Ke pilikia nei ʻoe i ka hana ʻana i kāu mau hana o kēlā me kēia lā? Pehea e hiki ai i kahi Physiatrist ke kōkua? (Physiatrist / Physical Medicine and Rehabilitation)

Ua lohe paha ʻoe i kahi `Physiatrist`? Malia paha he mea hou kēia inoa iā ʻoe. Akā, i kekahi mau manawa paʻakikī o ko kākou ola, i ka wā e maʻi loa ai kākou a kīnā paha a hiki ʻole iā kākou ke hana pono i kā kākou mau hana o kēlā me kēia lā, he kōkua nui kēia mau kauka i kapa ʻia ʻo `Physiatrist` iā kākou. I ka ʻōlelo maʻalahi, aia kēia mau loea e kōkua iā ʻoe e hoʻokele i nā maʻi a me nā ʻeha e pale ai iā ʻoe mai ka hana ʻana, ka mālama ʻana i kou ʻohana, a i ʻole ka hana ʻana i nā mea āu e aloha ai.

ʻO wai kēia Physiatrist? He aha kēia kahua lapaʻau i kapa ʻia ʻo Physiatry?

ʻAe, e ʻike mua kākou i kēia 'Physiatrist'. ʻO ka 'Physiatrist' he kauka loea i ka Lapaʻau Kino a me ka Hoʻōla Hou ʻana (PM&R) . ʻAe, ua kapa ʻia hoʻi kēia he kauka 'PM&R', a i ʻole he 'Kauka Hoʻōla Hou'. Ke nānā nui nei kēia poʻe i ke kōkua ʻana iā ʻoe e lanakila i nā pilikia āu e loaʻa ai i ka hoʻokō ʻana i kou ola o kēlā me kēia lā ma muli o nā maʻi a me nā maʻi e hoʻopilikia ana i kāu ʻōnaehana iwi a i ʻole ka ʻōnaehana nerve.

E noʻonoʻo, ua loaʻa paha iā ʻoe ka ʻeha hope a i ʻole ka ʻeha kuli no nā makahiki. A i ʻole ua loaʻa paha ʻoe i kahi ulia kaʻa, a ua hōʻeha paha ʻoe i kahi lima a i ʻole ka wāwae i ka wā e pāʻani ana i nā haʻuki, a ua nui loa kou ʻeha a ʻaʻole hiki iā ʻoe ke ala aʻe mai kahi moe, e kāhili i kou lauoho, a i ʻole e noho mālie. ʻO ia ka manawa e hiki ai i kahi 'Physiatrist' ke kōkua iā ʻoe.

ʻO ka mea nui loa, hoʻāʻo kēia mau kauka e hoʻokele i kāu mau hōʻailona me nā koho ʻoki ʻole, me ka ʻole o ke komo ʻana i ke ʻoki ʻana, a e hoʻihoʻi iā ʻoe i kahi mokuʻāina kahi e hiki ai iā ʻoe ke hana maikaʻi a kūʻokoʻa hoʻi.

ʻO ke kahua o ka lāʻau lapaʻau i kapa ʻia ʻo 'Physiatry' e pili ana i ka pale ʻana, ka ʻike ʻana, a me ka mālama ʻana i nā maʻi e hoʻopilikia i kāu hana o kēlā me kēia lā a hiki i kekahi manawa ke alakaʻi i ke kīnā.

He aha ka hana a ke kauka kino?

E nānā pono kākou pehea e pili ai ke kauka physiotherapy i kou ola.

• ʻIke a me ka lāʻau lapaʻau: Hoʻomaopopo a mālama kēia poʻe i nā kūlana e hoʻopilikia ai i kou hiki ke neʻe, hana i nā hana o kēlā me kēia lā, a launa pū me ke kaiāulu. No ka laʻana, pili kēia i ka paʻakikī e hana i nā "Hana o ke Ola o kēlā me kēia lā (ADLs)" e like me ka hele wāwae, ka ʻai ʻana, ke kamaʻilio ʻana, ka ʻauʻau ʻana, a me ke kapa ʻana.
• Ke hana nei ma ke ʻano he hui: ʻAʻole hana hoʻokahi kahi physiatrist. Hana pū lākou me kāu kauka ʻohana (Primary Care Provider) a me nā loea ʻē aʻe e hoʻonohonoho i kāu mālama ʻana ma ke ʻano he hui.
• Lapaʻau no nā makahiki āpau: Hiki i nā kānaka o nā makahiki āpau, mai nā pēpē a i ka poʻe ʻelemakule, ke loaʻa ka lāʻau lapaʻau mai kahi Physiatrist.
• Mālama lōʻihi:Pono paha ʻoe e hana pū me kahi kauka physiotherapist no ka manawa lōʻihi, ʻoiai inā he maʻi mau kou a i ʻole kekahi o kou ʻohana. E hāʻawi lākou iā ʻoe i ke kākoʻo mau.

He aha nā kūlana e mālama ai ke kauka physiotherapy?

Hoʻōla ke kauka lapaʻau i nā ʻano maʻi like ʻole. E nānā kākou i nā mea nui.

Nā kūlana e pili ana i nā mākua

I nā pākeke, hiki i kahi physiatrist ke kōkua me nā kūlana e like me:

• Nā loli me ka makahiki (e.g. emi ka nui o ka iwi)
• Ka maʻi ʻaʻai a me nā hopena ʻaoʻao o ka lāʻau lapaʻau
• Ka Maʻi Puʻuwai Pale Mau Loa (COPD)
• ʻEha mau loa
• Nā pilikia puʻuwai e pono ai ka hoʻoponopono hou ʻana
• Nā ʻeha like ʻole
• nā maʻi hui (e.g., arthritis, bursitis)
• ka maʻi o Parkinson
• Nā maʻi o ka ʻōnaehana nerve (e.g. Multiple Sclerosis (MS), Amyotrophic Lateral Sclerosis (ALS))
• ʻEha o ke kaula kuamoʻo
• Hahau

He mau laʻana wale nō kēia. Eia kekahi, mālama nā kauka physiatrist i nā maʻi lōʻihi ʻē aʻe he nui.

Nā kūlana e pili ana i nā keiki

I nā keiki, mālama pinepine ka physiatrist i nā kūlana e like me:

• ʻO ka myelitis palupalu koʻikoʻi
• ʻO ka Syndrome ʻeha Musculoskeletal Amplified (AMPS)
• ʻEha ka plexus brachial
• Ka maʻi lolo
• ʻO ka Syndrome ʻEha ʻĀpana Paʻakikī
• ʻO ka maʻi ʻo Ehlers-Danlos
• ʻO ka Dystrophy Muscular
• Ka hahau ʻana o nā keiki
• Ke kūlou ʻana o ke kuamoʻo (scoliosis)
• Spine Bifida
• Torticollis (ʻĀʻī ʻāʻī)
• ʻEha ʻeha o ka lolo (TBI)

Pehea e hana ai ke kauka physiotherapist i kahi hōʻailona?

Ke hele ʻoe e ʻike i kahi physiatrist, e hahai ʻo ia i kekahi mau ʻanuʻu e ʻike pololei i kou kūlana.

• Hoʻokolokolo kino: ʻO ka mea mua, e hāʻawi ʻia ʻoe i kahi hoʻokolokolo kino piha. Hiki ke hāʻawi ʻia iā ʻoe kahi hoʻokolokolo neurological.
• Moʻolelo lapaʻau a me nā hōʻailona: E nīnau ʻia ʻoe e pili ana i kou mau maʻi i hala a me nā hōʻailona o kēia manawa.
• Nā hoʻokolohua kūikawā: Inā pono, hiki ke hana ʻia nā hoʻokolohua e like me kēia:
• Nā hoʻāʻo koko
• Electromyography (EMG) (e nānā i ka hana ʻiʻo)
• ʻO ke kiʻi MRI `(Magnetic Resonance Imaging - MRI)`
• Ke aʻo ʻana i ke alakaʻi ʻana o ke aʻalolo (e nānā i ka hana aʻalolo)
• Nā kukuna X

E wehewehe ke kauka i kēia mau hoʻokolohua a pau iā ʻoe, a e kamaʻilio pū me ʻoe e pili ana iā lākou ma hope o ka loaʻa ʻana o nā hopena.

ʻO ka mea nui loa, ʻike ke kauka physiatrist iā ʻoe ma ke ʻano he kanaka holoʻokoʻa. ʻO ia hoʻi, ʻaʻole ʻo ia e noʻonoʻo wale i kou kino, akā pehea hoʻi ka hopena o ke kūlana i kou noʻonoʻo a me kou ʻuhane. I ka hana ʻana i kahi hōʻailona, ​​​​noʻonoʻo pū ʻo ia i nā nīnau e like me:

• Pehea ka hopena o kēia kūlana i kou ola?
• He aha ke ʻano o nā neʻe ʻana a i ʻole nā ​​​​hana i paʻakikī loa?
• He aha kāu mea hiki ʻole ke hana ma muli o kēia kūlana?
• He aha kāu makemake e hana ai?
• Pehea ka hopena o kēia kūlana i kou olakino noʻonoʻo?

Ma ka hoʻohana ʻana i kēia ʻike āpau, e hoʻoholo ke kauka physiotherapy i ka hoʻolālā lapaʻau kūpono loa iā ʻoe.

He aha nā lāʻau lapaʻau a ke kauka physiotherapy e hāʻawi ai?

ʻO nā kauka physiatrist nā koho lapaʻau maʻamau ʻole. ʻO ka pahuhopu o kēia mau lāʻau lapaʻau, ʻo ia ke kāohi i nā hōʻailona a kōkua i ke kino e ho'ōla iā ia iho. No ka mea, ʻaʻole hiki ke ho'ōla piha ʻia nā maʻi he nui, hana ka physiatrist e kōkua iā ʻoe e hana kūʻokoʻa e like me ka hiki, me ka hilinaʻi iki ʻana i nā poʻe ʻē aʻe. Hoʻoponopono nui kēia mau lāʻau lapaʻau i nā hōʻailona e like me ka ʻeha, ka nāwaliwali o nā ʻiʻo, ka paʻakikī o nā ʻiʻo (spasticity), a me nā manaʻo ʻē (e like me ka numbness - paresthesia).

Eia kekahi mau laʻana:

Nā ʻano inikini

• Nā inikini kiko hoʻonāukiuki (no nā ʻeha ʻeha o nā ʻiʻo)
• Nā inikini e hōʻoluʻolu i ka ʻeha hui
• Nā inikini steroid epidural (ESIs) (no ka ʻeha hope)
• Nā inikini toxin botulinum (e.g. no nā ʻūmiʻi ʻiʻo)

Nā ʻano lapaʻau like ʻole

• Hoʻōla kino
• ʻO ka hoʻoponopono hana (kōkua e hana maʻalahi i nā hana o kēlā me kēia lā)
• Hoʻōla ʻōlelo
• Hydrotherapy (hoʻoikaika kino wai)
• Lapaʻau Hoʻopunipuni Osteopathic (OMT)

Nā kaʻina hana lapaʻau kūikawā

• Hoʻoulu Uila Hana (FES)
• Hoʻoulu ʻana i ke aʻalolo uila transcutaneous (TENS)
• ʻO Vertebroplasty a me Kyphoplasty (no nā haki iwi kuamoʻo)
• Nā ʻano hana lapaʻau hoʻohui

Nā mea e kōkua ai i ke ola o kēlā me kēia lā

• Nā Prosthetics a me nā orthotics
• Nā mea kōkua (e like me nā noho huila a me nā mea hele wāwae)
• Nā loli i kou home a me ke kaiapuni hana `(Nā loli i kou wahi noho)`
• Nā lāʻau lapaʻau

I ka manawa hea ʻoe e ʻike ai i kahi physiatrist?

Pono paha ʻoe i ke kōkua o kahi Physiatrist ma kēia mau kūlana:

• Inā loaʻa iā ʻoe ka ʻeha ma muli o kahi maʻi lōʻihi a i ʻole kahi ʻeha, a inā pilikia ʻoe i ka hoʻoneʻe ʻana i kou kino i ka wā e hana ana i nā hana o kēlā me kēia lā.
• Inā ʻoe e ho'ōla ana mai kahi hahau.
• Inā ʻoe e ʻeha ana ma hope o ke ʻoki ʻana, a i ʻole pilikia paha i ka hoʻoneʻe ʻana i kou kino.
• Inā ʻoe e ʻike nei i ka luhi nui, ka ʻeha, a i ʻole ka ʻoluʻolu ʻole ma muli o ka mālama ʻana no kekahi maʻi ʻē aʻe.
• Inā no kekahi kumu ʻaʻole hiki iā ʻoe ke hoʻoneʻe i kou kino me ka ʻoluʻolu a me ka maʻalahi e like me ma mua.

I nā manawa e like me kēia, hiki iā ʻoe ke kamaʻilio me kāu kauka ʻohana a hoʻouna ʻia e ʻike i kahi physiatrist.

He aha ka ʻokoʻa ma waena o kahi Physiatrist a me kahi Physical Therapist?

He mea kēia e huikau ai ka poʻe he nui. ʻElua mau mea like ʻole ka 'physiatrist' a me ka 'physical therapist'. Akā, hoʻokahi ka pahuhopu o lāua ʻelua: e kōkua iā ʻoe e hana maikaʻi a ʻoluʻolu hoʻi i kāu mau hana o kēlā me kēia lā.

• Hoʻomaʻamaʻa: He kauka physiatrist i hoʻopau i ke kēkelē kula lapaʻau, e loaʻa ana i kahi MD (Kauka Lapaʻau) a i ʻole DO (Kauka Osteopathy). Hoʻopau kahi mea hoʻōla kino i kahi papahana hoʻōla kino a loaʻa iā ia ke kēkelē Kauka o ka Hoʻōla Kino (DPT).
• Kūlana:
• Hiki i ke kauka lapaʻau ke ʻike i nā maʻi a kuhikuhi i nā lāʻau lapaʻau.
• ʻAʻole hiki i kahi mea hoʻōla kino ke ʻike a kuhikuhi paha i ka lāʻau lapaʻau. Eia nō naʻe, hiki iā lākou ke hana i kahi hōʻailona hoʻōla kino (PTD) a i ʻole kahi hōʻailona hana (FD). ʻO ia hoʻi, hiki iā lākou ke haʻi iā ʻoe i nā pilikia neʻe āu e loaʻa nei, pehea ko lākou koʻikoʻi, pehea lākou e hoʻopilikia ai i kou ola, a pehea e hiki ai i ka lāʻau ke kōkua.

I ka ʻōlelo maʻalahi, e ʻike kāu kauka kino i kou kūlana a me kona kumu. A laila, e ʻike kāu kauka kino i ka hopena o kēlā kūlana i kou hiki ke neʻe a hana.

Eia kekahi laʻana, hiki i kahi kauka kino ke hoʻoholo iā ʻoe me ka osteoarthritis o ke kuli. A laila e nānā paha kahi mea hoʻoponopono kino (PT) iā ʻoe a hoʻoholo he palena kou ākea o ka neʻe ʻana i kou kuli, e paʻakikī ai iā ʻoe ke hele ma ka hana a i ʻole a puni ka hale.

Hana pū pinepine kekahi kauka lapaʻau kino a me kekahi mea lapaʻau kino. E nānā ke kauka lapaʻau kino i kou kūlana, e hoʻoholo inā he moho maikaʻi ʻoe no ka lapaʻau kino, a e kuhikuhi iā ʻoe i kahi mea lapaʻau kino (PT). Mai laila mai, e hana pū ka PT me ʻoe e hoʻomohala i kahi hoʻolālā lapaʻau kūpono iā ʻoe. E kamaʻilio pinepine ʻolua e pili ana i kou olakino.

He aha ka ʻokoʻa ma waena o kahi Psychologist a me kahi Physiatrist?

ʻO kēia kekahi mea e hiki ai ke huikau i nā poʻe he nui. He ʻelua mau loea ʻokoʻa loa ka psychologist a me ka physiatrist.

• He loea olakino noʻonoʻo ka psychologist e hoʻohana ana i ka talk therapy (psychotherapy) e mālama i nā ʻano maʻi olakino noʻonoʻo like ʻole. Kōkua pū lākou i nā kānaka e hoʻoponopono i nā pilikia manawa pōkole a me ka wā lōʻihi i ko lākou ola. ʻO ka maʻamau, loaʻa i kahi psychologist kahi PhD.
• He kauka physiatrist ka mea nāna e mālama i kou mau kūlana kino, ʻoiai nā mea e hoʻopilikia ana i kāu ʻōnaehana musculoskeletal a me nā ʻōnaehana nerve. ʻO kēia nā kūlana e hoʻoulu pinepine ai i ka ʻeha a me nā hōʻailona ʻē aʻe e hoʻopilikia i kou ola o kēlā me kēia lā.

ʻAʻole hiki i kahi psychologist ke ʻike a mālama paha i nā kūlana kino e like me kēia. Eia nō naʻe, hiki iā lākou ke kōkua iā ʻoe e kamaʻilio me lākou e pili ana i ke ʻano o ka hopena o ke kūlana i kou ola a pehea e hiki ai iā ʻoe ke hoʻomanawanui iā ia no ka noʻonoʻo. He nui ka poʻe e ʻeha nei i ka ʻeha mau a i ʻole nā ​​​​maʻi kino ʻē aʻe e ʻike he mea kōkua ka ʻike ʻana i kahi psychologist e kōkua iā lākou e mālama i ko lākou olakino noʻonoʻo.

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

E noʻonoʻo wale, hiki i hoʻokahi hōʻailona ke hoʻopilikia i kou ola holoʻokoʻa. Ua like ia me ka hoʻolei ʻana i kahi ʻiliʻili i loko o ka wai a hana i nā ʻale. Hoʻomaopopo maikaʻi nā kauka lapaʻau i kēia. Hoʻomaopopo lākou i ka paʻakikī o kou kūlana, pehea e hoʻopilikia ai ʻaʻole wale i kou lima, wāwae, a me ka iwi kuamoʻo, akā, i kou ʻano holoʻokoʻa, kou mau manaʻo, kou mau manaʻolana no ka wā e hiki mai ana.

Inā ʻoe e hele ana e ʻike i kahi kauka physiotherapist, e mākaukau e haʻi ākea e pili ana i kou manaʻo a me nā mea āu e manaʻo ai mai ka lāʻau lapaʻau. E hoʻolohe pono ke kauka iā ʻoe a hana i kahi hoʻolālā lapaʻau e pili ana i kāu mau pahuhopu a me nā pono.

No laila, inā ʻoe a i ʻole kekahi āu i ʻike ai e ʻeha ana, paʻakikī i ka neʻe ʻana, a i ʻole ka paʻakikī i ka hana ʻana i nā hana o kēlā me kēia lā, e noʻonoʻo e ʻike i kahi physiatrist. Hiki iā lākou ke kōkua nui i ka hoʻihoʻi ʻana i kou ola i ke ala kūpono.

Kauka Lapaʻau, Lapaʻau Hoʻōla Hou, Lapaʻau Kino a me ka Hoʻōla Hou ʻana, PM&R, Hoʻōla Kino, Hoʻokele ʻEha, Hoʻōla Hou ʻana i ka Hahau, Nā Maʻi o ka ʻŌnaehana Aʻalolo