Le faʻaleagaina o le neula axillary

Ole faʻaletonu ole neura ole axillary o neula leaga e mafua ai le leiloa o gaioiga poʻo lagona i le tauʻau.

Ole faʻaletonu ole neura ole axillary ole ituaiga ole neuropathy lautele. E tupu pe a i ai le faʻaleagaina o le neura axillary. Ole neula lea e fesoasoani e faʻatonutonu maso o le tauʻau ma le paʻu e faʻataʻamilo ai. O le faʻafitauli i le naʻo le tasi neura, e pei o le neʻi o le axillary, e taʻua o le mononeuropathy.

O masani masani o:

• Manua tuusao
• Uunaiga umi i le neura
• Uunaiga i luga o neula mai latalata tino fausaga
• Manuʻaga tauau

Entrapment faatupuina le mamafa i luga o neula le mea e ui atu i totonu o se vaapiapi fausaga.

O le faʻaleagaina e mafai ona faʻaleagaina le myelin sheath e ufiufi ai neura poʻo se vaega o le neula sela (le axon). Faʻaleagaina o soʻo se ituaiga faʻaititia pe puipuia le fealuaʻi o faʻailo ala atu i le neula.

Tuutuuga e mafai ona taitai atu ai i le faʻamalosi neura axillary aofia ai:

• Tino-lautele (faʻaletino) faʻaletonu e mafua ai neula pupuga
• Maʻi loloto
• Fracture o le pito i luga lima ponaivi (humerus)
• Uunaiga mai le lafoina o sasa poʻo faʻasalaga
• Faʻaoga sese o tootoo
• Sese tauʻau

I nisi tulaga, leai se mafuaʻaga mafai ona maua.

Faʻailoga mafai ono aofia ai soʻo se tasi o mea nei:

• Numbness luga o se vaega o le tauau i fafo
• Tauau vaivai, aemaise pe a siʻi i luga le lima i luga ma aluese mai le tino

O le a suʻesuʻe e lau tausi soifua maloloina lou ua, lima ma le tauʻau. O le vaivai o le tauʻau e mafai ona mafua ai le faʻagaeʻetia o lou lima.

O le maso deltoid o le tauʻau ono faʻaalia ai faʻailoga o maso atrophy (leiloa o maso maso).

O suʻega e mafai ona faʻaaoga e siaki ai le faʻaleagaina o neula o le axillary aofia ai:

• EMG ma neura faʻataʻitaʻiga suʻega, o le a masani masani pe a maeʻa le manuʻa ma e tatau ona faia i ni vaiaso pe a maeʻa le manua poʻo faʻailoga amata
• MRI poʻo x-ave o le tauʻau

Faʻamoemoeina i le mafuaʻaga o le neura faʻaletonu, nisi tagata e le manaʻomia togafitiga. O le faʻafitauli e atili lelei na o ia lava. O le fua faatatau o le toe faʻaleleia e mafai ona ese mo tagata uma. E tele masina le umi e toe malosi ai.

Aneti-faʻafomaʻi vailaʻau mafai ona tuʻuina atu pe a fai oe i ai nisi o nei:

• Faʻafuaseʻi faʻailoga
• Laʻititi suiga i lagona lagona poʻo gaioiga
• Leai se talaʻaga o manuʻa i le eria
• Leai ni faʻailoga o neula ua faʻaleagaina

O vailaʻau nei e faʻaititia ai le fulafula ma le omiga o neula. E mafai ona tui saʻo i totonu o le eria pe ave i le gutu.

Isi vailaʻau aofia ai:

• O vailaʻau tiga e mafai ona fesoasoani mo le tiga (neuralgia).
• Vailaau e fesoasoani faʻaititia tui tiga.
• Opiate tiga e faʻamafanafana tiga atonu e manaʻomia e taofiofia tiga tiga.

A faʻapea e faʻaauau pe leaga pea ou faʻailoga, oe ono manaʻomia se taotoga. Afai o se neura ua puʻeina ua mafua ai au faʻailoga, o le taotoga e tatala ai le neura e mafai ona fesoasoani ia te oe e te maua ai le lagona sili atu.

O togafitiga faʻamalositino e mafai ona fesoasoani e faʻatumauina le malosi o maso. Suiga i galuega, toe toleni maso, poʻo isi ituaiga togafitiga e ono fautuaina.

Atonu e mafai ona toe faʻaleleia atoatoa pe a fai o le mafuaʻaga o le faʻagaio o neura e mafai ona iloa lelei ma togafitia lelei.

Faʻafitauli e ono aofia ai:

• Faʻaletonu o le lima, tauʻau, poʻo le tauʻau faʻapipiʻi
• Faʻaletonu leiloa o lagona i le lima (le masani ai)
• Supa tauʻau vaega
• Faʻaauau manuʻa i le lima

Valaʻau mo se taimi atofaina ma lau tautua peʻa iai ni faʻailoga o le faʻaleagaina o neula o le axillary. O le vave iloa ma togafitiga e faʻateleina ai le avanoa e faʻatonutonu ai faʻailoga.

E fesuisuiai fua puipuiga, fuafua i le mafuaaga. Aloʻese mai le tuʻuina o le mamafa i lalo o le vaega o le underarm mo umi taimi. Ia mautinoa ia fetaui lelei togi, faʻasusu, ma isi masini. A e faʻaaogaina tootoo, aʻoaʻo pe faʻafefea ona aloese mai le faʻamalosi o le underarm.

Neuropathy - neura axillary

• Faʻaleagaina neula axillary

Steinmann SP, Elhassan BT. O neula faʻafitauli e fesoʻotaʻi ma le tauʻau. I: Rockwood CA, Matsen FA, Wirth MA, Lippitt SB, Fehringer EV, Sperling JW, eds. Rockwood ma Matsen's O Le Tauʻau. 5th ed. Filatelefia, PA: Elsevier; 2017: mata 18.

Taylor KF. Maileia mailei. I totonu: Miller MD, Thompson SR, eds. DeLee ma Drez's Orthopedic Sports Medicine: Mataupu Faavae ma Faʻataʻitaʻiga. 4th ed. Filatelefaia, PA: Elsevier Saunders; 2015: mata 58.