Epicondylitis medial - kuʻe lima o golfer
ʻO ka epicondylitis medial ka ʻeha a ʻeha paha ma loko o ka lima lalo e kokoke ana i ka kuʻe lima. Kāhea ʻia ʻo ia ka siko o golfer.
ʻO ka ʻāpana o ka mākala e hoʻopili i ka iwi kahi i kapa ʻia he tendon. Hoʻopili kekahi o nā mākala i kou lima i ka iwi ma loko o kou kuʻe lima.
Ke hoʻohana pinepine ʻoe i kēia mau mākala, ulu nā waimaka liʻiliʻi i nā ʻāʻī. Ke holo nei ka manawa, alakaʻi kēia i ka huhū a me ka ʻeha ma kahi e hoʻopili ʻia ai ka iwi i ka iwi.
Hiki ke hōʻeha i ka hoʻohana ʻana i kahi ʻano maikaʻi ʻole a i ʻole ka hoʻonui ʻana i kekahi mau haʻuki, e like me:
- Kolepa
- ʻO ka baseball a me nā haʻuki hoʻolei ʻē aʻe, e like me ka pōpeku a me nā ʻōlapa
- Nā haʻuki heihei, e like me ka tennis
- Hoʻomaʻamaʻa kaumaha
ʻO ka wili pinepine ʻana o ka pulima (e like me ka hoʻohana ʻana i kahi wili) hiki ke alakaʻi i ke kuʻe lima o golfer. E hoʻomohala paha ka poʻe ma kekahi mau hana iā ia, e like me:
- Pena pena
- Paipala
- Nā limahana kūkulu
- Kukuna
- Nā limahana o ka laina Assembly
- Mea hoʻohana kamepiula
- Mea ʻoki kīʻaha
ʻO nā ʻōuli o ka kuʻe lima o golfer:
- ʻO kaʻeha kuʻekuʻe e holo ma loko o kou lima i kou lima, ma kaʻaoʻao like me kou manamana lima pinky
- E ʻehaʻeha ke kolo ʻana i kou lima, ka palma i lalo
- ʻEha ke lulu lima
- Māloi nāwaliwali
- Numbness a me ke kani ʻana o kou kuʻe lima i luna a i loko o kou manamana lima a me ka manamana
Hiki ke hōʻemi a ʻeha paha ka ʻeha. Eʻoi aku ka maikaʻi aʻe inā ʻoe e hopu i nā mea a wili paha i kou lima.
E nānā kāu mea mālama ola iā ʻoe a neʻe i kou mau manamana lima, ka lima, a me ka lima. Hōʻike paha ka hōʻike:
- Ka ʻeha a palupalu paha ke kaomi iki ʻia o ke kuhi kahi e hoʻopili ai i ka iwi o luna, ma luna o ka kuʻe lima.
- ʻO kaʻeha ma kahi o ka kuʻe lima ke kūlou i lalo ka lima i ka pale kūʻē.
- Loaʻa iā ʻoe nā kukuna x a me kahi MRI e kāpae i nā kumu kūpono ʻē aʻe.
E ʻōlelo paha kāu mea hāʻawi e hoʻomaha mua i kou lima. ʻO kēia ka pale ʻana i ka hana e kumu ai i kāu mau hōʻailona no ka liʻiliʻi ma 2 a 3 mau wiki a ʻoi aku paha a hala ka ʻeha. E makemake paha ʻoe e:
- E kau i ka hau i loko o kou kuʻe lima 3 a 4 mau manawa i ka lā no 15 a 20 mau minuke.
- E lawe i kahi lāʻau NSAID. Hoʻopili kēia i ka ibuprofen (Motrin, Advil), naproxen (Aleve), a i ʻole aspirin.
- Hana i ka hoʻolālā kino a me ka hoʻoikaika ʻana. Hōʻike paha kāu mea hāʻawi i kekahi mau hana, a i ʻole loaʻa iā ʻoe kahi lāʻau a hoʻomaʻamaʻa hana paha.
- E hoʻi mālie i ka hana.
Inā pili ka kuʻe lima o kāu kolopoli i kahi hana haʻuki, makemake paha ʻoe e:
- E nīnau e pili ana i nā hoʻololi i hiki ke hana i kāu ʻenehana. Inā pāʻani ʻoe i ke kolepa, e aʻo i kahi mea aʻo i kāu palapala.
- E hōʻoia i nā pono haʻuki āu e hoʻohana nei e ʻike inā kōkua paha nā loli. ʻO kahi laʻana, kōkua paha i ka hoʻohana ʻana i nā hui kolepa mama. E nānā hoʻi inā ʻo ka paʻa o kāu mea hana ke kumu i ka ʻeha kuʻekuʻe.
- E noʻonoʻo e pili ana i ka pinepine o kāu pāʻani ʻana i kāu haʻuki a inā ʻoe e ʻoki i ka nui o ka manawa āu e pāʻani ai.
- Inā ʻoe e hana ma kahi kamepiula, e nīnau i kāu luna e pili ana i ka hoʻololi ʻana i kāu wahi hana. E nānā i kahi e hoʻonohonoho ai i kou noho, pākaukau, a me kāu kamepiula.
- Hiki iā ʻoe ke kūʻai i ke kūpeʻe kūikawā no ke kuʻe lima o ke kolepa ma ka nui o nā hale kūʻai lāʻau. Hoʻopili ia i ka ʻaoʻao i luna o kou forearm a lawe i kahi kaomi o nā mākala.
Hiki paha i kāu mea hāʻawi ke hoʻopili i ka cortisone a me kahi lāʻau numbing a puni kahi e pili ai ka iwi i ka iwi. Hiki i kēia ke kōkua i ka hoʻēmi ʻana i ka pehu a me ka ʻeha.
Inā hoʻomau ka ʻeha ma hope o 6 a 12 mau mahina o ka hoʻomaha a me ka mālama ʻana. E kamaʻilio me kāu kaukukō e pili ana i nā pilikia, a nīnau inā kōkua ke ʻoki.
ʻOi aku ka maikaʻi o ka ʻeha kuʻekuʻe me ka ʻole o ke kahakaha. Eia nō naʻe, hoʻohana ka hapa nui o ka poʻe i ʻoki poepoe i kā lākou forearm a me ko lākou kuʻe lima ma hope.
Kāhea i kahi manawa me kāu mea hāʻawi inā:
- ʻO kēia ka manawa mua āu i loaʻa ai kēia mau ʻōuli.
- ʻAʻole hoʻomaha ka mālama home ʻana i nā ʻōuli.
Kuʻekuʻe Baseball; Kiko ʻeke
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ʻO Ellenbecker TS, Davies GJ. Epicondylitis humeral ākea a me waena. I: Giangarra CE, Manske RC, eds. Hoʻoponopono Orthopedic Clinical: He Hoʻokele Kime. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 18.
Miller RH, Azar FM, Throckmorton TW. Nā hōʻeha poʻohiwi a me nā kuʻe lima. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 46.