Neuralgia
ʻO Neuralgia kahi ʻeha, ʻeha weliweli e ukali i ke ala o ke aʻalolo a ma muli o ka huhū a i ʻole ke ʻino o ke aʻalolo.
ʻO nā neuralgias maʻamau e:
- ʻO ka neuralgia Postherpetic (ʻeha e hoʻomau mau ana ma hope o ka hopena o nā shingles)
- ʻO ke neuralgia Trigeminal (ke kuʻi a i ʻole ka uila-e like me ka ʻeha ma nā ʻāpana o ka maka)
- ʻO ka neuropathy ʻona
- Neuropathy ākea
ʻO nā kumu o neuralgia pū kekahi:
- Hoʻonāukiuki kemikala
- Maʻi maʻi ʻōniʻoniʻo
- Diabetes
- Nā maʻi, e like me herpes zoster (shingles), HIV / AIDS, maʻi Lyme, a me syphilis
- ʻO nā lāʻau e like me cisplatin, paclitaxel, a i ʻole vincristine
- ʻO Porphyria (maʻi koko)
- Kaomi ma nā aʻalolo e nā iwi kokoke, nā ligament, nā kīʻaha koko, a me nā tumors
- Trauma (me ke ʻoki kino)
I nā manawa he nui, ʻike ʻole ʻia ke kumu.
ʻO ka neuralgia postherpetic a me ka neuralgia trigeminal nā ʻano like ʻole ʻelua o ka neuralgia. Hoʻopili ka neuralgia pili a liʻiliʻi i ka nerve glossopharyngeal, e hāʻawi ana i ka naʻau i ka puʻu.
ʻOi aku ka maʻamau o ka neuralgia i ka poʻe kahiko, akā hiki paha i kēlā me kēia makahiki.
Pākuʻi ʻia paha nā ʻōuli i kekahi o kēia mau mea:
- Hoʻonui i ka ʻike o ka ʻili ma ke ala o ke aʻalolo poino, i mea e ʻeha ai ka paʻi a i ʻole ke kaomi
- ʻO kaʻeha ma ke ala o ke aʻalolo e ʻoi a pahi paha, ma ka wahi like i kēlā me kēia ʻāpana, hele mai a hele (intermittent) a i ʻole mau a wela paha, a e ʻino paha ke neʻe ka wahi
- Ka nāwaliwali a i ʻole ke kīnā o nā mākala i hoʻolako ʻia e ke aʻalolo like
E hana ka mea mālama ola i kahi hoʻokolohua kino, a nīnau e pili ana i nā ʻōuli.
Hōʻike paha ka hōʻike:
- ʻIke maʻamau i ka ʻili
- Nā pilikia reflex
- Lilo o ka nui o nā mākala
- Ka nele o ka sweating (sweating kaohi ʻia e nā aʻalolo)
- Ka palupalu ma ke aʻalolo
- Nā mea hoʻonāukiuki (nā wahi a kahi pā iki e hoʻonāukiuki ai i ka ʻeha)
Pono paha ʻoe e ʻike i ke kauka niho inā ʻeha ka ʻeha i kou alo a i ʻole ka ʻāʻī. Hiki i kahi hoʻokolohua niho ke hōʻole i nā maʻi niho e hiki ai ke hōʻeha i ka maka (e like me ka abscess o ka niho).
ʻO nā ʻōuli ʻē aʻe (e like me ka ʻulaʻula a i ʻole ka pehu ʻana) hiki ke kōkua i ke kāpae ʻana i nā kūlana e like me nā maʻi, nā haʻi iwi, a i ʻole ka rheumatoid arthritis.
ʻAʻohe hoʻokolohua kikoʻī no neuralgia. Akā, e hana ʻia paha nā hoʻokolohua e loaʻa ai ke kumu o ka ʻeha.
- Nā hōʻoia koko e nānā i ke kō kō, ka hana o nā puʻupaʻa, a me nā kumu kūpono ʻē aʻe o neuralgia
- Mākēneki resonance kiʻi (MRI)
- Ke aʻo conduction nerve me ka electromyography
- Kukuna ultrasound
- Spinal tap (lumbar puncture)
Pili ka mālama ʻana i ke kumu, ka wahi, a me ke koʻikoʻi o ka ʻeha.
ʻO nā lāʻau e kaohi ai i ka ʻeha e komo pū paha:
- Nā Antidepressants
- Nā lāʻau Antiseizure
- Over-the-counter a i ʻole nā lāʻau lapaʻau ʻeha
- ʻO nā lāʻau ʻeha ma ke ʻano o nā ʻili o ka ʻili a i ʻole nā kalima
Hiki i nā mālama ʻē aʻe ke:
- Pana me nā lāʻau hōʻoluʻolu (anesthetic) lāʻau
- Nā poloka nerve
- Hoʻoikaika kino (no kekahi ʻano neuralgia, keu hoʻi neuralgia postherpetic)
- Nā hana e hōʻemi ai i ka manaʻo i ke aʻalolo (e like me ka hoʻopau ʻana o ke aʻalolo me ka hoʻohana ʻana i ka radiofrequency, ka wela, ka pā ʻana o ka balloon, a i ʻole ka ʻume ʻana o nā kemika)
- ʻO ke ʻoki kino e lawe i ke kaomi ma ke aʻalolo
- ʻO ka hoʻōla hou, e like me acupuncture a i ʻole biofeedback
ʻAʻole hiki i nā kaʻina hana ke hoʻomaikaʻi i nā hōʻailona a hiki ke lilo i ka nalowale o ka manaʻo a i ʻole nā ʻano ʻē aʻe.
Ke holo ʻole nā lapaʻau ʻē aʻe, hiki i nā kauka ke hoʻāʻo i ke aʻalolo a i ʻole ka spinal stimulate. I nā hihia kakaʻikahi, hoʻāʻo ʻia kahi hana i kapa ʻia ka hōʻeuʻeu kino (MCS). Hoʻokomo ʻia kahi electrode ma luna o kahi ʻāʻī o ke aʻa, iwi kuamoʻo, a i ʻole ka lolo a hoʻopili ʻia i ka mea hana lāʻau iki ma lalo o ka ʻili. Hoʻololi kēia pehea e hōʻailona ai kou aʻa a hōʻemi paha i ka ʻeha.
ʻO ka hapa nui o nā neuralgias ʻaʻole hoʻoweliweli i ke ola a ʻaʻole hōʻailona o nā maʻi hoʻoweliweli ʻē aʻe. No ka ʻehaʻeha maikaʻi ʻole e hoʻomaikaʻi, e ʻike i kahi loea ʻeha e hiki ai iā ʻoe ke ʻimi i nā koho a pau.
ʻO ka hapa nui o nā neuralgias e pane i ka lāʻau. Hele a hōʻeha nā hoʻouka ʻeha. Akā, e hele pinepine paha ka hoʻouka kaua ʻana i kekahi poʻe ke hele a makua.
I kekahi manawa, hoʻomaikaʻi paha ke ʻano iā ia iho a nalo paha me ka manawa, ʻoiai ʻaʻole i loaʻa ke kumu.
Komo pū nā pilikia:
- Nā pilikia mai ke ʻoki kino
- Kīnā kīnā ʻia e ka ʻeha
- Nā hopena o nā lāʻau i hoʻohana ʻia e kaohi i ka ʻeha
- ʻAʻole pono nā kaʻina hana niho ma mua o ka ʻike ʻia o neuralgia
Kāhea i kāu mea hāʻawi inā:
- Hoʻolālā ʻoe i nā shingles
- Loaʻa iā ʻoe nā ʻōuli o neuralgia, keu hoʻi inā ʻaʻole e hōʻoluʻolu nā lāʻau ʻeha over-the-counter i kou ʻeha
- He ʻehaʻeha kou (ʻike i kahi loea ʻeha)
Hiki i ka kaohi koʻikoʻi o ke kō ke kō ke pale aku i ka hōʻino o nā aʻa i ka poʻe me ka maʻi kō. I ke kumu o nā shingles, hiki i nā lāʻau antiviral a me ka lāʻau lapaʻau herpes zoster virus e pale aku i ka neuralgia.
ʻEha nerve; ʻO neuropathy ʻeha; ʻEha Neuropathic
- 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.
Scadding JW, Koltzenburg M. Nā maʻi neuropathy ākea. I: McMahon SB, Koltzenburg M, Tracey I, Turk DC, eds. Palapala Aʻo Wall a me Melzack o Pain. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2013: chap 65.
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.