Ke ʻeha pinepine nei ʻoe i kou pulima? I kekahi manawa, ʻoiai ke hana ʻana i nā hana maʻalahi e like me ka wehe ʻana i kahi ʻōmole wai a i ʻole ka wehe ʻana i ka puka he mea paʻakikī? A i ʻole ke hāpai ʻoe i kahi mea kaumaha, kūlou a kīkoʻo paha i kou lima, ke manaʻo nei anei kou pulima e like me ka "paʻa" a i ʻole ke kani "kaomi"? Inā pēlā, loaʻa paha iā ʻoe kahi maʻi i kapa ʻia ʻo ka wrist tendinitis . Mai hopohopo, e kamaʻilio kākou e pili ana i kēia i kēia lā, ʻae?
He aha ka Tendinitis o ka Wrist?
I ka ʻōlelo maʻalahi, ʻo ka Wrist Tendinitis ka wā e pehu ai nā aʻalolo i loko o kou pulima. ʻO nā aʻalolo nā ʻiʻo paʻakikī i loko o kou lima e hoʻopili ai i nā ʻiʻo i nā iwi. ʻO kēia nā mea e kōkua iā ʻoe e hoʻoneʻe i kou lima a me nā manamana lima. Aia ma kahi o ʻeono o kēia mau aʻalolo i loko o kou pulima.
No laila, inā e kau ʻia kēia mau olonā ma lalo o ke kaomi mau, a inā paha e ʻeha lākou e like me ka sprain, hiki iā lākou ke huhū a pehu. ʻO kēia ka mea a mākou e kapa nei he tendonitis.
E nānā i kēia manawa, aia nā ʻano nui o kēia.
- ʻO ka tendinitis o De Quervain : ʻO kēia ke ʻano maʻamau o ka tendinitis. Hoʻopilikia ia i ke aʻalolo ma ka ʻaoʻao o kou manamana wāwae nui.
- ʻO ka Ulnar tendinitis : ʻO kēia ka wā e mumū ai ke aʻalolo ma ka ʻaoʻao o kou lima kahi i loaʻa ai kou manamana lima liʻiliʻi.
ʻO wai ka mea kūpono loa e loaʻa i kēia maʻi?
ʻOiaʻiʻo, ʻo ka mea e kau mau ana i ke kaomi a i ʻole ke kaumaha ma ko lākou pulima lima, ua pilikia ʻo ia no kēia maʻi. E noʻonoʻo, hiki i kahi makuahine hou a i ʻole kekahi mea mālama i nā keiki liʻiliʻi ke loaʻa i kēia. Hiki ke loaʻa kēia maʻi i ka wā e paʻa ana lākou i kahi keiki a paʻa paha i ko lākou lima ma ke kūlana like i ka lā a pau. ʻO ia ke kumu i kapa ʻia ai e kekahi poʻe ʻo "ka pulima o ka makuahine," ʻoi aku hoʻi ke ʻano "De Quervain's tendinitis."
Eia kekahi, aia kekahi mau kumu pilikia ʻē aʻe:
- ʻOiai he wahine: ʻOi aku ka nui o nā wahine e loaʻa i kēia maʻi ma mua o nā kāne.
- ʻOiai ma luna o 40 mau makahiki.
- Inā ua hōʻeha mua ʻoe i kou mau ʻūlū, a inā he ʻano kou e like me ka lateral epicondylitis, ʻo ia ka ʻeha ma waho o kou kuʻekuʻe lima.
- Ke hana nei i kahi hana e koi ai iā ʻoe e hana mau i nā ʻano neʻe like. Eia kekahi laʻana, ka ʻaila keke, ka hoʻonaninani lauoho, ka hana ʻana i nā mīkini kaumaha, a me ke kikokiko ʻana ma ka papa kī kamepiula.
- Loaʻa kekahi mau kūlana olakino: ʻO ka poʻe me nā maʻi e like me ka maʻi diabetes, osteoarthritis, rheumatoid arthritis, a i ʻole gout.
- Kekahi mau maʻi lele.
- Ke komo ʻana i nā haʻuki e kau ana i ke kaomi nui ma nā pulima, e like me ka gymnastics a me ka basketball.
- Ke paʻa ʻana i kou mau lima a me nā pulima lima i ke kūlana kūpono ʻole i ka wā e hana ana, e paʻi ana, a i ʻole e leka uila ana.
- Puhi paka.
- E hoʻomaka ana i kahi hana hou i ka manawa hoʻokahi me ka ʻole o ka hoʻomākaukau pono ʻana i kou pulima ma mua o ka hana ʻana.
- E hoʻomau i ka hana me ka ʻeha.
Pehea ka maʻamau o ka tendonitis pulima?
ʻO kaʻoiaʻiʻo, ʻaʻole maʻamau ka tendonitis pulima e like me ka "De Quervain's tendinitis". Hoʻopilikia ia ma kahi o 0.5% o nā kāne a me 1.3% o nā wahine. Akā, ʻaʻohe mea nāna e loaʻa, he ʻike ʻeha ia, ʻeā?
No ke aha lā kēia e hana nei? He aha nā kumu?
ʻO ka pinepine, ʻo ke kumu nui o kēia, ʻo ia ke kaumaha pinepine ʻana ma luna o nā olonā ma ka pulima. He uhi lahilahi ko ko mākou mau olonā (ʻūpā tendon) a puni lākou e kōkua ai iā lākou e neʻe maʻalahi. Ua like kēia me kahi papa o ka lubricant. I kēia manawa, ke hana mau nei mākou me ko mākou mau lima, hiki i kēia uhi ke hoʻonāukiuki , pehu, a hoʻonui ʻia. A laila paʻakikī i nā olonā ke neʻe mālie i loko o kēia uhi. No laila, lilo nā olonā i kaumaha, a hoʻomaka ka ʻeha ke neʻe mākou i ko mākou mau pulima a me nā manamana lima.
He aha nā hōʻailona? Pehea ʻoe e ʻike ai?
Inā loaʻa iā ʻoe ka `(Wrist Tendinitis)`, hiki iā ʻoe ke ʻike i nā hōʻailona penei:
- Paʻakikī ke hana i kekahi mau neʻe ʻana. Eia kekahi laʻana, ka wehe ʻana i nā poʻi ʻōmole, ka wehe ʻana i nā puka, ka hāpai ʻana i kahi holoholona a i ʻole kahi pēpē liʻiliʻi.
- ʻOʻoleʻa, kahi manaʻo "paʻa", a i ʻole ke kani "kaomi" ʻana i ka neʻe ʻana o ka pulima a i ʻole nā manamana lima.
- Ka pehu ʻana a puni ka pulima a i ʻole kahi i hoʻomaka ai nā manamana lima.
- ʻEha ka pulima, ʻoi aku hoʻi ma ka manamana nui a i ʻole ka manamana lima liʻiliʻi.
Pehea e ʻike pololei ai ke kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka, e nīnau mua lākou iā ʻoe e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino. A laila e hoʻopā lākou i kekahi mau wahi o kou lima, pulima lima, a me nā manamana lima e ʻike inā pehu a ʻeha paha. E noi pū lākou iā ʻoe e hana i kekahi mau neʻe ʻana, e like me ke kuʻi ʻana i kou mau lima a me ka hoʻohuli ʻana i kou mau pulima lima, e ʻike pono i kahi e puka mai ai ka ʻeha.
I kekahi manawa, hiki ke like nā hōʻailona o ka `(Wrist Tendinitis)` me nā maʻi ʻē aʻe e hoʻopilikia ana i ka pulima a me nā manamana lima. Eia kekahi laʻana:
- Arthritis: ʻO kēia ke kumu o ka pehu a me ka ʻeha i nā hono.
- `(Carpal tunnel syndrome)`: Ma kēia, lilo ka lima i maneʻo a manaʻo ʻia e like me ka ʻakaʻaka ma muli o ke kaomi ʻana o kahi aʻa koko ma ka pulima.
- `(Manamana lima hoʻoulu)`: Ma kēia, pehu ke aʻalolo a paʻa i ka wā e kūlou ai ka manamana lima.
- Nā haki pulima .
No laila, hiki paha i ke kauka ke kauoha i kahi scan kiʻi, e like me ka X-ray, MRI, a i ʻole ultrasound, e hōʻoia i ʻaʻohe mau kūlana ʻē aʻe e like me kēia.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka nūhou maikaʻi, hiki i nā poʻe he nui ke hōʻemi i kēia ʻeha me nā lāʻau lapaʻau maʻalahi a ʻaʻole ʻoki kino. Hiki i kāu kauka ke ʻōlelo i nā mea e like me:
Lapaʻau me ka lāʻau lapaʻau
Hiki ke hāʻawi ʻia nā lāʻau anti-inflammatory nonsteroidal (NSAID) e hōʻemi i ka ʻeha a me ka pehu. I kekahi mau hihia, hiki i kāu kauka ke hāʻawi iā ʻoe i nā inikini steroid i loko o kou pulima a i ʻole kokoke i kou mau hono manamana lima.
Hoʻōla kino a me ka hoʻōla hana
Hiki i nā mea hoʻōla kino a me nā mea hoʻōla hana ke kōkua iā ʻoe e hoʻihoʻi i ka ikaika, ka neʻe ʻana, a me ke ʻano o ka neʻe ʻana i kou pulima a me nā manamana lima. Hiki iā lākou ke aʻo iā ʻoe pehea e hana ai i nā hana o kēlā me kēia lā, e like me ke kikokiko ʻana a me ka hāpai ʻana, ma ke ʻano e hōʻemi ai i ka ʻeha o ka pulima.
Hoʻomaha a me ke ʻano RICE
ʻO ka hoʻomaha ka lāʻau lapaʻau koʻikoʻi loa no ka tendinitis pulima. Mai hoʻonui i ka ʻeha o kou pulima ma ke kāohi ʻana iā ia. E hōʻemi i nā hana e like me ke kikokiko ʻana, ka hāpai ʻana, a me ka wili ʻana i kou pulima i ka hiki ke hāʻawi i kou mau tendons i ka manawa e ho'ōla ai.
ʻO ke ʻano hana RICE kahi lāʻau lapaʻau ma ka home e hiki ke kōkua i ka hōʻemi ʻana i ka pehu a me ka ʻeha ma ka pulima.
- R (Hoʻomaha) - Hoʻomaha: E hoʻomaha i kou lima.
- ʻAu (Hau) - E kau i ka hau: E kau i ka hau no kahi o 20 mau minuke i kekahi mau manawa i ka lā. Akā, mai kau pololei i ka hau i ka ʻili, e kau i kahi mea e like me ke kāwele ma luna.
- C (Compression): E hoʻopili i kahi liʻiliʻi o ke kaomi me kahi kāʻei elastic e hōʻemi i ka pehu.
- E (Kiʻekiʻe) - Kiʻekiʻe: E mālama i kou lima ma luna o ka pae o kou puʻuwai i nā manawa hiki.
Ke hoʻohana nei i kahi ʻāpana
He mea hana ka splint e kōkua ai i ka hoʻopaʻa ʻana i kou pulima lima, a i kekahi manawa kou mau manamana lima, i ka neʻe ʻole. Hāʻawi kēia i nā tendons i kahi hoʻomaha. Hiki i kāu kauka ke ʻōlelo aku i kahi splint maʻamau e kūpono iā ʻoe, a i ʻole hiki iā ʻoe ke hoʻohana i hoʻokahi āu e kūʻai ai ma kahi hale kūʻai lāʻau lapaʻau.
E pono anei ke ʻoki kino?
Inā ʻaʻole e hoʻomaikaʻi kāu mau hōʻailona ma hope o kekahi mau mahina o kēia mau lāʻau lapaʻau maʻamau, pono paha ʻoe i ke ʻoki ʻana no kou tendinitis pulima. Aia kekahi mau ala e hana ai i ke ʻoki ʻana i ke tendon pulima, akā eia nā mea maʻamau:
- Ke wehe ʻana i nā ʻiʻo i hōʻino ʻia mai ka uhi (ʻūpā tendon) a puni ke tendon.
- Hana i kekahi mau ʻoki liʻiliʻi i loko o ka uhi e hāʻawi i ke olonā i kahi hou e neʻe ai.
ʻO ke ʻoki ʻana o ke kuʻekuʻe lima he hana maʻi outpatient kahi e hiki ai iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi me ka ʻole o ka noho ʻana i ka haukapila.Hiki iā ʻoe ke loaʻa i ka anesthesia kūloko (anesthesia kūloko) a i ʻole ka anesthesia laulā (anesthesia laulā). Ma hope o ke ʻoki ʻana, e kau ʻia kahi kāʻei ma kou pulima, a e wehe ʻia nā humuhumu ma hope o ʻelua pule.
He aha nā pilikia o ke ʻoki kino?
ʻO ke ʻoki ʻana i ka pulima Tendinitis he hana palekana a maʻalahi hoʻi. Eia nō naʻe, e like me nā ʻoki ʻana a pau, aia kekahi mau pilikia liʻiliʻi:
- Maʻi (`(Maʻi)`).
- Ka pōʻino o ke aʻalolo (`(Pōʻino o ke aʻalolo)`).
- ʻEha a i ʻole ka manaʻo "pine-a-nila" ma ka pulima a i ʻole nā manamana lima.
- ʻAʻole e ho'ōla pono ka ʻeha a ho'ōla piha ʻole paha.
- Ka hoʻokumu ʻia ʻana o nā ʻiʻo palapū.
- Ka neʻe ʻana o ke aʻalolo (`(Tendon subluxation)`).
Pehea e pale ai iā ʻoe iho mai kēia kūlana? (Ka pale ʻana)
E hahai i kēia mau ʻōlelo aʻoaʻo e pale iā ʻoe iho mai ka ʻeha o ke aʻalolo pulima:
- Mai hoʻoluhi nui i nā olonā ma kou pulima a lima paha.
- Inā ʻoe e puhipaka, e hoʻōki.
- E hohola maikaʻi i kou mau pulima ma mua o kekahi hana kino.
- Inā ʻoe kekahi kanaka e "(types)" mau ana, a inā paha ʻoe e hana i kahi hana e kau ai i ke kaomi ma kou mau pulima, e hoʻomaha mau.
- Inā ʻōlelo aku kāu kauka, e hoʻohana i kahi ʻāpana pale lima a mea hoʻopaʻa paha.
Pehea ʻoe ma hope o ka hoʻōla ʻana? (Outlook)
Hoʻopale maikaʻi ka hapa nui o ka poʻe i ka lāʻau lapaʻau, a ʻaʻohe hōʻeha pulima a ʻeha paha i ka wā lōʻihi.
Ke ho'ōla ʻia kou pulima lima, hiki i ka hoʻōla kino a i ʻole ka hoʻōla hana ke kōkua i ka hoʻomaikaʻi ʻana i ka ikaika o kou pulima lima a me ka laulā o ka neʻe ʻana. Hiki i nā mea hoʻōla ke aʻo iā ʻoe pehea e hoʻomau ai i kāu mau hana punahele ma ke ʻano e hoʻemi ai i ke kaumaha ma kou pulima lima.
Akā e hoʻomanaʻo, i ka wā e ʻeha ai kahi ʻiʻo, ʻoi aku ka nui o ka ʻeha hou ʻana. No laila, i ka wā e pāʻani ana i nā haʻuki, ʻoiai ke hana nei ʻoe i nā neʻe like, e mālama pono i kou mau pulima. ʻO ka mea nui loa, mai hana i kekahi mea me ka ʻeha. ʻO ka ʻeha ke ʻano o kou kino e kamaʻilio ai iā ʻoe, e hoʻolohe iā ia.
Āhea ʻoe e ʻike ai i ke kauka?
I kēlā hihia, pono ʻoe e ʻike i ke kauka:
- Inā ʻaʻole hiki iā ʻoe ke hoʻoneʻe i kou pulima a i ʻole nā manamana lima.
- Inā ʻaʻole hiki iā ʻoe ke kūlou i kou lima a paʻa paha i kahi mea.
- Inā hāʻule mau nā mea āu e paʻa nei mai kou mau lima aku.
- Inā loaʻa iā ʻoe ka ʻeha nui a koke hoʻi ma kou pulima, lima, a i ʻole nā manamana lima.
- Inā ʻike ʻoe i ka pehu ʻana a i ʻole kahi loli o ke kala o ka ʻili a puni kou pulima.
Leka Lawe-Home
ʻO ka tendinitis pulima ka mumū o nā aʻalolo e hoʻopili ai i kou lima lima i nā iwi o kou mau manamana lima. Hiki i kēia ʻano ke hōʻeha i ka wā e hiki aku ai, hāpai, a hoʻoneʻe paha i kou pulima a i ʻole nā manamana lima. ʻO ka hoʻomaha, ka lāʻau lapaʻau, nā inikini, a i ʻole kahi splint e hiki ke kōkua i ka hōʻoluʻolu ʻana i ka ʻeha. Pono paha kekahi poʻe i ke ʻoki ʻana. Inā he hana kāu e pono ai ka neʻe ʻana o ka pulima a i ʻole e pāʻani i kahi haʻuki, e hōʻoia e hoʻomaha a hoʻolōʻihi i kou pulima i nā manawa a pau. E ʻike i kāu kauka no ka ʻike kūpono a me ka mālama ʻana.
ʻEha pulima, tendonitis, ʻeha lima, De Quervain's tendinitis, maʻi pulima, hoʻomaha lima, pale pulima











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