Mononeuropathy lehulehu

ʻO ka mononeuropathy Multiple kahi maʻi ʻōnaehana e pili ana i ka hōʻino ʻia ma kahi o ʻelua mau ʻāpana nerve ʻokoʻa. ʻO Neuropathy ke ʻano o kahi maʻi o nā aʻalolo.

ʻO ka mononeuropathy Multiple kahi ʻano o ka hōʻino ʻana i hoʻokahi a ʻoi paha nā aʻa peripheral. ʻO kēia nā aʻalolo ma waho o ka lolo a me ka iwi kuamoʻo. He hui ia o nā ʻōuli (syndrome), ʻaʻole maʻi.

Eia nō naʻe, hiki i kekahi mau maʻi ke hōʻeha a hōʻeha paha i ke aʻa e alakaʻi ai i nā ʻōuli o ka nui o ka mononeuropathy. ʻO nā kūlana maʻamau e pili pū me:

• Nā maʻi o nā kīʻaha koko e like me polyarteritis nodosa
• ʻO nā maʻi pili pili e like me ka rheumatoid arthritis a i ʻole ka systemic lupus erythematosus (ke kumu maʻamau o nā keiki)
• Diabetes

ʻO nā kumu maʻamau ʻole ka:

• ʻO Amyloidosis, kahi kūkulu kūpono ʻole o nā protein i nā aʻa a me nā meaola
• Nā maʻi koko (e like me hypereosinophilia a me cryoglobulinemia)
• Nā maʻi e like me ka maʻi Lyme, HIV / AIDS, a me ka hepita
• Lepera
• ʻO Sarcoidosis, hoʻāla o nā lymph node, nā mumū, ke ake, nā maka, ka ʻili, a me nā mea ʻē aʻe
• ʻO Sjögren Syndrome, kahi maʻi kahi e luku ʻia ai nā glands e hana ai i ka waimaka a me ka lawaiʻa
• ʻO Granulomatosis me ka polyangiitis, kahi hoʻā o ke kīʻaha koko

Pili nā ʻōuli i nā aʻa kikoʻī e pili ana, a pili pū paha me:

• Lilo o ka ʻōpū a i ʻole ka mana ʻōpū
• Ka nalowale o ka naʻau i hoʻokahi a ʻoi paha mau wahi o ke kino
• Lōlō i hoʻokahi a ʻoi paha mau wahi o ke kino
• ʻO ke kani ʻana, ke ahi, ka ʻeha, a me nā ʻano ʻē aʻe ʻē aʻe i hoʻokahi a ʻoi paha mau wahi o ke kino
• Nāwaliwali i hoʻokahi a ʻoi paha mau wahi o ke kino

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i nā ʻōuli, e kia ana i ka ʻōnaehana hopohopo.

No ke kuhi ʻana i kēia maʻi, pono mau nā pilikia me 2 a ʻoi paha nā wahi aʻa pili ʻole. ʻO nā aʻalolo maʻamau e hoʻopili ʻia ka:

• ʻO ke aʻalolo axillary ma ka lima a me ka poʻohiwi
• ʻO ke aʻalolo peroneal maʻamau i ka wāwae haʻahaʻa
• Distal median nerve i ka lima
• ʻO ke aʻalolo wahine i ka'ūhā
• ʻO ke aʻalolo Radial i ka lima
• ʻO ke aʻalolo sciatic ma hope o ka wāwae
• ʻO ke aʻalolo Ulnar i ka lima

E komo pū paha nā hoʻāʻo:

• Electromyogram (EMG, kahi hoʻopaʻa leo o ka hana uila i nā mākala)
• ʻO ke biopsy nerve e nānā i kahi ʻāʻī o ke aʻalolo ma lalo o kahi microscope
• Nā ho'āʻo conduction nerve e ana i ka neʻe ʻana o nā impulses nerve ma ke aʻalolo
• Nā hoʻāʻo kiʻi, e like me x-ray

Hiki ke hana ʻia nā hoʻokolohua koko e:

• Pākuʻi antinuclear antibody (ANA)
• Nā hoʻāʻo kemika koko
• Pūmua C-reactive
• Nānā kiʻi
• Hōʻike hāpai
• ʻLelo Rheumatoid
• Helu sedimentation
• Nā hoʻāʻo thyroid
• Nā kukuna X

ʻO nā pahuhopu o ka mālama ʻana i:

• E mālama i ka maʻi e hoʻopilikia nei i ka pilikia, inā hiki
• Hāʻawi i ke kākoʻo e mālama i ke kūʻokoʻa
• Nā hōʻailona kāohi

I mea e hoʻomaikaʻi ai i ke kūʻokoʻa, komo pū paha nā lāʻau i loko:

• ʻOihana lapaʻau
• Kōkua Orthopedic (ʻo kahi laʻana, he noho huila, nā paʻa lima, a me nā splints)
• Hoʻoikaika kino (no ka laʻana, hoʻoikaika kino a hoʻomaʻamaʻa hou e hoʻonui i ka ikaika o nā mākala)
• Lapaʻau ʻoihana

He mea nui ka palekana no ka poʻe me ka pilikia o ka naʻau a neʻe paha. ʻO ka loaʻa ʻole o ka kaohi Muscle a me ka hoʻoliʻiliʻi sensation e hoʻonui i ka makaʻu no ka hāʻule a i ʻole nā ​​ʻeha. ʻO nā hana palekana e komo pū ana:

• Loaʻa nā kukui kūpono (e like me ka waiho ʻana o nā kukui i ka pō)
• Ke hoʻouka nei i nā pale kaʻa
• ʻO ka hemo ʻana i nā ālaina (e like me nā kapeta ākea e heʻe paha ma ka papahele)
• Ke hoʻāʻo ʻana i ka mahana o ka wai ma mua o ka ʻauʻau ʻana
• Ke komo nei i nā kāmaʻa pale (ʻaʻohe wīwae a i ʻole nā ​​kuʻekuʻe wāwae kiʻekiʻe)

E nānā pinepine i nā kāmaʻa no ka grit a i ʻole nā ​​kiko kaha e ʻeha ai nā wāwae.

ʻO ka poʻe me ka hoʻohaʻahaʻa i ke ʻano e nānā pono i ko lākou mau wāwae (a i ʻole nā ​​wahi ʻē aʻe i hoʻopili ʻia) pinepine no nā ʻeha, nā ʻili hāmama, a i ʻole nā ​​ʻeha ʻē aʻe i ʻike ʻole ʻia. Ua hele a maʻi ʻino loa kēia mau ʻeha no ka mea ʻaʻole hōʻailona nā ʻeha o ka ʻāpana i ka ʻeha.

ʻO ka poʻe me ka mononeuropathy he nui i ka ʻeha o ke aʻa hou ma nā wahi kaomi e like me nā kuli a me nā kuʻe lima. Pono lākou e hōʻole i ke kaomi ʻana i kēia mau wahi, no ka laʻana, ma ka hilinaʻi ʻole ʻana i nā kuʻe lima, ke keʻa ʻana i nā kuli, a i ʻole ke hoʻopaʻa ʻana i nā kūlana like no nā wā lōʻihi.

Nā lāʻau i hiki ke kōkua pū i:

• Over-the-counter a i ʻole ka lāʻau ʻeha
• ʻO Antiseizure a i ʻole nā ​​lāʻau antidepressant e hōʻemi i ka ʻeha ʻana

Hiki ke loaʻa kahi ola piha inā loaʻa ke kumu a mālama ʻia, a inā palena ʻia ka ʻino nerve. ʻAʻohe kīnā o kekahi poʻe. Loaʻa i kekahi poʻe i ka hapa a i ʻole ka nalowale o ka neʻe, ka hana, a i ʻole ke ʻano.

Komo pū nā pilikia:

• Deformity, nalo o nā kiko a i ʻole ka nui o nā mākala
• Nā hoʻohaunaele o nā hana o ke koʻokoʻo
• Nā hopena ʻaoʻao lāʻau
• ʻO ka hōʻeha hou a ʻike ʻole ʻia paha i kahi ʻeha e pili ana no ka loaʻa ʻole o ka naʻau
• Nā pilikia pili ma muli o ka hana erectile

Kāhea i kāu mea hāʻawi inā ʻike ʻoe i nā hōʻailona o ka mononeuropathy he nui.

Pili nā ana Preventive i ka maʻi kikoʻī. ʻO kahi laʻana, me ka maʻi diabetes, ʻo ka ʻai ʻana i nā meaʻai olakino a me ka mālama ʻana i ka kaohi kō o ke kō e kōkua ai i ka pale ʻana i ka mononeuropathy he nui.

Mononeuritis multiplex; Mononeuropathy multiplex; Neuropathy lehulehu; ʻO ka neuropathy ākea - mononeuritis multiplex

• 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.

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.