ʻO ke kīnā ʻole nerve radial

ʻO ka maikaʻi ʻole o ka nerve radial me ka nerve radial. ʻO kēia nā aʻalolo e hele ana mai ka ʻāpana lima i lalo o ka hope o ka lima i ka lima. 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 aʻa radial, i 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

Hana ʻia ka neuropathy radial ke loaʻa ka hōʻino i ke aʻa radial, e hele i lalo i ka lima a me nā kaohi.

• ʻO ka neʻe ʻana o ka mākala triceps ma ka hope o ka lima luna
• Ka hiki ke pelu i ka lima a me nā manamana i hope
• ʻO ka neʻe a me ka manaʻo o ka pulima a me ka lima

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 radial e:

• Iwi lima haʻi a me nā hōʻeha ʻē aʻe
• Diabetes
• Hoʻohana kūpono ʻole i nā koʻokoʻo
• Lāʻau make kēpau
• Ka lōʻihi a i ʻole constriction hou o ka pūlima (ʻo kahi laʻana, mai ke kau ʻana i kahi kaula wati paʻa)
• Kaomi lōʻihi ma ke aʻalolo, i maʻa mau ʻia e ka pehu ʻana a i ʻole ka ʻeha o nā hanana kino kokoke
• Kaomi i ka lima luna mai nā kūlana lima i ka wā hiamoe a koma paha

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 i ka ʻaoʻao hope a me ka manamana nui o ka lima, a i ʻole i ka manamana nui, 2, a me nā manamana ʻekolu
• Nawaliwali, nalo o ke kuʻikahi o nā manamana lima
• Hoʻopilikia i ka pololei i ka lima ma ka kuʻe lima
• Pilikia ke kūlou ʻana o ka lima i ka pulima, a i ʻole ka hoʻopaʻa ʻana i ka lima
• ʻO kaʻeha, numbness, hoʻoliʻiliʻi sensation, tingling, a i ʻole ʻā ahi i nā wahi i kaohi ʻia e ke aʻalolo

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 ʻana e ʻike i ke aʻalolo a me nā hale kokoke
• Electromyography (EMG) e nānā i ke olakino o ke aʻa aʻa a me nā mākala e kāohi ai
• ʻO ke biopsy nerve e nānā i kahi ʻāʻī o ke aʻa (ʻaʻole pono iki)
• Nā ho'āʻo conduction nerve e nānā ai i ka wikiwiki o ka neʻe ʻana o nā neura

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:

• Over-the-counter a i ʻole nā ​​lāʻau lapaʻau ʻeha
• 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.
• Ua ʻeha kahi kuʻekuʻe lima o ke aʻalolo radial ma ke 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, loaʻa kahi manawa kūpono e ola hou ai ʻoe. 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:

• Māmā i ka deformity nui o ka lima
• Hapa hapa a piha paha o ka manaʻo i ka 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 o ka lima a hoʻomōhala i ka numbness, ʻūlū ʻana, ʻeha, a nāwaliwali paha i ke kua o ka lima a me ka manamana nui a me kou manamana mua ʻelua.

Hōʻalo i ka kaomi hoʻolōʻihi ma ka lima luna.

Neuropathy - nerve radial; Palsy nerve palu; Mononeuropathy

• ʻO ke kīnā ʻole nerve radial

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.

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.