He aha ke kumu o kēia ʻāʻī hiki ʻole ke hoʻomanawanui ʻia ma nā lima? (Brachioradial Pruritus)

Ke ʻeha nei ʻoe i ka ʻeha a me ka wela ma ke kua o kou lima, ʻoi aku hoʻi ma ka lima poʻohiwi, ʻaʻole hiki iā ʻoe ke loaʻa ke kumu? Ke manaʻo nei ʻoe i kekahi manawa i kahi ʻano ʻūlū, e like me ka ʻakaʻaka, a i ʻole ka haʻalulu? ʻAʻohe mea pehea ka nui o kou ʻānai ʻana, ʻaʻole ia e nalowale? A laila e lilo kēia ʻatikala i mea nui loa iā ʻoe. I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana i ʻike ʻole ʻia e ka poʻe he nui, akā hiki ke hoʻonāukiuki loa i kekahi. ʻO ia ka 'Brachioradial Pruritus'.

I ka ʻōlelo maʻalahi, he aha ka Brachioradial Pruritus?

He mea paʻakikī paha kēia inoa, akā e maʻalahi kākou. ʻO 'Brachioradial' ke ʻiʻo e holo ana mai kou kuʻekuʻe i lalo a kōkua iā ʻoe e kulou i kou lima (ka 'ʻiʻo brachioradialis'). ʻO 'Pruritus' ka huaʻōlelo lapaʻau no ka "ʻili."

No laila, ʻo ka ʻōlelo ʻo Brachioradial Pruritus he huaʻōlelo no ka ʻā ʻana, ka wela, a i ʻole ka ʻūlū ʻana ma ke kua o kou lima (ka forearm). ʻO ka mea nui, ʻaʻole kēia he ʻōhū ʻili, ʻaʻole hoʻi he mea laha. He pilikia aʻalolo maoli nō ia. Hoʻopilikia pinepine kēia ʻano i nā lima ʻelua, akā i kekahi manawa hiki ke loaʻa ma hoʻokahi lima wale nō.

He aha ke kumu o kēia ʻūlū hoʻonāukiuki?

Manaʻo nā kauka he kumu kēia o ka hui pū ʻana o nā kumu nui ʻelua.

1. ʻO ka Radiculopathy Cervical

2. Ka ʻike ʻia ʻana i ka lā (Ultraviolet - UV Radiation)

E nānā kākou i kēlā me kēia.

1. ʻO ka pilina ma waena o nā aʻalolo ma ka ʻāʻī a me kēia ʻeha

ʻEwalu mau aʻalolo, i kapa ʻia ʻo C1 a hiki i C8, e puka mai ana mai kou ʻāʻī (ka ʻāpana o kou iwi kuamoʻo i kapa ʻia ʻo kou iwi kuamoʻo). Lawe kēia mau aʻalolo i ka manaʻo i kou ʻāʻī, nā poʻohiwi, nā lima, a me nā manamana lima. Inā ʻūmiʻi a hōʻino ʻia paha kekahi o kēia mau aʻalolo ma waena o C5 a me C8, hiki iā ia ke hana i nā ʻano manaʻo like ʻole (paresthesia) i kou mau lima. ʻO kēia ka ʻūlū ʻana, ka mae ʻana, ka wela, a me ka ʻeha.

E like me ka wā e paʻa ai ka paipu wai, hoʻololi ka wai i kona ala kahe, ke ʻūmiʻi ʻia kahi aʻalolo, hoʻopilikia ʻia nā hōʻailona āna e hoʻouna ai a hoʻouna ʻia ka ʻike hewa i ko mākou lolo. ʻO ia ke kumu e manaʻo ai mākou e like me ka ʻūlū ʻana i ko mākou mau lima me ke kumu ʻole.

Aia kekahi mau kumu e hiki ai ke ʻūlū ʻia ke aʻalolo ma ka ʻāʻī:

• Disk herniated: He ʻāpana ʻiʻo e like me ka jelly ma waena o ka vertebrae o ka iwi kuamoʻo e puʻe ana i waho a kaomi ma luna o kahi aʻalolo.
• Osteoarthritis: Me ka ʻelemakule, ua mae nā iwi a ua emi nā puka e hele ai nā aʻalolo.
• Maʻi disk degenerative
• Ka hoʻohaiki ʻana o ke alahele o ke aʻalolo (foraminal stenosis)

I nā manawa he nui, ʻaʻole ʻeha ka poʻe me ka Brachioradial Pruritus i ko lākou ʻāʻī. No laila, ʻaʻole lākou i ʻike he pilikia ko lākou i ke aʻalolo ma ko lākou ʻāʻī. Eia nō naʻe, i ka wā e hana ai ka poʻe me kēia maʻi i nā hoʻokolohua e like me nā scan MRI o ko lākou ʻāʻī, ua ʻike ʻia he nui ka poʻe i loaʻa kekahi pilikia ma ko lākou iwi kuamoʻo.

2. Pehea ka hopena o ka lā (nā kukuna UV) i kēia?

ʻOiai ʻaʻole maopopo loa ke kumu kikoʻī, manaʻoʻiʻo nā kānaka noiʻi he kumu nui nā kukuna UV, a i ʻole ka lā, i ka hoʻonui ʻana i kēia mau hōʻailona. Aia kekahi mau kumu no kēia:

• He nui ka poʻe e ʻōlelo nei e piʻi aʻe ka maneʻo ke kau ʻia i ka lā .
• ʻOi aku ka maʻamau o kēia maʻi i nā mahina kau wela.
• Ua ʻike ka poʻe he nui i ka emi ʻana o nā hōʻailona i ka hoʻoilo a i ka wā e pale ai lākou iā lākou iho mai ka lā (e ʻaʻahu ana i nā lole lima lōʻihi, e hoʻohana ana i ka sunscreen).

I ka ʻōlelo maʻalahi, ua lilo nā aʻalolo ma ka ʻāʻī i mea ʻāʻī iki ma muli o kahi pilikia aʻalolo. Ke pā nā kukuna 'UV' o ka lā i ka ʻili, hiki ke hoʻoulu hou ʻia kēlā mau aʻalolo ʻāʻī, e hana ana i kēia maneʻo.

He aha nā hōʻailona o kēia maʻi?

ʻO ka hōʻailona nui a maopopo loa o kēia maʻi, ʻo ia ka ʻūlū ma ke kua o ka lima (lae). Eia nō naʻe, hiki ke ʻike ʻia kekahi mau hōʻailona ʻē aʻe.

He mea nui: Ma kahi o 75% o nā hihia, ʻike ʻia kēia mau hōʻailona ma nā lima ʻelua. Eia nō naʻe, hiki nō paha ke ʻike ʻia ma ka lima hoʻokahi wale nō.

ʻO wai ka mea e loaʻa ai kēia maʻi? (Nā kumu pilikia)

• Kāne: ʻEkolu manawa ka nui o ka loaʻa ʻana o kēia maʻi i nā wāhine ma mua o nā kāne. ʻO kēia paha no ka mea ʻoi aku ka maʻalahi o nā wāhine i nā pilikia me ka iwi kuamoʻo a me nā aʻalolo ma muli o ko lākou ʻano kino.
• Makahiki: ʻIke pinepine ʻia i ka makahiki waena, ma waena o nā makahiki 50-60, akā hiki ke loaʻa i kēlā me kēia makahiki.
• Kala ʻili: ʻOi aku ka maʻamau o kēia ʻano i ka poʻe me ka ʻili māmā (keʻokeʻo) .
• Ka Nohona: ʻO ka poʻe e hoʻolilo i ka manawa nui ma waho, e like me ke kaʻa paikikala, ka hele wāwae, a i ʻole ka hoʻolilo ʻana i ka manawa ma ke kahakai, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kēia maʻi.

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Ke kipa aku ʻoe i kāu kauka, e nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona, ​​​​kou mōʻaukala olakino, a me kou nohona. A laila, e nānā lākou i kou mau lima e ʻike inā he maʻi ʻili ʻē aʻe (e like me ka ʻulaʻula) e hoʻoulu ai i ka maneʻo.

ʻO kahi hoʻāʻo maʻalahi a maikaʻi hoʻi i hoʻohana pinepine ʻia e ʻike ai i kēia maʻi ʻo ia ka hoʻāʻo ʻeke hau.

E kau ke kauka i kahi ʻeke hau ma kahi ʻānai ma kou lima. Inā pau koke kou ʻānai ʻana, a laila hoʻomaka hou ka ʻānai ʻana ma hope o kou wehe ʻana i ka ʻeke hau, he mea hiki loa ia he 'Brachioradial Pruritus'.

I ka manawa pinepine ʻole, hiki i kāu kauka ke ʻōlelo aku i kahi MRI scan a i ʻole X-ray e nānā i kou iwi kuamoʻo a me nā aʻalolo ma kou ʻāʻī.

He aha nā lāʻau lapaʻau no kēia?

Aia kekahi mau lāʻau lapaʻau no ka 'Brachioradial Pruritus'. ʻO ka maʻamau, hiki ke hoʻohana pū ʻia kekahi a ʻoi aku paha o kēia mau lāʻau lapaʻau e kāohi i nā hōʻailona.

He mea kākaʻikahi loa, inā he koʻikoʻi ka pilikia me ka iwi kuamoʻo cervical, hiki ke ʻōlelo ʻia ke ʻoki ʻana.

He aha nā pilikia e hiki ke hana ma muli o kēia ʻano?

ʻAʻole kēia maʻi e hoʻoweliweli nui i kou ola. Eia nō naʻe, ʻo ka ʻūlū mau ʻana i ka ʻili ma muli o ka maneʻo hiki ʻole ke hoʻomanawanui hiki ke alakaʻi i nā pilikia like ʻole.

• Nā ʻūlū ʻili a me nā ʻeha.
• Ka mānoanoa o ka ʻili a me ke ʻano ʻili like me ka ʻili ('Lichenification').
• Nā puʻupuʻu ʻili paʻakikī ('Prurigo nodules').
• ʻO ke kala ʻili (nā kiko ʻeleʻele - 'Hyperpigmentation' a i ʻole nā ​​​​kiko keʻokeʻo - 'Hypopigmentation').
• Nā kūlana e like me ka eczema.

No laila, he mea nui loa ka kaohi ʻana i ka maneʻo.

Āhea ʻoe e ʻike ai i ke kauka?

Inā he ʻeha mau kou lima me ka wehewehe ʻole ʻia e hoʻopilikia nei i kāu mau hana o kēlā me kēia lā, e ʻike pono i kāu kauka. Mai mālama ponoʻī.

Eia kekahi, inā ʻaʻole e hoʻomaikaʻi kāu mau hōʻailona ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau, e hoʻomaopopo i kāu kauka. Hiki paha iā ia ke kuhikuhi i kahi koho lapaʻau ʻē aʻe i kūpono iā ʻoe.