Ke kali nei nāʻano a pau i ka moeʻuhane. ʻEluaʻano nui o ia - physical and pathological tremor.
KA PALAPALA PHYSIOLOGICAL
Loaʻa i kēlā me kēia kanaka ola ola. Eia kekahi laʻana, me ka hopohopo nui a me ka makaʻu, no ka hopena o ka pilina o nā hana neurophysiological kikowaena a me ke kuʻuna, hana pinepine a me ka hoʻomahaʻana o nāʻiʻo. ʻAʻole eʻikeʻia kēiaʻano haʻalulu, e like me keʻano, i waho aʻaʻole iʻikeʻia e ka mea nona iho. Me ke kaumaha o ka naʻau, ka luhi, kaʻoluʻolu, a me ke aloha o ka naʻau, hiki ke ikaika a hoʻonuiʻia ka huhū - ua kapaʻiaʻo ia heʻano physiological kiʻekiʻe. He nui ka nui o konaʻano, akāʻo ke ala like e like me ka loiloiʻoihana paʻakikī.
KE KUKAHI PATHOLOGICAL
Aia ia me nā maʻi likeʻole aʻikeʻia e ka maka'ōlohelohe. Nui nāʻano. ʻO ke kumu o ka hōʻailona kūkino o ka haʻaluluʻo ia ka hoʻoholoʻana o nā kūlana i hōʻikeʻia ai ia iho.
KA PALAPALA O POST
Hanaʻia i ka manawa e hoʻomaha ai nā mīkini aʻaʻohe hana i nā hana. Hoʻouluʻia me ka huhū a me ka noʻonoʻo o ka naʻau, hiki ke emi iho me nā hana hana pono a ka lālā i komo i ka haʻalulu. ʻO kēiaʻano haʻalulu keʻano maʻamau no ka papainsonism.
KEKAHI O KA HUI
ʻO kēlā me kēia haʻalulu e puka mai me ka māʻokoʻa kānalua o nāʻiʻo. ʻO ka hanu, ka isometric a me ka haʻalulu.
Hoʻouluʻia ke kuano i ke kumu o ka hanu o ke ahulau ma ka mālamaʻana i ke kūlana, me ka kū'ē i ka ikaika o ka'umekau. Hiki iā ia keʻano o keʻano maikaʻi a hiki ke hōʻoia i ka heredity. ʻOi paha ka manaʻo nui o ka hopohopo, ke hanaʻia ke piliʻana o ka lauroid thyroid. Hiki i ka hilahila o kēiaʻano ke hoʻohālua i kaʻaeʻole ma muli o kaʻaiʻana i nā lāʻau nui o ka waiʻona a lāʻau lāʻau paha. Ke hiki i ka loiloiʻana o kekahi mau lāʻau lapaʻau aiʻole ka lāʻauʻawaʻawa me nā mea'alekini e hiki ke hōʻea koke, e like me ka hopena me ka paʻakai o nā metale kaumaha (mercury). Hiki keʻike maikaʻiʻia ke kūpikipiki o nā piko a me nāʻaoʻao lalo loa i ka wā e hukiʻia ai nā limaʻelua e ka mea maʻi a ho'āʻo e hohola i kona mau manamana lima -ʻo kēia ka hana a ke kauka neurophologist e hāʻawi aku i ka mea maʻi i ka manawa o ka hoʻokolokoloʻana.
Hoʻokumuʻia ka hoʻoulu o Isometric i ka manawa e hana ai nā'ōpū, ke hanaʻia kā lākou hana e kū'ē i kahi mea pani (e like paha, i ke kauʻana o kekahi lima ma luna o ka papaʻaina).
Ke hanaʻia nei ka ulupalaʻau ma keʻano o ka holomua. ʻO kāna mea'ē aʻe, he weliweli kinesi wale nō me kekahi mau hana (ma ke kākauʻana, hanaʻana i kekahiʻoihanaʻoihana),ʻaʻole naʻe me nā hana'ē aʻe e pili ana i nāʻiʻo hoʻokahi.
ʻO keʻano o ka haʻalulu, ka māheleʻana, ka paʻakikī, ka makahiki o ka hoʻomakaʻana a me nāʻano'ē aʻe he haʻalulu haʻalulu. Pono ka hoʻonohonohoʻana i nā mea hope loa no ka hoʻoholoʻana i nāʻano maʻamau pololei.
Nui nāʻeha tremor o nā piko a me lalo. ʻO ka pinepine o ka mea nui. Hiki keʻikeʻia i ka hanuʻana i nā lima, pinepine i ka hui me ka haʻalulu o ke poʻo, nā lehelehe, nā leo kani, nā wāwae, ka diaphragm. Ma mua aʻe o ka hapalua o ka poʻe maʻi i loaʻa i ka maʻi maʻi kūpilikiʻi,ʻaʻole pono ke koi kūikawā. Me ka mea nui nui, ke kau nei ke kauka he propranolol paha.
Uaʻike pinepineʻo Parkinsonian iā ia iho e like me ka haʻalulu o ka hoʻomaha a me ka hui pūʻana me ka haʻalulu i nā hana. I nā hihia maʻamau, lima lima, hoʻomaha, paʻakikī ka neʻeʻana. ʻO ka pāʻani o Parkinsonian e hiki ke emi i lalo o ka mana o nā lāʻau hoʻohui lāʻau (hoʻoponopono levodopa, dopamine agonists), anticholinergics.
I loko o ka cerebellum tremor, nui loa i ka manaʻo, piʻi nui ka huhū nui, i kekahi manawa e hele pū me kahi kūpikipiki o nā piko a me lalo. I loko o nā maʻi o ka cerebellar, hiki keʻano o nāʻano likeʻole o ke jitter (e like me keʻano o ka ulupalaʻau rhythmic o ke poʻo a me kahi pahu - ka hoʻokauʻana). ʻO ka makaʻu nui,ʻo ia keʻano haʻalulu i kapaʻiaʻo ka asterixis, nā hana a nā lima e like me keʻano o ka'ēheu o nā'ēheu. Hiki ke ala mai ma muli o ka maʻi o Wilson-Konovalov (ʻo ia kekahi maʻi kūpilikiʻi nui e pili ana i ka hoʻonuiʻiaʻana o ke keleawe i loko o ka lolo, ke koko a me nā maʻi o ka hanu), ka maʻi hepiki a iʻole ka lawaʻole, aʻeha hoʻi i ka midbrain. Ke pilikia ka mele, nui nā pūnaewele neurotransmitter, i pili i kahi paʻakikī o ke kohoʻana.
ʻO ka haʻalulu o Holmes e hōʻikeʻia ana e kahi hui mua i ka nui o ka hoʻomaha a me ka haʻalulu o nā hana. ʻO kaʻoihana maʻamau kaʻoi nui o ka piʻiʻana i ka wā e ho'āʻo ana e mālama i ka lālā. ʻO ka nui o ka haʻaluluʻana o nā lima, nā wāwae, a me ke kī ke pinepine i ka pāpāʻia e nā mana likeʻole. ʻO ka haʻalulu o Holmes e hana pinepine ia ma hope o ka lanakila nui, me ka maʻi sclerosis a me kekahi mau maʻi'ē aʻe. He pilikia i nā maʻi, i kekahi mauʻano, levodopa, anticholinergics, valproate, propanolol.
NĀ PĀ'ĀINA PSYCHOLOGICAL OF TREEMOR
Loaʻa iā lākou nā hōʻikeʻike hoʻokolohua, heʻano maʻamauʻole o keʻano o ka haʻalulu (pinepine mau lālā). Ke hoʻomaka koke nei ka haʻalulu a ke kū nei e like me ka hopena. Ināʻoe e hoʻohuli i ka manaʻo o ka mea hoʻomanawanui, e emi iho ka haʻalulu. He mea pono e nīnau i ka mea hoʻoponopono a kau i nā mea kū'ē i nā mea kū'ē.
ʻO ka lāʻau a me ka huhūʻino e hiki ke hanaʻia e nā mea likeʻole. ʻO ka haʻalulu nui loa, kahi kokoke i kahi o kekahi mauʻano i ka hoʻonuiʻia o ka physiological tremor. Hiki ke hana ma hope o ka noiʻana o ka sympatho-mimetics (ephedrine) aiʻole nā antidepressants (amitriptyline). ʻO Parkinson-e like me ka haʻalulu ma hope o ka hōʻailona me nā neuroleptic a iʻole nā mea hoʻohana'ē aʻe i nā lāʻau lapaʻau (reserpine, flunarizine). Hiki ke hoʻonuiʻia ka hoʻonā ikaika ma o ka hoʻohanaʻana i nā paʻakai līlī a me kekahi mau lāʻau lapaʻau'ē aʻe. ʻO ka huhū, ka mea i hana ma hope o kaʻawaʻawa waiʻona a iʻole ka waipīpī, e pono keʻikeʻia mai ka haʻalulu i ka waiʻona paʻakikī e pili ana i ka hanaʻana o ka mea kanu.
ʻO nā lālā tremendous i hōʻikeʻia o nāʻaoʻao ma luna a me laloʻaʻole e hoʻopau i nāʻano likeʻole o nā mea likeʻole. Aia kekahi mau hui likeʻole e hikiʻole ke hoʻololi iā lākou i kekahiʻano. ʻO kēia ke kumu o ka mālamaʻoleʻana i ke ola pono'ī a me ka pono e nīnau i ke kauka no ka ninaninau a me ke kohoʻana o nā lāʻau lapaʻau.
I kēlā mau kumu inā lawaʻole ka hopena o nā lāʻau lapaʻau i ka haʻaluluʻana o nāʻaoʻao ma luna a me lalo loa, ua hoʻohanaʻia nā hana hilinaʻi ma ka lolo. Hanaʻia kēlā mau hana e nā neurosurgeons o ka RNPC o Neurology a me Neurosurgery. ʻO nā holomua i loaʻa i ka hoʻonaʻauaoʻana i ka haʻalulu,ʻo kaʻikeʻana o nā lāʻau hou e hiki ke kōkua i ka hoʻonuiʻana o nā maʻi a nānā i ka mua me ka manaʻo maikaʻi.