Ke manaʻo nei ʻoe he mea hiki ʻole ke hoʻomanawanui i ka ʻeha maʻamau? E kamaʻilio kākou e pili ana iā Hyperalgesia!

E noʻonoʻo ʻoe he kuni iki kou lima i ka wā e hana ana ma ka lumi kuke. A i ʻole he ʻōpala liʻiliʻi kou i ka wā e pāʻani ana i ka cricket. He mea maʻamau ka manaʻo ʻana i kahi ʻeha iki i nā manawa e like me kēia. Akā pehea inā lilo kēlā ʻeha liʻiliʻi i mea hiki ʻole ke hoʻomanawanui, a nui loa a makemake ʻoe e uē? ʻO ia ke ʻano a mākou e kamaʻilio nei i kēia lā, ʻo 'Hyperalgesia'. He hōʻailona kēia ma mua o kahi maʻi. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku.

He aha ka hyperalgesia maʻalahi?

He ʻāpana olakino a maʻamau ka ʻeha o ko kākou kino. Ua like ia me ka bele hoʻomaopopo. Hōʻike mai ka ʻeha iā kākou ua hewa kekahi mea, ua hewa kekahi mea me ko kākou kino. Ke manaʻo kākou i ka ʻeha, pane koke kākou iā ia, e hoʻāʻo ana e hoʻōki i ka ʻeha. E noʻonoʻo i ka nui o nā pōpilikia koʻikoʻi e hiki ai iā kākou ke komo inā ʻaʻole kākou i manaʻo i ka ʻeha.

ʻO ka Hyperalgesia kahi ʻano e ʻike ʻia ai ka ʻeha ma kahi pae i ʻoi aku ka koʻikoʻi ma mua o ka maʻamau, ʻoiai inā pono. I ka ʻōlelo maʻalahi, hoʻonui ʻia ka pane ʻana i ka ʻeha. Hiki ke hana ʻia kēia e nā kumu like ʻole, a hiki ke hoʻomalu pinepine ʻia me ka mālama kūpono.

He aha ka ʻokoʻa ma waena o Hyperalgesia a me Allodynia?

ʻOiai ua like iki kēia mau huaʻōlelo ʻelua, aia kahi ʻokoʻa maopopo ma waena o kēia mau kūlana ʻelua. No ka hoʻomaopopo pono ʻana i kēia, e nānā i ka papa ma lalo.

Maopopo iā ʻoe ka ʻokoʻa? I ka hyperalgesia, hele mai ka ʻeha mai kahi mea e pono ai ke ʻeha, akā he koʻikoʻi. I ka allodynia, hele mai ka ʻeha mai kahi mea ʻaʻole pono e ʻeha.

Pehea lā e hana ai kēia mea i kapa ʻia ʻo Hyperalgesia i loko o ko kākou kino?

Hoʻololi ka Hyperalgesia i ke ʻano o ka hoʻopuka ʻana a me ke kaʻina hana ʻana o ko mākou kino i nā hōʻailona ʻeha. Hiki ke hana ʻia kēia ma kekahi mau ʻano nui:

• Ua hoʻohaʻahaʻa ʻia ka paepae no ka manaʻo ʻana i ka ʻeha: Ua hoʻohaʻahaʻa nui ʻia ka paepae ʻeha kahi e lilo ai kahi mea i manaʻo ʻia he ʻoluʻolu ʻole i mea ʻeha i kēia kūlana. ʻO ke ʻano kēia, hiki i ka mea liʻiliʻi loa ke hōʻeha.
• ʻOi aku ka ikaika o ka pane: ʻOi aku ka nui a me ka hana o nā mea loaʻa ʻeha o ko mākou kino ma mua o ka maʻamau. ʻOi aku ka ikaika o ka ʻeha ma kēia.
• ʻAʻole pau nā hōʻailona ʻeha: ʻOiai ma hope o ka wehe ʻia ʻana o ke kumu o ka ʻeha, lilo nā mea loaʻa ʻeha i hypersensitive a hoʻomau i ka hoʻouna ʻana i nā hōʻailona ʻeha i ka lolo.

Hiki ke puʻunaue ʻia kēia i ʻelua ʻano nui:

1. ʻO ka hyperalgesia mua: ʻO kēia ka manawa e ʻike ʻia ai ka ʻeha ma kahi o ka ʻeha. No ka laʻana, ʻoi aku ka ʻeha o ka ʻili i puhi ʻia i ka lā ma kahi o ka ʻeha.

2. Hyperalgesia lua: ʻO kēia ka wā e ʻike ʻia ai ka ʻeha ma nā wahi e hoʻopuni ana i ka ʻeha, ʻaʻole pili i kahi o ka ʻeha. Hana ʻia kēia ma muli o kahi loli i ke ʻano o kā mākou ʻōnaehana nerve e hana ai i nā hōʻailona ʻeha.

He aha nā kumu maʻamau o ka hyperalgesia?

I kēia manawa ua ʻike mākou ua hoʻokumu ʻia kēia ʻano ma muli o ka lilo ʻana o nā mea loaʻa ʻeha o ko mākou kino i mea naʻau nui. Nui nā kumu hiki ke hana ʻia no kēia.

• Nā kuni (me ka ʻā ʻana o ka lā)
• Nā ʻū a nā nahu paha mai nā pepeke, nā mea kolo, a i ʻole nā ​​holoholona ʻē aʻe
• Nā kūlana maʻi kanesa
• Nā pilikia o ka hoʻohana lōʻihi ʻana i kekahi mau lāʻau lapaʻau (e kamaʻilio mākou e pili ana i kēia ma lalo)
• Ka pōʻino o nā aʻalolo i hoʻokumu ʻia e ka maʻi diabetes (Diabetic Neuropathy)
• Nā maʻi o ka ʻōnaehana pale (e.g. Lupus, Multiple Sclerosis)
• Nā maʻi e hoʻopilikia ana i ka ʻōnaehana nerve (e like me Shingles, Herpes virus)
• Nā kūlana e like me ka migraine
• Nā maʻi ʻeha mau e like me ka 'Complex regional pain syndrome'
• ʻO kēlā me kēia ʻano ʻeha o waho (e like me nā iwi haʻihaʻi, nā ʻiʻo haehae, nā ʻeha o ke aʻalolo)

Hoʻonui ʻia ka ʻeha ma muli o nā mea ʻeha painkillers (Opioid-induced hyperalgesia - OIH)

He mea nui loa kēia a he mea nui e makaʻala ai. Ke hoʻohana ʻia nā lāʻau ʻeha opioid (ikaika iki) no ka manawa lōʻihi, i kekahi manawa hiki ke loaʻa kahi hopena ʻaoʻao i kapa ʻia ʻo `Opioid-induced hyperalgesia (OIH)`. ʻO ke ʻano kēia , piʻi ka ʻike o ke kino i ka ʻeha ma muli o nā lāʻau ʻeha i lawe ʻia e hōʻemi i ka ʻeha, e hoʻonui ana i ka ʻeha.

ʻO ia ke kumu e noʻonoʻo ai nā kauka i ke kuhikuhi ʻana i nā lāʻau ʻeha opioid i ka wā lōʻihi. Inā loaʻa i kekahi ka OIH, e hōʻemi mālie ke kauka i ka nui o ka lāʻau a laila e hoʻōki loa. ʻAʻole hiki ke hana ʻia kēia i ka manawa hoʻokahi, no ka mea hiki ke hana i nā hopena ʻino. No laila, pono e hana ʻia kēia ma lalo o ka ʻōlelo aʻo a me ka nānā ʻana a ke kauka.

He aha nā lāʻau lapaʻau no ka hyperalgesia?

Aia ka lāʻau lapaʻau i ke kumu a me ke ʻano o ka hyperalgesia. Hiki ke hoʻohana ʻia kahi lāʻau lapaʻau hoʻokahi a i ʻole ka hui pū ʻana o nā lāʻau lapaʻau. ʻO kāu kauka wale nō ka mea e ʻike i ka lāʻau lapaʻau maikaʻi loa no kou kūlana.

Eia kekahi mau lāʻau lapaʻau i hoʻohana pinepine ʻia:

• Nā lāʻau lapaʻau: Hoʻohana ʻia nā ʻano lāʻau like ʻole no kēia. No ka laʻana, ʻo 'Acetaminophen' (Paracetamol), 'NSAID' (Nonsteroidal anti-inflammatory drugs), 'Antidepressants', kekahi mau lāʻau lapaʻau no ka maʻi epilepsy, a me nā anesthetics kūloko e like me 'Lidocaine'.
• Nā ablation a nā aʻalolo: Pili kēia i ka hoʻopau ʻana i nā aʻalolo e hoʻouna ana i nā hōʻailona ʻeha hewa no kekahi manawa. Hiki ke hana ʻia kēia me ka hoʻohana ʻana i ka radiofrequency ablation a i ʻole ma ke komo ʻana i kahi kemika e like me Botox.
• Nā ālai aʻalolo: Ke hoʻokomo ʻana i kahi lāʻau hoʻomaha i loko o ke aʻalolo e pale aku i nā hōʻailona ʻeha mai ka hiki ʻana i ka lolo.
• TENS (Hoʻoulu ʻana o ke aʻalolo uila transcutaneous): He ʻano hana e kaohi ai i nā hōʻailona ʻeha ma ka hāʻawi ʻana i kahi au uila liʻiliʻi loa ma o ka ʻili o ka ʻili.

He aha nā manawa kūpono loa e ʻike ai i ke kauka?

ʻO ka ʻeha mai kahi mea liʻiliʻi, e like me ka ʻā ʻana o ka lā maʻamau, e nalo pinepine ia i loko o kekahi mau lā. Eia nō naʻe, inā ʻeha loa ka ʻeha a hiki ʻole ke hoʻomanawanui a hiki ʻole ke hoʻokō i kāu mau hana o kēlā me kēia lā , a inā hoʻomau ka ʻeha no nā pule , he hōʻailona maoli nō ia e pono ʻoe e ʻike i ke kauka.

He mea nui loa ka ʻimi ʻana i ke kōkua lapaʻau no nā kuni koʻikoʻi (kekelē ʻelua a ʻoi aku paha), a i ʻole nā ​​kuni ma ke poʻo, ka maka, a i ʻole nā ​​​​​​wahi ʻōpū. E aʻo pū kāu kauka iā ʻoe inā ua lawa ka koʻikoʻi o kou ʻeha e pono ai ke hele i ka Emergency Department (ETU).

ʻAʻole hoʻopunipuni ka poʻe me kēia maʻi i ka ʻeha a i ʻole ke hana nei i ko lākou ʻeha. No ka mea he pilikia me ka hana ʻana o ko lākou kino i ka ʻeha, ua ikaika loa ia. No laila, inā ʻoe a i ʻole kekahi āu i ʻike ai e ʻike nei i kēia ʻano ʻeha koʻikoʻi a ʻokoʻa hoʻi, ʻo ka mea maikaʻi loa a palekana hoʻi e hana ai, ʻo ia ke ʻimi i ke kōkua lapaʻau.