Yu an jɔs bɛn insay lɛk klos? Mek wi tok abaut ‘Claw Hand’!

Yu dɔn ɛva mek yu finga dɛn kɔl insay, lɛk klos? Ɔ yu dɔn ɛva fil pen ɔ i nɔ izi fɔ yu fɔ stret yu finga dɛn? Sɔntɛm yu gɛt sɔm aidia bɔt dis kɔndishɔn we dɛn kɔl ‘klɔ an’ . Nɔ wɔri, wi go tɔk bɔt am mɔ ditayli tide. Bikɔs fɔ sɔm pipul dɛn, dis kin bi sɔntin we dɛn bɔn wit, ɛn fɔ ɔda pipul dɛn, i kin kam leta na layf bikɔs ɔf aksidɛnt ɔ ɔda sik.

Wetin na dis Klɔ An?

Fɔ tɔk am simpul wan, klo an na tin we yu finga dɛn, mɔ di ring ɛn smɔl finga dɛn, bɛn insay ɛn pul yu an insay. Dɛn kɔl am klo an bikɔs i tan lɛk se yu an dɔn trɔp insay klo shep. Sɔntɛnde, dɔktɔ dɛn kin kɔl dis Ulnar Nerve Palsy . We yu gɛt dis sik, i nɔ kin izi fɔ yu, if nɔto fɔ mek yu stret ɔl yu finga dɛn.

Tink bɔt am, bɔku smɔl smɔl mɔsul dɛn de na wi an we de ɛp wi fɔ bɛn ɛn ɛkstɛnd wi finga dɛn. Dɛn mɔsul dɛn ya de wok wit ilɛktrik signal ɔ nerve mɛsej dɛn we de kɔmɔt na wi bren ɛn spɛshal kɔd. di Ulnar Nεv na wan pan di men nεv dεm we de kכmכt frכm insay wi an, spεshal wan di mכsul dεm we de asai wit di ring finga εn sכm finga, εn i de εp wi fכ bεnd εn εksεnd wi finga dεm. Bɔku tɛm, dis klo an kin apin we sɔntin dɔn pwɛl na di Ulnar Nerve.

Dis kin bi sɔntin we dɛn bɔn yu wit (dat na, as difrɛns we yu bɔn wit yu an) , ɔ i kin bi bikɔs yu gɛt aksidɛnt, sik, ɔr yu nerve damej leta na yu layf.

Wetin na di difrɛns bitwin Klɔ An, Dupuytren in Kɔntrakchɔ, ɛn Triga Finga?

Naw yu kin de tink se, "Ɔda tin dɛn de we kin mek di finga dɛn bɛn ɛn at fɔ stret, so aw dis difrɛn?" Yes, yu rait. Jɔs lɛk Klɔ Han, Dupuytren in Kɔntrakchɔ ɛn Triga Finga sɛf kin mek i nɔ izi fɔ mek di finga dɛn stret. Bɔt di tin dɛn we kin mek i apin difrɛn. Lɛ wi si wetin dɛn bi.

• Klɔ An: As wi bin dɔn tɔk, bɔku tɛm dis kin apin bikɔs yu ulnar nerve dɔn pwɛl . Dis nɛv de kɔntrol di mɔsul dɛn na yu big finga ɛn indeks finga. So we di ulnar nerve dכn pwεl, di ilektrikal signal dεm we i de kכntro fכ strεt yu finga dεm nכ de pas fayn fayn wan. Dɔn da mɔsul de wik, ɛn i kin pas di mɔsul dɛn we de wok na di ɔda say, ɛn dis kin mek yu finga dɛn kɔl insay.

• Dupuytren in Kɔntrakchɔ:Dis na wan sik wae bɔrku tɛm na in jɛnɛtiks. I kin apin we di tisu we de ɔnda di skin na di pal ɛn finga dɛn (espɛshali di fascia , we na wan tin we tan lɛk rɔba band we de sɔpɔt di an ɛn di finga dɛn ɛn ɛp dɛn fɔ muv) tik ɛn tayt. sכm sכm nodul dεm de fכm כnda di skin na di pal, sכmtεm dεn kin fכm bכnd dεm we lεk rop. As tɛm de go, dɛn nodul ɛn band ya kin mek di finga dɛn bɛn insay ɛn tu lɔng fɔ mek dɛn stret. Bɔku tɛm, dis nɔ kin mek pɔsin fil pen, bɔt i kin mek i nɔ izi fɔ yuz di an.

• Trig Finga εn Trig Tכmb: Dis kכndyushכn dεm kin kכz fכ inflameshn na di tεndon dεm (di strכng tisu we de kכnεkt mכsul dεm to bon dεm) na yu an. We yu tɛndon dɛn strɛs ɔltɛm ɔ yu de du di sem tin bak ɛn bak, dɛn kin wund ɛn swel. dis inflameshn de mek di tεndon de trכp insay di sheath we i de travul tru. Dis kin mek yu gɛt sawnd we de pop ɔ pop we yu de tray fɔ bɛn ɔ stret yu finga. Sɔntɛnde, di finga kin stɔp na say we i bɛn ɔ we i dɔn ɛkstɛnd. Dis kin mek yu fil pen.

Yu ɔndastand di difrɛns? Di men difrɛns na di rizin.

Udat go mɔs gɛt Klɔ An?

Klɔ Han kin divɛlɔp insay ɛnibɔdi. Bɔt stɔdi dɔn sho se man dɛn kin gɛt am smɔl pas uman dɛn. Ɔda pas dat, no big difrɛns nɔ de pan di ej.

Aw Klɔ An de afɛkt mi bɔdi?

Yu kin imajin aw i nɔ kin izi fɔ yu nɔ ebul fɔ yuz yu finga dɛn fayn. Ɛspɛshali if dɛn nɔr bɔn yu wit dis sik ɛn e de kam leta, e go tek sɔm tɛm fɔ yus to am.

• I nɔ kin izi fɔ ol ɛn tɔch tin dɛn: Dis kin afɛkt tin dɛn lɛk fɔ ol smɔl tin, fɔ rayt sɔntin, ɔ fɔ ol kɔp.
• I nɔ izi fɔ du di wok dɛn we yu de du ɛvride: If yu wok nid fɔ yuz yu tu an dɛn, fɔ ɛgzampul, fɔ tayp na kɔmpyuta ɔ ol sɔntin, dis sik kin ambɔg dɛn wok dɛn de. If yu na pikin we de go skul, dis kin afɛkt bak wok dɛn lɛk fɔ rayt.

Wetin na di sayn dɛm fɔ klo an?

Di men ɛn we klia pas ɔl na wan an we tan lɛk klos , we min se di finga dɛn bɛn insay ɛn pul di an insay.

• I nɔ kin izi fɔ mek yu finga dɛn stret: I kin rili at fɔ mek di finga dɛn go fa frɔm di an, ɛn sɔntɛnde yu nɔ kin ivin ebul fɔ muv yu finga dɛn.
• i at fכ "opin" yu an: nכmal wan, wi kin opin wi an frכm di midul pan di pal wit wi finga dεm we spre wayd, we kin at fכ du.
• Yu nɔ de fil fayn ɔ yu de swɛt:if di tin we mek dis klo an kכndyushכn na di damej pan di ulnar nerve, yu kin fil sכmtεm sכmtεm sכmtεm sכmtεm frכm yu fכs an dכn to yu an, ring finga, εn sכm finga. Sɔntɛnde, i kin ivin mek pɔsin nɔ fil fayn na da say de.

Wetin na di tin dɛn we kin mek pɔsin gɛt klo an?

Bɔku tin dɛn de we kin mek pɔsin gɛt klo an. Mek wi tek wan luk pan dem.

• Damej to di Ulnar Nerve ɔ in branch dɛm: If yu wund (lɛk we yu kɔt, brus, ɔ pul) na yu nɛk, chɛst, armpit, ɔ ɛni ɔda say na yu an kin pwɛl di Ulnar Nerve, we de rɔn frɔm di sayd dɛm na yu nɛk dɔŋ yu an te to yu an.
• Cubital Tunnel Syndrome: Dɛn kin kɔl am bak Ulnar Nerve Entrapment, dis kin apin we di ulnar nerve we de rɔn tru wan tanɛl we de insay yu ɛlbow kin kɔmprɛs. I tan lɛk se dɛn de blok wata paip. dis prεshכn de mek di ulnar nεv nכ de wok fayn fayn wan. Dis kin mek yu nɔ ebul fɔ kɔntrol di mɔsul dɛn na yu an, ɛn yu kin gɛt swɛt ɔ swɛt na yu fɔs an, yu an, yu ring finga, ɛn yu smɔl finga. Pipul dεm wae de put prεshכn pan dεn εlbo εn wrist כltεm, כ wae de du wok wae de mek dεn bεnd εn strεch dεn εlbo εn wrist (e.g., pipul dεm wae de wok na kכmpyuta wit dεn εlb bεnd fכ lכng tεm, כ dεn wan dεm we de ple sכm sכpכt) kin gεt dis kכndyushכn.
• Difrεns bitwin di an we dεn bכn wit: "Kכnjital" min "we de de frכm we dεn bכn am." Sɔm pikin dɛn kin bɔn wit an difrɛns. Klɔ An kin bi wan pan dɛn kayn tin ya we pɔsin kin bɔn wit.
• sεvikal Spondylosis: fכ simpul wan, dis na kכndyushכn we de apin wit di ej bikoz fכ di wear εn tear fכ di vεrbra (bon dεm na di nεk fכ di spayna) εn di kכtilaj bitwin dεm. Dis kin mek yu gɛt sɔm kayn sik lɛk aw yu nɛk de pen ɛn stif. pan sɔm pipul dεm, dis kכndyushכn kin mek dεn an dεn dכn rεdכks εn kכndyushכn dεm lεk klo an. dis na biכs di nεv dεm we de go na di an dεm de stat na di nεk.
• Ska Tisu: Ska tisu we de fכm afta di skin na yu an כ fכs an dכn hεl, lεk we yu bכn bad bad wan, sכmtεm i kin rili at. Dis had ska tisu kin mek yu finga dεm pul insay, we kin mek yu gɛt klo an.
• Infεkshכn: Dis nכ kin apin sכmtεm, bכt sכm infεkshכn dεm we de afekt di nεv sεstem, lεk lεprכsi, kin mek yu klo an bak.

Aw dɛn kin no di sik we dɛn kɔl Claw Hand?

If yu gɛt dɛn sik ya, di fɔs tin we yu fɔ du na fɔ go to dɔktɔ. Di dɔktɔ go chɛk yu.

• Fɔ chɛk yu bɔdi:Di dɔktɔ go luk yu an ɛn chɛk tin dɛn lɛk if yu kin bɛn ɛn stret yu finga dɛn, aw fa yu kin ebul, aw dɛn kin fil fayn, ɛn if yu kin yuz yu an lɛk aw yu kin yuz am.
• Ilɛktromayografi (EMG): If yu dɔktɔ tink se yu gɛt klo an ɔ ɔda prɔblɛm wit yu nerv, i kin ɔda fɔ mek dɛn du EMG (Electromyography) tɛst. Dis min se yu fɔ put fayn fayn nidul dɛn tru yu skin insay yu mɔsul dɛn, ɛn yuz ilɛktrɔd dɛn na di nidul dɛn fɔ mɛzhɔ di ilɛktrik wok we yu mɔsul dɛn de du we yu de muv dɛn. Dis kin ɛp fɔ no if yu ulnar nerve dɔn pwɛl, usay i de, ɛn aw i bad.

If dɛn bɔn pikin wit dis sik, dɔktɔ go no se i gɛt dis sik jɔs afta di pikin bɔn.

Aw fɔ trit klo an?

Di gud nyus na dat, difrɛn we dɛn de fɔ trit klo an. De kayn tritmɛnt wae yu nid go dipen pan de tin wae de mek yu gɛt dis sik ɛn aw yu de fil bad.

Dɛn kin du dɛn tin ya as tritmɛnt:

• Ɛksesaiz fɔ strɛch: Yu dɔktɔ ɔ pɔsin we de mɛn yu go tich yu patikyula ɛksesaiz fɔ strɛch fɔ yu fɔs an, yu an, ɛn yu an. Dɛn kin du dɛn tin ya na os.
• We yu wɛr splint ɔ bres: Dɛn kin wɛr splint (sɔpɔt we dɛn mek fɔ fit di shep we di an gɛt) ɔ bres fɔ sɔpɔt di finga we di sik afɛkt. Dis kin ɛp fɔ mek di finga nɔ bɛn ɛn stif di we aw i nɔmal, ɛn i kin ɛp fɔ mek i stret smɔl smɔl.
• Fizik Tɛrapi: Yu kin aks fɔ tritmɛnt frɔm pɔsin we de mɛn yu bɔdi fɔ mek yu an strɔng ɛn ebul fɔ chenj. Dɛn go tich yu di rayt ɛksesaiz ɛn tritmɛnt dɛn.
• Ɔpreshɔn: Sɔntɛnde, mɔ if dɛn pinch di nerve ɔ if ɔda tritmɛnt dɛn nɔ ɛp, i kin nid fɔ du ɔpreshɔn.
• Mεdikeshכn: If di kכz fכ klo an na infεkshכn, dεn kin gi mεdikeshכn fכ trit di infεkshכn.

Ɔpreshɔn fɔ Klɔ An

Sɔntɛnde, dɛn kin nid fɔ du ɔpreshɔn fɔ fri yu finga dɛn ɛn ridyus di sayn dɛn we de sho se yu gɛt klo an. Bɔku kayn ɔpreshɔn dɛn de:

• Nɛv Ripa: Fɔ ripɛnt wan nerv we dɔn wund.
• Tεndon Rilis: fכ lכs εn rilis tayt tεndon dεm.
• Skin Graft: If ska tisu dɔn fɔm bikɔs ɔf bɔn, dɛn kin pul di skin we dɔn at ɛn graft di skin frɔm ɔda say.
• Tεndon Transfεr:wan tεndon we de wok de tכn to di tεndon fכ wan mכsul we nכ de wok fayn εn i de atak am. Dis kin mek di an gɛt sɔm wok bak.

Yu dɔktɔ ɔ dɔktɔ we de du ɔpreshɔn go ɛksplen to yu us kayn ɔpreshɔn yu nid ɛn wetin fɔ ɛkspɛkt afta yu du am.

Aw lɔng e kin tek fɔ wɛl afta dɛn dɔn trit am?

Dis go difrɛn difrɛn wan bay di kayn tritmɛnt we yu de gɛt. If yu fɔ wɛr splint, yu go nid fɔ wɛr am fɔ sɔm mɔnt. Fɔ ɛksesaiz fɔ strɛch ɛn fɔ trit yu bɔdi na tritmɛnt fɔ lɔng tɛm. Sɔntɛnde, i kin tek wan ia ɔ mɔ fɔ mek i wɛl.

If yu gɛt ɔpreshɔn fɔ mek yu klo an fayn, yu dɔktɔ go tɛl yu bɔt di tɛm we yu go wɛl. Bɔrku pipul dɛn go nid sɔm mɔnt fɔ wɛl afta dɛn dɔn du dɛn ɔpreshɔn. Dɔn yu go nid fɔ gɛt fizik tritmɛnt fɔ mek yu gɛt trɛnk bak na yu an. Bɔt if di tin we kin mek yu gɛt dis sik bad bad wan pan di ulnar nerve, yu kin gɛt lɔng tɛm nerve simptom (lɛk we yu nɔ de fil fayn ɔ we yu nɔ de fil fayn).

Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?

Bɔku pan di tin dɛn we kin mek yu gɛt klo an, mɔ if yu bɔn wit dɛn, i nɔ kin izi fɔ avɔyd.

כltu, yu kin du dεn tin ya fכ mek di ulnar nerve nכ damej εn kכndishכn dεm lεk cubital tunnel syndrome:

• Nɔ ledɔm pan yu ɛlb: Bɔku pipul dɛn kin ledɔm na dɛn ɛlb we dɛn de wok na tebul ɔ wach TV. Dis kin put prɛshɔn pan di ulnar nerve.
• Nɔ prɛs yu an insay yu an.
• If yu kin yuz kɔmpyuta chia bɔku tɛm, nɔ rɛst yu ɛlbow dɛn na di say dɛn we dɛn kin put yu an. Kip di chia ɔp ɔp.
• Tray fɔ slip wit yu ɛlb dɛn stret. Sɔm pipul dɛn kin slip wit dɛn ɛlb dɛn we dɛn bɛn, we nɔ kin fayn bak.
• Nɔ yuz yu an ɛn yu ɛlbow pasmak. Tek shɔt briŋ we yu de wok na di sem pozishɔn fɔ lɔng tɛm.
• Gi yu bɔdi tɛm fɔ blo afta yu dɔn du bɔku bɔku tin dɛn fɔ du.

Wetin a fɔ ɛkspɛkt if a gɛt klos an?

Klɔ an na wan sik we sɔmtɛm kin sɔlv insɛf fɔ sɔm tɛm, bɔt i kin bi prɔblɛm bak fɔ lɔng tɛm. Aw lɔng i kin afɛkt yu kin dipen pan de tin ɛn aw yu finga ɛn an kin ansa to tritmɛnt.

Sɔm pipul dɛn kin wɛl ɔltogɛda wit bres ɛn fizik tɛrapi. Ɔda wan dɛn kin stil gɛt sɔm tin dɛn we nɔ de wok fayn na dɛn an afta dɛn dɔn du dɛn ɔpreshɔn. Aks yu dɔktɔ ɔr ɔspitul bɔt aw yu go ebul fɔ wɛl bay aw yu sik.

A nɔ go ebul fɔ go wok ɔ skul bikɔs ɔf klo an?

If yu gɛt wok we yu de yuz yu an, ɔ if yu de yuz ɔl yu finga fɔ du skul wok, yu nɔ go ebul fɔ go wok ɔ skul te yu wɛl. Aks yu dɔktɔ us kayn tin dɛn yu kin du wit yu finga dɛn we gɛt di sik ɛn us ples fɔ slip yu kin gɛt.

Aw a kin kia fɔ misɛf?

• If dɛn dɔn gi yu splint ɔ bres, mek shɔ se yu wɛr am lɛk aw yu dɔktɔ tɛl yu fɔ wɛr am ɛn fɔ lɔng tɛm we dɛn tɛl yu.
• Dɔn bak, if yu de wok wit pɔsin we de mɛn yu bɔdi, du di ɛgzampul dɛn we i de tich yu ɔltɛm, ɛn du dɛn kɔrɛkt wan.
• If yu sik de wɔs, ɔr if yu gɛt pen we yu nɔ go ebul fɔ bia, tɛl yu dɔktɔ wantɛm wantɛm.

Ustɛm a fɔ go to dɔktɔ?

If yu notis ɛni chenj na yu an ɔ finga (lɛk pen, stif, swɛt) we nɔ de bɛtɛ insay sɔm dez, go to dɔktɔ kwik kwik wan. Di kwik we yu bigin fɔ tek tritmɛnt, na di mɔ yu go gɛt chans fɔ wɛl.

Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?

If yu gɛt bad bad tin , lɛk we yu fɔdɔm ɔ motoka aksidɛnt, ɔ if yu gɛt ɛni wan pan dɛn sayn ya, go na imejensi rum wantɛm wantɛm:

• If yu nɔ ebul fɔ muv ɔ yuz yu an nɔmal wan.
• If yu lɔs filin na yu an ɔ fɔrɛst.
• Yu tink se yu gɛt brok bon.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

We yu go to dɔktɔ, nɔ fɔgɛt fɔ aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• A gɛt klo an, ɔ na ɔda kɔndishɔn?
• Us kayn tritmɛnt a nid?
• Yu tink se a go nid ɔpreshɔn?
• Aw lɔng a go nid fɔ wɛr bres ɔ go na fizik tɛrapi?
• Aw lɔng i go tek fɔ mek i wɛl ɔltogɛda?
• Yu tink se dis tin kin apin bak?

Ɛnitin we de mek yu nɔ ebul fɔ yuz yu an nɔmal wan kin mek yu fred ɛn mek yu at pwɛl. Klɔ An kin gɛt bɔku tin dɛn we kin mek i apin. So go to dɔktɔ jɔs afta yu notis ɛni chenj na yu finga, an, ɔ fɔs an.

Faynal Mɛsej fɔ Tek-Hom

Claw Hand de tek tɛm fɔ wɛl. So peshɛnt, fala di tritmɛnt di rayt we, ɛn gladi fɔ ɛni prɔgrɛs we yu de du. Nɔto yu wan de, ɛn dɔktɔ ɛn tritmɛnt pipul dɛn de we go ɛp yu. I rili impɔtant fɔ fala dɛn advays. If yu notis ɛni chenj na yu an, nɔ ignore am. If yu go to dɔktɔ kwik kwik wan, dat go ɛp yu fɔ wɛl kwik kwik wan.

` Klo an, ulnar nerve, finga flekshɔn, an pen, nerve dizayd, an numbness