Ua kau anei ʻoe ma luna o ka moku, waʻa, a i ʻole he holo kaʻaahi lōʻihi a kaʻa paha a laila hoʻi i uka, a manaʻo e neʻe mau ana ke kaʻa, me he mea lā e haʻalulu ana ka honua, a e luliluli ana paha? Ke manaʻo like nei ʻoe i kou kū ʻana a moe paha? ʻAʻole kēia ka mea a ka hapa nui o ka poʻe e ʻike ai i kekahi manawa, akā inā ʻoe e hana pēlā, he hōʻailona paha ia o kahi maʻi laha ʻole i kapa ʻia ʻo Mal de Débarquement Syndrome (MdDS) . E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, no ka mea, he mea nui loa ka ʻike ʻana iā ia.
He aha ka Mal de Débarquement Syndrome (MdDS)?
I ka ʻōlelo maʻalahi, ʻo ke ʻano o ka Mal de Débarquement Syndrome ʻo ia hoʻi "ka maʻi disembarkation." He huaʻōlelo Farani ia. ʻO "Desembarkation" ka wā e iho ai mākou mai kahi moku a mokulele paha. No laila, ʻo MdDS ka wā e manaʻo ai mākou e neʻe ana mākou, ʻoiai ʻaʻole mākou . Manaʻo paha ʻoe e like me ʻoe ma luna o ka waʻa a ma ke kaʻaahi paha. Hiki i kēia ke hoʻopilikia i kou kūpaʻa a me ke kaulike .
He maʻi ʻo MdDS o ka ʻōnaehana vestibular . ʻO ka ʻōnaehana vestibular ka ʻōnaehana e kāohi ana i ke kaulike o ko kākou kino. Aia ia ma ko kākou pepeiao a me ka lolo o loko . Manaʻo nā loea e hana ʻia ka MdDS ke maʻa mākou i ka neʻe ʻana maʻamau ʻole (e like me ka wā ma luna o ka moku), a laila pilikia ko mākou lolo i ka hoʻololi hou ʻana i ka wā e pau ai kēlā neʻe ʻana. E noʻonoʻo ua noho ʻoe ma luna o ka moku no kekahi mau lā. Ma hope o kekahi mau lā, maʻa ʻoe i ka lūlū ʻana o ka moku, i kapa ʻia ʻo "nā wāwae kai." A laila maʻalahi ka neʻe ʻana a puni i loko o ka moku. Akā ma hope o ka hoʻi ʻana i ka ʻāina, nalowale kekahi poʻe i kēia "mau wāwae kai" a he ʻelua lā ka lōʻihi no ka hoʻi ʻana o "nā wāwae ʻāina". Akā, ʻike mau kekahi me MdDS i kēlā ʻano luliluli, luliluli ʻoiai lākou ma ka ʻāina.
Akā, ʻaʻole ia he holo moku wale nō e hiki mai ana i nā kānaka a pau. Hiki nō hoʻi ke hana ma hope o ka holo mokulele, ka holo kaʻa lōʻihi a kaʻaahi paha, a i ʻole ka hiamoe ʻana ma luna o kahi moe wai. ʻO ka mea kupanaha, hiki nō hoʻi ke hana ma hope o kahi hanana neʻe ʻole (e like me ke ʻoki kino a i ʻole ka hānau keiki ʻana) a i ʻole no ke kumu ʻike ʻole ʻia (MdDS koke) .
Pehea ka maʻamau o MdDS?
ʻO ka ʻoiaʻiʻo, he maʻi laha ʻole ka Mal de Débarquement Syndrome (MdDS). Wahi a kekahi mau noiʻi, ua manaʻo ʻia he 150,000 mau kānaka ma ʻAmelika Hui Pū ʻIa wale nō i loaʻa iā ia. ʻAʻole ia he helu nui.
ʻOiai hiki i kekahi ke loaʻa iā MdDS, he mea nui ia he 85% o nā hihia i hōʻike ʻia he mau wahine ma waena o 30 a me 60 mau makahiki. Ua ʻike ʻia hoʻi he ʻoi aku ka nui o ka poʻe i loaʻa i ka migraines e loaʻa i kēia maʻi.
He aha nā hōʻailona o MdDS?
ʻO ke kanaka me MdDS e ʻike pinepine i nā hōʻailona e like me kēia:
- He manaʻo o ka hoʻoluliluli mau ʻana, ka luliluli ʻana, a i ʻole ka piʻi ʻana i luna a i lalo. Me he mea lā e noho ana i loko o ka waʻa.
- Paʻa ʻole, kūpaʻa ʻole.
- Nā pilikia kaulike. Manaʻo paha ʻoe e nalowale ana kou kaulike i kou hele ʻana.
- Huikau, paʻakikī i ka noʻonoʻo ʻana.
- Ka hopohopo pinepine a me ka makaʻu.
- Kaumaha.
- Ka noe o ka lolo, ka paʻakikī i ka noʻonoʻo pono.
ʻIke nui ʻia kēia mau hōʻailona ke kū ʻoe, e like me ke kū ʻana a i ʻole ke moe ʻana ma kahi moe . ʻAʻole like me kekahi mau maʻi vestibular ʻē aʻe, ʻaʻole pinepine ʻo MdDS i ke kani ʻana i nā pepeiao (tinnitus), ka luaʻi ʻana, ka nalowale o ka lohe, a i ʻole nā manaʻo wili . He mea kōkua nō hoʻi kēia i ka ʻike ʻana i ke kūlana.
He aha nā mea hoʻonāukiuki nui no MdDS?
E like me kā mākou i kūkākūkā ai ma mua, ʻo ke kumu maʻamau a maʻamau no MdDS ʻo ia ka huakaʻi moana a i ʻole nā hana ʻē aʻe e pili ana i ka wai . No ka laʻana, pono ka poʻe ma nā moku holo moana e hoʻomaʻamaʻa i ka lūlū mau ʻana a me ka ʻōwili ʻana o ka moku. Ma hope o kekahi manawa, loaʻa iā lākou nā "wāwae kai" a hiki ke hele a puni ka moku me ka ʻole o ke kuʻi ʻana i nā paia. Ke hiki lākou i ka ʻāina, hoʻi ka hapa nui o ka poʻe i ka maʻamau i loko o kekahi mau lā. Akā no ka poʻe me MdDS, hoʻomau ka manaʻo lūlū a me ka ʻōwili ʻana ma hope o ko lākou haʻalele ʻana i ka moku. E ʻōlelo kākou ua hoʻi mai ʻo Nimali mai kahi huakaʻi moku no kekahi mau lā. Akā i kona hiki ʻana i ka home, ua manaʻo mau ʻo ia e like me ia ma luna o ka moku, me he mea lā e lūlū ana ka honua. ʻOiai ka noho ʻana ma kahi noho a i ʻole ka moe ʻana ma kahi moe, ʻaʻole ia i kōkua. ʻO ia ke ʻano o MdDS.
Ua ʻike ʻia hoʻi kēia mau mea he mau mea hoʻoulu maʻamau ʻole :
- Ke holo nei ma luna o ka mokulele.
- Ka huakaʻi ʻāina ma kahi mamao loa (ma ke kaʻa a kaʻaahi paha).
- Ka hoʻohana ʻana i nā elevators.
- Ke hele wāwae nei ma luna o nā uapo.
- E moe ana i loko o nā moena wai.
- Ka hoʻohana ʻana i nā aniani Virtual Reality (VR).
I kekahi manawa, hiki ke loaʻa nā hanana MdDS kūlohelohe me ka ʻole o ka neʻe ʻana . Hiki ke hoʻāla ʻia kēia e kekahi mau hanana ola kaumaha . Eia kekahi laʻana:
- Ka hānau ʻana.
- Ke hana ʻoki kino ʻia nei.
- ʻEha poʻo.
Pehea e ʻike ʻia ai ʻo MdDS?
Inā manaʻo kāu kauka ʻohana (PCP) he MdDS kou, hiki iā ia ke kuhikuhi iā ʻoe i kahi loea pepeiao, ihu, a me ka ʻāʻī (otolaryngologist) a i ʻole he neurologist.E kuhikuhi ʻia ʻoe i ke kauka no ka hoʻāʻo hou aku. Hana pinepine kēia inā ua loaʻa iā ʻoe nā hōʻailona no hoʻokahi mahina ma ka liʻiliʻi.
ʻO kaʻoiaʻiʻo, ʻaʻohe hoʻokolohua hoʻokahi e hiki ke hoʻomaopopo pono iā MdDS. No laila, makemake nā kauka e kāpae i nā kūlana ʻē aʻe i loaʻa nā hōʻailona like (e like me nā migraines vestibular). Hiki iā lākou ke kauoha i nā hoʻokolohua e like me kēia:
- Nā hoʻāʻo koko.
- Nā hoʻokolohua hoʻolohe.
- Nā hoʻāʻo kaulike.
- Nā hoʻokolohua kiʻi e like me CT scans (Computed Tomography scans) a i ʻole MRI (Magnetic Resonance Imaging).
I ka makahiki 2020, ua paʻi ka Bárány Society , he hui honua, i kahi ʻōnaehana hoʻohālikelike diagnostic no MdDS ma lalo o ka International Classification of Vestibular Disorders (ICVD). E kōkua kēia hōʻiliʻili ʻike i nā kauka lapaʻau a puni ka honua e hoʻohana i nā kūlana like a me nā alakaʻi e ʻike ai iā MdDS.
Pehea e hiki ai iaʻu ke hoʻopau i kēia maʻi MdDS?
ʻAʻohe lāʻau lapaʻau paʻa no MdDS i kēia manawa , akā ʻo ka nūhou maikaʻi, hoʻōla pinepine ia iā ia iho .
I kēia manawa, aia kekahi mau ala e kōkua ai i ka hōʻemi ʻana i kāu mau hōʻailona. Eia naʻe, ʻaʻole pono kēia mau lāʻau lapaʻau no nā mea āpau. Pono paha ʻoe e hoʻāʻo i kekahi mau ʻano hana e ʻike ai i ka mea e pono ai iā ʻoe.
Eia kekahi mau lāʻau lapaʻau kūpono no MdDS:
- Lāʻau lapaʻau.
- Hoʻōla hoʻoulu lolo.
- Nā hoʻomaʻamaʻa lapaʻau - hoʻoponopono hou ʻana o ka vestibular.
Lāʻau lapaʻau
Manaʻo paha ʻoe ʻo ka lāʻau lapaʻau no ka maʻi neʻe ka pane. Akā ʻo ka ʻoiaʻiʻo, ʻaʻole kōkua maoli kēlā mau lāʻau lapaʻau i nā hōʻailona MdDS. Eia nō naʻe, i kekahi manawa hiki i nā lāʻau lapaʻau no nā kūlana e like me ka hopohopo, ke kaumaha, a me ka insomnia ke kōkua i ka hōʻoluʻolu i kou ʻeha.
Inā loaʻa iā ʻoe ʻo MdDS a loaʻa pū kekahi i nā migraines pinepine, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau no nā migraines. I kekahi mau hihia, ua hōʻike ʻia kēia mau lāʻau lapaʻau e kōkua pū me nā hōʻailona MdDS.
Hoʻōla hoʻoulu lolo
He lāʻau lapaʻau hou kēia. Pili ia i ka hoʻohana ʻana i nā hōʻailona uila e hoʻāla a hoʻopau paha i nā ʻāpana like ʻole o kou lolo. I loko o kēia lāʻau lapaʻau, hoʻopili ke kauka i nā electrodes kūikawā i kou poʻo. Hiki i kēia lāʻau lapaʻau ke kōkua i ka hoʻomaʻamaʻa hou ʻana i kou lolo e lanakila i nā hōʻailona o MdDS.
Nā hana lapaʻau (Mal de débarquement treatment exercises)
No kēiaUa kapa ʻia hoʻi ʻo Vestibular Rehabilitation Therapy (VRT) , hiki i kēia mau hoʻomaʻamaʻa ke kōkua iā ʻoe e hoʻokele i nā pilikia kaulike i hoʻokumu ʻia e MdDS. Hoʻokomo pū kēia me nā lāʻau lapaʻau kikoʻī e like me ke aʻo hou ʻana i ke kaulike a me ka kaohi ʻana i ka neʻe ʻana o ka maka .
Hiki i kāu kauka ke kuhikuhi i kahi papahana i kūpono i kāu mau pono, akā pono paha ʻoe e hele i kekahi mau hālāwai e ʻike i nā hopena.
ʻEhia ka lōʻihi e ho'ōla ai?
ʻOkoʻa ka pane i kēia nīnau mai kēlā kanaka a kēia kanaka. Hoʻōla ka hapa nui o ka poʻe i loko o 24 mau hola . Hiki i kekahi ke hala i hoʻokahi a ʻelua paha pule. Eia nō naʻe, loaʻa paha i kekahi poʻe nā hōʻailona no hoʻokahi makahiki a ʻoi aku paha. No laila, mai hopohopo, e hoʻomanawanui a e ʻimi i ka lāʻau lapaʻau.
Hiki ke pale ʻia ʻo MdDS?
Inā loaʻa iā ʻoe kahi mea hoʻoulu kūikawā no kēia mau hōʻailona, ʻaʻohe ala e pale aku ai iā MdDS ma mua o ka pale mau ʻana i kēlā mea hoʻoulu. Inā loaʻa pinepine iā ʻoe ka MdDS, e kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau e hiki ke kōkua.
Pehea ka lōʻihi o ka noho ʻana o MdDS?
I ka hapanui o nā hihia, hoʻopau ʻia ʻo MdDS i loko o 24 mau hola . ʻOiai me ka ʻole o ka lāʻau lapaʻau, hoʻōla ka nui o ka poʻe i loko o hoʻokahi makahiki. Eia nō naʻe, he mea kakaikahi loa, loaʻa paha i kekahi poʻe nā hōʻailona no nā mahina a i ʻole nā makahiki.
Ke nalo wale nei anei ka maʻi pae?
ʻAe, i ka hapanui o nā hihia, hiki i ka poʻe me MdDS ke ʻike i ka hoʻomaikaʻi ʻana o kā lākou mau hōʻailona i loko o 24 mau hola.
He aha ke ʻano o ka noho ʻana me MdDS?
ʻO ka maʻamau, e hoʻomaikaʻi ʻo MdDS iā ia iho i loko o 24 mau hola. Inā ʻaʻole, pono paha kāu kauka e hana i nā hoʻokolohua e kāpae i nā kūlana ʻē aʻe, e like me ka migraine vestibular. Hiki i kēia ke lōʻihi, a pono paha e hoʻāʻo a hewa. ʻOiai hiki ke hoʻonāukiuki kēia, he mea nui e hoʻomaopopo he lōʻihi paha ka manawa e loaʻa ai ka hopena kūpono nāu.
ʻO ka mea nui loa, ʻo ia ka ʻike ʻaʻole ʻoe hoʻokahi. Aia kekahi poʻe ʻē aʻe i loaʻa nā ʻike like.
Āhea wau e ʻike ai i ke kauka?
Inā manaʻo ʻoe e neʻe ana ʻoe ʻoiai ʻaʻole ʻoe e neʻe ana, pono ʻoe e haʻi i ke kauka e pili ana i ia mea . ʻOiai inā ʻoi aku kou mau hōʻailona ma mua o 24 mau hola, e ʻimi pono i ka ʻōlelo aʻoaʻo lapaʻau.
He aha nā nīnau āu e nīnau ai i ke kauka?
Inā loaʻa iā ʻoe ʻo MdDS, makemake paha ʻoe e nīnau i kāu kauka e like me:
- He aha nā koho lapaʻau e loaʻa iaʻu?
- Pehea kou manaʻo e lōʻihi ai kaʻu lāʻau lapaʻau?
- Āhea e hiki ai iaʻu ke manaʻo i nā hopena?
- I kēia manawa, he aha kaʻu e hana ai e hōʻemi i koʻu mau hōʻailona?
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
He maʻi laha ʻole ka Mal de Débarquement Syndrome (MdDS). Hoʻomaikaʻi pinepine nā hōʻailona i loko o 24 mau hola, akā i kekahi mau hihia hiki iā lākou ke mau no nā mahina a i ʻole nā makahiki. Hiki ke paʻakikī ke hoʻoponopono i nā manaʻo a me nā naʻau āu e ʻike ai, ʻoiai ke hoʻomau nei nā hōʻailona.
ʻO ke kamaʻilio ʻana me nā poʻe ʻē aʻe i ʻike pū i kēia hiki ke lilo i mea kōkua nui i kou olakino noʻonoʻo a me kou naʻau. E nīnau i kāu kauka e pili ana i nā lawelawe kākoʻo hou aʻe, a inā he mau lāʻau lapaʻau hou e kūpono paha iā ʻoe. Mai haʻalele i ka manaʻolana, me ke kākoʻo kūpono a me ka lāʻau lapaʻau, hiki ke mālama ʻia kēia kūlana.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka Mal de Débarquement Syndrome (MdDS)?
Loaʻa iā kākou nā wāwae kai ma hope o ko kākou haʻalele ʻana i kahi moku holo moana, mokulele, a kaʻaahi paha? He mea maʻamau kēlā. Akā ma MdDS, ʻo ka manaʻo o ke kau ʻana ma luna o kahi moku, ka haʻalulu o ka honua, a me ka manaʻo o ke kau ʻana ma ka honua e hoʻomau no nā lā, nā mahina, a i ʻole nā makahiki ma hope o ko kākou haʻalele ʻana i ka moku.
💬 Manaʻo anei ke kanaka me kēia maʻi i ka poniuniu ʻoiai ke holo nei i loko o nā kaʻa?
ʻAʻole! ʻO ia ka hiʻohiʻona kupanaha loa (ʻokoʻa) o kēia maʻi. ʻOiai ʻo kekahi me ka vertigo maʻamau e ʻike paha i ka ʻeha nui i ka wā e holo ana i loko o kahi kaʻa, ʻike nā poʻe maʻi MdDS i ka 'nalowale' piha o ka vertigo i ka wā e holo ana i loko o kahi kaʻa, kaʻaahi, a i ʻole kaʻa. Hoʻonui wale ka ʻeha i ka wā e noho ana a kū mālie paha lākou.
💬 Hiki iaʻu ke lawe i ka lāʻau lapaʻau no kēia a hoʻōla mau loa?
ʻAʻohe pila hoʻokahi e hiki ke ho'ōla mau loa i kēia (no ka mea, ʻaʻole ia he pilikia pepeiao, akā he pilikia lolo). ʻO ka hapa nui o ka manawa, hāʻawi nā lāʻau antidepressants (SSRI/Clonazepam) i kahi hōʻoluʻolu. Akā ʻo ka lāʻau lapaʻau kūpono loa i loaʻa i kēia manawa, ʻo ia ka hoʻomau ʻana i ka hana ʻana i kahi moʻo o Vestibular Rehabilitation (nā hoʻomaʻamaʻa kūikawā e hoʻomaʻamaʻa hou i ka lolo).
` Mal de Débarquement Syndrome, MdDS, ke koli ana, pilikia ke kaulike, ka oni, ka ma'i ma hope o ka holo moana, ka vestibular system











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