Kei te pāngia koe e te mamae e kore e taea te tāea te mau, te wera rānei ina mirimiri ō kākahu, ina pupuhi te hau, ina papaki mārie rānei tō pakihiwi e tō hoa? Ki te pāngia koe e te mamae nui ahakoa he pā māmā noa iho, kāore e tino mamae, tera pea kei a koe tēnei mate. I tēnei rā ka kōrero tātou mō tēnei mate rerekē, engari he tino noa, he mamae e pāngia ana e te tini tāngata, arā, te allodynia.
He aha rawa te Allodynia?
Ki te kī māmā noa, ko te allodynia te mamae o tētahi mea kāore e puta ai te mamae. Whakaarohia he huruhuru manu e pā ana ki tō kiri. He ngawari, he pai hoki te ahua o te mamae , tika? Engari mō te tangata e pāngia ana e te allodynia, he rite ki te mamae koi, ki te werohia e te maripi.
E mōhiotia ana tēnei i roto i te rongoā ko te mamae neuropathic . Ko te tikanga ehara i te raruraru o tō kiri, engari he raruraru o te pūnaha io e kawe ana i te mamae ki te roro. He tohu tēnei nō tētahi atu mate. Hei tauira, he mea noa te kitea me ngā mate pēnei i te mate huka, te herpes, te fibromyalgia, me te migraines.
He tokomaha te hunga whai allodynia e kī ana he "tino tairongo te kiri, me te mea kua wera i te rā." Mō ētahi tāngata, ka rite te mamae ki te maripi, ki te ngira, ki te mura rānei, me te mea kei te mura te kiri.
He aha ngā momo matua o te Allodynia?
E toru ngā momo matua o tēnei āhuatanga, i runga i te āhua o tōna putanga mai. Me mārama tātou ki tēnei mā te whakamahi i tētahi ripanga.
| Momo Allodynia | Ki te kī ngāwari, koinei te mea ka tupu (He aha te tikanga o tēnei) |
|---|---|
| Allodynia Hihiri | Te mamae ina neke tetahi mea i runga i te mata o te kiri. Hei tauira, te mirimiri o ngā kākahu ki te tinana, te pā o ngā whāriki moenga ki te tinana. |
| Allodynia pā | Te mamae i puta mai i te pā, te pēhanga rānei, he iti noa iho. Hei tauira, te rūrū i te ringa o tētahi, te pā o tētahi ki tō mahunga. |
| Allodynia Wera | Te mamae e puta mai ana i ngā panonitanga iti o te pāmahana. Hei tauira, ina puta koe i te rūma hauhautanga, ina pā rānei te pata wai matao ki tō kiri. |
He aha tēnei e pā mai nei ki a tātou? He aha te take?
Ko te take matua mō tēnei he hapa kei roto i te tukatuka mamae o tō tātou pūnaha io. Ka kiia tēnei ko te 'Central Adoration'.
Whakaarohia tō tinana hei rohe tino haumaru, ā, ko tō pūnaha io tōna pūnaha haumaru. Ina pā atu koe ki tētahi mea wera, ka tukuna e ngā pūoko o tō pūnaha io he tohu ki tō roro e mea ana, "Tūkino!" I taua wā tonu, ka tangi te pūnaha haumaru, ka pā te mamae ki a koe, ā, ka unuhia atu tō ringa. Koinei te tukanga noa.
Engari ka taea e te mate hauora, te aituā, ētahi rongoā rānei te whakararuraru i te mahi a tēnei pūnaha parepare. Kātahi ka tīmata te tangi o te whakaoho ahakoa kāore he tūponotanga. Pērā i te whakaoho haumarutanga e tangi ana me te kore e tae mai he tahae. Ehara i te tūponotanga te mirimiri i tētahi kākahu ki te tinana, engari ka hē te whakamaoritanga a te pūnaha io kua raruraru hei "tūponotanga" ka tukuna ngā tohu mamae ki te roro. Koinei te mea ka tupu i roto i te āhua o te allodynia.
Ngā āhuatanga ka taea te whakaputa i te allodynia
- Te neuropathy e pā ana ki te mate huka
- Te mate pukupuku
- Ngā migraines
- Te neuralgia post-herpetic (mamae i muri i te pangia e te herpes)
- Te Mate Pukupuku Maha (MS)
- Te mamae ā-rohe matatini (CRPS)
- Te neuralgia trigeminal (TN)
- Te mate whakamahi waipiro
- Te korenga o te huaora D, te huaora B rānei
- Ētahi maimoatanga matepukupuku (Chemotherapy, radiation therapy)
- Te pakaru o ngā io i muri i tētahi aituā (hei tauira, he motu hōhonu) he pokanga rānei (hei tauira, te tango i tētahi peka)
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ina puta mai ēnei tohu, ko te mea tuatahi ka mahia e tō tākuta ko te pātai mō tō hītori hauora katoa me te tirotiro i a koe.
- He aha te āhua o te mamae? (Te ngau? Te wera?)
- Āhea ka piki ake?
- He aha tāu e mahi ai hei whakaiti i te mamae?
- He aha atu ngā rongoā e tangohia ana e koe?
I muri i te pātai i ēnei pātai, ka pātai atu rātou ki a koe kia arotakehia te kaha o te mamae mai i te 0 ki te 10. Whai muri i tēnā, ka whakahaerehia pea e rātou ētahi whakamātautau hei rapu i te tino take.
- Ngā whakamātautau toto (hei tauira, te tatau toto katoa)
- Ngā whakamātautau mimi
- Ngā whakamātautau MRI, CT rānei
- Ngā whakamātautau e ine ana i te mahi a te io - EMG (Electromyogram) me te NCS (Rangahau Whakahaere Io)
Kāore he rongoā mō tēnei mamae?
He tino pono. Ko te mea nui ki te maimoatanga ko te tautuhi me te rongoā i te mate pūtake e puta ai te allodynia. Hei tauira, ki te mea nā te mate huka i puta, he mea nui kia pai te whakahaere i te mate huka.
Ki te kore e kitea he pūtake, ki te mau tonu rānei te mamae ahakoa kua rongoatia te mate taketake, he maha ngā huarahi hei whakahaere i te mamae. Mā tō tākuta e whiriwhiri te mahere maimoatanga e pai ana māu.
| Tikanga Maimoatanga | Kia ako tātou mō tēnei. |
|---|---|
| Ngā Rongoā ā-Waha | He rongoā motuhake kei reira mō te mamae o ngā io. Ko ngā rongoā pēnei i a Pregabalin, Gabapentin, me ētahi rongoā ārai pouri e whakamahia whānuitia ana mō tēnei. Ko ngā rongoā pēnei i a Triptan ka hoatu mō te allodynia i puta mai i te migraines. |
| Ngā Rongoā ā-Whānui | Kei reira ngā kirimi, ngā hinu whakahinuhinu, ngā pāti rānei ka taea te pani ki te wāhi e mamae ana. Hei tauira, ko ngā hinu whakahinuhinu kei roto ko te lidocaine me te capsaicin. Ka whakangāwari ēnei i te mata o te kiri mō te wā poto, ka whakaiti hoki i te mamae. |
| Te Whakaora Tinana (PT) | He tukanga tēnei e kiia nei ko te 'whakaiti i te māuiuitanga'. Ka pā mārire te kaiwhakaora hinengaro ki tō kiri, ka piki haere te pēhanga. I roto i te wā, ka taunga tō pūnaha io ki te pā, ā, ka memeha haere te mamae. |
| Te Tohutohu me te Whakaora | Ka taea e te noho me te mamae tonu te whakararuraru i te hinengaro. He mea tino nui te whai tohutohu hei whakahaere i te ahotea me te manukanuka e puta mai ana i tēnei. Mā ngā tikanga pēnei i te Cognitive Behavioral Therapy (CBT) koe e ako ki te whakatau i te mamae. |
| Ngā werohanga | Ka taea te hoatu i ngā werohanga pēnei i te aukati io hei whakakore i te io, i te muka io rānei e puta ai te mamae mō te wā poto. |
| Pokanga | Ki te kore e angitu ētahi atu maimoatanga, ka whakaarohia pea te pokanga pēnei i te Whakaoho i te Taura Tuaiwi. Ko te whakauru i tētahi taputapu iti ki roto i te taura tuaiwi hei aukati i ngā tohu mamae kei tae atu ki te roro. |
Kāore e taea te ārai i tēnei āhuatanga?
Kāore pea e taea te ārai katoa i te allodynia, he tohumate hoki nō tētahi atu mate. Heoi anō, ka taea e tātou te whakaiti i te tūponotanga o te whakawhanake i ngā mate matua e hua ai te allodynia.
- Kia kaha tonu: Mā te whakakori tinana auau ka whakaiti i te ahotea, ka whakaiti i te migraines, ā, ka āwhina i te whakahaere i te mate huka.
- Kia mau ki te taumaha hauora: Ko te momonatanga tetahi o ngā tino take mōrearea o te mate huka.
- Kia mōhio ki tō hītori whānau: Mena he mate tō tetahi o tō whānau pēnei i te mate huka, te MS, te fibromyalgia rānei, kōrero ki tō tākuta.
- Werohia: Rapua he tohutohu hauora mō te whiwhi i ngā werohanga e tika ana hei tiaki i te huaketo herpes.
- Kai i tētahi kai taurite: Kai i tētahi kai e nui ana ngā hua me ngā huawhenua hei karo i te korenga o ngā huaora.
Ko te mea nui, ki te pāngia koe e tēnei momo mamae, kaua e warewaretia. Kaua e whakaaro, "He raruraru hinengaro noa iho tēnei." He mate hauora tūturu tēnei me rongoā.
He aha te uaua o te mamae, te kore e taea te pupuri i tāu tamaiti, i tāu hoa aroha rānei, te kore hoki e taea te kakahu? Nō reira, ki te pāngia koe e ēnei tohu, inā koa mēnā kei te whakararuraru i tō oranga o ia rā, me toro atu ki te tākuta mō ētahi tohutohu.
Karere Tangohia ki te Kāinga
- Ko te Allodynia te kare o te mamae nui mai i te pā o te ringa, engari kāore i te nuinga o te wā ka mamae.
- Ehara tēnei i te raruraru hinengaro, engari he mamae tūturu i puta mai i tētahi hapa o te pūnaha io (Pamamae Neuropathic).
- He maha ngā wā ka puta tēnei hei tohu o tētahi atu mate hauora, pērā i te mate huka, te fibromyalgia, te migraines rānei.
- Mena kei a koe ēnei tohu, kaua e warewarehia , me toro atu ki tō tākuta kia kitea ai te take me te whiwhi maimoatanga.
- Ka taea te whakahaere angitu i tēnei āhuatanga mā te rongoā i te mate pūtake e puta ai te mamae, me te whakamahi i ngā tikanga whakahaere mamae.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He aha te mate e whakamahia ai te paura Cholestyramine Resin / Questran?
Ehara tēnei i te pire cholesterol noa (Statin)! He momo rongoā motuhake tēnei (Bile Acid Sequestrant) e hoatu ana hei whakaiti i te 'cholesterol kino (High LDL)'. Ka whakamahia hoki e ngā tākuta hei whakamutu tonu i te 'mākūkū kore e taea te manawanui (Pruritus) o te tinana/kiri' nā te mate ate/te aukati biliary me te whakahaere i ētahi mate korere kino.
💬 Me pēhea te whakarewa a tēnei paura (Cholestyramine) i te cholesterol kino/te aukati i tōna hanga ake ina inumia me te wai?
Ka hangaia e tō tātou ate he cholesterol hou i ia rā, ā, ka puta he 'waikawa au', ka haere ki ngā whekau ka hangarua anō ki te ate. Ina inu koe i tēnei rongoā, ka haere ki ngā whekau ka mimiti i taua 'au' pērā i te hautai, ka purua, ka tukuna atu me tō paru. Ina pau te au, kāore he huarahi kē atu mā te ate engari ko te mimiti i te cholesterol/LDL i roto i ō toto me te hanga au hou. Mā taua au ka aukati i a koe kei waru i tō tinana.
💬 He aha ngā tūponotanga tino whakarihariha me te tino mōrearea hei tūpato māu ina tangohia tēnei rongoā (Questran)?
Ko te raruraru nui ko te hua o te 'kōroke' nui! Ka pāngia pea ētahi tāngata e te paru. Ko tētahi atu mōrearea tino kino ko te mea i roto i ngā whekau tēnei, 'kāore e mimitia ki roto i te toto ētahi atu pire (rongoā mamae, tairoi, huaora)' e tangohia ana e koe! Nō reira, me tango ētahi atu rongoā i te haora i mua atu, i te 4 haora rānei i muri i te tangohanga o tēnei.
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