ʻO ka neuropathy ʻona
ʻO ka neuropathy ʻona ka mea hōʻino i nā aʻalolo i hopena i ka inu nui ʻana i ka ʻalekohola.
ʻAʻole ʻike ʻia ke kumu maoli o ka neuropathy ʻona. Pili pū paha ia i ka lāʻau ʻawa pololei o ke aʻalolo e ka wai ʻona a me ka hopena o ka meaʻai maikaʻi ʻole e pili ana i ka waiʻona. Hiki i ka hapalua o nā mea inu ʻona kaumaha lōʻihi e hoʻomohala i kēia ʻano.
I nā hihia koʻikoʻi, pili paha nā aʻalolo e hoʻoponopono i nā hana o ke kino (nā aʻa autonomic).
ʻO nā ʻōuli o kēia ʻano me kekahi o kēia mau mea:
- Pōpō i nā lima a me nā wāwae
- Nā manaʻo maʻamau, e like me "nā kui a me nā nila"
- Nā manaʻo ʻeha i nā lima a me nā wāwae
- Nā pilikia puʻupuʻu, me ka nāwaliwali, cramp, aches, a i ʻole spasms
- Heat intolerance, keu hoʻi ma hope o ka hoʻoikaika kino
- Nā pilikia kūkulu hale (impotence)
- Nā pilikia ʻimi, incontinence (kulu ka mimi), manaʻo o ka piha ʻole o ke kīloi ʻana i ka hakahaka, ka paʻakikī e hoʻomaka ana e mimi
- Ka paʻa paʻa a i ʻole ka palahī
- Nualea, luaʻi
- Pilikia i ka ale ʻana a i ʻole ke kamaʻilio ʻana
- Hele wāwae ʻaʻano (hele wāwae)
Hana pinepine nā loli i ka ikaika o ka mākala a i ʻole ka sensation ma nā ʻaoʻao ʻelua o ke kino a ʻoi aku ka maʻamau o nā wāwae ma mua o nā lima. Hoʻoikaika ka ulu ʻana o nā ʻōuli a lilo i mea ʻino ma mua o ka manawa.
E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i nā ʻōuli. Hōʻike paha kahi loiloi maka i nā pilikia o ka maka.
Hoʻohana pinepine ka hoʻohana ʻana i ka waiʻona i hiki ʻole i ke kino ke hoʻohana a mālama i kekahi mau huaora a me nā minelala. E kauoha ʻia nā hoʻokolohua koko e nānā no kahi hemahema (nele) o:
- Thiamine (wikamina B1)
- Pyridoxine (wikamina B6)
- Pantothenic acid a me ka biotin
- ʻO Vitamin B12
- ʻAkika Folic
- Niacin (wikamina B3)
- Wikamina A
Kauoha ʻia nā hoʻokolohua ʻē aʻe e kāpae i nā kumu ʻē aʻe o ka neuropathy. E komo pū paha nā hoʻāʻo:
- Nā pae uila
- Electromyography (EMG) e nānā i ke olakino o nā mākala a me nā aʻalolo e kaohi i nā mākala
- Nā hoʻāʻo hana ate a me nā hakuʻala
- Nā hoʻāʻo ʻana o ka hana thyroid
- Nā pae o nā wikamina a me nā minelala i ke kino
- Nā ho'āʻo conduction nerve e nānā i ka wikiwiki o nā neʻe uila e neʻe ma waena o kahi aʻalolo
- ʻO ke biopsy nerve e wehe i kahi ʻāpana liʻiliʻi o ke aʻalolo no ka hoʻokolokolo ʻana
- ʻO GI luna a me nā pūʻali ʻōpū liʻiliʻi
- ʻO Esophagogastroduodenoscopy (EGD) e nānā i ka uhi o ka esophagus, ʻōpū, a me ka ʻāpana mua o ka ʻōpū liʻiliʻi
- Voiding cystourethrogram, kahi aʻo x-ray o ka pākū a me ka urethra
I ka manawa i hoʻoponopono ʻia ai ka pilikia ʻalekoke, hoʻopili ʻia nā pahuhopu lapaʻau:
- Ka mālama ʻana i nā ʻōuli
- Ke hoʻonui nei i ka hiki ke hana kūʻokoʻa
- Kāohi ʻana i ka ʻeha
He mea nui e hoʻohui i ka papaʻai me nā huaora, e like me thiamine a me folic acid.
Pono pono ke olakino olakino a me nā mīkini orthopedic (e like me nā splints) e mālama i ka hana muscle a me ke kūlana lālā.
Pono paha nā lāʻau e mālama i ka ʻeha a i ʻole nā manaʻo hōʻoluʻolu ʻole. Loaʻa i nā poʻe me ka neuropathy ʻona i nā pilikia hoʻohana waiona. E kuhikuhi ʻia lākou i ka lāʻau liʻiliʻi loa o ka lāʻau e pono ai e hōʻemi i nā ʻōuli. Hiki i kēia ke kōkua i ka pale ʻana i ka hilinaʻi lāʻau a me nā hopena ʻē aʻe o ka hoʻohana mau.
ʻO ke kau ʻana a i ʻole ka hoʻohana ʻana i kahi moena e waiho ana i nā uhi i nā wāwae e kōkua paha i ka hōʻemi i ka ʻeha.
ʻO ka poʻe me ka lightheadedness a me ka dizziness paha ke kū i luna (orthostatic hypotension) pono e hoʻāʻo i nā ʻano lāʻau like ʻole ma mua o ka loaʻa ʻana o kahi e hōʻemi maikaʻi i kā lākou mau ʻōuli. Nā hana i kōkua paha i ka:
- Ke komo nei i nā kaila kaohi
- ʻAi paʻakai keu
- Ke hiamoe nei me ke poʻo i hoʻokiʻekiʻe ʻia
- Ke hoʻohana nei i nā lāʻau
Hiki ke mālama ʻia nā pilikia pākī me:
- Hōʻike lima lima o ka mimi
- Catheterization intermittent (kāne a wahine paha)
- Nā Lapaʻau
Mālama ʻia ka imppotence, diarrhea, constipation, a i ʻole nā hōʻailona ʻē aʻe inā pono. ʻ respondlelo pinepine ʻole kēia mau ʻōuli i ka mālama ʻana i ka poʻe me ka neuropathy ʻona.
He mea nui e pale i nā ʻāpana o ke kino me ka hoʻoliʻiliʻi o ka manaʻo mai ka ʻeha. Hoʻopili paha kēia:
- Ke nānā nei i ka mahana o ka wai ʻauʻau e pale i ka wela ʻana
- Ke hoʻololi nei i nā kāmaʻa kāmaʻa
- Ke nānā pinepine nei i nā wāwae a me nā kāmaʻa e hōʻemi i ka hōʻeha ma muli o ke kaomi a i ʻole nā mea i loko o nā kāmaʻa
- Ke kiaʻi nei i nā ʻaoʻao i pale i ka ʻeha mai ke kaomi
Pono e kāpae i ka waiʻona e pale aku i ka hōʻino ʻana mai ka ʻino. ʻO ka mālama ʻana i ka waiʻona e komo pū paha me ka ʻōlelo aʻoaʻo aʻoaʻo, kākoʻo kaiāulu e like me Alcoholics Anonymous (AA), a i ʻole nā lāʻau.
ʻO ka hōʻino i nā aʻalolo mai ka neuropathy ʻona ka mea mau. E ʻino paha ia inā hoʻomau ke kanaka i ka ʻona a i ʻole inā hoʻoponopono ʻole ʻia nā pilikiaʻai. ʻAʻole hiki ke hoʻoweliweli i ke neuropathy ʻona, akā hiki ke hopena i ka maikaʻi o ke ola.
Kāhea i kahi manawa me kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka waiʻona neuropathy.
ʻO ke ala wale nō e pale aku ai i ka neuropathy ʻona ʻaʻole e inu i ka nui o ka waiʻona.
Neuropathy - ʻalekohola; ʻO ka polyneuropathy ʻona
- ʻO ka neuropathy ʻona
- Nā aʻalolo mīkini
- Nā Kuleana Kū kaʻawale
- ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral
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.
ʻO Koppel BS. Nā maʻi neurologic pili i kaʻai a me ka waiʻona. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 416.