Ua ʻike anei ʻoe i ke ʻano o ka ʻōpala ʻana o kekahi poʻe i ko lākou mau ʻāpana waho, ʻoiai ko lākou mau poʻohiwi, i nā manawa a pau? A i ʻole ua ʻike anei ʻoe i kekahi mea e like me kēia iho? He mea hiki ʻole ke hoʻomanawanui ʻia, i kekahi manawa ua like ia me ka ʻā ʻana, me he mea lā he ʻūlū... Hiki ke hoʻonāukiuki loa. I kēia lā, e kamaʻilio kākou e pili ana i ia ʻano pilikia.
He aha ka Notalgia Paresthetica?
I ka ʻōlelo maʻalahi, ʻo Notalgia Paresthetica kahi maʻi e hoʻoulu ai i ka ʻā ʻana, ka wela, a i ʻole ke kani ʻana i kou kua, ma ka ʻaoʻao o loko o kou poʻohiwi. Inā ʻoe e ʻānai nui iā ia, e loaʻa i nā poʻe he nui kahi wahi ʻeleʻele i hoʻololi ʻia ke kala ma ka ʻili ma ia wahi. Hiki i kēia maʻi ke mau no nā mahina a i ʻole nā makahiki.
E noʻonoʻo e pili ana i ia mea, ʻo ka huaʻōlelo "notalgia" ʻo ia hoʻi "ʻeha ma ke kua." ʻO "Paraesthesia" ʻo ia hoʻi "ke kuni ʻana, ka ʻūlū ʻana, a i ʻole ka maneʻo." No laila, hōʻike ka inoa i ke ʻano o kēia, ʻeā?
ʻO ke kumu nui o kēia, ʻo ia ka hoʻopilikia ʻia a hōʻino ʻia paha nā aʻalolo ma ia wahi ma kekahi ʻano. Akā, mai hopohopo, ʻaʻole kēia he maʻi hoʻoweliweli a weliweli paha. Eia nō naʻe, he mea paʻakikī iki ka noho ʻana me kēia ʻeha.
ʻO wai ka mea kūpono loa e loaʻa i kēia?
ʻO kēia ʻano, i kapa ʻia ʻo notalgia paraesthetica , ka mea maʻamau i waena o ka poʻe ʻelemakule, ʻoiai ka poʻe ma luna o 50 mau makahiki. He mea maʻamau iki nō hoʻi ia i nā wahine ma mua o nā kāne.
Eia nō naʻe, he mea kākaʻikahi loa, inā loaʻa kēia ʻano i nā keiki ʻōpio, he hōʻailona paha ia o kahi ʻano laha ʻole, hoʻoilina i kapa ʻia ʻo "Multiple Endocrine Neoplasia 2A." No laila, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka inā loaʻa i kahi keiki ʻōpio kekahi mea e like me kēia.
Pehea ka maʻamau o kēia ʻano?
ʻO kaʻoiaʻiʻo, ʻaʻohe helu helu e pili ana i ka laha ʻana o ka notalgia paraesthetica i loko o ke kaiāulu. Eia nō naʻe, manaʻo nā kauka he maʻi maʻamau ia. Ua ʻike mākou ʻo ka pruritus mau , kahi maʻi e mau ana no ka manawa lōʻihi, e hoʻopilikia ana i kahi 20% o ka heluna kanaka. ʻO ka Notalgia paraesthetica kekahi o kēlā mau ʻano maneʻo mau. Ua manaʻoʻiʻo ʻia ma kahi o 8% o ia ʻano maneʻo āpau i hana ʻia e ka notalgia paraesthetica.
He aha nā hōʻailona o kēia?
ʻO ka hōʻailona nui a hoʻonāukiuki loa, ʻo ia ka ʻūlū hiki ʻole ke hoʻomanawanui (pruritus) ma ke kua, ma waena o nā ʻaoʻao poʻohiwi a me ka iwi kuamoʻo. Loaʻa pinepine kēia ma kekahi ʻaoʻao o ke kua, akā i kekahi manawa hiki ke loaʻa ma nā ʻaoʻao ʻelua.
Ma waho aʻe o kēia ʻeha, hiki paha iā ʻoe ke manaʻo i nā mea e like me kēia ma ia wahi:
- ʻUʻumi - e like me nā ʻanuʻu e holo ana a puni, a i ʻole e like me ka uila.
- Māʻule - Me he mea lā ʻaʻole hiki iā ʻoe ke manaʻo.
- Ka mumū(Ke kuni nei) - Me he mea lā e pā ʻia ana e ka pepa chili.
- ʻEha - Hiki i kekahi poʻe ke ʻike i ka maneʻo me ka ʻeha palupalu.
- Palupalu - ʻEha ia ke hoʻopā ʻia a i ʻole ke kaomi ʻia.
- Wela - Me he mea lā ua wela ka wahi.
- Anuanu - Manaʻo paha kekahi poʻe i ke anu ma ia wahi.
I kēia manawa, ke kaha nui nei ʻoe, hiki iā ʻoe ke hoʻōki i ke kaha ʻana? He mea paʻakikī loa ia, ʻeā? Ma muli o kēlā kaha mau a me ka hamo ʻana, hoʻololi pinepine ka ʻili ma ia wahi i ke kala, e hana ana i kahi ʻāpana ʻili i hoʻololi ʻia e like me kahi kiko ʻeleʻele a ʻeleʻele paha.
ʻO ka mea nui, ʻo kēia ʻano maʻi, i kapa ʻia ʻo notalgia paresthetica, ʻaʻole ia e hoʻomaka me kahi ʻōhū. He pilikia neurological ia, ʻaʻole he ʻano maʻi ʻili. Inā loaʻa iā ʻoe nā ʻōhū me ka maneʻo, he ʻano maʻi ʻokoʻa paha ia.
No ke aha e kū mai ai kēia nodalgia paraesthetica? He aha nā kumu?
ʻO kaʻoiaʻiʻo, ʻaʻole i ʻike pono nā kānaka noiʻi i ke kumu o ka noctalgia paresthetica. Eia nō naʻe, manaʻo lākou he mea paha ia ma muli o kekahi ʻano huhū o ke aʻalolo a i ʻole kahi ʻano ʻē i loko o ke ʻano kaohi ʻana i ka maneʻo i loko o kā mākou ʻōnaehana nerve .
Ua ʻae ka hapa nui o nā kānaka noiʻi he ʻano maʻi aʻalolo kēia i kapa ʻia ʻo "Neuropathy." Eia naʻe, ʻaʻohe manaʻo maopopo inā paha i hoʻokumu ʻia e ke kaomi ʻana o kahi aʻalolo e hele mai ana mai ka iwi kuamoʻo (ua kapa ʻia kēia ʻo "Radiculopathy" ) a i ʻole ma muli o kahi hana hewa a hōʻino paha i kahi aʻalolo i loko o ka ʻili (ʻo "Neuropathy").
E noʻonoʻo wale, aia nā kumu like ʻole e hiki ai ke hōʻino ʻia a hoʻopilikia ʻia paha nā aʻalolo o ko mākou kino. Eia kekahi laʻana:
- ʻO ka maʻi disk degenerative - I ko kākou ʻelemakule ʻana, e palupalu ana ko kākou mau diski kuamoʻo, a hiki ke hoʻopilikia i nā aʻalolo.
- Herniated Disk - Ke ʻōlelo nei mākou "herniated disk." Hiki i kēia ke hoʻopilikia i nā aʻalolo.
- ʻO nā ʻeha Osteoarthritic ma kou kuamoʻo - He ʻano kēia o ka maʻi ʻaʻai e hele mai me ka makahiki.
- ʻO kekahi mau kūlana metabolic, no ka laʻana, ka maʻi diabetes mellitus - ʻOi aku ka nui o ka poʻe me ka maʻi diabetes i ka hōʻino ʻia o nā aʻalolo.
- ʻO kekahi mau maʻi, no ka laʻana, nā shingles (herpes zoster) - he maʻi kēia e hoʻopilikia ai i nā aʻalolo.
No laila, no nā kumu e like me kēia, ua hoʻopilikia ʻia nā aʻalolo, a hiki ke ʻike ʻia nā hōʻailona e like me ka maneʻo a me ka mumū āu i ʻōlelo ai.
Pehea e ʻike ai ke kauka i kēia?
ʻO ka maʻamau, ʻike ke kauka i kēia ʻano i kapa ʻia ʻo notalgia paresthetica ma ka hana ʻana i kahi hoʻokolokolo kino a me ka lawe ʻana i kāu mōʻaukala lapaʻau.
Ke hele ʻoe e ʻike i ke kauka, e nīnau ʻo ia iā ʻoe e pili ana i kēia mau mea:
- He aha kou mau hōʻailona? (Pehea ke ʻano o ka maneʻo, i ka manawa hea i ʻoi aku ka ʻino, he aha hou kāu e manaʻo nei?)
- He aha kou mau maʻi olakino ma mua? (Mōʻaukala olakino)
- He aha nā lāʻau lapaʻau āu e lawe nei? (Nā lāʻau lapaʻau o kēia manawa)
A laila, e nānā ke kauka a kahu maʻi paha iā ʻoe, ʻoiai kou kua.
I ka hapanui o nā hihia , ʻaʻohe pono o nā hoʻokolohua lapaʻau nui e ʻike ai i kēia maʻi. ʻO ia hoʻi, ʻaʻole hana pinepine ʻia nā hoʻokolohua kiʻi a i ʻole nā hoʻokolohua koko. Hana ʻia lākou inā, ma waho aʻe o nā hōʻailona i ʻōlelo ʻia ma luna, aia kahi kānalua he maʻi neurological a neuromuscular paha kou.
He aha nā lāʻau lapaʻau no kēia?
Eia kekahi mea e noʻonoʻo ai. Hiki ke paʻakikī ka mālama ʻana i ka notalgia paresthetica. Nui nā lāʻau lapaʻau i loaʻa, akā ʻaʻole pono nā mea āpau no nā kānaka āpau. ʻO ka mea e pono ai no kekahi kanaka ʻaʻole paha e pono no kekahi. ʻO ke kumu nui o nā lāʻau lapaʻau ka hoʻēmi ʻana i nā hōʻailona e like me ka maneʻo. ʻAʻohe lāʻau lapaʻau no ia mea i kēia manawa.
Eia kekahi o nā lāʻau lapaʻau o kēia manawa:
Nā lāʻau lapaʻau waha
- ʻO Gabapentin: ʻO kēia ka lāʻau lapaʻau i hoʻohana pinepine ʻia no ka notalgia paresthetica. Ma waena o nā lāʻau lapaʻau waha, ua hōʻike ʻia nā hopena maikaʻi i ka hōʻemi ʻana i ka maneʻo.
- Nā Antihistamine: Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka maneʻo i ka pō.
Nā lāʻau lapaʻau topical
Hiki ke loaʻa kēia mau mea ma ke ʻano o nā kirīmi, nā lotions, a me nā gels.
- ʻO nā ʻaila poni i loaʻa ka Capsaicin: ʻO kēia ka mea e hāʻawi ai i nā pepa chili i ko lākou ʻala. ʻO kēia ka ʻaila poni i hoʻohana pinepine ʻia no kēia maʻi. Hiki iā ʻoe ke manaʻo i kahi wela iki i ka wā mua, akā hiki ke emi ka maneʻo ma hope.
- Nā ʻaila poni e loaʻa ana nā steroid: Hiki i kēia ke hōʻemi i ka mumū a me ka ʻeha.
- Nā ʻaila poni e loaʻa ana nā anesthetics (e.g., lidocaine): Hoʻopau kēia i ka wahi no kekahi manawa a hōʻemi i ka maneʻo.
Nā inikini botulinum toxin (Botox®)
Hoʻohana ʻia nā inikini Botox® (Botulinum Toxin Injections) no kēia. Ua ʻike ʻia kēia mau inikini e ālai i nā hōʻailona aʻalolo, hoʻomaha i nā ʻiʻo, a hōʻemi i ka ʻeha a me ka maneʻo. Eia naʻe, ʻaʻole lākou e hana no nā mea āpau.
Hoʻōla ʻana i nā aʻalolo uila transcutaneous (TENS)
ʻOiai paha he inoa paʻakikī iki kēia,ʻO ka Transcutaneous Electrical Nerve Stimulation (TENS) kahi lāʻau lapaʻau e hoʻohana ana i ke au uila haʻahaʻa e hōʻemi i ka ʻeha. Ua ʻike ʻia kekahi noiʻi i ka wā i hoʻohana ʻia ai ʻo TENS no 20 mau minuke i ka lā, ʻelima mau lā o ka pule, ua hōʻemi ia i ka maneʻo ma kahi o 60% ma kahi o ka hapakolu o ka poʻe i komo i ke aʻo ʻana.
Poloka aʻalolo kuamoʻo
ʻO kēia ke komo ʻana i ka hui pū ʻana o kahi lāʻau hoʻopau ʻeha a me kahi lāʻau anti-inflammatory i loko o ke aʻalolo a i ʻole kahi hui o nā aʻalolo i hoʻopilikia ʻia. Hoʻohana ʻia kēia ʻano inikini e mālama i ka notalgia paresthetica ma ke komo ʻana i kahi poloka aʻalolo i loko o nā aʻalolo e hoʻolako ana i ka poʻohiwi.
Hoʻōla kino
Ua loaʻa i kekahi poʻe nā hopena maikaʻi me ka hoʻōla kino . ʻOi aku ka maikaʻi, hiki i nā hoʻomaʻamaʻa e hoʻoikaika i nā ʻiʻo paraspinal o luna a me ka hoʻolōʻihi ʻana i nā ʻiʻo pectoral ke kōkua.
Hiki ke pale ʻia kēia mai ka hana ʻana?
ʻO ka mea pōʻino, ʻaʻohe ala i ʻike ʻia e pale aku ai i ka ulu ʻana o ka nodalgia paraesthetica, ʻoiai ʻaʻole maopopo ke kumu pololei.
He aha ka wānana o kēia maʻi?
Hiki ke ʻokoʻa ke ʻano o ka notalgia paresthetica mai kēlā kanaka a kēia kanaka. No kekahi poʻe, hiki ke nalowale i loko o kekahi mau mahina, a no kekahi poʻe hiki ke mau no nā makahiki. Hiki i ka lāʻau lapaʻau ke kōkua i ka hōʻemi ʻana i nā hōʻailona. I kekahi manawa, hiki ke nalowale ke ʻano ma kona iho i ka hala ʻana o ka manawa (ua kapa ʻia kēia he remission) .
ʻOiai ʻaʻole ia he maʻi e hoʻoweliweli i ke ola, hiki i ka ʻoluʻolu ʻole e hoʻoulu ai ke hoʻopilikia i kou ʻano ola. Hana ʻia ia ke ʻānai mau ʻoe, ke hiki ʻole iā ʻoe ke hiamoe i ka pō, a ke paʻakikī iā ʻoe ke hana i ka hana, ʻeā?
Āhea mākou e ʻike ai i ke kauka?
Inā ua ʻike ʻia ʻoe me ka notalgia paresthetica e ke kauka, a ʻaʻole kōkua nā lāʻau lapaʻau āu i loaʻa ai iā ʻoe, a inā ʻike ʻoe i nā hopena ʻaoʻao mai nā lāʻau lapaʻau, e ʻike hou i ke kauka e kūkākūkā i nā koho lapaʻau ʻē aʻe.
ʻOiai ʻaʻole he maʻi olakino koʻikoʻi ka notalgia paresthetica, hiki i kona mau hōʻailona ke lilo i mea ʻoluʻolu ʻole a hoʻopilikia. Inā ke hoʻopilikia nei kēia ʻano i kou ola maikaʻi, he mea nui e kamaʻilio me ke kauka. Hiki iā ia ke kuhikuhi i kahi hoʻolālā lapaʻau kūpono iā ʻoe. Hiki ke lōʻihi ka manawa e loaʻa ai ka lāʻau kūpono iā ʻoe, akā pono ke hoʻāʻo.
Leka Hoʻihoʻi Hope Loa
ʻAe, eia kekahi mau mea e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:
- ʻO ka notalgia paraesthetica kahi ʻano i kū i ke kua a me nā poʻohiwi.ʻO ka maneʻo nui, ka wela, a i ʻole ka mae ʻana.
- He pilikia neurological kēia, ʻaʻole he maʻi ʻili. No laila, ʻaʻohe ʻōhū i ka wā mua.
- Hiki i ke kahakaha mau ʻana ke hoʻololi i ke kala o ka ʻili ma ia wahi.
- ʻOiai ʻaʻohe lāʻau lapaʻau piha no kēia, aia nā lāʻau lapaʻau e kaohi ai i nā hōʻailona.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai hilahila a manaʻo paha he pilikia ia, akā e ʻike i ke kauka no ka ʻōlelo aʻo. ʻAʻole pono ʻoe e noho me kēia ʻeha.
Manaʻolana wau he kōkua kēia ʻike iā ʻoe. Inā ua loaʻa iā ʻoe kahi ʻike like, mai poina e kamaʻilio me ke kauka e pili ana i ia mea.
ʻO Notalgia Paresthetica, ʻEneʻene kua, ʻEneʻene poʻohiwi, ʻEneʻene aʻalolo, ʻEleʻele ʻili, Mumura, Notalgia Paresthetica Sinhala
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