I kekahi manawa ke noho mākou i ke kūlana like no kekahi manawa, hoʻomaka ko mākou mau lima a i ʻole nā wāwae e ʻūlū, ʻeā? Nalo ia ma hope o kekahi manawa. Akā i kekahi manawa, inā hoʻomau kēia ʻūlū ʻana, a inā paha e hana pinepine ʻia, he hōʻailona paha ia e hoʻāʻo nei ko mākou kino e haʻi mai iā mākou i kekahi mea. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia ʻūlū ʻana, a i ʻole e like me ka mea i kapa ʻia ma ke ʻano lapaʻau, he ʻūlū.
He aha kēia ʻano mae?
I ka ʻōlelo maʻalahi, ʻo ka numbness ka nalowale o ka manaʻo ma kahi ʻāpana o kou kino. Hiki i kēia ke lilo i nalowale piha o ka manaʻo (numbness) a i ʻole ka emi ʻana o ka manaʻo (partial numbness). Hoʻopilikia pinepine kēia ʻano i nā wahi e like me nā lima, nā manamana lima, nā wāwae, a me nā wāwae, akā hiki ke loaʻa maoli ma nā wahi āpau o ke kino.
ʻO ka ʻūlū pinepine he hōʻailona ia e loaʻa ana kahi pilikia me kā mākou ʻōnaehana nerve . E noʻonoʻo e pili ana i ia mea, lawe ʻia ka ʻike i ka lolo mai nā ʻāpana a pau o ko mākou kino ma o nā aʻalolo. Inā he pōʻino a huhū paha i kēia mau aʻalolo, ua hoʻopau ʻia ke kahe o ka ʻike. ʻO ia ka manawa e manaʻo ai mākou i kahi ʻūlū.
Hiki i ke ʻano ʻūlili ke hele pū me ka manaʻo me he ʻūlū lā a i ʻole ka manaʻo nāwaliwali.
ʻO ka hapa nui o ka manawa ʻaʻole kēia he mea koʻikoʻi. Eia nō naʻe, i kekahi mau hihia hiki ke hoʻoweliweli. E noʻonoʻo, inā ʻaʻohe ou manaʻo ma kou lima, ʻaʻole ʻoe e manaʻo iā ia inā ʻoe e hoʻopā i kahi mea wela. A laila hiki i kou lima ke wela. Eia kekahi, inā ʻaʻohe ou manaʻo ma kou mau wāwae, hiki iā ʻoe ke nalowale i kou kaulike i ka wā e hele ana a hāʻule.
He aha nā kumu nui o ka ʻūlū ʻana?
Nui nā kumu e ʻike ai ʻoe i ka ʻūlū. E hoʻokaʻawale kākou iā lākou i kekahi mau ʻano nui. Ma kēia ʻano, e maʻalahi loa iā ʻoe ke hoʻomaopopo.
| Māhele kumu | Ka wehewehe a me nā laʻana |
|---|---|
| Kaomi ma luna o ka iwi kuamoʻo a me nā aʻalolo | ʻO ka herniated disc, ke aʻalolo i ʻoki ʻia, ka rumatika, nā ʻeha i ka iwi kuamoʻo, ka lolo, a i ʻole nā aʻalolo. |
| Nā kūlana olakino ʻē aʻe |
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| ʻO ke ʻano o ka nohona a me nā kumu ʻē aʻe |
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Pehea e hiki ai i ke kauka ke ʻike i ke kumu o kēia?
Ke hele ʻoe e ʻike i ke kauka e pili ana i kahi maʻi, ʻo ka mea mua āna e hana ai, ʻo ia ke nīnau iā ʻoe i kekahi mau nīnau.
- I ka manawa hea i hoʻomaka ai kēia ʻūlū?
- Ua hiki koke mai anei? A i ʻole ua piʻi mālie aʻe paha?
- He aha kāu i hana ai ma mua o kēia?
- Aia kekahi mau hōʻailona ʻē aʻe (e like me ka maneʻo, ka ʻeha, ka nāwaliwali) me ke ʻano ʻūlū?
ʻO kāu mau pane i kēia mau nīnau e hāʻawi i kāu kauka i kahi manaʻo maikaʻi no ke kumu. A laila e nānā ʻia kou kino. E nānā ʻia kou ʻike o ka hoʻopā ʻana, ka mahana, nā reflexes, a me ka ikaika o nā ʻiʻo.
Nā hoʻāʻo e ʻike i ke kumu kūpono
I kekahi manawa, pono e hana i kekahi mau hoʻokolohua e ʻike ai i ke kumu maoli.
- Nā Hoʻāʻo Koko: Hana ʻia nā hoʻāʻo koko e nānā i nā mea e like me ka maʻi diabetes, nā pilikia puʻupaʻa, a me nā hemahema o nā wikamina. No ka laʻana, hiki ke hana ʻia kahi Helu Koko Piha (CBC), Electrolyte Panel, a me nā pae wikamina.
- Nā Hoʻāʻo Kiʻi: E noi ʻia paha ʻoe e hana i kahi X-ray, CT scan, a i ʻole MRI scan e ʻike inā he pilikia me kou lolo a i ʻole ka iwi kuamoʻo (e like me ka herniated disc a i ʻole ka tumor).
- Nā hoʻokolohua e ana i ka hana aʻalolo:
- Nā Haʻawina Hoʻoili Aʻalolo:Pili kēia i ke ana ʻana i ka wikiwiki o ka hele ʻana o nā hōʻailona uila ma o ke aʻalolo. Inā lohi ka wikiwiki, ʻo ia hoʻi ua hōʻino ʻia ke aʻalolo.
- Electromyography (EMG): Pili kēia i ke komo ʻana i kahi nila liʻiliʻi i loko o kahi ʻiʻo a me ke ana ʻana i kāna hana uila. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā he pōʻino i nā aʻalolo a me nā ʻiʻo.
- Spinal Tap / Lumbar Puncture: Hiki ke hana i kēia hoʻāʻo inā he kānalua no ka maʻi o ka ʻōnaehana nerve waena.
He aha nā lāʻau lapaʻau no ka tinnitus?
ʻO ka lāʻau lapaʻau no kēia e hilinaʻi wale ʻia ma ke kumu nui o ka ʻāʻī ʻana. ʻO ka pahuhopu o ka lāʻau lapaʻau, ʻo ia ke hoʻoponopono i ke kumu nui.
- Inā ma muli o ka maʻi diabetes, e kaohi pono i nā pae kō koko .
- Inā nele i ka wikamina, e hāʻawi i nā mea hoʻopihapiha wikamina .
- Ke hāʻawi nei i nā lāʻau lapaʻau kikoʻī no ka ʻeha o ke aʻalolo.
- Nā hoʻomaʻamaʻa kino e hoʻoikaika i ka iwi kuamoʻo a hoʻomaikaʻi paha i ka neʻe ʻana.
- Pono paha ke ʻoki ʻana e wehe i kahi puʻupuʻu a hoʻoponopono paha i kahi pilikia o ka iwi kuamoʻo.
I ka manawa hea e ʻike koke ai i ke kauka!
Hiki i ka ʻeha ke hōʻailona i kekahi manawa o kahi maʻi koʻikoʻi e pono ai ke mālama olakino koke, no laila e makaʻala loa i kēia.
| I ka manawa hea e ʻimi ai i ke aʻo lapaʻau | |
|---|---|
| Pono ʻoe e hele i ka Emergency Department (ETU) inā loaʻa iā ʻoe ka dizziness me kēia mau hōʻailona: | |
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| E ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i kekahi o kēia mau hōʻailona: | |
| |
| Pono ʻoe e ʻike i ke kauka ma nā kūlana aʻe: | |
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Leka Lawe-Home
- ʻO ke kani ʻana ma nā lālā he hōʻailona paha ia o kahi pilikia aʻalolo. Mai hoʻowahāwahā iā ia.
- ʻO ke kumu paha he mea maʻalahi (e like me ka noho ʻana ma ke kūlana hoʻokahi) a i ʻole he maʻi koʻikoʻi paha e like me ka maʻi diabetes a i ʻole ka hahau ʻana.
- Inā ʻike ʻoe i nā hōʻailona e like me ka paʻakikī o ka ʻōlelo ʻana, ka mae ʻana ma kekahi ʻaoʻao o kou kino, a i ʻole ka nalowale o ka ʻike me ka mae ʻana, he pilikia ia. E hele koke i ka ʻOihana Pilikia (ETU).
- Inā loaʻa iā ʻoe ka ʻūlū mau me ke kumu ʻole, mai hoʻowahāwahā iā ia a kamaʻilio me kāu kauka e ʻike i ke kumu pololei.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka Māmā/Paresthesia?
ʻO ka Paresthesia kahi kūlana kahi e lilo koke ai ko mākou lima a i ʻole ka wāwae i mea ʻeha/kaumaha, ʻaʻole mākou e manaʻo i kekahi mea ke hoʻopā mākou iā ia (Loss of sensation), a loaʻa iā mākou kahi ʻeha/ʻano kuni e like me 'pine a me nā nila/tingling'. ʻO ka maʻamau, hana ʻia kēia ma hope o ko mākou kau ʻana i ke kaumaha ma ka wāwae no nā hola, no laila ʻaʻole ia he pilikia. Akā inā loaʻa koke ka ʻeha, ʻo ia hoʻi ua 'ʻeha koke, ʻoki ʻia, a ʻūmiʻi ʻia paha ke aʻalolo' mai ka lolo!
💬 He aha nā kumu nui o ka mae nui ʻana o nā lālā?
Aia kekahi mau kumu nui no kēia: 1) Diabetes (Diabetic Neuropathy / Ke piʻi aʻe ke kiʻekiʻe o ke kō koko, hōʻino ʻia nā aʻalolo a loaʻa ka ʻeha nui i nā wāwae). 2) Carpal Tunnel Syndrome, ʻo ia ke ʻano i hoʻopaʻa ʻia ai ke aʻalolo waena kokoke i ka pulima, e hoʻoulu ai i ka ʻeha i nā manamana lima. 3) Sciatica / Herniated disc, ʻo ia ke ʻano i hoʻopaʻa ʻia ai nā aʻalolo i nā wāwae. 4) Ka nele o ka Vitamin B12.
💬 He aha nā 'hae ʻulaʻula' e pono ai ka wikiwiki ʻana i ka keʻena ulia pōpilikia o ka haukapila ke hiki mai ka maneʻo?
ʻO ka pōʻino nui loa a make loa! Inā hele mai kāu mau hōʻailona, 1) I ka manawa koke, ua mae loa ka 'unilateral weakness/numbness' o ka maka/lima/wāwae a ua slurred nā huaʻōlelo (slurred speech), he ʻoiaʻiʻo nō he pohā ʻana o ke kīʻaha koko o ka lolo a ke hana ʻia nei kahi 'stroke' (hiki iā ʻoe ke make i loko o ʻelua hola)! 2) Inā mae nā wāwae ʻelua a ʻaʻole hiki iā ʻoe ke kaohi i kou ʻōpū/ʻōpū mimi (bowel/bladder incontinence), he haki paha ia o ke kaula spinal (Cauda Equina Syndrome)!
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