I kēia lā, e kamaʻilio ana mākou e pili ana i kahi ʻāpana liʻiliʻi o ko mākou kino āu i lohe ʻole ai, akā he mea nui loa ia. ʻO kēia ka ʻaoʻao haʻahaʻa o ka sternum, a i ʻole e like me ka kapa ʻana o nā kauka, ʻo ke Kaʻina Xiphoid . E noʻonoʻo iā ia he kiko liʻiliʻi ma lalo o ka iwi ma waenakonu o ko mākou umauma. ʻO ka ʻike e pili ana i kēia he mea pono paha iā ʻoe i kekahi lā.
He aha ka ʻaoʻao haʻahaʻa o ka sternum (Xiphoid Process)?
I ka ʻōlelo maʻalahi, aia kahi iwi nui, pālahalaha, ʻano T ma waenakonu o kou umauma i kapa ʻia ʻo ka sternum . Ma lalo o kēlā sternum, aia kahi mea liʻiliʻi i puka i waho i kapa ʻia ʻo ke Kaʻina Hana Xiphoid. I kekahi manawa kapa ʻia e nā kauka ʻo ia ka xiphisternum. ʻO ka huaʻōlelo "kaʻina hana" ʻo ia hoʻi kahi ʻāpana o ka ʻiʻo e puka iki mai kahi ʻāpana nui.
I mea e pololei ai, aia ia ma lalo pono o kahi e hui ai kou mau iwi ʻaoʻao, ma luna pono o ka diaphragm. Hoʻopili ʻia ke kaʻina xiphoid i kekahi ʻāpana o ka sternum e kahi hui kūikawā i kapa ʻia he symphysis . ʻO kēia kahi e hoʻohui ʻia ai nā iwi ʻelua e kahi mea e like me ke cartilage. I ke kanaka makua, he 1 a 2 ʻīniha (2 a 5 kenimika) ka lōʻihi.
Pehea ke ʻano o kēia? Ua like anei no nā kānaka a pau?
ʻO ka maʻamau, ua ʻoi aku ka ʻaoʻao o lalo o kēia iwi umauma e like me ka wēlau penikala. Akā, mai kāhāhā, ʻaʻole like kēia ʻano me nā kānaka a pau . I kekahi poʻe, he poepoe iki paha ia, a i ʻole e hiolo iki paha i kekahi ʻaoʻao ma kahi o ka pololei i lalo.
ʻO ka mea kupaianaha, ʻōlelo nā loea he ʻano genetic paha kēia, ʻo ia hoʻi he mea ia i hoʻoili ʻia mai nā hanauna mai. Ua ʻike ʻia kekahi mau noiʻi ma ka lawe ʻana i nā X-ray umauma o nā ʻohana, hiki iā ʻoe ke ʻike inā pili lākou, no ka mea, ua like ke ʻano o ko lākou sternums haʻahaʻa! No laila hiki iā ʻoe ke ʻike inā loaʻa i kou ʻohana kēia ʻāpana, akā paʻakikī ke ʻike me ka ʻole o kahi X-ray!
Ua hana ʻia anei ka ʻaoʻao haʻahaʻa o ka sternum i ka iwi? A i ʻole he mea ʻē aʻe paha?
He nīnau koʻikoʻi loa kēia. No ka mea, i kou wā e ʻelemakule ai, loli ke ʻano o ka ʻaoʻao haʻahaʻa o kēia sternum. E noʻonoʻo, i ka wā e hānau ʻia ai kahi pēpē, ua hana ʻia kēia ʻāpana o ia mea me ke cartilage . ʻO ia hoʻi, ʻaʻole ia he paʻakikī e like me ka iwi, akā he palupalu iki a ʻoi aku ka maʻalahi o ka ʻiʻo.
I ka hala ʻana o ka manawa, i ko kākou ʻelemakule ʻana, e lilo mālie kēia cartilage i iwi. Kāhea mākou i kēia he 'ossification' . Lilo pinepine ia i iwi piha ma waena o nā makahiki 5 a me 18. Akā i kekahi poʻe mākua, ʻoiai he 60 makahiki, ʻaʻole paha i ossified loa kēia ʻāpana. He mea maʻamau loa kēia., no kekahi poʻe, ʻoi aku ka lōʻihi o kēia kaʻina hana. ʻAʻole loa ʻoe e ʻike inā ua ossified a ʻaʻole paha, ke ʻole ʻoe i loaʻa i kahi ulia me kou sternum a pono e hoʻāʻo ʻia. ʻO ka emi ʻana o ka nui o ka ossification ʻaʻole ia e hoʻonui i ka pilikia o kekahi maʻi a ulia paha, no laila ʻaʻohe mea e hopohopo ai.
He aha nā hana nui o ka ʻaoʻao haʻahaʻa o ka sternum?
ʻOiai he ʻāpana liʻiliʻi kēia, hana ia i kekahi mau hana koʻikoʻi no ko mākou kino.
- Ka Pale ʻana i nā ʻŌkana Kūloko: Ma ke ʻano he ʻāpana o ka sternum, kōkua ke Kaʻina Hana Xiphoid i ka pale ʻana i kekahi o nā ʻōkana koʻikoʻi loa i loko o ko kākou umauma, me ka puʻuwai, nā māmā, ka esophagus, a me ka diaphragm . Hiki ke manaʻo ʻia he hana ia e like me kahi pale liʻiliʻi.
- Wahi hoʻopili ʻia o nā ʻiʻo a me nā ligament: Hoʻopili kekahi o nā ʻiʻo a me nā ligament i loko o ko kākou umauma a me ka ʻōpū i ka ʻaoʻao haʻahaʻa o kēia sternum. Kōkua kēia i ka mālama ʻana i kēlā mau ʻiʻo a me nā ligament i kahi paʻa a ma kahi. ʻO kekahi, e like me ka rectus abdominis (i ʻike ʻia hoʻi ʻo ka ʻiʻo ʻeono-pack), he ʻiʻo nui ia i loko o ka ʻōpū, hoʻopili pū i kēia.
Pehea ke koʻikoʻi o kēia i ka wā e hana ai i ka CPR?
ʻAe, he mea pono kēia no nā poʻe he nui. Inā nalowale koke ka ʻike o kekahi a pau ka hanu ʻana, hana mākou i ka CPR (Cardiopulmonary Resuscitation) . A laila, hoʻohana mākou i ka ʻaoʻao haʻahaʻa o ka sternum (Xiphoid Process) ma ke ʻano he kahua koʻikoʻi loa e ʻike ai i kahi kūpono e hana ai i nā kaomi umauma.
Inā ʻoe e hana ana i ka CPR ma luna o kahi pākeke, pono ʻoe e kau i kekahi lima ma luna o kekahi, ma waenakonu o ka umauma o ke kanaka, ma lalo pono o nā nipples. ʻO ia hoʻi , ma luna pono o ka wēlau haʻahaʻa o ko lākou sternum.
ʻO ka mea nui loa: Makemake ʻoe e kau i kou lima ma kahi o ʻelua mau manamana lima ma luna o ka lalo o ka iwi umauma o ke kanaka. Pono ʻoe e hiki ke hoʻopā iā ia. Ke hoʻopā ʻoe ma o ka ʻili o ka umauma, aia ma ka lalo o ka iwi umauma kahi e pau ai ka paʻakikī e like me ka iwi.
ʻŌlelo Aʻo: He mea nui loa ka ʻike i kēia a hana pono i ka CPR, no ka mea, ʻo ke kaomi pololei ʻana i ke Kaʻina Hana Xiphoid hiki ke uhaʻi iā ia a hōʻino i nā ʻōpū o loko (ʻoi aku hoʻi ke akepaʻa). No laila e makaʻala me kēia.
He aha nā pilikia e hiki mai ana me ka ʻaoʻao haʻahaʻa o kēia sternum?
Ma keʻano laulā, he kakaikahi nā pilikia nui e hoʻopilikia ai i ka ʻaoʻao haʻahaʻa o ka sternum (Xiphoid Process). Eia nō naʻe, ʻo kekahi mau kūlana e hoʻopilikia ai i ka wahi, a i ʻole ka sternum, ka iwi ʻaoʻao, a i ʻole nā ʻiʻo e hoʻopuni ana, hiki ke hana i ka ʻeha a me ka pehu ma kēia wahi.
- Costochondritis: He mumū kēia o ke cartilage e hoʻopili ana i nā iwi ʻaoʻao i ka sternum. Hiki i kēia ke hōʻeha i ka umauma, ʻoi aku hoʻi ma kahi o ke kaʻina xiphoid.
- ʻO ka Pectus carinatum:He kūlana kēia kahi e puka ai ka sternum a me nā iwi ʻaoʻao i waho. Ua kapa pū kekahi poʻe i kēia "umauma manu nūnū."
- Ka haki ʻana o ka iwi kuamoʻo: I loko o kahi ulia pōpilikia, e like me kahi ulia kaʻa, hiki ke haki ka iwi kuamoʻo. Hiki i kēia ke hōʻino i ke kaʻina xiphoid.
- Haʻihaʻi iwi ʻaoʻao: ʻOiai inā ua haki nā iwi ʻaoʻao, e loaʻa nō ka ʻeha ma ia wahi.
- ʻEha nā ʻiʻo: Inā loaʻa iā ʻoe kahi ʻeha o nā ʻiʻo ma ka umauma a i ʻole ka ʻōpū o luna, hiki ke ʻike ʻia ka ʻeha ma kahi o ke Kaʻina Hana Xiphoid.
ʻOiai ʻaʻole pili maoli kekahi o kēia mau pilikia i ka ʻaoʻao haʻahaʻa o ka sternum, hiki iā lākou ke hōʻeha, pehu, a i ʻole ka palupalu ma ka ʻāpana a puni.
Aia kekahi maʻi i kapa ʻia ʻo Xiphoid Process Syndrome . He pehu ʻeha ia ma lalo loa o ka sternum. Akā he maʻi kakaikahi loa kēia. Inā loaʻa iā ʻoe ka ʻeha ma kēlā wahi o kou umauma, ʻo ia paha ke kumu o kekahi o nā maʻi ʻē aʻe aʻu i ʻōlelo ai ma luna.
Mea nui: Inā ʻeha kou umauma, mai hoʻowahāwahā. E ʻike koke i ke kauka . Inā manaʻo ʻoe he hōʻailona paha ia o ka hōʻeha puʻuwai (e laʻa me ka ʻū ʻana o ka umauma, ka paʻakikī o ka hanu ʻana, ka ʻeha e pālahalaha ana ma ka lima hema, ka hou ʻana), e hele koke i ka haukapila a i ʻole e kelepona iā 1990.
Pehea e mālama ʻia ai nā kūlana e like me kēia?
E hoʻoholo kāu kauka i ke kumu o kāu mau hōʻailona a kuhikuhi i ka lāʻau lapaʻau. No ka ʻeha e pili ana i ke Kaʻina Hana Xiphoid,
- Hoʻomaha: E noho mamao mai ka hana kino ikaika a me ka hāpai kaumaha no kekahi manawa.
- Nā lāʻau hoʻopau ʻeha: Hiki iā ʻoe ke lawe i nā lāʻau hoʻopau ʻeha a me nā lāʻau anti-inflammatory (e.g., ibuprofen) e like me NSAID (Nonsteroidal anti-inflammatory drugs) e like me ke kuhikuhi a kāu kauka.
- Nā ʻūmiʻi wela a anu paha: ʻO ka hoʻopili ʻana i kahi ʻōmole wai wela a i ʻole kahi ʻeke hau i ka wahi ʻeha hiki ke hāʻawi i ka hōʻoluʻolu.
- Nā analgesics topical: I kekahi manawa, hiki i kāu kauka ke ʻōlelo pū i ka hoʻohana ʻana i nā analgesics topical.
ʻOkoʻa ka lāʻau lapaʻau ma muli o ke kūlana. No ka laʻana, pono ka lāʻau lapaʻau ʻokoʻa no ka haki ʻana. I kekahi manawa, hiki ke ʻōlelo ʻia ka physiotherapy.
Pono maoli anei mākou i kēia ʻāpana o ka sternum i kapa ʻia ʻo ke Kaʻina Hana Xiphoid?
He mea hoihoi loa nō hoʻi kēia. ʻAe, hāʻawi ka ʻaoʻao haʻahaʻa o ka sternum i ke kākoʻo no nā ʻiʻo a me nā ligaments o ko kākou umauma a me ka ʻōpū. Akā, ʻo ka ʻoiaʻiʻo, hiki iā kākou ke ola me ka ʻole o ia mea. Kāhea nā kauka i nā ʻāpana e like me kēia 'vestigial structure' , ʻo ia hoʻi 'residual structure'.
I ka ʻōlelo maʻalahi, ua like kēia me nā koena mai ko kākou ulu ʻana. Malia paha he nui aku ka hoʻohana ʻana o ko kākou mau kūpuna iā lākou, akā i kēia mau lā hiki iā kākou ke ola me ka ʻole o lākou me ka pilikia ʻole. ʻO ka appendix i loko o ko kākou kino kekahi laʻana o ia ʻano koena. No laila, ʻo kēia Xiphoid Process kekahi o lākou.
No laila hiki ke wehe ʻia ka wēlau haʻahaʻa o kēia sternum?
ʻAe, i kekahi mau hihia kakaikahi loa, pono paha ke ʻoki ʻana e wehe i ka ʻaoʻao haʻahaʻa o ka sternum. He ʻoiaʻiʻo kēia inā ua hōʻino nui ʻia, haki, a hiki i nā ʻāpana haki ke hoʻoweliweli i nā ʻōpū i loko (e like me ke akepaʻa a i ʻole ka diaphragm). Eia naʻe, ʻaʻole hana mau ʻia kēia, a hana wale ʻia ke pono loa . ʻO ka maʻamau, mālama ʻia kēia me ke ʻoki ʻole.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
ʻAe, no laila ke manaʻo nei au ua loaʻa iā ʻoe kahi manaʻo maikaʻi i ke ʻano o ke kaʻina hana xiphoid a mākou i kamaʻilio ai i kēia lā. ʻAʻole paha ʻoe i noʻonoʻo e pili ana i ia mea a hiki i kēia manawa. Akā, inā ʻike ʻoe a ʻaʻole paha, ʻo ke kaʻina hana xiphoid ka wahi haʻahaʻa loa o ka sternum ma waenakonu o kou umauma.
- He ʻiole kēia i ko kākou wā ʻōpiopio, a lilo ia i iwi i ko kākou wā e ulu ana.
- Kōkua kēia i ka pale ʻana i nā ʻōkana koʻikoʻi e like me ko kākou puʻuwai a me nā māmā , a hāʻawi pū i kahi no nā ʻiʻo e hoʻopili ai .
- He hōʻailona koʻikoʻi kēia no ka loaʻa ʻana o ka wahi kūpono i ka wā e hana ai i ka CPR .
- Ma keʻano laulā, ʻaʻole hiki ke kumu i nā ulia nui a i ʻole nā maʻi paha kēia.
- Eia nō naʻe, inā ʻike ʻoe i ka ʻeha, ka paʻa, a i ʻole ka pehu ʻana i loko a puni paha o kou umauma, ʻoiai ma hope o kahi ulia a hāʻule paha, mai hoʻowahāwahā iā ia. E ʻike koke i ke kauka. ʻOiai inā ʻaʻole i hōʻino ʻia ka ʻaoʻao haʻahaʻa o kou sternum, aia paha kekahi mau maʻi koʻikoʻi ʻē aʻe (e like me ka hōʻeha puʻuwai) e hiki ai ke hōʻeha i ka umauma.
No laila, he mea nui loa ka makaʻala i kou kino. Inā he mau nīnau kāu, mai makaʻu e nīnau i ke kauka.
ʻO ka hopena haʻahaʻa o ka sternum, ke kaʻina xiphoid, ʻeha umauma, sternum, CPR, cartilage, iwi, nā ʻāpana kino, xiphisternum, iwi umauma, nā kumu o ka ʻeha umauma











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