Ke ʻā nei kou mau lālā? Ke manaʻo nei lākou e like me ke kuni nei? E kamaʻilio kākou e pili ana i ka Peripheral Neuropathy.

Ua ʻike anei ʻoe i kahi ʻano ʻūlū ma kou mau lima a i ʻole kou mau wāwae? No kekahi poʻe, ʻaʻole kēia he ʻano ʻūlū wale nō, akā hiki nō hoʻi ke kuni a me ka ʻeha ʻole. ʻO ke kumu o ia mau mea he pilikia paha me kāu ʻōnaehana nerve. ʻO Peripheral Neuropathy kahi inoa maʻamau no kekahi mau maʻi nerve. ʻOiai paha he mea ʻē iki kēia inoa, he mea maʻamau loa kēia kūlana ma ko kākou ʻāina. No laila e kamaʻilio kākou e pili ana i ia mea ma nā ʻōlelo maʻalahi i kēia lā.

I ka ʻōlelo maʻalahi, he aha ka Peripheral Neuropathy?

ʻAe, no ka hoʻomaopopo ʻana i kēia, pono mua mākou e ʻike iki e pili ana i ko mākou ʻōnaehana nerve. ʻElua ʻāpana nui o ko mākou ʻōnaehana nerve.

1. ʻŌnaehana Aʻalolo Waena: ʻO kēia ka lolo a me ke kaula kuamoʻo. E noʻonoʻo iā ia me ke kamepiula nui a me ke kaula nui i loko o ko mākou kino.

2. ʻŌnaehana Aʻalolo Peripheral: Pili kēia i nā aʻalolo āpau e hoʻomaka ana mai ke kaula nui, ʻo ia hoʻi, ke kaula kuamoʻo a me ka lolo, a hiki i nā lima, nā wāwae, a me nā manamana lima. Ua like kēia me nā kaula liʻiliʻi e holo ana mai ke kaula nui a i kēlā me kēia ʻāpana o ka hale.

Ua maopopo iā ʻoe i kēia manawa? ʻO ka Peripheral Neuropathy kahi kūlana e kū mai ana i ka wā e hōʻino ʻia ai ka ʻōnaehana nerve peripheral , ʻo ia hoʻi nā aʻalolo liʻiliʻi i hohola ʻia ma ke kino holoʻokoʻa. Ke hōʻino ʻia kēia mau aʻalolo, ʻaʻole lākou e hoʻouna pono i nā leka i a mai ka lolo. ʻO ia ke kumu e hoʻomaka ai mākou e manaʻo i nā mea e like me ka numbness a me ka ʻeha.

Hiki ke ulu kēia ʻano i loko o kekahi o kēlā me kēia makahiki, akā, piʻi aʻe ka pilikia o ka ulu ʻana me ka makahiki a me ka poʻe me kekahi mau kūlana olakino.

Pehea e hōʻino ʻia ai kēia mau aʻalolo?

I mea e hoʻomaopopo ai i kēia, e nānā kākou i ke ʻano o ke aʻalolo. E noʻonoʻo i ke aʻalolo he uea uila, he uea e lawe ana i ke au.

• ʻAxon: ʻO kēia ke alakaʻi uila i loko o ke kaula. Maanei e lawe ʻia ai nā leka aʻalolo.
• Myelin: ʻO kēia ka ʻūpā palaki e hoʻopuni ana i ka uea. Mālama ia i ka axon a kōkua i ka holo wikiwiki ʻana o nā leka.

ʻElua mau ala nui e hiki ai ke loaʻa ka neuropathy peripheral:

1. Demyelinating Neuropathy: ʻO kēia ka wā e hōʻino ʻia ai ka ʻūpā plastik o nā olonā nerve. ʻO ke ʻano kēia, ʻaʻole e holo pono nā hōʻailona uila, a i ʻole nā ​​​​leka nerve, a hiki i nā leka ke "leak".

2. Axonal Neuropathy: ʻO kēia ke ʻano maʻamau. ʻO kēia kahi e hōʻino ʻia ai nā olonā aʻalolo i loko o ke aʻalolo. ʻOiai ʻo nā aʻalolo lōʻihi loa i loko o ko mākou kino aia i loko o ko mākou mau wāwae, ʻo nā hōʻailona mua o kēia ʻano neuropathy maʻamau i nā wāwae a me nā wāwae.

ʻO ka wikiwiki o kēia hōʻino ʻana, aia ia ma muli o ke kumu. Hiki ke hana koke ʻia kahi ulia. Hiki ke hana ʻia kekahi mau maʻi a me nā ʻeha i loko o nā lā a i ʻole nā ​​pule. Hiki i nā maʻi e like me ka maʻi diabetes ke hala i nā mahina a i ʻole nā ​​​​makahiki e hana ai i kēia hōʻino.

He aha nā hōʻailona o ka Peripheral Neuropathy?

He ʻokoʻa loa nā hōʻailona o kēia. ʻO kēia no ka mea hiki iā ia ke hoʻopilikia i nā ʻano aʻalolo like ʻole i loko o ko mākou kino. Hiki ke hoʻokaʻawale nui ʻia nā hōʻailona i ʻekolu ʻano.

He aha ke kumu nui o kēia?

Nui nā kumu o ka neuropathy peripheral. He mea maʻamau loa kekahi, a ʻo kekahi he kakaikahi iki.

• ʻO ka maʻi diabetes i kāohi ʻole ʻia (ʻAno 2 Diabetes): ʻO kēia ke kumu nui o ka Peripheral Neuropathy ma ka honua a ma ko mākou ʻāina. ʻO ke kiʻekiʻe o ke kō koko i loko o kahi manawa lōʻihi e hōʻino i nā aʻalolo, ʻoiai nā aʻalolo ma nā wāwae.
• 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 hemahema o ka wikamina: ʻO nā hemahema o nā wikamina, ʻoiai ka wikamina B12, B1, a me B6, hiki ke hoʻopilikia i ka hana a ke aʻalolo. Eia kekahi, ʻo ka lawe nui ʻana i ka wikamina B6 he mea hōʻino ia i nā aʻalolo.
• Nā kūlana Autoimmune: I nā maʻi e like me Guillain-Barré syndrome, Lupus, a me Rheumatoid arthritis, hoʻouka ka ʻōnaehana pale o ko mākou kino ponoʻī i nā aʻalolo.
• Nā lāʻau lapaʻau a me nā mea ʻawahia: Hiki i kekahi mau lāʻau chemotherapy a me nā lāʻau lapaʻau ʻē aʻe i hoʻohana ʻia e mālama i ka maʻi kanesa ke hōʻino i nā aʻalolo. Hiki i nā metala kaumaha e like me ke kēpau a me ka mercury ke hōʻino i nā aʻalolo.
• Nā maʻi: ʻO nā maʻi viral e like me ka HIV, shingles, a me nā maʻi bacteria e like me ka maʻi Lyme hiki ke hōʻino i nā aʻalolo.
• Nā ulia pōpilikia a i ʻole ke ʻoki kino: Hiki i kahi ulia pōpilikia a i ʻole ke ʻoki kino ke hōʻeha i kahi aʻalolo ma ka ʻoki ʻana, ka wāwahi ʻana, a i ʻole ka huki ʻana.
• Nā kumu hoʻoilina: He mau maʻi neurological kekahi, no ka laʻana, ka maʻi Charcot-Marie-Tooth.
• Neuropathy Idiopathic: I kekahi mau hihia, me ka nānā ʻole i nā hoʻokolohua āpau, ʻaʻole hiki ke loaʻa ke kumu kikoʻī .

Pehea e ʻike ai ke kauka i kēia?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​he mea nui loa ia e ʻike i ke kauka. E hahai ke kauka i kekahi mau ʻanuʻu e ʻike ai i kēia maʻi.

1. Ke nīnau ʻana iā ʻoe i nā kikoʻī: E nīnau lākou iā ʻoe i nā nīnau he nui, e like me kou mau hōʻailona, ​​​​pehea ka lōʻihi o kou loaʻa ʻana iā lākou, inā he mau maʻi ʻē aʻe kāu e like me ka maʻi diabetes, nā lāʻau lapaʻau āu e lawe ai, a inā inu ʻoe i ka waiʻona.

2. Hoʻokolokolo kino:E nānā ke kauka i kou mau lima a me kou mau wāwae, ʻoiai ka ikaika o nā ʻiʻo, nā reflexes (e like me ke kuʻi ʻana i kou kuli me ka hāmare liʻiliʻi), a me ka manaʻo (e hoʻopā ana i kou lālā me ka ʻūlū pulupulu a i ʻole kahi pine liʻiliʻi e ʻike ai inā hiki iā ʻoe ke manaʻo).

3. Nā hoʻokolohua kūikawā: Inā pono, hiki i ke kauka ke kuhikuhi iā ʻoe no kekahi mau hoʻokolohua ʻē aʻe.

• Nā hoʻāʻo koko: E ʻike i nā kumu e like me ka maʻi diabetes, nā hemahema o nā wikamina, a me nā pilikia puʻupaʻa.
• Haʻawina Hoʻokele Aʻalolo (Electromyogram - EMG): He hoʻokolohua kūikawā iki kēia. Ana ia i ka wikiwiki a me ka ikaika o nā hōʻailona uila e hele ana ma o kou mau aʻalolo. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā ua hōʻino ʻia ke aʻalolo a, inā pēlā, ma hea.
• Biopsy aʻalolo: He mea kākaʻikahi loa, hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ke aʻalolo a nānā ʻia ma lalo o kahi microscope.

He aha nā lāʻau lapaʻau? Hiki ke ho'ōla ʻia kēia?

ʻO ka mālama ʻana no ka neuropathy peripheral e pili ana i ke kumu.

• Ke mālama ʻana i ke kumu: No ka laʻana, inā loaʻa iā ʻoe ka neuropathy ma muli o ka maʻi diabetes, ʻo ka lāʻau lapaʻau koʻikoʻi ka kaohi ʻana i kou pae kō koko . Inā he nele i ka wikamina, e hāʻawi ʻia ʻoe i nā wikamina.
• Nā lāʻau lapaʻau e kāohi i ka ʻeha a me ka mumū: ʻAʻole hōʻoluʻolu ʻia ka ʻeha o ke aʻalolo e nā mea hōʻeha ʻeha maʻamau. Aia nā lāʻau lapaʻau kikoʻī no ia. Na kāu kauka e kuhikuhi i ka lāʻau lapaʻau kūpono nāu.
• Hoʻōla Kino: Inā nāwaliwali nā ʻiʻo, hiki i ka hoʻōla kino ke kōkua nui i ka hoʻoikaika ʻana iā lākou, ka hoʻomaikaʻi ʻana i nā pilikia hele wāwae, a me ka hoʻomaikaʻi ʻana i ke kaulike.
• Mālama kūikawā no nā wāwae: ʻO ka poʻe maʻi diabetes, ʻoi aku hoʻi, ua emi ko lākou ʻike i ko lākou mau wāwae, no laila ʻaʻole paha lākou e ʻike i kekahi mau ʻeha. No laila, he mea nui e nānā i kou mau wāwae i kēlā me kēia lā, e ʻaʻahu i nā kāmaʻa kūpono, a e ʻike i kahi podiatrist.

I kekahi mau hihia, ʻoiai inā ʻike ʻia ke kumu a mālama ʻia i ka wā mua, hiki ke hoʻohuli ʻia kekahi o nā hōʻino aʻalolo. Eia nō naʻe, ʻo ka neuropathy i hoʻokumu ʻia e nā maʻi maʻi e like me ka maʻi diabetes he mau loa ia. Eia nō naʻe, me ka mālama pono ʻana, hiki ke kāohi i nā hōʻailona a alakaʻi i kahi ola maʻamau .

Āhea ʻoe e pono ai e ʻike i ke kauka a hele paha i ka ETU i kahi pilikia?

ʻAʻole maʻamau ka Peripheral Neuropathy he pilikia e hoʻoweliweli ana i ke ola. Eia nō naʻe, inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e ʻike koke i ke kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa iā ʻoe:Mea nui.

• Ka nāwaliwali koke ma kekahi ʻaoʻao o ke kino, ke kūlou nei ka waha i kekahi ʻaoʻao, ka paʻakikī o ka ʻōlelo ʻana: Hiki i kēia ke lilo i mau hōʻailona o ka hahau ʻana .
• Ka nāwaliwali a i ʻole ka mae ʻole e hoʻomaka ana ma nā wāwae a laha koke i ke kino, paʻakikī ka hanu ʻana a i ʻole ke ale ʻana: Hiki i kēia ke lilo i mau hōʻailona o kahi maʻi weliweli e like me ka maʻi Guillain-Barré .
• Inā pinepine ʻoe e poniuniu a nalowale ka ʻike i ke kū ʻana a i ʻole ke ala ʻana (ʻoi aku hoʻi inā ua hōʻeha ka hāʻule ʻana i ke poʻo, ka ʻāʻī, a i ʻole ke kua).
• Ka puʻuwai kūpono ʻole (wikiwiki koke a lohi loa paha).

I loko o kahi pilikia e like me kēia, mai noho ma ka home a e ʻimi koke i ke kōkua lapaʻau.