Ke ʻeha nei hoʻi ʻoe i ka ʻeha i hoʻokumu ʻia e ke aʻalolo i ʻoki ʻia ma kahi hoʻokahi? E kamaʻilio kākou e pili ana i (Mononeuropathy)!

Ke manaʻo nei ʻoe i kekahi manawa i ka mae ʻole a i ʻole ka ʻeha wela ma kekahi ʻāpana o kou lima a wāwae paha? Hiki paha iā ʻoe ke manaʻo i kahi nāwaliwali iki ma ia wahi. Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​loaʻa paha iā ʻoe kahi maʻi i hōʻino ʻia i hoʻokahi aʻalolo. I ka lāʻau lapaʻau, kapa mākou i kēia "Mononeuropathy" . I ka ʻōlelo maʻalahi, he hōʻino kēia i hoʻokahi aʻalolo i loko o kou kino.

He aha kēia `(Mononeuropathy)`? He aha ka mea e hana nei?

ʻIke ʻoe, he mau kaula liʻiliʻi ko ko kākou kino e lawe ana i nā leka mai ka lolo a i ke koena o ke kino, i kapa ʻia ʻo nā aʻalolo. ʻO ka "Mononeuropathy" ka hōʻino ʻia ʻana o kekahi o kēia mau aʻalolo. No kahi māhele nui aʻe ia i kapa ʻia ʻo "peripheral neuropathy." ʻO ia hoʻi, he kūlana e hoʻopilikia ai i nā aʻalolo ma waho o ka lolo a me ke kaula spinal.

E noʻonoʻo e like me ke kaula uila i loko o kou hale. Loaʻa iā ia kahi ʻāpana o loko i kapa ʻia he "axon" e lawe ana i nā leka, a me kahi uhi waho i kapa ʻia he "myelin sheath" e pale aku iā ia. Ua like ia me ke kaula keleawe i loko o kahi kaula uila a me ka palakiko a puni. Inā he kaomi mau ma luna o kēia aʻalolo, a inā he ʻeha, a inā he mumū, hiki ke hōʻino ʻia kēia myelin sheath a i ʻole ka axon. A laila hiki ke hoʻolohi ʻia nā leka ma o ke aʻalolo, a i ʻole e hoʻōki loa. ʻO ia ka manawa e ʻike ʻia ai nā hōʻailona i ʻōlelo ʻia ma mua, e like me ka mae a me ka ʻeha.

Pehea e hiki ai i ka `(Mononeuropathy)` ke hana? He aha nā ʻano maʻamau?

ʻO kaʻoiaʻiʻo, hiki ke hōʻino ʻia kekahi aʻalolo hoʻokahi i loko o ko kākou kino ma kēia ʻano. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o nā aʻalolo e holo kokoke ana i ka ʻili a i ʻole kokoke i ka iwi . Loaʻa i kekahi o kēia mau inoa kūikawā. Ua lohe paha ʻoe i kēia mau inoa:

• ʻO ka Carpal Tunnel Syndrome: He pilikia maʻamau kēia no nā poʻe he nui. Inā ʻoe e paʻi ma kahi kamepiula i ka lā a pau a hana paha i nā hana lima (e like me ka humuhumu a i ʻole ke kālai lāʻau), hiki ke ʻūlū ʻia ke aʻalolo waena e holo ana ma kou pulima, e hoʻoulu ai i ka maneʻo a me ka ʻeha i kou mau manamana lima.
• Sciatica: He mea maʻamau loa kēia. Loaʻa kēia ʻeha nui i ka wā e ʻomi ʻia ai kahi aʻalolo nui (ke aʻalolo sciatic) e holo ana mai ko mākou kua ma o ko mākou mau puʻupuʻu a i lalo i ko mākou mau wāwae . I kekahi manawa hiki ke hana ʻia kēia ma ka hāpai ʻana i kahi mea kaumaha, ka noho hewa ʻana, a i ʻole kahi disc herniated ma waena o ko mākou vertebrae.
• Ka Pahele ʻana o ke Aʻalolo Ulnar ma ke Kuʻekuʻe:No ka poʻe e hoʻomaha mau ana i ko lākou kuʻekuʻe lima ma luna o ka papaʻaina, a i ʻole ke kaomi ʻia e kekahi mea ma luna o ke kuʻekuʻe lima, hiki ke ʻūmiʻi ʻia kēia aʻalolo, e lilo ai ka manamana lima liʻiliʻi a me ka hapalua o ka manamana lima apo i mea palupalu a palupalu. Ua kapa ʻia hoʻi kēia ʻo `(Cubital Tunnel Syndrome)`.
• ʻO ka Radial Tunnel Syndrome: Hana ʻia e ke kaomi ʻana o kahi aʻalolo ma ka lima (radial nerve).
• ʻO kekahi aʻalolo ma ka pulima lima (`(Guyon's Canal Syndrome)`): Pili nō hoʻi kēia i ke aʻalolo ulnar, akā aia ke kaomi ʻana ma ka pulima lima.
• Nā pilikia o ke aʻalolo Peroneal: Hiki ke ʻūmiʻi ʻia kēia aʻalolo ke kūlou mau ʻia ka wāwae no ka manawa lōʻihi, a i ʻole inā ua ʻeha ke kuli. Hiki i kēia ke paʻakikī i ka hāpai ʻana i ka wāwae.
• Nā pilikia o ke aʻalolo Axillary: Hiki ke hana kēia ma muli o kahi hōʻeha i ka poʻohiwi.
• Nā pilikia e pili ana i ke aʻalolo ʻili femoral lateral: ʻO ka ʻomi ʻana o kēia aʻalolo ke kumu o ka mae ʻana a me ka mumū ma ke kua o ka ʻūhā.

Ma waho aʻe o kēia, aia kekahi ʻano o nā "cranial mononeuropathies" (mononeuropathies e pili ana me nā aʻalolo cranial) . ʻO ke ʻano kēia ua hōʻino ʻia kekahi o nā aʻalolo 12 e hele pololei mai ana mai ko kākou lolo. ʻO kahi laʻana ʻo "Bell's Palsy" (Bell's Palsy) . Ma kēia, ua hoʻopilikia ʻia kahi aʻalolo ma ka maka (ʻo "facial nerve" - ​​ke aʻalolo cranial ʻehiku), e hoʻokuʻu koke ana kekahi ʻaoʻao o ka maka.

I kekahi manawa, ʻoi aku ma mua o hoʻokahi aʻalolo, ʻo ia hoʻi, ʻelua a ʻekolu paha aʻalolo, hiki ke hōʻino ʻia i ka manawa like, ma nā ʻāpana like ʻole o ke kino. Ua kapa ʻia kēia he 'multiple mononeuropathies'.

E noʻonoʻo wale, e loaʻa i ka 40% o nā ʻAmelika ka sciatica i kekahi manawa o ko lākou ola! Hoʻopilikia ka Bell's Palsy ma kahi o 1 i loko o 60 mau kānaka. Hoʻopilikia ka Carpal Tunnel Syndrome ma kahi o 3 i loko o 1,000 mau kānaka i ka makahiki. No laila, ʻaʻole kēia he mea maʻamau ʻole.

He aha nā hōʻailona o kēia `(Mononeuropathy)`?

Hiki ke ʻokoʻa nā hōʻailona ma muli o ke aʻalolo i hōʻino ʻia, akā ʻo nā hōʻailona maʻamau:

• ʻO ka mae ʻana ma ka wahi i hoʻopilikia ʻia .
• ʻEha a i ʻole ke kuni ʻana .
• He manaʻo e like me "nā ʻanuʻu e holo ana a puni" a i ʻole "nā pine a me nā nila".
• Ka nāwaliwali o nā ʻiʻo ma kahi i hoʻopilikia ʻia. Inā hoʻomau kēia, hiki ke emi nā ʻiʻo (atrophy ʻiʻo).

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​he mea nui loa ia e ʻike koke i ke kauka. ʻO kēia no ka mea hiki ke ʻoi aku ka ʻino o ke kūlana inā ʻaʻole mālama ʻia. Inā pēlā:

• Hiki ke loaʻa ka ʻeha mau loa .
• E nalowale paha ka manaʻo o ka hoʻopā ʻana .
• Ka nāwaliwali mau o nā ʻiʻo a i ʻole ka loloHiki ke kū mai kahi kūlana e like me kēia.

No ke aha e ulu ai kēia `(Mononeuropathy)`? He aha nā kumu?

Aia paha he nui nā kumu no kēia. ʻO ke kumu nui:

1. Nā ʻeha

Hoʻokumu pinepine ʻia kēia e kahi hōʻeha pololei i kahi aʻalolo. Hiki ke hana ʻia e nā mea e like me:

• Nā neʻe hou / nā ʻeha ʻeha hou: E noʻonoʻo i kahi mea e paʻi ana ma ka papa kīpē kamepiula i ka lā a pau, a i ʻole kekahi mea e humuhumu lole ana, a i ʻole kekahi mea e hoʻohana ana i ko lākou mau lima ma ke ʻano like ma kahi hale hana. Hiki i nā neʻe hou e like me kēia ke hōʻeha iki i kēlā mau aʻalolo.
• Ka hoʻolōʻihi nui ʻana o kahi hui.
• Ka noho ʻana no ka manawa lōʻihi me ka paʻa pono ʻana i ke kino: E like me ke paʻa ʻana i kahi mea kaua kaumaha no ka manawa lōʻihi.
• Ka pōʻino ʻana i ke aʻalolo ma muli o ka haki ʻana o ka iwi.
• ʻO ka trauma (ʻeha i kahi aʻalolo, e like me ka ʻoki ʻana me kahi mea ʻoi a i ʻole ke ʻoki ʻana).
• Hiki ke hana ʻia e ka radiation therapy no ka maʻi kanesa.

2. Hoʻopaʻa ʻana o ke aʻalolo

Hiki i kēia ke hana i ka mononeuropathy:

• Kekahi mea e like me ka puʻupuʻu e kaomi ana ma luna o ke aʻalolo.
• Ka pehu nui ʻana (edema).
• ʻO kahi hoʻolei i kūpono ʻole: Inā paʻa loa ka hoʻolei no ka wāwae a lima paha i haki, hiki iā ia ke ʻūmiʻi i nā aʻalolo.
• Ke hoʻohana nei i nā koʻokoʻo.
• Noho ma ke kūlana hoʻokahi, kūlou i lalo, no ka manawa lōʻihi: e like me ka huli ʻana i ka ʻaoʻao hoʻokahi a mālama i kou mau lima ma lalo ou ʻoiai e hana ana ma ka māla a hiamoe paha.
• Ke hoʻopaʻa ʻia ma kahi moe a i ʻole e noho ana ma ke kūlana like no ka manawa lōʻihi.

3. Nā Kūlana Ola ʻē aʻe

Hiki i kekahi mau maʻi ke hana i ka "Mononeuropathy." Eia nō naʻe, hoʻopilikia pinepine kēia mau maʻi i nā aʻalolo he nui.

• Ka hoʻohana nui ʻana i ka waiʻona ('Alcohol use disorder').
• Nā maʻi autoimmune a me ka mumū: No ka laʻana, nā maʻi e like me Lupus a me Rheumatoid Arthritis. He mau maʻi kēia i hoʻokumu ʻia e ka hana hewa ʻana o ka ʻōnaehana pale o ke kino.
• ʻO kekahi mau maʻi: HIV (AIDS), Shingles (herpes zoster - kahi maʻi e kū mai ana ma hope o ka moa).
• ʻO ka maʻi diabetes: ʻOi aku ka nui o ka pilikia o ka poʻe me ka maʻi diabetes i ka hōʻino ʻia ʻana o nā aʻalolo. He kumu maʻamau loa kēia.
• Ka nele o nā huaora a me nā meaʻai.

Pehea ʻoe e ʻike ai i kēia, e Kauka?

ʻO ka hapa nui o ka manawa, e nīnau ke kauka iā ʻoe:

• Ma ka hoʻolohe ʻana a me ke aʻo ʻana e pili ana i nā hōʻailona,
• Ma ka ʻike ʻana i nā kikoʻī e pili ana i kou mau maʻi ma mua ('mōʻaukala lapaʻau'),
• Ma ka hana ʻana i kahi hoʻokolokolo kino a me kahi hoʻokolokolo neurological,

Hiki ke ʻike ʻia kēia kūlana ma ke ʻano he "Mononeuropathy".

Eia nō naʻe, no ka mea, he nui nā kumu no kēia, inā ʻaʻole maopopo ke kumu, a inā koʻikoʻi kāu mau hōʻailona, ​​hiki i kāu kauka ke kauoha i nā hoʻokolohua hou aʻe. Hiki i kēia mau hoʻokolohua ke kōkua i ka hōʻoia ʻana i ka maʻi a loaʻa ke kumu kumu. Nā laʻana:

• EMG - Electromyography: Hoʻāʻo kēia i ka maikaʻi o ka hana ʻana o kou mau ʻiʻo a me nā aʻalolo e pili ana iā lākou.
• Haʻawina alakaʻi aʻalolo: Ke ana kēia i ka wikiwiki o ka hele ʻana o nā leka ma o nā aʻalolo. Inā hōʻino ʻia kahi aʻalolo, e emi ana kēia wikiwiki.
• Nā hoʻāʻo koko: E nānā i nā maʻi olakino ʻē aʻe, e like me ka maʻi diabetes a me ka nele i nā wikamina.
• Nā hoʻāʻo kiʻi: Hiki ke hoʻohana ʻia nā hoʻāʻo e like me ka ultrasound, MRI scan, a i ʻole CT scan e ʻimi ai i ka hoʻopili ʻana o ke aʻalolo a i ʻole kahi puʻupuʻu.

He aha nā lāʻau lapaʻau no ka "Mononeuropathy"?

Pili ka lāʻau lapaʻau i kekahi mau kumu, me:

• ʻO wai ke aʻalolo i hōʻino ʻia?
• He aha ke kumu?
• Pehea ka ʻino o ke kūlana?
• He aha kou mau hōʻailona?

E ʻōlelo aku kāu kauka i ka lāʻau lapaʻau kūpono loa no kou kūlana. Eia kekahi mau lāʻau lapaʻau maʻamau:

• Lapaʻau laulā: hoʻomaha, hoʻohana ʻana i nā lāʻau lapaʻau e hoʻomalu ai i ka ʻeha.
• Ke kau nei i nā splint: Hoʻohana ʻia kēia mau mea e hoʻopaʻa i ka wahi i hoʻopilikia ʻia. No ka laʻana, kau ʻia kahi splint ma ka pulima no ka poʻe me ka Carpal Tunnel Syndrome.
• Nā inikini steroid: Hoʻokomo ʻia kēia mau inikini i loko o kahi i ʻū ʻia ai ke aʻalolo e hōʻemi i ka ʻeha, ka pehu, a me ka mumū.
• Hoʻōla kino: Kōkua kēia i ka hoʻihoʻi ʻana i ka hana aʻalolo a hoʻoikaika i nā ʻiʻo ma o nā hoʻomaʻamaʻa kikoʻī a me nā lāʻau ʻē aʻe.
• Ke mālama ʻana i kahi maʻi kumu: Inā ma muli kēia o kahi maʻi e like me ka maʻi diabetes, he mea nui loa ia e kaohi i kēlā maʻi.
• ʻO ke ʻoki kino: Inā ʻaʻole kōkua nā lāʻau ʻē aʻe, pono paha ke ʻoki kino e hoʻokuʻu i ke aʻalolo pinched.

Āhea wau e ʻike ai i ke kauka?

Inā ʻoe e ʻike nei i nā hōʻailona i ʻōlelo ʻia ma luna nei o ka ʻeha, ka mae ʻana, a me ka nāwaliwali o nā ʻiʻo, he mea nui e ʻike i ke kauka. ʻO ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau, ʻoi aku ka maikaʻi o ka loaʻa ʻana o kahi hopena holomua.

Inā ua ʻike mua ʻia ʻoe me ka mononeuropathy, e hoʻomaopopo i kāu kauka inā e ʻoi aʻe ka ʻino o kāu mau hōʻailona a inā ʻike ʻia nā hōʻailona hou.

He mea kōkua paha ke nīnau aku i kāu kauka i kēia mau nīnau:

• He aha ke ʻano o ka "Mononeuropathy" iaʻu?
• He aha ke kumu o kēia?
• He aha nā koho lapaʻau aʻu e loaʻa ai? He aha kāu e ʻōlelo mai ai?
• ʻEhia ka lōʻihi e ola ai kēia?
• E ho'ōla piha anei au, a i ʻole hapa wale nō?
• He aha kaʻu e hana ai e pale aku ai i kēia mai ka hana hou ʻana?

He aha nā kūlana o ka ho'ōla ʻana ma kēia kūlana?

Hiki ke ʻokoʻa kēia mai kēlā kanaka a kēia kanaka. Aia ia i nā mea e like me ke aʻalolo i hōʻino ʻia, ke kumu kumu, a me ke koʻikoʻi o ka hōʻino ʻana o ke aʻalolo.

Hiki i kēia ʻano ke ʻeha a hiki ke hoʻopilikia i nā hana o kēlā me kēia lā. Pono kekahi poʻe e ʻeha i kēia mau hōʻailona no ka manawa lōʻihi. Eia nō naʻe, inā hiki i ke kauka ke loaʻa ke kumu a ua holomua ka lāʻau, hiki i ka "Mononeuropathy" ke lilo i ʻano manawa pōkole.

He aha ka ʻokoʻa ma waena o `(Mononeuropathy)` a me `(Polyneuropathy)`?

ʻO ka polyneuropathy ka wā e hāʻule ai nā aʻalolo he nui i loko o kou kino i ka manawa like. ʻO kahi laʻana he kūlana i kapa ʻia ʻo Guillain-Barré syndrome, kahi e hiki koke mai ana.

Eia nō naʻe, ʻo ke ʻano o ka `(Mononeuropathy)` ʻo ia hoʻi ka hōʻino ʻana i hoʻokahi aʻalolo wale nō i loko o kou kino. I kekahi manawa, ʻo ke `mononeuropathy lehulehu`, ka mea e hoʻopilikia ai i kekahi mau aʻalolo i ka manawa hoʻokahi, hiki ke paʻakikī iki i nā kauka ke hoʻokaʻawale mai `(Polyneuropathy)`.

Ua lohe paha ʻoe i ka `(Mononeuropathy)` ma nā inoa e like me `(Carpal Tunnel Syndrome)`, `(Bell's Palsy)` a i ʻole `(Sciatica)`. He like kēia mau mea a pau - ka hōʻino ʻana i hoʻokahi aʻalolo. ʻO ka mea nui loa, inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha, ka mae ʻana, a i ʻole ke kani ʻana, e ʻimi koke i ke kōkua lapaʻau. Ma kēlā ʻano, hiki iā ʻoe ke hoʻōla koke.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻAʻole ia he mea e makaʻu ai ka Mononeuropathy, akā , ʻaʻole ia he mea e hoʻowahāwahā ʻia. Inā loaʻa iā ʻoe ka mae mau, ka ʻeha, a i ʻole ka nāwaliwali ma kekahi wahi o kou kino, mai hoʻowahāwahā wale. E ʻike koke i ke kauka. Me ka ʻike kūpono a me ka mālama koke ʻana, hiki iā ʻoe ke hoʻōla koke a hoʻi i kāu mau hana o kēlā me kēia lā.

Mononeuropathy , neuropathy, hehena, ʻeha aʻalolo, ʻūlū aʻalolo, carpal tunnel syndrome, sciatica