Ke ʻeha nei anei ka lālā i nalowale? He aha ka Phantom Limb Pain? E kamaʻilio kākou e pili ana!

Ua noʻonoʻo paha ʻoe inā hiki iā ʻoe ke ʻeha ma ka ʻāpana nalowale o kou kino, e like me ka lima a i ʻole ka wāwae, ma hope o ke ʻoki ʻana e wehe iā ia? He mea ʻē iki ia, ʻeā? Akā, he mea kēia a kekahi poʻe e ʻike ai. ʻO kēia ka mea a nā kauka e kapa nei (Phantom Limb Pain) . I ka ʻōlelo maʻalahi, "ʻeha ma ka lālā nalowale". E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, no ka mea, he mea kēia a ka poʻe he nui i ʻike ʻole ai, akā he mea pono ke ʻike.

He aha maoli ka Phantom Limb Pain?

I ka ʻōlelo maʻalahi, ʻo ka ʻeha o nā lālā phantom ka ʻeha maoli āu e ʻike ai ma kahi ʻāpana o kou kino, e like me ka lima, ka wāwae, a i ʻole ka manamana lima, i wehe ʻia ma ke ʻoki ʻana. Manaʻo paha ʻoe, "ʻAuē, ʻaʻole kēlā ʻāpana ma laila, pehea lā e ʻeha ai?" He ʻoiaʻiʻo kēlā, akā ʻo ka ʻeha āu e ʻike nei he ʻeha maoli . No kekahi poʻe, hiki i kēia ʻeha ke manaʻo ʻia he ʻeha liʻiliʻi loa. No kekahi poʻe, hiki ke hoʻomanawanui ʻole. Eia kekahi, hiki i kēia ʻeha ke mau no kekahi mau kekona, kekahi mau hola, kekahi mau lā, a ʻoi aku paha. ʻO ka mea maikaʻi loa, aia nā lāʻau lapaʻau no kēia ʻano, no laila hiki i ke kauka ke kōkua iā ʻoe e hoʻokele i kēia ʻeha.

Aia kekahi ʻano ʻeha a me nā manaʻo e like me kēia?

ʻAe, ma hope o ka wehe ʻia ʻana o kahi lālā, hiki iā ʻoe ke ʻike i nā ʻano manaʻo like ʻole. ʻAʻole hele pū kēia mau mea a pau me ka ʻeha. Kāhea nā kauka i kēia mau manaʻo he "phantom." ʻO ia hoʻi "nalowale." Hiki iā mākou ke hoʻokaʻawale nui i kekahi mau ʻano:

• ʻEha Phantom: ʻO kēia ka mea nui a mākou e kamaʻilio nei. ʻO ia hoʻi ka manaʻo ʻana i ka ʻeha ma ka lima a i ʻole ka wāwae i wehe ʻia.
• Nā Manaʻo Phantom: ʻO kēia ka manawa e manaʻo ai ka lima a i ʻole ka wāwae i ʻoki ʻia me he ʻāpana ia o ke kino . Akā, ʻaʻohe ʻeha. Akā, hiki iā ʻoe ke manaʻo i nā mea e like me ka hoʻopā ʻana, ke kaomi ʻana, ka maneʻo, ka wela, ke anu, ka ʻoniʻoni, a i ʻole ka haʻalulu. No ka laʻana, hiki i kahi mea i ʻoki ʻia kona wāwae ke hoʻāʻo e hele ma nā wāwae ʻelua, me ka manaʻo e noho mau ana ka wāwae.
• (Phantom Pain Syndrome) - He ʻano me ka ʻeha a me ka manaʻo ma ka lālā nalowale: Maanei, me ka ʻeha, ʻike ʻia nā manaʻo ʻē aʻe e like me ka hoʻopā , ke kaomi, a me ka maneʻo i ʻōlelo ʻia ma mua i ka manawa like.
• ʻEha Koena o nā Lālā a i ʻole ʻEha Kuʻekuʻe: He ʻano ʻokoʻa iki kēia. He ʻeha kēia i ʻike ʻia ma ke koena o ke kino (kuʻekuʻe) ma hope o ka wehe ʻia ʻana o ka lima a i ʻole ka wāwae. He kumu lapaʻau paha kēia. No ka laʻana, he maʻi paha ia i loko o ka ʻeha a i ʻole ka hōʻino ʻia o ke aʻalolo .

Pehea ka maʻamau o ka ʻeha Phantom Limb?

ʻOi aku ka maʻamau o kēia ma mua o kou manaʻo. Ua ʻike ʻia e ka noiʻi ʻana ua ʻoi aku ma mua o ka hapalua o ka poʻe i nalowale kahi lālā i kēia (Phantom Limb Pain).

Pehea ke ʻano o kēia ʻeha?

Hiki ke ʻike ʻia ka ʻeha Phantom Limb ma nā ʻano like ʻole. He paʻakikī ke ʻōlelo pololei i ke ʻano o ia mea, no ka mea, he ʻokoʻa ia mai kēlā kanaka a kēia kanaka. Akā, ʻo nā hōʻailona i hōʻike pinepine ʻia:

• ʻEhaʻeha
• E like me ke ahi ʻana (Ke ahi ʻana)
• ʻĀnai
• Māʻule
• Me he mea lā e ʻūmiʻi ana kekahi (ʻūmiʻi)
• ʻUʻumi
• ʻEha ʻoiʻoi
• Ka loli ʻana o ka mahana (e like me ka wela a i ʻole ke anu)
• Ke kuʻi nei
• Ke wili nei

Hiki paha iā ʻoe ke noʻonoʻo a manaʻo i nā mea aʻe e pili ana i kou lima/wāwae i nalowale:

• Me he mea lā ua pipili mau ia i ke kino.
• Me he mea lā aia ia i kahi kūlana ʻē a ʻano ʻē.
• Me he mea lā e neʻe ana i mua a i mua.
• Me he mea lā e emi mālie ana, e liʻiliʻi ana.

E noʻonoʻo, ua wehe ʻia kekahi o kou mau wāwae, akā ke manaʻo nei ʻoe ua mae kou mau manamana wāwae , a i ʻole e like me ke ʻūmiʻi ʻia nei e kekahi. Pēlā kēia.

I ka manawa hea e hoʻomaka ai ka ʻeha o nā lālā phantom?

He nui ka poʻe e ʻōlelo nei ua hoʻomaka lākou e ʻike i ka ʻeha phantom i loko o nā mahina ʻeono mua ma hope o ka wehe ʻia ʻana o kahi lālā. Ma hope o kēlā, e emi mālie ana ka ikaika a me ka pinepine o ka ʻeha. Eia nō naʻe, ua hōʻike ʻia e ka noiʻi hiki i kekahi poʻe ke loaʻa i kekahi pae o ka ʻeha phantom a hiki i ʻelua mau makahiki ma hope o ke ʻoki ʻana.

He aha nā mea hoʻonāukiuki e hoʻonui ai i kēia ʻeha?

I kekahi manawa, hiki ke hoʻomaka koke ka ʻeha phantom, a i ʻole e ʻoi aku ka ʻino o ka ʻeha ma muli o:

• Luhi
• Ke kaumaha
• Hopohopo
• Kaumaha
• He maʻi - ʻoi aku hoʻi ma ke kumu
• Nā pilikia kahe koko
• Kaomi a pehu paha ma luna o ke koena (kumu).

No ke aha e hana ʻia ai kēia (Phantom Pain)?

ʻAʻole i ʻike nā kauka i ke kumu kikoʻī, akā manaʻo ka poʻe he hewa kamaʻilio ia i loko o kā mākou ʻōnaehana nerve.No ka mea, he mea ʻē aʻe ia. ʻO kēia ka mea e hana ʻia, hoʻouna nā aʻalolo peripheral i loko o ko kākou kino i nā hōʻailona i ko kākou iwi kuamoʻo a me ka lolo. ʻO kēia mau hōʻailona ka mea e kōkua ai i ko kākou kino e neʻe a me ka manaʻo. I kēia manawa, ma hope o ka wehe ʻia ʻana o kahi ʻāpana e like me ka lālā, ʻoiai ua nalowale nā ​​aʻalolo ma ia ʻāpana i wehe ʻia, aia nō kēlā pilina aʻalolo i kekahi ʻano i loko o ko kākou kino . ʻO ka wehe ʻana i kahi lālā he mea hoʻohoka nui ia i ke kino. Hoʻāʻo ko kākou lolo e hoʻololi i kēia loli. I kekahi manawa, i ka pane ʻana i ia ʻano hoʻohoka a loli paha, hiki i nā aʻalolo ke "huhū". A laila hiki iā lākou ke hoʻouna i nā hōʻailona hou aʻe ma mua o ka mea maʻamau a lākou e hoʻouna ai, a i ʻole hiki iā lākou ke huikau i nā hōʻailona. Kuhi hewa ko kākou lolo i kēia mau hōʻailona . ʻO ia ke kumu e hoʻonui ʻia ai ka ʻike a ua manaʻo ʻia he ʻeha.

He aha nā kumu o ke koena o ka ʻeha o nā lālā?

E like me kā mākou i kūkākūkā ai ma mua, ʻo ke koena o ke kino i wehe ʻole ʻia, ʻo ia hoʻi ke kumu, hiki ke hōʻeha. ʻOiai aia kēia ʻāpana i loko o ke kino, aia kekahi mau pilikia e hiki ai ke hōʻeha:

• ʻEha
• Nā maʻi iwi (Osteomyelitis) a i ʻole nā ​​​​ulu iwi ʻē aʻe (bone spurs)
• ʻO Neuroma, kahi kūlana e like me ka puʻupuʻu aʻalolo
• ʻEha i hoʻokumu ʻia e ka hōʻino ʻana o ke aʻalolo (ʻeha Neuropathic)
• Ke kahe koko maikaʻi ʻole
• Ke komo ʻana i kahi mea hana prosthetic kūpono ʻole
• Nā ʻeha kaomi / nā ʻeha moe
• Nā maʻi ʻili a ʻeha paha

I kekahi manawa hiki iā ʻoe ke loaʻa i ka ʻeha phantom limb a me ka ʻeha phantom limb i ka manawa like.

(Phantom Limb Sensation) A i ʻole no ke aha e loaʻa ai ka manaʻo o kahi lālā nalowale?

ʻO ka Phantom Limb Sensation ka manaʻo o ka hoʻopā a me ka neʻe ʻana i loko o kahi lālā me ka ʻole o ka ʻeha. Hana ʻia kēia no ka mea ke hoʻāʻo nei kou lolo e hoʻopili hou i nā hōʻailona sensory ma hope o ka wehe ʻia ʻana o kahi lālā. Hoʻouna maoli ko mākou kino i nā hōʻailona i ko mākou mau lālā i ko mākou ola a pau. I kēia manawa ua nalowale kēlā ʻāpana, no ka hoʻololi ʻana i kēia loli, pono ka lolo e aʻo hou i kahi e hoʻouna ai i nā hōʻailona. E like me ka lōʻihi o ka manawa e aʻo ai i kahi mea hou, pono ka manawa no ko mākou kino e hoʻololi i kēia loli. ʻO ia ke kumu e ʻike ai mākou i nā Phantom Sensations.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka Phantom Limb Pain?

ʻO ka ʻoiaʻiʻo, hiki i kekahi mea i ʻoki ʻia kahi lālā ke ʻike i ka ʻeha phantom. Eia nō naʻe, ʻoi aku ka maʻamau i ka poʻe i ʻoki ʻia nā lālā o luna (lima, manamana lima) . Eia nō naʻe, hiki ke hana me kekahi ʻāpana o ke kino i ʻoki ʻia. Inā ʻoe e hoʻohana mau i kahi mea hana prosthetic, hiki iā ʻoe ke ʻike i ka ʻeha hou aʻe ke wehe ʻia.

He aha nā pilikia e hiki ke hana ma muli o kēia ʻeha?

ʻAʻole maʻalahi ka noho ʻana me ka ʻeha. Hiki i ka ʻeha Phantom Limb ke loaʻa ka hopena koʻikoʻi i kou olakino noʻonoʻo . I kekahi mau hihia, hiki iā ia ke alakaʻi i ka hopohopo a i ʻole ke kaumaha . Ma muli o ke ʻeha āu e manaʻo ai:

• ʻAʻole paha ʻoe e hiamoe pono.
• ʻAʻole paha ʻoe e hiki ke hoʻopau pono i kāu mau hana o kēlā me kēia lā.
• ʻAʻole paha ʻoe e hiki ke komo i nā mea āu e makemake ai e hana.

No laila, he mea nui loa ka ʻimi ʻana i ke kōkua mai ke kauka e kāohi i kēia ʻeha.

Pehea e ʻike ai nā kauka i ka ʻeha o nā lālā phantom?

E nānā ke kauka iā ʻoe a, inā pono, e hana i kekahi mau hoʻokolohua e hoʻoholo ai inā he Phantom Limb Pain kēia.

• ʻO ka mea mua, nīnau lākou iā ʻoe i nā nīnau e ʻike ai i kou manaʻo a me kou manaʻo.
• A laila, ua nānā ʻia ka ʻili kahi i wehe ʻia ai ka lālā no kekahi mau ʻeha a i ʻole nā ​​​​hōʻailona o ka maʻi.
• Hiki ke hana ʻia nā hoʻokolohua koko a i ʻole nā ​​​​hoʻokolohua kiʻi e ʻike ai inā he mau kumu ʻē aʻe no ka ʻeha.

ʻOiai hiki i ka ʻoki ʻana ke loaʻa ka hopena koʻikoʻi i ka noʻonoʻo a me ka naʻau, hiki i kāu kauka ke ʻōlelo aku i kahi loiloi noʻonoʻo . Hiki ke hoʻonui ʻia ka Phantom Pain e nā mea e like me ke kaumaha, ka hopohopo, a me ke kaumaha. No laila, he mea nui e ʻike a mālama i ke kumu pololei o ka ʻeha.

He aha nā lāʻau lapaʻau no ka ʻeha phantom?

Aia kekahi mau lāʻau lapaʻau no ka ʻeha o nā lālā phantom. E koho kāu kauka i ka mea kūpono loa i kou kūlana. ʻO nā lāʻau lapaʻau nui:

• Nā lāʻau lapaʻau
• Hoʻōla aniani
• Hoʻōla TENS (hoʻoulu ʻana o ke aʻalolo uila Transcutaneous) - ka hoʻoulu ʻana o ke aʻalolo uila ma o ka ʻili.
• Hoʻoulu ʻana i ke kaula iwi kuamoʻo
• Hoʻōla neurostimulation
• ʻO ke ʻoki hoʻoponopono ʻana i ke kuʻi - ma kekahi mau hihia kūikawā.

Eia kekahi, hiki i nā lāʻau lapaʻau kōkua e like me kēia ke hāʻawi i ka hōʻoluʻolu:

• ʻAkipuʻu
• Lapaʻau Biofeedback
• Ka lāʻau lapaʻau noʻonoʻo (CBT)
• Lomilomi lapaʻau
• Nā hana noʻonoʻo a noʻonoʻo paha

Hiki paha iā ʻoe ke ola me hoʻokahi wale nō lāʻau lapaʻau, a i ʻole pono paha ʻoe e hana i kekahi mau lāʻau lapaʻau i ka manawa like.

He aha ka Mirror Therapy?

He ʻano hana maʻalahi loa kēia, akā he hana pono. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ke "hoʻopunipuni" nei ʻoe i kou lolo ma ka hoʻohana ʻana i ke aniani.ʻO ia hoʻi, ua hōʻoiaʻiʻo ʻia ka lolo e noho mau ana ka lima/wāwae i ʻoki ʻia. Ma kēia lāʻau lapaʻau, aia ke aniani ma ka ʻaoʻao kahi i noho ai ka lima/wāwae i ʻoki ʻia. A laila, ke nānā ʻoe i ke aniani, ʻike ʻoe i kou lima/wāwae olakino ʻē aʻe. Hoʻohālike ke kiʻi aniani me he mea lā e noho mau ana ka lima/wāwae nalowale. A laila, haʻi aku ke kauka a physiotherapist paha iā ʻoe e hana i kekahi mau neʻe me ka lima/wāwae olakino, a pono ʻoe e nānā iā ia i ke aniani. Hoʻomaopopo kēia i ka lolo he mau lālā olakino ʻelua kou . Pono ʻoe e hana i kēia hoʻomaʻamaʻa no kahi o 20 mau minuke i ka lā. I ka hala ʻana o ka manawa, hana ka lolo i kēia ʻike. No ka mea, manaʻo ka lolo e noho mau ana ka lima/wāwae nalowale, ʻaʻole huikau nā hōʻailona i hoʻouna ʻia ma waena o ka ʻōnaehana nerve. A laila ua emi ka ʻeha.

He aha nā lāʻau lapaʻau no ka ʻeha Phantom Limb?

ʻOkoʻa paha nā ʻano lāʻau lapaʻau i hāʻawi ʻia ma muli o kāu mau pono. ʻO nā ʻano lāʻau lapaʻau i hoʻohana pinepine ʻia:

• nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) - e.g. Ibuprofen, Diclofenac.
• Nā lāʻau hōʻoluʻolu ʻeha i kuhikuhi ʻia
• Nā lāʻau antidepressants - Hāʻawi ʻia kēia i kekahi manawa no ka ʻeha.
• Nā lāʻau lapaʻau antiseizure - e.g. ʻGabapentin`, ʻPregabalin`. Hāʻawi ʻia kēia mau mea no ka ʻeha o ke aʻalolo.
• Nā mea pale Beta - e.g. Propranolol.
• Nā mea ālai i ke kahawai kalipuna - e.g. Nifedipine.
• Nā inikini Botulinum toxin B - i kekahi mau hihia.
• ʻO nā infusions anesthetic kūloko - no ka laʻana, ʻo ia mau mea i loko o Lidocaine a i ʻole Bupivacaine.

E like me nā lāʻau lapaʻau āpau, hiki ke loaʻa nā hopena ʻaoʻao. No laila, e hoʻomaopopo kāu kauka iā ʻoe e pili ana iā lākou ke hoʻomaka ʻoe i ka lāʻau.

Aia kekahi ala e pale aku ai i ka ʻeha o nā lālā phantom?

ʻO ka ʻoiaʻiʻo, ʻaʻohe ala i hōʻoia ʻia e pale loa ai i ka ʻeha o nā lālā phantom ma hope o ke oki ʻana. Eia nō naʻe, hōʻike kekahi mau noiʻi e hiki i ka hoʻohana ʻana i ka anesthesia spinal a me ka anesthesia laulā i ka wā o ke oki ʻana ke hōʻemi i ka pilikia o ka ʻeha o nā lālā phantom.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka Phantom Limb Pain?

Ke ʻike mua ʻoe i ka ʻeha o ka lālā phantom ma hope o ke ʻoki ʻia ʻana o kahi lālā, e hopohopo nui paha ʻoe a huikau . E noʻonoʻo paha ʻoe, "No ke aha wau e ʻeha nei i kahi ʻaʻole ma laila?" He mea hou paha kēia ʻano ʻeha i ke kino, akā he mea maʻamau ia no ka poʻe i ʻoki ʻia kahi lālā.Hiki i kēia ʻeha ke hoʻopilikia i kāu mau hana o kēlā me kēia lā a me ka hiamoe. ʻO ka mea maikaʻi loa, hiki i nā kauka ke kōkua iā ʻoe e hoʻokele i kēia ʻeha. Nui nā lāʻau lapaʻau e hiki ke hoʻopilikino ʻia i kāu mau pono. Eia kekahi, ʻo ka wehe ʻana i kahi lālā hiki ke hoʻopilikia i kou olakino noʻonoʻo. No laila, ʻo ke kamaʻilio ʻana me kahi kākāʻōlelo olakino noʻonoʻo e hoʻokele i ke kaumaha, ka hopohopo, a me ke kaumaha e hoʻoulu nei i ka ʻeha phantom hiki ke lilo i ʻāpana o kāu hoʻolālā lapaʻau.

Pehea ka lōʻihi e hiki ai i kēia mau (Phantom Pains) ke mau?

He mea paʻakikī ke ʻōlelo pololei i ka lōʻihi o ka ʻeha o ka lālā phantom. Hiki ke lilo i mea manawa pōkole a mau paha . Hiki i ka ʻeha ke mau no kekahi mau kekona, mau minuke, a i ʻole nā ​​lā. He ʻokoʻa ia mai kēlā kanaka a kēia kanaka. No ka hapa nui o ka poʻe, ʻoi aku ka koʻikoʻi i nā mahina ʻeono mua ma hope o ka wehe ʻia ʻana o ka lālā, a laila e emi mālie ana i ka wā e hoʻomaʻamaʻa ai ke kino i nā loli. Eia nō naʻe, aia nā lāʻau lapaʻau e hiki ke kōkua i ka hōʻemi ʻana i ka hopena o kēia ʻeha i kou ola.

He aha nā manawa kūpono loa e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau mea, e ʻike pono i ke kauka:

• Inā hoʻopilikia ka ʻeha i ka hiamoe a i ʻole nā ​​​​hana o kēlā me kēia lā .
• Inā he mau hōʻailona o ka maʻi ma ke koena o ka lālā (e like me ke kuni, ka ʻili ʻole, ka pehu ʻana, ka pelvic).

ʻO ka hopena: ʻO ka ʻeha Phantom Limb kahi ʻano i ʻike ʻia e ka poʻe he nui ma hope o ka nalowale ʻana o kahi lālā. ʻO ka manaʻo ʻana i ka ʻeha ma ka lālā nalowale hiki iā ʻoe ke hopohopo, hilahila, a noʻonoʻo paha, "He pupule anei au?" Akā ʻo ka ʻeha āu e manaʻo nei he ʻoiaʻiʻo . No laila, mai hoʻowahāwahā iā ia. Hiki i kāu kauka ke kōkua iā ʻoe. ʻO ka maʻamau, e hoʻomaikaʻi kēia ʻeha me ka hala ʻana o ka manawa.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

No laila, he mea paʻakikī iki ka Phantom Limb Pain, akā hiki ke hoʻomaopopo ʻia. Inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai kēia maʻi, e hoʻomanaʻo i kēia mau mea:

• He ʻeha maoli kēia: ʻaʻole ia he mea āu e manaʻo ai wale nō.
• ʻAʻole ʻoe hoʻokahi: nui ka poʻe i loaʻa i kēia ʻike.
• Aia nā lāʻau lapaʻau: hiki iā ʻoe ke loaʻa ke kōkua e kāohi i ka ʻeha a hoʻomaʻalahi i ke ola.
• E kamaʻilio me ke kauka: Mai hilahila a makaʻu paha. E kamaʻilio ākea e pili ana i kou kūlana.
• He mea nui nō hoʻi ke olakino noʻonoʻo: e kiʻi i ke kōkua no kēlā inā pono.

Manaʻolana wau he mea pono kēia ʻike iā ʻoe. E ola kino!

---

ʻEha lālā hoʻokalakupua, nalowale o nā lālā, ʻeha, ʻeha aʻalolo, mālama maka, ʻeha ma hope o ke ʻoki ʻana, olakino noʻonoʻo