E noʻonoʻo, ua nalowale koke ka ʻike o kekahi āu i ʻike ai, malia paha he lālā o ka ʻohana, a ʻo ko lākou kino, ʻoiai ko lākou kua a me ka ʻāʻī, e kūlou i mua a i mua e like me ke kakaka. Inā ʻoe e moe ana ma kou kua ma kahi moe, e kūlou i luna ko lākou kua a hana i alahaka. ʻO ka mea e ʻike i kēia e makaʻu loa, ʻeā? He hiʻohiʻona weliweli loa ia. I ka lāʻau lapaʻau, kapa mākou i kēia ʻo 'opisthotonos'. ʻAʻole kēia he ʻūlū ʻiʻo wale nō, akā he hōʻailona paha ia o kahi pilikia olakino hohonu a koʻikoʻi.
He aha maoli ke ʻano o 'Opisthotonos'?
I ka ʻōlelo maʻalahi, ʻo ka opisthotonos kahi ʻūmiʻi ikaika loa o nā ʻiʻo o ka ʻāʻī a me ke kua. ʻAʻole kēia he mea hiki i ke kanaka ke kaohi . Ua like ia me kahi hana reflex. I kēia manawa, ʻike ʻole ka mea maʻi a i ʻole i loko o kahi coma.
Ke kūlou ke kino i hope e like me kēia, hāʻawi ia i kahi haʻalulu nui i ka poʻe e ʻike ana.
- Inā ʻoe e moe ana ma kou kua: E hāpai i kou umauma a me kou ʻōpū mai ka papahele a i ʻole ka moena.
- Inā ʻoe e moe ana ma kou ʻaoʻao: E kūlou kou kino i ke ʻano e like me ka mahina ʻoki.
ʻO ka mea nui, ʻaʻole kēia he mea maʻamau. ʻO ka Opisthotonos kahi hōʻailona ikaika ua hana ʻia kekahi mea koʻikoʻi loa i ka lolo a i ʻole ka ʻōnaehana nerve.
No ke aha lā kēia e hana nei? He aha nā kumu nui?
ʻAʻohe kumu hoʻokahi no kēia kūlana weliweli, akā hiki ke nui nā kumu. Hoʻopilikia pololei kēia mau kumu a pau i ka hana o ka lolo. E nānā kākou i nā ʻano kumu nui.
| Māhele o nā kumu | Nā Laʻana |
|---|---|
| Nā maʻi | Nā maʻi koʻikoʻi e hoʻopilikia i ka lolo. Nā laʻana: Tetanus, Meningitis, Encephalitis, Rabies. |
| Nā mea ʻawahia, nā mea make, a me nā lāʻau lapaʻau | ʻO kekahi mau lāʻau hoʻomāmā (e like me Propofol - kākaʻikahi loa), nā mea make e like me ka strychnine, kekahi mau lāʻau kahiko i hoʻohana ʻia no ka maʻi noʻonoʻo, nā lāʻau e like me PCP, a me ke kuʻi o kekahi mau nananana ʻawaʻawa a i ʻole nā moʻo huelo. |
| Ka pōʻino o ka lolo a i ʻole nā maʻi | Nā kūlana e like me ke kahe koko intracranial, cerebral hypoxia, nā ʻeha poʻo koʻikoʻi, nā hopu ʻana, nā ʻeha o ka lolo, hydrocephalus, a me ka maʻi o Parkinson. |
| Nā Kūlana Hoʻomohala a i ʻole Metabolic | Hiki ke hana ʻia kēia kūlana e kekahi mau maʻi genetic a me metabolic. Nā Laʻana: Cerebral Palsy, Kernicterus (hōʻino ʻia ka lolo i hoʻokumu ʻia e ka jaundice koʻikoʻi i nā pēpē hānau hou). |
He aha kāu e hana ai inā ʻike ʻoe i kēia?
Inā ʻike ʻoe i kekahi me nā opisthotonos, pono e manaʻo ʻia he pilikia olakino ia . Mai ho'āʻo e mālama i ke kūlana ma ka home. ʻO ka mea wale nō e hana ai, ʻo ia ke lawe i ka mea maʻi i ka Emergency Department (ETU) o ka haukapila i ka wā hikiwawe loa. He mea nui ka manawa ma ʻaneʻi.
He aha nā lāʻau lapaʻau no kēia?
He mea nui e hoʻomaopopo i kēia. ʻAʻole mālama nā kauka i ka wili ʻana o ke kino i kapa ʻia ʻo opisthotonos. Mālama lākou i ke kumu nui o ke kūlana.
Eia kekahi laʻana, inā he tetanus ke kumu, ʻo ka lāʻau lapaʻau no ka tetanus. Inā he kahe koko o ka lolo ke kumu, ʻo ia ka lāʻau lapaʻau no ia mea. No laila, hiki ke ʻokoʻa loa ke ʻano o ka lāʻau lapaʻau mai kēlā mea kēia mea maʻi a i kēia mea maʻi.
ʻOiai ʻo ka poʻe maʻi i kēia ʻano maʻi ua ʻike ʻole lākou i ka ʻike, ua waiho ʻia nā hoʻoholo lapaʻau i ka ʻohana. I kēlā kūlana, ʻo kāu kauka wale nō ke hiki ke wehewehe pono iā ʻoe i ka lāʻau lapaʻau maikaʻi loa no kāu mea aloha. E nīnau pono iā ia i nā mea āpau.
He aha kā mākou e hana ai e pale aku i kēia?
He nui nā mea e hoʻoulu ai i nā opisthotonos he mea hiki ʻole ke wānana ʻia a ma waho o kā mākou kaohi. Eia nō naʻe, aia kekahi mau mea hiki iā mākou ke hoʻāʻo e pale aku.
- E hoʻopili pono ʻia: Tetanus a me RabiesHe mau maʻi kēia e hiki ke pale ʻia e ka lāʻau pale. Inā kānalua ʻoe e pili ana i kāu mau kikoʻī lāʻau pale, ʻoiai inā ua nahu ʻia ʻoe e kahi holoholona a i ʻole he ʻeha hohonu kou, e ʻike koke i ke kauka no ka ʻōlelo aʻo.
- E pale i kou poʻo: E kau i ka mahiole i ka wā e holo ana i kahi paikikala a i ʻole ka mokokaikala. E kau i ke kāʻei noho i ka wā e holo ana i loko o ke kaʻa. Hiki i kēia mau hana palekana ke kōkua i ka hōʻemi ʻana i nā ʻeha poʻo a me ka hopena o ka pōʻino o ka lolo.
- E noho mamao aku mai nā lāʻau lapaʻau: Mai hoʻohana i kekahi lāʻau lapaʻau a lāʻau lapaʻau paha (ʻoi aku hoʻi ʻo PCP) me ke kauoha ʻole a ke kauka. Inā loaʻa iā ʻoe kekahi ʻeha ʻiʻo ʻē i ka wā e lawe ana i ka lāʻau lapaʻau i kauoha ʻia e ke kauka, e hoʻomaopopo koke i kāu kauka.
- E makaʻala i nā holoholona ʻawahia: E ʻaʻahu i nā mea pale e like me nā mīkina lima i ka wā e hana ana i loko o ka māla, e ʻohi ana i ka wahie, a i ʻole e hoʻomaʻemaʻe i nā wahi i loaʻa ai nā nananana a me nā moʻo. Inā ua nahu ʻia ʻoe e kahi holoholona ʻawahia a loaʻa nā hōʻailona ʻē, e hele koke i ka haukapila. Inā manaʻo ʻoe ua ʻai ʻoe i kahi mea ʻawahia, hiki iā ʻoe ke kelepona koke aku i ke Kikowaena ʻIke ʻAi ʻawahia Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻo.
Leka Lawe-Home
- He ʻūmiʻi ʻiʻo ka Opisthotonos e hoʻoulu ai i ke kino e kūlou i hope e like me ke kakaka. He maʻi laha ʻole kēia.
- ʻAʻole kēia he mea maʻamau a he hōʻailona paha ia o kahi maʻi koʻikoʻi loa e hoʻopilikia ana i ka lolo a i ʻole ka ʻōnaehana nerve.
- Inā ʻike ʻoe i kēia hōʻailona i loko o kekahi, e noʻonoʻo he pilikia olakino ia a lawe koke i ka mea maʻi i ka Emergency Treatment Unit (ETU) o ka haukapila.
- ʻAʻole no ke kūlou ʻana o ke kino ka lāʻau lapaʻau, akā , no ka maʻi kumu i hoʻokumu ai . No laila, ʻokoʻa ka lāʻau lapaʻau mai kēlā mea kēia mea maʻi a i kēia mea maʻi.
- ʻO ka hāʻawi ʻana i ka lāʻau lapaʻau wikiwiki a pololei hoʻi e kōkua nui i ka hoʻopakele ʻana i ke ola o ka mea maʻi a me ka hōʻemi ʻana i ka pōʻino i ka lolo.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka ʻeha lima? He pilikia maʻamau anei kēia?
He mea maʻamau ka ʻeha ʻana o nā ʻiʻo ma kou mau lima ma hope o ka hāpai ʻana i kahi mea kaumaha. Akā, ʻo ka 'ʻeha lima' i ka ʻepekema lapaʻau e pili ana i ka wela/mano ʻole a i ʻole ka ʻeha pana ʻoi/ʻoi e kū mai ana ma kou mau lima (mai ka ʻāʻī a i nā poʻohiwi, nā kuʻekuʻe lima a me nā manamana lima) no kekahi kumu. Hiki i kēia ke lilo i hōʻailona o kahi ʻeha i nā ʻiʻo ma kou mau lima, a me kahi hōʻailona hoʻomaopopo o kahi 'pilikia e hoʻoweliweli ana i ke ola' i loko o ke kino (puʻuwai/lolo)!
💬 He aha nā kumu nui e ʻeha koke ai ka lima i aʻo maikaʻi ʻia e like me kēia (ʻEha Lima)?
ʻO nā kumu nui o ka ʻeha o ka lima: 1) Cervical Radiculopathy - Ma kēia, ua like ka lima me he mea lā e hoʻouna ʻia ana kahi au uila mai ka ʻāʻī a i lalo o ka lima. 2) Carpal Tunnel Syndrome - Ua ʻomi ʻia nā aʻalolo kokoke i ka pulima a ua mae nā manamana lima. 3) He haehae ʻiʻo/cartilage. Akā ʻo ke kumu weliweli loa, ʻo ia ka wā ʻaʻole lawa ke koko o ka puʻuwai/loaʻa i ka hōʻeha puʻuwai (Angina / Myocardial Infarction), pālahalaha ka ʻeha i lalo o ka 'lima hema'!
💬 Ke hōʻeha ʻoe i kou lima, he aha nā 'kūlana make/pilikia' e pono ai ʻoe e hele koke i ka haukapila me ka ʻole o ka hoʻopili ʻana i ka balm/lomilomi ma ka home?
No kahi ʻeha maʻamau, hiki iā ʻoe ke kau i ka hau/wai wela a hoʻomaha. Akā ʻo ka pōʻino nui loa! 1) Inā hele mai ka ʻeha ma ka lima (ʻoi aku ka lima hema) me ka 'ʻeha umauma a me ka pōkole o ka hanu', he hōʻeha puʻuwai maoli nō ia! 2) Inā lilo koke ka lima i 'mano loa/kaumaha' a hāʻule ka maka i kekahi ʻaoʻao me ka ʻole o ka ʻeha (Sudden unilateral weakness), he kīʻaha koko ia i loko o ka lolo i pohā/pale a ke kumu nei i ka hahau ʻana, pono ʻoe e lawe koke ʻia i ka haukapila!
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo