikia maʻamau i ʻike ʻia me ka iwi Ulna. Ma nā ʻōlelo lapaʻau, ua kapa ʻia ka iwi haki he 'fracture'. ʻO nā kumu nui o kēia:
- Nā ulia haʻuki: Ma muli o ka hāʻule ʻana a i ʻole ka hopena i ka wā e pāʻani ana i nā haʻuki e like me ka cricket a me ka rugby.
- Hāʻule: ʻOi aku ka hāʻule ʻana ma ka lima i kīkoʻo ʻia. Nā mea e like me ka hāʻule ʻana mai kahi kiʻekiʻe, ka paheʻe ʻana i lalo o ke alapiʻi.
- Nā ulia kaʻa: Nā ulia kaʻa mokokaikala a i ʻole nā ulia kaʻa ʻē aʻe.
ʻO ka mea nui loa, inā loaʻa iā ʻoe ka ʻeha nui a me ka pehu ma kou lima ma hope o kahi ulia, pono ʻoe e ʻike koke i ke kauka , ma mua o ka manaʻo he ʻeha wale nō ia. He haki paha ia.
E nānā kākou i nā hōʻailona o ka iwi haki.
| Hōʻailona | Wehewehena |
|---|---|
| ʻEha nui | ʻEha nui a hiki ʻole ke hoʻomanawanui ma kahi o ka ʻeha. Hoʻonui ka ʻeha ke neʻe ʻoe i kou lima. |
| Pehu ʻana | Hoʻomaka koke ka pehu ʻana o ka ʻāpana a puni ka iwi haki. |
| ʻAʻole hiki ke hoʻoneʻe i ka lima | ʻAʻole hiki iā ʻoe ke kūlou a hoʻopololei paha i kou lima, pulima lima, a kuʻekuʻe paha ma ke ʻano maʻamau. |
| ʻUlaʻula a ʻeleʻele paha | Hiki i ke kahe ʻana o ke koko ma lalo o ka ʻili ke hoʻolilo i ka ʻili i polū a poni paha. |
| Hoʻololi i ke ʻano o ka lima | I kekahi manawa ʻike ʻia kahi puʻupuʻu kūlohelohe ʻole, kūlou, a i ʻole ke ʻano kīnā ma ka lima. |
Inā loaʻa iā ʻoe kēia mau hōʻailona, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila.
2. ʻO ka osteoporosis
He huaʻōlelo kēia i lohe ʻia e ka poʻe he nui. I ka ʻōlelo maʻalahi, ʻo ia hoʻi, e emi ana ka nui o nā iwi, e nāwaliwali lākou, a e haki maʻalahi hoʻi. He maʻi leo ʻole kēia, no ka mea, ʻo ka hapa nui o ka manawa, ʻaʻohe hōʻailona a hiki i ka haki ʻana o ka iwi.
ʻO ka poʻe ma luna o 65 mau makahiki a me nā wahine (ma hope o ka menopause) ka poʻe i pilikia nui i ka loaʻa ʻana o kēia maʻi. Inā pilikia ʻoe, e kamaʻilio me kāu kauka e pili ana i ka loaʻa ʻana o kahi hoʻāʻo paʻa iwi (Bone Density Test / DEXA Scan).
3. Nā kūlana ʻē aʻe
- Osteoarthritis: Ma hope o ka manawa, hiki i ka ʻaʻahu a me ka haehae ke hoʻoulu i ka ʻeha a me ka paʻakikī i ka kuʻekuʻe lima a i ʻole ka pulima lima.
- Pahele ʻana o ke aʻalolo ulnar: Ke hoʻomanaʻo nei ʻoe i ka manaʻo o ke kahe ʻana o ke au i lalo o kou lima ke kuʻi ʻoe i kou kuʻekuʻe lima? Ua ʻūmiʻi ʻia ke aʻalolo ulnar, ka mea e holo kokoke ana i ka iwi ulna. I kekahi manawa hiki ke ʻūmiʻi ʻia kēia aʻalolo, e hōʻeha ai i ka manamana lima liʻiliʻi a me ka manamana lima ma kona ʻaoʻao.
Pehea e nānā ai i ke olakino o ka iwi ulna?
Inā manaʻo kāu kauka he pilikia me kou iwi ulna, hiki iā ia ke hana i kekahi mau hoʻokolohua.
- Hoʻāʻo ʻana i ka nui o ka iwi (DEXA Scan): ʻO kēia ka hoʻāʻo nui e ʻike ai i ka osteoporosis. Hoʻohana ia i nā pae haʻahaʻa loa o nā kukuna X e ana i ka ikaika o kou mau iwi.
- Nā kukuna X: ʻO kēia ka hoʻāʻo maʻalahi loa e hoʻoholo ai inā he haki.
- MRI a i ʻole CT scan: Pono paha kēia mau hoʻāʻo i kekahi mau haki paʻakikī a i ʻole e ʻike inā he hōʻino i nā ʻiʻo palupalu (nā ʻiʻo, nā ligament) a puni ka iwi.
He aha nā lāʻau lapaʻau?
ʻO ka maʻamau, ʻaʻole pono ka lāʻau lapaʻau no ka iwi ulna ke ʻole he ulia a maʻi paha. Pono ka lāʻau lapaʻau i nā hihia o ka haki a i ʻole ka osteoporosis.
- Lapaʻau no ka haki:
- Hoʻopaʻa ʻana: Hoʻohana pinepine ʻia kahi ʻōmole a i ʻole ka splint e hoʻopaʻa i ka lima. ʻAe kēia i nā ʻāpana iwi haʻihaʻi e kūlike pono a ho'ōla iā lākou iho.
- ʻOki kino: I kekahi manawa, inā ua hoʻopuehu ʻia nā ʻāpana iwi ma nā wahi he nui, a inā ua komo ka ʻili, pono paha ke ʻoki kino e hoʻoponopono hou i ka iwi me nā uea, nā kui, a i ʻole nā papa metala (nā papa a me nā wili).
- Ka lāʻau lapaʻau no ka osteoporosis:
- Hoʻokomo pū kēia i ka hoʻoikaika kino, nā mea hoʻohui calcium a me ka wikamina D, a me nā lāʻau lapaʻau kūikawā e hoʻoikaika ai i nā iwi. Na kāu kauka e hoʻoholo i ka hoʻolālā lapaʻau kūpono loa iā ʻoe.
ʻOkoʻa ma waena o Ulna a me Radius
E like me kā mākou i ʻōlelo ai ma mua, ua like kēia mau mea ʻelua me nā hoahānau i loko o nā lima. Hana pū lākou e kōkua iā mākou e hana i nā neʻe paʻakikī ma ko mākou mau lima. E nānā pono kākou i nā ʻokoʻa ma waena o nā mea ʻelua.
| ʻAno | Iwi ʻulna | Iwi radius |
|---|---|---|
| Kahi | Aia ka manamana lima liʻiliʻi ma ka ʻaoʻao o ka lima. | Aia ia ma ka ʻaoʻao manamana nui o ka lima. |
| Ka nui | ʻOi aku ka lōʻihi ma mua o ka iwi radius. | ʻOi aku ka pōkole ma mua o ka iwi ulna. |
| Hana nui | Hāʻawi nui ia i ke kūpaʻa a me ka neʻe ʻana o ka hui kuʻekuʻe. | ʻO ke kuʻina o ka pulima ke kuleana nui no ka neʻe ʻana a me ka wili ʻana o ka lima. |
Pehea e mālama ai i kou iwi Ulna?
Nui nā mea hiki iā kākou ke hana e hoʻomau i ka ikaika o ko kākou ulna, e like me ko kākou ʻōnaehana iwi holoʻokoʻa. ʻAʻole kēia he mau mea paʻakikī, akā he mau hana maʻalahi hiki iā kākou ke hoʻokomo i loko o ko kākou ola o kēlā me kēia lā.
- ʻAi kaulike: E ʻai i nā meaʻai waiwai i ka calcium a me ka wikamina D. E hoʻokomo i nā mea e like me ka waiū, ka yogurt, ka tīhi, ka iʻa liʻiliʻi (me nā iwi), a me nā mea kanu ʻōmaʻomaʻo (spinach, kale) i kāu papaʻai. He mea nui loa hoʻi ka ʻike ʻana i ka lā kakahiaka no ka wikamina D.
- Hoʻoikaika Kino: ʻO nā hoʻoikaika kino e hāpai ana i nā mea kaumaha (nā hoʻoikaika kino e pili ana i ka hāpai ʻana i nā mea kaumaha) a me nā hoʻoikaika kino e like me ka hele wāwae a me ka holo ʻana e kōkua i ka hoʻoikaika ʻana i nā iwi.
- E noho palekana: He mea nui loa ia e pale iā ʻoe iho mai nā pōpilikia.
- E kau mau i nā kāʻei palekana i ka wā e holo ana i loko o nā kaʻa. Inā e holo ana i kahi mokokaikala, e kau pono i ka mahiole .
- E komo i nā lako pale kūpono no kēlā me kēia haʻuki i ka wā e pāʻani ana.
- Mai waiho i nā mea ma ka papahele e hiki ai iā ʻoe ke paheʻe a hāʻule ma ka home a ma ka hana paha.
- Ma kahi o ka piʻi ʻana ma luna o nā noho a i ʻole nā papa e hiki ai i kahi mea ma luna, e hoʻohana i kahi alapiʻi kūpono a i ʻole kekahi mea like.
- E ʻimi i ka ʻōlelo aʻoaʻo lapaʻau: Inā ʻoi aku ʻoe ma mua o 50, a inā he osteoporosis kekahi o kou ʻohana, e kamaʻilio me kāu kauka e pili ana i ka nānā ʻana i kou paʻa o ka iwi.
Leka Lawe-Home
- ʻO ka ulna ka iwi lōʻihi ma ka ʻaoʻao manamana lima liʻiliʻi o kou lima. He mea nui ia no ka neʻe ʻana o kou lima a me kou pulima lima.
- Inā loaʻa iā ʻoe ka ʻeha nui, ka pehu ʻana, a i ʻole ke kīnā ma kou lima ma hope o kahi ulia, he haki paha ia. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
- ʻO ka Osteoporosis kahi maʻi e nāwaliwali ai nā iwi a haki maʻalahi. He maʻi leo ʻole ia, no laila e makaʻala i kou pilikia, ʻoiai i kou wā ʻelemakule.
- Ma ka ʻai ʻana i ka meaʻai momona i ka calcium, ka hoʻoikaika kino mau ʻana, a me ka pale ʻana i nā ulia pōpilikia, hiki iā ʻoe ke mālama i kou mau iwi āpau, me kou ulna.
- Inā he mau hopohopo kou e pili ana i ke olakino o kou iwi, e kamaʻilio ākea me kāu kauka e pili ana i ia mea.
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