Eha Lima

ʻO ka ʻeha kūmau pinepine ka hopena o ka hāʻule a i ʻole ka haki mai nā hōʻeha koke. Akā, hiki nō hoʻi i ka ʻeha kūmau ke hopena mai nā pilikia lōʻihi, e like me ka hoʻoikaika hou, ka mumū hono a me ka ʻōpū o ka carpal.

Ma muli o ka nui o nā kumu e hiki ai ke alakaʻi i ka ʻeha kūmau, hiki ke paʻakikī ke ʻike i ke kumu pololei. Akā, he mea nui ka ʻike pololei no ka mālama kūpono a me ka ho'ōla.

Hiki ke ʻokoʻa ke ʻeha o ka lima, ma muli o ke kumu. Eia kekahi laʻana, ua hoʻākāka pinepine ʻia ka ʻeha o ka osteoarthritis me he ʻeha niho mālie lā. Hoʻokumu pinepine ka maʻi carpal tunnel i kahi manaʻo o nā nila a me nā kui. Hana pinepine kēia manaʻo wiliwili ma ka manamana nui a me nā manamana kuhikuhi a me nā manamana waena, ʻoi aku hoʻi i ka pō. Hāʻawi pū kahi kūlana pololei o ka ʻeha lima i nā ʻōlelo aʻo i ka mea ma hope o nā hōʻailona. ʻAʻole pono nā mea āpau o ka ʻeha lima i ka mālama lapaʻau. Pane pinepine nā ʻeha liʻiliʻi a me nā ʻeha i ka hau, ka hoʻomaha a me nā lāʻau ʻeha hiki iā ʻoe ke kūʻai aku me ka ʻole o ka palapala kauoha. Akā inā lōʻihi ka ʻeha a me ka pehu ma mua o kekahi mau lā a i ʻole e ʻoi aku ka ʻino, e ʻike i kāu limahana mālama ola. Hiki i ka lohi o ka ʻike a me ka mālama ke alakaʻi i ka ho'ōla maikaʻi ʻole, ka emi ʻana o ka laulā o ka neʻe ʻana a me ka hōʻino lōʻihi.

ʻAʻole nā ʻeha lima āpau e pono ai ka mālama lapaʻau. Hoʻomaʻamaʻa pinepine nā ʻeha liʻiliʻi a me nā ʻeha i ka hau, ka hoʻomaha a me nā lāʻau ʻeha hiki iā ʻoe ke kūʻai aku me ka ʻole o ka palapala kauoha. Akā inā lōʻihi ka ʻeha a me ka pehu ma mua o kekahi mau lā a i ʻole e ʻoi aku ka ʻino, e ʻike i kāu limahana mālama ola. Hiki i ka lohi o ka ʻike a me ka mālama ke alakaʻi i ka hoʻōla maikaʻi ʻole, ka emi ʻana o ka laulā o ka neʻe ʻana a me ka hōʻino lōʻihi.

Hiki i ka poino ʻana i kekahi hapa o kou pulso ke hoʻoulu i ka ʻeha a hoʻopilikia i kou hiki ke hoʻohana i kou pulso a me kou lima. Hiki ke loaʻa ka poino mai: Nā hopena koke. Hoʻomaka pinepine nā ʻeha o ka pulso i ka wā e hāʻule ai ʻoe i mua ma luna o kou lima i hoʻolōʻihi ʻia. Hiki i kēia ke hoʻoulu i nā sprains, nā strains a me nā fractures. ʻO kahi fracture scaphoid kahi i komo ai ka iwi ma ka ʻaoʻao o ka nui o ka pulso. ʻAʻole paha e ʻike ʻia kēia ʻano fracture ma nā X-rays ma hope koke o ka ʻeha. Ke kaumaha mau. ʻO kēlā me kēia hana e komo ai ka neʻe ʻana o ka pulso āu e hana hou ai a hou ai ke hoʻoulu i nā pūnaewele a puni nā hui a i ʻole ke hoʻoulu i nā stress fractures. ʻO kekahi mau laʻana e komo pū ana me ka hahau ʻana i kahi pōle tennis, ka wili ʻana i ka cello a i ʻole ka holo ʻana ma ke alanui. Hoʻonui ʻia ka pilikia o ka ʻeha ke hana ʻoe i ka neʻe ʻana no nā hola me ka hoʻomaha ʻole. ʻO ka De Quervain tenosynovitis kahi ʻeha kaumaha mau e hoʻoulu i ka ʻeha ma ke kumu o ka nui. Osteoarthritis. Hoʻomaka kēia ʻano arthritis i ka wā e hoʻohaʻahaʻa ʻia ai ka cartilage e pale aku i nā welau o nā iwi ma hope o kekahi manawa. ʻAʻole maʻamau ka osteoarthritis ma ka pulso a maʻamau wale nō ia i nā poʻe i hōʻeha i kēlā pulso ma mua. Rheumatoid arthritis. ʻO kahi maʻi kahi e hoʻouka ai ke ʻōnaehana pale o ke kino i kona mau pūnaewele ponoʻī, hoʻopili pinepine ʻia ka rheumatoid arthritis i ka pulso. Inā pilikia kekahi pulso, maʻamau nō hoʻi kekahi. Carpal tunnel syndrome. Hoʻomaka kēia syndrome i ka wā e hoʻonui ai ka kaomi ma ka median nerve i kona hele ʻana ma ka carpal tunnel. ʻO ka carpal tunnel kahi ala hele ma ka ʻaoʻao o ka lima o ka pulso. Ganglion cysts. Hoʻomaka pinepine kēia mau cysts o nā pūnaewele palupalu ma ka ʻāpana o ka pulso e kūʻē i ka lima. Hiki i nā ganglion cysts ke ʻeha, a hiki i ka ʻeha ke hoʻonui a i ʻole ke emi me ka hana. Kienbock disease. Hoʻopili pinepine kēia maʻi i nā ʻōpio a komo pū me ka hāʻule mau ʻana o kekahi o nā iwi liʻiliʻi ma ka pulso. Hoʻomaka ka Kienbock disease i ka wā ʻaʻohe lawa o ke koko i kēia iwi.

Hiki i kekahi ke loaʻa ka ʻeha kūpē — inā paha ʻoe he kanaka noho mālie loa, he kanaka hana nui loa, a i ʻole ma waena. Akā, hiki ke hoʻonui ʻia ka pilikia e:

• Ke komo ʻana i nā haʻuki. He mea maʻamau nā ʻeha kūpē i nā haʻuki he nui, ʻo nā mea e pili ana i ka hopena a me nā mea e pili ana i ka hoʻoikaika hou ʻana i ke kūpē. Hiki i kēia ke komo pū me ka pôpeku, ka bowling, ka golf, ka gymnastics, ka snowboarding a me ka tennis.
• Ka hana hou. ʻAneane hiki i kēlā me kēia hana hou e pili ana i kou mau lima a me kou mau kūpē ke hoʻoulu i ka ʻeha kūpē. ʻO ka ulana a me ka ʻoki ʻana i ka lauoho, inā hana ikaika loa a pinepine loa, hiki ke alakaʻi i ka ʻeha kūpē nui.
• Nā maʻi a i ʻole nā kūlana kūikawā. Hiki i ka hāpai keiki, ka maʻi diabetes, ka momona, ka maʻi ʻaʻai rheumatoid a me ka gout ke hoʻonui i ka pilikia o ka loaʻa ʻana o ka maʻi carpal tunnel.

He hikiʻole ke pale aku i nā hanana i manaʻoʻole ʻia e hoʻopilikia pinepine i nā lima, akā hiki i kēia mau ʻōlelo aʻoaʻo maʻamau ke hāʻawi i kekahi palekana:

• E hoʻoikaika i nā iwi. Hiki i ka loaʻa ʻana o ka nui o ka calcium ke kōkua i ka pale ʻana i nā haki. No ka hapa nui o nā mākua, ʻo ia hoʻi he 1,000 a 1,200 milligrams i ka lā.
• E pale i nā hāʻule. ʻO ka hāʻule ʻana i mua ma ka lima i hoʻolōʻihi ʻia ka kumu nui o ka hapa nui o nā hōʻeha lima. No ke kōkua ʻana i ka pale ʻana i nā hāʻule, e hoʻohana i nā kāmaʻa kūpono. E wehe i nā pilikia o ka home. E hoʻomālamalama i kou wahi noho. A e kau i nā paʻa lima i loko o kou lumi ʻauʻau a me nā paʻa lima ma kāu mau alapiʻi, inā pono.
• E hoʻohana i nā mea pale no nā hana haʻuki. E hoʻohana i nā pale lima no nā hana pilikia nui, e like me ka pôpeku, ka snowboarding a me ka in-line skating.
• E makaʻala i ka ergonomics. Inā lōʻihi ʻoe i ka keyboard, e hoʻomaha pinepine. I kou kākau ʻana, e mālama i kou mau lima i kahi kūlana hoʻomaha, kūlike. Hiki i kahi keyboard ergonomic a me kahi kākoʻo lima foam a gel paha ke kōkua.

I ka wā o ka nānā kino, hiki i kāu limahana mālama ola ke:

• Nānā i kou pulso no ka ʻeha, pehu a i ʻole ka ʻino.
• Noi iā ʻoe e hoʻoneʻe i kou pulso e nānā i ka emi ʻana o kou laulā o ka neʻe ʻana.
• Nānā i kou ikaika paʻa a me ka ikaika o kou lima mua.

Hiki i nā hoʻokolohua kiʻi ke komo pū me:

• X-ray. ʻO kēia ka hoʻokolohua maʻamau loa i hoʻohana ʻia no ka ʻeha o ka pulso. Ma ka hoʻohana ʻana i kahi liʻiliʻi o ka radiation, hiki i nā X-rays ke hōʻike i nā haki iwi a i ʻole nā ​​hōʻailona o ka osteoarthritis.
• CT. Hiki i kēia scan ke hāʻawi i nā hiʻohiʻona kikoʻī o nā iwi ma ka pulso. Hiki i ka CT ke ʻike i nā haki ʻaʻole i ʻike ʻia ma nā X-rays.
• MRI. Hoʻohana kēia hoʻokolohua i nā nalu radio a me kahi kahua magnetic ikaika e hana i nā kiʻi kikoʻī o nā iwi a me nā ʻiʻo palupalu. No kahi MRI pulso, hiki paha iā ʻoe ke hoʻokomo i kou lima i loko o kahi mea liʻiliʻi ma mua o ka mīkini MRI holo kino.
• Ultrasound. Hiki i kēia hoʻokolohua maʻalahi, noninvasive ke kōkua i ka nānā ʻana i nā tendons, ligaments a me nā cysts.

Inā ʻaʻole lawa ka ʻike i hāʻawi ʻia e nā hopena hoʻokolohua kiʻi, pono paha ʻoe i kahi arthroscopy. Hoʻohana kēia kaʻina hana i kahi mea hana i like me ka penikala i kapa ʻia ʻo arthroscope. Hoʻokomo ʻia ka arthroscope i loko o ka pulso ma o kahi ʻoki liʻiliʻi ma ka ʻili. Loaʻa i ka mea hana kahi kukui a me kahi kāmela liʻiliʻi, kahi e hoʻokalakupua ai i nā kiʻi ma kahi monitor kīwī. Ua manaʻo ʻia ʻo Arthroscopy ka maʻamau gula no ka loiloi ʻana i ka ʻeha lōʻihi o ka pulso. I kekahi mau hihia, hiki i kahi kauka orthopedic ke hoʻoponopono i nā pilikia o ka pulso ma o ka arthroscope.

Hiki i kāu limahana mālama ola ke kauoha i kahi electromyogram (EMG) inā kānalua ʻia ka carpal tunnel syndrome. Ana ka hoʻokolohua EMG i nā hoʻokuʻu uila liʻiliʻi i hana ʻia i nā ʻiʻo. Hoʻokomo ʻia kahi electrode lahilahi i loko o ka ʻiʻo, a ua hoʻopaʻa ʻia kona hana uila i ka wā e hoʻomaha ana ka ʻiʻo a i ka wā e hoʻopaʻa ʻia ai. Hana pū ʻia nā haʻawina alakaʻi nerve e nānā inā ua lohi nā impulse uila ma ka ʻāpana o ka carpal tunnel.