ʻO ke kīnā ʻole nerve wahine

ʻO ke kīnā o ke aʻa wahine ʻo ia ka nalo o ka neʻe a i ʻole ka sensation i nā ʻāpana o nā wāwae ma muli o ka hōʻino ʻana i ke aʻa wahine.

Aia ke aʻalolo femoral i ka pelvis a iho i mua o ka wāwae. Kōkua ia i nā mākala e hoʻoneʻe i ka pūhaka a pololei i ka wāwae. Hāʻawi ia i ka manaʻo (sensation) i mua o ka ʻūhā a me ka ʻāpana o ka ʻūhā haʻahaʻa.

Hana ʻia kahi aʻalolo e nā olonā he nui, i kapa ʻia he axons, i hoʻopuni ʻia e ka insulate, i kapa ʻia ʻo ka myelin sheath.

ʻO ka hōʻino i nā aʻalolo hoʻokahi, e like me ke aʻalolo femoral, ua kapa ʻia ʻo mononeuropathy. ʻO ke kumu o ka Mononeuropathy aia kekahi kumu kūloko o ka hōʻino ʻana i hoʻokahi aʻalolo. Hiki i nā maʻi e hoʻopili i ke kino holoʻokoʻa (nā ʻōnaehana ʻōnaehana) ke kumu i ka hōʻino ʻia o ke aʻalolo i hoʻokahi nerve i ka manawa (e like me ka mononeuritis multiplex).

ʻO nā kumu maʻamau o ka hana ʻole o ke aʻa wahine.

• ʻEha pololei (trauma)
• Ka lōʻihi lōʻihi ma ke aʻalolo
• Kaohi ʻana, hohola ʻana, a i ʻole ka paʻa ʻana o ke aʻalolo e nā ʻāpana kokoke o ke kino a i ʻole nā ​​hanana pili i ka maʻi (e like me ka tumo a i ʻole ke kīʻaha koko ʻē aʻe)

Hiki ke hōʻino ʻia ke aʻalolo femoral mai kekahi o kēia mau mea:

• He iwi pelvis haki
• Hoʻokomo ʻia kahi catheter i loko o ke aʻa wahine i loko o ke aʻa
• ʻO ka maʻi diabetes a i ʻole nā ​​kumu ʻē aʻe o ke neuropathy ākea
• ʻO ke kahe ʻana i loko o ka pelvis a i ʻole ka ʻōpū (ʻōpū)
• E moe ana ma ke kua me nā ʻūhā a me nā wāwae i hoʻololi a huli (kahi lithotomy) i ka wā o ke ʻoki a me nā kaʻina hana diagnostics
• ʻO nā kāʻei paʻa a kaumaha paha

Pākuʻi ʻia paha nā ʻōuli i kekahi o kēia mau mea:

• Hoʻololi ka manaʻo i ka ʻūhā, ke kuli, a me ka wāwae, e like me ka hoʻohaʻahaʻa ʻana i ka manaʻo, ka helu, ka ʻono, ke ahi, a me ka ʻeha.
• Ka nāwaliwali o ke kuli a me ka wāwae, me ka paʻakikī e piʻi a i lalo i nā alapiʻi - keu hoʻi i lalo, me ka manaʻo o ke kuli e hāʻawi ana i ke ala a me ka buckling

E nīnau ka mea mālama ola e pili ana i kāu mau hōʻailona a nānā iā ʻoe. E hoʻopili kēia i kahi hoʻokolohua o nā aʻa a me nā mākala i kou mau wāwae.

Hōʻike paha ka hōʻike aia iā ʻoe:

• Ka nāwaliwali ke hoʻoponopono ʻoe i ke kuli a kūlou paha i ka uha
• Hoʻololi ka manaʻo i ka mua o ka ʻūhā a i ka foreleg paha
• ʻO kahi reflex kuli kūpono ʻole
• ʻOi aku ka liʻiliʻi ma mua o nā mākala quadriceps maʻamau i mua o ka ʻūhā

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Electromyography (EMG) e nānā i ke olakino o nā mākala a me nā aʻalolo e kaohi i nā mākala.
• Nā ho'āʻo conduction nerve (NCV) e nānā i ka wikiwiki o nā neʻe uila e neʻe ma waena o kahi aʻalolo. Hana pinepine ʻia kēia hōʻike ma ka manawa like me EMG.
• MRI e nānā i nā lehulehu a i ʻole nā ​​tumors.

E kauoha paha kāu mea hāʻawi i nā hoʻokolohua hou aku, kaukaʻi ʻia i kāu mōʻaukala a me nā ʻōuli. Hiki paha i nā hoʻokolohua ke hoʻopili i nā hoʻokolohua koko, x-ray, a me nā hoʻokolohua kiʻi ʻē aʻe.

E hoʻāʻo kāu mea lawelawe e ʻike a mālama i ke kumu o ka hōʻino o ke aʻalolo. E mālama ʻia ʻoe no nā pilikia olakino (e like me ka maʻi kōkō a i ʻole ke kahe ʻana o ke pelvis) e hoʻopōʻino paha i ke aʻa.I kekahi mau hihia, e hoʻōla ke aʻalolo me ka mālama ʻana i ka pilikia o ka lāʻau lapaʻau.

Hiki i nā mālama ʻē aʻe ke:

• ʻO ke ʻoki kino e wehe i kahi tumo a i ʻole ulu ulu e kaomi ana i ke aʻalolo
• ʻO nā lāʻau e hoʻōla i ka ʻeha
• ʻO ke kaupaona ʻana a me ka loli i ke ʻano o ka nohona inā ke kōkua ka maʻi diabetes a ʻoi paha ke kaumaha i ka nerve nerve

I kekahi mau hihia, ʻaʻohe pono e pono ai a e ola ʻoe ma kāu iho. Inā pēlā, ʻo kēlā me kēia lapaʻau ʻana, e like me ka hoʻōla kino a me ka hana ʻoihana, i mea e hoʻonui ai i ka neʻe ʻana, ka mālama ʻana i ka ikaika o nā mākala, a me ke kūʻokoʻa ke ola ʻoe. E kuhikuhi ʻia nā pale kaula a i ʻole nā ​​splints e kōkua i ka hele wāwae ʻana.

Inā hiki ke ʻike ʻia ke kumu o ke aʻa aʻa ʻole femoral a mālama maikaʻi ʻia, hiki nō ke hōʻola piha. I kekahi mau hihia, aia paha he hapa a i ʻole ka nalowale o ka neʻe a i ʻole ka manaʻo, e hopena ana i kekahi kekelē o ke kīnā mau.

ʻOluʻolu ʻole paha ke ʻāʻī nerve a hiki ke hoʻomau no kahi manawa lōʻihi. ʻO ka ʻeha ʻana i ka femoral area ke ʻeha pū i ke aʻa a i ʻole ke aʻa wahine, a hiki ke kumu i ke kahe ʻana a me nā pilikia ʻē aʻe.

Nā pilikia e hopena paha me:

• ʻO ka ʻeha hou i ka wāwae e nānā ʻole ʻia ma muli o ka nalo ʻana o ka naʻau
• ʻO ka ʻeha mai ka hāʻule ma muli o ka nāwaliwali o nā mākala

Kāhea i kāu mea nāna e hāʻawi inā hoʻomohala ʻoe i nā ʻōuli o ka maʻi femoral nerve

Neuropathy - wahine hoʻomeamea; Neuropathy wahine

• Poino i ke aʻalolo wahine

ʻO Clinchot DM, Craig EJ. Neuropathy wahine. I: Frontera WR, Silver JK, Rizzo TD Jr, eds. Nā mea nui o ka lāʻau lapaʻau a me ka hoʻoponopono hou ʻana: nā maʻi Musculoskeletal, Pain, and Rehabilitation. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 54.

Katirji B. Nā maʻi o nā aʻa ākea. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 107.