ʻO ke kīnā ʻole o ke aʻalolo peroneal

ʻO ke kīnā o ke aʻalolo peroneal ma muli o ka hōʻino ʻana i ke aʻalolo peroneal e alakaʻi ana i ka nalo o ka neʻe a i ʻole ka sensation i ka wāwae a me ka wāwae.

ʻO ke aʻalolo peroneal kahi lālā o ke aʻalolo sciatic, nāna e hāʻawi i ka neʻe a me ka manaʻo i ka wāwae lalo, ka wāwae a me nā manamana wāwae. ʻO ke kīnā o ke aʻalolo peroneal kahi ʻano o ke neuropathy ākea (ʻinoʻino i nā aʻalolo ma waho o ka lolo a i ʻole ka iwi kuamoo). Hiki i kēia ʻano ke hoʻololi i nā poʻe o nā makahiki.

ʻO ke kīnā ʻole o ke aʻalolo hoʻokahi, e like me ke aʻalolo peroneal maʻamau, ua kapa ʻia he mononeuropathy. ʻO Mononeuropathy ke kumu o ka hōʻino o ke aʻalolo i hoʻokahi wahi. Hiki i kekahi ʻano o ke kino a puni ke hōʻeha i nā aʻa nerve hoʻokahi.

Hoʻopilikia ka poino i ke aʻalolo i ka uhi myelin e uhi ana i ke koʻi (lālā o ke aʻa nerve). Hiki ke hōʻeha ʻia ke koʻi, kahi e kumu ai nā hōʻailona ʻoi loa.

ʻO nā kumu maʻamau o ka hōʻino ʻana i ke aʻalolo peroneal me kēia mau mea:

• Ka hōʻeha a hōʻeha paha i ke kuli
• ʻO ka haki o ka fibula (kahi iwi o ka wāwae lalo)
• Hoʻohana o ka hoʻolei plaster paʻa (a i ʻole nā ​​constriction lōʻihi) o ka ʻūhā haʻahaʻa
• Keʻa mau nei i nā wāwae
• ʻO ka paʻa mau o nā kāmaʻa kiʻekiʻe
• Kaomi i ke kuli mai nā kūlana i ka wā hiamoe a i ʻole koma
• ʻO ka hōʻeha i ka wā o ke kuli o ke kuli a i ʻole ke kau ʻia i kahi kūlana weliweli i ka wā anesthesia

ʻIke pinepine ʻia ka ʻeha o ke aʻalolo peroneal i nā poʻe:

• ʻO wai lahilahi (e laʻa, mai anorexia nervosa)
• ʻO wai nā ʻano autoimmune, e like me polyarteritis nodosa
• ʻO wai ka mea ʻino nā nerve mai nā pilikia olakino ʻē aʻe, e like me ka maʻi diabetes a me ka inu ʻona
• ʻO wai ka maʻi ʻo Charcot-Marie-Tooth, kahi maʻi hoʻoilina e pili ana i nā aʻalolo āpau

Ke hōʻeha ʻia ke aʻalolo a hopena i ka hana ʻole, e hoʻokomo pū ʻia nā ʻōuli:

• Hoʻoemi i ka sensation, numbness, a i ʻole tingling i ka piko o ka wāwae a i ʻole ka ʻaoʻao i waho o ka ʻūhā luna a i lalo paha.
• Ka wāwae e heleleʻi (ʻaʻole hiki ke hoʻopaʻa i ka wāwae i luna)
• Hele wāwae "Slapping" (ke ʻano o ka hele ʻana i kēlā me kēia ʻanuʻu e kani kaʻi)
• Kauō nā manamana wāwae i ka wā e hele wāwae ana
• Nā pilikia hele wāwae
• Ka nāwaliwali o nā kuʻekuʻe wāwae a i ʻole nā ​​wāwae
• ʻO ka nalowale o ka nui o nā mākala no ka mea ʻaʻole hoʻonāukiuki nā aʻalolo i nā mākala

E hana ka mea mālama ola i kahi hoʻokolohua kino, i hōʻike ʻia paha:

• ʻO ka nalowale o ka kaohi muscle i nā wāwae o lalo a me nā wāwae
• Atrophy o ka wāwae a i ʻole nā ​​mākala foreleg
• Hāpai ka paʻakikī i ka wāwae a me nā manamana wāwae a me ka neʻe ʻana i nā manamana wāwae

ʻO nā hoʻāʻo o nā hana nerve me:

• Electromyography (EMG, kahi hōʻike o ka hana uila i nā mākala)
• Nā ho'āʻo conduction nerve (e ʻike i ka wikiwiki o nā neʻe uila e neʻe ma waena o kahi aʻalolo)
• MRI
• ʻO ke ultrasound nerve

Hiki ke hana ʻia nā hoʻokolohua ʻē aʻe e pili ana i ke kumu i manaʻo ʻia no ke kīnā ʻole o ke aʻa, a me nā ʻōuli o ke kanaka a pehea e ulu ai. Hiki i nā hoʻāʻo ke komo i nā hoʻokolohua koko, nā kukuna x a me nā scans.

Mālama ka hoʻomaʻamaʻa e hoʻomaikaʻi i ka neʻe a me ke kūʻokoʻa. Pono e mālama ʻia kekahi maʻi a i ʻole kumu ʻē aʻe o ka neuropathy. Hiki i ka pale ʻana i ke kuli ke pale aku i ka hōʻeha hou aʻe ma ke keʻa ʻana i nā wāwae, ʻoiai e hoʻomanaʻo ana e hele ʻole i kou mau wāwae.

I kekahi mau hihia, hiki i nā corticosteroids i hoʻopili ʻia i ka wahi ke hōʻemi i ka pehu a me ke kaomi ma ke aʻalolo.

Pono ʻoe i ke ʻoki inā:

• ʻAʻole hele aku ka maʻi maʻi
• Loaʻa iā ʻoe nā pilikia me ka neʻe
• Aia kekahi hōʻike e hōʻino ʻia ke axon nerve

Hiki i ke ʻoki kino ke hoʻokuʻu i ke kaomi ma ke aʻalolo ke hōʻemi i nā ʻōuli inā pili ka maʻi ma ke kaomi ma ke aʻalolo. Hiki ke kōkua i ke ʻoki ʻana e wehe i nā tumors ma ke aʻalolo.

NA SYMPTOMA KOHO

Pono paha ʻoe i nā mea hōʻemi ʻeha a me nā kauka e kuhikuhi i ka ʻeha. Nā lāʻau ʻē aʻe i hiki ke hoʻohana ʻia e hōʻemi i ka ʻeha me Gabapentin, carbamazepine, a i ʻole tricyclic antidepressants, e like me amitriptyline.

Inā koʻikoʻi kou ʻeha, hiki i kahi loea ʻeha ke kōkua iā ʻoe e ʻimi i nā koho āpau no ka ʻehaʻeha.

Hiki i nā hoʻoikaika kino hoʻoikaika ʻana ke kōkua iā ʻoe e mālama i ka ikaika o nā mākala.

Hiki i nā mea Orthopedic ke hoʻomaikaʻi i kou hiki ke hele a pale i nā ʻaelike. Hiki i kēia ke komo i nā pale, nā splints, nā kāmaʻa orthopedic, a i ʻole nā ​​pono hana ʻē aʻe.

ʻO ka aʻoaʻo aʻoaʻo ʻana, ka hoʻomaʻamaʻa hana, a i ʻole nā ​​papahana like e kōkua iā ʻoe e hoʻonui i kou neʻe a me kou kūʻokoʻa.

Pili ka hopena i ke kumu o ka pilikia. ʻO ka mālama kūleʻa ʻana i ke kumu e hoʻomaha ai i ka hana, ʻoiai he mau mahina paha e hoʻomaikaʻi ai ke aʻalolo.

Inā koʻikoʻi ka hōʻino nerve, noho paʻa paha ke kīnā ʻole. Hiki ʻoluʻolu ʻole ke ʻeha nerve. ʻAʻole pōkole kēia maʻi i ke ola o kahi kanaka i manaʻo ʻia.

Nā pilikia e ulu ana paha me kēia ʻano:

• Ua emi ka hiki ke hele wāwae
• Hoʻoiho mau i ka sensation i nā wāwae a me nā wāwae
• ʻO ka nāwaliwali mau a i ʻole ka palu i nā wāwae a i ʻole nā ​​wāwae
• Nā hopena o nā lāʻau

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka maʻi maʻamau o ka nerve peroneal.

Hōʻalo i ka hele wāwae ʻana i kou mau wāwae a i ʻole ke kau ʻana i ke kaomi wā lōʻihi ma ke kua a me ka ʻaoʻao o ke kuli. E mālama koke i nā hōʻeha i ka wāwae a i ʻole ke kuli.

Inā he kīloi, haʻalulu, ʻaʻahu, a i ʻole kaomi ʻē aʻe i ka ʻūhā lalo e hoʻonāukiuki i ka manaʻo a i ʻole numbness, e kāhea i kāu mea hāʻawi.

Neuropathy - nerve peroneal maʻamau; ʻEha ʻeha ʻo Peroneal; Maʻi palu ʻo Peroneal; ʻO neuropathy Fibular

• ʻO ke kīnā ʻole o ke aʻalolo peroneal

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 Toro DRD, ʻo Seslija D, ʻo King JC. Fibular (peroneal) neuropathy. I: Frontera WR, Silver JK, Rizzo TD Jr, eds. Nā mea nui o ka lāʻau lapaʻau a me ka hoʻoponopono hou ʻana: nā maʻi Musculoskeletal, Pain, and Rehabilitation. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 75.