Ua manaʻo paha ʻoe ua ala koke ʻoe, ʻakaʻaka nui, a i ʻole e hoʻāʻo ana e ʻai i kahi sanwika nui a hāmama kou waha? ʻAʻole maʻalahi ka ʻāwae hemo e like me kou manaʻo. Hiki ke lilo i mea koʻikoʻi iki. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia ʻāwae hemo ma ke kikoʻī .
He aha ka ʻāwae i hemo? (He aha ka ʻāwae i hemo?)
I ka ʻōlelo maʻalahi, ke pahū nei kou ʻāwae, ʻo ia ka mea a mākou e kapa nei ma ke ʻano lapaʻau ʻo Temporomandibular Joint , a i ʻole TMJ no ka pōkole, a ke neʻe nei i mua a i mua a i ʻole ma ka ʻaoʻao. E noʻonoʻo e pili ana, ʻo ka TMJ ka ʻāpana o kou ʻāwae e hoʻopili ai i kou ʻāwae haʻahaʻa i kou ʻāwae luna, e like me ka hinge ma ka puka. ʻO kēia hui, me nā ʻiʻo a me nā ligaments a puni ia, kōkua iā mākou e wehe a pani i ko mākou waha, kamaʻilio, a ʻai. No laila, ke pahū kou ʻāwae, no ka mea ʻaʻole hana pono kēia mau ʻāpana e loaʻa ana iā ʻoe nā pilikia. Ua manaʻo ʻia kēia he pilikia olakino , no ka mea, ʻaʻole paha ʻoe e hiki ke ʻai a kamaʻilio paha.
He aha nā hōʻailona o ka hangover? (He aha nā hōʻailona?)
He ʻeha loa ka haʻalulu. Hiki paha iā ʻoe ke ʻike i kēia mau hōʻailona:
- ʻAʻole hiki iā ʻoe ke pani i kou waha. E aho paha e hāmama wale kou waha.
- Me he mea lā ua huki ʻia kou ʻauwae i kekahi ʻaoʻao. Me he mea lā ua loli ke ʻano o kou waha.
- I ka manawa koke, ʻaʻole kūpono kou mau niho o luna a me lalo (he "nahu hāmama"). Me he mea lā he hakahaka nui ma waena o kou mau niho ʻoiai ke pani ʻoe i kou waha.
- Lilo i mea paʻakikī ke ʻōlelo. Manaʻo paha ʻoe ua huikau kāu mau ʻōlelo.
- Hiki i ka luhe ke pakele mai ka waha mai , no ka mea, ʻaʻole hiki ke pani ʻia ka waha.
- I kekahi manawa hiki ke manaʻo ʻia me he mea lā e kani ana kou mau pepeiao .
E noʻonoʻo i ka paʻakikī o ia mea inā ʻaʻole hiki iā ʻoe ke pani koke i kou waha, ua hele kou ʻauwae i kekahi ʻaoʻao, a ʻaʻole hiki iā ʻoe ke ʻōlelo! ʻO ia ke kumu he mea nui e makaʻala i kēia mau hōʻailona.
No ke aha e lele nei kēia makau? He aha ke kumu o kēia maʻi?
Nui nā kumu no ka hangover. I kekahi manawa hiki ke hana ʻia ke hana mākou i nā mea maʻamau a mākou e noʻonoʻo ʻole ai.
- E hāmama ana kou waha: E like me kou ala ʻana aʻe, ʻakaʻaka nui, a i ʻole e hoʻāʻo e ʻai i kahi mea e like me ka burger nui a i ʻole ka sanwika. E noʻonoʻo, he hoaaloha ko mākou i kapa ʻia ʻo Nimal, nāna i hāmama kona waha i kekahi lā e ʻai i kahi mango nui a ʻūlū!
- He hahau i ka ʻauwae: ʻO kahi hahau ikaika i ka ʻauwae i ka wā hakakā, i ka wā e pāʻani ana i nā haʻuki, a i ʻole i loko o kahi ulia hiki ke hana i ka haki ʻana o ka ʻauwae.
- Kekahi mau kūlana olakino:
- Loaʻa paha i kekahi poʻe nā kūlana e ʻoi aku ai ka palupalu o ko lākou mau hono (hypermobile) ma mua o ka maʻamau. Eia kekahi laʻana , ʻo Ehlers-Danlos Syndrome.ʻO ka poʻe me nā maʻi pili i nā ʻiʻo pili e piʻi aʻe ka pilikia o ka dislocation o ka ʻūhā. Hiki i kēia poʻe ke paheʻe a hāʻule maʻalahi no ka mea ʻoi aku ka nui o ka neʻe ʻana o ko lākou mau hono.
- Hiki i ka poʻe me nā maʻi hopu ke lele i ka wā o ka hopu ʻana.
- Hiki nō hoʻi kēia ke hana i ka wā e pono ai ʻoe e hāmama i kou waha i ka wā e hele ai ʻoe i ke kauka niho a i ʻole i ka wā o nā kaʻina hana lapaʻau ʻē aʻe . Ke waiho ʻoe i kou waha e hāmama no ka manawa lōʻihi, nui ke kaomi ma ka hui ʻauwae.
Pehea e ʻike ai nā mea lawelawe olakino i ka dislocation o ka ʻāwae?
Ke hele ʻoe e ʻike i ke kauka ma hope o ka hemo ʻana o kou ʻāwae, ʻo ka mea mua a lākou e nīnau ai iā ʻoe pehea i hana ʻia ai. Eia kekahi laʻana, he ulia paha, he wehe koke ʻana o kou waha, a he hana niho paha? A laila e nānā pono lākou i kou ʻāwae haʻahaʻa. I kekahi manawa e lawe paha lākou i kahi X-ray o kou ʻāwae. E hōʻike kēia iā ʻoe i ka hakahaka ma waena o ke kumu o kou iwi poʻo a me ka hui temporomandibular (TMJ), ʻo ia ka mamao o ka hemo ʻana o kou ʻāwae.
He aha nā lāʻau lapaʻau no ka ʻāwae i hemo? (Pehea e mālama ai nā mea mālama ola i ka ʻāwae i hemo?)
He mea kupanaha iki kēia, no ka mea, ʻo ke ʻano lapaʻau a nā kauka e hāʻawi koke nei i kēia lā, ua ʻike mua ʻia e kekahi kauka Helene i kapa ʻia ʻo Hippocrates. Ua kapa ʻia ʻo ia ʻo "makuakāne o ka lāʻau lapaʻau". Ua ola ʻo ia ma kahi o 460 BC. Ua kapa ʻo ia i kēia ʻano lapaʻau ʻo "molchlicon". I kēia manawa, kapa mākou ia he `(Manual Reduction)` .
He aha ka `(Hōʻemi Lima)`?
ʻO kēia ke kauka e paʻa pono ana i kou ʻauwae a hoʻihoʻi iā ia i kona wahi. E kau lākou i ko lākou mau manamana nui i loko o kou waha a me ko lākou mau manamana lima ʻē aʻe ma lalo o kou ʻauwae, a e hoʻokuke mālie i ka ʻauwae i kona wahi. I ka wā e hana ana i kēia, hiki ke hāʻawi ʻia iā ʻoe kahi mea hoʻomaha (kahi lāʻau lapaʻau e hiamoe ai ʻoe) a i ʻole kahi mea hoʻomaha kūloko (kahi lāʻau lapaʻau e hoʻomāʻū i kou puʻu), a i kekahi manawa he mea hoʻomaha laulā (kahi lāʻau lapaʻau e ʻeha ai ʻoe). No laila, ʻaʻohe mea e makaʻu ai.
He pilikia olakino ka ʻeha whiplash. Inā mālama ʻia i ka wā hikiwawe loa, hiki ke ho'ōla maʻalahi ʻia kēia ʻano hana "(Manual Reduction)". ʻO ka lōʻihi o ka hoʻopaneʻe ʻia ʻana o ka mālama ʻana, ʻo ka emi ʻana o ka kūleʻa o kēia ʻano hana.
He aha inā e lele mau ana ka makau?
I kekahi manawa, inā e neʻe mau ana kou ʻauwae mai kou TMJ (temporomandibular joint), e ʻōlelo paha kāu kauka i ke ʻoki kino. Hana kēia ʻoki kino e hoʻoikaika i ka pilina ma waena o kou iwi ʻauwae a me kou hui ʻauwae. Pili kēia i ka ʻoki ʻana i nā ligaments e hoʻopili ana i kou iwi ʻauwae i kou iwi poʻo, a i ʻole ka hana ʻana i ala no kou ʻauwae e neʻe hou ai i kona kūlana maoli.
Hiki iaʻu ke pale i nā ʻā i hemo?
ʻAʻole i nā manawa a pau. No ka mea, i kekahi manawa hana kēia ke kuʻi kekahi i ke poʻo. ʻAʻole hiki iā mākou ke pale mau i nā mea e like me nā ulia kaʻa a me ka hāʻule ʻana i lalo o ko mākou mau maka. Akā, aia kekahi mau mea hiki iā mākou ke hana:
- E kamaʻilio me kāu kauka niho: Loaʻa i kekahi poʻe ka ʻeha puʻu ke hoʻāʻo lākou e hāmama nui i ko lākou waha. Ke hele ʻoe i ke kauka niho, inā pono ʻoe i kahi hoʻomaha i ka wā o kāu mālama ʻana, e haʻi aku i ke kauka niho . Mai makaʻu e ʻōlelo, "Doc, pono wau e pani i koʻu waha no kekahi manawa."
- ʻOkiʻoki i ka meaʻai i mau ʻāpana liʻiliʻi: He mea kupanaha paha kēia, akā ʻo ka hāmama ʻana o kou waha e ʻai i kahi mea e like me ka sanwika nui he ala nō hoʻi ia e loaʻa ai ka hangover. Pono paha ʻoe e wāwahi i kahi sanwika nui i mau ʻāpana. ʻOi aku ka maikaʻi o kēlā ma mua o ka hele ʻana no kahi nahu nui a loaʻa i ka pilikia, ʻeā?
- E makaʻala i kāu mea e hana ai me kou waha e hāmama ana: e hoʻomalu iki i ka wā e hāwanawana ana a i ʻole e ʻakaʻaka nui ana.
- E makaʻala loa inā he hypermobile kou mau hono: Inā ʻike ʻoe he ʻano kou, e noho mamao mai nā hana e kau ai i ke kaomi ma kou ʻāwae.
He aha kaʻu e manaʻo ai inā loaʻa iaʻu kēia maʻi?
ʻEono pule ka lōʻihi o ka hapa nui o ka poʻe e ho'ōla ai mai ka hōʻemi lima ʻana o kahi disc herniated. E haʻi aku kāu kauka iā ʻoe e hana i kēia a hiki i kou ho'ōla ʻana:
- E hoʻomau i ke komo ʻana i kahi kāʻei kūikawā (ʻo ia hoʻi ʻo Barton bandage). E kōkua kēia i ka mālama ʻana i kou kuʻekuʻe wāwae a hiki i kona ho'ōla ʻana.
- Ke ala ʻoe a manaʻo ʻoe e luaʻi ana, e pani i kou waha a kau i kou lima ma lalo o kou ʻauwae. Hiki i kēia ke kōkua i ka pale ʻana i ka luaʻi mai ka hoʻi hou ʻana mai. E noʻonoʻo iā ia me ke kākoʻo iki ʻana i kou ʻauwae.
- E hoʻopili i ka hau i ke hono e hōʻemi i ka ʻeha a me ka pehu. Hiki iā ʻoe ke lawe i nā lāʻau hōʻeha ʻeha e like me NSAID (Nonsteroidal anti-inflammatory drugs) e hōʻemi i ka pehu a me ka ʻeha.
- A hiki i ka wā e ola ai kou ʻāwae, pono ʻoe e ʻai i nā meaʻai wai a palupalu wale nō. Nā mea e like me ka porridge, ka sopa, a me ka yogurt. E nīnau i kāu kauka i ka mea maikaʻi loa iā ʻoe e ʻai ai. Pono ʻoe e noho mamao mai nā meaʻai paʻakikī ke nau no kekahi manawa.
Pehea e mālama ai iaʻu iho? (Pehea wau e mālama ai iaʻu iho?)
ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke hāʻawi iā ʻoe iho i ka manawa e ho'ōla ai. ʻO ka poʻe i loaʻa i ka "Manual Reduction" e ho'ōla pinepine ʻia ma kahi o ʻeono pule. Eia nō naʻe, hiki ke hala kekahi mau mahina no kou ʻūhā e ho'ōla piha ai. Mai wikiwiki. E hoʻomaha e like me kāu kauka e ʻōlelo ai iā ʻoe, a e hana i kāna mea e ʻōlelo ai.
Āhea wau e ʻike ai i kaʻu mea mālama ola kino a hele paha i ka lumi pilikia?
ʻO ka mea pōʻino, ke loaʻa iā ʻoe kahi disc herniated, piʻi ka pilikia o ka hanana hou ʻana. No laila, inā hana hou kāu hernia, e hele koke i ka lumi pilikia. Mai hoʻokaʻulua. ʻO ka wikiwiki o kou loaʻa ʻana o ka lāʻau lapaʻau, ʻoi aku ka maikaʻi o kou manawa e ho'ōla ai me ka ʻole o ke ʻoki ʻana.
ʻO ka mea hope loa, leka lawe i ka home:
ʻAe, e hōʻuluʻulu kākou i nā mea a mākou i kamaʻilio ai i kēia lā.
- ʻO ke ʻāwae lele ʻo ia hoʻi ka neʻe ʻana o kou hui temporomandibular (TMJ) i mua a i mua.
- Hiki i kēia ke hana ke ʻakaʻaka ʻoe me kou waha e hāmama ana, ʻai i kahi sanwika nui, a i ʻole e loaʻa iā ʻoe kahi hahau ikaika i ka ʻauwae.
- ʻO nā hōʻailona nui ka hiki ʻole ke pani i ka waha, ka ʻūlū ʻana o ka ʻāwae, a me ka ʻeha nui .
- He pilikia olakino kēia. No laila, e ʻimi i ke kōkua lapaʻau i ka wā e ʻike ʻia ai nā hōʻailona.
- I ka hapanui o nā hihia, hiki ke hoʻihoʻi ʻia ke makau i kona wahi me kahi hana maʻalahi i kapa ʻia ʻo "Manual Reduction".
- I kekahi manawa, ʻoiai inā he pinepine kou mau hiccups, pono paha ke ʻoki ʻana.
- Aia kekahi mau ala e pale aku ai, no laila e makaʻala hoʻi i kēlā.
- ʻO ka wikiwiki o kou loaʻa ʻana o ka lāʻau lapaʻau, ʻo ka wikiwiki hoʻi o kou ho'ōla ʻana.
No laila, ke lana nei koʻu manaʻo he kōkua kēia ʻike iā ʻoe. Inā loaʻa kekahi mea e like me kēia iā ʻoe a i ʻole kekahi āu i ʻike ai, mai hopohopo a e ʻike koke i ke kauka. E hoʻomanaʻo, ʻoi aku ka maikaʻi o ka mālama mua ʻana!
ʻO ka ʻāwae pohā, ka hui temporomandibular, TMJ, hiki ʻole ke pani i ka waha, ka mālama ʻana i ka pilikia, ʻeha, nā hono











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