Distal median nerve disfungsi

ʻO ke kīnā o ke aʻa waena waena kahi ʻano o ke neuropathy ākea e pili ana i ka neʻe ʻana o a i ʻole sensation i nā lima.

ʻO kahi ʻano maʻamau o ka distal median nerve dysfunction ka carpal tunnel syndrome.

ʻO ke kīnā ʻole o kekahi hui nerve, e like me ke aʻalolo medal distal, ua kapa ʻia he mononeuropathy. ʻO ke kumu o Mononeuropathy aia kekahi kumu kūloko o ka hōʻino nā nerve. ʻO nā maʻi e hoʻopili ana i ke kino holoʻokoʻa (nā ʻōnaehana ʻōnaehana) hiki i ke kumu o ka hōʻino ʻia ʻana o ke aʻalolo.

Hana ʻia kēia ʻano ke wela ke nerve, paʻa, a ʻeha paha e ka ʻeha. ʻO ke kumu maʻamau ka hopu ʻana (entrapment). Hoʻokomo ka pahele i ke kaomi ma luna o ke aʻalolo kahi e hele ai i kahi wahi hāiki. Hiki i nā haʻi lima ke hōʻeha pololei i ke aʻalolo waena. A i ʻole, hoʻonui paha ia i ka makaʻu no ka hei ʻana i ke aʻalolo ma hope.

ʻO ka hoʻohaunaele o nā tendon (tendonitis) a i ʻole nā ​​ami (arthritis) hiki ke hoʻokau i ke aʻalolo. Hoʻonui kekahi o nā neʻe hou ʻana i ka manawa o ka hoʻomohala ʻana i ke komo ʻana o carpal tunnel. ʻOi aku ka hopena o nā wahine ma mua o nā kāne.

ʻO nā pilikia e pili ana i kaʻiʻo kokoke i ke aʻalolo a i ʻole ke kumu o ka waiho ʻana o nā waihona i loko o ka mea hiki ke pale i ke kahe o ke koko a alakaʻi i ke kaomi ma ke aʻalolo. ʻO nā ʻano e like me:

• ʻO ka hormone ulu ulu nui i loko o ke kino (acromegaly)
• Diabetes
• ʻO ka thyroid underactive (hypothyroidism)
• ʻO ka maʻi kīwī
• Ua kāhea ʻia ka maʻi ʻaʻai koko he myeloma maha
• Hapai keiki
• Ka momona

I kekahi mau hihia, ʻaʻole hiki ke loaʻa kahi kumu. Hiki i ka maʻi diabetes ke hoʻonui i kēia ʻano.

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

• ʻEha ma ka pulima a lima paha e ʻeha a hoʻāla iā ʻoe i ka pō, a ʻike ʻia paha i nā wahi ʻē aʻe, e like me ka lima o luna (kapa ʻia kēia ʻeha.)
• Hoʻololi ka manaʻo i ka manamana nui, ka papa kuhikuhi, waena, a me ka ʻāpana o nā manamana lima, e like me ka manaʻo wela, hoʻemi i ka sensation, numbness a me tingling
• Nāwaliwali o ka lima e hoʻolei iā ʻoe i nā mea a i ʻole paʻakikī e hopu i nā mea a i ʻole ke kī ʻana i ka pālule

E nānā kāu mea mālama ola i kou pulima a nīnau e pili ana i kāu mōʻaukala. ʻO nā hoʻāʻo e hana ʻia ana paha:

• Electromyogram (EMG) e nānā i ka hana uila o nā mākala
• Nā ho'āʻo conduction nerve e nānā i ka wikiwiki o nā neʻe uila e neʻe ma waena o kahi aʻalolo
• ʻO ke ultrasound Neuromuscular e nānā ai i nā pilikia me nā mākala a me nā aʻalolo
• ʻO ke biopsy nerve kahi i lawe ʻia ai nā aʻa nerve no ka nānā ʻana (ʻaʻole pono iki)
• Mākēneki resonance neurography (kiʻi piha kikoʻī o nā aʻa peripheral)

Hoʻolālā ʻia ka mālama ʻana i ke kumu kumu.

Inā hoʻopili ʻia ke aʻalolo waena e ka carpal tunnel Syndrome, hiki i kahi kuʻi lima e hoʻemi i ka hōʻeha hou aku i ke aʻalolo a kōkua i ka hoʻomaha ʻana i nā ʻōuli. Ke kau nei i ka mālamalama i ka pō e hoʻomaha ai ka wahi a hoʻemi i ka pehu. Hiki ke kōkua i kahi kuʻi ʻana i ka pulima me nā ʻōuli, akā ʻaʻole ia e hoʻoponopono i ka pilikia ma lalo. Pono paha ke ʻoki ʻana inā ʻaʻole kōkua kahi ʻoki a lāʻau paha.

No nā kumu ʻē aʻe, pili paha i ka mālama ʻana i kekahi o kēia mau mea:

• Nā lāʻau e kāohi ai i ka ʻeha o ke aʻa (e like me gabapentin a i ʻole pregabalin)
• Ke mālama nei i ka pilikia olakino e hōʻino ana i nā aʻa, e like me ka maʻi kōkō a i ʻole nā ​​maʻi puʻupaʻa
• Hoʻoikaika kino e kōkua i ka mālama ʻana i ka ikaika o ka mākala

Inā hiki ke ʻike a mālama ʻia ke kumu o ka hana ʻole o ke aʻalolo, loaʻa kahi manawa kūpono o ka hoʻōla piha. I kekahi mau hihia, aia kekahi a i ʻole ka nalowale o ka neʻe a i ʻole ka manaʻo. ʻOi aku ka ʻeha o ke aʻa a paʻa no ka manawa lōʻihi.

Komo pū nā pilikia:

• Deformity o ka lima (laha ʻole)
• Hapa hapa a piha paha o ka neʻe lima
• Hapa hapa a piha paha o ka sensation i nā manamana lima
• ʻO ka hōʻeha hou a ʻike ʻole paha i ka lima

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka distal median nerve disunction. Hoʻonui ka hōʻoia mua a me ka mālama ʻana i ka manawa o ka hoʻōla a kaohi ʻana paha i nā ʻōuli.

Kūleʻa ke kāohi, kaukaʻi ʻia i ke kumu. I ka poʻe me ka maʻi diabetes, ke kaohi ʻana i ke kō i ke kō e hōʻemi ai i ka makaʻu ʻana i nā maʻi nerve.

No ka poʻe me nā hana e pili ana i ka neʻe ʻana o ka lima o ka pulima, pono i kahi loli i ke ʻano o ka hana. Hiki ke kōkua i ka haki pinepine i ka hana.

Neuropathy - distal median nerve

• ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral

ʻO Craig A, Richardson JK, Ayyangar R. Rehabilitation o nā mea maʻi me nā neuropathies. I: Cifu DX, hoʻoponopono. ʻO Braddom's Physical Medicine and Rehabilitation. 5th lā. Piladelapia, PA: Elsevier; 2016: chap 41.

Katirji B. Nā maʻi o nā aʻa ākea. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 107.

ʻO Toussaint CP, Ali ZS, Zager EL. Nā syndromes entrapment mamao: carpal tunnel, cubital tunnel, peroneal, a me tunnel tunnel. I: Winn HR, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 249.

Waldman SD. Carpal tunnel maʻi maʻi. I: Waldman SD, hoʻoponopono. Nā Atlas o nā Syndrome Pain maʻamau. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 50.