Kūʻai (Latin contractura - ka keʻakeʻaʻana, ke kuʻulua) - ka palena o ka lokahi o ke kaʻa, kahi kūlana e hikiʻole ai ke pale pololei a paleʻole paha ka lālā, e pili ana i nā hoʻololi piliʻole o kaʻiʻo o nā mea a puni. ʻO ka hapanui o nā manawa, loaʻa nā hana aelike me ka noho lōʻihi o ka hui, ma hope o ka trauma, ka hopena o ke kino o ke kino, ka nalowale o nā ligaments a me nā aʻa o ka elasticity. Akā nō ke kumu o ka neurological, nā maʻi inflammatory o nāʻiʻo a me nā hono, kaʻili o kaʻili a me nā pilikia'ē aʻe.
Nāʻano likeʻole o kaʻaelike
Ma ko lākou kumu, he kūponoʻole ka loaʻaʻana o nā kuʻikahi. Nānāʻia nā maʻi ma muli o ka underdevelopment o nāʻiʻo a me nā hui. Hiki i nā'āpana hana loaʻa ke:
- neurogenic - no ka hopena o nā maʻi a iʻole nāʻeha o ka pūʻali koa;
- traumatic - ma muli o kaʻokiʻana, kaʻino i nāʻokoʻa a me ka periarticular, nāʻeha a iʻole nā kukuna o nā mea'eleʻa me ka hoʻonele hopeʻana o kā lākou mau hana.
Ke kuʻi o ka hui lima
ʻO ka kumu maʻamau loa o kaʻaelikeʻana o ka hui hui lima he pololeiʻole iʻole ka hoʻopihaʻana i ka reposition, hikiʻole ke kūlike pono i nā'āpana ma hope o ka hakiʻana i ka'āpana periarticular. Ma ia mau kumu, hiki ke pale i ka hana i ke kuhiʻana i ka mechanical, me ka mea hou, hiki i ka hemorrhage ma ka hui a me ka uha o ke apo hui. Inā ua hoʻonohonoho ponoʻia kaʻoki a ua lōʻihi paha mai ka hui, hiki i ka hoʻolālāʻana i kaʻaelike ma muli o ka hoʻohaunaeleʻana o ka hui. ʻO ka mea maʻamauʻole he mauʻaelike i hanaʻia e nā pullentropus, nā lacerations, a iʻole nā kukuna nui o nā mea maʻemaʻe o ka lima.
Hoʻomaʻa i ke kuʻikahi o ka hui kuʻe lima ma luna o nā kumu i kumu ai. Me nāʻeha kūponoʻole i hoʻokomoʻia, hiki lākou i ka hana āpau e like me ka hoʻomau pinepineʻana. I kekahi mau kumu'ē aʻe, mālamaʻia ke kaulike ma nāʻano hana kūʻokoʻa:
- nā hōkū;
- maʻi physiotherapy.
Hoʻomohana pinepineʻia nā lāʻauʻalo- non -steroidal anti-inflammatory .
Ke kūlana o ka huiʻana
ʻO kaʻaelikeʻana o kēia hui hui pinepine ma hope o ka paʻiʻana a me nā pulupili, me ka hemorrhage i loko o ka pilikino a iʻole e hōʻino paha i nā mea periarticular. ʻO ke kumu, he kumu kūpono ke kāʻiliʻana a me ka haehaeʻana o nā'ōpū a me nā ligaments, nā maʻi inflammatory o nāʻiʻo, ka waihoʻana o nā paʻakai.
I ka hapanui o nā hihia, hele pū ka palena o ka heleʻana me ka maʻi nui ma ka'āina hui. Hoʻomaʻaʻia kaʻaelike o ka huiʻokoʻa, koe wale no nā kumu i hanaʻia e nā papa hana inflammatory maʻamau, ke kaʻahana.
Ke kūlana o ka hui hope
ʻO ka papahana maʻamau o ka hui piko, i uluʻia ma muli o ka hana ponoʻoleʻana o ka lālā me kahi'ōpū o ka'ūhā a iʻole ke kukui. Ma kēia hihia, hiki wawe ka ikaika o nāʻiʻo, aʻo nā ligaments a me nā'ōniu e palula. No laila, no nā pule he 6 o ka hoʻolālāʻole, hiki ke hoʻonuiʻia ka rigidity o ka pahu hui e 10 mau manawa aʻoi aku paha. ʻO nā kumuhanaʻole-ʻole o ka uluʻana o iaʻano kūʻokoʻa he pinepine
Hoʻohanaʻia nā hana maʻamau (ka weheʻia o nā scars, ka lōʻihi o nāʻiʻo, a me nā mea'ē aʻe) ma keʻano o ka hemahema o ka mālama lāʻau.
Kaʻaelike i ka wāwae wāwae
Hoʻonui pinepineʻia ka uluʻana ma muli o ka hōʻinoʻana i nā ligaments a me nā aʻa, no ka mea,ʻo ia mau hōʻeha i loaʻa i ka 12% o nā mea āpau a pau. Eia hou, hiki ke hana i ka hana i ka hana ma hope o ka hoʻopiliʻana, keʻole ka hewa i hui pūʻia, no ka'ākinoʻana , a me ka arthrosis. ʻO nā kuʻuna hikiʻole ke mālamaʻia a me ke kaʻawale.