E aʻo kākou e pili ana i ka Wallenberg Syndrome, ka mea e kū mai ana i ka wā e emi ai ke kahe o ke koko i ka lolo.

Ua lohe paha ʻoe i kahi maʻi i kapa ʻia ʻo Wallenberg Syndrome? He mea hou paha ka inoa iā ʻoe. Akā, he maʻi neurological ia e hiki ke hana i ka wā e paʻa ai ke kahe koko i ka lolo, ʻoiai he hahau a he ʻūpā koko paha, ka mea e hōʻemi ai i ke kahe koko i ka lolo . E noʻonoʻo, pehea inā pilikia koke ʻoe i ka ale ʻana, ka poniuniu, a i ʻole e hoʻomaka koke kou mau maka e neʻe? ʻO kēia nā hōʻailona āu e ʻike ai ma kēia hihia.

No laila he aha ka Wallenberg Syndrome?

I ka ʻōlelo maʻalahi, ʻo Wallenberg Syndrome kahi maʻi e kū mai ana i ka wā e hoʻopilikia ʻia ai ke kahe koko i kahi ʻāpana kikoʻī o ka lolo, ka ʻaoʻao ʻaoʻao o ka medulla oblongata . Hiki ke hana ʻia kēia e kahi poloka i loko o ke kīʻaha koko e lawe ana i ke koko i ka lolo i kapa ʻia ʻo ka posterior inferior cerebellar artery (PICA). I ​​kekahi manawa hiki i kāu kauka ke kapa iā ia he lateral medullary syndrome a i ʻole posterior inferior cerebellar artery syndrome, no ka mea, ʻo ka pōʻino i kēlā mau wahi.

Ke hiki mai kēia ʻano, hiki ke loaʻa nā hōʻailona e like me ka paʻakikī o ka moni ʻana, ka leo ʻōhū, ka ʻū pinepine ʻana, ka nalowale o ka ʻono, ka neʻe wikiwiki ʻana o nā maka (nystagmus), ka ʻike pālua, ka nalowale o ke kaulike, ka poniuniu a me ka manaʻo wili (vertigo), a me ka ʻeha a i ʻole ka mae ʻana . E noʻonoʻo i ka paʻakikī o ka hele wāwae inā ʻike ʻia nā mea āpau āu i ʻike ai ua hiʻo ʻia a ʻaʻole hiki iā ʻoe ke mālama pono i kou kaulike.

ʻO ka mea nui loa, ʻo ia ke ʻike i ke kumu o kēia maʻi a mālama iā ia i ka hikiwawe loa . Penei e hiki ai iā ʻoe ke hoʻokō i nā hopena maikaʻi loa a hōʻemi i ka pilikia o nā pilikia.

Pehea ka maʻamau o kēia ʻano?

ʻO ka ʻoiaʻiʻo, ʻo Wallenberg Syndrome ke ʻano maʻamau i ʻike ʻia ma hope o ka hahau ʻana, kahi i hana ʻia e ka nele o ke koko i ke kua o ka lolo. Ua ʻike ʻia kahi noiʻi ua hōʻike ʻia ma mua o 60,000 mau hihia hou i kēlā me kēia makahiki ma ʻAmelika Hui Pū ʻIa wale nō. ʻO ke ʻano kēia ʻaʻole ia he ʻano maʻamau ʻole.

He aha nā hōʻailona o ka Wallenberg Syndrome?

Ua kamaʻilio iki mākou e pili ana i kēia ma mua, akā inā mākou e nānā hou aku iā ia, hiki ke ʻokoʻa iki kēia mau hōʻailona mai kēlā kanaka a kēia kanaka, ma muli o ka ʻāpana o ka lolo i hōʻino ʻia.

• Paʻakikī ke ale ʻana: ʻAʻole paha ʻoe e hiki ke ale i nā meaʻai liʻiliʻi a i ʻole ka wai. I kekahi manawa, hiki i ka meaʻai āu e ʻai ai ke komo i loko o kou ʻōpū hanu.
• Ka leo palahalaha: Loli ka leo i ka wā e ʻōlelo ai, a lilo i leo palahalaha.
• Mimi pinepine: Hiki iā ʻoe ke ʻike i ka mimi pinepine ʻana i hiki ʻole ke hoʻōki.
• Nalowale ka ʻono: Ua nalowale ka ʻono o ka meaʻai.
• Nā neʻe wikiwiki a me ka makemake ʻole o nā maka (nystagmus):Hoʻomaka koʻu mau maka e neʻe wikiwiki i mua a i mua, i luna a i lalo, me he mea lā ʻaʻohe mana hoʻomalu.
• ʻIke pālua: ʻIke ʻana i nā mea ʻelua i ka manawa hoʻokahi.
• Nā pilikia me ke kaulike a me ka hoʻonohonoho ʻana: Paʻakikī i ka mālama ʻana i ke kaulike i ka wā e hele ana, hiki ʻole ke hoʻonohonoho pono i nā lālā.
• Pōniuniu a me ka vertigo: Manaʻo e like me ke wili nei kou poʻo a me nā mea a puni ʻoe.
• ʻEha a ʻeha paha: Hiki iā ʻoe ke ʻike i ka ʻeha, ka ʻeha, a i ʻole ka nalowale o ka manaʻo i ka wela a i ʻole ke anu, ʻoiai ma kekahi ʻaoʻao o kou alo, ʻoiai he mea maʻamau ka ʻaoʻao ʻē aʻe.

E noʻonoʻo, ʻaʻole hiki iā ʻoe ke manaʻo i kekahi mea ma ka ʻaoʻao ʻākau o kou maka, akā he mea maʻamau ka ʻaoʻao hema. ʻO kēia nā hōʻailona āu e ʻike ai ma kēia hihia.

Hiki ke hoʻonui mālie ʻia kēia mau hōʻailona i loko o kekahi mau hola a i ʻole nā ​​​​lā.

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He aha ke kumu o kēia?

ʻO ke kumu nui he hahau ʻana i ka lolo . Hiki i kēia ke:

• Ma muli o ka hōʻino ʻia ʻana o ka ʻaoʻao ʻaoʻao o ka medulla oblongata i loko o ko mākou kumu lolo.
• Ma muli o ke ālai ʻia ʻana o ke kahe koko ma ke aʻa cerebellar posterior inferior (PICA), ka mea e lawe i ke koko i ka cerebellum a i ʻole ke aʻa vertebral ma ka lolo.

ʻO kēia nā kumu nui. Eia nō naʻe, aia paha kekahi mau kumu kakaikahi ʻē aʻe:

• Ka ʻoki ʻana o ke aʻa Vertebral: He haehae kēia i loko o ka paia o ke aʻa nui e lawe ana i ke koko i ka lolo.
• Nā malformations arteriovenous: He ʻoi aku ka paʻakikī o kēia. I ka ʻōlelo maʻalahi, he hihia ʻē ia o nā kīʻaha koko (nā aʻa a me nā veins) i loko o ka lolo.
• ʻEha poʻo : He ʻeha nui i ke poʻo.
• Sclerosis lehulehu: He maʻi ʻē aʻe kēia e hoʻopilikia ai i ka ʻōnaehana nerve.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia?

ʻOi aku ka nui o ka loaʻa ʻana o ka Wallenberg Syndrome i kekahi poʻe. E nānā kākou iā lākou:

• ʻO ka poʻe e puhipaka ana a hoʻohana paha i nā huahana paka.
• ʻO nā kānaka me ke koko kiʻekiʻe (hypertension).
• Nā kānaka me ka maʻi diabetes.

Ma waho aʻe o kēia mau mea, hiki i ka poʻe me nā maʻi pili pili ke pilikia. Eia kekahi laʻana:

• ʻO ka maʻi Marfan
• ʻO ka maʻi ʻo Ehlers-Danlos
• ʻO ka dysplasia fibromuscular

He mau kūlana kākaʻikahi kēia.

He aha nā pilikia e hiki ai i kēia ke hana?

ʻO ke kūlana i kapa ʻia ʻo Wallenberg Syndrome hiki ke hana i kekahi mau loli mau loa ma hope o ka hahau ʻana. ʻO kēia mau mea:

• Paʻakikī ke hele wāwae: ʻAʻole paha ʻoe e hiki ke hele pololei, a pono paha e hoʻohana i kahi mea kōkua hele wāwae.
• ʻEha mau loa: Pono paha ʻoe e noho me ka ʻeha mau.
• Epilepsy: ʻO ke ʻano kēia o nā kūlana e like me ka hopu ʻana.
• Nā pilikia aʻo: Hiki ke paʻakikī ke aʻo a hoʻomanaʻo i nā mea hou.

Pehea ʻoe e ʻike ai i kēia?

Hoʻoponopono ke kauka i kēia kūlana ma o ka hoʻokolokolo kino, kahi hoʻokolokolo neurological, a me kekahi mau hoʻokolohua kūikawā ʻē aʻe .

E nānā mua ke kauka e ʻike inā pili wale kāu mau hōʻailona i hoʻokahi ʻaoʻao o kou kino. Eia kekahi laʻana, inā ʻaʻole hiki iā ʻoe ke ʻono ma ka ʻaoʻao ʻākau o kou alelo, manaʻo paha ke kauka ua hōʻino ʻia ka ʻaoʻao hema o kou kumu lolo. ʻO kēia no ka mea hana ko mākou lolo e like me ke aniani. ʻO ka ʻaoʻao ʻākau o ka lolo ka mea e hoʻomalu i ka ʻaoʻao hema o ke kino, a ʻo ka ʻaoʻao hema ka mea e hoʻomalu i ka ʻaoʻao ʻākau o ke kino. Ua maopopo iā ʻoe?

No ka hōʻoia ʻana i ka maʻi, hiki i ke kauka ke hana i nā hoʻokolohua e like me:

• MRI (Magnetic Resonance Imaging) scan: Hiki i kēia ke kiʻi i nā kiʻi kikoʻī o ka lolo.
• Angiogram: Nānā kēia hoʻāʻo i ke kūlana o nā kīʻaha koko.

I kekahi manawa, hiki ke hana ʻia nā hoʻāʻo koko a i ʻole kahi electrocardiogram (ECG) e nānā i kou puʻuwai puʻuwai e kāpae i nā kūlana ʻē aʻe i loaʻa nā hōʻailona like.

Pehea e mālama ʻia ai?

I ka mālama ʻana i ka maʻi Wallenberg, ʻo ka mea mua e kau ai ma ka wehe ʻana i ka mea e ālai ai ke koko i ka lolo. Inā he hahau ke kumu, hiki i kāu kauka ke hāʻawi koke iā ʻoe i hoʻokahi a ʻoi aku paha o kēia mau lāʻau lapaʻau:

• ʻO ka mea hoʻoulu plasminogen tissue (tPA): He lāʻau lapaʻau intravenous (IV) kēia i hāʻawi ʻia e hoʻoheheʻe i nā ʻōpū koko.
• Anticoagulant a mea hoʻokahe koko paha: Kāohi i ke kūkulu ʻana o nā ʻōʻō koko hou aʻe.
• Thrombectomy: I kekahi manawa hoʻokomo ʻia kahi catheter e wehe i ke koko.

Ma hope o ka mālama ʻana i ka paʻa ʻana, e hoʻomaka ʻoe e hoʻokele i nā hōʻailona a me nā pilikia . Hiki i kēia ke komo pū me nā mea e like me:

• Ka hoʻokomo ʻana a me ka hoʻohana ʻana i kahi ʻōmole hānai: He mea pono kēia inā paʻakikī ke ale ʻana.
• Ke kau nei i nā aniani kūikawā (prisms) no nā pilikia ʻike.
• Hoʻōla ʻōlelo: No nā pilikia ma ka ʻōlelo a me ke ale ʻana.
• Hoʻōla kino: Hoʻoponopono hou i ka neʻe ʻana o ke kino a me ke kaulike.
• Hoʻōla hana: Ke aʻo ʻana e hana i nā hana o kēlā me kēia lā me ke kūʻokoʻa.

He aha ke ʻano o nā lāʻau lapaʻau i hāʻawi ʻia no kēia?

Inā loaʻa iā ʻoe ka ʻeha mau loa me ka Wallenberg Syndrome, hiki i kāu kauka ke kuhikuhi i kahi lāʻau i kapa ʻia ʻo gabapentin . ʻOiai he lāʻau lapaʻau kēia no ka maʻi epilepsy, hiki iā ia ke kōkua me ka ʻeha o ke aʻalolo.

Inā ʻoe e lawe nei i nā lāʻau lapaʻau ʻē aʻe a i ʻole nā ​​​​mea hoʻohui, he mea nui e kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i kahi lāʻau lapaʻau hou. Hiki iā ia ke aʻo iā ʻoe e pili ana i nā hopena ʻaoʻao o kēlā mau lāʻau.

Aia kekahi lāʻau lapaʻau piha no kēia?

ʻO ka mea pōʻino, ʻaʻohe lāʻau lapaʻau no Wallenberg Syndrome i kēia manawa. Eia nō naʻe, inā ʻike ʻoe i nā hōʻailona mua o ka hahau ʻana a hoʻomaka i ka mālama ʻana i ka wā mua , hiki iā ʻoe ke hōʻemi nui i ka pilikia o nā pilikia. Me ka mālama ʻana, hiki iā ʻoe ke kaohi i kāu mau hōʻailona a hoʻāʻo e hoʻihoʻi i kou ola i kahi kūlana maʻamau.

Pehea ke ʻano o ka nānā ʻana? (Outlook)

Hiki i kāu kauka ke hāʻawi iā ʻoe i ka ʻike pololei loa e pili ana i kēia, no ka mea, ʻokoʻa kēia mai kēlā kanaka a kēia kanaka. Aia ia i nā kumu he nui, e like me ka ʻāpana o ka lolo i hōʻino ʻia a me ke koʻikoʻi o ka hōʻino.

Hiki i kekahi poʻe ke ʻike i ka emi ʻana o nā hōʻailona i loko o kekahi mau pule a i ʻole mau mahina a hoʻomaka e like me kā lākou i hana ai ma mua o ka hahau ʻana. Eia nō naʻe, hiki i ka hahau ʻana ke hana i ka hōʻino mau loa a me nā loli neurological e hoʻopilikia i ke ola o kēlā me kēia lā. Akā, mai hopohopo, aia nā lāʻau lapaʻau e hiki ke kōkua iā ʻoe e hoʻoponopono i kēia mau kūlana ma hope o ka hahau ʻana a hoʻololi i kahi ʻano ola hou.

Hiki ke pale ʻia ka Wallenberg Syndrome?

ʻOiai hiki ʻole ke pale loa i kēlā me kēia kūlana, hiki iā ʻoe ke hōʻemi i kou pilikia ma ka hana ʻana i kēia mau mea:

• Inā ʻoe e puhipaka, e hoʻōki, a pale paha i ka hoʻohana ʻana i nā huahana paka.
• Ka mālama pono ʻana i nā pilikia olakino ʻē aʻe (e like me ke koko kiʻekiʻe, ka maʻi diabetes).
• Ka ʻai ʻana i ka meaʻai kaulike a me ke komo ʻana i ka hana kino mau .

Āhea ʻoe e ʻike ai i ke kauka?

Inā ʻike koke ʻoe a i ʻole kahi mea aloha i nā hōʻailona o ka hahau ʻana, e kāhea koke i ka 911 a i ʻole e hele i ka keʻena pilikia o ka haukapila kokoke loa.

Hiki i nā hōʻailona o ka hahau ʻana ke komo pū me:

• Ka paʻakikī i ka ʻōlelo ʻana a i ʻole ke ale ʻana.
• Nā pilikia me ke kaulike a me ka hoʻonohonoho ʻana.
• Nā loli o ka ʻike, e like me ka mae ʻana a me ka nāwaliwali ma kekahi ʻaoʻao o ke kino.
• Vertigo a me ka dizziness.
• Nā loli i ka ʻike.

Inā ʻike ʻoe i kahi hōʻailona e like me kēia , ʻo ka hana wikiwiki ʻana me ka hoʻonele ʻole i ka manawa hiki ke hoʻōla i ke ola.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Hiki iā ʻoe ke nīnau i kāu kauka i kēia mau nīnau e hoʻomaopopo maikaʻi ai i kēia kūlana:

• No ke aha i loaʻa ai iaʻu ka Wallenberg Syndrome?
• He aha ke ʻano o ka lāʻau lapaʻau āu e paipai nei?
• Hiki i nā lāʻau lapaʻau ke hana i nā hopena ʻaoʻao?
• E loaʻa anei nā pilikia lōʻihi?
• He aha kaʻu wānana?

Hoʻopilikia ka Wallenberg Syndrome i kēlā me kēia kanaka i nā ʻano like ʻole, ʻoiai ʻaʻole hiki ke wānana ʻia ka pōʻino i hana ʻia e ka hahau. Hiki ke lilo i mea weliweli loa iā ʻoe a me kou ʻohana. ʻOiai e emi ana kekahi mau hōʻailona i loko o kekahi mau mahina, i kekahi manawa e ulu mai nā pilikia. Hiki i kēia ke hoʻopilikia i kou manaʻo a me ke ʻano o kāu hana ʻana i kāu mau hana o kēlā me kēia lā.

ʻO ka mea nui loa, ʻo ke kāhea ʻana i nā lawelawe ulia pōpilikia i ka wā e ʻike ai ʻoe i nā hōʻailona o ka hahau ʻana. Ma kēia ʻano, hiki i kāu kauka ke ʻike koke i ka Wallenberg Syndrome a me kona kumu, a hoʻomaka i ka lāʻau e pale aku i ka hōʻino hou aʻe.

Inā he mau nīnau a hopohopo paha kāu e pili ana i kou kūlana, hiki i kāu kauka ke hāʻawi iā ʻoe i ka ʻike pololei a me ka hou loa. Hiki iā ia ke kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, no laila, mai nā mea a mākou i kamaʻilio ai, eia nā mea nui e pono ai ʻoe e hoʻomanaʻo:

• He maʻi koʻikoʻi ka Wallenberg Syndrome i hoʻokumu ʻia e ka emi ʻana o ke kahe koko i ka lolo (pinepine ma muli o ka hahau ʻana).
• Hiki i nā hōʻailona ke komo pū me ka paʻakikī i ka moni ʻana, ka poniuniu, nā neʻe ʻana o nā maka me ka manaʻo ʻole, nā loli o ka leo, a me ka maneʻo ʻole ma kekahi ʻaoʻao o ke kino .
• Inā ʻike ʻoe i nā hōʻailona o ka hahau ʻana (paʻakikī i ka ʻōlelo ʻana, nalowale ka ʻike ma kekahi ʻaoʻao o ke kino, poniuniu koke) , he mea nui e ʻimi koke i ka haukapila.
• Hiki i ka mālama mua ʻana ke hōʻemi i nā pilikia a alakaʻi i kekahi pae o ka hoʻōla ʻana . ʻOiai ʻaʻohe lāʻau lapaʻau piha, aia nā lāʻau lapaʻau a me nā ʻano hoʻōla hou e hiki ke hoʻomaikaʻi i ke ʻano o ke ola.
• Hiki ke hoʻēmi ʻia ka pilikia o kēia ʻano ma o nā mea e like me ka pale ʻana i ka puhipaka, ka kaohi ʻana i ke koko kiʻekiʻe, a me ka maʻi diabetes .

Manaʻolana wau he mea pono kēia ʻike iā ʻoe. E ola kino!

ʻO ka maʻi Wallenberg, hahau, lolo, poniuniu, paʻakikī ke ale ʻana, maʻi neurological, ʻatikala lapaʻau Sinhala, hahau, hahau lolo, maʻi Wallenberg