ʻO ka Hui Hoʻomaʻamaʻa Neuropathy Back Clinic. ʻO ka neuropathy peripheral ka hopena o ka pōʻino i nā aʻalolo āpau. Hoʻoulu pinepine kēia i ka nāwaliwali, ka ʻeha, a me ka ʻeha, ma nā lima a me nā wāwae. Hiki ke hoʻopili i nā wahi ʻē aʻe o kou kino. Hoʻouna ka ʻōnaehana nerve peripheral i ka ʻike mai ka lolo a me ka spinal cord (central nervous system) i ke kino. Hiki ke hopena mai nā ʻeha traumatic, nā maʻi, nā pilikia metabolic, nā kumu hoʻoilina, a me ka ʻike ʻana i nā toxins. ʻO kekahi o nā kumu maʻamau ka maʻi diabetes mellitus.
Hōʻike pinepine ka poʻe i ka ʻeha e like me ke kī ʻana, ke ʻā, a i ʻole ke kani ʻana. Hiki ke hoʻomaikaʻi ʻia nā hōʻailona, ʻoi aku ka nui inā ma muli o kahi maʻi hiki ke mālama ʻia. Hiki i nā lāʻau ke hoʻemi i ka ʻeha o ka neuropathy peripheral. Hiki iā ia ke hoʻopili i hoʻokahi aʻalolo (mononeuropathy), ʻelua a ʻoi aku paha nā aʻalolo ma nā wahi like ʻole (multiple mononeuropathies), a i ʻole nā aʻalolo he nui (polyneuropathy). ʻO Carpal tunnel syndrome kahi laʻana o ka mononeuropathy. ʻO ka hapa nui o nā poʻe me ka neuropathy peripheral he polyneuropathy. E ʻimi koke i ka lāʻau lapaʻau inā loaʻa ke kani ʻokoʻa, nāwaliwali, a i ʻole ka ʻeha ma kou mau lima a wāwae paha. Hāʻawi ka ʻike mua a me ka mālama ʻana i ka manawa maikaʻi loa no ka mālama ʻana i kāu mau hōʻailona a pale aku i ka pōʻino hou aku i nā aʻalolo peripheral. Nā hōʻike hōʻike http://bit.ly/elpasoneuropathy
ʻAʻole i manaʻo ʻia ka ʻike ma ʻaneʻi e hoʻololi i kahi pilina hoʻokahi me kahi ʻoihana mālama olakino kūpono a i ʻole kauka laikini a ʻaʻole ia he ʻōlelo aʻo. Paipai mākou iā ʻoe e hoʻoholo i kāu mau hoʻoholo mālama ola kino e pili ana i kāu noiʻi a me ka hui pū ʻana me kahi ʻoihana mālama ola olakino. Ua kaupalena ʻia kā mākou ʻike i ka chiropractic, musculoskeletal, nā lāʻau lapaʻau kino, ka maikaʻi, nā pilikia olakino koʻikoʻi, nā ʻatikala lapaʻau hana, nā kumuhana, a me nā kūkākūkā. Hāʻawi mākou a hōʻike i ka laulima lapaʻau me nā loea mai kahi ākea o nā aʻoaʻo. Hoʻomalu ʻia kēlā me kēia loea e kā lākou ʻoihana ʻoihana o ka hana a me kā lākou mana o ka laikini. Hoʻohana mākou i nā protocols olakino a maikaʻi e mālama a kākoʻo i ka mālama ʻana i nā ʻeha a i ʻole nā pilikia o ka ʻōnaehana musculoskeletal. ʻO kā mākou wikiō, nā pou, nā kumuhana, nā kumuhana, a me nā ʻike e pili ana i nā mea lapaʻau, nā pilikia, a me nā kumuhana e pili ana a kākoʻo, pololei a ʻole paha, kā mākou ʻoihana lapaʻau. ka noiʻi noiʻi kūpono a i ʻole nā haʻawina e kākoʻo ana i kā mākou mau pou. Hāʻawi mākou i nā kope o nā noiʻi noiʻi kākoʻo i loaʻa i nā papa hoʻoponopono a me ka lehulehu ma ke noi.
Hoʻomaopopo mākou ua uhi mākou i nā mea e koi ai i kahi wehewehe hou aʻe pehea e kōkua ai ia i kahi hoʻolālā mālama a i ʻole ka mālama mālama. no laila, e kūkākūkā hou aʻe i ke kumuhana ma luna, e ʻoluʻolu e nīnau ʻO Kauka Alex Jimenez Ai'ole e leka uila iā mākou 915-850-0900.
No ka poʻe e loaʻa ana i ka ʻeha pelvic, he maʻi paha ia o ke aʻalolo pudendal i kapa ʻia ʻo pudendal neuropathy a i ʻole neuralgia e alakaʻi ai i ka ʻeha mau. Hiki ke hoʻokumu ʻia kēia maʻi ma muli o ka hoʻopaʻa ʻia ʻana o ke aʻalolo pudendal, kahi i hoʻopaʻa ʻia ai ke aʻalolo. Hiki i ka ʻike ʻana i nā hōʻailona ke kōkua i nā mea mālama olakino e hōʻoia pololei i ke ʻano a hoʻomohala i kahi hoʻolālā lapaʻau kūpono?
Pudendal Neuropathy
ʻO ke aʻalolo pudendal ke aʻalolo nui e lawelawe ana i ka perineum, ʻo ia ka wahi ma waena o ka anus a me ka genitalia - ka scrotum i nā kāne a me ka vulva i nā wahine. Holo ka aʻalolo pudendal ma nā ʻiʻo gluteus/puʻu a i loko o ka perineum. Lawe ʻo ia i ka ʻike noʻonoʻo mai ka genitalia waho a me ka ʻili a puni ka anus a me ka perineum a hoʻouna i nā hōʻailona kaʻa/neʻe i nā ʻiʻo pelvic like ʻole. (Origoni, M. et al., 2014) ʻO ka neuralgia pudendal, i kapa ʻia ʻo pudendal neuropathy, kahi maʻi o ke aʻalolo pudendal e hiki ke alakaʻi i ka ʻeha pelvic mau loa.
Nā kumu
ʻO ka ʻeha pelvic mau loa mai ka pudendal neuropathy hiki ke hana ʻia e kekahi o kēia mau mea (Kaur J. et al., 2024)
Noho nui ma luna o nā ʻili paʻa, nā noho, nā noho kaʻa kaʻa, a me nā mea ʻē aʻe.
ʻeha i ka ʻāʻī a i ʻole ke pelvis.
Hānau keiki.
ʻO ka neuropathy diabetic.
ʻO nā ʻano iwi e hoʻokuʻi i ke aʻalolo pudendal.
ʻO ka mānoanoa o nā ligaments a puni ke aʻalolo pudendal.
Ōuli
Hiki ke wehewehe ʻia ka ʻeha aʻalolo pudendal e like me ke kuʻi ʻana, ka ʻāʻī, ke ʻā, ka helu, a i ʻole nā pine a me nā nila a hiki ke hōʻike (Kaur J. et al., 2024)
I ka perineum.
Ma ka ʻāpana anal.
I loko o nā kāne, ʻeha i ka scrotum a i ʻole ka penis.
I ka wahine, eha ma ka labia a me ka vulva.
I ka wā pili.
I ka mimi ana.
I ka wā o ka ʻōpū.
Ke noho a hele aku ma hope o ke kū ʻana i luna.
Ma muli o ka paʻakikī o ka hoʻokaʻawale ʻana i nā hōʻailona, hiki i ka pudendal neuropathy ke paʻakikī ke hoʻokaʻawale i nā ʻano ʻē aʻe o ka ʻeha pelvic mau loa.
ʻO ka maʻi kaʻa kaʻa
ʻO ka noho lōʻihi ma luna o ka noho kaʻa kaʻa hiki ke hoʻopilikia i ke aʻalolo pelvic, hiki ke alakaʻi i ka ʻeha pelvic mau loa. ʻO ke alapine o ka pudendal neuropathy (ka ʻeha pelvic maʻamau i hoʻokumu ʻia e ka hoʻopaʻa ʻana a i ʻole ke kaomi ʻana o ke aʻalolo pudendal) i kapa ʻia ʻo Cyclist's Syndrome. ʻO ka noho ʻana ma luna o kekahi mau noho kaʻa kaʻa no ka manawa lōʻihi e hoʻoikaika nui i ke aʻalolo pudendal. Hiki i ka puʻe ke hoʻoulu i ka pehu a puni ke aʻalolo, kahi e hōʻeha ai i ka ʻeha a, i ka wā lōʻihi, hiki ke alakaʻi i ka trauma nerve. Hiki ke hoʻoulu ʻia ka ʻeha i hōʻike ʻia e like me ke ahi, ke kuʻi ʻana, a i ʻole nā pine a me nā nila. (Durante, JA, a me Macintyre, IG 2010) No nā poʻe me ka neuropathy pudendal ma muli o ke kaʻa kaʻa, hiki ke ʻike ʻia nā hōʻailona ma hope o ka holo kaʻa lōʻihi a i kekahi mau mahina a i ʻole mau makahiki ma hope.
E hoʻomaha ma kahi o 20-30 kekona ma hope o kēlā me kēia 20 minuke o ka holo.
I ka holo ʻana, hoʻololi pinepine i nā kūlana.
Kū i luna i ka pedal i kēlā me kēia manawa.
E hoʻomaha i ka manawa ma waena o nā kau kaʻa a me nā heihei e hoʻomaha a hoʻomaha i nā aʻalolo pelvic. Hiki i nā lā hoʻomaha 3-10 ke kōkua i ka hoʻōla. (Durante, JA, a me Macintyre, IG 2010)
Inā ʻaʻole hoʻomaka nā hōʻailona ʻeha pelvic e ulu, e hoʻomaha a ʻike i kahi mea mālama ola a i ʻole loea no ka hoʻokolokolo.
noho
E hoʻohana i kahi noho mālie a ākea me ka ihu pōkole.
E hoʻokiʻekiʻe iki ka noho i mua.
ʻO nā noho me nā puka ʻokiʻoki e hoʻonui i ke kaomi ma ka perineum.
Inā he ʻeha a ʻeha paha, e hoʻāʻo i kahi noho me ka lua ʻole.
Paʻa Paikikala
E hoʻoponopono i ke kiʻekiʻe o ka noho no laila e kukuli iki ke kuli ma lalo o ka paʻi wāwae.
Pono ke kaumaha o ke kino ma luna o nā iwi noho/ischial tuberosities.
ʻO ka mālama ʻana i ke kiʻekiʻe o ka pahu lima ma lalo o ka noho hiki ke hoʻemi i ke kaomi.
Pono e pale ʻia ke kūlana kiʻekiʻe loa o ke kaʻa Triathlon.
ʻOi aku ka maikaʻi o ke kū pololei.
Ua pili nā kaʻa kaʻa mauna me ka piʻi nui ʻana o ka erectile dysfunction ma mua o nā kaʻa kaʻa alanui.
emi ana malalo iho
E ʻaʻahu i nā pōkole paʻa paʻa.
Nā hōʻailona
Hiki i kekahi mea mālama ola ke hoʻohana i ka hui pū ʻana o nā lāʻau lapaʻau.
Hiki ke mālama ʻia ka neuropathy me ka hoʻomaha ʻana inā ʻoi aku ke kumu o ka noho ʻana a i ʻole ke kaʻa.
Injury Medical Chiropractic a me Functional Medicine Clinic mālama i nā hoʻolālā a me nā lawelawe lapaʻau kūikawā a nānā i nā ʻeha a me ke kaʻina hana hoʻōla piha. ʻO kā mākou mau wahi o ka hoʻomaʻamaʻa e pili ana i ka maikaʻi a me ka meaʻai, ka ʻeha maʻi, ka ʻeha pilikino, ka mālama ʻana i ka ulia pōpilikia, nā ʻeha hana, ka ʻeha hope, ka ʻeha hope haʻahaʻa, ka ʻeha ʻāʻī, nā poʻo migraine, nā ʻeha haʻuki, sciatica koʻikoʻi, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic ʻEha, ʻEha Paʻakikī, Hoʻoponopono Stress, a me nā Laʻau Lapaʻau Hana. Inā makemake ke kanaka i nā lāʻau lapaʻau ʻē aʻe, e hāʻawi ʻia lākou i kahi keʻena a i ʻole ke kauka i kūpono i ko lākou kūlana, ʻoiai ua hui pū ʻo Dr. Jimenez me nā mea lapaʻau kiʻekiʻe, nā mea lapaʻau lapaʻau, nā mea noiʻi lapaʻau, nā mea lapaʻau, nā mea hoʻomaʻamaʻa, a me nā mea hoʻolako hoʻoponopono mua.
Hapai a me Sciatica
E hoʻomaopopo '
Origoni, M., Leone Roberti Maggiore, U., Salvatore, S., & Candiani, M. (2014). Nā hana neurobiological o ka ʻeha pelvic. BioMed noiʻi honua, 2014, 903848. doi.org/10.1155/2014/903848
Durante, JA, & Macintyre, IG (2010). Pudendal nerve entrapment i kahi mea hoʻokūkū Ironman: kahi hōʻike hihia. ʻO ka Journal of the Canadian Chiropractic Association, 54 (4), 276-281.
Chiaramonte, R., Pavone, P., & Vecchio, M. (2021). ʻO ka hōʻailona, hoʻoponopono hou a me nā hoʻolālā pale no ka Pudendal Neuropathy i nā Cyclists, He Hōʻike Pūnaewele. Nūpepa o ka morphology hana a me ka kinesiology, 6(2), 42. doi.org/10.3390/jfmk6020042
Hiki i kekahi mau maʻi maʻi neʻe ke hoʻoulu i nā ʻāpana o ka neuropathy peripheral, a no ka poʻe i ʻike ʻia me ka neuropathy peripheral maʻi, hiki anei i ka lāʻau lapaʻau ke kōkua i ka hoʻomaikaʻi ʻana i ka hiki ke neʻe a puni me ka palekana me nā lāʻau lapaʻau, nā kaʻina hana, a me nā hoʻololi o ke ʻano o ke ola e kōkua ai i ka mālama ʻana a mālama i nā hōʻailona?
ʻO nā lāʻau lapaʻau ʻo Peripheral Neuropathy
ʻO ka mālama ʻana i ka neuropathy peripheral e pili ana i nā hōʻailona hōʻailona a me ka hoʻokele olakino e kōkua i ka pale ʻana i ka hōʻino ʻana o ke aʻalolo.
No nā ʻano koʻikoʻi o ka neuropathy peripheral, hiki i nā hana lapaʻau a me nā lāʻau lapaʻau ke mālama i ke kaʻina hana, hoʻomaikaʻi i ke ʻano.
No nā ʻano maʻi maʻi o ka neuropathy peripheral, hiki i nā hana lapaʻau a me nā kumu ola ke kōkua i ka pale ʻana i ka holomua o ke ʻano.
ʻO ka mālama ʻana i ka neuropathy peripheral maʻi e pili ana i ka hoʻomalu ʻana i nā hōʻailona ʻeha a me ka pale ʻana i nā wahi o ka naʻau i emi mai ka pōʻino a i ʻole ka maʻi.
Hoʻoponopono mālama ponoʻī a me ke ʻano o ke ola
No ka poʻe i ʻike ʻia me ka neuropathy peripheral a i ʻole e pilikia ana i ka hoʻomohala ʻana i ke ʻano, he mea nui nā mea ola i ka mālama ʻana i nā hōʻailona a me ka pale ʻana i ka pōʻino o ke aʻalolo a hiki ke pale i ke ʻano mai ka ulu ʻana. (ʻO Jonathan Enders et al., 2023)
Paʻa Pain
Hiki i nā kānaka ke hoʻāʻo i kēia mau lāʻau lapaʻau mālama ponoʻī a ʻike inā he mea ia e kōkua i ka hōʻemi ʻana i ko lākou pilikia a laila hoʻomohala i kahi hana maʻamau e hiki ai iā lākou ke hana. ʻO ka mālama ponoʻī ʻana i nā hōʻailona ʻeha he:
Ke kau ʻana i kahi pā hoʻomehana mahana ma nā wahi ʻeha.
Ke kau ʻana i kahi papa hoʻoluʻu (ʻaʻole hau) ma nā wahi ʻeha.
Ka uhi ʻana i ka wahi a waiho ʻole ʻia paha, e pili ana i nā pae hōʻoluʻolu.
E hoʻohana i nā lole ʻaʻahu, nā pūkini, nā kāmaʻa, a/a i ʻole nā mīkina lima i hana ʻole ʻia me nā mea hiki ke hoʻonāukiuki.
E hōʻalo i ka hoʻohana ʻana i nā lotions a i ʻole nā kopa i hiki ke hoʻonāukiuki.
E hoʻohana i nā ʻaila ʻoluʻolu a i ʻole nā lotion.
Mālama i ka maʻemaʻe o nā wahi ʻeha.
Kāohi ʻeha
ʻO ka emi ʻana o ka naʻau kekahi o nā hopena maʻamau e hiki ke alakaʻi i nā pilikia e like me ka hina ʻana, paʻakikī ke hele a puni, a me nā ʻeha. ʻO ka pale ʻana a me ka nānā mau ʻana i nā ʻeha hiki ke kōkua i ka pale ʻana i nā pilikia e like me nā ʻeha maʻi. (Nadja Klafke et al., 2023) ʻO nā hoʻololi ʻana i ke ʻano o ke ola no ka mālama ʻana a me ka pale ʻana i nā pōʻino:
E hoʻokomo i nā kāmaʻa i hoʻopaʻa maikaʻi ʻia.
E nānā mau i nā wāwae, nā manamana wāwae, nā manamana lima, a me nā lima e nānā i nā ʻoki a i ʻole nā ʻeha i ʻike ʻole ʻia.
Hoʻomaʻemaʻe a uhi i nā ʻoki e pale i nā maʻi.
E hoʻohana akahele me nā mea ʻoi ʻoi e like me ke kuke ʻana a me ka hana a i ʻole nā mea hana māla.
Hooponopono ma'i
Hiki i nā mea ola ke kōkua i ka pale ʻana i ka piʻi ʻana o ka maʻi a pili pono i nā pilikia a me nā kumu kumu. No ke kōkua ʻana i ka pale ʻana i ka neuropathy peripheral a i ʻole kona holomua ʻana hiki ke hana ʻia e: (ʻO Jonathan Enders et al., 2023)
E mālama i nā pae glucose olakino inā loaʻa iā ʻoe ka maʻi diabetes.
E hōʻalo i ka waiʻona no kekahi neuropathy āpau.
E mālama i ka meaʻai kaulike, hiki ke hoʻokomo i nā mea hoʻohui huaʻai, ʻoi aku hoʻi no nā mea ʻai meaʻai a i ʻole vegans.
ʻO nā lāʻau lapaʻau ma luna o ka counter
Hiki ke kōkua i kekahi mau lāʻau lapaʻau i ka ʻeha a hiki ke lawe ʻia inā pono. ʻO nā lāʻau lapaʻau ʻeha ma luna o ka counter: (Michael Überall et al., 2022)
ʻO ka lidocaine spray, patch, a i ʻole cream.
ʻO ka ʻaila Capsaicin a i ʻole nā ʻāpana.
Kaulana hau wela
Nā lāʻau anti-inflammatory non-steroidal - Advil/ibuprofen a i ʻole Aleve/naproxen
ʻO Tylenol/acetaminophen
Hiki i kēia mau lāʻau lapaʻau ke kōkua i ka hōʻoluʻolu ʻana i nā hōʻailona ʻeha o ka neuropathy peripheral, akā ʻaʻole lākou e kōkua i ka hoʻomaikaʻi ʻana i ka manaʻo emi, nāwaliwali, a me nā pilikia hoʻonohonoho. (ʻO Jonathan Enders et al., 2023)
Laau Lapaau
ʻO nā lāʻau lapaʻau no ka mālama ʻana i ka neuropathy peripheral me nā lāʻau ʻeha a me nā anti-inflammatories. ʻO nā ʻano maʻi o ka neuropathy peripheral penei:
ʻO ka neuropathy ʻona
ʻO ka neuropathy maʻi
ʻO ka neuropathy i hoʻokomo ʻia i ka Chemotherapy
ʻOkoʻa nā lāʻau lapaʻau no nā ʻano maʻi maʻi mai nā lāʻau lapaʻau no nā ʻano maʻi neuropathy peripheral.
Paʻa Pain
Hiki i nā lāʻau lapaʻau ke kōkua i ka mālama ʻana i ka ʻeha a me ka ʻeha. Aia nā lāʻau lapaʻau (Michael Überall et al., 2022)
I kekahi manawa, hiki ke kōkua i ka hoʻonui ʻana i ka ikaika o ka lāʻau a i ʻole ka huaora B12 i hāʻawi ʻia ma o ka injection ke pale i ka holomua ʻana i ka wā e pili ana ka neuropathy peripheral me kahi hemahema nui o ka huaora. Hiki i ka lāʻau lapaʻau ke kōkua i ka mālama ʻana i ke kaʻina hana i loko o kekahi ʻano o ka neuropathy peripheral acute. ʻO ka mālama ʻana no ka neuropathy peripheral acute, e like me Miller-Fisher syndrome a i ʻole Guillain-Barré syndrome, hiki ke komo i:
Corticosteroids
Nā Immunoglobulins - nā pūmua o ka ʻōnaehana pale
ʻO ka Plasmapheresis kahi kaʻina hana e hoʻoneʻe ai i ka ʻāpana wai o ke koko, e hoʻihoʻi i nā ʻāpana koko, kahi e hoʻololi ai i ka overactivity o ka ʻōnaehana pale. (Sanja Horvat et al., 2022)
Manaʻo nā mea noiʻi aia kahi pilina ma waena o kēia mau kūlana a me ka inflammatory nā hana hōʻino, a he mea pono ka hoʻololi ʻana i ka ʻōnaehana pale no ka mālama ʻana i nā hōʻailona a me ka maʻi lalo.
Ho'āla
I kekahi mau hihia, hiki i nā kaʻina hana ke hoʻopōmaikaʻi i nā poʻe i loaʻa kekahi mau ʻano neuropathy peripheral. Ke hoʻonui nei kekahi maʻi i nā hōʻailona a i ʻole kaʻina hana o ka neuropathy peripheral, hiki i ke ʻoki ke kōkua i ka hoʻomaha ʻana i nā hōʻailona a pale i ka piʻi ʻana o ka maʻi. Ua hōʻike maikaʻi ʻia kēia i ka wā ʻo ka nerve entrapment a i ʻole vascular insufficiency nā kumu. (Wenqiang Yang et al., 2016)
Lapaʻau Hoʻohui a me nā lāʻau ʻē aʻe
Hiki i kekahi mau ala hoʻohui a me nā ala ʻē aʻe ke kōkua i ka poʻe e hoʻokō i ka ʻeha a me ka ʻeha. Hiki i kēia mau lāʻau lapaʻau ke lilo i koho hoʻomau no ka poʻe i loaʻa i ka neuropathy peripheral maʻi. Hiki i nā koho ke komo: (Nadja Klafke et al., 2023)
Hoʻokomo ka Acupuncture i ka hoʻokomo ʻana i nā nila ma nā wahi kikoʻī o ke kino e kōkua i ka hōʻemi ʻana i nā hōʻailona ʻeha.
Hoʻopili ka Acupressure i ke kaomi ʻana i nā wahi kikoʻī o ke kino e kōkua i ka hōʻemi ʻana i nā hōʻailona ʻeha.
Hiki i ka lomilomi ke kōkua i ka hoʻomaha ʻana i ka ʻiʻo.
Hiki i ka noʻonoʻo a me ka hoʻomaha hoʻomaha ke kōkua i ka mālama ʻana i nā hōʻailona.
Hiki ke hoʻohana ʻia ka lāʻau lapaʻau ma ke ʻano he mea nui o ka noho ʻana me ka neuropathy peripheral maʻi a me ka hoʻōla ʻana mai ka neuropathy peripheral acute.
Hiki i ka ho'ōla kino ke kōkua i ka hoʻoikaika ʻana i nā ʻiʻo nāwaliwali, hoʻomaikaʻi i ka hoʻonohonoho ʻana, a aʻo i ka hoʻololi ʻana i nā hoʻololi naʻau a me nā kaʻa e hele maluhia ai.
Paipai ʻia ka poʻe e noʻonoʻo ana i ka hoʻokō ʻana a i ʻole ka lāʻau lapaʻau ʻē aʻe e kamaʻilio me kā lākou mea mālama ola kino mua e hoʻoholo ai inā palekana ia no ko lākou kūlana. E hana pū ʻo Injury Medical Chiropractic a me Functional Medicine Clinic me ka mea mālama ola kino a / a i ʻole nā poʻe loea e hoʻomohala i kahi hopena olakino maikaʻi loa e hoʻolako i ka hōʻeha ʻeha a hoʻomaikaʻi i ka maikaʻi o ke ola.
Peripheral Neuropathy: He moʻolelo hoʻōla holomua
E hoʻomaopopo '
Enders, J., Elliott, D., & Wright, DE (2023). ʻO nā hana nonpharmacologic e puka mai ana no ka mālama ʻana i ka maʻi diabetes peripheral neuropathy. Antioxidants & hōʻailona redox, 38(13-15), 989–1000. doi.org/10.1089/ars.2022.0158
Klafke, N., Bosser, J., Kröger, B., Neuberger, P., Heyder, U., Layer, M., Winkler, M., Idler, C., Kaschdailewitsch, E., Heine, R., John, H., Zielke, T., Schmeling, B., Joy, S., Mertens, I., Babadag-Savas, B., Kohler, S., Mahler, C., Witt, CM, Steinmann, D. , … Stolz, R. (2023). Kāohi a me ka mālama ʻana i ka Chemotherapy-Induced Peripheral Neuropathy (CIPN) me ka Non-Pharmacological Interventions: Nā Manaʻo Kauka mai kahi Systematic Scoping Review and a Expert Consensus Process. ʻepekema lapaʻau (Basel, Switzerland), 11(1), 15. doi.org/10.3390/medsci11010015
Überall, M., Bösl, I., Hollanders, E., Sabatschus, I., & Eerdekens, M. (2022). ʻO ka neuropathy maʻi maʻi maʻi ʻeha: ka hoʻohālikelike ʻana i ka honua maoli ma waena o ka mālama ʻana me ka lidocaine 700 mg medicated plaster a me nā lāʻau lapaʻau waha. BMJ wehe i ka maʻi diabetes noiʻi & mālama, 10(6), e003062. doi.org/10.1136/bmjdrc-2022-003062
Horvat, S., Staffhorst, B., & Cobben, JMG (2022). ʻO Lidocaine Intravenous no ka mālama ʻana i ka ʻeha maʻamau: kahi haʻawina hui hou. Nūpepa o ka noiʻi ʻeha, 15, 3459–3467. doi.org/10.2147/JPR.S379208
Yang, W., Guo, Z., Yu, Y., Xu, J., & Zhang, L. (2016). ʻO ka hōʻeha ʻana i ka ʻeha a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola e pili ana i ke olakino ma hope o ka Microsurgical Decompression o nā Nerves Peripheral i hoʻopaʻa ʻia i nā poʻe maʻi me ka neuropathy maʻi diabetes. The Journal of foot and ankle surgery: official publication of the American College of Foot and Ankle Surgeons, 55(6), 1185–1189. doi.org/10.1053/j.jfas.2016.07.004
No ka poʻe e pili ana i ka ʻeha mau loa, hiki anei i ka hana ʻana i ke kaʻina hana aʻalolo ke kōkua i ka hoʻohaʻahaʻa a mālama i nā hōʻailona?
Nā poloka nerve
ʻO ka poloka aʻalolo kahi hana i hana ʻia e hoʻopau/pale i nā hōʻailona ʻeha ma muli o ka hana ʻino a i ʻole ka ʻeha. Hiki ke hoʻohana ʻia no ka hana diagnostic a lapaʻau paha, a he pōkole a lōʻihi paha ko lākou hopena, ma muli o ke ʻano o ka hoʻohana ʻana.
A poloka aʻalolo manawa hiki ke komo i ka noi a i ʻole ka injection e hoʻōki i ka hoʻouna ʻana i nā hōʻailona ʻeha no ka manawa pōkole.
No ka laʻana, i ka hāpai ʻana, hiki ke hoʻohana ʻia kahi epidural injection i ka wā o ka hana a me ka hānau ʻana.
Paʻa aʻalolo mau e ʻoki/ʻoki a wehe paha i kekahi mau ʻāpana o ke aʻalolo e hoʻopau i nā hōʻailona ʻeha.
Hoʻohana ʻia kēia i nā hihia me nā ʻeha nui a i ʻole nā maʻi ʻeha mau ʻē aʻe i hoʻomaikaʻi ʻole me nā ala lapaʻau ʻē aʻe.
Hoʻohana Lapaʻau
Ke ʻike ka poʻe lawelawe mālama ola i kahi maʻi ʻeha mau i hoʻokumu ʻia e ka hōʻeha a i ʻole ka hana ʻino, hiki iā lākou ke hoʻohana i kahi poloka nerve e ʻimi ai i kahi e hoʻoulu ai i nā hōʻailona ʻeha. Hiki iā lākou ke hana i ka electromyography a/a i ʻole a ho'āʻo ʻana i ka wikiwiki hoʻokele aʻalolo/NCV e kuhikuhi i ke kumu o ka eha mau aʻalolo. Hiki nō hoʻi i nā poloka Nerve ke mālama i ka ʻeha neuropathic mau loa, e like me ka ʻeha i hoʻokumu ʻia e ka pōʻino a i ʻole ke kaomi ʻana. Hoʻohana mau ʻia nā poloka Nerve e mālama i ka ʻeha hope a me ka ʻāʻī i hoʻokumu ʻia e nā disc herniated a i ʻole spinal stenosis. (ʻO Johns Hopkins Medicine. 2024)
ano
ʻEkolu mau ʻano:
Local
Neurolytic
Haʻioa
Hiki ke hoʻohana ʻia nā mea ʻekolu no nā kūlana e hoʻoulu ai i ka ʻeha mau. Eia nō naʻe, paʻa mau nā poloka neurolytic a me nā ʻokiʻoki a hoʻohana wale ʻia no ka ʻeha nui i ʻoi aʻe me nā lāʻau lapaʻau ʻē aʻe i hiki ʻole ke hāʻawi i ke kōkua.
Nā Palena Kūikawā
Hana ʻia kahi poloka kūloko ma ka hoʻokomo ʻana a i ʻole ka hoʻohana ʻana i nā lāʻau lapaʻau kūloko, e like me ka lidocaine, i kekahi wahi.
ʻO ka epidural he poloka aʻalolo kūloko e hoʻokomo i nā steroid a i ʻole analgesics i loko o kahi a puni ka spinal cord.
He mea maʻamau kēia i ka wā hāpai, hana, a me ka hānau ʻana.
Hiki ke hoʻohana ʻia nā Epidurals no ka mālama ʻana i ka ʻāʻī mau a i ʻole ka ʻeha hope ma muli o ke aʻalolo kuamoʻo.
ʻO nā poloka kūloko he manawa pōkole wale nō, akā ma kahi hoʻolālā lapaʻau, hiki ke hana hou ʻia i ka manawa e mālama ai i ka ʻeha mau mai nā maʻi e like me ka arthritis, sciatica, a me ka migraines. (NYU Langone Health. 2023)
Palaka mau
Hoʻohana ka poloka neurolytic i ka waiʻona, phenol, a i ʻole nā mea wela e mālama ai i ka ʻeha nerve mau loa. (National Institute of Neurological Disorders and Stroke. 2023) Hoʻopilikia kēia mau kaʻina hana i kekahi mau wahi o ke ala aʻalolo i hiki ʻole ke hoʻouna ʻia nā hōʻailona ʻeha. Hoʻohana nui ʻia kahi poloka neurolytic no nā maʻi ʻeha mau loa, e like me ka ʻeha mai ka maʻi maʻi a i ʻole ka maʻi ʻeha o ka ʻāina paʻakikī / CRPS. Hoʻohana ʻia lākou i kekahi manawa no ka mālama ʻana i ka ʻeha mau mai ka pancreatitis mau a me ka ʻeha ma ka paia o ka umauma ma hope o ke ʻoki ʻana. (ʻO Johns Hopkins Medicine. 2024) (Alberto M. Cappellari et al., 2018)
Hana ka neurosurgeon i kahi poloka aʻalolo e pili ana i ka wehe ʻana a i ʻole ka hōʻino ʻana i nā wahi kikoʻī o ke aʻalolo. (National Institute of Neurological Disorders and Stroke. 2023) Hoʻohana wale ʻia ka poloka aʻalolo no nā maʻi ʻeha nui, e like me ka ʻeha maʻi maʻi a i ʻole trigeminal neuralgia.
ʻOiai he mau kaʻina hana mau ka neurolytic a me ka hoʻopaʻa ʻana, nā hōʻailona ʻeha, a me nā manaʻo hiki ke hoʻi mai inā hiki i nā aʻalolo ke ulu hou a hoʻoponopono iā lākou iho. (Eun Ji Choi et al., 2016) Eia naʻe, ʻaʻole hiki ke hoʻi mai nā hōʻailona a me nā manaʻo i nā mahina a i ʻole mau makahiki ma hope o ke kaʻina hana.
Hiki i kēia mau kaʻina hana ke loaʻa ka pōʻino o ke aʻalolo mau loa. (Mele Kea. 2023) He maʻalahi nā aʻalolo a hoʻoulu hou ʻia, no laila hiki i kahi hewa liʻiliʻi ke kumu i nā hopena ʻaoʻao. (D O'Flaherty et al., 2018) Loaʻa nā hopena ʻaoʻao maʻamau:
ʻO ka lolo ʻiʻo
ʻO kaʻino
Helu pinepine
I nā hihia kakaʻikahi, hiki i ka poloka ke hoʻonāukiuki i ke aʻalolo a hoʻonui i ka ʻeha.
Hoʻomaʻamaʻa ʻia nā loea olakino mākaukau a laikini e like me nā kaukō, nā kauka mālama ʻeha, anesthesiologists, a me nā niho niho e hana pono i kēia mau kaʻina hana.
Loaʻa ka pilikia o ka pōʻino a i ʻole ka hōʻeha ʻana i ke aʻalolo, akā ʻo ka hapa nui o nā poloka aʻalolo me ka palekana a me ka holomua e hoʻemi a kōkua i ka mālama ʻana i ka ʻeha mau. (Mele Kea. 2023)
Ka mea e manaʻo ai
Hiki paha i nā kānaka ke ʻeha a ʻeha paha a ʻike paha i ka ʻulaʻula a i ʻole ka ukiuki kokoke a i ʻole a puni ka wahi no ka manawa pōkole.
Hiki nō hoʻi ke pehu, kahi e hoʻopaʻa ai i ke aʻalolo a pono ka manawa e hoʻomaikaʻi ai. (Lapaau Stanford. 2024)
Hiki ke noi ʻia nā kānaka e hoʻomaha no kekahi manawa ma hope o ke kaʻina hana.
Ma muli o ke ʻano o ke kaʻina hana, pono paha ka poʻe e noho i kekahi mau lā ma kahi haukapila.
Aia paha kekahi ʻeha, akā ʻaʻole ia he manaʻo ʻaʻole i holo ka hana.
Pono nā kānaka e kūkākūkā me kahi mea mālama ola e pili ana i nā pilikia a me nā pōmaikaʻi e hōʻoia i ka pono lapaʻau.
Sciatica, nā kumu, nā hōʻailona, a me nā ʻōlelo aʻoaʻo
Cappellari, AM, Tiberio, F., Alicandro, G., Spagnoli, D., & Grimoldi, N. (2018). ʻO Intercostal Neurolysis no ka mālama ʻana i ka ʻeha hope o ka Thoracic: kahi hihia. ʻO ka ʻiʻo a me ke aʻalolo, 58(5), 671–675. doi.org/10.1002/mus.26298
Choi, EJ, Choi, YM, Jang, EJ, Kim, JY, Kim, TK, & Kim, KH (2016). Neural Ablation and Regeneration in Pain Practice. The Korean journal of pain, 29(1), 3–11. doi.org/10.3344/kjp.2016.29.1.3
O'Flaherty, D., McCartney, CJL, & Ng, SC (2018). ʻEha aʻalolo ma hope o ka pale ʻana i ke aʻalolo peripheral-ʻike a me nā alakaʻi i kēia manawa. BJA hoʻonaʻauao, 18(12), 384–390. doi.org/10.1016/j.bjae.2018.09.004
Hiki i nā kānaka i ʻike ʻia me ka neuropathy peripheral, a i ʻole me ka liʻiliʻi fiber neuropathy, hiki ke hoʻomaopopo i nā hōʻailona a me ke kumu e kōkua ai i nā lāʻau lapaʻau?
ʻO Neuropathy liʻiliʻi fiber
ʻO ka neuropathy liʻiliʻi liʻiliʻi kahi hoʻokaʻawale kikoʻī o ka neuropathy, no ka mea, aia nā ʻano like ʻole, ʻo ia ka hōʻeha nerve, ka pōʻino, ka maʻi, a me / a i ʻole nā hana. Hiki i nā hōʻailona ke hopena i ka ʻeha, ka nalowale o ka naʻau, a me nā hōʻailona o ka digestive a me ka mimi. ʻO ka hapa nui o nā neuropathy e like me peripheral neuropathy e pili ana i nā fiber liʻiliʻi a nui. ʻO nā kumu maʻamau e pili ana i ka maʻi diabetes lōʻihi, nā hemahema o ka meaʻai, ka inu ʻona, a me ka chemotherapy.
ʻIke ʻia ka neuropathy liʻiliʻi liʻiliʻi ma hope o ka hoʻāʻo diagnostic e hōʻike ana he maopopo ke komo ʻana o nā aʻalolo liʻiliʻi.
ʻIke nā ʻili aʻalolo liʻiliʻi i ke ʻano, ka mahana, a me ka ʻeha a kōkua i ka hoʻoponopono ʻana i nā hana i makemake ʻole ʻia.
He kakaikahi ka neuropathy liʻiliʻi liʻiliʻi i hoʻokaʻawale ʻia, akā ke hoʻomau nei ka noiʻi ʻana i ke ʻano o ka pōʻino a me nā lāʻau lapaʻau. (ʻO Stephen A. Johnson, et al., 2021)
ʻAʻole pilikia ka liʻiliʻi fiber neuropathy akā he hōʻailona/hōʻailona ia o kahi kumu kumu/ʻano e hōʻino ai i nā aʻalolo o ke kino.
ʻEha - hiki ke loaʻa nā hōʻailona mai ka ʻehaʻeha a i ʻole ke kaumaha a hiki i ka pilikia nui a hiki ke loaʻa i kēlā me kēia manawa.
Lilo o ka naʻau.
Ma muli o ke kōkua ʻana o nā aʻalolo liʻiliʻi i ka ʻai ʻana, ke kahe koko, a me ka hoʻomalu ʻana i ka ʻōpū - hiki ke ʻano like ʻole nā hōʻailona o ka autonomic dysfunction a hiki ke komo:
Constipation, diarrhea, incontinence, paʻa mimi - ka hiki ʻole ke hoʻokahe piha i ka ʻōpū.
Inā loaʻa ka pōʻino o ke aʻalolo, hiki ke emi ka nui o ka ʻeha, akā ʻoi aku ka nui o ka nalowale o ka ʻike maʻamau a me nā hōʻailona autonomic. (ʻO Josef Finsterer, Fulvio A. Scorza. 2022)
Hiki i ka hypersensitivity i ka hoʻopā ʻana a me ka ʻeha ke hōʻeha i ka ʻeha me ka ʻole o ke kumu.
ʻO ka nalo ʻana o ka manaʻo e hiki ʻole ai i nā poʻe ke ʻike pono i nā manaʻo o ka paʻi, ka mahana, a me ka ʻeha i nā wahi i hoʻopilikia ʻia, hiki ke alakaʻi i nā ʻano ʻeha.
ʻOiai makemake ʻia ka noiʻi hou aʻe, ʻo kekahi mau maʻi i manaʻo ʻole ʻia he neuropathies hiki ke loaʻa nā ʻāpana neuropathy liʻiliʻi liʻiliʻi.
Ua hōʻike ʻia kahi haʻawina e hiki ke loaʻa i ka neurogenic rosacea, kahi maʻi ʻili, kekahi mau mea o ka liʻiliʻi fiber neuropathy. (Min Li, et al., 2023)
Hoʻopili ʻia nā aʻalolo liʻiliʻi i poino i ka hoʻouna ʻana i ka ʻeha a me ke ʻano wela.
ʻO ka hapa nui o nā aʻalolo he ʻano insulation kūikawā i kapa ʻia ʻo myelin e pale aku iā lākou a hoʻonui i ka wikiwiki o nā aʻalolo.
Hiki i nā aʻalolo liʻiliʻi ke loaʻa i kahi puʻu lahilahi, e maʻalahi ai lākou i ka hōʻeha a me ka pōʻino i nā pae mua o nā kūlana a me nā maʻi. (Heidrun H. Krämer, et al., 2023)
ʻO nā kānaka i pilikia
ʻO ka hapa nui o nā ʻano neuropathy āpau e hoʻopōʻino i nā aʻalolo liʻiliʻi a nui. Ma muli o kēia, ʻo ka hapa nui o nā neuropathies kahi hui o ka liʻiliʻi-fiber a me ka nui-fiber neuropathy. ʻO nā kumu pilikia maʻamau no ka neuropathy fiber hui pū kekahi: (ʻO Stephen A. Johnson, et al., 2021)
Diabetes
Nā hāʻuleʻole o nā meaʻai
ʻO ka inu nui ʻana i ka waiʻona
ʻO nā maʻi Autoimmune
Ka lāʻau ʻona
He kakaikahi ka neuropathy liʻiliʻi liʻiliʻi i hoʻokaʻawale ʻia, akā aia kekahi mau kūlana i ʻike ʻia e kōkua i ke kumu a loaʻa: (ʻO Stephen A. Johnson, et al., 2021)
ʻO Sjogren Syndrome
ʻO kēia maʻi autoimmune ke kumu o nā maka maloʻo a me ka waha, nā pilikia niho, a me ka ʻeha hui.
Hiki iā ia ke hoʻopōʻino i ke aʻalolo a puni ke kino.
ʻO ka maʻi Fabry
Hoʻokumu kēia ʻano i ke kūkulu ʻana i kekahi mau momona / lipid i ke kino e hiki ke alakaʻi i nā hopena neurological.
Amyloidosis
He maʻi kakaʻikahi kēia e hoʻoulu ai i nā protein i loko o ke kino.
Hiki i nā protein ke hōʻino i nā ʻiʻo e like me ka puʻuwai a i ʻole nā aʻalolo.
Lewy Kino maʻi
He maʻi neurological kēia e hōʻeha ai i ka dementia a me ka neʻe ʻana a hiki ke alakaʻi i ka pōʻino aʻalolo.
Lupus
He maʻi autoimmune kēia e pili ana i nā hono, ka ʻili, a i kekahi manawa ke aʻalolo.
Hoʻopilikia i nā maʻi
ʻO kēia mau maʻi ke kumu maʻamau i ke anu a i ʻole ka ʻōpū / GI.
Hiki iā lākou ke hana i nā hopena ʻē aʻe e like me ka liʻiliʻi fiber neuropathy.
Ua ʻike ʻia kēia mau ʻano e hoʻomaka ai i ka neuropathy liʻiliʻi liʻiliʻi a hoʻomaka paha e like me ka neuropathy liʻiliʻi-fiber ma mua o ka neʻe ʻana i nā aʻalolo nui. Hiki iā lākou ke hoʻomaka ma ke ʻano he neuropathy hui ʻia, me nā fiber liʻiliʻi a nui.
Holomua
Hoʻonui pinepine ka pōʻino ma kahi haʻahaʻa haʻahaʻa, e alakaʻi ana i nā hōʻailona hou i loko o nā mahina a i ʻole mau makahiki. ʻO nā aʻalolo fiber i hoʻopili ʻia e ke ʻano o lalo o ka maʻamau e hoʻomāhuahua pinepine ʻia, me ka nānā ʻole i kahi o lākou. (Mohammad A. Khoshnoodi, et al., 2016) Hiki i nā lāʻau lapaʻau ke kōkua i ka hoʻēmi ʻana i ka pōʻino o nā aʻalolo āpau. No ka poʻe i ʻike ʻia i ka wā mua, hiki ke hoʻōki i ka holomua, a hiki ke pale i ke komo ʻana o nā fibers nui.
Nā hōʻailona
Pono ka mālama ʻana i ka pale ʻana i ka piʻi ʻana o ke kino me nā koho lapaʻau e pili ana i ke kumu. ʻO nā lāʻau lapaʻau e hiki ke kōkua i ka pale ʻana i ka holomua ʻana:
Ka mālama ʻana i ke kō koko no ka poʻe me ka maʻi diabetes.
Pākuʻi meaʻai no ka mālama ʻana i nā hemahema o ka huaora.
Haʻalele i ka inu ʻona.
Ka hoʻopau ʻana i nā maʻi autoimmune.
Plasmapheresis - lawe ʻia ke koko a mālama ʻia ka plasma a hoʻihoʻi ʻia a hoʻololi ʻia no ka mālama ʻana i nā maʻi autoimmune.
Lapaʻau hōʻailona
Hiki i nā kānaka ke loaʻa ka lāʻau lapaʻau no nā hōʻailona ʻaʻole e hoʻohuli a hoʻōla i ke ʻano akā hiki ke kōkua me ka hoʻomaha manawa. Hiki ke komo i ka lāʻau hōʻailona: (ʻO Josef Finsterer, Fulvio A. Scorza. 2022)
Hiki i ka hoʻoponopono ʻeha ke komo i nā lāʻau lapaʻau a/a i ʻole nā analgesics topical.
Hoʻomaʻamaʻa kino - hoʻopololei, lomilomi, decompression, a me nā hoʻoponopono e hoʻomaha a maʻalahi ke kino.
Hoʻoponopono hou e kōkua i ka hoʻomaikaʻi ʻana i ka hoʻonohonoho ʻana, hiki ke hoʻopilikia ʻia e ka nalowale o ka naʻau.
Nā lāʻau e hoʻopau i nā hōʻailona GI.
ʻO ke komo ʻana i nā lole kūikawā e like me nā socks neuropathy e kōkua i nā hōʻailona ʻeha wāwae.
ʻO ka mālama ʻana a me ka hoʻokele olakino o nā neuropathies e pili pinepine i kahi neurologist. Hiki i ka neurologist ke kuhikuhi i ka lāʻau lapaʻau e kōkua i ka hoʻēmi ʻana i nā hōʻailona ʻeha a hāʻawi i nā hana lapaʻau e like me ka immunotherapy inā hopohopo paha he kaʻina autoimmune ke kumu. Eia hou, hiki i ka lāʻau lapaʻau ke komo i ka mālama ʻana i kahi lāʻau lapaʻau kino a me ke kauka hoʻoponopono a i ʻole kahi hui hoʻōla kino e hāʻawi i nā kikoʻī a me nā hoʻomaʻamaʻa e kōkua i ka hoʻoikaika ʻana i ke kino a mālama i ka neʻe a me ka maʻalahi.
ʻO nā moʻolelo a me nā mea ʻoiaʻiʻo
E hoʻomaopopo '
Johnson, SA, Shouman, K., Shelly, S., Sandroni, P., Berini, SE, Dyck, PJB, Hoffman, EM, Mandrekar, J., Niu, Z., Lamb, CJ, Low, PA, Mea mele , W., Mauermann, ML, Mills, J., Dubey, D., Nā limahana, NP, & Klein, CJ (2021). ʻO ka liʻiliʻi o ka maʻi neuropathy liʻiliʻi, prevalence, longitudinal impairments, a me ke kīnā. Neurology, 97(22), e2236–e2247. doi.org/10.1212/WNL.0000000000012894
Finsterer, J., & Scorza, FA (2022). ʻO ka neuropathy fiber liʻiliʻi. Acta neurologica Scandinavica, 145 (5), 493-503. doi.org/10.1111/ane.13591
Krämer, HH, Bücker, P., Jeibmann, A., Richter, H., Rosenbohm, A., Jeske, J., Baka, P., Geber, C., Wassenberg, M., Fangerau, T., Karst , U., Schänzer, A., & van Thriel, C. (2023). ʻO nā mea hoʻohālikelike Gadolinium: nā waihona dermal a me nā hopena kūpono ma ka epidermal liʻiliʻi nerve fibers. Nūpepa o ka neurology, 270(8), 3981–3991. doi.org/10.1007/s00415-023-11740-z
Li, M., Tao, M., Zhang, Y., Pan, R., Gu, D., & Xu, Y. (2023). ʻO ka Neurogenic rosacea hiki ke lilo i kahi neuropathy liʻiliʻi. Nā palena i ka noiʻi ʻeha (Lausanne, Switzerland), 4, 1122134. doi.org/10.3389/fpain.2023.1122134
Khoshnoodi, MA, Truelove, S., Burakgazi, A., Hoke, A., Mammen, AL, & Polydefkis, M. (2016). ʻO ka Longitudinal Assessment of Small Fiber Neuropathy: Hōʻike o kahi Axonopathy Distal ʻAʻole Length-Dependent. JAMA neurology, 73 (6), 684-690. doi.org/10.1001/jamaneurol.2016.0057
ka ke kikowaena pūnaewele ke kuleana o ka hoʻouna ʻana i nā hōʻailona neuron i nā ʻāpana a me nā ʻiʻo a pau o ke kino, e ʻae ai i ka neʻe ʻana a me ka hana pono. Ke hoʻololi mau nei kēia mau hōʻailona ma waena o nā kino, nā ʻiʻo, a me ka lolo, hōʻike i kā lākou mau hana. Eia nō naʻe, hiki i nā kumu o ke kaiapuni a me nā ʻeha ʻeha ke hoʻopilikia i nā aʻa aʻalolo, hoʻopau i ke kahe o nā hōʻailona a alakaʻi i ka nā pilikia musculoskeletal. Hiki i kēia ke hopena i nā kuhi hewa i ke kino a me ka ʻeha mau ke waiho ʻole ʻia. E haʻi mai ka ʻatikala o kēia lā iā mākou e pili ana i ka neuropathy peripheral, kahi ʻeha aʻalolo i hoʻopili ʻia me ka ʻeha hope, a pehea e hiki ai i ka decompression spinal ke hoʻomaha i kēia maʻi. Hana mākou me nā mea lapaʻau i hōʻoia ʻia e hoʻohana ana i ka ʻike waiwai o kā mākou poʻe maʻi e hoʻolako i nā lāʻau lapaʻau ʻole, me ka decompression spinal, e hoʻomaha i nā hōʻailona like me ka ʻeha e pili ana i ka neuropathy peripheral. Paipai mākou i nā maʻi e nīnau i nā nīnau koʻikoʻi a ʻimi i ka hoʻonaʻauao e pili ana i ko lākou kūlana. ʻO Dr. Jimenez, DC, hāʻawi i kēia ʻike ma ke ʻano he lawelawe hoʻonaʻauao. Akahana
He aha ka Peripheral Neuropathy?
ʻO ka neuropathy peripheral e pili ana i nā ʻano maʻi e pili ana i nā aʻa aʻalolo a hiki ke hōʻeha i nā hōʻailona maʻamau i ke kino holoʻokoʻa. hōʻike ʻia nā noiʻi noiʻi. ʻO nā pūnaewele nerve i loko o ko mākou kino e hoʻouna i nā leka ma waena o ka lolo a me nā ʻāpana kino ʻē aʻe. Ke pōʻino kēia mau pūnaewele, hiki iā ia ke hoʻopau i ke kamaʻilio ʻana ma waena o ka ʻōnaehana nerve waena, e alakaʻi ana i nā pilikia ʻiʻo a me ke kino. Ua pili nā haʻawina neuropathy peripheral i ka ʻeha a me nā hōʻailona ʻē aʻe, hiki ke loaʻa ka hopena maikaʻi ʻole i nā hana o kēlā me kēia lā, ka maikaʻi o ke ola, a me ka noʻonoʻo a me ke kino. Eia kekahi, hiki ke hoʻonui i ka neuropathy peripheral i ka hāʻule.
Pehea e pili ai ka neuropathy peripheral me ka ʻeha hope
Ua ʻike paha ʻoe i ke kani ʻana a i ʻole ke ʻano ʻoi i ka wā i hele ai ʻoe a i ʻole ka ʻeha mau o ke kua? Hiki ke pili kēia mau hōʻailona i ka neuropathy peripheral, hiki ke hōʻeha i ke kua. "The Ultimate Spinal Decompression," he puke na Dr. Perry Bard, DC a me Dr. Eric Kaplan, DC, FIAMA, wehewehe ʻo ka neuropathy peripheral ka pōʻino o nā aʻalolo e pili ana i nā wāwae, e hōʻeha ai i ka ʻeha, ka ʻeha, ke kani ʻana, a me ka naʻau nui e hoʻopā i loko. nā manamana wāwae a me nā wāwae. Hiki i kēia ke hana i nā ʻiʻo o ke kua i lalo e hoʻoneʻe i ke kaumaha mai nā wahi ʻeha, e alakaʻi ana i ka ʻeha haʻahaʻa. Ua hōʻike ʻia nā noiʻi noiʻi Hiki i kēlā ʻeha haʻahaʻa haʻahaʻa ke komo i nā mīkini ʻeha nociceptive a me ka neuropathic. ʻO ka ʻeha nociceptive ka pane i ka ʻeha o ke kino e hoʻāla ai i nā ʻiʻo. ʻO ka ʻokoʻa, pili ka ʻeha neuropathic i nā aʻa aʻalolo e lālā ana mai ka iwi kuamoʻo a me nā lālā haʻahaʻa, e hopena pinepine ʻia mai nā disc spinal ʻeha. ʻO ka mea pōmaikaʻi, aia nā ala e mālama ai i ka neuropathy peripheral a me kona ʻeha hope.
Kokua a me ka Lapaʻau ʻana ʻo Peripheral Neuropathy- Video
ʻO ka neuropathy peripheral kahi hōʻeha aʻalolo e pili ana i nā kānaka a hiki ke hōʻeha i nā hōʻailona sensory ma ke kino o luna a lalo. ʻO ka poʻe me ka neuropathy peripheral hiki ke loaʻa i ka ʻeha mau i ko lākou mau hope, hiki ke alakaʻi i ka uku i nā ʻiʻo ʻē aʻe a me ka misalignment spinal. Hiki i kēia ke hopena i nā kūlana musculoskeletal mau loa. Hōʻike nā hōʻike ʻO kēlā neuropathy peripheral, ʻoi aku hoʻi i nā hihia o ka ʻeha hope haʻahaʻa, hiki ke hoʻopilikia i ka ʻōnaehana modulatory ʻeha o ka lolo, e alakaʻi ana i nā pilikia a me ka hana ʻole. Eia nō naʻe, loaʻa nā ʻano lapaʻau like ʻole e hoʻihoʻi i ke kino a hōʻemi i ka ʻeha neuropathic, me ka mālama chiropractic a me ka decompression spinal. ʻO ka wikiō ma luna e wehewehe i ka ʻike hou aʻe e pili ana i kēia mau lāʻau lapaʻau e kōkua i ka hoʻēmi ʻana i ka ʻeha neuropathic a hoʻokuʻu i ke kino mai ka subluxation.
Hoʻopau ka Spinal Decompression i ka Neuropathy Peripheral
Hiki i ka peripheral neuropathy ke hoʻoulu i ka ʻeha nui, a nui ka poʻe e noʻonoʻo i ke ʻoki e mālama ai. Eia nō naʻe, hiki ke kumukūʻai, no laila ke koho nei kekahi poʻe i nā lāʻau lapaʻau ʻole e like me ka spinal decompression a me ka mālama chiropractic. Ua hōʻike ʻia nā haʻawina Hiki ke kōkua nui ka hoʻohaʻahaʻa ʻana i ke kuamoʻo i ka hoʻomaha ʻana i ka hoʻopaʻa aʻalolo a me ka hoʻomaikaʻi ʻana i nā hōʻailona ʻeha haʻahaʻa. He lapaʻau palekana a mālie hoʻi e hoʻohana ana i ka traction e kōkua i ke kuamoʻo e hoʻi i kona kūlana a ʻae i ka wai a me nā meaʻai e kahe hou i loko. hoʻomanaʻo nui i ko lākou kino.
Panina
ʻO ka neuropathy peripheral kahi maʻi i loaʻa mai nā ʻeha aʻalolo a hiki ke hoʻopilikia i nā ʻāpana o luna a me lalo o ke kino. Hiki i kēia maʻi ke hoʻoulu i nā hōʻailona sensory e alakaʻi i nā kūlana musculoskeletal, misalignment spinal, a me ke kīnā. ʻO ka ʻeha a me ka hōʻoluʻolu he mau ʻike maʻamau no ka poʻe me kēia maʻi, hiki ke hoʻopilikia i ko lākou ola i kēlā me kēia lā. ʻO ka mea pōmaikaʻi, hiki i ka decompression spinal ke kōkua i ka hoʻohaʻahaʻa ʻana i nā hopena o ka neuropathy peripheral ma ka hoʻolōʻihi ʻana i ka spine, hoʻokuʻu i nā aʻalolo i hoʻopaʻa ʻia, a hoʻoponopono i ka subluxation. He palekana kēia mau lāʻau lapaʻau, ʻaʻole invasive, a hiki ke hoʻohui ʻia i loko o ka hoʻolālā olakino a maikaʻi o ke kanaka.
E like me ke kanaka, aia nā ʻano koʻikoʻi i ʻike ʻia i kēlā me kēia lā. Hiki ke kaumaha ma nā wahi kino like ʻole, ʻo ka mea maʻamau ka ʻiʻo o ke kua, ka ʻāʻī, a me ka ʻāʻī. ʻO ke koʻikoʻi ke alakaʻi nei i ka ʻeha i loko o nā ʻiʻo. Hiki i ka ʻūhā i kūkulu ʻia ke hoʻoneʻe i nā iwi kuamoʻo i waho o ke kaulike, e hoʻonāukiuki i nā aʻalolo ma waena o nā iwi kuamoʻo. Hoʻomaka ka pōʻaiapuni e like me ka piʻi ʻana o ka naʻau aʻalolo e hoʻomau i nā ʻiʻo e hoʻopaʻa a paʻa. Ke hoʻomau nei ka ʻāʻī ʻana o ka ʻiʻo i ka huki ʻana i nā iwi kuamoʻo mai ka hoʻopololei ʻana, e ʻoi aku ka paʻa ʻole o ka iwi kuamoʻo. Manaʻo ʻia ʻo Chiropractic i nā manawa maʻamau e kōkua i ka hoʻoponopono hou ʻana a mālama i ke kūlana kūpono.
No ke aha e hele ai ka iwi kuamoʻo i waho o ka hoʻohālikelike
Hoʻopili paʻa ʻia nā aʻalolo o ke kino i ke kuamoʻo, a ʻo nā ʻāʻī liʻiliʻi i ka hoʻonohonoho ʻana e hiki ke hoʻopilikia i nā aʻalolo. Ke hele ʻole ka iwi kuamoʻo mai ka hoʻopololei ʻana, paʻa ka ʻōnaehana nūnū/lolo a me nā aʻalolo i kahi kūlana koʻikoʻi a paʻakikī paha. Hiki i ke kuhi hewa liʻiliʻi ke hoʻoulu i nā hōʻailona hōʻoluʻolu e hele a puni ke kino.
Nā kumu
ʻO nā kumu o ka misalignment e hoʻoulu ai i ka ʻāʻī i loko o nā aʻalolo a me nā ʻiʻo:
E ʻike ka chiropractor i ke kuamoʻo e ʻike inā pololei nā iwi, neʻe maikaʻi, a ʻaʻole pololei a neʻe ʻole a neʻe paha.
Hōʻike Kūlana
Inā like ʻole ke poʻo, nā poʻohiwi, a me nā pūhaka a i ʻole e huki ana nā poʻohiwi a me ke poʻo i mua, ʻaʻole pololei nā iwi iwi kuamoʻo.
Kaulike a me ka hoʻohui
Hiki ke hōʻike i ke kaulike maikaʻi ʻole a me ka hoʻonohonoho ʻana i ka lolo, nā aʻalolo, a me nā ʻiʻo e hana ʻino ʻia e ka misalignment spinal.
Ka Lawa o ka Motion
ʻO ka nalo ʻana o ka neʻe ʻana o ka spinal neʻe hiki ke hōʻike i ka haʻalulu i nā aʻalolo, nā ʻiʻo, a me nā misalignments.
Hoʻāʻo ʻiʻo
ʻO ka nalowale o ka ikaika i loko o ka ʻiʻo hiki ke hōʻike i ka nāwaliwali o nā hōʻailona nerve.
Nā ho'āʻo Orthopedic
ʻO nā hoʻāʻo e hoʻokomo i ke kino i nā kūlana koʻikoʻi e nānā i ka ʻiʻo a me nā kumu.
Nā kaumākū X
Nānā nā kukui X i nā mea ʻino, nā dislocations, ka iwi iwi, nā haʻihaʻi, nā ʻeha huna / ʻike ʻole ʻia, a me nā maʻi.
ʻO ka Chjactic Chacticactic Chicactic a me kahi Kauka Lapaʻau Hana hāʻawi i nā hoʻolālā lapaʻau pilikino. Hana ʻia kēia mau lāʻau lapaʻau kūikawā e hoʻopuka i nā pono spine lōʻihi. ʻO ka hoʻomaʻamaʻa ʻana i ke kuamoʻo, lomilomi hohonu. MET, a me nā ʻano hana lapaʻau lima ʻē aʻe, i hui pū ʻia me ka hoʻoikaika kino, e kōkua i ka neʻe pono ʻana o nā iwi, ka hana pono ʻana o nā ʻiʻo, a hoʻi hou ka iwi kuamoʻo i ke ʻano kūpono. Hoʻopau ka lapaʻau i ka ʻiʻo ʻana o ka ʻiʻo, ka haʻalulu, a me ka hoʻopau ʻana o ka hui, hoʻonui i ke kahe, a hoʻomaʻamaʻa hou i nā ʻiʻo e noho mālie.
ʻO ke ala maʻamau e ho'ōla ai
E hoʻomaopopo '
Ando, Kei et al. "Ka maikaʻi ʻole o ka spinal alignment i nā wahine me ka momona: ke aʻo ʻana ʻo Yakumo." Ka Nupepa o Orthopedic vol. 21 512-516. 16 Sep. 2020, doi:10.1016/j.jor.2020.09.006
Le Huec, JC et al. “Sagittal balance of the spine.” ʻO ka puke pai kuamoʻo ʻEulopa: hoʻolaha kūhelu o ka European Spine Society, ka European Spinal Deformity Society, a me ka European Section of the Cervical Spine Research Society vol. 28,9 (2019): 1889-1905. doi:10.1007/s00586-019-06083-1
Meeker, William C, a me Scott Haldeman. "Chiropractic: kahi ʻoihana ma ke alahaka o ka lāʻau nui a me nā lāʻau lapaʻau ʻē aʻe." Nā moʻolelo o ka lāʻau kūloko vol. 136,3 (2002): 216-27. doi:10.7326/0003-4819-136-3-200202050-00010
Oakley, Paul A et al. "He mea nui ka X-Ray Imaging no Contemporary Chiropractic a me Manual Therapy Spinal Rehabilitation: Hoʻonui ka Radiography i nā pono a hoʻemi i nā pilikia." ʻO ka hopena-pane: he paʻi ʻia o ka International Hormesis Society vol. 16,2 1559325818781437. 19 Iune 2018, doi:10.1177/1559325818781437
Shah, Anoli A, et al. "Ke kaulike a me ka hoʻoponopono ʻana i ka spinal - pili pili a me nā biomechanics." Nūpepa o ka ʻenekinia biomechanical, 10.1115/1.4043650. 2 Mei. 2019, doi:10.1115/1.4043650
ʻO nā kānaka e pili ana i nā kuli ʻeha kekahi o nā pilikia olakino maʻamau a pili i nā poʻe o nā makahiki āpau. ʻO ke kuli ka hui nui loa i loko o ke kino, aia nā ʻiʻo, nā ʻiʻo, nā ligaments, cartilage, a me nā iwi. Kākoʻo nā kuli i ka hele wāwae, kū, holo, a me ka noho ʻana. ʻO ka hoʻohana mau ʻana e maʻalahi lākou i nā ʻeha a me nā kūlana. Ua hoʻopuniʻia nā kuli e kahi pūnaewele paʻakikī o nā aʻalolo e hoʻouna i nā leka i ka lolo a mai ka lolo. ʻO ka pōʻino o nā aʻalolo mai kahi ʻeha a i ʻole ka maʻi hiki ke hana i nā hōʻailona like ʻole o ka ʻeha i loko a puni ka hui kuli.
ʻO ka maʻi neuropathy
Nā kumu
Hiki ke hōʻeha ʻia nā hōʻailona ʻeha o ke kuli, nā maʻi degenerative, arthritis, maʻi, a me nā kumu ʻē aʻe, e like me:
Rheumatoid arthritis
He maʻi ʻeha mau kēia e pehu ai nā kuli a hoʻopōʻino i ka cartilage.
Osteoarthritis
ʻO kēia ʻano o ka maʻi o ka ʻāʻī ka mea e mae mau ai ka cartilage, e hōʻino ai i nā hono a me nā hōʻailona like ʻole.
Pilikia Cartilage
ʻO ka hoʻohana nui ʻana, nāwaliwali o ka ʻiʻo, ʻeha, a me nā misalignments hiki ke hoʻopiʻi i nā posture a me nā neʻe e hiki ai ke hoʻoluhi a hoʻopalupalu i ka cartilage, e hana ana i nā hōʻailona.
Hiki i kekahi mau mea ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i ka neuropathy kuli, me:
ʻEha kuli mua
ʻO kaʻeha kuli iʻikeʻoleʻia a mālamaʻoleʻia
Kaumaha maikaʻi ʻole
Gout
ʻO ka ikaika a me / a i ʻole ka maʻalahi
Ōuli
Hiki ke ʻano like ʻole nā hōʻailona e pili ana i ka ʻeha kuli a i ʻole ka maʻi, ma muli o ke koʻikoʻi a me ka pōʻino. Hiki i nā ʻōuli ke hoʻohui pū:
ʻOʻoleʻa hui
Ka pehu ma ka ami.
Hoʻemi i ka neʻe ʻana/ka maʻalahi i ka hui.
Hoʻonui i ka paʻa ʻole / manaʻo o ka nāwaliwali o ke kuli.
Hoʻololi i ka waihoʻoluʻu ʻili a puni ka hui kuli, e like me ka hoʻonui ʻana i ka ʻulaʻula a i ʻole ka ʻulaʻula.
ʻO ka helu, ke anu, a i ʻole ke kani ʻana i loko a/a a puni ka hui.
ʻO nā hōʻailona ʻeha paha he ʻeha ʻeha a ʻeha paha i ke kuli.
ʻOi, ʻeha ʻeha ma kahi kikoʻī.
Inā haʻalele ʻole ʻia, hiki i ka neuropathy kuli ke hoʻopilikia mau i ka hiki ke hele a alakaʻi i ka hapa a i ʻole ka pau ʻana o ka hana kuli a me ka neʻe. Paipai nā kauka e nānā i kēia mau mea:
He aha nā hana e hoʻopuka ai i nā hōʻailona?
Aia ma hea nā hōʻailona?
Pehea ka ʻeha?
Loaʻa nā lapaʻau no ka ʻeha kuli
Hoʻoponopono hoʻopau hāʻawi i nā ala like ʻole e hoʻoponopono ai i ka ʻeha i hana ʻia e ka pōʻino aʻalolo. ʻO ka hoʻomaʻamaʻa maʻamau e pili ana i nā hoʻoponopono chiropractic, therapeutic massage, non-surgical decompression, stretching, posture and neʻe training, a me nā hoʻolālā anti-inflammatory nutritional. ʻO kā mākou hui lapaʻau kūikawā i nā lāʻau lapaʻau ʻole e hōʻemi i nā hōʻailona a hoʻonui i ka ikaika, ka maʻalahi, ka neʻe ʻana, a me ka hoʻihoʻi ʻana i ka hana.
Hoʻoponopono i nā ʻeha kuli
E hoʻomaopopo '
Edmonds, Michael, et al. "ʻO ke kaumaha o kēia manawa o ka maʻi wāwae diabetic." Journal of Clinical Orthopedic and Trauma Vol. 17 88-93. 8 Feb. 2021, doi:10.1016/j.jcot.2021.01.017
Hawk, Cheryl, et al. "ʻO nā hana maikaʻi loa no ka mālama ʻana i ka Chiropractic o nā maʻi me ka ʻeha Musculoskeletal Chronic: He alakaʻi hoʻomaʻamaʻa maʻi." Nūpepa o ka lāʻau lapaʻau ʻokoʻa a me ka hoʻokō (New York, NY) vol. 26,10 (2020): 884-901. doi:10.1089/acm.2020.0181
Hunter, David J et al. "Ka hopena o kahi kumu hoʻohālike hou o ka hoʻokele mālama mua ma ka ʻeha o ke kuli a me ka hana i nā maʻi me ka osteoarthritis kuli: Protocol for THE PARTNER STUDY." BMC musculoskeletal maʻi vol. 19,1 132. 30 Apr. 2018, doi:10.1186/s12891-018-2048-0
Kidd, Vasco Deon, et al. "Genicular Nerve Radiofrequency Ablation for Painful Knee Arthritis: Ke kumu a me ka pehea." ʻO JBJS nā ʻenehana hoʻomaʻamaʻa pono vol. 9,1 e10. 13 Mar. 2019, doi:10.2106/JBJS.ST.18.00016
Krishnan, Yamini, a me Alan J Grodzinsky. "ʻO nā maʻi cartilage." Matrix biology: journal of the International Society for Matrix Biology vol. 71-72 (2018): 51-69. doi:10.1016/j.matbio.2018.05.005
Speelziek, Scott JA, et al. "Keʻano o ke kino o ka neuropathy ma hope o ka arthroplasty kuli nui: He mau hihia 54." Ka ʻiʻo a me ke aʻalolo vol. 59,6 (2019): 679-682. doi:10.1002/mus.26473
ʻImi ʻo IFM i kahi mea hana ʻo ia ka pūnaewele hāʻawi nui loa ma Functional Medicine, i hana ʻia e kōkua i nā mea maʻi e huli i nā mea hana ʻoihana Laulima i kēlā me kēia wahi o ka honua. Ua helu mua ʻia nā mea hoʻomaʻamaʻa IFM i nā hualoaʻa, i hāʻawi ʻia i kā lākou ʻike ākea i ka Laau Lapaʻau
Hoʻonohonoho pūnaewele ʻana a me nā wā koho 24/7 *
No ke aha e hele ai ka iwi kuamoʻo i waho o ka hoʻohālikelike
