He iwi keu kou ma kou ʻāʻī? E kamaʻilio kākou e pili ana i (Cervical Rib) !

Ua manaʻo paha ʻoe i kahi manaʻo ʻē ma kou ʻāʻī, a i ʻole ka ʻeha a i ʻole ke kani ʻana o kou lima? Malia paha ua nāwaliwali iki kou lima, a ua paʻakikī paha iā ʻoe ke paʻa i kahi peni. Ma hope o kēia mau mea, aia paha kekahi kumu i ʻike ʻole ʻia e kekahi o kākou, akā he mea pono ke ʻike. ʻO ia ka mea a kākou e kamaʻilio ai i kēia lā.

He aha ka iwi ʻaoʻao cervical? I ka ʻōlelo maʻalahi...

ʻOiaʻiʻo, ʻo kēia (Cervical Rib) he iwi keu ma kou ʻāʻī ʻaʻole i loaʻa iā kākou maʻamau, ʻo ia hoʻi, he ʻāpana iwi . He mea kēia i hānau ʻia ai kākou. Akā, ʻaʻole kēia e like me nā iwi ʻaoʻao o ko kākou umauma. He pae nā iwi ʻaoʻao o ka umauma, akā hiki i kēia (Cervical Rib) ke kū iki aʻe paha i kekahi manawa, a i ʻole ke kīloi ʻia. Hoʻomaka kēia iwi keu mai ka vertebra ma ko kākou ʻāʻī, ʻo ia hoʻi, ka iwi hope loa ma ka ʻāʻī o ke kuamoʻo, a hiki ke hoʻolōʻihi i ka iwi ʻaoʻao mua ma luna o ko kākou umauma.

E noʻonoʻo e pili ana i ia mea, ʻaʻole hana kēia iwi keu i kekahi mea kūikawā . He mea keu wale nō ia.

ʻO ka mea maikaʻi loa, ʻo ka hapa nui o ka poʻe me kahi (Cervical Rib) e like me kēia ʻaʻole lākou e hoʻopilikia a ʻeha paha . Eia nō naʻe, no kekahi poʻe, hiki iā ia ke hōʻeha i ka ʻāʻī, ka ʻeha lima, a i ʻole ka nāwaliwali i ka lima e paʻakikī ai ke paʻa i kahi mea e like me ka peni.

Aia kekahi mau ʻano like ʻole o kēia iwi keu?

ʻAe, ua ʻike nā kauka i ʻehā ʻano nui o ka (Cervical Rib). E nānā kākou i ke ʻano o lākou:

• ʻAno 1: Ua like kēia me ka iwi ʻaoʻao piha. ʻO ia hoʻi, hoʻomaka ia ma ka ʻāʻī a hoʻolōʻihi a hiki i ka iwi ʻaoʻao mua o ko kākou umauma.
• ʻAno 2: He hui piha ʻole kēia. ʻO ia hoʻi, ua noa kekahi wēlau, ʻaʻole i hoʻopaʻa ʻia i kekahi mea.
• ʻAno 3: ʻAʻole i piha kēia, akā ua hoʻopili ʻia kona wēlau manuahi i kahi kāʻei fibrous.
• ʻAno 4: He iwi liʻiliʻi wale nō kēia e puka mai ana. Ua like ia me kahi iwi liʻiliʻi e puka iki mai ana mai ka iwi hope haʻahaʻa loa o ka ʻāʻī.

ʻOiai paha he ʻano lapaʻau iki kēia wehewehe ʻana, he mea nui kēia hoʻokaʻawale ʻana i kāu kauka e ʻike.

Pehea ka maʻamau o kahi maʻi i kapa ʻia ʻo ka iwi ʻaoʻao cervical?

He maʻi laha ʻole kēia. ʻAʻole i hiki i ka 1% o ka heluna kanaka i hānau ʻia me hoʻokahi (i kekahi manawa ʻelua) mau iwi ʻaoʻao o ke kua. Eia kekahi, ʻoi aku ka maʻamau o kēia maʻi i nā wahine ma mua o nā kāne .

ʻO kekahi mea nui ʻē aʻe, ʻo ia ka loaʻa ʻana o kēia ʻāpana ʻaoʻao o ka iwi kuamoʻo ma kahi o 30% o ka poʻe e ʻeha nei i kahi maʻi i kapa ʻia ʻo (Thoracic Outlet Syndrome). E kamaʻilio mākou e pili ana i kēlā (Thoracic Outlet Syndrome) ma hope iki aku.

He aha nā hōʻailona e hiki iā mākou ke manaʻo i kēia kūlana?

E like me kaʻu i ʻōlelo ai ma mua,ʻAʻohe o ka hapa nui o ka poʻe i loaʻa i kekahi mau hōʻailona . Eia nō naʻe, inā loaʻa nā hōʻailona, ​​​​hiki iā lākou ke komo pū me:

• ʻEha ka ʻāʻī a i ʻole ka lima: ʻO kēia ka hōʻailona nui. Aia paha ka ʻeha e pālahalaha ana mai ka poʻohiwi a i lalo o ka lima.
• Manaʻo e like me kahi puʻu ma ka ʻāʻī: Ke hoʻopā ʻoe me kou lima, e like paha me kahi puʻu liʻiliʻi ma ke kumu o ka ʻāʻī.
• ʻO ka maneʻo a i ʻole ka nalowale o ka manaʻo ma ka lima a i ʻole nā ​​​​manamana lima: Manaʻo ia me he mea lā ua "hiamoe" ka lima.
• Nāwaliwali i nā ʻiʻo o ka lima a me ka forearm: Lilo i mea paʻakikī ke hāpai i nā mea kaumaha a paʻa paha i kahi mea me ka paʻa.
• Maiʻuʻu: ʻO nā manamana lima, koe wale nō ka manamana nui a me ka manamana kuhikuhi, hiki ke kūlou iki i loko, e hōʻike ana i ke ʻano me he maiʻuʻu lā.

ʻO ka mea nui, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻaʻole pono ia he (Cervical Rib). ʻO ia ke kumu he mea nui loa ka ʻimi ʻana i ke aʻo lapaʻau.

ʻOiai no ka poʻe i maʻa mau i ka asymptomatic, ʻoi aku ka nui o ka ulu ʻana o nā hōʻailona inā he kūlana maikaʻi ʻole ko lākou (no ka laʻana, e noho ana i mua o ke kamepiula no ka manawa lōʻihi, a i ʻole kekahi mea e hana ana ma ka mīkini humuhumu e kūlou mau ana i ko lākou ʻāʻī) a inā loaʻa iā lākou kahi ulia a i ʻole kahi hahau nui i ke kino o luna .

No ke aha e ulu ai kekahi iwi keu ma ko kākou ʻāʻī e like me kēia?

Ke hoʻāʻo nei nā kānaka noiʻi e ʻike pono i ke kumu o kēia. Eia nō naʻe, ua manaʻo ʻia i kēia manawa ma muli o kahi mutation i loko o kahi gene i kapa ʻia ʻo nā genes HOX, nāna ke kuleana no ka ulu ʻana o ko kākou iwi. I ka ʻōlelo maʻalahi, ke ulu kahi fetus i loko o ka ʻōpū, ulu kekahi mau cell i iwi ma kahi kūpono ʻole, e hopena ana i ka hoʻokumu ʻia ʻana o kēia iwi ʻaoʻao cervical.

He aha nā pilikia e hiki ke kū mai ma muli o ka iwi ʻaoʻao cervical?

Hiki i kēia iwi keu ke kaomi i kekahi manawa ma luna o ke aʻalolo kokoke a i ʻole ke kīʻaha koko (ʻoi aku hoʻi ke aʻa nui i kapa ʻia ʻo ke aʻa subclavian) . ʻO kēia kaomi ke kumu o ka hapa nui o nā pilikia.

ʻO ka pilikia koʻikoʻi loa he maʻi i kapa ʻia ʻo "Thoracic Outlet Syndrome." ʻO ia ka wā e ʻomi ʻia ai nā aʻalolo a me nā kīʻaha koko e holo ana ma waena o ka ʻāʻī a me ka poʻohiwi (ka thoracic outlet). Hiki i kēia ke lilo i mea weliweli inā ʻaʻole mālama pono ʻia.

Pehea e ʻike ai nā kauka i kēia?

Inā loaʻa iā ʻoe nā hōʻailona, ​​ʻo ka mea mua a ke kauka e hana ai, ʻo ia ke nānā pono iā ʻoe. Hiki i kēia ke komo pū me nā hoʻokolohua kūikawā e like me ka "hoʻāʻo Adson." Ma ka "hoʻāʻo Adson," ua hoʻolōʻihi ʻia kou lima a ua hoʻohuli ʻia kou poʻo i kekahi ʻaoʻao, a nānā ke kauka no nā loli o ka pulse ma kou lima. Inā ua ʻomi ʻia ka "subclavian artery", nāwaliwali paha ka pulse.

Akā i ka hapanui o ka manawa, ʻike ʻia kēia (Cervical Rib) ma ka ulia pōpilikia i ka wā o kahi hoʻāʻo i hana ʻia no kekahi kumu ʻē aʻe . No ka laʻana, hiki ke ʻike ʻia i ka wā e lawe ai i kahi (X-ray) o ka umauma a i ʻole kahi (X-ray) o ka ʻāʻī.

No ka ʻike pono ʻana, hoʻohana pū nā kauka i nā hoʻokolohua e like me kēia:

• Hoʻāʻo MRI (Magnetic Resonance Imaging): Hiki i kēia ke hana i nā kiʻi maopopo o nā ʻiʻo palupalu e like me nā iwi, nā ʻiʻo, a me nā aʻalolo.
• ʻO ke scan CT (Computed Tomography): Hiki iā ʻoe ke lawe i nā kiʻi ʻokiʻoki o ke kino a ʻike maikaʻi i ke ʻano o ka iwi.
• Nā haʻawina hoʻoili aʻalolo: Hoʻāʻo kēia i ka maikaʻi o ka hana ʻana o kou mau aʻalolo a me ka wikiwiki o ka hele ʻana o nā impulses nerve.
• Electromyography (EMG): Hoʻāʻo kēia i ka maikaʻi o ka hana ʻana o kou mau ʻiʻo a me nā aʻalolo e kaohi ana iā lākou.
• Nā hoʻokolohua hiki ke hoʻāla ʻia: Hoʻāʻo kēia i ka maikaʻi o ka hoʻoili ʻana o nā hōʻailona nerve i ka lolo.

ʻAʻole pono nā kānaka a pau e hana i kēia mau hoʻokolohua a pau. Na kāu kauka e hoʻoholo i nā hoʻokolohua kūpono ma muli o kou mau hōʻailona a me kou kūlana.

He aha nā lāʻau lapaʻau no kēia? E nānā kākou...

ʻO ka mea mua, inā ʻaʻohe ou hōʻailona, ​​ʻaʻohe pono o ka lāʻau lapaʻau . ʻAʻole pilikia ka loaʻa ʻana o kahi iwi keu.

Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona, ​​​​eia kekahi mau lāʻau lapaʻau:

• Hoʻōla kino: He lāʻau lapaʻau koʻikoʻi loa kēia. E aʻo aku kekahi mea hoʻōla kino iā ʻoe i nā hoʻomaʻamaʻa e hoʻoikaika i nā ʻiʻo ma kou ʻāʻī a me kou poʻohiwi, e hoʻoponopono i kou kūlana, a e hōʻoluʻolu i ke kaomi ʻana o ke aʻalolo. Ke hana pololei ʻia, hiki i kēia mau mea ke hōʻemi nui i ka ʻeha a me ka maneo.
• Lāʻau lapaʻau: Hiki i kāu kauka ke hāʻawi iā ʻoe i nā mea hoʻomaha ʻiʻo a i ʻole nā ​​​​mea hōʻoluʻolu ʻeha e hōʻemi i ka ʻoluʻolu ʻole no kekahi manawa.
• ʻO ke ʻoki ʻana i ka iwi ʻaoʻao cervical: Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo Thoracic Outlet Syndrome, kahi e ʻomi ʻia ai nā aʻalolo a i ʻole nā ​​​​kīʻaha koko, a ʻaʻole i kōkua nā lāʻau ʻē aʻe, hiki i kāu kauka ke hoʻoholo e wehe i kēia iwi keu. I kekahi manawa, hiki ke wehe ʻia ka iwi ʻaoʻao mua i ka manawa like me ka iwi ʻaoʻao cervical e pale aku i nā hōʻailona mai ka hoʻi hou ʻana.

E like me nā ʻoki kino āpau, aia kekahi mau pilikia, e like me ke kahe ʻana o ke koko a me ka maʻi. ʻO ka maʻamau, he ʻeiwa pule e ola hou ai mai ke ʻoki kino.

He aha ka mea e hana iaʻu inā he iwi ʻaoʻao cervical koʻu?

Inā loaʻa iā ʻoe nā hōʻailona, ​​​​hiki iā lākou ke lilo i mea ʻino inā ʻaʻole mālama ʻia . Aia kekahi pilikia o ke koko e hana ʻia ana i loko o ke aʻa subclavian, hiki ke hele i ka lolo. No laila, mai hoʻowahāwahā i nā hōʻailona.

Eia nō naʻe, ʻo ka poʻe i wehe ʻia kēia (Cervical Rib) ma ke ʻoki ʻana he mau hopena maikaʻi loa kā lākou . Hoʻi hou ka hana o ko lākou lima i ka maʻamau, a ʻaʻole pinepine e hoʻi hou nā hōʻailona.

Hiki iā kākou ke pale aku i kēia kūlana mai ka hanana ʻana?

ʻO ka mea pōʻino, ʻaʻole hiki ke pale ʻia kēia no ka mea he mea ia e hana ʻia ana i loko o ka ʻōpū, ma mua o ko kākou hānau ʻia ʻana.

No laila pehea wau e mālama ai iaʻu iho?

ʻO ka mea nui loa, ʻo ia ka hahai pololei i nā ʻōlelo a kāu kauka . Inā ʻaʻole kōkua nā lāʻau lapaʻau ʻoki kino e like me ka hoʻōla kino a me ka lāʻau lapaʻau, e kamaʻilio me kāu kauka e pili ana i ka kūpono o ke ʻoki kino iā ʻoe. Mai makaʻu, e haʻi aku kāu kauka iā ʻoe i ka mea maikaʻi loa no kou kūlana.

Āhea wau e ʻike ai i ke kauka?

Inā hoʻomaka ʻoe e ʻike i nā hōʻailona āu e manaʻo nei he kumu ia o ka (Cervical Rib), e ʻike pono i ke kauka .

Eia kekahi, inā ua hana ʻia ʻoe i ke ʻoki kino, e hōʻoia e hele i nā manawa hoʻopaʻa a kāu kauka. E nānā lākou i ke ʻano o ka ho'ōla ʻana o kou kino a inā he mau pilikia ʻē aʻe. Pono paha ʻoe e hana i ka hoʻōla kino no kekahi mau pule ma hope o ke ʻoki kino.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka a kahu maʻi paha?

Ke hele ʻoe i ke kauka, e kākau i kekahi mau nīnau āu. Eia kekahi mau laʻana:

• "He aha ke ʻano o ka (Cervical Rib) iaʻu?"
• "Pono anei au i ka lāʻau lapaʻau?"
• "He aha ka lāʻau lapaʻau maikaʻi loa noʻu?"
• "Hiki paha kēia i kaʻu mau keiki i ka wā e hiki mai ana?"

Inā he mea āu i maopopo ʻole ai, mai makaʻu e nīnau. ʻO ka ʻike nui ʻana iā ʻoe e pili ana i kou kūlana, ʻo ka maʻalahi hoʻi ia iā ʻoe ke hoʻoponopono.

Nā mea nui e hoʻomanaʻo mai kā mākou i kamaʻilio ai i kēia lā (Leka Lawe-Home)

E noʻonoʻo, ʻaʻole ʻoe i ʻike he iwi keu kou ma kou ʻāʻī a hiki i kēia manawa. Akā i kēia manawa ke manaʻo nei ʻoe i ka ʻeha a me ka mae ʻana ma kou lima. ʻAʻole maʻamau kēia ʻeha, a ʻaʻole pono ʻoe e ʻeha pū me ia.

I ka ʻōlelo maʻalahi:

• He iwi keu ka ʻaoʻao Cervical, ʻaʻole hana pono ma ka ʻāʻī.
• ʻAʻohe hōʻailona o ka hapa nui o ka poʻe, akā hiki i kekahi ke ʻike i ka ʻeha, ka mae ʻole, a me ka nāwaliwali.
• Inā ʻike ʻoe i nā hōʻailona, ​​mai hoʻowahāwahā iā lākou. E ʻimi koke i ke kōkua lapaʻau.
• Hiki ke mālama ʻia me ka hoʻoikaika kino, ka lāʻau lapaʻau, a inā pono, ke ʻoki kino.
• E kamaʻilio ākea me kāu kauka e pili ana i kou kūlana a me kou lāʻau lapaʻau, a e nīnau i nā nīnau.

ʻAʻole ʻoe hoʻokahi, aia nā kauka e hiki ke kōkua i ka poʻe e kū nei i kēia mau kūlana. No laila, mai hopohopo, e kiʻi i ka ʻike kūpono a me ka lāʻau lapaʻau.

ʻIwi ʻaoʻao Cervical, Iwi ʻaoʻao Cervical, Iwi keu ma ka ʻāʻī, ʻEha ʻāʻī, ʻEha lima, Heʻe lima, Thoracic Outlet Syndrome