Ua lohe paha ʻoe i kahi iwi liʻiliʻi akā koʻikoʻi loa ma kou ʻāʻī? He mea kūikawā iki kēia, no ka mea, ʻo ia wale nō ka iwi 'lana' i loko o ko kākou kino. I kēia lā, e kamaʻilio kākou e pili ana i kēia iwi hyoid kupaianaha. Mai hopohopo, e kamaʻilio wale kākou e pili ana i kona ʻano, kāna hana, a me nā ʻano pilikia e hiki ai ke hana.
He aha ka iwi Hyoid?
ʻAe, e nānā mua kākou i ke ʻano o ka iwi hyoid . He iwi liʻiliʻi ia, he ʻano mahina ma ke alo o kou ʻāʻī. Aia ia ma lalo o kou mandible a ma luna o ke cartilage thyroid e uhi ana i kou mau kaula leo. Hiki iā ʻoe ke kau i kou mau manamana lima ma kahi e hui ai kou ʻauwae me kou ʻāʻī a moni i kahi kuha liʻiliʻi. ʻO ia ka manawa e hiki ai iā ʻoe ke hoʻopā i ka iwi hyoid.
ʻO ka mea kūikawā loa e pili ana i kēia, ʻo kēia iwi hyoid wale nō ka iwi 'lana' i loko o ko kākou kino. ʻO ia hoʻi, ʻaʻole ia i pili pono i kekahi iwi ʻē aʻe. No laila pehea e paʻa ai i kona wahi? Hoʻopaʻa ʻia ia ma kona wahi e nā ligaments, nā ʻiʻo, a me ke cartilage. E noʻonoʻo, ua like ia me ke kau ʻana mai ke kaula.
He aha nā hana o ka iwi hyoid?
I kēia manawa, e nānā kākou i ka mea e hana ʻia ana i kēia iwi liʻiliʻi. E noʻonoʻo wale, he mea liʻiliʻi kēia akā hana ia i kahi hana koʻikoʻi loa.
- Kōkua i ka ʻōlelo: Kōkua kēia i ka neʻe ʻana o ke alelo i ka wā e ʻōlelo ai mākou. Pili pū ia i ka neʻe ʻana o ka larynx.
- Kōkua i ka moni ʻana: Neʻe kēia iwi hyoid i luna a i lalo ke moni ʻoe i ka meaʻai a me ka mea inu, ʻo ia ka mea e kōkua ai i ke kaʻina hana moni ʻana. E ʻike ʻoe i kona neʻe ʻana i luna a i lalo ke moni ʻoe i ka meaʻai.
- Kōkua i ka hanu ʻana: He kuleana koʻikoʻi nō hoʻi ia i ka hanu ʻana, ʻoiai hoʻi i ka mālama ʻana i nā ala ea e wehe ai.
ʻAʻole wale kēlā, akā hana pū ka iwi hyoid ma ke ʻano he kākoʻo no kekahi mau mea koʻikoʻi ʻē aʻe a puni ia. Eia kekahi laʻana:
- I kou alelo
- I nā ʻiʻo ma lalo o kou waha
- ʻO kou larynx a i ʻole ka pahu leo - ʻo ia hoʻi, ka pahu e hana ai i ka leo
- ʻEpiglottis - ʻO kēia ka ʻāpana liʻiliʻi e like me ka puka e pale ai i ka meaʻai mai ke komo ʻana i ka ʻōpū hanu i ka wā e moni ai kākou.
- Kou puʻu (Pharynx)
ʻO kekahi mea ʻē aʻe, ua pili ka iwi hyoid i ʻekolu mau ligaments nui a me nā ʻiʻo he nui ma ka ʻāʻī, a hana pū kekahi ma ke ʻano he wahi hoʻopili no lākou.
Aia ma hea ka iwi hyoid?
Ua ʻōlelo mākou ma mua aia kēia ma ke alo o kou ʻāʻī, ma lalo o ka mandible a ma luna o ke cartilage thyroid. No ka wehewehe hou aku, 'lana' ka iwi hyoid i mua o ka ʻehā o ka vertebrae cervical i loko o kou iwi kuamoʻo.
Pehea ke ʻano o ka iwi hyoid?
Ua like ke ʻano o kēia iwi hyoid me ka leka Pelekane 'U'.ʻO ia wale nō. ʻEkolu mau ʻāpana nui o kēia:
- Kino nui: ʻO kēia ka ʻāpana mua 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, hiki ke nui iki aʻe i nā kāne.
- Nā pepeiaohao nui a i ʻole ka cornua nui: ʻO kēia nā ʻāpana lōʻihi e like me ka lima o ka iwi hyoid ma nā ʻaoʻao ʻelua o ka leka 'U'.
- Nā pepeiaohao liʻiliʻi a i ʻole ka cornua liʻiliʻi: ʻO kēia nā ʻōpuʻu iwi liʻiliʻi ʻelua kokoke i ka hoʻomaka ʻana o nā pepeiaohao nui. ʻO kēia kahi e hoʻopili ai ka ligament stylohyoid .
He mea kupaianaha ia i ka wā e hānau ʻia ai kahi pēpē, ʻekolu iwi kaʻawale ka iwi hyoid. I ko kākou ʻelemakule ʻana, ma waena o 40 a me 60 mau makahiki, hui pū kēia mau iwi ʻekolu e hana i hoʻokahi ʻano paʻa, e like me ke ʻano o ka lio. Akā, ʻaʻole hui pū kekahi poʻe e like me kēia. ʻAʻole ia he pilikia inā ʻaʻole lākou e hui pū. He loli liʻiliʻi wale nō ia i ke ʻano maʻamau, a ʻaʻole ia e hoʻoulu i kekahi pilikia.
He aha nā kūlana e hoʻopilikia ai i ka iwi hyoid?
Aia kekahi mau kūlana olakino e hiki ke hoʻopilikia i ka iwi hyoid. Akā, mai hopohopo, he mea laha ʻole kēia mau mea.
- ʻO ka maʻi iwi Hyoid: He mumū kēia o nā ʻiʻo a me nā ligaments a puni ka iwi hyoid. Hiki ke hana ʻia kēia e ka tendonitis a i ʻole nā ʻeha ʻāʻī (e like me whiplash, kahi ʻeha ʻāʻī koke).
- Haʻihaʻi iwi hyoid / haki Hyoid: He mea kākaʻikahi loa nā haki iwi hyoid. He 0.002% o nā haki kanaka āpau kēia. ʻO kēia no ka mea ua hūnā maikaʻi ʻia kēia iwi a pale ʻia ma kahi e hui ai ka ʻauwae a me ka ʻāʻī, no laila ʻaʻole ia e haki maʻalahi. ʻO ka hapa pinepine, haki ka iwi hyoid i nā hewa kolohe e like me ke kāʻili ʻana . Ma waho aʻe o kēlā, hiki ke hana ʻia e nā mea e like me ke kau ʻana, nā ʻeha pū, a me nā ulia kaʻa koʻikoʻi.
- Osteoradionecrosis (ORN): He ʻano koʻikoʻi kēia. He make ʻana o ka iwi ia ma muli o ka ʻike ʻia ʻana i ka radiation. Kiʻekiʻe loa kēia pilikia i ka poʻe e loaʻa ana i ka radiation therapy no ke kanesa poʻo a me ka ʻāʻī. Hoʻopilikia pinepine ia i ka mandible, akā hiki nō hoʻi ke hoʻopilikia i ka iwi hyoid.
- ʻO Chondrosarcoma o ka iwi hyoid: He ʻano maʻi kanesa laha loa kēia.He maʻi ʻaʻai iwi laha ʻole ka Chondrosarcoma e hoʻomaka ana ma ke cartilage. He mea laha ʻole loa ka ulu ʻana o kēia ʻano maʻi ʻaʻai ma ke poʻo a me ka ʻāʻī. Wahi a nā moʻolelo lapaʻau, he 23 wale nō hihia o ka chondrosarcoma o ka iwi hyoid i hōʻike ʻia ma ka honua a hiki i kēia manawa. ʻO ka hōʻailona maʻamau i ʻike ʻia i waena o ka poʻe me kēia maʻi he puʻupuʻu e ulu nui aʻe ana ma ka ʻāʻī.
Nā hōʻailona maʻamau o nā kūlana iwi hyoid
Hiki i nā kūlana e pili ana i ka iwi hyoid ke hana i nā hōʻailona like. ʻO kekahi o kēia mau mea:
- ʻEha ma ka maka me ke kumu ʻole.
- ʻEha ʻāʻī.
- ʻEha ʻāʻī (hiki paha he maʻi ʻāʻī lōʻihi - e like me ka pharyngitis mau loa ).
- Nā loli leo, nā pilikia ʻōlelo (nā maʻi leo).
- Manaʻo o kahi mea i paʻa i ka puʻu.
- Ke ʻeha nei i ka wā e moni ai i ka meaʻai a me ka mea inu.
- ʻO ka apnea hiamoe obstructive .
- ʻEha ma ka ʻāʻī.
- He kani a manaʻo paha e like me ka hamo ʻana o nā iwi ( crepitus ).
- Ka paʻakikī o ka hanu ʻana ( dyspnea ).
- Nā ʻeha a i ʻole nā ʻōpū ma ka waha a i ʻole ka puʻu.
He mea nui: Hiki i kekahi mau hōʻailona o ka iwi hyoid ke like loa me nā maʻi o ka hui temporomandibular (TMJ) . Hiki i kēia ke alakaʻi i ka kuhi hewa ʻana. Inā ʻoe e loaʻa ana i ka lāʻau no kahi kūlana TMJ a ʻaʻole e hoʻomaikaʻi, e nīnau i kāu kauka inā pili paha ia i ka iwi hyoid.
He aha nā hoʻokolohua e kōkua i ka ʻike ʻana i nā maʻi o ka iwi hyoid?
Hoʻohana nā kauka i nā hoʻokolohua like ʻole e ʻike ai inā he pilikia me kou iwi hyoid. ʻO kekahi o kēia mau mea:
- Nā kukuna X
- CT scan (CT - nā scan tomography i helu ʻia)
- ʻO ka nānā ʻana o ka PET (nā nānā ʻana o ka tomography hoʻokuʻu positron)
Hiki i kēia mau hoʻokolohua ke hāʻawi i nā kauka i kahi manaʻo maikaʻi o ke kūlana o kou iwi hyoid, inā he pōʻino, a inā he mau pilikia ʻē aʻe.
He aha nā lāʻau lapaʻau maʻamau no nā maʻi o ka iwi hyoid?
E loli kēia ma muli o kou kūlana, akā eia kekahi mau lāʻau lapaʻau maʻamau:
- Nā lāʻau hoʻēmi i ka ʻeha a me ka pehu ( NSAIDs - nā lāʻau anti-inflammatory nonsteroidal )
- Nā lāʻau lapaʻau antibiotic - inā loaʻa kahi maʻi.
- Nā inikini steroid - hoʻēmi i ka mumū.
- Nā lāʻau lapaʻau analgesic
- Tracheostomy - He hana ʻoki liʻiliʻi i hana ʻia ma ka ʻāʻī e hōʻoluʻolu i nā pilikia hanu i kekahi mau hihia koʻikoʻi.
- ʻO ke ʻoki kino - Pono paha i nā hihia e like me ka iwi haki a i ʻole ke kanesa.
Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu, no laila he mea nui e ʻimi i ke aʻo lapaʻau inā loaʻa iā ʻoe nā hōʻailona.
Hiki ke pale ʻia ka hōʻino ʻana i ka iwi hyoid?
ʻO kaʻoiaʻiʻo, he mea kakaikahi loa nā kūlana e pili ana i ka iwi hyoid, a pinepine lākou i hana ʻia e nā mea ma waho o ko mākou mana. No ka laʻana, he mea paʻakikī iā mākou ke pale aku i ka haki ʻana mai kahi ulia. No laila he mea paʻakikī iki ke ʻōlelo he 'hiki ke pale ʻia' kēia.
Akā, ʻo ka mea nui loa, ʻo ia ka ʻike ʻana i nā hōʻailona a me ka ʻimi ʻana i ka lāʻau lapaʻau i ka wā mua . Inā loaʻa iā ʻoe ka ʻeha mau o ka ʻāʻī a i ʻole ka ʻāʻī, ka paʻakikī ke ale ʻana, ka loli o kou leo, ka paʻakikī o ka hanu ʻana, a i ʻole kekahi o nā hōʻailona a mākou i kūkākūkā ai ma mua, mai hoʻowahāwahā iā lākou . E ʻike pono i kāu kauka. Hiki iā lākou ke ʻike koke i ke kumu a hoʻomaka i ka lāʻau lapaʻau āu e pono ai.
Ua kapa ʻia anei ka iwi hyoid ʻo ka ʻāpala o ʻAdamu?
ʻAʻole, he kuhihewa kēlā. ʻO kou ʻāpala ʻAdamu, a i ʻole e like me kā mākou e kapa aku ai ma ka ʻōlelo Pelekania, kou laryngeal prominence , he ʻāpana ia o kou cartilage thyroid . E hoʻomanaʻo, ua ʻōlelo mākou ma mua e noho ana ka iwi hyoid ma luna o ke cartilage thyroid. No laila, ʻoiai ua kokoke kēia mau ʻano ʻelua, he ʻelua ʻāpana like ʻole ia o kou kino, a hana lāua ʻelua i nā hana like ʻole. ʻIke pinepine ʻia ka ʻāpala ʻAdamu i nā kāne.
ʻO nā mea nui loa e pono ai mākou e hoʻomanaʻo
ʻAe, e hoʻomanaʻo kākou i kēia ma ke ʻano he hōʻuluʻulu manaʻo o ka iwi hyoid a mākou i kamaʻilio ai i kēia lā:
- He iwi liʻiliʻi ka iwi hyoid, 'lana' ma ke alo o kou ʻāʻī ʻaʻole i pili i kekahi iwi ʻē aʻe.
- He mea nui loa kēia no ka ʻōlelo ʻana, ka moni ʻana, a me ka hanu ʻana, a me nā ʻāpana kākoʻo e like me ke alelo a me ka larynx.
- ʻO nā kūlana e hoʻopilikia nei i kēia, he mea kākaʻikahi ia , no laila, mai hopohopo nui.
- Eia nō naʻe, inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha mau ma ka ʻāʻī/puʻu, ka paʻakikī i ka moni ʻana, a i ʻole ka loli o ka leo, mai hoʻowahāwahā iā lākou . He mea naʻauao ke ʻimi koke i ke kōkua lapaʻau.
- ʻAʻole ka iwi hyoid ka ʻāpala o ʻAdamu . He ʻelua ʻano like ʻole lāua.
ʻOiai inā he liʻiliʻi kou iwi hyoid a hūnā ʻia ma hope o kou ʻāwae haʻahaʻa, hana nui nō ia. No laila he mea nui e makaʻala iā ia a hana inā he pilikia. E hoʻomanaʻo mau, inā ʻoe e maʻi ana, aia nā kauka ma laila e kōkua iā ʻoe.
Iwi Hyoid, iwi Hyoid, iwi ʻāʻī, moni ʻana, ʻōlelo ʻana, ʻeha ʻāʻī, maʻi hyoid
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