Manamana mallet - ma hope o ka mālama ʻana
Kū ka manamana mallet ke hiki ʻole iā ʻoe ke hoʻopololei i kou manamana lima. Ke hoʻāʻo ʻoe e hoʻopololei, kūlou ka piko o kou manamana lima i kou poho lima.
ʻO nā ʻeha haʻuki ke kumu maʻamau o ka manamana lima, ʻo ia hoʻi mai ka hopu ʻana i kahi kinipōpō.
Hoʻopili nā tendendons i nā iwi. ʻO ke kuhi e hoʻopili i ka piko o kou iwi manamana ma ka ʻaoʻao hope e kōkua iā ʻoe e hoʻopololei i kou manamana lima.
Kū ka manamana mallet ke pili kēia tendon:
- Ua kīloi a nahae paha
- Huki i kahi ʻāpana o ka iwi mai ke koena o ka iwi (haʻihaʻi avulsion)
Kū pinepine ka manamana mallet ke kū kekahi mea i ka piko o kou manamana pololei a kūlou i lalo me ka ikaika.
ʻO ke kau ʻana i kahi mālamalama ma kou manamana lima e mālama pololei ai ka hoʻomaʻamaʻa maʻamau no ka manamana lima. Pono ʻoe e komo i kahi mālamana no nā lōʻihi like ʻole o ka manawa.
- Inā kīloi wale ʻia kou tendon, ʻaʻole i haehae ʻia, pono ia e hoʻōla i ka 4 a i ka 6 mau pule inā ʻoe e hoʻokomo i kahi kuʻina i nā manawa āpau.
- Inā haehae ʻia a huki ʻia paha kou iwi i ka iwi, pono ia e hoʻōla i 6 a 8 mau pule o ke kau ʻana i ka lāʻau āpau i nā manawa āpau. Ma hope o kēlā, pono ʻoe e ʻaʻa i kou splint no 3 a 4 mau pule hou, i ka pō wale nō.
Inā kali ʻoe e hoʻomaka i ka lapaʻau ʻana a mai hoʻokomo ʻole i ka splint e like me ka mea i haʻi ʻia iā ʻoe, pono ʻoe e kau lōʻihi. ʻAʻole makemake nui ʻia ke ʻoki kino koe wale no nā haki ʻoi loa.
Hana ʻia kāu splint i ka plastic paʻa a i ʻole ka alumini. Pono i kahi ʻoihana i hoʻomaʻamaʻa e hoʻomaʻamaʻa i kāu kikoʻī e ʻike pono ke kū pololei a aia kou manamana lima i kahi kūpono no ka hoʻōla.
- Pono e lawa pono kāu splint e paʻa i kou manamana lima i kahi kū pololei i mea e iho ʻole ai. Akā ʻaʻole ia e paʻa pono e ʻokiʻoki ai i ke kahe o ke koko.
- E mālama ʻoe i kāu mālamana inā ʻaʻole haʻi kāu kauka iā ʻoe hiki iā ʻoe ke hemo. I kēlā me kēia manawa ke hemo iā ia, hiki ke hoʻolōʻihi i kou manawa hoʻōla.
- Inā keʻokeʻo kou ʻili ke wehe ʻoe i kou kuʻekuʻe, paʻa paha ia.
Hiki paha iā ʻoe ke hoʻi i kāu mau hana maʻamau a i ʻole nā haʻuki, ke kau ʻoe i kāu kinikini i nā manawa āpau.
E akahele i ka wā e hemo ai kāu molo e hoʻomaʻemaʻe.
- E mālama pololei i kou manamana lima i ka manawa āpau e pio ai ka ʻāpana.
- Ke waiho nei i kou manamana lima i lalo a kūlou paha e manaʻo paha ʻoe e ʻaʻa lōʻihi i kou splint.
Ke holoi ʻoe, uhi i kou manamana lima a wili me kahi ʻeke ea. Inā pulu lākou, hoʻomaloʻo iā lākou ma hope o kou ʻauʻau. E mālama pololei i kou manamana lima i nā manawa āpau.
Hiki ke kōkua me ka ʻeha i ka hoʻohana ʻana i kahi pahu hau. E noi i ka pahu hau no 20 mau minuke, i kēlā me kēia hola e ala ʻoe no nā lā 2 mua, a laila no 10 a 20 mau minuke, 3 manawa i kēlā me kēia lā e pono ai e hōʻemi i ka ʻeha a me ka pehu.
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 kauka olakino ma mua o ka hoʻohana ʻana i kēia mau lāʻau inā loaʻa ʻoe i ka maʻi puʻuwai, ke koko kiʻekiʻe, nā maʻi maʻi konohiki, a i ʻole nā maʻi ʻeha o kou 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.
Ke hiki i kou manawa e hemo ai, e nānā kāu mea hāʻawi i ke ola o kou manamana lima. ʻO ka pehu ʻana i kou manamana lima ke ʻaʻole ʻoe e ʻaʻa hou i ka mālamele kahi hōʻailona paha ʻaʻole i hoʻōla ʻia ke kolo. Pono ʻoe i kahi lā x hou o kou manamana lima.
Inā ʻaʻole i hoʻōla kou manamana lima i ka hopena o ka lapaʻau ʻana, e ʻōlelo paha kāu mea hāʻawi i 4 mau pule ʻē aʻe o ke kau ʻana i ka splint.
Kāhea i kāu mea hāʻawi inā:
- Pehu nō kou manamana lima i ka hopena o kāu manawa lapaʻau
- Eʻoi aku ka ʻeha o kou ʻeha i kēlā me kēia manawa
- Hoʻololi kaʻili o kou manamana lima i ke kala
- Hoʻoulu ʻoe i ka numbness a i ʻole ke kani ʻana i kou manamana lima
Manamana kinipōpō hīnaʻi - ma hope o ka mālama ʻana; Pālima manamana - ma hope o ka mālama ʻana; ʻO ka haki avulsion - manamana lima - ma hope o ka mālama ʻana
Kamal RN, Gire JD. ʻO nāʻeha Tendon i ka lima.I: Miller MD, Thompson SR, eds. ʻO DeLee Drez & Miller's Orthopedic Sports Medicine. 5th lā. Piladelapia, PA: Elsevier; 2020: chap 73.
Strauch RJ. ʻEha ʻino Extensor. I: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, hua. ʻO keʻoki lima lima ʻōmaʻomaʻo o Green. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 5.
- Nā hōʻeha manamana lima a me nā maʻi