ʻAʻole ʻoe i ʻoluʻolu ʻole i ka ʻeha koke ʻana o kou maka, a i ʻole ka ʻeha mau? A puni nā maka, a puni ka waha, ma ke auwae, ma ka papālina... hiki i kēia ʻeha ke hoʻopilikia i kou lā holoʻokoʻa. I kekahi manawa ʻaʻole hiki iā ʻoe ke ʻike i kahi e hele mai ai kēia ʻeha a i ʻole ke kumu o ia mea. Manaʻo ka poʻe he mea maʻamau kēia, akā i kekahi manawa hiki i kēia ʻeha maka ke lilo i hōʻailona o kahi pilikia olakino ʻē aʻe i loko o ko mākou kino. No laila e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā.
He aha maoli ka ʻeha o ka maka?
I ka ʻōlelo maʻalahi, ʻo ka ʻeha o ka maka he ʻeha a ʻoluʻolu ʻole paha e kū mai ana ma nā wahi āpau o kou maka. ʻAʻole ia he maʻi, akā he hōʻailona o kahi maʻi ʻē aʻe. Hiki ke ʻokoʻa ke ʻano o kēia ʻeha mai kēlā kanaka a kēia kanaka.
- Loaʻa i kekahi poʻe kahi ʻeha ʻoi e hele mai a mau no kekahi mau kekona , e like me ka haʻalulu uila .
- Hiki i kekahi poʻe ke ʻeha nui , e like me ka pahi e hou ana iā lākou .
- I kekahi manawa ua like ia me ka ʻūlū ʻana ma koʻu helehelena a puni.
- I nā manawa ʻē aʻe, hiki ke loaʻa ka ʻeha ʻeha .
- ʻO kēia paha ke kumu e like ai kou helehelena me he mea lā e ʻūlū ana .
Hiki i kēia ʻeha ke kau ma kekahi ʻaoʻao o kou maka, a i ʻole ma nā ʻaoʻao ʻelua. Nalo kekahi ʻeha i loko o kekahi mau lā (ʻoi), akā mau kekahi ʻeha no ka manawa lōʻihi (mau). ʻO ka hapa nui o ka manawa, ʻaʻole kēia he pilikia. Eia nō naʻe, inā loaʻa iā ʻoe ka ʻeha mau e hele mai a hele me ke kumu ʻole, he mea nui e kamaʻilio me kāu kauka .
He aha nā ala nui e hiki ai ke loaʻa ka ʻeha o ka maka?
Hiki ke hoʻokaʻawale ʻia ka ʻeha o ka maka i kekahi mau ʻano ma muli o ke kumu. Ke maopopo iā ʻoe kēia, maʻalahi ka loaʻa ʻana o kahi manaʻo maʻamau o ka ʻeha āu e ʻike nei.
| ʻAno ʻeha | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻEha e pili ana i ka niho | ʻO ke kumu o ka ʻeha niho he mau lua a he mau ʻōpū paha i hoʻokumu ʻia e ka palaho niho. I ka manawa pinepine, hiki i kēia ʻeha ke laha i ka ʻauwae a me ka papālina. |
| ʻEha ʻauwae | Hiki ke hana ʻia kēia ʻeha e nā maʻi Temporomandibular Joint (TMJ), kahi kūlana e kū mai ana ma ka hui ʻāwae. Hoʻonui ʻia ka ʻeha i ka wā e wehe ai a pani ai i ka waha, a i ka wā e ʻai ai. |
| ʻEha aʻalolo | ʻO ke kūlana nui ʻo ia ka "Trigeminal Neuralgia (TN)", i hoʻokumu ʻia e kahi pilikia me ke aʻalolo trigeminal, ke aʻalolo nui e hāʻawi ana i ka ʻike i ka maka. Hoʻoulu kēia i ka ʻeha ʻoi a hiki ʻole ke hoʻomanawanui e like me ka haʻalulu uila. |
| ʻEha koko | Hiki ke loaʻa ka ʻeha o ka maka me nā maʻi ʻeha poʻo e like me ka migraines. I kekahi manawa, hiki ke hana ʻia ka ʻeha e nā maʻi mumū o nā kīʻaha koko (vasculitis). |
| ʻEha me ke kumu ʻole | Ua kapa ʻia kēia ʻo "Atypical Facial Pain - AFP". He ʻano ʻeha maka kēia e kū mau ana i nā manawa a pau a ʻaʻohe kumu maopopo. |
Hiki iā mākou ke wehewehe iki e pili ana i kēia ʻano ʻeha maka ʻē (Atypical Facial Pain)?
ʻO ka poʻe me kēia maʻi i kapa ʻia ʻo ``(AFP)`` loaʻa ka ʻeha mau o ka maka no ka liʻiliʻi o ʻekolu mahina. He maʻi hoʻonāukiuki loa kēia.
- Hiki ke hoʻonui ʻia ka ʻeha me ke anu, ka wela, a i ʻole ke hoʻopā ʻana i ka maka.
- Wahi a kekahi poʻe e hoʻonui ʻia ka ʻeha ke luhi a kaumaha paha lākou.
- Hiki ke loaʻa ka ʻeha ma ka ʻaoʻao ʻākau a hema paha o ka maka, kokoke pinepine i ka ʻāwae a i ʻole ka pepeiao.
- ʻOkoʻa ke ʻano o ka wehewehe ʻana i kēia ʻeha mai kēlā kanaka a kēia kanaka. Wahi a kekahi ua like ia me ka ʻā ʻana o ka maka, ka ʻā ʻana mai loko mai , a i ʻole ka ʻūlū ʻana . I kekahi manawa, hiki i ka ʻeha ma ke kua haʻahaʻa ke lilo koke i ʻeha ʻoi.
He aha nā kumu maʻamau o ka ʻeha o ka maka?
Ma waho aʻe o nā ʻano a mākou i kūkākūkā ai ma mua, aia kekahi mau kumu maʻamau o ka ʻeha o ka maka.
- ʻEha poʻo: He mea maʻamau ka ʻeha o ka maka me nā ʻeha poʻo maʻamau, a ʻoi aku hoʻi ka migraines.
- Nā Maʻi Sinus: Ke loaʻa ka maʻi i nā lua sinus ma ka lae, nā papālina, a ma lalo o nā maka, aia kahi manaʻo o ka ʻeha nui a me ke kaomi ma kēlā mau wahi.
- ʻO ka maʻi Herpes:Hiki i nā ʻeha anu (Herpes simplex) a me ka moa a i ʻole herpes zoster (Herpes zoster/shingles) ke hoʻoulu i ka ʻeha nui ma ka maka ma nā aʻalolo.
- Nā ʻōpū niho: ʻO ka ʻeha nui i hoʻokumu ʻia e kahi ʻōpū piha i ka pus i loko o ka niho a i ʻole i loko o nā ʻāʻī e hiki ke laha i ka papālina, ka ʻāwae, a me ka pepeiao.
- Sialadenitis: ʻO kahi maʻi a i ʻole ka pōhaku i hoʻokumu ʻia i loko o nā kelepa salivary e hiki ke hoʻoulu i ka ʻeha a me ka pehu ma ka ʻāpana papālina.
- ʻO ka Myofascial Pain Syndrome: ʻO ia ke ʻano e loaʻa ai ka ʻeha ma muli o nā pilikia ma nā ʻiʻo o ka maka a me ka ʻāʻī.
He aha nā lāʻau lapaʻau no ka ʻeha o ka maka?
Hoʻōla ʻia ka ʻeha o ka maka ma ka ʻimi ʻana i ke kumu kumu. E hoʻāʻo mua ke kauka i nā lāʻau lapaʻau maʻalahi ʻaʻole me ke ʻoki kino. Inā ʻaʻole holo pono kēia mau mea, a laila e noʻonoʻo ʻo ia i ke ʻoki kino.
Nā Kaʻina Hana ʻOle ʻOki
- Nā Lāʻau Lapaʻau: Ma muli o ke kumu o ka ʻeha, hiki ke kuhikuhi ʻia nā ʻano lāʻau like ʻole. No ka ʻeha e pili ana i ke aʻalolo, hoʻohana ʻia nā lāʻau anti-epileptic, kekahi mau antidepressants, a me nā mea hoʻomaha ʻiʻo. He mea kūpono loa kēia i ka kaohi ʻana i ka ʻeha.
- Nā Inikini Botox®: ʻO kēia inikini, i kapa ʻia ʻo `(OnabotulinumtoxinA (Botox®)`), hoʻopōʻino i nā ʻiʻo e hoʻoulu ai i ka ʻeha no kekahi manawa. Hoʻēmi kēia i nā ʻūmiʻi ʻiʻo a hoʻomaha i ka ʻeha.
- Nā Poloka o ke Aʻalolo: Hiki ke hoʻomaha ʻia ka ʻeha ma ke komo ʻana i kahi inikini i loko o ke aʻalolo kahi i loaʻa ai ka ʻeha, e hoʻomāʻū ana i kēlā aʻalolo no kekahi manawa.
- Lapaʻau Hoʻohui: Loaʻa i kekahi poʻe ka hōʻoluʻolu mai nā mea e like me ka lomilomi maka a me ka acupuncture. Inā loaʻa iā ʻoe nā pilikia sinus, aia nā ʻano lomilomi kūikawā no kēlā.
Nā Kaʻina Hana ʻoki kino
Hana pinepine ʻia kēia mau mea i nā hihia o ka ʻeha nui kahi i kūleʻa ʻole ai nā lāʻau ʻē aʻe.
- ʻO ka Microvascular Decompression (MVD): I kekahi manawa, ʻeha ke kumu o ke kaomi ʻana o ke kīʻaha koko i kahi aʻalolo. Ma kēia ʻoki kino, wehe iki ʻia ke poʻo (craniotomy) a kau ʻia kahi pā liʻiliʻi ma waena o ke kīʻaha koko a me ke aʻalolo. Hoʻomaha kēia i ke kaomi a nalowale ka ʻeha.
- ʻO ke ʻoki kino radio Stereotactic: Pili kēia i ka hoʻohana ʻana i kahi mea i kapa ʻia ʻo "Gamma Knife®" e kuhikuhi pololei i kahi kukuna o ka radiation i ke aʻalolo e hoʻoulu ai i ka ʻeha. He palupalu ia e like me ka pahi ʻoki kino a ʻaʻole ia e hōʻino i nā ʻiʻo a puni.
- ʻO ka hoʻoulu ʻana o ke aʻalolo Peripheral (PNS): Pili kēia i ka hoʻouna ʻana i nā hōʻailona uila maalea loa i ke aʻalolo e hoʻoulu ai i ka ʻeha ma o kahi electrode liʻiliʻi, e hoʻōki ana i ke aʻalolo mai ka lilo ʻana i mea hana nui.
Aia kekahi mau mea hiki iā ʻoe ke hana ma ka home?
Aia kekahi mau mea hiki iā ʻoe ke hana ma ka home no ka ʻeha iki. Akā e hoʻomanaʻo, inā ʻoi aku ka lōʻihi o ka ʻeha ma mua o ʻelua a ʻekolu paha lā a i ʻole he koʻikoʻi, pono ʻoe e ʻike i ke kauka.
| He aha ka mea hiki ke hana ʻia? | Pehea e hana ai |
|---|---|
| Ke kau ʻana i ka hau | E ʻōwili i kekahi mau pahu hau i loko o kahi lole a kau iā lākou ma kahi ʻeha no 15-20 mau minuke. E hōʻemi kēia i ka pehu a me ka ʻeha. |
| Ke kau nei i ka wela | Hiki i ka hoʻopili ʻana i kahi ʻōmole wai wela a i ʻole kahi lole wela i kahi ʻiʻo ʻeha ke hāʻawi i ka hōʻoluʻolu. |
| Moe me kou poʻo i luna | E hiamoe me hoʻokahi a ʻelua paha uluna a hoʻokiʻekiʻe iki ʻia kou poʻo. Hiki i kēia ke kōkua i ka hōʻemi ʻana i nā mea e like me ke kaomi sinus. |
| Ke lawe nei i nā mea hōʻeha ʻeha | Hiki ke hoʻohana ʻia nā lāʻau ʻeha ʻeha e like me ka paracetamol a me ka ibuprofen no kekahi manawa, akā ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau ma mua o ka hoʻomau ʻana i ka hoʻohana ʻana iā lākou. |
| He pale waha | Inā ʻuʻu ʻoe i kou mau niho i ka pō a i ʻole he mau pilikia TMJ kou, hiki i ka hoʻohana ʻana i kahi pale waha i hana ʻia e ke kauka niho ke kōkua i ka hōʻemi ʻana i ka ʻeha. |
Āhea wau e ʻike ai i ke kauka?
Mai hoʻowahāwahā wale i ka ʻeha o ka maka, me ka manaʻo he mea maʻamau ia. ʻOi loa aku i nā hihia e like me kēia, pono ʻoe e ʻike i ke kauka.
- Inā ʻaʻole e emi ka ʻeha ma hope o kekahi mau lā .
- Inā e pau ka ʻeha a hoʻi mai (hele mai a hele).
- Inā ʻaʻole hiki iā ʻoe ke noʻonoʻo i kahi kumu maopopo no ka ʻeha.
- Inā he mau hōʻailona ʻē aʻe e like me ka paʻakikī o ka hanu ʻana, ka poniuniu, a i ʻole nā loli o ka ʻike me ka ʻeha o ka maka.
- Inā nui loa ka ʻeha a hiki ʻole iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā .
Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU)?
I kekahi manawa, hiki i ka ʻeha o ka maka ke lilo i hōʻailona o kahi maʻi koʻikoʻi, e like me ka hōʻeha puʻuwai a i ʻole ka hahau ʻana. Inā loaʻa iā ʻoe ka ʻeha o ka maka me nā hōʻailona ma lalo nei, e hele koke i ka Emergency Department (ETU) kokoke loa a kāhea aku i ka 1990.
| Inā loaʻa iā ʻoe ka ʻeha o ka maka me kēia mau hōʻailona ... | E hana koke! |
|---|---|
| Nā hōʻailona o ka hāʻule puʻuwai: ʻeha ka umauma, ka ʻeha e pālahalaha ana i ka lima, poʻohiwi, ʻāʻī, a i ʻole ka ʻāʻī, ka hou ʻana, a me ka paʻakikī o ka hanu ʻana. | E hele koke i ka ETU a kāhea aku paha i ka 1990. |
| Nā hōʻailona o ka hahau ʻana: ke kūlou ʻana o kekahi ʻaoʻao o ka maka, ka mae ʻana o ka lima a i ʻole ka wāwae, ka paʻakikī o ka ʻōlelo ʻana, ka mae ʻana o ka ʻōpū, ka nalowale o ke kaulike. | E hele koke i ka ETU a kāhea aku paha i ka 1990. |
Leka Lawe-Home
- Hiki i ka ʻeha maka ke loaʻa i nā kumu like ʻole, mai nā ʻeha niho a i nā pilikia aʻalolo. ʻO ka hapa nui o ka manawa, ʻaʻole koʻikoʻi kēia mau mea.
- Mai hoʻowahāwahā i ka ʻeha i wehewehe ʻole ʻia, hoʻomau, a hoʻi hou paha.
- ʻO ke ala maikaʻi loa e ʻike ai i ke kumu kūpono a loaʻa ka lāʻau kūpono e ʻike i kāu kauka.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha o ka umauma a i ʻole ka mae ʻana o kou mau lālā me ka ʻeha o ka maka, he pilikia ia. E hele koke i ka haukapila.
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