Ke manaʻo nei ʻoe i kekahi manawa e neʻe ana kou mau lima, nā wāwae, a i ʻole nā ʻiʻo o kou maka me ke kāohi ʻole ʻia, me he mea lā e hula ana ʻoe? Ke ʻike nei ʻoe iā ʻoe iho ʻaʻole hiki ke hoʻōki iā lākou ʻoiai ke hoʻāʻo nei ʻoe e hoʻōki iā lākou? Hiki i kēia ke lilo i mea ʻoluʻolu ʻole loa. Mai hopohopo. Nui ka poʻe i loaʻa i kēia ʻike. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano ʻo Chorea. I kēia lā, e kamaʻilio maʻalahi mākou e pili ana iā ia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ʻo Chorea?
Mai ka ʻōlelo Helene mai ka huaʻōlelo chorea. ʻO ia hoʻi "hula." ʻO ke kumu o kēia inoa no ka mea ke nānā ʻoe i kahi kanaka me kēia hōʻailona, me he mea lā e hula ana lākou ma ke ʻano hoʻomaha ʻole. ʻO kēia ka wā e loaʻa ai iā ʻoe nā neʻe ʻana o nā ʻiʻo i loko o kou kino i kāohi ʻole ʻia, ʻoiai nā lima, nā wāwae, a me ka maka.
ʻO ka mea nui, ʻaʻole he maʻi ʻo Chorea, akā he hōʻailona . ʻO ia hoʻi, hiki ke lilo i hōʻailona o kekahi maʻi olakino ʻē aʻe. ʻAʻole ʻo Chorea he hōʻailona hoʻoweliweli ola iā ia iho. Akā he mea nui loa ka ʻimi ʻana i ke kumu.
He aha nā hōʻailona nui o ka chorea?
Aia kekahi mau hōʻailona koʻikoʻi e hiki ke ʻike ʻia e ke kūlana o Chorea. E nānā inā loaʻa iā ʻoe kēia mau mea pū kekahi.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Nā neʻe ʻana o nā ʻiʻo i kāohi ʻole ʻia | He manaʻo o ka ʻoni ʻana a i ʻole ka uē ʻana o nā ʻiʻo ma nā lima, nā wāwae, a me ka maka. Hiki i kēia ke hoʻopilikia i ke ʻano o kou hele ʻana, ka moni ʻana, a me ka ʻōlelo ʻana. |
| Nā loli i ka paʻa ʻana (ka paʻa ʻana o Milkmaid) | I ka lulu lima ʻana me kekahi a i ʻole e hoʻāʻo ana e hopu i kahi mea, e hohola mau ʻia nā manamana lima a hohola ʻia. Ua like ia me ka waiū ʻana i ka bipi. |
| Nā neʻe ʻana o ke alelo (ʻōlelo Jack-in-the-box) | ʻO ka hana o ka hoʻopuka koke ʻana i ke alelo i waho o ka waha a laila huki hou i loko. Hiki ke hana ʻia kēia ma nā ʻaoʻao ʻē aʻe. |
| Nā hōʻailona ʻē aʻe e ʻike paha nā keiki | |
| Nā hiʻohiʻona hou aʻe | Ma waho aʻe o nā hōʻailona i luna, hiki i nā keiki ke loaʻa i nā ʻeha poʻo, ka ʻōlelo ʻole, a i kekahi mau hihia (ʻoi aku hoʻi me nā kūlana e like me ka rheumatic fever) nā hopu ʻana. |
He aha nā kūlana e hoʻonui ai i nā hōʻailona chorea?
I kekahi manawa e ʻike paha ʻoe i ka piʻi koke ʻana o kēia mau hōʻailona. Hiki paha kēia ma muli o:
- Ke kaumaha ʻoe.
- Ke manaʻo ʻoe i ka hopohopo .
- A i ʻole ma ke ʻano he hopena ʻaoʻao o ka lāʻau āu e lawe ai i ka wā e maʻi ai ʻoe i kahi maʻi ʻē aʻe.
No ke aha e hana ʻia ai kēia Chorea? E nānā kākou i kekahi o nā kumu
ʻO ke kumu nui o kēia, ʻo ia ka hana nui ʻana o kahi kemika i kapa ʻia ʻo dopamine ma ka ʻāpana o ko kākou lolo i kapa ʻia ʻo Basal Ganglia e kāohi ana i ka neʻe ʻana. E noʻonoʻo he pilikia liʻiliʻi ma kekahi wahi o ko kākou kino e like me ke kuapo e kāohi ana i ka neʻe ʻana.
Eia kekahi o nā kumu nui o ka chorea:
- Nā kūlana genetic i hoʻoili ʻia mai kēlā hanauna a i kēia hanauna: No ka laʻana , ʻo ka maʻi Huntington kekahi kumu nui.
- Nā maʻi neʻe ʻē aʻe: Nā kūlana e like me ka maʻi Parkinson a i ʻole ka tardive dyskinesia .
- Nā kūlana Autoimmune: Nā maʻi e like me (Lupus) a i ʻole (Multiple Sclerosis) .
- Nā pilikia hormonal a i ʻole metabolic: Nā mea e like me ka hyperthyroidism .
- Nā maʻi: ʻO ka maʻi Rheumatic, ʻoi aku hoʻi i ka wā kamaliʻi, hiki ke hana i kahi maʻi i kapa ʻia ʻo Sydenham chorea .
- Hahau.
- Hāpai: Hiki i kekahi mau wahine ke loaʻa i kēia maʻi i ka wā hāpai. Ua kapa ʻia ʻo chorea gravidarum .
- Puʻupuʻu lolo: ʻOi aku hoʻi ma kahi i kapa ʻia ʻo Basal Ganglia.
- ʻO kekahi mau lāʻau lapaʻau: ʻO Levodopa, kekahi mau antidepressants, a me nā lāʻau lapaʻau no ka maʻi epilepsy.
- Nā lāʻau lapaʻau a me nā mea ʻawahia: Nā lāʻau lapaʻau e like me ka cocaine a me nā amphetamines. Eia kekahi, inā ʻoe e ʻai i nā mea ʻawahia e like me ke kalapona monoxide a i ʻole mercury.Pono ʻoe e kelepona koke i ke Kikowaena ʻIke Lāʻau Make ma ka Halemai Lahui ʻo Colombo a e ʻimi i ka ʻōlelo aʻo.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka mea maikaʻi loa, aia ka lāʻau lapaʻau no kēia. Aia ka lāʻau lapaʻau i ke kumu o kāu mau hōʻailona chorea. E nānā kāu kauka iā ʻoe, e ʻimi i ke kumu, a hāʻawi iā ʻoe i ka lāʻau lapaʻau maikaʻi loa nāu.
Eia kekahi mau lāʻau lapaʻau maʻamau:
- Lāʻau lapaʻau: Aia nā lāʻau lapaʻau e hiki ke hōʻemi i nā neʻe kaohi ʻole, e like me ka tetrabenazine .
- Ke mālama ʻana i ka maʻi kumu: Inā ʻo ke kumu o ka chorea he rheumatic fever, hiki ke mālama ʻia me nā antibiotics.
- Ke hoʻololi nei i nā lāʻau lapaʻau: Inā loaʻa kāu mau hōʻailona chorea i kahi lāʻau lapaʻau ʻē aʻe āu e lawe nei, hiki i kāu kauka ke hoʻōki a hoʻololi paha i kēlā lāʻau lapaʻau. Akā e hoʻomanaʻo, mai hoʻōki i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- ʻŌlelo aʻoaʻo olakino noʻonoʻo: E ʻimi i ke aʻo ʻana e hoʻokele i ke kaumaha a me ka hopohopo.
- Nā hoʻololi ʻana i ka meaʻai: Inā pilikia ʻoe i ka ale ʻana i ka meaʻai, hiki i kāu kauka ke ʻōlelo aku e hoʻololi i kahi meaʻai palupalu e maʻalahi ke nau a ale.
- ʻOki ʻana: Inā he mea like ke kumu me ka puʻupuʻu lolo, hiki ke wehe ʻia ma ke ʻoki ʻana.
- Hoʻoulu ʻana i ka lolo hohonu (DBS): Hoʻohana ʻia kēia ʻano hana no nā hihia koʻikoʻi o ka chorea kahi i kūleʻa ʻole ai nā lāʻau ʻē aʻe.
Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?
ʻAe, e like me nā lāʻau lapaʻau āpau, hiki ke loaʻa nā hopena ʻaoʻao. ʻO ia ke kumu e kamaʻilio ai kāu kauka iā ʻoe e pili ana iā lākou ma mua o ke kuhikuhi ʻana i kahi lāʻau lapaʻau. No ka laʻana, hiki i nā lāʻau lapaʻau e like me Tetrabenazine ke hoʻoulu i nā manaʻo pepehi kanaka i kekahi poʻe, ʻoiai ka poʻe me ke kaumaha. No laila, inā loaʻa iā ʻoe ke kaumaha, he mea nui e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau.
Āhea ʻoe e ʻike ai i ke kauka?
Inā manaʻo ʻoe e loaʻa ana iā ʻoe kēia ʻano neʻe ʻana o nā ʻiʻo i hiki ʻole ke kāohi ʻia, mai hopohopo a e ʻike koke i ke kauka. ʻAʻole paha he chorea, akā he mea nui e ʻike pono i ke kumu.
A pehea inā he pilikia?
Inā ʻeha ʻoe i kēia mau neʻe ʻana i kāohi ʻole ʻia, no ka laʻana ma ka hāʻule ʻana, e hele koke i ka lumi pilikia haukapila kokoke loa (ETU) . Eia kekahi, inā loaʻa i kāu keiki kahi hopu no ka manawa mua ma hope o ka maʻi rheumatic fever, he pilikia nō hoʻi kēlā. E lawe koke iā lākou i ka haukapila.
Hiki ke hoʻonāukiuki loa ka noho ʻana me kahi maʻi i kapa ʻia ʻo chorea. Ke neʻe kou kino i nā ʻano āu e makemake ʻole ai, e nānā ʻē paha kekahi iā ʻoe. Akā e hoʻomanaʻo, ʻaʻole nau ia hewa. Me ka mālama pono ʻana a me ka hoʻokele ʻana i ke kūlana, hiki ke hoʻomalu ʻia.
Leka Lawe-Home
- ʻAʻole maʻi ʻo Chorea, akā he hōʻailona e hoʻoulu ai i nā neʻe ʻana o nā ʻiʻo i kaohi ʻole ʻia.
- Hiki i kēia ke loaʻa nā kumu like ʻole, me nā genetics, nā maʻi, nā lāʻau lapaʻau, a me nā maʻi ʻē aʻe.
- Inā loaʻa iā ʻoe a i kāu keiki paha kēia mau hōʻailona, he mea nui e ʻike i ke kauka e ʻike i ke kumu.
- Aia nā lāʻau lapaʻau i loaʻa, a hilinaʻi lākou i ke kumu kumu o chorea.
- ʻAʻole ʻoe e hoʻomaka a hoʻōki paha i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka.
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