ʻO nā mea āpau āu e ʻike ai e pili ana i nā pulima dislocated

Anter

• He aha nā hōʻailona?
• He aha ke kumu?
• Pehea ia ʻike?
• Pehea e mālama ʻia ai?
• Pehea ka lōʻihi o ka hoʻōla?
• He aha ke kuanaʻike?

He aha ka pulana lima dislocated?

ʻEwalu mau iwi liʻiliʻi o kou lima, i kapa ʻia nā carpals. Mālama kahi pūnaewele o nā liga iā lākou i kahi a ʻae iā lākou e neʻe. Hiki i kahi waimaka i kekahi o kēia mau liga ke hopena i ʻelua a ʻoi paha o kou mau iwi carpal i kipaku ʻia mai ko lākou kūlana maʻamau. ʻO kēia ka hopena i ka pulima lima dislocated.

ʻOiai hiki i kahi pūlima dislocated ke hoʻopili i nā carpals ʻewalu, e loli pinepine ʻia kou iwi lunate a me nā iwi scaphoid. Kūkulu kēia mau iwi ʻelua i ke alahaka ma waena o ka radius a me nā iwi ulna i loko o kou forearm a me nā iwi ʻē aʻe liʻiliʻi i kou lima.

Aia kekahi mau ʻano o ka heʻe ʻana o ka lima. Pākuʻi ʻia lākou:

• Holo ka lunate mua. Hoʻohuli ka iwi lunate ʻoiai paʻa nā iwi lima ʻē aʻe i kahi.
• Hoʻoneʻe Perilucky. Pili kēia ʻano i ka iwi lunate a me nā liga ʻekolu a puni ia.
• Haki ʻo Galeazzi. Pili kēia ʻano i ka haki ʻana i kou iwi radius a me ka hemo o kou ami radioulnar.
• Haki Monteggia. Hoʻopili kēia i kahi haki i kāu ulna a me ka dislocation o kekahi o nā wēlau o kāu radius.

ʻO ka hapa nui o nā dislocations lima e hoʻopili i kahi dislocation lunate mua a i ʻole dislocation perilucky.

He aha nā hōʻailona?

ʻO ka hōʻailona nui o ka pulima i dislocated ka ʻeha nui ʻoi aku ka maikaʻi ma mua ke hoʻāʻo ʻoe e hoʻoneʻe i kou lima a i lalo a i ʻole ʻaoʻao a ʻaoʻao. ʻIke paha ʻoe i ka ʻeha o kou lima.

Hoʻomaopopo paha ʻoe i ka mea aʻe a puni kou pulima:

• pehu
• palupalu
• nāwaliwali
• discoloration a me ka palapū

Inā pili kou iwi lunate, e kaomi paha ia i nā ʻalolo i kou lima. Hiki i kēia ke hana i ke kani ʻana a i ʻole ka helu ʻana i kou mau manamana lima.

He aha ke kumu?

ʻO kēlā me kēia ʻano ʻeha hōʻeha i kou lima a lima paha hiki ke hopena i kahi pulima lima dislocated. ʻO nā kumu maʻamau o kēia mau ʻeha pū:

• nā ʻano hopena kiʻekiʻe, e like me ka pōpeku a i ʻole hockey
• nā ulia kaʻa
• e haki ana i kahi hāʻule me kou lima

Hoʻohui, kānana ma nā liga i kou pulimaʻu hiki ke hopena i kahi pulima lima dislocated. Hiki ke hele mai kēia pae o ke kānana mai ka hana ʻana i nā mea e hoʻokau mau i kou lima, e like me ka hele ʻana me nā koʻokoʻo.

Pehea ia ʻike?

Inā manaʻo ʻoe he ʻano ʻeha kou pūlima, e hoʻokohu me kāu kauka i ka wā hiki a i ʻole ke poʻo i ka mālama koʻikoʻi e hōʻalo ai i ka hōʻeha ʻana.

E hoʻomaka kāu kauka ma ka hoʻoneʻe ʻana i kou lima i nā kūlana ʻokoʻa a nīnau inā ʻeha ʻoe. E kōkua kēia iā lākou e hoʻoholo i nā liga a me nā iwi e pili ana. E nānā kāu kauka i nā hōʻino i hana ʻia i nā aʻalolo, nā kīʻaha koko, a me nā olonā e hāʻawi i ka lima a me ka pulima oʻu. A laila, e lawe paha lākou i kahi X-ray o kou lima a me ka forearm e hōʻoia i kahi ʻike.

Inā kuhi kāu kauka he ligament ʻeha kāu, hiki iā lākou ke hoʻohana i kahi MRI e kōkua iā lākou e hana i kahi kuhi. Hāʻawi kēia hōʻike kiʻi i kahi kiʻi akāka o kāu nāhena palupalu, me nā ligament.

Pehea e mālama ʻia ai?

Mālama mau ʻia nā dislocations liʻiliʻi me kahi hana i kapa ʻia he hōʻemi. I kēia kaʻina hana, hoʻokele mālie kāu kauka i nā iwi i ko lākou mau kūlana kūpono. He mea ʻeha loa kēia, ke kaukaʻi ʻia i ka nui o kou ʻeha. I mea e kōkua ai i ka ʻeha, e hoʻohana kāu kauka i kahi anesthesia kūloko a i ʻole ākea paha ma mua.

Ma hope o ke kaʻina hana, pono paha ʻoe e komo i kahi kāwili a i ʻole mea hoʻolei e pale ai i kou neʻe lima mai ka wā e hoʻōla ai. Pono ʻoe e komo i kahi maʻa.

No nā hihia ʻoi loa, pono paha ʻoe i ke ʻoki e hoʻoponopono hou i kou mau pūlima lima a i ʻole hoʻoponopono i nā ligament haehae. Hana ʻia kēia i kekahi manawa me ka hoʻohana ʻana i nā kui a i ʻole nā ​​ʻāpana e hoʻopaʻa i nā mea āpau i kahi.

Pehea ka lōʻihi o ka hoʻōla?

ʻO ka manawa hoʻōla no ka pulima lima dislocated pili i ka nui o ia. Inā pono ʻoe i kahi kaʻina hōʻemi, pono ʻoe e ola i loko o ʻelua a ʻekolu paha mahina. Eia nō naʻe, inā ʻoe e pono i ke kahakaha, eono paha mahina a i hoʻokahi makahiki e hoʻi hou ai.

Nānā ʻole i ke ʻano o ka lapaʻau e loaʻa iā ʻoe, pono ʻoe e ukali me ka hoʻōla kino e loaʻa hou ka ikaika a me ka maʻalahi i kou pulima. Pono paha ʻoe e ʻike i kahi mea hoʻoponopono kino a hana i nā hoʻoikaika mālie iā ʻoe iho ke ola ʻoe.

ʻOiai ʻoe e ola hou, e hoʻāʻo e hōʻole i ka kaomi ʻana i kou lima a hiki ke hiki.

He aha ke kuanaʻike?

Hiki i nā ʻeha o ka pulima ke hopena i kou ola i kēlā me kēia lā. ʻO kēia ke kumu he mea nui e ʻimi koke i ka lāʻau no kekahi ʻano ʻeha o ka pulima.

Kaukaʻi ʻia inā pono ʻoe i kahi ʻoki, pono ʻoe i kēlā me kēia wahi mai ʻelua mau mahina a hoʻokahi makahiki e hoʻōla piha. ʻOiai ma hope o kou ola hou ʻana, pono ʻoe e komo i kahi kāʻei lima i ka wā e hana ana i nā mea e kau i ke kanana ma kou lima, e like me ka hāpai kaumaha.