ʻO ka neʻe - hiki ʻole ke kānalua ʻia

ʻO ke neʻe ʻana o ke kino ʻo Jerky kahi ʻano e neʻe wikiwiki ai ke kanaka i hiki ʻole iā lākou ke kaohi a ʻaʻohe kumu. Hoʻokiʻoki kēia mau neʻe i ka neʻe a i ʻole ke kūlana maʻamau o ke kanaka.

ʻO ka inoa lapaʻau o kēia ʻano chorea.

Hiki i kēia ʻano ke hoʻololi i hoʻokahi a i ʻole ʻelua ʻaoʻao o ke kino. ʻO nā neʻe maʻamau o chorea e:

• Kulou a hoʻoponopono i nā manamana lima a me nā manamana wāwae
• ʻImhihi i ka maka
• Ke hāpai a hoʻohaʻahaʻa i nā poʻohiwi

ʻAʻole hana pinepine kēia mau neʻe. Hiki iā lākou ke nānā ke hana ʻia ma ke kumu. Akā ʻaʻole nā ​​neʻe ma lalo o ka mana o ke kanaka. ʻO kahi kanaka me ka chorea ke nānā aku a ʻeleu a hoʻomaha ʻole paha.

Hiki i ke Chorea kahi maʻi ʻeha, paʻakikī i ka hana ʻana i nā hana o kēlā me kēia lā.

Nui a hewahewa nā kumu i hiki ʻole ke kuhihewa ʻole, neʻe ʻole ʻia, e like me:

• ʻO Antiphospholipid Syndrome (maʻi e pili ana i ke kāpili ʻana i ke koko)
• ʻO chorea hoʻoilina Benign (kahi ʻano hoʻoilina maʻamau)
• Nā maʻi o ka calcium, glucose, a i ʻole ka sodium metabolism
• ʻO ka maʻi Huntington (maʻi e pili ana i ka haki ʻana o nā hunaola nerve i ka lolo)
• Nā lāʻau (e like me levodopa, antidepressants, anticonvulsants)
• Polycythemia rubra vera (maʻi o ka iwi iwi)
• ʻO Sydenham chorea (ka neʻe neʻe e kū ana ma hope o ka maʻi ʻana me kekahi bacteria i kapa ʻia ʻo ka hui A streptococcus)
• ʻO ka maʻi ʻo Wilson (maʻi e pili ana i ke keleawe he nui i ke kino)
• Hāpai keiki (chorea gravidarum)
• Hahau
• ʻO systemic lupus erythematosus (maʻi kahi e kuhi hewa ai ka ʻōnaehana pale kino i nā mea olakino olakino)
• Tardive dyskinesia (kahi kūlana i hiki ke kumu ʻia e nā lāʻau e like me nā lāʻau antipsychotic)
• Maʻi thyroid
• Nā maʻi kūpilikiʻi ʻē aʻe

Mālama ʻia ka mālama ʻana i ke kumu o ka neʻe ʻana.

• Inā pili ka neʻe ʻana i kahi lāʻau, pono e hoʻopau ka lāʻau, inā hiki.
• Inā pili nā neʻe i kahi maʻi, pono e mālama ʻia ka maʻi.
• No ka poʻe me ka maʻi Huntington, inā koʻikoʻi nā neʻe a pili i ke ola o ke kanaka, hiki i nā lāʻau e like me tetrabenazine ke kōkua iā lākou e kaohi.

Hiki i ka hauʻoli a me ka luhi ke hana i ka chorea i mea ʻoi aku ka hewa. Kōkua ka hoʻomaha i ka hoʻomaikaʻi i ka chorea. E hoʻāʻo e hōʻemi i ke kaumaha o ka naʻau.

Pono e hana i nā hana palekana e pale ai i ka hōʻeha mai nā neʻe ʻole.

Kāhea i kāu mea mālama ola inā loaʻa iā ʻoe nā ʻano o ke kino i wehewehe ʻole ʻia a hele ʻole aku.

E hana ka mea hāʻawi i kahi hoʻokolohua kino. Pākuʻi paha kēia i kahi hoʻokolokolo kikoʻī o nā ʻōnaehana hopohopo a me nā mākala.

E nīnau ʻia ʻoe e pili ana i kāu mōʻaukala olakino a me nā ʻōuli, e like me:

• He aha ke ʻano o ka neʻe ʻana?
• He aha ka ʻāpana o ke kino e hoʻopili ʻia?
• He aha nā hōʻailona ʻē aʻe i laila?
• Aia ka huhū?
• Aia paha ka nāwaliwali a me ka lolo paha?
• Aia ka maha ʻole?
• Aia paha kekahi pilikia ʻuhane?
• Aia nā kālena helehelena?

ʻO nā hoʻokolohua i kauoha ʻia e komo pū:

• Nā ho'āʻo koko e like me ka pan metabolic, helu piha o ke koko (CBC), ka hoʻokaʻawale ʻana i ke koko
• CT scan o ke poʻo a i ʻole ka ʻāpana i hoʻopili ʻia
• EEG (i nā hihia kakaikahi)
• EMG a me ka nerve conduction wikiwiki (i nā manawa kakaikahi)
• ʻO nā haʻawina genetic e kōkua i ke kuhi ʻana i kekahi mau maʻi, e like me ka maʻi Huntington
• Pahu lumbar
• MRI o ke poʻo a i ʻole nā ​​wahi i pā
• Urinalysis

Hoʻokumu ʻia ka mālama ʻana ma ke ʻano o ka chorea o ke kanaka. Inā hoʻohana ʻia nā lāʻau, hoʻoholo ka mea hāʻawi i ka lāʻau e kuhikuhi ai e pili ana i nā ʻōuli a me nā hopena hōʻike.

Chorea; Muscle - neʻe nā helehelena (ʻaʻole kaohi ʻia); ʻO ka neʻe ʻana o Hyperkinetic

ʻO Jankovic J, Lang AE. ʻIke a me ka loiloi ʻana i ka maʻi Parkinson a me nā maʻi neʻe ʻē aʻe. 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 23.

Lang AE. Nā pilikia neʻe ʻē aʻe. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 410.