Hiki iā ʻoe ke noʻonoʻo i ka ʻeha ma kahi ʻāpana o kou kino i nalowale? Ua like ia me ka wehe ʻia ʻana o kou lima a wāwae paha ma ke ʻoki ʻana a me ka ʻeha, ka mae ʻana, a i ʻole ke kuni ʻana i ka lima a wāwae paha i nalowale. He mea paʻakikī ke noʻonoʻo, a he mea ʻē paha ia, akā he ʻano maoli ia, i wehewehe ʻia e ke kauka. Kāhea mākou iā ia he "Phantom Limb Pain." ʻAʻole kēia he mea āu e noʻonoʻo nei, he ʻeha maoli 100%. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia ʻeha ʻē, akā maʻamau loa.
He aha nā manaʻo like ʻole e puka mai ana mai ka huaʻōlelo "Phantom"?
Ma hope o ka wehe ʻia ʻana o kahi lālā, e like me ka lima, ka wāwae, a i ʻole ka manamana lima, hiki iā ʻoe ke manaʻo i nā ʻano manaʻo like ʻole e pili ana i ka ʻāpana i nalowale. ʻAʻole ʻeha kēia mau manaʻo a pau. E nānā koke kākou i ke ʻano o kēia mau manaʻo.
| He aha ka manaʻo (ʻano) | I ka ʻōlelo maʻalahi, ʻo ia hoʻi |
|---|---|
| ʻEha Phantom | Ke ʻeha nei ma ka lima, ka wāwae, a i ʻole kekahi ʻāpana i wehe ʻia e ke ʻoki ʻana. |
| Nā Manaʻo Phantom | Manaʻo e like me ka mea e nalowale ana ka ʻāpana o ke kino. ʻAʻohe ʻeha, akā aia paha nā manaʻo e like me ka manaʻo o ka hoʻopā ʻia ʻana, ka maneʻo, a i ʻole ka mehana. Hiki i kekahi poʻe ke poina ua nalowale ko lākou wāwae a hele a puni. |
| ʻO ka maʻi ʻeha Phantom | Ma kēia, ua ʻike pū ʻia ka ʻeha a me nā manaʻo ʻē aʻe (e like me ka maneʻo a me ke kaomi). |
| ʻEha Koena o nā Lālā | He ʻokoʻa kēia mai ka Phantom Pain. Ma kēia, ʻaʻole ʻike ʻia ka ʻeha ma ka ʻāpana i nalowale, akā ma ka ʻāpana o ke kino i koe ma hope o ke ʻoki ʻana (ka ʻūhā). Hiki i kēia ke loaʻa kahi kumu lapaʻau, e like me ka maʻi a i ʻole ka hōʻino ʻana o ke aʻalolo. |
ʻO ka mea nui loa, ʻo ia ke ʻae ʻana he ʻoiaʻiʻo ka ʻeha āu e manaʻo nei. He kūlana maʻamau loa kēia. ʻOi aku ma mua o ka hapalua o ka poʻe i nalowale kahi lālā e ʻike i kēia kūlana.
Pehea lā ke ʻano maoli o kēia ʻeha?
ʻOkoʻa kēia ʻeha mai kēlā kanaka a kēia kanaka. No kekahi poʻe, hele mai a hele aku i loko o kekona, a no kekahi poʻe, hiki ke mau no nā hola a i ʻole nā lā. Eia kekahi mau hōʻailona maʻamau:
- ʻEhaʻeha
- E like me ke ahi ʻana (Ke ahi ʻana)
- Ke kuʻi ʻana
- ʻUʻumi
- Me he mea lā ke paʻa nei kekahi iā ʻoe (Pinching)
- ʻĀnai
- Ke kuʻi nei
Ma waho aʻe o kēia ʻeha, hiki iā ʻoe ke manaʻo i kēia mau mea:
- Me he mea lā e pili mau ana ka lima/wāwae i nalowale i ke kino.
- Me he mea lā ua pelu ʻia ma ke ʻano ʻē.
- Me he mea lā e luliluli ana i mua a i mua.
- Me he mea lā e emi iki ana.
Hoʻomaka ka hapa nui o ka poʻe e ʻike i kēia ʻeha i loko o nā mahina 6 mua ma hope o ke ʻoki ʻana. Hoʻemi ka ikaika a me ka pinepine o ka ʻeha i ka hala ʻana o ka manawa. Eia nō naʻe, hiki i kekahi poʻe ke ʻike i kekahi pae o ka ʻeha i ʻelua mau makahiki ma hope.
No ke aha e loaʻa ai kēia ʻano ʻeha?
ʻOiai ʻaʻole ʻike ʻia ke kumu kikoʻī o kēia 100%, ʻo ke kumumanaʻo nui he "maʻi kamaʻilio" ia e kū nei i loko o kā mākou ʻōnaehana nerve a me ka lolo.
I ka ʻōlelo maʻalahi:
Ke hoʻomau nei nā aʻalolo i kēlā me kēia ʻāpana o ko kākou kino i ka hoʻouna ʻana i nā hōʻailona i ka lolo a me ke kaula kuamoʻo. ʻOiai ma hope o ka ʻoki ʻia ʻana o ka lima a i ʻole ka wāwae, ua nalowale nā aʻalolo ma ia ʻāpana, akā aia nō nā ala aʻalolo i hoʻopili iā ia ma ke kino. Manaʻo nō ka lolo aia ka ʻāpana i wehe ʻia ma laila.
He ʻeha nui ke ʻoki kino. He manawa ka lōʻihi no ka lolo e hoʻomaʻamaʻa ai i kēia loli. I loko o kēia manawa, hoʻomaka nā hopena aʻalolo i koe e hoʻouna i nā hōʻailona hewa i ka lolo. Kuhi hewa ka lolo i kēia mau hōʻailona e hiki mai ana he "ʻeha." Ua like ia me ke kani ʻana mai kahi laina kelepona i haki. ʻO ia ke kumu e manaʻo ai ʻoe i ka ʻeha ma kahi ʻaʻole ia.
No laila he aha nā kumu o ke koena o ka ʻeha o nā lālā?
ʻAʻole kēia he ʻeha Phantom. Hiki i kēia ʻeha ke loaʻa nā kumu kino maoli.
- ʻEha
- Nā maʻi iwi (Osteomyelitis)
- Ka pehu ʻana o kahi hopena aʻalolo i koe (Neuroma)
- ʻAʻole lawa ka lako koko
- Kaomi i hoʻokumu ʻia e kahi hāmeʻa prosthetic i hoʻokomo pono ʻole ʻia
- Nā maʻi ʻili a ʻeha paha
- Nā ʻeha kaomi
Pehea ʻoe e ʻike ai i kēia, e Kauka?
E hoʻolohe pono kāu kauka i kāu mea e ʻōlelo ai. E nīnau lākou iā ʻoe i nā nīnau e like me ke ʻano o ka ʻeha a me ka lōʻihi o kona noho ʻana ma laila. A laila e nānā lākou i ke kumu.
- Aia kekahi mau ʻeha hāmama?
- Aia kekahi mau hōʻailona o ka maʻi (ʻulaʻula, pehu)?
Pono paha ʻoe e hana i kahi hoʻāʻo koko a i ʻole kahi hoʻāʻo kiʻi e like me ka X-ray e ʻike ai inā he mau kumu ʻē aʻe.
Hiki i kēia kūlana ke hoʻoulu i kekahi poʻe e loaʻa i ke kaumaha noʻonoʻo, ka hopohopo, a i ʻole ke kaumaha, no laila e kuhikuhi paha kāu kauka iā ʻoe no ke aʻo ʻana i ka noʻonoʻo. Hiki ke hoʻonui ʻia kēia ʻeha e ke kaumaha.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka mea pōmaikaʻi, he nui nā lāʻau lapaʻau kūpono no kēia ʻeha. Hiki i kāu kauka ke kōkua iā ʻoe e ʻike i ka lāʻau lapaʻau e kūpono loa iā ʻoe. Pono paha ʻoe e hoʻohana i nā lāʻau lapaʻau he nui.
Hoʻōla Aniani
He ʻano lapaʻau kupaianaha a kūpono hoʻi kēia. "Hoʻopunipuni" ia i kou lolo.
E noʻonoʻo ua wehe ʻia kou wāwae hema. Ke noho ʻoe i lalo, aia ke aniani ma waena o kou mau wāwae. Ke nānā ʻoe i ke aniani, ʻike ʻoe i ke aka o kou wāwae ʻākau. ʻO ia hoʻi, ma kahi o ka wāwae hema i nalowale, ʻike ʻoe i kahi wāwae olakino.
I kēia manawa, ke hoʻoikaika kino ʻoe a hoʻoneʻe i kou wāwae ʻākau e like me ke kuhikuhi a kāu kauka, a nānā i ke aka i loko o ke aniani, hoʻouna kou lolo i kahi hōʻailona e ʻōlelo ana, "ʻĀ ... ua olakino a neʻe koʻu mau wāwae ʻelua." Ke hoʻomau ʻoe i ka hana ʻana i kēia no kahi o 20 mau minuke i ka lā, e hoʻi mālie nā hōʻailona huikau o ka lolo i ka maʻamau a emi iho ka ʻeha.
Nā ʻano lāʻau lapaʻau i hoʻohana ʻia
Hoʻohana ʻia nā ʻano lāʻau like ʻole ma muli o ke ʻano o ka ʻeha.
| Māhele lāʻau lapaʻau | Nā Laʻana |
|---|---|
| Nā mea hoʻomaha ʻeha maʻamau | Nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) |
| Nā lāʻau hoʻēmi kaumaha | Kōkua kēia i ka kaohi ʻana i nā hōʻailona aʻalolo. |
| Nā lāʻau lapaʻau antiseizure | ʻO Gabapentin, Pregabalin (he mea kūpono loa kēia no ka ʻeha o ke aʻalolo) |
| Nā mea pale beta | ʻO ka propranolol |
| Nā lāʻau hoʻomaʻemaʻe kūloko | Lidocaine, Bupivacaine (hiki ke hana ʻia ma ke ʻano he inikini) |
Nā lāʻau lapaʻau ʻē aʻe
- Hoʻoulu ʻana o ke aʻalolo uila transcutaneous (TENS): He ʻano hana e ālai ai i nā hōʻailona ʻeha ma ka hāʻawi ʻana i nā impulses uila liʻiliʻi ma o ka ʻili.
- Hoʻoulu ʻana o ke kaula kuamoʻo: Ke kāohi nei i nā hōʻailona ʻeha ma ke kau ʻana i kahi mea hoʻoulu i loko o ke kaula kuamoʻo.
- ʻAkipu: ʻakipu.
- Lomilomi: Lomilomi mālie i ke koena.
- ʻO ka lāʻau lapaʻau noʻonoʻo (CBT): He ʻano psychotherapy e aʻo iā ʻoe pehea e noʻonoʻo ai i ka ʻeha.
I kēlā me kēia manawa āu e makemake ai e ʻike i ke kauka
ʻOiai he mea maʻamau kēia ʻeha, i kekahi manawa he mea nui e ʻimi i ke kōkua lapaʻau.
| I ka manawa e like me kēia, pono ʻoe e ʻike i kāu kauka. | |
|---|---|
| Inā nui loa ka ʻeha e hiki ʻole ke hoʻomanawanui. | |
| Inā ʻaʻole hiki iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā ma muli o ka ʻeha, a inā ʻaʻole hiki iā ʻoe ke hiamoe pono. | |
| Inā loaʻa i ka ʻāpana i koe (kuʻi) nā hōʻailona o ka maʻi e like me ke kuni, ka ʻulaʻula, ka pehu, a me ka pus. | |
Ke loaʻa iā ʻoe kēia ʻeha, e manaʻo paha ʻoe ua mehameha loa a hilahila hoʻi. Manaʻo paha ʻoe, "E manaʻo paha ka poʻe he pupule wau inā haʻi aku wau iā lākou ua ʻeha koʻu lima." Akā, mai noʻonoʻo ʻoe pēlā. He maʻi maʻamau maoli kēia. E kamaʻilio me kāu kauka e pili ana i ia mea me ka ʻike ʻole ʻia. E maʻalahi iā lākou ke kōkua iā ʻoe.
Leka Lawe-Home
- ʻAʻole ʻo Phantom Limb Pain kahi mea āu e noʻonoʻo ai. He ʻeha maoli nō ia.
- ʻO kēia ke kumu o kahi maʻi kamaʻilio ma ka lolo a me ka ʻōnaehana nerve.
- He nui nā poʻe i ʻoki ʻia ko lākou mau ʻūhā e kū nei i kēia kūlana. ʻAʻole ʻoe hoʻokahi.
- Nui nā lāʻau lapaʻau kūpono e kāohi ai i kēia ʻeha, mai nā lāʻau lapaʻau maʻalahi e like me ka mirror therapy a i nā lāʻau lapaʻau.
- Mai hilahila a hūnā paha i kēia ʻeha. E kamaʻilio ākea me kāu kauka e pili ana i ia mea.
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