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Kākoʻo ʻo Back Clinical Neurology. El Paso, TX. ʻO kā Chiropractor,ʻo Kauka Alexander Jimenez e kamaʻilio nei nā lāʻau neʻeneʻe. Hoʻokumuʻo Dr. Jimenez i ka hoʻomaopopo pihaʻana i ka nānāʻana i nāʻano neuropie likeʻole a me nā hoʻopiʻi nui e pili ana i ka maʻi headache, dizziness, nāwaliwali, hōʻino, a me nā kiʻi. Ke kau aku ka hilinaʻi i ka maʻi pathophysiology, symptomatology, a me ka hoʻomaluʻana i kaʻeha e pili ana i ka maʻi maʻamau a me nāʻano neurologic, me ka mana e hoʻomaopopo i keʻano koʻikoʻi mai nā maʻi maʻiʻeha.

ʻO kā mākou pahuhopu lapaʻau a me nā pahuhopu pilikino e kōkua i kou kino e hoʻōla iā ia iho ma ke ʻano wikiwiki a maikaʻi. I kekahi manawa, he ala lōʻihi paha ia; akā naʻe, me kā mākou kūpaʻa iā ʻoe, he huakaʻi hoihoi ia. ʻO ke kūpaʻa iā ʻoe ma ke olakino, ʻaʻole e nalowale i kā mākou pilina hohonu i kēlā me kēia o kā mākou mau maʻi i kēia huakaʻi.

Ke olakino maoli kou kino, e hōʻea ʻoe i kou kūlana hoʻoikaika kino kūpono. Makemake mākou e kōkua iā ʻoe e ola i kahi nohona hou a maikaʻi. I nā makahiki he 2 i hala iho nei i ka wā e noiʻi ana a hoʻāʻo ʻia me nā kaukani o nā maʻi, ua aʻo mākou i ka mea e hana maikaʻi ai i ka hoʻemi ʻana i ka ʻeha ʻoiai e hoʻonui ana i ke ola kanaka. No nā pane i nā nīnau āu e ʻoluʻolu e kelepona iā Kauka Jimenez ma 915-850-0900.


Ka hopuʻana, ka maʻiʻehā, a me ka maʻi maʻi

Ka hopuʻana, ka maʻiʻehā, a me ka maʻi maʻi

El Paso, TX. ʻO Chiropractor,ʻo Kauka Alexander Jimenez e nānā i nā kāʻili, nā maʻi wī a me nā koho.
Ka hopu ua wehewehe ʻia ʻo ia, nā neʻe ʻokoʻa a i ʻole nā ​​​​hana mai ka hana uila maʻamau i loko o ka lolo. Ka hopu he hōʻailona o ka epilepsy akā ʻaʻole ka poʻe a pau i loaʻa i ka maʻi maʻi epilepsy. No ka mea aia kekahi pūʻulu o nā maʻi pili i hōʻike ʻia e ka hopu hou ʻana.�Epilepsy ʻo ia kekahi hui o nā maʻi e pili ana a uaʻikeʻia e ka hopu houʻana. Aia nāʻano likeʻole o ka maʻi ākea a me ka hopuʻana. He mau lāʻau no ka epilepsy i kauohaʻia e mālama i ka hopuʻana, aʻo kaʻoihana keleponaʻole kahi e pono ai inā loaʻaʻole ka lāʻau.

Ka hopu ʻana a me ka maʻi ʻēpil

  • Hoʻopukaʻia ka hopena i ka wā e loaʻa ai ka hoʻolālāʻana o ka wāwae a me ka hoʻopili pūʻana i nā hui o nā neurons, pinepine i ka paneʻana i kahi kumu e like me ke kūlike me ka hopena
  • kekahi ka lolo hiki ke loaʻa i kahi hopu inā pono nā kūlana
  • ʻO ka maʻi epilepsy a i ʻole ka maʻi hopu ʻana, ʻo ia ka pathologically piʻi nui ʻana o ka hana hopu e hana ʻia i loko o kahi kanaka ka lolo

Nā Kāpana Hoʻopili

  • Nui / Global hoʻokau wehe

  • ʻO ka hopena o nā mokumahu (Maʻemaʻe nui)
  • Loaʻa ka hopu (Petite mal)
  • Hoʻopili i nā wā i hoʻomaka

  • ʻAiʻia kahi'āpana
  • 'Okino cortex (Jacksonian)
  • Nānā i ke kinona
  • Halawai
  • ʻO ka pūʻulu huli
  • Ke kākoʻo
  • Olfactory-gustatory (kaʻole)
  • ʻO ka hopena o ka lāʻiliʻi (libmbic)
  • Holomua / mau holomua

  • Nā kūwaena (ka epilepticus episetus)
  • Ke hoʻomau nei ka focal (epilepticus partialis)

ʻO ka hōʻiliʻiliʻana i nā pūnaewele

  • ʻO ka hoʻopauʻiaʻana o nā neurons i ka manawa pū hoʻokahi
  • Hoʻokumuʻia ka mea i waho o ka hana i ka'alele, e like me ka thalamus a iʻole ka lolo
  • Hoʻomaka ka hopena me kaʻikeʻole o kaʻike ma muli o ke kaohiʻana o ka tonic (extension)
  • Hoʻomaha ʻia ka hanu ʻana, a kipaku ʻia ka lauoho i hala o ka glottis paʻa ( Cry )
  • ʻO ke kaheʻana o ke koko, nā haumāna'ōwili
  • Ka hana kuʻuna a me ka hoʻomahaʻana (hanaʻeleʻele)
  • Noho maʻamau i mau minuke he mau minuke, akā, no kekahi mau maʻi ke holo i mau hola aiʻole i nā lā (ka maʻi epilepticus)
  • Hoʻomaka ke hoʻomaka i ka wā kamaliʻi

ʻO ke kākika Tonic Clonic

ke'ā'ī epilepsy chiropractic el paso tx.nanfoundation.org/neurologic-disorders/epilepsy/what-is-epilepsy

ʻO kaʻu Tonic Clonic / Nui Mal Seizure

Hoʻopilikiaʻia nā hoʻohui

  • Nā meaʻino'elemic (Na, K, Ca, Mg, BUN, pH)
  • Ka wehe 'ana i nā meaʻai (ka waiʻona, barbiturates, benzodiazepines)
  • Hypoglycemia
  • Hypoxia
  • ʻO ka Hyperthermia (akā,ʻo nā maʻi ma lalo o 4 makahiki)
  • Hoʻokū i kaʻike
  • ʻO ka hanana kūlikeʻole o nā neurons (ke kaumahaʻole)

ʻO ka EEG o ka Nui Mal Seizure

  • ʻO ka papahana Tonic
  • ʻO ka manawa Clonic
  • ʻO ka lā wikiwiki

ke'ā'ī epilepsy chiropractic el paso tx.

Swenson, R. Epilepsy. 2010

ʻAʻohe (Petit Mal) Hoʻopili

  • Hoʻonui pinepineʻia i nā keiki
  • Hoʻokumuʻia ma ka umauma o luna
  • I ka manawa pinepine, e like me ka nalowale o ka manaʻo o ka manaʻo aiʻole ka nānāʻana i ka lumi
  • Hiki i kēia mau keiki ke hoʻomau i ke kūkuluʻana i nā pae hilinaʻi ma hope aku o ke ola
  • ʻO ka hoʻokuʻu kūponoʻole i ka wā i oʻo ai nā'emu

Loaʻa ka hao i ka kamera

ʻO ka EEG o Petit Mal Seizure

  • 3 spike-nalu / lua
  • Hiki ke hoʻouluʻia e ka hyperventila
  • Spike = maikaʻi
  • Wave = inhibition

ke'ā'ī epilepsy chiropractic el paso tx.

Swenson, R. Epilepsy. 2010

ʻO ke kahi kūmālie / kahi kīnā

  • Mei a meʻole ma waho o ke kūlana kiʻekiʻe
  • Hoʻomaopopo mau ke kahu
  • E ho omaka i kahi o ka mea hana mua o ka cortex
  • Nā hōʻailona likeʻole a me ka hōʻuluʻuluʻana ma kahi i loko o ka lolo ka hana hoʻohemo mele
  • ʻO nā wahi kuhi he nui keʻano (ʻike i nā kukui, hoʻonaniʻana i kekahi mea, a me nā mea'ē aʻe, ma ka kū'ēʻole i kaʻikeʻole)
  • Hiki i nāʻenekini lāʻau ke hua mai i kahiʻikepili maikaʻi aʻoleʻole
  • Hiki ke hoʻemiʻia ka hana o kahi o ke komoʻana i ka manawa o ka papa kiʻi
  • Inā pili ka nui o ka mīkiniʻO ka'ōpū maʻi"

12 Yr Old Boy Makahiki (Focal Seizure)

Ka hao i ka maka ma ka hui Cortex

  • Hiki i ka hoʻomakaʻana o ka holoʻokoʻa o kahi'āpana kino, ma kaʻaoʻao e kū'ē i ka hana epileptform, akā hiki ke hoʻolaha i loko o ke kino ma kahi pilikino (ke kāohi / hele a Jackson)

ke'ā'ī epilepsy chiropractic el paso tx.

www.maxplanckflorida.org/fitzpatricklab/homunculus/science/

Ka hao mahele i ka Somatosensory Cortex

Hoʻopukaʻia ka paresthesia ma kaʻaoʻao o kaʻaoʻao kū'ē i ka papa hana ulilepope a hiki nō hoʻi ke hoʻolaha ma kahi'ōmoku (like) e like me keʻano kaʻa

ke'ā'ī epilepsy chiropractic el paso tx.en.wikipedia.org/wiki/Cortical_homunculus

Ka hopu ʻana hapa i ka auditory - wahi vestibular

  • Ke komoʻana o ka'āina āpau
  • Hiki iāʻoe ke hana i nā mea liʻiliʻi a / a vertigo
  • ʻO ka'ōpona kani ka mea maʻamau

ʻIke i kaʻike ma ka Visual Cortex

  • Hiki iāʻoe ke hana i nā hanana i loko o ka māhele kiʻi
  • ʻO ka cortex visa (calcarine cortex) nā huapalapala, nā kiko, a me nā zig-zags o ka mālamalama
  • Hiki i nā hui pūnaeweleʻike ke hana i nā hōʻailona piha likeʻole e like me nā pāloka loloa, nā hoku, a me nā polygons

ʻO ka hopu ʻāpana ʻana i ka Olfactory - Gustatory Cortex

  • Hiki iāʻoe ke hana i nā hana hoʻonani maikaʻi
  • ʻO kahi paha e like me ka hoʻolahaʻana i ka hopu houʻana

Māhele Pāʻani Pāʻani

  • Hoʻomoʻa i nā hui o ka mua, ke kino, a me ka lobes liʻiliʻi
  • E like me ka loli liʻiliʻi wale akā hiki i ka nui o ka hoʻomaopopo / hōʻiliʻili
  • ʻO Limbic Cortex (hippocampus, copperppocampal cortex kino, retro-splenial-cingulate-subcallosal cortex, orbito-frontal cortex, a me ka insula) ka mea i maʻa loa i kaʻehaʻeha
  • No laila,ʻo kēia ka maʻi maʻamau o ka epilepsy

  • Hiki iāʻoe ke hōʻike i nā hōʻailonaʻike a me nā hoʻohālike (ʻoi aku), nā meaʻono a me nā meaʻoluʻoluʻole, nāʻanoʻona o ke kino, ka makaʻu, ka haʻalulu, ka huhūʻole, a me ka nui o ka makemake i ka wahine, nā hananui a me nāʻano hana likeʻole. ke kaniʻana o ke kani, ka pale, ka hana penile, ka hānai, a me ka holoʻana paha

Nā wikiō o nā hopena kūikawā ma ke keiki hoʻokahi

Ka hoʻomau no ka holoʻana

  • Nā Nūmana 2

  • Nā kūwaena (ka epilepticus episetus)

  • Ke hoʻomau nei ka focal (epilepticus partialis)

  • Hoʻouka mau i ka manawa 30 me ka hoʻiʻole i ka manawa maʻamau i ka manawa
  • Hanaʻia ka hopena hopu a iʻole nā ​​hopena he nui e pili kokoke ana me ka loaʻaʻole o ka hōʻailona hou ma waena
  • ʻO ka hapanui iʻike pinepineʻia e like me ka hopena o ka manaʻo nui o nā lāʻau antionvulsive no ka hoʻokipaʻana i ka hyperexcitability
  • ʻO ka hopena o ke kino, ke kuni, a me nāʻano o ka hypermetabolic, hypoglycemia, hypocalcemia, hypomagnesemia, hypoxemia, nā mea'awaʻaha (eg, tetanus, urea, exogenous, excitatory agents like amphetamine, aminophyline, lidocaine, penicillin).

Kūlana Epilepticus

  • ʻO ka hopena o ka hopena nui o ka hopena he hopena no ka lāʻau lapaʻau no ka mea hiki i ka hopena o ka lolo a iʻole ka make inā pauʻole ka hopuʻana i ka lōʻihi
  • ʻO ka mahana wela e pili ana i ka hana o ka mīkini pa'ū,ʻo hypoxia ma muli o ka hoʻolālā kūponoʻole a me ka ikaika o ka waikawa lactic e hiki ke hanaʻino i nā neuronui
  • Hiki ke loaʻa ka make ma muli o ka weliweli a me ka hoʻokiʻekiʻeʻana o ka cardiopolmonary

ʻO ka Epilepsia Partialis Continua

  • ʻO ka liʻiliʻi o ke ola ma mua o ka kūlana epilepticus, akā, pono e hoʻopauʻia kaʻoihana hopu e like me ka holomuaʻana i ka puka hopu keʻakeʻa ināʻaeʻia e hele no ka manawa lōʻihi.
  • ʻOi paha he hopena o ka neoplasm, ka hōʻehaʻana i ka mele, ka hoʻouluʻana i ka waiʻona aiʻole hyperglycemia

Hanaʻia o nā hopu

  • Inā ka hopena o ka hopena o ke kūlana pilikino, e like me ka maʻi, nā maʻi o ka wai a me ka pale koho electrolyte, nā mea nui a me nā hopena o nā maʻi, a iʻoleʻole ka hanaʻole,ʻo ka mālamaʻana i ke kūlana pilikino e hoʻolālā i ka hana hopu.
  • ʻO ka hapa nui o nā lāʻau antiepileptic e mālama i nā ʻano hopu he nui ʻole
  • Nui aʻe ka maikaʻi o kekahi (phenytoin, carbamazepine, acid valproic, phenobarbital)
  • Aia kekahi poʻe iʻoi aʻe nā hopena pili (luna, lamotrigine a me topiramate)
  • ʻO kekahi mau lāʻau e hoʻohana wale i hoʻokahiʻano hopu (e like me ke ana e pili ana no ka hopuʻiaʻana o kaʻaoʻao)

kumu

ʻO Alexander G. Reeves, A. & Swenson, R. Nā maʻi o ka ʻōnaehana Nervous. ʻO Dartmouth, 2004.
Swenson, R. Epilepsy. 2010.

Nā Haumāna Neurodevelopmental Children

Nā Haumāna Neurodevelopmental Children

El Paso, TX. ʻO Chiropractor,ʻo Kauka Alexander Jimenez e nānā i nā maʻi e ulu ana i ke kamaliʻi, me nā hōʻoia, nā kumu, a me ka mālamaʻana.

Pāpaʻi Cerebral

  • Nā Nūmana 4
  • ʻO ka Spastic Cerebral Palsy
  • ~ 80% o nā hihia CP
  • ʻO ka Dyskinetic Cerebral Palsy (kahi pū kekahi i ke athetoid, choreoathetoid, a me nā hōʻailona pīpīʻai)
  • Pāpaʻi Pīpī Cetebral
  • Pāpaʻi Cerebral Mixed

Autism pae kāna hana

  • ʻO ka pilikia holoʻokoʻa
  • Nā maʻi a Asperger
  • ʻO ka maʻi hoʻomohala pālahalaha ʻole- ʻAʻole ʻokoʻa i hōʻike ʻia (PDD-NOS)
  • Nā Disversal Disorder Disorders (CDD)

ʻO ka'ōlohelohe Autism Spectrum Red Flags

  • Ka Moena Pilikanaka
  • Hoʻohana kūponoʻia i nā hana
  • Ke kūkā manawaleʻa a iʻole ka hōʻoleʻole
  • ʻO ke kani a leo leoʻole paha o ka leo
  • ʻO ka paʻakikī ke nānā aku i nā maka, nā hana a me nā hua'ōlelo i ka manawa like
  • ʻO keʻano hoʻohālike o nā mea'ē aʻe
  • ʻAʻole hoʻohana hou i nā hua'ōlelo i hoʻohanaʻia e hoʻohana
  • Hoʻohana i ka lima o kekahi me he mea hana
  • Ka pilina pilina
  • He mea paʻakikī ke nānā maka
  • ʻAʻohe pono o ka hōʻike
  • ʻAʻole i paneʻia ka inoa
  • ʻAʻole hoʻāʻo e hōʻike iā ʻoe i nā mea a lākou e makemake ai
  • Nā hana hou a me nā makemake i kaupalena ʻia
  • Ke ala maʻamau o ka neʻeʻana i nā lima, nā manamana a me ke kino
  • Hoʻoulu i nāʻoihana, e like me ke uhiʻana i nā mea iʻole ka hana hou
  • Hoʻopili i nā mea kūikawā
  • Loaʻa waiwai nui ma kekahi mea a iʻole hana paha e pilikia ai i ka pilina pilikino
  • Nā pāʻani pili kinoʻole
  • Ma lalo a iʻole ma luna o ka hoʻoukaʻana i ka komoʻana o kaʻike

Palapala Aʻo Hana ASD (DSM-5)

  • ʻO nā hemahema maʻamau i kaʻike kaiāulu a me ka pilina pilikanaka ma waena o kahi mau hanana, e like me ka mea i hōʻikeʻia e kēia, ma kēia manawa a ma o ka mōʻaukala (mau hiʻohiʻona he hōʻailona,ʻaʻoleʻikeʻole;
  • Loaʻa i ka pānaʻi kaiapili-like a me ke aloha, e like me ka laʻana, mai kahi hana piliʻole a me ka nele o ka kamaʻilio maʻamau a me ka manawa; e hoʻemi i ka hoʻokaʻawaleʻana i nā pono, nā manaʻo, a iʻole nā ​​hopena; i ka hanaʻole a pane paha i nā pilina pilikanaka.
  • Loaʻa i nāʻano kūkākūkā piliʻole i hoʻohanaʻia no ka pilina pilikanaka, hoʻonohonoho, no ka laʻana, mai ka'ōlelo waha'ōlelo wahaʻole a me ka pilinaʻole; i nā mea maʻamau i ka nānā makaʻana a me ka'ōlelo a ke kino paha i kaʻike a me ka hoʻohanaʻana i nā hōʻailona; i ka nele i keʻano o ka helehelena a me ke kamaʻilioʻana.
  • Loaʻa i ka hoʻomohalaʻana, mālamaʻana, a hoʻomaopopo i nā pilina, e like me ka laʻana, mai nā pilikia e hoʻololi i nāʻano kūpono e like me nāʻano kaiaulu pili like; i nā pilikia i ka hoʻolimalimaʻana i ka hula a iʻole i ka hanaʻana i nā hoaaloha; no ka nele o ka uku i nā hoa.

Kau Aʻo Hua'ōlelo ASD

  • Hoʻohāikiʻia, nā hiʻohiʻona hou o ka hana, nā pono, a iʻole nā ​​hana, e like me ia i hōʻikeʻia e nā meaʻelua o kēia mau mea, ma kēia manawa a ma o ka mōʻaukala (nā hiʻohiʻona he hōʻailona,ʻaʻole eʻoluʻolu;
  • Hoʻohana i ka hoʻoili a me ka hana hou o ka hoʻokele, ka hoʻohanaʻana i nā mea, a me ka'ōlelo (e like me keʻano o keʻano o nā mokulele māmā, ke kāhiliʻana i nā mea hana a me nā mea e hoʻokaʻawale ai, echolalia, nā hua'ōlelo idiosyncratic).
  • Ke kuhiʻana i ke kūʻana, ke kūponoʻole e pili i nā hana, a iʻole nāʻano hana maʻamau o keʻano o ka waha a me ka waha (no ka, pilikia ma nā liʻiliʻi liʻiliʻi, nā pilikia me ka heleʻana, nā hiʻohiʻona palekana, nā hana aloha, pono e hele i kahi alahele aʻai paha i kēlā meaʻai i kēlā me kēia lā).
  • Kūleʻa nuiʻia, hoʻoponopono i nā makemake i kūponoʻole i ka ikaika a iʻole ka nānāʻana (e like me ka pilina paʻa i ka mālamaʻana paha i nā mea kūikawā,ʻoihana a paʻa. hoʻomanawanui nā pono).
  • Hyper - aiʻole ka mea hana kino i kahi komo komo iʻole ka mea kūikawā paha i nāʻanoʻike o ke kaiapuni (e like me kaʻikeʻole i kaʻeha / wela, ka paneʻole i nā leo kūikawā a me nā mea leʻaleʻa, kaʻono a me ka paʻiʻana o nā mea, nā meaʻike maikaʻi me nā kukui a me ka neʻeʻana).

Kau Aʻo Hua'ōlelo ASD

  • Pono nā hōʻailona ma kahi o ka hoʻomakaʻana o ka ulu (akāʻaʻole hiki keʻike maopopoʻia a hiki i ka wā eʻoi aku ka nui o nā mea iʻikeʻia ma kaʻikeʻana i nā hana, a iʻole e hoʻomaluʻia e nā kumu aʻo i ka ola hope).
  • Nā hōʻailona ke kumu o ka pōʻino koʻikoʻi i ka pilikanaka,ʻoihana, aiʻole nā ​​mea nui'ē aʻe o ka hana i kēia manawa.
  • ʻO kēia mau pilikia ka mea iʻikeʻoleʻia e ke kīnā o kaʻikeʻole (kūlana o ka hoʻonaʻauao intellectual) a iʻole ka hoʻolālā o ka hoʻolālāʻana o ke ao holoʻokoʻa. Nā pilikiaʻole o kaʻikeʻole a me ka pilikia o keʻano o ka hōʻailona autism e hui pū pinepine ana; ia e hōʻike i ka hopena o ka maʻi a me ke kīnā o ka maʻi autism a me kaʻikeʻole o kaʻikepili, pono i lalo ke kūlana kaiaulu i ka mea i manaʻoʻia no ke kūlana hoʻolālā ākea.

Nā Palapala Aʻo Hana ASD (ICD-10)

ʻAʻohe mea kūpono a hōʻeha paha i ka uluʻana ma mua o ka halaʻana o nā makahiki 3 ma kahi o hoʻokahi o nā mea ma lalo nei:
  • Ka'ōlelo aʻo a'ōlelo hoʻohālike paha i hoʻohanaʻia ma kaʻike kaiāulu;
  • Ka hoʻolālāʻana o nā mea pili i ka pilikanaka aiʻole i ka pilina pili kaiaulu;
  • Hana pāʻani aʻaʻa paha.
B.ʻAkahi o nā maʻiʻeono mai (1), (2) a me (3) pono e noho pū meʻelua aʻoi aʻe mai (1) a ma kahi o hoʻokahi mai kēlā (2) a me (3)
1. Uaʻikeʻia ka hōʻino maikaʻiʻana i ka pilina pilikino i nāʻaoʻaoʻelua o kēia mau mea nei:

a. kaʻikeʻole i ke nānāʻana i nā maka-i-maka, i nā hiʻohiʻona, i nā kiko o ke kino, a me nā hana e hoʻoponopono ai i ka pilina pilikanaka;

b. ka hikiʻole ke ulu (ma keʻano e kūpono i ka makahiki o ka noʻonoʻo, a me ka nui o nā manawa) nā pilina pili i ka pili like o nā pono, nā hana a me nā manaʻo;

c. ka nele o ka pānaʻi kūlohelohe e like me ka hōʻike i hoʻopilikia ʻia a i ʻole deviant pane i nā manaʻo o nā poʻe ʻē aʻe; a i ʻole ka hemahema o ke ʻano e like me
pilikanaka; aiʻole ka hoʻohuiʻiaʻana o ka nohona pilikanaka, pili i ke aloha, a me kaʻike;

d. nele i ka makemakeʻole eʻimi i nā meaʻoluʻolu, nā makemake, a me nā mea i loaʻa me nā poʻe'ē aʻe (e like me ka nele i ka hōʻike, laweʻana, a iʻole e kuhikuhi ana i nā kānaka'ē aʻe i nā mea hoihoi i kēlā me kēia).

2. Nā hōʻailona maʻamau i ka kamaʻilioʻana e like me ka mea i hōʻikeʻia ma loko o kekahi o nā mahele nei:

a. ka lōʻihi a iʻole ka neleʻole, ka hoʻomohalaʻana i ka'ōlelo i kuhiʻoleʻia me ka ho'āʻoʻana e uku aku ma o ka hoʻohanaʻana i nā hōʻailona aiʻole ka mime e like me keʻano o keʻano o ke kamaʻilioʻana (pinepine i mua o ka nele o ke kamaʻilioʻana);

b. ka hikiʻole i ka hoʻokumu a mālamaʻana paha i ke kūkākūkā kamaʻilio (i kēlā me kēia haʻawina o ka mākaukau'ōlelo), kahi e pane like ai nā mea a ke kanaka'ē aʻe;

c. kaʻike a me ka hoʻohana houʻia o ka'ōlelo a hoʻohanaʻole paha i nā hua'ōlelo a iʻole nā ​​hua'ōlelo;

d. ʻikeʻole i ka hana pāʻani a me ka pāʻani (pāʻani) i ka pāʻani pāʻani

3. Hoʻohālikelikeʻia, hōʻano hou, a me nā hiʻohiʻonaʻokoʻa o nā hana, nā mea e pono ai, a me nā hana ma ka liʻiliʻi o hoʻokahi o kēia mau mea nei:

a. ʻO kahi hoʻomanaʻo e pili ana i hoʻokahi aʻoi aku paha i kākoʻoʻia a me nāʻano hoʻohālikelike i kūponoʻole i ka helu a iʻole ka nānāʻana; ole hoʻokahi aʻoi aku paha nā hoʻopiʻi i kūponoʻole ma ko lākou nui a me ka hoʻopiliʻiaʻana, akāʻaʻole naʻe i loko o kā lākou waihona a iʻole ka nānāʻana;

b. He kūpaʻa ikaika i ka mālamaʻana i nā hana maʻamau a me nā hana maʻamau;

c. Nā hana hoʻohālike a me nā hana hou e pili ana i ka lima a iʻole ka māwae lima a iʻole ka'āwili a me nā'āpana o ke kino āpau;

d. Nā kūkākūkā me nā mea-ʻoihanaʻole o nā mea hanaʻole o nā mea pāʻani (e like me kekahi, ka manaʻo o ko lākou āpau, a iʻole ka leo a me ke kaniʻana paha
e hoʻonui).

ʻAʻole pili ke kiʻi pilikino i nā ʻano ʻē aʻe o nā maʻi e ulu ākea ana; pilikia kūlike kikoʻī o ka ʻaoʻao ʻae i ka ʻōlelo (F80.2) me nā pilikia pili kaiapili-ʻona lua, maʻi maʻi hoʻopili hou (F94.1) a i ʻole maʻi maʻi hoʻopili disinhibited (F94.2); ka hoʻohaʻahaʻa noʻonoʻo (F70-F72) me kekahi mau ʻano pili i ka naʻau a i ʻole ke ʻano o ka lawena. schizophrenia (F20.-) o ka hoʻomaka mua ʻole ʻana; a me Rett's Syndrome (F84.12).

Asperger's Syndrome Diagnostic Criteria (ICD-10)

  • H. - Ka hoʻohaunaele maikaʻi i ka pilina pilikino, e like me ka ho'ākākaʻia e nā meaʻelua o kēia mau mea:
  • nā hōʻailona koʻikoʻi i ka hoʻohanaʻana i nāʻano hana koloheʻole e like me ka maka maka-i-maka, ka helehelena o ke kino, ka hoʻonohonoho i ke kino, a me nā hana e hoʻoponopono ai i ka pilina pilikanaka.
  • ʻo ka nele i ke kūkuluʻana i nā pilina o nā hoa e kūpono i ke kūlana hoʻolālā.
  • kahi nele o kaʻimiʻoluʻolu eʻimi i nā meaʻoluʻolu, nā makemake, a me nā mea i loaʻa me nā poʻe'ē aʻe (e like me ka hōʻikeʻole i nā mea hoihoi i nā kānaka'ē aʻe).
  • ka nele i ka pilikino a iʻole ka manaʻo like.
  • B. Hoʻopiʻiʻia nāʻano hana hou a me nā hiʻohiʻona o keʻano, nā mea e pono ai, a me nā hana, e like me ka ho'ākākaʻia e nā liʻiliʻi o kekahi o kēia mau mea:
  • hoʻopuni i kahi hana nui me hoʻokahi aʻoi aku paha i kākoʻoʻia a me nāʻano i hoʻohālikelikeʻia i nā mea kūponoʻole i ka ikaika a iʻole ka nānā.
  • he kūpono kūpono e pili i nā hana maʻamau, nā hana hanaʻole a iʻole nā ​​hana.
  • keʻano o ka hoʻohālike a me ka hana hou (e like me ka lima, ka lima lima a me ka piʻo lima, a me nā'āpana o ke kino holoʻokoʻa).
  • ke hoʻomau i ka hana me nā'āpana o nā mea.
    ʻO ka hoʻonāukiuki ke kumu o ka hōʻinoʻiaʻana o ka hōʻailona kino aʻoihana,ʻoihana, aiʻole nā ​​mea nui'ē aʻe paha
    D.ʻAʻole he lōʻihi lōʻihi o ka hoʻomehanaʻenehana (e like me nā hua'ōlelo hoʻokahi i hoʻohanaʻia e nā makahiki 2 makahiki, he mau'ōlelo hoʻohana e hoʻohanaʻia ana e nā makahiki 3 makahiki).
    E.ʻAʻole no ka lōʻihi o ka lōʻihi o ka hoʻomohalaʻana i ke kālaiʻike a iʻole ke kākoʻoʻana i nā mākau kōkua kōkua kūpono, kūpono kūpono (ma waho aʻe o ka pilina pilikanaka), a me kaʻike e pili ana i ke kaiapuni.
    F.ʻAʻole i hoʻokōʻia nā kumu no kekahi maʻi kūʻokoʻa a me kahi Schizophrenia.

Ka pilikia o ka maʻiʻino a me ke kalapili maʻi (ADHD)

  • Manaʻoʻole - hele i kahi hana maʻalahi
  • ʻO ka Hyperactivity - aneane e neʻe nei i nā wā a pau
  • Ka Impulsivity - hana i nā hana wikiwiki e hana i kēia manawa me ka noʻonoʻo muaʻana iā lākou

NāʻAla Aʻeā ADHD

  • Nā Genetics
  • Cigarette pū'āina, hoʻohanaʻana i ka waiʻona, aiʻole hoʻohana lāʻau lāʻau i ka wā o ka hāpaiʻana
  • Ke hōʻike i nā toxins ākea i ka wā o ke kōʻana
  • Ke hōʻike i nā toxins ākea, e like me nā kiʻekiʻe kiʻekiʻe o ke kēpau, i ka wā'ōpiopio
  • Ke kaumaha haʻahaʻa
  • Brain injuries

Ka wehewehe hoʻolālā

nā pilikia no ka'ōpiopio'ōpiopio a me kaʻole o ka maʻi.

www.cdc.gov/ncbddd/autism/hcp-screening.html

Nā Pōʻokoʻa Mua

  • Moro
  • ʻO ka Spinal Galant
  • ʻO Asicmetrical Tonic Neck Reflex
  • Hoʻopiʻi Syicrical Neck Reflex
  • ʻO Tonic Labrynthine Reflex
  • Hoʻolālā Pinepine
  • Hoʻomoe Pōʻokoʻa

Hanaʻia o ka Hoʻolālā Hoʻolālā

  • Kūʻai i kēlā me kēia mau manaʻo hou
  • E aʻo i nā mākua ma ka hoʻolakoʻana i kahi i kūkuluʻia
  • Hoʻonui i nā hana palekana o ka lolo
  • E pane i nā meaʻai kūpono a wehe i nā mea pilikia pilikia
  • Hana i ka ʻōpū o ka mea maʻi, probiotics, glutamine, a pēlā aku.

ʻO ka maʻi'ōpēpiliʻo Neuropsychiatric

(PANS)

  • Hoʻopilikia i ka hōʻike nui o ka'OCD a iʻole i kāohi mauʻia kaʻai
  • ʻAʻoleʻike maikaʻiʻia nā hōʻailona e kahi neurologicʻikeʻia aiʻole maʻi maʻi
  • Eia kekahi ma lalo oʻelua mau mea:
  • Mamua
  • ʻO ke kūlana hoʻomaha a me ke kaumaha
  • Ke kū'ē, ka huhū a / a me nāʻano kū'ē kū'ē
  • Hoʻomalohua Behavioral / Hoʻoponopono
  • Ka hoʻopauʻana i ka hana a ke kula
  • Nā hōʻailonaʻikepili aʻoihana paha
  • Nā hōʻailona maʻamau e pili ana i ka moe uila, enuresis a iʻole pinepine paha
  • * Hiki ke hoʻomaka ke hoʻomakaʻana o ka PANS me nā meaʻokoʻa'ē aʻe ma waho o ka strep. ʻO ka hopena hoʻi o ka hopena o ka hopena o ka hopena o ke kaiapuni

Hoʻopiliʻia nā maʻi maʻi'ōpiopioʻo Stedia a me ka Streptococcus

(PANDAS)

  • Ke kūlana o nā mea nui, nā kākoʻo a me nā mea nui
  • ʻO ka hopena o nā hōʻailona a iʻole ka hopena o ka hopena o ka hōʻailona
  • Hoʻomaka mua mua-pubertal
  • Hui me ka maʻi streptococcal
  • ʻO ka hui pū me nā ʻōuli neuropsychiatric ʻē aʻe (e like me kekahi o nā PANS "hōʻailona like pū).

KE KAHI PANS / PANDAS

  • Ke kūlana Swab / Strep
  • Nā ho'āʻo koko no ka strep
  • ʻO Strep ASO
  • ʻO Ant-DNase B Titer
  • ʻO Streptozyme
  • Ka ho'āʻo no nā mea'ē aʻe
  • MIL makemakeʻia akā hiki i ka PET ke hoʻohanaʻia inā pono
  • EEG

Nā Negatives Pōʻino

  • ʻAʻole nā ​​keiki i loaʻa ka strep i hoʻokiʻekiʻeʻia nā labs
  • wale no 54% o nā keiki me ka strep i hōʻike nui i ka piʻiʻana o ka ASO.
  • wale no 45% hōʻike i ka hoʻonui ʻana o anti antiDNase B.
  • wale no 63% ua hōʻike i ka hoʻonui ʻana ma ASO a me / a i ʻole anti--DNase B.

Hanaʻia o PANS / PAND

  • Antibiotics
  • IVIG
  • Plasmaphoresis
  • Nā'ōlelo anti-inflammatory
  • Nā lāʻau kōkiko
  • ʻO Omega-3
  • NSAIDS
  • Probiotics

Ke Keʻena Lapaʻau ʻeha: Chiropractor (Manaʻo ʻia)

kumu

  1. �Attention Deficit Hyperactivity Disorder.� National Institute of Mental Health, US Department of Health and Human Services, www.nimh.nih.gov/health/topics/attention-deficit-hyperactivity-disorder-adhd/index.shtml.
  2. ʻO ka Navigator Autism, www.autismnavigator.com/.
    �Autism Spectrum Disorder (ASD)
  3. Tr Hoʻokomo i ka Autism. ʻO Interactive Autism Network, iancommunity.org/introduction-autism.
  4. Shet, Anita, et al. MmImmune pane i ka hui A Streptococcal C5a Peptidase i loko o nā keiki: Nā hopena no ka hoʻomohala ʻana i ka lāʻau. Ka Pai no nā maʻi maʻi, vol. 188, ʻaʻole. 6, 2003, pp. 809--817., Doi: 10.1086 / 377700.
  5. �He aha ka PANDAS?� Pūnaewele PANDAS, www.pandasnetwork.org/understanding-pandaspans/what-is-pandas/.
ʻO ke Degenerative And Demyelinating Diseases Of The Nervous System

ʻO ke Degenerative And Demyelinating Diseases Of The Nervous System

El Paso, TX. Ke nānā aku neiʻo Chiropractor, Dr. Alexander Jimenez degenerative a me ka hoʻopiʻiʻana i nā maʻi o ka'ōpiopio o ke kino, nā hōʻailona, ​​nā kumu a me ka mālamaʻana.

Nā maʻi Degenerative & Demyelinating

ʻO nā maʻi Neuron

  • Ke kuhi pulahi me nā hoʻololiʻole
  • ʻO Amyotrophic kīʻaha sclerosis (ALS)
  • Nā ALA Variants
  • ʻO ka sclerosis mua
  • Palsy piʻi mua
  • ʻO nā kumu i hoʻoiliʻia e hoʻonāʻia ai ka hoʻohauna o ke kino o mua
  • ʻO Werdnig-Hoffmann maʻi i nā kamaliʻi
  • ʻO ka maʻi o Kugelberg-Welander i nā keiki a me nā poʻe'ōpio

Amyotrophic kīloi paʻewa Sclerosis (ALS)

  • Hana i nā maʻi 40-60 kūpono i ka makahiki
  • Paʻe i:
  • Nā pūmoku pū e aʻe
  • ʻO ka'ōpili'ōpili kīpokiʻenehana Cranial
  • Nā kūmole Corticobulbar a me nā'āpana corticospinal
  • Nāʻike ma lalo o nā neuron i loaʻa (atrophy, hoʻopāpī) a me nā hualoaʻa o nā huahana kaʻa kiʻekiʻe (spasticity, hyperreflexia)
  • Ke ola o nā makahikiʻekolu
  • ʻO ka hopena o ka hopena ma muli o ka nawaliwali o ka pahu a me ka musculat a me ka hopena a me ka hopena o ka maʻi

Nā ALA Variants

  • ʻO ka manawa maʻamau, lilo i keʻano ALS maʻamau
  • ʻO ka Sclerosis ma ka papahana mua
  • Hoʻomaka mua ka hōʻailona hōʻailona neuron hōʻailona, ​​akā, loaʻa nā hōʻailona neuron ma lalo o ka poʻe maʻi
  • ʻO ka ola ola he umi makahiki aʻoi paha
  • Holomua Bulbar Palsy
  • Hoʻopaʻa pinepine i ka hoʻokomoʻana i ke poʻo a me ka'ā'ī

Nā Kūlana Kū'ē Neʻe Nalu

nā maʻi degenerative el paso tx.Church, Archibald. Nā maʻi palupalu a me nā maʻi noʻonoʻo. WB Saunders Co., 1923.

ʻO ka maʻi Alzheimer

  • Hoʻohālikelike ʻia e nā neurofibrillary tangles (hōʻuluʻulu o nā protein protein hyperphosphorylated tau) & beta-amyloid plaques
  • Hanaʻia ma hope o ka makahiki 65
  • Nā kumu pilikino pili
  • Ka hopena o ka amyloid gene beta
  • ʻO ka epsilon 4 version o apolipoprotein

ʻike,

  • ʻO ka hōʻailona pilikino wale nō ke ala e hoʻomaopopo pono ai i keʻano
  • Hiki i nā kiʻi ke hoʻokuʻu i nā kumuhana'ē aʻe o ke dementia
  • Hiki ke hoʻomōhala houʻia nā hoʻonaʻauao kiʻi hana e lilo i diagnostically a pono i ka wā e hiki mai ana
  • Hiki ke hoʻohanaʻia nā hoʻokolohua CSF no nā proteins hua a me ka amyloid beta e like me nā hoʻokolohua diagnostics i ka wā e hiki mai ana

ʻO Amyloid Plaques & Neurofibrillary Tangles

nā maʻi degenerative el paso tx.sage.buckinstitute.org/wp-content/uploads/2015/01/plaque-tanglesRNO.jpg

Nā Wahi Puʻupuʻu i Huʻiʻia e ka Alzheimer Disease

  • Hippocampus
  • Loaʻa o ka hoʻomanaʻo hou
  • ʻO kahi pohōkala manawa temporo-parietal
  • Anomia anomia & apraxia kūkulu
  • Nucleus basalis o Meynert (nā neuronu cholinergic)
  • Hoʻololi i kaʻikeʻike

Holomua

  • E like me ka nuiʻana o nā'āpana i komo i loko,ʻo ka mea hoʻomōhala e hoʻonui i nā hemahema o kaʻikeʻole, akā naʻe, paresis, meaʻikeʻole, a iʻole nā ​​hiʻohiʻona hoʻonaʻauao kiʻi he mau hiʻohiʻona.

Nā koho koho

  • ʻO nā lāʻau e hoʻonā i kahi pūnaewele nalu pūnaewele acetylcholinesterase
  • Hanaʻia
  • ʻO Galantamine
  • ʻO Rivastigmine
  • Hoʻolālā 'Aerobic, 30 minuke i kēlā me kēia lā
  • Hoʻomaopopoʻo PT / OT e mālama i nā hana o ka nohona i kēlā me kēia lā
  • Nā hōʻailona Antioxidant a anti-inflammatory
  • Ma nā kūlana kiʻekiʻe, hiki ke koiʻia ka manawa kūpono, ma ka home

ʻO ka Deactia Vascular

  • Cerebral arteriosclerosis e alakaʻi ana i ka hahau
  • ʻO ka mea maʻi e kākau i ka moʻolelo hīkī a me nā hōʻailona o ka hahau mua (spasticity, paresis, pseudobulbar palsies, aphasia)
  • Mei e pili ana i ka Alzheimer Disease ma muli o ka amyloid angiopathy

ʻO Frontotemporal Dementia (maʻi picks)

  • ʻO kaʻohana
  • Hāpai i nā lobes mua a me ke kino
  • Hiki keʻikeʻia ma kaʻike kiʻi inā hoʻonuiʻia ke kūʻana ma kēia mau wahi
  • Ōuli
  • Apathy
  • Hana kūpono
  • Hoʻomaha
  • Ka hana kūlohelohe
  • Ka Impulsivity
  • Ka pilikia o ka'ōlelo
  • ʻAʻole maʻamau no ka hoʻomanaʻoʻana a me ka pilikia o ka spatiale
  • Hōʻike kaʻike i nā kino i loko o nā neuron
  • Nā hualoaʻa ma ka make ma nā 2-10 makahiki

E koho i nāʻano / Cytoplasmic Inclusions

nā maʻi degenerative el paso tx.slideplayer.com/9467158/29/images/57/E koho i nā kino+Silver+stain+Immunohistochemistry+no+Tau+protein.jpg

lapaʻau

  • Nā hōʻaihopiho
  • Sertraline
  • ʻO Citalopram
  • Hōʻalo i nā lāʻau e hiki ai ke hoʻonele i ka manaʻo aiʻole ka hilahila
  • Kāpena
  • ʻO Benzodiazepines
  • hoʻokō '
  • Hoʻololi ka loli
  • ʻO ka hoʻololi i ka hoʻouluʻana i ka hana

ʻO Parkinson maʻi

  • Hiki ke hōʻea i kekahi mau makahiki, akā he mea maʻamau ma mua o ka 30 makahiki, a hoʻonui i ka piʻi nuiʻana o ka poʻe kahiko
  • Ka manaʻo o kaʻohana akā hiki nō hoʻi me kaʻole o ka moʻolelo o kaʻohana
  • Hiki ke hoʻohuliʻia e kekahi mau mea pili i ke kaiapuni
  • Nānā 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)
  • ʻO nā pūnaewele e hoʻonui i nā radical free
  • Hoʻololi i kā substantia nigra pars compacta
  • ʻO nā neho'ekepili
  • Ma keʻano pilikino, ka nohoʻana o Lewy Bodies
  • Ka uluʻana o ka alpha-synuclein

Lewy Bodies

nā maʻi degenerative el paso tx.scienceofpd.files.wordpress.com/2017/05/9-lb2.jpg

Nā Hiʻona o ka Parkinsonism

  • Rigidity (nā pākahi a pau)
  • Papau holoʻokoʻa
  • Ke kaʻina hana
  • Mei paha o keʻano o ka cogwheel no ka weliweli i nā hōʻailona
  • ʻO Bradykinesia
  • Ka lemu o ka holo
  • Hoʻolālā e hoʻomaka i ka neʻe
  • Pākiʻi
  • Hoʻomaha haʻalulu (uka-ʻolokaʻa)
  • Hanaʻia e ka hoʻonāʻana i nā poʻe hoʻoikaika kū'ē
  • Nā pilikia āpau
  • Hoʻohuliʻia ke kūlana haʻahaʻa
  • Ka lawelaweʻana no ka hoʻopaʻiʻana, ka hopena o ka lōʻihi
  • Nā manaʻo makole-like
  • ʻO ka dementia haʻahaʻa i haʻahaʻa
  • Ma hope mai i ka holomua, no ka hoʻohui kino lewy

Hoʻoponopono

  • ʻO ke kaumaha o ka dopamine ma ka strytum (caudate a putamen) o nā gaallia basal
  • Loaʻa i ka Dopamine ka hopena o ka hoʻonāukiʻana i ka mahele kaʻapuni ma o nā pīkole basal, i ka wā e pani ai i ke alanui ala

ʻO Carbidopa / Levodopa

  • ʻO ka maʻalahiʻana o nā lāʻau lapaʻau he lāʻau hui like

  • ʻO Levodopa
  • ʻO ka dopamine mua ke kuʻi i ka pale o ka lolo
  • ʻO Carbidopa
  • Dopamine decarboxylase hoʻokōʻole i kaʻole BBB
  • ʻO ka amino acids e hoʻemi i ka pono (ka hoʻokūkū) a no laila e laweʻia ka lāʻau mai ke kinipona

Ka Paʻi Loaʻa me Carbidopa / Levodopa

  • ʻO ka hiki i ka mea hoʻomanawanui e mālama i ka dopamine ke hōʻole me ka hoʻohana ʻana o ka lāʻau a no laila e mau ana nā hoʻomaikaʻi ʻana mai nā lāʻau no nā wā pōkole a pōkole hoʻi ka lōʻihi o ka hoʻohana ʻia ʻana o ka lāʻau.
  • ʻO ka hopena o ka manawa e hiki ke hoʻonui i nā hōʻailona dopamine
  • ʻO ka dakkinesia kāpena-nui
  • Hoʻomaopopo ka lōʻihi i ke aho
  • ʻO nā hopena'ē aʻe e hiki ke komo i ka louse, ke kuhiakau a me nā haʻuna

Nā koho koho

  • Nā lāʻau
  • ʻO Anticholinergics
  • Hoʻopilikiaʻia ka Dopamine
  • Dopanime hoʻokeheʻe'āpana (Monoamine oxidase aiʻole catechol-O-methyl transferase hōʻole)
  • ʻO kahi kiʻekiʻe loa glutathione
  • Hoʻolālā i nā hana neuro-rehab
  • kamakawiwo ole
  • ʻO ka hoʻonanea hou
  • Hana hou hou i ka reflex
  • Wahi CMT /ʻOka i hoʻohālikelikeʻia

ʻO ka'ōnaehana Atrophy Maha

  • Nā Manaʻo o Parkinson Ua paʻiʻia ka maʻi me kahi aʻoi aʻe paha o kēia mau mea:
  • Nā hōʻailona pyramidal (Striatonigral degeneration)
  • ʻO Autonomic Dysfunction (SyyDrager Syndrome)
  • Kaʻike o Cerebellar (Olivopontocerebellar atrophy)
  • ʻO ka mea maʻamauʻole i ka mālamaʻana i nā maʻi maʻamau

Holomua Supranuclear Palsy

  • ʻO ka holomua o ka hoʻokeoʻana e pili ana i nā hoʻomalina tau ma nā wahi he nui me ka midstin rostral
  • Hōʻaia nā hanana i nā makahiki 50-60 a pau
  • He pilikia paʻakikī
  • Ka nui o kaʻehaʻeha
  • E nānā i ka paʻakikī ke kikowaenaʻana
  • Retrocollis (ke kau o ka'ā'ī)
  • ʻO ka dysphagia nui
  • ʻO ke kūlana hoʻomaha
  • Nā hoʻololi kūlohelohe
  • ʻO ka pilikia koʻikoʻi
  • ʻAʻole pane maikaʻi i nā kuʻuna PD maʻamau

ʻO Leud Body Leʻaleʻa

  • Piʻi ka holomua
  • ʻO nā hana nui a me nā hana hoʻopunipuni maikaʻi
  • Kū'ē
  • Nā hōʻailona Parkinsonian

mau Sclerosis

  • ʻO nā lionaʻeleʻele nui (plaques of demyelination) i ka CNS
  • Nui i ka nui
  • Ua puni
  • Ikeʻia ma MRI
  • ʻO nā'elepa o ke kino he mea maʻamau
  • ʻAʻole komo nā aʻalolo āpau
  • Loaʻaʻole i nā keiki ma lalo o 10, akā hāʻawi maʻamau i mua o ka 55 makahiki
  • Hiki i nā maʻi ke kū i kahi hōʻailona kūponoʻole i nā maʻi kīpē i kahi huakō hoʻokahi-myigenin antigen
  • ʻO nāʻano hanaʻino a me nā ponoʻole e kākoʻo

Nāʻano o MS

  • Ke holomua holomua MS (PPMS)
  • Pāʻani Haumālua MS (SPMS)
  • Hoʻohana hou i nā sclerasis maha (RRMS)
  • ʻO keʻano maʻamau
  • Hiki iāʻoe ke hoʻolālā i nā mea nui, me ka manawaʻole e hōʻike a hoʻihoʻi
  • Hoʻonuiʻia e like me SPMS

ʻO ka hana o ke kīnā

  • Ma 40% o nā hihia MS
  • ʻO kaʻeha me nā hoʻoikaika maka
  • Loaʻa kahi leka uila (ke kikowaena waena a iʻole ka'āpana'ōpū)
  • ʻIke kālā
  • Hiki iāʻoe ke hōʻike i ka papilledema ināʻo ka pahu i komo i ka'ōpae opio
  • ʻAʻohe paha he meaʻokoʻa inā he mau pale ma hope o ka'ōpae opic (retrobulbar neuritis)

Ka Hoʻopaʻiʻana i ka Fasicicinal Medial Longitudinal

  • ʻO kaʻikeʻana i nā hualoaʻa MLF i ka ophthalmicina hanahana
  • I ka nānāʻana o ke kau ākea, he paresis o ka pale medial a me nystagmus o ka maka pale
  • Noho mau ka huliʻana

Nā Haumānaʻokoʻa'ē aʻe

  • Mielopathy
  • ʻO ka spastic hemiparesis
  • Nā meaʻeha i loaʻaʻole (DC-ML)
  • Pahekisia
  • Ke komoʻana i ka hana Cerebellar
  • ʻO Ataxia
  • Pōʻino
  • ʻO ka komoʻana o ka pūnaewele Vestibular
  • Pauʻole
  • Kūleʻa ke ākea
  • ʻO Nystagmus
  • ʻO nā mea kaumaha loa (nāʻano neuralgia)
  • ʻO ka hōʻailona o Lhermitte
  • ʻO ke kaniʻana a iʻole ka hilinaʻiʻana i ke koʻokoʻo a me nā lālā i ka wā o ka'ā'ī
  • 'Oloke
  • ʻO ka holoi pinepine pinepine pinepine i nā hōʻailona

Nā Kūlohelohe E Noʻonoʻo

  • Ka hoʻonui a me nā vasculitis
  • Hiki keʻike i kahiʻinoʻino ma MRI
  • ʻO ke kikowaena pūnaewele sarcoidosis
  • Hiki iāʻoe ke hana i nā neuritis optic reversible a me nā hōʻailona CNS'ē aʻe
  • ʻO ka maʻi maʻi
  • Nā hōʻeha inflammatory
  • Hana i nā'ōmaka maʻamau
  • ʻO ke kūlana Vitamin B12
  • Dementia
  • ʻO ka'āpana
  • Ke koli kola
  • ʻO Meningovascular syphilis
  • Ka nui o CNS hewa
  • ʻO ka maʻi CNS Lyme
  • ʻO ka maʻi maha

Nānāʻikeʻokoʻa: Kaʻike maʻamau

  • Hiki i nā hōʻoia koko ke kōkua i kaʻike
  • ʻO ka helu helu piha
  • Nā Antibino Antinuclear (ANA)
  • Ke ho'āʻo maʻamau no nā syphilis (RPR, VDRL, a pēlā aku)
  • ʻO ka hoʻouluʻana i nā mea hōʻeuʻeu lele
  • Lyme hana
  • ESR
  • Nā Angiotensin e hoʻololi i ka pae enzyme (i ka r / o sarcoidosis)

Ka Papa Hana Hoʻonaʻauao o MS

  • MRI me kaʻokoʻaʻole
  • 90% o nā hihia MS i loaʻa nāʻike MRIʻikeʻia
  • Nā hualoaʻa CSF
  • Ke kiʻekiʻe o nā mononuclear mau keʻokeʻoʻeleʻele
  • Nā'āpana Oligoclonal IgG
  • Hoʻonuiʻia ka globulin i ka ratioin albumin
  • Hōʻikeʻia kēia ma 90% o nā hihia MS
  • Hoʻonuiʻia ka'enela meeline

Hōʻikeʻike

  • ʻO ka ola maʻamau ma hope o ka hōʻaiaʻana he '15 i ka makahiki 20
  • ʻO ka make ma keʻano mai ka maʻi i kūpilikiʻiʻole ma muli o ka hopena o ka maʻi

kumu

ʻO Alexander G. Reeves, A. & Swenson, R. Nā maʻi o ka ʻōnaehana Nervous. ʻO Dartmouth, 2004.
Swenson, R. He mau maʻi hōʻailona o ke kino wahine. 2010.

Nā Cerebrovascular Disorders

Nā Cerebrovascular Disorders

ʻO ka maʻi Cerebrovascular kahi i waeʻia o nā kūlana i hiki ke alakaʻi i ka hana / cerebrovascular event, ie hahauʻana. Hoʻopili kēia mau hanana i ka lako o ke koko a me nā moku i ka lolo. Me kahi--ka hoʻopaʻaʻana, ka hōʻinoʻia, a me ka hoʻohaunahaHiki ke pale aku i nā hunaola lolo mai ka lawa ʻana o ka oxygen, i hiki ai ke hōʻino i ka lolo. Hiki i nā maʻi Cerebrovascular ke ulu i nā ʻano like ʻole. Pākuʻi ʻia kēia mau mea ka uluaʻau thrombosis hohonu (DVT) a atherosclerosis.

Nāʻano o ka maʻi kalapona: Pāpā, ke piʻiʻana mai ka huliʻana o ka ischemic, aneurysms, a me nā malformations vascular

I ka maʻi US cerebrovascular ka meaʻelima o ka make.

Nā Cerebrovascular Disorders

ʻO ke kani

  • Hanaʻia ka '2% o ke kaumaha o ke kino
  • Helu kālā no ~ 10% o ke kino e hoʻohana ai i ka oxygen
  • Helu kālā no ~ 20% o ke kino e hoʻohana ai i ka glucose
  • Loaʻa iā ia he 20% o ka puka mai ka naʻau
  • I kēlā me kēia minuke, pono ka '50-80cc o ke koko no 100g o ke kino o ka lolo a me ~ 17-40cc o ke koko no 100g o ka mea keʻokeʻo.
  • If ke koko i ka lolo ʻo <15cc no 100g o nā kiko, i kēlā me kēia minuke, loaʻa ʻole ka hana neurologic
  • E like me nāʻokoʻa a pau, i ka lōʻihi o ke kālaiʻiaʻana,ʻoi aku ka nui o ka make a me ka necrosis
  • Hoʻokumu ka lolo i ka loaʻa mau o ka oxygen a me ka glucose
  • 3-8 mau minuke o ka hopu'anakino hiki i ka hopena o ka lolo e hiki ke hanaʻia!

cerebrovascular el paso tx.

Ka Hoʻohemo i loko o ka Brain

  • ʻO ka hypotension pūnaewele ke kumu o ka vasactilation reactive cerebral e hiki ai i ke kahe o ke koko i ka lolo
  • Hiki i ka lolo ke hoʻopiʻi i ka oxygen mai ka lolo aku ke kaumahaʻo ka 50 mmHg
  • Hiki i ka'ōlohelohe Atherosclerotic hiki ke hana i ka vasodilation rearative e ho'āʻo ai e ho'ēmi i ka piʻi kaomi
  • ʻO ka hoʻonuiʻia o ke kaheʻokoʻa hiki i ka hopena o ke koko, e hoʻemiʻia ai ka hikiʻana i ka hemorrhage
  • Inā averages ke kaomi systolic> 150 mmHg no nā wā lōʻihi, e holo paha kēia uku
  • ʻO ka encephalopathy hyperpensive laulili

ʻO ke koko i ke poʻo

cerebrovascular el paso tx.madeinkibera.com/lingual-arterie-anatomie

Kū'ē Kū'ē

  • I ka hoʻonuiʻana i ke kuhiʻana e like me ka thrombosis atherosclerotic, he manawa kūpono ka hoʻopiliʻana
  • Hoʻohuiʻo Circle o Willis i nā pūnaewele kāpili a me nā papahana likeʻole
  • ʻO nāʻenehana o nāʻenehana a me nāʻenehana hou e hāʻawi i ka lako hoʻopuka
  • ʻO nā'āpanaʻano ma waena o nāʻano kīʻaha nui a me nāʻene o ka meaʻai ma kekahi poʻe
  • Pili nā aʻa kūloko a me waho e pili ana i nā aʻa ophthalmic & maxillary

ʻO Circle Of Willis

  • Hoʻohui i ka'ōnaeho vertebrobasilar me ka pūnaewele kāpili pūnaewele
  • ʻOiaiʻo ka hoʻolakoʻana i nā kōkua kōkua,ʻo ia hoʻi kahi mea maʻalahi i Berry Aneurysms e hiki ai ke alakaʻi i ka hōʻeha hemorrhagus

cerebrovascular el paso tx.en.wikipedia.org/wiki/Circle_of_Willis

ʻO ke koko i ka maʻi

cerebrovascular el paso tx.teachmeanatomy.info/neuro/vessels/arterial-supply/

Maxillary & Ophthalmic aa.

cerebrovascular el paso tx.

cerebrovascular el paso tx.

Nā Cerebrovascular Disorders

  • ʻO nā kānakaʻeleʻele 700,000 i ka US i hahau i kēlā me kēia makahiki
  • ʻO ke kumu kumuʻekolu o ka make ma ka US
  • Ua loaʻa i ka 2 miliona mau kānaka no ka hōʻeha
  • ʻO kaʻoi aku o nā mea maʻamau i nā poʻe makahikiʻelemakule
  • Ke Kaʻina / Ischic Disease
  • 80% o nā hāʻule a pau
  • ʻO ka hapa nui o ka hopena ma kahi o ka hana i loko o ke kalapī kahe i luna ma mua aʻe o ka hoʻoukaʻana o ke kāpili maʻamau a.
  • 'Anatrothrombotic
  • Hoʻopili
  • Nā moku liʻiliʻi
  • ʻO ka maʻi Hemorrhagic

Kahi Pāʻani / Ischic

  • Hiki ke hoʻokauʻia ma muli o ka hana o ka loea OR ka liʻiliʻi vein
  • Uaʻoi aku ka laulāʻana o ke kuhiʻana o kaʻoihana
  • Ma muli o ka loaʻa ʻole o ke kahe o ke koko a me ka oxygen e hōʻea ana i kahi kikoʻī o ka lolo
  • Me ka hopena o nā pilikia neurologic, hoʻoponopono i ka hoʻokaʻawaleʻana i kahi o ke kala
  • E hilinaʻi ka hemahema ma muli o ke ʻano o ka hoʻohele ʻia o ke aʻa

Nā Hana Hana

  • ʻO Hyperviscocity
  • Dehydration
  • ʻO Thombocytosis
  • Hiki i nā kinona keʻokeʻo ulaula a iʻole keʻokeʻo
  • ʻO Polcythemia
  • ʻO ke kūkala
  • ʻO ke homocystine kiʻekiʻe
  • ʻO ka holo kaʻa a lōʻihi paha
  • ʻO nā kinona hoʻohālua o ka maʻi
  • hāpai keiki
  • Cancer
  • Hoʻololi Hormone & hoʻohana OCP

'Anatrothrombotic

  • Neʻeneʻe paha nā'āpana neurologic a hoʻolālā paha i ka manawa āpau
  • Nā kumu / kumu:
  • ʻO ka weheweheʻana o ka tunica intima a tunica adventitia
  • Hiki paha ke ola ma nā maʻi maʻi me nā maʻi pili pūnaewele
  • Hoʻomoe nā mea hoʻowahāwahā & kūkulu i nā paia o ka moku
  • Hoʻokomoʻia nā LDLs i nā pā o ka moku

Hoʻopili

  • Nele koke paha nā hemahema neurologic
  • ʻO kahi mea i weheʻia mai ka weheweheʻana o ka tunica intima a me keʻano o ka adventitia
  • Hiki ke lilo i kekahi thrombus i hoʻokuʻuʻia e pani / pani i ka lumen o nā moku liʻiliʻi

Ke Kele liʻiliʻi

  • ʻO ka lipohyalinosis
  • ʻO ka pā o ka moku micro-trauma & ballooning
  • ʻO Amyloid Angiopathy
  • Ka uluʻana o nā protein amyloid i loko o nā paia o ka moku
  • ʻOi aku ka maʻamau i nā mea maʻi> 65 mau makahiki
  • Hana i ke kuʻikuʻi (hiki i ka ischemia) akā hiki nō hoʻi ke hana i ka moku (fragility) (hiki i ka hemorrhage)
  • Hui pū ʻia me ka maʻi ʻo Alzheimer
  • ʻO ka inflammatory
  • ʻO Spasmotic

Nā Hoʻinoʻi Makehewa no ka Pāpālua

  • Hypertension
  • ʻO ka maʻi diabetes
  • Nā pōʻino Cardiac
  • Nā pūʻali'ākau hema (ʻOho o ka ovale, VSD, ka nui o ka hopena, etc.)
  • Ke hoʻopiliʻiaʻana o keʻano o'Atera
  • Hoʻopaʻaʻia nā pahū o ka maʻi
  • Ka wā maʻamau
  • Obesity
  • ʻO Hyperlipidemia
  • LDL kiʻekiʻe a me ka low HDL
  • ʻO ka nohona maʻamau
  • Cigarette / Paka puhi
  • ʻO ke kūlana kiʻekiʻe oxidation
  • ʻO ke homocystine kiʻekiʻe
  • Hāʻawi ʻia e nā kūlana folic acid haʻahaʻa, B6 & B12
  • Nā kūkākūkā me LDL cholesterol
  • ʻO ka Hyperviscocity a me ka hypercoagulability e hōʻikeʻia e like me ka hōʻikeʻana i ka paʻi mua

ʻO ka Ischemic Attack (TIA) Keʻena

  • Nā hua'ōlelo piha loa o ka neurologic deficit no ka lawaʻole o ka maʻi kūponoʻole ma mua o nā minuke 30 i ka manawa
  • I kekahi manawa hiki iā 24 mau hola aʻoi aku paha
  • ʻO ka hapalua o nā poʻe maʻi i loaʻa i ka hōʻaha hope loa i loaʻa mua i ka hopena o ka hopena o nā mea'ē aʻe
  • 20-40% o nā maʻi me ka TIA e hele a pau i ka'ō'ō
  • He mea nui ka hoʻomaopopoʻana i nā maʻi me nā TIA i hiki iā lākou ke mālama pono a hoʻololi i nā mea i hoʻemiʻia

Mōʻaukala o ka Deficit Neurologic Deficit i ka maʻi> 45 y / o

  • DDx
  • ʻO TIA keʻano o dx
  • ʻO Migraine
  • Hoʻopili i nā mea āpau
  • ʻO ka BPPV
  • ʻO Meniere
  • ʻO nā maʻi maʻamau
  • ʻO ke kūʻana o ke kino
  • Hypoglycemia
  • ʻO nā Tumors
  • Nā hanaʻinoʻino

ʻO Cartid Artery Disease

  • ʻO ka'ōnaehana systolic kiʻekiʻe i loheʻia ma luna o ke kaloka hiki ke hōʻike i ka stenosis carotid
  • Makemake i ka loiloiʻana o nā kānana
  • Hiki i nā leona ke hoʻopili i ka lumen> 70% ke kumu i ka ischemia
  • ʻO ka hopena o nā hana he nuiʻole i ke kumu no ka hoʻolālā ikiʻana e hiki ai ke hoʻomohalaʻia ke kaʻawale
  • Hiki ke hana i nā occlus a emboli paha i nā pilikia me <70% stenosis
  • Pono e noʻonoʻo i ka hana ʻoki kino no nā mea maʻi me> 70% stenosis a me nā ʻōuli o TIA

ʻO kahi hōʻailona koʻikoʻi

  • Inā he kumu mua o ka hapa nui o ke neurologic, pono i ka mea maʻi ke loaʻa ka CT e hoʻoholo i ka maʻi hemorrhage
  • Inā hoʻopauʻia ke kalapēpila, pono e hāʻawiʻia ka mea hana plasminogen i loko o nā hola 4.5 mua
  • ʻAʻole pono ke hāʻawiʻia ma hope o kēia no ka mea hiki ke hoʻonui i ka pilikino o ke koko i ka manawa o ka reperfusion o ka lolo
  • Ma hope o kēia kaʻina mua, e nānā i ka thrombolysis a iʻole ka unuhi mechanical o ke kiʻi

ʻO ka hanu hoʻolohelohe

  • Ma kahi o 20% o nā hihia i hahauʻia
  • ʻO ka Haʻakoʻa HA a iʻole ka luaʻi e hōʻike ana i ke kalapuni o ka hemoʻana
  • ʻEluaʻano
  • ʻO ka hemorrhage kūloheloheʻole
  • Hypertension
  • Hoʻonā i ke anateysms
  • Nā hanaʻinoʻino
  • Nā maʻiʻino
  • Nāwaliwali nāwaliwali ma muli o ka hauʻoli o ka amyloid angiopathy
  • ʻO Traumatic

Nā Aneurysm Pae

  • ʻO ka hemorrhage intraparenchymal
  • 50% - Lenticulostriate mau lālā o ka hana o ke kala waena
  • E hoʻopili i ka capsuleʻokoʻa a me waho
  • 10% - Nā lālā kūpili o ke kuhi mua
  • Nāna i ka thalamus
  • 10% - Nā lālāʻoihana o ke kala o ke kala
  • E hoʻopōʻino i ka mele
  • 10% - Nā lālā papahana o ke keʻa
  • E hoʻopōʻino i nā pona likeʻole
  • 20% - Nā moku'ē aʻe e pili ana i nā wahi keʻokeʻo
  • ʻO ka hemorrhage subarachnoid
  • ʻO Berry aneurysms ma ke kūkākūkāʻana i ka huiʻana o ke kala

Nā maʻi lele

  • ʻO ka Thrombocytopenia
  • Leukemia
  • ʻO nā hōʻailona'ē aʻe o ka hoʻoponopono āpau

Nā Hoʻinoʻi Makelohe no ka Pīhoiʻi Hemorrhagic

  • Hypertension
  • Hoʻonā i ke anateysms
  • Nā hanaʻinoʻino
  • Nā maʻiʻino
  • Nāwaliwali nāwaliwali ma muli o ka hauʻoli o ka amyloid angiopathy
  • ʻO ke poʻo o ke poʻo

Nā Hōʻailona Paʻa: E aʻo i nā Haumāna FAST

cerebrovascular el paso tx.chrcsf.org/expert-tips-to-help-with-detecting-the-early-signs-of-stroke/

Nā Symptoms Kuhi Kekahi

  • Vertigo
  • Loaʻaʻole i kaʻike
  • ʻO Ataxia
  • ʻO Diplopia
  • Nā hōʻailona pili waiwai a me nā kaʻaʻole
  • Syncope
  • He pilikia i ka hoʻokaʻawaleʻana o kahi kīpē āpana kaʻa ma kekahiʻaoʻao o ke poʻo me kahi hemiparesis contralateral (medial brain brain damage)
  • Poino i ke aʻalolo puʻupaʻa a me ka maʻi maʻi ʻo Horner ma kekahi ʻaoʻao o ke poʻo a me ka nalowale o ka contralateral eha a me ka wela o ke kino (lateral brainstem damage)

Loaʻa nā Huakaʻi Loaʻa Loaʻa Ma Kahi Ma Kahi

  • ʻO ka mikocular visual observation (amaurosis fugax) ka mea i loaʻa mai i ka nelemia retinal
  • ʻO ka hemiparesis Contralateral
  • ʻO ka hapa i loaʻaʻole
  • Nā pōpiliʻike Visual
  • ʻO Dysphasia
  • Aphasia receptive (lesion ma kahi o Wernicke)
  • Hōʻike aphasia (lesi o nā wahi ʻo Broca)
  • Ka palekana loa (ka leʻaleʻa loietal lobe)
  • Nā pilikia me ke kaʻiʻana i ke kino (Supplementarymotorcortex leion)
  • Ke kaumaha a me ka nānā pono i kaʻaoʻao kū'ē (Frontions eye lions)
  • Nā hopena o ka hoʻomanaʻo no ka wā pōkole (medial temporal lobes leioned)

Nā Brand-Stem Syndromes

cerebrovascular el paso tx.roho.4senses.co/stroke- syndromes/common-stroke- syndromes-chapter-9-textbook-of- stroke-medicine.html

Hoʻoula hou

  • Pono kā Rehab e hilinaʻi i nā wahi o ka lolo i hoʻopiliʻia e ka hahau
  • 'Ōlelo wehewehe'ōlelo
  • Ka palena o nā lālā hana
  • Ka pale kau a me nā hana
  • Ke koi nei i nā neuroplastic restructuring
  • Hiki ke hoʻoikaika i nā hōʻailona i loko o nā lā 5 mua no ka emiʻana o ka edema
  • Hoʻokumu paha ʻo Edema i ka herniation ma o ka foramen magnum e hiki ai ke hoʻopau i ka ʻōnaehana lolo a me ka make o nā mea maʻi me kēia pilikia e koi paha i ka craniectomy (hope hope)

kumu

ʻO Alexander G. Reeves, A. & Swenson, R. Nā maʻi o ka ʻōnaehana Nervous. ʻO Dartmouth, 2004.
ʻO Swenson, R. Cerebrovascular Disorders. 2010

Ke Kūlana Aʻo Neurology

Ke Kūlana Aʻo Neurology

Ma hope o ka hoʻokolohua neurological, ka nānā kino, ka moʻolelo hoʻomanawanui, nā hua'ōlelo x a me nā hoʻokolohua mua o ka nānāʻana, hiki i ke kauka ke kauoha i hoʻokahi aʻoi aku paha o nā ho'āʻo diagnostic e hiki mai nei e hoʻoholo ai i ke kumu o kahi maʻi a me ka hōʻeha paha. Ke komo nei kēia mau diagnostics neuroradiology, e hoʻohana ana i nā mea he nui a hoʻomehana honua e aʻo ai i ka hana a me keʻano o ka umauma ke kiʻiʻike, e hoʻohana ana i nā kiʻikuhi a me nā kīwila kelepona e aʻo i ka hana o ke kola

Ke Aʻo Neurological

Neuroradiology

  • MRI
  • MRA
  • MRS
  • fMRI
  • Pākuʻi CT
  • Mielograms
  • Pākuʻi PET
  • He nui nā mea'ē aʻe

ʻume Mākenēki Resonance Imaging (MRI)

Hōʻike maikaʻi i nā'ōpū a me nā meaʻoluʻolu
  • ʻAʻohe mea hoʻonāukiuki
Nāʻike ma MRI
  • ʻO ka angiography hōʻano hou (MRA)
  • E hoʻonui i ke kahe o ke koko ma waena o nā kumu
  • Eʻike i nā aneurysms intracranial a me nā hana kūpilikiʻi
Hoʻonā'ālua Hoʻonani Hoʻohui (MRS)
  • ʻIke i nāʻino āpau i loko o ka maʻi HIV, ka'ōpala, ke poʻo poʻo, ka maʻi, ka maʻi o Alzheimer, nā maʻi koko, a me nā maʻi he nui
Hoʻohālikelike kahe hana mana (fMRI)
  • E hoʻoholo i kahi wahi kiko'ī o ka lolo kahi e hana ai ka hana

Ka Palapala KēlāʻIkeʻia (CT a iʻole CAT Scan)

  • Hoʻohanaʻo ia i kahi hui pūnaewele X a me nāʻenehana kamepiula no ka hanaʻana i ka paepae, aiʻole ke axial, nā kiʻi
  • Hōʻike maikaʻi i nā iwi
  • Ua hoʻohanaʻia i ka wā e wikiwiki ai ka loiloiʻana o ka lolo e like me keʻano i ka wāwae a me ka haʻi

Mielogram

Kūlike nā kuʻuna i hui pūʻia me CT a iʻole Xray
ʻO ka maikaʻi loa o ka nānāʻana i ke kaula
  • ʻO Stenosis
  • ʻO nā Tumors
  • Hoʻopilikia i ke kīpopo

ʻO Positron Hōʻike Hōʻike (PET Scan)

Hoʻohanaʻia ka Radiotracer e hoʻololi i ka hana o kaʻiʻo no kaʻikeʻana i nā hoʻololi o ka lāʻau i mua aʻe o nāʻano moʻo noiʻi
Hoʻoponoponoʻia e nānā
  • Alzheimer ka maʻi
  • Parkinson ka maʻi
  • ʻO ka maʻi o Huntington
  • Epilepsy
  • Ka pilikia Cerebrovascular

Ke Koleka Electrodiagnostic

  • Ke kohopili 'eleʻele (EMG)
  • Ka Nervar Felocity (NCV) Naʻauao
  • Ka Hoʻomākaukau Kūikawā

Ke kohopili 'eleʻele (EMG)

Ka weheweheʻana i nā hōʻailona e puka mai ana mai ka depolarization o kaʻiʻo paʻakikī
Hiki paha ke anaʻia i:
  • Nā kohopiliʻili
  • ʻAʻole hoʻohanaʻia no nā hanana diagnostics, no ka'ōlohelohe a me ka biofeedback
Nula pono i hoʻonohonoho ponoʻia ma loko o kaʻiʻo
  • Ka mea maʻamau no EMG

neurologic el paso tx.Ka Uiho Huapili EMG

ʻO nā depolarizations i hoʻopaʻaʻia:
  • Loaʻa
  • Hana Hana
  • Ka hopena o ka hoʻokae puʻupuʻu puʻupuʻu
Pono e hoʻomaha iki nā mīkini i ka hoʻomaha, koe wale nō ma ka pāʻani moto
  • Pono ka haumāna e hōʻokoʻa i ka hoʻokomoʻana i loko o ka palihi kaʻa
Ma ka liʻiliʻi o 10 nā mea likeʻole i ka māmā e anaʻia no ka unuhi pono

Ke Kaʻina hana

Hoʻokomoʻia ka nela i loko o kaʻiʻo
  • Hanaʻia ka hana hoʻohui
  • Hoʻokuʻuʻia ka leo leo
  • Hoʻopiliʻia ke kuʻiʻana i ka hoʻohauaʻana i ka hana
  • Hoʻokuʻuʻia ka leo leo
  • Hanaʻia ka papa hana kuʻuna

Nā kiʻi i hōʻiliʻiliʻia

Muscles
  • Hoʻomaopopoʻia e ka pūnana hoʻokahi wale nō keʻano o nā aʻa
  • Ke lawelaweʻia nei e ke aʻa aʻa hoʻokahi wale nō
  • ʻO nā wahi likeʻole ma keʻano o nā aʻalolo
Kōkua eʻike i ke kiʻekiʻe o ka liona

Mīkini Pūnaewele Pūnaewele (MUP)

ikaika hawewe
  • ʻO ka nui o nāʻili o nāʻiʻo i pili i kēlā memeron moto
  • Loaʻa o ka MUP
Hiki ke hoʻohālikelikeʻia keʻano hoʻolālā
  • Hiki i ka hoʻolālā hoʻolālāʻia ke hōʻike i ka lilo o nā kaʻa ma waena o kaʻiʻo
  • Uaʻikeʻia kaʻike mua i ka myopathy, i kahi o nā MUP e manaʻo nei heʻano liʻiliʻi ka lōʻihi

neurologic el paso tx.ʻO Polyphasic MUPS

  • Hoʻonuiʻia ka nui a hiki i ka lōʻihi ke hopena o ka hōʻailona hou ma hope o ka hoʻonāʻana

neurologic el paso tx.Nā Palekana Kūpono

  • ʻO ka Demyelination o nā'āpana he nui i ka lālani e hiki ke hopena i kahi'āpana piha o kaʻaeʻana o ka nerve a no lailaʻaʻole e loaʻa i ka heluhelu MUP hualoaʻa, akā naʻe i nā manawa a pau e hoʻololi i nā MUP eʻikeʻia me ka pōʻino o nā axons,ʻaʻole ka myelin
  • Hiki ke hōʻeha i ke kikowaena pūnaewele ma luna o ke kiʻekiʻe o ka neuron moto (e like me keʻano o ka maʻi o ke kuamoʻo a me ke kīpē) hiki ke hōʻoia i ka maʻi palapelu i ka mea liʻiliʻi ma luna o ka pulupulu EMG

Nā kūpili pa'ū

Uaʻikeʻia he mau hōʻailona elemeneʻino
  • Hoʻonuiʻia ka hoʻolālā hoʻokomoʻana e heluheluʻia i nā puleʻelua i hala, no ka mea, e lilo iʻoihana hauʻoli maʻamau
I ka liloʻana o nā mīkini paʻakikī i ke kaumaha i maʻalahi, e hoʻomaka ana lākou e hana i ka hana hoʻopunipuni pilikino
  • Nā pūnana Fibrillation

Nā Manaʻo Hoʻolaha

  • Mai KAPA i nā lālā maʻamau maʻamau
  • ʻAʻole hiki keʻike makaʻia me nā maka makaʻole akā hiki keʻikeʻia ma EMG
  • ʻO ka hopena pinepine ma muli o nā maʻi'epili, akā hiki ke hoʻopukaʻia e nā maʻi o ka maʻi paʻakikī inā he poino ka pahi kaua

neurologic el paso tx.Nā Wawa Puni maikaʻi

  • Mai KAUA i kahi mau hana maʻamau
  • ʻO ka depolari kūponoʻole no ka hoʻonuiʻana i ka kūpina membrane kūlana

neurologic el paso tx.Nā Loaʻa'Aino

  • ʻO nāʻike o nā fibrillations a me nā nalu eʻoi loa ana ka hōʻoia o ka pōʻino i nā axons kaʻa i kaʻiʻo ma hope o hoʻokahi pule a hiki i ka 12 mau mahina ma hope o ka pōʻino
  • Kāhea pinepine ʻia ʻo `` kūpono '' i nā hōʻike, ʻoiai ke ʻike ʻia nā mahina ma hope o ka hoʻomaka ʻana
  • E hala ana inā loaʻa ka hoʻopau pihaʻana a iʻole ka hoʻopaʻaʻana i nā kiko o ke aʻa

Ka Nervar Felocity (NCV) Naʻauao

Hawaii
  • Kaʻanaʻana i nā hana hana kūpona pūpū (CMAP)
Nānā
  • Nń Kńlailai n ÷

Nā Nānā Hoʻolaha Nerve

  • Nā Velocity (Tere)
  • Palena palena
  • ikaika hawewe
  • ʻO nā papahana o ka maʻamau, hoʻololiʻia no ka makahiki, ke kiʻekiʻe a me nā kumu'ē aʻe e hiki ai i nā loio ke hana i ka hoʻohālike

ʻO Terminal Latency

  • Ka manawa i waena o ka hoʻouluʻana a me keʻano o ka pane
  • ʻO ka hōʻailona'ākau neuropathies
  • Hoʻonuiʻia ka laina kūpili ma kahi alanana maʻamau

māmā holo

Ka heluʻiaʻana ma muli o ka latency a me nā mea likeʻole e like me ka mamao
E kau ma luna o ke anawaena o ka axon
Ke kau pū nō hoʻi i ka lahilahi o kaʻeke mielin
  • Hoʻopili i nā nehapathies me ka lahilahi o nā sheaths, me ka wikiwiki i ka wikiwiki
  • ʻO nā kūlana e like me Charcot Marie Tooth Disease a iʻole Guillian Barre Syndrome ka lapalapa meelino i ka nui o ke anawaena, nā lālā hoʻokūpī wikiwiki

ikaika hawewe

  • ʻO ke olakino Axonal
  • Nā neuropathies kino
  • Hōʻaia ka CMAP a me ka SNAP amplitude

Ka maʻi maʻi Neuropathy

ʻO ka mea maʻamau neuropathy
  • Hoʻokaʻawale, pale
  • Hoʻopiliʻia ka māmā a me ka nui o ka hopena o ka hopena

Ka Hoʻomākaukau Kūikawā

Nā Puhi Kūwaho Kū'ē Kū'ē (SSEPs)
  • Hanaʻia no ka ho'āʻoʻana i nā aʻalaʻike ma nā lālā
Nā mea hoʻonāʻikeʻikeʻia (VEP)
  • Hanaʻia no ka ho'āʻoʻana i nā aʻala lohela o ka pūnaewele punahele
Nā pūnaho hoʻonāuhoʻike i nā manaʻo (AEPs)
  • Hanaʻia no ka ho'āʻoʻana i nā aʻa o nā pūuho hoʻolohe
ʻO nā mea kūpono i kākauʻia ma nā alapili o kahi haʻahaʻa haʻahaʻa
ʻO nā leka i kauʻia ma hope o ka hōʻike pinepineʻana i nā mea hoʻonani i ke kani
  • Hoʻopau i ka hope noise
  • Hoʻohana i nā hopena ma muli o ka liʻiliʻi o nā pono a paʻakikī i kaʻikeʻana e hoʻokaʻawale i ka hana maʻamau
  • Wahi a Dr. Swenson, ma keʻano o SSEP, he mea nui ke koiʻana o nā hanana 256 i mea e loaʻa ai nā pane pono a me ke kope.

Nā Pūʻokoʻa Kū'ē Kū'ē Kū'ē (SSEPs)

ʻO keʻano mai nāʻiʻo
  • Nā paʻi lima a me ka lolo i kaʻili a me nā mea hohonu
Liʻiliʻi inā loaʻa eha na makana
  • ʻO nā palena kūpono e hoʻohana ai i nā hoʻokolohua no nā maʻiʻeha
Hiki i nā loli'āmā a me nā hōʻailona ke hōʻike i nāʻano pilikino
  • ʻO nā loli nui wale nō ka mea koʻikoʻi mai ka loli nui loa o nā SSEP
He mea pono no ka nānāʻana i ka nānāʻana a me ka nānāʻana i ka hōʻailona o nā poʻe maʻi e hōʻeha i ka maʻiʻeha o ka maʻi
  • ʻAʻole hoʻohanaʻia i ka heluʻana i ka radiculopathy e like me keʻano o kēlā me kēia kumulāʻau kino kīnā hikiʻole keʻike maopopoʻia

Late Potentials

Loaʻa ma mua o 10-20 milliseconds ma hope o ka hoʻonāukiukiʻana i nā aʻalolo
ʻEluaʻano
  • H-Reflex
  • F-Tali

H-Reflex

Kapaʻia no Kauka Hoffman
  • Hōʻike muaʻia kēia hoʻolālā ma 1918
ʻO ka hōʻike electrodiagnostic o ke kīpili i kahakiho
  • ʻO ke kani o ka hua'ōlelo i hoʻopaʻaʻia ma hope o ka hoʻonaniʻana i keʻili a iʻole ke kino o ka muscle pili
Hoʻoikaika wale i ka heluʻana i ka S1 radiculopathy, e like me ka reflex mai ka nerve tibial i ka triceps surae hiki ke heluʻia no ka wikiwiki a me ka nui
  • Hoʻonuiʻia ka ho'āʻoʻana i nā hoʻonāʻana o Achilles
  • ʻAʻole hiki ke hoʻi mai me hope o nā meaʻino a no laila,ʻaʻole ma muli o nā maʻi e pono ai i nā hihia radiculopathy

F-Tali

No laila ua kākauʻia ma ka wāwae mua
Loaʻa iā 25 -55 milliseconds ma hope o ka hoʻoulu mua
Ma muli o ka hoʻopauʻiaʻana o ka nūnū mīkini, ka hopena o ka hōʻailona elepona kothodromic
  • ʻAʻole pono ka reflex
  • Nā hualoaʻa ma kahi'āpana puʻupuʻu liʻiliʻi
  • Hiki ke loli ka nui o ka heluna, no lailaʻaʻole e like me ka nui o ka wikiwiki
  • Hoʻoliloʻia ka wikiwiki i ka hoʻohālikelikeʻana
He kūpono i ka nānāʻana i nā maʻi pilikino kūpoko
  • ʻO Radiculopathy
  • ʻO Guillian Barre Syndrome
  • Nā Hōʻailona'Uihana Demyelinating Polyradiculopathy (CIDP)
He kūpono i ka heluʻana i nā neuropathies āpau

kumu

  1. ʻO Alexander G. Reeves, A. & Swenson, R. Nā maʻi o ka ʻōnaehana Nervous. ʻO Dartmouth, 2004.
  2. Lā, ʻo Jo Ann. EurNeuroradiology | Johns Hopkins Radiology. '' ʻO Johns Hopkins Medicine Health Library, 13 ʻOkakopa 2016, www.hopkinsmedisin.org/radiology/spesyalities/ne uroradiology / index.html.
  3. Swenson, Rand. Electrodiagnosis.

E hoʻokaʻawale i kahi ebook

 

Hoʻopilikia a me ka hōʻailona pahuhopu

Hoʻopilikia a me ka hōʻailona pahuhopu

ʻO ka concussions nā ʻeha lolo e pili ana i ka hana o ka lolo. ʻO nā hopena mai kēia mau ʻeha he manawa pōkole akā hiki ke komo headaches, pilikia me ka noʻonoʻo, ka hoʻomanaʻo, ke kaulike a me ka hoʻonohonoho ʻana. ʻO ke kuʻi ʻana ma muli o ka hahau ʻana i ke poʻo a i ʻole ka haʻalulu ikaika o ke poʻo a me ke kino o luna. ʻO kekahi mau concussions ke kumu o ka nalowale o ka ʻike, akā ʻo ka hapa nui ʻaʻole. A hiki ke loaʻa ka ʻūhā a ʻike ʻole. He mea maʻamau ka concussions i nā haʻuki pili, e like me ka pôpeku. Eia naʻe, loaʻa ka hapa nui o nā kānaka i ka hoʻōla piha ma hope o ka concussion.

Concussions

Ka Hanana Traumatic Brain (TBI)

  • ʻO ka hopena pinepine o ka hopena o ke poʻo trauma
  • Hiki paha ke hana no muli o ka lūlū nui o ke poʻo a iʻole ka holomua / hāʻule
  • ʻO nāʻeha kūpono (MTBI / kaʻihia) keʻano maʻamau o kaʻeha o ka lolo

ʻO Glasgow Coma Scale

puʻupuʻu me paso tx.

Nā kumu kumu likeʻole

  • ʻO nā hui kaʻa kaʻa
  • Falls
  • Heʻeha nā hāmeʻa
  • hana ino mai
  • Hoʻokuʻu i nā mea kaua i ka hopena
  • Ka hopena me nā mea

Kākau kiʻi kiʻi kiʻi kiʻi e

Kāohi

ʻO ka paleʻana i nāʻeha pahuhopu hiki ke hoʻonui

Paipai i nā poʻe pono e wehe i nā kāmele
  • haʻuki,ʻo ka hoʻokūkū, ka hokey, ka pāʻani a me ka baseball
  • Ke holo lio
  • ʻO nā kaʻa holo kaʻa, nā motika, nā ATV, a pēlā aku.
  • Piʻi ke kiʻekiʻe kiʻekiʻe e like me ka piʻiʻana o ka pōhaku, ka lihi o ka puka
  • ʻO ka mākaʻikaʻi, ka hau
Paipai i nā mea hōʻailona e lawe i nā kālepa
  • E kūkākūkā i keʻano o ka hoʻokomoʻana i nā pale noho i nā manawa a pau ma nā kaʻa me kāu mau maʻi
  • E hoʻonui pū i ka hoʻohanaʻana i nā hale kūpono kūikawā aiʻole nā ​​kaʻa kaʻa no nā keiki no ka hoʻomaopopo ponoʻana i ka pono a me ka hanaʻana o nā pūhaka.
Hoʻopilokana me ka maluhia
  • ʻAʻole pono ka poʻe maʻi ke hoʻokuʻu i ka manawa o ka lāʻau lapaʻau, me kekahi mau lāʻau a me ka waiʻona
  • ʻAʻohe'ōlelo a me ka hoʻokele
puʻupuʻu me paso tx.
Hana i nā lumi mālama pale no nā keiki
  • E hoʻopaʻa i nā puka puka pepe a me nā puka makani ma ka hale
  • Mei i loko o nā wahi me nā mea hoʻonāukiuki, e like me ka pahūʻau mulch a me ke one
  • Mālama pono i nā keiki, keu kokoke lākou i ka wai
Hoʻopilikiaʻia
  • ʻO ka hoʻomaʻemaʻe i nā pīhoihoi hopena e like me ka lole lūlū, ka papaʻainaʻole a me ka pilikū clutter
  • Ke hoʻohana nei i nā moena nonslip i ka paʻakai a ma luna o ka papakū, a me ka hoʻoukaʻana i nā 'āpana e pili ana i ka halepaku, ka holoi a me ka ua
  • E hōʻoia i nā kāmaʻa kūpono
  • Hoʻonohoʻia nā lima ma nāʻaoʻaoʻelua o nā alaloa
  • Hoʻonui i nā kukui i loko o ka home
  • Nā hana hoʻolālā palekana

Ka hoʻonaʻauao kaulike

  • Ka wāwaeʻekahi
  • Hoʻomākaukau polo polo Bosu
  • Ke kākoʻo o Core
  • Nā hana pale kau

ʻO Concussion Verbiage

Ke'aʻahia me ka mTBI (hōʻeha maʻi hōʻeha)

  • ʻO ka mTBI ke hoʻohanaʻiaʻana i ka mea maʻamau i nā mea lapaʻau, akā,ʻo ka hakakā, he manawa iʻike nuiʻia i loko o ke kaiāulu e nā kumu aʻo kula, a pēlā aku.
  • Hōʻike nā hua'ōleloʻelua i ka mea like,ʻo ka mTBI kahi maikaʻi e hoʻohana ai i kāu pakuhi

Ka hoʻonuiʻana i ka manaʻo

  • E hoʻomanaʻo i ka loaʻaʻole o kaʻike i nā manawa a pau no ka mea e loaʻa ai ka paio
  • Hiki i ka Post-Concussion Syndrome ke hana ma waho o ka LOC
  • ʻAʻole hiki wawe nā hōʻailona o ka hakakā a hiki ke mālama i nā lā e ulu ai
  • Kaupili no ka 48 post kahi e nānā aku i nāʻeleʻele ulaula
  • hoʻohana Hōʻikeʻia ka hoʻolālāʻana o ka hoʻopiʻiʻana (ACE) eʻohi i kaʻike
  • Hoʻolana kiʻi kiʻi (CT / MRI) e like me ka mea e pono ai inā loaʻa nā hae hae

Nā Red Flags

Makemake i kiʻi kiʻi (CT / MRI)

  • Paʻewaʻeha nā poʻo
  • ʻIke ʻia ka hiamoe a ʻaʻole hiki ke hoʻāla ʻia
  • He paʻakikī kaʻikeʻana i nā kānaka a mau wahi paha
  • 'ā'ī eha
  • Hana hana
  • Hoʻopau houʻia ka luaʻi
  • Hoʻonuiʻia ka hilahila a me ka huhūʻole
  • ʻO ka loli maʻamauʻole
  • Nā hōʻailona neurologic
  • Ka'ōlelo i hoʻopukaʻia
  • ʻO kaʻino a me ka pōʻino i nā hope
  • E hoʻololi i keʻano o ʻike

Nā Symomoms Common o ke Kūlana

  • ʻO ke poʻo hina a iʻole ka hopena o ke kapi ma ke poʻo
  • Loaʻa a hoʻololi paha o kaʻike
  • ʻO ka makapō pōpō a iʻole nā ​​pilikia'ē aʻe iʻikeʻia, e like me nā haumāna uila a keuʻole
  • Kū'ē
  • Hoʻoponopono
  • Hoʻopiʻia i nā pepeiao
  • Kahe aiʻole i ka luaʻi
  • Ka'ōlelo i hoʻopukaʻia
  • Ka pane i hoʻopaneʻeʻia i nā nīnau
  • Ka hala hope
  • 'Oloke
  • Loaʻa ka pilikia
  • Hoʻomau a hoʻomau hoʻomanaʻo paha
  • Hoʻololi a me nā loli o ke kanaka
  • Kaʻike i ke kukui a me ka walaʻau
  • Nā pilikia moe
  • ʻO ke kūlana o ka naʻau, ke kaumaha, ka hopohopo, a me ke kaumaha
  • Nā meaʻino o keʻono a me kaʻala
Kelepa a me ka pū'ālua.

Ka Minoi / Mīkaʻi Noi

  • Kūkā ka waha
  • Pahū kino
  • ʻO ka hoʻoponopono pōʻino
  • Nā hana hoʻonāukiuki
  • ʻO ke aloha
  • Manaʻo
  • Apathy
  • Ka nui nui
  • ʻO ke kaumaha a me ka maʻalahi
  • Ka hana kolohe
  • ʻAʻohe manaʻo kaumaha
  • Loaʻaʻole o ka hoʻonāukiuki a iʻole hana paha
  • Ka pilikia a me ka hopohopo paha

Nā Symptoms In Children

  • Hiki ke hoʻohālike i nā manaʻo i nā keiki
  • Kūkala nui
  • Pau ka maʻi
  • Loaʻa i ka makemake i nā mea makemake a me nā hana
  • Nā moe moe
  • ʻO ka wai
  • ʻO ke kaumaha
  • ʻO ke kūlana palekana i ka wā e kū ana

Amnesia

Ka hala hope a me ka hanaʻole e hoʻolālā hou

Hōʻike houʻiaʻo Amnesia
  • Hoʻomākaukau e hoʻomanaʻo i nā mea i hana ma mua o ka hōʻeha
  • No ka hemahema i ka hoʻomanaʻoʻana
Anterograde Amnesia
  • Hoʻomākaukau e hoʻomanaʻo i nā mea i hana ma hope o kaʻeha
  • No ka hikiʻole i ke kūkuluʻana i nā mea hoʻomanaʻo hou
ʻOiai nā hopena pōkole pōkole hiki keʻike mua i ka hopena
  • ʻAe aʻe pahaʻo Amnesia i nā manawa o 4-10 iʻoi aku ka wānana o nā hōʻailona a me nā nele i ka hopena ma muli o ka LOC (ma lalo o ka 1 minuke)

E hoʻi i ka pāʻaniʻana

KeAiHawaiiAlohaHawaii
ʻO Baseline:ʻAʻoheʻAna
  • E like me ka paepae palena o ka Return to Play Progress, pono ka 'elele e hoʻopau i ka hoʻomaha a me ke aloha a me kaʻikeʻole i nā hōʻailona hōʻailona no ka liʻiliʻi o nā hola 48. E hoʻomanaʻo,ʻo ka mea'ōpiopio ka meaʻoi aku,ʻo kaʻoi aku o ka hoʻomaʻamaʻaʻana i ka lāʻau.
Ka Papa Hana 1: Hana Maoli
  • ʻO ke Pahuhopu: Hoʻonui wale i ka helu o ka naʻau o ka ʻaleʻa.
  • ʻO ka manawa: 5 i nā minuke 10.
  • Nā Hana: E hoʻoholo i ka holo kaʻa, hele wāwae, aiʻole ka māmāʻana.
  • ʻAʻohe pono e hoʻonui i ka kaumaha, e lele a lele paha.
Ka Papa Hana 2: Hana kūpono
  • Ke Kiʻi: Ke koʻikoʻi o ke kino a me ke poʻo.
  • ʻO ka manawa: Hoʻoemiʻia mai kahi hana maʻamau.
  • Nā Haʻawina: Haʻuki maikaʻi, holo wikiwiki, hoʻokūkū haʻahaʻa kūlana haʻahaʻa, a me ka hoʻohanohano haʻahaʻa.
Ka Papa Hana 3: Ke kaumaha, kahi huiʻole
  • Ke Kiʻi: Hoʻopili nui akāʻaʻole pili
  • ʻO ka manawa: Ma kahi o ka papa hana maʻamau
  • Nā Hana: Ke holo nei, ka holo paikikala kū kiʻekiʻe, ka hana maʻamau o ka mea pāʻani, a me nā haʻuki kikoʻī pili ʻole i ka haʻuki. Hiki i kēia pae ke hoʻohui i kekahi ʻikepili ike e hoʻomaʻamaʻa me ka hoʻohui i nā aerobic a me nā neʻe neʻe i hoʻolauna ʻia i nā ʻAnuʻu 1 a me 2.
Pani 4: Hoʻomaʻamaʻa & hoʻopili piha
  • Ke Kiʻi: Hoʻohui hou i ka hana maʻamau.
Ka Papa Hana 5: Ka hoʻokūkū
  • Ka Manawa: E hoʻi i ka hoʻolālā.

ʻO Microglial Priming

Ma hope o ka hopena o nā kinakoki laulā me ka hiki ke lilo i ka hana

  • No ka hakakāʻana i kēia, ponoʻoe e kūkākūkā i ka hopena o ka pilikia
Hoʻomaopopo i ka uluna poʻo maʻamau
  • Ma muli o ka hoʻonuiʻana i nā pūnaewele haukahu, hiki i ka hoʻopaʻiʻana i ka trauma ukali eʻoi aku kaʻino a me ka pohō

He aha ka hopena hope loa (PCS)?

  • Nā hōʻailona ma hope o ka hihia poʻo ka maʻi poʻoʻole o ka maʻi poʻo, hiki i nā pule hebedoma, mahina a mau makahiki paha ma hope o kaʻeha
  • Hoʻomau lōʻihi ka lōʻihi ma mua o ka mea i manaʻoʻia ma hope o ka hoʻohaunaele mua
  • ʻO ka mea maʻamau i nā wāhine a me nā makahikiʻelemakule eʻeha i ke poʻo
  • ʻO ke koʻikoʻi o ka PCS pinepineʻole ia e hoʻopili ai i kaʻinoʻino o ke poʻo

Nā Symptoms PCS

  • Headaches
  • Hoʻoponopono
  • 'Oloke
  • ʻO ke kaumaha
  • Mamua
  • Kanikani'āʻula.
  • Loaʻa i ka noʻonoʻo a me ka hoʻomanaʻo
  • Hoʻopiʻia i nā pepeiao
  • ʻO ka'ikepō Blurry
  • ʻO ka noise a me ka māmāʻike
  • ʻAʻole iki, ke emi iho nei kaʻono a me keʻala

Nā Hoʻopiʻi Hoʻopaʻiʻana i nā Kiʻi

  • ʻO nā kumu mua o ka maʻi headache ma hope o kaʻeha
  • ʻO nā loli o ka noʻonoʻo e like me ka amnesia a me keʻano lele
  • 'Oloke
  • Ka moʻolelo mua o nā kuʻemaka

Ka helu o PCS

ʻO ka PCS he mea hōʻoia o ka hoʻoneʻe

  • Inā hōʻike ka mea maʻi me nā ʻōuli ma hope o ka hōʻeha poʻo, a me nā kumu ʻē aʻe ʻē aʻe i hoʻoholo ʻia => PCS
  • Hoʻohana i nā hoʻokolohua kūpono a me nā kiʻi kiʻi e hoʻoholo i nā kumuhana'ē aʻe

He mau poʻohiwi ma PCS

ʻO ka pinepine headset type`ension '

Hana e like me kou makemake no ka hōʻeha hoʻonāukiuki
  • E ho'ēmi i ka kaumaha
  • E hoʻoikaika i nā koʻikoʻi e hana kopeʻana
  • ʻO ka MSK e mālama i nā mālō a me nā kapika
  • ʻO ke kōkōwai
  • Hoʻopili i nā mea kanu / adaptogenic
Hiki i ka migraine, aia i ka poʻe i loaʻa mua nā maʻi migraine mamua o kaʻeha
  • E ho'ēmi i ka halihali inflammatory
  • E noʻonoʻo i ka hoʻoponopono me nā mea hoʻopiha a me nā lāʻau lapaʻau
  • E ho'ēmi i ka mālamalama a me ke kani kani inā loaʻa kaʻike

Ka Dizziness Ma PCS

  • Ma hope o ka hihia poʻo, e nānā mau i ka BPPV, no ka mea,ʻo ia keʻano o ka vertigo ma hope o ka trauma
  • Ke hoʻololiʻo Dix-Hallpike i ka hōʻailona
  • Ka maneuver o Epley no ka lāʻau

Mālamalama & Sensitivity Sound

Hoʻohanaʻia ka laulimaʻana i ka māmā a me ke kani i ka PCS aʻoi aku ka nui o nā hōʻailona e like me ka headache a me ka manuahi
He mea koʻikoʻi ka mālamaʻana i ka nui o ka manaʻo mesendlonlon i loko o ia mau hihia
  • nā maka aniani
  • ʻO kekahi mau maka aniani kilokilo
  • Earplugs
  • Kuʻiʻia ma nā pepeiao

Hanaʻia o PCS

Hoʻoponopono i kēlā me kēia'ōʻai kēlā kanaka kēia kanaka e like me kāu

Hoʻoponopono i ka hoʻolālā CNS
  • Curcumin
  • Boswelia
  • ʻAilā iʻa / Omega-3s (*** (ma hope o ka r / o kahe)
ʻO ka hoʻonākiu a me keʻano maʻamau
  • Hoʻomaʻamaʻa noʻonoʻo & hoʻomaha
  • Acupuncture
  • Nā hana hoʻolālā lāʻau palekana
  • E noʻonoʻo no ka loiloiʻana i nā loiloi
  • E nānā i ka mTBI limahana

mTBI Specialists

  • He paʻakikī ka mTBI e mālama a he mea nui loa ia ma nā lāʻau allopathic a me nā mea lapaʻau
  • ʻO ka pahuhopu muaʻo ka hoʻomaopopoʻana a me ka kuhikuhi no kahi mālama kūpono
  • E alualu i ka hoʻonaʻauao ma ka mTBI a iʻole e hoʻolālā e kuhikuhi i nā meaʻokoʻa TBI

kumu

  1. Head He poʻo no ka wā e hiki mai. DVBIC, 4 ʻApel. 2017, dvbic.dcoe.mil/aheadforthefuture.
  2. ʻO Alexander G. Reeves, A. & Swenson, R. Nā maʻi o ka ʻōnaehana Nervous. ʻO Dartmouth, 2004.
  3. �Heads Up to Health Care Providers.� Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 16 Feb. 2015, www.cdc.gov/headsup/providers/.
  4. �Post-Concussion Syndrome.� Mayo Clinic, Mayo Foundation for Medical Education and Research, 28 Iulai 2017, www.mayoclinic.org/diseases-conditions/post-concussion-syndrome/symptoms-causes/syc-20353352.
Origin Of Head Pain | El Paso, TX.

Origin Of Head Pain | El Paso, TX.

Kinohi: ʻO ke kumu maʻamau o kaka migraines / ke poʻo hinaHiki ke pili i nā pilikia o ka ʻāʻī. Mai ka hoʻolilo ʻana i ka manawa keu i ka nānā ʻana ma ka pona, papapihi, iPad, a mai ka leka mau ʻana, hiki i kahi kūlana kūpono ʻole no nā manawa lōʻihi ke hoʻomaka i ke kaomi ma ka ʻāʻī a me ke kua i luna e alakaʻi ana i nā pilikia i hiki hana i ke poʻo. ʻO ka hapanui o kēiaʻano o nā kuinioni e puka mai ma muli o ke kīpili ma waena o nā'ūhā poʻohiwi, aʻo ia hoʻi ka hopena o nāʻiʻo ma luna o nā poʻohiwi e hoʻopaʻa a hoʻonā hoʻi i kaʻeha i loko o ke poʻo.

Origin Of Head Pain

  • Mai nā pāʻaniʻeleʻele ma ke poʻo
  • Nā mea liʻiliʻi liʻiliʻi (pain / temp) innervate
  • ʻO Meninges
  • Nā ipu koko
  • Nā hanana'ē aʻe
  • TMJ
  • maka
  • Pākē
  • ʻO nāʻiʻo a me nā liga
  • Nā papaʻae
  • ʻAʻole i loaʻa i ka lolo ka mea loaʻa i ka maʻi

ʻO ka'ōpū o ka maʻi'ōpū

  • ʻO ke aʻalolo Trigeminal
  • Nā aʻalolo pale
  • ʻO ke aʻalolo Glossopharyngeal
  • ʻO ke aʻalolo
  • Kāpena C2 (Namea nui loa)

ʻO Nerves

ke kumu o ka headache el paso tx.dailymedfact.com/neck-anatomy-the-suboccipital-triangle/

Ka Noʻonoʻoʻana o Nociceptors

  • Nā hualoaʻa ma ka allodynia a me ka hyperalgesia

ke kumu o ka headache el paso tx.slideplayer.com/9003592/27/images/4/Mechanisms+ssociated+with+peripheral+sensitization+ to+pain.jpg

Nā Headache

Sinister:
  • ʻO ka huhū meningeal
  • Ke kuʻuna nā liona nui
  • ʻO nā kuʻuna o ka maʻi
  • Kaʻoki āpau a me ka hewaʻole
  • Metabolic
  • Glaucoma
'Ākau:
  • ʻO Migraine
  • ʻO nā kīhā o ka ulu
  • Nā Neuralgias
  • ʻO ke kīʻaha heʻehia
  • Ke poʻokela he poʻohiwi
  • Ka Post-traumatic / post-concussion
  • ʻEha poʻo ʻo “analgesic”
  • ʻO ke kaukamaika

HA No ka Līkiʻi Extracranial

  • Nā hanaʻino (maʻi, tumo)
  • ʻO ka maʻi maʻi hōʻailona
  • Nā pilikia niho
  • ʻO ka hui hui Temporomandibular
  • Nā maʻi maʻi mua, a pēlā aku.
  • Ka maka (glaucoma, uveitis)
  • Nā'aʻahiho waho
  • Nā maʻiʻeʻe

ʻO ia nā pale uila

ʻO ka maka no nā hae haelaʻula a noʻonoʻo i nāʻano HA kūlohelohe ināʻano

Nā hōʻailona maʻamau:
  • Weight lilo
  • Paʻiʻo Pain iā lākou mai ka hiamoe
  • kuni
Nā hōʻailona neurologic a iʻole nā ​​hōʻailona maʻamau:
  • Loaʻa i nā mea pōʻino
  • ʻO ka hōʻailona hou a hōʻailona pahaʻo ia ma kahi o nā mea kahiko
  • ʻO kaʻeha mau o ka HA i kahi hoʻokahi
ʻO ka mōʻaukala ma mua
  • ʻO kēia ka HA mua āu i loaʻa ai?
    ʻO kēia ka HA ʻoi loa i loaʻa iā ʻoe?
Nā kumu kumu lua.
  • Ka moʻaukala o ka maʻi kanikau, nā mea i kālaiʻia, a pēlā aku.

ʻO nā pōʻino / Sinister Headaches

ʻO ka huhū meningeal
  • ʻO ka hemorrhage subarachnoid
  • ʻO ka meningitis a me ka meningoencephalitis
Nā līpīʻokoʻa Intracranial
  • Neoplasms
  • ʻO ka hemorrhage intracerebral
  • Ke kāpili'ānō a iʻole ka hemorrhage āpau
  • ʻAi
  • Ke kāpiliʻulaʻula
ʻO nā kuʻuna o ka maʻi
  • ʻO ke kūʻana o ke kino
  • ʻO kaʻehā o kaʻehaʻeha (p. Ex., Hypertension hypertension, pheochromocytoma)
  • Nā hanaʻino a me ka hoʻonuiʻana i nā aneurysms
  • ʻO ka Lupus cerebritis
  • ʻO ka Venous sinus thrombosis
Kaʻoki āpau a me ka hewaʻole
  • Ka wehe a wehewehe paha
  • ʻO nā hanana hou
  • Ka wehewehe o ke aniani vertebral
  • ʻO ka malformation o Chiari
Metabolic
  • Hypoglycemia
  • ʻO Hypercapnea
  • ʻO ka monoxide kalapona
  • Anoxia
  • Anemia
  • ʻO ka meaʻona Vitamin A
Glaucoma

Subarachnoid Hemorrhage

  • ʻO ka maʻamau ma muli o ka aneurysm ruptured
  • Eia ka hopena o kaʻeha nui
  • Manaʻo pinepine
  • He maʻi ka maʻi
  • I ka manawa pinepine, heʻaha wailele
  • E noʻonoʻo no ka CT a hiki paha i ka pāʻani liʻiliʻi

ʻO ke kāne

  • He maʻi ka maʻi
  • kuni
  • Nuinal rigidity (koe naʻe nā mākua a me nā keiki'ōpio)
  • E nānā no ka pāʻana o lumbar - diagnostic

Neoplasms

  • ʻO ke kumu kūponoʻole o HA ma ka heluna kanaka maʻi
  • ʻO ke poʻo o ke poʻo me ke poʻo
  • He pōʻino i ke kakahiaka
  • ʻOi ka lā e hāʻawiʻia e ka ulu ikaika
  • Inā hōʻoia ka hōʻailona, ​​ka līlū, nā hōʻailona neurologic, a iʻole nāʻike o ka hoʻonomiʻana i ka hopena intracranial e noho aliʻi ana i ko mākou neoplasm

Ka Hoʻohaʻahaʻa A iʻole Ke Kōkua Ola Loa

  • Ma muli o ka nui o ka hanu, ka hopena a me nā pōʻino o ka coagulation
  • ʻO ka hapanui he nui keʻano o ka piko o ke poʻo
  • ʻO ka hoʻomaka o nā hōʻailona he mau hebedoma a he mau mahina ma hope o kaʻeha
  • E hoʻokaʻawale ana i ka maʻi o ka hopena ma hope o ka hihia
  • Hiki paha i ka Pepa Post-HA ma mua o nā hebedoma a iʻole nā ​​mahina ma hope o ka hōʻehaʻana a hoʻohuiʻia me ka'ākau a me ka loiloi a me nā loiloiʻana o ka naʻau.

Hoʻonui i ke Kuhikuhina Intracranial

  • Papilledema
  • Hiki ke hoʻololi i nā loli

ke kumu o ka headache el paso tx.

openi.nlm.nih.gov/detailedresult.php?img=2859586_AIAN-13-37- g001&query=papilledema&it=xg&req=4&npos=2

ke kumu o ka headache el paso tx.

ʻO ke Temporal (Giant-Cell) Arteritis

  • > 50 mau makahiki
  • ʻO ka hauʻoliʻo Polymyalgia
  • Malaise
  • Kahi kokoke i nā maʻi hui
  • ʻO Myalgia
  • ʻO nā maka'āinana paleʻole
  • ʻO ka palupalu a me ka hoʻonāukiukiʻana paha i nāʻene o ke kino a me ke kuhi
  • Hōʻike i ka lawaʻana o ka lawaʻana ma ka māheleʻana i nā lālā o nā moku
  • ʻOhana High ESR

Cervical Region HA

  • ʻO ke kahuehu a me nā hōʻailona paha a me nā hōʻailona o ke aʻa āpau a me ke kāwili kaula
  • ʻO ke kauoha a MR a iʻole CT ka hoʻopilikiaʻana i ke kaula no ka haki a weheʻole paha
  • Ka pilikia pilikiaʻole
  • ʻO nā leka kūikawā a me nā loli

Ka Hoʻoholoʻana i nā HA weliweli

  • E hoʻomalu i kā mākou moʻolelo o ka poʻo koʻikoʻi a me ka'ā'ī paha, ka hopuʻana a me nā hōʻailona neurologic i hilinaʻiʻia, a me nā maʻi e hiki ke kuhia i ka maleingitis a iʻole ka lolo o ka lolo
  • E nānā no ka wela
  • E ana i ke kahe o ke koko (hopohopo inā diastolic> 120)
  • ʻO ka hoʻolālā'Ophthalmoscopic
  • E hōʻailona i nā kaki no ka pale
  • Ke kumuhana no nā hua'ōlelo leo pilikino.
  • ʻO ke kauʻana o ka neurologic
  • Inā pono ka hoʻonohonoho ponoʻana i nā helu olapili koko piha, ESR,ʻikepili a iʻole keʻano o kaʻike

ʻO ka episodic a me ka chronic?

<15 mau lā i kēlā me kēia mahina = Episodic

> 15 mau lā i kēlā me kēia mahina = Maʻamau

ʻO Migraine HA

ʻO ke kumu kūpono i ka hoʻokuʻuʻiaʻana o ka maʻi āpau

Serotonin Ma Migraine

  • ʻO AKA 5-hydroxytryptamine (5-HT)
  • Ua hoʻopauʻia ka Serotonin ma nā episetole migraine
  • ʻO IV 5-HT hiki ke ho'ōki a hōʻemi paha i ka maʻi

ʻO Migraine me Aura

Ka moʻaukala o 2 ma lalo iki aʻe e hoʻokō ana i nā kumuhana i lalo

ʻO kekahi o kēia mau hōʻailona o ke aniani hou:
  • Ke kākoʻo
  • He mea nui
  • Ka'ōlelo a'ōlelo paha
  • Hawaii
  • ʻO ke kikooho
2 o nā hiʻohiʻona 4 mau:
  • Hoʻolahalaha iki kahi 1 aura hōʻailona ma luna o? 5 min, a / a i ʻole 2 mau ʻōuli i kū i ka hope
  • Hōʻike kēlā me kēia kanaka i kahi hōʻailona 5-60 min
  • ʻO ka hanana 1ʻo ka huiʻole
  • Hele pū ʻo Aura a ukali paha i <60 min e ka ʻeha poʻo
  • ʻAʻole maikaʻi kaʻikeʻia e kekahiʻike'ICHD-3'ē aʻe, a ua weheʻiaʻo TIA

ʻO MigraineʻAʻole Aura

Ka moʻaukala o 5 ma lalo iki aʻe e hoʻokō ana i nā kumuhana i lalo:
  • Hoʻopilikia ka maʻi headache i ka 4-72 h (i kūʻole a hōʻoʻoleʻia paha)
  • ʻO kaʻeha kūlana
  • Pulsing / paʻi ka maikaʻi
  • Kūpono i ka nui o ke kaumaha
  • Ka hōʻeha a hana paha i ka palekana i ka hana maʻamau
  • I loko o ka wā headache kelehe a / a i ke kūlana paha i ka mālamalama a me ke kani
  • ʻAʻohe kūpono iʻikeʻia e kekahiʻike'ICHD-3'ē aʻe

huhui waina a lākou Headache

  • ʻO ka hopena o ka maʻi āpau a me ka maʻi kino
  • "E like me ke koʻi ʻana o ka hau i ka maka iaʻu
  • Paʻa hope loaʻo 15-180 minuke
Ma lalo o hoʻokahi o kēia mau mea ma kaʻaoʻao o ke poʻo hina:
  • Ka hana o Conjunctival
  • ʻO ka sweating ihu
  • Papa
  • Miosis
  • ʻO ka'ākau Nasal
  • Ptosis
  • Rhinorrhea
  • 'Eyelid edema
  • ʻO ka moʻaukala o nā'ōhihi likeʻole i ka wā i hala

Tension Headache

Ua hele pū kaʻeha headache me nā meaʻelua o kēia mau mea:
  • Kaomiʻana / kākoʻoʻana (non-pulsing)
  • ʻO wau e like me ke kāʻei a puni kuʻu poʻo
  • Kahi kūlanawā
  • ʻAʻole hoʻonāukiukiʻia e ka hana maʻamau
Makemake ka maʻi headache:
  • Kahe aiʻole i ka luaʻi
  • ʻO Photophobia a me phonophobia (hoʻokahi aʻo kekahi paha ma kahi)
  • ʻO ka moʻaukala o nā'ōhihi likeʻole i ka wā i hala

ʻO ke poʻo hina

  • ʻO ka maʻi ʻeha ma 15 mau lā o ka mahina i ka mea maʻi me ka maʻi ʻeha o ka maʻi ma mua
  • Hoʻomaʻamaʻa pinepine no> 3 mau mahina o hoʻokahi a ʻoi paha nā lāʻau i hiki ke lawe ʻia no ka mālama nui ʻana a me / a i ʻole nā ​​hōʻailona hōʻailona o ka hōʻeha poʻo
  • No ka hoʻokahuliʻana i ka lāʻau
  • ʻAʻohe kūpono iʻikeʻia e kekahiʻike'ICHD-3'ē aʻe

kumu

ʻO Alexander G. Reeves, A. & Swenson, R. Nā maʻi o ka ʻōnaehana Nervous. ʻO Dartmouth, 2004.

E hoʻokaʻaʻike i kahi puke e kūʻai ai