Yu no dis impɔtant nerve na yu sholda? (Axillary Nerve) - Lɛ wi tɔk ditayli!

Yu dɔn ɛva tink bɔt ɔmɔs tin dɛn we wi sholda dɛn rili impɔtant fɔ? Lif wi an, twist wi bɔdi, lif wet, oh my, wi nid wi sholda fɔ wan tawzin ɛn wan tin, nɔto so? So tide wi go tɔk bɔt wan rili impɔtant nerve we de ɛp di sholda fɔ wok fayn fayn wan. dat na di aksila nεv, כ `(Aksila nεv)`. Dis tan lɛk smɔl layf layn na wi sholda.

Wetin na di Aksilari Nɛv? Lɛ wi ɔndastand am simpul wan!

Fɔ tɔk am simpul wan, di aksila nerve na wan pan di fayv men nerve dɛm we de rɔn tru yu sholda. Sɔntɛnde dɛn kin kɔl am bak di sirkumflɛks nɛv. Dis nerve de stat na yu nek. insay yu nεk, wan nεtwכk fכ nεv dεm de we dεn kכl di brachial plexus, we lεk wan nεtwכk fכ plεnti sכm sכm nεv path dεm we de kam togεda. na de di aksila nεv de stat εn go na yu sכlda. dis nεtwכk fכ di nεv dεm rili imכtant biכs na di brachial plexus we de εp wi fכ muv wi כp pat dεm, dat na wi an dεm, εn gi dεm sεns. so, di aksila nεv na imכtant pat pan da big sistεm de.

apat frכm di aksila nεv, udat כda wan de na dis εria?

yes, dis aksila nεv ``(Axillary Nerve)`` nכ de wok in wan na di sכlda εria. I gɛt sɔm ɔda nerv dɛn we de ɛp am, dat na di wan dɛn we gɛt kɔnekshɔn to di sholda ɛn di an. I tan lɛk se padi dɛn we de wok na di sem tim. Lɛ wi si udat dɛn bi:

• Midian nerve: Dis na big nerve we de ron to di fכnt pan yu fכs an, yu an, εn bכku pan yu finga dεm. Dis nerve rili impɔtant we yu de ol sɔntin wit yu an ɛn we yu de bɛn yu finga dɛn.
• Musculocutaneous nerve: Dis kin go na di mכsul dεm we de fכnt pan yu כp an εn rayt na di εlbo. Dis kin ɛp we yu bɛn yu ɛlb.
• Radial nerve: Dis nerve de go na di mכsul dεm we de na di bak pat pan yu an (dεn kכl am bak di triceps) εn di wrist. Dis na wetin de ɛp yu fɔ ɛkstɛnd yu an ɛn es yu an ɔp.
• Ulnar nerve: Dis na nerve we de rɔn tru yu fɔs an ɛn go insay yu an, mɔ di smɔl finga.

Yu si, ɔl dɛn nerv ya de wok togɛda fɔ ɛp wi fɔ mek ivin di mɔs dilik muvmɛnt dɛn na wi an.

Wetin na di wok we di Aksil Nεv de du? Dat min se, wetin i de ɛp wit?

Okay, naw lɛ wi si us kayn savis dis aksila nerve de du fɔ wi bɔdi. Tu men wok dɛn de:

1. Mɔsul dɛn we de muv: Dis nɛv de mek sɔm pan di impɔtant mɔsul dɛn na yu sholda muv, ɔ mek i wok. Jɔs lɛk aw layt bɔl kin layt we dɛn put kɔrɛnt, na so dɛn mɔsul dɛn ya kin wok we dɛn kin sɛn signal frɔm dis nɛv.

2. fכ gi sεns: di aksila nεv na in de gi sεns to di skin we de rawnd di sכlda. Wetin na dɛn sɛns ya?

• Pen:If wi wund sɔmsay, if sɔntin nɔ apin, wi kin fil pen. I de ɛp wi fɔ fil am.
• Posture: Yu kin fil usay yu an de (ɔp, dɔŋ, to di sayd) we yu nɔ luk. Dis go ɛp yusɛf fɔ fil da we de.
• Tɛmpratura: We yu fil ɔt ɔ kol na yu sholda, i kin travul bak to di bren tru dis nɛv.
• Tɔch: If pɔsin tɔch yu sholda ɔ yu klos rɔb pan yu bɔdi, yu kin fil da tɔch de bikɔs ɔf dis nerv.

Jɔs tink bɔt, if dis nerve nɔ de wok fayn, i go at fɔ muv yu sholda, ɛn yu kin ivin lɔs filin na da eria de.

Us mכsul dεm we di Aksila Nεv de inεvεt?

naw lε wi si us mכsul dεm εgzakli di aksila nεv de "inεvεt" כ aktibכt. Tu men mɔsul dɛn de ɛn pat pan wan mɔ:

• Deltoid mכsul: Dis na di big mכsul we lεk di kכp fכ yu sכlda εn i de gi yu sכlda fayn rawnd shep. Na di deltoid mɔsul we de ɛp yu mɔ fɔ es yu an ɔp to di sayd, fɔ go bifo, ɛn bak .
• Teres minor muscle: Dis na smɔl mɔsul we de ɔnda di deltoid. I smɔl bɔt i de du big wok. di teres minor mכsul de εp yu fכ rכt yu an kכmכt (external rotation) .
• pat pan di triseps mכsul: di triceps mכsul we de na di bak pat pan yu כp an, de εp yu fכ εksεnd yu εlbo. di lכng ed fכ dis trisεps mכsul de kכnekt to di aksila nεv.

na biכs dεn mכsul dεm ya de wok fayn fayn wan wi kin izi fכ du εvri muvmεnt we wi kin du wit wi sכlda dεm, frכm fכ trowe bכl to kכm wi ia.

Wetin na di strכkchכ fכ di sכlda nεv? Dat min se, aw i fɔm?

naw lε wi go dip sכmtεm εn si aw dis aksila nεv de insay wi bכdi, usay i de stat εn usay i de go. I tan lɛk se yu de fɛn we.

dis nεv de bigin na di tכp pat pan yu spayna na yu nεk, usay di nεv rכt dεm frכm di fayv (C5) εn siks (C6) vεrbra dεm na di sεvikal spayna de jɔyn togeda.

Ɛn afta dat, dis nerv:

1. I de travul anda yu kola bon.

2. nεks, i de go tru wan skwea gap (we dεn kכl mεdikal kכl ``Quadrangular space'') bitwin di mכsul dεm εn כda tisu dεm na di sכlda εria. Dis na smɔl tayt ples.

3. Frɔm de, i de travul biɛn di tap pat pan yu ɔpa an bon (`(Humerus)`).

afta dat, dis aksila nεv de sheb to tri men branch dεm. Tink bɔt am lɛk tik in trɔnk, dɔn i sheb to smɔl smɔl branch dɛn fɔ du sɔm impɔtant wok dɛn:

• Branch we de bifo: .dis de go bifo εn i de atak di fכnt pat pan di deltoid mכsul, we de εp am fכ muv. I de gi sens bak to di skin we de bifo di sholda.
• artikul branch: dis de go dayrekt to di glenohumeral joyn. I de ɛp fɔ kɛr di sɛns dɛm frɔm insay di jɔyn. sכmtεm i kin kכnekt bak to di lכng ed fכ di trisεps.
• di posita branch: dis de rכn bak εn i de kכnekt to di posita pat pan di deltoid mכsul εn di teres mayn mכsul, we de εp fכ muv di an. I de gi sens bak to di skin na di bak pat na di sholda ɛn di ɔp bak na di an.

dis na aw di aksila nεv de du in wok.

Us tin dɛn kin afɛkt di we aw dis sholda nɛv de wok?

כnכfכs, difrεn rizin dεm de we mek dis rili imכtant aksila nεv kin pwεl. If dis apin, di wok we di sholda de du kin pwɛl. Lɛ wi tek tɛm luk wetin na dɛn rizin dɛn de:

Injuri dɛn:

• Aksidɛnt: Aksidɛnt we kin mek di ed tɔn to wan say wantɛm wantɛm ɛn di sholda tɔn to di ɔda say (fɔ ɛgzampul, we pɔsin gɛt motoka aksidɛnt). insay dis kayn kes dεm, di ``Brachial Plexus`` na di nεk εn di ``Axillary Nerve`` kin pwεl.
• Krɔch ɔ ɔda sɔpɔt: Sɔm pipul dɛn kin yuz krach we dɛn de ol am tayt tayt wan na dɛn an. dis kin mek di aksila nεv kכmכp εn damej.
• Dislocated shoulder: Dis na tin wae bɔrku pipul kin yɛri bɔt. If di sholda kɔmɔt na di say we dɛn de spɔt, i fɔdɔm na lada, ɔ i fɔdɔm frɔm baysikul, di aksila nerve kin pul ɛn pwɛl. dis na di mכst kכmכn tin we de mek di aksila nεv dεm dεm.
• Frakshכn: If di כp an bon (humerus) brok nia di sכlda, di bon fragmεnt dεm we brok kin pwεl di nεv.
• Di prɔblɛm dɛn we kin apin we pɔsin du ɔpreshɔn: Sɔm ɔpreshɔn dɛn we dɛn kin du na di sɔl, lɛk fɔ du atrɔskɔpi na di sɔl, pan ɔl we i nɔ kin apin so ɔltɛm, kin mek di nerv dɛn pwɛl.

Prɔblɛm dɛn we kin apin we dɛn de bɔn pikin dɛn:

We dɛn bɔn pikin, sɔntɛnde dɛn kin gɛt fɔ pul di pikin kɔmɔt na in sholda ɔ in an. Ɔ di pikin in sholda kin stɔp na di mama in bɛlɛ. insay dεn kayn kes dεm ya, di nyu bכbi in aksila nεv kin pwεl bikoz fכ pul כ kכmpreshכn.

Ɔda sik dɛn we pɔsin kin gɛt:

• Sɛvikal radikulopati: .dis na kכmpreshכn fכ wan nεv rכt we de kכmכt na di vεrbra dεm na di nεk. dis kin mek di sכlda fil pen εn nכmכ, εn sכmtεm i kin afekt di wok we di aksila nεv de du indaykt wan.
• Erb-Duchenne εn Dejerine-Klumpke Palsi: Dis na kכndyushכn dεm we de mek pat כ komplit paralayz na di an bikoz fכ damej pan di Brachial Plexus, we na wan nεtwכk fכ nεv dεm na di nεk. di Aksil Nεv de pat pan dis nεtwכk bak, so i de afekt bak insay dεn kכndishכn dεm ya.
• Parsonage-Turner syndrome: Dis na wan sik wae de kam wit nyurolɔjik wae nɔr kin bɔrku. i kin apin we wi yon imyun sistεm mistek atak di hεlty nεv tisu (dεn kכl dis כtoimyun inflameshn). Dis kin mek yu fil pen wantɛm wantɛm, bad bad wan ɛn wik na yu sholda ɛn an.
• Hɛpi zosta: Na di sik we wi ɔl no as shingles. Dis vayrɔs de travul along di nerves. if i apin na di eria we de rawnd di aksila nεv, i kin pwεl di nεv εn mek yu fil pen εn wik leta.
• Kwadrilatar spεs sεndrכm: di aksila nεv, lεk aw wi bin dכn tכk, kin kכmprεs na di kwadrangul spεs, i kin bi fכ di mכsul dεm we de insay de swel כ fכ sכm כda rizin, εn di aksila nεv we de rכn insay kin kכmprεs. Dis kin mek bak yu sholda pen ɛn wik.

A fɔ rili wɔri if a gɛt aksila nerv damej?

Na nɔmal tin fɔ fil smɔl frayd we yu yɛri bɔt wan nerve prɔblɛm lɛk dis. Bɔt di bɛst pat na dat, bɔku tɛm, dɛn nerve prɔblɛm ya kin wɛl fɔ dɛnsɛf as tɛm de go, ilɛksɛf na dɛn wan ɔ wit fyzikal tritmɛnt. Nɛv na wan kayn tisu we kin wɛl kwik kwik wan. So yu jɔs gɛt fɔ peshɛnt.

"I kin tek tɛm fɔ mek di nerv dɛn wɛl, bɔt nɔ giv ɔp. If yu gɛt di rayt tritmɛnt, bɔku pipul dɛn kin wɛl."

Bɔt fɔ sɔm bad bad injuri dɛn lɛk we pɔsin in nerv kɔmplit wan, i kin nid fɔ du ɔpreshɔn. If na so i bi, dɛn kin yuz wan nerve graft, we min se dɛn kin tek wan smɔl pat pan di nerve frɔm ɔda pat na di bɔdi ɛn transplant am. Afta dis kayn injuri, i kin tek sɔm mɔnt, ɔ ivin wan ia, fɔ mek di sholda fil fayn ɛn kɔntrol in mɔsul dɛn bak. So, i impɔtant fɔ go to dɔktɔ kwik kwik wan.

Aw dɔktɔ dɛn kin no if pɔsin gɛt dis kayn sik? (Diagnosis) .

We yu go to dɔktɔ we yu sholda de pen, yu nɔ de fil fayn, ɛn i nɔ izi fɔ yu fɔ es yu an ɔp, aw i go no if na prɔblɛm wit di aksila nerve? Bɔku tɛst dɛn de fɔ dat:

1. Kɔmplit mɛdikal istri ɛn nyurolɔjik ɛvalueshɔn:Fɔs, di dɔktɔ go aks yu wan ditayli kwɛstyɔn bɔt aw i bigin ɛn us sayn dɛn yu gɛt. Dɔn, dɛn go chɛk yu sholda ɛn yu an fɔ chɛk yu mɔsul dɛn trɛnk, aw yu de fil, ɛn aw yu de riflɛs.

2. NCS/EMG tεst: Dis tinap fכ Nεv kכndukshכn stכdi/Ilektromayografi. Dis na spɛshal tɛst. I de mɛzhɔ aw fast ilɛktrik signal dɛn de travul along di nɛv dɛn ɛn aw di mɔsul dɛn de ansa dɛn signal dɛn de. dis kin gi gud aidia fכ no if di aksila nεv dεn dכn pwεl, εn if na so, to aw mכtalman.

3. X-ray: Dɛn kin du ɛkstrem rayt fɔ chɛk if ɛnitin brok ɔ dislokeshɔn na di bon dɛn na di sɔl jɔyn.

4. MRI (Magnetic Resonance Imaging) Scan: MRI kin si klia wan di sכft tisu dεm we de insay di sכlda, lεk di mכsul dεm, di tεndon dεm, di ligament dεm, εn di nεv dεm. MRI kin rili ɛp fɔ no if di aksila nerve dɔn pinch, swel, ɔ gɛt prɔblɛm wit di tisu dɛn we de rawnd am.

5. Nyuromɔskul ɔltrasɔund: Dis na we bak we dɛn kin yuz na bɔku divɛlɔp kɔntri dɛn. Semweso lɛk di ɔltra saund we dɛn kin yuz fɔ chɛk pikin we de na di bɛlɛ, dis kin luk aw di nɛv ɛn mɔsul dɛn de. Dis kin fayn bak bikɔs dɛn kin du am fast ɛn izi pas MRI.

Na we di dɔktɔ du wan ɔ mɔ pan dɛn tɛst ya, i go no di rayt tin we mek yu gɛt prɔblɛm.

Wetin wi kin du fɔ mek wi nɔ gɛt dis kayn aksila nerve disɔda?

Wan wɔd de se "prɛvenshɔn bɛtɛ pas fɔ mɛn." So, sɔm tin dɛn de we wi kin du fɔ mek di aksila nerve nɔ pwɛl:

• If yu nid fɔ ɔpreshɔn yu sholda: If yu nid fɔ du ɛni ɔpreshɔn na yu sholda, pik ɔtpidik ɔspitul dɔktɔ we gɛt ɛkspiriɛns ɛn we sabi du ɔpreshɔn ɔltɛm. I fayn mɔ if yu gɛt pɔsin we spɛshal pan ɔpreshɔn pan ɔp pat dɛn (sɔntɛnde dɛn kin kɔl am dɔktɔ we de du ɔpreshɔn pan yu an). Dis go mek di nerve damej we dɛn de du di ɔpreshɔn nɔ bɔku.
• Tek tɛm we yu de klaym lada: If yu fɔdɔm frɔm lada, yu kin spren yu sholda ɛn brok yu bon dɛn. So tek tɛm bad bad wan we yu de klaym lada. If i pɔsibul, tɛl pɔsin fɔ ol di lada, ɔ mek pɔsin ɛp yu fɔ kɛr tin dɛn go ɔp. Nɔ go du wok we gɛt risk yu wan.
• Yuz di tin dɛn we yu fɔ du fɔ mek yu nɔ gɛt prɔblɛm: Yu fɔ wɛr sitbɛlt ɔltɛm we yu de rayd motoka. We yu de rayd baysikul ɔ yu de ple sɔm spɔt dɛn, wɛr klos we go protɛkt yu ɛn ɛlmɛt. Dɛn tin ya kin ridyus di bad bad tin dɛn we kin apin we aksidɛnt apin.
• Yuz krach fayn fayn wan: If yu ɛva gɛt fɔ yuz krach, .Lan frɔm pɔsin we de mɛn yu bɔdi ɔ dɔktɔ aw fɔ yuz dɛn fayn ɛn nɔ put prɛshɔn pan di nerv dɛn. if dεn nכ tayt dεm kכrekt wan na di armpit, di aksila nεv kin kכmprεs.

If yu tek kia ɔf dɛn smɔl smɔl tin ya, bɔku pan yu kin avɔyd dɛn kayn prɔblɛm ya na yu nerv.

Ustɛm yu fɔ go to dɔktɔ bɔt wan prɔblɛm we de na yu nerv na yu sholda?

If yu gɛt wan ɔ mɔ pan dɛn sholda simptom ya, i go bɛtɛ fɔ go to dɔktɔ pas fɔ dismis am as jɔs sik na yu bɔdi:

• If i nɔ izi fɔ yu fɔ muv yu sholda ɔ yu an, mɔ if yu nɔ ebul fɔ es yu an ɔp to di sayd.
• If yu fil se yu de swɛt rawnd yu sholda ɔ na di ɔp bak na yu an.
• If yu gɛt shap pen, mɔ we yu de es yu an ɔp ɔ yuz yu sholda.
• If yu gɛt tingling, ɔ sɔm kayn strenj sɛns na yu sholda eria.
• If yu fil se yu sholda mɔsul dɛn wik ɛn yu de pen .

Simptom dɛm lɛk dis kin min se sɔm prɔblɛm de insay yu bɔdi. So, if yu go to dɔktɔ kwik kwik wan, if prɔblɛm de, dɛn kin no am kwik kwik wan ɛn bigin fɔ trit yu. Dɔn, chans de fɔ mek i wɛl kwik kwik wan.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Wel, wi don tok plenti boht di Axillary Nerve tide, no so? A tink se i go fayn fɔ mek yu mɛmba dɛn pɔynt dɛn ya:

• di aksila nεv na wan rili imכtant nεv we implεnt fכ muv εn sεns na yu sכlda. i de inεv di deltoid εn teres sכm mכsul dεm.
• Dis nerve kin pwɛl bikɔs ɔf difrɛn aksidɛnt, sholda kin kɔmɔt, ɛn sɔm kayn mɛrɛsin.
• Ivin if damej de, bɔku tɛm i kin wɛl if dɛn trit am fayn ɛn dɛn trit am fayn. Bɔt i kin tek sɔm tɛm.
• Simpul tin dɛm lɛk fɔ tek tɛm we yu de klaym lada ɛn yuz tin dɛm fɔ mek yu nɔ gɛt prɔblɛm kin ɛp yu fɔ mek dɛn nɔ gɛt dɛn kayn injury ya.
• If yu gɛt sɔm sayn dɛn lɛk we yu sholda de pen, yu nɔ de fil fayn, ɔ yu nɔ go ebul fɔ es yu an ɔp, nɔ ignore am ɛn go to dɔktɔ wantɛm wantɛm.

Yu sholda na wan pan yu valyu tin dɛn we de ɛp yu fɔ du bɔku pan di wok dɛn we yu de du ɛvride. So, na yu wok fɔ kia fɔ am. A op se dis infɔmeshɔn go ɛp yu wit dat!

` Aksil nεv, sכlda nεv, sכlda pen, nεv dizכrd, brachial plexus, deltoid mכsul, sכlda dislokeshכn