Ke manaʻo nei ʻoe i kekahi manawa ke hoʻāʻo ʻoe e hoʻoneʻe i kahi lima a i ʻole ka wāwae, lilo koke ia i ʻoʻoleʻa me he mea lā ua pā ʻia e kahi pōhaku? A i ʻole ke manaʻo nei ʻoe e ʻūlū ana kou mau ʻiʻo a ʻeha hoʻi ʻoiai ʻoe e kū mālie ana? He ʻano kēia i ʻike ʻia e ka poʻe he nui, akā ʻaʻole maopopo i ke ʻano o ia mea. I ka lāʻau lapaʻau, kapa mākou i kēia he Spasticity. Mai hopohopo, i kēia lā e kamaʻilio mākou e pili ana i nā mea āpau me ka maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka Spasticity?
ʻO ka spasticity kahi maʻi o ka ʻōnaehana e kāohi ana i ka neʻe ʻana o ko kākou mau ʻiʻo. E noʻonoʻo e pili ana i ia mea, i ka wā e kūlou mau ai kākou i ka lima, e ʻūlū kekahi hui o nā ʻiʻo (e ʻaelike), ʻoiai e hoʻomaha ana kekahi hui o nā ʻiʻo. Ua like ia me ka huki kaua; ke huki ʻia kekahi ʻaoʻao, pono e hoʻomaha kekahi ʻaoʻao. Hoʻomalu ʻia kēia kaʻina hana e ko kākou ʻōnaehana nerve waena, ʻo ia hoʻi ka lolo a me ke kaula spinal (ke kaula nerve i loko o ke kolamu spinal) .
Inā ua hōʻino ʻia kēia ʻōnaehana nerve waena no kekahi kumu, e hoʻopilikia ʻia ka ʻōnaehana hōʻailona i kēlā mau ʻiʻo. ʻO ka mea e hana ʻia a laila, ke hoʻāʻo ʻoe e hoʻoneʻe i kahi lima, e ʻūlū nā ʻiʻo e pono e paʻa a me nā ʻiʻo e pono e wehe ʻia i ka manawa like. Hoʻolilo kēia i mea paʻakikī ke neʻe, hoʻoulu i ka ʻoʻoleʻa o nā ʻiʻo, a hiki ke hoʻoulu i ka ʻeha.
No kekahi poʻe, he ʻoluʻolu paha kēia ʻano, he ʻūmiʻi iki wale nō o nā ʻiʻo. No kekahi poʻe, hiki ke holomua i kahi ʻano e paʻa loa ai ka lālā a hiki ʻole ke kāohi ʻia, e hōʻeha nui ana.
| ʻAno | He wehewehe maʻalahi |
|---|---|
| Hoʻonui ʻia ke kani o nā ʻiʻo (Hypertonia) | ʻOiai ke kū wale nei ʻoe, ua paʻa kou mau ʻiʻo a ʻaʻole e palupalu. |
| Nā ʻūmiʻi ʻiʻo | Ka ʻūmiʻi koke a hiki ʻole ke kāohi ʻia o nā ʻiʻo. |
| ʻO Clonus | He ʻano o nā ʻūlū wikiwiki a haʻalulu hoʻi ma nā wahi e like me nā kuʻekuʻe wāwae. |
| Kūlana ʻano ʻē | Ua kūlou a kīkoʻo ʻia nā lālā, e like me nā lima a me nā wāwae, i nā ʻano ʻē. |
| ʻEha a me ka ʻoluʻolu ʻole | ʻEha i hoʻokumu ʻia e ka paʻa ʻana o nā ʻiʻo a me nā spasms. |
| ʻO ke kuʻikahi ʻana | Lilo nā ʻiʻo i ʻoʻoleʻa a lilo nā hono i ʻūmiʻi mau loa, me he mea lā ua hana ʻia me ka pōhaku, i loko o kekahi manawa. |
| Ka hoʻopilikia ʻana i nā hana o kēlā me kēia lā | Paʻakikī ke hana ʻana i nā hana maʻalahi e like me ke komo ʻana, ka ʻauʻau ʻana, a i ʻole ka ʻai ʻana iā ʻoe iho. |
He aha nā kumu o ka spasticity?
E like me kaʻu i ʻōlelo ai ma mua, ʻo ke kumu nui o kēia, ʻo ia kekahi mau hōʻino i ko kākou ʻōnaehana nerve waena, ʻo ia hoʻi, ka lolo a i ʻole ke kaula kuamoʻo. Aia kekahi mau kumu hiki ke kumu o kēia hōʻino.
- ʻEha o ke kaula kuamoʻo: Ka hōʻino ʻana i ka iwi kuamoʻo i hana ʻia e kahi ulia.
- Sclerosis lehulehu (MS): He maʻi e hōʻino ai i nā ʻūpā aʻalolo.
- ʻO ka Cerebral Palsy: He kūlana i hana ʻia e ka hōʻino ʻana o ka lolo i ka wā kamaliʻi.
- Hahau: Ka hōʻino ʻia ʻana o nā hunaola o ka lolo ma muli o ke kū ʻana o ke kahe koko i ka lolo.
- ʻEha o ka lolo a i ʻole ke poʻo: He hopena i ke poʻo mai kahi ulia.
- ʻAmyotrophic Lateral Sclerosis (ALS): He maʻi e hoʻonāwaliwali mālie ai i nā hunaola aʻalolo e kaohi ana i ka neʻe ʻana.
- Hiki ke hana ʻia ka spasticity e kekahi mau kūlana genetic ʻē aʻe.
Pehea e mālama ʻia ai ka spasticity?
ʻO ka mea maikaʻi loa, he nui nā ala e mālama ai i kēia maʻi. ʻOiai ʻaʻole hiki ke ho'ōla piha ʻia ka spasticity, nui nā mea hiki iā ʻoe ke hana e hoʻokele i nā hōʻailona, e hōʻemi i ka ʻeha, a e maʻalahi ai kou ola.
ʻO ke ala kūpono loa e mālama ai i kēia, ʻo ia ka hana pū ʻana me kahi hui kauka multidisciplinary, ʻaʻole hoʻokahi wale nō kanaka. Hiki i kēia hui ke komo pū me kahi neurologist, kahi physiatrist, kahi physical therapist, a me kahi occupational therapist.
Nā lāʻau lapaʻau ʻoki ʻole
ʻO kēia nā lāʻau lapaʻau mua e hoʻohana ʻia.
- Hoʻōla kino: Pili kēia i nā hoʻomaʻamaʻa hoʻolōʻihi a me ka hoʻoikaika ʻana i nā ʻiʻo paʻa, a me ke aʻo ʻana i ka hele wāwae a me ke kū ʻana.
- ʻO ka hoʻōla hana: Pili kēia i ka hoʻomaʻamaʻa ʻana i nā ʻiʻo ma kou mau lima i hiki iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā, e like me ke kapa ʻana, ka ʻauʻau ʻana, a me ka kuke ʻana, ma kāu iho.
- ʻŌlelo lapaʻau: Inā pili ka spasticity i nā ʻiʻo ma kou helehelena, waha, a me ka ʻāʻī, hiki i kēia lāʻau lapaʻau ke kōkua iā ʻoe e lanakila i ka paʻakikī o ka ʻōlelo ʻana a me ke ale ʻana.
- Nā Lāʻau Lapaʻau: Aia nā lāʻau lapaʻau e hiki ke hoʻohana ʻia e hoʻomaha i nā ʻiʻo. Eia kekahi laʻana, nā lāʻau lapaʻau e like me `(Baclofen)`, `(Tizanidine)`, `(Diazepam)`. Eia naʻe, hiki i kēia mau mea ke hana i nā hopena ʻaoʻao e like me ka hiamoe a me ka nāwaliwali. No laila , he mea nui e hoʻohana i kēia mau lāʻau lapaʻau e like me ke kauoha a ke kauka.
Lapaʻau ʻana i ka inikini Botox
ʻAe, ʻo ia ka `(Botox®)` āu i lohe ai. ʻAʻole wale kēia he lāʻau hoʻonani, akā he lāʻau lapaʻau kūpono loa hoʻi no ka spasticity. ʻO kāu hana ma ʻaneʻi, ʻo ia ke hoʻokomo pololei i kēia injection i loko o nā ʻiʻo paʻa. A laila hoʻomaha kēlā mau ʻiʻo. ʻO ka hopena o kēia e mau ana no kahi o 3 mahina.
ʻoki kino (ʻoki kino)
Hoʻohana pinepine ʻia kēia mau mea i ka wā e ʻoi aku ka koʻikoʻi o ka maʻi.
- Lapaʻau ITB: Pili kēia i ke ʻoki ʻana i kahi pamu liʻiliʻi ma lalo o ka ʻili o ka ʻōpū, kahi e hoʻokuʻu ai i kahi mahele kikoʻī o kahi lāʻau i kapa ʻia ʻo "(Baclofen)" pololei i loko o ke kahe e hoʻopuni ana i nā aʻalolo kuamoʻo. He emi iki nā hopena ʻaoʻao ma mua o ka lawe ʻana ma ka waha.
- Selective Dorsal Rhizotomy (SDR): He ʻoki kino paʻakikī iki kēia. Ma kēia, ʻo nā aʻa aʻalolo wale nō e hoʻoulu ai i ka pilikia i koho ʻia a ʻoki ʻia. Hiki i kēia ke hōʻemi i ka ʻoʻoleʻa nui o ka wāwae.
- ʻOki Orthopedic: ʻO ke ʻoki kino e hoʻihoʻi i nā hono a me nā aʻalolo i lilo i ʻoʻoleʻa a paʻakikī hoʻi ma muli o ka spasticity.
I ka manawa hea ʻoe e pono ai e ʻike i ke kauka?
He mea nui loa kēia.
Inā ʻike koke ʻoe i ka ʻūmiʻi ʻana o nā ʻiʻo a me ka ʻūmiʻi ʻana e like me kēia me ka ʻole o nā pilikia ma mua, he hōʻailona paha ia o ka hōʻino ʻia ʻana o ka lolo a i ʻole ka iwi kuamoʻo, no laila e ʻike koke i ke kauka me ka hoʻokaʻulua ʻole.E hele i ka Emergency Treatment Unit (ETU) inā pono.
Inā ʻike mua ʻoe he spasticity kou, e kamaʻilio me kāu kauka inā hana ʻia nā mea aʻe:
- Inā e hoʻonui ana ka ʻeha a me ka ʻeha o ka ʻūhā i kēlā me kēia lā.
- Inā piʻi ka ʻeha.
- Inā ʻoe e pilikia nei i ka hana ʻana i nā hana o kēlā me kēia lā.
Leka Lawe-Home
- ʻO ka spasticity kahi ʻano e ʻūlū ai a wiliwili ai nā ʻiʻo me ke kāohi ʻole ʻia, ma muli o ka hōʻino ʻia o ka lolo a i ʻole ke kaula spinal.
- Hiki ke piʻi ke koʻikoʻi o kēia mai ka ʻoluʻolu ʻole iki a i ka ʻeha nui e hiki ʻole ai ke hana i nā hana o kēlā me kēia lā.
- Mai hopohopo. Nui nā lāʻau lapaʻau holomua, mai ka hoʻōla kino a i ke ʻoki kino.
- Ma ke kamaʻilio ʻana me kāu hui lapaʻau, hiki iā ʻoe ke hoʻomohala i ka hoʻolālā lapaʻau maikaʻi loa nāu.
- Inā ʻike ʻoe i kekahi mau hōʻailona hou a i ʻole e ʻoi aʻe ka ʻino o kou kūlana, e ʻimi koke i ke kōkua lapaʻau.
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