Loaʻa iā ʻoe ka ʻeha a i ʻole ka mae ʻana o kou ʻūhā? Hiki paha iā ia ke lilo i Meralgia Paresthetica! E kamaʻilio kākou e pili ana i ia mea.

Ua ʻike anei ʻoe i kahi ʻeha ʻē, ka wela, ka ʻūlū, a i ʻole ka ʻūlū ʻana ma kou ʻūhā luna, kokoke i kou pūhaka? Hiki paha iā ʻoe ke manaʻo e ʻoi aku ka ʻino o kēia ʻeha ke kū ʻoe a hele paha. ʻO kēia nā hōʻailona nui o ke kūlana a mākou e kamaʻilio nei i kēia lā (Meralgia Paresthetica) . Mai hopohopo, ʻaʻole kēia he mea koʻikoʻi a hoʻoweliweli paha i ke ola, akā hiki ke hoʻonāukiuki iki.

He aha kēia (Meralgia Paresthetica)? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo Meralgia Paresthetica kahi maʻi e kū mai ana i ka wā e ʻomi ʻia ai ka Lateral Femoral Cutaneous Nerve (LFCN), kahi aʻalolo nui e lawe ana i ka manaʻo i mua a me ka ʻaoʻao o kou ʻūhā. E noʻonoʻo iā ia e like me kahi paipu wai e pau ke kahe ʻana i ka wā e ʻomi ʻia ai, a i ka wā e ʻomi ʻia ai kēia aʻalolo, ʻaʻole e kahe pono ka manaʻo e lawe ana. ʻO ia ka manawa e hoʻomaka ai ʻoe e ʻike i ka ʻeha i ʻōlelo ʻia ma luna, ka wela, a me ka mae ʻana.

He maʻalahi loa hoʻi ke ʻano o kēia inoa. ʻO "(Meralgia)" ke ʻano o "ʻeha i nā hono." ʻO "(Paresthetica)" ke ʻano o "nā manaʻo maʻamau ʻole e like me ke kuni ʻana, ka mae ʻana, ke kani ʻana." No laila, he manaʻo ko ka inoa ponoʻī, ʻeā?

ʻOiai hiki i kēia ʻano ke hoʻopilikia i nā hana o kēlā me kēia lā, e hoʻomanaʻo, ʻaʻole kēia he maʻi e hoʻoweliweli ana i ke ola.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi (Meralgia Paresthetica)?

Hiki i kēia maʻi ke hiki i kekahi. Akā, ʻoi aku ka nui o ka pilikia o kekahi poʻe i ka loaʻa ʻana. E nānā kākou iā lākou:

• Inā loaʻa iā ʻoe ka maʻi diabetes (Diabetes Mellitus) , hypothyroidism (thyroid hana ʻole) , a i ʻole ka maʻi hoʻohana waiʻona (Alcohol Use Disorder) .
• Inā ʻoi aku ke kaumaha o kou kino ma mua o ka maʻamau (Overweight a Obesity paha) .
• Inā loaʻa iā ʻoe kahi maʻi e like me ka lāʻau make kēpau .
• Inā ua ʻeha ʻoe e ke kāʻei noho ma kahi ulia ʻē aʻe i kou wā e holo ana i loko o ke kaʻa.
• Inā hāpai ʻoe. Hiki i kēia aʻalolo ke huhū ma muli o nā loli i ke kino i ka wā hāpai.
• Inā ua hana ʻia ʻoe i ke ʻoki ʻūhā i hala koke nei.
• Inā ʻoe e ʻaʻahu i nā lole paʻa , ʻoiai hoʻi nā lole e hoʻopaʻa ana i ka pūhaka, e like me nā kāʻei. Eia kekahi, inā ʻoe e ʻaʻahu pinepine i kahi kāʻei pono kaumaha , e like me ke kāʻei mea hana kaumaha i hoʻohana ʻia e kahi mea hana pōhaku.
• Inā ʻaʻole like ka lōʻihi o kou mau wāwae (ʻoi aku ka pōkole a ʻoi aku paha ka lōʻihi o kekahi wāwae ma mua o kekahi).
• Inā he piʻo kou iwi kuamoʻo ((Scoliosis)) .

No nā kumu e like me kēia, aia kahi manawa kūpono e ʻomi ʻia ai ke aʻalolo i ʻōlelo ʻia ma mua (LFCN).

Pehea ka maʻamau o ka Meralgia Paresthetica?

He maʻi maʻamau kēia. Akā i kekahi manawa, ʻaʻole ʻike ʻia. Wahi a nā kānaka noiʻi, hoʻopilikia kēia maʻi i ʻekolu a ʻehā paha kānaka i loko o nā tausani he ʻumi i kēlā me kēia makahiki.

He aha nā hōʻailona o ka Meralgia Paresthetica?

ʻO ka maʻamau, ʻike ʻia nā hōʻailona o Meralgia Paresthetica ma kekahi ʻaoʻao o ka ʻūhā . ʻO ia hoʻi, inā ʻo ka wāwae ʻākau, a laila ʻo ka wāwae ʻākau wale nō, a inā ʻo ka wāwae hema, a laila ʻo ka wāwae hema wale nō. ʻO kēia mau hōʻailona:

• ʻEha: Hiki i kēia ʻeha ke hele i kekahi manawa i lalo i ke kuli a i lalo i ke kua o ka ʻūhā.
• Hiki ke ʻike ʻia ka wela, ka maneʻo, ke kani ʻana, a i ʻole ka ʻeha ʻana ma ka ʻāpana ʻūhā.
• Hoʻonui i ka ʻike i ka hoʻopā ʻana: E noʻonoʻo i kekahi e hoʻopā mālie ana i kou ʻūhā a nui kou ʻeha.
• Hoʻonui ka ʻeha ma hope o ke kū ʻana a i ʻole ka hele ʻana no ka manawa lōʻihi.

ʻO ka mea nui, ʻaʻole ʻo Meralgia Paresthetica ke kumu pololei i nā pilikia ʻiʻo a i ʻole nā ​​​​pilikia neʻe ʻana, akā hiki i ka ʻeha ke hoʻolilo iā ia i mea paʻakikī iki ke hele.

He aha nā kumu o (Meralgia Paresthetica)?

E like me kā mākou i kūkākūkā ai ma mua, ʻo ke kumu nui o kēia he aʻalolo ʻiʻini i kapa ʻia ʻo kou Lateral Femoral Cutaneous Nerve (LFCN) . ʻO ka LFCN kahi aʻalolo sensory nui e holo ana mai kou iwi kuamoʻo, ma o kou ʻāpana pelvic, a i lalo i ke kua o kou ʻūhā. Hiki ke ʻiʻini ʻia kēia aʻalolo ma muli o ka pehu ʻana, ka mumū, ka ʻeha, a i ʻole ke kaomi.

Aia kekahi mau kumu e hiki ai ke ʻūmiʻi ʻia kēia aʻalolo. Hiki iā lākou ke kūloko a me waho:

• ʻEha a ʻoki kino paha ma ka ʻāpana ʻūhā.
• Nā kūlana e like me ka momona, ka hāpai ʻana, a me ka maʻi diabetes .
• ʻO ke komo ʻana i nā lole paʻa a i ʻole nā ​​kāʻei a puni ka pūhaka. Eia kekahi laʻana, ʻo nā jeans paʻa e ʻaʻahu ʻia e kekahi poʻe, a i ʻole nā ​​kāʻei e ʻaʻahu ʻia e nā wahine, hiki ke hoʻopaʻa i kēia aʻalolo.
• (LFCN) Hoʻomaka kahi puʻupuʻu kokoke i ke aʻalolo (he mea kākaʻikahi kēia).

Pehea e ʻike ʻia ai ka Meralgia Paresthetica? (Diagnosis)

Hiki i ke kauka ke hoʻomaopopo i ka Meralgia Paresthetica ma ka hana ʻana i kahi hoʻokolokolo kino, e nānā pono ana i kāu mau hōʻailona, ​​​​ka mōʻaukala olakino, a me ke ʻano o ka nohona.

E nīnau aku kāu kauka e pili ana i kāu mau maʻi ma mua, nā ʻoki kino, a me nā mea ʻē aʻe. No ka mea he nui nā mea e hiki ai ke hoʻoulu i kēia ʻano, e nīnau lākou iā ʻoe i nā nīnau he nui e hoʻāʻo e ʻimi i ke kumu o kāu mau hōʻailona.

Eia kekahi, e nānā pono ke kauka iā ʻoe. I loko o kēia (Pelvic Compression Test)Hiki ke hana ʻia kahi hoʻokolohua i kapa ʻia he hoʻokolohua aʻa femoral. Pili kēia i ke kauka e kau ana i ke kaomi i kou ʻūhā e kāpae i nā kumu ʻē aʻe o kāu mau hōʻailona. Eia kekahi, hiki ke hana ʻia nā hoʻokolohua maʻalahi e like me nā hoʻokolohua pā a me ka reflex.

I kekahi manawa, inā ʻaʻole hiki ke loaʻa ke kumu kikoʻī o ke ʻano (Meralgia Paresthetica) ma hope o kēia mau hoʻokolohua, hiki i ke kauka ke kauoha i kekahi mau hoʻokolohua hou aʻe.

He aha nā hoʻokolohua e hoʻohana ʻia e ʻike ai (Meralgia Paresthetica)?

Inā ʻaʻole hiki i kāu mōʻaukala lapaʻau a me kou nohona ke kuhikuhi i ke kumu, hiki i kāu kauka ke kauoha i nā hoʻokolohua koko e like me kēia:

• Nā pae hormone thyroid : E nānā inā he hypothyroidism.
• Nā pae wikamina B: E nānā i nā hemahema wikamina e hoʻopilikia ai i ka hana aʻalolo, e like me ka hemahema o ka wikamina B12 a i ʻole ka hemahema Folate.
• Nā pae kēpau : E nānā no ka lāʻau make kēpau.
• Nā pae glucose koko : E nānā no ka maʻi diabetes.
• Hoʻāʻo Hemoglobin a i ʻole ka hoʻāʻo Hematocrit : E nānā inā he anemia.

Eia kekahi, e noi ʻia paha ʻoe e loaʻa kahi X-ray o kou pelvis a me ka ʻāpana ʻūhā. E nānā kēia no nā kūlana ʻē aʻe, e like me nā puʻupuʻu iwi. I kekahi manawa, hiki ke hana ʻia nā hoʻokolohua kiʻi ʻē aʻe, e like me ka CT scan a i ʻole MRI scan , e nānā no nā pilikia ʻē aʻe me kou iwi kuamoʻo a i ʻole nā ​​aʻalolo, e like me ka herniated disc .

Pehea e mālama ʻia ai ka Meralgia Paresthetica?

I ka mālama ʻana iā Meralgia Paresthetica, ʻo ka mea nui ka mālama ʻana i ke kumu kumu.

I ka hapanui o nā hihia, hiki ke mālama ʻia ke kūlana me nā lāʻau lapaʻau maʻalahi a ʻaʻole invasive (nā lāʻau lapaʻau conservative) . Eia kekahi laʻana, hiki i ka hōʻemi ʻana i ke kaumaha, ke komo ʻana i nā lole palupalu, a i ʻole ka pale ʻana i nā mea ʻūmiʻi e like me nā kāʻei ke kōkua.

Nui ka poʻe me Meralgia Paresthetica e loaʻa ana ka hōʻoluʻolu me nā lāʻau ʻē aʻe e like me:

• Hoʻomaha i nā hōʻailona no ka manawa pōkole:
• ʻO ka hoʻopili ʻana i ka hau i ka wahi ʻeha hiki ke hōʻemi i ka mumū o ke aʻalolo a me nā hōʻailona.
• Hiki i nā lāʻau ʻeha a me nā lāʻau anti-inflammatory ( nā lāʻau anti-inflammatory nonsteroidal , a i ʻole NSAID no ka pōkole) a me nā lāʻau lapaʻau topical, e like me nā kirīmi e loaʻa ana ka capsaicin a me ka lidocaine , ke kōkua i ka hōʻoluʻolu ʻana i nā hōʻailona.
• (Ke kāpae ʻana i ke aʻalolo Radiofrequency):ʻO kēia lāʻau lapaʻau e pili ana i ka hoʻohana ʻana i nā nalu lekiō e hoʻomehana i kahi wahi liʻiliʻi loa o ke aʻalolo. Hoʻopau kēia wela i kēlā ʻāpana o ke aʻalolo a hoʻōki iā ia mai ka hoʻouna ʻana i nā hōʻailona ʻeha i ka lolo.
• Nā lāʻau lapaʻau: Hiki i nā lāʻau lapaʻau no ka ʻeha neuropathic e like me Gabapentin , Pregabalin , Duloxetine , Phenytoin , a i ʻole Carbamazepine ke kōkua pū me kēia kūlana.
• Nā Poloka o nā Aʻalolo: Pili kēia i ke komo ʻana i kahi anesthetic kūloko kokoke i kahi aʻalolo i kuhikuhi ʻia a i ʻole kahi hui o nā aʻalolo e hōʻemi i ka ʻeha.

Hiki ke kōkua ke ʻano kino , akā ua kaupalena ʻia ka noiʻi ʻana i ka hopena o ia mea no Meralgia Paresthetica.

He mea kākaʻikahi loa, pono paha ke ʻoki kino e hoʻoponopono i ke kaomi ʻana o ke aʻalolo ʻili femoral lateral. ʻO ka maʻamau, paipai nā kauka i ke ʻoki kino no ka poʻe nona nā hōʻailona e mau ana me ka nānā ʻole i nā lāʻau lapaʻau ʻē aʻe.

(Meralgia Paresthetica) Hiki ke ho'ōla loa ʻia ke ʻano?

I ka hapanui o nā hihia, hoʻomaikaʻi ʻia ʻo Meralgia Paresthetica me nā lāʻau maʻalahi , a i kekahi manawa e hoʻopau wale ʻia me ka ʻole o kekahi lāʻau lapaʻau.

Hiki ke pale ʻia ka Meralgia Paresthetica?

ʻAʻohe ala e pale loa ai iā Meralgia Paresthetica, akā hiki iā ʻoe ke hana i kēia mau mea e hōʻemi ai i kou pilikia o ka hoʻomohala ʻana i ke kūlana:

• E mālama i ke kaumaha o ke kino olakino.
• E ʻaʻahu i nā lole palupalu a ʻaʻole e paʻa.
• E hōʻalo i ka hoʻohana ʻana i nā kāʻei lima a i ʻole nā ​​​​kāʻei paʻa , ʻoi aku hoʻi nā kāʻei mea hana kaumaha.

He aha ka lāʻau lapaʻau no ka Meralgia Paresthetica?

Ma ke ʻano laulā, maikaʻi ka nānā ʻana no ka Meralgia Paresthetica. Ma kahi o 85% o ka poʻe me kēia maʻi e ho'ōla me nā lāʻau lapaʻau maʻalahi.

ʻO nā hihia i hoʻokumu ʻia e ke ʻoki kino a i ʻole ka hōʻino pololei ʻana i ke aʻalolo e hoʻomaikaʻi pinepine ʻia i loko o ʻekolu mahina. ʻO nā hihia i hoʻokumu ʻia e ka hāpai ʻana e hoʻomaikaʻi pinepine ʻia ma hope o ka hānau ʻana o ka pēpē.

He aha ka mea e hana inā ʻaʻole mālama ʻia ʻo Meralgia Paresthetica?

Inā ʻaʻole mālama ʻia, hiki i ka Meralgia Paresthetica ke hoʻonui i ka ʻeha, ka mae ʻana, a i ʻole ke kuni ʻana. Hiki i kēia ʻano ke hoʻopilikia i kou hiki ke hele a neʻe ma ke ʻano maʻamau.

Āhea wau e ʻike ai i ke kauka?

Inā ua ʻike ʻia ʻoe me Meralgia Paresthetica a ʻaʻole ʻoe e hoʻomaikaʻi me nā lāʻau lapaʻau i hāʻawi ʻia iā ʻoe, a inā paha ke kumu nei nā lāʻau lapaʻau i nā hopena ʻaoʻao, e ʻike koke i ke kauka e kūkākūkā i nā koho ʻē aʻe.

ʻO Meralgia Paresthetica kahi maʻi e hoʻoulu ai i ka ʻeha, ka wela, a me ka mae ʻana ma ka ʻūhā, akā ʻaʻole ia he pilikia olakino koʻikoʻi. Eia nō naʻe, inā ke hoʻopilikia nei kēia maʻi i kou ola maikaʻi, pono ʻoe e ʻike i ke kauka. Hiki iā ia ke loaʻa ke kumu a ʻōlelo i ka lāʻau kūpono nou.

Nā mea nui loa āu e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, no laila ke lana nei koʻu manaʻo ua ʻike maikaʻi ʻoe i ka mea a mākou i kamaʻilio ai i kēia lā (Meralgia Paresthetica). I ka pōkole:

• He kūlana kēia i hoʻokumu ʻia e ke aʻalolo ʻuʻuku ma ka ʻūhā .
• ʻO nā hōʻailona nui ka ʻeha, ka kuni, ka mae, a me ke kani ʻana ma ka ʻūhā .
• Hiki i nā mea e like me nā lole paʻa, ka piʻi ʻana o ke kaumaha, ka hāpai ʻana, a me ka maʻi diabetes ke kumu o kēia.
• Hiki ke ho'ōla pinepine ʻia kēia me nā lāʻau lapaʻau maʻalahi a me nā loli o ke ʻano o ka nohona .
• Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​mai makaʻu e ʻike i ke kauka a e ʻimi i ka ʻōlelo aʻo.

E hoʻomanaʻo, he mea nui e mālama i kou olakino. Inā loaʻa iā ʻoe kekahi ʻano ʻeha e like me kēia, mai hoʻowahāwahā iā ia. ʻO ka ʻimi ʻana i ke kōkua lapaʻau i ka wā mua e hiki ke kōkua iā ʻoe e hoʻōla wikiwiki.

ʻO Meralgia Paresthetica, ʻeha ʻūhā, mae ʻūhā, ʻūmiʻi ʻana o ke aʻalolo, LFCN, mumū ʻūhā, ʻeha aʻalolo