Pākuʻi lima - mālama mālama

ʻO ka sprain kahi ʻeha i nā ligament a puni kahi ami. He ikaika nā ligament, nā olonā maʻalahi e paʻa pū nā iwi.

Ke kuhi ʻoe i kou lima, ua huki a haehae paha ʻoe i hoʻokahi a ʻoi aku paha o nā ligament i kou hui lima. Hiki i kēia ke kū mai ka pae ʻana i kou lima hewa ke hāʻule ʻoe.

E ʻike i ka mea mālama ola i ka wā e hiki ai ma hope o kou ʻeha.

Hiki i nā pūlima lima ke akahai a koʻikoʻi. Kuhi ʻia lākou e ka nui o ka huki ʻia ʻana o ka ligament a haehae ʻia paha mai ka iwi.

• Papa 1 - Hoʻonui lōʻihi ʻia nā ligament, akā ʻaʻole i haehae. He hōʻeha māmā kēia.
• Papa 2 - Ua haehae hapa ʻia nā ligament. He ʻeha kaulike kēia a koi paha i ka splinting a i ʻole ka hoʻolei ʻana e hoʻokūpaʻa i ka hui.
• Papa 3 - Haehae loa nā ligament. He hōʻeha koʻikoʻi kēia a koi pinepine ʻia ka mālama olakino a ʻoki lāʻau paha.

ʻO nā kuʻi lima lima mau mai nā hōʻeha ligament i hana maikaʻi ʻole ʻia i ka wā i hala i hiki ke alakaʻi i ka nāwaliwali o nā iwi a me nā ligament i ka lima. Inā mālama ʻole ʻia, hiki i kēia ke alakaʻi i ka maʻi kōpaʻa.

ʻO nā ʻōuli e like me ka ʻeha, ka pehu ʻana, ka ʻeha a me ka nalo ʻana o ka ikaika a kūpaʻa paha e maʻa mau me ke akahai (grade 1) a kaulike (grade 2) wili pūlima.

Me nā hōʻeha māmā, maʻamau ka paʻakikī ke hoʻomaka ka hoʻōla ʻana i ka ligament. Hiki i kēia ke hoʻomaikaʻi me ke kau ʻana o ka malamalama.

Pono paha e nānā i nā pulima lima lima koʻikoʻi e ka mea hana lima lima. Pono e hana i nā kukuna X a i ʻole MRI o ka pulima. ʻOi aku ka nui o nā hōʻeha ʻeha i ke ʻoki.

Pono e mālama i nā sprains maʻi me ka splinting, lāʻau ʻeha, a me nā lāʻau anti-inflammatory. Pono paha nā sprains maʻi i nā lāʻau steroid a hiki paha ke ʻoki.

E hāhai i nā ʻōkuhi kikoʻī no ke kōkua ʻana i nā ʻōuli. Hiki paha iā ʻoe ke ʻōlelo ʻia no nā lā mua a i ʻole mau pule ma hope o kou ʻeha.

• Hoʻomaha. Kāohi i kekahi hana e hōʻeha i ka ʻeha. Pono ʻoe i kahi mālamala. Hiki iā 'oe ke' ike i nā kuʻi lima lima ma kāu hale kūʻai lāʻau kūloko.
• ʻO Ice kou pūlima lima ma kahi o 20 mau minuke, 2 a 3 mau manawa i ka lā. I mea e pale ai i ka ʻeha o ka ʻili, wahī i ka ʻeke hau i kahi lole maʻemaʻe ma mua o ka hoʻopili ʻana.

E nānā pono e hoʻomaha i kou lima a hiki i ka hiki. E hoʻohana i ka wahī hoʻowalewale a i ʻole ka ʻūlū e pale i ka pulimaʻu mai ka neʻe ʻana a mālama i ka pehu i lalo.

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 hoʻolako ma mua o ka hoʻohana ʻana i kēia mau lāʻau inā loaʻa ʻoe i ka maʻi puʻuwai, ke koko kiʻekiʻe, nā maʻi ʻōpū, a i ʻole loaʻa nā puʻuwai ʻōpū a i ʻole ke kahe kūloko i ka wā i hala.
• Mai lawe i nā mea i koi ʻia ma ka ʻōmole a i ʻole nā ​​mea hāʻawi.
• Mai hāʻawi i ka aspirin i nā keiki.

No ke kūkulu ʻana i ka ikaika ke hoʻomaka ka maikaʻi o kou pulima, e hoʻāʻo i ka ʻūlū kinipōpō.

• Me kou poho lima, e hoʻokau i kahi popo kāpili i kou lima a lālau me kou mau manamana lima.
• E hoʻomau i kou lima a me kou pulima ʻoiai ʻoe e ʻūlū mālie i ka kinipōpō.
• Kaomi no kahi o 30 kekona, a laila hoʻokuʻu.
• E hana hou i kēia mau manawa he 20, ʻelua mau manawa i ka lā.

E hoʻonui i ka maʻalahi a me ka neʻe:

• E hoʻomehana i kou pūlima ma ka hoʻohana ʻana i kahi pale hoʻomehana a i kahi kapa holoi mehana ma kahi o 10 mau minuke.
• I ka manawa e mahana ai kou lima, e hoʻolōʻihi i kou lima a hopu i kou mau manamana lima me ka lima ʻeha ʻole. E hoʻihoʻi mālie i nā manamana lima e pelu i ka lima. Kū ma mua o ka hoʻomaka ʻana e hōʻoluʻolu ʻole. E paʻa i ke kau no 30 kekona.
• Lawe i kahi minuke e hoʻomaha i kou lima. E hana hou i ke kīnā i 5 mau manawa.
• Kulou kou lima i ka ʻaoʻao ʻaoʻao, e kīloi i lalo a paʻa no 30 kekona. Hoʻomaha i kou pulima lima no hoʻokahi minuke, a hana hou i kēia kīnā i 5 mau manawa, pū kekahi.

Inā ʻoe e hoʻonui i ka ʻoluʻolu ʻole i kou pulima ma hope o kēia mau hoʻomaʻamaʻa ʻana, e hoʻoheheʻe i ka pūlima no 20 mau minuke.

Hana i nā hoʻoikaika kino i ʻelua mau lā i ka lā.

E hāhai me kāu mea hoʻolako 1 a 2 mau pule ma hope o kou ʻeha.Ma muli o ke koʻikoʻi o kou ʻeha, makemake paha kāu mea hāʻawi e ʻike iā ʻoe ma mua o hoʻokahi manawa.

No nā sprains lima mau, e kamaʻilio me kāu mea hoʻolako e pili ana i ka hana e hana ai iā ʻoe e hōʻeha hou i kou pulima a me nā mea hiki iā ʻoe ke pale aku i ka hōʻeha hou.

Kāhea i ka mea hāʻawi inā loaʻa iā ʻoe:

• Nūmū a piʻipiʻi paha
• Hoʻonui piʻi i ka ʻeha a i ʻole ka pehu
• ʻEha pākī a paʻa paha i ka lima
• ʻO kahi ʻeha me he mea lā ʻaʻole e hoʻōla e like me ka mea i manaʻo ʻia

Pākuʻi ligament scapholucky - ma hope o ka mālama ʻana

ʻO Marinello PG, ʻo Gaston RG, ʻo Robinson EP, ʻo Lourie GM. Kuhi ka lima a me ka pulima a me ka hoʻoholo ʻana. I: Miller MD, Thompson SR. nā ʻaoʻao ʻO DeLee, Drez, & Miller's Orthopedic Sports Medicine. 5th lā. Piladelapia, PA: Elsevier; 2020: chap 67.

ʻO Williams DT, ʻo Kim HT. Pālima a me ka forearm. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 44.

• ʻO Sprains a me nā Strains
• Nā ʻeha a me nā maʻi o ka lima