Ke pilikia nei ʻoe me kou ʻōnaehana nerve? E kamaʻilio kākou e pili ana i kahi neurologist!

ʻO ka ʻōnaehana nerve ka ʻōnaehana kupaianaha loa i loko o ko kākou kino. Hoʻomalu ia i nā mea a pau a kākou e noʻonoʻo ai, e manaʻo ai, a e hana ai. No laila, hiki i kahi pilikia liʻiliʻi i loko o kēia ʻōnaehana nerve ke hoʻopilikia i ko kākou lā holoʻokoʻa. Ua ʻike paha ʻoe i nā mea e like me ke poʻo ʻeha a me ka mae ʻana o kou mau lālā. ʻO ia ka manawa e pono ai kākou e noʻonoʻo e pili ana i kahi neurologist.

ʻO wai kēia loea neurologist?

I ka ʻōlelo maʻalahi, he kauka neurologist kahi e nānā, mālama, a mālama i nā maʻi e pili ana i ko mākou lolo, ke kaula spinal, a me nā aʻalolo ma loko o ko mākou kino . Ua like ka ʻōnaehana nerve me ke 'kikowaena kauoha' o ko mākou kino. ʻO nā mea a pau a mākou e noʻonoʻo ai, manaʻo ai, a hana ai, mai ke ʻano o ko mākou neʻe ʻana i ko mākou mau lima a hiki i ke ʻano o ka paʻi ʻana o ko mākou puʻuwai, ua hoʻomalu ʻia e kēia ʻōnaehana. No laila, ua maopopo i kēia mau kauka ke ʻano, ka hana, a me nā maʻi o ka ʻōnaehana nerve.

No laila, aia kekahi mau neurologists no nā keiki ʻōpio?

ʻAe, ʻoiaʻiʻo! Hiki i nā keiki ʻōpio ke loaʻa nā pilikia me ko lākou ʻōnaehana nerve. ʻO kahi neurologist pediatric he kauka nāna e nānā a mālama i nā maʻi o ka lolo a me ka ʻōnaehana nerve o nā keiki, mai nā keiki hānau hou a hiki i nā keiki ʻōpio. Me kekahi mau maʻi e hoʻopilikia ana i nā pākeke, nānā nui kēia mau kauka i nā kūlana hoʻoilina a me nā kūlana ulu e pili ana i nā keiki. E noʻonoʻo wale, hiki i kekahi mau pēpē ke hānau ʻia me kekahi mau pilikia lolo. ʻO ia ka manawa he waiwai nui kēia ʻike.

ʻO wai ke kauka lolo?

Hiki ke loaʻa kahi huikau iki ma ʻaneʻi. ʻElua mau kānaka like ʻole ka Neurologist a me ka Neurosurgeon. He kauka neurosurgeon ka mea nāna e hana i nā ʻokiʻoki ma ka lolo, ka iwi kuamoʻo, a me nā aʻalolo. Aia kekahi mau maʻi neurological ʻaʻole hiki ke ho'ōla ʻia me ka lāʻau lapaʻau wale nō a pono ke ʻoki ʻana. I ia mau hihia, pono nā lawelawe a kahi neurosurgeon. Eia nō naʻe, ʻo ka hapa nui o ka manawa, ʻo ia ka neurologist e ʻike mua i ka maʻi a, inā pono, e kuhikuhi i ka mea maʻi i kahi kauka ʻokiʻoki.

He aha nā ʻano maʻi e mālama ai ke kauka neurologist?

ʻO ka ʻoiaʻiʻo, he ākea loa ka laulā o nā maʻi a ke kauka neurologist e mālama ai. E nānā kākou i kekahi o nā mea koʻikoʻi loa.

• ʻO ka maʻi o Alzheimer a me nā dementia ʻē aʻe: Ua lohe paha ʻoe i kēia. ʻO ka hōʻailona nui ka nalowale mālie o ka hoʻomanaʻo i kou wā ʻelemakule.
• ALS (Amyotrophic Lateral Sclerosis): He maʻi kēia kahi e nāwaliwali mālie ai nā ʻiʻo o ke kino.
• ʻO nā ʻeha o ka lolo a me ke kaula kuamoʻo a i ʻole nā ​​​​​​kūlana ʻino o ke kīʻaha koko: Nā pilikia e hiki ke kū mai inā paʻi ʻoe i kou poʻo i kahi ulia a i ʻole inā loaʻa kekahi mea i kou kuamoʻo.
• ʻO nā Aneurysms Cerebral a me nā Arteriovenous Malformations: He mau kūlana weliweli loa kēia e hiki ai ke hoʻokahe i ke koko i loko o ka lolo.
• ʻO Cerebral Palsy a me Spasticity: Hiki ke ʻike pinepine ʻia kēia mau mea i ka wā ʻōpiopio.
• ʻŌpū haʻalulu: He hopena manawa pōkole ma ka lolo i hoʻokumu ʻia e ka hahau ʻana i ke poʻo. Hiki ke hana i kēia i ka wā e pāʻani ana i nā haʻuki.
• ʻEncephalitis: He maʻi i hoʻokumu ʻia e kahi germ e komo ana i ka lolo, e hoʻoulu ai i ka lolo e pehu.
• Epilepsy: Kāhea ʻia hoʻi he hopu ʻana, ua hana ʻia e kahi loli i ka hana uila o ka lolo.
• Nā maʻi ʻeha maka: Loaʻa i kekahi poʻe ka ʻeha hiki ʻole ke hoʻomanawanui ma kekahi ʻaoʻao o ko lākou alo.
• ʻEha poʻo/Migraines: He pilikia kēia i loaʻa i nā poʻe he nui. He koʻikoʻi loa kekahi mau ʻeha poʻo.
• Hydrocephalus: Ka hōʻiliʻili ʻana o ka wai i loko o ka lolo.
• Meningitis: ʻO ka mumū o nā membrane e hoʻopuni ana i ka lolo i hana ʻia e ka maʻi.
• Nā pilikia olakino noʻonoʻo a me ke ʻano: Hiki ke hoʻopili ʻia kekahi mau pilikia noʻonoʻo e nā loli i loko o ka ʻōnaehana nerve.
• Sclerosis lehulehu: He maʻi kēia e hōʻino ai i ka uhi pale a puni nā olonā nerve.
• ʻO Myasthenia Gravis a me Myopathies: ʻO kēia nā maʻi e hoʻonāwaliwali ai i nā ʻiʻo.
• ʻEha ʻāʻī, kua, a me ke kuamoʻo: Nui ka poʻe e ʻeha nei i kēia mau ʻeha.
• Maʻi o Parkinson: ʻO nā hōʻailona e komo pū me ka haʻalulu a me ka neʻe lohi.
• ʻO ka Neuropathy Peripheral: Ka hōʻino ʻana i nā aʻalolo ma nā lālā. Hiki ke hana kēia i nā poʻe me ka maʻi diabetes.
• Nā pilikia hiamoe: ʻO ka hiamoe pono ʻole hiki ke lilo i pilikia neurological.
• Hahau: He kūlana e kū mai ana i ka wā e haki ai ke kahe o ke koko i ka lolo a i ʻole e pohā ana kekahi kīʻaha koko.
• Haʻalulu, Dystonia: Nā haʻalulu i nā lālā, ka ʻūlū ʻana o nā ʻāpana o ke kino me ka makemake ʻole.
• ʻO nā puʻupuʻu i loko o ka lolo, ke kaula kuamoʻo, a me nā aʻalolo: Pono kēia i ka nānā ʻana o kahi neurologist.

Pehea e hiki ai i ke kauka neurologist ke ʻike pololei i kahi maʻi?

Ke ʻike ʻoe i kahi loea neurologist, e nīnau mua ʻo ia iā ʻoe e pili ana i kou mōʻaukala olakino, inā paha ua loaʻa i kekahi o kou ʻohana ke ʻano like, nā lāʻau lapaʻau āu e lawe nei, a me kāu mau hōʻailona o kēia manawa . A laila, e hana lākou i kahi hoʻokolokolo kūikawā o kou ʻōnaehana nerve. ʻO nā mea nui a lākou e nānā ai:

• Ke kaulike o kou kino, nā reflexes, a me ke ʻano hele.
• Ka ikaika o kou mau ʻiʻo.
• Kou kūlana noʻonoʻo.
• Kou ʻike, kou lohe, a me kou hiki ke ʻōlelo.
• NāuNā manaʻo kino.

Eia kekahi, hiki ke hana ʻia nā hoʻāʻo koko a me ka mimi e nānā i ke koʻikoʻi o ka maʻi a i ʻole e nānā i nā pae lāʻau lapaʻau. I kekahi manawa, hiki ke hana ʻia nā hoʻāʻo genetic e ʻike ai inā he maʻi hoʻoilina ka maʻi. Hiki ke hana ʻia nā haʻawina kiʻi e kiʻi i nā kiʻi o ka ʻōnaehana nerve. Hoʻohana ʻia kēia mau mea a pau e hoʻoholo ai i ke ʻano pololei o ka maʻi.

He aha nā hoʻokolohua a kēia mau neurologists e hana ai?

Aia nā ʻano hoʻokolohua like ʻole e hiki ke hoʻohana ʻia e ʻike pololei i kahi maʻi neurological. ʻAʻole pono nā kānaka a pau e loaʻa i kēia mau hoʻokolohua a pau. Na kāu kauka e hoʻoholo i nā hoʻokolohua e hana ai ma muli o kāu mau hōʻailona. E nānā kākou i kekahi o lākou.

• Angiography: Nānā kēia i nā mea e ālai ʻia ai, nā pōʻino, a i ʻole nā ​​mea ʻē aʻe i loko o nā kīʻaha koko i loko o kou lolo, ke poʻo, a me ka ʻāʻī. Hiki iā ia ke ʻike i nā mea e like me nā aneurysms a me nā ʻūpā koko.
• Biopsy: Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ke kino a nānā iā ia. Hiki ke lilo i ʻiʻo, aʻalolo, a i ʻole ka ʻiʻo lolo.
• Ka nānā ʻana i ka wai Cerebrospinal: Lawe ʻia kahi hāpana liʻiliʻi o ka wai e hoʻopuni ana i ko kākou lolo a me ke kaula spinal a hoʻāʻo ʻia. Kōkua kēia i ka ʻike ʻana i nā mea e like me ke kahe ʻana o ke koko i loko o ka lolo, ka maʻi, nā maʻi e like me ka sclerosis maha, a me nā maʻi metabolic.
• ʻO CT Scan (Computed Tomography - CT), MRI Scan (Magnetic Resonance Imaging - MRI), X-rays, a me Ultrasound: Ua lohe paha ʻoe i kēia mau mea. ʻO kēia nā ʻano scan e lawe i nā kiʻi o loko o ke kino.
• EEG (Electroencephalography - EEG): Ke ana kēia i ka hana uila i loko o kou lolo. Hoʻohana ʻia ia e ʻike i nā mea e like me nā hopu ʻana, nā maʻi (e like me ka encephalitis), nā ʻeha o ka lolo, a me nā puʻupuʻu.
• EMG (Electromyography - EMG): Ke ana kēia i ka hana uila o nā ʻiʻo. Hiki iā ia ke kōkua i ka ʻike ʻana i nā maʻi aʻalolo a me nā ʻiʻo, ke kaomi ʻana o ke kaula spinal, a me nā maʻi neuron motor e like me ka amyotrophic lateral sclerosis (ALS).
• ENG (Electronystagmography - ENG): Ke nānā nei kēia hui o nā hoʻokolohua i nā mea e like me nā neʻe ʻana o nā maka me ka makemake ʻole, ka poniuniu, a me nā pilikia kaulike.
• Nā Mana i Hoʻāla ʻia: Ke ana kēia i ka wikiwiki a me ka pololei o nā hōʻailona uila mai kou mau maka, pepeiao, a i ʻole ka pā ʻana o ka ʻili i ka lolo. Hiki iā ia ke ʻike i nā maʻi e like me ka sclerosis maha, ka neuroma acoustic, a me nā ʻeha o ke kaula spinal.
• Myelography: Kōkua kēia i ka ʻike ʻana i nā mea e like me nā ʻōpū, nā disks herniated, a me nā iwi haki i loko o ka ʻōiwi a me ke kaula spinal.
• Polysomnogram: Hoʻohana ʻia kēia e ʻike i nā maʻi pili i ka hiamoe ma ke ana ʻana i ka hana o ka lolo a me ke kino i ka wā hiamoe.
• ʻO ka nānā PET (Positron Emission Tomography - PET): Hōʻike kēia nānā i nā ʻōpū, a hoʻohana ʻia paha e loiloi i nā kūlana e like me ka maʻi epilepsy, nā ʻōpū o ka lolo, a me ka maʻi Alzheimer.
• ʻO ke scan SPECT (Single-Photon Emission Computed Tomography - SPECT): Hiki i kēia ke ʻike i nā puʻupuʻu a me nā maʻi. Hoʻohana ʻia hoʻi e loiloi i kahi o nā hopu ʻana, nā maʻi degenerative o ka iwi kuamoʻo, a me nā haki stress.
• Thermography: Ke ana kēia i nā loli o ka mahana i loko o ke kino a i ʻole kahi ʻōkana. Hoʻohana ʻia ia e loiloi i nā mea e like me nā ʻeha ʻeha, peripheral neuropathy, a me ke kaomi ʻana o ke aʻa nerve.

I ka manawa hea e pono ai mākou e ʻike i kahi neurologist?

ʻAe, ke noʻonoʻo nei paha ʻoe, 'He aha nā hōʻailona e pono ai iaʻu e ʻike i kēia kauka?' Aia kekahi mau hōʻailona e pono ai mākou e hopohopo i ka wā e ʻike ai mākou iā lākou. E nānā inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• Poho ka hoʻomanaʻo, poina pinepine: Inā poina pinepine ʻoe i nā mea liʻiliʻi, ʻaʻole ia he mea maʻamau.
• Nalowale o ka ʻike: Inā nalowale koke kou ʻike a hāʻule.
• Nā ʻūhū: ʻO nā hōʻailona e komo pū me ka ʻūhū a me ka wai kahe.
• Nā loli i ka ʻono a me ke ʻala: Inā nalowale koke kou hiki ke ʻono a honi paha i ka meaʻai.
• Nā pilikia ʻike: Makapō kekahi maka, makapō ʻelua, me he mea lā ua pōwehiwehi ka ʻike.
• ʻO ka mae, ke ʻāʻī ʻana ma nā lālā: Inā manaʻo ka lima a i ʻole ka wāwae he mae, me he mea lā ua pau ke kahe ʻana o ke koko, a inā paha e like me nā kui a me nā nila.
• ʻAʻohe like o ka helehelena: Inā ʻokoʻa kekahi ʻaoʻao o ka maka mai kekahi ʻaoʻao (e.g., kūlou kekahi maka, ʻaʻole hiki ke minoʻaka pono).
• Vertigo, Tinnitus, a me ke kuli: Inā loaʻa iā ʻoe ka dizziness pinepine, ke kani ʻana i nā pepeiao, a i ʻole ka emi ʻana o ka lohe.
• Paʻakikī ke ale ʻana, ka leo hū, ka paʻakikī ke hāpai i nā poʻohiwi, ka hoʻohuli ʻana i ka ʻāʻī, a me ka paʻakikī ke hoʻoneʻe i ke alelo.
• Nāwaliwali o nā ʻiʻo, ʻūlū ʻana o nā ʻiʻo, ʻūlū ʻana.
• ʻO ka ʻeha e like me ka ʻeha e wela ana ma kekahi wahi o ke kino, a i ʻole e like me ka haʻalulu uila.
• ʻEha ʻāʻī a i ʻole ke kua, nā ʻeha poʻo: Inā hana pinepine kēia mau mea a i ʻole he koʻikoʻi.
• Ke hele wāwae ʻana a me ka nalowale o ke kaulike i ka wā e hele ana.
• Nā haʻalulu.
• Nā neʻe lohi.

He mea nui: Inā loaʻa iā ʻoe kekahi a ʻelua paha o kēia mau hōʻailona, ​​mai hopohopo. Eia nō naʻe, ʻoi aku ka maikaʻi o ka ʻike ʻana i kahi kauka lapaʻau no ka ʻōlelo aʻo. Hiki iā ia ke kuhikuhi iā ʻoe i kahi neurologist inā pono.

Pehea ʻoe e hoʻomākaukau ai i ka wā e hele ai ʻoe e ʻike i ke kauka neurologist?

Ke hele ʻoe e ʻike i ke kauka, ʻoiai kekahi e like me ke kauka neurologist, he mea maikaʻi loa ia nou ke mākaukau. Eia kekahi mau mea hiki iā ʻoe ke hana:

• E hana i kahi papa inoa o nā mea nui loa āu e makemake ai e kamaʻilio me kāu kauka. I kekahi manawa poina iā mākou ka mea a mākou e makemake ai e nīnau i ke kauka.
• E haʻi mai iaʻu e pili ana i nā loli hou i kou olakino laulā.
• E wehewehe i nā hōʻailona hou āu i loaʻa ai a i ʻole nā ​​​​loli i nā hōʻailona āu i loaʻa ai. Inā hiki, e mālama i kahi puke moʻolelo hōʻailona . E kākau i lalo i ka manawa a pehea i hana ʻia ai, pehea ka lōʻihi o ko lākou mau ʻana, pehea ke koʻikoʻi o lākou, inā paha he mea i hoʻonui iā lākou, he aha nā hōʻailona, ​​​​a me nā mea āu i hana ai e hōʻoluʻolu iā lākou. He mea nui loa kēia no nā maʻi e like me ka maʻi epilepsy, insomnia, headache, a me ka maʻi Parkinson.
• E lawe i nā kope o nā hoʻokolohua i hana ʻia e nā kauka ʻē aʻe, nā CD me nā scans, a me nā hōʻike lab.
• E lawe mai i kahi papa inoa o nā lāʻau lapaʻau āpau, nā huaora, nā mea hoʻohui, a me nā lāʻau lapaʻau kuʻuna āu e lawe nei. Eia kekahi, e haʻi mai iā mākou e pili ana i nā lāʻau lapaʻau i hana ʻole iā ʻoe ma mua a i ʻole i hoʻoulu i nā hopena ʻaoʻao.
• E lawe mai i kahi papa inoa o kāu mau maʻi allergies.
• Inā hiki, e lawe pū me ʻoe i kahi hoaaloha a ʻohana paha. Hiki iā lākou ke kākau i lalo i ka ʻōlelo a ke kauka, hoʻolohe iā ia mai kahi kuanaʻike ʻelua, nīnau i nā nīnau, a hoʻomanaʻo iā ʻoe e hoʻonohonoho i nā manawa hoʻopaʻa.
• Inā makemake ʻoe e kamaʻilio e pili ana i kekahi mau pilikia ʻē aʻe, e noi mai inā hiki iā mākou ke hoʻokaʻawale i kahi manawa ʻokoʻa no ia mea.

ʻEhia ka lōʻihi o ke aʻo ʻana e lilo ai i ʻano loea?

He mea maikaʻi hoʻi ke ʻike i kēia. ʻAʻole hiki ke hana maʻalahi ka lilo ʻana i loea neurologist. He lōʻihi ka manawa e aʻo ai a hoʻomaʻamaʻa.

• Ma hope o ka hala ʻana i nā hoʻokolohua Ordinary Level a me Advanced Level, pono ʻoe e hoʻopau i ke kēkelē lapaʻau ma ke kulanui ma kahi o ʻehā a ʻelima mau makahiki.
• A laila pono ʻoe e hoʻopau i kahi internship hoʻokahi makahiki.
• Ma hope o kēlā, pono ʻoe e hele i ʻekolu a ʻehā mau makahiki o ke aʻo kūikawā (residency) ma ka neurology.
• Hele kekahi i kahi mamao aku a loaʻa i hoʻokahi makahiki a ʻelua paha o ke aʻo kūikawā (Fellowship) ma kahi subspecialty ʻē aʻe o ka neurology.

No laila hiki iā ʻoe ke ʻike, pono ʻoe e hoʻolaʻa i nā makahiki he 10-12 ma mua o kēia.

He aha nā kahua ʻē aʻe i loaʻa i ka neuroscience?

He kahua ākea loa ka Neurology. Loaʻa iā ia nā kahua subspeciality e ʻae ai i ka hoʻomaʻamaʻa hou ʻana. Eia kekahi mau laʻana:

• Lāʻau lapaʻau no ka hōʻeha ʻana o ka lolo
• ʻO ka neurology o ke keiki - Ua kamaʻilio mua mākou e pili ana i kēia.
• ʻO ka neurophysiology lapaʻau - ʻIke loea i nā hoʻokolohua e like me EEG a me EMG.
• ʻEpilepsy
• Lāʻau lapaʻau ʻeha poʻo
• ʻO ka neurology Geriatric - E pili ana i nā maʻi neurological i ka poʻe ʻelemakule.
• Nā kīnā neurodevelopmental - nā pilikia ulu e kū mai ana i ka wā kamaliʻi.
• Lāʻau ʻeha
• Lāʻau hiamoe
• ʻO ka neurology vascular - e pili ana i nā maʻi e like me ka hahau ʻana.

He nui aku nā mea e like me kēia. ʻO ia hoʻi, e loaʻa paha iā ʻoe ke kauka loea i kahi pilikia kikoʻī āu e loaʻa nei.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

No laila, ua maopopo iā ʻoe i kēia manawa he kanaka neurologist ka mea nāna e nānā, mālama, a mālama i nā maʻi e pili ana i ko kākou lolo, ke kaula kuamoʻo, a me nā aʻalolo.

Inā loaʻa iā ʻoe kekahi mau hōʻailona e pili ana i ka ʻōnaehana nerve, mai hoʻowahāwahā iā lākou. ʻO ka mea mua, e ʻike i kāu kauka ʻohana. Hiki iā ia ke kuhikuhi iā ʻoe i kahi neurologist inā pono.

Ke hele ʻoe e ʻike i ke kauka, e mākaukau, e wehewehe i kāu mau kikoʻī āpau, a mai makaʻu e nīnau. Aia ke kauka neurologist e nānā i kou kūlana, hāʻawi i ka lāʻau lapaʻau maikaʻi loa, a hāʻawi iā ʻoe i ka hōʻoluʻolu. ʻAʻole ʻoe hoʻokahi, a aia nā kauka e hiki ke kōkua iā ʻoe ma kēia huakaʻi.

ʻO ke kauka lolo, nā maʻi lolo, nā maʻi lolo, nā ʻeha poʻo, ka maʻi epilepsy, ka hahau ʻana