ʻO ke kīnā ʻole o ke aʻa Ulnar

He pilikia me ke aʻalolo e holo ana mai ka poʻohiwi a ka lima, ʻo ia ka ulnar nerve. Kōkua ia iā ʻoe e hoʻoneʻe i kou lima, ka pulima, a me ka lima.

ʻO ka hōʻino i hoʻokahi hui nerve, e like me ke aʻalolo ulnar, ua kapa ʻia ʻo mononeuropathy. ʻO Mononeuropathy ke kumu o ka hōʻino ʻana i hoʻokahi aʻalolo. 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.

ʻO nā kumu o ka mononeuropathy me:

• He maʻi i loko o ke kino holoʻokoʻa e hōʻino ai i ke aʻalolo hoʻokahi
• Hoʻopili pololei i ke aʻalolo
• Kaomi lōʻihi ma ke aʻalolo
• Kaomi ma ke aʻalolo i hoʻokumu ʻia e ka pehu a i ʻole ka ʻeha o nā hanana kino kokoke

ʻO ka ulnar neuropathy ka mea maʻamau i ka poʻe me ka maʻi kō.

Hana ʻia ʻo Ulnar neuropathy ke loaʻa ka pōʻino i ke aʻalolo ulnar. Hele kēia nerve i ka lima i ka lima, ka lima, a me ke apo a me nā manamana liʻiliʻi. Hele ia ma kahi kokoke i ka ʻaoʻao o ke kuʻe lima. No laila, ke kuʻi ʻana o ke aʻalolo ma laila ke kumu o ka ʻeha a me ke kani ʻana o "ka pā ʻana i ka iwi hoʻomākeʻaka."

Ke kaomi ʻia ke aʻalolo i ka kuʻe lima, hiki i kahi pilikia i kapa ʻia ʻo cubital tunnel syndrome ke hopena.

Ke hōʻino ka hōʻino i ka uhi ʻana o ke aʻalolo (myelin sheath) a i ʻole kahi ʻāpana o ke aʻalolo iho, hoʻolohi a pale ʻia paha ka hōʻailona nerve.

Hiki ke kumu ʻia ka hōʻino i ke aʻalolo ulnar e:

• Kaomi lōʻihi ma ke kuʻe lima a i ʻole ke kumu o ka palama
• ʻO ka haki kuʻekuʻe a dislocation paha
• Pālua kuʻekuʻe aku, e like me ka puhi paka ʻana

I kekahi mau hihia, ʻaʻole hiki ke loaʻa kahi kumu.

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

• ʻO nā manaʻo maʻamau ʻole i ka manamana liʻiliʻi a me ka ʻāpana o ka manamana lima, maʻamau ma ka ʻaoʻao pāma
• Nawaliwali, nalo o ke kuʻikahi o nā manamana lima
• Deformity Clawlike o ka lima a me ka lima
• ʻO kaʻeha, numbness, hoʻoliʻiliʻi sensation, tingling, a i ʻole ʻā ahi i nā wahi i kaohi ʻia e ke aʻalolo

E hōʻeuʻeu paha ka ʻeha a me ka helu ʻole iā ʻoe mai ka hiamoe ʻana. ʻO nā hana e like me ka tennis a kolepa paha e hoʻonui ai i ke kūlana.

E nānā ka mea mālama ola iā ʻoe a nīnau e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. E nīnau ʻia paha ʻoe i kāu hana ma mua o ka hoʻomaka ʻana o nā ʻōuli.

ʻO nā hoʻāʻo e pono ai e hoʻopili ʻia:

• Nā hoʻāʻo koko
• Nā hoʻokolohua kiʻi, e like me MRI e nānā i ke aʻalolo a me nā hale kokoke
• Nā ho'āʻo conduction nerve e nānā ai i ka wikiwiki o ka neʻe ʻana o nā neura
• Electromyography (EMG) e nānā i ke olakino o ke aʻalolo ulnar a me nā mākala e kaohi ʻia
• ʻO ke biopsy nerve e nānā i kahi ʻāʻī o ke aʻa (ʻaʻole pono iki)

ʻO ka pahuhopu o ka mālama ʻana e ʻae iā ʻoe e hoʻohana i ka lima a me ka lima e like me ka hiki. E ʻike a mālama kāu mea hāʻawi i ke kumu, inā hiki. I kekahi manawa, ʻaʻohe pono e pono ai a e hoʻomaikaʻi ʻoe iā ʻoe iho.

Inā pono nā lāʻau, komo pū paha lākou:

• Nā lāʻau lapaʻau over-the-counter a i ʻole kuhikuhi ʻia (e like me gabapentin a me pregabalin)
• Corticosteroid injection i puni ke aʻalolo e hoʻemi i ka pehu a me ke kaomi

E ʻōlelo paha kāu mea hāʻawi i nā ana mālama pilikino. Pākuʻi ʻia kēia mau mea:

• Kahi kuʻi lima kākoʻo ma ka ʻulima a kuʻekuʻe paha e kōkua ai i ka pale ʻana i ka ʻeha hou aʻe a me ka hoʻomaha ʻana i nā ʻōuli. Pono ʻoe e ʻaʻahu iā ia i ke ao a me ka pō, a i ʻole i ka pō wale nō.
• He kuʻekuʻe lima inā ʻeha ke aʻalolo ulnar i ka kuʻe lima. Eia kekahi, pale i ka ʻōpili a i ʻole ka hilinaʻi ʻana i ka kuʻe lima.
• Hoʻoikaika kino hoʻoikaika kino e kōkua i ka mālama ʻana i ka ikaika o ka mākala i ka lima.

ʻO ka hoʻomaʻamaʻa hana a ʻōlelo aʻoaʻo paha e hōʻike ai i nā loli i kahi hana e pono ai.

Hiki ke kōkua i ke ʻoki kino e huki i ke kaomi ma ke aʻalolo inā hele a ʻoi aku ka maikaʻi ʻole o nā ʻōuli, a i ʻole inā he mea hōʻoia ka ʻāpana o ke aʻa e nalo ana.

Inā hiki ke ʻike ʻia ke kumu o ka hana ʻole o ke aʻalolo a mālama maikaʻi ʻia, aia kahi manawa kūpono o ka hoʻōla piha. I kekahi mau hihia, aia paha he hapa a i ʻole ka nalowale o ka neʻe a i ʻole ka manaʻo.

Komo pū nā pilikia:

• Deformity o ka lima
• Hapa hapa a piha paha o ka sensation i ka lima a i ʻole nā ​​manamana lima
• Hapa hapa a piha paha o ka pulima a me ka neʻe ʻana o ka lima
• ʻO ka hōʻeha hou a ʻike ʻole paha i ka lima

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe kahi ʻeha lima a hoʻomōhala i ka numbness, ʻūlū ʻana, ʻeha, a nāwaliwali paha i kou pūlima a me ke apo a me nā manamana liʻiliʻi.

Hōʻalo i ka kaomi hoʻolōʻihi ma ka kuʻe lima a me ka pāma. Hōʻalo i ke kūlou ʻana o ka kuʻe lima. Pono e nānā mau i nā casts, splints, a me nā mīkini ʻē aʻe no ke kūpono kūpono.

Neuropathy - nerve nerve; Ulnar nerve palsy; Mononeuropathy; Cubital tunnel syndrome

• Ponar nerve Ulnar

ʻO Craig A. Neuropathies. I: Cifu DX, hoʻoponopono. ʻO Braddom's Physical Medicine and Rehabilitation. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2021: chap 41.

ʻO Jobe MT, Martinez SF. ʻO nā hōʻeha nerve peripheral. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 62.

Mackinnon SE, Novak CB. Nā neuropathies kaohi. 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 28.