Nawaliwali

Hoʻoemi ʻia ka nāwaliwali i ka ikaika i hoʻokahi a ʻoi paha nā mākala.

Ma o ke kino paha ka nāwaliwali a i ʻole ma kahi wale nō. Hoʻomaopopo hou ʻia ka nāwaliwali i ka wā ma kahi o hoʻokahi. Hiki paha ka nāwaliwali ma kahi hoʻokahi:

• Ma hope o ka maʻi ʻōiwi
• Ma hope o ka hōʻeha i ke aʻalolo
• I ka wā o ka lapalapa ʻana o nā sclerosis (MS) he nui.

Kuhi paha ʻoe i ka nāwaliwali akā ʻaʻohe nalowale maoli o ka ikaika. Kapa ʻia kēia mea nāwaliwali kumuhana. Loaʻa paha ia i kahi maʻi e like me ka maʻi flu. A i ʻole, loaʻa paha iā ʻoe ka nalo ʻana o ka ikaika i hiki ke hoʻomaopopo ʻia ma ka hoʻokolohua kino. Kāhea ʻia kēia nāwaliwali pahuhopu.

Hoʻokumu ʻia ka nāwaliwali e nā maʻi a i ʻole nā ​​kūlana e hoʻopili ana i nā ʻōnaehana o ke kino ʻē aʻe, e like me kēia:

METABOLIC

• ʻAʻole hana nā adrenal adrenal i nā hormones (Addison maʻi)
• Hāʻawi nā parathyroid glands i ka nui o ka hormone parathyroid (hyperparathyroidism)
• ʻO ka sodium haʻahaʻa a potassium paha
• ʻO ka nui o ka thyroid (thyrotoxicosis)

BRAIN / NERVOUS SYSTEM (NEUROLOGIC)

• ʻO ka maʻi o nā aʻa nerve i ka lolo a me ka iwi kuamoʻo (amyotrophic lateral sclerosis; ALS)
• Nāwaliwali o nā mākala o ka maka (Bell palsy)
• Pūʻulu o nā maʻi e pili ana i ka lolo a me nā ʻōnaehana ʻōnaehana (cerebral palsy)
• ʻO ke kuni nerve e hoʻonāwaliwali ai i ka nāwaliwali (Guillain-Barré Syndrome)
• Sclerosis lehulehu
• Pena nerve (e laʻa me ke kumu o ka paheʻe ʻia o ka iwi kuamoʻo)
• Hahau

NA MAI MUSCLE

• ʻO ka maʻi hoʻoilina e pili ana i ka nāwaliwali o ka nāwaliwali o nā wāwae a me nā pelvis (Becker muscular dystrophy)
• ʻO ka maʻi maʻi e pili ana i ka mumū a me ka ʻili (dermatomyositis)
• Pūʻulu o nā maʻi hoʻoilina i kumu i ka nāwaliwali o nā mākala a me ka nalo ʻana o nāʻiʻo muscle (distrophy muscular)

POISONI

• Botulism
• Poisoning (insecticides, nerve gas)
• Lāʻau ʻāpala

ʻ aʻe

• ʻAʻole lawa ke olakino ʻulaʻula koko (anemia)
• Ka maʻi o nā mākala a me nā aʻalolo e kāohi iā lākou (myasthenia gravis)
• Polio
• Kanesa

E hāhai i ka lāʻau lapaʻau a kou kahu mālama ola e paipai ai e mālama i ke kumu o ka nāwaliwali.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• ʻO ka nāwaliwali hikiwawe, ʻoi loa inā aia ia i hoʻokahi wahi a ʻaʻole kū ʻia me nā ʻōuli ʻē aʻe, e like me ke kuni
• Ka nawaliwali koke ma hope o ka maʻi ʻana me ka maʻi
• Nāwaliwali e hele ʻole a kumu ʻole hiki iā ʻoe ke wehewehe
• Nāwaliwali ma kahi o ke kino

E hana ana ka mea hāʻawi i kahi hoʻokolohua kino. E nīnau aku paha kāu mea lawelawe iā ʻoe e pili ana i kou nāwaliwali, e like me ka wā i hoʻomaka ai, pehea ka lōʻihi o ka lōʻihi, a inā loaʻa iā ʻoe i nā manawa āpau a i ʻole nā ​​manawa wale nō. E nīnau ʻia paha ʻoe e pili ana i nā lāʻau āu e lawe ai a i ʻole inā ua maʻi ʻoe i kēia manawa.

E nānā pono paha ka mea hāʻawi i kou puʻuwai, kou māmā, a me kou gland. E nānā ka hoʻokolohua i nā aʻa a me nā mākala inā ʻo ka nāwaliwali wale nō i hoʻokahi wahi.

Loaʻa paha iā ʻoe ke koko a me nā hōʻoia mimi. Hiki ke kauoha ʻia nā hōʻike kiʻi e like me x-ray a i ʻole ultrasound.

Ka nele o ka ikaika; Nāwaliwali ka ʻiʻo

ʻO Fearon C, Murray B, Mitsumoto H. Nā maʻi o nā neurons kaʻa kiʻekiʻe a me lalo. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 98.

ʻO Morchi RS. Nawaliwali. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 10.

Selcen D. Nā maʻi maʻi. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 393.