Ke manaʻo nei ʻoe i kekahi manawa e like me kou kuli e hāʻule ana, me he mea lā e "kūlou" ana kou wāwae? A i ʻole ke manaʻo nei ʻoe ua nāwaliwali kou wāwae ke piʻi ʻoe i nā alapiʻi a i ʻole e ala aʻe mai kahi noho? ʻO kēia ʻehaʻeha, e hele mai me ka ʻeha ʻana a me ka wela ʻana i mua o kou wāwae, ʻoi aku hoʻi ma ka ʻūhā, e hopohopo paha iā ʻoe. ʻO kekahi o nā kumu nui o kēia mau hōʻailona he ʻano i kapa ʻia ʻo 'Femoral Neuropathy', a mākou e kamaʻilio nei i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka Femoral Neuropathy?
He pūnaewele paʻakikī loa ka ʻōnaehana nerve o ko kākou kino. Hoʻomalu ia i nā mea āpau mai kā kākou neʻe ʻana a hiki i ko kākou mau manaʻo. ʻO kekahi aʻalolo koʻikoʻi i loko o kēia pūnaewele ʻo ia ke aʻalolo femoral . Hoʻomaka kēia aʻalolo ma ko kākou ʻūhā a hele i lalo i ko kākou ʻūhā. ʻO kāna hana nui ka hoʻoulu ʻana i nā ʻiʻo ma ke alo o ko kākou wāwae, e kōkua ana iā kākou e hoʻopololei i ko kākou mau wāwae a kūlou i ko kākou mau kuli, a e hāʻawi i ka manaʻo i ke alo o ko kākou wāwae.
No laila, inā no kekahi kumu ua hōʻino ʻia kēia aʻalolo femoral, ua ʻūmiʻi ʻia, a ua hoʻopilikia ʻia paha kāna hana, kapa mākou ia he 'Femoral Neuropathy'. ʻO ka maʻamau, hoʻokahi wale nō wāwae e pili ana i kēia. Eia nō naʻe, i loko o ke kanaka i loaʻa i kahi maʻi e pili ana i nā aʻalolo o ke kino holoʻokoʻa, e like me Diabetes Mellitus, hiki ke hana pū kēia ʻano me nā pilikia aʻalolo ʻē aʻe.
He aha nā hōʻailona nui o kēia maʻi?
ʻOiai hiki ke ʻokoʻa nā hōʻailona o ka Femoral Neuropathy mai kēlā kanaka a kēia kanaka, aia kekahi mau hōʻailona maʻamau. No ka hoʻomaopopo pono ʻana i kēia mau mea, e nānā i ka papa ma lalo.
| Hōʻailona | Wehewehena |
|---|---|
| ʻEha, mumū, a i ʻole ka maneʻo | ʻEha nui, kuni, a ʻā paha ma ke alo o ka ʻūhā a me ka wāwae lalo. |
| Māʻule | Ka emi ʻana a i ʻole ka mae ʻole o ka ʻili ma ke alo o ka wāwae, ʻoiai ka ʻūhā. |
| Nāwaliwali o nā ʻiʻo | Manaʻo e like me kou wāwae e hemo ana. Hiki iā ʻoe ke ʻike i ka pelu koke ʻana o kou kuli, ʻoiai i ka wā e piʻi ai i nā alapiʻi a i ʻole e hele wāwae ana. |
He aha nā kumu o ka Neuropathy Femoral?
Aia kekahi mau kumu e hōʻino ʻia ai kēia aʻalolo. Hiki ke hoʻokaʻawale nui ʻia kēia mau mea i ʻekolu mau ʻano:
- ʻEha pololei: He hahau pololei a ʻeha paha i ke aʻalolo.
- Kaomi nui: Kaomi nui ma luna o ke aʻalolo i kahi manawa lōʻihi.
- Kaomi ʻana: Kaomi ʻana o ke aʻalolo ma muli o kahi puʻupuʻu a i ʻole ka ulu ʻana o kekahi mea ʻē aʻe.
Eia kekahi mau laʻana kikoʻī e hoʻopilikia ana i kēia mau kūlana:
- Pelvis haki: Inā haki ka iwi ʻūhā i kahi ulia, hiki ke hōʻino ʻia ke aʻalolo femoral e holo kokoke ana.
- Nā kaʻina hana lapaʻau: Aia kahi pilikia liʻiliʻi o ka hōʻino ʻana o nā aʻalolo i ka wā o nā mālama ʻana e like me ke catheterization o kahi aʻa ma ka ʻāpana femoral a i ʻole ke ʻoki ʻana ma ka ʻāpana ʻūhā.
- Ke kahe koko i loko: ʻO kahi ʻūpā koko i hana ʻia ma muli o ke kahe koko i loko o ka ʻūhā a i ʻole ka ʻōpū lalo hiki ke hoʻopaʻa i ke aʻalolo.
- Nā lole paʻa: ʻO ke komo ʻana i nā kāʻei paʻa loa a i ʻole nā lole komo paʻa loa e hiki ke kau i ke kaomi ma luna o ke aʻalolo.
- Kūlana kūpono ʻole: ʻO ka noho ʻana ma ke kūlana lithotomy me kou mau wāwae i pelu ʻia a hāpai ʻia kou mau lima no ka manawa lōʻihi, e like me ka wā hānau keiki, hiki ke hana i ke kaomi ʻana o ke aʻalolo.
He Neuropathy Femoral anei kēia? A i ʻole Sciatica? Pehea ʻoe e hoʻokaʻawale ai i nā mea ʻelua?
He pilikia kēia i loaʻa i nā kānaka he nui. No ka mea, ua like loa nā hōʻailona o nā maʻi ʻelua - ʻeha, mae , nāwaliwali. Akā, aia kahi ʻokoʻa maopopo ma waena o nā mea ʻelua.
I ka ʻōlelo maʻalahi, aia ka ʻokoʻa ma ke aʻalolo i hoʻopilikia ʻia a me kahi i loaʻa ai ka ʻeha.
| ʻAno | ʻO ka Neuropathy Femoral | ʻO ka maʻi ʻeha (Sciatica) |
|---|---|---|
| ʻO ke aʻalolo i hoʻopilikia ʻia | ʻAʻalolo Femoral | ʻO ke aʻalolo Sciatic |
| ʻO ka wahi nui o ka ʻeha | ʻO ke alo o ka wāwae (ʻūhā, kuli) | Ka hope o ka wāwae (mai ka puʻupuʻu a i ka ʻūhā) |
| Kumu nui | ʻO ke kaomi ʻana o ke aʻalolo femoral ma ka ʻāpana ʻūhā. | ʻO ke kaomi ʻana o ke aʻalolo sciatic ma ke kua haʻahaʻa. |
Ma ka wehewehe ʻana i kāu mau hōʻailona i kāu kauka, hiki iā ia ke hoʻoholo i kahi o kēia mau kūlana ʻelua āu i loaʻa ai. Inā pono, hiki i kahi scan MRI ke kuhikuhi i kahi i ʻūlū ʻia ai ke aʻalolo.
Pehea e ʻike ai ke kauka i kēia a mālama i kēia?
Ke ʻike ʻoe i ke kauka, e nīnau mua lākou iā ʻoe e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. A laila e hana lākou i kahi hoʻokolokolo kino, e nānā ana i ka ikaika o nā ʻiʻo o kou wāwae, nā reflexes, a me ka ʻike o ka ʻili.
Hiki ke kauoha ʻia nā hoʻokolohua aʻe e hōʻoia i ka hōʻoia:
- Nā Hoʻāʻo Alakaʻi o nā Aʻalolo: E ana i ka wikiwiki o ka hele ʻana o nā hōʻailona uila ma ke aʻalolo.
- EMG (Electromyography): Ke nānā ʻana i ke olakino o nā ʻiʻo a me nā aʻalolo e kaohi ana iā lākou.
- MRI a i ʻole CT scan: No ka nānā ʻana i kahi puʻupuʻu, haki, a i ʻole kekahi kumu ʻē aʻe e kaomi ana i ke aʻalolo.
Hoʻoholo ʻia nā ʻano lapaʻau e ke kumu nui o kēia ʻano.
- Ke mālama ʻana i ke kumu: Inā ma muli o kahi ulia, e mālama ʻia. Inā ma muli o kahi puʻupuʻu, e ʻōlelo ʻia paha ke ʻoki ʻana e wehe iā ia.
- Ka mālama ʻeha : Hiki ke kuhikuhi ʻia ka lāʻau lapaʻau e kāohi i ka ʻeha.
- Hoʻōla kinoHoʻōla Kino: He mea nui nā hoʻoikaika kino a me nā lāʻau ʻē aʻe e kōkua i ka hoʻoikaika ʻana i nā ʻiʻo wāwae a hoʻomaikaʻi i ka neʻe ʻana. Hiki ke ʻōlelo ʻia nā splints e maʻalahi a palekana hoʻi ka hele wāwae .
- Nā Hoʻololi o ke ʻAno o ka Noho ʻana: Inā ma muli o ka maʻi diabetes a i ʻole ke kaumaha o ke kino ke kumu o kou maʻi, e alakaʻi kāu kauka iā ʻoe i ka mālama ʻana i kēlā mau maʻi. I kekahi mau hihia, ʻoiai ka hōʻemi wale ʻana i ke kaumaha hiki ke hoʻomaikaʻi nui i ke ʻano.
Leka Lawe-Home
- ʻO ka Neuropathy Femoral kahi kūlana i hoʻokumu ʻia e ka hōʻino ʻia a i ʻole ke kaomi ʻana o kahi aʻalolo nui (ke aʻalolo femoral) e hāʻawi ana i ka manaʻo a me ka neʻe ʻana i mua o ka wāwae.
- ʻO nā hōʻailona nui ka ʻeha, ka mae ʻana, ka mumū, a me ka nāwaliwali o nā mākala ma ke alo o ka wāwae.
- ʻOiai ua like kēia mau hōʻailona me nā hōʻailona o ka sciatica, ma ka Femoral Neuropathy, ʻo ka ʻeha a me ka numbness e loaʻa nui ma ke alo o ka wāwae, ʻoiai ma Sciatica e pili ana i ke kua .
- Inā hoʻomau ʻoe i nā hōʻailona e like me kēia, mai hoʻowahāwahā iā lākou, akā e ʻike pono i ke kauka a loaʻa i kahi hōʻailona kūpono.
- Aia ka lāʻau lapaʻau i ke kumu nui o ka maʻi. Hiki ke mālama maikaʻi ʻia ke kūlana ma ka hahai ʻana i nā ʻōlelo aʻoaʻo lapaʻau a me ka hoʻololi ʻana i ke ʻano o ka nohona inā pono.
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