Ke ala ʻoe ma hope o ka noho ʻana ma ke kūlana like no ka manawa lōʻihi, a i ʻole ke hiamoe ʻoe me kekahi lima ma lalo o kou poʻo, ke manaʻo nei ʻoe i ke kani ʻana ma kou mau lima a me kou mau wāwae, e like me nā ʻanuʻu e holo ana a puni , a i ʻole e like me nā pine a me nā nila? Ua ʻike ʻia kēia e ka hapa nui o kākou. ʻO kēia ka mea a mākou e kapa nei he Paresthesia i ka lāʻau lapaʻau. ʻO ka maʻamau, he ʻano ʻino ʻole kēia e nalowale ana i loko o kekahi mau minuke. Eia nō naʻe, inā hoʻomau kēia ʻano kani ʻana a i ʻole e hana pinepine ʻia, he hōʻailona paha ia o kahi maʻi. No laila i kēia lā, e ʻike pono kākou i ke ʻano o ia mea.
He aha ka ʻokoʻa ma waena o ka "Paresthesia" a me ka "Neuropathy"?
He nui ka poʻe e huikau i nā mea ʻelua. I ka ʻōlelo maʻalahi, ʻo Neuropathy kahi huaʻōlelo maʻamau no kekahi kūlana e hoʻopilikia ai i kā mākou ʻōnaehana nerve. Hiki i ka Paresthesia kekahi o nā hōʻailona o Neuropathy.
Akā e hoʻomanaʻo, ʻaʻole nā ʻūlū āpau he neuropathy. ʻO ka hapa nui o ka manawa, ʻo ka ʻūlū a mākou e manaʻo ai he manawa pōkole wale nō. ʻO ia hoʻi, ke ʻūlū ʻia kahi lālā, ua pilikia ke kahe o ke koko, a he mea maʻamau ke manaʻo hou iā ia ke hoʻokuʻu ʻia.
Ma waho aʻe o ke ʻano ʻāwili, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe he nui i ka neuropathy .
| Nā hōʻailona ʻē aʻe e hiki ke kū mai i kahi kūlana neuropathy |
|---|
| - Ma waho aʻe o ke ʻūlū ʻana ma nā lālā, ua like kēlā mau wahi me he mea lā ʻaʻohe ola . |
| - He ʻeha ʻoi a i ʻole he mea wela, e like me ke hou ʻia ʻana me ka pahi. |
| - Ke ʻeha nei ʻoiai ke hoʻopā ʻia ma ke ʻano ʻaʻole ia e hōʻeha maʻamau (e laʻa, ke hoʻopā ke kāwele i ke kino). |
| - Ka nalowale ʻana o ke kaulike a me ka hāʻule pinepine ʻana. |
| - Ka hoʻonāwaliwali ʻana o nā ʻiʻo. |
| - He manaʻo ʻē, me he mea lā e ʻaʻahu ana ʻoe i nā socks ma kou mau lima a me nā mīkina lima ma kou mau wāwae. |
E noʻonoʻo inā he ʻano ʻūlū wale nō kou, a inā he ʻano ʻūlū ia e hele mai me nā hōʻailona ʻē aʻe e like me kēia.
He aha ka mea e hiki ai ke hoʻoulu i ka ʻūlū?
E puʻunaue kākou i nā kumu no kēia i ʻelua mau māhele nui. ʻO kekahi he ʻūlū manawa pōkole. ʻO kekahi he ʻūlū mau, a pinepine paha.
1. Nā kumu o ke kani ʻana o ka ʻili no ka manawa pōkole (Transient Paresthesia)
ʻO kēia ke ʻano maʻamau o ka maneʻo ʻana a mākou a pau e ʻike nei. Hana ʻia ia i ka wā e ʻomi ʻia ai kekahi aʻalolo a i ʻole ke kīʻaha koko no kekahi manawa. Ke hoʻomaha ʻia ke kaomi ʻana, e nalowale ana ke ʻano ʻūlū.
E noʻonoʻo e pili ana i ia mea, ke kū ʻoe i luna ma hope o ka noho ʻana ma ke keʻa wāwae no ka manawa lōʻihi, hoʻomaka kou mau wāwae e ʻūlū, ʻeā? ʻO ia ka laʻana maikaʻi loa o kēia. Eia kekahi, ke kuʻi ʻoe i kou kuʻekuʻe ma kekahi wahi, pā ia i ka 'iwi leʻaleʻa' a manaʻo e like me ke au e iho ana i kou lima, nona hoʻi kēia ʻano.
Nā kumu ʻē aʻe no ka manawa pōkole:
- Dehydration: Ke lawa ʻole ka wai i loko o ke kino.
- Hyperventilation : Ka hanu wikiwiki ʻana i ka wā e hopohopo nui ai ʻoe a makaʻu paha.
- Migraines: Loaʻa paha i kekahi poʻe kahi ʻano ʻūlū ma mua o ka ʻeha o ka migraine.
- Nā hoʻouka kaua panic.
- ʻO ka maʻi Raynaud : He ʻano e lilo ai nā manamana lima a me nā manamana wāwae i keʻokeʻo, polū, a ʻālohilohi hoʻi i ka wā e hōʻike ʻia ai ke anu.
2. Nā kumu o ka ʻūlū mau (Paresthesia Maʻamau)
Inā hoʻomau ka ʻūlū ʻana a i ʻole pinepine ka ʻōniʻoniʻo, he hōʻailona paha ia o kahi maʻi maʻi. Nui nā kumu no kēia.
Nā pilikia o ka ʻōnaehana nerve
Hiki ke ʻāʻī ke ʻano ʻūlū ma muli o nā kūlana olakino e hōʻino ai a hoʻopaʻa paha i ko mākou mau aʻalolo.
- ʻO ka maʻi tunnel carpal : He aʻalolo i ʻoki ʻia e holo ana ma ka pulima. He mea maʻamau kēia i nā poʻe e hana ana ma kahi kamepiula a hoʻohana pinepine paha i ko lākou mau lima.
- Nā pilikia o ka iwi kuamoʻo: ʻO kahi disc herniated ma ka ʻāʻī a i ʻole ke kua paha e hiki ai ke hana i kahi aʻalolo pinched.
- ʻO ka hahau ʻana a i ʻole ke kahe koko o ka lolo.
- ʻO ka maʻi diabetes mellitus: Inā ʻaʻole i kāohi ʻia ka maʻi diabetes, i ka hala ʻana o ka manawa, hiki ke hōʻino ʻia nā aʻalolo i loko o nā lālā, e hoʻoulu ai i ka mae a me ka nāwaliwali. Ua kapa ʻia kēia ʻo 'Diabetic Neuropathy'.
- Nā maʻi e hoʻopilikia ai i ka ʻōnaehana nerve ponoʻī, e like me ka Multiple Sclerosis (MS) .
- Nā ʻeha ʻē aʻe i ke poʻo a i ʻole nā aʻalolo.
Nā pilikia metabolic a me nā hormonal
Hiki ke ʻano ʻālohilohi ke hana ma muli o nā loli i ke kemika o ke kino a i ʻole nā hormones.
- Nā hemahema o ka wikamina: Ka nele o nā wikamina e pono ai no ka hana aʻalolo, ʻoiai nā wikamina B12, B6, B1, a me B5 .
- ʻO ka hypothyroidism.
- Ka maʻi diabetes.
- Ka hāʻule ʻana o nā puʻupaʻa (Uremia).
- Ka hoʻopau ʻana o ka wahine.
Nā kūlana a me nā kumu ʻē aʻe
- Nā maʻi ʻōnaehana pale: Nā maʻi e like me 'Lupus' a me 'Rheumatoid Arthritis' e hoʻouka ana i nā pūnaewele o ko mākou kino ponoʻī.
- Nā maʻi: Nā maʻi e like me ka 'Shingles' (kahi maʻi e hiki ke hana ma hope o ka chickenpox), 'HIV', 'Lyme disease'.
- Ka lāʻau make: Nā metala kaumaha e like me ke kēpau, mercury, kekahi mau pesticides, ka inu nui ʻana i ka waiʻona.
- ʻO kekahi mau lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka chemotherapy maʻi kanesa, e like me nā lāʻau lapaʻau i hoʻohana ʻia no ka maʻi HIV, hiki ke hoʻoulu i ka ʻeha ʻana ma ke ʻano he hopena ʻaoʻao.
- Hāpai keiki: Hiki i nā loli i ke kino i ka wā hāpai ke hana i nā manaʻo ʻūlū ma muli o ke kaomi ʻana ma nā aʻalolo.
- Inā loaʻa pinepine ka manaʻo ʻūlū .
- Inā lōʻihi ka manawa e ʻānai ai a i ʻole e piʻi mālie ana.
- Inā ʻoe e manaʻo i ka nāwaliwali, ka ʻeha, a i ʻole ke ʻano o ke kōkua ʻole me ka manaʻo ʻūlū.
- Inā manaʻo ʻoe ua nalowale kou kaulike .
- Inā ʻoe e ʻike i ka manaʻo ʻūlū like ma nā ʻaoʻao ʻelua o kou kino.
- He mea maʻamau a ʻaʻole ia he mea ʻino nā manaʻo ʻūlili a me nā nila no ka manawa pōkole i hoʻokumu ʻia e ke aʻalolo ʻikini.
- Eia nō naʻe, inā hoʻomau ka ʻūlū ʻana, pinepine ka hana ʻana, a i ʻole e hele pū ʻia me nā hōʻailona ʻē aʻe e like me ka ʻeha, ka nāwaliwali, a i ʻole ka mae ʻana o ka ʻiʻo, mai hoʻowahāwahā iā ia.
- Hiki ke hana ʻia ke kani ʻana e nā ʻano maʻi like ʻole e like me ka maʻi diabetes, ka nele i nā wikamina, a me ke kaomi ʻana o nā aʻalolo.
- E pale i ka nānā ponoʻī ʻana. Inā he kānalua kou e pili ana i kēia, e nīnau mau i kāu kauka e ʻike i ke kumu kūpono a e ʻimi i ka lāʻau lapaʻau.
Mea nui: Inā kānalua ʻoe ua loaʻa iā ʻoe kahi lāʻau make o kēia ʻano, e hele koke i ka haukapila. Inā pono, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke Lāʻau Make Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Āhea ʻoe e ʻike ai i ke kauka?
ʻAʻohe mea e makaʻu ai inā loaʻa iā ʻoe ka mae a me ke kani ʻana no ka manawa pōkole e nalowale ana. Eia nō naʻe, pono ʻoe e ʻike i kāu kauka i nā hihia aʻe:
Pilikia! Inā ʻike ʻoe i ka mae a me ke kani ʻana me ka hiki ʻole ke ʻōlelo koke, nāwaliwali ma kekahi ʻaoʻao o kou kino, ke kūlou ʻana o kekahi ʻaoʻao o kou maka, a i ʻole ka nalowale o ka ʻike, he hōʻailona paha ia o kahi maʻi koʻikoʻi e like me ka hahau ʻana. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
Ke ʻike ʻoe i kāu kauka, e nīnau ʻo ia e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino. Inā pono, hiki iā lākou ke kauoha i nā hoʻokolohua koko, nā haʻawina hoʻokele aʻalolo, a i ʻole kahi scan MRI e kōkua i ka hoʻoholo ʻana i ke kumu pololei o kou ʻūlū ʻana. Aia ka lāʻau lapaʻau i ke kumu o ka ʻūlū ʻana. Ke mālama ʻia ke kumu, e nalowale pinepine ka ʻūlū ʻana.
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