Ke ʻālohilohi nei ʻoe ma ke kua o kou wāwae? E kamaʻilio kākou e pili ana i ke aʻalolo Sural!

I kekahi manawa ua manaʻo paha ʻoe i kahi ʻano ʻūlū ma ke kua o kou wāwae, mai kou kuʻekuʻe wāwae a i waho o kou wāwae, a i ʻole he ʻano wela wale nō. Manaʻo kekahi poʻe i kēia i ko lākou hele ʻana a kū ʻana paha. ʻAʻole nui ka poʻe e nānā nui iā ia, me ka manaʻo, "Ke ʻūlū nei paha koʻu wāwae." Akā, ʻo ke kumu o kēia ʻehaʻeha he aʻalolo liʻiliʻi akā koʻikoʻi loa i loko o kou wāwae. I kēia lā, ke kamaʻilio nei mākou e pili ana i ke aʻalolo sural, kahi mea ʻaʻole i kamaʻilio nui ʻia e nā mea a pau, akā he mea nui loa ia i ko mākou kino.

He aha ke aʻalolo Sural?

I ka ʻōlelo maʻalahi, ʻo ke aʻalolo sural he aʻalolo sensory aia ma lalo o ka ʻili ma kou ʻāpana groin, ʻo ia hoʻi, ma ke kua o kou wāwae ma lalo o ke kuli. ʻO ke aʻalolo sensory kahi aʻalolo e lawe ana i ka ʻike i ka lolo. Ua like ia me kahi 'uea sensory' i loko o ko mākou kino.

ʻO kēia kekahi ʻāpana o ka ʻōnaehana nerve peripheral o ko mākou kino. ʻO kēia ʻōnaehana ka pūnaewele o nā aʻalolo e hohola ana ma ke kino holoʻokoʻa, koe wale nō ko mākou lolo a me ke kaula spinal. Ma muli o kēia pūnaewele ke manaʻo nei mākou i nā mea e like me ka pā ʻana, ka ʻeha, a me ka wela. No laila, he ʻelele koʻikoʻi ke aʻalolo sural o kēia pūnaewele nui, e pili ana i nā wāwae.

He aha ka mea e hana ʻia i ko kākou kino ma o kēia aʻalolo?

E kahaha paha ʻoe i ka lohe ʻana i ka mea e hana ʻia me kēia aʻalolo liʻiliʻi. ʻO ia ka mea e hāʻawi ai i ka manaʻo i kekahi mau ʻāpana o ko kākou mau wāwae. E noʻonoʻo e hele wāwae ʻole ana ma luna o ka mauʻu. Kōkua kēia aʻalolo i kou lolo e ʻike i nā mea e like me ke anuanu o ka mauʻu a me ke ʻano o ka honua a kou mau wāwae e ʻike ai.

ʻO ka mea nui, ʻo ke aʻalolo sural e hiki ai iā mākou ke manaʻo:

• Hoʻopā: ʻO ka manaʻo āu e loaʻa ai ke hoʻopā kekahi i kou mau ʻāpana kino, a i ʻole ke kuʻi kahi kāmaʻa i ke kua o kou wāwae ke kau ʻoe.
• Kūlana wāwae: ʻOiai me kou mau maka i pani ʻia, hiki iā ʻoe ke ʻike i ke ʻano o kou wāwae, inā ua kūlou kou kuʻekuʻe wāwae a ʻaʻole paha, ʻeā? Kōkua kēia aʻalolo i kēlā.
• Mahana: ʻIke kēia aʻalolo i ka ʻokoʻa ma waena o kahi kulu o ka wai anuanu e hāʻule ana ma kou wāwae a me kahi wāwae i kau ʻia ma ka lepo mahana.
• ʻEha: Ke paʻi kekahi mea i kou wāwae, a i ʻole e paʻa kou wāwae i loko o kahi kāmaʻa a ʻeha, ʻo kēia aʻalolo ka mea e hoʻouna i ka ʻeha i ka lolo a pale iā ʻoe mai ka pōʻino.
• Haʻalulu: Kōkua kēia aʻalolo iā mākou e ʻike i ka haʻalulu liʻiliʻi loa ma ka lepo.

ʻO kēia mau manaʻo ka mea e hiki ai iā mākou ke mālama i ko mākou kaulike ke kū mākou a hele. E noʻonoʻo i ka paʻakikī o ka hele ʻana inā ʻaʻole hiki iā ʻoe ke ʻike pololei i kahi o kou mau wāwae.

He ʻoiaʻiʻo anei ua hoʻohana ʻia kēia aʻalolo no nā kumu lapaʻau ʻē aʻe?

ʻAe, he ʻoiaʻiʻo kēlā. Ma muli o ke wahi a me ke ʻano o kēia aʻalolo, hoʻohana nui ʻia ia i ka lāʻau lapaʻau.

1. No nā hoʻokolohua biopsy (Biopsies)

I kekahi manawa, ke kānalua ʻia kahi maʻi e hoʻopilikia ana i nā aʻalolo i loko o ke kino, pono e lawe i kahi ʻāpana o ke aʻalolo a nānā iā ia e ʻike pono i ke ʻano o ia mea. Ua kapa ʻia kēia he biopsy . Ua koho pinepine ʻia ke aʻalolo sural no kēia.

No ke aha e koho ai i kēia aʻalolo kūikawā no kēlā?

• Ka maʻalahi o ka loaʻa ʻana: Kokoke loa kēia aʻalolo i ka ʻili, kokoke i ka ʻili, no laila he mea maʻalahi loa i nā kauka ke loaʻa.
• Palekana: ʻO ke ʻano kēia he kakaikahi loa nā pilikia nui ma hope o ka wehe ʻia ʻana o kahi ʻāpana liʻiliʻi. A ho'ōla koke ka ʻeha.
• ʻOiai he aʻalolo sensory: ʻOiai ʻaʻole kēia he aʻalolo e pili ana i ka neʻe ʻana, akā i ka manaʻo wale nō, inā e wehe ʻia kekahi ʻāpana o ia mea, ʻaʻole e lolo ka wāwae a hiki ʻole ke hele. Hiki ke noho iki kekahi ʻūlū ma ia wahi, akā, ʻaʻole ia e loaʻa ka hopena nui.

Hiki ke hana i kahi biopsy nerve sural e ʻike ai i nā maʻi e like me:

• ʻO ka amyloidosis AL (kaula māmā): He ʻano protein ʻano ʻē i hana ʻia i loko o ke kino i waiho ʻia i loko o nā ʻōpū e like me nā aʻalolo.
• Vasculitis: Ka mumū ʻana o nā kīʻaha koko.
• Nā Maʻi Neurological ʻē aʻe: Nā maʻi neurological peripheral ʻē aʻe i paʻakikī ke ʻike pololei.

2. No ke kāpili ʻana i nā aʻalolo

E noʻonoʻo ua hōʻino kahi ulia i kahi aʻalolo ma kou lima, maka, a i ʻole kekahi wahi koʻikoʻi ʻē aʻe. I kekahi manawa, ʻaʻole hiki ke hoʻoponopono pololei ʻia ke aʻalolo. I kēlā hihia, lawe nā kauka i kahi ʻāpana o ke aʻalolo olakino mai kahi ʻāpana koʻikoʻi ʻole o ke kino a hoʻoili iā ia i kahi i hōʻino ʻia. Ua like ia me ke alahaka e hoʻopili ana i nā ʻāpana ʻelua.

Hoʻohana ʻia ke aʻalolo sural no kēia kumu. No ka mea he aʻalolo lōʻihi ia, hiki ke lawe ʻia kahi ʻāpana ʻiʻo o ka lōʻihi e pono ai no ka hoʻoili ʻana. Hoʻoili ʻia ke aʻalolo sural i nā hihia e like me:

• Ka hōʻino ʻana o ka plexus brachial , kahi e hoʻopilikia ai i nā wahi e like me ka poʻohiwi a me ka lima.
• ʻO ka hōʻino ʻana i nā aʻalolo sciatic a i ʻole peroneal e hoʻopilikia ana i ka wāwae a me ka kuʻekuʻe wāwae.
• ʻO kekahi mau kūlana erectile dysfunction .
• ʻO ka maʻi lolo o ka maka .
• He maʻi laha ʻole ka neurotrophic keratitis e hoʻopilikia ai i nā aʻalolo o ka maka.

He aha nā pilikia maʻamau e hoʻopilikia ai i ke aʻalolo sural?

Hiki i kekahi mau mea a mākou e hana ai i ko mākou ola o kēlā me kēia lā a me kekahi mau kūlana olakino ke hōʻino i kēia aʻalolo koʻikoʻi. ʻO kēia ka manawa e ʻike ʻia ai nā hōʻailona i ʻōlelo ʻia ma mua, e like me ka ʻeha, ka mae ʻana, a me ka mumū.

No laila he aha kā mākou e hana ai e pale aku i kēia aʻalolo?

"ʻOi aku ka maikaʻi o ka pale ʻana ma mua o ka hoʻōla ʻana," wahi a lākou. No laila, aia kekahi mau mea maʻalahi hiki iā mākou ke hana e pale aku i kēia aʻalolo mai ka hōʻino ʻia.

• E kāohi i kāu maʻi diabetes: Inā loaʻa iā ʻoe ka maʻi diabetes, e hahai pololei i nā ʻōlelo a kāu kauka . E lawe i kāu lāʻau lapaʻau i ka manawa kūpono, e kāohi i kāu ʻai, a e hoʻoikaika kino. ʻO ka mālama ʻana i kou pae kō koko ma lalo o ke kaohi ke ala maikaʻi loa e pale ai i kou mau aʻalolo.
• E ʻaʻahu i nā kāmaʻa kūpono: E ʻaʻahu i nā kāmaʻa ʻoluʻolu e kūpono i kou mau wāwae, ʻaʻole paʻa loa, a ʻoluʻolu hoʻi. ʻOi loa aku inā ʻoe e pāʻani haʻuki, e ʻaʻahu i nā kāmaʻa maikaʻi a kūpono i ka haʻuki. Ke pau kou mau kāmaʻa a nalowale paha ko lākou pale ʻana, e kūʻai i nā mea hou.
• E pale i ka puhipaka: He mea ʻino loa ka puhipaka a me nā huahana paka i kou mau kīʻaha koko a me nā aʻalolo. Inā ʻoe e puhipaka, he kōkua nui ka hoʻāʻo ʻana e haʻalele i kou kino holoʻokoʻa.
• ʻAi olakino: E ʻai i ka ʻai kaulike. E hoʻokomo i nā meaʻai waiwai i ka wikamina D a me ka wikamina B12 (iʻa, waiū, hua manu, nā lau ʻai ʻōmaʻomaʻo), he mea nui loa ia no ke olakino o nā aʻalolo.

He aha nā hōʻailona e pono ai ʻoe e ʻike i ke kauka?

Inā hoʻomau ʻoe i ka ʻike ʻana i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona ma kou wāwae haʻahaʻa, ʻoi aku hoʻi ma ke kua, a ma luna paha o kou wāwae, mai hoʻowahāwahā iā ia a ʻike i ke kauka.

E makaʻala no kēia mau hōʻailona:

• Inā manaʻo ia e like me ke kuni.
• Inā ʻoe e manaʻo nei i ka nalowale ʻana o ka manaʻo a i ʻole ka numbness ma ia wahi.
• Inā ʻoe e manaʻo i ke koʻikoʻi nui a i ʻole ka ʻeha i ka wā e hamo ai ke kapa i kou kino a i ʻole i ka wā e hoʻopā ai kou lima iā ia.
• Inā loaʻa iā ʻoe ka ʻeha ʻoi a i ʻole ka ʻeha hou.
• Inā manaʻo mau ʻoe e holo ana nā ʻanuʻu a puni (ʻūlū) .

Ke hele ʻoe i ke kauka, e nānā ʻo ia iā ʻoe, e kuhikuhi iā ʻoe no nā hoʻokolohua neurological kūikawā (e like me nā haʻawina hoʻokele nerve) inā pono, e ʻimi i ke kumu pololei o kou pilikia, a e kuhikuhi i ka lāʻau e pono ai.