I kekahi manawa, manaʻo mākou i kahi ʻeha e like me ka ʻeha ʻōpū a i ʻole ka paʻa ʻana o ko mākou umauma, ʻeā? Akā, he paʻakikī ke kuhikuhi pono i kahi e ʻeha ai. Me he mea lā ua pālahalaha ka ʻeha ma loko o ko mākou kino. Pēlā mākou e kapa ai he 'ʻeha visceral' ke hele mai ia mai nā ʻōpū i loko o ko mākou kino, e like me ka puʻuwai, nā māmā, ka ʻōpū mimi, a me ka ʻōnaehana hoʻoheheʻe ma ka umauma, ka ʻōpū, a me ke pelvis.
He aha ke ʻano o kēia ʻeha visceral?
ʻOkoʻa ke ʻano o ka ʻeha ma waena o kēlā me kēia kanaka. ʻO ka mea a kekahi kanaka e manaʻo ai he "ʻeha iki" hiki ke manaʻo ʻia he "ʻeha nui ʻole" e kekahi. Akā ma ke ʻano laulā, ua like kēia ʻeha visceral me ka ʻeha hohonu a laha e puka mai ana mai loko mai o ke kino. Ma mua o ka ʻeha ʻoi e like me ke kuʻi ʻana me ka pahi, ua like ia me ka ʻeha palupalu, me he mea lā e paʻa ana kekahi mea i loko a ʻūmiʻi ʻia.
ʻO nā huaʻōlelo a ka poʻe e hoʻohana pinepine ai e wehewehe i kēia ʻeha:
- Hohonu: Me he mea lā e puka mai ana mai loko mai o ke kino, ʻaʻole mai ka ʻili.
- Hoʻolaha: Me he mea lā ua pālahalaha ʻia, ʻaʻole ma kahi hoʻokahi.
- ʻO Crampy: He ʻeha e like me ʻoe e paʻa ana i kou ʻōpū.
- ʻEha: He ʻeha mau.
- Ke ʻomi nei: Me he mea lā e ʻomi ʻia ana kekahi mea mai loko mai.
- Nau ʻana: ʻEha e like me ke ʻai ʻia ʻana o kekahi mea mai loko mai.
- Luhi: He ʻeha ʻoi ʻole, akā, mau loa.
- Kaomi: He manaʻo o kekahi mea e kaomi ana i loko.
ʻO ka mea nui, i kekahi manawa, ʻoiai kahi ʻeha liʻiliʻi i loko o ke kino e like me ka ʻeha hiki ʻole ke hoʻomanawanui. A i kekahi manawa, ʻoiai kahi ʻeha nui, ʻaʻole ia he ʻeha nui.
He aha ka ʻokoʻa ma waena o ka ʻeha Visceral a me ka ʻeha Somatic?
E kamaʻilio kākou e pili ana i ʻelua ʻano ʻeha. ʻO kekahi ʻo Visceral Pain, a mākou e kamaʻilio nei ma ʻaneʻi. ʻO kekahi ʻo Somatic Pain. ʻO ka hoʻomaopopo ʻana i ka ʻokoʻa ma waena o nā mea ʻelua e hāʻawi iā ʻoe i kahi manaʻo maikaʻi aʻe o kēia ʻano.
I ka ʻōlelo maʻalahi, ʻo ka ʻeha Somatic ka ʻeha e hele mai ana mai nā wahi e like me ko kākou ʻili, nā ʻiʻo, nā hono, a me nā iwi. No ka mea he nui nā aʻalolo ma kēia mau wahi e ʻike ai i ka ʻeha, he ʻoi loa ka ʻeha, a hiki iā ʻoe ke ʻike pololei i kahi e ʻeha ai.
E noʻonoʻo i kou lima e ʻoki ʻia ana e kahi ʻāpana pepa. He laʻana maikaʻi kēlā o ka ʻeha Somatic. He ʻoi kēlā ʻeha, ʻike ʻia ma kahi i ʻoki ʻia ai. Akā ʻo ka ʻeha ʻōpū he ʻeha Visceral. Manaʻo ia he laha, palupalu, a paʻakikī ke kuhikuhi.
Hiki ke hoʻomaopopo pono ʻia kēia ʻokoʻa mai ka papa ma lalo nei.
| ʻAno | ʻEha Visceral | ʻEha Somatic |
|---|---|---|
| Pehea kona manaʻo | Pōʻeleʻele, laha, hohonu, hoʻopāpā | ʻOiʻoi, ʻoiʻoi, hiki ke haʻi i kahi kikoʻī |
| Kahi o ka ʻeha | He paʻakikī ke loaʻa ka wahi kikoʻī. | E huli maʻalahi i kahi o ka ʻeha |
| Nā Laʻana | ʻEha ʻōpū, ʻeha menstrual, ʻeha maʻi urinary tract | ʻO ke ʻoki ʻana i ka lima ma ka pepa, ke kuʻi ʻana i ka manamana lima, ka haki ʻana i ka iwi |
ʻEha i kuhikuhi ʻia
ʻO kekahi hiʻohiʻona kū hoʻokahi o ka ʻeha visceral ʻo ia ka ʻeha i hoʻopili ʻia. ʻO kēia ka wā e loaʻa ai ka ʻeha ma kahi ʻāpana o ke kino i kahi pilikia ma kekahi ʻāpana o ke kino. No ka laʻana, hiki i kekahi poʻe ke manaʻo i ka ʻeha ma ko lākou umauma ma kahi o ko lākou ʻōpū. ʻO kēia no ka mea ʻaʻole hiki i ka lolo ke kuhikuhi i kahi e hele mai ai ka ʻeha.
No ke aha lā i loaʻa ai iā kākou kēia ʻeha?
He ʻōlelo aʻo kēia, ma ka ʻōlelo maʻalahi, mai kou ʻōnaehana nerve. He ʻano o ka ʻōlelo ʻana, "Aia kekahi mea hewa i loko o kou kino, e hoʻolohe pono iā ia."
Aia nā hopena aʻalolo kūikawā (nā mea loaʻa ʻeha) i loko o ko kākou kino e hiki ke ʻike i ka ʻeha, a mākou e kapa nei he nociceptors . ʻO kēia nā mea e hoʻouna i nā hōʻailona i ka lolo ke hōʻino ʻia, kaomi ʻia, maʻi ʻia, a pehu paha kahi ʻōkana.
ʻAʻole e like me ko kākou mau manamana lima, ʻoi aku ka liʻiliʻi o nā nociceptors o nā ʻōpū i loko o ke kino, a aia lākou ma kahi mamao aku. ʻO ia ke kumu he paʻakikī i ka lolo ke kuhikuhi pololei i kahi e ʻeha ai, a ua like ka ʻeha me he mea lā ua pālahalaha ʻia.
ʻO kekahi o nā kumu nui o ka ʻeha visceral:
- He ʻeha i kahi ʻōpū o loko.
- He maʻi.
- Ka pale ʻana o kahi mea e like me ka paipu.
- Ka mumū a me ka pehu.
- Ke kahe ʻana o ke koko i loko a i ʻole ka emi ʻana o ke kahe ʻana o ke koko.
- Nā ulu ʻana o ke kanesa a i ʻole nā ulu ʻaʻole o ke kanesa.
He aha nā kūlana e hoʻoulu ai i ka ʻeha visceral?
Hiki ke hana ʻia kēia ʻeha e kekahi ʻano olakino e hoʻopilikia ai i ko kākou mau kino i loko. ʻO kekahi o lākou:
- ʻApendisitis
- ʻO ka mumū o ka ʻōpū
- Ka pale ʻana o ka ʻōpū
- Ka maʻi ʻaʻai
- ʻO ka Endometriosis
- Maʻi hohola
- ʻAʻai ʻole
- ʻO ka maʻi ʻōpū huhū (IBS)
- Maʻi puʻupaʻa
- Nā ʻōpū ʻeha
- Ka maʻi ʻaʻai mimi (UTI)
He aha nā lāʻau lapaʻau no kēia ʻeha?
E hoʻomanaʻo mau, ʻo ka mea nui loa, ʻo ia ka mālama ʻana i ke kūlana kumu e hoʻoulu ai i ka ʻeha. ʻO ka ʻeha ka hōʻailona aʻo o kou kino. No laila, ma kahi o ke kāohi ʻana i ka ʻeha me kahi lāʻau hoʻopau ʻeha, ʻoi aku ka maikaʻi o ka ʻike ʻana i ke kumu o ka ʻeha a ʻimi i ka ʻōlelo aʻo a ke kauka.
E paipai kāu kauka i nā ʻano hana like ʻole e mālama ai i ka ʻeha a hiki i ka wā e ʻike ʻia ai ke kumu.
Nā lāʻau lapaʻau
- Nā lāʻau ʻeha maʻamau: Hiki i kāu kauka ke ʻōlelo aku i ka paracetamol a i ʻole NSAID (e.g., ibuprofen, naproxen). Eia nō naʻe, pono e hoʻohana ʻia kēia mau mea ma lalo o ke aʻo ʻana a ke kauka.
- Nā lāʻau lapaʻau i kuhikuhi ʻia: Hiki ke kuhikuhi ʻia nā lāʻau lapaʻau e like me Gabapentin lāua ʻo Pregabalin, i hoʻohana ʻia no kekahi ʻeha aʻalolo, a i ʻole opioids, i hoʻohana ʻia no ka ʻeha nui. ʻO nā opioids, ma ke ʻano kūikawā, hiki ke hoʻopili a pono e lawe wale ʻia ma lalo o ka nānā pono ʻana o ke kauka .
- Nā inikini: Inā ʻaʻole hiki i nā lāʻau lapaʻau ʻē aʻe ke kaohi i ka ʻeha, hiki ke hoʻokomo ʻia nā lāʻau lapaʻau e like me Lidocaine a i ʻole Capsaicin i loko o nā ʻiʻo i hoʻopilikia ʻia.
Nā Lapaʻau ʻē aʻe
Hiki ke hoʻohana ʻia kēia mau mea e kāohi i ka ʻeha a mālama i ke kumu kumu.
- Hoʻōla kino
- Psychotherapy - ʻoi aku hoʻi no ka pilikia noʻonoʻo e hele mai me ka ʻeha lōʻihi.
- ʻAkipuʻu
ʻO ka mea hope loa, inā loaʻa iā ʻoe kahi ʻeha palupalu a pālahalaha e puka mai ana mai loko mai o kou kino, mai hoʻowahāwahā iā ia. He leka koʻikoʻi paha ia mai kou kino mai. E ʻike koke i ke kauka e ʻike pono i ke kumu.
Leka Lawe-Home
- ʻO ka ʻeha Visceral kahi ʻeha hohonu a pālahalaha i hele mai mai nā ʻōpū i loko o ko mākou kino.
- He mea paʻakikī ke kuhikuhi pono i kahi e hele mai ai kēia ʻeha. I kekahi manawa ua ʻike ʻia ka ʻeha mai kahi ʻē aʻe ma mua o ka pilikia (ʻeha i kuhikuhi ʻia).
- Hiki i kēia ʻeha ke hōʻailona i kekahi manawa o kahi maʻi koʻikoʻi, no laila mai hoʻowahāwahā iā ia.
- Inā loaʻa iā ʻoe ka ʻeha mau a koʻikoʻi paha, e ʻike koke i kāu kauka.
- ʻO ka mea nui i ka mālama ʻana, ʻo ia ka ʻimi a me ka mālama ʻana i ke kumu o ka ʻeha. ʻAʻole ia he hopena ka kāohi ʻana i ka ʻeha no kekahi manawa.
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