Kāpena Carpal

Anter

• He aha nā hōʻailona?
• He aha ke kumu?
• Pehea e hōʻoia ʻia ai
• Pehea e mālama ʻia ai
• Lapaʻau nonsurgical
• ʻOki kino
• He aha ke kuanaʻike?

He aha ka luna carpal?

ʻO kahi luna kalepa, pōkole ia no ka luna carpometacarpal, kahi ulu nui o ka iwi kahi e hui ai kou manamana lima a i ʻole ka manamana waena i nā iwi carpal. ʻO kou iwi iwi he ʻewalu mau iwi liʻiliʻi e hana i kou lima. Kāhea ʻia ke ʻano i kekahi manawa ʻo carpal bossing.

Hoʻokumu kēia ulu ulu i puʻupuʻu paʻa ma ka hope o kou pulimaʻu e neʻe ʻole. ʻO ka hapa nui o ka poʻe me ka luna carpal ʻaʻohe o lākou hōʻailona. Pono ke kūlana i ka lāʻau lapaʻau inā lilo ia i ʻeha a hoʻomaka paha e kaohi i ke ʻano o ka neʻe i kou lima.

E heluhelu e aʻo hou aʻe e pili ana i ka hoʻokele ʻana o ka carpal, e like me ke kumu o ia a me nā lāʻau e loaʻa ai.

He aha nā hōʻailona?

ʻO ka hōʻailona nui o ka luna carpal kahi puʻupuʻu paʻa ma ka hope o kou pulimaʻu. Hiki iā ʻoe ke loaʻa iā ia i loko o hoʻokahi a i ʻole nā ​​pūlima ʻelua.

ʻAʻole loaʻa i ka hapanui o nā kānaka nā ʻōuli ʻē aʻe. Eia nō naʻe, i kekahi manawa e palupalu ka puʻupuʻu i ka paʻi a ʻehaʻeha paha ke neʻe ʻoe i kou lima. ʻIke kekahi poʻe i ka ʻeha ʻana o nā tendona kokoke ke neʻe lākou ma luna o ka iwi iwi.

Manaʻo nā kānaka noiʻi he hopena paha kēia mau ʻōuli o kekahi kumu i lalo, e like me:

• bursitis
• osteoarthritis
• pōʻino tendon

He aha ke kumu?

ʻAʻole maopopo ka poʻe loea e pili ana i ke kumu pono o ka hoʻokele carpal. No kekahi poʻe, pili paha ia i kahi ʻeha traumatic a i ʻole nā ​​neʻe lima hou, e like me nā mea e pili ana i nā haʻuki a i ʻole kolepa. Hoʻohui ʻia, pili ia i ka lima o kou mau lima, ke hōʻike hou aʻe nei e hana i nā neʻe hou a me ka overuse.

No nā poʻe ʻē aʻe, he ʻano hānau hānau paha ia i hoʻokumu ʻia e nā iwi spurs i hana ʻia ma mua o kou hānau ʻia ʻana.

Pehea e hōʻoia ʻia ai

No ke kuhi ʻana i ka luna carpal, e hoʻomaka paha kāu kauka ma ka nīnau ʻana i kekahi mau nīnau e hoʻoholo ai:

• i kou ʻike mua ʻana i ka puʻupuʻu
• pehea ka lōʻihi o kou loaʻa ʻana o nā ʻōuli
• he aha nā neʻe, inā loaʻa, lawe mai a hōʻino paha i kāu mau ʻōuli
• pehea ka hopena o kāu mau hōʻailona i kāu hana i kēlā me kēia lā

A laila, hiki iā lākou ke nānā i kou lima a hoʻāʻo e neʻe i kou mau lima i nā ʻaoʻao ʻokoʻa e hoʻāʻo i kāu pae o ka neʻe. Hoʻomaopopo pū paha lākou i ka puʻupuʻu e nānā inā paʻakikī a palupalu paha. Kōkua kēia i ka hoʻokaʻawale ʻana i ka luna carpal mai kahi cyst ganglion. Nānā like kēia mau cist me ka luna carpal, akā ua hoʻopiha lākou me ka wai a ʻaʻole paʻa. Eia nō naʻe, i kekahi manawa hiki i kahi luna carpal ke kumu i kahi cyst ganglion.

Inā loaʻa iā ʻoe ka ʻeha he nui, kauoha paha kāu kauka i kahi X-ray a i ʻole MRI scan e nānā pono i nā iwi a me nā liga i kou lima a me kou lima.

Pehea e mālama ʻia ai

ʻAʻole koi ka luna ʻo Carpal i ka lāʻau lapaʻau inā ʻaʻole ia e kumu i kekahi ʻōuli. Eia nō naʻe, inā ʻeha ʻoe a palupalu paha, a i ʻole ke kuʻi ʻia o ka puʻupuʻu i kāu hana i kēlā me kēia lā, aia kekahi mau koho lapaʻau.

Lapaʻau nonsurgical

Inā makemake ʻoe i ka lāʻau, e paipai paha kāu kauka e hoʻomaka me nā mālama nonsurgical e like me:

• kau i kahi mālamana a i ʻole ke kāʻei e hoʻoneʻe i kou lima
• ka lawe ʻana i ka lāʻau ʻeha ma luna o ka pā, e like me acetaminophen a i ʻole ibuprofen
• ka hau i ka wahi i hoʻopilikia ʻia
• e hoʻokomo ana i ka corticosteroid i loko o ka puʻupuʻu

Inā ʻaʻole ʻoe e ʻike i kahi hoʻomaikaʻi o kāu mau hōʻailona ma loko o ʻelua mau mahina, hiki i kāu kauka ke ʻōlelo he ʻoki kino.

ʻOki kino

Hiki i kāu kauka ke hoʻopau i kahi ʻōpuʻu. ʻO kēia kahi ʻōnaehana outpatient pololei loa e lawe ma lalo o hoʻokahi hola e hana. E loaʻa iā ʻoe ka anesthesia kūloko, ka ʻāina, a i ʻole ka anesthesia ākea ma mua o ka hana ʻana o kāu kauka i kahi ʻoki liʻiliʻi ma hope o kou lima. A laila, e hoʻokomo lākou i nā mea hana ʻoki ma o kēia incision e hemo i ka puʻupuʻu.

Ma hope o ke kahakaha ʻana, hiki paha iā ʻoe ke hoʻomaka e hoʻohana i kou lima i loko o hoʻokahi pule, a hoʻi i kāu mau hana maʻamau i loko o ʻelua a ʻeono pule.

Koi aku kekahi poʻe i kahi kaʻina hana ʻelua ma hope o ka hemo ʻana o kahi luna carpal. Kapa ʻia kēia kaʻina hana carpometacarpal arthrodesis. Pili ia i ka hemo ʻana i ka iwi a me ka iwi i hoʻopōʻino ʻia e kōkua i ka hoʻopaʻa ʻana i kou pulimaʻu. Kaukaʻi ʻia i kāu mau ʻōuli, e koi paha i kāu kauka i kēia kaʻina hana no ka lawe wale ʻana i ka luna carpal.

He aha ke kuanaʻike?

Inā ʻaʻole ʻoe e ʻike i ka ʻeha, ʻaʻole koi ka luna carpal i kahi lāʻau. Inā he hopohopo kāu a i ʻole ke ʻike nei i nā hōʻailona, ​​e kamaʻilio me kāu kauka e pili ana i kāu koho. Hiki iā ʻoe ke hoʻāʻo i nā hōʻailona nonsurgical, kahi e hāʻawi ai i ke kōkua i loko o hoʻokahi mahina a ʻelua paha. Inā ʻole, hiki i kāu kauka ke wehe i ka luna carpal.