Hoʻohālikelike ʻia ʻo Neuropathy e ke ʻano o hoʻokahi a ʻoi paha o nā ʻano motera a me nā aʻalolo sensory e kaohi i nā wāwae a me nā lima, a me nā ʻāʻī o ka ʻōnaehana autonomic e kaohi i nā meaola. Pili nā ʻōuli i ke ʻano o ke aʻalolo i hoʻopili ʻia.

Neuropathy, he aha ia?

Ka wehewehe o ka neuropathy

ʻO Neuropathy kahi manawa i hoʻohana ʻia e wehewehe i kahi pilikia me nā aʻalolo, ʻo ka maʻa mau ʻo nā "nerves peripheral" i kūʻē i ka "ʻōnaehana kikowaena waena" e hoʻopili ana i ka lolo a me ka iwi kuamoʻo. ʻLelo pū mākou no ka neuropathy ākea.

Hoʻokumu ʻia ʻo Neuropathy e kekahi mau ʻano. Hiki pū kekahi ke neuropathy me ke kumu ʻole e ʻike ʻia. A laila kūpono ia e like me "neuropathy idiopathic".

Uhi ka huaʻōlelo neuropathy i kahi ākea a me nā aʻa he nui. Pili nā ʻōuli hopena i ke ʻano o ke aʻalolo i hoʻopili ʻia:

• Hoʻopilikia i nā ʻalalā sensory (nā ʻalolo e kaohi i ka naʻau) ke kumu o ke kani ʻana, ke ahi, a me ka ʻeha ʻana o ka uila, "nā uila uila", numbness, ʻeha. maneo aiʻole nāwaliwali i nā wāwae a me nā lima. 'Lelo mākou no ka neuropathy sensory.
• Hoʻopili nā aʻalolo kaʻa (nā aʻalolo e hoʻoneʻe iā ʻoe) e hoʻonāwaliwali i kou mau wāwae a me kou mau lima. Ke kamaʻilio nei mākou e pili ana i ka neuropathy kaʻa.
• Hoʻopilikia nā aʻalolo autonomic (nā aʻalolo e kaohi i nā mea i loko o ke kino, e laʻa, ka ʻōpū a me ka pūpū) e hoʻololi i ka helu o ka puʻuwai a me ke kahe o ke koko a i ʻole ka hou. Kamaʻilio mākou e pili ana i ka neuropathy autonomic.

Nui nā kumu o Neuropathy, no laila e hiki ke hoʻopili ʻia i ʻekolu mau ʻaoʻao o ke aʻalolo i ka manawa like.

Nā exemples na mononeuropathies

• La lolo ulnar (a i ʻole ulnar) nerve ma hope o kahi ʻeha i ka kuʻe lima.
• ʻO ka maʻi o ka'ōpalipi Carpal, i hoʻokumu ʻia e ke kaomi o ke aʻalolo waena.
• ʻO ka paralysis o nā aʻalolo peroneal, i hoʻokumu ʻia e ke kaomi ʻana o kahi aʻalolo i ka wāwae.
• Pālolo o ke aʻalolo radial, ke aʻalolo i loko o nā mākala o ka kuʻe lima, ka lima a me nā manamana lima.
• ʻO ka palsy a Bell, kahi e hoʻopili ai i kahi aʻa i loko o nā mākala o ka maka.

Nā kumu o ka neuropathy

Aia ma kahi o hoʻokahi haneli kumu o ka ʻeha neuropathic. Ma kahi o 30% o nā neuropathies he "idiopathic" a i ʻole he kumu ʻike ʻole ʻia.

Hiki i nā maʻi he nui ke alakaʻi i ke neuropathy ākea:

• Diabetes, ʻo ia ke kumu maʻamau o ka neuropathy ākea peripheral. Ke kamaʻilio nei mākou e pili ana i ka neuropathy diabetic. ʻO ke kiʻekiʻe o ke kō i ke kō e hōʻino ai i nā paia o nā kīʻaha koko liʻiliʻi e hāʻawi i ka oxygen a me nā meaʻai i nā aʻalolo e hāʻawi ana i nā wēlau o nā lima a me nā wāwae a me nā mea nui i loko o ke kino (nā maka, nā puʻupaʻa, ka puʻuwai). ʻO ka hopena, ua hōʻino ʻia ka ʻili a ʻo ka lilo ʻana o ka ʻike e maʻalahi ai ka ʻili o nā wāwae.
• Hiki i nā hemahema i ka wikamina B12 a i ʻole folic acid ke kumu i ka hōʻino ʻia o nā aʻa a me ka neuropathy ākea.
• ʻO nā lāʻau - e like me kekahi mau lāʻau i hoʻohana ʻia i ka chemotherapy a i ʻole e mālama ʻana i ka maʻi HIV e hiki ai ke hōʻino i nā aʻa āpau.
• ʻO kekahi mau insecticides a me nā mea hoʻoheheʻe.
• Lymphoma a me nā maʻi ʻaʻai myeloma maha.
• ʻIno ʻino.
• ʻO ka maʻi maʻi kīnā ʻole - inā ʻaʻole holo maʻamau nā puʻupaʻa, hiki i ke kaulike ʻole o nā paʻakai ke hana i ka neuropathy ākea.
• Maʻi maʻi ʻōiwi.
• Nā ʻeha, e like me ka iwi haʻi i hiki ke hoʻokau i ke aʻalolo.
• ʻO kekahi mau maʻi e like me shingles, maʻi HIV a me ka maʻi Lyme.
• Le ʻO kahi maʻi Guillain-Barré ʻO ia ka inoa i hāʻawi ʻia i kekahi ʻano kikoʻī o ke neuropathy ākea e hoʻomaka ʻia e ka maʻi.
• Nā maʻi maʻi hoʻopili: rheumatoid arthritis, Sjögren syndrome a me systemic lupus erythematosus.
• ʻO kekahi mau kūlana hoʻowahāwahā e like me sarcoidosis a me ka maʻi celiac.
• ʻO nā maʻi hoʻoilina e like me Charcot-Marie-Tooth Syndrome a me Friedreich's ataxia.

ʻIke o ka neuropathy

Nīnau ka kauka i ka mea maʻi e pili ana:

• kona mau ʻōuli.
• Kona olakino olakino.
• ʻO kāna moʻolelo ʻohana o ka neuropathy.
• ʻO kāna mau lāʻau i lawe ʻia i kēia manawa a i ʻole.
• ʻO kona hiki ke hōʻike i nā toxins.
• ʻO kāna inu waiʻona nui paha.
• ʻO kāna hana moekolohe.

E kauka ke:

• e nānā pono i ka ʻili o ka mea maʻi.
• E hōʻoia i ke ʻano o ka haʻalulu e hoʻohana ana i kahi ohe.
• Nānā i nā reflexes tendon.

Nā ho'āʻo koko

Hiki iā lākou ke hoʻokalakala i ke kū ʻana o ka maʻi diabetes, ka hana ʻole o ka thyroid a me ka hemahema o ka wikamina.

Nā haʻawina conduction nerve

Nalu conduction haʻawina e nānā pehea ka wikiwiki o nā aʻalolo e hoʻouna i kā lākou leka i nā mākala. Kau ʻia nā electrodes kūikawā ma ka ʻili ma ka pae o ke aʻalolo i hoʻāʻo ʻia a hoʻokuʻu i nā impulses uila liʻiliʻi e hoʻoulu ai i ke aʻalolo. Hoʻopaʻa ka uila i nā hana uila o ke aʻalolo. ʻO ka wikiwiki i hoʻemi ʻia o ke aʻa aʻa e hōʻike i ke alo o ka neuropathy ākea.

Nā kohopilihelu

Hoʻohana ʻia ka electromyography e kuhikuhi i ka nāwaliwali o nā mākala ma muli o ka neuropathy. Nānā kēia hōʻike i ka hana uila o nā mākala. Hoʻokomo ʻia kahi nila kuʻi maikaʻi i hoʻopili ʻia i kahi electrode i loko o kahi mākala. Pili kēia i kahi mīkini hoʻopaʻa leo i kapa ʻia ʻo oscilloscope. Hōʻike ka hana uila maʻamau i ke alo o ka neuropathy ākea.

ʻO ka biopsy nerve

Lawe ʻia kahi ʻāpana liʻiliʻi o ke aʻalolo i hiki ke nānā ʻia ma lalo o kahi microscope.

ʻ binaehana ʻili

He hana ia e nānā ai i nā aʻalolo āpau. Hiki ke hoʻohana ʻia e nānā no ka neuropathy ākea ākea a e nānā i ka holomua o ka neuropathy a me ka pane ʻana i ka lāʻau. Ma waena o nā mea ʻē aʻe, ana ʻia ka nui o nā olonā i nā ʻili. I ka neuropathy ākea, hoʻemi ʻia ka nui o nā aʻa āpau.

Nā ʻōuli o ka neuropathy

Neuropathy o ka ʻōnaehana sensory

• Tingling a me numbness i loko o nā lima a me nā wāwae (diabetic neuropathy)
• ʻO ka hypersensitivity.
• Hoʻonui i ka ʻeha a i ʻole ka nalowale o ka hiki ke ʻike i ka ʻeha.
• Loaʻa ka hiki ke ʻike i nā loli i ka wela a me ke anuanu.
• Loaʻa ka hoʻohui a me ka proprioception.
• ʻEha ʻā lapalapa ahi, ʻo ka nui o ia e hoʻonui i ka pō.
• Hoʻololi i ka ʻili, ka lauoho a me nā kui.
• Wahi a ka wāwae a me ka wāwae, maʻi, a me ka gangrene.

Neuropathy o ka ʻōnaehana kaʻa

• ʻO ka nāwaliwali o ka mākala - ka mea e hoʻonāukiuki ai a paʻakikī hoʻi i ka neʻe ʻana i nā neʻe liʻiliʻi e like me ke kaomi ʻana i ka pālule (ʻo ia hoʻi i ka neuropathy diabetic).
• Haʻalulu nā mākala a me nā ʻūlū.
• Pālolo Muscle.

Neuropathy o ka ʻōnaehana autonomic

• Hoʻoponopono a maʻule (ma muli o ka hoʻololi koke o ke kahe o ke koko).
• Ka hoʻoliʻiliʻi o ka hou.
• ʻAʻole hiki ke hoʻomanawanui i ka wela.
• Ka nalowale o ka kaohi ma luna o ka hana bladder e hopena ai i ka incontinence a i ʻole ka mimi paʻa.
• ʻO ka pehu, ka paʻa a i ʻole ka diarrhea (ʻoi loa i ka neuropathy diabetic).
• ʻO ka paʻakikī e hoʻokō a mālama ʻana paha i kahi kūkulu (keu hoʻi i ka neuropathy diabetic).

Pehea e pale ai i ka neuropathy?

ʻO ka pale ʻana i ka neuropathy i ka poʻe me ka maʻi diabetes e pili pono ana i ka hoʻomaʻemaʻe maikaʻi o ka meaʻai a me ka nānā pono ʻana glucose. Ua hōʻike ʻia nā noiʻi i ka mālama ʻia ʻana o ka glyceric e ka injection ka hoʻēmi i ka makaʻu o ke kūkulu ʻana i ka neuropathy diabetic.