Pāleʻa iwi ʻino

ʻO ka slip lip rib e pili ana i ka ʻeha o kou umauma lalo a i ʻole luna o ka ʻōpū i hiki ke loaʻa ke neʻe iki kou mau iwi ʻaoʻao i lalo o ka maʻamau.

ʻO kou iwi ʻaoʻao nā iwi i loko o kou umauma e hoʻopuni i kou kino kiʻekiʻe. Hoʻopili lākou i kou umauma i kou iwi kuamoʻo.

Kū pinepine kēia maʻi maʻi ma 8th a i ka 10 ribs (ʻike ʻia he mau iwi ʻaoʻao waha ʻole) ma ka ʻaoʻao haʻahaʻa o kou iwi ʻaoʻao. ʻAʻole pili kēia mau iwi ʻaoʻao i ka iwi umauma (sternum). ʻO nāʻiʻo Frorous (ligament), hoʻohui i kēia mau iwi ʻaoʻao i kekahi i kekahi e kōkua i ka paʻa. Hiki i ka nāwaliwali pili i nā liga ke ʻae i nā iwi ʻaoʻao e neʻe iki aʻe ma mua o ka maʻamau a hana i ka ʻeha.

Hiki ke hanana i kahi hopena o:

• E hōʻeha i ka umauma ʻoiai e pāʻani ana i nā haʻuki pili e like me ka pōpeku, ka hockey hau, ka hākōkō, a me ke kinipōpō
• ʻO kahi hāʻule a i ʻole trauma pololei i kou umauma
• Ke wili wikiwiki ʻana, kaomi ʻana a i ʻole ke hāpai ʻana i nā neʻe, e like me ke kīloi ʻana i ke kinipōpō a ʻauʻau paha

Ke neʻe nā iwi ʻaoʻao, kaomi lākou i nā mākala, nā ʻalolo, a me nā mea ʻē aʻe e pili ana. ʻO kēia ke kumu o ka ʻeha a me ka mumū ma ia wahi.

Hiki i ka slip rib rib ke kū i kēlā me kēia makahiki, akā ʻoi aku ka nui o nā mākua waena. Pilikia paha nā wahine ma mua o nā kāne.

Kū pinepine ke kūlana ma kekahi ʻaoʻao. Kākaʻikahi, hiki ke hana ʻia ma nā ʻaoʻao ʻelua. ʻO nā hōʻailona me:

• ʻEha ʻeha ma ka umauma o lalo a i ʻole ʻo luna o ka ʻōpū. Hele mai paha ka ʻeha a hele a hoʻomaikaʻi me ka manawa.
• He popping, kaomi ʻana, a i ʻole heʻe paheʻe.
• ʻEha ke kau ʻana i ke kaomi i ka wahi i hoʻopilikia ʻia.
• ʻO ke kūmākena, ʻakaʻaka, hāpai ʻana, wili ʻana, a me ke kūlou ʻana e hoʻonui ai i ka ʻeha.

ʻO nā ʻōuli o ka paheʻe ʻana o ka lip syndrome e like me nā ʻano olakino ʻē aʻe. He paʻakikī kēia i ke kuhi.

E lawe kāu mea mālama ola i kāu mōʻaukala olakino a nīnau e pili ana i kāu mau hōʻailona. E nīnau ʻia ʻoe i nā nīnau e like me:

• Pehea i hoʻomaka ai kaʻeha? Aia he ʻeha?
• He aha ka mea e ʻeha ai kou ʻeha?
• Hiki i kekahi mea ke kōkua i ke kōkua i ka ʻeha?

E hana ana kāu mea hāʻawi i kahi hoʻokolohua kino. E hana ʻia paha ka hoʻokolohua hoʻokele hooking e hōʻoia i ka ʻike. I kēia hōʻike:

• E noi ʻia ʻoe e moe i kou kua.
• Lawe kāu mea lawelawe i ko lākou mau manamana lima ma lalo o nā iwi ʻaoʻao lalo a huki iā lākou i waho.
• ʻO ka ʻeha a me ke ʻano kaomi ke hōʻoia i ke ʻano.

Ma ke kumu o kāu hoʻokolohua, hiki ke hana ʻia kahi x-ray, ultrasound, MRI a i ʻole nā ​​hoʻokolohua koko e kāpae i nā kūlana ʻē aʻe.

Hele pinepine ka ʻeha i loko o kekahi mau pule.

Mālama ka lāʻau i ka hoʻomaha ʻana i ka ʻeha. Inā akahai kaʻeha, hiki iā ʻoe ke hoʻohana i ka ibuprofen (Advil, Motrin) a i ʻole naproxen (Aleve, Naprosyn) no ka ʻehaʻeha. Hiki iā ʻoe ke kūʻai i kēia mau lāʻau ʻeha ma ka hale kūʻai.

• E kamaʻilio me kāu mea hāʻawi ma mua o ka hoʻohana ʻana i kēia mau lāʻau inā loaʻa ʻoe i ka maʻi puʻuwai, ke koko kiʻekiʻe, nā maʻi ʻōpū, nā maʻi ate, a i ʻole loaʻa nā puʻuwai ʻōpū a i ʻole nā ​​kahe kūloko i ka wā i hala.
• Lawe i ka mahele lāʻau e like me ka ʻōlelo a ka mea hāʻawi. Mai lawe i nā mea i hōʻike ʻia ma ka ʻōmole. E heluhelu pono i nā ʻōlelo aʻoaʻo ma ka lepili ma mua o ka lawe ʻana i ka lāʻau.

Kauoha paha kāu mea hāʻawi i nā lāʻau ʻeha e hōʻoluʻolu i ka ʻeha.

E noi ʻia ʻoe e:

• Pili i ka wela a i ka hau paha ma ke kahua o ka ʻeha
• Hōʻalo i nā hana e hōʻeha ai i ka ʻeha, e like me ka hāpai kaumaha, ka wili ʻana, kaomi ʻana, a me ka huki ʻana
• E ʻaukā i ka pale umauma e hoʻokūpaʻa i nā iwi ʻaoʻao
• E kūkākūkā i kahi mea hoʻoponopono kino

No ka ʻehaʻeha loa, hāʻawi paha kāu mea hāʻawi iā ʻoe i kahi injection Corticosteroid ma ke kahua o ka ʻeha.

Inā mau ka ʻeha, hiki ke hana ʻia i ka ʻoki ʻana e wehe i ka iwi iwi a me nā iwi ʻaoʻao lalo, ʻoiai ʻaʻole ia he hana maʻamau.

Hele pinepine ka ʻeha ma kahi o ka manawa, ʻoiai e lilo ka ʻeha i mea mau. Inikua paha ʻoki paha e koi ʻia i kekahi mau hihia.

Komo pū nā pilikia:

• Hanu paʻakikī.
• ʻO ka hōʻeha i ka wā o kahi injection e kumu paha i ka pneumothorax.

ʻAʻohe maʻamau nā pilikia lōʻihi.

E kāhea koke ʻoe i kāu mea hāʻawi inā loaʻa iā ʻoe:

• He hōʻeha i kou umauma
• ʻOʻeha i kou umauma lalo a i ʻole luna o kou ʻōpū
• Ka hanu paʻakikī ʻana a i ʻole ka liʻiliʻi o ka hanu
• ʻEha i nā hana o kēlā me kēia lā

Kāhea iā 911 inā:

• Loaʻa iā ʻoe ka haki ʻana, kaomi ʻana, ka paʻa ʻana, a i ʻole kaomi ʻana i kou umauma.
• Pālahalaha kaʻeha (hoʻomālamalama) i kou ā, ʻāpana hema, a i ʻole ma waena o kou mau poʻohiwi.
• Loaʻa ka pualu, lōlō, sweating, puʻuwai heihei, a i ʻole ka liʻiliʻi o ka hanu.

Subluxation Interchondral; Ke kaomi ʻana i ka syndrome rib; ʻO ka maʻi slip-rib-cartilage; ʻEha iwi ʻehaʻeha; ʻUmikūmālua lip Syndrome; Ua hoʻoneʻe ʻia nā iwi ʻaoʻao; Rib-tip syndrome; Subluxation ʻōiwi; Iwi ʻeha paheʻe o ka umauma

• ʻO ka anatomy ribs a me ka lung

Dixit S, Chang CJ. Thorax a me nā ʻeha o ka ʻōpū. I: Madden CC, Putukian M, McCarty EC, Young CC, eds. ʻO Netter's Sports Medicine. ʻElua ed. Piladelapia, PA: Elsevier; 2018: chap 52.

Kolinski JM. ʻEha ʻeha. I loko o: Kliegman RM, Lye PS, Bordini BJ, Toth H, Basel D, eds. ʻO Diagnosis Hōʻike Hōʻikeʻike Pediatric Nelson. Piladelapia, PA: Elsevier; 2018: chap 7.

McMahon, LE. Slipping rib Syndrome: He loiloi i ka loiloi, ʻike a me ka lāʻau. Nā Seminars ma ke Keʻena Pediatric. 2018;27(3):183-188.

Waldmann SD. Pāleʻa iwi ʻino. I: Waldmann SD, hoʻoponopono. Nā Atlas o Uncommon Pain Syndromes. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2020: chap 72.

Waldmann SD. ʻO ka hoʻāʻo ʻana o ka maneuver hooking no ka slipping rib syndrome. I: Waldmann SD, hoʻoponopono. ʻIke Kino o ka ʻeha: kahi atlas o nā hōʻailona a me nā ʻōuli. ʻEkolu huaʻōlelo. St Louis, MO: Elsevier; 2016: chap 133.