I kekahi manawa, manaʻo paha ʻoe ʻaʻohe mea nui ka nui o ka lāʻau lapaʻau āu e lawe ai no kahi maʻi e like me ka maʻi epilepsy a i ʻole ke kaumaha lōʻihi, ʻaʻohe kaohi maoli. He mea hoʻonāukiuki maoli ia ke hoʻāʻo ʻoe i nā lāʻau lapaʻau he nui akā ʻaʻole i loaʻa nā hopena i makemake ʻia. Eia nō naʻe, me ka holomua o ka ʻepekema lapaʻau, aia nā lāʻau lapaʻau hou no ia mau kūlana. ʻO kekahi o ia ʻano lāʻau lapaʻau a nā kauka e noʻonoʻo ai i ka wā ʻaʻole i holo pono nā lāʻau lapaʻau ʻē aʻe ʻo ia ka Vagus Nerve Stimulation, a i ʻole VNS no ka pōkole. I ka ʻōlelo maʻalahi, ua like ia me kahi pacemaker i hoʻokomo ʻia i loko o ka puʻuwai, akā no ka lolo kēia, ʻaʻole no ka puʻuwai! E kamaʻilio kākou e pili ana i kēia i kēia lā.
ʻO ka mea mua, he aha ke aʻalolo Vagus?
Ua like kou ʻōnaehana nerve me kahi pūnaewele o nā uwea kelepona o kahi ʻāina. Kōkua kēia mau aʻalolo i ka lawe ʻana i nā leka mai kou lolo i kēlā me kēia kihi o kou kino a hoʻi i kou lolo. ʻO kēia mau mea, ʻo ke aʻalolo Vagus kahi aʻalolo kūikawā loa a lōʻihi loa. Hoʻomaka ia ma ke kumu o ka lolo, holo ma kou ʻāʻī, a hoʻolōʻihi a hiki i kou umauma a me ka ʻōpū. E noʻonoʻo iā ia ʻo ia ke ala kamaʻilio nui ma waena o kou lolo, puʻuwai, māmā, a me nā ʻōpū. No laila, ʻo ke kumumanaʻo kumu ma hope o ka VNS therapy, ʻo ia ka hoʻololi ʻana i ka hana o kēia aʻalolo, hiki iā ʻoe ke hoʻopilikia i ka hana o ka lolo.
He aha nā kūlana e hoʻohana ʻia ai ka VNS therapy?
ʻAʻole no nā kānaka a pau kēia lāʻau lapaʻau. Ua ʻae ʻia i kēia manawa no ʻekolu mau maʻi nui ma ka honua. I kēlā me kēia o lākou, noʻonoʻo nā kauka i kēia koho ke hāʻule wale nā lāʻau lapaʻau maʻamau ʻē aʻe .
| Ke kūlana maʻi | ʻO wai ka mea kūpono? |
|---|---|
| ʻEpilepsy | Ma ke ʻano he lāʻau lapaʻau kōkua no nā keiki ma luna o 4 mau makahiki a me nā pākeke me nā hopu ʻana i hiki ʻole ke kaohi ʻia me ka lāʻau lapaʻau. |
| Kaumaha Kūʻē i ka Lāʻau Lapaʻau | ʻO nā pākeke ma luna o 18 mau makahiki me ke kaumaha koʻikoʻi lōʻihi a i ʻole ke kaumaha hou i pane ʻole i ka liʻiliʻi he ʻehā mau lāʻau lapaʻau antidepressant like ʻole. |
| Hoʻōla hou ʻana i ka hahau | Ma ke ʻano he kōkua hou aku i nā hoʻomaʻamaʻa kino no ka poʻe i nalowale loa ka hana ma ko lākou mau lima a me nā lima ma hope o ka hahau ischemic i hoʻokumu ʻia e kahi ālai ʻana o kahi kīʻaha koko. |
Pehea e hoʻopili ʻia ai kēia mea VNS i ke kino?
He hana maʻalahi loa kēia. ʻAʻohe mea e makaʻu ai. Hiki ke hoʻopau ʻia ke hana ma kahi o hoʻokahi hola a me ka hapa.
1. Mea Hana: ʻElua ʻāpana nui o kēia. ʻO kekahi he mea hana (mea hana pulse) i ʻoi aku ka nui ma mua o ka rupee kālā a hana e like me ka pila. ʻO kekahi he uea lahilahi e holo ana mai ia mea.
2. ʻOki ʻana: E hana ke kauka i kahi ʻoki liʻiliʻi loa ma ka ʻaoʻao hema o kou ʻāʻī a e kāʻei pono i ke kaula a puni ke aʻalolo Vagus. A laila, e hana ʻo ia i kahi ʻoki liʻiliʻi ʻē aʻe ma ka ʻaoʻao hema o luna o kou umauma, e hana i kahi ʻeke liʻiliʻi ma lalo o ka ʻili, a e kau i ka mea like me ka pila ma laila. A laila, e lawe mai ʻo ia i ke kaula i kāʻei ʻia a puni ke aʻalolo ma lalo o ka ʻili a hoʻohui iā ia i kēia mea hana.
3. Hoʻāʻo ʻana: Ma hope o ka hoʻopili ʻia ʻana o nā mea āpau, e hoʻā koke ke kauka i ka hāmeʻa no kekahi manawa e ʻike ai inā e hana pono ana. A laila e humuhumu ʻia nā ʻoki. ʻO ka maʻamau, e hoʻoheheʻe ʻia kēia mau humuhumu, no laila ʻaʻohe pono e hoʻi hou a uhaʻi hou iā lākou.
Hiki iā ʻoe ke hoʻi hou i nā hana maʻamau i ʻelua mau lā ma hope o ke ʻoki ʻana.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
Pono ʻoe e ʻike hou i kāu kauka ma kahi o ʻelua a ʻehā pule. ʻO ia ka manawa e hoʻohana ʻia ai kahi mea kamepiula kūikawā (programming wand) e hoʻāla pololei i ka mea VNS i loko o kou kino. Na ke kauka e hoʻoholo i ka ikaika o nā pulse uila, pehea ka lōʻihi o ko lākou mau manawa, a me nā manawa hea, ma muli o kāu mau hōʻailona.
E hāʻawi ʻia ʻoe i kahi magnet hiki iā ʻoe ke paʻa i kou lima. Inā manaʻo kekahi me ka maʻi epilepsy e like me ka loaʻa ʻana o kahi hopu, ke hamo ʻoe i kēia magnet i ka wahi i loaʻa ai ka hāmeʻa ma ko lākou umauma, hoʻouna ia i kahi pulse uila hou i ka lolo. Eia kekahi, inā ʻoe e paʻa i kēia magnet ma luna o ka hāmeʻa, hiki iā ia ke hoʻopau iā ia no kekahi manawa.
ʻO ka maʻamau, ʻo ka pila o kēia hāmeʻa e mau ana ma kahi o 6 mau makahiki (ʻo kekahi mau mea e mau ana a hiki i 15 mau makahiki). Ke pau ka pila, ʻo ka mea wale nō i loko o ka umauma e hoʻololi ʻia ma o kahi ʻoki liʻiliʻi ʻē aʻe.
ʻO wai ka mea kūpono ʻole no kēia lāʻau lapaʻau?
ʻAʻole no nā kānaka a pau ka lāʻau VNS. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, ʻaʻole paha kūpono kēia lāʻau iā ʻoe. Pono ʻoe e kamaʻilio me kāu kauka e pili ana i kēia.
| Nā kūlana i kūpono ʻole paha no ka mālama ʻana iā VNS | |
|---|---|
| - Inā hāpai | - Inā loaʻa iā ʻoe nā pilikia hanu (asthma, sleep apnea) |
| - Inā he ʻōpū ʻōpū ikaika kou (peptic ulcer). | - Inā loaʻa iā ʻoe ka maʻi diabetes e hilinaʻi ana i ka insulin |
| - Inā loaʻa iā ʻoe nā maʻi puʻuwai (arrhythmias) a i ʻole nā maʻi puʻuwai ʻē aʻe | - Inā loaʻa iā ʻoe nā maʻi ʻōnaehana nerve autoimmune (dysautonomias) |
| - Inā ua hana mua ʻoe i kahi ʻoki kino i hōʻino i ke aʻalolo vagus ma ka ʻaoʻao hema o ka ʻāʻī | - Inā he moʻolelo kou no nā maʻi noʻonoʻo koʻikoʻi ʻē aʻe e like me ka schizophrenia a i ʻole ka maʻi bipolar |
He aha nā pilikia a me nā hopena ʻaoʻao o ka lāʻau lapaʻau?
E like me nā ʻoki kino āpau, aia kekahi mau pilikia liʻiliʻi a me nā hopena ʻaoʻao. Eia nō naʻe, ʻo ka hapa nui o kēia mau mea he manawa pōkole a hiki ke hoʻomalu ʻia ma ka hoʻololi ʻana i nā hoʻonohonoho o ka hāmeʻa.
- Nā pilikia maʻamau e pili ana i ke ʻoki ʻana: ka maʻi o nā ʻoki, ka ʻeha, ka hōʻino ʻana i ke aʻalolo vagus a i ʻole nā ʻiʻo a puni.
- Nā hopena ʻaoʻao hiki ke hana ʻia e ka hana o ka hāmeʻa:
- Kuke
- Ka leo haʻalulu a i ʻole ka loli o ka leo
- He manaʻo ʻūlū ma ka ʻāʻī a i ʻole ka puʻu
- Ka paʻakikī o ka hanu ʻana (dyspnea)
- Ka paʻakikī o ka ʻōlelo ʻana (dysphonia)
- Ka paʻakikī i ka moni ʻana (dysphagia)
- ʻEha poʻo
Inā hoʻopilikia kēia mau hopena ʻaoʻao iā ʻoe, hiki iā ʻoe ke noi i kāu kauka e hōʻemi i ka ikaika o nā pulse uila mai ka hāmeʻa. Aia kekahi mau hopena ʻaoʻao koʻikoʻi e hiki ke loaʻa pinepine ʻole, a e hoʻomaopopo kāu kauka iā ʻoe e pili ana i kēia mau mea.
I ka wā e pono ai ʻoe e kamaʻilio me ke kauka
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e kāhea koke aku i kāu kauka.
| Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻimi koke i ke kōkua lapaʻau. | |
|---|---|
Nā hōʻailona o ka maʻi:
| Nā hōʻailona koʻikoʻi ʻē aʻe:
|
ʻO kekahi mea nui ʻē aʻe: Inā he hāmeʻa VNS kāu, he mea nui e hoʻomaopopo i kāu kauka e pili ana i ia mea ma mua o kekahi hoʻokolohua lapaʻau, e like me ka MRI scan.
Leka Lawe-Home
- ʻO ka Vagus Nerve Stimulation (VNS) kahi lāʻau lapaʻau kūikawā i hoʻohana ʻia no ka maʻi epilepsy, ke kaumaha, a me ka hoʻōla hou ʻana i ka hahau i kāohi ʻole ʻia e nā lāʻau lapaʻau maʻamau e like me ka lāʻau lapaʻau.
- ʻAʻole kēia he lāʻau lapaʻau no ka maʻi, akā hiki iā ia ke hōʻemi nui i nā hōʻailona (e laʻa, ka helu o nā hopu ʻana, ke koʻikoʻi o ke kaumaha) a kōkua i ka hoʻomaikaʻi ʻana i ke ʻano o ke ola.
- Pono kēia lāʻau i ke ʻoki kino e hoʻokomo i kahi mea liʻiliʻi ma lalo o ka ʻili.
- ʻAʻole kūpono kēia lāʻau lapaʻau no nā kānaka a pau. Pono ʻoe e kūkākūkā me kāu loea inā kūpono ia iā ʻoe a me nā pilikia ma mua o ka hoʻoholo ʻana.
- Ma hope o ke kau ʻia ʻana o ka hāmeʻa, he mea nui loa ia e mālama mau i ka launa pū ʻana me ke kauka a hele i nā keʻena lapaʻau e like me ka hoʻonohonoho ʻana.
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