Ua manaʻo paha ʻoe e haʻalulu iki ana kou mau lima i ka wā e paʻa ana i ke kīʻaha tī, e kau inoa ana i kahi palapala, a i ʻole e noho mālie ana? Manaʻo paha ʻoe he mea kēia e hana ʻia ke luhi ʻoe a makaʻu iki paha. Akā inā hoʻomau ia, hiki ke kumu o kahi kūlana i kapa ʻia ʻo ' Essential Tremor '. Mai makaʻu ke lohe ʻoe i kēia inoa. E kamaʻilio kākou e pili ana i nā mea āpau me ka maʻalahi a me ka maopopo.
He aha ka haʻalulu koʻikoʻi?
I ka ʻōlelo maʻalahi, ʻo ka Essential Tremor kahi maʻi neʻe e hoʻopilikia i kā mākou ʻōnaehana nerve. Hoʻoulu ia i nā ʻāpana o ko mākou kino e haʻalulu i kahi ʻano rhythmic hiki ʻole iā mākou ke kāohi. Hoʻomaka pinepine ia ma nā lima . ʻIke nui ʻia kēia haʻalulu ke hoʻohana ʻoe i kou mau lima e hana i kekahi mea.
He kūlana holomua kēia. ʻO ke ʻano kēia, i nā makahiki, ʻaʻole paha e kaupalena wale ʻia nā haʻalulu i nā lima, akā hiki ke laha i ke poʻo, ka pahu leo (larynx), ka ʻauwae, ka maka, ke kino, a i kekahi manawa nā wāwae. Akā hana pinepine kēia me ka lohi loa , a ʻaʻole paha ʻoe e pono i kekahi lāʻau lapaʻau no nā makahiki he nui.
ʻO ka mea nui, ʻaʻole kēia maʻi e hoʻoweliweli i ke ola. A ʻaʻole ia e hoʻopōkole i kou ola. Eia nō naʻe, no kekahi poʻe, hiki iā ia ke paʻakikī i ka hana ʻana i nā hana o kēlā me kēia lā , e like me ka ʻai ʻana, ke kāhiko ʻana, a me ke kākau ʻana.
He aha ke kumu o ka haʻalulu koʻikoʻi?
ʻAʻole maopopo i nā kauka ke kumu maoli o kēia, akā manaʻoʻiʻo lākou he maʻi neurological ia e hoʻomaka ana i loko o ka ʻōnaehana nerve, ʻo ia hoʻi, ka lolo, ke kaula spinal, a i ʻole nā aʻalolo.
Ua ʻike ʻia i kēia manawa aia ma kahi o 50% o ka poʻe me ka Essential Tremor he lālā ʻohana ʻē aʻe ko lākou me ke ʻano. ʻO ke ʻano kēia aia kekahi pilina hoʻoilina me ia. Eia naʻe, ʻaʻole i ʻike ʻia ua hoʻokumu ʻia e kahi gene hoʻokahi. He hiki paha ke hoʻokumu ʻia e ka hui pū ʻana o nā kumu hoʻoilina a me ke kaiapuni.
I ka ʻōlelo maʻalahi, aia kekahi ʻāpana o ko kākou lolo i kapa ʻia ʻo 'Cerebellum' . ʻO kēia ka mea e hoʻonohonoho a kāohi pono i kā kākou neʻe ʻana o nā ʻiʻo. I ke ʻano o ka Essential Tremor, ua manaʻo ʻia he loli i nā loulou kamaʻilio ma waena o kēia cerebellum a me nā ʻāpana ʻē aʻe o ka lolo.
Nā kumu ʻē aʻe o nā haʻalulu
ʻOiai ʻo ka haʻalulu koʻikoʻi ke kumu maʻamau o ka haʻalulu, aia kekahi mau kumu ʻē aʻe o kēia ʻano haʻalulu, ʻo ia ke kumu he mea nui e ʻike i kāu kauka e ʻike i ke kumu pololei.
| Nā kumu ʻē aʻe e pili ana i nā haʻalulu |
|---|
| ʻO nā maʻi neurological ʻē aʻe e like me ka maʻi Parkinson, ka sclerosis maha, a i ʻole ka hahau. |
| Ka thyroid hana nui. |
| Ka hana ʻino o ke akepaʻa a i ʻole nā puʻupaʻa. |
| Ke kaumaha nui, ka hopohopo, a i ʻole ka luhi. |
| ʻO ka hoʻohana nui ʻana i nā mea inu me ka caffeine (kī, kofe). |
| ʻO kekahi mau lāʻau lapaʻau no ka hānō a me nā maʻi noʻonoʻo. |
| ʻO ka ʻike ʻia ʻana i nā mea ʻawaʻawa e like me ka mercury a me ke kēpau a me nā pesticides. |
He aha nā hōʻailona nui o ka Essential Tremor?
Aia kekahi mau hōʻailona nui āu e ʻike ai i kēia ʻano, akā ʻaʻole e ʻike nā kānaka a pau i kēia mau hōʻailona āpau.
| Hōʻailona | Wehewehena |
|---|---|
| Haʻalulu i nā lima | ʻO kēia ka hōʻailona maʻamau a maopopo loa. |
| Haʻalulu leo | Ke ʻike nei i ka haʻalulu o ka leo i ka wā e ʻōlelo ana. |
| Luliluli ke poʻo | Ka lulu ʻana o ke poʻo me he mea lā e ʻōlelo ana 'ʻae' a i ʻole 'ʻaʻole'. |
| Hoʻonui me ka neʻe ʻana | ʻIke nui ʻia nā haʻalulu i ka wā e neʻe ai ʻoe, e like me ka paʻa ʻana i kahi mea a i ʻole ke kākau ʻana, ma mua o ka wā e hoʻomaha ai ʻoe. |
| Hoʻonui i kekahi mau mea | Hiki i ke kaumaha, ka hoʻoikaika nui ʻana, ka caffeine, a me kekahi mau lāʻau lapaʻau ke hoʻonui i ka haʻalulu no kekahi manawa. |
| Ka hōʻemi ʻana i ka waiʻona | ʻO ka mea kupanaha, ʻike kekahi poʻe ʻo ka inu ʻana i kahi waiʻona liʻiliʻi e hōʻemi ana i ko lākou haʻalulu no kekahi manawa (akā, ʻaʻole kēia i ʻōlelo ʻia he lāʻau lapaʻau). |
Pehea e ʻike pololei ai ke kauka i kēia?
Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i ke kauka . E nīnau ke kauka iā ʻoe e pili ana i kou mōʻaukala olakino, inā paha ua loaʻa i kekahi o kou ʻohana, a laila e hana i kahi hoʻokolokolo kino.
ʻO kahi hoʻokolohua neurological, e pili pono ana i ka ʻōnaehana nerve, hiki ke nānā i kēia mau mea:
- Ka ikaika a me ke kūlana o kou mau ʻiʻo.
- Nā pane hou .
- Kaulike o ke kino.
- Pehea kou manaʻo i kou neʻe ʻana a i kou wā e hoʻomaha ai?
- Ka wikiwiki a me ka nui o ka haʻalulu.
Eia kekahi, hiki ke hana ʻia nā hoʻāʻo koko a me nā hoʻāʻo mimi e kāpae i nā kūlana ʻē aʻe e hiki ke hoʻoulu i nā haʻalulu. I kekahi manawa, hiki ke ʻōlelo ʻia kahi scan lolo.
He aha nā lāʻau lapaʻau no ka Essential Tremor?
ʻO ka mea mua, inā ʻaʻole kou haʻalulu e hoʻopilikia nui i kāu mau hana o kēlā me kēia lā, ʻaʻole paha ʻoe e pono i kekahi lāʻau lapaʻau. Eia nō naʻe, inā e hoʻopilikia ana ia i kou ʻano ola, aia kekahi mau lāʻau lapaʻau e hiki ke kōkua.
Lāʻau lapaʻau
Aia kekahi mau ʻano lāʻau lapaʻau e hiki ke kōkua i ka kaohi ʻana i nā haʻalulu. Pono paha ʻoe e hoʻāʻo i kekahi mau ʻano like ʻole e ʻike i ka mea kūpono loa iā ʻoe. ʻO ka mea nui loa, ʻo ia ka hoʻohana ʻia ʻana o kēia mau lāʻau lapaʻau āpau ma lalo o ka nānā ʻana a ke kauka.
| Pae lapaʻau | Nā ʻano lāʻau lapaʻau (nā laʻana) |
|---|---|
| Nā lāʻau lapaʻau laina mua - nā mea i hoʻohana pinepine ʻia | |
| 1 | ʻO Propranolol (Hemangeol, Inderal) |
| 2 | ʻO Primidone (Mysoline) |
| Nā lāʻau lapaʻau laina lua | |
| - | Nā lāʻau lapaʻau e like me Alprazolam (Xanax), Atenolol, Gabapentin (Neurontin), Topiramate (Topamax). |
Nā lāʻau lapaʻau ʻē aʻe
- Nā mea hana hoʻololi: Hiki i kekahi poʻe ke kāohi i nā haʻalulu ma ka hoʻohana ʻana i nā mea e like me nā kaupaona pulima a me nā ʻokiʻoki kaumaha.
- ʻO ka inikini toxin botulinum: He mea kōkua paha kēia inikini no ka poʻe me ka haʻalulu poʻo a leo paha.
- Hoʻoulu ʻana i ka lolo hohonu (DBS): He hana ʻoki kino kēia. Ma kēia kaʻina hana, ua hoʻokomo ʻia kahi electrode lahilahi loa i loko o ka ʻāpana o ka lolo i kapa ʻia ʻo thalamus e hoʻoulu ai i nā haʻalulu, a ua hoʻopili ʻia i kahi mea liʻiliʻi (e like me ka pacemaker) i waiho ʻia ma lalo o ka ʻili o ka umauma. Hiki i kēia mea hana ke hoʻomalu i nā leka uila maʻamau ʻole e hele ana i ka lolo, e hōʻemi ana i nā haʻalulu ma kahi o 70%-90%.
- ʻO ke ultrasound i alakaʻi ʻia e ka MRI:He ʻenehana hou kēia. Me ke ʻoki ʻole ʻana, ua kuhikuhi ʻia nā kukuna ultrasound ikaika kiʻekiʻe, me ke kōkua o kahi mīkini MRI, e luku i nā pūnaewele pili i ka thalamus o ka lolo.
Leka Lawe-Home
- He maʻi maʻamau ka haʻalulu koʻikoʻi i ka ʻōnaehana nerve, akā ʻaʻole ia he maʻi hoʻoweliweli i ke ola.
- ʻO ka hōʻailona nui o kēia, ʻo ia ka haʻalulu ma nā lima, ke poʻo, a i ʻole ka leo e hoʻonui ʻia ana i ka wā e hana ana.
- Aia paha he pilina hoʻoilina i kēia, akā hiki nō iā ʻoe ke hoʻomohala iā ia inā ʻaʻohe mea o kou ʻohana i loaʻa iā ia.
- Inā paʻakikī kou haʻalulu i ka hana ʻana i nā hana o kēlā me kēia lā, mai hopohopo a e ʻike i ke kauka . Nui nā lāʻau lapaʻau kūpono e kāohi ai i kēia.
- Mai hoʻoholo ponoʻī i kou maʻi a mai lawe i ka lāʻau lapaʻau me ke kōkua ʻole o ke kauka.
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