Ua ʻike anei ʻoe i nā kānaka e kulou ana ko lākou mau manamana nui i hope e like me nā kaula laholio? Ua like ia me kou hoʻāʻo ʻana e hoʻōki i kahi kaʻa ma ke alanui a ke wili nei ʻoe i kou manamana nui i luna? Malia paha hiki iā ʻoe ke kulou i kou mau manamana nui ma kēia ʻano. ʻO kēia ka mea i kapa ʻia ʻo `(Hitchhiker's Thumb)` ma ka ʻōlelo lapaʻau. E kamaʻilio hou aku kākou e pili ana i kēia i kēia lā?
He aha kēia `(Hitchhiker's Thumb)`? I ka ʻōlelo maʻalahi loa...
ʻO ka Hitchhiker's Thumb kahi kūlana kahi e palupalu loa ai ke ami kokoke loa i ke kui ma kou manamana nui, ʻo ia hoʻi hiki ke pelu ʻia i mua a i mua (hypermobile). Kāhea pū nā kauka i kēia "distal joint hyperextensibility." I ka ʻōlelo maʻalahi, inā hiki iā ʻoe ke pelu i ka ami luna o kou manamana nui ma mua o 50 degere i hope, loaʻa paha iā ʻoe ka Hitchhiker's Thumb.
E noʻonoʻo e like me ka manamana nui āu e hoʻohana ai e noi ai i kahi hoʻokiʻekiʻe e hoʻōki i kahi kaʻa ma ke alanui. Pēlā ke ʻano o ka manamana nui ma kēia hihia. ʻO ia ke kumu i kapa ʻia ai ʻo "Hitchhiker's Thumb". Hiki ke kau ʻia ma kekahi o kou mau manamana nui, a i ʻole ma nā mea ʻelua. He manamana nui kūlou ko kekahi poʻe ma kekahi lima, ʻoiai ʻo ka manamana nui ma kekahi lima he pololei.
ʻO ka mea nui, ʻo ka hapa nui o ka manawa, ʻaʻole ia e hoʻoulu i ka ʻeha o ka Hitchhiker's Thumb. ʻAʻole hoʻi ia e hoʻoulu i ka ʻoluʻolu ʻole a i ʻole nā pilikia i ka wā e hoʻohana ai i ka lima. Eia nō naʻe, i nā hihia kakaikahi, hiki ke pili pū me kekahi mau kūlana genetic.
No ke aha i ulu ai kēia `(Hitchhiker's Thumb)`? He mea hoʻoilina anei ia?
ʻAe, manaʻoʻiʻo ka nui o nā kānaka ʻepekema he mea ia i hoʻoili ʻia mai kēlā hanauna a kēia hanauna , ʻo ia hoʻi kahi mea āu e loaʻa ai mai kou mau mākua mai.
ʻIke ʻoe, i ka makahiki 1953, ua hana ʻelua mau kānaka noiʻi i kahi noiʻi ma kahi o 450 mau ʻohana. Ua hoʻohana lākou i kahi protractor e ana i ka mamao o ke kūlou ʻana o nā manamana nui o kānaka i hope. Inā kūlou ka manamana nui o kekahi i 50 degere a ʻoi aku paha, ua kapa lākou ia he "Hitchhiker's Thumb." Mai kēia noiʻi, ua hoʻoholo lākou he ʻano genetic ka "Hitchhiker's Thumb" a ua hoʻoili ʻia i nā hanauna ma ke ʻano he ʻano recessive .
I kēia manawa, e nānā kākou i ke ʻano maʻalahi o kēia hiʻohiʻona polū.
ʻO kēlā me kēia ʻano o ko mākou kino, no ka laʻana kou kiʻekiʻe, ke kala o ka ʻili, ke kala o nā maka, a me nā mea ʻē aʻe, ua hoʻoholo ʻia e nā genes a mākou e loaʻa ai mai ko mākou mau mākua mai. Aia kēia mau genes i loko o kā mākou DNA. No kēlā me kēia ʻano, loaʻa iā mākou ʻelua mau genes, hoʻokahi mai ko mākou makuahine a hoʻokahi mai ko mākou makuakāne. Loaʻa i kēia mau genes nā ʻano kūikawā, i kapa ʻia he alleles.
E noʻonoʻo, inā he ʻokoʻa kēia mau "allele" ʻelua, hiki i kekahi ke lilo i gene dominant a "ikaika" paha, a ʻo kekahi he gene recessive paha .Hiki iā ia ke lilo i gene "recessive" a i ʻole "nāwaliwali". Ke loaʻa ka gene dominant, kāohi ia i ka gene recessive, a puka mai ke ʻano o ka gene dominant. Eia nō naʻe, inā loaʻa iā ʻoe ʻelua mau gene recessive mai kou makuahine a me kou makuakāne, a laila loaʻa pū iā ʻoe ke ʻano o ka gene recessive, e like me kēia "(Hitchhiker's Thumb)".
ʻO ia hoʻi, inā loaʻa i kou mau mākua ʻelua ʻo `(Hitchhiker's Thumb)`, nui ka manawa kūpono e loaʻa pū iā ʻoe. Eia nō naʻe, inā loaʻa iā ʻoe kahi gene dominant no kahi manamana lima pololei mai kekahi o kou mau mākua a me kahi gene recessive no `(Hitchhiker's Thumb)` mai kekahi makua ʻē aʻe, ʻaʻole ʻoe e loaʻa iā `(Hitchhiker's Thumb)`. No ka mea, hoʻopau kēlā gene dominant i ka gene recessive. Ua maopopo iaʻu?
He aha nā kūlana olakino ʻē aʻe e pili ana me ka `(Hitchhiker's Thumb)`?
ʻOiai ʻaʻole ia he pilikia ka Hitchhiker's Thumb ma kona iho, hiki ke ʻike ʻia i kekahi manawa he hōʻailona ia o kekahi mau maʻi genetic ʻē aʻe. Eia kekahi o nā maʻi:
- ʻO ka maʻi hypermobility hui: He maʻi pili kēia. He palupalu a palupalu nā ligaments o ka poʻe me kēia maʻi, e ʻoi aku ka palupalu o ko lākou mau hono ma mua o ka maʻamau.
- Diastrophic dysplasia: He ʻano laha ʻole kēia, he ʻano maʻi hānau hānau e hoʻopilikia ai i ka ulu ʻana o nā iwi a me ke cartilage. He ʻano skeletal dysplasia ia.
- ʻAno Atelosteogenesis 2: He maʻi genetic kakaikahi loa kēia e hoʻopilikia ai i ka ulu ʻana o nā iwi a me ke cartilage. Ua like ia me ka "Diastrophic dysplasia" i ʻōlelo mua ʻia, akā ʻoi aku ka koʻikoʻi.
- ʻAno Atelosteogenesis 3: He maʻi hoʻoilina laha ʻole kēia. Hoʻopilikia ia i ka ulu ʻana o ka iwi ma ke kino holoʻokoʻa.
He mea nui e hoʻomanaʻo he mea kakaikahi loa kēia mau maʻi. ʻAʻole kēia manaʻo he loaʻa kēia mau maʻi i nā kānaka a pau me ka `(Hitchhiker's Thumb)`.
He aha nā hōʻailona āu e manaʻo ai inā loaʻa iā ʻoe ka `(Hitchhiker's Thumb)`?
Inā he mau hono manamana nui palupalu (hypermobile) kou, ʻo ia ka hōʻailona nui o ka Hitchhiker's Thumb. ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona ʻē aʻe e hele pū me kēia.
Eia nō naʻe, e like me kā mākou i kūkākūkā ai ma mua, hiki i ka Hitchhiker's Thumb ke lilo i ʻāpana o kahi maʻi a i ʻole ke ʻano ʻē aʻe. I kēlā hihia, e ʻike ʻia me nā hōʻailona o kēlā maʻi. No laila, inā manaʻo ʻoe he mau hōʻailona ʻē aʻe kāu me ka Hitchhiker's Thumb, ʻoi aku ka maikaʻi o ka hoʻomaopopo ʻana i ke kauka.
He aha ka mea e hiki mai ana i kekahi me `(Hitchhiker's Thumb)`? He aha ka mea e hiki mai ana?
No ka wānana ʻana i ka wā e hiki mai ana o kekahi me ka "Hitchhiker's Thumb", pono mākou e nānā i ke kumu.
- Inā hoʻokahi wale nō `(Hitchhiker's Thumb)` i hoʻokaʻawale ʻia:He palupalu loa nā hono o ka manamana nui o ka hapa nui o ka poʻe. ʻO ka loaʻa ʻana o hoʻokahi "manamana nui o ka hitchhiker" ʻaʻole ia e hōʻeha a hoʻopilikia paha i ka hoʻohana ʻana i ka lima. ʻAʻole ia e hoʻoulu i nā pilikia olakino ʻē aʻe. Eia nō naʻe, ua hōʻike kekahi mau noiʻi e ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi ʻāʻī ma mua o nā poʻe ʻē aʻe.
- Inā pili me kahi maʻi ʻē aʻe: A laila e loli ke kūlana e hiki mai ana ma muli o ka maʻi i nīnau ʻia.
- Eia kekahi laʻana, hiki i kekahi me ka joint hypermobility syndrome ke ʻike i ka emi ʻana o nā hōʻailona i ko lākou ʻelemakule ʻana a me ka ulu ʻana o ka arthritis. No kekahi poʻe, he ʻoluʻolu loa nā hōʻailona. No kekahi poʻe, hiki ke koʻikoʻi ka ʻeha. Akā i ka hapanui o nā hihia, hiki ke mālama ʻia ke kūlana ma ka pale ʻana i nā hono a me ka lawe ʻana i ka lāʻau ʻeha.
- Hiki i ka poʻe me ka diastrophic dysplasia ke ola i kahi ola maʻamau inā mālama pono ʻia. Aia ka lāʻau lapaʻau i nā hōʻailona a me nā ʻōnaehana kino i hoʻopilikia ʻia. Hiki ke komo pū me ka lāʻau lapaʻau meaʻai, ka lāʻau lapaʻau hanu, ka lāʻau lapaʻau kino, ke ʻoki lima, nā lāʻau lapaʻau niho, a me nā steroid.
- Hiki i ka ʻano atelosteogenesis ʻano 2 a me ke ʻano 3 ke hoʻoulu i nā pilikia olakino koʻikoʻi. Nui nā pēpē me kēia mau maʻi i hānau make a make paha ma hope koke o ka hānau ʻana ma muli o ka hāʻule ʻana o ka hanu. Eia nō naʻe, ola kekahi mau pēpē me ka mālama pono ʻana a me ka mālama ʻana.
Āhea mākou e ʻike ai i ke kauka?
Inā manaʻo ʻoe he `(Hitchhiker's Thumb)` kou, a inā paha ke kānalua nei ʻoe he kekahi o nā kūlana ʻē aʻe a mākou i kūkākūkā ai, he mea naʻauao ke ʻike i ke kauka no ka ʻōlelo aʻo. ʻOi aku hoʻi, e ʻimi i ka ʻōlelo aʻo lapaʻau inā ʻike ʻoe i kekahi o kēia mau hōʻailona:
- Inā ʻike ʻoe i kahi loli i ka hana o kou lima a i ʻole kekahi hono .
- Inā ʻike ʻoe i kahi loli i ka hiki ke hoʻoneʻe i kou lima a i ʻole kekahi hui (e like me ka mae ʻole, ka nāwaliwali).
- Inā ʻike ʻoe i ka pehu ʻana a/a i ʻole kahi loli i ke ʻano ma kou lima a i ʻole kekahi hui .
- Inā e ʻoi aku ka ʻeha o kou lima a i ʻole kekahi hono .
He moʻolelo wahaheʻe anei ʻo `(Hitchhiker's Thumb)`?
He mea hoihoi iki nō hoʻi kēia. Manaʻo kekahi poʻe he moʻolelo wale nō ʻo `(Hitchhiker's Thumb)`, he moʻolelo wahaheʻe. No ka mea, ʻaʻohe nui o ka noiʻi ʻana ma kēia mai kēlā haʻawina o 1953.
Manaʻo kekahi poʻe ʻepekema ʻaʻole hiki ke kaupalena ʻia nā manamana nui i ʻelua ʻano wale nō - ʻo ia hoʻi, ka manamana nui o ka mea holo wāwae a me ka manamana nui o ka mea ʻaʻole holo wāwae. Manaʻo lākou he ʻoi aku ka paʻakikī o ka manamana nui o ka mea holo wāwae, a ʻaʻole ia e kāohi ʻia e kahi gene hoʻokahi, a i ʻole ʻelua mau alleles. Manaʻo lākou he ʻokoʻa loa ka nui o ke kulou ʻana o ka manamana nui mai kēlā kanaka a i kēia kanaka, mai kahi ʻaʻohe kulou iki o kekahi poʻe a hiki i kahi i loaʻa ai i kekahi ke kiʻekiʻe loa o ke kulou ʻana. No laila, ʻōlelo lākou ʻaʻole hiki ke hoʻokaʻawale ʻia nā manamana nui i hoʻokahi ʻano wale nō, a pono ka noiʻi hou aku ma kēia kumuhana.
No laila, he aha kā mākou e hoʻomanaʻo ai ma ka hopena?
ʻAe, e hōʻuluʻulu kākou i kekahi o nā mea nui āu e ʻike ai he mea nui mai nā mea a mākou i kamaʻilio ai:
Inā hiki iā ʻoe ke kulou i ke ami o luna o kou manamana nui i hope ma mua o 50 degere, loaʻa paha iā ʻoe kahi `(Hitchhiker's Thumb)`.
No ka hapa nui o nā kānaka, ʻo ia hoʻi he palupalu loa kou mau hono manamana nui. I ka manawa pinepine, ʻaʻohe ʻeha a ʻaʻohe pilikia o ka hoʻohana ʻana i kou lima.
Eia nō naʻe, i kahi manawa kakaikahi loa , hiki i ka Hitchhiker's Thumb ke pili me kahi maʻi a i ʻole ke ʻano genetic laha ʻole.
Inā he mau hopohopo kāu e pili ana i kēia, a inā he mau hōʻailona ʻē aʻe kāu me kēia hiʻohiʻona manamana nui, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka no ka ʻōlelo aʻo. A laila hiki i ke kauka ke kōkua iā ʻoe e like me ka mea e pono ai, e hoʻokele i nā pilikia āu e loaʻa ai, a wehewehe i kou kūlana.
No laila, ke kūlou nei kou manamana nui e like me kēia? He mea kupanaha paha ia! Akā, i ka wā kānalua, ʻoi aku ka maikaʻi o ka nīnau ʻana, ʻeā?
ʻO ka manamana nui o Hitchhiker, manamana nui, hui, mau genes, hypermobility, distal joint hyperextensibility, ʻano recessive











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