He kanaka paʻi kiʻi ʻoe ma ke kamepiula i ka lā a pau? A i ʻole ke manaʻo pinepine nei ʻoe i kahi ʻeha iki a me ka luhi ma kou mau lima, ʻoi aku hoʻi ma ka pulima a me ka kuʻekuʻe lima, ma muli o nā hana lima e like me ka hana hale, ka kuke ʻana, ke kālai lāʻau, a i ʻole ka pena ʻana? Manaʻo ka poʻe he mea maʻamau kēia a he mea maikaʻi ke hoʻomaha iki. Akā ma hope o kēia ʻeha he ʻiʻo kūikawā paha e kāohi ana i nā neʻe maikaʻi o ko mākou mau lima, akā ʻaʻole mākou i lohe nui e pili ana i ia mea. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia ʻiʻo he mea nui loa no ka pono o kou mau lima.
He aha kēia Extensor Carpi Radialis Longus (ECRL)?
I ka ʻōlelo maʻalahi, he ʻiʻo lōʻihi kēia ma kou lima lima, mai kou kuʻekuʻe a i kou pulima lima. E like me ka inoa e hōʻike nei (ʻo Longus ke ʻano he lōʻihi), he lōʻihi iki ia. I ka pololei, hoʻomaka ia ma ka piko o kou iwi lima luna (humerus) a holo a hiki i ka iwi metacarpal ʻelua o kou lima. E hoʻomanaʻo, ʻaʻole hana hoʻokahi kēia ʻiʻo. Loaʻa iā ia kahi hoaaloha maikaʻi loa, ʻo kekahi ʻiʻo i kapa ʻia
ʻo Extensor Carpi Radialis Brevis (ECRB) . I ka hui pū ʻana, ʻo kēia mau mea ʻelua, me kekahi mau ʻiʻo ʻē aʻe, e kōkua iā mākou e kulou i ko mākou mau pulima lima, e hoʻohuli i ko mākou mau lima, a paʻa i nā mea. Ua like ia me kahi hui e hana maikaʻi pū ana.
He aha ka lawelawe a ka ECRL e hāʻawi mai nei iā mākou?
He mea kupaianaha ka nui o nā mea a kēia ʻiʻo e kōkua ai iā ʻoe e hana i kēlā me kēia lā.
- I ke kākau ʻana me ka peni
- I ka hāpai ʻana i ke kīʻaha tī
- I ka hoʻolei ʻana i ka pōpō
- Ke kikokiko ʻana ma ka papa kī
- I ka wehe ʻana i ka laka puka
Ma kēia mau mea a pau, he kuleana koʻikoʻi ko ka hui ʻiʻo ECRL (nā mea hoʻolōʻihi pulima radial) i ka mālama ʻana i kou pulima i ke kūpaʻa, ke kulou ʻana a me ka hoʻolōʻihi ʻana iā ia e like me ka mea e pono ai. Me ko lākou ikaika ʻole, ʻaʻole hiki iā kākou ke hana pono i kēia hana maʻalahi.
ʻO ka mea nui loa, ʻo ka mālama ʻana i kēia mau ʻiʻo i ke olakino a me ka ikaika he mea nui ia no ka hoʻokō ʻana i kā mākou hana o kēlā me kēia lā me ka ʻole o ka ʻeha.
Nā kūlana maʻamau e pili ana me ka ʻiʻo ECRL
Ke loaʻa iā ʻoe ka ʻeha ma kou lima, hiki ke paʻakikī ke ʻike maopopo inā he ʻiʻo i huki ʻia, he pilikia tendon, a he aʻalolo i ʻoki ʻia paha. Eia nō naʻe, aia kekahi mau kūlana nui i hiki ke hana ʻia e ka nāwaliwali a i ʻole ka hoʻohana nui ʻana i kēia ʻiʻo ECRL. E nānā kākou i ke ʻano o lākou.
| Kūlana olakino | Ka wehewehe a me nā hōʻailona |
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| ʻO ke kuʻekuʻe wāwae Tennis ma ke ʻano lapaʻau: (Lateral Epicondylitis) | ʻOiai kona inoa, ʻaʻole wale ka "tennis elbow" he maʻi e hoʻopilikia ai i nā mea pāʻani tennis. He maʻi ia i hoʻokumu ʻia e ka hoʻohana pinepine ʻana o nā ʻiʻo a me nā tendons i ka lima. He mea maʻamau ia i nā poʻe e hana ana i ke kālai lāʻau, pena kiʻi, māla, a paʻi lima paha no ka manawa lōʻihi. Nā hōʻailona koʻikoʻi:- ʻEha a me ke kuni ʻana ma waho o ke kuʻekuʻe lima.
- Hoʻonui ʻia ka ʻeha i ka wā e paʻa pono ai i kahi mea me ka lima (e like me ke kīʻaha tī).
- ʻEha i ke kulou ʻana o ka pulima i hope.
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| ʻO ka Carpal Tunnel Syndrome ( Lapaʻau: Median Allerve Compression) | Hoʻokumu ʻia kēia e ke kaomi ʻana o ke aʻalolo waena, ka mea e holo ana ma o ka pulima. Nui nā kumu no kēia. Hiki ke hana ʻia e nā kūlana e like me nā neʻe hou ʻana (typing), hāpai keiki, a me ka maʻi diabetes. Nā hōʻailona nui:- Ka maneʻo a ʻūlū paha ma ka manamana nui , ka manamana lima kuhikuhi, ka manamana lima waena, a me ka hapalua o ka manamana lima apo.
- Nā mea e hāʻule ana, nāwaliwali o ka paʻa lima.
- Hoʻonui ʻia ka ʻeha o ka naʻau i ka pō.
- I kekahi manawa ua pālahalaha ka ʻeha a me ka ʻoʻoleʻa i ka poʻohiwi.
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He aha kā mākou e hana ai no ka ʻeha o ka lima?
Ke hoʻomaka ʻoe e ʻeha i kou lima, ʻo ka mea mua āu e hana ai, ʻo ia
ke hoʻomaha i kou lima . E hoʻōki i ka hana ʻana i kekahi mea āu e manaʻo nei he kumu ia o ka ʻeha no kekahi mau lā. Hiki iā ʻoe ke kau i ka hau ma kahi o ka ʻeha a me ka pehu. Eia naʻe,
inā ʻaʻole kōkua kēia mau mea maʻalahi ma hope o kekahi mau lā, a inā ʻeha nui ka ʻeha, pono ʻoe e ʻike i ke kauka. Mai hoʻowahāwahā i kēia ʻano ʻeha. E nānā kāu kauka iā ʻoe a, inā pono, e hana i kahi mea e like me ka scan e ʻike ai i ke kumu pololei o ka ʻeha. Hiki ke kuhikuhi ʻia ʻoe i nā lāʻau ʻeha (e like me NSAID). Hiki ke kuhikuhi ʻia ʻoe i kahi physiotherapist no ka mālama ʻana. I nā hihia koʻikoʻi, pono paha ke ʻoki ʻana.
He aha nā hoʻomaʻamaʻa maikaʻi loa e hoʻoikaika ai i ka ECRL?
Eia kekahi mau hoʻomaʻamaʻa maʻalahi e kōkua i ka pale ʻana i ka ʻeha ma kou lima a mālama i kou ʻiʻo ECRL i ikaika.
ʻŌlelo Aʻo: Inā loaʻa iā ʻoe ka ʻeha, e ʻoluʻolu e nīnau i kāu kauka a i ʻole kekahi mea hoʻoponopono kino ma mua o ka hoʻomaka ʻana i kēia mau hoʻomaʻamaʻa. ʻO ka hana hewa ʻana iā lākou hiki ke hoʻonui i ke kūlana.
- Hoʻolōʻihi i kou lima: E hoʻolōʻihi pololei i kou lima i mua ou, e hoʻohaʻahaʻa i ka poho lima. I kēia manawa, e hopu i kou mau manamana lima me kou lima ʻē aʻe a huki iā lākou i kou kino. E paʻa no kahi o 15-20 kekona.
- Hoʻolōʻihi i kou pulima lima: I kēia manawa e hoʻohuli i kou pulima lima a, e like me ma mua, e hopu i nā manamana lima me kou lima ʻē aʻe a huki i lalo i kou kino. E paʻa no 15-20 kekona.
- Ka hoʻohuli ʻana o ka pulima: E kau i kou lima ma luna o kahi papaʻaina, me kou pulima wale nō i kīkoʻo ʻia, a hoʻohuli iā ia i ka ʻaoʻao uaki a me ka ʻaoʻao hema i 10 mau manawa.
- Hoʻoikaika kino me kahi mea kaumaha: E paʻa i kahi mea kaumaha liʻiliʻi, e like me ka ʻōmole wai a i ʻole ka kini, e kau i kou lima ma luna o ka papa ʻaina, a e hoʻohana wale i kou pulima lima e hāpai a hoʻohaʻahaʻa i ke kaumaha.
ʻO ka hana pololei ʻana i kēia mau hoʻomaʻamaʻa e hoʻoikaika i nā ʻiʻo o kou lima a kōkua iā ʻoe e pale aku i nā ʻeha e hiki mai ana.
Leka Lawe-Home
- ʻO ka Extensor Carpi Radialis Longus (ECRL) he ʻiʻo lōʻihi i kou lima e pono ai no nā neʻe ʻana ma kou lima a me kou pulima lima.
- ʻO nā kūlana e like me ke kuʻekuʻe tennis e hana ʻia e ka hoʻohana nui ʻana o kēia ʻiʻo a me nā tendons e pili ana.
- Inā loaʻa iā ʻoe ka ʻeha, ka mae ʻole, a i ʻole ka nāwaliwali ma kou lima a i ʻole ka pulima lima e mau ana ma mua o kekahi mau lā, mai hoʻowahāwahā iā ia. E ʻike koke i ke kauka.
- Hiki i nā hoʻoikaika kino maʻalahi ke hoʻoikaika i kēia mau ʻiʻo. Eia nō naʻe, inā he ʻeha, he mea nui e ʻimi i ke kōkua lapaʻau ma mua o ka hoʻoikaika kino ʻana.
ECRL, extensor carpi radialis longus, ʻeha lima, ʻeha pulima, kuʻekuʻe tennis, epicondylitis ʻaoʻao, carpal tunnel syndrome, hoʻōla kino, hoʻomaʻamaʻa lima
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