Sensorimotor polyneuropathy

ʻO Sensorimotor polyneuropathy kahi kūlana e hōʻemi ai i ka hiki ke neʻe a ʻike paha (sensation) ma muli o ka ʻino nerve.

ʻO Neuropathy ke ʻano o ka maʻi o, a i ʻole ka hōʻino ʻana i nā aʻalolo. Ke puka ia ma waho o ka ʻōnaehana waena (CNS), ʻo ia hoʻi, ka lolo a me ka iwi kuamoo, ua kapa ʻia he neuropathy ākea. ʻO Mononeuropathy ke kumu o ke komo ʻana o hoʻokahi aʻalolo. ʻO ka manaʻo o Polyneuropathy he nui nā aʻa i nā ʻāpana like ʻole o ke kino e pili ana.

Hiki i ka neuropathy ke hoʻopili i nā aʻalolo e hāʻawi i ka manaʻo (neuropathy sensory) a i ʻole ke kumu o ka neʻe (motor neuropathy). Hiki iā ia ke hoʻopili i nā mea ʻelua, a i ia manawa ua kapa ʻia ia he sensorimotor neuropathy.

ʻO Sensorimotor polyneuropathy kahi kaʻina hana (ʻōnaehana) e hoʻopōʻino ai i nā hunaola nerve, nā aʻa nerve (axons), a me nā uhi o ke aʻa (myelin sheath). ʻO ka hōʻino i ka uhi ʻana o ke aʻalolo nerve ke kumu e lohi ai a kū paha nā hōʻailona nerve. Hiki i ka hōʻino ʻana i nā aʻa aʻa a i ʻole nā ​​aʻa nerve āpau ke hoʻopau i ka hana ʻana o ke aʻalolo. Hoʻolālā kekahi mau neuropathies i mau makahiki, ʻoiai hiki i nā poʻe ʻē aʻe ke hoʻomaka a paʻakikī i loko o nā hola i nā lā.

Hiki ke kumu ʻia ka hōʻino nerve e:

• ʻO Autoimmune (ke hoʻouka ke kino iā ia iho) nā maʻi
• Nā kūlana e hoʻokau ai i nā aʻalolo
• Hoemi i ke kahe o ke koko i ke aʻalolo
• Nā maʻi e luku i ke kāpili (nā mea hoʻopili) e hoʻopaʻa pū i nā pūnaewele
• Pehu (pehu) o nā aʻalolo

ʻO kekahi mau maʻi e alakaʻi i ka polyneuropathy i sensory a i ʻole ka motika nui. Nā kumu kūpono o ka sensorimotor polyneuropathy me:

• ʻO ka neuropathy ʻona
• ʻO Amyloid polyneuropathy
• Nā maʻi Autoimmune, e like me Sjögren syndrome
• Kanesa (i kapa ʻia he paraneoplastic neuropathy)
• Lōʻihi (wā lōʻihi) neuropathy inflammatory
• ʻO ka neuropathy diabetic
• ʻO ka neuropathy e pili ana i ka lāʻau, me chemotherapy
• ʻO Guillain-Barré Syndrome
• Neuropathy hoʻoilina
• HIV / AIDS
  
• Low thyroid
  
• Maʻi ʻo Parkinson
  
• Ka nele o ka wikamina (nā huaʻai B12, B1, a me E)
• Maʻi maʻi Zika

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

• Hoʻoemi i ka manaʻo i kēlā me kēia wahi o ke kino
• Pilikia i ka ale ʻana a me ka hanu ʻana
• Ka paʻakikī e hoʻohana ana i nā lima a i ʻole nā ​​lima
• Ka paʻakikī e hoʻohana nei i nā wāwae a me nā wāwae
• Ke hele wāwae paʻakikī
• ʻEha, ʻā ʻana, ʻalohi ʻana, a i ʻole ʻano ʻano ʻē ma nā wahi o ke kino (i kapa ʻia ʻo neuralgia)
• Nāwaliwali o ka maka, nā lima, a me nā wāwae, a i ʻole kekahi ʻāpana o ke kino
• Hāʻule kekahi manawa no ka nele o ke kaulike a me ka manaʻo ʻole i ka lepo ma lalo o kou mau wāwae

E hoʻomohala koke nā ʻōuli (e like me ka maʻi ʻo Guillain-Barré) a i ʻole lohi i nā pule i kekahi mau makahiki. Kū nā hōʻailona ma nā ʻaoʻao ʻelua o ke kino. ʻO ka pinepine, hoʻomaka lākou ma nā wēlau o nā manamana wāwae ma mua.

E nānā ka mea mālama ola iā ʻoe a nīnau e pili ana i kāu mau hōʻailona. Hōʻike paha kahi hōʻike:

• Manaʻo hoʻohaʻahaʻa (hiki ke hoʻopili i ka hoʻopā, ʻeha, haʻalulu, a i ʻole ke ʻano kūlana)
• Hoʻololi nā reflexes (ʻo ka maʻamau ka kuʻekuʻe wāwae)
• ʻAtope Muscle
• Mīkini ʻili
• Nāwaliwali ka ʻiʻo
• Pālolo

E komo pū paha nā hoʻāʻo:

• ʻO Biopsy o nā aʻalolo i hoʻopili ʻia
• Nā hoʻāʻo koko
• Hōʻike uila o nā mākala (EMG)
• Hōʻike uila no ka lawe ʻana i ke aʻalolo
• X-kukuna a i ʻole nā ​​hōʻike kiʻi ʻē aʻe, e like me MRI

ʻO nā pahuhopu o ka mālama ʻana:

• Ke loaʻa nei ke kumu
• Ka mālama ʻana i nā ʻōuli
• Paipai i ka mālama pono ʻana o ke kanaka a me ke kūʻokoʻa

Kaukaʻi ʻia i ke kumu, hiki i ka mālama ʻana ke:

• Ke hoʻololi nei i nā lāʻau, inā lākou e hoʻokumu i ka pilikia
• Ke kaohi ʻana i ke kiʻekiʻe o ke kō i ke kō, ke loaʻa ka neuropathy mai ka maʻi kō
• ʻAʻole inu lama
• Lawe i nā mea hoʻopihaʻai pono o ka lā
• Nā lāʻau lapaʻau e mālama i ke kumu kumu o ka polyneuropathy

KA HOʻOLOHE ANA I KA LĀKAHI KULA A ME KA LOA

• Nā hoʻolālā a me ke hoʻomaʻamaʻa hou ʻana e hoʻonui i ka hana o nā ʻalolo poino
• Ioba (ʻano hana) therapy
• ʻOihana lapaʻau
• Nā hoʻoponopono Orthopedic
• Hoʻoikaika kino
• Nā noho huila, nā kūpeʻe, a i ʻole nā ​​splints

KA MANAʻO O SYMPTOMS

He mea nui ka palekana no ka poʻe me ka neuropathy. ʻO ka nele o ka kaohi muscle a hoʻemi i ka sensation hiki ke hoʻonui i ka hopena o ka hāʻule a i ʻole nā ​​ʻeha ʻē aʻe.

Inā loaʻa iā ʻoe nā pilikia neʻe, hiki i kēia mau ana ke kōkua iā ʻoe e palekana:

• Waiho nā kukui.
• Wehe i nā mea keʻakeʻa (e like me nā kapeta ākea e heʻe paha ma ka papahele).
• E hoʻāʻo i ka mahana o ka wai ma mua o ka ʻauʻau.
• E hoʻohana i nā railings.
• E komo i nā kāmaʻa pale (e like me nā manamana wāwae paʻa a me nā kuʻekuʻe liʻiliʻi).
• E komo i nā kāmaʻa i loaʻa nā wāwae wāwae pahee ʻole.

ʻO nā ʻōlelo aʻoaʻo ʻē aʻe:

• E nānā i kou mau wāwae (a i ʻole nā ​​wahi ʻē aʻe i hoʻopilikia ʻia) i kēlā me kēia lā no ka ʻeha, nā ʻili hāmama, a me nā mea ʻeha ʻē aʻe, āu e ʻike ʻole ai a hiki ke maʻi.
• E nānā pinepine i loko o nā kāmaʻa no ka grit a i ʻole nā ​​wahi ʻino e hōʻeha ai i kou mau wāwae.
• E kipa aku i kahi kauka wāwae (podiatrist) e loiloi a hoʻēmi i ka makaʻu o ka hōʻeha i kou mau wāwae.
• Hōʻalo i ka hilinaʻi ʻana i kou kuʻe lima, ke kuli ʻana i kou mau kuli, a i ʻole i nā kūlana ʻē aʻe e hoʻokau i kaomi lōʻihi ma kekahi mau wahi o ke kino.

Nā lāʻau lapaʻau i hoʻohana ʻia e mālama i kēia ʻano:

• Over-the-counter a kuhikuhi i nā mea hōʻemi ʻeha e hōʻemi i ka ʻeha ʻana (neuralgia)
• ʻO Anticonvulsants a i ʻole antidepressants
• Lotions, kalima, a i ʻole nā ​​lāʻau lapaʻau

E hoʻohana wale i ka lāʻau ʻeha inā pono. Ke mālama nei i kou kino i ke kūlana kūpono a i ʻole ka mālama ʻana i nā pale moe mai kahi ʻāpana o ke kino e kōkua i ka mālama ʻana i ka ʻeha.

Hiki i kēia mau hui ke hāʻawi i ka ʻike hou aku e pili ana i ka neuropathy.

• ʻO ka Neuropathy Action Foundation - www.neuropathyaction.org
• ʻO ka Foundation for Peripherial Neuropathy - www.foundationforpn.org

I kekahi mau hihia, hiki iā ʻoe ke hoʻōla piha mai ke neuropathy ākea inā hiki i kāu mea hoʻolako ke loaʻa ke kumu a mālama maikaʻi iā ia, a inā ʻaʻole pili ka poino i ka cell nerve āpau.

Hoʻololi ka nui o ke kīnā. ʻAʻohe kīnā o kekahi poʻe. Loaʻa i kekahi poʻe i ka nalo hapa a piha paha o ka neʻe, ka hana, a me ka manaʻo. ʻOluʻolu ʻole paha ke ʻāʻī nerve a lōʻihi paha ka lōʻihi.

I kekahi mau kumu, sensorimotor polyneuropathy ke kumu o nā hōʻailona koʻikoʻi, hoʻoweliweli ola.

ʻO nā pilikia e hopena ana paha:

• Deformity
• E hōʻeha i nā wāwae (i hoʻokumu ʻia e nā kāmaʻa maikaʻi ʻole a i ʻole ka wai wela ke hehi i loko o ka pahu wai)
• Pōpō
• ʻEha
• Hele pilikia
• Nawaliwali
• Ka hanu paʻakikī ʻana a i ʻole ke ale ʻana (i nā hihia koʻikoʻi)
• Falls ma muli o ka nele o ke kaulike

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe ka nalo o ka neʻe a i ʻole ke ʻano i kahi ʻāpana o kou kino. Hoʻonui ka hōʻoia mua a me ka mālama ʻana i ka manawa o ka kaohi ʻana i nā ʻōuli.

ʻO Polyneuropathy - sensorimotor

• ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral
• ʻŌnaehana nervous

ʻO Craig A, Richardson JK, Ayyangar R. Rehabilitation o nā mea maʻi me nā neuropathies. I: Cifu DX, hoʻoponopono. ʻO Braddom's Physical Medicine & Rehabilitation. 5th lā. Piladelapia, PA: Elsevier; 2016: chap 41.

Endrizzi SA, Rathmell JP, Hurley RW. ʻO nā neuropathies peripheral ʻeha. I: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, eds. Nā mea nui o ka lāʻau lapaʻau ʻeha. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 32.

Katitji 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.