Loaʻa iā ʻoe kēia ʻeha lōʻihi? E kamaʻilio kākou e pili ana i ka ʻeha mau loa!

He mea maʻamau ka ʻeha ke ʻeha a maʻi paha kākou. Ua like ia me kahi leo hoʻāla i loko o ko kākou kino e haʻi mai ana iā kākou, "Aia kekahi mea hewa ma ʻaneʻi, e hoʻolohe pono!" Akā i kekahi manawa hiki i kēia ʻeha ke mau no ʻekolu mahina a ʻoi aku paha, a i ʻole nā ​​makahiki. ʻO ia ka mea a kākou e kapa nei he ʻeha mau loa . He kūlana hoʻonāukiuki maoli kēia, no ka mea, hiki iā ia ke lawe aku i ka nui o ka hauʻoli o ke ola.

Ua hōʻike ʻia kahi noiʻi i mālama ʻia ma ʻAmelika Hui Pū ʻIa he ʻoi aku ma mua o 20% o nā pākeke, a ʻoi aku paha ma mua o 50 miliona mau kānaka, e ʻeha nei i kēia ʻeha mau loa. No laila hiki iā ʻoe ke noʻonoʻo i ka maʻamau o kēia ʻano. Hiki i kēia ʻeha ke loaʻa ka hopena nui ʻaʻole wale i kou olakino kino, akā i kou olakino noʻonoʻo. ʻO ia ke kumu he mea nui loa ka makaʻala iā ia a loaʻa ke kōkua inā pono. E kamaʻilio hou kākou e pili ana i kēia ʻeha mau loa i kēia lā, ʻeā?

He aha kēia mau ʻano maʻamau o ka ʻeha mau loa?

ʻAʻole kūpono ka ʻeha mau i nā mea āpau. Hiki ke loaʻa i nā ʻano he nui a loaʻa i nā ʻāpana like ʻole o ke kino. ʻO ka ʻeha mau kahi hōʻailona maʻamau o kekahi mau ʻeha, nā maʻi, a me nā maʻi. E nānā kākou i kekahi o nā ʻano maʻamau:

• ʻEha hui a ʻeha paha o ka ʻāʻī: ʻO kahi laʻana maikaʻi o kēia ka ʻeha kuli, kahi i ʻike ai ka poʻe he nui.
• ʻEha hope: ʻO ka ʻeha, ʻoi aku hoʻi ma ke kua i lalo, he mea maʻamau ia i waena o ka poʻe e noho ana ma kekahi kūlana no ka manawa lōʻihi.
• ʻEha maʻi ʻaʻai: ʻEha nui e hele mai me ka maʻi ʻaʻai.
• Fibromyalgia: Hōʻike ʻia kēia e ka ʻeha, ka ʻoʻoleʻa, a me ka luhi nui ma ke kino holoʻokoʻa.
• ʻEha poʻo: ʻEha poʻo koʻikoʻi a mau loa, e like me ka migraines.
• ʻEha ʻāʻī.
• ʻEha Neuropathic: ʻEha i hoʻokumu ʻia e ka hōʻino ʻia a i ʻole ka hana ʻole ʻana o nā aʻalolo.

He aha ke ʻano o ka ʻeha mau loa?

He ʻike pilikino loa kēia. He ʻokoʻa loa ke ʻano o ka ʻeha o kēlā me kēia kanaka. Akā, ʻo ka mea nui, ʻoi aku ka lōʻihi o kēia ʻeha ma mua o ʻekolu mahina . Hiki iā ʻoe ke wehewehe i kēia ʻeha ma nā huaʻōlelo penei:

• Me he mea lā e ʻeha ana mai loko mai.
• E like me ke ahi ʻana.
• E like me ke pana ʻana.
• E like me ke ʻūmiʻi ʻana.
• Manaʻo ke kino he ʻoʻoleʻa, paʻakikī ke kūlou (Stiffness).
• ʻĀʻī.
• E like me ke kuʻi ʻana, e like me ka ʻeha (Throbbing).

Hiki i ka ʻeha mau ke hele pū me nā hōʻailona a me nā kūlana ʻē aʻe. ʻO ka ʻōlelo pololei, hoʻokahi wale nō hōʻailona ka ʻeha. Hiki ke hele pū me ia:

• Ka maʻi hopohopo laulā: Nā manaʻo o ka makaʻu a me ka hoʻomaha ʻole.
• Maʻi kaumaha nui: Ke kaumaha a me ke kaumaha i nā manawa a pau.
• Luhi: Manaʻo mau i ka luhi, me ka manaʻo ʻaʻole hiki ke hana i kekahi mea.
• ʻInsomnia: ʻAʻole hiki ke hiamoe i ka pō, a i ʻole ka hiki ʻole ke hiamoe maikaʻi ma hope o ka hiamoe ʻana.
• Ka huhū a i ʻole ka loli ʻana o ka naʻau.

E hoʻomanaʻo, inā ke hoʻopilikia nei kēia ʻeha i kāu mau hana o kēlā me kēia lā, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau.

No ke aha e loaʻa ai kēia ʻeha mau loa?

He mea paʻakikī loa ka ʻeha mau. I kekahi manawa aia kahi kumu maopopo no ia mea. Eia kekahi laʻana, inā loaʻa iā ʻoe kahi maʻi lōʻihi e like me ke kanesa a i ʻole ka rumatika, hiki iā ia ke hōʻeha. Akā i kekahi manawa he mea paʻakikī loa ka loaʻa ʻana o ke kumu. I kekahi manawa hiki ke hui pū kekahi mau mea e hōʻeha ai i kēia ʻeha.

E nānā kākou i nā kumu nui o ke ʻeha:

• ʻEha neuropathic: Hana ʻia kēia ke loaʻa kekahi mea hewa a i ʻole i hōʻino ʻia i loko o kāu ʻōnaehana nerve. ʻO nā laʻana e komo pū me ka neuropathy peripheral, nā aʻalolo i ʻoki ʻia, a me ka neuralgia trigeminal. Ua like ia me kahi uaea haki e hoʻouna ana i ka hōʻailona hewa.
• ʻEha musculoskeletal: ʻO kēia ka ʻeha e hoʻopilikia ai i kou mau iwi, nā hono, nā ligaments, nā ʻiʻo, a me nā tendons. Hiki ke hana ʻia kēia ʻeha e ka ʻeha (e.g., ka spraining o kahi hono) a i ʻole ka "ʻeha" i ka hala ʻana o ka manawa (e.g., tendonitis).
• ʻEha Visceral: Loaʻa kēia ʻeha mai kou mau kino kūloko, e like me kou puʻuwai, nā māmā, ka ʻōpū mimi, nā kino hānau, a me nā kino ʻai. Loaʻa i kekahi poʻe ka hypersensitivity visceral, ka mea e ʻoi aku ai ka maʻalahi o ka ʻike ʻana i kēia ʻano ʻeha i kēlā me kēia manawa.
• ʻEha mumū: Loaʻa kēia ʻeha ke hōʻino ʻia a pehu nā ʻiʻo. Hiki ke hana ʻia e nā maʻi mau a pōkole paha. No ka laʻana, inā loaʻa iā ʻoe kahi maʻi autoimmune e like me ka rheumatoid arthritis a i ʻole lupus, hiki iā ia ke hoʻoulu i ka mumū a me ka ʻeha mau. Eia kekahi, inā loaʻa iā ʻoe kahi maʻi e like me ka shingles, hiki iā ia ke alakaʻi i ka ʻeha nerve lōʻihi i kapa ʻia ʻo postherpetic neuralgia.
• Ka ʻike waena:He mea paʻakikī iki kēia. I ka ʻōlelo maʻalahi, loaʻa nā loli i loko o ko kākou ʻōnaehana nerve waena (ʻo ia hoʻi, ka lolo a me ke kaula kuamoʻo), a i ka hala ʻana o ka manawa, lilo mākou i mea maʻalahi loa i ka ʻeha a me nā manaʻo ʻē aʻe. Hoʻomaka nā mea liʻiliʻi e manaʻo nui. Hiki ke hana kēia me kekahi ʻano ʻeha. Hiki nō hoʻi iā ia ke maʻalahi i ka mālamalama, ke kani, a me nā manaʻo.
• ʻEha psychogenic: Loaʻa i kekahi poʻe ka ʻeha mau, akā ʻaʻohe kumu kino maopopo e loaʻa. ʻAʻole kēia manaʻo he hoʻopunipuni kou ʻeha. I ka manawa pinepine, pili kēia ʻano ʻeha i nā loli i loko o kā mākou ʻōnaehana nerve, a me nā mea noʻonoʻo a me nā mea naʻau.

I kekahi manawa, hiki ke noho pū kekahi mau kumu o ka ʻeha. No ka laʻana, hiki i ke kanaka ke loaʻa ka ʻeha kua ma muli o ka maʻi disc degenerative me ka fibromyalgia.

He aha nā kumu pilikia no ka ʻeha mau loa?

Ma muli o ka hiki ke hana ʻia ka ʻeha mau e nā maʻi a me nā ʻeha he nui, nui nā kumu pilikia no ia. Ma keʻano laulā, eia nā kumu pilikia nui:

• ʻO ka Genetics: ʻO nā kumu o kekahi ʻeha mau loa, no ka laʻana ʻo migraines a me ka rheumatoid arthritis, hiki ke hoʻoilina.
• Ka ʻelemakule ʻana: ʻO ka ʻeha mau loa, ʻoiai ka ʻeha i hoʻokumu ʻia e ka "ʻaʻahu a me ka waimaka" o ka ʻōnaehana musculoskeletal, ʻoi aku ka nui o ka hiki ʻana mai i ko kākou wā ʻelemakule.
• ʻEha ma mua: Inā ua loaʻa iā ʻoe kahi ʻeha nui, ʻoi aku ka nui o ka loaʻa ʻana o ka ʻeha mau loa ma hope.
• Loaʻa kahi hana lima: Inā ʻoe e hana i kahi hana koi kino , ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka ʻeha mau loa.
• Kaumaha pinepine a koʻikoʻi paha: Ua hōʻike nā haʻawina i kahi pilina ma waena o ka ʻeha mau loa, ke kaumaha pinepine, a me ka maʻi kaumaha post-traumatic (PTSD).
• Puhipaka: ʻOi aku ka nui o ka poʻe puhipaka i ka ʻeha o ke kua i lalo ma kahi o ʻekolu manawa. Hiki i ka puhipaka ke hoʻonui i ka ʻike i ka ʻeha ma ke ʻano laulā.
• Momona: Ke piʻi aʻe kou kaumaha, hiki i kekahi mau maʻi e hōʻeha ai i ka ʻeha, e like me ka maʻi ʻaʻai, ke lilo i mea ʻino aʻe no ka mea ua ʻoi aku ke kaumaha o nā hono.

Pehea e ʻike ai i ka ʻeha mau loa?

Manaʻo nā kauka he ʻeha mau loa ka ʻeha inā mau ia no ʻekolu mahina a ʻoi aku paha, a inā hele mai a hele aku. No ka mea, he hōʻailona maʻamau ka ʻeha, e hoʻāʻo kāu kauka e ʻimi i ke kumu o ka ʻeha inā hiki. Akā, he mea pilikino loa ka ʻeha. ʻO ia hoʻi, ʻo ka mea wale nō e ʻike nei iā ia ke hiki ke ʻike a wehewehe iā ia. No laila, i kekahi manawa, he mea paʻakikī i nā kauka ke ʻike i ke kumu.

Inā loaʻa iā ʻoe ka ʻeha no ka manawa lōʻihi, e ʻike pono i ke kauka.A laila e nīnau ʻo ia iā ʻoe i nā mea penei:

• Aia i hea ka ʻeha?
• Pehea ka ʻino? (Ma kahi pālākiō mai 0 a 10).
• ʻEhia pinepine ka ʻeha?
• Pehea ka nui o kona hopena i kou ola a me kāu hana?
• He aha ka mea e hoʻonui ai a hoʻemi paha i ka ʻeha?
• Nui anei kou kaumaha a hopohopo paha i kou ola?
• Ua loaʻa iā ʻoe kekahi mau maʻi ma mua, nā ʻoki kino, a i ʻole nā ​​​​​​kūlana maʻi mau?

E hana kāu kauka i kahi hoʻokolohua kino a hiki paha ke kauoha i nā hoʻokolohua e like me kēia e kōkua i ka hoʻoholo ʻana i ke kumu o kou ʻeha:

• Nā hoʻāʻo koko a me ka mimi.
• E nānā i ka hoʻāʻo hana ʻiʻo (EMG - electromyography).
• Nā hoʻokolohua kiʻi, e like me nā X-ray a me MRI.
• E nānā inā e pane pono ana nā aʻalolo (nā haʻawina hoʻoili aʻalolo).
• Ke hoʻāʻo ʻana i nā reflexes a me ke kaulike.
• Nā hoʻāʻo wai o ka iwi kuamoʻo.

He aha nā lāʻau lapaʻau no ka ʻeha mau loa?

Hiki i kāu kauka ke ʻōlelo aku i hoʻokahi lāʻau lapaʻau a i ʻole ka hui pū ʻana o nā lāʻau lapaʻau. Pili paha kēia i ka mālama ʻana i ke kumu kumu o kou ʻeha mau a i ʻole ka mālama ʻana i ka ʻeha ma ke ʻano he hōʻailona. Ua hōʻike ʻia e ka noiʻi ʻana hiki i ka hoʻohana ʻana i ka hui pū ʻana o nā lāʻau lapaʻau ke hōʻemi nui i ka ʻeha, ma mua o ka kaupalena ʻana iā ʻoe iho i hoʻokahi lāʻau lapaʻau.

ʻOkoʻa ka maikaʻi o ka hana ʻana o kahi lāʻau lapaʻau mai kēlā kanaka a i kēia kanaka. Hiki ke ʻokoʻa ka ʻeha mau loa ʻoiai inā like ke kumu. Hoʻomaka pinepine nā kauka me nā ʻano hoʻokele ʻeha minimally invasive a i ʻole nā ​​​​​​ʻano hoʻokele ʻeha kuʻuna. A laila wale nō lākou e neʻe ai i nā lāʻau lapaʻau ʻoi aku ka pilikia. Akā, ʻaʻohe ala "kūpono" hoʻokahi e pono ai no nā mea āpau.

Hiki i ka hoʻokele ʻeha mau ke komo pū me nā mea e like me:

• Nā hoʻololi o ke ʻano o ka nohona: ka kaohi ʻana i ke kaumaha, ka hoʻokele ʻana i ke kaumaha, a me ka hana kino.
• Hoʻōla kino a me ka hoʻōla hana.
• Nā lāʻau lapaʻau noʻonoʻo no ka ʻeha: Hiki i kēia ke komo pū me ka cognitive behavioral therapy (CBT), ka hui therapy, ka ʻae ʻana a me ka hoʻokō ʻana (ACT), a me ka mindfulness therapy.
• Nā lāʻau lapaʻau hoʻohui: Nā mea e like me ka massage therapy, biofeedback, a me ka noʻonoʻo ʻana.
• Nā kaʻina hana lapaʻau a me nā mea hana: Nā mea e like me ke ʻoki kino, TENS (Transcutaneous Electrical Nerve Stimulation), nā inikini Steroid, a me nā inikini Botulinum toxin (Botox®).
• Nā lāʻau lapaʻau:`(NSAIDs - Nā lāʻau anti-inflammatory nonsteroidal)` (nā lāʻau anti-inflammatory non-steroidal), `(Nā mea hoʻomaha ʻiʻo)`, a me `(Nā Opioids)` (nā lāʻau hoʻopau ʻeha o ka hui opioid).
• Nā hoʻokolohua lapaʻau.

Ma muli o ke kumu o kou ʻeha a me kou kūlana kūikawā, hiki ke lōʻihi ka manawa e ʻike ai i ka lāʻau lapaʻau e kūpono loa iā ʻoe. Pono paha ʻoe e hoʻāʻo i kekahi mau lāʻau lapaʻau like ʻole. ʻO ka pili loa ʻana o kāu hana me kāu kauka a i ʻole ka hui lapaʻau, ʻoi aku ka nui o ka holomua o kāu hoʻolālā hoʻokele ʻeha, no ka mea e loli ana kāu mau pono. He mea nui hoʻi e kamaʻilio e pili ana i nā pono, nā pilikia, a me nā hopena ʻaoʻao o kēlā me kēia lāʻau lapaʻau.

E nalo loa anei ka ʻeha mau loa?

ʻO ka ʻoiaʻiʻo, ʻaʻohe "lāʻau lapaʻau" no ka ʻeha mau loa i kēia manawa. ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke ʻimi i ke kumu o ka ʻeha a mālama iā ia. No ka laʻana, hiki i ka mālama ʻana i ka arthritis ke kōkua i ka hōʻoluʻolu ʻana i ka ʻeha o nā hono.

Akā, ʻaʻole ʻike ka nui o ka poʻe me ka ʻeha mau i ke kumu o ko lākou ʻeha, no laila ʻaʻole hiki iā lākou ke loaʻa kahi lāʻau lapaʻau. Noho wale lākou me ka ʻeha, me ka hoʻohana ʻana i ka hui pū ʻana o nā lāʻau lapaʻau, nā therapies, a me nā loli o ke ʻano o ka nohona.

He aha ka wānana no ka poʻe me ka ʻeha mau loa?

ʻAʻole maʻamau e nalowale loa ka ʻeha mau. Akā hiki iā ʻoe ke hoʻokele iā ia me ka hoʻohana ʻana i ka hui pū ʻana o nā ʻano hana e pono ai iā ʻoe. Ua ʻōlelo ʻia nā lāʻau lapaʻau ʻeha mau o kēia manawa e hōʻemi i ka pae ʻeha o ke kanaka ma kahi o 30%. Eia kekahi, he hopena nui kēia mau lāʻau lapaʻau i kou ʻano ola, e kōkua ana i ka hōʻemi ʻana i ke kaumaha e hele mai me ka noho ʻana me ka ʻeha mau.

Ke hoʻomau nei nā kānaka noiʻi i ke aʻo ʻana i nā maʻi ʻeha a me nā lāʻau lapaʻau, a me ka holomua ʻana i ka neuroscience a me ka hoʻomaopopo ʻana i ke kino o ke kanaka, hiki iā mākou ke manaʻo e puka mai nā lāʻau lapaʻau ʻoi aku ka holomua i ka wā e hiki mai ana.

He aha nā pilikia o kēia maʻi?

ʻO ka ʻeha mau loa i mālama ʻole ʻia a i ʻole ka mālama pono ʻole ʻia hiki ke loaʻa ka hopena koʻikoʻi i kou ola maikaʻi a me kou hiki ke hana i nā hana o kēlā me kēia lā. Hiki iā ia ke paʻakikī iā ʻoe ke mālama iā ʻoe iho, hana, a mālama i nā pilina me nā poʻe ʻē aʻe. Hiki iā ia ke hoʻonui i ka ʻino o nā maʻi mau loa.

ʻO ka noho ʻana me ka ʻeha mau loa e hoʻonui ai i kou pilikia o:

• Kaumaha a/a i ʻole ka maʻi hopohopo maʻamau: Ua ʻike ʻia kekahi noiʻi ma kahi o 67% o ka poʻe me ka ʻeha mau loaʻa ka pilikia olakino noʻonoʻo.
• Pepehi Kanaka: Ua hōʻike ʻia nā noiʻi ʻo ka pilikia o ka pepehi kanaka i ke ola holoʻokoʻa i waena o ka poʻe me ka ʻeha mau loa ma waena o 5% a me 14%. Eia kekahi, ma kahi o 20% o ka poʻe e ʻike i nā manaʻo pepehi kanaka.Inā ʻoe a i ʻole kekahi āu i ʻike ai e loaʻa ana kēia mau manaʻo, e ʻoluʻolu e kelepona i ka Suicide and Crisis Lifeline ma 988. Aia kekahi e kōkua iā ʻoe i nā hola he 24 o ka lā.
• Ka hoʻohana ʻana i nā mea ʻona a me ka pilikia o ka hoʻohana ʻana i nā mea ʻona.
• ʻO ka maʻi o Alzheimer a me nā kūlana dementia e pili ana.

Inā loaʻa iā ʻoe ka ʻeha mau loa a i ʻole kekahi o nā pilikia i ʻōlelo ʻia ma luna, he mea nui e ʻimi i ke aʻo lapaʻau. ʻOiai inā he manawa iki e loaʻa ai ka hui kūpono o nā lāʻau lapaʻau nāu, mai haʻalele.

Āhea wau e ʻike ai i kaʻu kauka?

E ʻike i kāu kauka ma kēia mau hihia:

• He mea maikaʻi inā e hoʻonui ʻia ka ʻeha ma hope o ka lāʻau lapaʻau, a inā hoʻi mai.
• Inā hoʻoulu nā lāʻau lapaʻau hoʻokele ʻeha i nā hopena ʻaoʻao maikaʻi ʻole.
• Inā ʻoe e hopohopo nei a kaumaha paha.
• Inā pilikia ʻoe i ka hiamoe ʻana i ka pō ma muli o ka ʻeha.
• Inā ʻaʻole hiki iā ʻoe ke hana i nā mea āu e hauʻoli mau ai ma muli o ka ʻeha.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Inā loaʻa iā ʻoe ka ʻeha mau loa, he mea kōkua paha ke nīnau i kāu kauka i kēia mau nīnau:

• He aha ke kumu o koʻu ʻeha?
• E nalo aku anei kēia? A i ʻole, no ke aha ʻaʻole?
• He aha nā lāʻau lapaʻau e hiki iaʻu ke lawe? He aha ko lākou mau hopena ʻaoʻao?
• E ho'āʻo anei au i ka hoʻōla kino a i ʻole ka hoʻōla noʻonoʻo?
• He palekana anei ka hoʻoikaika kino?
• He aha hou aʻe kaʻu e hana ai e hōʻemi i koʻu ʻeha mau loa?
• E kāhea aku anei au iā ʻoe inā e ʻoi aku ka ʻeha?

ʻO ka mea hope loa, e hoʻomanaʻo... (Leka Lawe-Home)

Hiki i ka noho ʻana me ka ʻeha mau loa ke paʻakikī loa. Hiki iā ia ke hoʻopilikia i kēlā me kēia ʻano o kou ola - mai kāu hana a i kou ola kaiaulu, mai ka mālama ʻana iā ʻoe iho a hiki i ka mālama ʻana i nā poʻe ʻē aʻe. I kekahi manawa hiki ke manaʻo ʻia e like me "ke ola ʻana me ka ʻeha" ma mua o "ke ola ʻana."

ʻAʻohe ala "hoʻokahi kūpono i nā mea āpau" no ka hoʻokele ʻeha mau loa. Hiki ke lōʻihi ka manawa e loaʻa ai kahi hoʻolālā hoʻokele ʻeha e kūpono iā ʻoe. Akā he mea kūpono ia e loaʻa ai ka mālama āu e pono ai a kūpono hoʻi. E kamaʻilio me kāu kauka a i ʻole he loea hoʻokele ʻeha e kūkākūkā i nā koho lapaʻau e hiki ke kōkua iā ʻoe e ola i ke ola āu e makemake ai. ʻAʻole ʻoe hoʻokahi, a mai makaʻu e noi i ke kōkua.

ʻEha mau, ʻeha lōʻihi, hoʻokele ʻeha, ʻeha hono, ʻeha kua, ʻeha aʻalolo, nā kumu o ka ʻeha, mālama ʻeha