Ua loaʻa anei iā ʻoe ka polio a ke nalowale hou nei kou mau lālā? E aʻo kākou e pili ana i kēia (Post-Polio Syndrome)!

Ke hoʻomanaʻo nei ʻoe i ka maʻi i kapa ʻia ʻo polio i ka wā ma mua? Malia paha ua loaʻa iā ʻoe a ua paʻakikī ke hoʻōla. Inā hoʻōla ʻoe a laila luhi a nāwaliwali no nā makahiki, he hōʻailona paha ia o kahi maʻi i kapa ʻia ʻo "Post-Polio Syndrome". E kamaʻilio kākou e pili ana i kēia ma ke ʻano maʻalahi i kēia lā, i hiki iā ʻoe ke hoʻomaopopo.

He aha ka Post-Polio Syndrome?

I ka ʻōlelo maʻalahi, ʻo ka "Post-Polio Syndrome" a i ʻole "PPS" ʻo ia ka wā e loaʻa ai i kahi kanaka i hoʻōla mua ʻia mai ka polio ka nāwaliwali o nā ʻiʻo i loko o kekahi mau makahiki - malia paha he 10, 20, a i ʻole 40 mau makahiki. Hiki i nā ʻiʻo ke lilo i atrophied a i ʻole shrunken.

E like me kāu e hoʻomanaʻo nei, ʻo ka polio, a i ʻole "Poliovirus", he maʻi ia i hoʻokumu ʻia e kahi maʻi i kapa ʻia ʻo "Poliovirus." ʻO ka hapa nui o ka poʻe i loaʻa iā ia ʻaʻole lākou e hōʻike i nā hōʻailona nui, a ʻike kekahi poʻe i kahi kuni iki. Eia nō naʻe, no kekahi poʻe, hiki iā ia ke hana i nā maʻi koʻikoʻi e like me ka maʻi lolo a i kekahi manawa make.

ʻEkolu mau ʻano nui o kēia `(Poliovirus)`. ʻO ia nā ʻano 1, 2, a me 3. I kēia manawa, ua hoʻopau ʻia nā ʻano 2 a me 3 mai ka honua. ʻO ke ʻano 1 wale nō ka mea i ʻike ʻia ma kekahi mau wahi o ka honua. Ua aneane pau ka Polio ma Sri Lanka i kēia manawa. Akā, hiki i ka poʻe i loaʻa i ka maʻi ma mua ke loaʻa i kēia maʻi `(PPS)`.

ʻO wai ka mea i ʻoi aku ka paʻakikī ke loaʻa i ka "Post-Polio Syndrome"?

Loaʻa wale kēia maʻi i ka poʻe i loaʻa i ka polio ma mua. Hoʻomaka pinepine ia e ʻike ʻia ma hope o 10 mau makahiki a ʻoi aku paha. I kekahi manawa hiki ke loaʻa ma hope o 40 mau makahiki.

Ua ʻike ʻia ma ka noiʻi ma waena o 30% a me 40% o ka poʻe i loaʻa i ka polio e loaʻa i kēia maʻi. Eia kekahi, inā ua loaʻa iā ʻoe kahi maʻi polio ma mua, ʻo ia hoʻi ua nāwaliwali loa kou mau lālā, hiki iā ʻoe ke ʻike i nā hōʻailona koʻikoʻi inā loaʻa iā ʻoe ka PPS.

Pehea ka maʻamau o ka "Post-Polio Syndrome"?

ʻOiaʻiʻo, he maʻi laha ʻole ka `(Post-Polio Syndrome)` i kēia mau lā. ʻO ke kumu o kēia, ua laha ʻole ka polio i kēia manawa. Ua hoʻopau ka lāʻau lapaʻau Polio i ka polio mai nā ʻāina he nui o ka honua, me Sri Lanka. Eia nō naʻe, no ka mea, aia nō kekahi mau ʻāina kahi i loaʻa ai ka polio, a aia nō ka poʻe i loaʻa i ka polio ma mua, ʻike ʻia nā maʻi `(PPS)` i kēlā me kēia manawa.

He aha nā hōʻailona o ka `(Post-Polio Syndrome)`?

ʻO ka hōʻailona nui a me ka hōʻailona mua o ka "Post-Polio Syndrome" ʻo ia ka nalowale mālie ʻana o nā ʻiʻo i hoʻonāwaliwali ʻia i ka wā o ka maʻi polio i ko lākou ikaika hou. Hiki ke ʻokoʻa kēia mau hōʻailona mai kēlā kanaka a kēia kanaka. Hiki i kekahi poʻe ke hoʻopilikia ʻia e lākou i kahi nui a liʻiliʻi paha.

Eia kekahi o nā hōʻailona maʻamau:

• Ka nāwaliwali mālie o nā ʻiʻo: ʻO ka manaʻo e lilo ana kahi lima, wāwae, a i ʻole kekahi ʻiʻo ʻē aʻe i nāwaliwali ma mua ma muli o ka polio i mea nāwaliwali hou.
• Luhi:ʻAʻole wale ia he luhi, he manaʻo luhi loa ia e hiki ʻole ke hoʻomanawanui ʻia. Me he mea lā ua luhi ʻoe ma hope o ka hana ʻana i kahi hana liʻiliʻi.
• ʻO ka atrophy o nā ʻiʻo: ʻO ke ʻano kēia e emi mālie ana nā ʻiʻo a lilo i mea liʻiliʻi.
• ʻEha a me ka ʻūlū ʻana o nā ʻiʻo: ʻEha nā ʻiʻo, i kekahi manawa manaʻo ʻia me he mea lā e lele wale ana nā ʻiʻo i luna a i lalo, e ʻūlū ana.
• ʻEha hui: Hiki ke ʻeha i nā hui e like me nā kuli a me nā kuʻekuʻe lima.
• Nā kīnā o ka iwi: No ka laʻana, aia paha nā mea e like me ka scoliosis.

E noʻonoʻo, aia kekahi kanaka i kapa ʻia ʻo Nimal, i loaʻa i ka maʻi polio i kona wā kamaliʻi a ua nāwaliwali iki kona wāwae ʻākau. Ua ola ʻo ia i kahi ola maʻamau no nā makahiki he nui. Akā i kēia manawa, i kona piha ʻana i nā makahiki he 50, ua manaʻo ʻo ia e nalowale mālie ana kona wāwae ʻākau i kona ikaika hou. Manaʻo ʻo ia i ka luhi loa i ka wā e piʻi ai ʻo ia i kahi alapiʻi a i ʻole e hele wāwae no kahi mamao pōkole. Pēlā ia e hoʻopilikia ai iā ia.

Eia kekahi, inā hoʻopilikia kēia ``(PPS)`` i nā ʻiʻo i hoʻohana ʻia no ka hanu ʻana a i ʻole nā ​​​​ʻiʻo i hoʻohana ʻia no ka moni ʻana, hiki ke loaʻa nā pilikia hanu a me nā pilikia moni ʻana.

I kekahi mau hihia koʻikoʻi o ka PPS, hiki i nā hōʻailona ke like me nā maʻi neurological Amyotrophic Lateral Sclerosis (ALS). Eia nō naʻe, he mea nui e hoʻomanaʻo ʻaʻole like kēia me ka ALS.

He aha ke kumu o ka `(Post-Polio Syndrome)`?

ʻAʻole i ʻike pono nā kānaka ʻepekema i ke kumu o ka Post-Polio Syndrome. Eia nō naʻe, aia kekahi manaʻo e pili ana i ia mea. ʻO ia hoʻi, ke hoʻōla ʻoe mai ka polio, loli ka ʻōnaehana nerve o kou kino.

E noʻonoʻo i kēia ʻano, hōʻino ka maʻi polio `(Poliovirus)` i kekahi o kā mākou mau hunaola nerve `(Neurons).` ʻO kēia mau hunaola nerve nā mea e lawe i nā leka e hana i nā ʻiʻo. No laila, i ka pau ʻana o ka polio, ma kahi o nā hunaola nerve i hōʻino ʻia, hoʻomaka nā hunaola nerve olakino e hana hou aku. ʻO kēia mau hunaola nerve olakino, mai ko lākou mau lālā nui `(Axons)`, hana i nā lālā liʻiliʻi ʻē aʻe `(Dendrites)`, a lawe i ka mana o nā olonā ʻiʻo i hoʻomalu ʻia e nā hunaola nerve i hōʻino ʻia. Ua like ia me kekahi limahana e lawe ana i ka hana a nā poʻe ʻē aʻe.

No laila, manaʻo nā kānaka ʻepekema ma hope o nā makahiki o ka hana ʻana ma mua o ko lākou hiki, e nāwaliwali mālie ana kēlā mau hunaola aʻalolo olakino mua a luhi. E emi mālie ana kēlā mau lālā liʻiliʻi (dendrites). A laila hoʻomaka hou nā ʻiʻo i hana maikaʻi ma mua e nāwaliwali. ʻO ia paha ke kumu o kēia kūlana "PPS", ka mea i manaʻo ʻia i kēia manawa ʻo ia ke kumu.

He maʻi lele anei ka `(Post-Polio Syndrome)`?

ʻAʻole. ʻAʻole hiki ke laha ka "Post-Polio Syndrome" mai kekahi kanaka a i kekahi kanaka. Eia nō naʻe, he maʻi lele loa ka maʻi polio. No laila he mea nui loa ia e pale iā ʻoe iho mai ka maʻi ma o ka loaʻa ʻana o ka lāʻau pale polio.

Pehea e ʻike ai i ka `(Post-Polio Syndrome)`?

ʻAʻohe hoʻokolohua kikoʻī i kēia manawa e hiki ke hōʻoia pololei i ke alo o ka "Post-Polio Syndrome".

Akā, ʻike nā kauka i ke kūlana ma ka hana ʻana i kahi hoʻokolokolo kino, lawe i kahi mōʻaukala lapaʻau kikoʻī (e like me inā ua loaʻa iā ʻoe ka polio ma mua a me ka wā hea), a nīnau e pili ana i kāu mau hōʻailona o kēia manawa. Makemake pū lākou e hōʻoia ʻaʻole i hoʻokumu ʻia nā hōʻailona e kekahi kūlana olakino ʻē aʻe.

Hiki i kāu kauka ke hana i kekahi mau hoʻokolohua e nānā i ka PPS a hoʻopau i nā kūlana ʻē aʻe, e like me:

• ʻO nā scan Spinal MRI (Magnetic Resonance Imaging) a me CT (Computed Tomography): Hiki i kēia ke nānā i nā pilikia me ka iwi kuamoʻo a me nā aʻalolo pili.
• Hoʻāʻo Electromyogram (EMG): Hoʻāʻo kēia i ka hana uila o nā ʻiʻo a me nā aʻalolo e kāohi ana iā lākou. Kōkua kēia i ka hoʻoholo ʻana inā ua hoʻokumu ʻia ka nāwaliwali o nā ʻiʻo e kahi pilikia aʻalolo a i ʻole kahi pilikia me nā ʻiʻo ponoʻī.
• Biopsy ʻiʻo: I kekahi manawa, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo a nānā ʻia ma lalo o kahi microscope. Hiki i kēia ke kōkua i ka ʻike ʻana i nā loli i loko o ka ʻiʻo.
• Ka Nānā ʻana i ka Wai o ka Spinal: He hoʻāʻo e lawe i kahi wai liʻiliʻi mai kou iwi kuamoʻo. Hiki i kēia ke kōkua i ka nānā ʻana i nā pilikia neurological ʻē aʻe.

Pehea e mālama ʻia ai ka `(Post-Polio Syndrome)`?

ʻO ka mea pōʻino, ʻaʻohe lāʻau lapaʻau kikoʻī i kēia manawa e hiki ke ho'ōla loa i ka "Post-Polio Syndrome (PPS)". No laila, ʻo ka pahuhopu nui o nā kauka ke kāohi i nā hōʻailona a hoʻomaikaʻi i kou "Quality of Life".

Inā loaʻa iā ʻoe ka PPS, he mea nui loa ia e ʻike i ke kauka i loea i nā kūlana neuromuscular.

Eia kekahi mau ala e kōkua ai i ka mālama ʻana i nā hōʻailona o ka PPS:

• Nā hoʻoikaika kino ʻaʻole e luhi: ʻO nā hoʻoikaika kino ʻaʻole e hoʻoulu i ka ʻeha a i ʻole ka luhi nui hiki ke hoʻomaikaʻi i ka ikaika o nā ʻiʻo a hōʻemi i ka luhi holoʻokoʻa. Hiki iā ʻoe ke ʻike i ke ʻano o kēia mau mea ma ke noi ʻana i kahi physiotherapist.
• Hoʻomaʻamaʻa hoʻomanawanui cardiorespiratory: ʻO kēia ke kaʻina hana o ka hoʻomaikaʻi ʻana i ka pae o ka hana a kou puʻuwai, nā māmā, a me nā ʻiʻo e hiki ke hana pū i ka wā hoʻoikaika kino lōʻihi. Pono ʻoe e kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i kēia ʻano hoʻomaʻamaʻa.
• Nā mea kōkua neʻe: ʻO ka hoʻohana ʻana i nā mea e like me ke koʻokoʻo, nā mea hele wāwae, nā noho huila, a i ʻole nā ​​​​scooter hiki ke maʻalahi i ka hele a puni a hōʻemi i ka luhi o nā ʻiʻo.
• Hoʻōla hana:Hiki i kekahi kauka hana ke hana i nā hoʻololi e pono ai i kou wahi e maʻalahi ai nā hana o ka hale (e like me ke komo ʻana i ke kapa, ka kuke ʻana).
• Hoʻōla ʻōlelo: Inā pilikia ʻoe i ka moni ʻana ma muli o PPS, hiki i kahi mea hoʻōla ʻōlelo ke kōkua.
• Nā loli o ke ʻano o ka nohona: E aʻo aku paha kāu kauka iā ʻoe e ʻai i kahi meaʻai olakino, e kāohi i kou kaumaha, e hiamoe pono, a e hoʻōki i ka puhipaka . Hiki i kēia mau mea ke kōkua i ka hoʻokele ʻana i nā hōʻailona a hoʻomaikaʻi i kou olakino holoʻokoʻa.

Eia kekahi, hiki i ka psychotherapy ke kōkua iā ʻoe a me kou ʻohana e kū i ka PPS. Hiki nō hoʻi ke kōkua i ka hui pū ʻana me nā hui kākoʻo kahi e hiki ai iā ʻoe ke kamaʻilio me nā poʻe ʻē aʻe e hele ana i ka mea like a kaʻana like i kāu mau ʻike.

Hiki ke ho'ōla ʻia ka `(Post-Polio Syndrome)`?

ʻAʻole, e like me ka ʻike o kēia manawa, ʻaʻohe lāʻau lapaʻau no ka "Post-Polio Syndrome". Ke kuhikuhi nei nā lāʻau lapaʻau i ka kaohi ʻana i nā hōʻailona a me ke kōkua ʻana e maʻalahi ke ola.

Pehea e pale aku ai i ka `(Post-Polio Syndrome)`?

ʻO ke ala wale nō e pale aku ai i ka polio, ʻo ia ke pale ʻana i ka loaʻa ʻana o ka polio. ʻO ke ala wale nō e hana ai i kēlā, ʻo ia ke kiʻi ʻana i ka lāʻau pale polio. Hāʻawi pinepine ʻia nā keiki i ʻehā mau lāʻau o ka lāʻau pale polio e hoʻomaka ana i 2 mahina. Inā ʻaʻole ʻoe i loaʻa i kēia lāʻau pale i kou wā kamaliʻi, hiki iā ʻoe ke loaʻa iā ia i kou wā makua.

Eia nō naʻe, inā ua loaʻa iā ʻoe ka polio a ua hoʻōla ʻia, ʻaʻohe mea hiki iā ʻoe ke hana e pale aku ai i ka loaʻa ʻana o ka PPS i ka wā e hiki mai ana. ʻAʻole maopopo i nā kānaka ʻepekema ke kumu e loaʻa ai i kekahi poʻe i loaʻa i ka polio ka PPS aʻo kekahi ʻaʻole.

He aha ka wānana no ka `(Post-Polio Syndrome)`?

ʻOkoʻa ke ʻano o ka Post-Polio Syndrome (PPS) mai kēlā kanaka a kēia kanaka. Aia ia i nā ʻiʻo i hoʻopilikia ʻia a me ke koʻikoʻi o nā hōʻailona.

Hiki i nā hōʻailona o ka PPS ke hoʻolilo iā ʻoe i mea paʻakikī ke hana i nā mea ma kāu iho. Eia nō naʻe, hiki i nā mea e like me nā mea kōkua neʻe a me ka hana lapaʻau, a mākou i kūkākūkā ai ma mua, ke kōkua nui.

ʻOi aku ka pilikia o kou olakino holoʻokoʻa inā hoʻonāwaliwali ʻia kou mau ʻiʻo hanu e ka PPS, a inā hoʻonāwaliwali ʻia kou mau ʻiʻo ale.

Ke hoʻopōkole nei anei ka "Post-Polio Syndrome" i ka manaʻolana ola?

I ka hapanui o nā hihia, he mea maʻamau ke ola o kekahi me ka "Post-Polio Syndrome". He kūlana hoʻoweliweli ola ka "PPS" i mea kakaikahi loa.

I ka manawa hea ʻoe e ʻike ai i ke kauka no ka `(Post-Polio Syndrome)`?

Inā ua loaʻa iā ʻoe ka polio ma mua, a he mau makahiki ma hope mai, manaʻo ʻoe e nāwaliwali mālie hou ana kou mau ʻiʻo,E ʻike pono i ke kauka a kamaʻilio e pili ana i kēia.

Inā ua ʻike ʻia ʻoe me PPS, pono ʻoe e ʻike pinepine i kāu kauka e hōʻoia i ka hana ʻana o kāu hoʻolālā lapaʻau a e hana i nā hoʻololi e pono ai.

ʻO ka mea nui, ʻaʻole i hoʻopilikia like ʻia nā kānaka a pau me ka Post-Polio Syndrome. ʻO ke ala maikaʻi loa e ʻike pono ai pehea e hoʻopilikia ai kēia ʻano iā ʻoe a me ka mea e manaʻo ai, ʻo ia ke ʻike i ke kauka loea i nā maʻi neuromuscular a me PPS. Eia lākou e kōkua iā ʻoe.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, no laila, mai kā mākou i kūkākūkā ai, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi ʻike maikaʻi aʻe o ka `(Post-Polio Syndrome)`. I ka pōkole:

• ʻO ka ``(PPS)`` he ʻano nāwaliwali o nā ʻiʻo e kū mai ana i nā makahiki ma hope aku i nā poʻe i loaʻa mua i ka polio.
• ʻOiai ʻaʻohe lāʻau lapaʻau kūikawā no kēia, nui nā mea hiki iā ʻoe ke hana e kāohi i nā hōʻailona a hoʻomaʻalahi i ke ola.
• He mea nui loa ka hoʻoikaika kino ʻole, ka hoʻōla kino, nā mea kōkua hele wāwae inā pono, a me nā hoʻololi maikaʻi i ke ʻano o ka nohona.
• Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​e ʻike pono i kahi neurologist.
• E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. Aia kekahi poʻe e hiki ke kōkua iā ʻoe e mālama i kēia kūlana a ola maikaʻi.

Mai makaʻu, ʻo ka mea nui ka hoʻomaopopo ʻia a hahai i nā ʻōlelo aʻoaʻo lapaʻau e pono ai.

ʻO ka maʻi ma hope o ka polio, polio, nāwaliwali o nā ʻiʻo, maʻi neurological, PPS, post-polio syndrome, hoʻoponopono kino