Ua ʻike mākou a pau i kēia manaʻo ke kuʻi mākou i ko mākou kuʻekuʻe lima i kekahi wahi, me he mea lā ua pā ʻia mākou e kahi "mea hoʻomākeʻaka..." a laila manaʻo i kahi ʻano ʻūlū ʻē e holo ana ma ko mākou lima holoʻokoʻa. Ke kapa nei mākou i kēia me ka ʻakaʻaka he "iwi hoʻomākeʻaka." Akā ua ʻike anei ʻoe ʻaʻole kēia "iwi hoʻomākeʻaka" he iwi maoli, he aʻalolo koʻikoʻi loa ia ma ko mākou lima? I kēia lā e kamaʻilio mākou e pili ana i ka ʻāpana o ka lima e hoʻoulu ai i kēia ʻike, i ʻike ʻia ma ke ʻano lapaʻau ʻo ka Ulnar Anerve.
He aha maoli kēia 'Funny Bone'?
I ka ʻōlelo maʻalahi, he aʻalolo ia. ʻO ke aʻalolo ulnar, e holo hohonu ana ma lalo o ka ʻili ma loko o ko kākou kuʻekuʻe lima, e kau ana ma luna o ka iwi. No laila, ke kuʻi ko kākou kuʻekuʻe lima i kahi ʻili paʻakikī, ua ʻomi ʻia kēia aʻalolo no kekahi manawa. Ua like ia me kahi uea e ʻūlū ʻia ana. ʻO ia ka manawa e loaʻa ai iā kākou kēia manaʻo uila, ʻūlū, "ʻakaʻaka". No laila, ua puka mai ka inoa "iwi ʻakaʻaka" mai kēia ʻano ʻakaʻaka ʻē, ʻaʻole no ka mea he iwi ia.
Hiki i kahi aʻalolo liʻiliʻi i ʻoki ʻia ke hōʻeha, ka mae ʻana, a me ka nāwaliwali i kou lima. Hiki i kēia ke hoʻopilikia i kou hiki ke paʻa i nā mea, hana i nā hana o kēlā me kēia lā, a hiki ke manaʻo i nā manaʻo. Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka. Hiki iā ia ke kamaʻilio me ʻoe e pili ana i kāu mau hōʻailona a hāʻawi iā ʻoe i nā hoʻonā āu e pono ai e loaʻa ai ka hōʻoluʻolu.
He aha ka hana a ke aʻalolo ulnar? Pehea kona koʻikoʻi i ke kino?
He aʻalolo koʻikoʻi loa ke aʻalolo Ulnar i loko o ko kākou lima. Hoʻomalu ia i nā ʻiʻo liʻiliʻi he nui i loko o ko kākou lima. ʻOiai e hoʻomaka ana kēia aʻalolo ma ka ʻāpana o ko kākou ʻāʻī, hoʻomaka kāna mau hana nui ma ka lima mua. Hiki ke hoʻokaʻawale ʻia kāna mau hana nui i ʻelua ʻāpana.
| Hana | Ka wehewehe ʻana i nā mea e hana nei |
|---|---|
| Ke kāohi ʻana i nā neʻe (Hana Motor) | Ke lawe nei kēia mau aʻalolo i nā leka mai ko mākou lolo a i ko mākou mau ʻiʻo, e hana ana i ka neʻe ʻana. Eia kekahi laʻana:
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| Ke hāʻawi nei i nā manaʻo (Hana Sensory) | Lawe pū kēia aʻalolo i nā manaʻo e like me ka pā ʻana, ka mahana, a me ka ʻeha mai kekahi mau ʻāpana o ko kākou mau lima a i ka lolo. ʻO ia hoʻi:
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Aia ma hea ke aʻalolo Ulnar i loko o ko kākou kino?
Ua like kēia me ke kaula lōʻihi i loko o ko kākou kino. Hoʻomaka ia ma ka brachial plexus , kahi puʻu o nā aʻalolo e hoʻomaka ana ma ko kākou iwi kuamoʻo. Mai laila mai, hele kēia aʻalolo i kahi lōʻihi.
E noʻonoʻo e pili ana i kēia ʻano ...
1. Hoʻomaka kēia aʻalolo i loko o ko kākou ʻāʻī.
2. Neʻe i lalo mai loko mai o ka lima luna.
3. ʻO ka mea aʻe ka ʻāpana koʻikoʻi loa - ke kuʻekuʻe. Holo kēia aʻalolo ma loko o kahi tunnel o nā ʻiʻo (i kapa ʻia ʻo Cubital Tunnel ) ma lalo o kahi puʻu iwi ma loko o ke kuʻekuʻe. ʻO ia kahi a mākou e kapa ai ʻo "Funny Bone."
4. A laila, e neʻe ma lalo o nā ʻiʻo ma loko o ka lima.
5. ʻO ka mea hope loa, ma ka pulima, komo kekahi ana liʻiliʻi (ʻo ke Alanui ʻo Guyon ) mai ka ʻaoʻao pāma a māhele ʻia ma loko o ka lima.
I loko o kēia huakaʻi, māhele ʻia ke aʻalolo ulnar i nā lālā liʻiliʻi, e hāʻawi ana kēlā me kēia i ka neʻe ʻana a me ka ʻike i nā ʻāpana like ʻole o ka lima.
He aha nā pilikia e hiki ke kū mai me ke aʻalolo ulnar?
Hiki ke hōʻino ʻia a ʻūmiʻi ʻia paha kēia aʻalolo no nā kumu like ʻole. Eia kekahi o nā kūlana nui e hiki ke kū mai ke hana ʻia kēia.
| Kūlana | I ka ʻōlelo maʻalahi... |
|---|---|
| Ka Pahele ʻana o ke Aʻalolo Ulnar | ʻO ke ʻano kēia, ua ʻomi ʻia ke aʻalolo ma kekahi wahi ma kona ala. E like me ka pau ʻana o ke kahe ʻana o ka paipu wai ke ʻomi ʻia, ke ʻomi ʻia ke aʻalolo, ʻaʻole hele pono nā leka. Hiki ke hana kēia ma ke kuʻekuʻe lima a i ʻole ka pulima lima. |
| ʻO ka maʻi ʻeha Cubital Tunnel | ʻO kēia ke kūlana maʻamau. Hana ʻia ia i ka wā e kaomi ʻia ai ke aʻalolo ulnar i kahi manawa lōʻihi ma ke kuʻekuʻe, kahi i loaʻa ai ka 'Funny Bone'. Hiki ke hana ʻia kēia i nā poʻe e paʻa mau ana ko lākou mau kuʻekuʻe i kahi papaʻaina a i ʻole e kūlou mau ana ko lākou mau kuʻekuʻe. |
| ʻO ka maʻi ʻeha o ke alaloa ʻo Ulnar (ʻO ka maʻi ʻeha o Guyon) | Hiki mai kēia kūlana ke komo ke aʻalolo i loko o ka lima ma o ke Alanui ʻo Guyon, kahi alahele ma ka pulima kahi e ʻomi ʻia ai. Hiki ke loaʻa i nā mea holo paikikala a me nā poʻe e hana ana me ko lākou mau lima. |
| Ka hemo ʻana o ke aʻalolo Ulnar | ʻO kēia ka manawa e ʻūmiʻi ʻia ai ke aʻalolo. Hana pinepine ʻia kēia ma hope o kahi ulia a hāʻule paha. Inā lohe ʻoe a manaʻo paha i kahi kani "kaomi" ke kūlou ʻoe a hoʻopololei paha i kou kuʻekuʻe lima, hiki paha kēia ke ʻano. |
He aha nā hōʻailona e pono ai ʻoe e hopohopo?
Ke kaomi ʻia ke aʻalolo ulnar, hiki ke ʻike ʻia nā ʻano hōʻailona like ʻole. ʻAʻole paha e ʻike ʻia kēia mau mea i ka wā mua, akā hiki iā lākou ke hoʻonui i ka hala ʻana o ka manawa. No laila, he mea nui loa ka makaʻala i kēia mau hōʻailona.
- ʻO ka mae a me ke kani ʻana: ʻO kēia ka hōʻailona maʻamau. He ʻano ʻoniʻoni ia, ʻoiai ma ka manamana lima liʻiliʻi a me ka manamana lima apo (manamana lima ʻehā) . Hiki ke manaʻo ʻia me he mea lā e "hiamoe" ana nā manamana lima.
- Nāwaliwali o ka Lima: Paʻakikī i ka paʻa ʻana i nā mea. No ka laʻana, he paʻakikī paha ke wehe i kahi pāpale ʻōmole wai, hoʻohuli i kahi kī, a hāpai paha i kahi mea kaumaha. Hiki ke ʻike ʻia kēia nāwaliwali i ka wā e kākau ai a paʻi paha.
- Lima Maiʻuʻu: He ʻano ʻoi aku ka koʻikoʻi o kēia. I ka piʻi ʻana o ka pōʻino o ke aʻalolo, kūlou ka manamana lima liʻiliʻi a me ka manamana lima apo i ka pāma a lilo i maiʻuʻu.
- Ka Nalowale ʻana o nā ʻIʻo: Inā e ʻomi ʻia kahi aʻalolo no ka manawa lōʻihi, hiki i nā ʻiʻo i kāohi ʻia e kēlā aʻalolo ke emi mālie a mae. He hōʻailona kakaikahi kēia akā koʻikoʻi.
- ʻEha ma ke kuʻekuʻe lima a i ʻole ka pulima lima: Hiki ke ʻeha ma kahi o ke kaomi ʻana o ke aʻalolo.
Āhea ʻoe e ʻike ai i ke kauka?
Mai hoʻowahāwahā i kēia mau hōʻailona. Hiki ke hoʻomaka me he ʻeha iki lā, akā i ka hala ʻana o ka manawa hiki iā lākou ke holomua i ka hōʻino mau loa ʻana o ke aʻalolo. No laila he mea nui e ʻimi koke i ka lāʻau lapaʻau.
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, e ʻike koke i kāu kauka.
- Inā he pinepine kou ʻūlū ʻana a he ʻāʻī paha i kou manamana lima liʻiliʻi a i ʻole kou manamana lima apo (manamana lima ʻehā).
- Inā manaʻo ʻoe ua emi iho kou paʻa ʻana .
- Inā pilikia ʻoe i ka hana ʻana i nā hana koʻikoʻi e like me ke pihi ʻana i kahi pālule a i ʻole ke kākau ʻana me ka peni.
- Inā ʻike ʻia kou manamana lima liʻiliʻi a manamana lima apo paha e ʻōwili ana i loko .
- Inā he ʻeha a he ʻeha paha kou kuʻekuʻe lima, pulima lima, a lima paha.
E nānā kāu kauka iā ʻoe a, inā pono, e kuhikuhi iā ʻoe i kahi neurologist. Hiki i nā hoʻokolohua a lākou e hana ai ke hoʻoholo inā he pōʻino aʻalolo a me kona wahi.
Leka Lawe-Home
- ʻAʻole mākou e kapa i ka iwi he "Funny Iwi," akā, he aʻalolo koʻikoʻi i kapa ʻia ʻo ke Aʻalolo Ulnar.
- ʻO ke ʻano "haʻalulu uila" āu e loaʻa ai ke kuʻi ʻia ʻoe ma ke kuʻekuʻe lima no ka mea ua ʻomi ʻia kēia aʻalolo no kekahi manawa.
- ʻO ka mae ʻole, ka ʻeha, a i ʻole ka nāwaliwali i kou manamana lima liʻiliʻi a me ka manamana lima apo he hōʻailona paha ia o kahi pilikia me ke aʻalolo ulnar.
- Mai hoʻowahāwahā i kēia mau hōʻailona. Inā hoʻopilikia lākou i kāu mau hana o kēlā me kēia lā, e ʻike pono i ke kauka.
- Hiki i ka ʻike mua ʻana a me ka mālama kūpono ke pale i ka hōʻino mau ʻana o ke aʻalolo a paipai i ka ho'ōla wikiwiki ʻana.
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