Carpal tunnel maʻi maʻi

ʻO kahi maʻi ʻo Carpal tunnel Syndrome kahi e nui ai ke kaomi ma ke aʻa waena. ʻO kēia ke aʻalolo i ka lima e hiki ai i ka manaʻo a me ka neʻe i nā ʻāpana o ka lima. Hiki i ka Carpal tunnel Syndrome ke alakaʻi i ka numbness, tingling, nāwaliwali, a i ʻole nā ​​ʻino i nā lima a me nā manamana lima.

Hāʻawi ke aʻalolo waena i ka manaʻo a me ka neʻe ʻana i ka ʻaoʻao manamana nui o ka lima. Pākuʻi ʻia kēia i ka lima, ka manamana nui, ka manamana lima, ka manamana waena, a me ka manamana nui o ka manamana lima.

ʻO ka wahi i kou lima e komo ai ke aʻalolo i ka lima i kapa ʻia ʻo ke alaloa carpal. He haiki nō kēia tunnel. Hiki i kekahi pehu ke ʻūlū i ke aʻalolo a hana i ka ʻeha, ka helu, ka ʻū a i ʻole ka nāwaliwali. Kapa ʻia kēia ʻo carpal tunnel syndrome.

Hānau ʻia kekahi poʻe e hoʻomohala i ka carpal tunnel syndrome me kahi liʻiliʻi liʻiliʻi liʻiliʻi.

Hiki ke kumu ʻia ʻo Carpal tunnel Syndrome e ka hana ʻana i ka lima like a me ka neʻe ʻana o ka lima a pinepine. ʻO ka hoʻohana ʻana i nā mea hana lima e haʻalulu ai kekahi i alakaʻi ʻia ai i ka carpal tunnel syndrome.

ʻAʻole i hōʻoia ʻia nā noiʻi ʻana i ke ʻano o ke alaloa o ka carpal ma ke kikokiko ʻana ma ke kamepiula, me ka hoʻohana ʻana i ka iole, a i ʻole ke neʻe ʻana i ka neʻe ʻana i ka wā e hana ana, e pāʻani ana i kahi mea kani, a i ʻole ke pāʻani ʻana i nā haʻuki. Akā, hiki i kēia mau hana ke hana i ka tendinitis a i ʻole ka bursitis i ka lima, kahi e hiki ai ke hōʻemi i ke alawai ʻo carpal a alakaʻi i nā ʻōuli.

Hana pinepine ʻo Carpal tunnel Syndrome i nā makahiki 30 a 60 mau makahiki. ʻOi aku ka maʻamau o nā wahine ma mua o nā kāne.

ʻO nā kumu ʻē aʻe i alakaʻi i ka carpal tunnel syndrome e komo pū ana:

• Hoʻohana rama
• ʻO nā iwi iwi a me ka maʻi o ka pulima oʻu
• Cyst a i ʻole ka tumo e ulu ana i ka lima o ka lima
• Nā maʻi ʻino
• Ka momona
• Inā mālama kou kino i nā wai keu i ka wā hāpai a i ʻole menopause
• Rheumatoid arthritis
• Nā maʻi i loaʻa nā waihona abnormal o ke protein i ke kino (amyloidosis)

Pākuʻi ʻia paha nā ʻōuli i kekahi o kēia mau mea:

• Clumsiness o ka lima i ka hopu ʻana i nā mea
• Pōpō a kani paha i ka manamana nui a ʻelua a ʻekolu paha manamana o hoʻokahi a ʻelua paha mau lima
• Numbness a i ʻole ke kani ʻana o ka poho o ka lima
• ʻEha e hoʻolōʻihi i kou kuʻe lima
• ʻEha ma ka pulima a lima paha i hoʻokahi a i ʻole ʻelua mau lima
• Nā pilikia me ka neʻe ʻana o ka manamana maikaʻi (hoʻohui) i hoʻokahi a i ʻole ʻelua mau lima
• Lilo i ka mākala ma lalo o ka manamana nui (i nā kūlana kiʻekiʻe a lōʻihi paha)
• Paʻa nāwaliwali a paʻakikī paha i ka hāpai ʻana i nā ʻeke (kahi hoʻopiʻi maʻamau)
• Nāwaliwali i hoʻokahi a i ʻole nā ​​lima ʻelua

I ka wā o kahi hoʻokolohua kino, loaʻa i kāu mea mālama ola:

• Numbness i ka poho lima, manamana nui, manamana lima, manamana waena, a me ka ʻaoʻao manamana nui o kou manamana lima
• Paʻa lima nāwaliwali
• ʻO ke kuʻi ʻana ma luna o ke aʻalolo waena ma kou pulima e hiki ai ke hōʻeha i ka ʻeha mai kou lima a hiki i kou lima (kapa ʻia kēia ka inoa ʻo Tinel)
• ʻO ke kūlou ʻana i kou pulima i mua i ke ala a pau no 60 kekona e hopena i ka numbness, tingling, a nāwaliwali paha (kapa ʻia kēia ʻo ka hōʻike Phalen)

ʻO nā hoʻokolohua i kauoha ʻia e komo pū:

• Wrist x-ray e kāpae i nā pilikia ʻē aʻe, e like me ka arthritis i kou pulima
• Electromyography (EMG, kahi hoʻāʻo e nānā i nā mākala a me nā aʻalolo e kāohi iā lākou)
• ʻO ka wikiwiki conduction nerve (kahi hōʻike e ʻike ai i ka wikiwiki o nā neʻe uila e neʻe ma waena o kahi nerve)

E ʻōlelo paha kāu mea hāʻawi i kēia mau mea:

• Ke kau nei i kahi kuʻi i ka pō no kekahi mau pule. Inā kōkua ʻole kēia, pono ʻoe e ʻaʻa i ka mālamalama i ke ao kekahi.
• Pale i ka hiamoe ma kou lima.
• Ke waiho nei i nā compresses mehana a me ke anuanu ma kahi i hoʻopili ʻia.

Hiki i nā hoʻololi ke hiki iā ʻoe ke hana i kāu wahi hana e hōʻemi i ke koʻikoʻi ma kou pulimaʻu:

• Ke hoʻohana nei i nā hāmeʻa kūikawā, e like me nā kīpihi, nā ʻano ʻokoʻa o ka iole kamepiula, nā ʻiole i hoʻopaʻa ʻia, a me nā mea huki keyboard.
• Ke nānā nei kekahi i kāu kūlana i ka wā e hana ana i kāu hana hana. ʻO kahi laʻana, e nānā pono i ka haʻahaʻa o ka keyboard e hiki ʻole ke piʻo i luna kou mau lima i ka wā e kikokiko ana. E ʻōlelo paha kāu mea hāʻawi i kahi hoʻoponopono hana.
• Ke hoʻololi nei i kāu mau hana hana a i ʻole nā ​​hana haʻuki a me nā hana haʻuki. ʻO kekahi o nā hana i hoʻopili ʻia me ka carpal tunnel syndrome e pili pū ana me kēlā me kēia mea e pili ana i nā mea hana haʻalulu.

NA LAAU LAPAAU

Hoʻohana ʻia nā lāʻau e mālama ai i ka carpal tunnel Syndrome me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs), e like me ka ibuprofen a i ʻole naproxen. Hāʻawi ʻia nā injection Corticosteroid i loko o ka wahi tunnel carpal i nā ʻōuli no kekahi manawa.

NA MEA HANA

ʻO ke hoʻokuʻu ʻana o Carpal tunnel kahi hana ʻoki e ʻokiʻoki i ka ligament e kaomi ana i ke aʻalolo. Kūleʻa ke kaha ʻana i ka hapa nui o ka manawa, akā pili i ka lōʻihi o kou loaʻa ʻana o ke aʻalolo a me kona koʻikoʻi.

Hoʻonui pinepine nā ʻōuli me ka hana ʻole. Akā ʻoi aku i ka hapalua o nā hihia i ka hopena e pono ke ʻoki. ʻOiai inā kūleʻa ke kaha ʻana, hiki i ka hoʻōla piha ke hala i mau mahina.

Inā mālama maikaʻi ʻia ke ʻano, ʻaʻohe maʻamau i nā manawa maʻamau. Inā mālama ʻole ʻia, hiki ke hōʻino ʻia ke aʻalolo, ke kumu o ka nāwaliwali mau loa, ka helu ʻana, a me ke kani ʻana.

Kāhea i kahi manawa me kāu mea hāʻawi inā:

• Loaʻa iā ʻoe nā ʻōuli o ka carpal tunnel syndrome
• ʻAʻole pane kāu mau ʻōuli i ka mālama maʻamau, e like me ka hoʻomaha a me nā lāʻau anti-inflammatory, a i ʻole inā e lilo ana ka nui o nā mākala ma kou mau manamana lima.
• Lilo hou kou mau manamana lima a me ka nui o ka manaʻo

E hoʻohana i nā pono hana a me nā pono hana e hoʻolālā pono ʻia e hōʻemi i ka makaʻu no ka hōʻeha lima.

Hiki ke hoʻohana ʻia nā kōkua ergonomic, e like me nā keyboard keyboard, nā paepae keyboard, nā pad typing, a me nā kūpeʻe lima e hoʻomaikaʻi ai i ke kūlima o ka lima i ka wā e kikokiko ana. E hoʻomaha pinepine i ke kikokiko ʻana a kū mau inā ʻike ʻoe i ke kani a me ka ʻeha.

ʻO ke kīnā ʻole o ke aʻa waena. Hoʻopaʻi nerve nerve; Neuropathy median

• Kaohi ʻana o ke aʻalolo waena
• Anatomia ʻili - kūlima maʻamau
• Ke kaʻina hana o ke alapiʻi ʻo Carpal
• Carpal tunnel maʻi maʻi

ʻO Calandruccio JH. Carpal tunnel syndrome, ulnar tunnel syndrome, a me stenosing tenosynovitis. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 76.

Zhao M, Burke DT. ʻO ka neuropathy median (carpal tunnel syndrome). I: Frontera WR, Silver JK, Rizzo TD Jr, eds. Nā mea nui o ka lāʻau lapaʻau a me ka hoʻoponopono hou ʻana: nā maʻi Musculoskeletal, Pain, and Rehabilitation. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 36.