He palupalu loa anei kou mau hono? (Ligamentous Laxity) - E kamaʻilio kākou e pili ana i kēia

Ua ʻike anei ʻoe ua kūlou kekahi o kou mau hoaaloha i ko lākou mau lālā ma ke ʻano ʻē ma mua o nā poʻe ʻē aʻe? Malia paha hiki iā ʻoe ke kūlou i kou mau manamana nui a hiki i ko lākou pā ʻana i kou mau lima, a i ʻole e hoʻopaʻa pololei i kou mau wāwae a kau i kou mau poho lima ma ka papahele. ʻOiai he pono kēia no kekahi poʻe no nā mea e like me ka hula a me ka gymnastics, no kekahi poʻe hiki ke lilo i mea hoʻonāukiuki a ʻeha hoʻi. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia 'kūlou nui', ʻo ia ke ʻano a mākou e kapa nei ma ke ʻano lapaʻau ʻo Ligamentous Laxity .

He aha kēia mau ligaments?

I ka ʻōlelo maʻalahi, he mau kaula ikaika o nā ʻiʻo nā ligaments i loko o ko kākou kino. Ua like lākou me nā kaula laholio, akā ʻoi aku ka ikaika. ʻO kā lākou hana nui ka hoʻopaʻa ʻana i ko kākou mau iwi a hāʻawi i ke kūpaʻa a me ke kākoʻo i ko kākou mau hono.

E noʻonoʻo i ko kākou kuli. Hoʻopili ʻia nā iwi o luna a me lalo o ke kuli e kēia mau ligaments. ʻO kēia nā mea e pale ai i ko kākou mau iwi mai ka neʻe ʻana ma kahi mamao loa a i ʻole ka wili nui ʻana. ʻO ka hana nui o nā ligaments ka pale ʻana i kahi hui ma kēia ʻano.

Eia kekahi, ʻaʻole pili nā ligaments āpau i nā iwi. Kōkua kekahi mau ligaments i ka hoʻopaʻa ʻana i nā ʻōpū o loko, e like me ka ʻōpū, ma kahi. ʻOiai nā ʻōpū e like me nā ʻōpū a me ke akepaʻa e mālama ʻia ma kahi ma muli o kēia mau ligaments.

He aha nā hōʻailona o ka Laxity Ligamentous?

Inā loaʻa iā ʻoe kēia maʻi, ua kamaʻāina paha ʻoe i kēia mau hōʻailona. ʻO kēia kekahi o nā hōʻailona nui i hoʻokumu ʻia e ka laxity ligament.

He aha ke kumu o kēia kūlana?

Ua manaʻo ʻia aia ma waena o 5% a me 12% o ka heluna kanaka o ka honua he mau hono palupalu. ʻOi aku ka palupalu o ke kino o nā keiki liʻiliʻi ma mua o nā pākeke. He mea maʻamau kēia. No laila, he paʻakikī ke ʻōlelo aku he pili mau ke kūlou ʻana o ke kino o kahi keiki liʻiliʻi i kahi maʻi.

Eia nō naʻe, ua ʻike ʻia kekahi mau kūlana genetic ʻo ia ke kumu nui o kēia kūlana. No kēia mau mea, pono mākou e makaʻala pono i ʻelua.

ʻO ka maʻi Marfan

He maʻi laha ʻole kēia, he maʻi hoʻoilina e hoʻopilikia ana i nā ʻiʻo pili i loko o ko kākou kino. ʻO ka poʻe me ka Marfan syndrome he wiwi lākou, he kiʻekiʻe, a he mau lima, manamana lima, wāwae, a me nā manamana wāwae lōʻihi ʻole. Hiki i ka maʻi ke hoʻopilikia i nā ʻāpana he nui o ke kino, me ka puʻuwai, nā maka, ka ʻili, a me nā kīʻaha koko. Hiki i kekahi mau pilikia, e like me ka pehu ʻana o ka aorta, ke lilo i mea weliweli loa.

ʻO ka maʻi ʻo Ehlers-Danlos

He hui maʻi nō hoʻi kēia e hoʻopilikia ai i nā ʻiʻo pili. ʻO ka poʻe me kēia maʻi maʻamau he ʻili palupalu loa ko lākou a me nā hono palupalu loa. ʻO ke ʻano koʻikoʻi loa, ʻo ia hoʻi ʻo Vascular Ehlers-Danlos syndrome, hiki ke hoʻonāwaliwali i ka aorta a me nā aʻa ʻē aʻe. Hiki iā ia ke hana i nā paia o nā ʻōpū e like me ka colon a me ka uterus e haki.

ʻO ka pilina ma waena o ka laxity ligament a me nā pōpilikia

Ua kamaʻilio mua mākou e pili ana i ke ʻano o ka hiki ʻana o ka ligament laxity ke hōʻemi i ke kūpaʻa o nā hono. Ke nāwaliwali nā ligaments, ʻaʻole hiki iā lākou ke hoʻopaʻa pono i nā iwi. ʻO kēia ka manawa e hana ʻia ai nā dislocations a i ʻole nā ​​subluxations.

Ua hōʻoia ʻia kēia pilina e kekahi mau noiʻi i hana ʻia ma kēia kumuhana.

• Ua ʻike ʻia ma kahi noiʻi o 51 mau mea pāʻani rugby he nui aku nā ʻeha o nā mea pāʻani me nā hono hypermobile ma mua o nā mea pāʻani me ka ʻole. ʻO ka mea kupanaha, ua like nā pae o ka ikaika o nā ʻiʻo o nā hui ʻelua.ʻO ia hoʻi, ʻaʻole lawa ka loaʻa ʻana o nā ʻiʻo ikaika e pale aku i nā poʻe e like me kēia mai nā ulia pōpilikia.
• Ua ʻike ʻia kekahi noiʻi ʻē aʻe he 6.8 mau manawa ka nui o ka laxity o ke ligament i nā kāne i wili ʻia ko lākou poʻohiwi ma mua o ka heluna kanaka maʻamau.

Pehea e ʻike ai i kēia maʻi?

ʻAʻohe kūlana paʻa no ka wehewehe ʻana i ka laxity ligamentous. Eia nō naʻe, aia kekahi ʻano hana i hoʻohana nui ʻia e nā kauka a puni ka honua, i kapa ʻia ʻo ka hoʻāʻo Beighton .

Nānā nui kēia hoʻāʻo i ka palupalu o kekahi o kou mau hono:

• ʻO ke kuʻi o ka manamana lima liʻiliʻi
• Kumu o ka manamana nui
• Nā kuli
• iwi kuamoʻo
• Nā kuʻekuʻe lima

I loko o kēia hoʻokolohua, e noi ke kauka iā ʻoe e hana i kekahi mau mea:

• E mālama pono i kou mau wāwae, e kūlou i mua a kau i nā lima ʻelua ma ka papahele.
• E kulou i kou manamana nui i hope a ho'āʻo e hamo iā ia ma ka poho o kou lima.
• E kulou i kou manamana lima liʻiliʻi i hope ma mua o 90 degere.

He aha nā lāʻau lapaʻau no kēia?

Inā ʻaʻohe ou ʻeha a ʻoluʻolu ʻole paha ma muli o ka palupalu o kou hono, ʻaʻole ia e pono i kekahi lāʻau kūikawā. No ka hapa nui o ka poʻe, ʻaʻole kēia he pilikia.

Eia nā lāʻau lapaʻau nui e hiki ke ʻōlelo ʻia:

• ʻO ka hoʻōla kino: ʻO kēia ka hopena maikaʻi loa a koʻikoʻi loa. Hiki iā ia ke hoʻoikaika i nā ʻiʻo a puni kou mau hono a hāʻawi i ka paʻa hou aku i nā hono. He mea nui loa ka hana ʻana i nā hoʻomaʻamaʻa kūpono ma lalo o ke alakaʻi ʻana a kahi physiotherapist.
• Ke Kāʻei ʻana/Kepa ʻana: Ma mua o ke komo ʻana i nā haʻuki a i ʻole nā ​​​​hana e hōʻeha ai, hiki iā ʻoe ke hāʻawi i ka palekana hou aku ma ke kau ʻana i kahi kāʻei ʻana a i ʻole ke kau ʻana i ka lipine kūikawā i nā hono i hoʻopilikia ʻia.
• Hoʻōla Lapaʻau:ʻO kēia kekahi koho lapaʻau ʻē aʻe. Akā aia nā manaʻo like ʻole e pili ana i ia mea. Pili ia i ka hoʻokomo ʻana i kahi hopena hoʻonāukiuki i loko o ka ligament ʻeha. ʻO ka maʻamau, hoʻohana ʻia kahi ʻano kō i kapa ʻia ʻo dextrose no kēia. Ua manaʻoʻiʻo ʻia e hoʻoulu kēia injection i ka ulu ʻana o nā ʻiʻo pili a hōʻemi i ka ʻeha. Eia nō naʻe, ua hōʻike kekahi mau noiʻi i nā hopena hui pū ʻia. No laila, manaʻoʻiʻo kekahi poʻe loea e hāʻawi wale ka prolotherapy i ka hōʻoluʻolu manawa pōkole (hopena placebo). No laila, he mea nui loa e kamaʻilio me kāu kauka e pili ana i ia mea ma mua o ka hana ʻana i kekahi lāʻau lapaʻau.