Ðe nèse veve le wò abɔta kpɔ, eye wòsesẽ na wò be nàkɔ wò abɔ ɖe dzia? Alo ɖe nèsena le ɖokuiwò me be yeƒe abɔta le ƒoƒom? Susu ɖeka si ta nu siawo tsonae nye be míaƒe abɔta ƒe lãmeka vevi aɖe si le vevie ŋutɔ la gblẽ. Míele nu ƒom tso eŋu egbea. Emae nye Axillary Nerve (Axillary Nerve) si woyɔna be Axillary Nerve. Ele vevie ŋutɔ be nànya nu tso esia ŋu pɛpɛpɛ.
Nukae nye Axillary Nerve?
Kpuie ko la, axillary nerve nye lãmeka gã atɔ̃ siwo toa wò abɔta la dometɔ ɖeka. Lãmetsi sia dzea egɔme tso wò kɔ me. Lãmetsi siwo tso wò kɔ dzi va ɖoa wò alɔnu la va ƒoa ƒu wɔa lãmeka siwo woyɔna be brachial plexus. Ele abe kaƒomɔ̃ si le aƒe aɖe me ene. Lãmetsiŋusẽ ƒe kadodo siae nana míaƒe abɔta ƒe akpa si le etame la ʋãna eye wòsea veve. Eyata, axillary nerve nye "ka" vevi aɖe ŋutɔ le network sia me.
Lãmetsi bubu kawoe te ɖe axillary nerve ŋu?
Lãmetsi siawo katã wɔa dɔ ɖekae tsɔ kpɔa míaƒe abɔta kple alɔnu ƒe dɔwɔwɔ dzi. Tsɔ kpe ɖe axillary nerve ŋu la, lãmeka gã bubu geɖewo hã le nuto sia me.
| Lãmetsiŋusẽa ƒe ŋkɔ | Eƒe dɔwɔwɔ le bɔbɔe. |
|---|---|
| Median nerve ƒe lãmeka | Asi ƒe akpa si le ŋgɔgbe naa asibidɛ kple asibidɛ akpa gãtɔ sena le eɖokui me eye wòʋãna. |
| Lãmetsiŋusẽ si woyɔna be musculocutaneous nerve | Alɔ ƒe ŋgɔgbe ƒe lãmekawo kple teƒe si ƒo xlã abɔta lae kpɔa gome le eme. |
| Radial lãmeka si woyɔna be radial nerve | Edoa ka kple lãmeka siwo le abɔta ƒe megbe (triceps) kple asibidɛ. |
| Ulnar lãmeka si woyɔna be nerve | Edo ƒome kple asi ƒe akpa si le ete kple abɔta. |
Dɔ vevi kawoe lãmeka sia wɔna?
Dɔ vevi eve le axillary nerve ŋu.
1. Motor Function: Ekpena ɖe ame ŋu be lãmekawo naʋuʋu le abɔta. Esia le vevie na nuwo abe abɔa kɔkɔ kple etrɔtrɔ ene.
2. Sidzenuwo ƒe Dɔwɔwɔ: Enaa seselelãme nɔa abɔta ƒe akpa si. Esia lɔ nusiwo gbɔna ɖe eme:
- Vevesese
- Teƒe si wòle (sese le ɖokuiwò me be afisi asi le) .
- Dzoxɔxɔ (se le eɖokui me be dzoxɔxɔ, vuvɔ) .
- Kadodo
Lãmetsi siwo ŋu axillary nerve naa lãmekawo le
Lãmetsi sia koŋue naa lãmeka siwo ade etɔ̃ le abɔta.
- Deltoid lãmeka: Esiae nye lãmeka vevitɔ si kpena ɖe ŋuwò nèkɔa wò abɔ ɖe dzi yia axadzi kple dzi. Enye lãmeka si naa wò abɔta nɔa goglo nyuie hã.
- Teres lãmeka sue: Lãmetsi sia kpena ɖe ŋuwò nètrɔa wò alɔnu yia gota. Bu eŋu abe ɖe nètsɔ safui le ʋɔtru aɖe ʋum ene.
- Triceps lãmeka: Lãmetsi sia hã doa ŋusẽ triceps lãmeka ƒe akpa aɖe, si kpena ɖe ame ŋu wòɖɔa abɔta ɖo.
Aleke woate ŋu agblẽ nu le axillary nerve ŋu?
Susu vevi geɖewo li siwo tae lãmeka sia ate ŋu agblẽ ɖo. Ɣeaɖewoɣi la, nusiawo ate ŋu anye nusiwo ŋu míebuna gɔ̃ hã o.
Afɔkuwo kple abixɔxɔwo
- Abɔta si ʋuʋu: Ne abɔta ʋu le ƒunukpeƒea le gegem, abe keke alo atrakpui dzi ene la, woate ŋu ahe lãmeka sia alo agbãe.
- Gbagbãƒe: Ne abɔta ƒe ƒu (humerus) gbã la, mɔnukpɔkpɔ gã aɖe li be lãmeka sia si te ɖe eŋu la nagblẽ.
- Afɔkuwo: Le afɔku si me wohe ta kple abɔta zi ɖeka yi mɔ siwo tsi tre ɖe wo nɔewo ŋu me la, lãmeka siwo le kɔa me ate ŋu agblẽ.
- Atizɔtiwo zazã: Ne wozã atizɔtiwo le mɔ gbegblẽ nu la, woate ŋu aƒo akɔta ƒe lãmeka si le abɔta te la nu ƒu.
- Amekoko ƒe kuxiwo: Ƒã hafi abɔtadɔ aɖewo, abe abɔta ƒe ƒunukpeƒetetedɔ ene, ate ŋu agblẽ nu le lãmeka sia ŋu.
Atikewɔwɔ ƒe nɔnɔme bubuwo
Atikewɔwɔ ƒe nɔnɔme aɖewo hã ate ŋu akpɔ ŋusẽ ɖe lãmeka sia ƒe dɔwɔwɔ dzi.
| Atikewɔwɔ ƒe nɔnɔme | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Vidzidɔ me dɔléle si nye radiculopathy | Lãmetsiŋusẽ ƒe ke si dona tso akɔtaƒu siwo le kɔ me ƒe tete. Esia ate ŋu ana abɔta nase veve. |
| Erb-Duchenne kple Dejerine-Klumpke ƒe lãmetutudɔ | Alɔ ƒe lãmetutudɔ ƒe nɔnɔme, si tsoa abɔta ƒe lãmeka siwo gblẽna le vidzidzi me gbɔ zi geɖe. |
| Parsonage-Turner ƒe dɔlélea | Nɔnɔme si mebɔ o si me mía ŋutɔwo ƒe dɔlélenutsiŋutete dzea lãmekawo dzi, si nana míesea veve vevie zi ɖeka eye wògbɔdzɔna le abɔta kple alɔnu. |
| Axa ene ƒe yamenutome ƒe dɔléle | Nyaƒoɖeamenu si le teƒe sue si le abɔta ƒe lãmekawo dome afisi lãmeka sia tona la kpɔa ŋusẽ ɖe lãmekaa dzi. |
Aleke ɖɔkta awɔ anya dɔléle siae?
Ne èyi ɖɔkta gbɔ eye abɔta le veve sem la, abia nya wò tso wò dzesiwo ŋu eye wòado wò ŋutilã kpɔ. Tsɔ kpe ɖe eŋu la, woate ŋu aɖe gbe be woawɔ dodokpɔ geɖe atsɔ akpe ɖe wo ŋu woanya nusi tututu gbɔ wòtso.
- Nerve Conduction Study/Electromyography (NCS/EMG): Esia doa elektrikŋusẽ ƒe dzesi siwo toa lãmekawo kple lãmekawo me la kpɔna. Esia le vevie ŋutɔ be nànya ne lãmekawo gblẽ kple afisi wògblẽ le.
- X-ray: Esia kpena ɖe ame ŋu be woakpɔe ɖa be abɔta ƒe ƒunukpeƒe gbã alo vuvu hã.
- MRI (Magnetic Resonance Imaging): Esia ate ŋu aɖe lãmeka siwo le abɔta, abe lãmekawo, lãkusiwo, kple lãmekawo ene, ƒe nɔnɔmetata si me kɔ nyuie.
- Neuromuscular ultrasound: Esia hã nye egbegbe mɔnu si wozãna tsɔ léa ŋku ɖe lãmekawo ƒe nɔnɔme ŋu.
Aleke woate ŋu axe mɔ ɖe dɔléle sia ƒomevi nu?
Togbɔ be míate ŋu axe mɔ ɖe afɔku aɖewo nu o hã la, nu geɖe li míate ŋu awɔ atsɔ aɖe afɔkua dzi akpɔtɔ.
- Kpɔ nyuie le dedienɔnɔ ŋu:Kpɔ nyuie ŋutɔ ne èle atrakpuiwo liam hele zɔzɔm le anyigba siwo dzi glidzadzawo le dzi. Anyo wu ne àte ŋu ana ame aɖe nalé atrakpui la na wò.
- Do dedienɔnɔ ƒe dɔwɔnuwo: Do wò zikpuimeka nyuie ne èle ʋu me. Ne èle kamedefefe wɔm la, zã dedienɔnɔ ƒe dɔwɔnu siwo sɔ.
- Zã atizɔtiwo nyuie: Ne ele be nàzã atizɔtiwo la, srɔ̃ alesi nàzã wo nyuie tso kamededeŋutinunyala gbɔ. Wo zazã masɔmasɔ ate ŋu atɔ te lãmeka aɖe.
- Di ɖɔkta bibiwo ƒe kpekpeɖeŋu: Ne ehiã be woawɔ dɔ na wò abɔta la, tia ɖɔkta si bi ɖe dɔa me eye wòbi ɖe dɔa me.
Ɣekaɣie wòle be makpɔ ɖɔkta?
Ne èle vevesese aɖe me tom le wò abɔta la, mègaŋe aɖaba ƒu edzi o. Kpɔ egbɔ be yeyi ɖɔkta gbɔ, vevietɔ ne dzesi siwo gbɔna dometɔ aɖe le ŋuwò:
- Ne èse le ɖokuiwò me be esesẽna na wò be yeaʋuʋu yeƒe abɔta alo yeƒe abɔ.
- Ne lãmetutudɔ alo seselelãme ƒe bu le abɔta ƒe akpa si.
- Vevietɔ ne evea wò ne èkɔ wò abɔ ɖe dzi.
- Ne èse le ɖokuiwò me be yeƒe lãme le ʋuʋum, abe elektrikŋusẽ ƒe ƒoƒo ene.
Ne dzesi siawo dometɔ aɖe le ŋuwò la, taflatse mègaŋe aɖaba ƒu edzi o eye nàkpɔ ɖɔkta kaba ale si nàte ŋui. Zi alesi nèdze atikewɔwɔ gɔme kaba la, zi nenemae mɔnukpɔkpɔ asu asiwò be nàhaya bliboe.
Lãmetsiŋusẽ ƒe abi ate ŋu axɔ ɣeyiɣi aɖe hafi wòahaya. Gake zi geɖe la, woate ŋu atsɔ ŋutilãmedɔdamɔnu alo ɣeaɖewoɣi le wo ɖokui si. Ne nu gblẽ vevie la, ate ŋu abia be woawɔ dɔ nɛ, abe lãmeka si wodo ɖe lãme na ame ene. Eyata ele vevie ŋutɔ be woayi ɖɔkta gbɔ be woakpɔ dɔlélea nyuie ahadae.
Gbedasi si Wotsɔ Yi Aƒeme
- Axillary Nerve nye lãmeka si le vevie na wò abɔta ƒe ʋuʋu kple seselelãme.
- Afɔkuwo abe abɔta ƒe ʋuʋu kple gbagbã ene ate ŋu agblẽ nu le lãmeka sia ŋu.
- Ne dzesiwo abe abɔta ƒe veve, lãmetutudɔ, alo wò abɔ kɔkɔ sesẽ ene le ŋuwò la, mègaŋe aɖaba ƒu edzi nàyi ɖɔkta gbɔ o.
- Ahɔhɔ̃mekawo ƒe dɔléle akpa gãtɔ hayana le ɣeyiɣi kple kamedede me, gake ehiã be woakpɔ dɔlélea nyuie.
- Ðokuiwò ta kpɔkpɔ tso anyidzedze me kple dedienɔnɔ ƒe mɔnuwo sɔsrɔ̃ ate ŋu aɖe abi siawo ƒomevi ƒe afɔkua dzi akpɔtɔ.
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