Neuropathy kūʻokoʻa

ʻO ka neuropathy autonomic kahi hui o nā ʻōuli e kū mai ke loaʻa ka pōʻino i nā aʻalolo e mālama i nā hana o ke kino i kēlā me kēia lā. Hoʻopili kēia mau hana i ke kahe o ke koko, ka puʻuwai o ka puʻuwai, ka sweating, ka ʻōpū a me ka hoʻoneʻe ʻana i ka ʻai, a me ka digestion.

ʻO ka neuropathy autonomic kahi hui o nā ʻōuli. ʻAʻole ia he maʻi kikoʻī. Nui nā kumu.

ʻO ke neuropathy autonomic e pili ana i ka hōʻino ʻana i nā ʻalolo e lawe i ka ʻike mai ka lolo a me ka iwi kuamoʻo. Lawe ʻia ka ʻike i ka puʻuwai, nā kīʻaha koko, ka hakahaka, nā ʻōpū, nā ʻōpū hou, a me nā haumāna.

ʻIke ʻia ke neuropathy kūʻokoʻa me:

• ʻIno ʻino
• Diabetes (diabetic neuropathy)
• Nā maʻi e pili ana i ka scarring o nā aʻa a puni nā aʻa
• ʻO Guillain Barré syndrome a i ʻole nā ​​maʻi ʻē aʻe e hōʻā i nā aʻalolo
• HIV / AIDS
• Nā maʻi nerve hoʻoilina i hoʻoili ʻia
• Sclerosis lehulehu
• Maʻi ʻo Parkinson
• ʻEha ʻiwi
• ʻO ke ʻoki a me ka ʻeha e pili ana i nā aʻalolo

Hoʻololi nā ʻōuli, kaukaʻi ʻia i nā aʻa i hoʻopili ʻia. Hoʻolālā mālie lākou i nā makahiki.

Hiki i nā ʻōpū a me nā ʻōpū ʻōpū ke komo pū:

• ʻO ka paʻa paʻa (mau paakiki paʻakikī)
• Palehua
• Manaʻo piha ma hope o kahi mau nahu wale (māʻona mua)
• Lohi ma hope o ka ʻai ʻana
• Nā pilikia e kaohi ana i ka neʻe o kou ʻōpū
• Pilikia i nā pilikia
• ʻŌpū pehu
• ʻO ka luaʻi ʻana i ka meaʻai ʻai ʻole

Pākuʻi ʻia paha nā hōʻailona o ka puʻuwai a me nā māmā:

• Ka helu o ka puʻuwai maʻamau a i ʻole ke mele
• Hoʻololi ke kahe o ke koko me ke kūlana e hoʻonāukiuki ai ke kū ʻana
• Piʻi koko kiʻekiʻe
• Ka hanu ʻana o ka hanu me ka hana a hoʻoikaika kino paha

Pākuʻi ʻia paha nā ʻōuli bladder:

• Ke hoʻomaka nei ka paʻakikī e mimi
• ʻO ka manaʻo o ka waiho ʻana o ka bladder piha ʻole
• Mimi hoʻoheheʻe

Hiki i nā ʻōuli ʻē aʻe ke:

• ʻO ka hou nui a ʻaʻole lawa paha
• Lawe ʻia ka hoʻomanawanui ʻole me ka hana a me ka hoʻoikaika kino
• ʻO nā pilikia moekolohe, e like me nā pilikia kūkulu i nā kāne a me ka maloʻo maloʻo a me nā pilikia orgasm i nā wahine
• ʻO ka haumāna liʻiliʻi ma ka maka hoʻokahi
• Ka hoʻemi kaumaha me ka hoʻāʻo ʻole

ʻAʻole ʻike mau ʻia nā ʻōuli o ke ʻino nerve autonomic ke nānā aku kāu kauka iā ʻoe. Hiki ke hoʻololi i kou kaomi koko a i ʻole ka helu o ka puʻuwai ke moe i lalo, noho, a kū paha.

ʻO nā hoʻokolohua kūikawā e ana i ka hou ʻana a me ka helu puʻuwai e hana ʻia paha. Kapa ʻia kēia he hoʻāʻo autonomic.

Pili nā hōʻike ʻē aʻe i ke ʻano o nā hōʻailona i loaʻa iā ʻoe.

ʻAʻole hiki pinepine ka lāʻau e hoʻohuli i ka hōʻino o nā nerve. A ʻo kahi hopena, mālama ʻia ka mālama ʻana a me ka mālama pono ʻana iā ʻoe iho i ka mālama ʻana i kāu mau ʻōuli a me ka pale ʻana i nā pilikia hou.

E ʻōlelo paha kāu mea mālama ola:

• ʻO ka paʻakai keu i ka papaʻai a lawe paha i nā papa paʻakai e hoʻonui i ka nui o ka wai i nā kīʻaha koko
• Fludrocortisone a i ʻole nā ​​lāʻau like e kōkua i kou kino e mālama i ka paʻakai a me ka wai
• Nā lāʻau lapaʻau e mālama ai i nā puʻuwai puʻuwai kūpono ʻole
• Pāʻalāʻau
• Ke hiamoe nei me ke poʻo i hāpai ʻia
• Ke komo nei i nā kaila kaohi

Hiki i ka mea aʻe ke kōkua i kou ʻōpū a me kou ʻōpū e hana ʻoi aku ka maikaʻi:

• Polokalamu mālama ʻōpū i kēlā me kēia lā
• ʻO nā lāʻau e kōkua i ka ʻōpū e neʻe i ka meaʻai ma o ka wikiwiki
• Ke hiamoe nei me ke poʻo i hāpai ʻia
• Nā meaʻai liʻiliʻi, pinepine

Hiki i nā lāʻau lapaʻau a me nā polokalamu mālama pilikino ke kōkua iā ʻoe inā loaʻa iā ʻoe:

• Miki ʻole
• Bladder Neurogenic
• Nā pilikia kūkulu

Ma muli o ke kumu o ka pilikia a hiki ke mālama ʻia.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā hōʻailona o ka neuropathy autonomic. Pākuʻi ʻia paha nā ʻōuli mua:

• E maule a hoʻomālamalama paha i ke kū ʻana
• Hoʻololi i ka ʻōpū, ʻōpū, a i ʻole ka moekolohe
• Hoʻomaʻamaʻa ʻole a me ka luaʻi i ka wā e ʻai ana

ʻO ka hōʻailona mua a me ka mālama ʻana e mālama paha i nā ʻōuli.

Hiki i ka neuropathy autisticic ke hūnā i nā hōʻailona hōʻailona o ka puʻuwai puʻuwai. Ma kahi o ka ʻeha o ka umauma, inā loaʻa iā ʻoe kahi neuropathy autonomic, i ka manawa o ka puʻuwai puʻuwai loaʻa wale paha iā ʻoe:

• Ka luhi hikiwawe
• Hoʻoulu
• Pokole o ka hanu
• ʻO Nusea a me ka luaʻi

Kāohi a kāohi paha i nā maʻi e pili ana e hōʻemi i ka makaʻu no ka neuropathy. ʻO kahi laʻana, pono ka poʻe me ka maʻi diabetes e kāohi pono i nā pae kō kō.

Neuropathy - kūʻokoʻa; Maʻi maʻi autonomic

• Nā Kuleana Kū kaʻawale
• ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral

Katirji B. Nā maʻi o nā aʻa ākea. I: Jankovic J, Mazziotta JC, Pomeroy SL, Newman NJ, eds. ʻO Bradley lāua ʻo Daroff's Neurology i ka Clinical Practice. 8th ed. Piladelapia, PA: Elsevier; 2022: chap 106.

Smith G, Shy ME. Nā neuropathy ākea. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 392.