Ke manaʻo nei ʻoe ua paʻa kahi aʻalolo i kou kuʻekuʻe lima a i ʻole kou pulima lima? E kamaʻilio kākou e pili ana i ka Ulnar Nerve Entrapment!

Ke manaʻo nei ʻoe i kekahi manawa he mae wale kou mau manamana lima, a i ʻole he ʻeha ʻē ma kou kuʻekuʻe lima, a i ʻole ke manaʻo nei ʻoe he nāwaliwali ke hoʻāʻo ʻoe e ʻimi i kahi mea? A i ʻole ke ʻano kekee nei kou manamana lima liʻiliʻi a me kou manamana lima apo? ʻAʻole kēia he mau mea maʻamau wale nō. Malia paha he kaomi ma ke aʻalolo ulnar, kahi aʻalolo koʻikoʻi ma kou lima. I kēia lā e kamaʻilio mākou e pili ana i kēia kūlana i kapa ʻia ʻo Ulnar Nerve Entrapment . Mai hopohopo, inā ʻike ʻoe i kēia, hiki iā ʻoe ke loaʻa koke nā hopena.

He aha ka pahele ʻana o ke aʻalolo Ulnar?

I ka ʻōlelo maʻalahi, ʻo ke kaomi ʻana o ke aʻalolo ulnar ke kau nei kekahi mea i ke kaomi ma luna o ke aʻalolo ulnar, aia ma kou kuʻekuʻe lima a i ʻole ka pulima lima. Ua kapa ʻia hoʻi kēia ʻo ka nerve compression syndrome . E like me ka paʻa ʻana o ka paipu wai a ʻaʻole hiki ke kahe ka wai, ke kaomi ʻia ke aʻalolo, ua hoʻopau ʻia nā hōʻailona e hele ana ma o ia mea.

Ke ʻomi ʻia kahi aʻalolo ma kēia ʻano, hiki iā ia ke lilo i mumū, e alakaʻi ana i ka ʻeha neuropathic a me ka neuropathy . I kekahi mau hihia, hiki i kēia ke hoʻopilikia i kou ikaika paʻa , e paʻakikī ai ka hana ʻana i nā mea e like me ka hāpai ʻana a paʻa i kahi mea.

E nānā mua kākou, he aha kēia Ulnar Aʻalolo?

ʻO ke aʻalolo ulnar kekahi ʻāpana o ka ʻōnaehana nerve peripheral o ko mākou kino. ʻO kēia ʻōnaehana ka mea e lawe i ka ʻike mai ko mākou lolo ma o ke kaula spinal i nā ʻāpana ʻē aʻe o ke kino, a mai kēlā mau ʻāpana, lawe mai ia i ka ʻike i ka lolo.

ʻO ke aʻalolo ulnar ke kōkua nui iā ʻoe e kulou a hoʻolōʻihi i kou manamana lima liʻiliʻi (pinky) a me ka manamana lima apo . ʻO ia hoʻi, he mea nui ka neʻe ʻana o kēia mau manamana lima ʻelua no ka hopu ʻana i kahi mea. Kōkua pū ia i ka lawe ʻana i ka ʻike sensory e like me ka pā ʻana, ka ʻeha, a me ka mahana i ka lolo. E hoʻomanaʻo paha ʻoe, i kekahi manawa ke kuʻi ʻoe i kou kuʻekuʻe ma kekahi wahi, loaʻa iā ʻoe kahi ʻano mae ʻole, e like me "ka haʻalulu uila," ʻeā? Ua kapa ʻia kēlā ʻo "funny bone." I kēlā manawa, ua ʻūmiʻi maoli ʻia ke aʻalolo ulnar. Loaʻa iā mākou nā aʻalolo ulnar e like me kēia ma ko mākou mau lima ʻelua.

He aha nā ʻano nui o ka pahele ʻana o ke aʻalolo ulnar?

Hiki ke paʻa ke aʻalolo Ulnar ma nā wahi nui ʻelua: ma kou kuʻekuʻe lima a i ʻole ma kou pulima lima. No laila, aia ʻelua ʻano:

• ʻO ka Cubital Tunnel Syndrome: Hana ʻia kēia i ka wā e ʻomi ʻia ai ke aʻalolo ulnar a i ʻole e kīkoʻo ʻia ma ke kuʻekuʻe. E noʻonoʻo ua like ke aʻalolo ulnar i loko o ko kākou kuʻekuʻe me kahi tunnel liʻiliʻi. ʻO ia ke kumu i kapa ʻia ai ʻo Cubital Tunnel. Hana ʻia kēia kūlana i ka wā e paʻa ai ke aʻalolo i loko o kēia tunnel.
• ʻO ka maʻi Canal o Guyon:Hana ʻia kēia ke kau ʻia ke kaomi ma luna o ke aʻalolo ulnar ma ka pulima. Aia kekahi ala kikoʻī (canal) e hele ai kēia aʻalolo ma ka pulima. Hana ʻia kēia kūlana ke paʻa.

Pehea ka maʻamau o kēia ʻano?

ʻO Cubital Tunnel Syndrome ka lua o ka neuropathy peripheral maʻamau e hoʻopilikia ana i nā aʻalolo o ko mākou mau lālā o luna. (ʻO ka mea maʻamau mua ʻo Carpal Tunnel Syndrome , kahi e pili ana i ke aʻalolo median ma ka pulima.) Eia nō naʻe , he maʻi kakaikahi ka Guyon's Canal Syndrome .

No ke aha e ʻūmiʻi ʻia ai kēia aʻalolo ulnar? He aha nā kumu?

Aia kekahi mau kumu e hiki ai ke ʻūmiʻi ʻia ke aʻalolo ulnar.

ʻO ke kumu nui o ka cubital tunnel syndrome ka hoʻolōʻihi mau ʻana a i ʻole ke kaomi ʻana ma ke aʻalolo ulnar ma ke kuʻekuʻe. No ka laʻana, hiki ke hana ʻia a hoʻonui ʻia paha kēia ʻano e nā hana e like me ka hiamoe ʻana me kou kuʻekuʻe i kūlou i ka pō . E noʻonoʻo, inā ʻoe e noho ma ke kūlana like me kou kuʻekuʻe i kūlou no nā hola, pehea ka nui o ke kīkoʻo ʻana a me ke kaomi o ke aʻalolo.

ʻO nā cysts ganglion he mau cysts piha wai ʻole i ka maʻi kanesa e ulu pinepine ana i loko o ka pulima. Ua manaʻo ʻia ʻo nā cysts ganglion ke kumu o kahi 40% o nā hihia o ka Guyon's Canal Syndrome . Ma kahi o 45% o nā hihia, ʻaʻohe kumu maopopo i loaʻa (i kapa ʻia he idiopathic). I ka manawa kākaʻikahi, hiki i kēia mau cysts ma ke kuʻekuʻe ke hoʻoulu i ke kaomi ma ke aʻalolo ulnar.

Ma waho aʻe o kēia, aia kekahi mau kumu ʻē aʻe e hiki ai ke ʻūlū a hōʻino ʻia ke aʻalolo ulnar:

• Nā ulia pōpilikia a me ka ʻeha: Hāʻule, nā hahau ikaika i ke kuʻekuʻe lima a i ʻole ka pulima lima.
• ʻArthritis: ʻO ka mumū ʻana o nā hono ke kumu o ka pehu ʻana a me ka hoʻonui ʻana i ke kaomi a puni ke aʻalolo.
• Nā iwi haʻihaʻi a me nā iwi kuʻi: Hiki i nā ʻāpana iwi haʻihaʻi a i ʻole nā ​​iwi kuʻi hou ke ʻoki i ke aʻalolo.
• Nā pilikia o kekahi mau ʻoki kino: No ka laʻana, ma hope o ke ʻoki ʻana i ka tunnel carpal, a i ʻole ma hope o ke ʻoki ʻana no ka haki poʻohiwi.
• Maʻi diabetes: Hoʻonui ka maʻi diabetes i ka pilikia o ka hōʻino ʻana o nā aʻalolo.
• Kuʻekuʻe i hemo.
• Ke kaomi i hoʻokumu ʻia e ka hoʻopili ʻana i ka plaster of Paris (nā mea i hoʻoheheʻe ʻia), ka hoʻohana ʻana i nā crutches, a i ʻole ke kau ʻana i nā splints.
• Nā puʻupuʻu ʻē aʻe a i ʻole nā ​​cysts i piha i ka wai.

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?

ʻOi aku ka maʻamau o ka paʻa ʻana o ke aʻalolo ulnar i nā kāne ma mua o nā wahine. ʻOi aku ka maʻamau i nā poʻe nona nā hana a i ʻole nā ​​hana e kau mau ana i ke kaomi ma luna o ke kuʻekuʻe lima a i ʻole ka pulima lima, a i ʻole ka poʻe i huki pinepine ʻia ma ke aʻalolo. Eia kekahi mau laʻana:

• Makemake nā mea pāʻani i ka baseball, golf, a me ka tennis: Hoʻohana nui ʻia nā kuʻekuʻe lima a me nā pulima lima i kēia mau haʻuki.
• Nā poʻe holo paikikala: ʻO ka paʻa ʻana i nā ʻauamo lima hiki ke kau i ke kaomi ma nā pulima lima.
• Nā limahana ma ka ʻoihana kūkulu hale: ma muli o ka hāpai kaumaha a me ka hoʻohana ʻana i nā lako.
• Nā mea puhi paka: Hiki i ka puhi paka ke hoʻopilikia i ke kahe koko a hōʻino i nā aʻalolo.
• ʻO nā mea kikokiko, nā mea kākau, a me ka poʻe e hoʻohana pinepine ana i nā kīpē kamepiula: ma muli o ke kūlana maikaʻi ʻole a me ka hana ʻana ma ke kūlana like no ka manawa lōʻihi.
• Nā mea hāpai kaumaha: Kau ʻia ke kaomi nui ma luna o nā kuʻekuʻe lima a me nā pulima lima.

He aha nā hōʻailona o ka paʻa ʻana a me ka hōʻino ʻana o ke aʻalolo ulnar?

ʻAʻole ʻike koke ʻia kēia mau hōʻailona. Hoʻomohala mālie lākou , a i kekahi manawa hele mai a hele aku. Hiki ke ʻoi aku ka ʻino o nā hōʻailona i ka pō a i ka wā o nā hana e kau ai i ke kaomi a i ʻole ke kaumaha ma ke kuʻekuʻe lima a i ʻole ka pulima lima.

Eia kekahi o nā hōʻailona nui:

• Ka ʻōwili ʻana o ka manamana lima liʻiliʻi a me ka manamana lima apo (mīkini): Kūlou nā manamana lima ʻelua i loko, e like me ka mīkini.
• ʻEha ma ke kuʻekuʻe (inā he cubital tunnel syndrome) a i ʻole ka ʻeha ma ka pulima (inā ʻo Guyon's canal syndrome).
• ʻO ka mae a me ke ʻāʻī ʻana ma ka manamana lima liʻiliʻi a me ka manamana lima apo.
• Nāwaliwali lima: He mea paʻakikī kēia ke hopu a hāpai paha i nā mea, a me ka hana ʻana i nā hana koʻikoʻi e like me ke kākau ʻana a i ʻole ke pihi ʻana i kahi pālule.
• Ka nalowale ʻana o nā ʻiʻo ma ka manamana lima apo a i ʻole ka manamana lima liʻiliʻi: He hōʻailona kakaikahi kēia, akā inā loaʻa, hōʻike ia he nui aku ka pōʻino o ke aʻalolo.

He aha nā hoʻokolohua kino i hoʻohana ʻia e ʻike ai i kēia maʻi?

Ke hele ʻoe e ʻike i ke kauka, e hana ʻo ia i kekahi mau hoʻokolohua kino e loiloi i kāu mau hōʻailona. ʻOiai ke ʻano maʻalahi kēia mau hoʻokolohua, hiki iā lākou ke kōkua i ke kauka e hoʻomaopopo i ka ikaika o kou mau manamana lima a me kou mau lima.

• Ka hoʻāʻo ʻana o Froment: Ma kēia hoʻāʻo ʻana, e noi aku kāu kauka iā ʻoe e paʻa i kahi ʻāpana pepa ma waena o kou manamana nui a me ka manamana kuhikuhi. Inā kūlou ka hui interphalangeal ma ka piko o kou manamana wāwae nui i kou paʻa ʻana, hiki i kēia ke hōʻike i kahi pilikia aʻalolo.
• Ka hoʻāʻo ʻana o Tinel:Ma kēia hoʻokolohua, e pā mālie ke kauka i ka "iwi leʻaleʻa" ma kou kuʻekuʻe lima (kahi e holo ai ke aʻalolo ulnar). Inā manaʻo ke pā ʻana e like me ka haʻalulu uila nui i kou manamana lima liʻiliʻi a i ʻole ka manamana lima apo, hiki ke hōʻike i kahi pilikia aʻalolo.
• ʻO ka hōʻailona o Wartenberg: Ma kēia hoʻāʻo, e kau ke kauka i kou lima ma luna o kahi pālahalaha, e hohola i kou mau manamana lima, a laila e noi iā ʻoe e hoʻihoʻi iā lākou. Inā ʻaʻole hiki iā ʻoe ke hoʻihoʻi i kou manamana lima liʻiliʻi me nā manamana lima ʻē aʻe ke hana ʻoe i kēia, ʻo ia hoʻi ke neʻe nei kou manamana lima liʻiliʻi mai nā manamana lima ʻē aʻe, hiki i kēia ke lilo i pilikia aʻalolo.

He aha nā hoʻokolohua diagnostic ʻē aʻe i hana ʻia no kēia?

Ma waho aʻe o ka hoʻokolokolo kino, hiki ke hana ʻia kekahi mau hoʻokolohua ʻē aʻe e hōʻoia inā he pilikia koʻikoʻi o ke aʻalolo ulnar, a i ʻole e ʻike inā he mau pilikia ʻē aʻe.

• ʻO ke aʻo ʻana i ka Electromyography (EMG) a me nā aʻo hoʻoili aʻalolo: Nānā kēia mau hoʻokolohua i ka maikaʻi o ka hele ʻana o nā hōʻailona ma o nā aʻalolo a me ka maikaʻi o kā lākou hoʻoulu ʻana i nā ʻiʻo. Inā ua ʻomi ʻia ke aʻalolo, hiki ke lohi ka wikiwiki o ka hele ʻana o nā hōʻailona.
• MRI (magnetic resonance imaging), neuromuscular ultrasound, a i ʻole X-ray: Hiki i kēia mau hoʻokolohua ke nānā i ka hoʻopili ʻana o ke aʻalolo a kōkua i ka hoʻoponopono ʻana i nā pilikia ʻē aʻe, e like me ka arthritis, nā ʻeha ligament, a i ʻole nā ​​​​haʻi.

He aha nā lāʻau lapaʻau ʻokiʻoki ʻole i loaʻa?

I ka hapanui o nā hihia, hiki ke hoʻomaha ʻia kēia maʻi me ke ʻoki ʻole ʻana. ʻO nā lāʻau lapaʻau nui i hoʻohana ʻia no kēia:

• Nā lāʻau anti-inflammatory nonsteroidal (NSAID): Hiki i kēia ke hōʻemi i ka ʻeha neuropathic a me ka pehu, akā pono e lawe ʻia ma lalo o ka mākaʻikaʻi lapaʻau.
• Hoʻōla kino a me ka hoʻōla hana: Hiki i kēia mau mea hoʻōla ke aʻo iā ʻoe i nā hoʻomaʻamaʻa e hoʻonui i ka maʻalahi o kou lima. Hiki iā lākou ke aʻo iā ʻoe i nā ala hou e hana ai i nā hana o kēlā me kēia lā ʻaʻole e kau i ke kaomi ma ke aʻalolo ulnar. ʻO nā mea e like me nā hoʻomaʻamaʻa nerve-gliding hiki ke kōkua i ka neʻe mālie o ke aʻalolo ulnar, me ka ʻole o ka paʻa ʻana i loko o ke tunnel cubital.
• Ke kau nei i nā splints a i ʻole nā ​​​​​​mea pale: ʻO ke kau ʻana i kēia mau mea ma kou pulima a kuʻekuʻe paha e hiki ke kōkua i ka hōʻemi ʻana i ke kaomi ma ke aʻalolo a pale iā ia mai ka huki ʻia ʻana. Hiki i kēia mau mea ke kōkua i ka mālama ʻana i kou kuʻekuʻe pololei, ʻoiai i ka pō.

I ka manawa hea e pono ai ke ʻoki kino?

Inā ʻaʻole kōkua nā lāʻau lapaʻau ʻoki ʻole, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino. Ma muli o ke kumu o ke aʻalolo i ʻoki ʻia, aia kekahi mau mea e hiki ke hana ʻia ma ke ʻoki kino:

• "Hoʻokuʻu" i ke aʻalolo ulnar mai kona paʻa ʻanaʻO ia hoʻi, ua ʻoki ʻia a wehe ʻia ka ʻiʻo e hoʻopaʻa ana i ke aʻalolo, e hana ana i kahi no ke aʻalolo e neʻe manuahi ai.
• Inā he mau puʻupuʻu a i ʻole nā ​​​​cysts i piha i ka wai, e wehe iā lākou.
• I kekahi manawa, hoʻoneʻe ʻia ke aʻalolo ulnar i mua o ke kuʻekuʻe lima iwi. Hoʻemi kēia i ka nui o ke koʻikoʻi a me ke kaomi ma luna o ke aʻalolo ke hoʻolōʻihi ʻia ke kuʻekuʻe lima.

Pehea ʻoe e pale ai i kēia aʻalolo ulnar mai ka ʻikini ʻia?

Aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka hoʻomohala ʻana i kēia ʻano, a i ʻole e mālama i nā hōʻailona inā loaʻa iā ʻoe:

• Inā pono ʻoe e kūlou i kou mau kuʻekuʻe lima no ka manawa lōʻihi , e hoʻolōʻihi i kou mau lima i kēlā me kēia manawa i ka lā a pau.
• I ka wā e hana ana ma ke kamepiula a i ʻole ke kākau ʻana, mai hoʻomaha i kou mau kuʻekuʻe lima ma luna o ka pākaukau a i ʻole nā ​​lima o kou noho. Inā hiki, e hoʻohana i kahi mea e like me kahi pā palupalu.
• Mai hiamoe me kou kuʻekuʻe lima e kūlou ana i ka pō. No ke kōkua, hiki iā ʻoe ke hoʻopaʻa pololei i kou lima a kāʻei i kahi kāwele a puni. A i ʻole hiki iā ʻoe ke kau i kahi mea kākoʻo kuʻekuʻe lima, e hoʻohuli ʻia a puni i laila ma hope o ke kuʻekuʻe lima.

He aha nā pilikia e hiki mai ana mai ka pahele ʻana o ke aʻalolo ulnar?

Inā lilo ka ʻūmiʻi o ke aʻalolo ulnar ma ke kuʻekuʻe lima a i ʻole ka pulima lima i mea koʻikoʻi, hiki iā ia ke alakaʻi i ka nalowale ʻana o nā ʻiʻo ma kou lima . I kekahi mau hihia, hiki ke mau loa kēia pōʻino. No laila he mea nui e ʻike i ke kauka i ka wā e hoʻomaka ai ʻoe e ʻike i nā hōʻailona. ʻO ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau, ʻoi aku ka nui o kou pale ʻana i ka pōʻino mau loa.

He aha ka wānana no ka poʻe me kēia maʻi? (Prognosis)

ʻO ka nūhou maikaʻi, ma kahi o ka hapalua o ka poʻe me ka paʻa ʻana o ke aʻalolo ulnar hiki ke loaʻa ka hōʻoluʻolu mai ko lākou mau hōʻailona me nā lāʻau lapaʻau ʻole .

Inā pono, hiki i ke ʻoki kino ke hōʻoluʻolu i ka ʻeha o ke aʻalolo a me nā hōʻailona ʻē aʻe. Eia nō naʻe, ma kahi o 1 i loko o 8 mau kānaka me ka cubital tunnel syndrome e loaʻa nā hōʻailona e hoʻi hou mai ma hope o ke ʻoki kino. Malia paha kēia no ka mea ʻaʻole i mālama piha ʻia ke kumu kumu. Aia kekahi pilikia liʻiliʻi o ka hōʻino ʻana i ke aʻalolo median, ulnar artery, a i ʻole nā ​​​​ligaments i loko o ke kuʻekuʻe lima/iwi carpal i ka wā o ke ʻoki kino.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, e ʻoluʻolu e nīnau i ke kauka no ka ʻōlelo aʻo:

• Inā paʻakikī kekahi mea e paʻa a hāpai paha.
• Inā he ʻeha kou ma kou kuʻekuʻe lima a i ʻole ka pulima lima.
• Inā ʻoe e manaʻo ana i ka mae a i ʻole ke kani ʻana ma kou mau lima a i ʻole nā ​​manamana lima.
• Inā pilikia ʻoe i ka hana ʻana i nā hana o kēlā me kēia lā, e like me ke pihi ʻana i kahi pālule a i ʻole ka paʻa ʻana i kahi peni.

Mai poina, ʻo ka hoʻowahāwahā ʻana i kēia mau hōʻailona e hoʻonui wale i ke kūlana. Inā ʻoe e ʻimi koke i ke aʻo lapaʻau, loaʻa iā ʻoe kahi manawa kūpono e hoʻōla ai me nā lāʻau lapaʻau maʻalahi.

ʻO ka paʻa ʻana o ke aʻalolo ulnar ke kaomi ʻia a hoʻonāukiuki paha kekahi mea i ke aʻalolo ulnar, ka mea e holo ana i lalo o kou lima. Hoʻopilikia ka Cubital tunnel syndrome i ke aʻalolo ulnar ma ke kuʻekuʻe a ʻo ia ke ʻano maʻamau o ka paʻa ʻana o ke aʻalolo ulnar. ʻO ka Guyon's canal syndrome, ka mea e hoʻopilikia ai i ke aʻalolo i loko o kou pulima lima, he neuropathy peripheral kakaikahi. Inā ʻike ʻoe i ka numbness, ka ʻeha, a i ʻole ke kani ʻana i kou mau lima a i ʻole nā ​​​​manamana lima, e kamaʻilio me kāu kauka. Aia kekahi mau hana hiki iā ʻoe ke hana e pale aku i ka hōʻino ʻana o ke aʻalolo.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, e hōʻuluʻulu kākou i kekahi o nā mea e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

• ʻO ka paʻa ʻana o ke aʻalolo ulnar ʻo ia ke kaomi ma luna o ke aʻalolo ulnar ma ke kuʻekuʻe lima a i ʻole ka pulima lima.
• ʻO ka maneʻo, ka ʻeha, a me ka nāwaliwali ma ka manamana lima liʻiliʻi a me ka manamana lima apo paha nā hōʻailona nui.
• ʻO ka hoʻopololei ʻana i kou kuʻekuʻe lima no ka manawa lōʻihi a me ka hana ʻana i ka hana e kau ai i ke kaomi ma kou kuʻekuʻe lima/pulima lima e hoʻonui ai i ka pilikia.
• Inā loaʻa iā ʻoe nā hōʻailona, ​​e ʻimi koke i ke kōkua lapaʻau. ʻO ka hoʻopaneʻe ʻana i ka mālama ʻana hiki ke alakaʻi i ka hōʻino mau loa ʻana o ke aʻalolo.
• I ka hapanui o nā hihia, hiki ke hoʻōla ʻia me nā lāʻau lapaʻau ʻole (nā hoʻoikaika kino, nā splints, nā lāʻau lapaʻau) .
• Hiki ke mālama ʻia a pale ʻia kēia kūlana ma ka mālama ʻana i ke kūlana kūpono, ka hoʻomaha ʻana i nā lima, a me ka hahai ʻana i nā ʻōlelo aʻoaʻo lapaʻau .

E mālama i kou kino. Mai hoʻowahāwahā i kekahi hōʻailona liʻiliʻi loa. E noho olakino!

Pahele ʻana o ke aʻalolo ulnar , ʻeha kuʻekuʻe lima, ʻeha pulima, mae lima, ʻūmiʻi aʻalolo, cubital tunnel syndrome, nāwaliwali o ka lima