Pahū anei kahi pōkā i loko o kou poʻo ke ala ʻoe mai ka hiamoe? (Exploding Head Syndrome) E kamaʻilio kākou e pili ana i kēia!

E noʻonoʻo ʻoe e hiamoe nui ana ʻoe... Lohe koke ʻoe i kahi leo kuli i loko o kou poʻo. Ua like ia me kahi pōkā e pahū ana, a i ʻole kahi pū kī nui. Ala aʻe ʻoe me ka pīhoihoi, e kuʻi ana kou umauma, e hou ana kou kino. Akā i kou nānā ʻana a puni, ʻaʻohe mea i hana ʻia. Ua hiamoe nui nā mea a pau o ka hale. ʻAʻohe mea i lohe i kēia leo. ʻO ʻoe wale nō ka mea i lohe i kēia leo weliweli. He moeʻuhane anei kēia? He aha ka mea i hana maoli ʻia? Inā kamaʻāina kēia ʻike iā ʻoe, ke ʻike nei paha ʻoe i kahi kūlana kūikawā i ʻike ʻia ʻo aura.

No laila he aha ka Exploding Head Syndrome (EHS)?

He mea weliweli iki ke kani o ka inoa, ʻeā? Akā, mai hopohopo. I ka ʻōlelo maʻalahi, ʻo ka Exploding Head Syndrome (EHS) kahi maʻi e pili ana i ka hiamoe. Ua kapa ʻia ia e nā kauka he parasomnia . ʻO ia ka wā e lohe ai ʻoe i kahi leo nui e pahū ana i loko o kou poʻo, i ka wā e hiamoe ana ʻoe a i ʻole i ka wā e ala ana ʻoe.

ʻO ka mea nui, ʻaʻole maoli kēia leo. ʻO ia hoʻi, ʻaʻohe leo maoli i kou wahi. He manaʻo wale nō ia i hana ʻia e kou lolo. ʻO ia ke kumu ʻaʻole hiki i nā poʻe ʻē aʻe o ka hale ke lohe. ʻOiai he ʻike weliweli a hoʻopilikia kēia, ʻo ka mea nui e hoʻomanaʻo ai, ʻaʻole he kūlana weliweli ka EHS. ʻAʻole ia e hōʻeha i kou lolo a i ʻole ke kino.

No ke aha lā e hiki mai ana kēia mea kupanaha iā kākou?

ʻAʻohe kumu hoʻokahi a paʻa no kēia. Ke aʻo nei nā kānaka noiʻi i kēia. Akā, aia kekahi mau kumumanaʻo e hiki ke kōkua i kēia.

• Nā loli koke i ka hana uila i loko o ka lolo: Aia i loko o ko kākou lolo kahi ʻano cell e kāohi ana i ko kākou mau manaʻo (nā mea a kākou e manaʻo ai, ʻike ai, a lohe ai). Ua kapa ʻia kēia mau mea he mau neuron sensory. Manaʻo kekahi poʻe e puhi koke ana kēia mau neurons me ka manaʻo ʻole ʻia, e hana ana i ka walaʻau.
• Nā pilikia pepeiao o loko: Aia kekahi manaʻo e hiki ke hana ʻia kēia ʻano e kekahi pilikia a i ʻole ka hōʻino ʻana i ka ʻāpana o loko o ko kākou pepeiao.
• Nā hopu liʻiliʻi o ka lolo: Hiki ke hana ʻia kēia kani e nā hopu liʻiliʻi a wikiwiki e kū mai ana ma ka lobe temporal o ko kākou lolo.
• Ka hoʻololi hiamoe-ala ʻano ʻē: Hahai ka lolo i kahi kaʻina hana i ka wā e hiamoe ai a ala aʻe ai. Inā ʻaʻole hana pono kēia kaʻina hana (ka hoʻololi hiamoe-ala ʻano ʻē), e hoʻāla hewa paha ka lolo iā ʻoe.
• Loulou i ka migraine: Loaʻa i kekahi poʻe nā auras ma mua o ka migraine headache. Aia kekahi manaʻo e like paha ka EHS me kahi aura like.
• Nā hopena ʻaoʻao o ka hoʻōki ʻana i ka lāʻau lapaʻau:Hiki i kēia ʻano ke hana ʻia ma ke ʻano he hopena ʻaoʻao o kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i nā kūlana e like me ke kaumaha a me nā maʻi hopohopo, e like me SSRIs (selective serotonin reuptake inhibitors) a i ʻole benzodiazepines , inā e hoʻōki koke ʻia me ka ʻole o ka ʻōlelo aʻoaʻo a ke kauka.

He aha nā hōʻailona o kekahi me ka EHS?

ʻO ka hōʻailona nui o kēia maʻi, ʻo ia ka walaʻau nui a mākou i kamaʻilio ai ma mua. Akā, ʻaʻole wale ia, aia kekahi mau hōʻailona ʻē aʻe e hiki ke hele pū me ia. E ʻike maopopo kākou i kēia mau mea ma kahi papa.

ʻOiai ke kani maoli o kēia leo, ʻaʻole ia e hōʻeha i kou mau pepeiao. ʻAʻole ia e hōʻeha kino. Eia nō naʻe, hiki i ka makaʻu āu e manaʻo ai i kēlā manawa ke ikaika loa.

ʻEhia pinepine ka hana ʻana o kēia kūlana?

ʻOkoʻa ia mai kēlā kanaka a kēia kanaka. No kekahi poʻe, hiki ke hana ʻia kēia i nā manawa he nui i hoʻokahi pō. No kekahi poʻe, hiki ke hana ʻia i kekahi mau lā i ka lālani. Akā no kekahi poʻe, hoʻokahi wale nō manawa e hana ʻia ai kēia ʻike i kēlā me kēia mau pule a i ʻole nā ​​mahina.

Hiki iā ʻoe ke kiʻi i kahi puke liʻiliʻi a kākau i nā lā āu i ʻike ai i kēia, pehea kou lā i kēlā mau lā, inā paha ua luhi ʻoe a kaumaha paha, a pēlā aku. A laila hiki iā ʻoe ke hoʻomaopopo iā ʻoe iho inā he ʻano e hoʻopilikia ai i kēia.

Pehea ʻoe e ʻike pono ai he EHS kēia?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kāu kauka. E nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona.

• He aha nā hōʻailona āu e ʻike nei?
• ʻEhia ka lōʻihi o kēia hana?
• ʻEhia pinepine ka hana ʻana?
• Ua kaumaha a hopohopo paha ʻoe i kēia mau lā iho nei?
• Ua loaʻa iā ʻoe nā pilikia hiamoe ma mua?

E haʻi maopopo i kāu kauka i nā mea āpau me ka hūnā ʻole i kekahi mea. I kekahi manawa e kuhikuhi ʻia paha ʻoe i kahi loea hiamoe (Somnologist).

Nā hoʻokolohua diagnostics

Hiki i ke kauka ke hana i kekahi mau hoʻokolohua e ʻike ai inā he mau kūlana ʻē aʻe e hoʻoulu ai i nā hōʻailona like.

• He haʻawina hiamoe (Polisomnography): Pili kēia iā ʻoe e hoʻolilo i hoʻokahi pō ma ka haukapila. ʻOiai ʻoe e hiamoe ana, nānā nā mīkini i kou mau nalu lolo, ka helu o ka puʻuwai, a me ka hanu ʻana.
• EEG (Electroencephalogram): Hoʻāʻo kēia i ka hana uila o ka lolo. Kōkua kēia i ka ʻike ʻana i nā kūlana e like me nā hopu ʻana.
• ʻO ke kiʻi MRI (Magnetic Resonance Imaging): Nānā kēia i ke ʻano o ka lolo a hōʻoia i ʻaʻohe pilikia ʻē aʻe.

Aia kekahi lāʻau lapaʻau no kēia?

ʻAʻohe lāʻau lapaʻau kūikawā no ka EHS, akā hiki i kāu kauka ke kōkua iā ʻoe e hoʻokele i ka hopohopo, ke kaumaha, a me ka insomnia e hele pū me ia.

I kekahi mau hihia, hiki ke ʻōlelo ʻia nā lāʻau lapaʻau i hoʻohana ʻia e mālama i nā maʻi hiamoe ʻē aʻe. Eia kekahi laʻana, nā lāʻau lapaʻau e like me Topiramate, Nifedipine, Amitriptyline, a me Clomipramine.

Aia kekahi mau ala e pale aku ai i ka EHS?

ʻOiai ʻaʻole ʻike ʻia ke kumu kikoʻī, he paʻakikī ke ʻōlelo pehea e pale loa ai i kona hiki ʻana mai. Akā aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka manawa kūpono o ka hoʻi hou ʻana o nā hōʻailona.

• E hoʻokumu i nā ʻano hiamoe maikaʻi: E moe a ala i ka manawa like i kēlā me kēia lā. E hoʻōki i ka hoʻohana ʻana i kāu kelepona, papapihi, a i ʻole TV ma ka liʻiliʻi he hola ma mua o ka moe ʻana. E hoʻolilo i kou lumi moe i pouli a mālie.
• E hoʻomaʻamaʻa i nā hana hōʻoluʻolu: E noʻonoʻo ma mua o ka moe ʻana, e hana i ka yoga, a i ʻole e hana i nā hoʻomaʻamaʻa hanu lohi. Hiki i kēia mau mea ke kōkua iā ʻoe e hōʻoluʻolu i kou noʻonoʻo a loaʻa ka hiamoe maikaʻi i ka pō.
• E hoʻokele i nā kūlana olakino ʻē aʻe: Inā he mau kūlana olakino ʻē aʻe kāu e hoʻopilikia ai i kāu hiamoe, e mālama pono iā lākou a hoʻokele maikaʻi ʻia.
• E mālama i kou olakino noʻonoʻo: Inā ʻoe e hopohopo nei a hopohopo paha, e kamaʻilio me kekahi loea olakino noʻonoʻo e pili ana i ia mea.

He mea weliweli ka inoa ʻo EHS, a ʻaʻohe mea ʻoi aku ka hoʻohoka ma mua o ka lohe ʻana i kahi pahū i loko o kou poʻo i waenakonu o ka pō. ʻOiai ka weliweli, e ʻike ʻoe i kahi hōʻoluʻolu ke ʻike ʻoe he ʻano ʻeha ʻole ʻo EHS ʻaʻole ia e hōʻeha i kou lolo a i ʻole ke kino.