Ka neʻe - kāohi ʻole ʻia

Hoʻokomo ʻia nā neʻe ʻole e kāohi ʻia i nā ʻano neʻe e hiki ʻole ke kāohi. Hiki iā lākou ke hoʻopili i nā lima, nā wāwae, ka maka, ka ʻāʻī, a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino.

ʻO nā laʻana o nā neʻe ʻole e kāohi ʻia:

• Ka nalowale ʻana o ke kani o ka mākala (flaccidity)
• Lohi, wili, a i ʻole neʻe mau (chorea, athetosis, a dystonia paha)
• ʻO ka neʻe ʻana o ka neʻe ʻana (myoclonus, ballismus)
• Nā neʻe hou ʻana i hiki ʻole ke kaohi ʻia (asterixis a i ʻole haʻalulu)

Nui nā kumu o nā neʻe ʻole i kāohi ʻia. Kū kekahi mau neʻe i kahi manawa pōkole wale nō. ʻO kekahi ma muli o kahi kūlana paʻa o ka lolo a me ka iwi kuamoʻo a e ʻoi aku paha ka maikaʻi.

Hoʻopili kekahi o kēia mau neʻe i nā keiki. Hoʻopili ka poʻe ʻē aʻe i nā mākua wale nō.

Nā kumu i nā keiki:

• Maʻi maʻi genetic
• Kernicterus (ʻo ka nui o bilirubin i ke kikowaena pūnaewele)
• Ka nele o ka oxygen (hypoxia) i ka wā hānau

Nā kumu i nā mākua:

• Nā maʻi ʻōnaehana hopohopo e hele a māi ana
• Maʻi maʻi genetic
• Nā Lapaʻau
• ʻO ka hahau a ʻeha paha ka lolo
• Nā Tumors
• Nā lāʻau lapaʻau kapu
• Trauma poʻo a me ka ʻāʻī

ʻO ke olakino kino e komo pū me ka ʻauʻau ʻana, ka hoʻolōʻihi ʻana, ka hele wāwae ʻana, a me ke kaulike ʻana i nā hana hiki ke kōkua me ka hoʻohui a lohi i ka pohō.

E nīnau i ka mea mālama ola inā he kōkua ke kōkua hele, e like me ke kō a me ka mea hele wāwae.

ʻO nā poʻe me kēia maʻi hiki ʻole ke hāʻule. E kamaʻilio me ka mea hoʻolako e pili ana i nā ana e pale ai i ka hāʻule.

He mea nui ke kākoʻo ʻohana. Kōkua ia i ke kūkala e kūkākūkā i kou mau manaʻo. Loaʻa nā hui kōkua pilikino i nā kaiāulu he nui.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā neʻe i wehewehe ʻole ʻia e hiki ʻole iā ʻoe ke kaohi i ʻole e hele.

E hana ka mea hāʻawi i kahi hoʻokolohua kino a nīnau e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. E nānā kikoʻī ʻoe i nā ʻōnaehana hopohopo a me nā ʻōpū.

E komo pū paha nā nīnau mōʻaukala olakino:

• Aia paha nā kuʻikuʻi mākala e hoʻonāukiuki ana i ke ʻano kūpono ʻole?
• Hoʻopili ʻia nā lima?
• Hoʻopili ʻia nā wāwae?
• I ka manawa hea i hoʻomaka ai kēia neʻe?
• Ua hiki koke anei ia?
• Ua hele a ʻāwīwī loa paha i loko o nā pule a i ʻole mau mahina?
• Aia paha i nā manawa āpau?
• ʻOi aku ka maikaʻi ma hope o ka hoʻoikaika kino?
• ʻOi aku ka maikaʻi ke kaumaha ʻoe?
• ʻOi aku ka maikaʻi ma hope o ka hiamoe?
• He aha ka mea e hoʻomaikaʻi ai?
• He aha nā hōʻailona ʻē aʻe e kū nei?

ʻO nā hoʻokolohua i kauoha ʻia e komo pū:

• Nā hoʻāʻo koko (e like me CBC a i ʻole ka hoʻokae koko)
• CT scan o ke poʻo a i ʻole ka ʻāpana i hoʻopili ʻia
• ʻEELE
• Pahu lumbar
• MRI o ke poʻo a i ʻole nā ​​wahi i pā
• Urinalysis

Pili ka mālama ʻana i ke kumu. Lawe ʻia nā neʻe ʻana he nui ʻole e kaohi ʻia me nā lāʻau. Hiki ke hoʻomaikaʻi i kekahi mau hōʻailona iā lākou iho. E hana ana kāu mea hāʻawi i nā ʻōlelo koi e pili ana i kāu mau hōʻailona a me nā hōʻailona.

Nā neʻe i kāohi ʻole ʻia; Neʻe kino ʻaʻano Nā neʻe o ke kino - ʻaʻole hiki ke kaohi ʻia; Dyskinesia; Athetosis; Myoclonus; Ballismus

• ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral

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.