He aha ke aʻalolo ulnar, ma hea kahi a me nā loli hiki
Anter
Hoʻonui ʻia ke aʻalolo ulnar mai ka plexus brachial, ʻo ia ke ʻano o nā aʻalolo i ka poʻohiwi, e hele ana ma nā iwi kuʻekuʻe a hōʻea i ka ʻaoʻao i loko o ka pāma. ʻO ia kekahi o nā aʻa nui o ka lima a ʻo kāna hana ka hoʻouna ʻana i nā kauoha no ka neʻe ʻana o ka pūlima, ka pulima a me nā manamana hope o ka lima, e like me ke apo a me ka pinky.
ʻAʻole like me ka nui o nā aʻalolo, ʻaʻole pale ʻia ke aʻalolo ulnar e kekahi ʻiʻo a iwi paha i ka ʻāpana kuʻekuʻe, no laila ke hiki mai kahi ʻōkuhi i kēia wahi hiki ke ʻike i ke ʻano o ka haʻalulu a me ke kani ʻana o nā manamana lima.
No kēia kumu, hiki i nā ʻeha a me ka maʻi lōlō ke hana ʻia i ke aʻalolo ulnar ma muli o ka trauma a no ka lōʻihi paha o ke kuʻekuʻe. Aia kekahi kūlana maʻamau i kapa ʻia ʻo cubital tunnel Syndrome, kahi hana ma muli o ke kaomi ʻana i kēia nerve a hiki ke lilo i mea maikaʻi ʻole i ka poʻe me nā maʻi ʻē aʻe, e like me ka rheumatoid arthritis. E ʻike hou aʻe i ke ʻano o nā rheumatoid arthritis a me nā ʻōuli.
Aia i hea ke aʻalolo?
Holo ke aʻalolo ulnar i loko o ka lima āpau, e hoʻomaka ana ma kahi ʻāpana poʻohiwi i kapa ʻia ʻo ka brachial plexus, e hele ana i loko o ke ana o ka cubital, ʻo ia ka ʻaoʻao i loko o ke kuʻe lima, a hiki i nā kihi o ka manamana lima a me nā manamana lima.
I ka ʻāpana kuʻe lima, ʻaʻohe pale o ke aʻalolo ulnar mai nā mākala a iwi paha, no laila ke kīkēkē ma kēia wahi hiki ke ʻike i ka haʻalulu i loko o ka lōʻihi holoʻokoʻa o ka lima.
Nā loli hiki
E like me nā ʻāpana o ke kino, hiki i ke aʻalolo ulnar ke loli ma muli o ka trauma a i ʻole nā kūlana olakino, e hōʻeha ana i ka ʻeha a me ka paʻakikī i ka neʻe ʻana i ka lima a me nā lima. Hiki i kekahi o kēia mau hoʻololi ke:
1. Nā hōʻeha
Hiki i ke aʻalolo ulnar ke ʻeha i nā ʻeha ma nā wahi āpau o kona hoʻolōʻihi ʻia, ma muli o ka ʻeha o ka kuʻe lima a lima paha, a hiki ke hana ʻia kēia mau ʻeha ma muli o ka fibrosis, ʻo ia ka manawa e ʻoi ai ka ʻāʻī o ke aʻalolo. ʻO nā ʻōuli o nā ʻeha i ke aʻalolo ulnar he ʻehaʻeha loa, paʻakikī e neʻe i ka lima, ʻeha ke wili i ka kuʻe lima a lima a "lima lima", ʻo ia ke kūlou mau o nā manamana hope loa.
ʻO ka ulnar ligament ligament ʻeha kahi ʻano waimaka e hiki ke hana ke hāʻule ke kanaka a kau i ka manamana nui a i ʻole hāʻule ʻoiai e paʻa ana i kahi mea, e like me nā mea lele e hāʻule me ka lāʻau i ko lākou lima.
He aha e hana ai: ke ʻike ʻia nā hōʻailona he mea nui e nīnau aku i ka orthopedist e hōʻike ai i ka lapaʻau kūpono kūpono loa e hiki ke hoʻokumu ʻia i ka hoʻohana ʻana i nā lāʻau anti-inflammatory, corticosteroids a, i nā hihia ʻoi aku ka nui, ke ʻoki.
2. Kaomi
ʻO ke kaohi ʻana o ke aʻalolo ulnar, ka mea maʻa mau i ka ʻāpana kuʻekuʻe, ua kapa ʻia ʻo cubital tunnel Syndrome, i hiki ke kumu ʻia e ka hōʻiliʻili ʻana o nā wai, ke kaomi o ke aʻalolo no nā wā lōʻihi, nā spurs, arthritis a me nā cyst i nā iwi o ke kuʻe lima. ʻO kēia maʻi ke kumu o nā ʻōuli i paʻa mau, e like me ka ʻeha o ka lima, ka helu a me ke kani ʻana i nā lima a me nā manamana lima.
I kekahi mau hihia hou aʻe, ʻo ka cubital tunnel syndrome ke kumu o ka nāwaliwali o ka lima a me ka paʻakikī e hoʻopaʻa i nā mea. Ke ʻike ʻia nā ʻōuli, pono e ʻimi i ke kōkua mai kahi orthopedist, nāna e kauoha i nā kukuna X, MRI a me nā hoʻokolohua koko.
He aha e hana ai: ma hope o ka hōʻoia ʻana o ka cubital tunnel Syndrome e hōʻoia ʻia, hiki i ke kauka ke koi aku i nā lāʻau anti-inflammatory, e like me ka ibuprofen, e kōkua i ka hōʻemi ʻana i ka pehu a puni ke aʻalolo a hoʻomaha i ka ʻeha.
Hōʻike ʻia ka hoʻohana ʻana i nā orthoses a i ʻole nā splints e kōkua ai i ka neʻe ʻana o ka lima, a ma ka hihia hope, kuhikuhi ke kauka i ke ʻoki e hoʻōla i ke kaomi ma ke aʻalolo ulnar.
3. Lōlō
Ulnar neuropathy, kū ma muli o ka palapū a me ka nawaliwali o ke aʻa ulnar a alakaʻi i ke kanaka e nalowale i ka noʻonoʻo a me ka ikaika i ka lima a me ka lima. Kū kēia kēia ma muli o kahi hana hoʻohaunaele e hōʻino ai i ke aʻalolo a hana i ka paʻakikī i ka neʻe a i ʻole ke atrophy i ka kuʻe lima, ka lima a me nā manamana lima.
Hoʻohui ʻia, hiki i ka ulnar neuropathy ke paʻakikī i ka poʻe e hana i nā hana maʻamau me ko lākou mau lima, e like me ka hoʻopaʻa ʻana i ke kakā a i ʻole ka penikala, a hiki ke hoʻoweliweli. E ʻike hou aʻe e pili ana i nā kumu ʻē aʻe o ka ʻūlū ʻana i nā lima.
Pono e nīnau i ka orthopedist i mea e hoʻāʻo ai nā hoʻokolohua ʻike kūloko a me nā hoʻokolohua kiʻi ʻē aʻe e like me nā X-ray, nā tomography i helu ʻia a me nā hoʻokolohua ʻana i ke koko e kālailai i kekahi mau māka o ka wela ma ke kino.
He aha e hana ai: hiki i ke kauka ke kuhikuhi i nā lāʻau e hōʻemi i nā spasms i hoʻokumu ʻia e ka compression nerve, e like me gabapentin, carbamazepine a i ʻole phenytoin. Hōʻike pū ʻia ʻo Corticosteroids a me anti-inflammatories e hōʻemi i ka ʻeha a me ka mumū. Inā, me ka lapaʻau ʻana o ka lāʻau, ʻaʻole hoʻomaikaʻi nā ʻōuli, e hōʻike paha ke kauka i ke ʻoki.
He mea nui ka mālama ʻana me ka physiotherapy no ka hoʻōla hou ʻana i nā neʻe a me ka hoʻomaikaʻi ʻana i nā ʻōuli e like me ka ʻūlū ʻana, ka puhi ʻana a me ka ʻeha, a e ʻōlelo paha ka physiotherapist i nā hana e hana ʻia ma ka home.