ʻEhia mau mea e hana ʻia ana i loko o ko kākou kino me ka ʻike ʻole ʻia? ʻAʻole mākou e noʻonoʻo mau i nā mea e like me ka hanu ʻana, ka puʻuwai, ka ʻai ʻana, a me ka kaohi ʻana i ka mahana o ke kino. Hana koke kēia mau mea, e like me ka ʻōnaehana auto-pilot o ke kaʻa. ʻO nā mea āpau e hana koke ʻia ana e hoʻomalu ʻia e kahi ʻāpana kūikawā o kā mākou ʻōnaehana nerve. Akā, he aha ka mea e hana ʻia inā ua hōʻino ʻia kēia ʻōnaehana nerve ma muli o kekahi mau maʻi? ʻO ia ka manawa e hoʻomaka ai kēia kaohi aunoa e hele hewa. ʻO ka 'Autonomic Neuropathy', a mākou e kamaʻilio nei i kēia lā, e pili ana i ia ʻano.
He aha kēia Neuropathy Autonomic?
I ka ʻōlelo maʻalahi, ʻo ka 'Autonomic Neuropathy' ka hōʻino ʻia ʻana o nā aʻalolo e kāohi ana i nā hana ponoʻī o ko mākou kino. Ua kapa ʻia kēia mau aʻalolo ʻo ka 'Autonomic Nervous System'. ʻO kēia mau aʻalolo, me ko mākou lolo a me ke kaula kuamoʻo, e kāohi ana i ka hana o nā ʻōpū nui e like me ka puʻuwai, ka ʻōpū, nā ʻōpū, a me ka ʻōpū mimi.
E noʻonoʻo wale, ʻoiai nā mea e like me nā pōʻai ʻeleʻele i kou mau maka e ulu nui ana ke komo ʻoe i loko o kahi lumi pouli, a i ʻole ka waha e honi ana ke honi ʻoe i kahi meaʻai ʻono, ua kāohi ʻia e kēia ʻōnaehana. No laila, ke hōʻino ʻia kēia mau aʻalolo, ʻaʻole hana pono kēia mau mea hana. ʻO nā mea nui e hiki ke hoʻopilikia ʻia:
- Ke koko
- Ka helu o ka puʻuwai
- ʻO ka hoʻoheheʻe ʻana
- Mimi ʻana
- Nā neʻe ʻana o ka ʻōpū
- Ka hoʻomalu ʻana i ka mahana o ke kino
- Hana moekolohe
He aha nā hōʻailona o kēia?
ʻO nā hōʻailona āu e ʻike ai e pili ana i nā aʻalolo i hoʻopilikia ʻia. Hiki ke ʻokoʻa nā hōʻailona mai kēlā kanaka a kēia kanaka. E nānā kākou i nā hōʻailona nui.
| ʻŌnaehana i hoʻopilikia ʻia | Nā hōʻailona hiki ke loaʻa |
|---|---|
| ʻŌnaehana hoʻoheheʻe | Ka maʻi kahe, ka paʻa ʻana o ka ʻōpū, ka manaʻo piha ʻoiai ma hope o ka ʻai ʻana i kahi meaʻai liʻiliʻi, ka luaʻi ʻana, ka luaʻi ʻana o ka meaʻai i ʻeli ʻole ʻia, ka paʻakikī i ke ale ʻana, a me ka ʻeha o ka umauma. |
| Puʻuwai a me nā kīʻaha koko | Ka poniuniu a i ʻole ka māʻule ʻana i hoʻokumu ʻia e ka emi koke ʻana o ke koko i ke kū ʻana, ka wikiwiki o ka puʻuwai (ʻoi aku hoʻi i ka wā hoʻoikaika kino), ke koko kiʻekiʻe. |
| ʻŌnaehana mimi | Paʻakikī ka mimi ʻana, hiki ʻole ke kāohi i ka mimi, hiki ʻole ke hoʻokahe loa i ka ʻōpū mimi, nā maʻi pinepine o ke ala mimi. |
| Mahana kino | Ka hou ʻana i ka pō, ka hou nui a liʻiliʻi loa paha, ka hou ʻana i ka wā e ʻai ana. |
| Hana moekolohe | Loaʻa i nā kāne ka paʻakikī o ka loaʻa ʻana o kahi kūkulu ʻana, ʻike nā wahine i ka maloʻo o ka ʻōpū, ka emi ʻana o ka makemake i ka moekolohe, a me nā pilikia e hoʻokō ai i ka orgasm. |
| Nā māmā a me ka ʻike | Paʻakikī ka hanu ʻana, paʻakikī ka hoʻololi ʻana i ka ʻike i ka hele ʻana mai kahi mālamalama a i kahi pouli, paʻakikī ka hoʻokele ʻana i ka pō. |
ʻIke ʻole i ka maʻi diabetes a me ka Hypoglycemia
Inā loaʻa i kahi kanaka me ka maʻi diabetes ka 'Autonomic Neuropathy', hiki ke loaʻa kekahi pilikia koʻikoʻi. ʻO ia hoʻi, ʻaʻole ʻike i nā hōʻailona hōʻailona o nā pae kō koko haʻahaʻa weliweli (Hypoglycemia). Kāhea nā kauka i kēia ʻo 'Hypoglycemia Unawareness'.
ʻO ka maʻamau, inā hana pono kāu ʻōnaehana nerve autonomic, ke hāʻule haʻahaʻa loa kou kō koko, e ʻike ʻoe i nā hōʻailona e like me ka haʻalulu, ka hou ʻana, a me ka puʻuwai wikiwiki. ʻO kēia nā "hōʻailona aʻo" a kou kino e hāʻawi ai iā ʻoe. Eia nō naʻe, ʻaʻole paha e ʻike kekahi me Autonomic Neuropathy i kēia mau hōʻailona aʻo.
He kūlana weliweli loa kēia no ka mea, inā ʻaʻole ʻoe e ʻike e emi ana ke kō o kou koko, hiki iā ʻoe ke maʻule, nalowale ka ʻike, a i ʻole e loaʻa nā hopena ʻino aʻe.
Inā loaʻa iā ʻoe kēia ʻano 'Hypoglycemia Unawareness', e haʻi aku kāu kauka iā ʻoe e nānā pinepine i kou pae kō koko. Hiki iā lākou ke paipai i ka hoʻohana ʻana i kahi 'Continuous Glucose Monitor', kahi e ana pinepine ai i kou pae kō koko a kani i kahi alarm inā hāʻule.
He aha nā kumu o kēia kūlana?
ʻO ke kumu nui a maʻamau o kēia hōʻino ʻana o ke aʻalolo, ʻo ia ka maʻi diabetes . I ka hala ʻana o ka manawa, hiki i ka maʻi diabetes i kāohi ʻole ʻia ke hōʻino i kēia mau aʻalolo. Ma waho aʻe o kēlā, hiki ke loaʻa kekahi mau kumu ʻē aʻe.
- Maʻi diabetes: Ke kumu nui.
- Nā maʻi Autoimmune: Nā maʻi kahi e hoʻouka ai ka ʻōnaehana pale ponoʻī o ke kino i nā aʻalolo. ʻO nā laʻana e komo pū me ka 'Rheumatoid Arthritis', 'Lupus', 'Guillain-Barré syndrome'.
- Kekahi mau maʻi: Nā maʻi e like me ka maʻi HIV a me ka maʻi Lyme.
- Nā maʻi ʻē aʻe: ka maʻi o Parkinson, amyloidosis, kahi maʻi kahi e hoʻokumu ʻia ai nā waihona protein maʻamau ʻole.
- Kekahi mau lāʻau lapaʻau i hāʻawi ʻia no ka maʻi kanesa: Kekahi mau lāʻau chemotherapy.
- Ka inu nui ʻana i ka waiʻona.
- Nā ʻoki kino a i ʻole nā ʻeha ma ke kuamoʻo.
- Ka ʻike ʻia ʻana i nā kemika: No ka laʻana, nā metala kaumaha.
- Kekahi mau maʻi hoʻoilina.
Pehea e ʻike ai i ka maʻi?
ʻAʻohe hoʻāʻo hoʻokahi e ʻike ai i kēia maʻi. E hoʻolohe mua kāu kauka i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino. A laila, e paipai paha lākou i kekahi mau hoʻāʻo koko e ʻike i ke kumu.
- E nānā no ka maʻi diabetes.
- E nānā no nā maʻi autoimmune ʻē aʻe.
- E nānā no nā maʻi e like me ka maʻi HIV.
Eia kekahi, hiki ke hana ʻia nā hoʻokolohua kūikawā ʻē aʻe ma muli o nā hōʻailona:
- Hoʻāʻo papa hoʻohiolo: Moe ʻoe ma luna o kahi mea e like me ka moena a hāpai mālie ʻia kou kino o luna me he mea lā e kū ana ʻoe. Nānā ʻia kou koko a me ka helu o ka puʻuwai. He mea pono loa kēia no ka poʻe i poniuniu ke kū lākou.
- Hoʻāʻo Quantitative Sudomotor Axon Reflex (QSART): Hoʻāʻo kēia i ka hana ʻana o kāu mau kelepa hou me ka hoʻohana ʻana i kahi au uila liʻiliʻi loa.
- Nā hoʻāʻo Urodynamic: Nā hoʻāʻo e nānā i ka maikaʻi o ka mālama ʻana a me ka hoʻokahe ʻana o ka mimi i ka ʻōpū mimi.
- ʻO ke scan Ultrasound: Kōkua kēia i ke kiʻi ʻana i nā kiʻi o loko o nā ʻōpū e like me ka ʻōpū mimi a ʻike pono i ke kumu o ka pilikia.
- Hoʻāʻo hoʻokahe ʻōpū: He hoʻāʻo e nānā ai no ka ʻai ʻana i kūpono ʻole, ʻoiai ka lohi o ka hoʻokahe ʻōpū (Gastroparesis).
Pehea e mālama ʻia ai?
ʻO ka lāʻau lapaʻau nui ma ʻaneʻiKe mālama ʻana i ka maʻi kumu i hoʻopilikia ai i ke aʻalolo. No ka laʻana, inā loaʻa iā ʻoe ka maʻi diabetes, pono ʻoe e kaohi i kou pae kō koko ma o ka ʻai ʻana, ka hoʻoikaika kino, a, inā pono, ka lāʻau lapaʻau. Inā he maʻi autoimmune ia, pono ʻoe e loaʻa ka lāʻau no ia.
I ka manawa like, e paipai pū ke kauka i nā mea like ʻole e kāohi i nā hōʻailona i kū mai.
Mea nui: E kūkākūkā mau me kāu kauka ma mua o ka hahai ʻana i kekahi lāʻau lapaʻau a ʻano hana paha i ʻōlelo ʻia ma ʻaneʻi.
| Hōʻailona/ʻōnaehana | Nā mea e hana ai a me nā lāʻau lapaʻau |
|---|---|
| Nā pilikia hoʻoheheʻe | - Mai ʻai nui i ka manawa hoʻokahi, e ʻai i kekahi mau pāʻina liʻiliʻi. - E hōʻalo i ka paʻa ʻana o ka ʻōpū ma ka ʻai ʻana i nā meaʻai a me nā wai i waiwai i ka fiber. - Ke lawe nei i nā lāʻau hoʻōla e like me ke kauoha a ke kauka. - Ke lawe nei i nā lāʻau lapaʻau no ka maʻi pākī a me ka ʻeha o ka ʻōpū. |
| Nā pilikia mimi | - E hoʻokumu i kahi maʻa o ka mimi ʻana i nā manawa maʻamau. - Ke lawe nei i nā lāʻau lapaʻau e kōkua ai i ka hoʻokuʻu loa ʻana i ka ʻōpū mimi. - Ka wehe ʻana i ka mimi ma ke komo ʻana i kahi catheter i loko o ka ʻōpū mimi. |
| Nā pilikia hou | - Ke lawe nei i nā lāʻau lapaʻau e hōʻemi i ka hou ʻana (e like me glycopyrrolate) e like me ke kauoha a ke kauka. - Noho i loko o ka hale i ka wā wela loa. |
| Nā pilikia o ka puʻuwai a me ke koko | - Ke lawe nei i nā lāʻau lapaʻau e hoʻonui ai i ke koko (fludrocortisone, midodrine). - Ke lawe ʻana i nā lāʻau lapaʻau e like me nā `beta-blockers` e kaohi i ka helu o ka puʻuwai. - E ala mālie i luna e pale aku i ka poniuniu. - E lawe wale i ka paʻakai a me nā wai hou aʻe inā ʻōlelo ʻia e kāu kauka. |
| Nā pilikia moekolohe | - Ka hoʻohana ʻana i nā lāʻau lapaʻau e like me `sildenafil (Viagra)` no ka hana erectile dysfunction, e like me ke kauoha a ke kauka. - No nā wahine, e hoʻohana i kahi lubricant wai e hōʻoluʻolu i ka maloʻo o ka ʻōpū. |
Leka Lawe-Home
- ʻO ka neuropathy autonomic ka hōʻino ʻia o nā aʻalolo e kaohi ana i nā hana hana ponoʻī i loko o ko mākou kino (e like me ka puʻuwai, ka ʻai ʻana).
- ʻOiai ʻo ka maʻi diabetes ke kumu maʻamau o kēia, hiki i kekahi mau maʻi a me nā kumu ʻē aʻe ke kōkua.
- ʻO nā hōʻailona pili ʻole e like me ka poniuniu, nā ʻano hou ʻole o ka hou ʻana, nā pilikia o ka ʻōpū ʻana, a me ka paʻakikī o ka mimi ʻana e ʻike koke ʻia.
- ʻO ke kī i ka mālama ʻana, ʻo ia ka mālama ʻana i ke kumu kumu. ʻOiai inā he maʻi diabetes kou, ʻo ka kaohi pono ʻana i kou pae kō koko hiki ke hoʻolohi a hoʻohuli paha i kekahi o nā hōʻino aʻalolo.
- Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, he mea nui loa ia ʻaʻole e hoʻowahāwahā iā lākou, akā e ʻike koke i ke kauka e hoʻoholo i ke kumu a loaʻa i ka lāʻau lapaʻau e pono ai.
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