Ke manaʻo nei ʻoe i kekahi manawa i kahi ʻeha ʻē e hiki koke mai ana ma ka ʻaoʻao o kou umauma a i ʻole ma kou ʻōpū luna? Ua like ia me ka ʻeha ʻoi, e like me ka pahi e hou ana iā ʻoe, a laila emi iho ma hope o kekahi manawa. Hiki iā ʻoe ke lohe a manaʻo paha i kahi leo "kaomi". ʻAʻole kēia he mea maʻalahi wale nō, hiki iā ʻoe ke loaʻa i kahi maʻi i kapa ʻia ʻo `(Slipping Rib Syndrome)`. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī a me ka maʻalahi i kēia lā.
He aha ka `(Slipping Rib Syndrome)`?
I ka ʻōlelo maʻalahi, ʻo ka `(Slipping Rib Syndrome)` he ʻeha e kū mai ana i loko o nā ʻiʻo o ko kākou umauma, ka mea e hele mai a hele aku, ʻo ia hoʻi, ʻike ʻia a nalo aku i kēlā me kēia manawa. Hiki koke mai kēia ʻeha, ikaika loa, a laila emi mālie. Hiki i kekahi poʻe ke manaʻo i kahi leo "kaomi" a i ʻole "kaomi" i loko o ko lākou umauma me kēia ʻeha.
Hana ʻia kēia i ka wā e palupalu ai a paʻa ʻole paha ke cartilage (kahi ʻiʻo palupalu ʻaʻole paʻakikī e like me ka iwi) e hoʻopili ana i ʻelua iwi ʻaoʻao ma ka ʻaoʻao haʻahaʻa o ko kākou umauma. A laila hoʻomaka kekahi iwi ʻaoʻao e paheʻe i mua a i hope ma luna o kekahi. Ke paheʻe kēia, e ʻomi ʻia a ʻūmiʻi ʻia paha ka "Intercostal Aʻalolo" e holo ana ma waena o kēlā mau iwi ʻaoʻao. ʻO ia ke kumu e ʻeha ai kākou.
Ua kapa ʻia kēia ʻano ʻeha ʻili (Slipping Rib Syndrome) ma nā inoa ʻē aʻe he nui. No ka inoa ʻana i kekahi mau inoa, hoʻohana ʻia nā inoa e like me ʻo ʻo ʻo "Displaced Rib" (ʻĪliʻiliʻi ʻĪliʻili), "Clicking Rib Syndrome" (ʻĪliʻili ʻĪliʻili), "Floating Rib Syndrome" (ʻĪliʻili ʻĪliʻili), "Gliding Rib Syndrome" (ʻĪliʻili ʻĪliʻili), "Rib-Tip Syndrome" (ʻĪliʻili ʻĪliʻili). Ma nā ʻōlelo lapaʻau, ua kapa ʻia hoʻi ʻo "Interchondral Subluxation" (ʻĪliʻili ʻĪliʻili). ʻAʻole manaʻo ʻo "Subluxation" ʻo ka paheʻe loa ʻana o kahi hui, akā, ʻo ka paheʻe ʻana i ka hapalua. ʻO nā wahi e pili ai nā wēlau o ke cartilage o ko kākou mau iwi ʻaoʻao haʻahaʻa i nā iwi ʻaoʻao ma luna, ua kapa ʻia ʻo "Interchondral Joints" (ʻĪliʻili ʻĪliʻili ʻĪliʻili)".
Pehea ka maʻamau o kēia ʻano?
Wahi a ka ʻikepili hou loa, ʻo 5% wale nō o ka ʻeha o ka paia umauma i hana ʻia e ka "Slipping Rib Syndrome." ʻO ka mea pōʻino, ʻaʻole nā mea lawelawe olakino āpau, ʻo ia hoʻi, ʻaʻole nā kauka āpau, i ʻike i kēia ʻano. No laila, pinepine ʻole ia e ʻike ʻia .
Pehea ka manaʻo ke paheʻe ka iwi ʻaoʻao?
Ke hemo mua ʻoe i kahi iwi ʻaoʻao, hiki ke ʻeha koke, ʻoi, a hou . Hiki paha iā ʻoe ke lohe a manaʻo paha i kahi "kaomi" a i ʻole "kaomi" i ka wā e hele ai ka iwi ʻaoʻao ma luna o kekahi iwi ʻaoʻao. Ma hope o kēlā, hiki ke emi ka ʻeha ʻoi, e waiho ana i kahi kaumaha ʻē, ʻike ʻole ʻia a i ʻole ka ʻeha palupalu .
He nui ka poʻe e ʻike nei i kēia ʻano e hana hou ana i ka hala ʻana o ka manawa. Hiki i kēia iwi ʻaoʻao ke paheʻe i ka wā e ʻū ai ʻoe, e kihe ana, a i ʻole e wili i kahi kūlana. No ka laʻana, hiki iā ʻoe ke manaʻo i ka ʻeha koke ke hiki ʻoe i kahi mea, e ʻōwili i waho o kahi moe, a i ʻole e hoʻokele kaʻa.
Hiki i kahi iwi ʻaoʻao paheʻe ke ʻūmiʻi i ke aʻalolo intercostal, ka mea e holo ana ma waena o kou mau iwi ʻaoʻao. ʻO kēia ke kumu pinepine o ka ʻeha ʻoi a kūloko āu e ʻike ai i ka wā mua. I ka hala ʻana o ka manawa, hiki i kēia ke hoʻoulu i ka ʻiʻo palupalu a puni ka iwi ʻaoʻao e pehu a lilo i mumū.
Ma muli o kēia, i kekahi manawa ʻaʻole wale ka ʻeha ma kahi hoʻokahi, akā hiki ke pālahalaha iki, e paʻakikī ai ke kuhikuhi pololei i kahi e hele mai ai. Hiki ke like me ka ʻeha ma ka umauma lalo, a i ʻole hiki ke like me ka ʻeha ma ka ʻōpū luna. I kekahi manawa, hiki i kēia ʻeha ke pālahalaha i kou kua, ʻākau a hema paha.
ʻO wai nā iwi ʻaoʻao i hoʻopilikia ʻia e ka `(Slipping Rib Syndrome)`?
He 12 mau pālua o nā iwi ʻaoʻao ko kākou, i helu ʻia mai luna a lalo. Hoʻopilikia ka Slipping Rib Syndrome i nā iwi ʻaoʻao ʻewalu, ʻeiwa, a me ka ʻumi. Ua kapa ʻia kēia mau mea he "iwi ʻaoʻao wahaheʻe." ʻIke anei ʻoe i ke ʻano o lākou? ʻAʻole pili pololei kēia mau iwi ʻaoʻao i ka iwi ma waenakonu o ko kākou umauma, ʻo ia hoʻi ka sternum.
Akā, ua pili kēlā me kēia o kēia mau "iwi ʻaoʻao wahaheʻe" i ka iwi ʻaoʻao ma luna. ʻO kēia mau hono, i hana ʻia me ke cartilage, ʻo ia ka mea a mākou i kapa ai ʻo "Interchondral Joints". Ke nāwaliwali kekahi o kēia mau hono, e paheʻe ka "iwi ʻaoʻao wahaheʻe" mai kona wahi aku.
Ua kapa pū kekahi poʻe i kēia he "Floating Rib Syndrome", akā he inoa hewa kēlā. ʻO "Floating ribs" e pili ana i ko kākou mau iwi ʻumikūmākahi a me ka ʻumikūmālua haʻahaʻa loa. ʻAʻohe o kēia mau iwi ʻaoʻao i nā "Interchondral Joints". Ua kapa ʻia lākou he "floating ribs" no ka mea, ʻaʻole lākou i pili i ka sternum a i ʻole nā iwi ʻaoʻao ʻē aʻe, akā i ka iwi kuamoʻo wale nō. No laila, ʻaʻole hiki i kēia mau iwi ʻaoʻao ke "paheʻe" pēlā. Eia naʻe, hiki iā ʻoe ke ʻike i ka ʻeha ma nā ʻiʻo a puni lākou.
He aha nā kumu o ka `(Slipping Rib Syndrome)`?
Hiki i kekahi o kou mau iwi ʻaoʻao ke paheʻe inā nāwaliwali ke cartilage ma ka hui interchondral a paheʻe paha ma waho o kona wahi. Hiki ke hana koke a mālie paha kēia. I kekahi mau hihia, hiki ke lilo i mea i hānau ʻia me ʻoe. Eia kekahi mau kumu:
- Ka nāwaliwali hānau (Kīnā hānau): Hiki i kekahi poʻe ke hānau ʻia me kēia mau ʻāpana cartilage nāwaliwali.
- ʻO ka Hypermobility Hui: Hiki ke kū mai kēia ʻano inā ʻoi aku ka maʻalahi o kou mau hono ma mua o ka maʻamau, ʻo ia hoʻi hiki iā lākou ke neʻe ma mua o ka mea e pono ai.
- ʻEha Hoʻopaʻa Hou: Ke hana pinepine ʻoe i ke ʻano o ka neʻe like, e like me kekahi mau haʻuki a hana paha, hiki ke hōʻino ʻia kēia mau hono.
- ʻEha ʻeha: Hiki ke hōʻino ʻia kēia cartilage e kahi mea e like me ka hāʻule ʻana, kahi ulia kaʻa, a i ʻole ka hopena paʻakikī i ka wā e pāʻani ana i nā haʻuki.
Pehea e nānā ai no ka `(Slipping Rib Syndrome)`?
Hiki i ke kauka e noiʻi ana i kou ʻeha ke kauoha mua i kahi hoʻāʻo kiʻi, e like me ka X-ray umauma a i ʻole ka CT scan. Eia nō naʻe,ʻAʻole ʻike pinepine ʻia kahi iwi ʻaoʻao paheʻe i nā kiʻi paʻa. Makemake ke kauka e ʻike pehea e hana ai.
ʻO kahi ala e ʻike ai i kēia me ka hoʻāʻo "Dynamic Ultrasound". ʻO ke ʻano kēia, ua lawe ʻia kahi "Ultrasound" ʻoiai ʻoe e hana ana i kekahi mau neʻe ʻana (e.g. hoʻohuli i kou kino, ʻūhū, hana i ka "Valsalva Maneuver" - ʻo ia hoʻi, e paʻa ana i kou hanu a ʻūmiʻi iā ia). A laila hiki iā ʻoe ke ʻike i ka iwi ʻaoʻao e paheʻe ana i kēlā manawa.
Eia nō naʻe, inā kānalua mua ke kauka i ka "Slipping Rib Syndrome", hiki iā ia ke ʻike iā ia i ka wā o ka hoʻokolokolo kino. Hana ʻia kēia ma ka hana ʻana i kahi hoʻokolohua i kapa ʻia ʻo "Hooking Maneuver".
Ma kēia hoʻāʻo maʻalahi, kau ke kauka i kona mau manamana lima ma lalo o ka ʻaoʻao haʻahaʻa o kou iwi ʻaoʻao a hāpai mālie i luna . Ke hana ʻo ia i kēia, e hoʻi hou mai ka ʻeha mai ka "Slipping Rib Syndrome", a i kekahi manawa e lohe ʻoe i kēlā kani "click" a i ʻole "tock". E hāʻawi kēia i ke kauka i kahi manaʻo maikaʻi aʻe o ke kūlana.
Pehea ʻoe e ho'ōla ai i kahi iwi ʻaoʻao i paheʻe?
I kekahi manawa, hiki i kahi iwi ʻaoʻao i paheʻe ke ho'ōla iā ia iho me ka ʻole o ka lāʻau lapaʻau . Inā ʻaʻole ʻoe i pilikia nui, e ʻōlelo paha kāu kauka iā ʻoe e kali iki e ʻike inā e ho'ōla ia iā ia iho. I kēia manawa, hiki iā ʻoe ke hana i kēia mau mea maʻalahi e kōkua i ka hōʻemi ʻana i ka ʻeha:
- Lapaʻau Wela/Anuanu: Ke kau ʻana i kahi ʻōmole wai wela a i ʻole kahi ʻeke hau i ka wahi ʻeha.
- Nā lāʻau lapaʻau ʻeha ma luna o ke kūʻai aku: Nā lāʻau ʻeha e hiki ke kūʻai ʻia ma kahi hale kūʻai lāʻau me ke kauoha ʻole mai ke kauka, e like me NSAID.
- E hoʻomaha no kekahi manawa, a laila ka hoʻōla kino: E noho mamao mai nā hana e hoʻonui ai i ka ʻeha no kekahi manawa, a laila e hoʻoikaika kino ma lalo o ke alakaʻi ʻana a kahi mea hoʻōla kino loea.
Inā ʻaʻole holo pono kēia mau mea, e kuhikuhi paha kāu kauka i kahi "Intercostal Nerve Block," ʻo ia hoʻi ke komo ʻana i kahi lāʻau lapaʻau i loko o ke aʻalolo e ʻūlū ʻia ana. Hiki i kēia ke hōʻemi i ka ʻeha no kekahi manawa a i kekahi manawa kōkua i ke kaʻina hana ho'ōla.
E pono anei ke ʻoki kino?
Inā ʻaʻole e hoʻomaikaʻi kēia mau hōʻailona i ka hala ʻana o ka manawa, pono paha ke ʻoki ʻana e hoʻoponopono i ka "Slipping Rib Syndrome." Hoʻohana nā kauka ʻoki i nā ʻano hana minimally invasive i nā manawa hiki, e like me ka "Video-Assisted Thoracic Surgery (VATS)". ʻO ke ʻano kēia, hana ʻia ke ʻoki ʻana me ka ʻole o ka hana ʻana i kahi ʻoki nui, akā ma ke komo ʻana i kahi kāmela a me nā mea hana ma o nā lua liʻiliʻi.
ʻO ke ʻano hana e hoʻoponopono ai i kahi iwi ʻaoʻao i paheʻe ʻia e komo pū me kēia mau mea:
- Hoʻopaʻa: Hoʻopaʻa i nā iwi ʻaoʻao i ʻole lākou e paheʻe hou.
- ʻOki ʻAna o ka Iwi ʻAoʻao: Wehe ʻia ka ʻāpana pilikia o ke cartilage.
- Ka uhi ʻana i nā iwi ʻaoʻao: Pale kēia i nā iwi ʻaoʻao mai ka hamo ʻana kekahi i kekahi.
He aha ka mea e hana ai inā loaʻa iaʻu kēia maʻi?
ʻO ka ʻike ʻana i ke kumu o ka "Slipping Rib Syndrome" ka hapalua o ke kaua i lanakila ʻia. Ke ʻike ke kauka i ke kūlana, hiki ke hoʻomaka ke kaʻina hana ho'ōla. Loaʻa i ka poʻe he nui ka hōʻoluʻolu i ka hala ʻana o ka manawa me kēia mau lāʻau lapaʻau maʻalahi .
ʻAʻole pono nā kānaka a pau i ke ʻoki kino no ka "Slipping Rib Syndrome." Eia naʻe, inā pono ke ʻoki kino, ua holomua pinepine ia. I kekahi manawa, no nā kumu i ʻike ʻole ʻia, hiki ke hoʻi hou kēia mau hōʻailona ma kekahi iwi ʻē aʻe ma hope.
Hiki i ka ʻeha o kahi iwi ʻaoʻao i paheʻe ke ikaika loa, huikau, a weliweli hoʻi , ʻoiai ke hiki ʻole i ke kauka ke wehewehe. He mea hoʻonāukiuki maoli ke ola me ka ʻeha mau me ka ʻole o kahi hōʻailona a i ʻole kahi hoʻolālā lapaʻau.
Akā, ʻo ka nūhou maikaʻi, ke piʻi mālie nei ka ʻike o ka "Slipping Rib Syndrome". ʻOiai ke ʻano pohihihi, ʻaʻole ia he maʻi hiki ʻole ke hoʻōla ʻia a hoʻoweliweli i ke ola - he pilikia kino wale nō ia e hiki ke hoʻoponopono ʻia me ke ʻoki ʻana.
Leka Hoʻihoʻi Hope Loa
No laila, inā loaʻa iā ʻoe nā hōʻailona i wehewehe ʻia ma kēia ʻatikala, e like me ka ʻeha koke o ka umauma, ka ʻeha i hele pū ʻia me ke kani "kaomi" a i ʻole "kaomi", a i ʻole ka ʻeha e hoʻonui ʻia me kekahi mau kūlana, mai hopohopo i ka wā mua .
ʻO ka mea nui loa, ʻo ia ke ʻike ʻana i ke kauka kūpono a wehewehe pono i kāu mau hōʻailona . A laila hiki i ke kauka ke hana i nā hoʻokolohua e pono ai a ʻike pololei inā he "Slipping Rib Syndrome" kēia a i ʻole kekahi maʻi ʻē aʻe.
- E hoʻomanaʻo, hiki i kēia maʻi ke ʻike pinepine ʻole ʻia, no laila e wehewehe pono i kāu mau hōʻailona.
- Ua loaʻa i nā poʻe he nui ka hōʻoluʻolu me nā lāʻau lapaʻau maʻalahi.
- ʻOiai inā pono ke ʻoki ʻana, ua holomua mau ia.
- ʻAʻole kēia he maʻi hiki ʻole ke ho'ōla ʻia.
ʻO ka loaʻa ʻana o nā pane i kāu mau nīnau e lōʻihi paha ka manawa, akā me ka ʻike kūpono a me ke kākoʻo, hiki iā ʻoe ke loaʻa ka hōʻoluʻolu mai kēia kūlana. E noho olakino!
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He ʻano anei ka Slipping Rib Syndrome kahi e haki ai nā iwi ʻaoʻao?
ʻAʻole haki nā iwi ʻaoʻao! ʻAʻole pili pono nā iwi ʻaoʻao ma lalo o ko kākou umauma (nā iwi ʻaoʻao wahaheʻe / 8, 9, 10 iwi ʻaoʻao) i ka iwi umauma (sternum); ua pili lākou kekahi i kekahi e ke cartilage (e like me nā hono). ʻO kēia ka manawa e hemo ai a haki paha kēlā cartilage, a i ka wā e 'lele/paheʻe' ai kahi iwi ʻaoʻao ma lalo, e ʻomi ʻia nā aʻalolo ma hope ona a e hōʻeha nui.
💬 Pehea e ʻike ai inā ua paheʻe/paheʻe kekahi o koʻu mau iwi ʻaoʻao a ua paʻa?
Aia kahi hōʻailona maopopo! Ke kūlou ʻoe i lalo, huli i lalo ma kahi moe, ʻūhū nui, a hanu paha, e ʻike ʻoe i kahi ʻeha ʻoi ma kou umauma a i ʻole ka ʻōpū lalo. I ka manawa like, e ʻike ʻoe i kahi kani 'click/pop' ke hoʻopā ʻoe i ka iwi ʻaoʻao.
💬 Pono anei au e hopohopo he hōʻeha puʻuwai kēia? He aha ka lāʻau lapaʻau no kēia?
ʻAʻole ia he hōʻeha puʻuwai, akā ua like ia me ka hōʻeha puʻuwai i ka wā mua! Hiki ke ʻike maʻalahi ʻia kēia e ke kauka e hana ana i kahi 'Hooking maneuver' (kahi hoʻāʻo kahi e kau ai ke kauka i kona lima ma lalo o ka iwi ʻaoʻao a huki i luna). ʻO ka hapa nui o ka manawa, ʻaʻole pono kēia i ka lāʻau nui (Ice packs, Painkillers, Rest). Eia nō naʻe, inā koʻikoʻi ka ʻeha, e hoʻokomo nā kauka i nā painkillers (Nerve block/Steroid injections) a i ʻole e hoʻopili hou i ke cartilage me kahi ʻoki liʻiliʻi.
ʻO ka maʻi iwi paheʻe, ʻeha umauma, paheʻe iwi ʻaoʻao, ʻeha iwi ʻaoʻao, aʻalolo intercostal, maʻi Cyriax, hana hoʻokiki
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