Hoʻokuʻu Carpal tunnel

ʻO ka hoʻokuʻu ʻana ʻo Carpal tunnel kahi ʻoki e mālama ai i ka maʻi maʻi ʻo carpal tunnel. ʻO Carpal tunnel Syndrome ka ʻeha a me ka nāwaliwali i ka lima i hopena ʻia e ke kaomi ma ke aʻa waena ma ka lima.

ʻO ke aʻalolo waena a me nā olonā e wili (a i ʻole curl) i kou mau manamana lima e hele i waena o kahi ala i kapa ʻia ʻo ke alaloa carpal i kou pulima. He haiki kēia tunnel, no laila hiki i kekahi pehu ke ʻūlū i ke aʻalolo a hana i ka ʻeha. ʻO kahi ligament mānoanoa (kiko) ma lalo pono o kou ʻili (ka carpal ligament) e hana ai i luna o kēia ana. I ka wā o ka hana, ʻokiʻoki ka mea lapaʻau ma o ka ligament carpal e hoʻonui i kahi no nā aʻa a me nā aʻa.

Hana ʻia ke kahakaha i ke ala aʻe:

• ʻO ka mea mua, loaʻa iā ʻoe ka lāʻau numbing i ʻole ʻoe e ʻeha i ka wā o ke ʻoki. Ala paha ʻoe akā e loaʻa nā lāʻau iā ʻoe e hoʻomaha ai.
• Hana ʻia kahi ʻoki ʻoki liʻiliʻi i ka poho o kou lima kokoke i kou lima.
• ʻO ka mea aʻe, ʻokiʻoki ʻia ka ligament e uhi ana i ka ʻāpā carpal. Māmā kēia i ke kaomi ma ke aʻa waena. I kekahi manawa, wehe ʻia nā mea a puni ke aʻalolo.
• Hoʻopili ʻia ka ʻili a me ka mea ma lalo o kou ʻili me nā sutures (humuhumu).

I kekahi manawa hana ʻia kēia kaʻina hana me ka hoʻohana ʻana i kahi pahu paʻi liʻiliʻi i hoʻopili ʻia i kahi monitor. Hoʻokomo ke kauka i ka kāmela i kou lima ma o kahi ʻoki liʻiliʻi loa a ʻike i ka mea nānā e ʻike ai i loko o kou pulima. Kapa ʻia kēia pēpē endoscopic. Kapa ʻia ka mea hana he endoscope.

ʻO ka poʻe me nā ʻōuli o ka carpal tunnel syndrome e hoʻāʻo pinepine i nā mālama nonsurgical ma mua. Pākuʻi ʻia kēia mau mea:

• Nā lāʻau anti-inflammatory
• Hoʻomaʻamaʻa e aʻo i nā hoʻolālā a hoʻolōʻihi
• Hoʻololi nā wahi hana e hoʻomaikaʻi ai i kou noho ʻana a pehea e hoʻohana ai i kāu kamepiula a i ʻole nā ​​pono ʻē aʻe
• Pālima lima
• Nā kiʻi o ka lāʻau corticosteroid i loko o ka pūpalāpalapala carpal

Ināʻaʻohe o kēia mau lapaʻau e kōkua, e hoʻāʻo kekahi poʻe kauka lapaʻau i ka hana uila o ke aʻalolo waena me kahi EMG (electromyogram). Inā hōʻike ka hōʻike o ka pilikia ka carpal tunnel Syndrome, carpal tunnel hoʻokuʻu ʻaoʻao paha e paipai ʻia.

Inā ʻemi ka nui o nā mākala ma kou lima a me kou pulima no ka mea e ʻīkī ʻia ke aʻalolo, hana koke ʻia ke kaha.

ʻO nā pilikia no kēia ʻoki kino penei:

• Nā hopena āpau i nā lāʻau
• Kahena
• Maʻi kīnā
• Hoʻopilikia i ke aʻa waena a i ʻole nā ​​ʻalalā e lālā ai ia
• Ka nāwaliwali a me ka helu a puni ka lima
• I nā hihia maʻamau, ʻeha i kekahi nerve ʻē aʻe a i ʻole kīʻaha koko (artery a vein)
• Palupalu palupalu

Ma mua o ke kaha ʻana, pono ʻoe:

• E haʻi i kāu kauka lāʻau i nā lāʻau āu e lawe nei. Hoʻopili kēia i nā lāʻau, nā mea hoʻopiha, a i ʻole nā ​​mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau.
• E noi ʻia paha ʻoe e haʻalele no ka lawe manawa ʻana i kāu lāʻau hoʻoliʻiliʻi koko. Hoʻopili kēia i ka aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), a me nā lāʻau ʻē aʻe.
• E nīnau i kāu mea hāʻawi i nā lāʻau e pono ai ʻoe e lawe i ka lā o kou ʻoki ʻana.
• Inā puhi ʻoe, hoʻāʻo e kū. E noi i kāu mea hāʻawi mai i kōkua. Hiki i ka puhihihi ke hoʻolohi i ka hoʻōla.
• E hoʻomaopopo i kāu mea hāʻawi e pili ana i kekahi anuanu, flu, fever, breakout herpes, a i ʻole nā ​​maʻi ʻē aʻe. Inā maʻi ʻoe, pono e hoʻopaneʻe ʻia kāu ʻoki kino.

I ka lā o ke kaha ʻana:

• E hāhai i nā ʻōkuhi inā pono ʻoe e haʻalele i ka ʻai ʻana a i ʻole ka inu ʻana ma mua o ke kaha ʻana.
• Lawe i nā lāʻau āpau e noi ʻia ʻoe e lawe me kahi wai liʻiliʻi.
• E hāhai i nā ʻōkuhi i ka hiki ʻana i ka haukapila. E hōʻea pono i ka manawa.

Hana ʻia kēia ʻoki ma kahi kumu o waho. ʻAʻole pono ʻoe e noho i ka haukapila.

Ma hope o ke kahakaha ʻana, e paʻa ana paha kou pūlima lima i ka lole wili a kaumaha paha no hoʻokahi pule. E mālama i kēia a hiki i kāu kauka mua e kipa ma hope o ke kahakaha ʻana, a hoʻomaʻemaʻe a maloʻo. Ma hope o ka hemo ʻana o ka mālamana a i ʻole ke kāʻei, e hoʻomaka ʻoe i nā hana neʻe a i ʻole kahi papahana hoʻōla kino.

Hoʻemi ka hoʻokuʻu ʻana o Carpal tunnel i ka ʻeha, ke kani ʻana o ke aʻa, a me ka puʻupuʻu, a hoʻihoʻi i ka ikaika o nā mākala. Kōkua ʻia ka hapa nui o ka poʻe e kēia ʻoki.

E pili ka lōʻihi o kou ola ʻana i ka lōʻihi o kou loaʻa ʻana o nā ʻōuli ma mua o ke kaha ʻana a me ka hōʻino loa ʻana o kou aʻa waena. Inā loaʻa iā ʻoe nā ʻōuli no ka manawa lōʻihi, ʻaʻole paha ʻoe e noa i nā ʻōuli ma hope o kou ola ʻana.

Hoʻohaʻahaʻa hoʻohaʻahaʻa median; Hoʻohaʻahaʻa Carpal tunnel; ʻOki kino - carpal tunnel

• Mālama ʻeha ʻeha - wehe

• Carpal tunnel maʻi maʻi
• Anatomia ma luna - ka pāma maʻamau
• Anatomia ʻili - kūlima maʻamau
• Anatomia lima
• Hoʻoponopono hou ʻo Carpal - series

ʻO Calandruccio JH. Carpal tunnel syndrome, ulnar tunnel syndrome, a me stenosing tenosynovitis. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 76.

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.

Zhao M, Burke DT. ʻO ka neuropathy median (carpal tunnel syndrome). I: Frontera WR, Silver JK, Rizzo TD, huaʻi. Nā mea nui o ka lāʻau lapaʻau a me ka hoʻoponopono hou ʻana: nā maʻi Musculoskeletal, Pain, and Rehabilitation. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier Saunders; 2015: chap 36.