He aha kāu e ʻike ai e pili ana i nā neʻe ʻole
Anter
- He aha nā ʻano o ka neʻe ʻole e kāohi ʻia?
- Tardive dyskinesia (TD)
- Nā haʻalulu
- ʻO Myoclonus
- Nā Tics
- Athetosis
- He aha ke kumu e neʻe ʻole ai i ka neʻe?
- I nā keiki
- I nā mākua
- Pehea ke kumu o ka neʻe ʻole e ʻike ʻia o ka neʻe?
- Nā ho'āʻo hōʻoia
- He aha nā koho lapaʻau no ka neʻe ʻole e kāohi ʻia?
Hōʻike Overview
Loaʻa kahi neʻe ʻole i kou neʻe ʻana i kou kino i kahi ala kaohi ʻole a manaʻo ʻole ʻia. Hiki i kēia mau neʻe ke lilo i mea mai ka wikiwiki, ke kau ʻana i nā haʻalulu i nā haʻalulu lōʻihi a me nā hopu ʻana.
Hiki iā ʻoe ke ʻike i kēia neʻe ʻana ma kahi o nā ʻāpana o ke kino, e like me:
- ʻāʻī
- alo
- lālā
Aia kekahi mau ʻano o nā neʻe ʻole hiki ke kāohi ʻia a me nā kumu. Hiki ke emi koke i ka neʻe ʻana i nā neʻe i hoʻokahi a i ʻole nā ʻāpana o ke kino i kekahi mau hanana. I nā poʻe ʻē aʻe, he pilikia mau kēia neʻe ʻana a e mānoanoa paha i ka holo ʻana o ka manawa.
He aha nā ʻano o ka neʻe ʻole e kāohi ʻia?
Nui a hewahewa nā ʻano neʻe ʻana ma ke ʻano pono ʻole. ʻO ka hōʻino ʻia o ke aʻalolo, no ka laʻana, hana pinepine i nā twitches liʻiliʻi o nā mākala i ka mākala i hoʻopili ʻia. ʻO nā ʻano nui o nā neʻe manawaleʻa ʻole e komo i kēia:
Tardive dyskinesia (TD)
ʻO Tardive dyskinesia (TD) kahi ʻano neurological. Hoʻomaka ia i ka lolo a hana me ka hoʻohana o nā lāʻau neuroleptic. Kauoha nā kauka i kēia mau lāʻau e mālama i nā maʻi psychiatric.
Hōʻike pinepine ka poʻe me TD i ka neʻe ʻana o ka helehelena repetitive hiki ke hoʻopili ʻia:
- ʻūhū
- ʻālohilohi wikiwiki o nā maka
- alelo hoʻopāpā
- paʻi o nā lehelehe
- puckering o nā lehelehe
- alualu ʻana o nā lehelehe
Wahi a ka National Institute of Neurological Disorder and Stroke (NINDS), aia kekahi mau lāʻau i hōʻike i kahi pono. Pono ʻoe e kamaʻilio me kāu kauka e hoʻoholo i kahi kūpono kūpono iā ʻoe.
Nā haʻalulu
ʻO nā haʻalulu nā neʻe rhythmic o kahi ʻāpana o ke kino. Pili lākou ma muli o ka sporadic muscle contractions.
Wahi a ke Kula Lapaʻau ʻo Stanford, ʻike ka hapa nui o ka poʻe i nā haʻalulu i ka pane ʻana i nā mea e like me:
- kō kō kō haʻahaʻa
- ka haʻalele wai ʻona ʻana
- luhi
Eia nō naʻe, kū i kahi haʻalulu me nā ʻano kumu i ʻoi aku ke koʻikoʻi, e like me:
- mau sclerosis (MS)
- Maʻi ʻo Parkinson
ʻO Myoclonus
Hoʻohālikelike ʻia ʻo Myoclonus e ka wikiwiki, like me ka haʻalulu, ka neʻe ʻana. Kūlohelohe paha lākou:
- i ka wā hiamoe
- i nā manawa ke pīhoihoi ʻoe
Eia nō naʻe, hiki iā lākou ke pili i nā kūlana olakino koʻikoʻi koʻikoʻi, e like me:
- epilepsy
- Maʻi ʻo Alzheimer
Nā Tics
Kū koke nā ʻōnaehana, nā neʻe hou. Hoʻokaʻawale ʻia lākou ma ke ʻano he maʻalahi a paʻakikī paha, e hilinaʻi ana inā pili lākou i kahi helu liʻiliʻi a ʻoi aku paha o nā pūʻulu muscle.
ʻO ka hoʻopili nui ʻana i nā poʻohiwi a i ʻole ka wili ʻana i kahi manamana lima kahi hiʻohiʻona o kahi tic maʻalahi. ʻO ka lele hou a me ka paʻi ʻana i nā lima o kekahi mea hoʻohālikelike o kahi tic paʻakikī.
I ka poʻe ʻōpio, hana pinepine ʻia nā tics me Tourette Syndrome. Hiki ke nalowale nā kaʻa kaʻa e like me ka hopena o kēia maʻi no nā manawa pōkole. Inā ʻoe e noho nei me Tourette syndrome, hiki paha iā ʻoe ke kāohi iā lākou i kekahi nui.
I nā mākua, hiki ke hana i nā tics ma ke ʻano he hōʻailona o ka maʻi o Parkinson. Pili paha nā mākia hoʻomaka ʻana o nā mākua i:
- ʻehaʻeha
- hoʻohana i kekahi mau lāʻau, e like me methamphetamines
Athetosis
Pili kēia i nā neʻe lohi, ʻeleu. Wahi a ke Kula Lapaʻau ʻo Stanford, ʻo kēia ʻano neʻe ʻole ʻana e hoʻopili pinepine i nā lima a me nā lima.
He aha ke kumu e neʻe ʻole ai i ka neʻe?
Nui a hewahewa nā kumu no ka neʻe ʻole ʻana. ʻO ka maʻamau, hōʻike ka neʻe ʻole i ka hōʻino i nā aʻa a i ʻole nā wahi o kou lolo e pili ana i ka hoʻonohonoho kaʻa. Eia nō naʻe, hiki i nā ʻano kumu i lalo ke hana i ka neʻe ʻole.
I nā keiki
I nā keiki, kekahi o nā kumu maʻamau o ka neʻe ʻole i:
- hypoxia, a i ʻole lawa ʻole ka oxygen ma ka manawa o ka hānau ʻana
- kernicterus, i kumu ʻia e kahi pigment ʻoi aku i hana ʻia e ke akepaʻa i kapa ʻia ʻo bilirubin
- cerebral palsy, ʻo ia kahi maʻi neurological e hoʻopili i ka neʻe ʻana o ke kino a me ka hana o nā mākala
ʻAʻole ʻike ʻia ʻo Kernicterus i ʻAmelika Hui Pū ʻIa ma muli o ke kānana bilirubin maʻamau o nā keiki hānau hou.
I nā mākua
I nā mākua, kekahi o nā kumu maʻamau o ka neʻe ʻana i ka neʻe ʻana e komo i:
- hoʻohana lāʻau
- hoʻohana o nā lāʻau neuroleptic i kau ʻia no nā maʻi psychiatric ma kahi lōʻihi
- ʻōiwi
- ʻeha lolo
- hahau
- nā maʻi degenerative, e like me ka maʻi ʻo Parkinson
- nā maʻi hopu
- syphilis i mālama ʻole ʻia
- nā maʻi thyroid
- nā maʻi kūlohelohe, e like me ka maʻi o Huntington a me ka maʻi o Wilson
Pehea ke kumu o ka neʻe ʻole e ʻike ʻia o ka neʻe?
E hana i kahi manawa me kāu kauka inā ʻoe a ʻo kāu keiki paha ke ʻike nei i ka neʻe ʻana o ka neʻe ʻana o ke kino a ʻaʻole maopopo iā ʻoe ke kumu.
E hoʻomaka paha kāu koho ʻana me kahi nīnauele lapaʻau laulā. E loiloi paha kāu kauka i kāu moʻolelo olakino pilikino a me ka ʻohana, me nā lāʻau āu i lawe ai a i ʻole lawe ai i ka wā i hala.
Hiki i nā nīnau ʻē aʻe ke:
- I ka manawa a pehea i hoʻomaka ai nā neʻe?
- He aha nā ʻāpana o ke kino e hoʻopilikia ʻia?
- He aha ka mea e ʻoi ai ka maikaʻi a i ʻole ka maikaʻi o nā neʻe?
- Hoʻopili ke kaumaha i kēia neʻe?
- Ehia mau manawa e neʻe ai nā neʻe?
- Ke hele nei a ʻoi aku ka maikaʻi o ka neʻe ʻana i ka manawa?
He mea nui e haʻi i nā ʻōuli ʻē aʻe āu e loaʻa ai me kēia neʻe hiki ʻole ke kaohi ʻia.ʻO nā hōʻailona ʻē aʻe a me kāu mau pane i nā nīnau a kāu kauka he kōkua nui ia i ka hoʻoholo ʻana i ke ʻano ʻoi loa o ka lāʻau.
Nā ho'āʻo hōʻoia
Kaukaʻi ʻia i ke kumu i manaʻo ʻia, hiki i kāu kauka ke kauoha i hoʻokahi a ʻoi paha nā hōʻike olakino. Pākuʻi ʻia paha kēia i nā ʻano hoʻokolohua koko, e like me:
- hoʻopaʻa haʻawina electrolyte
- nā hoʻokolohua hana thyroid e kāpae i ka hana thyroid
- kahi keleawe serum a serum ceruloplasmin paha e hoʻāʻo e kāpae i ka maʻi o Wilson
- syphilis serology e kāpae i ka neurosyphilis
- nā hoʻokolohua loiloi maʻi maʻi e hoʻopili i nā ʻōnaehana lupus erythematosus (SLE) a me nā maʻi ʻē aʻe e pili ana
- kahi hoʻāʻo calcium
- helu ʻulaʻula koko (RBC)
Hiki i kāu kauka ke noi:
- kahi mimi hoʻāʻo e kāpae i nā mea make
- kahi kuʻi ʻōiwi no ka nānā ʻana i ka wai ua
- kahi MRI a i ʻole CT scan o ka lolo e nānā i nā hanana kūlike ʻole
- he electroencephalogram (EEG)
Hiki ke kōkua i ka hoʻāʻo ʻana Psychopharmacology no ka hōʻoia diagnostic. Eia nō naʻe, pili kēia i ka lawe ʻana i kekahi lāʻau a lāʻau paha.
ʻO kahi laʻana, ʻo TD kahi hopena ʻaoʻao o ka hoʻohana ʻana i nā neuroleptics ma kahi o kekahi manawa. Inā loaʻa iā TD a i ʻole kahi ʻano ʻē aʻe, pono e nānā ʻia nā hopena o nā lāʻau. E kōkua kēia i kāu kauka e hana i kahi hōʻailona maikaʻi.
He aha nā koho lapaʻau no ka neʻe ʻole e kāohi ʻia?
Hiki ke loli kou kuanaʻike, kaukaʻi ʻia i ke koʻikoʻi o kēia hōʻailona. Eia nō naʻe, hiki i kekahi mau lāʻau lapaʻau ke hōʻemi i ke koʻikoʻi. ʻO kahi laʻana, hiki i hoʻokahi a ʻoi paha mau lāʻau ke kōkua i ka mālama ʻana i nā neʻe ʻole e pili ana i nā maʻi hopu i ka liʻiliʻi.
Hiki i ka hana kino i loko o nā alakaʻi a kāu kauka ke kōkua i ka hoʻomaikaʻi ʻana i kāu hoʻohui ʻana. Hiki iā ia ke kōkua i ka hoʻolōʻihi i ka hōʻino ʻana o nā mākala. ʻO nā ʻano hana hoʻoikaika kino e like me:
- ʻauʻau
- hohola ana
- hoʻoikaika kino
- hele wāwae
Loaʻa paha iā ʻoe ke kōkua a me nā hui kōkua pilikino inā kōkua mai i nā neʻe hiki ʻole ke kaohi ʻia. E noi i kāu kauka no ke kōkua ʻana i ka ʻimi a hui pū ʻana i kēia ʻano hui.