ʻEha kuʻekuʻe

Hōʻike kēia ʻatikala i ka ʻeha a i ʻole ka hōʻoluʻolu ʻē aʻe i ka kuʻe lima i pili ʻole i ka ʻeha pololei.

Hiki ke hōʻeha ʻia ka ʻī kuʻikuʻu e nā pilikia he nui. ʻO kahi kumu maʻamau i nā mākua ka tendinitis. ʻO kēia ka huhū a me ka hōʻeha i nā kaula, ʻo ia nā mea palupalu e hoʻopili i nā mākala i ka iwi.

ʻO ka poʻe e pāʻani ana i nā haʻuki heihei e hōʻeha paha i nā olonā i waho o ka kuʻe lima. Kāhea ʻia kēia ʻano he siku elima. ʻOi aku ka hōʻeha ʻana o nā kolepa i nā ʻāʻī ma loko o ka kuʻe lima.

ʻO nā kumu ʻē aʻe o ka kuʻekuʻe wāwae e hana māla ana, pāʻani ana i ka kinipōpō hīnaʻi, me ka hoʻohana ʻana i ka mea hoʻoheheʻe, a i ʻole ka hoʻohana ʻana i kou lima a me kou lima.

Hoʻomohala pinepine nā keiki ʻōpio i ka "elbow nursemaid," i hana pinepine ʻia ke huki ana kekahi i ko lākou lima kū pololei. Hoʻolahalaha ʻia nā iwi i kahi manawa a heʻe ka ligament ma waena. Paʻa ʻia i ka wā e hoʻāʻo ai nā iwi e hoʻi hou i kahi. ʻO ka hopena, hōʻole mālie ke keiki e hoʻohana i ka lima, akā ke uē pinepine ke hoʻāʻo lākou e piʻo a pololei paha i ka kuʻe lima. Kāhea ʻia kēia ʻano he subluxation kuʻekuʻe (kahi dislocation hapa). ʻOi aku ka maikaʻi o kēia ma kāna iho ke hele a hoʻi ka ligament i kahi. ʻAʻole pono ka ʻoki ʻana.

ʻO nā kumu maʻamau o ka ʻeha kuʻekuʻe:

• Bursitis - hoʻāhu o kahi cushion piha i ka wai ma lalo o ka ʻili
• Pākuʻi - ka hoʻopili ʻana o ke ākea hui a me ka nalo ʻana o ka cartilage i ka kuʻe lima
• Nā kuʻekuʻe lima
• Ka maʻi ʻōpala
• Waimaka ʻo Tendon - haki nā biceps

E hoʻāʻo mālie e hoʻoneʻe i ka kuʻe lima a hoʻonui i kāu pae o ka neʻe. Inā ʻeha kēia a ʻaʻole hiki iā ʻoe ke neʻe i ka kuʻe lima, e kāhea i kāu mea mālama ola.

Kāhea i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe kahi hihia hoʻolōʻihi o ka tendinitis e hoʻomaikaʻi ʻole me ka mālama home.
• ʻO ka ʻeha ma muli o kahi kuʻekuʻe lima pololei.
• Aia ka hemahema maoli.
• ʻAʻole hiki iā ʻoe ke hoʻohana a hoʻoneʻe i kou kuʻe lima.
• He kuni kou a he pehu paha a ʻulaʻula hoʻi o kou kuʻe lima.
• Laka ʻia kou kuʻe lima a ʻaʻole hiki ke hoʻopololei a kūlou paha.
• Loaʻa i kahi keiki ʻeha kuʻekuʻe.

E nānā kāu mea iā ʻoe a nānā pono i kou kuʻe lima. E nīnau ʻia ʻoe e pili ana i kāu mōʻaukala olakino a me nā ʻōuli e like me:

• Hoʻopili ʻia nā kuʻekuʻe ʻelua?
• Huli paha ka ʻeha mai ka kuʻe lima a i nā hono ʻē aʻe?
• ʻO ka ʻeha ma luna o ka bony waho ke kūlana kiʻekiʻe o ka kuʻe lima?
• Ua hoʻomaka koke a ʻeha ka ʻeha?
• Ua hoʻomaka lohi a ʻeha a ʻeha hoʻi ka ʻeha a laila lilo i ʻino?
• Ke hele nei ka maikaʻi o ka ʻeha ma ona iho?
• Ua hoʻomaka ka ʻeha ma hope o kahi ʻeha?
• He aha ka mea e hoʻomaikaʻi ai i ka ʻeha a ʻoi aku paha?
• Aia kekahi ʻeha e iho mai ka kuʻe lima a i ka lima?

Pili ka mālama ʻana i ke kumu, akā pili pū paha:

• Hoʻoikaika kino
• Nā Antibiotics
• Nā kī kī Corticosteroid
• Manipula
• Lapaʻau ʻeha
• ʻOki kino (hope koho)

ʻEha - kuʻekuʻe lima

Clark NJ, Elhassan BT. Kahi ʻike kuʻekuʻe a me ka hoʻoholo ʻana. I: Miller MD, Thompson SR, eds. ʻO DeLee Drez & Miller's Orthopedic Sports Medicine. 5th lā. Piladelapia, PA: Elsevier; 2020: chap 58.

ʻO Kane SF, ʻo Lynch JH, ʻo Taylor JC. Ka loiloi i kaʻeha kuʻekuʻe i nā mākua. He Kauka Lapaʻau. 2014; 89 (8): 649-657. PMID: 24784124 pubmed.ncbi.nlm.nih.gov/24784124/.

Lazinski M, Lazinski M, Fedorczyk JM. Nānā lapaʻau o ka kuʻe lima. 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 7.