Ke manaʻo nei ʻoe i ka ʻeha hiki ʻole ke hoʻomanawanui a i ʻole ka wela i ka wā e hamo ai kou mau lole, i ka wā e pā mai ai ka makani, a i ʻole i ka wā e pā mālie ai kekahi hoaaloha iā ʻoe ma ka poʻohiwi? Inā ʻoe e manaʻo i ka ʻeha nui mai kahi pā māmā loa ʻaʻole ia e hoʻoulu maoli i ka ʻeha, loaʻa paha iā ʻoe kēia maʻi. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia ʻano ʻē, akā maʻamau loa, ʻeha e hoʻopilikia nei i nā poʻe he nui, ʻo ia hoʻi ʻo allodynia.
He aha maoli ʻo Allodynia?
I ka ʻōlelo maʻalahi, ʻo ka allodynia ka manaʻo o ka ʻeha mai kahi mea i ʻole e hoʻoulu ai i ka ʻeha. E noʻonoʻo i kahi hulu manu e pā ana i kou ʻili. Manaʻo pinepine mākou i kahi manaʻo mālie a ʻoluʻolu hoʻi, ʻeā? Akā no kekahi me ka allodynia, ua like ia me ka ʻeha ʻoi, e like me ka pahi e hou ana.
Ua kapa ʻia kēia ma ke ʻano lapaʻau he ʻeha neuropathic . ʻO ke ʻano kēia, ʻaʻole ia he pilikia me kou ʻili, akā he pilikia me ka ʻōnaehana nerve e lawe ana i ka manaʻo o ka ʻeha i ka lolo. He hōʻailona pinepine ia o kahi maʻi ʻē aʻe. No ka laʻana, ʻike pinepine ʻia me nā maʻi e like me ka maʻi diabetes, herpes, fibromyalgia, a me migraines.
He nui ka poʻe me ka allodynia e ʻōlelo nei he "ʻano maʻalahi loa ko lākou ʻili, me he mea lā ua puhi ʻia lākou i ka lā." No kekahi poʻe, hiki i kēia ʻeha ke manaʻo e like me ka pahi, kahi nila, a i ʻole kahi ʻano wela, me he mea lā e ʻā ana ka ʻili.
He aha nā ʻano nui o Allodynia?
Hiki ke hoʻokaʻawale ʻia kēia kūlana i ʻekolu ʻano nui ma muli o ke ʻano o kona hana ʻana. E hoʻomaopopo kākou i kēia me kahi papa.
| ʻAno o Allodynia | I ka ʻōlelo maʻalahi, ʻo kēia ka mea e hana nei (ʻO ke ʻano o ia mea) |
|---|---|
| ʻAllodynia Hoʻoikaika | ʻEha ke neʻe kekahi mea ma luna o ka ʻili. Eia kekahi laʻana, ke hamo ʻana o nā lole i ke kino, nā uhi moe e kuʻi ana i ke kino. |
| ʻO Allodynia paʻakikī | ʻEha i hana ʻia e ka pā iki ʻana a i ʻole ke kaomi ʻana. Eia kekahi laʻana, ka lulu ʻana i ka lima o kekahi, ka pā ʻana o kekahi i kou poʻo. |
| ʻO Allodynia Wera | ʻEha i hoʻokumu ʻia e nā loli iki o ka mahana. Eia kekahi laʻana, ke puka ʻoe i waho o kahi lumi ea hoʻoluʻu, a i ʻole ke pā ʻana o kahi kulu wai anuanu i kou ʻili. |
No ke aha lā kēia e hana nei iā kākou? He aha ke kumu?
ʻO ke kumu nui o kēia, he hemahema ia i ka hana ʻeha o ko kākou ʻōnaehana nerve. Kāhea mākou i kēia ʻo 'Central Sensitization'.
E noʻonoʻo i kou kino ma ke ʻano he wahi palekana kiʻekiʻe, a ʻo kou ʻōnaehana nerve kona ʻōnaehana palekana. Ke hoʻopā ʻoe i kahi mea wela, hoʻouna nā mea ʻike i loko o kāu ʻōnaehana nerve i kahi hōʻailona i kou lolo e ʻōlelo ana, "Pōʻino!" I kēlā manawa, pio ka ʻōnaehana palekana, ʻeha ʻoe, a huki ʻoe i kou lima. ʻO kēia ke kaʻina hana maʻamau.
Akā, hiki i kahi maʻi, kahi ulia, a i ʻole kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka hana o kēia ʻōnaehana pale. A laila, hoʻomaka ka leo hoʻāla e kani ʻoiai ʻaʻohe pōʻino. E like me ka leo hoʻāla palekana e kani ana me ka ʻole o ka ʻaihue e hele mai ana. ʻAʻole he pōʻino kahi ʻāpana lole e hamo ana i ke kino, akā ua kuhihewa ka ʻōnaehana nerve i hoʻopilikia ʻia he "pōʻino" a hoʻouna i nā hōʻailona ʻeha i ka lolo. ʻO ia ka mea e hana ʻia i ke kūlana o ka allodynia.
Nā kūlana e hiki ai ke hana i ka allodynia
- ʻO ka neuropathy e pili ana i ka maʻi diabetes
- ʻO ka Fibromyalgia
- Nā migraines
- ʻO ka neuralgia post-herpetic (ʻeha ma hope o ka maʻi herpes)
- Sclerosis lehulehu (MS)
- ʻO ka maʻi ʻeha ʻāpana paʻakikī (CRPS)
- ʻO ka neuralgia trigeminal (TN)
- Ka maʻi hoʻohana ʻona
- Ka nele o ka wikamina D a i ʻole ka wikamina B
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi kanesa (Chemotherapy, Radiation therapy)
- Ka hōʻino ʻana o ke aʻalolo ma hope o kahi ulia (e like me kahi ʻoki hohonu) a i ʻole ke ʻoki ʻana (e like me ka wehe ʻana i kahi lālā)
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke hōʻike ʻoe i nā hōʻailona e like me kēia, ʻo ka mea mua a kāu kauka e hana ai, ʻo ia ke nīnau e pili ana i kāu mōʻaukala olakino piha a nānā iā ʻoe.
- Pehea ke ʻano o ka ʻeha? (ʻĀ? Wela?)
- Āhea e piʻi ai?
- He aha kāu e hana ai e hōʻemi i ka ʻeha?
- He aha nā lāʻau lapaʻau ʻē aʻe āu e lawe ai?
Ma hope o ka nīnau ʻana i nā nīnau e like me kēia, e noi lākou iā ʻoe e helu i ka ikaika o ka ʻeha mai ka 0 a i ka 10. Ma hope o kēlā, e hana paha lākou i kekahi mau hoʻokolohua e ʻike pono ai i ke kumu.
- Nā hoʻāʻo koko (e.g. Helu Koko Piha)
- Nā hoʻāʻo mimi
- Nā hoʻokolohua MRI a i ʻole CT scan
- Nā hoʻokolohua e ana i ka hana aʻalolo - EMG (Electromyogram) a me NCS (Nerve Conduction Study)
ʻAʻohe lāʻau lapaʻau no kēia ʻeha?
Aia nō. ʻO ke kī i ka mālama ʻana, ʻo ia ka ʻike a me ka mālama ʻana i ke kūlana kumu e hoʻoulu ai i ka allodynia. No ka laʻana, inā i hoʻokumu ʻia e ka maʻi diabetes, he mea nui e kaohi pono i ka maʻi diabetes.
Inā ʻaʻole hiki ke loaʻa ke kumu a inā hoʻomau ka ʻeha ʻoiai ke mālama ʻia no ke kūlana kumu, aia nā ʻano like ʻole e hoʻokele ai i ka ʻeha. E koho kāu kauka i ka hoʻolālā lapaʻau kūpono loa iā ʻoe.
| ʻAno Lapaʻau | E aʻo kākou e pili ana i kēia. |
|---|---|
| Nā lāʻau lapaʻau waha | Aia nā lāʻau lapaʻau kūikawā no ka ʻeha o ke aʻalolo. Hoʻohana pinepine ʻia nā lāʻau lapaʻau e like me Pregabalin, Gabapentin, a me kekahi mau antidepressants no kēia. Hāʻawi ʻia nā lāʻau lapaʻau e like me Triptans no ka allodynia i hoʻokumu ʻia e ka migraines. |
| Nā lāʻau lapaʻau topical | Aia nā kirīmi, nā lotion, a i ʻole nā pāpili e hiki ke hoʻopili ʻia ma kahi o ka ʻeha. ʻO nā laʻana e komo pū me nā poni e loaʻa ana ka lidocaine a me ka capsaicin. Hoʻomāʻū kēia i ka ʻili no kekahi manawa a hōʻemi i ka ʻeha. |
| Hoʻōla Kino (PT) | He hana kēia i kapa ʻia ʻo 'desensitization'. E hoʻopā mua ka mea lapaʻau i kou ʻili me ka mālie, e hoʻonui mālie ana i ke kaomi. I ka hala ʻana o ka manawa, e maʻa kāu ʻōnaehana nerve i ka hoʻopā ʻana, a e nalowale ana ka ʻeha. |
| Kūkākūkā & Hoʻōla | Hiki i ka noho ʻana me ka ʻeha mau ke hoʻoluhi i ka noʻonoʻo. He mea nui loa ke aʻo ʻana no ka hoʻokele ʻana i ke kaumaha a me ka hopohopo e hoʻoulu ai kēia. ʻO nā ʻano hana e like me ka Cognitive Behavioral Therapy (CBT) ke aʻo iā ʻoe pehea e hana ai me ka ʻeha. |
| Nā inikini | Hiki ke hāʻawi ʻia nā inikini e like me ka poloka aʻalolo e hoʻopau i ke aʻalolo a i ʻole ke olonā nerve e hoʻoulu ai i ka ʻeha no kekahi manawa. |
| ʻoki kino | Inā ʻaʻohe lāʻau ʻē aʻe e holomua ana, hiki ke noʻonoʻo ʻia ke ʻoki kino e like me ka Spinal Cord Stimulation. Pili kēia i ke kau ʻana i kahi mea liʻiliʻi i loko o ke kaula spinal e ālai i nā hōʻailona ʻeha mai ka hiki ʻana i ka lolo. |
ʻAʻole hiki ke pale ʻia kēia kūlana?
ʻAʻole paha hiki ke pale loa i ka allodynia, no ka mea, he hōʻailona ia o kekahi maʻi ʻē aʻe. Eia nō naʻe, hiki iā mākou ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i nā maʻi nui e hoʻoulu ai i ka allodynia.
- E noho hana: Hoʻemi ka hoʻoikaika kino mau i ke kaumaha, hoʻemi i ka migraines, a kōkua i ka kaohi ʻana i ka maʻi diabetes.
- E mālama i ke kaumaha olakino: ʻO ka momona kahi kumu nui o ka maʻi diabetes.
- E makaʻala i ka mōʻaukala o kou ʻohana: Inā loaʻa i kekahi o kou ʻohana nā maʻi e like me ka maʻi diabetes, MS, a fibromyalgia paha, e kamaʻilio me kāu kauka e pili ana i ia mea.
- E kiʻi i ka lāʻau pale: E ʻimi i ka ʻōlelo aʻoaʻo lapaʻau e pili ana i ka loaʻa ʻana o nā lāʻau pale e pono ai e pale aku i ka maʻi herpes.
- E ʻai i ka meaʻai kaulike: E ʻai i ka meaʻai momona i nā huaʻai a me nā mea kanu e pale aku i nā hemahema o nā wikamina.
ʻO ka mea nui loa, inā ʻike ʻoe i kēia ʻano ʻeha, mai hoʻowahāwahā iā ia. Mai manaʻo, "He pilikia noʻonoʻo wale nō kēia." He kūlana olakino maoli kēia e pono e mālama ʻia.
Pehea ka paʻakikī o ka ʻeha, hiki ʻole ke paʻa i kāu keiki a i ʻole ka mea aloha, ʻaʻole hiki ke komo i nā lole? No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ʻoiai inā ke hoʻopilikia nei lākou i kou ola o kēlā me kēia lā, e ʻike pono i ke kauka no ka ʻōlelo aʻo.
Leka Lawe-Home
- ʻO Allodynia ka manaʻo o ka ʻeha nui mai kahi pā i ʻole e hoʻoulu pinepine i ka ʻeha.
- ʻAʻole kēia he pilikia noʻonoʻo, akā he ʻeha maoli i hoʻokumu ʻia e kahi kīnā i loko o ka ʻōnaehana nerve (Neuropathic Pain).
- I ka manawa pinepine, hana ʻia kēia ma ke ʻano he hōʻailona o kahi maʻi ʻē aʻe, e like me ka maʻi diabetes, fibromyalgia, a migraines paha.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai hoʻowahāwahā iā lākou a e ʻike pono i kāu kauka e ʻike i ke kumu a loaʻa ka lāʻau.
- Hiki ke hoʻomalu pono ʻia kēia kūlana ma ka mālama ʻana i ka maʻi kumu e hoʻoulu ai i ka ʻeha a me ka hoʻohana ʻana i nā ʻano hana hoʻokele ʻeha.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka maʻi e hoʻohana ʻia ai ka pauka Cholestyramine Resin / Questran?
ʻAʻole kēia he pila cholesterol maʻamau (Statin)! He ʻano lāʻau kūikawā kēia (Bile Acid Sequestrant) i hāʻawi ʻia e hōʻemi i ka 'cholesterol maikaʻi ʻole (High LDL)'. Hoʻohana pū nā kauka iā ia e hoʻōki koke i ka 'ʻūlū hiki ʻole ke hoʻomanawanui (Pruritus) o ke kino/ʻili' ma muli o ka maʻi akepaʻa/pale ʻana o ka biliary a e kāohi i kekahi mau maʻi diarrhea koʻikoʻi.
💬 Pehea e hoʻoheheʻe ai kēia pauka (Cholestyramine) i ka cholesterol maikaʻi ʻole/kāohi iā ia mai ka hōʻiliʻili ʻana ke inu ʻoe me ka wai?
Hana ko kākou akepaʻa i ka cholesterol hou i kēlā me kēia lā a hana i nā 'bile acids', a laila hele i nā ʻōpū a hoʻihoʻi hou ʻia i ke akepaʻa. Ke inu ʻoe i kēia lāʻau lapaʻau, hele ia i nā ʻōpū a omo i kēlā 'bile' e like me ka huʻahuʻa, pani iā ia a hoʻopuka aku me kāu ʻōpala. Ke pau ka bile, ʻaʻohe koho ʻē aʻe o ke akepaʻa akā e omo i ka cholesterol/LDL i loko o kou koko a hana i ka bile hou. ʻO kēlā bile e pale iā ʻoe mai ka ʻōpala ʻana i kou kino.
💬 He aha nā pōʻino hoʻonāukiuki a weliweli loa e makaʻala ai i ka wā e lawe ai i kēia lāʻau lapaʻau (Questran)?
ʻO ka pilikia nui loa, ʻo ia ke kumu o ka 'Constipation' koʻikoʻi! Hiki i kekahi poʻe ke loaʻa i ka fecal impaction. ʻO kekahi pōʻino weliweli loa, ʻoiai aia kēia i loko o nā ʻōpū, 'ʻo nā pila ʻē aʻe (Painkillers, Thyroid, Vitamins)' āu e lawe ai ʻaʻole e komo i loko o ke koko! No laila, pono e lawe ʻia nā lāʻau lapaʻau ʻē aʻe i hoʻokahi hola ma mua a i ʻole 4 mau hola ma hope o ka lawe ʻana i kēia.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo