Kiki lima

ʻO ka maiuu lima kahi kumu e hoʻonā i nā manamana lima melemele a i ʻole i lena. Hōʻike kēia i ka lima e like me ka māiʻu o kahi holoholona.

Hiki i kekahi ke hānau ʻia me ka maiuu lima (congenital), a i ʻole hiki iā lākou ke hoʻomohala iā ia no kekahi mau maʻi, e like me ka ʻeha o ke aʻalolo.

Nā kumu e komo pū paha:

• ʻO nā mea maʻamau ʻole
• Nā maʻi genetic, e like me ka maʻi Charcot-Marie-Tooth
• Hoʻopōʻino ke aʻalolo i ka lima
• Scarring ma hope o ka wela kuni o ka lima a me ka forearm
• Nā maʻi liʻiliʻi, e like me ka maʻi lepera

Inā hānau ʻia ke ʻano, ʻike pinepine ʻia ia i ka wā hānau. Inā ʻoe e ʻike i ka hoʻomohala ʻana o ka māiʻu lima, e hoʻopili aku i kāu kauka mālama ola.

E nānā kāu mea hāʻawi iā ʻoe a nānā pono i kou mau lima a me kou mau wāwae. E nīnau ʻia ʻoe i nā nīnau e pili ana i kāu mōʻaukala olakino a me nā ʻōuli.

E hana ʻia paha nā hōʻike aʻe e nānā ai no ka hōʻino o ke aʻalolo.

• Electromyography (EMG) e nānā i ke olakino o nā mākala a me nā aʻalolo e kaohi i nā mākala
• Nerve conduction haʻawina e nānā i ka wikiwiki o nā uila uila neʻe ma waena o kahi aʻalolo

Pili ka mālama ʻana i ke kumu. Pākuʻi ʻia paha:

• Pāheʻe
• Hoʻoponopono ke ʻoki e hoʻoponopono i nā pilikia e hāʻawi nei i ka maiuu, e like me nā pilikia o ke aʻa a me ke aʻalolo, nā kuʻikahi hui, a i ʻole nāʻiʻo scar
• Hoʻololi ʻo Tendon (graft) e ʻae i ka neʻe ʻana o ka lima a me ka lima
• Therapy e hoʻoponopono i nā manamana lima

Ulnar nerve palsy - lima māiʻuʻu; ʻO ke kīnā ʻole o ke aʻa Ulnar - lima māiʻuʻu; Mākala ʻo Ulnar

• Kiki lima

ʻO Davis TRC. Nā loina o ka lawe tendon o nā aʻa waena, radial a me ulnar. 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 31.

ʻO Feldscher SB. ʻO ka mālama hoʻomalu o nā hoʻololi tendon. I: Skirven TM, Osterman AL, Fedorczyk JM, Amadio PC, Feldscher SB, Shin EK, huaʻai. ʻO ka hoʻoponopono hou ʻana o ka lima a me ka palena kiʻekiʻe. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 44.

Sapienza A, Green S. Pololei o ka māiʻuʻu lima. Lapaʻau lima. 2012; 28 (1): 53-66. PMID: 22117924 pubmed.ncbi.nlm.nih.gov/22117924/.