Weliweli i hoʻoulu ʻia e ka lāʻau

ʻO ka haʻalulu i hoʻomoʻi ʻia e ka lāʻau i hoʻoluliluli ʻole ʻia ma muli o ka hoʻohana ʻana o nā lāʻau. ʻO ke kumu ʻole e luliluli ʻoe me ka hoʻāʻo ʻole e hana pēlā a ʻaʻole hiki ke kū ke hoʻāʻo ʻoe. Kū ka haʻalulu ke neʻe ʻoe a hoʻāʻo paha e hoʻopaʻa i kou mau lima, nā lima, a i ʻole ke poʻo i kahi kūlana. ʻAʻole pili ia me nā ʻōuli ʻē aʻe.

ʻO ka haʻalulu i hoʻoulu ʻia e ka lāʻau he ʻōnaehana hopohopo maʻalahi ia a me ka pane o nā mākala i kekahi mau lāʻau. Nā lāʻau i hiki ke hana i ka haʻalulu me nā mea aʻe:

• ʻO nā lāʻau lapaʻau e like me thalidomide a me cytarabine
• Ka hopu ʻana i nā lāʻau e like me valproic acid (Depakote) a me sodium valproate (Depakene)
• Nā lāʻau Asthma e like me theophylline a me albuterol
• Hoʻopilikia ka pale ʻana i nā lāʻau e like me cyclosporine a me tacrolimus
• ʻO nā stabilizer leo e like me ka lithium carbonate
• Nā mea hoʻonāukiuki e like me ka caffeine a me nā amphetamines
• ʻO nā lāʻau Antidepressant e like me nā serotonin reuptake inhibitors (SSRI) a me nā tricyclics
• Nā lāʻau puʻuwai e like me amiodarone, procainamide, a me nā mea ʻē aʻe
• ʻO kekahi antibiotic
• ʻO kekahi mau antivirals, e like me acyclovir a me vidarabine
• ʻAlekohola
• Nikotine
• ʻO kekahi mau lāʻau lapaʻau kiʻekiʻe
• Epinephrine a me norepinephrine
• Ka lāʻau hōʻemi kaumaha (tiratricol)
• ʻO ka lāʻau thyroid nui loa (levothyroxine)
• ʻO Tetrabenazine, kahi lāʻau e mālama ai i ka maʻi neʻe nui

Hoʻopili paha ka haʻalulu i nā lima, nā lima, ke poʻo, a me nā eyelids. I nā hihia maʻamau, hoʻopili ʻia ke kino haʻahaʻa. ʻAʻole hiki i ka haʻalulu ke hoʻopili like i nā ʻaoʻao ʻelua o ke kino.

ʻO ka hoʻoluliluli pinepine ka wikiwiki, ma kahi o 4 a 12 mau neʻe i kēlā me kēia kekona.

ʻO ka haʻalulu paha:

• Episodic (e hana ana i loko o nā nahā, i kekahi manawa ma kahi o hoʻokahi hola ma hope o ka lawe ʻana i ka lāʻau)
• Intermittent (hele mai a hele me ka hana, akā ʻaʻole mau)
• Sporadic (hiki i kekahi manawa)

Hiki i ka haʻalulu ke:

• Hana ʻia me ka neʻe a hoʻomaha paha
• Nalo i ka wā hiamoe
• E māhuahua me ka neʻe manawaleʻa a me ke koʻikoʻi koʻikoʻi

Hiki i nā ʻōuli ʻē aʻe ke:

• Kunou aku ke poʻo
• Lulu a haʻalulu paha ke kani i ka leo

Hiki i kāu mea mālama olakino ke hana i ke kuhi ma ka hana ʻana i kahi hoʻokolohua kino a nīnau e pili ana i kāu kauka olakino a pilikino. E nīnau ʻia ʻoe e pili ana i nā lāʻau āu e lawe ai.

E hana ʻia paha nā hoʻāʻo e kāpae i nā kumu ʻē aʻe no ka haʻalulu. ʻO kahi haʻalulu e kū i ka wā e hoʻomaha ai nā mākala a i ʻole e hoʻopili i nā wāwae a i ʻole ke kuʻikahi he hōʻailona paha o kekahi ʻano, e like me ka maʻi Parkinson. Hiki i ka wikiwiki o ka haʻalulu ke ala nui e hoʻoholo ai i kona kumu.

Hiki i nā kumu ʻē aʻe ke haʻalulu ke:

• ʻO ka haʻalele ʻana i ka ʻalekohola
• Puhi paka
• ʻO ka nui o ka thyroid (hyperthyroidism)
• Maʻi ʻo Parkinson
• Adrenal gland tum (pheochromocytoma)
• Nui loa ka caffeine
• Hōʻino kahi i nui ai ke keleawe i ke kino (maʻi ʻo Wilson)

ʻO nā hoʻokolohua koko a me nā hoʻopaʻa kiʻi ʻana (e like me ka scan CT o ke poʻo, MRI lolo, a me nā kukuna x) maʻamau maʻamau.

Hele pinepine ka haʻalulu i hoʻokomo ʻia i ka lāʻau ke kū ʻoe i ka lawe ʻana i ka lāʻau e hoʻomaka ai ka haʻalulu.

ʻAʻole paha ʻoe e pono e mālama a hoʻololi paha i ka lāʻau inā ʻoluʻolu ka haʻalulu a ʻaʻole ia e hoʻopilikia i kāu hana o kēlā me kēia lā.

Inā ʻoi aku ka pōmaikaʻi o ka lāʻau ma mua o nā pilikia i hoʻokumu ʻia e ka haʻalulu, ua hoʻāʻo paha kāu mea lawelawe iā ʻoe e hoʻāʻo i nā ʻāpana like ʻole o ka lāʻau. A i ʻole, kauoha ʻia ʻoe i kahi lāʻau ʻē aʻe e mālama i kou ʻano. I nā hihia maʻamau, hiki ke hoʻohui ʻia kahi lāʻau e like me propranolol i mea e kōkua ai i ka haʻalulu.

Mai hōʻoki i ka lawe ʻana i nā lāʻau me ka ʻole e kamaʻilio mua i kāu mea hāʻawi.

Hiki i nā haʻalulu koʻikoʻi ke hoʻopilikia i nā hana o kēlā me kēia lā, keu hoʻi nā mākau kaʻa maikaʻi e like me ke kākau ʻana, a me nā hana ʻē aʻe e like me ka ʻai ʻana a me ka inu ʻana.

Kāhea i kāu mea hāʻawi inā ʻoe e lawe i kahi lāʻau a ulu kahi haʻalulu e hoʻopōpō i kāu hana a i hele pū ʻia me nā ʻōuli ʻē aʻe.

E haʻi mau i kāu mea hoʻolako e pili ana i nā lāʻau āu e lawe ai. E noi i kāu mea hāʻawi inā maikaʻi iā ʻoe e lawe i nā lāʻau i kūʻai ʻia i loaʻa ʻole nā ​​stimulants a i ʻole theophylline. ʻO Theophylline kahi lāʻau i hoʻohana ʻia e mālama i ke kani ʻana a me ka hanu liʻiliʻi.

Hiki i ka cafe ke hana i ka haʻalulu a hana i ka haʻalulu i hopena ʻia e nā lāʻau ʻē aʻe. Inā loaʻa iā ʻoe kahi haʻalulu, e hōʻalo i nā mea inu caffeinated e like me ka kope, tī, a me ka soda. Hōʻalo pū kekahi i nā stimulants ʻē aʻe.

Tremor - hoʻowalewale lāʻau; Haʻalulu - haʻalulu lāʻau

• ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral

Morgan JC, Kurek JA, Davis JL, Sethi KD. ʻIke i ka pathophysiology mai ka haʻalulu i hoʻokomo ʻia i ka lāʻau. Tremor ʻO Hyperkinet Mov (N Y). 2017; 7: 442. PMID: 29204312 pubmed.ncbi.nlm.nih.gov/29204312/.

O'Connor KDJ, Mastaglia FL. Nā maʻi hōʻeuʻeu i hoʻokomo ʻia i ka ʻōnaehana. I: Aminoff MJ, Josephson SA, eds. ʻO Aminoff's Neurology a me General Medicine. 5th lā. Waltham, MA: Elsevier Academic Press; 2014: chap 32.

Okun MS, Lang AE. Nā pilikia neʻe ʻē aʻe. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 382.