I nā manawa like ʻole o ko kākou ola, ʻike kākou i ka ʻeha no nā kumu like ʻole. Hiki paha ma muli o kahi ʻeha liʻiliʻi, a i ʻole he ʻeha ma hope o ke ʻoki ʻana. Akā, noho mau kekahi mau ʻeha me kākou no nā mahina a i ʻole nā makahiki. ʻO ka mea nāna i ʻike wale nō ka mea ʻike i ka paʻakikī o ke ola ʻana me kēia ʻeha. ʻAʻole ia he mea i ʻike ʻia mai waho mai, no laila i kekahi manawa he paʻakikī i nā poʻe ʻē aʻe ke hoʻomaopopo iā ia. Akā, ʻaʻole pono ʻoe e ʻeha i ka ʻeha. No laila, i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o ka hoʻomalu ʻana i kēia ʻeha a ola i kahi ola hauʻoli.
I ka ʻōlelo maʻalahi, he aha ka Pain Management?
ʻO ka hoʻokele ʻeha kahi hoʻolālā e hoʻohui i nā ʻano lāʻau like ʻole e kōkua i ka kaohi ʻana i kou ʻeha. Hiki i kēia ke komo pū me nā lāʻau lapaʻau, nā kaʻina hana lapaʻau, ka hoʻoikaika kino, a me nā ʻano lapaʻau like ʻole . I ka ʻōlelo maʻalahi, he hoʻolālā lapaʻau piha ia e ʻoi aku ma mua o kahi pila ʻeha.
ʻElua ʻano nui o ka ʻeha:
- ʻEha koʻikoʻi: He manawa pōkole kēia. Nalo kēia ʻeha ma hope o kahi manawa pōkole, e like me ma hope o kahi ʻeha a ʻoki kino paha.
- ʻEha mau loa: ʻO kēia ka mea ʻino loa. ʻEha e mau ana no nā mahina, i kekahi manawa he mau makahiki. He hopena koʻikoʻi kona i kou ola.
He mea paʻakikī loa ka ʻeha. No ke kumu hoʻokahi, ʻokoʻa loa ka ʻeha a kekahi kanaka e ʻike ai mai ka ʻeha a kekahi. Eia kekahi, nui ka poʻe e ʻeha nei i ka ʻeha ma muli o nā kūlana i ʻike ʻole ʻia ma waho. No laila, mai manaʻo ʻaʻole manaʻoʻiʻo kekahi poʻe i kou ʻeha. He kūlana ka ʻeha e pono ai ke kōkua lapaʻau.
ʻAʻole ka pahuhopu nui o ka hoʻokele ʻeha ka hoʻopau loa ʻana i ka ʻeha. ʻAʻole paha e hiki kēlā. Akā ʻo ka mea nui loa, ʻo ia ka hoʻēmi ʻana i ka ʻeha a hoʻomaikaʻi i kou ʻano ola . ʻO ia hoʻi, ʻo ia ka lawe ʻana iā ʻoe i kahi e hiki ai iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā, hana i nā mea āu e hauʻoli ai, a hele i ka hana/kula.
ʻO wai ka mea e pono ai kēia hoʻokele ʻeha?
Hiki i kekahi mea me ka ʻeha pōkole a lōʻihi paha ke pōmaikaʻi mai kahi hoʻolālā hoʻokele ʻeha. He mea nui loa kēia no ka ʻeha i hoʻokumu ʻia e nā kūlana ma lalo nei:
| Māhele maʻi | Nā Laʻana |
|---|---|
| Nā pilikia o ka iwi, nā hono, a me nā ʻiʻo | ʻO ka rumatika, nā ʻeha o nā hono a me nā ʻiʻo, ka ʻeha hope |
| Nā kūlana autoimmune | Lupus, Fibromyalgia, maʻi a Crohn |
| ʻEha neuropathic | ʻO ka Neuropathy Peripheral, ka hoʻopili ʻana o ke aʻalolo, ka Neuralgia Trigeminal |
| Nā kūlana maʻamau ʻē aʻe | Ka maʻi ʻaʻai, Endometriosis, Migraine, Nā kuni, Nā maʻi kahe koko |
ʻO wai mākou e ʻike ai no ka mālama ʻana i ka ʻeha?
Inā ʻaʻole ʻoe i ʻike i ke kumu o kou ʻeha, e ʻike mua i kāu mea mālama mua . Hiki iā ia ke hana i kahi loiloi mua a, inā pono, e kuhikuhi iā ʻoe i kahi hui o nā loea hoʻokele ʻeha.
No ka ʻeha lōʻihi a ʻeha nui paha, pono paha ʻoe i ke kōkua o kahi hui o nā loea. Hiki i kēia hui ke komo pū me:
- Nā kauka loea i ka hoʻokele ʻeha
- Nā kauka hoʻomaʻamaʻa ʻeha
- Nā loea e pili ana i nā kūlana olakino ʻē aʻe āu e loaʻa ai (e.g. Oncologist, Neurologist)
- Nā kahu maʻi
- Nā kauka noʻonoʻo a me nā kākā'ōlelo
- Nā Luna Hoʻōla Kino a me nā Luna Hoʻōla Hana
- Nā limahana kaiaulu
Hiki i kēia hui ke paipai i nā hoʻokolohua like ʻole e hoʻoholo ai i ke kumu pololei o kou ʻeha. Eia kekahi laʻana:
- He hoʻokolokolo kino
- Nā hoʻāʻo koko a me ka mimi
- Nā hoʻokolohua kiʻi e like me MRI (Magnetic Resonance Imaging) a i ʻole CT scan
- Nā haʻawina hoʻoili aʻalolo (EMG)
He aha nā ʻano like ʻole e kāohi ai i ka ʻeha?
ʻO ka mea e pono ai no kekahi kanaka, ʻaʻole paha e pono no kekahi, no laila e hoʻohui nā kauka i nā ʻano lāʻau like ʻole e hana i kahi hoʻolālā e pono ai nāu.
Nā lāʻau lapaʻau hiki iā ʻoe ke hana ma ka home
No ka ʻeha i hoʻokumu ʻia e nā ʻeha o nā ʻiʻo a me nā ʻiʻo palupalu, hiki i ke ʻano RICE (hoʻomaha, hau, kaomi, a me ke kiʻekiʻe ʻana) a me nā noi wela/anu ke kōkua. Eia kekahi, ʻo ka mālama ʻana i ke kaumaha olakino, ka ʻai ʻana i ka meaʻai momona, ka inu ʻana i ka nui o nā wai, ka hiamoe lawa, a me ka mālama ʻana i ke kaumaha hiki ke kōkua i ka hōʻemi ʻana i ka ʻeha.
Hiki i nā hoʻoikaika kino e like me ka hele wāwae a me ka ʻauʻau ʻana ke kōkua i ka hōʻemi ʻana i ka ʻeha. Eia nō naʻe, he mea nui e kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i kekahi papahana hoʻoikaika kino.
Nā lāʻau lapaʻau
- Hoʻōla Kino: Kōkua i ka hōʻemi ʻana i ka ʻeha ma ka hoʻomaikaʻi ʻana i ka neʻe ʻana o ke kino a me ka hana.
- ʻO ka Lapaʻau Hana: Ke aʻo aku nei iā ʻoe pehea e hana ai i kāu mau hana o kēlā me kēia lā (e like me ke kāhiko ʻana, ka kuke ʻana) ma ke ʻano e hōʻemi ai i ka ʻeha.
- Psychotherapy: Hiki ke loaʻa ke kaumaha a me ka hopohopo me ka ʻeha mau. ʻO ka Psychotherapy, ʻoiai ka cognitive behavioral therapy (CBT), hiki ke kōkua iā ʻoe e hoʻololi i kou manaʻo e pili ana i ka ʻeha a kūkulu i ke kūpaʻa e kū ai i ia mea.
Nā kaʻina hana lapaʻau a me nā lāʻau lapaʻau
Hoʻomaka mua nā kauka me nā lāʻau lapaʻau maʻalahi a neʻe wale i nā ʻano hana paʻakikī inā ʻaʻole holomua.
| ʻAno lapaʻau | Ka wehewehe a me nā laʻana |
|---|---|
| Lāʻau lapaʻau hoʻohui | Lomilomi, acupuncture, yoga, noʻonoʻo. Pono e hana ʻia kēia mau mea ma lalo o ke aʻo ʻana a ke kauka. |
| Nā Kaʻina Hana Lapaʻau | Nā ʻano hoʻoulu uila (e like me TENS), nā ālai aʻalolo, nā inikini steroid, ka ablation radiofrequency, ke ʻoki kino. |
| Nā lāʻau lapaʻau | Nā NSAID (e.g., Ibuprofen), acetaminophen/paracetamol, nā mea hoʻomaha ʻiʻo, a i kekahi manawa nā opioids. Pono e lawe ʻia nā lāʻau lapaʻau āpau ma ke ʻōlelo aʻoaʻo a ke kauka. |
He mea nui: Loaʻa i nā lāʻau ʻeha opioid kahi pilikia kiʻekiʻe o ka maʻi ʻona . Eia kekahi, ʻo ka lawe ʻana i ka nui o ka acetaminophen (Paracetamol) me ka ʻole o ke aʻo lapaʻau hiki ke hōʻeha nui i ke akepaʻa . No laila, mai hoʻomau i ka hoʻohana ʻana i nā lāʻau ʻeha me ka ʻole o ke aʻo ʻana a ke kauka.
He aha nā manawa kūpono loa e ʻike ai i ke kauka?
E ʻike pono i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:
- Inā ʻaʻole hiki iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā a i ʻole nā leʻaleʻa ma muli o ka ʻeha.
- Inā ʻaʻole e emi ka ʻeha ma hope o ka mālama ʻana, hoʻonui ʻia, a hoʻi hou mai paha.
- Inā ʻoe e manaʻo nei i ke kaumaha, ka hopohopo, a i ʻole ke kaumaha ma muli o ka ʻeha.
- Inā ʻaʻole hiki iā ʻoe ke hiamoe maikaʻi i ka pō ma muli o ka ʻeha.
Hiki ke paʻakikī ke noho me ka ʻeha. Akā, ʻaʻole pono ʻoe e ʻeha hoʻokahi. Me ka hoʻolālā hoʻokele ʻeha kūpono, hiki iā ʻoe ke kāohi i kou ʻeha a hauʻoli hou i ke ola.
Leka Lawe-Home
- He mea paʻakikī ka ʻeha, a ʻaʻole i kaupalena ʻia kona mālama ʻana i kahi lāʻau hoʻopau ʻeha wale nō.
- ʻO ka pahuhopu nui o ka hoʻokele ʻeha, ʻo ia ka hoʻēmi ʻana i ka ʻeha a hoʻomaikaʻi i kou ola.
- E kamaʻilio mua me kāu kauka ʻohana e pili ana i kou ʻeha.
- Hiki ke hoʻokō ʻia nā hopena maikaʻi loa ma o ka hoʻohui ʻana i nā ʻano lapaʻau like ʻole, e like me nā lāʻau lapaʻau, ka hoʻoikaika kino, nā ʻano hoʻōla, a me nā loli o ke ʻano o ka nohona.
- Ma mua o ka hoʻomaka ʻana i kekahi lāʻau lapaʻau, e kamaʻilio ākea me kāu kauka e pili ana i nā pono a me nā pilikia. Mai makaʻu e nīnau i nā nīnau.
- Mai ʻeha wale i ka ʻeha. Aia nā poʻe akamai e hiki ke kōkua iā ʻoe.
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