Ke ʻeha mau nei ʻoe? He Central Pain Syndrome paha ia!

Ke manaʻo nei ʻoe i kekahi manawa i ka ʻeha ma nā wahi like ʻole o kou kino me ke kumu ʻole? Malia paha ua lōʻihi ka ʻeha a ʻaʻole e nalo. A i ʻole ke manaʻo koke nei ʻoe i ka mae ʻana, nā kui a me nā nila, a i ʻole nā ​​​​​​manaʻo wela? Inā ua loaʻa iā ʻoe kēlā mau ʻike, he mea nui loa ia iā ʻoe e ʻike e pili ana i kēia maʻi i kapa ʻia ʻo Central Pain Syndrome (CPS) , a mākou e kamaʻilio nei i kēia lā.

He aha ka Central Pain Syndrome?

I ka ʻōlelo maʻalahi, ʻo ka Central Pain Syndrome (CPS) kahi kūlana kahi e ʻike mau ʻia ai ka ʻeha, ʻo ia hoʻi , ma muli o kahi pilikia me kā mākou ʻōnaehana nerve . No ka laʻana, inā he hōʻino i ko mākou lolo a i ʻole ke kaula spinal , a inā ʻeha mākou no ka manawa lōʻihi a hana hewa kā mākou ʻōnaehana nerve, hiki ke hana ʻia kēia kūlana.

Penei ke ʻano o ka hana ʻana. Ke hōʻino ʻia ka lolo a i ʻole nā ​​hunaola aʻalolo, ʻaʻole hana pono nā hunaola i hōʻino ʻia a hoʻomaka e hoʻouna i nā hōʻailona ʻeha i nā manawa a pau. A i ʻole, ma muli o ka ʻeha e hoʻomau nei, lilo ko mākou mau hunaola aʻalolo i mea maʻalahi loa i nā hōʻailona ʻeha. A laila, hiki i kēlā mau hunaola ke hoʻouna hewa i nā hōʻailona ʻeha ʻoiai ʻaʻohe ʻeha, a hiki paha iā lākou ke kuhi hewa i nā hōʻailona ʻē aʻe he ʻeha.

Hiki ke paʻakikī iki ka mālama ʻana i kēia maʻi i kekahi manawa. ʻOiai me nā lāʻau hōʻeha maʻamau, a i kekahi manawa me nā lāʻau opioid ikaika, ʻaʻole paha e hōʻoluʻolu ʻia kēia ʻeha. Akā, mai hopohopo. Ua loaʻa i nā kauka nā lāʻau lapaʻau hou a me nā lāʻau lapaʻau no kēia. Ua hiki iā lākou ke kōkua i nā poʻe he nui me kēia maʻi.

He like kēia me ka fibromyalgia?

ʻAʻole like ka CPS a me ka fibromyalgia . Akā aia paha kahi pilina ma waena o nā mea ʻelua. ʻO ka Fibromyalgia kahi maʻi ʻeha mau loa e hoʻopilikia ai i kou mau hono a me nā ʻiʻo. ʻOi aku ka nui o ka poʻe me ka fibromyalgia e loaʻa i ka CPS. ʻO kēia no ka mea e hoʻololi ka ʻeha mau loa i ke ʻano o ka hana a kā lākou ʻōnaehana nerve.

ʻO wai ka mea i ʻoi aku ka paʻakikī ke hoʻomohala i kēia?

ʻO kēlā me kēia mea i loaʻa i ka hōʻino ʻia o ka ʻōnaehana nerve waena, ʻo ia hoʻi, ka lolo a i ʻole ke kaula kuamoʻo, hiki ke loaʻa i ka CPS. Hiki nō hoʻi ke ulu i loko o kekahi mea e ʻeha nei i ka ʻeha mau. ʻOi aku ka nui o ka poʻe me kekahi mau maʻi neurological e loaʻa iā ia. Eia kekahi laʻana:

• Ma waena o 8% a me 10% o ka poʻe i loaʻa i ka hahau .
• Ma waena o 20% a me 40% o nā kānaka me nā ʻeha o ke kaula kuamoʻo .
• Ma kahi o 30% o nā kānaka me ka sclerosis lehulehu .

Pehea ka maʻamau o kēia ʻano?

Ua manaʻo ʻia aia ma kahi o 7 miliona mau kānaka ma ka honua holoʻokoʻa e ʻeha nei i kēia maʻi.

He aha nā hōʻailona o ka maʻi ʻeha waena?

Me CPS, hiki iā ʻoe ke ʻike i kekahi mau loli i ke ʻano o kou ʻeha:

• Kahi e ʻeha ai: ʻO kahi o ka ʻeha e pili ana i ka ʻāpana o ka ʻōnaehana nerve i hoʻopilikia ʻia.
• Ke ʻeha: ʻO ka ʻeha o CPS he mau ia . Eia nō naʻe, no kekahi poʻe hiki ke hele mai a hele aku. ʻO ka mea kūikawā, ʻo ia ka hiki ʻana mai o kēia ʻeha me ka ʻole o ka pōʻino a i ʻole ka hōʻeha ʻana i ke kino.
• Ka nui o ka ʻeha: Hiki i ka ʻeha ke ʻano like ʻole mai ka waena a i ka nui. No kekahi poʻe, hiki ke emi iki i kekahi manawa a laila hoʻi hou mai.
• Nā loli i ke ʻano o ka hoʻopā: Loaʻa i ka poʻe me CPS nā loli i ke ʻano o ko lākou manaʻo i ka hoʻopā ʻana. Pili kēia i ka ʻeha. Hiki i kēia ke hana i kahi manaʻo o ka mae a i ʻole nā ​​​​pine a me nā nila (paresthesia) .
• Ka manawa e hoʻomaka ai: Hiki i ka CPS ke hoʻomaka i nā hebedoma, nā mahina, a i ʻole nā ​​​​makahiki ma hope o kahi maʻi, ulia, a i ʻole nā ​​​​hanana pili ʻē aʻe.
• Nā mana o ke kaiapuni: Hiki ke hoʻonui ʻia ka ʻeha CPS e ke anuanu, ka hopohopo, ke kaumaha , a i ʻole ka haʻalulu koke. Hiki i kou pae o ka hana kino ke hoʻopilikia i ka ʻeha.
• Kou paepae ʻeha: ʻO ka mea kupanaha, i kekahi manawa, loaʻa i ka poʻe me CPS kahi hiki ke hoʻomanawanui i ka ʻeha o waho, i ʻike ʻia ʻo ko lākou paepae ʻeha . ʻO ke ʻano kēia, ʻo kahi mea e hōʻeha ai i kahi kanaka maʻamau ʻaʻole paha e hōʻeha koke iā lākou.

Pehea e wehewehe ai i ka ʻeha

Hoʻākāka pinepine ka poʻe me CPS i ko lākou ʻeha ma nā ʻano like. ʻO nā wehewehe maʻamau:

• E like me ke ahi ʻana.
• Me he mea lā e hou ʻia ana e kahi mea ʻoi.
• Ua like ia me ke kahakaha ʻino ʻana.
• ʻEha loa ka ʻeha, e like me ke ʻano o ke kuʻi ʻana
• ʻEha nui e puka mai ana mai loko mai o ke kino, mai nā ʻiʻo
• Me he mea lā e ʻūmiʻi ana, me he mea lā e hoʻopaʻa ana.
• E like me ka ʻoki ʻana, e like me ka hohola ʻana

Nā pilikia ʻē aʻe e hele mai me kēia maʻi

ʻO ka noho ʻana me ka ʻeha mau e hiki ke loaʻa ka hopena koʻikoʻi i ke olakino noʻonoʻo o ke kanaka. ʻO ka hopena, hiki i ka poʻe me nā maʻi ʻeha e like me CPS ke ʻike pū i:

• Hopohopo
• Kaumaha ( hiki paha me nā manaʻo pepehi kanaka)
• Poho ka hoʻomanaʻo, noe lolo
• Luhi mau a luhi paha
• Ka paʻakikī e hiamoe ana

He aha ke kumu o kēia kūlana?

ʻElua kumu nui e ulu ai ka maʻi ʻeha waena: kahi ʻeha a hōʻino paha i kou lolo a i ʻole ke kaula kuamoʻo, a i ʻole ka ʻeha mau loa.

Nā kūlana e hiki ai ke hōʻino i ka lolo a i ʻole ke kaula spinal

Aia kekahi mau kūlana e hiki ke hōʻino i ka lolo a me ke kaula kuamoʻo. ʻOi aku ka maʻamau o kekahi o lākou ma mua o nā mea ʻē aʻe:

• Ka maʻi ʻaʻai lolo a i ʻole nā ​​puʻupuʻu maikaʻi ʻole .
• ʻOki lolo a i ʻole ke ʻoki iwi kuamoʻo .
• Nā haʻalulu a i ʻole nā ​​​​​​ʻeha o ka lolo .
• Nā kūlana degenerative a mumū paha, e like me ka sclerosis maha a i ʻole ka maʻi Parkinson .
• ʻO nā kūlana hopu epilepsy a me nā kūlana hopu ʻole epileptic.
• Nā maʻi.
• Nā ʻeha o ke kaula kuamoʻo .
• Hahau ʻana .

E noʻonoʻo e pili ana i ia mea, aia kekahi poʻe i loaʻa i kahi ulia kaʻa a i ʻole ka hāʻule ʻana i nā makahiki he nui i hala aku nei a ua ʻeha ko lākou kua. Ma hope o kekahi manawa, hiki i kekahi e like me ia ke loaʻa i kēia ʻano ʻeha nui. ʻO ke kumu o ia mea, ʻo ia ka hōʻino ʻana i ke kaula iwi kuamoʻo.

Nā kūlana e hoʻoulu ai i ka ʻeha mau loa

ʻO kekahi kūlana e hoʻoulu ai i ka ʻeha mau loa hiki ke hoʻoulu i ka CPS. ʻO ka hopena, ua hoʻopili nā kauka i ka CPS i kekahi mau kūlana e pili ana i ka ʻeha mau loa. ʻO kekahi o kēia mau mea:

• Nā kūlana e pili ana i ka ʻāʻī , no ka laʻana ʻo osteoarthritis .
• ʻEha hope .
• Ka maʻi ʻaʻai .
• Ka maʻi luhi mau loa .
• ʻEha pelvic mau loa .
• ʻO ka maʻi ʻeha ʻāpana paʻakikī (CRPS) .
• ʻO ka fibromyalgia .
• Nā kūlana mumū e like me ka rheumatoid arthritis , psoriatic arthritis , lupus, a i ʻole Sjögren's syndrome .
• ʻO ka maʻi ʻōpū huhū .
• ʻEha hui .
• Nā migraines .
• ʻO ka neuropathy peripheral (ʻo kēia ka mea i loaʻa pinepine ʻia e ka maʻi diabetes type 2) .
• ʻO ka neuralgia postherpetic - ka ʻeha mai ka hōʻino ʻana o ke aʻalolo i kahi hopena ʻaoʻao o ka shingles .
• Nā maʻi o ka hui Temporomandibular (TMJ) .

Nā ʻano hoʻoilina

Ua ʻike ʻia kekahi mau noiʻi he kuleana ko nā genes i ka ulu ʻana o ka maʻi ʻeha waena. ʻO ke kikoʻī, inā loaʻa i kekahi o kou ʻohana - ʻo ia hoʻi kou makuahine, kou makuakāne, kou mau kaikaina, a i ʻole nā ​​keiki - ke ʻano o kēia maʻi, ʻo kou pilikia o ka loaʻa ʻana o kēia ʻano ʻeha a hiki i ka ʻewalu manawa ke kiʻekiʻe ma mua o nā mea ʻē aʻe! Akā, ʻaʻole i ʻike ʻia nā loli genetic pololei e kōkua ana i kēia.

Pehea ka hopena o kēia maʻi i koʻu kino?

ʻO kahi ala e noʻonoʻo ai e pili ana i ka ʻeha a me kona hopena, ʻo ia ka noʻonoʻo ʻana i kou kino e like me kahi hale nui a paʻakikī. A laila, ʻo kā mākou ʻōnaehana nerve, ka mea e ʻike a hana i ka ʻeha ma ke kino holoʻokoʻa, ua like ia me kahi ʻōnaehana hoʻāla ahi i loko o kēlā hale. Ke ʻike ka ʻōnaehana nerve aia kahi ʻeha a i ʻole ka pōʻino ma kekahi wahi o ke kino, kani kēia 'bele' e hōʻike iā mākou he pilikia.

ʻElua ʻano ʻeha:

• ʻEha koʻikoʻi: ʻO kēia ka pane a kou kino i kahi maʻi a i ʻole ka ʻeha. Nalo ia i loko o ʻekolu mahina a i ʻole ka liʻiliʻi i kou hoʻōla ʻana a i ʻole ka hoʻōla ʻana o ka ʻeha.
• ʻEha mau loa: Inā hoʻomau ka ʻeha koʻikoʻi no ʻekolu a ʻeono mahina, lilo ia i ʻeha mau loa.

Kaʻina hana ʻeha maʻamau

Ma nā kino a pau, e like me kahi pūnaewele o nā mea ʻike uahi a i ʻole nā ​​mea ʻike wela i loko o kahi ʻōnaehana hoʻāla ahi, aia nā hopena aʻalolo i pili i nā mea like ʻole e hōʻeha ai. Ke hōʻino ʻia nā cell kokoke, hoʻokuʻu ʻia kekahi o kēia mau hōʻailona hoʻolaha kemika i loko o ke koko. ʻIke kou mau hopena aʻalolo i kēlā mau kemika a hoʻouna i nā hōʻailona koʻikoʻi i kou lolo ma o ke kaula spinal. Wehewehe ka lolo i kēlā mau hōʻailona me he ʻeha lā a hoʻouna i nā hōʻailona i nā ʻāpana ʻē aʻe o ka lolo e hana e pale aku iā ʻoe. No ka laʻana, inā hoʻopā kou lima i kahi mea wela e puhi iā ʻoe, ʻike nā hopena aʻalolo i kēlā mau hōʻailona a hoʻouna i nā hōʻailona i kou lolo, no laila e huki koke ʻoe i kou lima.

He aha ka mea e hana me ka maʻi ʻeha waena?

Ua like ka maʻi ʻeha waena me kahi hana hewa i loko o ka ʻōnaehana hoʻāla ahi i loko o kou kino. Hiki i kēia mau hana hewa ke lawe i nā ʻano he nui.

Nā loli ma muli o ka ʻeha a i ʻole ka pōʻino

ʻO ka maʻi ʻeha waena i hoʻokumu ʻia e ka ʻeha a i ʻole ka pōʻino e hoʻopilikia i ka wahi ma ke ʻano ʻokoʻa:

• Lolo: ʻO ka hōʻino ʻana i ka lolo hiki ke hoʻopilikia i ke ʻano o ka lolo e hana ai i nā hōʻailona ʻeha. Hiki i kēia ke hana hewa i ka lolo a hoʻouna i nā hōʻailona me he mea lā ke kumu maoli nei kekahi mea i ka ʻeha kino.
• ʻO ke kaula kuamoʻo: Pono nā hōʻailona he nui mai nā ʻāpana o ke kino a i ka lolo e hiki i ke kaula kuamoʻo ma mua o ko lākou hiki ʻana i ka lolo. Inā ua hōʻino ʻia ke kaula kuamoʻo, hiki i nā hunaola aʻalolo i hoʻopilikia ʻia ke hana hewa a hoʻouna i nā hōʻailona ʻeha e like me lākou e ʻeha maoli nei. ʻAʻole kēia mau hōʻailona mai kahi ʻeha maoli (akā he ʻoiaʻiʻo lākou).

Nā loli ma muli o ka ʻeha mau

Hāʻawi kou kino i ka mea nui i nā hōʻailona ʻeha no ka mea makemake lākou e pale iā ʻoe mai ka pōʻino hou aʻe. Akā i ka wā e loaʻa ai iā ʻoe ka ʻeha mau, pono i kāu ʻōnaehana nerve ke hana i kēia mau hōʻailona koʻikoʻi i nā manawa he nui a no ka manawa lōʻihi ma mua o ka maʻamau.

I ka hala ʻana o ka manawa, hoʻomaka ke ʻano o kāu ʻōnaehana nerve a me ka lolo e hana ai i nā hōʻailona ʻeha e loli. ʻO ka maʻamau, lilo ka ʻōnaehana nerve i mea ʻeha loa i ka ʻeha, a i ʻole e lilo ia i mea ʻeha loa a wehewehe i nā hōʻailona ʻeha ʻole he ʻeha.

• Hyperalgesia: He huaʻōlelo Helene kēia ʻo ia hoʻi ka 'ʻeha nui loa'. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka hoʻonui ʻana o ka ʻōnaehana nerve i nā hōʻailona ʻeha, e hoʻonui ana i ka ʻeha ma mua o ka mea maoli.
• ʻAllodynia: He huaʻōlelo Helene nō hoʻi kēia, ʻo ia hoʻi 'ʻeha ʻē aʻe'. ʻO kēia ka wā e ʻike ʻia ai kahi mea ʻaʻole ʻeha, e like me ka pā maʻamau, he ʻeha ma muli o kahi kīnā i ka hiki o ka ʻōnaehana nerve ke hoʻouna, loaʻa, a hana paha i nā hōʻailona. No ka laʻana, ke hoʻopā kahi ʻāpana lole i ke kino, hoʻoulu ia i ka ʻeha hiki ʻole ke hoʻomanawanui.

Ma muli o ka hoʻopilikia ʻana o ka ʻeha i nā ʻōnaehana ʻē aʻe i loko o kou kino, ʻoiai hoʻi kāu mau hormones, ʻōnaehana pale, a me nā kaʻina hana hoʻoponopono ponoʻī o ke kino, hiki i ka ʻeha mau a me ka CPS ke hoʻopilikia i ke ʻano o ka hana ʻana o kēlā mau ʻōnaehana. Hiki iā ia ke hoʻopilikia i kāu ʻōnaehana endocrine , e hana ana i nā mea e like me nā maʻi adrenal .

Pehea e ʻike ʻia ai kēia maʻi?

Hiki ke paʻakikī ke ʻike i ka Central Pain Syndrome (CPS) i kekahi manawa no ka mea ʻokoʻa ka ʻike ʻana o kēlā me kēia kanaka i ka ʻeha. No laila, pono ke kauka e hōʻiliʻili i ka ʻike kikoʻī e pili ana i kou ʻeha. Hiki ke komo pū me kēia:

• Kahi: Ma hea kahi e loaʻa ai ka ʻeha ? Aia ka ʻeha ma kahi hoʻokahi, a i ʻole ma kekahi ʻaoʻao o ke kino wale nō?
• Wehewehe ʻana i ka ʻeha: Pehea ke ʻano o ka ʻeha? He wela anei? He ʻō ʻana?
• Manawa: I ka manawa hea i hoʻomaka ai ka ʻeha? Loaʻa anei ka ʻeha i kahi manawa kikoʻī o ka lā a i ʻole i kahi manawa kikoʻī o ka lā?
• Nā hopena mai nā kūlana o waho: Ke loli nei ka ʻeha ma muli o kou wahi e noho ai (e like me ke ʻano o ka mahana o ke kaiapuni, ka pae walaʻau, ke kaumaha a i ʻole ka hopohopo i kou ola)?
• Mōʻaukala lapaʻau: Loaʻa iā ʻoe kekahi mau ʻeha, pilikia, a i ʻole nā ​​​​kūlana olakino e hiki ke kōkua i kēia ʻeha?
• Nā hōʻailona ʻē aʻe: Ke ʻike nei ʻoe i kekahi mau hōʻailona ʻē aʻe? ʻOiai inā paha e like me ka pili ʻole i ka ʻeha, e ʻoluʻolu e haʻi iā lākou. Aia kekahi pehu a puni ka wahi o ka ʻeha, ka palupalu, a i ʻole kekahi mau hōʻailona ʻē aʻe?

He aha nā hoʻokolohua e hana ʻia e ʻike ai i kēia maʻi?

Ma muli o ke kūlana, hiki i nā kauka ke kauoha i nā hoʻokolohua diagnostic, imaging, a i ʻole nā ​​​​hoʻokolohua lab. Hana pinepine ʻia nā hoʻokolohua lab e nānā i kahi maʻi mumū i ʻike ʻole ʻia a i ʻole ka maʻi pale e hiki ke hoʻoulu i kou ʻeha. Hiki i kāu kauka ke wehewehe pono iā ʻoe i nā hoʻokolohua i ʻōlelo ʻia no kou kūlana a me ke ʻano kikoʻī , a no ke aha i ʻōlelo ʻia ai lākou.

Inā hana ʻia ka ʻeha waena e kahi hōʻeha i ka lolo a i ʻole ke kaula spinal, hiki i kekahi mau hoʻokolohua diagnostic a me ke kiʻi ke kōkua i ka ʻike ʻana. ʻO kēia mau hoʻokolohua:

• ʻO ke electroencephalography (EEG) .
• Kiʻi Hoʻohui Makeneka (MRI) .
• ʻO ka Magnetoencephalography (MEG) .
• ʻO nā scan Positron Emission Tomography (PET) .

Aia kekahi ʻano hoʻāʻo MRI kūikawā ʻē aʻe e hiki ke kōkua i nā hihia e like me kēia. Ua kapa ʻia ʻo "functional MRI (fMRI)." Hiki iā ia ke ʻike i ka hana o kou lolo, ʻo ia hoʻi, inā e hana pū ana nā ʻāpana like ʻole o ka lolo a i ʻole.

Pehea e mālama ʻia ai ka CPS? Hiki ke ho'ōla ʻia?

ʻAʻohe lāʻau lapaʻau no ka maʻi ʻeha waena i kēia manawa. Eia nō naʻe, he nui nā koho lapaʻau. Inā hoʻokumu ʻia ʻo CPS e kahi maʻi lapaʻau ma lalo, hiki i ka mālama ʻana a i ʻole ka hoʻōla ʻana i kēlā maʻi ma lalo ke kōkua pū me CPS.

Nā lāʻau lapaʻau

Hoʻomaka ka nui o nā hoʻolālā lapaʻau me nā ʻano lāʻau hōʻoluʻolu ʻeha like ʻole, mai nā lāʻau anti-inflammatory nonsteroidal (NSAID ) e like me ka aspirin a i ʻole ibuprofen a hiki i nā lāʻau hōʻoluʻolu ʻeha e hāʻule ana i loko o ka māhele o nā mea i kāohi ʻia e like me nā opioids .

Eia nō naʻe, ʻaʻole i kūpono ka nui o kēia mau lāʻau ʻeha maʻamau, ʻoiai nā opioids ikaika, i ka mālama ʻana i ka CPS. Inā ʻaʻole lākou e hana, hiki i nā kauka ke hoʻāʻo i hoʻokahi a ʻoi aku paha o kēia mau lāʻau lapaʻau (hoʻokahi a i ʻole i ka hui pū ʻana):

• Nā lāʻau lapaʻau no ka hopu ʻana, no ka laʻana gabapentin a i ʻole lamotrigine .
• ʻO nā Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs) he mau lāʻau lapaʻau i hoʻohana ʻia e mālama i ke kaumaha, e like me ka duloxetine a me ka venlafaxine .
• ʻO kekahi ʻano antidepressant i kapa ʻia ʻo tricyclic antidepressants (TCAs) , no ka laʻana amitriptyline a i ʻole nortriptyline .
• ʻO nā lāʻau lapaʻau e hele mai ana ma ke ʻano o nā kirīmi a i ʻole nā ​​​​pāpili e hoʻomānoʻonoʻo ai i ka ʻili o ka ʻili, no ka laʻana lidocaine .

Aia kekahi mau lāʻau lapaʻau hoʻokolohua. Hoʻohana lākou i nā lāʻau lapaʻau i kaulana no ka hoʻohana leʻaleʻa, akā ke noiʻi ʻia nei. Hiki i kēia mau mea ke lilo i ʻāpana o ka lāʻau lapaʻau maʻamau no CPS i kekahi lā:

• Kanabis (mariuana lapaʻau) .
• ʻIniki Ketamine .

Nā ʻano hana ʻole lāʻau lapaʻau

Aia kekahi mau ʻano hana ʻaʻole lāʻau lapaʻau, ua ʻae ʻia kekahi, aia kekahi i ke kahua noiʻi, hiki ke kōkua me CPS. Eia kekahi mau laʻana:

• ʻAkipikipi .
• Hoʻoulu hohonu i ka lolo (DBS) .
• ʻO ke alapine (FSM) Microcurrent kikoʻī .
• Hoʻoulu ʻana i ka Magnetic Transcranial (TMS) .
• Hoʻoulu ʻana i ke aʻalolo uila transcutaneous (TENS) .

Nā lāʻau lapaʻau ʻē aʻe

Ma muli o ka hele pinepine ʻana o nā pilikia olakino noʻonoʻo me nā kūlana ʻeha, hoʻokomo pinepine nā kauka i nā koho olakino noʻonoʻo i nā hoʻolālā lapaʻau CPS. No ka laʻana, hiki i ka cognitive behavioral therapy (CBT) ke kōkua iā ʻoe e aʻo i nā mākau e hoʻoponopono ai i nā pilikia olakino noʻonoʻo e hele pinepine mai me CPS.

Hiki i ka hoʻōla kino ke kōkua iā ʻoe e hoʻololi i kou kūlana. Hiki iā ia ke hoʻomaikaʻi i kou ikaika ʻiʻo, ka maʻalahi, a me ka hoʻonohonoho ʻana.

ʻOkoʻa loa nā pilikia/nā hopena ʻaoʻao o ka lāʻau lapaʻau ma muli o ka lāʻau lapaʻau āu e loaʻa ai. Hiki i kāu kauka ke hāʻawi iā ʻoe i kahi manaʻo maikaʻi o ka mea e manaʻo ai.

Pehea wau e mālama ai iaʻu iho a hoʻokele paha i kaʻu mau hōʻailona?

ʻAʻole ʻo CPS kahi maʻi hiki iā ʻoe ke ʻike iā ʻoe iho. No laila, ʻaʻole ia he manaʻo maikaʻi e hoʻāʻo e mālama iā ʻoe iho. Inā manaʻo ʻoe he maʻi kou, pono ʻoe e ʻike i ke kauka. Hiki iā ia ke ʻike i kou maʻi a kuhikuhi iā ʻoe i ka lāʻau kūpono.

ʻOkoʻa ka wikiwiki o koʻu ʻoluʻolu ma hope o ka mālama ʻana mai kēlā kanaka a kēia kanaka. E nīnau i kāu kauka e pili ana i kāu mālama ʻana a me ka manawa hoʻōla. Hiki iā ia ke haʻi pololei iā ʻoe i ka mea e manaʻo ai ma muli o kou kūlana kikoʻī .

He aha ka manaʻo no kēia kūlana?

Hiki i ka maʻi ʻeha waena ke hoʻopilikia nui i kou ola maikaʻi, ʻoiai kou hiki ke hana i nā mea āu e hauʻoli ai.

ʻO ka nānā ʻana no kēia kūlana e hilinaʻi nui ʻia i ke kumu kumu. Ke loaʻa kahi kumu kumu e hiki ke mālama ʻia, ʻoi aku ka nui o ka mālama ʻia a hoʻohuli ʻia paha kekahi o nā hopena o ke kūlana.

Ke hiki ʻole ke ho'ōla ʻia ke kumu nui, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ka mālama ʻana i nā hōʻailona o CPS a pale iā lākou mai ka lilo ʻana i mea ʻino.

He mea nui hoʻi e ʻike mua i ke kūlana a hoʻomaka i ka mālama ʻana. He mea nui hoʻi e ʻike i kahi loea olakino noʻonoʻo, inā pono a ʻōlelo ʻia. ʻO kēia no ka mea ʻoi aku ka nui o ka pilikia o ka poʻe me kēia kūlana i ka hoʻomohala ʻana i ka hopohopo a me ke kaumaha, a me ka piʻi ʻana o ka pilikia o ka pepehi kanaka iā lākou iho.

ʻO ka maʻi ʻeha waena he maʻi mau loa ia. I kekahi mau hihia, hiki ke hoʻohuli ʻia nā hopena, ma muli o ke kumu a me ka wikiwiki o ka loaʻa ʻana o ka lāʻau.

Pehea e hiki ai iaʻu ke pale aku i kēia mai ka hana ʻana, a i ʻole e hōʻemi i ka pilikia?

Hoʻomohala koke ʻia ʻo CPS a ua hoʻopili ʻia e kekahi mau kumu hiki ʻole iā ʻoe ke kaohi. No laila, ʻaʻole hiki ke pale ʻia kēia kūlana.

Ke ulu ka maʻi ʻeha waena ma muli o ka ʻeha a i ʻole ka hōʻino ʻana i ka lolo a i ʻole ke kaula kuamoʻo, ʻaʻohe mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka loaʻa ʻana. ʻO ke komo ʻana i nā lako pale a me nā mea hana e pale aku ai i nā ʻeha o ke poʻo a me ke kaula kuamoʻo hiki ke kōkua i ka hōʻemi ʻana i kou pilikia i kekahi ʻano ma ka pale ʻana i nā ʻeha e hiki ke alakaʻi i ka CPS.

ʻO ke ala maikaʻi loa e hōʻemi ai i kou pilikia o ka hoʻomohala ʻana i ka CPS e pili ana me ka ʻeha mau loa, ʻo ia ka ʻimi ʻana i ka lāʻau lapaʻau no kekahi mau kūlana kumu e hiki ai ke hoʻoulu i ka ʻeha. He mea nui hoʻi e hahai i nā ʻōlelo a kāu kauka i ka wā e mālama ai i kēlā mau kūlana. ʻO ka hana ʻana i nā mea ʻelua e hiki ke kōkua i ka hōʻemi ʻana i kou pilikia o ka hoʻomohala ʻana i ka ʻeha mau loa e hiki ai ke alakaʻi i ka CPS i ka wā e hiki mai ana.

Pehea wau e mālama ai iaʻu iho?

Inā loaʻa iā ʻoe ka maʻi ʻeha waena, pono ʻoe e hahai i nā ʻōlelo a kāu kauka e mālama iā ʻoe iho a mālama i kou kūlana. ʻO nā mea maikaʻi loa hiki iā ʻoe ke hana:

• E lawe i kāu lāʻau lapaʻau e like me ke kauoha.
• E pale i nā hana a i ʻole nā ​​kūlana e hoʻonui ai i kou ʻeha.
• Mai hoʻowahāwahā i kou olakino noʻonoʻo.

Āhea wau e ʻike ai i kaʻu kauka?

Pono ʻoe e ʻike i kāu kauka e like me ka mea i ʻōlelo ʻia. E hoʻonohonoho paha ʻo ia i nā manawa hoʻopaʻa e ʻike ai i kou ʻano a hoʻoponopono i kāu lāʻau lapaʻau inā pono. Pono ʻoe e ʻike i kāu kauka inā ʻike ʻoe i kekahi mau loli i kāu mau hōʻailona, ​​​​ʻoiai inā loli koke lākou a inā paha e hoʻopilikia lākou i kāu mau hana maʻamau a me kāu hana maʻamau.

Āhea wau e hele ai i ka Emergency Treatment Unit (ETU) ?

Pono ʻoe e ʻimi i ke kōkua lapaʻau ulia pōpilikia inā loli kāu mau hōʻailona i loko o kahi manawa pōkole, a inā paha e lilo lākou i mea koʻikoʻi loa. He ʻoiaʻiʻo loa kēia inā loaʻa iā ʻoe kekahi mau hōʻailona hahau me kāu mau hōʻailona CPS. Hiki i kāu kauka ke haʻi iā ʻoe e pili ana i kekahi mau hōʻailona a i ʻole nā ​​​​hōʻailona e pili ana iā ʻoe e hōʻike ana he pono ʻoe e ʻimi i ke kōkua lapaʻau ulia pōpilikia.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻO ka Central Pain Syndrome (CPS) kahi maʻi koʻikoʻi e hiki ke hoʻopilikia nui i kou ola. Hiki iā ia ke hoʻoulu iā ʻoe i ke kaumaha a me ka ʻeha, a hiki iā ia ke kaupalena i kou hiki ke ola i ke ola āu e makemake ai. ʻOiai he inoa maikaʻi ʻole ka Central Pain Syndrome no ka paʻakikī o ka mālama ʻana, ke hoʻomohala nei nā mea noiʻi i nā lāʻau lapaʻau kūpono, nā lāʻau lapaʻau, a me nā ʻano hana no ia. Ke hoʻomau nei ka noiʻi, hiki ke puka mai nā koho hou aʻe e mālama ai i kēia maʻi. E lawe mai kēia i ka manaʻolana a me ka hōʻoluʻolu i ka poʻe e ʻeha nei i kēia maʻi. No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻoi aku ka maikaʻi o ka hopohopo ʻole, akā e ʻike koke i ke kauka.

ʻO ka maʻi ʻeha o ke aʻalolo waena, ʻO ka maʻi ʻeha waena, ʻeha mau, ʻōnaehana aʻalolo, nā maʻi lolo, nā maʻi kaula kuamoʻo, ka hoʻokele ʻeha