Ke manaʻo nei ʻoe i kekahi manawa e wela ana kou mau wāwae, ʻā, a ʻūlū paha i ka wā e hiamoe ai ʻoe i ka pō, a i ke ao paha? No kekahi poʻe, he ʻeha iki wale nō kēia ʻeha, akā no kekahi poʻe, hiki ke hoʻomanawanui ʻole. ʻAʻole kēia he luhi wale nō. Aia paha he mau kumu lapaʻau koʻikoʻi ma hope o kēia. I kēia lā, e kamaʻilio kākou e pili ana i kēia maʻi wāwae ʻā, a i ʻole e like me kā nā kauka e kapa nei, ʻo 'Burning Feet Syndrome'.
No ke aha e ʻā ai koʻu mau wāwae penei? He aha nā kumu nui?
ʻO ka hapa nui o ka manawa, ʻo ke kumu nui o kēia ʻano mumū i nā wāwae, ʻo ia ka hōʻino ʻana i ko kākou mau aʻalolo. Kāhea mākou i kēia he neuropathy . I ka ʻōlelo maʻalahi, ke hōʻino ʻia ko kākou mau olonā aʻalolo, ʻaʻole lākou e hana pono. No laila, me ka ʻole o ka ʻeha, hoʻomaka lākou e hoʻouna i nā hōʻailona ʻeha hewa i ka lolo. Ua like ia me kahi uea haki e hoʻouna ana i ka hōʻailona hewa. Hoʻomaka pinepine kēia hōʻino ma nā wāwae, ʻo ia ke kumu e ʻike mua ʻia ai nā mea e like me ka mumū a me ka mae ʻana o nā wāwae.
No laila, aia nā kumu like ʻole e hiki ai ke hōʻino ʻia kēia mau aʻalolo.
1. Maʻi diabetes (Diabetic Neuropathy)
ʻO kēia ke kumu maʻamau a me ke kumu nui o ka ʻeha o ka wāwae. Inā he nui ke kō koko kiʻekiʻe i kāohi ʻole ʻia no ka manawa lōʻihi o kahi kanaka me ka maʻi diabetes, e hōʻino mālie kēia kō keu i nā olonā palupalu o ko mākou kino. Ma kahi o 50% o ka poʻe me ka maʻi diabetes hiki ke loaʻa i kēia ʻano hōʻino aʻalolo (Peripheral Neuropathy).
2. Ka hoʻohana nui ʻana i ka waiʻona (Alcoholic Neuropathy)
Hiki nō hoʻi ke ʻike ʻia kēia ʻano maʻi i ka poʻe e inu nui ana i ka waiʻona no ka manawa lōʻihi. He mea make ka waiʻona i ka ʻōnaehana nerve. Eia kekahi, ʻaʻole i loaʻa i ka nui o ka poʻe i hoʻopili ʻia i ka waiʻona ka meaʻai kūpono, hiki ke hōʻino i nā aʻalolo.
3. Ka maʻi ʻaʻai peripheral (PAD)
Hana ʻia kēia i ka wā e emi ai nā aʻa e lawe ana i ke koko i nā wāwae a me nā wāwae. Hoʻemi kēia i ke kahe ʻana o ke koko waiwai i ka oxygen. Hoʻonele kēia i nā aʻalolo i nā meaʻai e pono ai lākou a hōʻino. Ke lilo kēia ʻano i mea koʻikoʻi, hiki iā ia ke hana i ka ʻeha wela ma lalo o nā wāwae, ʻoiai i ka pō ke hiamoe ʻoe .
4. Ka wāwae o ka ʻĀlapa
He maʻi fungal kēia. ʻO ke kaiapuni mehana a pulu i loko o nā kāmaʻa a me nā socks hou he mea kūpono ia no ka ulu ʻana o ka fungus. Inā, ma waho aʻe o ka mumū, aia ka maneʻo a me ka ʻili ʻana o ka ʻili ma waena o nā manamana wāwae , ʻoi aku ka nui o ka hiki ke lilo i ka wāwae ʻāpala.
5. Ka hemahema o ka hormone thyroid (Hypothyroidism)
Ke hana ʻole ʻia ko kākou kelepa thyroid a ua emi ka hana ʻana o ka hormone (Hypothyroidism), inā ʻaʻole mālama pono ʻia, hiki iā ia, i nā hihia kakaikahi, ke hōʻino i nā aʻalolo a hoʻoulu i ka mumū ma nā wāwae.
6. Nā hemahema o ka meaʻai
ʻOi aku ka nele o ka wikamina B12Hiki i kēia ke alakaʻi i ka hōʻino ʻana o nā aʻalolo a me ka mumū ma nā wāwae. He mea maʻamau kēia ʻano i ka wā e ʻelemakule ai ka poʻe a i waena o ka poʻe e ʻai wale ana i ka meaʻai mea kanu.
Hiki paha i nā maʻi ʻē aʻe a me nā lāʻau lapaʻau ke kumu?
ʻAe, ʻoiaʻiʻo nō. Aia kekahi mau maʻi ʻē aʻe a me nā lāʻau lapaʻau e hiki ai ke hoʻoulu i ka mumū o ka wāwae.
| He aha paha ke kumu? | Ka wehewehe a me nā laʻana |
|---|---|
| Nā kūlana olakino ʻē aʻe | Nā kūlana e like me ka maʻi puʻupaʻa, kekahi mau maʻi genetic, allergies, a me ka dermatitis hoʻopili. |
| Kekahi mau lāʻau lapaʻau |
|
| Hāpai keiki | Hiki i nā loli hormonal i ka wā hāpai ke hana i ka wela pōkole a i ʻole ka wela ʻana i nā wāwae. |
ʻO ka mea nui loa, ʻo ia ke kamaʻilio me kāu kauka inā ʻoe e lawe ana i kekahi lāʻau lapaʻau a loaʻa iā ʻoe kēia mau hōʻailona. Mai hoʻōki a hoʻololi paha i kāu lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
Pehea lā e ʻike ai ke kauka i kēia?
I ka hapanui o nā hihia, inā loaʻa iā ʻoe kahi maʻi e like me ka maʻi diabetes, hiki i ke kauka ke kuhi maʻalahi i ke kumu o kou ʻeha wāwae. ʻAʻole pono kēlā poʻe i ka hoʻāʻo nui ʻana.
Eia nō naʻe, inā paʻakikī ke loaʻa ʻana o ke kumu, a inā hoʻomaka koke ke ʻano a ʻoi aku ka ʻino, hiki i kāu kauka ke kuhikuhi i kekahi mau hoʻokolohua, e like me:
- Hoʻāʻo EMG (Electromyography):Ke ana kēia i ka hana uila o kou mau ʻiʻo.
- Haʻawina Hoʻoili Aʻalolo (NCS): Hoʻāʻo kēia i ka wikiwiki o ka hele ʻana o nā hōʻailona ma nā aʻalolo. Hiki iā ia ke kōkua i ka hoʻoholo ʻana inā ua hōʻino ʻia kahi aʻalolo.
- Nā hoʻāʻo koko a me ka mimi: Kōkua kēia mau hoʻāʻo i ka nānā ʻana i nā mea e like me nā pae kō koko, nā pae huaora B12, a me nā pae hormone thyroid.
- Biopsy Nerve: He hana kakaikahi loa kēia e pili ana i ka lawe ʻana i kahi ʻāpana liʻiliʻi loa mai kahi aʻalolo a nānā iā ia ma lalo o kahi microscope.
ʻAe, e nānā kākou i ke ʻano o ka lāʻau lapaʻau no kēia.
ʻO ke ʻano o ka lāʻau lapaʻau e pili ana i ke kumu o kou ʻeha wāwae.
ʻO ka mea nui loa, ʻo ia ka mālama ʻana i ka maʻi kumu. A laila wale nō e hiki ai ke hoʻōki i ka hōʻino hou ʻana i nā aʻalolo.
- Inā loaʻa iā ʻoe ka maʻi diabetes: ʻO ka mea nui loa, ʻo ia ka mālama ʻana i kou pae kō koko i loko o ka pae kūpono. Pono paha kēia i ka ʻai, ka lāʻau lapaʻau, a me nā inikini insulin paha.
- Inā ua hoʻoulu ʻia e ka waiʻona: ʻO ka hoʻōki loa ʻana i ka inu ʻona hiki ke hoʻōki i ka hōʻino ʻana i nā aʻalolo a ʻae i nā aʻalolo i hōʻino ʻia e ho'ōla i kekahi ʻano.
- Inā ma muli o ka nele o ka wikamina B12: Hiki iā ʻoe ke lawe i nā pila wikamina B12 a i ʻole nā inikini e like me ke aʻo a kāu kauka. Hiki iā ʻoe ke hoʻohui i nā meaʻai waiwai i ka B12 e like me ka ʻiʻo ʻulaʻula, ka waiū, nā hua manu, a me ka iʻa i kāu papaʻai.
- Inā ma muli o ka ringworm: Hiki ke ho'ōla loa ʻia kēia maʻi ma ka hoʻohana ʻana i nā kirīmi antifungal.
Eia kekahi, hiki i kāu kauka ke kuhikuhi i kekahi mau lāʻau lapaʻau e kāohi i ka mumū a me ka ʻeha i hoʻokumu ʻia e ka hōʻino ʻana o ke aʻalolo. No ka laʻana, nā lāʻau lapaʻau e like me Gabapentin, Pregabalin, a me Amitriptyline . Pono e lawe ʻia kēia mau mea ma lalo o ka nānā ʻana o ke kauka.
Nā mea kōkua hiki iā ʻoe ke hana ma ka home
Ma waho aʻe o nā lāʻau lapaʻau a kāu kauka e hāʻawi ai iā ʻoe, aia kekahi mau mea maʻalahi hiki iā ʻoe ke hana ma ka home e hoʻomaha ai i kēia mumū.
- E hoʻomaʻalili i kou mau wāwae: E hoʻomohu i kou mau wāwae i loko o kahi pola wai anuanu (ʻaʻole anu) no kahi o 15 mau minuke. E hāʻawi kēia i ka hōʻoluʻolu no ka manawa pōkole. Mai hoʻohana i ka wai hau.
- E ʻaʻahu i nā socks a me nā kāmaʻa ʻoluʻolu: E ʻaʻahu i nā socks i hana ʻia me ka pulupulu e omo i ka hou. E koho i nā kāmaʻa ʻoluʻolu e hanu a ʻaʻole paʻa.
- ʻO nā ʻaila poni: Inā ʻae kāu kauka, hiki iā ʻoe ke hoʻohana i kekahi mau ʻano ʻaila poni i loaʻa nā ʻehaʻeha (e.g., Lidocaine a i ʻole Capsaicin).
- E hiamoe i loko o kahi lumi anuanu:ʻO ka mālama ʻana i ka lumi moe i kahi anuanu iki hiki ke hāʻawi i ka hoʻomaha.
Leka Lawe-Home
- ʻAʻole ia he mea e lawe māmā ʻia ai nā wāwae e ʻā ana. Aia paha kekahi kumu ma lalo.
- Hoʻokumu pinepine ʻia kēia e ka hōʻino ʻana o ke aʻalolo (Neuropathy), ʻo ke kumu nui o ia mea ka maʻi diabetes i kāohi ʻole ʻia.
- Inā loaʻa kēia hōʻailona iā ʻoe, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke hele i ke kauka e ʻike i ke kumu pololei.
- ʻO ka hopena maopopo loa, ʻo ia ka mālama pono ʻana i ka maʻi kumu.
- Mai hoʻomaka a hoʻōki paha i kekahi lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka.











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