Ua noʻonoʻo hohonu paha ʻoe i kou ʻāʻī? ʻAʻole hiki iā ʻoe ke noʻonoʻo i ka nui o nā mea e hana ʻia ana i loko o kēia ʻāʻī ke kamaʻilio mākou, moni i ka meaʻai, a hanu. I kēia lā e kamaʻilio mākou e pili ana i kahi iwi kūikawā loa, he ʻano ʻē iki, akā he mea nui loa i loko o ko mākou kino. ʻO ia ka iwi Hyoid. Malia paha ʻaʻole ʻoe i lohe i kēia inoa ma mua.
He aha ka iwi Hyoid?
I ka ʻōlelo maʻalahi, he iwi liʻiliʻi ke ʻano o ka iwi hyoid, aia ma ke alo o kou ʻāʻī, ma lalo pono o kou ʻauwae. I ka pololei, aia ia ma luna o kou mandible a me ke cartilage thyroid e uhi ana i kou mau kaula leo. Hiki iā ʻoe ke hana i kahi hoʻāʻo liʻiliʻi e ʻike ai. E kau i kou mau manamana lima ma kahi e hui ai kou ʻauwae me kou ʻāʻī a ale i kahi kuha liʻiliʻi. E ʻike ʻoe i kahi kualono e piʻi aʻe a iho. ʻO ia kou iwi hyoid.
Akā, aia kekahi kumu nui no ke ʻano ʻokoʻa o kēia iwi mai nā mea ʻē aʻe a pau. ʻO ia no ka mea, ʻo ka iwi hyoid wale nō ka iwi "lana" i loko o ko kākou kino. I kēia manawa, ke noʻonoʻo nei paha ʻoe i ke ʻano o ka "lana". Hoʻopili ʻia nā iwi ʻē aʻe a pau o ko kākou kino i kekahi iwi ʻē aʻe ma o kahi hui. No ka laʻana, ua pili ka iwi lima i ka iwi poʻohiwi. Akā, ʻaʻole pili pono ka iwi hyoid i kekahi iwi. Hoʻopaʻa wale ʻia ia ma kahi e nā ʻiʻo, nā ligaments, a me ke cartilage. Ua like ia me ka hoʻopaʻa ʻia ʻana i loko o kahi ʻupena. ʻAʻole anei he mea kupaianaha kēlā?
He aha nā hana koʻikoʻi a kēia iwi liʻiliʻi e hana ai?
ʻOiai he liʻiliʻi ka iwi hyoid, ʻaʻole ia he mea liʻiliʻi kāna lawelawe. He mea nui kēia iwi no kekahi o nā hana koʻikoʻi loa i ko kākou ola o kēlā me kēia lā.
- ʻŌlelo: Ke haʻi mākou i nā huaʻōlelo, pono e neʻe pololei ke alelo a me ka pahu leo. Hana ka iwi hyoid ma ke ʻano he heleuma no nā ʻiʻo he nui e pono ai no kēia mau neʻe ʻana.
- Ke ale ʻana: Ke ale mākou i kahi ʻāpana meaʻai a i ʻole kahi inu wai, hana pū kahi ʻōnaehana paʻakikī o nā ʻiʻo i loko o ka puʻu. I loko o kēia kaʻina hana, he mea nui ka neʻe ʻana o ka iwi hyoid e hoʻokuke i ke alelo i hope a pani i ka ʻōpū hanu.
- Ka hanu ʻana: Hana pū kēia iwi ma ke ʻano he kākoʻo no nā ʻiʻo e kōkua ai e wehe i ke ala ea i ka wā e hanu ai kākou.
Ma waho aʻe o kēia mau hana nui, kākoʻo ia i kekahi mau ʻano hana koʻikoʻi ʻē aʻe i loko o ko mākou ʻāʻī.
- Kou alelo
- Nā ʻiʻo ma ka papahele o kou waha
- I kou mau kaula leo (Larynx/pahu leo)
- ʻO ka ʻūpā liʻiliʻi e uhi ana i ka ʻōpū makani, i kapa ʻia ʻo ka epiglottis
- Kou puʻu (Pharynx)
Ma waho aʻe o kēia mau mea a pau, lawelawe pū ka iwi hyoid ma ke ʻano he wahi hoʻopili no nā ligaments nui ʻekolu a me nā ʻiʻo he nui ma ka ʻāʻī.
Pehea ke ʻano o ka iwi hyoid a me kona ʻano?
E like me kā mākou i ʻōlelo ai ma mua, ua like ke ʻano o kēia me ka leka 'U'. ʻEkolu mau ʻāpana nui o kēia iwi.
1. Kino nui: ʻO kēia ka ʻāpana mua loa a mānoanoa loa o ka iwi hyoid. ʻO ka laulā maʻamau he 2.5 kenimika a ʻo ka mānoanoa he 1 kenimika. Eia nō naʻe, i nā kāne, ʻoi aku ka nui o kēia ʻāpana.
2. Nā pepeiaohao nui (greater cornua): ʻO kēia nā lima lōʻihi ʻelua ma nā ʻaoʻao ʻelua o ka leka 'U'.
3. Nā pepeiaohao liʻiliʻi (cornua liʻiliʻi): He ʻelua mau iwi liʻiliʻi kēia e puka kokoke ana i ka hoʻomaka ʻana o nā pepeiaohao nui. Hoʻopili ʻia lākou i ka ligament stylohyoid.
ʻO ka iwi hyoid o kahi pēpē hānau hou he ʻekolu mau ʻāpana iwi i hoʻohui ʻole ʻia. Akā i ko kākou ulu ʻana, ma waena o 40 a me 60 mau makahiki, hui pū kēia mau ʻāpana ʻekolu e hana i hoʻokahi iwi paʻa. Akā, hiki i kekahi poʻe ke noho ʻole i hoʻohui ʻia i ko lākou ola a pau. ʻAʻole kēia he maʻi a he mea ʻē paha. He ʻano maʻamau wale nō ia i loko o ko kākou kino.
He aha nā kūlana e hoʻopilikia ai i ka iwi hyoid?
Ma muli o ka pale maikaʻi ʻia o kēia iwi, he mea kakaikahi loa nā maʻi e pili ana me ia. Eia naʻe, ʻaʻole hiki ʻole. Eia kekahi o nā kūlana nui e hiki ke hoʻopilikia i ka iwi hyoid. E nānā kākou i kēia papa e hoʻomaopopo pono iā lākou.
| Kūlana | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻO ka maʻi iwi Hyoid | Hoʻokumu ʻia kēia e ka mumū o nā ʻiʻo a me nā ligaments a puni ka iwi hyoid. Hiki ke hana ʻia kēia e nā kūlana e like me ka tendonitis a i ʻole whiplash, kahi e hana ʻia i ka wā e pale koke ai kahi kaʻa a hoʻoulu i ka ʻāʻī e wili. |
| Iwi hyoid haʻihaʻi | He mea kākaʻikahi loa kēia. He 0.002% ia o nā haki āpau i loko o ke kino o ke kanaka. Ma muli o ka pale maikaʻi ʻia o kēia iwi mai loko mai, ʻaʻole ia e haki i kahi ulia maʻamau. ʻOi aku ka nui o ka haki ʻana i nā kūlana trauma koʻikoʻi e like me ke kāʻili ʻia ʻana, ke kau ʻia ʻana, nā ʻeha pū, a me nā ulia kaʻa koʻikoʻi. |
| ʻO ka Osteoradionecrosis (ORN) | He kūlana koʻikoʻi kēia. Hana ʻia ia i ka wā e make ai nā hunaola iwi ma muli o ka ʻike ʻia ʻana o ka radiation therapy. ʻO ka poʻe e loaʻa ana i ka radiation therapy no nā maʻi ʻaʻai poʻo a me ka ʻāʻī e pilikia ana. Hoʻopilikia pinepine ia i ka mandible, akā i kekahi manawa hiki ke hoʻopilikia i ka iwi hyoid. |
| Ka maʻi ʻaʻai o ka iwi hyoid (Chondrosarcoma) | He ʻano maʻi kanesa kākaʻikahi loa kēia. He mau maʻi kanesa kēia e hoʻomaka ana ma ke cartilage. He mea kākaʻikahi loa ka ulu ʻana o kahi maʻi kanesa e like me kēia ma ke poʻo a me ka ʻāʻī. Wahi a nā moʻolelo lapaʻau, he 23 wale nō mau maʻi o kēia ʻano i hōʻike ʻia ma ka honua a hiki i kēia manawa. ʻO ka hōʻailona maʻamau o ka hapa nui o kēia mau maʻi he puʻupuʻu e ulu nui aʻe ana ma ka ʻāʻī. |
He aha nā hōʻailona maʻamau o kēia mau kūlana?
Hiki ke like nā hōʻailona o nā pilikia o ka iwi hyoid. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e hoʻolohe pono.
- ʻEha maka i wehewehe ʻole ʻia: I kekahi manawa hiki ke hoʻomaka ka ʻeha ma ka ʻāʻī a laha i ka maka.
- ʻEha ʻāʻī: ʻEha e puka mai ana mai kahi hohonu ma mua o ka ʻāʻī.
- ʻĀʻī ʻeha: He ʻāʻī ʻeha mau (pharyngitis mau).
- Nā maʻi leo: Ka leo haʻalulu a i ʻole ka loli o ka leo.
- Manaʻo e like me ke kuʻi ʻia ʻana o kekahi mea i loko o ka puʻu: ʻO ka manaʻo mau e like me ke kuʻi ʻia ʻana o kekahi mea i loko o ka puʻu.
- ʻEha i ka moni ʻana: ʻEha nui i ka moni ʻana i ka meaʻai a mea inu paha.
- ʻO ka apnea hiamoe obstructive: Hiki ke hoʻopilikia ʻia kēia ʻano e ke kūlana o ka iwi hyoid.
- ʻEhaeha: Inā he ulia pōpilikia, ʻike paha ʻoe i ka ʻeha ma ke alo o ka ʻāʻī.
- Crepitus: Ke lohe nei a i ʻole ka manaʻo ʻana i kahi kani nahā i ka wā e hoʻohuli ai i ka ʻāʻī.
- Paʻakikī i ka ʻōlelo ʻana: Paʻakikī i ka haʻi ʻana i nā huaʻōlelo ma muli o ka ʻeha.
- Dyspnea: Paʻakikī ka hanu ʻana i kekahi mau hihia.
- Nā ʻeha waha a ʻāʻī paha: Nā ʻeha a i ʻole nā ʻeha i loko o ka waha a i ʻole ka puʻu.
ʻO ka mea nui, hiki i kēia mau hōʻailona ke like loa me nā maʻi TMJ, no laila hiki ke kuhi hewa ʻia kekahi poʻe. Inā ʻoe e mālama ʻia nei no kahi maʻi TMJ a ʻaʻole e hoʻomaikaʻi ana kāu mau hōʻailona, he mea kūpono ke kūkākūkā i kēia iwi hyoid me kāu kauka.
Pehea e hana ʻia ai ka hōʻailona a he aha nā lāʻau lapaʻau?
Ke hele ʻoe e ʻike i ke kauka me kēia mau hōʻailona, e nānā ʻo ia iā ʻoe a, inā pono, e kuhikuhi iā ʻoe no kekahi mau hoʻokolohua e hōʻoia i ka maʻi.
Nā hoʻokolohua diagnostics
- Nā kukuna X-ray: E nānā no kekahi haki a i ʻole nā mea ʻē aʻe i loko o ka iwi.
- Nā scan CT: E kiʻi i nā kiʻi maopopo a kikoʻī hoʻi o ka iwi a me nā ʻiʻo a puni.
- Nā scan PET: Hiki ke hoʻohana ʻia kēia hoʻāʻo e nānā i ka hana o nā cell, ʻoiai inā he kānalua no ka maʻi kanesa.
Nā ʻano lapaʻau
Ma hope o ka hōʻoia ʻana, e hoʻoholo ke kauka i ka lāʻau lapaʻau e pili ana i kou kūlana. ʻAʻole kēia nā mea hiki iā ʻoe ke hana ma kāu iho.
- Nā lāʻau hoʻopau ʻeha a me nā lāʻau anti-inflammatory (NSAID): Kāohi i ka ʻeha a me ka pehu.
- Nā lāʻau lapaʻau antibiotic: Inā loaʻa kahi maʻi.
- Nā inikini steroid: Inā koʻikoʻi ka mumū, e kaohi iā ia.
- ʻO ke ʻoki kino: Inā haki kahi iwi, inā he maʻi ʻaʻai, a i ʻole ma nā hihia koʻikoʻi ʻē aʻe.
- Tracheostomy: He hana ʻoki kino kahi e hoʻokomo ʻia ai kahi paipu i loko o ka ʻōpū makani ma ke alo o ka ʻāʻī e maʻalahi ai ka hanu ʻana, inā koʻikoʻi nā pilikia hanu.
Hiki ke pale ʻia ka hōʻino ʻana i ka iwi hyoid?
ʻO kaʻoiaʻiʻo, ʻo ka hapa nui o nā kūlana e hoʻopilikia ai i ka iwi hyoid he mau mea ia ma waho o ko mākou mana. He mea paʻakikī iā mākou ke pale aku i nā mea e like me nā ulia a me nā kūlana olakino kakaʻikahi loa. Akā, aia kekahi mau mea nui e hiki iā mākou ke hana.
ʻO ia hoʻi, inā loaʻa iā ʻoe ka ʻeha mau o ka ʻāʻī a i ʻole ka ʻāʻī, ka paʻakikī i ka moni ʻana, ka loli o kou leo, a i ʻole kekahi o nā hōʻailona ʻē aʻe i ʻōlelo ʻia ma ʻaneʻi, mai hoʻowahāwahā iā ia a e ʻike koke i ke kauka kūpono. ʻO ke kī, ʻo ia ka ʻike mua ʻana i ka maʻi a hoʻomaka i ka lāʻau lapaʻau.
He wehewehe iki: Ua like anei ka iwi hyoid me ka ʻĀpala o ʻAdamu?
He mea kēia e huikau ai nā kānaka he nui. ʻAʻole. ʻO kēia mau mea ʻelua, ʻelua.
ʻO ka ʻāpala o ʻAdamu ka ʻāpana e puka ana i waho o ka ʻāʻī, ʻoi aku hoʻi i nā kāne, a mākou e kapa nei he iwi ʻāʻī. No ke kāʻei thyroid ia a mākou i ʻōlelo ai ma mua. Aia ka iwi hyoid ma luna o kēia ʻĀpala o ʻAdamu. No laila, ʻoiai ua kokoke kēia mau ʻano ʻelua kekahi i kekahi, he ʻelua ʻāpana like ʻole lākou o ke kino a he ʻokoʻa kā lākou mau hana.
He iwi liʻiliʻi akā ikaika loa ka iwi hyoid i hūnā ʻia ma lalo o ko kākou ʻāwae haʻahaʻa, i loko o kahi papa pale o nā ʻiʻo, nā ligaments, a me ke cartilage. Ua hūnā ʻia a ʻaʻole mākou e noʻonoʻo a hiki i ka wā e loaʻa ai ka ʻeha. ʻOiai he mea kakaikahi ke ʻano, inā he leo haʻalulu kou, paʻakikī ka hanu ʻana, paʻakikī ke ale, a i ʻole ka ʻeha mau ma kou ʻāʻī a me kou puʻu, e haʻi i kāu kauka. E hana pū ʻo ia me ʻoe e hoʻomohala i kahi hoʻolālā lapaʻau e kōkua i ka hōʻoluʻolu i kāu mau hōʻailona a hoʻihoʻi iā ʻoe i kahi nohona olakino.
Leka Lawe-Home
- ʻO ka iwi hyoid wale nō ka iwi "lana" i loko o ko mākou kino i pili ʻole i kekahi iwi ʻē aʻe.
- He mea nui kēia iwi no nā hana koʻikoʻi e like me ka ʻōlelo ʻana, ka moni ʻana i ka meaʻai, a me ka hanu ʻana.
- He mea kākaʻikahi loa nā maʻi e pili ana i kēia iwi, akā, ʻaʻole pono e hoʻowahāwahā ʻia.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha mau o ka ʻāʻī, ka ʻeha o ka puʻu, ka paʻakikī i ke ale ʻana, a i ʻole nā loli i kou leo, mai hoʻonele i ka manawa a e ʻike i ke kauka.
- Mai hoʻoholo i kahi maʻi ma ka pūnaewele. E ʻimi mau i ka ʻōlelo aʻoaʻo lapaʻau kūpono.
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