Neuropathy wahine
Anter
- He aha ke kumu o ka neuropathy wahine?
- Nā hōʻailona o ka neuropathy wahine
- Pehea kona koʻikoʻi?
- Keʻike nei i ka neuropathy femoral
- Nā hoʻāʻo mua
- Alualu ʻauwa
- Electromyography (EMG)
- MRI a me CT scans
- Nā koho lapaʻau
- Nā Lapaʻau
- Lapaʻau kino
- ʻOki kino
- Manaʻo wā lōʻihi ma hope o ka mālama ʻana
- Nā ʻōlelo aʻoaʻo e pale ai i ka hōʻino nā nerve
He aha ka neuropathy wahine?
Hana ʻia ʻo neuropathy femoral, a i ʻole ʻo femenal nerve femenal, ke hiki ʻole iā ʻoe ke neʻe a ʻike ʻole i kahi ʻāpana o kou wāwae no ka ʻeha o nā aʻa, ʻo ia hoʻi ke aʻa wahine. Hiki i kēia ke hopena i kahi ʻeha, hoʻolōʻihi ʻia kaomi ma ke aʻalolo, a i ʻole pōʻino o ka maʻi. I ka hapanui o nā hihia, e hala kēia ʻano me ka ʻole o ka lapaʻau. Eia nō naʻe, pono paha nā lāʻau a me ka hoʻōla kino inā ʻaʻole hoʻomaikaʻi nā ʻōuli.
He aha ke kumu o ka neuropathy wahine?
ʻO ke aʻalolo wahine kekahi o nā aʻalolo nui i kou wāwae. Aia ia ma kahi kokoke i ke kīkoi a kāohi i nā mākala e kōkua i ka hoʻoponopono i kou wāwae a neʻe i kou pūhaka. Hāʻawi pū ia i ka manaʻo i ka ʻaoʻao haʻahaʻa o kou wāwae a me ka mua o kou ʻūhā. Ma muli o kahi e waiho ai, ʻaʻohe mea maʻamau ka hōʻino ʻana i nā aʻalolo wahine e pili ana i nā neuropathies i hoʻokumu ʻia e ka hōʻino ʻana i nā ʻalolo ʻē aʻe. Ke hōʻino ʻia ke aʻalolo male, pili ia i kou hiki ke hele a pilikia paha i ka sensation i kou wāwae a me kou wāwae. E ʻike i ke aʻalolo femoral ma kēia BodyMap o ka femur.
ʻO ka hōʻino ʻia i nā aʻa wahine ʻo ia ka hopena o:
- he hōʻeha pololei
- kahi tumo a i ʻole ulu ulu ʻē aʻe a hoʻopaʻa ʻana i kahi ʻāpana o kou nerve
- kaomi hoʻolōʻihi i ke aʻalolo, e like me ka immobilization hoʻolōʻihi
- he haki pelvic
- pāhawewe i ke pelvis
- hemorrhage a i ʻole ke kahe ʻana i ke ākea ma hope o ka ʻōpū, kahi i kapa ʻia ʻo retroperitoneal space
- kahi catheter i hoʻokomo ʻia i loko o ke aʻa wahine, kahi mea e pono ai no kekahi mau kaʻina hana
Hiki i ka maʻi diabetes ke kumu i ka neuropathy wahine. Hiki i ka maʻi diabetes ke kumu o ka hōʻino ʻana o ke aʻalolo ma muli o ka fluctuations i ke kō kō a me ke kahe o ke koko. ʻO ka hōʻino o ke aʻalolo e pili ana i kou mau wāwae, wāwae, manamana wāwae, lima, a me nā lima i ʻike ʻia ʻo neuropathy ākea. I kēia manawa aia kekahi hoʻopaʻapaʻa e pili ana inā he neuropathy ākea paha ka neuropathy femoral a i ʻole he ʻano o ka amyotrophy diabetic.
Wahi a ka National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), ʻo ka maʻi diabetes ke kumu maʻamau no ka neuropathy āpau i ka poʻe i loaʻa i ka maʻi diabetes no 25 mau makahiki.
Nā hōʻailona o ka neuropathy wahine
Hiki i kēia kūlana nerve ke alakaʻi i nā pilikia e neʻe ana. E nawaliwali paha kou wāwae a kuli paha, a ʻaʻole hiki iā ʻoe ke hoʻokikina i ka ʻūhā i hoʻopili ʻia.
Hiki iā ʻoe ke noʻonoʻo i nā ʻano ʻē ma kou mau wāwae. Pākuʻi ʻia lākou:
- ʻōlohelohe i kēlā me kēia ʻāpana o ka wāwae (ʻo ka maʻamau ka mua a ma loko o ka ʻūhā, akā hiki i nā wāwae i lalo)
- ʻūlū i kekahi ʻāpana o ka wāwae
- ʻeha ʻeha ʻehaʻeha i ka ʻāina genital
- lalo nāwaliwali nāwaliwali
- ka paʻakikī e hoʻolōʻihi i ke kuli ma muli o ka nāwaliwali quadriceps
- ke manaʻo nei e hāʻawi ana kou wāwae a kuli paha iā ʻoe
Pehea kona koʻikoʻi?
ʻO ke kaomi lōʻihi i kau ʻia ma luna o ke aʻalolo femoral hiki ke pale i ke kahe o ke koko i kahi i hoʻopili ʻia. Hiki i ke kahe o ke kahe o ke koko ke hopena i ka hōʻino ʻana o ka ʻaʻa.
Inā he ʻeha kou ʻeha o ke aʻalolo, malia paha ua hōʻino ʻia kou aʻa aʻa a i ʻole nā aʻa. Hiki i kēia ke kumu i ke kahe o ke kahe i loko. ʻO ke aʻa wahine kahi aʻa nui nui e moe kokoke ana i ke aʻa wahine. Hoʻopilikia pinepine ka trauma i nā mea ʻelua i ka manawa like. Hiki i ka ʻeha i ke aʻa a i ʻole ke kahe ʻana o ke aʻa ke hana i ka compression ma ke aʻalolo.
Hoʻohui ʻia, hāʻawi ke aʻa wahine i ka sensation i kahi ʻāpana nui o ka wāwae. Hiki i kēia nalowale o ke ʻano ke alakaʻi i nā ʻeha. ʻO ka loaʻa ʻana o nā mākala nāwaliwali i ka hiki iā ʻoe ke makaʻu i ka hāʻule. He hopohopo nui ʻo Falls i nā mākua makua no ka mea hiki iā lākou ke hōʻeha i nā haki o ka pūhaka, he mau ʻeha koʻikoʻi loa ia.
Keʻike nei i ka neuropathy femoral
Nā hoʻāʻo mua
No ke kuhi ʻana i ka neuropathy femoral a me ke kumu, e hana ana kāu kauka i kahi hoʻokolohua kino ākea a nīnau i nā nīnau e pili ana i nā hōʻeha a me nā ʻoki ʻana o kēia manawa, a me nā nīnau e pili ana i kāu moʻolelo olakino.
No ka nānā ʻana i ka nāwaliwali, e hoʻāʻo lākou i nā mākala kikoʻī e loaʻa ka naʻau mai ke aʻalolo wahine. E nānā paha kāu kauka i kou reflexes kuli a nīnau e pili ana i nā loli i ka manaʻo i ka ʻaoʻao mua o ka ʻūhā a me ka hapa waena o ka wāwae. ʻO ka pahuhopu o ka loiloi e hoʻoholo inā pili ka nāwaliwali i nā aʻa wahine a i ʻole inā hāʻawi nā aʻa ʻē aʻe.
Hoʻohui ʻia nā hoʻokolohua hou aʻe:
Alualu ʻauwa
Nānā ka conduction nerve i ka wikiwiki o nā impulses uila i kou aʻa. ʻO kahi pane maʻamau, e like me ka manawa lohi no nā hōʻailona uila e hele ma waena o kou mau ʻalalā, hōʻike pinepine i ka hōʻino ʻana i ke aʻalolo i nīnau ʻia.
Electromyography (EMG)
Pono e hoʻokō ʻia ka Electromyography (EMG) ma hope o ka hoʻāʻo ʻana o ke aʻalolo e ʻike i ke ʻano o ka hana o nā mākala a me nā ʻalolo. Hoʻopaʻa kēia hōʻike i ka hana uila i loko o kou mauʻiʻo ke hana nā ʻalolo e alakaʻi iā lākou. E hoʻoholo ka EMG inā e pane kūpono ka mākala i ka hoʻonāukiuki. ʻO kekahi mau ʻano olakino ka mea e puhi ai nā mākala iā lākou iho, kahi mea maʻamau i hōʻike ʻia e EMG. Ma muli o ke aʻalolo e hoʻonāukiuki a kāohi ai i kou mauʻiʻo, hiki i ka hōʻailona ke hoʻomaopopo i nā pilikia me nā mākala a me nā aʻalolo ʻelua.
MRI a me CT scans
Hiki i kahi scan MRI ke nānā aku no nā tumors, nā ulu ʻana, a i ʻole nā lehulehu ʻē aʻe i kahi o ke aʻalolo wahine e hiki ai ke hoʻokau i ke aʻalolo. Hoʻohana nā mīkini MRI i nā nalu uila a me nā mākēneki e hana i kahi kiʻi kikoʻī o ka ʻāpana o kou kino e nānā ʻia.
Hiki i kahi CT scan ke nānā aku no ka ulu ʻana o ka vascular a i ʻole ka iwi.
Nā koho lapaʻau
ʻO ka hana mua i ka mālama ʻana i ka neuropathy femoral e pili ana i ke ʻano o ke kumu a kumu paha. Inā kaomi ʻana ma ke aʻalolo ke kumu, ʻo ka pahuhopu e hoʻomaha i ke kaohi. ʻO kekahi manawa i nā hōʻeha māmā, e like me ka kaohi ʻana a i ʻole kahi ʻeha ākea, hiki i ka pilikia ke hoʻoponopono kūlohelohe. No ka poʻe me ka maʻi diabetes, ke hoʻihoʻi nei i ke kō i ke kō i ka maʻamau e hōʻemi paha i ka hana nerve ʻole. Inā ʻaʻole hoʻomaikaʻi kou nerve iā ʻoe iho, pono ʻoe i ka lāʻau. Hoʻopili kēia i nā lāʻau a me ka lāʻau hoʻoikaika kino.
Nā Lapaʻau
Hiki paha iā ʻoe ke komo i nā lāʻau corticosteroid i kou wāwae e hōʻemi i ka mumū a hemo i nā pehu e kū ana. Hiki i nā lāʻau ʻeha ke kōkua i ka hōʻoluʻolu i nā ʻeha a me nā pilikia āpau. No kaʻeha neuropathic, hiki i kāu kauka ke kauoha i nā lāʻau lapaʻau, e like me gabapentin, pregabalin, a i ʻole amitriptyline.
Lapaʻau kino
Hiki i ke olakino kino ke kōkua i ke kūkulu hou ʻana i ka ikaika i kou mau mākala wāwae. E aʻo kahi mea hoʻoponopono kino iā ʻoe i nā hoʻoikaika kino e hoʻoikaika a hoʻonui i kou mauʻiʻo. Kōkua ka hele ʻana i ka hoʻōla kino e hōʻemi i ka ʻeha a hāpai i ka neʻe.
Pono paha ʻoe e hoʻohana i kahi hāmeʻa orthopedic, e like me ke kaʻe, e kōkua iā ʻoe i ka hele wāwae. ʻO ka maʻamau, kōkua ke kuʻi kuli i ka pale ʻana i ke kōkō ʻana o ke kuli.
Kaukaʻi ʻia i ka nui o ka ʻino o ke aʻalolo a me ka nui o ka pilikia āu e neʻe nei, pono paha ʻoe i kahi lāʻau ʻoihana. Kōkua kēia ʻano hoʻomaʻamaʻa iā ʻoe e aʻo e hana i nā hana maʻamau e like me ka ʻauʻau ʻana a me nā hana mālama pilikino ʻē aʻe. Kapa ʻia kēia mau mea he "mau hana o ka nohona o kēlā me kēia lā." E paipai paha kāu kauka i ka ʻōlelo aʻoaʻo ʻona inā koi kou ʻano iā ʻoe e ʻike i kahi laina hana ʻē aʻe.
ʻOki kino
Koi paha kāu kauka i ke ʻoki inā loaʻa ʻoe kahi ulu e ālai ana i kou aʻa wahine. ʻO ka hemo ʻana i ka ulu e hoʻomāmā i ke kaomi o kou aʻa.
Manaʻo wā lōʻihi ma hope o ka mālama ʻana
Hiki paha iā ʻoe ke hoʻōla piha ma hope o kou mālama ʻana i ke ʻano paʻa. Inā ʻaʻole kūleʻa ka lāʻau a inā nui paha ka ʻino nerve wahine, lilo paha ʻoe i ka noʻonoʻo mau i kēlā ʻāpana o kou wāwae a i ʻole ka hiki ke hoʻoneʻe iā ia.
Nā ʻōlelo aʻoaʻo e pale ai i ka hōʻino nā nerve
Hiki iā ʻoe ke hoʻohaʻahaʻa i kou makaʻu o ka neuropathy femoral i hoʻokumu ʻia e ka maʻi kō ma o ka mālama ʻana i kāu pae kō kō i lalo o ka kaohi. Kōkua kēia i ka pale ʻana i kou aʻa mai ka hōʻino ʻia e kēia maʻi. E kuhikuhi ʻia nā ana Preventive i kēlā me kēia kumu. E kamaʻilio me kāu kauka no nā ʻōlelo aʻo e pili ana i nā hana pale e ʻoi aku ka maikaʻi iā ʻoe.
ʻO ka mālama ʻana i kahi nohona hana e kōkua i ka mālama ʻana i nā mākala o ka wāwae a hoʻomaikaʻi i ke kūpaʻa.