Loaʻa iā ʻoe kēia ʻano ʻeha aʻalolo (Neuropathic Pain)? E kamaʻilio kākou e pili ana!

Ke manaʻo nei ʻoe i kekahi manawa i ka ʻeha ʻē a i ʻole ka mae ʻana o kou kino me ke kumu ʻole? E like me ka haʻalulu uila, a i ʻole ka ʻā ʻana, a i ʻole ka ʻō ʻana? ʻAʻole kēia he mau mea hoʻokalakupua wale nō. Ua kapa ʻia kēia he ʻeha aʻalolo, a i ʻole ka ʻeha neuropathic . E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, no ka mea hiki ke hoʻopilikia i nā poʻe he nui.

He aha ka ʻeha Neuropathic?

I ka ʻōlelo maʻalahi, ʻo ka ʻeha o ke aʻalolo ka ʻeha i hoʻokumu ʻia e kahi hana hewa a i ʻole ka hōʻino ʻana i kā mākou ʻōnaehana nerve. Ua ʻike anei ʻoe he pūnaewele ko mākou o nā aʻalolo ma ko mākou kino holoʻokoʻa? Ua like lākou me nā kaula e lawe ana i ka ʻike ma o ko mākou kino. Ua māhele ʻia kēia ʻōnaehana nerve i ʻelua ʻāpana nui. ʻO kekahi ka ʻōnaehana nerve waena . Hoʻokomo pū kēia me ko mākou lolo, ke kaula spinal, a me nā aʻalolo. ʻO kekahi ka ʻōnaehana nerve peripheral . Hoʻolaha ʻia kēia mau aʻalolo ma ke koena o ko mākou kino, me ko mākou mau lālā, nā manamana lima, a me ko mākou mau kino i loko.

No laila, ke hōʻino kekahi mea i kēia mau olonā aʻalolo, hoʻomaka lākou e hoʻouna i nā hōʻailona hewa i ko mākou mau kikowaena ʻeha. ʻO ia ka manawa e ʻike ai mākou i kēia ʻeha aʻalolo hiki ʻole ke hoʻomanawanui. I kekahi manawa, ʻaʻole wale ka wahi i hōʻino ʻia ai nā aʻalolo, akā hiki nō hoʻi i ko mākou ʻōnaehana nerve waena ke loli. Ua kapa ʻia kēia he "central sensitization" ma nā ʻōlelo lapaʻau.

Ua lohe paha ʻoe i ka huaʻōlelo 'Neuropathy'. ʻO ia hoʻi ka haunaele a i ʻole ka loli ʻana o ka hana o hoʻokahi a ʻoi aku paha nā aʻalolo. Ua ʻike anei ʻoe ma kahi o 30% o kēia mau kūlana 'neuropathy' i hoʻokumu ʻia e ka maʻi diabetes mellitus . Eia nō naʻe, aia nā haneli o nā maʻi ʻē aʻe e hiki ke hana i kēia. No ka laʻana, hiki i nā maʻi e like me 'shingles', 'HIV/AIDS', a me ka maʻi hoʻohana waiʻona ke hoʻopilikia i kēia.

He aha nā hōʻailona o kēia ʻeha aʻalolo?

ʻAʻole like ka ʻeha o ke aʻalolo no nā kānaka a pau, akā aia kekahi mau hōʻailona maʻamau:

• ʻEha koke: I kekahi manawa hiki i kēia ke manaʻo e like me ka ʻeha wela, ka ʻeha hou, a i ʻole ka haʻalulu uila. Hiki i kekahi poʻe ke ʻike i ka maneʻo a i ʻole ka manaʻo "pine a me nā nila".
• ʻAllodynia: He mea ʻē iki kēia. E noʻonoʻo, inā he makani mālie e pā ana ma kou ʻili, a i ʻole kekahi e hoʻopā mālie ana iā ʻoe, a i ʻole kekahi mea i ʻole e hōʻeha pinepine, e ʻeha nui ʻoe. ʻO ia ke ʻano o ka allodynia. He ʻano koʻikoʻi loa ia i ka hoʻopā ʻana .
• ʻO ka Hyperalgesia:ʻO ka mea e hana ʻia ma kēia hihia, ʻo ia ka mea e ʻeha iki ana, e like me ke hou ʻia ʻana e kahi nila liʻiliʻi, lilo ia i ʻeha hiki ʻole ke hoʻomanawanui. ʻO ia hoʻi, ʻoi aku ka ʻeha ma mua o ka mea e pono ai .
• Hypoalgesia: ʻO ke kū'ē kēia. ʻO kahi mea e ʻeha maʻamau, e like me ke kui ʻana o ka nila, e hōʻemi ai i kou ʻeha , a ʻaʻole paha.
• Dysesthesia: ʻO ke ʻano kēia e ʻike ai ʻoe i nā manaʻo ʻē, ʻoluʻolu ʻole, a i kekahi manawa ʻeha me ke kumu ʻole. Manaʻo paha kekahi poʻe e like me nā ilo e kolo ana i loko o ko lākou kino, a i ʻole e hāʻule ana nā kulu wai.
• ʻAʻole hiamoe: He nui ka poʻe e pilikia ana i ka hiamoe ma muli o kēia ʻeha. Ke hoʻopilikia ʻia ka hiamoe, hiki i ka ʻeha ke hoʻonui i ke kaumaha.

No ke aha e loaʻa ai kēia ʻano ʻeha o ke aʻalolo iā kākou? He aha nā kumu?

Aia kekahi mau kumu no kēia ʻeha aʻalolo. E nānā kākou i nā mea nui:

• Ka maʻi hoʻohana ʻona: ʻO ka poʻe e inu nui i ka waiʻona hiki ke loaʻa i ka hōʻino ʻia o ke aʻalolo a me ka ʻeha e like me kēia.
• ʻO ka maʻi diabetes Mellitus: He pilikia ka maʻi diabetes i loaʻa i nā poʻe he nui ma Sri Lanka. Ua ʻike anei ʻoe inā ʻaʻole i kāohi pono ʻia, hiki i ka maʻi diabetes ke hōʻino i nā aʻalolo a alakaʻi i ka ʻeha e like me kēia? ʻO ia ke kumu e makaʻala mau ai ka poʻe me ka maʻi diabetes i ko lākou pae kō koko, ʻoiai ko lākou mau wāwae.
• Nā kūlana aʻalolo maka: I kekahi manawa hiki ke hana ʻia kēia ʻeha e nā maʻi e hoʻopilikia ai i nā aʻalolo maka.
• HIV/AIDS: Hiki i kēia maʻi ke hoʻopilikia i ka ʻōnaehana nerve a hōʻeha i ka ʻeha.
• Nā maʻi o ka ʻōnaehana nerve waena: No ka laʻana, nā maʻi e like me ka hahau ʻana, ka maʻi o Parkinson, a me ka sclerosis maha (MS) hiki ke hana i ka ʻeha aʻalolo.
• ʻO ka maʻi ʻeha kūloko paʻakikī: ʻO kēia kekahi kumu o ka ʻeha aʻalolo.
• Shingles: ʻO ka maʻi ʻūlū kekahi kumu maʻamau. Loaʻa ia i nā poʻe i loaʻa i ka maʻi moa i ko lākou wā kamaliʻi. ʻO kēia ʻulaʻula ʻeha, me nā pehu, hiki ke mau no nā mahina a i ʻole nā ​​makahiki.

Ma waho aʻe o kēia, aia kekahi mau kumu ʻē aʻe:

• Nā lāʻau lapaʻau chemotherapy: ʻO kekahi mau lāʻau lapaʻau maʻi kanesa, e like me cisplatin, paclitaxel, a me vincristine, hiki ke hana i ka hōʻino ʻana o ke aʻalolo.
• Lapaʻau radiation: Hiki i ka lāʻau radiation no ka maʻi ʻaʻai ke hana i ka ʻeha aʻalolo.
• Ka nalowale ʻana o kahi lālā `(Amputation):`Ke wehe ʻia kahi lālā ma ke ʻoki ʻana, hiki ke loaʻa ka ʻeha o ka lālā phantom. He ʻeha aʻalolo nō hoʻi kēia.
• ʻO ke kaomi ʻana o ke aʻalolo spinal a i ʻole ka mumū: Hiki ke loaʻa kēia ʻeha inā e hoʻopili ʻia nā aʻalolo i loko o ko mākou iwi kuamoʻo.
• ʻEha a ʻokiʻoki paha me ka hōʻino ʻana o ke aʻalolo: Hiki ke hōʻino ʻia nā aʻalolo ma hope o kahi ulia nui a ʻokiʻoki paha.
• Nā puʻupuʻu e kaomi ana i nā aʻalolo: Inā hana kahi puʻupuʻu i kahi o ke kino a kaomi ma luna o kahi aʻalolo, hiki iā ia ke hōʻeha.

Pehea e ʻike ai nā kauka i kēia?

Ke ʻike ʻoe i ke kauka, e nīnau mua lākou e pili ana i kou mōʻaukala olakino a laila e hana i kahi hoʻokolokolo kino. Inā kānalua ke kauka ua hōʻino ʻia kou aʻalolo, e ʻimi lākou i nā hōʻailona e pili ana i ka ʻeha o ke aʻalolo. A laila e hoʻāʻo lākou e ʻimi i ke kumu kumu. I kekahi manawa pono paha lākou e hana i nā hoʻokolohua koko a me nā scan.

He aha nā lāʻau lapaʻau no kēia?

I kēia manawa, e nānā kākou i nā lāʻau lapaʻau no kēia ʻeha aʻalolo. ʻOiaʻiʻo, pili ka lāʻau lapaʻau no kēia i ke kumu kumu a me kāu mau hōʻailona. E hana kāu kauka i kahi hoʻolālā lapaʻau e kūpono loa iā ʻoe.

ʻO nā pahuhopu nui o ka mālama ʻana:

• Ke mālama ʻana i ka maʻi kumu: No ka laʻana, inā he puʻupuʻu e kaomi ana i kahi aʻalolo, hiki ke hoʻohana ʻia ka radiation therapy a i ʻole ke ʻoki ʻana e hoʻēmi i ka puʻupuʻu.
• Hoʻopau ʻeha .
• E mālama i ka hana .
• E hoʻomaikaʻi i kou kūlana ola .

I ka manawa pinepine, pono ka hui pū ʻana o nā lāʻau lapaʻau e kāohi i kēia ʻeha aʻalolo, ma mua o hoʻokahi wale nō lāʻau lapaʻau. Hiki i kēia mau lāʻau lapaʻau ke komo pū me:

Nā lāʻau lapaʻau

• Nā lāʻau hōʻoluʻolu ʻeha ma luna o ka counter (OTC): Hiki i nā lāʻau lapaʻau e like me ka acetaminophen a me ka ibuprofen ke kōkua me kekahi ʻeha iki.
• Nā lāʻau lapaʻau antiseizure: ʻAʻole maopopo ke kumu e hana maikaʻi ai kēia mau lāʻau lapaʻau no ka ʻeha o ke aʻalolo, akā ʻike kekahi poʻe he kōkua nui lākou. Ua manaʻo ʻia ua hoʻopilikia kēia mau lāʻau lapaʻau i nā hōʻailona ʻeha o ke kino.
• Nā lāʻau hoʻohaʻahaʻa kaumaha:I kēia manawa, ke noʻonoʻo nei paha ʻoe, 'Auē, he ʻeha koʻu aʻalolo, no ke aha lā wau e hāʻawi ʻia nei i ka lāʻau lapaʻau no ke kaumaha?' ʻO ka ʻoiaʻiʻo, hiki i ka hopohopo a me ke kaumaha ke hoʻonui i ka ʻeha o ke aʻalolo. Eia kekahi, ua ʻike ʻia kekahi mau antidepressants e kōkua i ka hōʻemi ʻana i ka ʻeha o ke aʻalolo. ʻO ke ʻano kēia e hāʻawi kēia mau lāʻau i ka hōʻoluʻolu mai ka ʻeha a me ke kaumaha i ka manawa like.
• Nā lāʻau lapaʻau topical: Hiki ke hoʻopili pololei ʻia nā kirīmi, nā ʻaila poni, a i ʻole nā ​​​​​​pāpili i loaʻa ka lidocaine a i ʻole capsaicin i ka wahi ʻeha. Hāʻawi kēia i ka hoʻomaha ʻeha no ka manawa pōkole.

Nā lāʻau lapaʻau ʻē aʻe

• Nā ālai aʻalolo: He mau lāʻau lapaʻau kēia i hāʻawi ʻia ma ke ʻano he inikini. Hāʻawi ʻia lākou ma kahi kokoke i ke aʻalolo ʻeha a i ʻole ka hui o nā aʻalolo. Hiki i kēia ke hōʻemi i ka ʻeha no kekahi manawa.
• Hoʻōla kino: Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka ʻoʻoleʻa a me ka ʻoluʻolu ʻole i hoʻokumu ʻia e ka ʻeha aʻalolo. Hiki iā ia ke kōkua i ke kino e hana i nā kemika kūlohelohe e hoʻomaha ai i ka ʻeha. Hoʻokomo pū kēia i nā ʻano lomilomi like ʻole a me ka hoʻoikaika kino.
• ʻOki kino: I kekahi mau hihia, hiki i ke ʻoki kino ke kōkua i ka hōʻoluʻolu ʻana i ka ʻeha o ke aʻalolo. Hiki i ke kauka ʻoki kino ke hoʻokuʻu, hoʻoponopono, a wehe paha i kekahi mau aʻalolo.
• ʻŌlelo aʻoaʻo noʻonoʻo: Ma waho aʻe o ka lāʻau lapaʻau, hiki iā ʻoe ke pōmaikaʻi mai ke aʻoaʻo noʻonoʻo. Hiki i kēia ke kōkua iā ʻoe e hoʻomanawanui i ke kaumaha i hoʻokumu ʻia e ka ʻeha o ke aʻalolo.

Inā ʻaʻole e hōʻoluʻolu kēia mau lāʻau lapaʻau i kou ʻeha aʻalolo, hiki i kāu kauka ke ʻōlelo i nā lāʻau lapaʻau e like me ka hoʻoulu ʻana o ke kaula spinal, ka hoʻoulu ʻana o ke aʻalolo peripheral, a i ʻole ka hoʻoulu ʻana o ka lolo. E kamaʻilio kāu kauka me ʻoe e pili ana i nā pono a me nā pōʻino o kēia mau lāʻau lapaʻau.

Aia kekahi mau ala e pale aku ai i ka ʻeha o ke aʻalolo?

ʻOiai ʻaʻole hiki iā mākou ke pale mau i ka ʻeha o ke aʻalolo, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia:

• Inā ʻoe e puhipaka, e hoʻōki. ʻO kēia ka mea maikaʻi loa hiki iā ʻoe ke hana.
• E hana i kahi hana hoʻoikaika kino maʻamau e kūpono iā ʻoe.
• E hoʻokomo i ka nui o nā huaʻai hou, nā mea kanu, nā legumes, nā palaoa piha, a me nā protein lean (e like me ka iʻa a me ka moa) i kāu meaʻai.
• Inā ʻoe e inu i ka waiʻona, e kaupalena iā ia.
• Inā loaʻa iā ʻoe ka maʻi diabetes, e nānā pinepine i kou pae kō koko, a e mālama pono i kou mau wāwae. ʻOiai kahi ʻeha liʻiliʻi hiki ke lilo i pilikia nui.

Pehea ke koʻikoʻi o kēia kūlana? He aha ka mea e hiki mai ana i ka wā e hiki mai ana?

Hiki i kekahi manawa ke paʻakikī ka mālama ʻana i ka ʻeha o ke aʻalolo, akā ʻaʻole ia he mea e hoʻoweliweli ai i ke ola.Loaʻa nā hopena maikaʻi loa ma ke kākoʻo ʻana i kou olakino noʻonoʻo, pilikanaka, a me ka naʻau me ka hoʻoponopono hou ʻana. ʻO ke kī ma ʻaneʻi, ʻo ia ke kāohi i ka ʻeha a hoʻomaikaʻi i kou ʻano ola, me ke kōkua o kahi loea ʻeha, me ka hoʻohana ʻana i nā ʻano i ʻōlelo ʻia ma luna.

Āhea mākou e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona e hōʻike ana ua hōʻino ʻia kou aʻalolo, e ʻike i ke kauka:

• Māʻule
• ʻUʻumi
• Nāwaliwali o nā ʻiʻo
• Manaʻo e like me kou kino e ʻoniʻoni ana me ke kāohi ʻole ʻia (ʻO ka ʻoniʻoni ʻole i kāohi ʻia)
• Inā hāʻule pinepine nā mea ma kou lima i ka honua `(Ke hāʻule pinepine nei i nā mea)`

I ka manawa hea ʻoe e hele ai i kahi Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe ka ʻeha nui, ka mae ʻana o ke kino, a i ʻole ka nāwaliwali, a me he mea lā e ʻoi aku ka wikiwiki o ka ʻino, pono ʻoe e hele koke i ka lumi pilikia kokoke loa. He mau hōʻailona paha kēia o ka hōʻino nui ʻana o ke aʻalolo. ʻO nā hōʻailona koʻikoʻi ʻē aʻe:

• Ka wikiwiki a i ʻole ka helu ʻana o ka puʻuwai
• Nā loli i kāu mau hana lumipaku (e laʻa, ka paʻakikī o ka mimi ʻana)
• Pōʻino a i ʻole ka nawaliwali

Pehea ke ʻano o kēia ʻeha ma ke ʻano laulā?

He nui ka poʻe e wehewehe ana i ka ʻeha o ke aʻalolo he ʻano hou, ʻō, a wela paha . Manaʻo paha kekahi e like me ka haʻalulu uila.

He aha ke ʻano maʻamau o ka ʻeha aʻalolo?

ʻOiai he nui nā ʻano ʻeha aʻalolo, ʻo ka neuropathy e pili ana i ka maʻi diabetes no 30% wale nō o nā hihia āpau.

Hiki i ka ʻeha o ke aʻalolo ke hele mai a hele aku, a i ʻole he ʻeha mau, ʻaʻole hiki ke hoʻomanawanui. Hiki ke akahai a koʻikoʻi paha. Hiki iā ia ke hoʻopilikia i kekahi ʻāpana o ke kino. ʻOiai ʻaʻole ia he mea weliweli ka ʻeha o ke aʻalolo, hiki iā ia ke loaʻa ka hopena nui i kou ʻano ola. Inā loaʻa iā ʻoe ka ʻeha nui o ke aʻalolo, a inā ʻaʻole e nalowale ka ʻeha, e ʻike pono i ke kauka. Hiki iā ia ke ʻike i ke kumu a haʻi iā ʻoe i ka lāʻau kūpono iā ʻoe.

ʻO ka mea hope loa, nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, no laila, mai kā mākou i kamaʻilio ai i kēia lā, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi ʻike maikaʻi aʻe i ka ʻeha neuropathic.

ʻO ka mea nui loa, ʻo ia ke ʻike ʻana i ke kauka inā loaʻa iā ʻoe kēia mau hōʻailona, ​​a ʻaʻole hoʻi e hoʻowahāwahā wale iā lākou. I kekahi manawa, hiki i kēia ke lilo i hōʻailona o kekahi maʻi ʻē aʻe. No laila, he mea nui loa ka ʻimi ʻana i ke kumu pololei a hoʻomaka i ka lāʻau lapaʻau i ka wā hikiwawe loa.

E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. Nui nā kauka a me nā lāʻau lapaʻau e hiki ke kōkua i kēia mau kūlana. Mai makaʻu, e noho ikaika, a e kū i kēia.

ʻEha aʻalolo, ʻeha neuropathic, ʻEha Neuropathic, Nā maʻi aʻalolo, Maʻi kō, Manumanu, Muhū