He mamae kē tēnei i tō kaki me tō mata (Eagle Syndrome)? Me kōrero tāua!

Kei te rongo koe i ētahi wā i tētahi mamae rerekē, whakarihariha i roto i tō kaki, i tō mata, i tō korokoro rānei? Kāore e taea e koe te tino mōhio he aha te mea e tupu ana, ā, kua rongo koe i te mea ka kino haere tēnei mamae ina horomia e koe, ina kōrero koe, ina nekehia rānei tō mahunga mai i tētahi taha ki tētahi taha? He mea nui pea tēnei ki a koe. Ka huaina tēnei mate ko te Eagle Syndrome . Ahakoa he ahua rerekē te ingoa, he mate hauora tonu.

Nā, he aha te Mate Ākara?

Ki te kī māmā noa, he mate mamae te Eagle Syndrome nā te toronga o te styloid process , te matotoru rānei o te ligament stylohyoid , ka mārō ai, ka rite ki te wheua.

Whakaarohia, kei raro i ia taringa, he wahi wheua iti, angiangi e kiia nei ko te tukanga styloid. Koinei te tukanga styloid . He wahi kiko kei reira e rere ana mai i tēnei wheua ki te wheua hyoid i mua o tō kaki e kiia nei ko te hononga stylohyoid . Ko te tikanga, me rite te ngāwari o tēnei hononga ki te here rapa. Engari i roto i te hunga whai mate Eagle, ka taea e tēnei hononga te matotoru me te pakari i ētahi wā, pērā i te wheua.

Kua mārama koe ināianei? Ko te wā tēnei e tīmata ai te pēhi i ngā io , i ngā uaua toto rānei e rere ana i taua wāhi, ka tīmata ai koe ki te rongo i ngā tohumate.

He pēhea te noa o tēnei Mate Ākara?

He tino onge tēnei mate mamae . E pāngia ana e te iti iho i te 0.16% o te taupori whānui. E iti iho ana i te kotahi i roto i te mano tāngata.

Heoi, mō te 4% pea o te taupori, ko tēnei wheua e kiia nei ko te styloid process he roa ake i te mea noa. I te toharite, ko te roa o tēnei wheua he 2.5 henimita (he iti iho i te inihi). Ko te styloid process elongated he roa ake i te 3 henimita (he nui ake i te inihi). Heoi, ehara i te katoa he wheua e roa ana tēnei ka pāngia e ngā tohu o te Eagle syndrome. He iti noa iho te ōrau o rātou ka pāngia e tēnei mamae.

Heoi anō, e toru ngā wā ka nui ake te tūponotanga o ngā wāhine ki te pāngia e tēnei mate i ngā tāne. Ko te nuinga o te wā ka kitea tēnei mate i roto i te hunga kei roto i ō rātou tau 30, 40 rānei.

He aha ngā tohu o te mate Eagle Syndrome?

Ko ngā tohu e whakawhirinaki ana ki ngā io me ngā oko toto e pēhia ana e tō tukanga styloid, e tō hononga stylohyoid rānei.

Koinei ngā tohu ka kitea whānuitia:

• Mamae i te mata, i te kaki, i te korokoro rānei . Tērā pea ka kino ake tēnei mamae i te wā e kai ana, e hamama ana, e kōrero ana, e tahuri ana rānei tō mahunga.
• He kare ā-roto kei te mau tetahi mea i roto i te korokoro . Tērā pea ka rite ki te werohanga o te ngira, o te pōro iti rānei.
• Te uaua ki te horomi kai (dysphagia) .
• Te rongonga i te tangi o ngā taringa (tinnitus) . He rite ki te tangi "tangi".
• Te mamae o te upoko .
• Pōuriuri .

He maha ngā tāngata e pāngia ana e te mate Eagle, tera pea he tukanga styloid roa kei ngā taha e rua o te māhunga. Heoi, he mea miharo, ko te nuinga ka mamae kotahi anake te taha .

He aha te āhua o te mamae o te mate Eagle?

Ki ētahi tāngata, he rite tonu tēnei mamae ki te mamae o tētahi mate io e kiia nei ko te neuralgia glossopharyngeal . Mēnā ka pēhia te io glossopharyngeal , he io nui kei roto i tō kaki, e te tukanga styloid, ka pāngia pea koe e te mamae koi, rite ki te hiko i roto i ō tonsils, i muri rānei i tō arero. I ētahi wā ka horapa tēnei mamae ki tō taringa.

Ko tā ētahi he whakaahua i te mamae io e pā mai ana me te mate Eagle hei mamae e hokihoki mai ana, e koi ana, e puhoi ana, e pāorooro haere ana .

He aha te take o te mate Eagle?

E ai ki tā tātou i kōrero ai i mua, ka puta ngā tohu ina pēhia e te tukanga styloid roa, e te wheua matotoru rānei e kiia nei ko te hononga stylohyoid, ngā io tairongo, ngā oko toto rānei i roto i tō mahunga me tō kaki. Heoi anō, kei te rerekē tonu ngā whakaaro o ngā tohunga mō te take e roa ai tēnei wheua, e matotoru ai rānei te hononga.

I te tau 1937, i kī a Tākuta Watt Eagle, nāna i tapa te ingoa o te mate, i ētahi wā i muri i te tangohanga o te tonsill, ka whakapūmau te ligament stylohyoid, arā, ka whakapakeke pērā i te wheua.

Ko ētahi atu take pea ko:

• Ngā mate urutā.
• Ngā whara o te kaki.
• Ka ngaro te ngāwari o ngā hononga i a tātou e pakeke haere ana.

He aha ngā raruraru ka pā mai i te Eagle Syndrome?

Ahakoa he tino onge tēnei, i ētahi wā ka taea e tēnei tukanga styloid roa te pēhi i ngā oko toto nui, pērā i ō uaua carotid . Ko ngā uaua carotid ngā oko toto matua e tuku toto ana ki tō roro.

Ki te tupu tēnei, tera pea ka mamae koe i raro i ō kanohi. Tērā pea ka pāngia koe e ngā tohu e rite ana ki te whakaekenga ischemic poto (TIA) , te whiu iti, te whiu whānui rānei. Kei roto i ēnei ko:

• Te ngenge i te taha kotahi o te mata (hemiparesis) .
• Pōuriuri .
• Te tirohanga pōuri .
• Te ngaronga o te māramatanga, te ngoikore rānei (syncope).
• Ngā panonitanga o te kōrero (pērā i te raranga o ngā kupu) .

He mea nui: I roto i te mate Eagle, he maha ngā wā ka puta noa ēnei tohu. Arā, ka ngaro atu i muri i tētahi wā. Heoi, i ētahi wā ka tohu pea i tētahi mate hauora tino kino (hei tauira, he motu, he whara rānei ki tētahi uaua).

Ki te pāngia koe e ngā tohu o te whiu, haere ki te hōhipera tata, waea atu rānei ki te waka tūroro ohorere tonu. Ehara tēnei i te mea hei whakaroa!

Me pēhea te tautuhi i te mate Eagle Syndrome?

Ka tangohia e tō tākuta he hītori hauora whānui (pēnei i ngā pokanga o mua mō te mahunga, te kaki rānei, ngā aituā rānei) kātahi ka whakahaere i tētahi whakamātautau tinana .

I ētahi wā, ka rongo pea te tākuta i tēnei tukanga styloid roa rawa atu ina pā atu ia ki tō kaki. Tērā pea ka pā atu ia ki roto i tō waha, ki te wāhi kei reira ō tonsil, ā, ka pātai atu mēnā kei te pā mai he mamae ki a koe.

Heoi, hei tātaritanga tika i tēnei tukanga styloid rerekē, i tēnei hononga stylohyoid rānei , me whakahaere ngā whakamātautau whakaahua motuhake . Kei roto i ēnei ko:

• Matawai CT (Tomography Rorohiko - Matawai CT) : Ka whakamahia he raupapa hihi-X hei tango pikitia o tō tukanga styloid me te hononga stylohyoid. Ka whakakotahihia ēnei pikitia hei hanga i tētahi ahua toru-ahu (3D), kia mārama ai te kite a tō tākuta mēnā kua totoro tō tukanga styloid.
• CT Angiogram (Computed Tomography Angiogram - CT angiogram) : He whakaahua hihi-X tēnei o ngā oko toto. Tērā pea ka tonoa e tō tākuta tēnei whakamātautau mēnā kei te whakapae rātou kei te pēhia e tō styloid process, e tō ligament rānei ngā oko toto, pērā i tō carotid artery.

He aha atu ngā āhuatanga ka taea te pohehe hei mate Eagle Syndrome?

He mea tino nui kia kore e kitea ētahi atu āhuatanga e puta ai ngā tohu rite ki ērā o te mate Eagle. Tērā pea ka tonoa e tō tākuta he whakamātautau hei whakakore i ēnei āhuatanga:

• Ngā mate mumura o te māhunga me te kaki : hei tauira , te sinusitis , te tonsillitis , te insertion tendinitis .
• Ngā mate o te hononga Temporomandibular (TMJ) : Ko ēnei ngā mate o te hononga kauae.
• Te neuralgia o te glossopharyngeal .
• Te mamae myofascial .
• Te mate pukupuku o te upoko me te kaki .
• Ngā mamae o te upoko o te migraine .
• Ngā raruraru niho .

Me pēhea te rongoā i te Mate Ākara?

Tērā pea ka tohua e tō tākuta he rongoā hei whakahaere i te mamae. Tērā pea ka tūtohu rātou kia pokangahia hei whakapoto i tō tukanga styloid (styloidectomy) . Ko te maimoatanga e whakawhirinaki ana ki te kaha o ō tohu me te mea he pai koe mō te pokanga.

Ko ngā rongoā e whakamahia ana mō te maimoatanga ko:

• Ngā rongoā mamae (whakamamae mamae) .
• Ngā rongoā ārai pouri : Ka whakamahia hoki ēnei hei rongoā mō ētahi mamae io.
• Werohanga steroids : Whakaiti i te mumura me te pupuhi.
• Ngā werohanga lidocaine : hei whakaora i te mamae mō te wā poto.
• Ka taea te tango i ngā rongoā anti-mumura kore-steroidal (NSAID) me te tono, me te kore rānei he whakahaunga a te tākuta .

Pokanga (Styloidectomy):

Ka taea te whakaora katoa i te mate Eagle mā te pokanga hei whakatika i tō tukanga styloid. Ka taea e te taote pokanga te mahi i tēnei pokanga i roto i tētahi o ēnei huarahi e rua:

1. Huarahi ā-waha/ā-waha whakawhiti : I tēnei huarahi, ka uru atu te taote pokanga ki te tukanga styloid mai i roto i tō waha. Ko te painga o tēnei huarahi, kāore he koha o waho . Heoi, he uaua ake mā te taote pokanga te toro atu ki reira i ērā atu tikanga.

2. Huarahi Tāwhiti/Tawhiti-waha : I tēnei huarahi, ka tapahia e te taote pokanga he iti ki tō kaki hei uru atu ki te tukanga styloid. Ahakoa ka taea e te taote pokanga te toro tika atu ki te kiko, ka roa ake te pokanga, ā, ka waiho he koha i muri mai .

Mā tō tākuta koe e whakamārama ko tēhea tikanga te mea pai rawa atu māu, i runga i te tātaritanga kua tohua e koe.

He aha ngā raruraru o te pokanga styloidectomy?

He mōrearea kei roto i tētahi pokanga. Mēnā ka pakaru ngā kiko i te wā o te pokanga, ka puta he kiriuhi me ngā mate korokoro hōhonu. Ka kino pea ēnei mēnā kāore e rongoatia.

Mā te toro atu ki tētahi taote pokanga e mōhio ana ki te pokanga o te upoko me te kaki ka taea te whakaiti i te mōrearea o ēnei raruraru.

He aha te auau whakaora mō te Mate Ākara?

He tino pai te tere whakaora. Tata ki te 80% o te hunga kua tangohia te styloidosis ka ora katoa ngā tohu . Mo te nuinga o te tangata, ka taea te whakahaere i te mamae me te kore whakamarie mā te whakamahi i ngā rongoā whakamamae ka taea te hoko kore utu me ngā rongoā kua tohua.

Ka aha mēnā kāore te mate Eagle Syndrome e rongoatia?

Ki te kore e rongoatia, tera pea ka pā tonu ngā tohu. Ehara tēnei i te mate e ora ake ana i a ia anō.

Heoi, he mea nui kia maumahara ki tēnei. Ahakoa he matotoru tō tukanga styloid me ngā putunga konupūmā, he roa rānei, ehara i te mea kei a koe te mate Eagle. Waihoki, ko ētahi tāngata he roa ō rātou tukanga styloid me ngā tohu o te mate Eagle, ka taea te pokanga, engari kāore pea ō rātou tohu e pai ake.

Koia te mea nui kia kite i tētahi tākuta e mātau ana ki te tātaritanga me te whakahaere i tēnei mate . Nā te mea he uaua pea i ētahi wā te whakatau ko wai ka whai hua mai i te pokanga. Ma tō tākuta koe e tohutohu mō ngā kōwhiringa maimoatanga e tika ana māu.

Ka taea te ārai i te mate Eagle Syndrome?

Kāore rawa he mea e taea e koe te mahi hei ārai i te mate Eagle kei puta. Heoi, mā te pokanga hei tango i te tukanga styloid ka taea te whakakore katoa i ō tohu .

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ka taea e koe te pātai atu ki tō tākuta i ngā pātai pēnei:

• He aha te tino take o te roa o taku tukanga styloid?
• Kei te pēhia e taku tukanga styloid ngā io nui, ngā oko toto rānei?
• He aha ngā tohu ka taea e au te tumanako mai i te io kua kopikopiko?
• Me pokanga ahau, ka taea rānei e au te whakaora mā te rongoā?
• Mena kei te pokangahia koe, me pēhea te mahi?

I roto i te mate Eagle, ahakoa he torutoru henimita tāpiri o te kiko matotoru ka taea e koe te mamae nui, ā, ka uaua ki te tahuri i tō mahunga, ki te whakarerekē rānei i ō āhua kanohi. Engari ko te rongo pai, kāore te noho me ngā tohumate o te mate Eagle e waiho hei āhuatanga hou mōu. He mate ka taea te rongoā i te mate Eagle. Ma tō tākuta koe e tohutohu mēnā me rongoā, me pokanga rānei koe.

Karere Tangohia ki te Kāinga

Nō reira, ki te mamae tonu tō kaki, tō mata, tō korokoro rānei, kāore he whakamārama, he uaua ki te horomi, he āhua rānei kei roto i tō korokoro e mau ana tetahi mea, kaua e wareware noa. Tērā pea he mate Eagle Syndrome.

Ahakoa he mate onge tēnei, ka taea te whakaora katoa mēnā ka tātaritatia, ka rongoatia hoki kia tika . Kaua e mataku, engari ki te pā mai ngā tohu, me toro atu koe ki te tākuta mō ētahi tohutohu. I ētahi wā, ka taea e ngā rongoā māmā te whakaora i te mamae, ka taea rānei e te pokanga iti te āwhina i a koe kia ora katoa. Ko te mea nui ko te mōhio ki te tino take o tō mamae, me te whiwhi i te maimoatanga tika mōna.

` Ekara Mate, mamae kaki, mamae mata, mamae korokoro, tukanga styloid, hononga stylohyoid, uaua ki te horomi