He ʻeha ʻē anei kēia ma kou ʻāʻī a me kou maka (Eagle Syndrome)? E kamaʻilio kākou e pili ana!

Ke manaʻo nei ʻoe i kekahi manawa i kahi ʻeha ʻē a hoʻonāukiuki hoʻi ma kou ʻāʻī, maka, a i ʻole ka puʻu? ʻAʻole hiki iā ʻoe ke hoʻomaopopo pono i ka mea e hana nei, a ua manaʻo paha ʻoe e ʻoi aku ka ʻino o kēia ʻeha ke moni ʻoe, kamaʻilio, a hoʻoneʻe paha i kou poʻo mai kēlā ʻaoʻao a i kēia ʻaoʻao? A laila he mea nui loa kēia iā ʻoe. Kāhea mākou i kēia ʻano ʻo Eagle Syndrome . ʻOiai ke kani iki nei ka inoa, he ʻano olakino maoli nō ia.

No laila, he aha ka Eagle Syndrome?

I ka ʻōlelo maʻalahi, ʻo ka Eagle Syndrome kahi maʻi ʻeha i hoʻokumu ʻia e ka hoʻolōʻihi ʻia ʻana o kou kaʻina styloid a i ʻole ka mānoanoa o ka ligament stylohyoid , e hoʻoʻoleʻa ai a like me ka iwi.

E noʻonoʻo, ma lalo o kēlā me kēia o kou mau pepeiao, aia kahi ʻāpana iwi liʻiliʻi a lahilahi i kapa ʻia he styloid process. ʻO ia ke ʻano o ke styloid process . Aia kahi ʻāpana ʻiʻo e holo ana mai kēia iwi a i ka iwi hyoid ma ke alo o kou ʻāʻī i kapa ʻia ʻo ka ligament stylohyoid . Pono kēia ligament e like me ka elastic me ke kaula rubber. Akā i nā poʻe me ka Eagle syndrome, hiki i kēia ligament ke lilo i mānoanoa loa a paʻakikī , e like me ka iwi.

Ke maopopo nei iā ʻoe i kēia manawa? ʻO ia ka manawa e hoʻomaka ai kēia iwi i kīkoʻo ʻia a i ʻole ke ligament paʻakikī e kaomi i nā aʻalolo a i ʻole nā ​​​​kīʻaha koko e holo ana ma ia wahi e hoʻomaka ai ʻoe e ʻike i nā hōʻailona.

Pehea ka maʻamau o kēia Eagle Syndrome?

He maʻi ʻeha laha ʻole kēia. Ma lalo o 0.16% o ka heluna kanaka ka hopena. ʻO ia hoʻi, ʻaʻole i hoʻokahi i loko o hoʻokahi tausani kānaka.

Eia nō naʻe, ma kahi o 4% o ka heluna kanaka, ʻoi aku ka lōʻihi o kēia iwi i kapa ʻia ʻo ke kaʻina hana styloid ma mua o ka maʻamau. I ka awelika, he 2.5 kenimika (ʻoi iki aʻe ma mua o hoʻokahi ʻīniha) ka lōʻihi o kēia iwi. ʻO ke kaʻina hana styloid elongated kekahi i ʻoi aku ka lōʻihi ma mua o 3 kenimika (ʻoi iki aʻe ma mua o hoʻokahi ʻīniha). Eia naʻe, ʻaʻole nā ​​​​kānaka a pau me kēia iwi elongated e loaʻa nā hōʻailona o ka maʻi Eagle. He hapa liʻiliʻi wale nō o lākou e ʻike i kēia ʻeha.

Eia kekahi, ʻekolu manawa ka nui o ka loaʻa ʻana o ke kūlana i nā wāhine ma mua o nā kāne. ʻO ka hapa nui o ka ʻike ʻia ʻana i nā poʻe i ko lākou mau makahiki 30 a 40 paha.

He aha nā hōʻailona o ka Eagle Syndrome?

Hoʻokumu ʻia nā hōʻailona i nā aʻalolo a me nā kīʻaha koko e hoʻopaʻa ʻia e kāu kaʻina styloid a i ʻole ka ligament stylohyoid.

Eia nā hōʻailona i ʻike ʻia ma ke ʻano laulā:

• ʻEha ma ka maka, ka ʻāʻī, a i ʻole ka puʻu . Hiki ke ʻoi aku ka ʻeha o kēia ʻeha i ka wā e ʻai ai, e hāwanawana ana, e kamaʻilio ana, a i ʻole e hoʻohuli i kou poʻo.
• He manaʻo o kahi mea i paʻa i ka puʻu . Me he mea lā ua paʻa kahi nila a i ʻole kahi pōpō liʻiliʻi.
• Ka paʻakikī i ka ale ʻana i ka meaʻai (dysphagia) .
• Ke lohe ʻana i ke kani ʻana o nā pepeiao (tinnitus) . Ua like ia me ke kani "kani".
• ʻEha poʻo .
• Pōʻaiʻī .

He nui ka poʻe me ka maʻi Eagle e loaʻa paha kahi kaʻina styloid elongated ma nā ʻaoʻao ʻelua o ke poʻo. Eia naʻe, he mea kupanaha, ʻo ka hapa nui e ʻike wale i ka ʻeha ma kekahi ʻaoʻao .

He aha ke ʻano o ka ʻeha o ka Eagle syndrome?

No kekahi poʻe, hiki i kēia ʻeha ke like me ka ʻeha o kahi maʻi aʻalolo i kapa ʻia ʻo glossopharyngeal neuralgia . Inā ʻo ke aʻalolo glossopharyngeal , kahi aʻalolo nui i loko o kou ʻāʻī, ua ʻomi ʻia e ke kaʻina styloid, hiki iā ʻoe ke loaʻa i kahi ʻeha ʻoi, e like me ka uila i loko o kou tonsils a i ʻole ma hope o kou alelo. I kekahi manawa hiki i kēia ʻeha ke pālahalaha i kou pepeiao.

Hōʻike kekahi i ka ʻeha aʻalolo e hele mai me ka Eagle syndrome ma ke ʻano he ʻeha e hana hou ana, ʻoi, palaualelo, a lohi mālie .

He aha ke kumu o ka Eagle Syndrome?

E like me kā mākou i kūkākūkā ai ma mua, ʻike ʻia nā hōʻailona ke kaomi ʻia kahi kaʻina styloid i hoʻolōʻihi ʻia a i ʻole ka iwi mānoanoa i kapa ʻia ʻo ka ligament stylohyoid i nā aʻalolo koʻikoʻi a i ʻole nā ​​​​​​kīʻaha koko i loko o kou poʻo a me kou ʻāʻī. Eia nō naʻe, aia nō nā manaʻo like ʻole ma waena o nā loea e pili ana i ke kumu e hoʻolōʻihi ai kēia iwi a i ʻole ka mānoanoa o ka ligament.

I ka makahiki 1937, ua hōʻike ʻo Kauka Watt Eagle, nāna i hāʻawi i ka inoa o ka maʻi, i kekahi manawa ma hope o ka wehe ʻana i ka tonsillectomy, hoʻopili ʻia ka ligament stylohyoid, ʻo ia hoʻi, paʻakikī ia e like me ka iwi.

ʻO nā kumu kūpono ʻē aʻe:

• Kekahi mau maʻi.
• Nā ʻeha ʻāʻī.
• Ua nalowale ka elasticity o nā ligaments i ko kākou wā ʻelemakule.

He aha nā pilikia e hiki ke loaʻa mai ka Eagle Syndrome?

ʻOiai he mea kākaʻikahi loa kēia, i kekahi manawa hiki i kēia kaʻina hana styloid hoʻolōʻihi ke ʻūlū i nā kīʻaha koko nui, e like me kou mau aʻa carotid . ʻO nā aʻa carotid nā kīʻaha koko nui e hoʻolako i ke koko i kou lolo.

Inā hana ʻia kēia, hiki iā ʻoe ke ʻeha ma lalo o kou mau maka. A i ʻole, hiki iā ʻoe ke ʻike i nā hōʻailona e like me ka transient ischemic attack (TIA) , kahi mini-stroke, a i ʻole kahi stroke piha . ʻO kēia mau mea:

• ʻO ka maneʻo ma kekahi ʻaoʻao o ka maka (hemiparesis) .
• Pōʻaiʻī .
• ʻIke pōwehiwehi .
• Ka nalowale o ka ʻike a i ʻole ka nāwaliwali (syncope).
• Nā loli i ka ʻōlelo (e like me nā huaʻōlelo e hihia ana) .

He mea nui: I ka maʻi Eagle, he mau manawa pinepine kēia mau hōʻailona. ʻO ia hoʻi, nalowale lākou ma hope o kekahi manawa. Eia nō naʻe, i kekahi manawa hiki iā lākou ke hōʻike i kahi maʻi koʻikoʻi loa (no ka laʻana, kahi ʻoki a i ʻole ka hōʻeha ʻana i kahi aʻa).

Inā loaʻa iā ʻoe nā hōʻailona o ka hahau ʻana, e hele koke i ka haukapila kokoke loa a kāhea aku paha i kahi kaʻa kaʻa ulia pōpilikia. ʻAʻole kēia he mea e hoʻopaneʻe ai!

Pehea e ʻike ʻia ai ka Eagle Syndrome?

E lawe mua kāu kauka i kahi mōʻaukala olakino piha (e like me nā ʻoki poʻo a ʻāʻī paha ma mua a i ʻole nā ​​​​​​ulia) a laila e hana i kahi hoʻokolokolo kino .

I kekahi manawa, hiki i ke kauka ke manaʻo i kēia kaʻina hana styloid lōʻihi loa ke manaʻo ʻo ia i kou ʻāʻī. A i ʻole, hiki iā lākou ke manaʻo i loko o kou waha, kahi o kou mau tonsils, a nīnau inā ʻoe e manaʻo i kekahi ʻeha ma laila.

Eia nō naʻe, no ka ʻike pololei ʻana i kēia kaʻina hana styloid ʻano ʻē a i ʻole ka ligament stylohyoid , pono e hana ʻia nā hoʻokolohua kiʻi kūikawā . ʻO kēia mau mea:

• CT scan (Computed Tomography - CT scan) : Hoʻohana kēia i kahi moʻo o nā kukuna X e kiʻi i nā kiʻi o kāu kaʻina hana styloid a me ka ligament stylohyoid. Hoʻohui ʻia kēia mau kiʻi e hana i kahi kiʻi ʻekolu-dimensional (3D), no laila hiki i kāu kauka ke ʻike maopopo inā ua kīkoʻo ʻia kāu kaʻina hana styloid.
• CT Angiogram (Computed Tomography Angiogram - CT angiogram) : He kiʻi X-ray kēia o nā kīʻaha koko. Hiki i kāu kauka ke kauoha i kēia hoʻāʻo inā manaʻo lākou e hoʻopaʻa ana kāu styloid process a i ʻole ligament i nā kīʻaha koko, e like me kou carotid artery.

He aha nā kūlana ʻē aʻe i hiki ke kuhihewa ʻia no ka Eagle Syndrome?

He mea nui loa ia e kāpae i nā kūlana ʻē aʻe e hoʻoulu ai i nā hōʻailona like me nā maʻi Eagle. Hiki i kāu kauka ke kauoha i nā hoʻokolohua e kāpae i kēia mau kūlana:

• Nā kūlana mumū o ke poʻo a me ka ʻāʻī : no ka laʻana , sinusitis , tonsillitis , insertion tendinitis .
• Nā maʻi o ka hui Temporomandibular (TMJ) : ʻO kēia nā maʻi o ka hui ʻāwae.
• ʻO ka neuralgia glossopharyngeal .
• ʻO ka maʻi ʻeha Myofascial .
• ʻO ke kanesa poʻo a me ka ʻāʻī .
• ʻO ke poʻo ʻeha o ka migraine .
• Nā pilikia niho .

Pehea e mālama ʻia ai ka Eagle Syndrome?

Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e kāohi i ka ʻeha. A i ʻole, hiki iā lākou ke ʻōlelo aku i ke ʻoki ʻana e hoʻopōkole i kāu kaʻina hana styloid (styloidectomy) . Aia ka lāʻau lapaʻau i ke koʻikoʻi o kāu mau hōʻailona a inā he moho maikaʻi ʻoe no ke ʻoki ʻana.

ʻO nā lāʻau lapaʻau i hoʻohana ʻia no ka mālama ʻana:

• Nā lāʻau hoʻopau ʻeha (analgesics) .
• Nā Antidepressants : Hoʻohana ʻia kēia mau mea no kekahi ʻeha aʻalolo.
• Nā inikini steroid : Hoʻēmi i ka mumū a me ka pehu.
• Nā inikini Lidocaine : hōʻoluʻolu i ka ʻeha no kekahi manawa.
• Hiki ke lawe ʻia nā lāʻau anti-inflammatory nonsteroidal (NSAID) me a i ʻole me ka ʻole o ke kauka .

ʻO ke ʻoki kino (Styloidectomy):

Hiki ke ho'ōla loa ʻia ka maʻi Eagle ma o ke ʻoki ʻana e hoʻoponopono i kāu kaʻina hana styloid. Hiki i ke kauka lapaʻau ke hana i kēia ʻoki ma kekahi o nā ʻano ʻelua:

1. Ke ʻano hana Intraoral/Transoral : Ma kēia ʻano hana, komo ke kauka lapaʻau i ke kaʻina hana styloid mai loko mai o kou waha. ʻO ka pōmaikaʻi o kēia ʻano hana, ʻaʻohe ʻeha o waho . Eia nō naʻe, ʻoi aku ka paʻakikī o ke kauka lapaʻau e hiki pono iā ia ma mua o nā ʻano hana ʻē aʻe.

2. Ke ʻano hana Extraoral/Transcervical : Ma kēia ʻano hana, hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi ma kou ʻāʻī e komo ai i ke kaʻina hana styloid. ʻOiai ʻo kēia ʻano hana e hiki ai i ke kauka lapaʻau ke hiki pololei i ka ʻiʻo, ʻoi aku ka lōʻihi o ke ʻoki ʻana a waiho i kahi ʻeha ma hope .

E wehewehe kāu kauka iā ʻoe i ke ʻano hana kūpono loa iā ʻoe ma muli o kāu hōʻailona.

He aha nā pilikia o ke ʻoki ʻana o ka styloidectomy?

Loaʻa i kekahi ʻoki kino kekahi pilikia. ʻO ka hōʻino ʻana i nā ʻiʻo i ka wā o ke ʻoki kino hiki ke alakaʻi i ka ʻeha a me nā maʻi ʻāʻī hohonu. Hiki i kēia ke lilo i mea koʻikoʻi inā ʻaʻole mālama ʻia.

ʻO ka ʻike ʻana i kahi kauka hana i ʻike i ke ʻoki poʻo a me ka ʻāʻī hiki ke hōʻemi i ka pilikia o kēia mau pilikia.

He aha ka nui o ka ho'ōla ʻana no ka Eagle Syndrome?

Maikaʻi loa ka nui o ka hoʻōla ʻana. Ma kahi o 80% o ka poʻe i loaʻa i kahi styloidectomy e ʻike i ka hoʻopau piha ʻana o nā hōʻailona . No ka hapa nui o ka poʻe, hiki ke hoʻokele ʻia ka ʻeha a me ka ʻoluʻolu ʻole me nā lāʻau hōʻoluʻolu ʻeha ma luna o ke kauka a me nā lāʻau lapaʻau i kuhikuhi ʻia.

He aha ka mea e hana inā ʻaʻole mālama ʻia ka Eagle Syndrome?

Inā ʻaʻole mālama ʻia, hiki iā ʻoe ke loaʻa mau nā hōʻailona. ʻAʻole kēia he kūlana e hoʻomaikaʻi wale ʻia.

Eia nō naʻe, he mea nui e hoʻomanaʻo i kēia. ʻOiai ua mānoanoa kou ʻano styloid me nā waihona calcium, a ua hoʻolōʻihi ʻia paha, ʻaʻole ia he manaʻo he Eagle syndrome kou. Eia kekahi, hiki i kekahi poʻe me nā ʻano styloid elongated a me nā hōʻailona o ka Eagle syndrome ke hana ʻoki ʻia, akā ʻaʻole paha e hoʻomaikaʻi ko lākou mau hōʻailona.

ʻO ia ke kumu he mea nui loa ke ʻike ʻana i ke kauka i ʻike i ka ʻike ʻana a me ka mālama ʻana i kēia kūlana . No ka mea, he mea paʻakikī i kekahi manawa ke hoʻoholo pololei i ka mea e pōmaikaʻi mai ke ʻoki ʻana. E aʻo aku kāu kauka iā ʻoe i nā koho lapaʻau kūpono iā ʻoe.

Hiki ke pale ʻia ka Eagle Syndrome?

ʻAʻohe mea hiki iā ʻoe ke hana e pale aku i ka maʻi Eagle. Eia nō naʻe, hiki i ke ʻoki ʻana e wehe i ke kaʻina hana styloid ke hoʻopau loa i kāu mau hōʻailona .

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Hiki iā ʻoe ke nīnau i kāu kauka e like me kēia:

• He aha ke kumu kūpono loa o ka hoʻolōʻihi ʻia ʻana o koʻu kaʻina styloid?
• Ke hoʻopaʻa nei koʻu kaʻina hana styloid i nā aʻalolo nui a i ʻole nā ​​​​kīʻaha koko?
• He aha nā hōʻailona e hiki iaʻu ke manaʻo mai kahi aʻalolo pinched?
• E pono anei iaʻu ke ʻoki kino, a i ʻole hiki iaʻu ke hoʻōla iā ia me ka lāʻau lapaʻau?
• Inā ʻoe e hana ʻia ana i ke ʻoki kino, pehea lā e hana ʻia ai?

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Leka Lawe-Home

No laila, inā loaʻa iā ʻoe ka ʻeha mau loa ma kou ʻāʻī, maka, a i ʻole ka puʻu, ka paʻakikī i ka moni ʻana, a i ʻole ka manaʻo e like me ka mea i paʻa i loko o kou puʻu, mai hoʻowahāwahā wale. He Eagle Syndrome paha ia.

ʻOiai he maʻi kakaikahi kēia, hiki ke ho'ōla loa ʻia inā ʻike ʻia a mālama pono ʻia . Mai hopohopo, akā inā loaʻa iā ʻoe nā hōʻailona, ​​​​pono ʻoe e ʻike i ke kauka no ka ʻōlelo aʻo. I kekahi manawa hiki i nā lāʻau lapaʻau maʻalahi ke kōkua i ka hōʻoluʻolu ʻana i ka ʻeha, a i ʻole hiki i kahi ʻoki liʻiliʻi ke kōkua iā ʻoe e hoʻōla piha. ʻO ka mea nui loa, ʻo ia ka ʻike i ke kumu pololei o kou ʻeha a loaʻa ka lāʻau kūpono no ia.

ʻO ka ʻEagle Syndrome, ʻeha ʻāʻī, ʻeha maka, ʻeha puʻu, ke kaʻina styloid, ka ligament stylohyoid, paʻakikī ke ale