Loaʻa pinepine iā ʻoe ke poʻo ʻeha? A i ʻole ke manaʻo koke nei ʻoe e nalowale ana kou mau manaʻo? Malia paha ua haʻi aku kāu kauka ʻohana iā ʻoe e ʻike i kahi 'neurologist'. Ke ʻōlelo ke kauka i kēlā, nui ka poʻe e makaʻu iki a manaʻo he mea nui ia. Akā ʻo wai maoli ke kauka neurologist ? He aha kāna hana? E kamaʻilio kākou e pili ana i kēia me ka maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
ʻO wai ka mea he neurologist maoli?
I ka ʻōlelo maʻalahi, he kauka neurologist kahi kauka loea i ka ʻike ʻana a me ka mālama ʻana i nā maʻi e pili ana i kā mākou ʻōnaehana nerve. Ke ʻōlelo mākou i kā mākou ʻōnaehana nerve, aia pū ka lolo, ke kaula spinal, a me nā aʻalolo āpau e holo ana ma ke kino. E noʻonoʻo iā ia e like me ka papa hoʻomalu o ko mākou kino. Ke loaʻa kahi pilikia me ia, ʻo ka neurologist ka mea nāna e ʻike a kōkua i ka hoʻōla ʻana me ka lāʻau lapaʻau.
ʻO ka mea nui loa, ʻaʻole hana kahi Neurologist i nā ʻoki kino. Hana kahi Neurosurgeon i nā ʻoki kino ma ka lolo a i ʻole nā aʻalolo. Hoʻokahi kēia mau mea ʻelua a like. ʻOiai ke nānā nei kahi Neurologist i ka maʻi a mālama iā ia me ka lāʻau lapaʻau, inā pono ke ʻoki kino, e kuhikuhi ʻo ia iā ʻoe i kahi Neurosurgeon.
Aia kekahi ʻāpana i kapa ʻia ʻo Pediatric Neurologists, nāna i loea i nā maʻi o ka ʻōnaehana nerve o nā keiki ʻōpio.
He aha nā hōʻailona e pono ai ʻoe e ʻike i kahi neurologist?
ʻO ka maʻamau, e kuhikuhi aku kāu kauka ʻohana iā ʻoe i kahi loea neurologist. Aia ma ka papa ma lalo nei kekahi o nā hōʻailona e alakaʻi ai i kēia.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻO nā poʻo ʻeha pinepine a koʻikoʻi paha / migraines | ʻO ke poʻo ʻeha mau loa ʻaʻole e hōʻoluʻolu ʻia e kahi lāʻau ʻeha maʻalahi. |
| Ka mae a nalowale paha o ka ʻike ma nā lālā | Ka maneʻo koke ʻole a i ʻole ka nalowale loa ʻana o ka ʻike ma ka lima, ka wāwae, a i ʻole ka maka me ke kumu ʻole. |
| Vertigo | Manaʻo ʻoe ʻaʻole ʻoe kekahi, akā ke milo nei nā mea a puni ʻoe. Paʻakikī ke kū mālie. |
| Nā hopu ʻana | ʻO ke kūlana kahi e haʻalulu ai ke kino me ka hiki ʻole ke kāohi, inā paha ua ʻike a ʻike ʻole paha. |
| Nā pilikia hoʻomanaʻo | ʻOi aku ma mua o ka poina maʻamau, ka poina nui ʻana i nā mea, a hiki i ka nalowale ʻana o ka hoʻomanaʻo o nā wahi i kamaʻāina. |
| Paʻakikī ke neʻe ʻana | Nā haʻalulu, ka paʻakikī i ka hele wāwae, a me nā neʻe lohi me he mea lā ua pōhaku ʻia ke kino. |
| Nā loli i ka ʻike, ka lohe, ke ʻala, a i ʻole ka ʻono | ʻIke pālua koke, ke kani ʻana o nā pepeiao (tinnitus), a i ʻole ka nalowale ʻana o ke ʻala a me ka ʻono. |
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ʻo ka mea mua e hana ai, ʻo ia ke ʻike i kāu kauka ʻohana. E nānā ʻo ia iā ʻoe a hoʻoholo inā he kūlana kēia e pono ai ke kuhikuhi ʻia i kahi loea.
Nā kūlana nui i mālama ʻia e kahi neurologist
Nui nā maʻi a nā kauka neurologist e mālama ai. ʻO kekahi o lākou:
- Hahau: He kūlana e kū mai ana i ka wā e pau ai ke kahe o ke koko i ka lolo a i ʻole ka pahū ʻana o ke kīʻaha koko.
- Epilepsy: Nā hopu pinepine / nā kuʻi.
- ʻO ka maʻi o Parkinson:He maʻi e hoʻopilikia ai i ka neʻe ʻana o ke kino, e hoʻoulu ai i nā hōʻailona e like me ka haʻalulu a me ka ʻoʻoleʻa.
- ʻO ka Maʻi ʻo Alzheimer: He maʻi e hoʻopilikia nui ana i ka hoʻomanaʻo a me ka hiki ke noʻonoʻo.
- Sclerosis lehulehu (MS): He maʻi i hoʻokumu ʻia e ka hōʻino ʻana i ka uhi pale a puni nā aʻalolo.
- ʻO Migraine a me nā ʻeha poʻo koʻikoʻi ʻē aʻe.
- ʻO ka Neuropathy Peripheral: Nā kūlana e like me ka numbness a me ka mumū i hana ʻia e ka hōʻino ʻana i nā aʻalolo i nā lālā o ke kino.
- Nā pilikia o ke kua a me ka ʻāʻī: ʻEha i hoʻokumu ʻia e ke kaomi ʻana o ke aʻalolo ma muli o nā kūlana e like me ka disc prolapse.
- Nā maʻi a me nā puʻupuʻu o ka lolo a i ʻole ke kaula kuamoʻo.
He aha ka mea e hana ai ke ʻike ʻoe i ke kauka? (Nā hoʻāʻo a me nā kaʻina hana)
ʻAʻohe mea e makaʻu ai ke ʻike ʻoe i kahi loea neurologist. ʻO ka mea mua, e kamaʻilio pono ʻo ia me ʻoe a nīnau iā ʻoe e pili ana i kāu mau hōʻailona, pehea lākou i hoʻomaka ai, kou mau maʻi i hala, a inā paha ua loaʻa i kekahi o kou ʻohana nā maʻi like.
A laila, e nānā ʻo ia iā ʻoe. Ua kapa ʻia kēia he hoʻokolokolo neurological . Hoʻokomo pū kēia i nā mea e like me:
- Kou kūlana noʻonoʻo (ke ʻano o ka ʻōlelo, ka hoʻomanaʻo)
- ʻIke a me ka neʻe ʻana o ka maka
- Ikaika o ke kino (ikaika o nā lālā)
- Ke kaulike o ke kino a me ka hoʻonohonoho ʻana
- Nā Reflexes - nā mea e like me ke kuʻi ʻana i kou kuli me ka hāmare liʻiliʻi
- Manaʻo - ke hou ʻana i nā ʻāpana like ʻole o ke kino e ʻike ai inā manaʻo lākou e like me ka nila
I ka hapa nui o ka manawa, hiki i kēia hoʻāʻo wale nō ke hāʻawi i kāu kauka i kahi manaʻo maikaʻi o kou kūlana. Eia nō naʻe, pono paha lākou e hana i kekahi mau hoʻāʻo hou aʻe e hōʻoia a ʻike pono i ka mea e hana nei.
| Hoʻāʻo | He aha kāu e hana ai me kēia? |
|---|---|
| Nā Hoʻāʻo Kiʻi (MRI / CT Scans) | Ua like kēia me ke kiʻi ʻana i nā 'kiʻi' o ka lolo a me ke kaula kuamoʻo. Hiki iā lākou ke ʻike i nā mea e like me nā puʻupuʻu a me ka maʻi lolo. |
| EEG (Electroencephalogram) | Hoʻopili ʻia nā mea ʻike liʻiliʻi (electrodes) i ke poʻo a hoʻopaʻa i ka hana uila o ka lolo. He mea nui loa kēia no ka ʻike ʻana i nā maʻi e like me ka maʻi epilepsy. |
| Haʻawina Hoʻokele EMG / Aʻo ʻana i ke Aʻalolo | Ana ia i ka wikiwiki a me ke ʻano o ka hoʻouna ʻia ʻana o nā leka mai nā aʻalolo i nā ʻiʻo. Hana ʻia kēia ke loaʻa iā ʻoe ka maneʻo i kou mau lālā a i ʻole ke manaʻo ʻoe ua hōʻino ʻia kou mau aʻalolo. |
| ʻO ke kī ʻana o ka ʻūhā (Lumbar Punch) | Hoʻokomo ʻia kahi nila liʻiliʻi ma o kahi ʻoki liʻiliʻi ma ke kua haʻahaʻa e lawe i kahi hāpana liʻiliʻi o ke wai e hoʻopuni ana i ka lolo a me ke kaula spinal (CSF). Kōkua kēia i ka ʻike ʻana i nā mea e like me nā maʻi a me ke kahe ʻana o ke koko. |
Pehea ʻoe e hoʻomākaukau ai ma mua o kou hele ʻana e ʻike i ke kauka?
No ka loaʻa ʻana o ka mea nui loa mai ke koho ʻana o kāu kauka, he mea nui e hoʻomākaukau iki.
- E kākau i lalo i kāu mau hōʻailona: E kākau i lalo i nā mea āpau āu e ʻike nei i loko o kahi puke pai. E kākau i lalo i nā kikoʻī e like me ka wā i hoʻomaka ai, ka manawa hea o ka lā i ʻoi aku ka ʻino, a inā e ʻoi aku ka ʻino a maikaʻi paha ke hana ʻoe i kekahi mea.
- E lawe i kāu mau moʻolelo lapaʻau kahiko a me ka papa inoa lāʻau lapaʻau me ʻoe: E lawe i nā lāʻau lapaʻau a pau āu e lawe nei (me nā mea no nā maʻi ʻē aʻe), nā maʻi allergies āu, a me nā hōʻike hoʻāʻo kahiko āu.
- E hana i kahi papa inoa o nā nīnau: E kākau i lalo i nā mea āu e makemake ai e nīnau i ke kauka ma mua, a i ʻole e poina paha iā ʻoe.
- Inā hiki, e hele pū me kahi lālā o ka ʻohana: ʻOi aku ka maʻalahi o ka hoʻomanaʻo ʻana i nā mea ke hoʻolohe nei nā kānaka ʻelua. A he mea hōʻoluʻolu nō hoʻi ia nou.
- E kākau i lalo i ka ʻōlelo a ke kauka: E kākau i lalo i loko o kahi puke liʻiliʻi i nā kuhikuhi a ke kauka, nā kikoʻī e pili ana i nā lāʻau lapaʻau, a me nā hoʻokolohua āna e kauoha ai.
Mai makaʻu a hilahila paha e nīnau. Inā ʻaʻole ʻoe e maopopo i kekahi mea, e nīnau, "ʻAʻole maopopo iaʻu, e ke kauka, hiki iā ʻoe ke ʻōlelo hou i kēlā?" E pili ana kēia i kou olakino.
Leka Lawe-Home
- He loea ka neurologist nāna e mālama i nā maʻi o ka lolo, ka iwi kuamoʻo, a me nā aʻalolo me ka lāʻau lapaʻau. ʻAʻole lākou e hana i ke ʻoki kino.
- ʻEha pinepine ka ʻeha, ka poniuniu, ka mae ʻana o nā lālā, ka nalowale o ka hoʻomanaʻo, a i ʻoleInā loaʻa iā ʻoe nā hōʻailona e like me ka hopu ʻana , e ʻike mua i kāu kauka ʻohana. Inā pono, e kuhikuhi ʻo ia iā ʻoe i kahi neurologist.
- Ke ʻike ʻoe i kāu kauka, e nānā ʻo ia iā ʻoe a e kauoha paha i nā hoʻokolohua e like me ka MRI, EEG, a i ʻole ka lumbar puncture e hōʻoia i ka maʻi.
- ʻO ke kākau ʻana i kāu mau hōʻailona a me nā nīnau ma mua o ka ʻike ʻana i ke kauka hiki ke hoʻolilo i ka manawa i mea huahua.
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