Ke manaʻo nei ʻoe i ka mae a me ke kani ʻana i kou mau lima a me kou mau wāwae? E kamaʻilio kākou e pili ana i kēia! (Peripheral Neuropathy)

I kekahi manawa ke kū aʻe kākou ma hope o ka noho ʻana ma ke kūlana like no kekahi manawa, ʻike ko kākou mau lima a me nā wāwae i ka ʻūlū, ʻeā? Nalo ia ma hope o kekahi manawa. Akā, ke manaʻo pinepine nei ʻoe i kahi ʻūlū ma kou mau lima a me kou mau wāwae, a i ʻole ka ʻeha e like me nā pine a me nā nila, a i ʻole kekahi manawa he ʻā? A laila hiki ke lilo kēia i mea ʻoi aku ma mua o ka ʻūlū maʻamau. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi kūlana i kapa ʻia ʻo 'Peripheral Neuropathy' e hoʻoulu ai i kēia mau hōʻailona. ʻOiai he inoa weliweli kēia, inā ʻike ʻoe, ʻaʻole paʻakikī ka mālama ʻana e like me kou manaʻo.

I ka ʻōlelo maʻalahi, he aha ka Peripheral Neuropathy?

He ʻano paʻakikī kēia inoa, no laila e hoʻomaopopo mua kākou. Ua māhele ʻia ka ʻōnaehana nerve o ko kākou kino i ʻelua ʻāpana nui. ʻO kekahi ka ʻōnaehana nerve waena . Hoʻokomo pū ia i ko kākou lolo a me ke kaula spinal (ke aʻalolo nui e holo ana ma ka iwi kuamoʻo). Ua like kēia me ke 'Keʻena Poʻo' o ko kākou kino.

ʻO kekahi ʻāpana ʻo ia ka ʻōnaehana nerve peripheral . Hoʻokomo pū kēia i nā aʻalolo āpau e hoʻonui ana mai ke keʻena nui, ʻo ia hoʻi, ka lolo a me ke kaula spinal, a hohola ma ke kino holoʻokoʻa. Ua like ia me kahi ʻōnaehana o nā uea kelepona e hoʻonui ana mai ke keʻena nui a i ka ʻāina holoʻokoʻa. Lawe kēia mau aʻalolo a hāʻawi i nā manaʻo a me nā leka i ko mākou mau lima, nā wāwae, ke alo, a me nā manamana lima.

No laila, ʻo Peripheral Neuropathy kahi kūlana a i ʻole ka hōʻino ʻana i nā aʻalolo ma waho o ke 'keʻena poʻo', ʻo ia hoʻi, nā aʻalolo o ka ʻōnaehana aʻalolo peripheral. No ka mea he nui nā kumu no kēia, hiki ke ʻokoʻa loa nā hōʻailona mai kēlā kanaka a kēia kanaka.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi?

Hiki i ka Peripheral Neuropathy ke hoʻopilikia i kekahi, me ka nānā ʻole i ka makahiki, ke kāne, a i ʻole ka lāhui. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kekahi poʻe. ʻOi aku hoʻi,

• No nā poʻe me ka maʻi diabetes mellitus .
• Piʻi ka pilikia o ka loaʻa ʻana o kēia maʻi me ka makahiki. Ua manaʻo ʻia aia ma waena o 5% a me 7% o ka poʻe ma luna o 45 mau makahiki ma ka honua holoʻokoʻa kekahi ʻano o ka neuropathy peripheral.
• No ka poʻe me kekahi mau maʻi hoʻoilina.

Pehea e hōʻino ʻia ai kēia mau aʻalolo?

I mea e hoʻomaopopo ai i kēia, pono kākou e ʻike iki e pili ana i ke ʻano o ka hana ʻia ʻana o ko kākou mau neurons. E noʻonoʻo i kahi neuron e like me ka uea uila.

• ʻAxon: ʻO kēia ka ʻāpana e like me ke uea keleawe o kahi uwea uila. Maanei kahi e hele ai nā leka.
• ʻO ka Myelin Sheath: ʻO kēia ka insulation plastik e hoʻopuni ana i ka uea keleawe. Kōkua ia i ka hele wikiwiki ʻana o ka leka, me ka ʻole o ka leaka, a pale i ka axon.

Hiki ke loaʻa ka peripheral neuropathy i ʻelua mau ala nui:

1. Demyelinating Neuropathy: Ua like kēia me ka insulation plastik ma luna o kahi uea uila e heheʻe ana. Hoʻolohi kēia i ka wikiwiki o ka hele ʻana o nā leka, a huikau nā leka.

2. Axonal Degeneration: Ua like kēia me ka hōʻino ʻana i ke kaula keleawe ponoʻī. ʻO kēia ke ʻano maʻamau. ʻO nā aʻalolo lōʻihi loa i loko o ko mākou kino e holo ana mai ke kaula iwi kuamoʻo a hiki i nā wēlau o ko mākou mau manamana wāwae. No laila, i ka wā e hana ʻia ai kēia ʻano hōʻino, ʻo nā wāwae a me nā wāwae ka mea mua e hoʻopilikia ʻia.

He aha nā hōʻailona o kēia?

Hiki ke loaʻa nā hōʻailona he nui. Aia ia i ke ʻano o ke aʻalolo i hōʻino ʻia. I kekahi manawa hiki ke hoʻopilikia i hoʻokahi aʻalolo wale nō, a i ʻole hiki ke hoʻopilikia i nā aʻalolo he nui i ka manawa hoʻokahi. ʻEkolu mau ʻano hōʻailona nui.

He aha paha ke kumu o kēia?

Nui nā kumu o ka Peripheral Neuropathy. I kekahi manawa, ʻaʻole hiki ke loaʻa ke kumu. Kāhea mākou i kēia ʻo 'Idiopathic Neuropathy'. ʻO nā kumu maʻamau:

• ʻO ka maʻi diabetes (ʻAno 2 Diabetes): ʻO ke kumu nui a me ka mea maʻamau o ka neuropathy peripheral ma Sri Lanka a puni ka honua, ʻo ia ka maʻi diabetes i kāohi ʻole ʻia. ʻO ke kiʻekiʻe o ke kō koko i loko o kahi manawa lōʻihi e hōʻino i nā aʻalolo palupalu.
• Nā hemahema o ka wikamina: ʻO nā hemahema o kekahi mau wikamina, ʻoiai nā wikamina B12, B1, B6, B9 (waikawa folic), a me ka wikamina E, hiki ke hōʻino i nā aʻalolo. ʻO ka lawe nui ʻana i ka wikamina B6 he mea hōʻino nō hoʻi i nā aʻalolo.
• ʻO ka inu nui ʻana i ka waiʻona: ʻO ka inu nui ʻana i ka waiʻona i kahi manawa lōʻihi e hōʻino pololei i nā aʻalolo.
• Nā maʻi: Hiki i kekahi mau maʻi (e like me ka HIV, herpes zoster) a me nā maʻi bacteria ke hōʻino i nā aʻalolo.
• Nā maʻi Autoimmune: I nā maʻi e like me ka Guillain-Barré syndrome, lupus, a me ka rheumatoid arthritis, hoʻouka ka ʻōnaehana pale o ko mākou kino ponoʻī i nā aʻalolo.
• ʻO kekahi mau lāʻau lapaʻau a me nā mea ʻawahia: Kekahi mau lāʻau chemotherapy no ka maʻi kanesa, kekahi mau antibiotics, a me ka ʻike ʻana i nā mea ʻawahia e like me nā agrochemicals a me nā metala kaumaha (alakaʻi, mercury).
• Trauma: Hōʻeha pololei i kahi aʻalolo mai kahi ulia a i ʻole ke ʻoki ʻana.
• Nā Kūlana Hoʻoilina: Nā maʻi hoʻoilina e like me ka maʻi Charcot-Marie-Tooth.
• Nā kūlana olakino ʻē aʻe: maʻi puʻupaʻa, maʻi akepaʻa, maʻi ʻaʻai (ka puʻupuʻu e kaomi ana i ke aʻalolo), a me nā pilikia o ke kīʻaha koko.

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Ke ʻike ʻoe i ke kauka, e nīnau mua ʻo ia iā ʻoe i nā nīnau he nui e pili ana i kāu mau hōʻailona, ​​​​ka mōʻaukala olakino, a inā paha ua loaʻa i kekahi o kou ʻohana nā maʻi like. A laila e hana ʻo ia i kahi hoʻokolokolo kino a hoʻāʻo i kāu hana neurological (sensation, strength muscle, reflexes).

Eia kekahi, hiki ke hoʻohana ʻia nā hoʻokolohua e like me kēia e ʻike ai i ke kumu:

• Nā hoʻāʻo koko: No ka ʻike ʻana i nā mea e like me ka maʻi diabetes, nā hemahema o nā wikamina, ka hana o nā puʻupaʻa, a me nā pilikia o ka ʻōnaehana pale.
• Ke Aʻo Hoʻoili Aʻalolo (NCS) a me ka Electromyogram (EMG): Ke ana kēia i ka wikiwiki o ka hele ʻana o nā leka ma nā aʻalolo a me ka hana uila o nā ʻiʻo. He mea nui loa kēia i ka hoʻoholo ʻana inā he pōʻino aʻalolo a me kona wahi.
• Biopsy Nerve: I kekahi manawa, lawe ʻia kahi ʻāpana ʻili liʻiliʻi mai kahi aʻalolo palupalu a nānā ʻia ma lalo o kahi microscope.
• He kiʻi MRI.

He aha nā lāʻau lapaʻau no kēia?

Hoʻokumu ʻia ka lāʻau lapaʻau ma ke kumu o kou neuropathy peripheral.

1. Ke mālama ʻana i ke kumu kumu:

• Inā loaʻa iā ʻoe ka maʻi diabetes: ʻO ka mea nui loa , ʻo ia ke kaohi pono i kou pae kō koko.
• Inā ma muli o ka nele i ka wikamina: E hoʻolako i nā wikamina kūpono.
• Inā ma muli o kahi maʻi o ka ʻōnaehana pale: E hāʻawi i ka lāʻau lapaʻau i kuhikuhi ʻia.
• Inā ma muli o ka lāʻau lapaʻau: Na kāu kauka e hoʻoholo inā e hoʻololi a hoʻōki paha i ka lāʻau lapaʻau, inā hiki.

2. Ke kāohi ʻana i nā hōʻailona:

• Nā lāʻau ʻeha: ʻAʻole hoʻomaha ʻia ka ʻeha o ke aʻalolo e nā lāʻau ʻeha maʻamau. Aia nā lāʻau lapaʻau kūikawā no ia mea. Hiki ke hāʻawi ʻia kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka maʻi epilepsy a me ke kaumaha ma nā dosis haʻahaʻa e kāohi i ka ʻeha o ke aʻalolo i kahi nui.
• Nā ʻAila ʻAila a me nā Pāpili: Aia kekahi mau kirīmi a me nā pāpili i hiki ke hoʻopili ʻia i ka wahi o ka ʻeha.
• Hoʻōla Kino: Kōkua nā hoʻomaʻamaʻa a me nā lāʻau ʻē aʻe i ka hoʻoikaika ʻana i nā ʻiʻo, hoʻomaikaʻi i ke kaulike, a hoʻemi i ka ʻeha.
• Nā kāmaʻa kūikawā a me nā lako: Hiki i kāu kauka ke ʻōlelo aku i nā kāmaʻa kūikawā e kōkua i ka pale ʻana i nā ʻeha no ka poʻe me ka emi ʻana o ka ʻike ma ko lākou mau wāwae. Pono paha ka poʻe paʻakikī i ka hele wāwae e hoʻohana i kahi mea hana e like me ke koʻokoʻo.

Āhea mākou e ʻimi koke ai i ke aʻo lapaʻau? (Āhea e hele ai i ka ETU)

ʻOiai ʻaʻole i hoʻoweliweli koke ʻia ke ola e ka neuropathy peripheral, hiki i kekahi mau hōʻailona ke lilo i hōʻailona o kahi maʻi koʻikoʻi. Inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai nā hōʻailona ma lalo nei, e hele koke i ka keʻena ulia pōpilikia kokoke loa (ETU) .