ʻO De Quervain tendinitis
He mānoanoa ka tendon, hiki ke hoʻopili ʻia i ka iwi e pili ana i nā mākala i ka iwi. Holo nā kaula ʻelua mai ke kua o kou manamana nui i lalo i ka ʻaoʻao o kou lima. Hoʻokumu ʻia ʻo De Quervain tendinitis ke pehu a hoʻonāukiuki kēia mau ʻāʻī.
Hiki ke kumu ʻia ʻo De Quervain tendinitis e ka pāʻani ʻana i nā haʻuki e like me ka tennis, kolepa, a me ka hoe ʻana paha. Ke hāpai mau nei i nā pēpē a me nā kamaliʻi hiki ke kānana i nā olonā i ka lima a alakaʻi i kēia ʻano.
Inā loaʻa iā ʻoe ʻo De Quervain tendinitis, ʻike paha ʻoe:
- E ʻeha ma ka hope o kou manamana nui ke hana ʻoe i kahi lima, hopu i kahi mea, a huli i kou lima
- Numbness ma ka manamana nui a me ka manamana lima
- ʻO ka pehu ʻana o ka lima
- ʻOʻoleʻa ke neʻe i kou manamana lima a lima paha
- ʻO ke kau ʻana i nā kaula kuʻi lima
- Ka paʻakikī paʻakikī ʻana i nā mea me kou manamana nui
Mālama mau ʻia ʻo De Quervain tendinitis me ka hoʻomaha, nā splints, nā lāʻau, nā loli i ka hana, a me ka hoʻoikaika kino. Hāʻawi paha kāu kauka iā ʻoe i kahi kī o ka cortisone e kōkua ai i ka hōʻemi ʻana i ka ʻeha a me ka pehu.
Inā lōʻihi kou tendinitis, pono paha ʻoe i ke kaha ʻana e hāʻawi i ka tendon i kahi lumi hou aʻe e heʻe ai me ka ʻole ʻana o ka paia o ka pū.
Ice kou pūlima no 20 mau minuke o kēlā me kēia hola ke ala ala. E wahī i ka hau i ka lole. Mai kau pololei i ka hau i ka ʻili no ka mea he hopena kēia i ka hau.
No ka ʻeha, hiki iā ʻoe ke hoʻohana i ka ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), a i ʻole acetaminophen (Tylenol). Hiki iā ʻoe ke kūʻai i kēia mau lāʻau ʻeha ma ka hale kūʻai.
- E kamaʻilio me kāu mea mālama ola ma mua o ka hoʻohana ʻana i kēia mau lāʻau inā loaʻa ʻoe i ka maʻi puʻuwai, ke koko kiʻekiʻe, nā maʻi puʻupaʻa, nā maʻi ate, a i ʻole loaʻa nā puʻuwai ʻōpū a i ʻole nā kahe kūloko i ka wā i hala.
- Mai lawe i nā mea i koi ʻia ma ka ʻōmole a i ʻole nā mea hāʻawi.
Hoʻomaha i kou lima. E mālama i kou pūlima mai ka neʻe ʻana ma ka liʻiliʻi he 1 pule. Hiki iā ʻoe ke hana i kēia me kahi kuʻi lima.
E kau i kahi kuʻi lima i nā haʻuki a i ʻole nā hana i hiki ke hoʻokau i kou pulimaʻu.
Ke hiki iā ʻoe ke neʻe i kou lima me ka ʻole o ka ʻeha, hiki iā ʻoe ke hoʻomaka i ke kau ʻana o ka mālamalama e hoʻonui i ka ikaika a me ka neʻe.
E paipai paha kāu mea hāʻawi i ka hoʻōla kino i hiki iā ʻoe ke hoʻi i ka hana maʻamau i ka wā hiki.
I mea e hoʻonui ai i ka ikaika a me ka maʻalahi, hana i nā hana hoʻolōʻihi māmā. Hoʻomaʻamaʻa hoʻokahi haʻuki i ka kinipōpō tenis.
- Māʻama māmā i kahi kinipōpō tenis.
- Kaomi mālie i ka kinipōpō a hoʻohui i kaomi hou inā ʻaʻohe ʻeha a ʻoluʻolu ʻole paha.
- Paʻa no 5 kekona, a laila hoʻokuʻu i kāu paʻa.
- E hana hou i 5 a 10 mau manawa.
- Hana i kēia i kekahi manawa i ka lā.
Ma mua a ma hope o kekahi hana:
- E hoʻohana i kahi pale hoʻomehana ma kou pulima e hoʻomehana ai ka wahi.
- E lomilomi i kahi a puni kou pulima a me kou manamana nui e hoʻonā i nā mākala.
- Ice kou pūlima a lawe i ka lāʻau ʻeha ma hope o ka hana inā loaʻa ka pilikia.
ʻO ke ala ʻoi loa no ka hoʻōla ʻana o ke olonā e hoʻopili i kahi hoʻolālā mālama. ʻO ka nui o kou hoʻomaha a hana i nā hoʻoikaika kino, ʻo ka wikiwiki nō ia o kou pulima e hoʻōla.
E hāhai me kāu mea hāʻawi inā:
- ʻAʻole hoʻomaikaʻi a ʻeha paha ka ʻeha
- Ua ʻoi aku ka paʻakikī o kou lima
- Ke hoʻonui nei ʻoe i ka helu a i ʻole ke kani ʻana i ka pulima a me nā manamana lima, a i keʻokeʻo a polū paha
Tendinopathy - De Quervain tendinitis; de Quervain tenosynovitis
Donahoe KW, Fishman FG, Swigart CR. ʻEhaʻeha lima a me ka pulima. I: Firestein GS, Budd RC, Gabriel SE, Koretzky GA, McInnes IB, O'Dell JR, hua. ʻO kā Kelly a me Firestein puke aʻo o Rheumatology. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 53.
O'Neill CJ. de Quervain tenosynovitis. I: Frontera, WR, kālā JK, Rizzo TD Jr, eds. Nā mea nui o ka lāʻau lapaʻau a me ka hoʻoponopono hou. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 28.
- Tendinitis
- Nā ʻeha a me nā maʻi o ka lima