He aha ke kumu o koʻu haʻalulu kūloko?

Anter

• Nā Kumu
• Kānāwai
• Lapaʻau
• Nā lāʻau no ke ʻano kumu
• Nā lāʻau e kāohi ai i ka haʻalulu
• Nā koho ʻē aʻe
• Outlook
• Nā ʻōlelo aʻoaʻo no ka mālama ʻana i kāu mau ʻōuli

Hōʻike Overview

ʻO nā haʻalulu kūloko e like me ka haʻalulu i loko o kou kino. ʻAʻole hiki iā ʻoe ke ʻike i nā haʻalulu kūloko, akā hiki iā ʻoe ke ʻike iā lākou. Hana lākou i kahi haʻalulu i loko o kou mau lima, nā wāwae, ka umauma, a me kou ʻōpū.

ʻAʻole like ka lulu ʻana o ke ola me ka haʻalulu kūwaho. ʻO kahi laʻana, ʻaʻole ʻoe e haʻalulu kino ke hoʻāʻo nei e ninini i kahi kīʻaha kī a i ʻole e kākau i kahi leka. ʻAʻole like nā haʻalulu kūloko me ka vertigo, kahi hōʻailona ʻē aʻe o kekahi mau ʻano neurological. Manaʻo ʻo Vertigo ke wili nei ka honua iā ʻoe.

Eia nō naʻe, hiki i nā haʻalulu kūloko ke ʻoluʻolu ʻole. A no ka ʻike ʻole ʻia, hiki i kēia mau haʻalulu ke paʻakikī e wehewehe i kāu kauka. E hoʻomau i ka heluhelu ʻana e aʻo hou aʻe e pili ana i nā kumu kūpono no kāu haʻalulu kūloko a me nā ʻanuʻu aʻe.

Nā Kumu

Hoʻokumu ʻia nā haʻalulu e ka hōʻino i kou lolo e pili ana i nā aʻalolo e kaohi i kou mauʻiʻo. Kuhi ʻia nā haʻalulu kūloko mai nā kumu like me ka haʻalulu. Akamai paha ka lulu ke ʻike aku.

ʻO nā kūlana ʻōnaehana hopohopo e like me ka maʻi ʻo Parkinson, sclerosis maha (MS), a me ka haʻalulu nui e hiki ke kumu i kēia mau haʻalulu. Ua hōʻike ʻia hoʻokahi noiʻi ʻana he 33 pākēneka o ka poʻe me ka maʻi ʻo Parkinson i loaʻa nā haʻalulu kūloko. He kanakolukūmāono pākēneka o nā kānaka me MS a me 55 pākēneka o nā kānaka me ka haʻalulu nui i hōʻike pū i ka haʻalulu kūloko. I kekahi manawa, hiki i ka hopohopo ke hoʻoulu a hoʻomāhuahua paha i ka haʻalulu.

ʻO ka hapa nui o ka poʻe me ka haʻalulu kūloko pū kekahi me nā ʻōuli ʻike, e like me ka ʻeha, ʻūlū ʻana, a me ke ahi. ʻO nā ʻōuli ʻē aʻe āu me ka haʻalulu hiki ke hāʻawi i nā hōʻailona i ke ʻano o kāu ʻano.

Nā hōʻailona o ka maʻi ʻo Parkinson:

• paʻa nā mākala paʻakikī e neʻe
• lohi, hoʻoluliluli, neʻe ʻoʻoleʻa
• kākau lima liʻiliʻi
• leo mālie a kani paha
• nalo o kou ʻaʻala
• nānā nui i kou alo, i kapa ʻia he mask
• pilikia hiamoe
• kōpaʻa
• ʻūpā

Nā ʻōuli o ka haʻalulu nui e pili pū me:

• nā neʻe liʻiliʻi o nā lima a me nā wāwae, keu hoʻi ke hana ʻoe
• ʻūlū poʻo
• ke kuʻi nei i kou mau lihilihi a me nā ʻāpana ʻē aʻe o kou alo
• leo haʻalulu a haʻalulu paha
• pilikia me ke kaulike
• pilikia pilikia i ke kākau ʻana

ʻO nā ʻōuli o MS me:

• numbness i kou mau lima, nā wāwae, ka maka, a me ke kino
• ʻoʻoleʻa
• nāwaliwali
• luhi
• pilikia hele wāwae
• dizziness a me vertigo
• ʻike maka ʻole a i ʻole nā ​​pilikia ʻike ʻē aʻe
• pilikia i ka kaohi ʻana i ka urination a i ʻole ka ʻōpū
• kaumaha

Kānāwai

Inā loaʻa iā ʻoe nā haʻalulu kūloko, e ʻike i kāu kauka mālama mua no kahi hōʻike. E hoʻopaʻa manawa hoʻi inā loaʻa iā ʻoe nā ʻōuli e like me:

• ʻōlohelohe
• nāwaliwali
• pilikia hele wāwae
• ʻūpā

E hoʻomaka kāu kauka ma ka nīnau ʻana e pili ana i kāu mau ʻōuli a me ka mōʻaukala.E hana ʻia nā hoʻokolohua e nānā i nā hōʻailona o nā kūlana neurologic e hiki ai ke haʻalulu. E noi ana kāu kauka iā ʻoe e hana i kahi o nā hana. Hiki i kēia mau mea ke hōʻoia i kāu:

• reflexes
• ikaika
• leo mākala
• manaʻo
• ka neʻe ʻana a me ka hiki ke hele wāwae
• ke kaulike a me ka hoʻohui ʻana

E kauoha paha ke kauka i hoʻokahi a ʻoi paha o kēia mau hoʻāʻo.

• electromyogram, kahi e ana ai i ka maikaʻi o ka pane ʻana o kou mau mākala i ka hoʻonāukiuki
• hoʻonāukiuki i nā hoʻokolohua kūpono, i hoʻohana i nā electrodes e ana i ke ʻano o ka pane ʻana o kāu ʻōnaehana i ka hoʻonāukiuki
• lumbar puncture (iwi kuamoʻo), kahi e hemo ai kahi laʻana o ka wai mai a puni kou iwi kuamoʻo e nānā i nā hōʻailona o MS
• ʻO ke kiʻi kiʻi magnetic resonance (MRI), kahi e hōʻike ai i nā leona i kou lolo a me ka iwi kuamoʻo

E kuhikuhi paha kāu kauka iā ʻoe i kahi neurologist. He loea ʻo ka neurologist nāna e mālama i nā maʻi o ka ʻōnaehana ʻōiwi.

Lapaʻau

No ka loaʻa ʻana o ka lāʻau kūpono, pono mua ʻoe i kahi hōʻailona kūpono. I kekahi manawa e hoʻomaikaʻi hou nā haʻalulu kūloko ke mālama pono ʻoe i ke ʻano o ke kumu o lākou. Inā ʻaʻole hiki i kāu kauka ke hoʻomaopopo i ke kumu o kāu haʻalulu, pono paha ʻoe e ʻike i kahi loea no nā hoʻokolohua hou aʻe.

Nā lāʻau no ke ʻano kumu

Mālama ʻia ka maʻi ʻo Parkinson me carbidopa-levodopa (Sinemet), pramipexole (Mirapex), a me ropinirole (Requip). Hoʻonui kēia mau lāʻau i ka nui o ka dopamine i kou lolo a i ʻole mimic paha i nā hopena o ka dopamine. ʻO Dopamine kahi ʻelele kemika e kōkua i kou kino e neʻe me ka mālie.

Mālama ʻia ka haʻalulu nui me kahi ʻano o ke kaomi koko i kapa ʻia he beta-blocker. Hiki ke mālama ʻia me nā lāʻau antiseizure.

Aia ka mālama MS i ke ʻano o MS a me kona holomua. Hoʻopili paha ia i nā steroid e hoʻohaʻahaʻa i ka mumū ma ka lolo a me ka iwi kuamoo. ʻO nā ʻano lāʻau ʻē aʻe e pili ana i nā lāʻau e hoʻololi ai i ka maʻi e like me interferon a me glatiramer acetate (Copaxone).

Nā lāʻau e kāohi ai i ka haʻalulu

Hiki i kekahi mau lāʻau ke kōkua kikoʻī i ke kāohi ʻana i nā haʻalulu. Hoʻopili kēia mau lāʻau:

• anticholinergic lāʻau e like trihexyphenidyl (Artane) a me benztropine (Cogentin)
• botulinum toxin A (Botox)
• nā tranquilizers e like me alprazolam (Xanax) a i ʻole clonazepam (Klonopin), inā hopohopo nā mea e haʻalulu ai

Nā koho ʻē aʻe

ʻO ka hana pū ʻana me kahi mea hoʻoponopono kino hiki ke kōkua iā ʻoe e loaʻa i ka kaohi muscle maikaʻi, kahi e kōkua ai i ka haʻalulu.

Inā ʻaʻole i holo pono nā lapaʻau ʻē aʻe, e ʻōlelo paha kāu kauka i ke ʻoki. I loko o kahi ʻenehana i kapa ʻia he hohonu stimulate lolo (DBS), hoʻokomo ke kauka i nā electrodes i kou lolo a me ka mea hana uila i loko o kou umauma. Hāʻawi ka mea hana i nā pulse uila i nā ʻāpana o kou lolo e kaohi ana i ka neʻe.

Outlook

ʻAʻole weliweli nā haʻalulu kūloko. Hiki iā lākou ke hōʻoluʻolu ʻole e hoʻopilikia i kou ola i kēlā me kēia lā, akā. Inā paha e hoʻomaikaʻi kēia ʻōuli ma muli o ka hopena o ka haʻalulu a me ka hoʻomaʻamaʻa āu e loaʻa ai.

Loaʻa paha i ka loaʻa ʻana o ka lāʻau kūpono i kekahi hoʻokolokolo a me nā hemahema. Inā ʻaʻole holo ka lāʻau mua āu e ʻai ai, e hoʻi i kāu kauka. E ʻike inā hiki iā ʻoe ke hoʻāʻo i kahi mea ʻē aʻe. ʻAʻole paha e hele a weliweli loa ka haʻalulu, akā hiki paha iā ʻoe ke kāohi a lawa ʻole ia e hoʻonāukiuki hou iā ʻoe.

Nā ʻōlelo aʻoaʻo no ka mālama ʻana i kāu mau ʻōuli

ʻO kahi haʻalulu i hiki ʻole i kekahi ke ʻike ke paʻakikī ke wehewehe i kāu kauka. I mea e kōkua ai iā ʻoe e wehewehe i kēia ʻōuli, e hoʻomaka i ka mālama ʻana i kahi diary o kāu haʻalulu. Kākau iho:

• i ka manawa hea o ka lā e hiki ai
• ka mea āu e hana nei i ka wā i hoʻomaka ai lākou
• he aha ko lākou manaʻo
• pehea ka lōʻihi o lākou
• he aha nā hōʻailona ʻē aʻe āu me lākou, e like me ka lī ʻana a i ʻole ka nāwaliwali

E lawe pū mai i kēia puke moʻomanaʻo me kāu poʻe i koho ʻia. E hoʻohana iā ia ma ke ʻano he alakaʻi i ke kamaʻilio ʻana me kāu kauka.