Pōpō a me ka ʻalalā ʻana

ʻO ka ʻōlohelohe a me ke kaniʻuhū nā manaʻo ʻino e hiki ke hana ma nā wahi āpau o kou kino, akā ʻike pinepine ʻia i kou mau manamana lima, nā lima, nā wāwae, nā lima, a me nā wāwae.

Nui nā kumu kūpono o ka helu a me ka ʻūlū ʻana, e like me:

• Noho a kū i ke kūlana like no ka manawa lōʻihi
• ʻO ka hōʻeha ʻana i ke aʻalolo (kahi ʻāʻī ʻāʻī e hoʻonāukiuki ai iā ʻoe ma nā wahi āpau o kou lima a lima paha, ʻoiai kahi ʻeha haʻahaʻa e hiki ai i ka numbness a i ʻole ke kani ʻana i hope o kou wāwae)
• Kaomi ma nā aʻalolo o ka iwi kuamoʻo, e like me mai kahi diski herniated
• Kaomi ma nā aʻa ākea mai nā kīʻaha koko i hoʻonui ʻia, nā tumors, nā maʻi ʻōiwi, a i ʻole ka maʻi
• ʻO ka maʻi Shingles a herpes zoster paha
• ʻO nā maʻi ʻē aʻe e like me HIV / AIDS, lepera, syphilis, a i ʻole tuberculosis
• Ka nele o ke koko i kahi, e like me ka paʻakikī ʻana o nā aʻa, ka hau, a i ʻole ka mumū o ka moku
• Nā pae maʻamau o ka puna, potasiuma, a i ʻole sodium i kou kino
• Ka nele o nā wikamina B e like me B1, B6, B12, a i ʻole folic acid
• Hoʻohana o kekahi mau lāʻau
• Hoʻohana i kekahi mau lāʻau lapaʻau pāpā ʻole ʻia
• Poino ke aʻa ma muli o ke kēpau, ʻalekohola, a paka paha, a mai nā lāʻau chemotherapy
• Lapaʻau hoʻomākala
• Nahu holoholona
• ʻ Inspala, kikiki, mite, a me ka nahu spider
• Nā mea make kai kai
• Nā kūlana pili e hoʻopili i nā aʻalolo

Hiki ke kumu i ka ʻōlohelohe a me ke kani e nā ʻano olakino ʻē aʻe, e like me:

• Carpal tunnel syndrome (kaomi ma ke aʻalolo ma ka lima o ka lima)
• Diabetes
• ʻO Migraines
• Sclerosis lehulehu
• Ka hopu ʻana i nā maʻi
• Hahau
• Hoʻoiho ischemic transient (TIA), i kekahi manawa i kapa ʻia ʻo "mini-stroke"
• Thyroid underactive
• ʻO Raynaud hanana (ka hoʻopili ʻana o nā kīʻaha koko, maʻamau i nā lima a me nā wāwae)

Pono e loaʻa i kāu mea mālama ola a mālama i ke kumu o kou ʻōlohelohe a i ʻole ke kani ʻana. ʻO ka mālama ʻana i ke ʻano he mea e hele aku ai nā hōʻailona a hōʻoki paha iā lākou mai ka ʻino. ʻO kahi laʻana, inā loaʻa iā ʻoe ka maʻi tunnel carpal a i ʻole ka ʻehaʻeha haʻahaʻa, hiki i kāu kauka ke koi aku i kekahi mau hoʻoikaika kino.

Inā loaʻa ʻoe i ka maʻi diabetes, e kūkākūkā kāu mea hoʻolako i nā ala e kaohi ai i kāu pae kō kō.

E mālama ʻia nā pae haʻahaʻa o nā wikamina me nā huaora.

Pono e hoʻololi a hoʻololi ʻia nā lāʻau e hōʻemi ai i ka helu a i ʻole ka ʻili ʻana. Mai hoʻololi a hoʻomaha paha i ka lawe ʻana i kāu lāʻau lapaʻau a i ʻole lawe i nā kaha nui o nā wikamina a i ʻole nā ​​mea hoʻopihapiha a hiki i kou kamaʻilio ʻana me kāu mea hāʻawi.

Ma muli o ka helu ʻana o ka numbness e hōʻemi ai i ka manaʻo, e hōʻeha paha ʻoe i ka lima a me ka wāwae o ka numb. Mālama i ka wahi mai nā ʻoki, nā puʻupuʻu, nā palapū, nā wela, a me nā mea ʻeha ʻē aʻe.

E hele i kahi haukapila a kāhea i kāu helu pilikia kūloko (e like me 911) inā:

• He nāwaliwali kou a ʻaʻole hiki ke neʻe, me ka numbness a me ke kani ʻana
• ʻO ka namu a me ke kani paha ma hope o ke poʻo, ka ʻāʻī, a me ka hōʻeha hope
• ʻAʻole hiki iā ʻoe ke kaohi i ka neʻe ʻana o kahi lima a i ʻole ka wāwae, a i ʻole ua nalowale ka ʻai a me ka ʻōpū
• Ua huikau ʻoe a ua nalo paha i ka noʻonoʻo, i kahi manawa pōkole
• Ua hoʻolohi ʻoe i ka ʻōlelo, kahi loli i ka hihiʻo, pilikia e hele wāwae, a nāwaliwali paha

Kāhea i kāu mea hāʻawi inā:

• ʻAʻohe kumu maopopo ka helu a me ka ʻūlū ʻana (e like me ka lima a me ka wāwae "e hiamoe ana")
• He ʻeha kou i kou ʻāʻī, forearm, a i ʻole nā ​​manamana lima
• Ke mimi pinepine nei ʻoe
• Aia ka nūmū a ʻūlū paha i kou mau wāwae a ʻinoʻino ke hele ʻoe
• He hū kāu
• Loaʻa ʻoe i ka luʻulu, spasm muscle, a i ʻole nā ​​ʻōuli ʻē aʻe

E lawe kāu mea hāʻawi i ka mōʻaukala olakino a hana i kahi hoʻokolohua kino, e nānā pono ana i kāu ʻōnaehana.

E nīnau ʻia ʻoe e pili ana i kāu mau hōʻailona. E komo paha nā nīnau i ka wā i hoʻomaka ai ka pilikia, kona wahi, a i ʻole inā aia kekahi mea e hoʻomaikaʻi a i ʻole e hōʻino ai i nā ʻōuli.

E nīnau paha kāu mea hāʻawi i nā nīnau e hoʻoholo ai i kāu makaʻu no ka hahau ʻana, ka maʻi thyroid, a diabetes paha, a me nā nīnau e pili ana i kāu ʻano hana a me nā lāʻau.

ʻO nā hoʻāʻo ʻana i ke koko i kauoha ʻia e komo pū:

• Helu piha koko (CBC)
• Pae electrolyte (ana o nā kemikal o ke kino a me nā minelala) a me nā hoʻokolohua hana ate
• Nā hoʻāʻo ʻana o ka hana thyroid
• Ke ana o nā pae vitamina - e like me ka vitamin B12
• ʻO ka loiloi kaumaha a metala paha
• Helu sedimentation
• Pūmua C-reactive

Hoʻokomo ʻia paha nā hoʻokolohua kiʻi:

• Angiogram (kahi hōʻike e hoʻohana ai i nā kukuna x a me kahi kala kūikawā e ʻike ai i loko o nā kīʻaha koko)
• CT angiogram
• CT scan o ke poʻo
• CT scan o ka iwikuamoʻo
• MRI o ke poʻo
• MRI o ka ʻiwi
• ʻO Ultrasound o nā moku ʻāʻī e hoʻoholo ai i kou makaʻi no TIA a i ʻole hahau
• Pākuʻi ultrasound
• X-ray o ka wahi i pā

Nā hoʻokolohua ʻē aʻe i hana ʻia e hoʻopili ʻia:

• ʻO nā electromyography a me nā aʻo conduction nerve e ana pehea e pane ai kou mau mākala i ka stimulate nerve
• Lumbar puncture (iwi kuamoʻo) e kāpae i nā maʻi ʻōpū kikowaena
• E hana ʻia paha ka hoʻāʻo hōʻeuʻeu anuanu e nānā no ka hanana Raynaud

Lilo sensory; Paresthesias; Tingling and numbness; Lilo o ka naʻau; Nā manaʻo Pin a me nā nila

• ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral

ʻO McGee S. Nānā o ka ʻōnaehana sensory. I: McGee S, hoʻoponopono. ʻImi ʻImi Kino. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 62.

ʻO Snow DC, ʻo Bunney BE. Nā maʻi nerve ākea. 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 97.

Swartz MH. ʻŌnaehana ʻōnaehana. I: Swartz MH, ed. Puke aʻo o ʻike kino: Mōʻaukala a me ka hoʻokolokolo. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2014: chap 18.