ʻO Thoracic outlet syndrome

ʻO kahi maʻi Thoracic outlet kahi ʻano laha ʻole e pili ana i:

• ʻEha ma ka ʻāʻī a me ka poʻohiwi
• Pōpō a me ke kani ʻana o nā manamana lima
• He paʻa nāwaliwali
• ʻO ka pehu ʻana o ka lālā i hoʻopili ʻia
• ʻO ke anuanu o ka lālā i hoʻopili ʻia

ʻO ka puka o ka thoracic kahi ma waena o ka ribcage a me ka iwi iwi.

ʻO nā aʻalolo e hele mai ana mai ke kuamoʻo a me nā kīʻaha koko nui o ke kino e hele ma waena o kahi ākea kokoke i kou poʻohiwi a me ka iwi iwi i ke ala i nā lima. I kekahi manawa, ʻaʻole lawa ka hakahaka no ka hele ʻana o nā aʻalolo ma o ka iwi iwi a luna.

Kaomi (kaomi) ma luna o kēia mau moku koko a i ʻole nā ​​ʻalolo hiki ke hana i nā hōʻailona ma nā lima a me nā lima.

Hiki paha ke kaomi inā loaʻa iā ʻoe:

• ʻO kahi rib keu ma luna o ka mea mua.
• ʻO kahi hui paʻa paʻa e hoʻopili ana i ka iwi kuamoʻo i nā iwi ʻaoʻao.

ʻO ka poʻe me kēia maʻi i hōʻeha pinepine i ka wahi i ka wā i hala a i ʻole hoʻohana ʻia i ka poʻohiwi.

ʻO ka poʻe me nā ʻāʻī lōʻihi a me nā poʻohiwi droopy e hoʻomohala i kēia ʻano no ka nui o ke kaomi ma nā ʻalolo a me nā kīʻaha koko.

Hiki i nā ʻōuli o ka maʻi thoracic outlet ke hoʻopili pū ʻia:

• ʻEha, numbness, a me tingling i ka pinky a me nā manamana lima, a me ka forearm o loko
• Ka ʻeha a me ka ʻūlū ʻana i ka ʻāʻī a me nā poʻohiwi (halihali i kahi mea kaumaha e hōʻeha paha i ka ʻeha)
• Nā hōʻailona o ka holo maikaʻi ʻole i ka lima a i ʻole ka forearm (kahi kala bluish, nā lima anuanu, a i ʻole ka lima pehu)
• Nāwaliwali o nā mākala i ka lima

E nānā ana kāu mea mālama ola iā ʻoe a nīnau e pili ana i kāu mōʻaukala a me nā ʻōuli.

E hana ʻia paha nā hōʻike aʻe e hōʻoia ai i ka ʻike.

• Uila (EMG)
• CT angiogram
• MRI
• Ke aʻo wikiwiki wikiwiki
• X-ray

Hana ʻia nā hoʻokolohua e kāpae i nā pilikia ʻē aʻe, e like me ka carpal tunnel syndrome a i ʻole ke aʻalolo poino ma muli o nā pilikia i ka ʻāʻī.

Hoʻohana pinepine ʻia ka hoʻōla kino e mālama ai i ka maʻi kūpona. Kōkua ia:

• E hoʻoikaika i nā mākala o kou poʻohiwi
• E hoʻomaikaʻi i kāu ʻano neʻe i ka poʻohiwi
• Paipai i ke kūlana maikaʻi aʻe

Kauoha paha kāu mea hāʻawi i ka lāʻau ʻeha.

Inā loaʻa kahi kaomi i kahi aa, hiki i kāu mea hāʻawi ke hāʻawi iā ʻoe i ka lahilahi o ke koko e pale aku ai i ka hāpū o ke koko.

Hiki paha iā ʻoe ke ʻoki inā ke hoʻomaʻamaʻa kino a me nā loli i ka hana e hoʻomaikaʻi ʻole i kāu mau hōʻailona. Hiki i ke kaukipoki ke ʻokiʻoki ma lalo o kou ʻāpana lima a i ʻole ma luna pono o kou iwi iwi.

Ma ke kahakaha ʻana, e hana ʻia paha kēia mau mea:

• Lawe ʻia kahi iwi ʻē aʻe a ʻoki ʻia kekahi mau mākala.
• Lawe ʻia kahi ʻāpana o ka iwi mua e hoʻokuʻu i ke kaomi ma ia wahi.
• Hana ʻia ke kīʻaha Bypass e reroute i ke koko e pili ana i ka compression a i ʻole lawe i kahi e hoʻomaka nei nā ʻōuli.

E ʻōlelo paha kāu kauka i nā mea ʻē aʻe ʻē aʻe, e like me angioplasty, inā hoʻopili ʻia ke aʻa.

Ke ʻoki ʻana e wehe i ka iwi ʻaoʻao keu a haki i nā kaula paʻa paʻa e hoʻoluʻolu ai i nā ʻōuli i kekahi poʻe. Loaʻa i kekahi poʻe nā ʻōuli e hoʻi mai ma hope o ke kahakaha ʻana.

Hiki ke hana i nā pilikia me kekahi ʻoki ʻana, a kaukaʻi ʻia i ke ʻano o ke kaʻina hana a me ka anesthesia.

ʻO nā pōʻino e pili ana i kēia ʻoki ʻana:

• Poino i nā aʻalolo a i ʻole nā ​​kīʻaha koko, e hoʻonāwaliwali ai i nā mākala
• Haʻule lolo
• ʻAʻole hiki ke hoʻokuʻu i nā ʻōuli

• Anatomia puka Thoracic

Hoʻopiha AG. ʻO nā Brapial plexus nerve entrapments a me nā syndrome puka o ka thoracic. I: Winn HR, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 250.

ʻO Osgood MJ, Lum YW. ʻO Thoracic outlet syndrome: pathophysiology a me ka loiloi diagnostic. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 120.