Ke ʻike nei ʻoe i nā pilikia kino like ʻole? Malia paha ʻaʻole hiki iā ʻoe ke hele koke, haʻalulu kou mau lālā, loaʻa iā ʻoe nā ʻōʻō, a i ʻole pilikia ʻoe i ka ʻōlelo ʻana. Akā ke ʻike ʻoe i nā kauka he nui, loaʻa nā hoʻokolohua a me nā scan, ʻōlelo lākou a pau ʻaʻole ʻoe maʻi? Ke kaumaha nui nei ʻoe ma muli o kēia? ʻAʻohe mea e hoʻomaopopo i kou pilikia, manaʻo anei kekahi e hana ana ʻoe? Inā pēlā, mai hopohopo. ʻAʻole ʻoe hoʻokahi. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi kūlana i loaʻa paha i nā poʻe he nui e kū nei i nā ʻike like, akā he paʻakikī ke ʻike. ʻO ia ka Functional Neurological Disorder, a i ʻole FND no ka pōkole.
I ka ʻōlelo maʻalahi, he aha ka FND (Functional Neurological Disorder)?
E noʻonoʻo i kou lolo e like me ka lako o kahi kamepiula. Ua like ka ʻōnaehana nerve me nā uea e pili ana i kēlā kamepiula. Hana pono kēia mau mea ʻelua. ʻO ia hoʻi, inā ʻoe e hana i kahi CT scan a i ʻole MRI scan, ʻaʻohe hewa o kou lolo. Ola kino nā mea a pau.
No laila, aia i hea ka pilikia?
ʻO ka pilikia ma ka polokalamu e holo ana ma ke kamepiula. ʻO ia hoʻi, aia kahi hewa liʻiliʻi i loko o ka ʻōnaehana leka e lawe ana i ka ʻike ma waena o ka lolo a me ke kino. ʻAʻole i hoʻololi pono ʻia nā leka a ka lolo e hoʻouna ai i ke kino, a me nā leka a ke kino e loaʻa ai mai ka lolo mai. E like me ka nalowale ʻana o ka hōʻailona kelepona, ua haki ke kelepona a ua hoʻopilikia ʻia ke kani. Ma muli o kēia hewa hōʻailona, hoʻomaka kou kino e hōʻike i nā hōʻailona.
He mau hōʻailona maoli kēia. ʻAʻole ʻoe e noʻonoʻo nei iā lākou. Akā no ka mea ʻaʻole hiki i kahi malihini ke ʻike i ke kumu o kēia, manaʻo paha lākou e hoʻopunipuni wale ana ʻoe. Hiki i kēia ke lilo i mea ʻeha loa iā ʻoe.
Ua kapa ʻia kēia ʻo Conversion Disorder ma mua. No ke aha i loli ai ka inoa?
I ka wā ma mua, ua manaʻo nā kauka he pilikia noʻonoʻo wale nō kēia. ʻO ia hoʻi, ua manaʻo lākou ua "hoʻololi ʻia" nā mea e like me ke kaumaha, ke kaumaha, a me nā ʻike traumatic i nā hōʻailona kino. ʻO ia ke kumu i kapa ʻia ai ʻo "Conversion Disorder."
Akā ua ʻike ʻia i kēia manawa he ʻoi aku ka paʻakikī ma mua o kēlā. Hōʻike nā scan kūikawā, e like me ka MRI hana (fMRI), i nā loli i ka hana lolo o ka poʻe me FND. Eia kekahi, ʻaʻole i loaʻa i nā mea āpau me FND kahi hanana traumatic a i ʻole kahi ʻeha lolo traumatic. No laila, ʻaʻole hoʻohana hou ʻia ka inoa kahiko.
He aha nā hōʻailona e hiki i kekahi me FND ke ʻike?
ʻO ka maʻamau, hiki koke mai nā hōʻailona FND. Hiki iā lākou ke hoʻopilikia i kāu mau hana o kēlā me kēia lā. I kekahi manawa, e ʻoi aku ka ʻino o nā hōʻailona ke noʻonoʻo ʻoe iā lākou, a i ʻole e nalo paha lākou ke nānā ʻoe i kahi mea ʻē aʻe.
Eia kekahi o nā hōʻailona maʻamau o kēia maʻi.
| Māhele hōʻailona | Ka wehewehe a me nā laʻana |
|---|---|
| Nā kūlana e like me ka hopu ʻana (PNES) | Hiki ke like kēia me ka maʻi epilepsy. Loaʻa paha nā ʻōhūhū a me ka nalowale o ka ʻike. Eia nō naʻe, hōʻike ka hoʻāʻo lolo (Electroencephalogram - EEG) i ka maʻamau. Ua kapa ʻia kēia mau mea ʻo (Psychogenic Non-Epileptic Seizures - PNES) . |
| Nā pilikia me ka neʻe ʻana o ke kino | Nā haʻalulu, ka haʻalulu o ke kino, ka paʻakikī i ka hele wāwae, a me ka nalowale o ke kaohi o ke kino. Me he mea lā e hana nei kēia mau mea ma waho o kou mana. |
| Nā pilikia e pili ana i nā manaʻo ʻelima | Nā pilikia me ka ʻike, ka lohe, ke ʻala, ka ʻono, a me ka hoʻopā. Eia kekahi laʻana, hiki ke loaʻa koke ka ʻike pohihihi, ka ʻike pālua, ka emi ʻana o ka lohe, a i ʻole ka mae ʻana o nā ʻāpana o ke kino. |
| Nā pilikia me ka noʻonoʻo a me ka hoʻomanaʻo | ʻO ka noe o ka lolo, poina koke i kāu mea e ʻōlelo ai i ka wā e kamaʻilio ana, poina i nā huaʻōlelo, poina i kahi āu i waiho ai i nā mea nui. Hiki ke paʻakikī hoʻi ke noho kālele. |
| Pōʻino a me ke kaulike | Manaʻo e like me ʻoe e lana ana i loko o ka waʻa, ma kahi o ka manaʻo poniuniu. E nalowale paha kou kaulike i kou kū ʻana. |
| ʻEha | ʻEha kino, ʻeha ʻoi, a me nā manaʻo wela. Hiki i kēia ʻeha ke mau a hele mai a hele aku. Hiki nō hoʻi ke loaʻa pinepine nā migraines. |
Eia kekahi, hiki iā ʻoe ke ʻike i kēia mau hiʻohiʻona:
- Manaʻo mau o ka luhi nui a me ka nele o ka ikaika.
- Ka paʻakikī i ka ʻōlelo ʻana a i ʻole ke kūpikipikiʻō ʻana .
- Nā kūlana e like me ka nāwaliwali o nā ʻiʻo a i ʻole ka maʻi lolo.
- Ka paʻakikī ke ale ʻana i kekahi mea.
No ke aha e ulu ai ka FND? He aha nā kumu e hoʻopilikia ai iā ia?
ʻAʻole maopopo loa i nā kauka ke kumu o ka FND. Akā, ʻike mākou ua hana ʻia ia e kahi pilikia me ke ʻano o ka hoʻouna ʻia ʻana o nā leka ma waena o ka lolo a me ke kino. Ma ka hoʻohana ʻana i ka laʻana kamepiula like a mākou i kūkākūkā ai ma mua, ua maikaʻi nā lako a me nā uea, akā aia kahi "glitch" liʻiliʻi i loko o ka polokalamu.
Hoʻololi kēia kīnā i ke ʻano o ka hoʻouna ʻana a me ka loaʻa ʻana o nā leka i ka lolo. I nā huaʻōlelo ʻē aʻe, ke holo nei ka lolo i kahi "papahana hewa." ʻO ka mālama ʻana e pili ana i ka wehe ʻana i kēia papahana hewa a me ka "hoʻomaʻamaʻa hou" i ka lolo a me ka ʻōnaehana nerve i hiki ai i nā leka ke kahe pono hou.
ʻO ka mea nui, ʻaʻohe mea o kou kino i "haʻihaʻi" a "hōʻino ʻia paha." ʻO ka pilikia wale nō ka hana.
Nā mea hoʻoulu no nā hōʻailona FND
Hiki i kekahi mau hanana a i ʻole nā kūlana ke hoʻāla koke i nā hōʻailona FND.
- Nā ʻano maʻi like ʻole
- Nā migraines
- Nā ulia kino a i ʻole nā ʻeha
- Ka pilikia nui a i ʻole nā hanana traumatic
I kekahi manawa, ma hope o kahi mea hoʻonāukiuki e like me kēia, hiki i ka lolo ke "paʻa" ma kēlā hōʻailona, e like me ka disc i haki e milo ana ma kahi hoʻokahi. Manaʻo nā loea hiki i kēia ʻano ke alakaʻi i ka FND.
Pehea e ʻike ai nā kauka i ka FND?
Hiki ke lilo i kaʻina hana paʻakikī ka ʻike ʻana i ka FND, no ka mea, ua like nā hōʻailona me nā ʻano maʻi neurological ʻē aʻe, e paʻakikī ai ke hoʻokaʻawale i nā mea ʻelua.
Pono paha ʻoe e ʻike i nā kauka he nui a loaʻa i nā hoʻokolohua he nui. Hiki i kēia ke lilo i huakaʻi luhi a hoʻonāukiuki loa. Hiki i kekahi ke haʻi aku iā ʻoe ʻo kou maʻi "aia wale nō i kou manaʻo." Akā e hōʻoiaʻiʻo kāu kauka iā ʻoe he ʻoiaʻiʻo kāu mau hōʻailona a ke hana nei ʻoe i ka mea kūpono.
ʻO ka mea maʻamau, hana pū kahi hui multidisciplinary, me nā neurologists, psychiatrist, a me nā physical therapists, e ʻike i ka FND.
Nā hoʻokolohua diagnostics
Ma muli o kāu mau hōʻailona, hiki i kāu kauka ke kauoha i nā hoʻokolohua e like me kēia:
- Nā hoʻāʻo koko
- Nānā CT
- Hoʻāʻo EEG
- Electromyogram (kahi hoʻāʻo e ana i ka hana ʻiʻo)
- MRI Hana (fMRI)
- He hoʻokolohua neurological piha
Hana ʻia kēia mau hoʻokolohua āpau e kāpae i nā kūlana kino ʻē aʻe e hiki ke hoʻoulu i kāu mau hōʻailona (e.g., epilepsy, multiple sclerosis). Inā maʻamau nā hopena hoʻokolohua āpau a kūlike kāu mau hōʻailona me FND, hiki i kāu kauka ke hōʻoia i ka hōʻoia o FND.
He aha nā lāʻau lapaʻau no FND?
No ka mea, he maʻi paʻakikī ka FND, ʻaʻole hiki ke ho'ōla ʻia me hoʻokahi lāʻau lapaʻau. Hoʻōla ʻia ia ma ka hoʻohui ʻana i nā ʻano lāʻau like ʻole. ʻO ka pahuhopu nui ka hoʻihoʻi ʻana i ka ʻōnaehana hōʻailona ma waena o ka lolo a me ke kino.
| ʻAno lapaʻau | He aha ka mea e hana ʻia? |
|---|---|
| Hoʻōla kino | He mea nui loa kēia no ka poʻe me nā pilikia neʻe (paʻakikī i ka hele wāwae, haʻalulu). ʻO ka mea āu e hana nei ma ʻaneʻi, ʻo ia ke hoʻomaʻamaʻa hou i ka lolo i nā ʻano neʻe kūpono. I nā huaʻōlelo ʻē aʻe, ua like ia me ka wehe ʻana i ka polokalamu polokalamu hewa a me ka hoʻokomo ʻana i ka mea kūpono. |
| Hoʻōla Hana | Ke kōkua nei i ka hana ʻana i nā hana o kēlā me kēia lā (e like me ke kāhiko ʻana, ka kuke ʻana) me ke kūʻokoʻa hou. |
| Hoʻōla ʻŌlelo | Lapaʻau no nā pilikia ma ka ʻōlelo a i ʻole ke ale ʻana. |
| Ka Lapaʻau Hana Noʻonoʻo (CBT) | Kōkua ia iā ʻoe e hoʻomaopopo pehea e pili ai kou mau manaʻo, nā manaʻo, a me nā ʻano. Hiki i kēia ke kōkua iā ʻoe e ʻike a hoʻokele i nā ʻano noʻonoʻo e hoʻonui ai i nā hōʻailona. |
| Lāʻau lapaʻau | ʻAʻohe lāʻau lapaʻau kūikawā no FND. Eia nō naʻe, inā loaʻa iā ʻoe nā kūlana ʻē aʻe, e like me ke kaumaha, ka hopohopo, a i ʻole ka ʻeha mau loa, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau e mālama ai iā lākou. |
Hiki iā ʻoe ke loaʻa ka manaʻolana i kou wā e noho pū ana me FND?
He mea hiki nō ia. ʻAʻole he maʻi hoʻoweliweli ola ka FND. Eia nō naʻe, hiki iā ia ke loaʻa ka hopena koʻikoʻi i kou ola maikaʻi.
ʻAʻole like ka hoʻōla ʻana no kēlā me kēia kanaka. Hoʻōla koke kekahi poʻe. Lawe ka manawa i kekahi. I kekahi manawa e hoʻomaikaʻi paha nā hōʻailona a laila hoʻi hou mai. ʻO ia kekahi hapa o ka huakaʻi. ʻAʻole ia he manaʻo ua hāʻule ʻoe.
He mea nui nā mea aʻe no ka loaʻa ʻana o ka hopena maikaʻi:
- E kiʻi i kahi hōʻoia pololei i ka hikiwawe loa.
- Ke kūkulu nei i kahi pilina maikaʻi me kāu kauka a me ka hui lapaʻau .
- E ʻike a hoʻokele i nā mea hoʻoluhi e hoʻoulu ai i nā hōʻailona.
- E hoʻomaka koke i ka lāʻau lapaʻau .
E hoʻomanaʻo, pono ʻoe i ka ikaika e hele ai ma kēia huakaʻi. Akā, ʻo ka ʻoiaʻiʻo ua hiki mai ʻoe i kēia wahi e hōʻike ana i kou ikaika. ʻAʻole pono ʻoe e hoʻoponopono i nā mea āpau i ka manawa hoʻokahi. ʻOiai inā he ʻanuʻu liʻiliʻi ia, he ʻāpana ia o ka huakaʻi ho'ōla.
Leka Lawe-Home
- He pilikia maoli ka FND me ke ʻano o ka kamaʻilio ʻana o ka lolo me ke kino. ʻAʻole ia "ma kou poʻo wale nō."
- ʻO kāu mau hōʻailona, ʻo ia hoʻi, nā ʻeha kino āu e manaʻo ai, he 100% maoli. ʻOiai he maʻamau kāu mau hōʻike hoʻāʻo, ʻaʻole ia he manaʻo ʻaʻole ʻoe i loaʻa i ka maʻi.
- Hiki ke lōʻihi ka manawa e loaʻa ai kahi hōʻailona pololei, akā mai hoʻōki. He mea nui e ʻike i ke kauka kūpono.
- ʻO ka lāʻau lapaʻau e pili ana i ka hoʻomaʻamaʻa hou ʻana i ka lolo. He mea nui loa nā mea e like me ka hoʻōla kino a me ka psychotherapy no kēia.
- ʻAʻole hiki mai ka ho'ōla ʻana i ka pō hoʻokahi, he hana ia. E loaʻa nā lā maikaʻi a me nā lā ʻino. Akā e hoʻomau i ka neʻe ʻana i mua me ka manaʻolana.
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