Ke ʻeha nei ʻoe a paʻa paha i loko o kou mau aʻa? E kamaʻilio kākou e pili ana i kēia ʻeha aʻalolo.

Ua ʻike anei ʻoe i kahi ʻūlū, ʻōniʻoniʻo, a i ʻole ke kuni ʻana i kou mau wāwae a i ʻole kou mau lima? ʻOiai paha he mea liʻiliʻi kēia mau mea, he hōʻailona paha ia mai ka ʻōnaehana nerve o kou kino. Pili kēia ʻōnaehana nerve i nā mea āpau mai ka hanu ʻana a hiki i ka hoʻomalu ʻana i kou mau ʻiʻo a hiki i ka ʻike ʻana i ka wela a me ke anu. No laila, inā ua hōʻino ʻia kēia mau aʻalolo a i ʻeha paha, hiki iā ia ke loaʻa ka hopena nui i kou ola. No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā.

E nānā mua kākou, he aha kēia mau aʻalolo?

I ka ʻōlelo maʻalahi, ʻo ka ʻōnaehana nerve ka 'ʻōnaehana uea' e lawe ana i ka ʻike a puni ko mākou kino. Ua māhele ʻia i ʻelua ʻāpana. ʻO kekahi ka ʻōnaehana nerve waena . Hoʻokomo pū kēia i ko mākou lolo a me ke kaula iwi kuamoʻo. ʻO kekahi ka ʻōnaehana nerve peripheral . Lawe kēia i nā leka mai ka lolo a me ke kaula iwi kuamoʻo i nā ʻāpana ʻē aʻe o ke kino.

ʻEkolu ʻano nui o nā aʻalolo i loko o ko kākou kino:

1. Nā aʻalolo autonomic: ʻO kēia nā mea e kaohi i nā mea 'akomi' i loko o ko kākou kino. E noʻonoʻo i nā mea a kākou e kaohi ʻole ai, e like me ko kākou puʻuwai puʻuwai , ke koko, ka hou ʻana, a me ka ʻai ʻana. Kōkua kēia mau aʻalolo i kēia mau mea e hana aunoa.

2. Nā aʻalolo hoʻokele: Hoʻomalu kēia mau aʻalolo i kā mākou neʻe ʻana, e like me ka hoʻoneʻe ʻana i ko mākou mau lima a me nā wāwae, ka hele wāwae, a pēlā aku. Lawe kēia mau aʻalolo 'hoʻokele' i nā leka mai ka lolo a i nā ʻiʻo, nāna e hoʻoulu i kēlā mau neʻe ʻana.

3. Nā aʻalolo sensory: Lawe kēia mau aʻalolo i nā manaʻo a mākou e manaʻo ai mai ko mākou ʻili a me nā ʻiʻo - nā mea e like me ka ʻeha, ka pā ʻana, a me ka wela - hoʻi i ka lolo a me ke kaula spinal. E like me ka 'ʻelele'.

He aha nā hōʻailona o ka hōʻino ʻia ʻana o ke aʻalolo?

ʻOkoʻa nā hōʻailona o ka hōʻino ʻia o ke aʻalolo ma muli o ke ʻano o ke aʻalolo i hōʻino ʻia a me kahi. E nānā kākou i nā hōʻailona o ka hōʻino ʻia o kēlā me kēia ʻano aʻalolo.

I kekahi manawa hiki i ke kanaka ke ʻike i nā hōʻailona o ʻelua a ʻekolu paha o kēia ʻano neuropathy i ka manawa like. Eia kekahi laʻana, hiki iā ʻoe ke ʻike i ka nāwaliwali ma kou mau wāwae me kahi ʻano wela.

No ke aha i hōʻino ʻia ai kēia mau aʻalolo? He aha nā kumu?

Aia ma mua o 100 mau kumu o ka hōʻino ʻana o ke aʻalolo. Hiki ke ʻokoʻa nā hōʻailona a me nā lāʻau lapaʻau ma muli o kēlā me kēia kumu. Eia kekahi o nā kumu nui.

• Maʻi diabetes: ʻO ke kumu nui a maʻamau o ka hōʻino ʻana o ke aʻalolo, ʻo ia ka maʻi diabetes. Ma kahi o 70% o ka poʻe me ka maʻi diabetes he ʻano hōʻino ko lākou i ke aʻalolo. Inā ʻaʻole i kāohi ʻia ka maʻi, e ʻoi aku ka ʻino o kēia ʻano. Kāhea mākou i kēia maʻi neuropathy diabetic.
• Nā maʻi autoimmune:ʻO nā maʻi e hoʻouka ai ko kākou ʻōnaehana pale ponoʻī i ko kākou mau aʻalolo ponoʻī. ʻO nā laʻana e like me nā maʻi e like me ka Multiple Sclerosis, Guillain-Barré syndrome, a me Lupus.
• Kanesa: Hiki ke hōʻino ʻia nā aʻalolo ke kaomi nā puʻupuʻu i nā aʻalolo a i ʻole kekahi ʻano kanesa e hoʻopilikia ai i nā hemahema meaʻai i ke kino. Eia kekahi, hiki ke loaʻa ka ʻeha aʻalolo ma ke ʻano he hopena ʻaoʻao o kekahi mau lāʻau chemotherapy a me ka radiation no ka maʻi kanesa.
• Kaomi/Trauma: Hiki ke hōʻino ʻia nā aʻalolo ma muli o nā kūlana e like me ke aʻalolo i ʻoki ʻia, kahi ʻeha nui, a i ʻole Carpal Tunnel Syndrome.
• Nā hemahema i ka meaʻai: ʻO nā hemahema i nā wikamina, ʻoiai ka wikamina B6 a me B12, hiki ke hoʻonāwaliwali i nā aʻalolo, ʻeha, a me ka mumū. Hiki ke loaʻa kēia ʻano i nā poʻe e inu nui ana i ka waiʻona.
• ʻAila a me nā mea ʻawahia: ʻO ka inu nui ʻana i ka waiʻona no ka manawa lōʻihi ke kumu nui o ka hōʻino ʻana o ke aʻalolo. Eia kekahi, ʻo ka ʻai ʻana i nā mea ʻawahia e like me ke kēpau, ka arsenic, a me ka mercury hiki ke hōʻino i ke aʻalolo. Inā manaʻo ʻoe ua ʻai ʻoe i kahi mea ʻawahia me ka ʻike ʻole ʻia, e kelepona koke aku i ke Kikowaena ʻIke ʻAi ʻawahia Lahui ma ka Halemai Lahui ʻo Colombo.
• Nā maʻi lele: ʻO kekahi mau maʻi, e like me ka maʻi Lyme, nā maʻi herpes, HIV, a me Hepatitis C, hiki ke hoʻopilikia i nā aʻalolo.
• Nā hopena ʻaoʻao o ka lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau no ka maʻi HIV a me kekahi mau lāʻau chemotherapy no ka maʻi kanesa hiki ke hoʻoulu i ka ʻeha o ke aʻalolo ma ke ʻano he hopena ʻaoʻao.

He aha nā lāʻau lapaʻau no kēia?

I ka hapanui o nā hihia, he paʻakikī ke ho'ōla piha i ka hōʻino ʻana o ke aʻalolo. Eia nō naʻe, he nui nā lāʻau lapaʻau e hiki ke kōkua i ka kaohi ʻana i nā hōʻailona a hoʻomaʻalahi i ke ola. ʻO ka mea nui loa, ʻo ia ke ʻike koke i ke kauka i ka hoʻomaka ʻana o nā hōʻailona. ʻO ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau, ʻoi aku ka nui o kou pale ʻana i ka hōʻino mau loa.

ʻO ka hana mua e kālele ana i ka mālama ʻana i ke kūlana kumu i hoʻoulu ai i ka ʻeha o ke aʻalolo.

• Inā loaʻa iā ʻoe ka maʻi diabetes, e kaohi mau i kou pae kō koko .
• Inā he nele i nā meaʻai, e hoʻolako i nā wikamina e pono ai.
• Inā loaʻa kēia ʻano ma muli o kahi lāʻau lapaʻau, e kamaʻilio me kāu kauka a hoʻololi i ka lāʻau lapaʻau.
• Hoʻōla kino a ʻoki kino paha no kahi maʻi e like me ke aʻalolo i ʻoki ʻia.
• Ke hāʻawi nei i nā lāʻau lapaʻau no nā maʻi autoimmune.

Nā lāʻau lapaʻau hōʻoluʻolu ʻeha

Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me kēia e kōkua i ka hōʻemi ʻana i kou ʻeha:

• Nā lāʻau ʻeha maʻamau.
• ʻO kekahi mau lāʻau lapaʻau no ke kaumaha, e like me Amitriptyline a me Duloxetine (Cymbalta).
• Kekahi mau lāʻau lapaʻau no ka maʻi epilepsy (nā hopu). ʻOiai he mau lāʻau lapaʻau kēia no ka maʻi epilepsy, he mea maikaʻi loa nō hoʻi lākou i ka kaohi ʻana i ka ʻeha o ke aʻalolo. Nā laʻana: Gabapentin (Neurontin) a me Pregabalin (Lyrica).
• Nā ʻano kirīmi ʻili. Nā Laʻana: Nā kirīmi i loaʻa iā Capsaicin a me Lidocaine.

Nā lāʻau lapaʻau ʻē aʻe

Ma waho aʻe o nā lāʻau lapaʻau, hiki i ke kauka ke ʻōlelo pū i nā lāʻau lapaʻau e like me:

• Hoʻōla kino: Hiki i ka hoʻomaʻamaʻa a me ka lomilomi ke kōkua i ka pale ʻana i ka nāwaliwali o nā ʻiʻo a mālama i ka neʻe maikaʻi ʻana o ka hui.
• ʻOki kino: ʻO ke ʻoki kino paha ka hopena maikaʻi loa no ka ʻeha i hoʻokumu ʻia e ke aʻalolo i ʻoki ʻia a i ʻole kahi ulia.
• Poloka Aʻalolo: ʻO ka hoʻokomo ʻana i kahi lāʻau hoʻomāno a puni ke aʻalolo ʻeha e hoʻōki i nā hōʻailona ʻeha mai ka hiki ʻana i ka lolo.
• TENS (Transcutaneous Electrical Alerve Stimulation): He mea hana e hoʻohana ana i nā hōʻailona uila liʻiliʻi e kāohi i ka ʻeha.
• Nā lāʻau lapaʻau ʻē aʻe: ʻO nā mea e like me ka acupuncture, ka noʻonoʻo ʻana, a me kekahi mau huaora (ma lalo o ka nānā ʻana o ke kauka) hiki ke hāʻawi i ka hōʻoluʻolu no kekahi poʻe. Eia nō naʻe, e kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i kekahi lāʻau lapaʻau ʻē aʻe.