Ua manaʻo paha ʻoe ua mae kou mau wāwae, haʻalulu, a nalowale paha kou kaulike i kou kū ʻana i luna, ʻoiai ma hope o ke kū ʻana no ka manawa lōʻihi? Akā, inā, he mea kupanaha, e emi ana kēia ʻeha i kou noho ʻana i lalo a hele paha, aia paha iā ʻoe kahi maʻi i kapa ʻia ʻo "Orthostatic Tremor". He huaʻōlelo ʻē paha kēia e lohe ai, akā e kamaʻilio maʻalahi kākou e pili ana.
He aha ka `(Orthostatic Tremor)`? I ka ʻōlelo maʻalahi loa...
I ka ʻōlelo maʻalahi, ʻo Orthostatic Tremor kahi maʻi ʻōnaehana nerve kakaʻikahi e hoʻoulu ai i nā ʻiʻo o kou mau wāwae e ʻūlū wikiwiki (haʻalulu) ke kū ʻoe. Hiki i kēia haʻalulu ke hoʻoluliluli iā ʻoe ke kū ʻoe, nalowale kou kaulike, a manaʻo e like me ʻoe e hāʻule ana. Akā, ʻo ka mea kupanaha, ʻo kēia haʻalulu e emi pinepine a nalo loa paha ke hele ʻoe, noho, a hilinaʻi paha i kekahi mea.
ʻOi aku ka maʻamau o kēia ʻano maʻi i nā poʻe ma luna o 60 mau makahiki. Eia nō naʻe, ua hōʻike ʻia e ka noiʻi hiki iā ia ke hoʻopilikia i kekahi mai 13 a 85 mau makahiki. E noʻonoʻo wale, ua ʻike mua nā kauka a wehewehe i kēia ʻano i kapa ʻia ʻo "Orthostatic Tremor" i ka makahiki 1984. No laila, he ʻano hou ia. Ke aʻo nui nei nā kauka e pili ana i ia mea.
He aha nā hōʻailona o kēia? Pehea kou manaʻo?
ʻO ka hōʻailona nui a ka poʻe me ka `(Orthostatic Tremor)` e hōʻike pinepine nei he kūpaʻa ʻole a lākou e ʻike ai i ke kū ʻana. ʻO ia hoʻi, he manaʻo e haʻalulu ana ka honua, a i ʻole ke kaulike ʻole o ko lākou kino. Eia naʻe, ʻaʻole lākou e ʻike i kēia ʻoluʻolu ʻole i ka wā e noho ana a hele wāwae paha. Inā lākou e noho i luna mai kahi kūlana kū, e hoʻomaka e hele, e hilinaʻi i kahi mea e like me ka paia, a moe paha i lalo, ua emi nui kēia haʻalulu, kēlā kūpaʻa ʻole, a nalowale loa paha.
No ka hōʻemi ʻana i kēia kūpaʻa ʻole, hiki iā ʻoe ke hoʻāʻo me ka ʻike ʻole e hoʻokaʻawale iki i kou mau wāwae, me he mea lā e pā ana ʻoe i ka honua me kou mau manamana wāwae . E noʻonoʻo iā ia me he mea lā e kū ana ʻoe ma luna o kahi kaʻa a kaʻaahi paha a ke hakakā nei e mālama i kou kaulike.
I ka hapa nui o ka manawa, ʻaʻole paha ʻoe e ʻike a ʻike paha e haʻalulu wikiwiki ana kou mau wāwae ke kū ʻoe. Manaʻo paha ʻoe i ka paʻa ʻole a i ʻole ka nalowale o ke kaulike aʻu i ʻōlelo ai. Eia nō naʻe, inā ʻoe e kau i kou mau lima ma kou mau ʻūhā a i ʻole kou puʻupuʻu, manaʻo paha ʻoe i ka ʻūlū wikiwiki ʻana o nā ʻiʻo, e like me nā nalu . ʻAʻohe ʻeha o kēia haʻalulu. Eia naʻe, i ka hala ʻana o ka manawa, hiki ke ulu ka ʻeha ma nā ʻiʻo wāwae.
Hiki i kekahi poʻe me ka "Primary Orthostatic Tremor" (e kamaʻilio mākou e pili ana i kēia ma hope) ke ʻike i nā haʻalulu ma ko lākou mau lima a i ʻole ke kino me ko lākou mau wāwae. Eia nō naʻe, ʻaʻole paha lākou e ʻike i nā hōʻailona neurological ʻē aʻe.
Hiki ke ʻokoʻa ke koʻikoʻi o ka "Orthostatic Tremor" mai kēlā kanaka a kēia kanaka. Hiki i kekahi poʻe ke hoʻomaka e haʻalulu i ka wā e kū ai lākou. No kekahi poʻe, hiki ke hoʻomaka ka haʻalulu ma hope o kekahi mau minuke o ke kū ʻana. No nā kānaka he nui, e piʻi mālie ka haʻalulu i ka hala ʻana o ka manawa.
No ke aha e hana ʻia ai kēia `(Orthostatic Tremor)`? He aha nā kumu?
ʻO kaʻoiaʻiʻo, ke aʻo nei nā kauka a me nā mea noiʻi i ka "Orthostatic Tremor", no laila ʻaʻole i ʻike ʻia ke kumu pololei. Manaʻo kekahi poʻe loea he ʻano like ʻole ia o kekahi ʻano haʻalulu i kapa ʻia ʻo "Essential Tremor". Manaʻo kekahi he ʻano ʻokoʻa loa ka "Orthostatic Tremor" a kūʻokoʻa hoʻi.
ʻO ka hapa nui o ka manawa, hiki wale mai kēia ʻano maʻi me ke kumu ʻole. Eia nō naʻe, ua loaʻa nā hōʻike kakaikahi e pili ana i kona hiki ʻana mai i loko o nā ʻohana. No ka laʻana, i loko o nā māhoe, nā kaikaina, a i ʻole ka makua a me ke keiki. No laila, ke nānā nei nā mea noiʻi inā he kuleana ko nā kumu hoʻoilina, e like me nā mutations.
Aia kekahi mau ʻano o ka `(Orthostatic Tremor)`?
ʻAe, hoʻokaʻawale pinepine nā kauka i ka `(Orthostatic Tremor)` i ʻelua ʻano nui:
1. Haʻalulu Orthostatic Mua: Ua kapa ʻia kēia he idiopathic. ʻO ke ʻano kēia, ʻaʻole ʻike ʻia ke kumu kikoʻī. ʻAʻole ʻike ka poʻe me ka haʻalulu orthostatic mua i nā hōʻailona o kekahi maʻi ʻōnaehana nerve ʻē aʻe.
2. Ka Haʻalulu Orthostatic Lua: Hoʻokumu ʻia kēia e kekahi ʻano maʻi ʻē aʻe. Ua hōʻike ʻia nā noiʻi e hiki ke hoʻokumu ʻia ka haʻalulu orthostatic lua e nā ʻano maʻi like ʻole. ʻO kekahi o kēia mau kūlana:
- ʻO ka maʻi Graves (kahi maʻi o ka thyroid gland)
- ʻEha poʻo
- ʻO ka Multiple Sclerosis (MS) (kahi maʻi e hoʻopilikia ai i ka ʻōnaehana nerve)
- ʻO ka Parkinsonism (kahi maʻi e hoʻoulu ai i nā hōʻailona like me ka maʻi Parkinson)
- ʻO ka Restless Legs Syndrome (kahi kūlana e hoʻomaha ai nā wāwae)
- Ka hōʻino ʻana i kekahi mau ʻāpana o ka lolo (e.g., Pontine a me nā ʻeha midbrain)
- Nā ʻeha o ke kaula kuamoʻo
- ʻO ka maʻi kanaka paʻakikī
- Ka nele o ka wikamina B12
ʻO ka mea nui loa, ʻo ia ke ʻimi i ke kōkua lapaʻau inā loaʻa iā ʻoe kēia mau hōʻailona. Mai hoʻoholo ponoʻī.
Pehea ʻoe e ʻike pono ai i kēia? (Diagnosis)
No ka ʻike ʻana i ka haʻalulu orthostatic, e nīnau mua kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. A laila, e hana lākou i kahi hoʻokolohua kino a me kahi hoʻokolohua neurological e loiloi pehea a me ka manawa e hana ai ka haʻalulu.
Ma kekahi mau kikowaena kūikawā, ua hōʻoia ʻia ka ʻike ʻana o ka `(Orthostatic Tremor)` e ka `Surface EMG (Electromyography)`Hana ʻia kahi hoʻāʻo i kapa ʻia ʻo 'muscle electromyography'. Eia nō naʻe, i kekahi manawa hiki i nā loea maʻi neʻe (Movement Disorders Specialists) ke ʻike i kēia ma muli o nā hōʻailona lapaʻau. Loiloi kahi hoʻāʻo 'EMG' i ke olakino a me ka hana o kou mau ʻiʻo iwi a me nā aʻalolo e kaohi ana iā lākou. ʻOi aku ka pololei, pili ia i ke kau ʻana i nā 'sensors' liʻiliʻi ma ka ʻili o kou wāwae a me ke ana ʻana i ka hana uila o kou mau ʻiʻo.
Hiki i kāu kauka ke ʻōlelo aku i nā hoʻokolohua ʻē aʻe - e like me nā hoʻokolohua koko a me nā hoʻokolohua kiʻi (e laʻa, MRI scan) - e kāpae i nā kūlana ʻē aʻe e hiki ke hoʻoulu i kou haʻalulu.
ʻO ka mea pōʻino, no ka mea he ʻano laha ʻole ka Orthostatic Tremor, i kekahi manawa ua kuhihewa nā kauka iā ia me he mea ʻē aʻe. ʻO ka mea nui, ua huikau pinepine ʻia me ka Functional Tremor (i kapa ʻia hoʻi ʻo Psychogenic Tremor), kahi maʻi neʻe i hiki ke hana ʻia e nā mea e like me ke kaumaha. No laila, hiki ke paʻakikī iki ka loaʻa ʻana o kahi hōʻailona pololei.
He aha nā lāʻau lapaʻau? Hiki ke ho'ōla ʻia?
ʻAʻohe lāʻau lapaʻau no ka Orthostatic Tremor. Eia nō naʻe, aia kekahi mau lāʻau lapaʻau e hiki ke kōkua i ka kaohi ʻana i kāu mau hōʻailona, ʻo ia hoʻi, e hōʻemi i ka haʻalulu a me ka kūpaʻa ʻole.
ʻO ka lāʻau lapaʻau mua i kuhikuhi pinepine ʻia ʻo 'Clonazepam' (kahi lāʻau lapaʻau i loko o ka papa '(Benzodiazepine)'). Eia naʻe, ʻaʻole hana kēia lāʻau lapaʻau no nā kānaka a pau. No laila, aia kekahi mau lāʻau lapaʻau ʻē aʻe:
- ʻO Gabapentin
- ʻO Primidone
- ʻO ka Propranolol
- ʻO Pregabalin
- ʻO ka Phenobarbital
ʻO nā lāʻau lapaʻau e kōkua ai i nā ʻano haʻalulu ʻē aʻe e kōkua pū kekahi i nā hōʻailona o ka "Orthostatic Tremor". Eia nō naʻe, aia nō kēia i ke kahua noiʻi. ʻO ia mau lāʻau lapaʻau:
- Hoʻoulu ʻana i ka lolo hohonu (DBS)
- Hoʻoulu ʻana i ke kaula iwi kuamoʻo
No ka mea ke aʻo ikaika nei nā kānaka noiʻi i ka Orthostatic Tremor, hiki paha iā ʻoe ke komo i kahi hoʻokolohua lapaʻau. E nīnau i kāu kauka inā he koho kēia nāu.
Pehea ʻoe e noho ai me kēia kūlana? He aha kāu e manaʻo ai?
ʻO ka Orthostatic Tremor kahi pilikia nui i ke kū ʻana, akā hiki iā ia ke hoʻopilikia i kou ʻano ola. No ka laʻana, hiki iā ʻoe ke hoʻomaka e pale i nā kūlana kahi e pono ai ʻoe e kū, e like me ka ʻauʻau ʻana, ke kali ʻana i ka laina, ka hana ʻana i nā hana hale, a i ʻole ka kuke ʻana. Hiki i kēia ke hoʻonāukiuki loa.
Eia nō naʻe, ʻo ka hana ʻana i kekahi mau hoʻololi i kāu hana maʻamau i kēlā me kēia lā hiki ke maʻalahi iki ka noho ʻana me kēia maʻi.Eia kekahi laʻana, ka hoʻohana ʻana i kahi noho ʻauʻau i loko o ka lumi ʻauʻau, a i ʻole ka hoʻohana ʻana i kahi noho huila ke pono ʻoe e kali ma ka laina. Hiki i kahi mea lapaʻau hana ke kōkua iā ʻoe e ʻimi i nā ala e hana ai i nā hana o kēlā me kēia lā me ka maʻalahi.
No ka mea, he ʻano laha ʻole kēia, hiki i kekahi manawa ke paʻakikī i nā poʻe ʻē aʻe ke hoʻomaopopo i kēia `(Orthostatic Tremor)`, a me nā kauka e ʻike pololei iā ia. No laila, he mea nui loa ka loaʻa ʻana o ke kākoʻo o kāu poʻe aloha. Inā ʻoe e loaʻa nei i nā pilikia olakino noʻonoʻo e like me `(Orthostatic Tremor)`, `(Anxiety)`, a inā manaʻo ʻoe e hoʻokaʻawale ʻia ana ʻoe mai ke kaiāulu, mai kānalua e ʻike i kahi kākāʻōlelo olakino noʻonoʻo e like me `(Psychologist)`. E hāʻawi kēlā iā ʻoe i ka nui o ka hōʻoluʻolu.
Aia kekahi ala e pale aku ai i kēia?
ʻO ka mea pōʻino, ʻoiai ʻaʻole ʻike ʻia ke kumu pololei o ka Orthostatic Tremor, ʻaʻohe mea hiki iā ʻoe ke hana e pale aku ai.
I ka wā e lilo ai i mea paʻakikī, ʻike mākou i ka waiwai nui o ka hiki ke kū paʻa a me ka ʻole o ka ʻoluʻolu ʻole. ʻOiai he maʻi laha ʻole ka Orthostatic Tremor, hiki ke lōʻihi ka huakaʻi i kahi hōʻailona pololei. Pono paha ʻoe e ʻōlelo no ʻoe iho a ʻimi i ka ʻike. Eia nō naʻe, pono ka hoʻoikaika ʻana i ka loaʻa ʻana o kahi hōʻailona pololei. E hoʻomanaʻo, hiki i kekahi mau lāʻau lapaʻau a me nā mea kōkua neʻe ke maʻalahi i ka noho ʻana me Orthostatic Tremor.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
ʻĀ, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kekahi manaʻo e pili ana i ka "Orthostatic Tremor" a mākou e kamaʻilio nei.
He ʻano paʻakikī a kakaikahi kēia, akā me ka hoʻomaopopo kūpono a me ke kākoʻo, hiki ke ola pono ʻia.
Eia kekahi mau mea e hoʻomanaʻo ai:
- Inā manaʻo ʻoe e haʻalulu ana kou mau wāwae a i ʻole e like me ʻoe e nalowale ana kou kaulike i kou kū ʻana, mai hoʻowahāwahā iā ia. E ʻike i ke kauka.
- ʻO ke kauka wale nō ke ʻōlelo maopopo inā he "Orthostatic Tremor" akahai kēia.
- Hiki i ka lāʻau lapaʻau ke kāohi i nā hōʻailona.
- ʻAʻole ʻoe hoʻokahi. E kiʻi i ke kōkua mai ka ʻohana, nā hoaaloha, a, inā pono, nā loea olakino noʻonoʻo.
Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e kamaʻilio me kāu kauka. Hiki iā ia ke wehewehe maikaʻi aku i kēia iā ʻoe.
Haʻalulu Orthostatic , haʻalulu, haʻalulu wāwae, paʻakikī ke kū, nalowale ke kaulike, nā maʻi neurological, nā maʻi neʻe
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