Ke manaʻo nei ʻoe i kekahi manawa i ka ʻūlū, ka wela, a i ʻole ke kuʻi ʻana i kou mau lima a me kou mau wāwae? A i ʻole he ʻeha ʻoi āu e ʻike ai ke kū mālie ʻoe? Hoʻowahāwahā pinepine mākou i kēia mau mea e like me ka mea maʻamau. Eia nō naʻe, i kekahi manawa hiki i kēia ke hōʻailona o kahi pilikia i loko o ka ʻōnaehana nerve o ko mākou kino. I kēia lā ke kamaʻilio nei mākou e pili ana i ka ' Peripheral Neuropathy ', kahi kūlana maʻamau akā ʻaʻole maopopo loa e hoʻoulu ai i nā hōʻailona e like me kēia.
I ka ʻōlelo maʻalahi, he aha ka Peripheral Neuropathy?
E noʻonoʻo ʻoe ua like ko kākou lolo a me ke kaula iwi kuamoʻo me kahi 'keʻena poʻo' nui. Mai kēia keʻena poʻo, aia kahi 'ʻōnaehana kelepona' e lawe ana i nā leka i nā ʻāpana ʻē aʻe o ko kākou kino, me ko kākou mau lima, nā wāwae, ka ʻili, a me nā ʻōpū o loko. ʻO kēlā ʻōnaehana o nā uea ka mea a kākou e kapa nei he 'nā aʻalolo peripheral'.
ʻO Peripheral Neuropathy ka inoa i hāʻawi ʻia i ka 'ʻōnaehana uea kelepona', ʻo ia hoʻi, ua hōʻino ʻia ko mākou mau aʻalolo ma kekahi ʻano. Hoʻopilikia kēia pōʻino i ke kamaʻilio ʻana ma waena o ke keʻena poʻo (ka lolo) a me ke koena o ke kino. ʻO ka hopena kēia i nā hōʻailona e like me ka nāwaliwali , ka mae ʻana , ka ʻūlū ʻana , a me ka ʻeha ma nā lālā. Hiki i kēia ke hoʻopilikia ʻaʻole wale i nā lālā, akā i kā mākou ʻōnaehana hoʻoheheʻe ʻana, ka kaohi ʻana i ke koko, a me nā mea hou aku.
He aha nā ʻano nui o kēia maʻi neuropathy?
Aia ma mua o 100 mau ʻano o ka neuropathy peripheral. He ʻokoʻa nā kumu a me nā hōʻailona o kēlā me kēia. Hoʻokaʻawale nā kauka iā lākou ma nā ʻano like ʻole. E nānā kākou i nā ʻano a mākou e lohe pinepine ai.
1. Mononeuropathy
He hōʻino kēia i hoʻokahi aʻalolo peripheral. E noʻonoʻo e like me ke ʻoki ʻia ʻana o kahi uea kelepona hoʻokahi. ʻO ke kumu nui o kēia he ʻeha mai kahi ulia, a i ʻole ke kaomi lōʻihi ʻana o kahi aʻalolo ma kahi hoʻokahi.
- ʻO ka Carpal Tunnel Syndrome: ʻO kēia ke ʻano maʻamau o ke ʻano. Hoʻokumu ʻia ia e ke kaomi ʻana o kahi aʻalolo e holo ana ma ko mākou pulima. ʻO ka poʻe e hoʻolilo i ka manawa nui e paʻi ana ma kahi kamepiula a i ʻole e hana ana i nā hana hou e ʻoi aku ka pilikia.
- ʻO ka maʻi lolo o ke aʻalolo Ulnar: Ke ʻūlū nei ma ka manamana lima liʻiliʻi a me ka manamana lima apo ma muli o ke kaomi ʻana o ke aʻalolo kokoke i ke kuʻekuʻe.
- Peroneal Nerve Palsy: ʻO ke kaomi ʻana o kahi aʻalolo ma ke kua o ke kuli hiki ke hana i kahi kūlana i kapa ʻia ʻo 'foot drop', kahi e paʻakikī ai ke hāpai i ka wāwae.
2. Polyneuropathy
Loaʻa i ka hapa nui o ka poʻe me ka neuropathy peripheral kēia ʻano. ʻO ke ʻano o 'Poly' ʻo ia hoʻi he 'nui'. No laila, ʻo ka mea e hana ʻia ana ma kēia, he nui nā aʻalolo ma ke kino e lilo i mea hana ʻole i ka manawa like. Ua like ia me nā uea kelepona he nui e hele hewa ana i ka manawa hoʻokahi.
ʻO ka hōʻailona nui ka maneʻo , ka wela, a i ʻole ka ʻeha ma nā lima a me nā wāwae, ʻoiai e hoʻomaka ana ma nā wāwae.
Nui nā kumu no kēia. ʻO nā mea ʻawahia, ka inu nui ʻana i ka waiʻona, nā hemahema meaʻai e like me ka huaora B12, ke kanesa, ka maʻi puʻupaʻa, a me ka maʻi diabetes nā kumu nui. ʻOi aku ka nui o ka pilikia o ka poʻe me ka maʻi diabetes i kāohi pono ʻole ʻia e loaʻa i kēia maʻi.
Hiki ke hoʻokaʻawale ʻia kēia e like me ka hopena.
Ua māhele hou ʻia kēia i mau ʻāpana ma muli o ka hana a nā aʻalolo e hana ai ke hōʻino ʻia.
- ʻO ka Neuropathy Motor: He hōʻino kēia i nā aʻalolo e kāohi ana i kā mākou neʻe ʻana. ʻO ia hoʻi, nā aʻalolo e kāohi ana i kā mākou hana ʻike, e like me ka hele wāwae, ka hopu ʻana, a me ka ʻōlelo ʻana. Hoʻonāwaliwali kēia i nā ʻiʻo .
- ʻO ka Neuropathy Sensory: Hoʻopilikia kēia i nā aʻalolo e lawe ana i ko mākou mau manaʻo (ʻeha, hoʻopā, wela, anu) i ka lolo. ʻO ia ke kumu e like ai me nā kui a me nā nila a i ʻole nā haʻalulu uila. I kekahi manawa, hiki ke nalowale loa ka manaʻo. Hiki ke lilo kēia i mea weliweli no ka mea ʻaʻole paha ʻoe e manaʻo i kekahi ʻano wela a ʻoki paha.
- ʻO ke Neuropathy Autonomic: He hōʻino kēia i nā aʻalolo e kāohi ana i nā hana aunoa o ko mākou kino (hanu ʻana, ka puʻuwai o ka naʻau, ka hou ʻana, ka kaohi ʻana i ke koko). He mea maʻamau nō hoʻi kēia ʻano i nā poʻe me ka maʻi diabetes.
He aha nā kumu o ka Peripheral Neuropathy?
Hiki ke hoʻokaʻawale ʻia nā kumu no kēia i ʻekolu mau māhele nui. E hōʻike aku wau iā ʻoe ma kahi papa e like me kēia e maʻalahi ai ka hoʻomaopopo ʻana.
| Māhele o nā kumu | Ka wehewehe a me nā laʻana |
|---|---|
| Nā Kumu i Loaʻa | Nā kūlana e kū mai ana ma muli o nā kumu o waho i ko kākou ola. ʻO kēia nā mea maʻamau.
|
| Nā Kumu Hoʻoilina | ʻAʻole kēia mau mea i maʻamau loa. Hoʻoili ʻia lākou mai nā mākua a i nā keiki ma o nā genes. ʻO ka maʻi Charcot-Marie-Tooth kahi laʻana o kēia ʻano maʻi. |
| ʻAʻohe kumu i loaʻa (Idiopathic) | I kekahi mau hihia, ʻoiai ua hoʻāʻo nui ʻia, ʻaʻole hiki ke loaʻa ke kumu kikoʻī. Ua kapa nā kauka i kēia kūlana ʻo 'Idiopathic Neuropathy'. |
Hiki i kekahi mau lāʻau lapaʻau ke hana i kēia?
ʻAe. Hiki i ka Peripheral Neuropathy ke hana ʻia ma ke ʻano he hopena ʻaoʻao o kekahi mau lāʻau lapaʻau. ʻO ia hoʻi, hiki i kēlā mau lāʻau lapaʻau ke hōʻino i nā aʻalolo.
- Kekahi mau lāʻau anti-cancer (nā lāʻau Chemotherapy)
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi puʻuwai
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi HIV/AIDS
- Kekahi mau lāʻau antibiotic
- ʻO kekahi mau lāʻau lapaʻau no ka hopu ʻana
ʻO ka mea nui loa, inā manaʻo ʻoe he lāʻau lapaʻau āu e lawe nei ke kumu o kēia mau hōʻailona, mai hoʻōki i ka lawe ʻana iā ʻoe iho . E kamaʻilio koke me kāu kauka. E hana ʻo ia i nā hoʻoponopono e pono ai.
He aha nā pilikia e hiki ke hana ma muli o kēia ʻano?
Hiki i ka Peripheral Neuropathy ke alakaʻi i kekahi mau pilikia inā ʻaʻole mālama pono ʻia a mālama pono ʻia.
- Ka nāwaliwali o nā ʻiʻo a me ka atrophy: Ke ʻole e hoʻouna nā aʻalolo i nā leka, hiki i nā ʻiʻo i pili ke hoʻonāwaliwali mālie a emi iho. Hiki i kēia ke paʻakikī i ka hele wāwae a i ʻole ka paʻa ʻana i kahi mea.
- ʻEha wāwae: He mea weliweli loa kēia no ka poʻe maʻi diabetes. No ka mea, ua emi ka ʻike o nā wāwae, ʻoiai he ʻoki liʻiliʻi a he ʻōpala paha hiki ke ʻike ʻole ʻia. Hoʻolohi pū ka maʻi diabetes i ka ho'ōla ʻana o nā ʻeha. Hiki i kēia naʻaupō ke hoʻolilo i kahi ʻeha liʻiliʻi i ʻeha nui, ʻaʻole e ho'ōla, lilo i maʻi, a i kekahi manawa pono ke ʻoki ʻia.
- Hāʻule: ʻO ka nāwaliwali o nā ʻiʻo, ka nalowale o ke kaulike, a me ka poniuniu i hana ʻia e nā loli o ke koko e hiki ke maʻalahi ka hāʻule ʻana.
- Nā pilikia ʻē aʻe: Inā pilikia nā aʻalolo autonomic, hiki nō hoʻi ke loaʻa nā pilikia e like me ka constipation a i ʻole ka diarrhea, ka paʻakikī i ka kaohi ʻana i ka mimi, a me nā loli koke i ka helu o ka puʻuwai a me ke koko.
Leka Lawe-Home
- Inā loaʻa iā ʻoe ka mae pinepine ʻana, ka wela, ke kani ʻana, a i ʻole ka ʻeha i wehewehe ʻole ʻia ma kou mau lima a me kou mau wāwae, mai hoʻowahāwahā iā ia he mea maʻamau. E ʻike koke i kāu kauka.
- ʻO ke kumu nui o ka neuropathy peripheral ka maʻi diabetes . Inā loaʻa iā ʻoe ka maʻi diabetes, he mea nui loa ia e kaohi pono i kou pae kō koko.
- E nānā i kou mau wāwae i kēlā me kēia lā. Inā ʻike ʻoe i kekahi mau ʻoki, nā ʻeha, nā pehu, a i ʻole ka ʻulaʻula, e ʻimi koke i ke kōkua lapaʻau. Hiki ke ʻike ʻole ʻia kēia mau mea ma muli o ka emi ʻana o ka ʻike.
- I kekahi mau hihia, ʻaʻole paha e hoʻihoʻi piha ʻia ka pōʻino o ke aʻalolo. Eia nō naʻe, me ka mālama pono ʻana a me ka hoʻokele ʻana, hiki ke kaohi ʻia nā hōʻailona a hiki ke pale ʻia ke kūlana mai ka lilo ʻana i mea ʻino.
- Hiki iā ʻoe ke ola i kahi ola maikaʻi aʻe me nā lāʻau lapaʻau i kuhikuhi ʻia, nā hana physiotherapy, a me nā hoʻololi ʻana i ke ʻano o ka nohona.
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