He aha kāu e ʻike ai e pili ana i ka ʻike ʻana a me ka mālama ʻana i kahi Thumb Thumb

Anter

• Nā ʻōuli
• Nā kumu weliweli
• Kānāwai
• Lapaʻau
• Kōkua mua koke
• Lapaʻau nonsurgical
• Nā hana ʻoki kino
• Hoʻoiho
• Nā pilikia
• Ke laina lalo

Hōʻike Overview

ʻElua iwi o kou manamana nui i kapa ʻia nā phalanges. ʻO ka haki maʻamau e pili ana i kahi manamana nui haki ka maoli o ka iwi nui o kou lima i ʻike ʻia ʻo ka metacarpal mua. Pili kēia iwi i nā iwi o kou manamana nui.

Hoʻomaka ka metacarpal mua ma ka webbing ma waena o kou manamana nui a me kou manamana lima a hoʻonui ʻia i nā iwi carpal o kou pūlima.

ʻO kahi kahi e hui ai ka metacarpal mua i kou pulimaʻu i kapa ʻia ʻo carpo-metacarpal (CMC) ami. kū i ke kumu o ka metacarpal mua, ma luna pono o ka hui CMC.

Inā manaʻo ʻoe he manamana nui kou, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.

Nā ʻōuli

Nā ʻōuli o ka manamana nui haki e:

• pehu a puni ke kumu o kou manamana nui
• ʻeha ʻeha loa
• kaupalena a ʻaʻohe hiki ke hoʻoneʻe i kou manamana nui
• palupalu loa
• helehelena helehelena
• anuanu a ʻano nanea paha

Hiki i ka hapanui o kēia mau ʻōuli ke loaʻa me ka sprain koʻikoʻi a i ʻole ka waimaka ligament. Pono ʻoe e ʻike i kāu kauka i hiki iā lākou ke hoʻoholo i ke kumu o kou ʻeha.

Nā kumu weliweli

Hoʻokumu pinepine ʻia kahi manamana nui haki e ke koʻikoʻi koʻikoʻi. Hiki i nā kumu maʻamau ke hāʻule i ka lima kīkoʻo i waho a i ʻole ka hoʻāʻo e hopu i kahi pōpō.

ʻO ka maʻi o ka iwi a me ka hemahema o ka calcium e hoʻonui i kou maka i ka manamana nui haki.

Hiki ke hopena i kahi manamana nui haki ma muli o ka hana nui a i ʻole kahi ulia. Hiki i kou manamana nui ke uhaʻi mai ka wili ʻana a i ʻole ka ʻoki ʻana o nā mākala. ʻO nā haʻuki kahi e loaʻa ai kahi manamana nui haki e komo pū ana:

• pôpeku
• kinipōpō hīnaʻi
• kinipōpō hīnaʻi
• kinipōpō hīnaʻi
• mokomoko
• hockey
• heʻe lele

ʻO ke kau ʻana i nā pale pale pono, e like me nā mīkina lima, nā pale, a i ʻole ke kaomi ʻana, hiki ke pale i nā hōʻeha manamana lima i nā haʻuki he nui.

E aʻo hou e pili ana i ka mālama ʻana a me ka pale ʻana i nā ʻeha haʻuki.

Kānāwai

Pono ʻoe e ʻike koke i ke kauka inā manaʻo ʻoe he manamana nui haʻihaʻi a wili paha kāu. Pono nā ʻano ʻeha ʻelua i ka immobilization me kahi splint a me kahi ʻoki. Ke kali nei no ka mālama ʻana e alakaʻi i nā pilikia a hoʻolōʻihi paha i kāu kaʻina hana hou.

E nānā kāu kauka i kou manamana nui a hoʻāʻo i ka pae o ka neʻe i kēlā me kēia o kou hono. E kulou lākou i nā hui o kou manamana lima i nā ʻaoʻao ʻokoʻa e hoʻoholo inā ua hōʻeha ʻoe i kāu mau liga.

E kōkua kahi X-ray i kāu kauka e ʻike i ka haki a hoʻoholo i kahi a me ke ʻano o ka haki i loaʻa iā ʻoe.

Lapaʻau

Kōkua mua koke

Inā manaʻo ʻoe ua haki ʻoe i kou manamana nui, hiki iā ʻoe ke noi i ka hau a i ʻole ka wai anuanu i kahi e hoʻemi ai i ka pehu. Hiki ke kōkua i ka Immobilization o kou lima me kahi mālamalama inā ʻike ʻoe i kekahi me ka ʻike kūpono e hana pēlā.

E aʻo pehea e hana ai i kahi mālamala.

E mālama i kou lima ʻeha ma luna o kou puʻuwai. Kōkua kēia i ka hōʻemi ʻana i ka pehu a me ke kahe ʻana o ke koko, inā he mea kekahi.

Mai hilinaʻi wale i kēia mau ana. Inā kānalua ʻoe i ka haki a i ʻole ka sprain, kōkua paha kēia mau ʻano ʻoiai ʻoe e kali nei no ka mālama koke ʻana i ka lāʻau.

Lapaʻau nonsurgical

Inā ʻaʻole i neʻe aku kahi ʻāpana o nā iwi haʻihaʻi i kahi mamao loa, a i ʻole inā aia kou haki i waenakonu o ka iwi iwi, hiki i kāu kauka ke hoʻonohonoho i nā iwi me ka hana ʻole. Kapa ʻia kēia he hōʻemi paʻa. Hiki ke hōʻeha, no laila hoʻohana sedation a anesthesia paha.

E hoʻonoho ʻia ʻoe i kahi mea hana kūikawā, i ʻike ʻia ma ke ʻano he spica cast, no ʻeono pule. Mālama kēia hoʻolei i kou manamana lima i ka wā e hoʻōla ai kou iwi. Hoʻokomo ka spica cast i kou manamana lima ma ka wahī ʻana i kou manamana lima a me kou manamana nui.

Nā hana ʻoki kino

Inā he nui ka neʻe ʻana o kāu mau iwi iwi, a i ʻole a hōʻea kou haki i ka hui CMC, pono paha ʻoe i ke ʻoki e hoʻihoʻi i ka iwi. Kapa ʻia kēia he hoʻohaʻahaʻa hāmama. ʻO kahi kauka lapaʻau e loea ana i ka ʻoki lima e hana paha i kāu kaʻina hana.

Ma kahi o ka hapakolu o nā haki i ka metacarpal mua, aia wale nō kahi ʻāpana haʻihaʻi i ke kumu o ka iwi. Kapa ʻia kēia he haki Bennett. Hoʻokomo ka mea hoʻopuka i nā wili a i ʻole nā ​​kaula i loko o kou ʻili e hoʻopaʻa i nā ʻāpana haki i kahi kūpono i ka wā e hoʻōla ai ka iwi.

I kahi haki i kapa ʻia he haki Rolando, nui nā māwae i ka iwi nui ma ke kumu o kou manamana nui. I ka wā o ke kāpili ʻana, e hoʻokomo kahi loea i kahi pā liʻiliʻi a me nā ʻāpiki e hoʻopaʻa pū i kou mau iwi iwi ke hoʻōla kāu iwi. Kapa ʻia kēia he hōʻemi hāmama me ka hoʻopaʻa kūloko.

I kekahi mau hihia, e hoʻolōʻihi kāu kauka i ka mea pā ma waho o kou ʻili. Kapa ʻia kēia he hoʻopaʻa kūwaho.

Hoʻoiho

Inā hoʻonohonoho ʻia ʻoe i ka spica cast, pono ʻoe e ʻaukā ia no ʻeono pule. I kekahi manawa ʻaʻole pono nā keiki e ʻaʻahu i kēlā lōʻihi, no laila e mālama pono i nā kuhikuhi a kāu kauka.

Inā he ʻoki lāʻau kāu, e hoʻokomo ʻoe i ka mea hoʻolei a i ʻole splint no ʻelua a ʻeono pule. I kēlā manawa, e hoʻopau ʻia kekahi o nā pine i hoʻokomo ʻia. Kau ʻia ka lāʻau hoʻoikaika kino e kōkua iā ʻoe e hoʻi hou i ka neʻe ʻana o kou manamana nui.

Kaukaʻi ʻia i ka ʻeha o kou ʻeha, ʻekolu paha mau mahina a ʻoi paha ka lōʻihi o ka hoʻihoʻi ʻana i ka hoʻohana piha ʻana o kou lima.

Nā pilikia

ʻO ka maʻi o ka maʻi he mea maʻamau ia o ka manamana nui haki. ʻO kekahi cartilage e hōʻino mau ʻia e ka ʻeha a ʻaʻole hiki ke hoʻololi ʻia. Hoʻonui kēia i ka manawa o ke kūkulu ʻana o ka maʻi kōmaʻomaʻo i ka hui manamana nui ʻeha.

ʻO kahi noiʻi o ka poʻe i loaʻa i ka lāʻau nonsurgical no Bennett haʻi ua loaʻa kahi hanana nui o ka hoʻohaʻahaʻa hui a me nā pilikia ākea ma hope o ka hopena. Ua alakaʻi kēia i ka hoʻohana nui ʻana o ke kaha ʻana no nā haki Bennett. ʻAʻohe o kahi loiloi lōʻihi o kēia manawa o ka nānā aku no ka poʻe i loaʻa i kahi ʻoki no nā haki Bennett.

Ke laina lalo

ʻO kahi manamana nui haki he ʻeha nui ia a koi koke ʻia ka lāʻau lapaʻau. ʻOiai ʻoe e ʻimi pono i ka lāʻau kūpono a wikiwiki hoʻi, maikaʻi loa kou manawa kūpono o ke ola ʻana a me ka hoʻohana piha ʻana o kou manamana nui.