I kekahi manawa, ke noho mākou ma ke kūlana hoʻokahi no ka manawa lōʻihi, a i ʻole ke hiamoe mākou, e ʻūlū ana ko mākou mau lima a me nā wāwae, ʻeā? ʻO kēia manaʻo, e like me nā ʻanuʻu e holo ana a puni a i ʻole e hou ʻia ana e nā nila, e nalowale ana ma hope o kekahi manawa. He mea maʻamau kēia. Akā inā hoʻomau kēia ʻūlū ʻana i kou mau lima a me kou mau wāwae, a inā paha e hana pinepine ʻia, ʻaʻole ia he manaʻo maikaʻi e hoʻokuke wale iā ia. No ka mea, he hōʻailona paha ia e hōʻike mai ana iā mākou e pili ana i kekahi pilikia i loko o ko mākou kino.
He aha kēia ʻano ʻūlili?
I ka lāʻau lapaʻau, kapa mākou i kēia ʻano he paresthesia . Ma waho aʻe o ke ʻano ʻūlū, hiki i kekahi poʻe ke ʻike i kahi ʻano ʻūlū, kahi ʻano wela ma lalo o ka ʻili, a i ʻole ka maneʻo.
E noʻonoʻo ʻoe e noho ana ma ke keʻa wāwae no ka manawa lōʻihi. A laila ua ʻūmiʻi ʻia kekahi aʻalolo ma ka wāwae haʻahaʻa a hoʻomaka kou wāwae e ʻūlū. Akā ke hoʻololi ʻoe i kou kūlana, e nalowale mālie ana ke ʻūlū. ʻO kēia ka mea a mākou e kapa nei he ʻūlū manawa pōkole . ʻAʻole kēia he mea weliweli.
Akā inā hoʻomau kēia ʻūlū ʻana, pinepine ka hana ʻana, a hele pū me ka ʻeha, hiki ke kumu o ka hōʻino ʻia ʻana o nā aʻalolo. Ua kapa ʻia kēia he peripheral neuropathy . He kūlana kēia e pono ai kākou e hopohopo.
Hiki mai ka neuropathy peripheral i ka wā e hōʻino ʻia ai nā aʻalolo e holo ana mai ka lolo a me ke kaula spinal, ʻoiai nā mea ma nā lima a me nā wāwae. Hiki ke ʻoi aku ka ʻino i ka hala ʻana o ka manawa, e alakaʻi ana i ka paʻakikī o ka hele wāwae a me ke kīnā mau loa. No laila he mea nui e ʻike koke i ke kauka inā loaʻa iā ʻoe ka ʻūlū mau.
He aha nā kumu nui o ka ʻūlū ʻana?
Nui nā kumu o ke kani ʻana o nā lima a me nā wāwae. ʻO ke kumu maʻamau a ʻo ka maʻi diabetes mellitus . Ma kahi o ʻelua hapakolu o ka poʻe me ka maʻi diabetes he ʻano hōʻino ko lākou i ke aʻalolo. I ka manawa pinepine, hiki ke ʻike ʻia kēia ʻano kani ʻana ma ke ʻano he hoʻokahi o nā hōʻailona mua o ka maʻi diabetes. Hoʻomaka pinepine ia ma nā manamana wāwae, neʻe i luna o nā wāwae, a laila pili i nā lima.
Ma waho aʻe o ka maʻi diabetes, nui nā kumu ʻē aʻe e hiki ke hoʻopilikia i kēia. E nānā kākou i kēia papa e hoʻomaopopo pono iā lākou.
| Kumu | I ka ʻōlelo maʻalahi... |
|---|---|
| Ka hoʻopaʻa ʻana o ke aʻalolo | ʻO nā kūlana e like me ka carpal tunnel syndrome , i hana ʻia e ke kaomi ʻana o ke aʻalolo e hele ana ma ka pulima, a me ka sciatica , i hana ʻia e nā discs paheʻe ma waena o ka vertebrae i loko o ka iwi kuamoʻo, hiki ke hana i ke kani ʻana ma nā lima a me nā wāwae. |
| Nā hemahema o ka wikamina | He mea nui nā wikamina E, B1, B6, B12, a me ka niacin no ka hana olakino o nā aʻalolo. ʻO ka hemahema o ka wikamina B12 ma ke ʻano kūikawā kekahi kumu nui o ka sciatica. Eia nō naʻe, hiki i ka nui o ka wikamina B6 ke hana i ka sciatica. |
| Nā maʻi ʻē aʻe (Nā maʻi ʻōnaehana) | Hiki ke hana ʻia kēia ʻano e ka maʻi puʻupaʻa, ka maʻi ake, nā hemahema o ka hormone thyroid (hypothyroidism), a me nā puʻupuʻu maʻi ʻaʻai a maikaʻi ʻole paha e kau ana i ke kaomi ma luna o nā aʻalolo. |
| ʻOna waiʻona | Ua nele ka poʻe ʻona i nā huaora ma muli o nā ʻano ʻai maikaʻi ʻole. Hoʻopōʻino pololei ka waiʻona i nā aʻalolo (alcoholic neuropathy). |
| Nā Toxins a me nā lāʻau lapaʻau | Hiki i nā metala kaumaha e like me ke kēpau a me ka mercury, nā pesticides, a me kekahi mau lāʻau lapaʻau (ʻoi aku hoʻi nā lāʻau chemotherapy no ka maʻi ʻaʻai) ke hōʻino i nā aʻalolo. |
| Nā maʻi Autoimmune | Hiki ke hana ʻia ka maneʻo e nā maʻi e like me lupus , rheumatoid arthritis , a me ka multiple sclerosis, kahi e hoʻouka ai ka ʻōnaehana pale ponoʻī o ke kino i nā aʻalolo. |
| Hopohopo | I nā manawa o ke kaumaha nui a me ka hopohopo, hiki iā ʻoe ke ʻike i ka ʻeha ma kou mau lima, nā wāwae, nā manamana lima, a me ka maka. |
Pehea e ʻike ai ke kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka e kamaʻilio e pili ana i kēia maʻi, e nīnau mua ʻo ia iā ʻoe i kekahi mau nīnau. E nīnau ʻo ia iā ʻoe i nā kikoʻī he nui e pili ana i kāu mau hōʻailona, kāu ʻoihana, kou nohona (e like me ka hoʻohana ʻana i ka waiʻona), a inā paha ua loaʻa i kekahi o kou ʻohana kēia ʻano maʻi neurological.
Ma hope o kēlā, e hana ʻia kahi hoʻokolohua kino a, inā pono, hiki ke hana ʻia kahi kuhikuhi no kekahi mau hoʻokolohua hou aʻe.
- Nā hoʻāʻo koko: ʻIke i ka maʻi diabetes, nā hemahema o nā wikamina, ka hana o nā puʻupaʻa a me ke akepaʻa , a me nā pilikia o ka ʻōnaehana pale.
- Nā hoʻāʻo hana aʻalolo: ʻO ka hoʻāʻo NCV (Nerve Conduction Velocity) , kahi e ana ai i ka wikiwiki o ka hele ʻana o nā hōʻailona uila ma o nā aʻalolo, a me ka hoʻāʻo EMG (Electromyogram) , kahi e ana ai i ka hana uila o nā ʻiʻo, ʻo ia ka mea nui o kēia.
- Nā scan ʻē aʻe: Hiki i nā scan CT a i ʻole nā scan MRI ke nānā no ke kaomi ʻana o ke aʻalolo a i ʻole nā hōʻino ʻē aʻe.
- Biopsy o ke aʻalolo : He mea kākaʻikahi loa, pono paha e lawe ʻia kahi ʻāpana liʻiliʻi o ke aʻalolo a hoʻāʻo ʻia.
He aha nā lāʻau lapaʻau no kēia a he aha kā mākou e hiki ai ke hana?
Hoʻōla ʻia ke kani ʻana ma ka ʻimi ʻana a me ka mālama ʻana i ke kumu kumu . ʻO ka mea nui, inā ʻaʻole i luku loa ʻia nā hunaola aʻalolo, hiki iā lākou ke hana hou.
- Ke mālama ʻana i ke kūlana kumu: I ka hihia o ka maʻi diabetes, hiki i ka kaohi pono ʻana i nā pae kō koko ke hoʻōki i ka holomua o ka hōʻino ʻana o ke aʻalolo. I ka hihia o ka nele o ka huaora, hiki ke ho'ōla ʻia ke kūlana ma ka lawe ʻana i nā huaora i kuhikuhi ʻia e ke kauka.
- Lāʻau lapaʻau: Hiki i kāu kauka ke kuhikuhi i kekahi mau lāʻau lapaʻau e kāohi i ka pehu a me ka ʻeha.
- Hoʻōla Kino: He kōkua nui ka hoʻoikaika kino a me ka hoʻōla kino i ka hoʻoikaika ʻana i nā ʻiʻo a me ka hoʻomaikaʻi ʻana i ke kaulike.
- Nā loli o ke ʻano o ka nohona:
- Hōʻalo i ka puhipaka: Hoʻopaʻa ka puhipaka i nā kīʻaha koko e hoʻolako ana i nā meaʻai i nā aʻalolo.
- E hōʻemi a hoʻōki paha i ka inu ʻona.
- Ka ʻai ʻana i ka meaʻai kaulike.
- Ka mālama ʻana i ke kaumaha olakino.
- Hoʻoikaika kino ma ke ʻōlelo aʻo a ke kauka.
Nā kūlana i ka wā e pono ai ʻoe e ʻimi i ke kōkua lapaʻau pilikia
Inā loaʻa iā ʻoe kahi ʻeha poʻo maʻamau, hiki iā ʻoe ke ʻike i ke kauka e ʻike i ke kumu. Eia nō naʻe, inā ʻike ʻoe i hoʻokahi a ʻoi aku paha o nā hōʻailona ma lalo nei me kou ʻeha poʻo, pono ʻoe e hele koke i ka lumi pilikia o ka haukapila (ETU) . He mau hōʻailona paha kēia o kahi maʻi koʻikoʻi, e like me ka hahau ʻana.
| Nā hōʻailona hōʻike - e hele koke i ka haukapila! | |
|---|---|
| ⚫ Paʻakikī koke i ka ʻōlelo ʻana a i ʻole ka loli ʻana o ka ʻike. | |
| ⚫ Ka maneʻo a me ke ʻāʻī ʻana ma kekahi ʻaoʻao o ka maka, ka umauma, a i ʻole ke kino. | |
| ⚫ Hiki ʻole ke kāohi i ka mimi a i ʻole ka ʻōpala. | |
| ⚫ Ka nāwaliwali loa koke. | |
| ⚫ Huikau a nalowale paha ka ʻike. | |
Leka Lawe-Home
- ʻOiai he mea maʻamau ka mae ʻana no ka manawa pōkole e hele mai a nalo aku ana, hiki i ka mae ʻana mau a pinepine paha ke lilo i hōʻailona o kahi maʻi nui.
- ʻO ke kumu nui o kēia, ʻo ia ka hōʻino ʻia ʻana o nā aʻalolo ma muli o ka maʻi diabetes (Peripheral Neuropathy).
- Mai hoʻowahāwahā i ka mae ʻana o kou mau lālā. E ʻike koke i kāu kauka e ʻike i ke kumu pololei.
- ʻO ka ʻike ʻana a me ka mālama ʻana i ke kumu i ka wā mua hiki ke pale i ka hōʻino mau ʻana o nā aʻalolo.
- Inā ʻike ʻoe i nā hōʻailona e like me ka nāwaliwali loa, ka nalowale o ka ʻike, a i ʻole ka paʻakikī i ka ʻōlelo ʻana, e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila.
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