E noʻonoʻo ʻoe e paʻa ana i ke kīʻaha tī , akā ʻoi aku ka wela nou. A i ʻole inā e hoʻopā wale kekahi i kou lima, ua like ia me ka ʻeha nui. Ua loaʻa anei iā ʻoe kekahi mea e like me kēia a mākou i ʻike ʻole ai, e like me kahi pā liʻiliʻi, kahi leo, kahi mālamalama, kahi ʻala, āu i hiki ʻole ke hoʻomanawanui? A laila ke kamaʻilio nei kēia e pili ana i kahi mea he mea nui loa iā ʻoe.
He aha ka Hyperesthesia?
I ka ʻōlelo maʻalahi, ʻaʻole he maʻi ka hyperesthesia. He hōʻailona ia . ʻO ia ka wā e ʻike ai kou kino, a manaʻo paha, i nā mea ʻoi aku ma mua o ka mea maʻamau. ʻO kēia no ka mea pane nui kou lolo a i ʻole nā aʻalolo i nā hōʻailona o waho.
Loaʻa i kekahi poʻe ka ʻeha me kēia ʻano. No kekahi poʻe, ʻaʻole hiki ke hoʻomanawanui i ka manaʻo, ikaika loa e hoʻowahāwahā ʻia. No ka laʻana, ʻaʻole paha e puhi ka wela o ke kīʻaha kope i kou ʻili, akā hiki ke manaʻo ʻia he mea hiki ʻole ke hoʻomanawanui.
ʻO ka hapa pinepine, ʻike ʻia kēia hypersensitivity i ka hoʻopā ʻana, akā hiki iā ia ke hoʻopilikia i ko mākou mau manaʻo ʻē aʻe.
| ʻAno o ka hyperesthesia | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻO ka Hyperesthesia Tactile | ʻOiai he pā liʻiliʻi wale nō, e like me ka hamo ʻana i kahi lole a i ʻole ke paʻa ʻana o kekahi i kou lima, he mea kaumaha loa ia e hoʻomanawanui ai. |
| Hyperesthesia Hoʻolohe | ʻOiai nā leo maʻamau (e like me ke kani o ka puna e hāʻule ana) he ʻoʻoleʻa a nui loa hoʻi ʻaʻole hiki i nā pepeiao ke hoʻolohe iā lākou. |
| ʻO ka Hyperesthesia Optic | ʻOiai ke kukui maʻamau, ʻoiai ke kukui mai ke kukui uila, he ikaika loa ia e hoʻokahe ai i kou mau maka. |
| ʻO ka Hyperesthesia ʻala | ʻO nā mea e like me ke ʻala o ka mea ʻala a i ʻole ke ʻala o ka meaʻai ua ikaika loa ia e like me ke kuʻi nei i kou poʻo. |
| ʻO ka Hyperesthesia Gustatory | He ʻoi loa a ʻoluʻolu ʻole ka ʻono o kekahi mau meaʻai. |
ʻO ka mea nui, hiki i ke kanaka ke loaʻa ma mua o hoʻokahi o kēia mau ʻano i ka manawa hoʻokahi.
No ke aha lā kēia e hana nei? He aha nā kumu?
Ua hoʻokaʻawale nā kauka i nā kumu o kēia i ʻelua mau ʻāpana nui: inā paha aia ka pilikia ma ko kākou ʻōnaehana nerve waena (ʻo ia hoʻi, ka lolo a me ke kaula spinal ) a i ʻole ma nā aʻalolo peripheral e holo ana ma ke kino holoʻokoʻa.
Nā kumu e pili ana i nā aʻalolo ʻē aʻe o ke kino (Nā kumu Peripheral)
He mau pilikia kēia e hoʻopilikia ai i nā aʻalolo ma ke kino holoʻokoʻa, ma waho o ka lolo a me ke kaula kuamoʻo.
- Nā kūlana olakino: ʻO ka maʻi diabetes mellitus, hypothyroidism, nā maʻi neurological e like me Guillain-Barré syndrome, a me kekahi mau ʻano maʻi kanesa.
- Nā maʻi viral : Hiki ke loaʻa kēia ʻano ma hope o nā maʻi viral e like me ka chickenpox, herpes, HIV, a me COVID-19, ka mea e hōʻino ai i nā aʻalolo.
- Nā maʻi bacteria: ʻO kekahi mau maʻi bacteria e like me ka maʻi Lyme a me ka maʻi puʻupuʻu.
- Kekahi mau lāʻau lapaʻau: Ma ke ʻano he hopena ʻaoʻao o kekahi mau antibiotics, nā lāʻau chemotherapy, a me nā lāʻau hoʻohaʻahaʻa cholesterol e like me statins.
- Nā pilikia kino: nā mea e like me ke aʻalolo ʻoki ʻia a ʻoki ʻia paha i loko o kahi ulia, ʻeha ma hope o ke ʻoki ʻana (e like me ka ʻeha ma hope o ka wehe ʻana i ka umauma), nā aʻalolo ʻoki ʻia i loko o ka iwi kuamoʻo, a pēlā aku.
Nā Kumu Waena
He mau pilikia kēia e hoʻopilikia pololei ana i ka lolo a i ʻole ke kaula kuamoʻo.
- Nā kūlana olakino: Sclerosis lehulehu, hahau ʻana, ʻehaʻeha i hoʻokumu ʻia e ka hoʻohana lōʻihi ʻana i nā opioids.
- Nā pilikia kūkulu: Nā ʻeha i ke kaula kuamoʻo, ke kaomi ʻana o nā aʻalolo e nā puʻupuʻu i loko o ka lolo a i ʻole ke kaula kuamoʻo.
He aha nā hōʻailona nui o kēia?
ʻOkoʻa nā hōʻailona i ʻike ʻia e kekahi me ka hyperesthesia ma muli o ke kino ʻike i hoʻopilikia ʻia. I ka manawa pinepine, hoʻomaka koke kēia mau hōʻailona a piʻi mālie i ka hala ʻana o ka manawa.
ʻO nā hōʻailona i ʻike pinepine ʻia:
- Ua like ia me ke hou ʻia ʻana e nā nila , me he mea lā e ʻā ana.
- Ka mae a i ʻole ka nalowale ʻana o ka manaʻo ma kahi wahi.
- ʻEha loa a ʻoluʻolu paha ke hoʻopā aku.
- Ka nāwaliwali o nā ʻiʻo.
I kekahi mau hihia kakaikahi, hiki ke hana ʻia kēia ʻano e kahi hopena hypersensitivity o ka ʻōnaehana pale o ke kino, e hoʻoulu ai i nā aʻalolo e pehu, e like me kahi hopena allergic.
Pehea e ʻike ai ke kauka i kēia?
ʻOiai he nui nā kumu hiki ke loaʻa, hiki ke paʻakikī iki ka ʻike pono ʻana i ke ʻano o ke kūlana. No laila he mea nui loa ia e haʻi i kāu kauka i nā mea āpau e pono ai ʻoe e ʻike.
- He aha nā hōʻailona āu e ʻike nei a pehea ka lōʻihi o ko lākou loaʻa ʻana iā ʻoe?
- He aha nā lāʻau lapaʻau āu e lawe nei i kēia manawa?
- He aha nā ʻoki kino āu i hana ai ma mua?
- He mau maʻi kino a noʻonoʻo paha kou?
Me kēia ʻike, hiki i ke kauka ke kuhikuhi iā ʻoe no kekahi mau hoʻokolohua.
- Nā hoʻāʻo koko: No ka ʻike ʻana i nā mea e like me ka nele o nā huaora a me nā pilikia o ka ʻōnaehana pale.
- Nā Hoʻāʻo Electrodiagnostic: Hiki i nā hoʻāʻo e like me ke aʻo ʻana i ke alakaʻi nerve ke ana i ka nui a me ke koʻikoʻi o ka hōʻino ʻana o nā aʻalolo.
- Hoʻokolohua Neurological: Hoʻāʻo kēia i kou ikaika o nā ʻiʻo, ka pane ʻana i ka pā ʻana, a me ka mahana.
He aha nā lāʻau lapaʻau no kēia?
I ka mālama ʻana i ka hyperesthesia, e hoʻāʻo mua ke kauka e ʻimi i ke kumu kumu a mālama iā ia. No ka laʻana, inā ua hoʻokumu ʻia e ka maʻi diabetes, ʻo ka mea nui ka kaohi pono ʻana i ka maʻi diabetes.
Aia nā ʻano lapaʻau like ʻole e loaʻa ana e kaohi i nā hōʻailona i ka wā e mālama ai i ke kumu.
| ʻAno lapaʻau | He aha ka mea e hoʻohana ʻia ai? |
|---|---|
| Nā lāʻau hoʻēmi kaumaha | ʻO nā lāʻau lapaʻau e like me Amitriptyline lāua ʻo Duloxetine e kōkua i ka hoʻomaha ʻana i ke aʻalolo. |
| Nā lāʻau lapaʻau anti-haʻi | ʻO nā lāʻau lapaʻau e like me Gabapentin lāua ʻo Pregabalin e kāohi i ka hyperactivity o nā aʻalolo. |
| Nā lāʻau lapaʻau ʻili | ʻO nā ʻāpana a i ʻole nā kirimi i loaʻa ka capsaicin a i ʻole lidocaine e hōʻemi i ka ʻeha ma kahi kikoʻī. |
| Nā mea hōʻoluʻolu ʻeha | Inā ʻaʻole hāʻawi nā lāʻau ʻeha maʻamau i ka hōʻoluʻolu, hiki ke kuhikuhi ʻia nā lāʻau lapaʻau e like me Tramadol. |
| Nā lāʻau lapaʻau ʻē aʻe | I nā hihia koʻikoʻi loa, hiki ke hoʻohana ʻia nā lāʻau lapaʻau e like me nā inikini steroid a me nā poloka aʻalolo. |
No kēia, pono paha ʻoe i ke kōkua o nā loea like ʻole, e like me ke kauka hoʻoponopono kino, ka loea lāʻau lapaʻau ʻeha, a i ʻole he neurologist.
Nā Nīnau i Nīnau Pinepine ʻia (FAQs)
He ʻelua mau mea like ʻole ʻo Hyperesthesia lāua ʻo Allodynia?
ʻAe. Hiki i nā mea ʻelua ke huikau iki. ʻO ka Hyperesthesia ka manaʻo o kahi manaʻo maʻamau (e.g. wela) i nui loa ke ahonui. ʻAʻole pono ia he ʻeha mau. Akā, ʻo ka allodynia ka manaʻo o ka ʻeha i hoʻokumu ʻia e kahi mea i maʻamau ʻole ke kumu o ka ʻeha (e.g. ka pā ʻana o ka hulu manu).
Hiki ke ho'ōla loa ʻia kēia?
ʻAʻohe "lāʻau lapaʻau" no ka hyperesthesia. Eia nō naʻe, ma ka mālama ʻana i ke kumu kumu a me ka mālama ʻana i kāu mau hōʻailona, hiki iā ʻoe ke ola i kahi ola maʻamau. No kekahi poʻe, e nalo loa nā hōʻailona i ka hala ʻana o ka manawa. No kekahi poʻe, pono paha ka lāʻau lapaʻau lōʻihi. ʻO ka mea nui loa, ʻo ia ke ʻimi i ke aʻo lapaʻau i ka wā hikiwawe loa.
Leka Lawe-Home
- ʻAʻole maʻi ka Hyperesthesia, akā he hōʻailona ia i hoʻokumu ʻia e kahi pilikia i loko o ka ʻōnaehana nerve.
- Inā he mea kaumaha loa iā ʻoe ke hoʻomanawanui i kahi pā wale, kani, a i ʻole ʻala, mai hoʻowahāwahā iā ia.
- Hiki ke hana ʻia kēia e nā mea like ʻole, mai ka maʻi diabetes a i kekahi mau lāʻau lapaʻau.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i kāu kauka no ka ʻōlelo aʻo. ʻO ka wikiwiki o kou ʻike ʻana i ke kumu, ʻo ka maʻalahi ka mālama ʻana.
- Aia nā lāʻau lapaʻau kūpono loa i kēia lā e kāohi i nā hōʻailona i ka wā e mālama ai i ke kumu. No laila, mai makaʻu.
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