Ua manaʻo anei ʻoe i kēia ʻano? Ke kūlou ʻoe i kou poʻo e hāpai i kahi mea i hāʻule ma ka papahele, a i ʻole ke kūlou wale ʻoe i kou ʻāʻī i mua, e manaʻo ʻoe i kahi ʻeha ʻoi e like me ka uila e holo ana i lalo o kou iwi kuamoʻo. Ua like ia me ka haʻalulu uila. ʻOiai e nalowale ana i loko o kekahi mau kekona, he mea weliweli iki ka manaʻo. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā. Ma nā ʻōlelo lapaʻau, ua kapa ʻia kēia hōʻailona ʻo Lhermitte's Sign.
He aha maoli ka hōʻailona o Lhermitte?
I ka ʻōlelo maʻalahi, ʻo ka Hōʻailona Lhermitte he ʻeha ʻoi, e like me ka uila e pana koke ana i lalo i kou iwi kuamoʻo, i kekahi manawa i kou mau lima a me kou mau wāwae, ke kūlou ʻoe i kou ʻāʻī i mua. Hiki ke hana kēia i ka wā e ʻū ai ʻoe a i ʻole e kihe ana. Hiki koke mai ka ʻeha a nalo i loko o kekona. Akā hiki ke hana i nā manawa he nui i ka lā.
I kekahi manawa e kapa aku kāu kauka i kēia ʻo ka "hanana noho ʻokiʻoki." ʻO ke kumu o kēia, i ka wā ma mua, ua ʻike kekahi poʻe i kēia ʻano ʻeha i ka wā i kūlou ai ko lākou mau poʻo i mua ma nā noho ʻokiʻoki i ka wā e holoi ʻia ai ko lākou lauoho.
Akā e hoʻomanaʻo, ʻaʻole kēia hōʻailona i kapa ʻia ʻo Lhermitte's Sign he mea weliweli a hoʻoweliweli paha i ke ola. Eia nō naʻe, he hōʻailona koʻikoʻi ia e hōʻike mai ana iā mākou e pili ana i kahi mea e hewa ana i loko o ko mākou kino.
No ke aha lā mākou e manaʻo ai pēlā? He aha ke kumu?
ʻO ke kumu nui o kēia, ʻo ia ka loaʻa ʻana o kekahi hōʻino i nā aʻalolo i loko o ko kākou iwi kuamoʻo. I ka lāʻau lapaʻau, kapa mākou i kēia hōʻino he "ʻeha" a i ʻole he "palapala". Hiki i ke kauka ke ʻike inā he ʻeha kou ma kou iwi kuamoʻo me kahi scan "MRI".
E noʻonoʻo i ko kākou mau aʻalolo e like me nā uea uila. Pale ʻia kēia mau uea e kahi ʻūpā pale (insulation). ʻO kēia ʻūpā pale a puni ko kākou mau aʻalolo ua kapa ʻia ʻo myelin. ʻO kēia ʻūpā myelin ka mea e hiki ai i nā leka mai ka lolo ke hele wikiwiki a pololei i nā ʻāpana ʻē aʻe o ke kino.
Inā no kekahi kumu i hōʻino ʻia ai kēia ʻūpā myelin, kahi kūlana i kapa ʻia ʻo "demyelination," e hōʻike ʻia ke aʻalolo. I kēlā manawa, ke kulou ʻoe i kahi e like me kou ʻāʻī, hoʻoulu ʻia ke aʻalolo i hōʻino ʻia a hoʻouna i nā hōʻailona ʻeha wahaheʻe i ka lolo. ʻO ia ka mea e manaʻo ai mākou e like me ka uila.
He aha nā kūlana olakino e hiki ai ke hana i ka hōʻailona ʻo Lhermitte?
ʻO ke kumu maʻamau a alakaʻi nui o kēia hōʻailona, ʻo ia ka sclerosis maha (MS). Ua ʻike ʻia nā noiʻi e pili ana i hoʻokahi o nā kānaka ʻekolu me MS e ʻike i ka hōʻailona o Lhermitte ma ka liʻiliʻi hoʻokahi i ko lākou ola.
Ma waho aʻe o kēlā, aia kekahi mau kumu ʻē aʻe e hoʻopilikia nei i kēia. E wehewehe hou aku ka papa ma lalo nei i kēia.
| Kūlana/Kumu | He wehewehe maʻalahi |
|---|---|
| Sclerosis lehulehu (MS) | He maʻi kēia e hoʻopilikia ai i ka ʻōnaehana nerve. I kēia hihia, hōʻino ka ʻōnaehana pale ponoʻī o ke kino i ka ʻūpā myelin a puni nā aʻalolo. ʻO kēia ke kumu maʻamau. |
| Ka nele o ka wikamina B12 | He mea nui ka Wikamina B12 no ka ʻōnaehana nerve olakino. Ke haʻahaʻa loa nā pae B12 i ke kino, hiki ke hōʻino ʻia nā aʻalolo. |
| Disk herniated | He diski e like me ka jelly ma waena o nā iwi kuamoʻo o ka iwi kuamoʻo e puʻupuʻu ana i waho, e kaomi ana i ke kaula kuamoʻo a i ʻole nā aʻalolo. ʻŌlelo pinepine mākou he "disc herniated." |
| ʻO ka spondylitis cervical | ʻO ke kaomi ʻana o nā aʻalolo ma muli o ke ʻano a me ka haehae ʻana o nā iwi kuamoʻo a me nā hono ma ka ʻāʻī me ka ʻelemakule. |
| Ka hoʻopaʻa ʻana o ke kaula iwi kuamoʻo | Ke kaomi ʻana ma ke kaula kuamoʻo ma muli o kahi puʻupuʻu, ulia, a i ʻole kekahi kumu ʻē aʻe. |
| ʻO ka maʻi puʻupuʻu (Shingles) | I kekahi mau hihia, hiki i ka maʻi e hoʻoulu ai i ka moa ke hoʻāla hou a hoʻopilikia i nā aʻalolo. |
| Ka radiation a i ʻole chemotherapy (Radiation/Chemotherapy) | Hiki i kēia ke hana ma ke ʻano he hopena ʻaoʻao o ka radiation therapy no ka maʻi ʻaʻai, ʻoi aku hoʻi ma ka ʻāʻī. |
He aha nā mea hoʻoulu o kēia ʻeha?
Hiki ke ʻike koke ʻia kēia ʻeha ma muli o kekahi mau hana a me nā kūlana.
- Ke kulou ʻana i ka ʻāʻī i mua: ʻO kēia ke kumu nui.
- Kuke
- Ka hahai holoholona ʻana i nā moʻo
- ʻUā ʻana
Eia kekahi, ʻoi aku ka kiʻekiʻe o ka hiki ʻana mai o kēia hōʻailona i nā hihia aʻe:
- Ke luhi ʻoe (Luhi)
- Ke kaumaha ʻoe
- I ka wā e hoʻoikaika kino ai
- I ka wā wela
Pehea e ʻike ai ke kauka i kēia a he aha nā lāʻau lapaʻau?
ʻAʻohe hoʻāʻo kikoʻī e nānā ai no ka hōʻailona Lhermitte. E ʻike koke ke kauka iā ia ke haʻi ʻoe iā ia. ʻO ka pahuhopu nui o ke kauka ka ʻimi ʻana i ke kumu o ka hōʻailona, ʻo ia hoʻi, ke kūlana olakino ma lalo.
No kēlā,
- E nīnau pono ke kauka iā ʻoe e pili ana i kāu mau hōʻailona.
- E hana ʻia kahi hoʻokolohua kino. Hiki ke hana ʻia kahi hoʻokolohua e like me ka hoʻāʻo Spurling e nānā i ke kaomi ʻana o ke aʻalolo e hiki ai ke kumu o ka ʻeha o ka ʻāʻī.
- Hiki ke kuhikuhi ʻia ʻoe no kahi hoʻāʻo kiʻi, e like me ka MRI scan . Hiki i kēia ke hōʻike maopopo inā he mau lesions, kahi disc herniated, a i ʻole nā hōʻino ʻē aʻe i ke kaula spinal.
I ka wā e pili ana i ka mālama ʻana, ʻo kēia ʻeha, nona wale nō kekahi mau kekona, ʻaʻole paha e koi ʻia kekahi lāʻau kūikawā. ʻO ka mea nui loa, ʻo ia ka mālama ʻana i ke kumu kumu.
ʻo kahi laʻana:
- Inā ʻo MS ke kumu, e hōʻemi ka lāʻau no ia i ka hanana ʻana o ka Lhermitte's Sign.
- Inā ʻo ke kumu he nele i ka wikamina B12, hiki i ka hāʻawi ʻana i ka wikamina B12 ke ho'ōla loa i kēia maʻi.
- Inā herniated kahi disc, pono paha ka hoʻoikaika kino a i ʻole ke ʻoki ʻana.
Eia kekahi, hiki i kāu kauka ke ʻōlelo i kēia mau mea e kōkua ai i ka mālama ʻana i kēia ʻeha:
- Nā lāʻau lapaʻau no ka ʻeha o ke aʻalolo, no ka laʻana `(Gabapentin)`.
- Hoʻokomo ʻia kahi mea kākoʻo ʻāʻī e kaupalena i ka neʻe ʻana o ka ʻāʻī.
- Ke kuhikuhi ʻana i kahi mea hoʻoponopono kino no nā hoʻomaʻamaʻa hoʻomaha ʻiʻo a me ke kīkoʻo ʻana.
Āhea wau e ʻike ai i ke kauka?
Inā ʻoe e ʻike i ka ʻeha e like me ke kūpikipikiʻo uila i hōʻike ʻia ma luna nei, ʻoiai ke kūlou ʻoe i kou ʻāʻī, mai hoʻowahāwahā iā ia.
- Iā ʻoeInā ʻike ʻoe i kekahi mea e like me kēia no ka manawa mua i kou ola, e ʻike pono i ke kauka.
- Inā loaʻa iā ʻoe kahi maʻi e like me MS, a ʻike hou ʻia kēia mau hōʻailona a i ʻole e ʻoi aʻe ka ʻino, e hoʻomaopopo i kāu kauka.
- Inā hele pū kēia ʻeha me nā hōʻailona ʻē aʻe (e like me ka mae ʻana o nā lālā, ka paʻakikī i ka hele ʻana, nā loli o ka ʻike), e ʻimi koke i ke kōkua lapaʻau.
ʻOiai ʻaʻole kēia he mea hoʻoweliweli i ke ola, he hōʻailona koʻikoʻi ia mai kou kino mai. No laila, mai hoʻowahāwahā iā ia a e hoʻolilo i ke kumu kumu i mea koʻikoʻi.
Leka Lawe-Home
- ʻO ka hōʻailona ʻo Lhermitte he ʻeha pōkole e like me ka uila e kūlou ana i ka iwi kuamoʻo i ka wā e kūlou ai i mua ka ʻāʻī.
- ʻOiai ʻaʻole he mea weliweli kēia hōʻailona, he hōʻailona koʻikoʻi ia o ka hōʻino ʻia ʻana o nā aʻalolo i loko o ke kaula spinal.
- ʻOiai ʻo ke kumu nui o kēia ka Multiple Sclerosis (MS), hiki i nā kumu ʻē aʻe e like me ka hemahema o ka vitamin B12 a me ka herniation spinal disc ke pāʻani i kekahi kuleana.
- Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou a e ʻike koke i kāu kauka e ʻike i ke kumu maoli a loaʻa ka lāʻau kūpono.
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