Ua manaʻo paha ʻoe ua pōkole iki ka ʻāʻī o kāu pēpē, a i ʻole he mea paʻakikī iki ke hoʻohuli iā ia? A i ʻole ua haʻi aku kekahi iā ʻoe ua haʻahaʻa loa ka laina lauoho ma ke kua o kou ʻāʻī? ʻO kēia nā mea a mākou e nānā ʻole ai i kekahi manawa, akā he mau hōʻailona paha ia o kahi maʻi lapaʻau kakaʻikahi i kapa ʻia ʻo Klippel-Feil Syndrome (KFS). Mai hopohopo, e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi a maopopo.
ʻO ka ʻōlelo maʻalahi, he aha ka Klippel-Feil Syndrome (KFS)?
He ʻano maʻi laha ʻole kēia e hoʻopilikia ai i nā iwi o ko kākou iwi kuamoʻo. I ka ʻōlelo maʻalahi, he ʻano ia e hui pū ai ʻelua a ʻoi aku paha nā iwi kuamoʻo i loko o ko kākou ʻāʻī i ka wā hānau, e hana ana i hoʻokahi iwi. Ua kapa ʻia kēia ʻo Klippel-Feil Syndrome.
E noʻonoʻo, ʻaʻole hoʻokahi iwi lōʻihi ko kākou iwi kuamoʻo. Ua like ia me ke kaulahao o 33 mau iwi liʻiliʻi i hoʻopili ʻia. Kāhea mākou i kēia mau hono he vertebrae. ʻO kēia nā vertebrae 7 mua ma ka ʻāʻī i hoʻopilikia pinepine ʻia e KFS. Ke pili kēia mau hono, ua kaupalena ʻia ka neʻe ʻana o ka ʻāʻī.
He mea kēia i loaʻa i ka wā hānau. Eia nō naʻe, no kekahi poʻe, he ʻoluʻolu loa ia a ʻike ʻia ma hope o ke ola ke lawe ʻia kekahi mea e like me ka X-ray no kekahi kumu ʻē aʻe.
ʻEkolu mau hōʻailona nui i ʻike ʻia i nā kānaka me kēia maʻi:
- ʻĀʻī pōkole: Hiki i kēia ke hana i kahi asymmetry iki i ka maka.
- Aia ka laina lauoho ma ke kua o ka ʻāʻī ma lalo loa.
- Ka hiki ke hoʻoneʻe i ka ʻāʻī a me ka iwi kuamoʻo paha i kaupalena ʻia.
He aha nā hōʻailona ʻē aʻe e ʻike ʻia ma kēia ʻano?
ʻOkoʻa loa nā hopena o KFS mai kēlā kanaka a kēia kanaka. I ka piʻi ʻana o ka nui o nā iwi kuamoʻo i hoʻohui ʻia, hiki ke piʻi pū nā hōʻailona. Ma waho aʻe o ka paʻakikī o ka hoʻohuli ʻana i ka ʻāʻī, nui nā mea ʻē aʻe e ʻike ʻia.
ʻO ka mea nui, ʻaʻole i loaʻa kēia mau hōʻailona āpau i nā kānaka a pau, no laila inā he mau hopohopo kāu, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka.
Aia ma ka papa ma lalo nei kekahi o nā hōʻailona e pili ana paha me kēia maʻi.
| Māhele hōʻailona | Nā Laʻana |
|---|---|
| Nā ʻeha a me nā ʻeha maʻamau | ʻEha poʻo no ka manawa lōʻihi, ʻeha nā ʻiʻo ma ka ʻāʻī a me ke kua. |
| Nā loli ʻē aʻe ma ke poʻo, ka maka, a me ke kino | Ka hemahema o ka ʻike, ka lehelehe māwae, ʻaʻole e ulu pono nā ʻaoʻao poʻohiwi, nā manamana lima me ka pūnaewele. |
| Nā pilikia e pili ana i nā ʻōpū o loko o ke kino | Nā ʻano ʻē o nā puʻupaʻa a i ʻole ka ʻōnaehana hānau keiki, ka maʻi puʻuwai, ka nāwaliwali o ka māmā, a me nā pilikia hanu. |
| Nā pilikia e pili ana i ka ʻōnaehana nerve | Ka nāwaliwali o nā wāwae, ka hiki ʻole ke kāohi i ka mimi, kahi lua liʻiliʻi a i ʻole ka laina lauoho i loko o ka ʻili ma ka ʻāpana i hoʻopilikia ʻia o ka iwi kuamoʻo, a me ka ʻāʻī e wili ana i kekahi ʻaoʻao (Torticollis). |
| Nā hiʻohiʻona ʻē aʻe | ʻO ka neʻe ʻana o ka lima hoʻokahi e hana koke ʻia me ka lima ʻē aʻe. (Synkinesia) |
Pehea e ʻike ai nā kauka i kēia maʻi?
I ka manawa pinepine, hiki ke ʻike ʻia kēia mau hōʻailona i ka wā o ka nānā ʻana o ka pēpē ma mua o ka hānau ʻana. Ma hope o kēlā, e paipai ke kauka i kekahi mau hoʻokolohua hou aʻe e hoʻoholo ai i ka nui o ke kūlana a inā paha ua hoʻopilikia ʻia nā ʻāpana ʻē aʻe, e like me nā maka, nā pepeiao, nā puʻupaʻa, a me ka puʻuwai.
ʻO kekahi o nā hoʻokolohua i hoʻohana ʻia no kēia:
- X-Ray: Hiki i kēia ke kiʻi i kahi kiʻi maopopo o nā iwi o ka iwi kuamoʻo, ka ʻāʻī, a me nā poʻohiwi.
- MRI scan: Kōkua kēia e ʻike hohonu i ka mamao o ka neʻe ʻana o ka vertebrae, inā he mau hakahaka ma waena o lākou, a me ka hopena o ke kaula spinal.
- CT scan: Hoʻohui kēia i ka ʻenehana X-ray a me ka ʻenehana kamepiula e kiʻi i nā kiʻi i ʻoki ʻia o ke kino.
- Ka hoʻāʻo ʻana i ka genetic: I kekahi manawa hana ʻia kēia mau hoʻokolohua e ʻike i nā māka genetic e hoʻokumu ai i ke kūlana.
- Kiʻi EOS: Hiki i kēia ke kiʻi i nā kiʻi ʻekolu-dimensional (3-D) o ke kino.
Ma muli o ka ʻike pinepine ʻia ʻana o kēia maʻi i nā pēpē, i kekahi manawa hiki ke loaʻa kahi manaʻo e pili ana iā ia mai kahi scan ultrasound i hana ʻia i ka wā hāpai o ka makuahine.
No ke aha lā kēia e hana nei?
He mea paʻakikī ke ʻōlelo pololei i ke kumu o kēia. I ka wā mua o ka ulu ʻana o kahi pēpē, pono e hoʻokaʻawale pono ʻia nā ʻiʻo embryonic e hana ana i ke kaula spinal. No kekahi kumu, ʻaʻole hana pono ʻia kēia kaʻawale ʻana, e hoʻopili pū ana nā vertebrae, e hopena ana i ka KFS.
No nā kānaka he nui, he hanana ulia pōpilikia ia, me ke kumu ʻike ʻole ʻia. Eia nō naʻe, i kekahi mau hihia, hiki ke lilo i maʻi genetic e holo i loko o nā ʻohana. Manaʻo nā kauka he maʻi multifactorial ʻo KFS. ʻO ia hoʻi, hiki ke hana ʻia e ka hui pū ʻana o nā kumu genetic a me nā kumu kaiapuni ʻē aʻe.
Pehea e mālama ʻia ai?
ʻAʻohe lāʻau lapaʻau no ka Klippel-Feil Syndrome i kēia manawa. Eia nō naʻe, he nui nā lāʻau lapaʻau e hiki ke kōkua i ka kaohi ʻana i nā hōʻailona, hoʻēmi i nā pilikia, a kōkua iā ʻoe e ola i kahi ola maʻamau. ʻO ke ʻano o ka lāʻau lapaʻau āu e loaʻa ai e hilinaʻi ia i ke ʻano o kāu mau hōʻailona a me ka nui o ka hui ʻana o ka spinal.
Hoʻolālā pinepine ʻia ka lāʻau lapaʻau e kahi hui o nā loea ma nā ʻano like ʻole. Hiki i kēia ke komo pū me nā loea i ka pediatrics, ke ʻoki kino, ka orthopedics, ka neurology, a me ka cardiology.
- No nā kūlana ʻoluʻolu: Inā ʻaʻole koʻikoʻi kou kūlana, hiki i kāu kauka ke ʻōlelo e komo i kahi kola cervical a i ʻole ke kākoʻo, a me nā lāʻau ʻeha a me nā NSAID.
- No nā kūlana koʻikoʻi: Inā he kūlana koʻikoʻi, e like me ke kaomi ʻana o ke aʻalolo ma muli o ka stenosis spinal, pono paha ke ʻoki kino e hoʻoponopono iā ia. Eia kekahi, inā he mau pilikia ʻē aʻe me ka puʻuwai, nā puʻupaʻa, a i ʻole nā maka/pepeiao, pono e mālama ʻia kēlā mau mea.
ʻOiai ʻoe e ʻelemakule ana, he mea nui e hoʻomau i ka launa pū ʻana me kāu kauka a loaʻa nā kipa hoʻomau. Ma ka nānā mau ʻana i nā hōʻailona hou, hiki iā ʻoe ke ʻike a hoʻokele i nā pilikia hiki mai i ka wā mua.
Ke noho nei me KFS a me nā pilikia
He ʻeha loa ke kuamoʻo, ʻoiai ka ʻāʻī, o kekahi kanaka me kēia maʻi. No laila, inā loaʻa iā ʻoe kēia maʻi, he mea nui loa ia e pale i nā haʻuki (e like me ka rugby, nā haʻuki pili) a i ʻole nā hana ʻē aʻe e hiki ai ke hōʻeha i ka ʻāʻī. Inā loaʻa kekahi mea, e like me kahi ulia kaʻa a i ʻole ka hāʻule ʻana, hiki iā ia ke hoʻonui i nā pilikia e kū nei.
Hiki ke loaʻa nā kūlana olakino ʻē aʻe e pili ana me KFS.
- ʻO ke Scoliosis:Hiki ke hana ʻia ka spinal stenosis ma muli o ka ulu ʻana o ka vertebrae me ka ʻole o ka ulu ʻana.
- Spinal Stenosis: I ka hala ʻana o ka manawa, e emi ana ke kahawai o ka iwi kuamoʻo, e hoʻopili ana i ke kaula o ka iwi kuamoʻo. Hiki i kēia ke hōʻino i nā aʻalolo.
- Osteoarthritis: Ma ka hala ʻana o ka manawa, hiki ke hana ʻia ke ʻaʻahu a me ka haehae ʻana o nā hono i nā hono kahi e hui ai nā iwi.
ʻOiai kēia mau mea a pau, inā ʻike mua ʻia ʻo KFS a mālama pono ʻia, hiki i ka hapa nui o ka poʻe ke ola i nā ola holomua a hauʻoli. ʻO ka mea nui loa, ʻo ia ka hahai ʻana i nā ʻōlelo aʻoaʻo lapaʻau a mālama i kou kino.
Leka Lawe-Home
- ʻO ka Klippel-Feil Syndrome (KFS) kahi kūlana i hoʻohui ʻia ai ʻelua a ʻoi aku paha nā iwi kuamoʻo cervical i ka wā hānau.
- ʻO nā hōʻailona nui ka ʻāʻī pōkole, ka paʻakikī o ka hoʻohuli ʻana i ka ʻāʻī, a me ka ulu ʻana o ka lauoho i lalo ma ke kua o ka ʻāʻī.
- ʻOiai ʻaʻohe lāʻau lapaʻau piha no kēia ʻano, hiki iā ʻoe ke mālama i nā hōʻailona a hōʻemi i nā pilikia hiki ke loaʻa a ola i kahi ola olakino.
- Inā loaʻa iā ʻoe a i ʻole kāu keiki kēia mau hōʻailona, mai hopohopo a e ʻike koke i kāu kauka no ka ʻōlelo aʻo.
- He mea nui e pale i nā hana a me nā haʻuki e hiki ai ke hōʻeha i ka ʻāʻī. He mea nui nā nānā lapaʻau maʻamau e nānā i ke kūlana.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo