He aha ke kumu o ka ʻeha o kuʻu iwi?

Anter

• ʻO ke kumu maʻamau: Ka haki iwi
• He aha nā kumu ʻē aʻe i maʻa mau?
• ʻO Osteoarthritis
• ʻO Thoracic outlet syndrome
• ʻEha hui pū
• Kahi hiamoe
• Nā kumu liʻiliʻi liʻiliʻi
• Osteomyelitis
• Kanesa
• He aha kaʻu e hana ai ma ka home?
• Ka wā e ʻike ai i ke kauka

Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

Hōʻike Overview

ʻO kou iwi iwi (clavicle) ka iwi pili i ka umauma (sternum) i ka poʻohiwi. ʻO ka iwi iwi kuʻi, he iwi kūpaʻa iki, ʻano S.

Hoʻohui ka cartilage i ka iwi iwi i kekahi ʻāpana o ka iwi poʻohiwi (scapula) i kapa ʻia ʻo ka acromion. Kapa ʻia kēlā pilina ʻo ka hoʻohui acromioclavicular. Hoʻopili ka hopena ʻē aʻe o ka iwi iwi i ka sternum ma ka ami sternoclavicular. E nānā i kahi BodyMap e aʻo hou aʻe e pili ana i ka anatomy o ka clavicle.

Hiki ke hōʻeha ʻia ka ʻeha collarbone e ka haʻi, arthritis, kahi maʻi iwi, a i ʻole kekahi ʻano e pili ana i ke kūlana o kāu clavicle.

Inā loaʻa iā ʻoe ka ʻeha o ka iwi koloko ma ke ʻano he hopena, kahi ʻeha haʻuki, a i ʻole nā ​​trauma ʻē aʻe, e hele i kahi lumi pilikia. Inā ʻoe e ʻike i kahi ʻeha duller e ulu ana i hoʻokahi o kāu clavicle, e koho i kahi manawa e ʻike ai i kāu kauka.

ʻO ke kumu maʻamau: Ka haki iwi

Ma muli o kona kūlana i loko o ke kino, maʻalahi ka iwi iwi i ka haʻi inā loaʻa ka ikaika koʻikoʻi i ka poʻohiwi. ʻO ia kekahi o nā iwi haʻi pinepine i ke kino o ke kanaka. Inā hāʻule paʻakikī ʻoe ma kekahi poʻohiwi a i ʻole hāʻule ʻoe me ka ikaika nui ma kou lima kīnā, holo ʻoe i ka maka o ka haʻi collarbone.

ʻO nā kumu maʻamau o ka iwi haʻi nahae nā:

• ʻEha haʻuki. ʻO ke kuʻi pololei i ka poʻohiwi i ka pôpeku a i ʻole ka haʻuki pili e hiki ai ke hōʻeha i ka iwi iwi.
• ʻAhaʻa kaʻa. Hiki i kahi ulia kaʻa a mokokaikala paha ke hōʻino i ka poʻohiwi, sternum, a i ʻole ʻelua paha.
• Pilikia hānau. ʻOiai e neʻe ana i lalo i ke aʻa hānau, hiki i kahi keiki hānau ke uhaʻi i kahi iwi iwi a loaʻa nā ʻeha ʻē aʻe.

ʻO ka ʻōuli maopopo loa o ka haʻi haʻi o ka iwi koloka ka hikiwawe, ʻeha nui ma ke kahua o ka haki. ʻO ka maʻamau maʻamau ka ʻeha ke neʻe ʻoe i kou poʻohiwi. Lohe a lohe paha ʻoe i ka walaʻau ʻana a i ʻole ka haha ​​ʻana me kekahi neʻe poʻohiwi.

ʻO nā hōʻailona maʻamau o ka iwi haʻi nahae nā:

• pehu
• ʻāpala
• palupalu
• ʻoʻoleʻa i ka lima i hoʻopili ʻia

ʻAʻole hiki i nā keiki hānau me kahi iwi iwi naha i neʻe ka lima ʻeha no kekahi mau lā ma hope o ka hānau ʻana.

No ke kuhi ʻana i ka haʻi collarbone, e nānā pono kāu kauka i ka ʻeha no ka palapū, ka pehu ʻana, a me nā hōʻailona ʻē aʻe o ka haki.Hiki i kahi X-ray o ka clavicle ke hōʻike i kahi kikoʻī a me ka nui o ka haki, a inā paha ua pili nā hono.

No kahi haki liʻiliʻi, mālama nui ʻia ka mālama ʻana i ka lima i immobilized no kekahi mau pule. E komo paha ʻoe i kahi maʻa ma mua. Hiki paha iā ʻoe ke komo i ka peʻa poʻohiwi e huki i nā poʻohiwi ʻelua i hope iki e kōkua ai i ka hoʻōla ʻana o ka iwi i kona kūlana kūpono.

No kahi haki koʻikoʻi, pono paha ke kahakaha e hoʻonohonoho hou i ka clavicle. Pono paha ʻoe i nā mākia a i ʻole nā ​​ʻāpana e ʻike pono e ola pū nā ʻāpana haki o ka iwi i ke ala kūpono.

He aha nā kumu ʻē aʻe i maʻa mau?

Aia kekahi kumu ʻē aʻe o ka ʻeha collarbone i pili ʻole i nā haʻi. Pākuʻi ʻia kēia mau mea:

ʻO Osteoarthritis

ʻO ka lole a haehae ma ka ami acromioclavicular a i ʻole ka hui sternoclavicular hiki ke hana i ka osteoarthritis i hoʻokahi a ʻelua paha o nā hono. Hiki i ka artritis ke hopena ma kahi ʻeha kahiko a i ʻole ka hoʻohana maʻamau o kēlā me kēia makahiki ma kahi o nā makahiki he nui.

ʻO nā ʻōuli o ka osteoarthritis me ka ʻeha a me ka ʻoʻoleʻa i ka ami i hoʻopili ʻia. Mālama nā ʻōuli i ka lohi a hele a maikaʻi i ka manawa. ʻO nā lāʻau anti-inflammatory Nonsteroidal (NSAIDs), e like me ibuprofen (Advil) a i ʻole naproxen (Aleve), hiki ke kōkua i ka hōʻemi ʻana i ka ʻeha a me ka mumū e pili ana i ka osteoarthritis.

Hiki i nā kuʻikuʻi o nā corticosteroids ke kōkua i ka maʻalahi i ka mumū a me ka ʻeha ma kahi o kahi manawa lōʻihi. Makemake paha ʻoe e hōʻalo i nā hana e hoʻonāukiuki i ka ʻeha a me ka ʻoʻoleʻa. Koi paha kāu kauka i ke ʻoki e hoʻomaikaʻi i ka hui i nā hanana kakaʻikahi.

ʻO Thoracic outlet syndrome

ʻO kāu puka thoracic kahi ākea ma waena o kāu clavicle a me kou iwi ʻaoʻao kiʻekiʻe. Hoʻopiha ka hakahaka i nā kīʻaha koko, nā aʻalolo, a me nā mākala. Hiki i nā mākala poʻohiwi nāwaliwali ke ʻae i ka clavicle e paheʻe i lalo, e hoʻokau ana i nā aʻalolo a me nā kīʻaha koko i ka puka o ka thoracic. Hiki ke hopena i ka ʻeha collarbone, ʻoiai ʻaʻole ʻeha ka iwi ponoʻī.

ʻO nā kumu o ka maʻi thoracic outlet nā:

• ʻeha ma ka poʻohiwi
• kūlana maikaʻi ʻole
• hoʻopilikia hou, e like me ke hāpai ʻana i kahi mea kaumaha i nā manawa he nui a i ʻole ka ʻauʻau hoʻokūkū
• momona, kahi e hoʻokau ai i kou mau ami
• kīnā hānau, e like me ka hānau ʻia ʻana me ka iwi ʻaoʻao ʻē aʻe

Hoʻololi nā ʻōuli o ka maʻi thoracic outlet ma muli o nā aʻalolo a me nā kīʻaha koko e hoʻopili ʻia e ka iwi iwi i hoʻoneʻe ʻia. ʻO kekahi o nā hōʻailona me:

• ʻeha ma ka iwi iwi, poʻohiwi, ʻāʻī, a lima paha
• ʻōpala ka mākala i ka ʻiʻo kino o ka manamana nui
• ʻūlū a manamana paha i ka lima a me nā manamana lima
• nawaliwali paʻa
• ʻeha lima a ʻōhū paha (e hōʻike ana i ke kōkō ʻana o ke koko)
• e hoʻololi i ke kala i kou lima a i ʻole nā ​​manamana lima
• nāwaliwali o kou lima a me kou ʻāʻī
• he puʻupuʻu ʻeha ma ka iwi iwi

I ka wā o kahi hoʻokolohua kino, hiki i kāu kauka ke noi iā ʻoe e neʻe i kou mau lima, ka ʻāʻī, a i ʻole nā ​​poʻohiwi e nānā i ka ʻeha a i ʻole nā ​​palena i kāu pae o ka neʻe. ʻO nā hoʻokolohua kiʻi, me nā X-ray, ultrasound, a me nā scri MRI, e kōkua i kāu kauka e ʻike i nā aʻalolo a i ʻole nā ​​kīʻaha koko e kaomi ʻia e kou iwi iwi.

ʻO ka lālani mua o ka mālama ʻana no ka maʻi thoracic outlet ka hoʻomaʻamaʻa kino. E aʻo ʻoe i nā hoʻoikaika kino e hoʻomaikaʻi ai i ka ikaika a me ka maʻalahi o kou mākala poʻohiwi a hoʻomaikaʻi i kou kūlana. Pono kēia e wehe i ka puka a maʻalahi kaomi i nā kīʻaha koko a me nā aʻalolo e pili ana.

I nā hihia koʻikoʻi hou aʻe, hiki ke hana i ke ʻoki e wehe i kahi ʻaoʻao o ka iwi ʻaoʻao a hoʻonui i ka puka ʻoi loa. ʻO ke ʻoki kino e hoʻoponopono ai i nā kīʻaha koko ʻeha pū kekahi.

ʻEha hui pū

Hiki ke hōʻeha i kou poʻohiwi me ka haki ʻole o nā iwi. ʻO kahi ʻeha e hiki ai ke hōʻeha i ka ʻeha collarbone he hoʻokaʻawale ʻia o ka ami acromioclavicular (AC). ʻO kahi kaʻawale hui AC ʻo ia hoʻi nā ligament e hoʻopaʻa i ka hui a kōkua i ka mālama ʻana i nā iwi i kahi nahaehae.

Hoʻokumu pinepine ʻia nā ʻeha ami AC e ka hāʻule a i ʻole ka puhi pololei ʻana i ka poʻohiwi. Hiki i kahi kaʻawale mālie ke kumu i kekahi ʻeha, ʻoiai ka waimaka ligament ʻoi aku ka nui i hiki ke waiho i ka iwi iwi i waho o ke kaulike. Ma waho aʻe o ka ʻeha a me ka palupalu e pili ana i ka iwi iwi, hiki i kahi puʻupuʻu ma luna o ka poʻohiwi ke ulu.

Nā koho lapaʻau e:

• hoʻomaha a me ka hau ma ka poʻohiwi
• kahi paʻa e kau ma luna o nā poʻohiwi e kōkua i ka hoʻopaʻa ʻana i ka ami
• ʻoki kino, ma nā hihia koʻikoʻi, e hoʻoponopono i nā ligament i haehae ʻia a ʻoki paha i kahi ʻāpana o ka iwi iwi e pili pono ai i ka ami.

Kahi hiamoe

ʻO ka hiamoe ʻana ma kou ʻaoʻao a me ke kau ʻana i ka kaomi maʻamau ma hoʻokahi clavicle hiki ke hopena i ka ʻeha collarbone. E maʻa mau kēia pilikia. Hiki paha iā ʻoe ke hōʻalo iā ia inā hiki iā ʻoe ke maʻa o ka hiamoe ʻana ma kou kua a me kāu ʻaoʻao ʻē aʻe.

Nā kumu liʻiliʻi liʻiliʻi

Loaʻa i kaʻeha collarbone kekahi mau kumu koʻikoʻi e pili ʻole i nā haʻi a i ʻole nā ​​loli i ke kūlana o kāu clavicle a i ʻole ka hui ʻana o ka poʻohiwi.

Osteomyelitis

ʻO Osteomyelitis kahi maʻi iwi e hōʻeha i nā ʻeha a me nā hōʻailona ʻē aʻe. Loaʻa nā kumu i:

• kahi haki kahi e hoʻokuʻi ai ka hopena o ka iwi iwi i ka ʻili
• pneumonia, sepsis, a i ʻole kekahi ʻano o ka maʻi bacteria i nā wahi ʻē aʻe o ke kino e hele ana i ka iwi iwi
• kahi ʻeha hāmama kokoke i ka iwi iwi i loaʻa i maʻi

ʻO nā ʻōuli o ka osteomyelitis i ka clavicle me ka ʻeha collarbone a me ka palupalu ma kahi e pili ana i ka iwi iwi. Hiki i nā hōʻailona ʻē aʻe ke komo pū me:

• pehu a mehana me ka puni o ka maʻi
• fiva
• nausea
• kaomi e kahe ana ma o ka ʻili

Hoʻomaka ka mālama ʻana i ka osteomyelitis me kahi lāʻau o nā antibiotic. I ka manawa mua e loaʻa iā ʻoe nā antibiotic i loko o ka haukapila. E ukali paha nā lāʻau lapaʻau waha. Hiki ke mālama i nā lāʻau Antibiotic i kekahi mau mahina. ʻO kēlā me kēia paila a wai paha ma ke kahua o ka maʻi e pono e hoʻokahe ʻia pū kekahi. Hiki ke hoʻoneʻe ʻia ka poʻohiwi i hoʻopili ʻia i mau pule i ka wā e hoʻōla ai.

Kanesa

Ke hōʻeha ka maʻi ʻaʻai i ka maʻi collarbone, ma muli paha o ka palahalaha ʻana o ka maʻi ʻaʻai i ka iwi a no ka pili paha o nā lymph node. He mau lymph node kou ma loko o kou kino. Ke pālahalaha ʻia ka maʻi ʻaʻai iā lākou, ʻike paha ʻoe i ka ʻeha a me ka pehu ʻana o nā pūnana ma luna aʻe o ka iwi iwi, ma lalo o ka lima, kokoke i ke aʻa, a me ka ʻāʻī.

ʻO Neuroblastoma kahi ʻano o ka maʻi ʻaʻai e hiki ke hoʻopili i nā lymph node a i ʻole neʻe i loko o nā iwi. He kūlana hoʻi ia e hiki ke hoʻopili i nā keiki ʻōpio. Ma waho aʻe o ka ʻeha, ʻo kāna mau hōʻailona me:

• pāhoehoe
• fiva
• kahe koko kiʻekiʻe
• puʻuwai wikiwiki
• ka houʻu ʻana

Hiki ke mālama ʻia nā ʻōpala e ulu ana i ka iwi iwi, poʻohiwi, a i ʻole ka lima me ka radiation radiation a i ʻole ke ʻoki ʻana, kaukaʻi ʻia i ke ʻano o ka maʻi a pehea ka lōʻihi o ka holo ʻana.

He aha kaʻu e hana ai ma ka home?

Hiki ke mālama ʻia i ka ʻeha puʻupuʻu liʻiliʻi e pili ana i kahi ʻeha puʻupuʻu a i ʻole kahi ʻeha liʻiliʻi me kahi mana i hoʻololi ʻia o ka hana RICE ma ka home. Kū kēia no:

• Hoʻomaha. Hōʻalo i nā hana e kau ai i ka liʻiliʻi ma kou poʻohiwi.
• Ice. E kau i nā ʻeke hau ma kahi ʻeha ma kahi o 20 mau minuke i kēlā me kēia hola ʻehā.
• Kaohi ʻana. Hiki iā ʻoe ke ʻūlū maʻalahi i kahi kuli ʻeha a kuʻekuʻe wāwae paha i kahi kauka lapaʻau e kōkua ai i ka palena i ka pehu a me ke kahe ʻana o loko. I ke kumu o ka ʻeha collarbone, hiki i kahi loea lapaʻau ke wahī pono i kou poʻohiwi, akā mai hoʻāʻo e hana iā ʻoe iho. Ke mālama nei i kou lima a me kou poʻohiwi immobilized i kahi maʻa e kōkua ia e hōʻemi i ka hōʻeha hou.
• Kiʻekiʻena E mālama i kou poʻohiwi ma luna o kou puʻuwai e kōkua i ka hōʻemi ʻana i ka pehu. ʻO ia ka manaʻo, mai moe i lalo no 24 mau hola. E hiamoe me kou poʻo a me kou poʻohiwi e hoʻokiʻekiʻe iki ʻia inā hiki.

Kūʻai no nā bandages lapaʻau.

Ka wā e ʻike ai i ke kauka

ʻO ka ʻeha e lohi ana ma mua o hoʻokahi lā a i ʻole e hele i mua maikaʻi ʻole e pono e kipa koke i ke kauka i ka wā hiki. ʻO kēlā me kēia ʻeha e kumu i kahi loli i ʻike ʻia i kou kūlana iwi a i ʻole kou poʻohiwi e pono e mālama ʻia ma ke ʻano he olakino olakino. Inā lohi ʻoe i ka nānā olakino, paʻakikī paha ʻoe i ke kaʻina hana.