Ua loaʻa anei iā ʻoe kahi ʻeha liʻiliʻi ma kou lima a i ʻole kou wāwae, a ma hope o kona ho'ōla ʻia ʻana, ua manaʻo mau ʻoe i ka ʻeha hiki ʻole ke hoʻomanawanui a me ka wela? I kekahi manawa ua pehu ka ʻāpana ʻeha, ua loli ke kala o ka ʻili, a ua hou ʻoe me ke ʻano ʻē? Manaʻo ka poʻe he mea maʻamau kēia ke loaʻa iā lākou kēia. Eia nō naʻe, he hōʻailona paha kēia o kahi maʻi kakaikahi akā ʻeha loa i kapa ʻia ʻo 'Complex Regional Pain Syndrome' a i ʻole CRPS . E kamaʻilio kākou e pili ana i kēia ma nā ʻōlelo maʻalahi i kēia lā.
He aha maoli ka CRPS?
I ka ʻōlelo maʻalahi, ʻo ka CRPS kahi kūlana e hoʻoulu ai i ka ʻeha nui a mau loa ma kahi ʻāpana kikoʻī o kou kino, ʻoiai he lima, wāwae, lima, a i ʻole ka wāwae . Hiki ke hele pū kēia ʻeha me kekahi mau hōʻailona ʻē aʻe, e like me ka hoʻololi ʻana o ka ʻili a me ka pehu ʻana.
Manaʻo nā kauka ʻo ke kumu nui o kēia he loli i ka hana o kā mākou ʻōnaehana nerve, ʻo ia hoʻi ka lolo, ke kaula spinal, a me ka ʻōnaehana nerve ma ke kino holoʻokoʻa (nā ʻōnaehana nerve waena a me peripheral). E noʻonoʻo i ka ʻōnaehana hōʻailona ʻeha o ko mākou kino e like me kahi alarm e kani ana i ka wā e komo ai kahi ʻaihue i loko o ko mākou hale. Ke loaʻa iā mākou kahi ʻeha liʻiliʻi, kani kēia alarm, ʻo ia hoʻi ke manaʻo nei mākou i ka ʻeha. Akā ma CRPS, hoʻomau kēia alarm i ke kani ʻana ma hope o ka ho'ōla ʻana o ka ʻeha. ʻO ia hoʻi , ʻaʻole hiki iā mākou ke kaohi hou i nā hōʻailona ʻeha.
ʻElua mau ʻano nui o ka CRPS:
| ʻAno CRPS | He wehewehe maʻalahi |
|---|---|
| ʻAno I | Hana ʻia kēia ma hope o kahi ʻeha a maʻi paha i hōʻino ʻole i kahi aʻalolo. No ka laʻana, hiki ke hana ʻia kēia kūlana ma hope o kahi mea e like me ka haki ʻana o ka lima a i ʻole ka wāwae. Ua kapa ʻia ʻo ia ma mua ʻo 'reflex sympathetic dystrophy'. |
| ʻAno II | Hana ʻia kēia ke hōʻino maopopo ʻia kahi aʻalolo e kahi ʻeha. Ua kapa ʻia kēia ma mua ʻo 'causalgia'. |
ʻOi aku ka maʻamau o kēia ʻano maʻi i nā wahine ma mua o nā kāne. A ʻoiai hiki ke ulu i kēlā me kēia makahiki, ʻoi aku ka maʻamau ma hope o 40 mau makahiki.
He aha nā hōʻailona o ka CRPS?
Hiki ke ʻokoʻa nā hōʻailona o CRPS mai kēlā kanaka a kēia kanaka, a hiki ke ʻokoʻa ko lākou koʻikoʻi. Hoʻomaka ka ʻike ʻia ʻana o nā hōʻailona i loko o ʻehā a ʻeono pule o kahi ʻeha, haki, a i ʻole ke ʻoki ʻana.
ʻO ka hōʻailona nui a koʻikoʻi loa, ʻo ia ka ʻeha . ʻAʻole kēia ʻeha he ʻeha maʻamau wale nō.
- He ʻeha e like me ka manaʻo wela mau .
- Ka ʻeha e like me ke hou ʻia ʻana a i ʻole ka haehae ʻia ʻana e ke kui .
- I ka manawa pinepine, ua like ka ʻeha me he mea lā e puka mai ana mai loko mai o ka lima a i ʻole ka wāwae e ʻeha ana.
Ma waho aʻe o kēia ʻeha, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe he nui ma ka wahi i hoʻopilikia ʻia. No ka maʻalahi, e nānā kākou i kēia mau mea ma kahi papa .
| Māhele ʻano | Wehewehena |
|---|---|
| Nā loli i ka ʻike | - Ke ʻeha nei i ka ʻeha hiki ʻole ke hoʻomanawanui ʻia ʻoiai inā loaʻa iā ʻoe kahi puʻupuʻu liʻiliʻi a i ʻole kahi ʻāpana lole ma kou kino. - Ke ʻeha nui nei mai kahi mea e hōʻeha mau ai (e like me kahi ʻūmiʻi liʻiliʻi). - I kekahi manawa, manaʻo mae. |
| Nā loli ʻili | - Pehu ʻana: Hiki i ka pehu ke hele mai a hele a mau paha. - Mahana: Manaʻo wela a anu paha ma kekahi lima/wāwae ma mua o kekahi. - Waihoʻoluʻu: Nā loli i ke kala o ka ʻili. Hiki ke ʻāpana liʻiliʻi, keʻokeʻo, poni, a ʻulaʻula paha ma kekahi mau wahi. - ʻAno: Hiki ke ʻālohilohi a lahilahi ka ʻili. A i ʻole paha e nui ka hou. |
| Nā loli i ka hana | - ʻAʻole hiki ke hoʻoneʻe pono i ka lima/wāwae ʻeha a me ka manaʻo o ka ʻoʻoleʻa o nā hono. - Paʻakikī ke hāpai i ke kaumaha me kēlā lima/wāwae. |
| Nā kui a me ka lauoho | Hiki i nā kui a i ʻole ka lauoho ma ia wahi ke ulu wikiwiki ma mua o ka maʻamau a i ʻole ʻaʻole loa e ulu. |
ʻO ka mea nui loa, ʻo ia ke ʻike koke ʻana i ke kauka inā loaʻa iā ʻoe kēia mau hōʻailona, no ka mea, ʻoi aku ka maʻalahi o ka mālama ʻana i kēia maʻi inā ʻike mua ʻia.
No ke aha e ulu ai ka CRPS?
ʻAʻole maopopo i nā kānaka noiʻi ke kumu e loaʻa ai i kekahi kanaka me ka ʻeha like ka CRPS a ʻaʻole kekahi, akā manaʻoʻiʻo lākou ua ma muli ia o kahi hopena kūpono ʻole i loko o kā mākou ʻōnaehana pale a me nā ʻōnaehana nerve .
ʻO ka hapa nui (ʻoi aku ma mua o 90%) mau hihia o CRPS i hana ʻia e ka hōʻino ʻia ʻana o nā olonā nerve sensory palupalu loa i loko o ka lima a i ʻole ka wāwae ma muli o kahi ʻeha.
ʻO kekahi mau kumu maʻamau:
- Haʻihaʻi: ʻO ka haki ʻana, ʻoi aku hoʻi ma ka pulima , kekahi kumu nui o ka CRPS. I kekahi manawa, ʻoiai me ke kāʻei ʻia, hiki ke ʻomi ʻia ke aʻalolo.
- ʻOki kino: I ka wā o ke ʻoki kino, hiki ke hōʻino ʻia nā aʻalolo ma muli o ka ʻoki ʻana a me ka humuhumu ʻana o ka ʻili.
- Sprain: Ke wili ʻia kahi hui, hiki ke ʻūmiʻi ʻia nā aʻalolo a puni ia.
- He kuni, palapū, a ʻoki paha: Hiki i kēia ʻano ʻeha o waho ke hōʻino i nā aʻalolo ma lalo o ka ʻili.
I kekahi manawa hiki ke hana ʻia ka CRPS me ka ʻole o kahi ʻeha maopopo, a ʻoi aku ka nui o ka pilikia o kekahi poʻe e hoʻomohala i ke kūlana.
- Nā maʻi o ka ʻōnaehana aʻalolo: ʻO ka poʻe me nā maʻi e like me ka maʻi diabetes he emi ko lākou hiki ke ho'ōla i ko lākou mau aʻalolo. ʻOi aku ka paʻakikī o ka ho'ōla ʻana o ka poʻe puhipaka.
- Nā pilikia o ka ʻōnaehana pale: ʻO ka poʻe me nā maʻi e like me ka hānō he kiʻekiʻe aʻe ko lākou mau kemika mumū (cytokines) i loko o ko lākou kino, kahi e hoʻonui ai iā lākou i ka pilikia o CRPS.
- Nā kumu hoʻoilina: ʻOiai he mea kakaikahi loa, ua loaʻa nā hōʻike e pili ana i kekahi mau lālā o ka ʻohana e hoʻomohala ana i ka CRPS.
Pehea e ʻike ai ke kauka i ka CRPS?
ʻAʻohe hoʻāʻo kikoʻī e ʻike ai i ka CRPS. No laila, e ʻike ke kauka i ke kūlana ma muli o kāu mau hōʻailona, kou mōʻaukala olakino (nā ʻeha hou, nā ʻoki kino), a me kahi hoʻokolohua kino.
E kau nui ana kāu kauka i kēia mau mea:
- Aia kekahi ʻeha nui ma mua o ka nui o ka ʻeha?
- Aia kekahi loli i ke ʻano, ka mahana, a me ke ʻano o ka ʻili ma ka wahi i hoʻopilikia ʻia?
- Aia kekahi mau maʻi ʻē aʻe e hiki ai ke hoʻoulu i kēia mau hōʻailona?
I kekahi manawa, hana ʻia kahi ultrasound scan a i ʻole MRI scan e ʻike ai inā he pōʻino aʻalolo ma lalo.Hiki ke hana ʻia kekahi. Eia kekahi, hiki ke hana ʻia nā hoʻokolohua e like me EMG (Electromyography) e kāpae i nā maʻi neurological ʻē aʻe e hōʻike ana i nā hōʻailona like.
He aha nā lāʻau lapaʻau no ka CRPS?
ʻO nā pahuhopu nui o ka mālama ʻana iā CRPS, ʻo ia ka hōʻemi ʻana i ka ʻeha, hoʻihoʻi i ka hana ma ka lima/wāwae i hoʻopilikia ʻia, a mālama i kou ʻano ola. ʻO ka wikiwiki o ka hoʻomaka ʻana o ka mālama ʻana, ʻoi aku ka maikaʻi o ka hopena. Inā ʻaʻole mālama ʻia, hiki i ka ʻeha ke ʻoi aku ka ʻoʻoleʻa o ka lima/wāwae, a hiki ʻole iā ʻoe ke hoʻoneʻe.
ʻO ka hui pū ʻana o kekahi mau ʻano lapaʻau ke ʻano holomua loa.
Hoʻōla Kino a me ka Hana
He ʻāpana koʻikoʻi kēia o ka mālama ʻana i ka CRPS.
- E aʻo aku kekahi mea hoʻoponopono kino iā ʻoe i nā hoʻomaʻamaʻa kikoʻī e hiki ai ke hoʻonui i ke kahe o ke koko i kahi o ka ʻeha a hoʻomaikaʻi i ka maʻalahi a me ka ikaika.
- Aʻo kekahi mea hoʻoponopono hana i nā ala hou e hana ai i nā hana o kēlā me kēia lā (e like me ke komo ʻana i ke kapa, ka ʻai ʻana) me ka emi ʻana o ka ʻeha.
Eia kekahi, aia nā ʻano hana kūikawā e like me ke 'Mirror Therapy'. Ma kēia, noho ʻoe i mua o ke aniani, hūnā i ka lima/wāwae ʻeha, a kau i ka lima/wāwae olakino i mua ou. A laila, hōʻike ke aniani e neʻe maʻamau ana ka lima/wāwae ʻeha. Ua hōʻoia ʻia kēia e 'hoʻopunipuni' i ko mākou lolo e hōʻemi i ka ʻeha.
Nā loli o ke ʻano o ka nohona
- E pale i ka puhipaka: He mea keakea nui ka puhipaka i ka ho'ōla ʻana o nā aʻalolo.
- Ka mālama ʻana i nā maʻi ʻē aʻe: He mea nui e mālama pono i nā maʻi e like me ka maʻi diabetes.
- Ke hāpai ʻana i ka lima/wāwae: ʻO ka hāpai ʻana i ka lima/wāwae ʻeha i ka wā e hiamoe ana a hoʻomaha paha, e like me ka uluna, e hōʻemi i ka pehu.
- Hoʻoikaika Kino: He mea maikaʻi loa ka hoʻoikaika kino i kēlā me kēia lā no ke kahe ʻana o ke koko.
- Nā kāmaʻa hoʻopaʻa: Hiki i kāu kauka ke ʻōlelo aku e ʻaʻahu ʻoe i kēia mau mea e kāohi ai i ka pehu.
Kākoʻo olakino noʻonoʻo
He mea maʻamau ka manaʻo kaumaha, huhū, a me ka hopohopo i ka wā e noho ana me ka ʻeha mau. Hiki i kēia mau mea ke hoʻonui i ka ʻeha. No laila, ʻo ka ʻimi ʻana i ke aʻoaʻo noʻonoʻo hiki ke lilo i mea kōkua nui i ka hoʻomanawanui ʻana i ka ʻeha ma ka noʻonoʻo a me ka naʻau.
Nā lāʻau lapaʻau (nā lāʻau lapaʻau)
ʻAʻohe lāʻau lapaʻau kikoʻī i ʻāpono ʻia no CRPS. Eia nō naʻe, hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau like ʻole e kōkua i ka kaohi ʻana i nā hōʻailona.
- Nā lāʻau hoʻopau ʻeha ( NSAID )
- Nā kirīmi hoʻopau ʻeha ʻili
- ʻO kekahi mau antidepressants a me nā lāʻau anti-seizure no ka ʻeha nerve
- Nā inikini Botox
Nā lāʻau lapaʻau kūikawā ʻē aʻe no ka kaohi ʻana i ka ʻeha
Inā paʻakikī nā lāʻau ʻē aʻe e kāohi i ka ʻeha, hiki i ke kauka ke hoʻohana i nā lāʻau paʻakikī e like me kēia.
- Nā ālai ʻana o nā aʻalolo sympathetic: Ke hoʻokomo ʻana i kahi lāʻau anesthetic e "hiamoe" no kekahi manawa i nā aʻalolo e lawe ana i nā hōʻailona ʻeha i ka lolo.
- Hoʻoulu ʻana i ke kaula spinal: Hoʻokomo ʻia kahi electrode lahilahi ma kahi kokoke i ke kaula spinal a hāʻawi i nā hōʻailona uila maalea e ālai i nā hōʻailona ʻeha.
- Hoʻokomo ʻia ʻana o ke ketamine IV: Hāʻawi ʻia kahi mahele haʻahaʻa o ka lāʻau ketamine ma o kahi aʻa koko no kekahi mau lā.
He aha kāu e manaʻo ai i kou noho ʻana me CRPS?
ʻAʻole like ka ʻike o kēlā me kēia kanaka me CRPS. No nā kānaka he nui, i ka hala ʻana o ka manawa a me ka mālama kūpono ʻana, e emi ana nā hōʻailona a e hoʻōla loa lākou.
Eia nō naʻe, i nā hihia kakaikahi, hiki i ke kūlana ke lilo i mea koʻikoʻi a laha paha i nā ʻāpana ʻē aʻe o ke kino. No laila, he mea nui e kāohi i ka ʻeha a mālama i ka hana ma ka lima/wāwae. Me ka hoʻolālā lapaʻau kūpono, hiki i nā poʻe he nui ke ola i nā ola hana me CRPS.
He maʻi noʻonoʻo anei ka CRPS?
ʻAʻole. ʻAʻole he maʻi noʻonoʻo ka CRPS. He maʻi neurological ia. Eia nō naʻe, ʻo ka ʻeha nui a me ka hopena i ke ola i hoʻokumu ʻia e CRPS hiki ke hoʻoulu a hoʻonui paha i nā pilikia olakino noʻonoʻo e like me ka hopohopo a me ke kaumaha.
Leka Lawe-Home
- ʻAʻole ʻo CRPS kahi mea āu e haku ai i loko o kou manaʻo. He kūlana maoli ia e hoʻoulu ai i ka ʻeha nui.
- ʻO ka maʻamau, ma hope o kahi ʻeha liʻiliʻi, inā he nui ka mumū, ka ʻeha, a me nā loli i ke kala o ka ʻili a me ka mahana i kū ʻole i ka ʻeha, e hopohopo.
- He mea nui loa ka ʻike ʻana i ka maʻi a hoʻomaka i ka lāʻau lapaʻau i ka hikiwawe loa. Hiki i kēia ke pale i nā pilikia lōʻihi.
- ʻAʻole hoʻokahi ka lāʻau lapaʻau. He hana hui ia e hoʻohui pū ana i ka lāʻau lapaʻau kino, ka lāʻau lapaʻau, a me ke kākoʻo noʻonoʻo.
- Inā he kānalua iki kou e pili ana i kēia mau hōʻailona, e ʻoluʻolu e kamaʻilio me kāu kauka e pili ana i ia mea.
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