ʻIke mākou a pau i ka ʻeha ma ka liʻiliʻi hoʻokahi manawa i ko mākou ola, ʻeā? E noʻonoʻo, e wela koke kou lima i kou wā e hana ana i kahi mea ma ka lumi kuke, e wili a ʻeha kou wāwae i kou hele ʻana ma ke alanui, a i ʻole kēlā ʻeha hou āu e ʻike ai i ka wā e paʻi ai kou kuʻekuʻe i ke kihi o ka papaʻaina. ʻO kēia ke ʻano o ka ʻeha a mākou e ʻike mau ai, a ʻo ke ʻano hiki iā mākou ke kuhikuhi aku "eia kahi e ʻeha ai" a ʻo ia ka mea a ka ʻepekema lapaʻau e kapa nei he ʻeha somatic . I kēia lā, e kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ke ʻano aloha.
I ka ʻōlelo maʻalahi, he aha ka ʻeha somatic?
ʻO ka ʻeha somatic ka ʻeha i hoʻokumu ʻia e ka hōʻino ʻana, a i ʻole ka mumū ʻana o nā ʻiʻo kikoʻī i loko o kou kino. E nānā kākou i ke ʻano o kēia mau ʻiʻo:
- Kou ʻili: Nā mea e like me ka ʻoki, ka ʻōpala, a i ʻole ke kuni.
- Iwi: ʻEha ke haki ka iwi (haʻihaʻi).
- Nā ʻiʻo: ʻEha nā ʻiʻo, ʻeha e kū mai ana ma hope o ka hoʻoikaika kino nui.
- Nā hono: Nā mea e like me ka ʻeha, ka rumatika.
- Nā ligaments a me nā tendons: ʻO kēia nā ʻano e hoʻopili ai i nā iwi kekahi i kekahi a me nā ʻiʻo i nā iwi. Hiki ke hōʻino ʻia kēia mau mea.
- Nā membrane mucous: Nā ʻeha e hana ana i loko o ka waha a i ʻole ka ihu.
- Nā paia o ka umauma a me ka ʻōpū: Ka hōʻino ʻana i nā ʻiʻo o kēia mau mea.
I ka ʻōlelo maʻalahi, he ʻeha kēia e kū mai ana ma luna o ko kākou kino a ma nā iwi a me nā ʻiʻo. ʻO ka hapa nui o ka manawa, he manawa pōkole kēia ʻeha (ʻoi), ʻo ia hoʻi, ʻaʻole ia e mau ma mua o ʻeono mahina. Akā i kekahi manawa hiki ke lilo i mea maʻi mau , ʻo ia hoʻi, hiki ke mau no ka manawa lōʻihi.
He aha ka ʻokoʻa ma waena o ka ʻeha somatic a me ka ʻeha visceral?
Aia kekahi mau ʻano ʻeha. ʻO ka ʻike ʻana i nā ʻokoʻa ma waena o lākou e kōkua iā ʻoe e hoʻomaopopo maikaʻi i kou ʻeha. E nānā kākou i ka papa ma lalo.
| ʻAno ʻeha | Wehewehena | Nā Laʻana |
|---|---|---|
| ʻEha Somatic | ʻEha e hoʻomaka ana mai nā ʻiʻo e like me ka ʻili, nā iwi, nā ʻiʻo, a me nā hono. Hiki iā ʻoe ke ʻike pololei i kahi e ʻeha ai. | ʻOki, iwi haki, ʻūmiʻi, ʻeha niho. |
| ʻEha Visceral | ʻO ka ʻeha e puka mai ana mai nā ʻōpū o loko o ke kino e like me ka puʻuwai, nā māmā, a me ka pancreas. He mea paʻakikī ke kuhikuhi pololei i kahi, a me he mea lā e laha ana. | ʻEha ʻōpū (e like me ka gastritis), ʻeha umauma, ʻeha menstrual. |
| ʻEha Neuropathic | ʻEha i hoʻokumu ʻia e ka hōʻino ʻana i nā aʻalolo ponoʻī . Hiki i kēia ke manaʻo e like me ke kuni ʻana, ka ʻūlū ʻana, a i ʻole nā haʻalulu uila. | ʻO ka Neuropathy i hoʻokumu ʻia e ka maʻi diabetes, ka ʻeha ma hope o ka maʻi herpes. |
ʻO ka mea nui, ʻo ka ʻeha somatic a me ka ʻeha visceral e pili ana i ka māhele o ka ʻeha nociceptive . ʻO ke ʻano kēia, ua hoʻoulu ʻia kēia ʻeha e ka hoʻoulu ʻana o nā mea ʻike ʻeha kūikawā (nociceptors) i loko o ko mākou kino.
Pehea ke ʻano o kēia ʻeha?
Hiki ke ʻike ʻia ka ʻeha somatic ma nā ʻano he nui. Ua wehewehe ka poʻe he nui penei:
- ʻŌʻō ʻana: He ʻeha koke a ʻoi.
- ʻOi: He ʻeha maopopo a ʻoi.
- ʻEhaʻeha: He ʻeha nui i loko o nā ʻiʻo a i ʻole nā iwi.
- ʻŪmiʻi: ʻEha i hana ʻia e ka ʻūmiʻi ʻana o nā ʻiʻo.
Ma muli o ke koʻikoʻi o ka ʻeha, hiki i kēia ʻeha ke ʻano mai ka ʻeha iki a i ka ʻeha nui. Hiki nō hoʻi ke ʻano ma luna (e.g., he ʻōpala ʻili) a i ʻole hohonu (e.g., he iwi haki).
No ke aha lā i loaʻa ai iā kākou kēia ʻeha?
Nui nā kumu o ka ʻeha somatic. Eia kekahi mau laʻana a mākou e ʻike pinepine ai:
- Ka hopena paʻakikī: Nā palapū i hana ʻia ma ke kuʻi ʻana i kahi mea e like me ka papa ʻaina a i ʻole ka noho.
- Nā ʻoki a me nā ʻōpala: Nā ʻeha ma ka ʻili a i ʻole ma ka waha.
- Nā kuni: ʻĀ ʻana o ka lā, ka wela, a i ʻole nā kuni kemika.
- Nā maʻi:Nā maʻi ʻili a pepeiao paha.
- Ka haehae ʻana o ke ʻiʻo, ka ligament, a i ʻole ke aʻalolo.
- ʻŌpū ʻiʻo.
- Ka hemo ʻana o ke hono.
- Nā ʻūmiʻi: E like me ke kuʻekuʻe wāwae i ʻūmiʻi ʻia.
- Nā haki iwi.
- Nā maʻi o ka iwi e like me ka osteoarthritis .
Ke kaʻina hana ʻepekema e ʻeha ai kākou
He hana kupaianaha ka ʻike ʻana o ko kākou kino i kēia ʻeha. E noʻonoʻo iā ia e like me kahi ʻōnaehana pale i loko o kou kino.
1. ʻEha: Hiki i ka wela, ke kaomi, a i ʻole kahi mea ʻoi ke hōʻino i nā ʻāpana o kou kino.
2. Hoʻokuʻu ʻia o nā hōʻailona kemika: Hoʻokuʻu nā ʻāpana i hōʻino ʻia i nā kemika kūikawā i loko o nā ʻiʻo a puni.
3. Hoʻāla ʻana i nā mea ʻike: Loaʻa i kā mākou ʻōnaehana nerve nā mea ʻike kūikawā i kapa ʻia ʻo nociceptors . Ua like kēia me kahi ʻōnaehana hoʻāla. Ke hopu ʻia kēlā mau kemika e kēia mau mea ʻike, hoʻouna lākou i kahi hōʻailona ulia pōpilikia i ka lolo.
4. Wehewehe ka lolo i ka hōʻailona: Wehewehe ka lolo i kēia hōʻailona e hiki mai ana he "ʻeha." Hoʻonoho pū ia i kahi kikoʻī o ka hōʻailona a haʻi iā ʻoe, "Ua ʻeha kou lima."
5. Pane: Pane ka lolo i ka ʻeha me kahi pane pale. No ka laʻana, inā ʻoe e hoʻopā i kahi kapuahi wela, huki koke ʻoe i kou lima i ka wā e ʻike ai ʻoe i ka ʻeha, ʻeā? ʻO ia ke kaʻina hana.
Pehea e ʻike ai ke kauka i ke kumu o kēia ʻeha?
Inā loaʻa iā ʻoe ka ʻeha i wehewehe ʻole ʻia, e nīnau aku kāu kauka iā ʻoe i kekahi mau nīnau.
- Aia kekahi mau hōʻailona ʻē aʻe me ka ʻeha? (e.g. pehu, ʻulaʻula, kuni)
- Pehea ka lōʻihi o ka ʻeha?
- He aha nā ʻano mea e hoʻonui ai i ka ʻeha a ʻoi aku paha ka ʻino?
- Pehea ke ʻano o ka ʻeha? (He ʻoi a he ʻeha paha?)
A laila, e hana ke kauka i kahi hoʻokolokolo kino e hoʻoholo ai i ke kumu o ka ʻeha. I kekahi manawa, inā ʻaʻole maopopo ke kumu, hiki iā lākou ke ʻōlelo aku i nā hoʻokolohua e like me nā hoʻokolohua koko, nā kukuna X, ultrasound, CT a i ʻole MRI scans .
He aha nā lāʻau lapaʻau no kēia?
Pili ka lāʻau lapaʻau i ke kumu a me ke koʻikoʻi o ka ʻeha.
Nā mea hiki iā ʻoe ke hana ma ka home
- Lapaʻau wela a me ke anu: Ke kau nei i kahi pā hoʻomehana a i ʻole kahi ʻeke hau.
- He mea pono loa ke ʻano RICE: Hoʻomaha , Hau , Compression , a me Elevation i nā hihia o nā ʻeha ʻeha.
- Nā lāʻau ʻeha maʻamau: NSAID (Nonsteroidal anti-inflammatory drugs) a i ʻoleʻO ka lawe ʻana i nā lāʻau lapaʻau e like me Paracetamol.
- Nā hoʻoikaika kino: No ka ʻeha e pili ana i nā ʻiʻo.
Nā kūlana e pono ai ke kōkua lapaʻau
- Hoʻōla kino
- Nā mea hoʻoheheʻe a i ʻole nā splints
- Hydrotherapy
- Nā lāʻau hoʻopau ʻeha i kauoha ʻia e ke kauka.
- Nā lāʻau hoʻomaha ʻiʻo.
- Nā lāʻau steroid (Corticosteroids): ma ke ʻano he mau pila a i ʻole nā mea ʻaila.
- Nā inikini steroid
- Lomilomi lapaʻau
I ka manawa hea ʻoe e pono ai e ʻike i ke kauka?
ʻOiai e emi ana ka ʻeha somatic maʻamau i loko o kekahi mau lā, i kekahi mau hihia he mea nui e ʻimi i ke aʻo lapaʻau. E hōʻoia e ʻike i kāu kauka i nā hihia aʻe:
- Inā ʻaʻole e emi ka ʻeha i loko o kekahi mau lā, e hoʻonui aʻe , a hoʻi hou paha ma hope o ka lāʻau lapaʻau.
- Inā ʻoe e manaʻo nei i ke kaumaha a i ʻole ka hopohopo ma muli o ka ʻeha.
- Inā pilikia ʻoe i ka hiamoe ma muli o ka ʻeha.
- Inā ʻaʻole hiki iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā ma muli o ka ʻeha.
- Inā loaʻa iā ʻoe kahi ʻeha nui, iwi haki, ʻoki hohonu, a i ʻole ke kuni nui, e hele koke i ka ʻOihana Pōpilikia (ETU) .
Leka Lawe-Home
- ʻO ka ʻeha somatic ka ʻeha a mākou e ʻike pinepine ai, i hana ʻia e ka hōʻino ʻana i ka ʻili, nā ʻiʻo, nā iwi, a me nā hono.
- ʻOi pinepine kēia ʻeha, a hiki iā ʻoe ke kuhikuhi i kahi kikoʻī o ka ʻeha.
- Hiki ke mālama ʻia nā ʻeha liʻiliʻi a me ka ʻeha ma ka home me nā lāʻau maʻalahi.
- Eia nō naʻe, inā hoʻomau ka ʻeha, koʻikoʻi, a i ʻole e hoʻopilikia i kou ola, e ʻike pono i ke kauka. Mai hoʻowahāwahā i ka ʻeha.
- I ka wā e loaʻa ai kahi ulia koʻikoʻi, he mea nui e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila.
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