Ua noʻonoʻo paha ʻoe pehea e hiki ai i nā manaʻo ma ke kua o kou wāwae, ʻoi aku hoʻi ma ka kuʻekuʻe wāwae a me ka manamana wāwae - ka pā ʻana, ka wela, ke anu, ka ʻeha - i kou lolo? A i ʻole pehea ʻoe e ʻike ai i kahi o kou mau wāwae ke hele ʻoe? I kēia lā e kamaʻilio mākou e pili ana i kahi ʻāpana liʻiliʻi akā koʻikoʻi loa o ko mākou kino e kōkua ana i kēia mau mea āpau. ʻO ia ke aʻalolo sural.
He aha ke aʻalolo sural? Aia ma hea ia?
I ka ʻōlelo maʻalahi, ʻo kou aʻalolo sural he aʻalolo e holo ana ma lalo o ka ʻili i loko o kou ʻūhā, ma lalo pono o ke kuli, ma ke kua o kou wāwae. He ʻāpana ia o kā mākou ʻōnaehana nerve peripheral . ʻO kēia ʻōnaehana nerve peripheral ka mea e lawe i ka ʻike mai ko mākou lolo ma o ko mākou kino, e lawe ana i ka ʻike mai nā ʻāpana like ʻole o ke kino a hoʻihoʻi iā ia i ko mākou lolo. Hana ia e like me kahi pūnaewele kelepona.
No laila, he "nerve sensory " kēia aʻalolo sural. ʻO ia hoʻi, hoʻouna ia i nā leka i ka lolo e pili ana i ka mea a ko kākou ʻili e manaʻo ai. E like me ka mea inā paʻi kekahi mea i kou wāwae, manaʻo ʻoe, "Auē, paʻi kekahi mea ma ʻaneʻi," ma muli o kēia ʻano aʻalolo.
He aha ka hana a ke aʻalolo sural? Pehea ia e kōkua ai iā mākou?
Aia kekahi mau lawelawe a mākou e loaʻa ai mai kēia aʻalolo. E nānā kākou i ke ʻano o lākou.
Ke lawe mai nei i nā manaʻo
ʻO ka hana nui o ke aʻalolo sural ka lawe ʻana i nā manaʻo. ʻO ia hoʻi:
- Hoʻopā: Ke hoʻopā kekahi mea i ke kua o kou wāwae, kou kuʻekuʻe wāwae, a i ʻole ka ʻaoʻao o waho o kou wāwae, ʻike ʻoe iā ia, ʻeā? Kōkua kēia aʻalolo i kēlā.
- Ke kūlana o ka wāwae: Ke kū ʻoe a hele, loaʻa iā ʻoe kekahi ʻike i ke kūlana o kou wāwae. He mea kōkua pū ke aʻalolo sural i kēia.
- Mahana: Ke wela a anu paha ka wāwae, hele pū ia i ka lolo ma o kēia aʻalolo.
- ʻEha: ʻAuē, ʻo kēia aʻalolo ke kuleana no ka ʻeha a mākou e ʻike ai i ka wā e hahau ʻia ai, ʻoki ʻia, a palapū paha ko mākou mau wāwae. He hōʻailona koʻikoʻi ka ʻeha e hoʻomaopopo iā mākou i ka pōʻino.
- Haʻalulu: Inā haʻalulu kekahi mea, kōkua pū kēia aʻalolo i ka ʻike ʻana i kēlā haʻalulu.
ʻO ka mea nui, ʻo kāu:
- Mai ke kuli a i ke kua o ka wāwae lalo
- I waho o ka wāwae
- I waho o ke kuʻekuʻe wāwae
- I ka ʻāpana kuʻekuʻe wāwae
ʻO kēia aʻalolo sural ka mea e hāʻawi ai i ka manaʻo.
Kōkua i ka mālama ʻana i ke kaulike
Ke noʻonoʻo nei paha ʻoe pehea e kōkua ai kēia aʻalolo liʻiliʻi i ke kaulike. Eia ke ʻano o kona kōkua ʻana i ka mālama ʻana i ke kaulike o ko mākou kino ma ka hoʻouna ʻana i ka ʻike i ka lolo e pili ana i nā mea e like me ke ʻano o ka pili ʻana o ko mākou mau wāwae me ka honua a me ke kaomi o ko mākou mau wāwae.
He haʻawina i ka hōʻoia a me ka mālama ʻana i nā maʻi neurological ʻē aʻe
He mea kupanaha paha kēia. Hiki ke hoʻohana ʻia kou aʻalolo sural i kekahi manawa e ʻike a mālama i nā maʻi pili i ke aʻalolo ʻē aʻe.Hoʻohana wau ia. Ua ʻike anei ʻoe pehea?
No nā hoʻokolohua biopsy
I kekahi manawa, paʻakikī i nā kauka ke hoʻoholo pono i ke ʻano o ka maʻi aʻalolo. No laila, ʻo kā lākou hana, ʻo ia ke lawe i kahi ʻāpana liʻiliʻi o ke aʻalolo a hoʻāʻo iā ia ma kahi keʻena hoʻokolohua. Ua kapa ʻia kēia he "Biopsy". No laila, koho pinepine ʻia ke aʻalolo sural no kēia ʻano "Biopsy". Aia kekahi mau kumu no kēia:
- Kokoke loa kēia aʻalolo i ka ʻili, no laila he maʻalahi ke loaʻa.
- Ma hope o ke ʻoki ʻana, e ho'ōla koke ʻia ka wahi i wehe ʻia ai kēia aʻalolo, a he kakaikahi nā pilikia nui.
Hiki i nā kauka ke hoʻoholo e hana i kahi biopsy nerve sural inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:
- ʻAmyloidosis AL (kaula māmā): ʻO kēia ka wā e hōʻiliʻili ai kahi protein ʻano ʻē i loko o ke kino a hoʻopilikia i nā ʻōnaehana like ʻole, me nā aʻalolo.
- Vasculitis: ʻO kēia ka mumū o nā kīʻaha koko.
- Nā maʻi aʻalolo peripheral ʻē aʻe i paʻakikī ke ʻike.
E noʻonoʻo i ka nui o ke kōkua o kahi hoʻokolohua liʻiliʻi e like me kēia ke hiki ʻole ke ʻike pono ʻia kekahi mau maʻi. Akā hana ʻia kēia ma ka manaʻo o ke kauka.
No ke kāpili ʻana i nā aʻalolo
I kekahi manawa, ma muli o kahi ulia a i ʻole kekahi kumu ʻē aʻe, hiki ke hōʻino ʻia kahi aʻalolo koʻikoʻi i loko o ko kākou kino. A laila, hana nā kauka e hoʻoponopono i ke aʻalolo i hōʻino ʻia a hoʻoili paha i kahi aʻalolo hou ma kona wahi. Ua kapa ʻia kēia ʻo Nerve Grafting. No laila, no ia ʻano hoʻoili ʻana, pono kahi ʻāpana olakino o ke aʻalolo. I kēlā hihia, hoʻohana ʻia nō hoʻi ka Sural Nerve. No ka mea, hiki ke loaʻa kahi hāpana ʻiʻo lōʻihi mai kēia aʻalolo.
Eia kekahi mau hihia kahi e hoʻohana ʻia ai ke kāpili ʻana o ke aʻalolo sural:
- Nā ʻeha o ka plexus Brachial: ʻO kēia nā ʻeha o ke aʻalolo e hoʻopilikia ai i ka poʻohiwi, lima, a i ʻole nā manamana lima.
- ʻO nā ʻeha Sciatica a i ʻole peroneal nerve: ʻO kēia nā ʻeha aʻalolo e hoʻopilikia ai i ka wāwae, kuʻekuʻe wāwae, a i ʻole ka wāwae.
- ʻO ka hana ʻino ʻana o Erectile: I kekahi mau hihia, mālama ʻia kēia ʻano me nā grafts nerve.
- ʻO ka maʻi lolo maka: Ke hōʻino ʻia nā aʻalolo maka, hiki ke kulou kekahi ʻaoʻao o ka maka. Hiki ke mālama ʻia kēia me kahi sural nerve graft.
- ʻO keratitis neurotrophic: He maʻi laha ʻole kēia e hoʻopilikia ai i nā aʻalolo optic.
E ʻike i ka nui o ke kōkua o kēia aʻalolo liʻiliʻi!
Pehea ke ʻano o ke aʻalolo sural? Pehea kona ʻano?
Hoʻomaka ke aʻalolo sural ma ke poʻo o kou puʻupuʻu. Hoʻokumu ʻia ia e ka hui ʻana o ʻelua mau aʻalolo nui. A laila hele ia i lalo ma ke kua o kou wāwae, piʻo a puni kou kuʻekuʻe wāwae, a hoʻopau ma mua pono o kou mau manamana wāwae.
ʻO nā aʻalolo ʻelua e kōkua i ke kūkulu ʻia ʻana o ke aʻalolo sural:
- ʻO ke aʻalolo Tibial: Hāʻawi kēia i ka manaʻo a me ka neʻe ʻana i ke kua o ka wāwae a me ka wāwae.
- ʻO ke aʻalolo fibular maʻamau (aʻalolo peroneal maʻamau): Hāʻawi kēia i ka manaʻo a me ka neʻe ʻana i nā ʻiʻo o ka wāwae, ma hope pono o ke kuli.
Aia i loko o ke aʻalolo sural nā olonā lahilahi loa, e like me ke kaula (`axons`). Hoʻopili ʻia kēia mau olonā i ke ʻano o nā `pūʻolo nerve`, i uhi ʻia i kahi mea momona i kapa ʻia ʻo `myelin` . Hele kēia mau pūʻolo nerve i luna a pili i ke kaula spinal. ʻO kēia pūnaewele o nā ʻiʻo nerve ka mea e hiki ai i nā hōʻailona nerve ke hele wikiwiki loa i ka lolo a mai laila mai.
He aha nā maʻi e hoʻopilikia ai i ke aʻalolo sural?
E like me nā aʻalolo ʻē aʻe, aia kekahi mau kūlana a me nā maʻi e hiki ke hoʻopilikia i ke aʻalolo sural.
- ʻO ka neuropathy pili i ka maʻi diabetes: Ke loaʻa iā ʻoe ka maʻi diabetes, hiki ke hōʻino ʻia nā aʻalolo ma muli o ke kiʻekiʻe o ke kō koko i ka wā lōʻihi. ʻO ke aʻalolo sural ka aʻalolo i hoʻopilikia pinepine ʻia.
- Ka paʻa ʻana o ke aʻalolo sural (a i ʻole ke aʻalolo i ʻomi ʻia): I kekahi manawa hiki ke ʻomi ʻia ke aʻalolo ma muli o ka mānoanoa o nā ʻiʻo a puni ke ala o ke aʻalolo. E like me ka wā e ʻomi ʻia ai kahi paipu wai, lilo ia i mea paʻakikī no ke kahe ʻana o ka wai. Hiki i kēia ke hōʻeha ma ke aʻalolo sural.
- Nā ʻeha haʻuki: He ʻeha maʻamau ka ʻeha kuʻekuʻe wāwae i waena o nā mea pāʻani. Ke loaʻa kahi ʻeha, neʻe ke ami mai kona kūlana maʻamau. Hiki i kēia ke hōʻino i ke aʻalolo sural. Eia kekahi, i kekahi manawa ʻo nā kāmaʻa a mākou e ʻaʻahu ai i ka wā e pāʻani ana i nā haʻuki hau a i ʻole nā kāʻei kuʻekuʻe wāwae o ka noho lio a mākou e hoʻohana ai i ka wā e holo lio ai i nā lio ua paʻa loa hiki ke hōʻino i kēia aʻalolo. E noʻonoʻo e like me ka wā e ʻaʻahu ai mākou i nā kāmaʻa paʻa, mae wale ko mākou mau wāwae.
- Nā pilikia ʻoki kino: I kekahi manawa, hiki ke hōʻeha ʻia ke aʻalolo sural e nā mea hana i hoʻohana ʻia i ka wā o ke ʻoki kino. A i ʻole, hiki ke loaʻa nā pilikia ke paʻa nā wili, e like me nā mea i hoʻohana ʻia e hoʻoponopono i kahi haki nui ma ka wāwae, i loko o ke aʻalolo.
Pehea e pale ai iā ʻoe iho mai ka ʻeha a me ka pōʻino o ke aʻalolo surural?
E like me ko kākou mālama ʻana i ko kākou olakino, pono nō hoʻi kākou e noʻonoʻo e pili ana i ka pale ʻana i kēia aʻalolo makamae. Eia kekahi mau mea hiki iā kākou ke hana:
- Inā loaʻa iā ʻoe ka maʻi diabetes, he mea nui loa ka mālama ʻana i kou pae kō koko i kahi pae olakino, no ka mea, hiki iā ia ke hōʻemi i ka pōʻino i kou mau aʻalolo i hoʻokumu ʻia e ka maʻi diabetes.
- E koho i nā kāmaʻa ʻoluʻolu a kūpono hoʻi no nā haʻuki a me ka hele wāwae. E hoʻololi i kou mau kāmaʻa ke pau lākou.
- Inā ʻoe e puhipaka, e hoʻōki. ʻAʻole maikaʻi ka hoʻohana ʻana i nā huahana paka no kou mau aʻalolo.
- E ʻai i ka meaʻai momona i ka wikamina D a me ka wikamina B12. Kōkua kēia mau wikamina i ka mālama ʻana i nā aʻalolo olakino.
I ka manawa hea ʻoe e ʻike ai i ke kauka no kahi pilikia e pili ana i ke aʻalolo sural?
Inā ʻike ʻoe i kekahi ʻeha ma kou wāwae haʻahaʻa a i ʻole ma waho o kou wāwae, mai hoʻowahāwahā iā ia. ʻOi aku ka maikaʻi o ke kipa ʻana i ke kauka no ka ʻōlelo aʻo.
E makaʻala loa inā loaʻa iā ʻoe kēia mau hōʻailona:
- Inā manaʻo ia e like me ke kuni.
- Inā manaʻo ʻoe ua nalowale kou manaʻo a ua mae paha.
- Inā manaʻo ʻoe he hypersensitivity i ka hoʻopā ʻana (me he mea lā he ʻeha).
- Inā he ʻeha ʻoi, ʻeha hou, a ʻeha palupalu paha e hoʻomau nei.
- Inā he ʻūlū a mae paha, e like me nā ʻanuʻu e holo ana a puni a i ʻole nā pinepine.
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ma muli paha ia o kahi pilikia me ke aʻalolo sural. No laila, ʻo ka ʻimi ʻana i ke aʻo lapaʻau e hiki ke kōkua iā ʻoe e loaʻa koke ka lāʻau kūpono.
Leka Lawe-Home
ʻAe, e hoʻomanaʻo kākou i kekahi o nā mea nui a mākou i kamaʻilio ai i kēia lā e pili ana i ke Aʻalolo Sural:
- ʻO ke aʻalolo sural kekahi ʻāpana o kā mākou ʻōnaehana nerve peripheral . Hāʻawi ia i ka manaʻo i ko mākou wāwae haʻahaʻa a me kekahi mau ʻāpana o ko mākou wāwae.
- Hiki ke hoʻopilikia ʻia kēia aʻalolo e nā kūlana olakino like ʻole, e like me ka maʻi diabetes a me nā ʻeha haʻuki.
- Ma muli o ka lōʻihi a me ka hiki ke hana hou ʻia ke aʻalolo sural, kūpono loa ia no ka biopsy aʻalolo a me ka hoʻopili ʻana i nā aʻalolo.
- Inā ʻoe e ʻeha ana a i ʻole kekahi ʻano ʻē aʻe e pili ana i ke aʻalolo sural, e ʻike pono i ke kauka. ʻOi aku ka maʻalahi o ka mālama ʻana i ka ʻike mua ʻana.
No laila, ke lana nei koʻu manaʻo ua ʻike nui ʻoe e pili ana i kēia aʻalolo sural liʻiliʻi akā koʻikoʻi loa i loko o kou kino. E noho olakino!
ʻO ke aʻalolo Sural, nā aʻalolo ma ka wāwae, ka mae ʻana o ka wāwae, ʻeha o ke aʻalolo, biopsy o ke aʻalolo, hoʻoili aʻalolo, hōʻino ʻana o ke aʻalolo ma muli o ka maʻi diabetes, ʻeha ma ke kuli
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