Ua ʻike anei ʻoe e pili ana i kēia aʻalolo i kou wāwae? (Femoral Aʻalolo) - E kamaʻilio kākou me nā kikoʻī!

Ke manaʻo nei ʻoe i kekahi manawa i ka ʻeha a i ʻole ka mae ʻana o kou mau wāwae? A i ʻole he paʻakikī iā ʻoe ke kūlou a hoʻopololei paha i kou mau pūhaka a me kou mau kuli? ʻO kekahi kumu o kēia mau mea he pilikia paha me kahi aʻalolo nui i kou wāwae. I kēia lā e kamaʻilio mākou e pili ana i kahi aʻalolo koʻikoʻi loa i kou wāwae, ʻo ia ke aʻalolo femoral.

He aha ke aʻalolo Femoral?

I ka ʻōlelo maʻalahi, ʻo kou aʻalolo femoral kekahi o nā aʻalolo nui loa a koʻikoʻi loa i kou wāwae. E like me nā lālā e lālā ana mai luna o kahi lāʻau, hoʻomaka kēia aʻalolo i kou iwi kuamoʻo a hele i lalo i kou wāwae.

ʻElua ona hana nui. ʻO kekahi, ʻo ia ke kāohi i ka neʻe ʻana (hana motor) . ʻO ia hoʻi, kōkua ia iā ʻoe e hoʻoneʻe i kou mau pūhaka, nā wāwae, nā kuʻekuʻe wāwae, a me kou mau manamana wāwae. ʻO kekahi, ʻo ia ke hāʻawi i ka manaʻo (hana sensory) . ʻO ia hoʻi, kōkua ia iā ʻoe e manaʻo i ka wā e hoʻopā ai kekahi mea iā ʻoe, i ka wā e hōʻeha ai ʻoe iā ʻoe, a i ka wā e wela ai a anu paha ʻoe.

No kou ʻōnaehana nerve peripheral kou aʻalolo femoral. ʻO kēia ʻōnaehana ka mea e hoʻouna i nā hōʻailona mai kou lolo i kou mau lima, nā wāwae, a me kekahi mau ʻōpū o loko. No laila e noʻonoʻo wale i ke koʻikoʻi o kēia aʻalolo!

He aha nā hana o ke aʻalolo femoral?

E nānā pono kākou i ka hana o ke aʻalolo femoral.

E like me kaʻu i ʻōlelo ai ma mua, hāʻawi nui kēia i nā hana motor a me nā hana sensory i kou kino haʻahaʻa, ʻo ia hoʻi kou mau wāwae. ʻO ke aʻalolo femoral ka mea e mālama ai i ke alo o kou wāwae. ʻO kekahi aʻalolo nui e kōkua ana me ke kua o kou wāwae ua kapa ʻia ʻo ke aʻalolo sciatic .

ʻO ke aʻalolo femoral:

• Ke lawe nei i ka pā ʻana, ka ʻeha, a me nā manaʻo wela mai kou mau pūhaka, ʻūhā, kuli, a me nā wāwae i ka lolo.
• Hoʻoulu ia i kou ʻūhā a me nā ʻiʻo flexor hip (e like me nā ʻiʻo psoas nui a me iliacus ) e kōkua iā ʻoe e kūlou, hoʻolōʻihi, a pelu i kou mau wāwae a me kou mau kuli. E noʻonoʻo i ka nui o ka hana a kēia mau ʻiʻo a me nā aʻalolo ke ala ʻoe mai kahi noho, hele, a holo paha!

Aia i hea ke aʻalolo femoral?

I kēia manawa, e nānā kākou i kahi o kēia aʻalolo koʻikoʻi i loko o ko kākou kino a pehea kona ala.

• Hoʻomaka kēia ma ka ʻaoʻao haʻahaʻa o kou iwi kuamoʻo, i kapa ʻia ʻo Lumbar Plexus . ʻO ke kikoʻī, hoʻomaka ia me nā aʻa aʻalolo mai L2 a i L4. (ʻO kēia mau L2 a me L4 nā helu vertebrae.)
• A laila he wahi huinakolu kēia ma waena o kou ʻūhā a me kou ʻūhā, i kapa ʻia ʻo ka huinakolu femoral , a ma laila ia e komo ai. ʻAʻole wale ke aʻalolo femoral e hele ma o kēia huinakolu femoral, akā ʻo ke aʻa femoral pū kekahi.(ʻO kēia ka mea e lawe mai i ke koko i ka wāwae), ka Femoral Vein (ʻO kēia ka mea e hoʻihoʻi mai i ke koko mai ka wāwae), a me nā Lymphatic Vessels . Ua like ia me ke alaloa!
• A laila holo kēia aʻalolo i lalo i mua o kou ʻūhā, ma waena o ka ʻiʻo psoas nui a me nā ʻiʻo ʻē aʻe e kulou i kou ʻūhā.
• Ke hele nei kēia me ke aʻa femoral i ʻōlelo ʻia ma mua.
• Ma lalo o ka ligament inguinal i loko o kou ʻūhā, ua māhele ʻia ke aʻalolo femoral i ʻelua mau lālā nui: ka mahele mua a me ka mahele hope.
• A laila hele kēia lālā hope ma loko o kahi tunnel haiki ma loko o kou ʻūhā, i kapa ʻia ʻo ke kahawai adductor , kahi e lilo ai i ke aʻalolo saphenous . Hāʻawi kēia aʻalolo saphenous i ka ʻike i kou kuli, ʻūhā, kuʻekuʻe wāwae, a me ka wāwae.

Pehea e māhele ai nā lālā o ke aʻalolo femoral? He aha ka mea e hana ʻia iā lākou?

ʻAe, i kēia manawa ua ʻike mākou ua māhele ʻia ke aʻalolo femoral i ʻelua mau lālā nui. Aia ia ma kahi kokoke i kou iwi pubic. ʻO kekahi ka lālā aʻalolo femoral anterior/surficial , a ʻo kekahi ka lālā aʻalolo femoral posterior/deep . Hana kēlā me kēia o kēia mau lālā i nā hana kikoʻī.

• Nā hana mīkini:
• Kōkua kou lālā femoral mua iā ʻoe e kulou i kou ʻūhā a hana i nā neʻe mai laila mai.
• ʻO ka lālā hope o ka femoral e hoʻomalu i nā ʻiʻo quadriceps , e kōkua iā ʻoe e hoʻolōʻihi i kou kuli. E noʻonoʻo wale i ke koʻikoʻi o kēia mau ʻiʻo quadriceps i kou kū ʻana, hele wāwae ʻana, a piʻi ʻana paha i nā alapiʻi. ʻO ia ke kumu o kēia lālā aʻalolo.
• Nā hana sensory:
• Hāʻawi ke aʻalolo femoral mua i ka manaʻo i ka ʻaoʻao mua a me waena o kou ʻūhā. ʻO ia hoʻi, hiki iā ia ke manaʻo ke paʻi a hoʻopā paha kekahi mea iā ʻoe ma ia wahi.
• ʻO ka lālā hope o ka femoral e lilo i ke aʻalolo saphenous, ka mea e lawe i ka ʻike sensory i kou ʻūhā a me kou wāwae. ʻO ia hoʻi, hāʻawi ia i ka manaʻo ma nā wahi e like me kou ʻūhā, kuʻekuʻe wāwae, a me ka ʻaoʻao o kou wāwae.

He aha nā kūlana e hoʻopilikia ai i ke aʻalolo femoral?

ʻO ke aʻalolo femoral, ka mea e hana ana i kahi hana koʻikoʻi, hiki ke hōʻino ʻia a hoʻopilikia ʻia paha e nā ʻano maʻi like ʻole. E nānā kākou i kekahi o nā kūlana nui.

• ʻO ka Neuropathy o ke aʻalolo Femoral a i ʻole ka Femoral Aʻalolo Dysfunction: ʻO ka huaʻōlelo "Neuropathy" ʻo ia hoʻi "hōʻino ʻia ke aʻalolo." Inā hoʻopilikia kēia hōʻino i hoʻokahi aʻalolo femoral wale nō, ua kapa ʻia ʻo ia he mononeuropathy.Nui nā kumu no kēia. Hiki ke kumu o kahi maʻi e like me ka Diabetes Mellitus, a i ʻole ma muli o kahi ulia a i ʻole ke ʻoki kino.
• Meralgia Paresthetica: He ʻano ʻeha nō hoʻi kēia i hoʻokumu ʻia e kahi ʻano ʻūlū aʻalolo. Hana ʻia kēia ʻano i ka wā e ʻūlū ʻia ai ka Lateral Femoral Cutaneous Aderve (he lālā hoʻi o ke aʻalolo femoral) e holo ana i lalo o kou ʻūhā. E like me ka pau ʻana o ke kahe ʻana o ka paipu wai i ka wā e ʻūlū ʻia ai, i ka wā e ʻūlū ʻia ai kahi aʻalolo, hoʻōki ia i nā hōʻailona mai ke kahe pono ʻana. Ua kapa ʻia hoʻi kēia ʻo Nerve Compression Syndrome . Hiki ke hana pinepine ʻia e nā mea e like me ke komo ʻana i nā lole paʻa, ka piʻi ʻana o ke kaumaha, a i ʻole ka hāpai ʻana.
• ʻO ke aʻalolo i ʻūmiʻi ʻia: I kekahi manawa, ke pehu ka ʻiʻo a puni ke aʻalolo, hiki i ka pehu ke kumu o ka ʻūmiʻi ʻana o ke aʻalolo. Manaʻo ia e like me kou lima e paʻa ana i loko o ka puka. Ua kapa ʻia kēia he pahele aʻalolo . Hiki nō hoʻi kēia ke hana i ke aʻalolo femoral.

He mea nui: Hiki ke paʻakikī ke hoʻoholo iā ʻoe iho inā loaʻa iā ʻoe kēia maʻi. ʻO ia ke kumu he mea nui e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau.

He aha nā hōʻailona o ka pilikia o ke aʻalolo femoral?

ʻĀ, inā he pilikia a hōʻino paha i ke aʻalolo femoral, he aha nā hōʻailona āu e ʻike ai?

ʻO kekahi o nā hōʻailona maʻamau ka ʻeha radicular , hiki ke manaʻo ʻia e like me ka haʻalulu uila a i ʻole ka ʻeha hou.

ʻO nā hōʻailona ʻē aʻe:

• ʻEha kuʻekuʻe wāwae, wāwae, a i ʻole ka wāwae.
• Ke paʻakikī i ka hoʻopololei ʻana i ke kuli, ka wāwae, a i ʻole ka kuʻekuʻe wāwae.
• ʻO ka maneʻo, ke ʻūlū, a i ʻole ka nalowale loa o ka ʻike ma ka wāwae, kuʻekuʻe wāwae, a i ʻole ka wāwae (paralysis) .
• ʻEha hope haʻahaʻa, ʻeha ʻūhā, a ʻeha ʻōpū paha.
• ʻO ka nalowale ʻana o nā ʻiʻo, me he mea lā e nalowale ana ka ikaika o nā ʻiʻo i kou mau wāwae.
• Paʻakikī ke hele wāwae, me ka manaʻo e like me ke kuʻi ʻia nei o kou mau wāwae.

E noʻonoʻo, aia kekahi kanaka i kapa ʻia ʻo Nimal, ka mea i ʻike i ka maneʻo a me ka ʻeha ma kona wāwae ʻākau mai ka ʻūhā a i lalo no kekahi mau lā. He mea paʻakikī hoʻi iā ia ke ala aʻe mai kahi noho. I ka manawa e like me kēia, he pilikia paha ia e pili ana i ke aʻalolo femoral.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ka ʻike koke ʻana i ke kauka . ʻOi loa aku inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Inā pilikia ʻoe i ke kūlou ʻana a i ʻole ke kūlou ʻana i kou mau kuli a i ʻole ke kūlou ʻana i kou mau kuʻekuʻe wāwae.
• Inā paʻakikī iā ʻoe ke hele wāwae, inā manaʻo ʻoe ʻaʻole hiki iā ʻoe ke kaohi i kou mau wāwae.
• Inā loaʻa iā ʻoe ka ʻeha nui, ka ʻeha ʻana, a i ʻole ka manaʻo o ka nāwaliwali ma kou mau wāwae a mau wāwae paha.

E nānā ke kauka iā ʻoe a, inā pono, e hana i nā hoʻokolohua hou aʻe (no ka laʻana, nā haʻawina hoʻoili aʻalolo, nā scan MRI, a pēlā aku) e ʻike pono ai i kou pilikia. A laila wale nō hiki iā lākou ke hoʻoholo i kahi hoʻolālā lapaʻau kūpono iā ʻoe.

ʻO ka mea hope loa, ʻo ka mea nui loa e hoʻomanaʻo!

No laila, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi manaʻo maikaʻi e pili ana i ke aʻalolo Femoral. He ʻāpana koʻikoʻi loa kēia o kāu ʻōnaehana aʻalolo Peripheral . Kōkua kēia aʻalolo i ka hāʻawi ʻana i ka neʻe a me ka ʻike i kou ʻūhā a me kou mau wāwae.

Inā ua hōʻino ʻia kēia mau aʻalolo femoral, hiki i ka ʻeha, ka mae ʻana, a me ka nāwaliwali e hopena ai ke loaʻa ka hopena nui i kāu mau hana o kēlā me kēia lā, nā leʻaleʻa, a me ka hana . No laila, inā loaʻa iā ʻoe kekahi o nā hōʻailona i ʻōlelo ʻia ma luna, mai hoʻowahāwahā iā lākou . E ʻike koke i ke kauka. Ma kēlā ala, hiki iā ʻoe ke ʻike i ke kumu o kou ʻeha, hoʻēmi i kāu mau hōʻailona, ​​a loaʻa nā hopena ʻē aʻe.

E hoʻomanaʻo, ʻo ka hoʻolohe ʻana i nā loli i kou kino a me ka ʻimi ʻana i ke aʻo lapaʻau i ka manawa kūpono ke ala maikaʻi loa e ola ai i kahi ola olakino!

ʻO ke aʻalolo femoral, ʻeha wāwae, ʻeha wāwae, maʻi aʻalolo, neʻe ʻana, manaʻo, ʻōnaehana aʻalolo, Meralgia Paraesthetica, hoʻopaʻa ʻana o ke aʻalolo