Ðe nènya lãmeka vevi sia si le wò abɔtaa? (Axillary Nerve) - Mina míaƒo nu tsitotsito!

Èbu nu gbogbo siwo míaƒe abɔta hiã vevie na ŋu kpɔa? Míaƒe abɔwo kɔklɔ, míaƒe ŋutilãwo ʋuʋu, kpekpemewo kɔkɔ, oo nye, míehiã míaƒe abɔta na nu akpe ɖeka kple ɖeka, alo? Eyata egbea míele nu ƒom tso lãmeka vevi aɖe ŋutɔ si kpena ɖe abɔta ŋu wòwɔa dɔ nyuie ŋu. Emae nye axillary nerve, alo `(Axillary Nerve)`. Esia le abe agbeka sue aɖe si le míaƒe abɔta ene.

Nukae nye Axillary Nerve? Mina míase egɔme bɔbɔe!

Kpuie ko la, axillary nerve nye lãmeka gã atɔ̃ siwo toa wò abɔta la dometɔ ɖeka. Woyɔa esia hã ɣeaɖewoɣi be circumflex nerve. Lãmetsi sia dzea egɔme tso wò kɔ me. Le wò kɔ me la, lãmekawo ƒe kadodo aɖe si woyɔna be brachial plexus, si le abe lãmekawo ƒe mɔ sue geɖe siwo va ƒo ƒu ƒe kadodo ene. Afi mae axillary nerve la dzea egɔme tsoe eye wòyia wò abɔta. Lãmetsiŋusẽ ƒe kadodo sia le vevie ŋutɔ elabena abɔta ƒe akpa si kpena ɖe mía ŋu míeʋãa míaƒe abɔwo, si nye míaƒe abɔwo, eye wònaa wosea veve. Eyata, axillary nerve nye nuɖoanyi gãtɔ ma ƒe akpa vevi aɖe.

Tsɔ kpe ɖe axillary nerve ŋu la, amekae le nuto sia me?

Ẽ, axillary nerve sia ``(Axillary Nerve)`` ɖeɖe mewɔa dɔ le abɔta ƒe nuto me o. Lãmetsi bubu geɖe le esi siwo kpena ɖe eŋu, si nye esiwo do ƒome kple abɔta kple alɔnu. Ele abe xɔlɔ̃ siwo le dɔ wɔm le ƒuƒoƒo ɖeka me ene. Na míakpɔ amesiwo wonye ɖa:

• Median nerve: Esia nye lãmeka vevi aɖe si ƒua du yia wò abɔta, wò asi, kple wò asibidɛ akpa gãtɔ ƒe ŋgɔgbe. Lãmetsi sia le vevie ŋutɔ ne ètsɔ asi lé nane kple ne èbɔbɔ wò asibidɛwo.
• Lãmetsiŋusẽ: Esia yia lãmeka siwo le wò abɔta ƒe ŋgɔgbe kple abɔta tututu gbɔ. Esia kpena ɖe ŋuwò ne èbɔbɔ wò abɔta.
• Radial nerve: Lãmetsi sia yia lãmeka siwo le wò abɔ ƒe megbe (si woyɔna hã be triceps) kple asibidɛ gbɔ. Esiae kpena ɖe ŋuwò nèdoa wò alɔnu hedoa wò asibidɛ ɖe dzi.
• Ulnar nerve: Esia nye lãmeka si toa wò abɔta me yia wò asi me, vevietɔ asibidɛ suea.

Èkpɔa, lãmeka siawo katã wɔa dɔ ɖekae kpena ɖe mía ŋu míewɔa míaƒe asiwo ƒe ʋuʋu bɔbɔetɔ kekeake gɔ̃ hã.

Nukae nye Axillary Nerve ƒe dɔwɔwɔ? Eyae nye be, nuka mee wòkpena ɖe ame ŋu le?

Enyo, azɔ mina míakpɔ subɔsubɔdɔ si ƒomevi axillary nerve sia wɔna na míaƒe ŋutilã ɖa. Dɔ vevi evee li:

1. Lãmetsiwo ƒe ʋuʋu: Lãmetsi siae naa wò abɔta ƒe lãmeka vevi aɖewo ʋãna, alo wɔa dɔ. Abe alesi akaɖi klẽna ne wodo elektrikŋusẽ ene la, lãmeka siawo wɔa dɔ ne woɖo dzesi aɖe tso lãmeka sia me.

2. Seselelãme nana: Axillary nerve ye nana ŋutigbalẽ si ƒo xlã abɔta la sena le eɖokui me. Nukawoe nye seselelãme siawo?

• Vevesese:Ne míexɔ abi le afi aɖe, ne nane gblẽ la, míesea veve. Ekpena ɖe mía ŋu míesenɛ le mía ɖokui me.
• Nɔnɔme: Àte ŋu ase afisi wò asi le (dzi, anyi, ɖe axadzi) evɔ màlé ŋku ɖe eŋu o. Esia akpe ɖe ŋuwò hã be nàse le ɖokuiwò me nenema.
• Dzoxɔxɔ: Ne èse dzoxɔxɔ alo vuvɔ le wò abɔta la, ezɔa mɔ hã toa lãmeka sia me yia ahɔhɔ̃a me.
• Kakaɖedzi: Ne ame aɖe ka asi wò abɔta alo wò awuwo ƒo ɖe wò ŋutilã ŋu la, ke lãmeka sia tae nèsena le ɖokuiwò me be asikaka ame ŋu nenema.

Bu eŋu kpɔ ko, ne lãmeka sia mele dɔ wɔm nyuie o la, asesẽ be nàʋuʋu wò abɔta, eye àte ŋu ase le ɖokuiwò me gɔ̃ hã le teƒe ma.

Lãmetsi kawoe Axillary Nerve naa lãmekawo?

Azɔ mina míakpɔ lãmeka siwo tututu axillary nerve "dea lãmeka" alo wɔa dɔ. Lãmetsi vevi eve kple ɖeka ƒe akpa aɖe li:

• Deltoid muscle: Esia nye lãmeka gã si le abe wò abɔta ƒe nugbɔ ene eye wònana wò abɔta ƒe nɔnɔme nɔa goglo nyuie. Enye deltoid lãmeka si kpena ɖe ŋuwò koŋ be nàkɔ wò abɔ ɖe axadzi, ayi ŋgɔ, kple megbe .
• Teres lãmeka sue: Esia nye lãmeka sue aɖe si le deltoid te. Ele sue gake ewɔa dɔ gã aɖe ŋutɔ. Lãmetsi sue si nye teres kpena ɖe ŋuwò nètrɔa wò abɔa yia gota (gotagome tɔtrɔ) .
• Triceps lãmeka ƒe akpa aɖe: Triceps lãmeka si le wò abɔta ƒe megbe kpena ɖe ŋuwò nèkekea wò abɔta. Triceps lãmeka sia ƒe ta didi la do ƒome kple axillary nerve.

Esi lãmeka siawo le dɔ wɔm nyuie tae míate ŋu awɔ ʋuʋu ɖesiaɖe si míate ŋu awɔ kple míaƒe abɔta bɔbɔe, tso bɔl dada dzi va ɖo míaƒe ɖa ƒoƒo dzi.

Nukae nye abɔta ƒe lãmeka ƒe wɔwɔme? Eyae nye be aleke wowɔe?

Azɔ mina míayi ŋgɔ vie akpɔ alesi axillary nerve sia le míaƒe ŋutilã me, afisi wòdze egɔme tsoe kple afisi wòyi. Ele abe mɔ aɖe didi ene.

Lãmetsi sia dzea egɔme tso wò akɔta ƒe tame le wò kɔ me, afisi lãmeka ƒe ke siwo tso vidzidɔ ƒe akɔta ƒe akɔtaƒu atɔ̃lia (C5) kple adelia (C6) me la wɔa ɖeka le.

Eye emegbe lãmeka sia:

1. Ezɔa mɔ le wò kɔmeƒu te.

2. Eyome, etoa dometsotso si le dzogoe ene me (si woyɔna le atikewɔwɔ me be ``Quadrangular space'') si le lãmekawo kple lãkusi bubu siwo le abɔta ƒe nuto me dome. Esia nye teƒe si me kɔ vie.

3. Tso afima la, ezɔa mɔ le wò abɔta ƒe ƒu (`(Humerus)`) tame megbe.

Emegbe, axillary nerve sia ma ɖe alɔ gã etɔ̃ me. Bu eŋu abe ati ƒe ke ene, emegbe ema ɖe alɔ suewo me tsɔ wɔa dɔ vevi aɖewo:

• Alɔdze si le ŋgɔgbe:Esia yia ŋgɔ eye wòléna ɖe deltoid lãmekaa ƒe ŋgɔgbe, si kpena ɖe eŋu wòʋãna. Enaa ŋutigbalẽ si le abɔta ƒe ŋgɔgbe hã sena le eɖokui me.
• Articular branch: Esia yia glenohumeral ƒunukpeƒea tẽ. Ekpena ɖe ame ŋu wòtsɔa seselelãmewo tso ƒunukpeƒea me. Ɣeaɖewoɣi la, edoa ka kple ta legbe si le triceps la hã.
• Alɔdze si le megbe: Esia ƒua du yia megbe eye wòdoa ka kple deltoid lãmeka ƒe megbekpa kple teres minor lãmeka, si kpena ɖe alɔnu ŋu wòʋãna. Enaa ŋutigbalẽ si le abɔta ƒe megbe kple abɔta ƒe akpa si le etame hã sena le eɖokui me.

Aleae axillary nerve wɔa eƒe dɔe.

Nɔnɔme kawoe kpɔa ŋusẽ ɖe abɔta ƒe lãmeka ƒe dɔwɔwɔ dzi?

Nublanuitɔe la, susu vovovowo li siwo tae axillary nerve vevi sia ate ŋu agblẽ ɖo. Ne edzɔ alea la, abɔta ƒe dɔwɔwɔ ate ŋu agblẽ. Mina míalé ŋku ɖe nusiwo nye susu mawo ŋu:

Nuveviwɔamewo:

• Afɔkuwo: Afɔku siwo nana ta trɔna ɖe akpa ɖeka zi ɖeka eye abɔta trɔna yia akpa kemɛ (le kpɔɖeŋu me, le ʋufɔku me). Le nɔnɔme siawo me la, ``Brachial Plexus`` si le kɔ me kple ``Axillary Nerve`` ateŋu agblẽ.
• Atizɔti alo nu bubu siwo wotsɔ léa wo ɖe te: Ame aɖewo zãa atizɔti esime woléa wo ɖe woƒe akɔta sesĩe. Esia ate ŋu ana axillary nerve la nate ɖe edzi eye wòagblẽ nu le eŋu.
• Abɔta si vuvu: Esia nye nusi ŋu ame geɖe sena. Ne abɔta ʋuʋu le kamedefefewɔɣi, ge tso atrakpui dzi, alo ge tso keke dzi la, ate ŋu ahe akɔta ƒe lãmekaa eye wòagblẽ nu le eŋu. Esiae nye nusi gbɔ axillary nerve ƒe gbegblẽ tsona wu.
• Gbagbãƒe: Ne abɔta ƒe ƒu (humerus) gbã le abɔta gbɔ la, ƒu kakɛ siwo gbã ate ŋu agblẽ nu le lãmekaa ŋu.
• Amekoko ƒe kuxiwo: Abɔtadɔ aɖewo, abe abɔta ƒe ƒunukpeƒetetedɔ ene, ate ŋu agblẽ nu le lãmekawo ŋu, togbɔ be ƒã ŋutɔ hã.

Kuxi siwo doa mo ɖa le vidzĩwo dzidzi me:

Ne wodzi vidzĩ la, ɣeaɖewoɣi la, ele be woatsɔ abɔta alo asi ahe vidzĩa ado goe. Alo vidzĩa ƒe abɔta ate ŋu atɔ ɖe vidadaa ƒe akɔta. Le nɔnɔme mawo me la, vidzĩ yeyea ƒe akɔta ƒe lãmeka ate ŋu agblẽ le hehe alo nutete ta.

Atikewɔwɔ ƒe nɔnɔme bubuwo:

• Vidzidɔ me dɔléle si nye radiculopathy:Esia nye lãmeka ƒe ke si dona tso akɔtaƒu siwo le kɔ me la ƒe nutete. Esia ate ŋu ana abɔta nase veve eye wòatsi, eye ɣeaɖewoɣi la, ekpɔa ŋusẽ ɖe abɔta ƒe dɔwɔwɔ dzi le mɔ si mele tẽ o nu.
• Erb-Duchenne kple Dejerine-Klumpke ƒe Dɔléle: Esiawo nye nɔnɔme siwo nana abɔa ƒe akpa aɖe alo tu keŋkeŋ le esi Brachial Plexus, si nye lãmeka siwo le kɔ me ƒe kadodo aɖe gblẽ ta. Axillary Nerve hã nye network sia ƒe akpa aɖe, eyata ekpɔa ŋusẽ ɖe edzi le nɔnɔme siawo hã me.
• Parsonage-Turner ƒe dɔléle: Esia nye ahɔhɔ̃mekawo ƒe dɔléle si mebɔ kura o. Edzɔna ne mía ŋutɔwo ƒe dɔlélenutsiŋutete dze lãmeka siwo le lãmesẽ me dzi vodadatɔe (woyɔa esia be autoimmune inflammation). Esia ate ŋu ana abɔta kple alɔnu nase veve kpata eye wòagbɔdzɔ.
• Herpes zoster: Dɔléle si mí katã míenya be shingles. Dɔlékui sia zɔa mɔ to lãmekawo dzi. Ne edzɔ le teƒe si ƒo xlã axillary nerve la, ate ŋu agblẽ nu le lãmekaa ŋu eye wòana ame nase veve eye wòagbɔdzɔ emegbe.
• Quadrilateral space syndrome: Axillary nerve, abe alesi míegblɔe va yi ene, ate ŋu aƒo ɖe dzogoe ene me, le lãmeka siwo le eme ƒe vuvu ta alo le susu bubu aɖe ta, eye axillary nerve si ƒua du le eme ate ŋu aƒo. Esia ate ŋu ana abɔta nase veve eye wòagbɔdzɔ hã.

Ðe wòle be matsi dzi vevie ne nye axillary nerve gblẽa?

Esɔ be nàvɔ̃ vie ne èse lãmekawo ƒe kuxi aɖe abe esia ene. Gake nusi nyo wue nye be, zi geɖe la, lãmekawo ƒe kuxi siawo hayana le wo ɖokui si le ɣeyiɣi aɖe megbe, le wo ɖokui si alo to kamedede me. Lãmetsiwo nye lãkusi ƒomevi aɖe si hayana kabakaba ŋutɔ. Eyata ɖeko wòle be nàgbɔ dzi ɖi.

"Exɔa ɣeyiɣi hafi lãmekawo haya, gake mègana mɔkpɔkpɔ o. Ne wowɔ atike nɛ nyuie la, ame akpa gãtɔ hayana."

Gake le abi sesẽ aɖewo, abe lãmeka ƒe abi blibo ene gome la, ate ŋu ahiã be woawɔ dɔ nɛ. Le nɔnɔme mawo me la, wozãa lãmeka si wotsɔ dea lãmeka me, si bia be woaɖe lãmeka sue aɖe tso ŋutilã ƒe akpa bubu eye woatsɔe ade ame bubu me. Le abi ma tɔgbe xɔxɔ vɔ megbe la, ate ŋu axɔ ɣleti geɖe, alo ƒe ɖeka gɔ̃ hã hafi abɔta nagase le eɖokui me eye wòaɖu eƒe lãmekawo dzi ake. Eyata ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo kaba ale si nàte ŋui.

Aleke ɖɔktawo wɔa anya dɔléle sia tɔgbe? (Dɔléle ƒe dzesi) .

Ne èyi ɖɔkta gbɔ kple abɔta le veve sem, eƒe abɔta le ʋuʋum, eye wòsesẽna be nàkɔ wò abɔ ɖe dzi la, aleke wòawɔ anya nenye be axillary nerve ƒe kuxie wònye? Dodokpɔ vovovowo li na ema:

1. Atikewɔwɔ ŋutinya blibo kple ahɔhɔ̃mekawo ƒe dɔwɔwɔ me dzodzro:Gbã la, ɖɔktaa abia nya aɖe wò tsitotsito tso alesi wòdze egɔmee kple dzesi siwo le ŋuwò ŋu. Emegbe, woalé ŋku ɖe wò abɔta kple alɔnu ŋu be woakpɔ wò lãmekawo ƒe ŋusẽ, wò seselelãme, kple alesi nèwɔa dɔe ɖa.

2. NCS/EMG dodokpɔ: Esia tsi tre ɖi na Nerve conduction study/Electromyography. Esia nye dodokpɔ tɔxɛ aɖe. Edzidzea alesi elektrikŋusẽ ƒe dzesiwo zɔna kabakaba le lãmekawo me kple alesi lãmekawo wɔa nu ɖe ​​dzesi mawo ŋui. Esia ate ŋu ana míanya nenye be axillary nerve la gblẽ, eye ne egblẽ la, afikae wògblẽ.

3. X-ray: Wowɔa X-ray tsɔ léa ŋku ɖe abɔta ƒe ƒuwo ƒe ƒuwo ƒe gbagbã alo ʋuʋu aɖeke ŋu hã.

4. MRI (Magnetic Resonance Imaging) Scan: MRI ate ŋu akpɔ lãkusi falɛfalɛ siwo le abɔta, abe lãmekawo, lãkusiwo, lãkusiwo, kple lãmekawo ene nyuie. MRI ate ŋu akpe ɖe ame ŋu ŋutɔ le enyanya me nenye be axillary nerve la vuvu, vuvu, alo kuxi aɖe le lãmeka siwo ƒo xlãe ŋu.

5. Neuromuscular ultrasound: Esia hã nye mɔnu si wozãna le dukɔ deŋgɔ geɖe me. Abe alesi wòle le ultrasound si wozãna tsɔ doa vidzĩ si le vidzidɔ me kpɔ ene la, esia ate ŋu alé ŋku ɖe lãmekawo kple lãmekawo ƒe nɔnɔme ŋu. Esia hã ɖea vi elabena woate ŋu awɔe kabakaba eye wòanɔ bɔbɔe wu MRI.

Dodokpɔ siawo dometɔ ɖeka alo esi wu nenema wɔwɔe ɖɔktaa akpɔ nusi tututu gbɔ wò kuxia tso.

Nukae míate ŋu awɔ atsɔ axe mɔ ɖe axillary nerve disorder sia ƒomevi nu?

Nya aɖe li be "mɔxexe ɖe enu nyo wu edada." Eyata, nu geɖe li míate ŋu awɔ be míaxe mɔ ɖe nusiwo agblẽ le axillary nerve ŋu nu:

• Ne ehiã be woawɔ dɔ na wò abɔta: Ne ehiã be woawɔ dɔ na wò abɔta la, tia ƒumeŋutinunyala bibi si bi ɖe eme ɣesiaɣi. Enyo ŋutɔ ne ame aɖe si bi ɖe abɔ kple afɔ ƒe amekoko me (si woyɔna ɣeaɖewoɣi be asidɔdala) le asiwò. Esia aɖe lãmekawo ƒe gbegblẽ le amekokoa me ƒe afɔkua dzi akpɔtɔ.
• Kpɔ nyuie ne èle atrakpui liam: Ne ège tso atrakpui dzi la, àte ŋu avuvu wò abɔta eye wò ƒuwo nagbã. Eyata kpɔ nyuie ŋutɔ ne èle atrakpui liam. Ne anya wɔ la, gblɔ na ame aɖe be wòalé atrakpui la, alo na ame aɖe nakpe ɖe ŋuwò nàtsɔ nuwo ayi dzi. Mègayi dɔ si me afɔku le wɔwɔm wò ɖeka o.
• Zã dedienɔnɔ ƒe ɖoɖowo: Do ​​zikpuimeka ɣesiaɣi ne èle ʋu me. Do ametakpɔwu kple gakuku ne èle gasɔ dom alo le kamedefefe aɖewo wɔm. Esiawo ate ŋu aɖe nusiwo gblẽ le afɔku me dzi akpɔtɔ ŋutɔ.
• Zã atizɔtiwo nyuie: Ne eva hiã be nàzã atizɔtiwo gbeɖeka la, .Srɔ̃ alesi nàzã wo nyuie eye màtsɔ nyaƒoɖeamenu ade lãmekawo me o la tso kamededeŋutinunyala alo ɖɔkta gbɔ. Ne wobla wo sesĩe le akɔta vodadatɔe la, woate ŋu ami akɔta ƒe lãmekaa.

Ne èlé be na nu sue siawo la, àte ŋu aƒo asa na lãmekawo ƒe kuxi siawo ƒomevi le akpa gãtɔ me.

Ɣekaɣie wòle be nàkpɔ ɖɔkta le lãmeka ƒe kuxi aɖe si le wò abɔta ŋu?

Ne abɔta ƒe dzesi siwo gbɔna dometɔ ɖeka alo esi wu nenema le ŋuwò la, anyo wu be nàkpɔ ɖɔkta tsɔ wu be nàbui be enye ŋutilãmedɔléle dzro aɖe ko:

• Ne wò abɔta alo abɔ ʋuʋu sesẽ na wò, vevietɔ ne màte ŋu akɔ wò abɔ ɖe axadzi o.
• Ne èse le ɖokuiwò me be yeƒe abɔta le ʋuʋum alo le wò abɔta ƒe akpa si le etame.
• Ne èse veve vevie, vevietɔ ne èkɔ wò abɔ ɖe dzi alo nèle abɔta zãm.
• Ne ʋuʋudedi le ŋuwò, alo seselelãme wɔnuku aɖe ƒomevi le wò abɔta ƒe akpa si nèle.
• Ne èse le ɖokuiwò me be yeƒe abɔta ƒe lãmekawo gbɔdzɔ eye wole veve sem .

Dzesi siawo tɔgbe fia be ate ŋu anye be kuxi aɖe le ememe. Eyata ne èdi atikewɔlawo ƒe aɖaŋuɖoɖo kaba, ne kuxi aɖe li la, woate ŋu akpɔe kaba eye woate ŋu adze atikewɔwɔ gɔme. Emegbe mɔnukpɔkpɔ geɖe wu li be wòahaya kaba.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Enyo, míeƒo nu geɖe tso Axillary Nerve ŋu egbea, alo? Mesusu be aɖe vi na wò be nya siawo nanɔ susu me na wò:

• Axillary nerve nye lãmeka vevi aɖe ŋutɔ si le vevie na wò abɔta ƒe ʋuʋu kple seselelãme. Enaa lãmeka suewo dea deltoid kple teres.
• Afɔku vovovowo, abɔta ƒe ʋuʋu, kple atikewɔwɔ ƒe nɔnɔme aɖewo ate ŋu agblẽ nu le lãmeka sia ŋu.
• Ne nu gblẽ le eŋu hã la, zi geɖe la, woate ŋu adae ne wodae nyuie eye woda kamedede nɛ. Gake exɔa ɣeyiɣi aɖe.
• Nu bɔbɔewo abe ŋuɖɔɖɔɖo ne wole atrakpuiwo liam kple dedienɔnɔdɔwɔnuwo zazã ene ate ŋu awɔ akpa gã aɖe le mɔxexe ɖe abi siawo ƒomevi nu.
• Ne èkpɔ dzesiwo abe abɔta ƒe veve, lãmetutudɔ, alo wò abɔ kɔkɔ sesẽ la, mègaŋe aɖaba ƒu edzi o eye nàyi ɖɔkta enumake.

Wò abɔta nye wò nunɔamesi vevitɔwo dometɔ ɖeka si kpena ɖe ŋuwò le wò gbesiagbedɔ geɖe wɔwɔ me. Eya ta, wò agbanɔamedzie wònye be nàlé be nɛ. Mele mɔ kpɔm be nyatakaka sia akpe ɖe ŋuwò le ema me!

` Axillary nerve, abɔta ƒe lãmeka, abɔta ƒe vevesese, lãmeka ƒe dɔléle, brachial plexus, deltoid muscle, abɔta ƒe ʋuʋu