E mōhio ana koe ki tēnei io nui i roto i tō pakihiwi? (Io Axillary) - Me kōrero taipitopito tāua!

Kua whakaarohia e koe te maha o ngā mea e tino hiahiatia ana e ō tātou pakihiwi? Te hiki i ō tātou ringa, te takahuri i ō tātou tinana, te hiki i ngā taumaha, āe, e hiahiatia ana ō tātou pakihiwi mō ngā mea mano mā tahi, tika? Nō reira, i tēnei rā ka kōrero tātou mō tētahi io tino nui e āwhina ana i te pakihiwi kia mahi tika. Ko te io axillary, ko te `(Axillary Nerve)` rānei. He rite tēnei ki tētahi taura ora iti i roto i ō tātou pakihiwi.

He aha te io o te tuaka? Kia mārama tātou!

I te whakarapopototanga, ko te io axillary tētahi o ngā io matua e rima e rere ana i roto i tō pakihiwi. E kiia ana hoki ko te io circumflex i ētahi wā. Ka tīmata tēnei io i roto i tō kaki. I roto i tō kaki, he whatunga io e kiia nei ko te brachial plexus, he rite ki te whatunga o ngā ara io iti maha e hono tahi ana. Koinei te wāhi ka tīmata ai te io axillary ka haere ki tō pakihiwi. He mea tino nui tēnei whatunga io nā te mea ko te brachial plexus te mea e āwhina ana i a tātou ki te neke i ō tātou waewae o runga, arā, ō tātou ringa, ā, e hoatu ana ki a rātou he kare ā-roto. Nō reira, he wāhanga nui te io axillary o taua pūnaha nui ake.

Haunga te io axillary, ko wai atu kei tēnei rohe?

Āe, kāore tēnei io axillary ``(Axillary Nerve)`` e mahi takitahi ana i te rohe pakihiwi. He maha atu anō ōna io hei āwhina i a ia, arā, ko ērā e hono ana ki te pakihiwi me te ringa. He rite ki ngā hoa e mahi tahi ana i te tīma kotahi. Kia kite tātou ko wai rātou:

• Io waenga: He io nui tēnei e rere ana ki mua o tō ringaringa, o tō ringaringa, me te nuinga o ō maihao. He mea tino nui tēnei io ina hopukina e koe tētahi mea ki tō ringaringa, ina piko hoki ō maihao.
• Te io uaua-kiri: Ka haere tēnei ki ngā uaua kei mua o tō ringa o runga, ā, ki te taha matau o te tuke. He āwhina tēnei ina piko tō tuke.
• Io radial: Ka haere tēnei io ki ngā uaua kei muri o tō ringa (e kiia ana ko te triceps) me te pūringa. Koinei te mea e āwhina ana i a koe ki te totoro i tō ringa me te whakaara ake i tō pūringa.
• Io ulnar: He io tēnei e rere ana i roto i tō ringaringa me tō ringaringa, inā koa te maihao iti.

Ka kite koe, ka mahi tahi ēnei io katoa hei āwhina i a tātou ki te mahi i ngā nekehanga tino ngawari o ō tātou ringaringa.

He aha te mahi a te io tuaka? Arā, he aha ngā mea hei āwhina māna?

Āe, kia tirohia tātou te momo mahi a tēnei io axillary mō tō tātou tinana. E rua ngā mahi matua:

1. Te nekehanga o ngā uaua: Ko tēnei io te kawenga mō te neke, te whakahohe rānei i ētahi o ngā uaua nui o tō pakihiwi. Pērā i te rama e mura ana ina pāngia te hiko, ka mahi ēnei uaua ina tukuna he tohu mai i tēnei io.

2. Te whakarato i ngā kare ā-roto: Ko te io axillary te mea e whakarato ana i ngā kare ā-roto ki te kiri huri noa i te pakihiwi. He aha ēnei kare ā-roto?

• Mamae:Ki te whara tātou i tētahi wāhi, ki te hē tetahi mea, ka pā te mamae ki a tātou. Ka āwhina i a tātou kia rongo i te mamae.
• Tūranga: Ka taea e koe te rongo i te wāhi kei reira tō ringa (ki runga, ki raro, ki te taha) me te kore e titiro. Mā tēnei ka āwhina i a koe ki te rongo i tēnā.
• Mahana: Ina rongo koe i te wera, i te makariri rānei i tō pakihiwi, ka haere hoki ki te roro mā roto i tēnei io.
• Pā: Ki te pā tetahi ki tō pakihiwi, ki te mirimiri rānei ō kākahu ki tō tinana, ka pāngia koe e taua pā nā tēnei io.

Whakaarohia, ki te kore tēnei io e mahi tika ana, ka uaua ki te neke i tō pakihiwi, ā, ka ngaro pea tō māuiui i taua wāhi.

Ko ēhea ngā uaua e whakapūpūngia ana e te io axillary?

Kia tirohia tātou ko ēhea ngā uaua e "whakakorikoria" ana, e whakahohehia ana rānei e te io axillary. E rua ngā uaua matua, me tētahi wāhanga o tētahi atu:

• Uaua deltoid: Koinei te uaua nui e rite ana ki te taupoki o tō pakihiwi, ā, ka hoatu he āhua porotaka pai ki tō pakihiwi. Ko te uaua deltoid te mea nui hei āwhina i a koe ki te hapai i tō ringa ki te taha, ki mua, ki muri hoki .
• Uaua iti teres: He uaua iti tēnei kei raro i te uaua deltoid. He iti engari he tino pai tana mahi. Mā te uaua iti teres ka taea e koe te huri i tō ringa ki waho (hurihanga ki waho) .
• Wāhanga o te uaua triceps: Ko te uaua triceps, kei muri o tō ringa o runga, ka āwhina i a koe ki te totoro i tō tuke. Ko te pane roa o tēnei uaua triceps e hono ana ki te io axillary.

Nā te mahi tika o ēnei uaua, ka taea e tātou te mahi i ngā nekehanga katoa ka taea e tātou te mahi mā ō tātou pakihiwi, mai i te whiu pōro ki te heru i ō tātou makawe.

He aha te hanganga o te io o te pakihiwi? Ara, me pēhea tōna hanganga?

Nā, kia hohonu ake tā tātou tirotiro me pēhea te noho o tēnei io axillary i roto i tō tātou tinana, te wāhi e tīmata ai, me te wāhi e haere ai. He rite ki te kimi huarahi.

Ka tīmata tēnei io i te tihi o tō tuaiwi i roto i tō kaki, te wāhi e hono ai ngā pakiaka io mai i te tuarima (C5) me te tuaono (C6) o te tuaiwi kaki .

Ā, ko tēnei io:

1. Ka haere i raro i tō wheua kaki.

2. Muri iho, ka haere mā roto i tētahi āputa tapawhā (e kiia ana e te rongoā ko te "wāhi tapawhā") i waenganui i ngā uaua me ētahi atu kiko i te rohe pakihiwi. He wāhi kuiti tēnei.

3. Mai i reira, ka haere ki muri i te tihi o tō wheua ringa o runga (`(Humerus)`).

Kātahi ka wehea tēnei io axillary ki ngā peka matua e toru. Whakaarohia he rite ki te take o te rākau, kātahi ka wehea ki ngā peka iti ake hei mahi i ētahi mahi nui:

• Peka o mua:Ka anga whakamua tēnei ka piri ki te taha mua o te uaua deltoid, ka āwhina i a ia ki te neke. Ka hoatu hoki he kare ā-roto ki te kiri o mua o te pakihiwi.
• Peka hononga: Ka haere tika tēnei ki te hononga glenohumeral. Ka āwhina i te kawe i ngā kare ā-roto mai i roto i te hononga. I ētahi wā ka hono atu hoki ki te pane roa o te triceps.
• Peka o muri: Ka rere whakamuri tēnei, ka hono atu ki te wāhanga o muri o te uaua deltoid me te uaua teres minor, hei āwhina i te neke i te ringa. Ka hoatu hoki he kare ā-roto ki te kiri i te tuara o te pakihiwi me te tuara o runga o te ringa.

Koinei te mahi a te io axillary i tana mahi.

He aha ngā āhuatanga ka pā ki te mahi a te io o te pakihiwi?

Heoi anō, he maha ngā take e pakaru ai tēnei io axillary tino nui. Mēnā ka tupu tēnei, ka pāngia pea te mahi a te pakihiwi. Me titiro tātou ki aua take:

Ngā whara:

• Ngā Aituā: Ngā aituā e huri ohorere ai te upoko ki tētahi taha, me te pakihiwi ki tētahi taha (hei tauira, i roto i tētahi aituā motuka). I roto i ēnei āhuatanga, ka pakaru pea te "Brachial Plexus" i te kaki me te "Axillary Nerve".
• Ngā tokotoko, ngā tautoko rānei: Ka whakamahia e ētahi tāngata ngā tokotoko me te pupuri pūmau i roto i ō rātou kēkē. Ka pā pea tēnei ki te pēhanga me te kino ki te io axillary.
• Te piko o te pakihiwi: He mea tēnei e rangona ana e te tini tāngata. Mēnā ka piko te pakihiwi i te wā e takaro ana, e taka ana i te arawhata, e taka ana rānei i te pahikara, ka taea te kukume me te pakaru o te io o te tuaka. Koinei te tino take o te kino o te io o te tuaka.
• Ngā whati: Ki te whati te wheua o runga o te ringa (puku) tata ki te pakihiwi, ka taea e ngā kongakonga wheua whati te kino i te io.
• Ngā raruraru pokanga: Ko ētahi pokanga pakihiwi, pērā i te arthroscopy pakihiwi, ka taea te whakakino i ngā io, ahakoa he tino onge.

Ngā raruraru e pā ana ki te whānautanga o ngā pēpi:

Ina whānau mai he pēpi, i ētahi wā me tōia te pēpi ki waho mā te pakihiwi, mā te ringa rānei. Mēnā rānei, ka mau te pakihiwi o te pēpi ki roto i te hope o te whaea. I roto i ēnei āhuatanga, ka pakaru pea te io o te hope o te pēpi nā te tōia, te pēhitanga rānei.

Ētahi atu āhuatanga hauora:

• Te radiculopathy o te kaki:He pēhanga tēnei o te pakiaka io e puta mai ana i ngā tuaiwi o te kaki. Ka mamae pea, ka ngoikore hoki te pakihiwi, ā, i ētahi wā ka pā kino ki te mahi a te io axillary.
• Te Pararutiki o Erb-Duchenne me Dejerine-Klumpke: Ko ēnei ngā āhuatanga e pāngia ai te ringa e te pararutiki wāhanga, e te katoa rānei, nā te pakaru o te Brachial Plexus, he whatunga io i te kaki. Ko te Io Axillary tētahi wāhanga hoki o tēnei whatunga, nō reira ka pāngia hoki i roto i ēnei āhuatanga.
• Te mate Parsonage-Turner: He mate pūnaha io tino onge tēnei. Ka puta mai ina whakaekea hētia e tō tātou ake pūnaha ārai mate ngā kiko io hauora (e kiia ana tēnei ko te mumura ā-tinana). Ka puta he mamae ohorere, he kino, he ngoikore hoki i te pakihiwi me te ringa.
• Herpes zoster: Ko te mate e mōhiotia ana e tātou katoa ko te shingles. Ka haere tēnei huaketo i roto i ngā io. Mena ka puta i te rohe e karapoti ana i te io axillary, ka taea e ia te kino i te io, ka mamae, ka ngoikore hoki i muri mai.
• Te mate ātea taha-whā: Ka taea e te io axillary, e ai ki te kōrero i mua ake nei, te pēhi i roto i te ātea tapawhā, nā te pupuhi o ngā uaua i roto, nā tētahi atu take rānei, ā, ka taea hoki e te io axillary e rere ana i roto te pēhi. Ka taea hoki e tēnei te mamae o te pakihiwi me te ngoikore.

Me tino manukanuka ahau mēnā kua pakaru te io o te tuaka?

He mea noa te mataku ina rongo koe i tētahi raruraru io pēnei. Engari ko te mea pai rawa atu, i te nuinga o te wā, ka ora ake ēnei raruraru io i a rātou anō i roto i te wā, i a rātou anō, i te rongoā tinana rānei. He momo kiko ngā io e tere te ora. Nō reira, me manawanui noa koe.

"He roa te wā e ora ai ngā io, engari kaua e mutu te tumanako. Mēnā ka tika te maimoatanga, ka ora te nuinga o te tangata."

Heoi, mō ētahi whara kino, pērā i te whara katoa o te io, me mahi pea he pokanga. I roto i ēnei āhuatanga, ka whakamahia he hononga io, arā, ko te tango i tētahi wahi iti o te io mai i tētahi atu wāhanga o te tinana ka whakatōkia. I muri i tētahi whara pēnei, ka roa pea he marama, he tau rānei, kia hoki mai ai te pānga o te pakihiwi me te mana whakahaere o ngā uaua. Nō reira, he mea nui kia rapu tohutohu hauora i te wā e taea ai.

Me pēhea te tautuhi a ngā tākuta i tētahi mate pēnei? (Tautuhinga)

Ina haere koe ki te tākuta me te mamae o te pakihiwi, te ngoikore o te uaua, me te uaua ki te hiki i tō ringa, me pēhea e whakatau ai ia mēnā he raruraru kei te io axillary? He maha ngā whakamātautau mō tēnā:

1. Hītori hauora katoa me te aromatawai io:Tuatahi, ka pātai atu te tākuta ki a koe mō te tīmatanga me ngā tohumate kei a koe. Kātahi ka tirotirohia tō pakihiwi me tō ringa hei tirotiro i te kaha o ō uaua, ō kare ā-roto, me ō urupare.

2. Whakamātautau NCS/EMG: Ko te tikanga tēnei ko te Nerve conduction study/Electromyography. He whakamātautau motuhake tēnei. Ka ine i te tere o te haere o ngā tohu hiko i roto i ngā io, me te urupare a ngā uaua ki aua tohu. Mā tēnei ka taea te whakaatu mēnā kua pakaru te io axillary, ā, mēnā kua pakaru, ki tehea whānuitanga.

3. Ngā hihi-X: Ka mahia he hihi-X hei tirotiro i ngā whati, i ngā nekehanga rānei o ngā wheua o te hononga pakihiwi.

4. Matawai MRI (Whakaahua Āhua Aukume): Ka taea e te MRI te kite mārama i ngā kiko ngohengohe i roto i te pakihiwi, pērā i ngā uaua, ngā uaua, ngā hononga, me ngā io. He tino āwhina te MRI ki te whakatau mēnā kua kōpeke te io axillary, kua pupuhi, kua raru rānei ki ngā kiko e karapoti ana.

5. Te ine i te io o ngā uaua: He tikanga anō tēnei e whakamahia ana i roto i te maha o ngā whenua whakawhanake. He rite ki te ine i te io e whakamahia ana hei tirotiro i te pēpi i roto i te kōpū, ka taea e tēnei te tirotiro i te āhua o ngā io me ngā uaua. He mea whai hua anō hoki tēnei nā te mea ka taea te mahi tere ake, ka māmā ake hoki i te MRI.

Mā te whakahaere i tētahi, i ētahi rānei o ēnei whakamātautau, ka kitea e te tākuta te tino pūtake o tō raruraru.

Me aha tātou hei ārai i tēnei momo mate o te io axillary?

E kī ana te kōrero "he pai ake te ārai i te rongoā." Nō reira, he maha ngā mea ka taea e tātou te mahi hei ārai i te kino o te io axillary:

• Mena me pokanga tō pakihiwi: Mena me pokanga tō pakihiwi, whiriwhiria he taote pokanga wheua mātau, pūkenga hoki. He mea pai rawa atu mena he taote pokanga ōu mō ngā peka o runga (e kiia ana he taote pokanga ringa). Mā tēnei ka whakaiti i te tūponotanga o te kino o ngā io i te wā e pokangahia ana.
• Kia tūpato i te piki arawhata: Ki te taka koe i te arawhata, ka whara pea tō pakihiwi, ka whati hoki ō wheua. Nō reira , kia tino tūpato i te piki arawhata. Ki te taea, me kī atu ki tētahi kia pupuri i te arawhata, me tono rānei kia āwhina i a koe ki te hiki i ngā mea ki runga. Kaua e haere ko koe anake ki te mahi i ngā mahi mōrearea.
• Whakamahia ngā mahi haumaru: Me mau tonu he whitiki nohoanga ina eke waka. Me mau he kākahu tiaki me te potae ina eke pahikara, ina takaro rānei i ētahi hākinakina. Ka taea e ēnei te whakaiti i te kino i puta mai i tētahi aituā.
• Whakamahia tika ngā tokotoko: Ki te mea me whakamahi koe i ngā tokotoko,Akohia mai i te kaiwhakaora tinana, i te tākuta rānei, me pēhea te whakamahi tika i aua mea, me te kore e pēhi i ngā io. Mēnā ka he te whakakīkī i te kēkē, ka pēhia pea te io o te tuara.

Ki te tiaki koe i ēnei mea iti, ka taea e koe te karo i ēnei momo raruraru io.

Āhea koe me toro atu ki te tākuta mō te raruraru io i tō pakihiwi?

Mena kei a koe tētahi, ētahi rānei o ngā tohumate o te pakihiwi e whai ake nei, he pai ake te toro atu ki te tākuta, kaua e kīia he mate tinana noa iho:

• Mena he uaua ki te neke i tō pakihiwi, i tō ringa rānei, ina koa kāore e taea te hapai i tō ringa ki te taha.
• Mena ka rongo koe i te ngau kino huri noa i tō pakihiwi, i te tuara whakarunga rānei o tō ringa.
• Mena ka pāngia koe e te mamae nui, ina koa ka hiki ake tō ringa, ka whakamahi rānei i tō pakihiwi.
• Mena kei te pāngia koe e te ngaungau, e tētahi momo kare ā-roto rerekē rānei i tō pakihiwi.
• Ki te mea kei te ngoikore, kei te mamae hoki ngā uaua o tō pakihiwi .

Ko te tikanga o ēnei tohu he raruraru ā-roto pea. Nō reira, ki te rapu wawe koe i te tohutohu hauora, ki te mea he raruraru, ka taea te tautuhi wawe, ā, ka taea te tīmata maimoatanga. Kātahi ka nui ake te tūponotanga ka tere te ora.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Āe, kua maha ngā kōrero mō te io o te tuaka i tēnei rā, kāore? Ki taku whakaaro he mea āwhina kia maumahara koe ki ēnei kōrero:

• He io tino nui te io axillary e tika ana mō te nekehanga me te rongo i roto i tō pakihiwi. Ka whakakorikori i ngā uaua deltoid me te teres minor.
• Ka taea te pakaru o tēnei io e ngā aituā maha, te hē o te pakihiwi, me ētahi āhuatanga hauora.
• Ahakoa he kino, ka taea tonu te whakaora mā te maimoatanga tika me te whakaora tinana. Engari he roa te wā e hiahiatia ana.
• Mā ngā mea ngāwari pēnei i te tūpato i te piki arawhata me te whakamahi i ngā taputapu haumaru ka āwhina nui ki te ārai i ēnei momo whara.
• Ki te pāngia koe e ngā tohu pēnei i te mamae o te pakihiwi, te ngoikore o te tinana, te uaua rānei ki te hiki i tō ringa, kaua e warewaretia, engari me toro atu ki te tākuta tonu.

Ko tō pakihiwi tētahi o ō rawa tino nui e āwhina ana i a koe ki ō mahi o ia rā. Nō reira, ko tō kawenga te tiaki i a ia. Ko tāku tumanako ka āwhina ēnei mōhiohio i a koe ki tēnā!

` Io axillary, io pakihiwi, mamae pakihiwi, mate io, plexus brachial, uaua deltoid, nekehanga pakihiwi