Pākuʻi manamana

Hana ʻia ka manamana lima i ka wā e paʻa ai ka manamana lima a i ʻole ka manamana nui i kahi kūlou, me he mea lā e ʻānai ana ʻoe i kahi mea hoʻonāukiuki. Ke hemo ʻole, popo pololei ka manamana lima, e like me ka hoʻokuʻu ʻana o kahi mea hoʻoheheʻe.

I nā hihia koʻikoʻi, ʻaʻole hiki ke hoʻopololei i ka manamana lima. Pono ke ʻoki kino e hoʻoponopono iā ia.

Hoʻohui nā tendendons i nā mākala i nā iwi. Ke hoʻopaʻa ʻoe i kahi mākala, huki ia i ka lono, a ʻo ia ke kumu e neʻe ai ka iwi.

ʻO nā kolo e hoʻoneʻe i kou manamana lima i loko o kahi ʻāpana tendon (tunnel) ke kūlou ʻoe i kou manamana lima.

• Inā pehu ka tunnel a lilo i liʻiliʻi, a i ʻole he kuʻi ka tendon ma luna ona, ʻaʻole hiki i ke tendon ke paheʻe i loko o ke ana.
• Ke hiki ʻole ke paheʻe ʻoluʻolu, paʻa paha ke tendon ke hoʻāʻo ʻoe e hoʻopololei i kou manamana lima.

Inā he manamana kuhi kou.

• ʻOʻoleʻa kou manamana lima a laka paha i kahi kūlou.
• He ʻehaʻeha a popping paha ʻoe ke kūlou a hoʻoponopono i kou manamana lima.
• ʻOi aku ka maikaʻi o kāu mau hōʻailona i ke kakahiaka.
• Loaʻa iā ʻoe kahi puʻu palupalu ma ka ʻaoʻao o kou mau lima ma ke kumu o kou manamana lima.

Hiki ke hana i ka manamana lima i nā keiki a me nā mākua. ʻOi aku ka maʻamau i ka poʻe:

• Aia ma mua o 45 mau makahiki
• He wahine paha
• Loaʻa i ka maʻi diabetes, rheumatoid arthritis, a i ʻole ke gout
• Hana i nā hana a i ʻole nā ​​hana e koi ai i ka hopu hou ʻana o kā lākou mau lima

Kuhi ʻia ka manamana Trigger e ka mōʻaukala olakino a me kahi hoʻokolohua kino. ʻAʻole koi ka manamana lima i nā x-ray a i nā hoʻokolohua lab. Hiki iā ʻoe ke ʻoi aku ma mua o hoʻokahi kaomi manamana a hiki ke hoʻomohala i nā lima ʻelua.

I nā hihia maʻalahi, ʻo ka pahuhopu ka hoʻemi ʻana i ka pehu i loko o ke ana.

ʻO ka mālama pono pilikino ponoʻī pū kekahi:

• ʻAe i ka tendon e hoʻomaha. E noi paha kāu mea mālama ola iā ʻoe e komo i kahi mālamana. A i ʻole, hiki i ka mea hāʻawi ke hoʻopaʻa i kou manamana lima i kekahi o kou mau manamana lima ʻē aʻe (i kapa ʻia ʻo buddy taping).
• He mea kōkua paha ke noi ʻana i ka wela a me ka hau a me ka hohola ʻana.

Hāʻawi paha kāu mea hāʻawi iā ʻoe i kahi kī o kahi lāʻau i kapa ʻia ʻo cortisone. Hele ka pana i loko o ke ana i komo ai ke tendon. Hiki i kēia ke kōkua i ka hoʻēmi ʻana i ka pehu. E hoʻāʻo paha kāu mea hāʻawi i kahi kī lua inā ʻaʻole holo ka mea mua. Ma hope o ka hoʻopili ʻana, hiki iā ʻoe ke hana ma ka neʻe ʻana o kou manamana lima e pale i ka pehu ʻana o ke tendon.

Pono ʻoe i ke ʻoki inā hoʻopaʻa ʻia kou manamana lima i kahi kūlou a i ʻole maikaʻi maikaʻi me nā lāʻau ʻē aʻe. Hana ʻia ke ʻoki ma lalo o ka anesthesia kūloko a i ʻole ka poloka nerve. Pale kēia i ka ʻeha. Ala paha ʻoe i ka wā o ke kaha ʻana.

I ka wā o ke kaha ʻana:

• E hana i kahi ʻoki liʻiliʻi i kou ʻili ma lalo pono o ka tunnel (ka uhi e uhi ana i ke kahena) o kou manamana lima.
• A laila e hana i kahi ʻoki liʻiliʻi i ke ana. Inā ala ʻoe i ka wā o ke ʻoki ʻana, noi ʻia ʻoe e neʻe i kou manamana lima.
• Pani i kou ʻili me nā humuhumu a kau i ka compression a i ʻole nā ​​kaula paʻa ma kou lima.

Ma hope o ke kahakaha ʻana:

• E hoʻomau i ka bandage no 48 mau hola. Ma hope o kēlā, hiki iā ʻoe ke hoʻohana i kahi bandage maʻalahi, e like me kahi Band-Aid.
• E wehe ʻia kāu mau humuhumu ma hope o 2 mau pule.
• Hiki iā ʻoe ke hoʻohana maʻamau i kou manamana lima i ka manawa e ola ai.

Inā ʻoe e ʻike i nā hōʻailona o ka maʻi, e kāhea koke aku i kāu kauka. ʻO nā hōʻailona o ka maʻi pū kekahi:

• ʻO kaʻulaʻula i kou ʻoki a lima paha
• ʻO ka pupuhi a mehana paha i kou ʻoki a lima paha
• ʻO ka hoʻoheheʻe melemele a ʻōmaʻomaʻo paha mai ka ʻoki
• Paʻi lima a hōʻoluʻolu ʻole paha
• Fiva

Inā hoʻi kou manamana kime, e kāhea i kāu kauka. Pono ʻoe i kahi ʻoki hou.

Digital stenosing tenosynovitis; Pālua helu Hoʻokuʻu i ka manamana hoʻonāukiuki; Manamana laka ʻia; Digital flexor tenosynovitis

Wainberg MC, Bengtson KA, Silver JK. Pākuʻi manamana. 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 37.

Wolfe SW. ʻO Tendinopathy. 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 56.

• Nā hōʻeha manamana lima a me nā maʻi