Kei te mamae noa iho rānei koe? Tērā pea he Central Pain Syndrome!

Ka pāngia koe e te mamae i ētahi wāhanga o tō tinana, kāore he take? Tērā pea kua roa te mamae, ā, kāore e memeha. Kāore rānei, ka pāngia koe e te ngoikore, te ngenge, te wera rānei? Mēnā kua pāngia koe e ēnei momo wheako, he mea nui kia mōhio koe ki tēnei āhuatanga e kiia nei ko te Central Pain Syndrome (CPS) , ka kōrerohia e tātou i tēnei rā.

He aha te Mate Mamae Waenganui?

He whakarāpopototanga noa iho, ko te Central Pain Syndrome (CPS) he āhuatanga e pā tonu ana te mamae, arā , he mamae mau tonu nā te raruraru o tō tātou pūnaha io . Hei tauira, mēnā he kino kei roto i tō tātou roro, kei roto rānei i te tuaiwi , mēnā rānei kei te mamae tātou mō te wā roa, ā, ka hē te mahi a tō tātou pūnaha io, ka puta pea tēnei āhuatanga.

Koinei te āhua o te mahi. Ina pakaru te roro, ngā pūtau io rānei, kāore ngā pūtau kua pakaru e mahi tika, ā, ka tīmata te tuku tohu mamae i ngā wā katoa. Nā te mamae tonu rānei, ka tino aro atu ō tātou pūtau io ki ngā tohu mamae. Kātahi ka taea e aua pūtau te tuku tohu mamae ahakoa kāore he mamae, ka taea rānei e rātou te hē te whakamārama i ētahi atu tohu hei mamae.

He uaua pea te rongoā i tēnei mate i ētahi wā. Ahakoa ngā rongoā whakamamae mamae noa, me ētahi wā he rongoā opioid kaha, kāore pea tēnei mamae e marino. Kaua e manukanuka. Kua kitea e ngā tākuta he maimoatanga me he rongoā hou mō tēnei. Kua taea e rātou te āwhina i te tini o te tangata me tēnei mate.

He rite tonu tēnei ki te fibromyalgia?

Ehara i te mea kotahi te CPS me te fibromyalgia . Engari tera pea he hononga kei waenganui i ngā mea e rua. Ko te Fibromyalgia he mate mamae mau tonu e pā ana ki ō hononga me ō uaua. Ko te hunga whai fibromyalgia ka nui ake te tūponotanga ka pāngia e te CPS. Nā te mea ka whakarerekē te mamae mau tonu i te mahi a ō rātou pūnaha io.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei?

Ka pāngia te pūnaha io matua e te mate CPS e te hunga kua pakaru, arā, te roro, te taurakira rānei. Ka pāngia hoki te hunga e pāngia ana e te mamae mau tonu. Ko te hunga whai mate io, he nui ake te tūponotanga ka pāngia e tēnei mate. Hei tauira:

• I waenga i te 8% me te 10% o te hunga kua pāngia e te whiu .
• I waenga i te 20% me te 40% o te hunga kua whara te taurakira .
• Tata ki te 30% o te hunga he mate sclerosis maha .

He pēhea te noa o tēnei āhuatanga?

E ai ki te whakatau tata ki te 7 miriona tāngata puta noa i te ao e pāngia ana e tēnei mate.

He aha ngā tohu o te mamae o te pokapū?

Ki te CPS, tera pea ka kite koe i ētahi huringa o te mamae e pā ana ki a koe:

• Te wāhi e mamae ai: Ko te wāhi o te mamae e whakawhirinaki ana ki te wāhanga o te pūnaha io e pāngia ana.
• Ina mamae: He pumau tonu te mamae o te CPS. Heoi, mō ētahi tāngata ka haere mai, ka haere atu. Ko te mea motuhake ko te mamae ka puta, kāore he mōrearea, he whara rānei ki te tinana.
• Te kaha o te mamae: I te nuinga o te wā ka rerekē te mamae mai i te ngawari ki te kino. Mō ētahi tāngata, ka iti haere te mamae i ētahi wā, kātahi ka hoki mai anō.
• Ngā panonitanga o te pā: Ka pāngia te hunga whai CPS e ngā panonitanga o te pā. E pā ana tēnei ki te mamae. Ka puta pea he ahua ngoikore, he ahua pēpeke rānei (paresthesia) .
• Te wā hei tīmata: Ka taea e te CPS te tīmata i ngā wiki, i ngā marama, i ngā tau rānei i muri i te mate, i te aituā, i tētahi atu huihuinga rānei.
• Ngā awe taiao: Ka taea e te makariri, te manukanuka, te ahotea , te ohorere ohorere rānei te whakanui ake i te mamae o te CPS. Ka pā hoki tō taumata o te korikori tinana ki te mamae.
• Tō paepae mamae: He mea whakamiharo, ko te hunga whai CPS ka nui ake te kaha ki te manawanui ki te mamae o waho, e mōhiotia ana ko tō rātou paepae mamae . Ko te tikanga o tēnei, ko tētahi mea e whara ai te tangata noa, kāore pea e tere te whara i a rātou.

Me pēhea te whakaahua i te mamae

He rite tonu te whakaahuatanga a te hunga whai CPS i ō rātou mamae. Ko ngā whakaahuatanga tino noa ko:

• Pērā i te tahunga.
• Me te mea kua werohia e tetahi mea koi.
• He rite ki te rakuraku kino.
• He mamae, he rite ki te werohanga
• Te mamae nui e puta mai ana i roto i te tinana, mai i ngā uaua
• He rite ki te pēhi, ki te whakakīkī.
• Pērā i te tapahi, pērā i te hora

Ētahi atu raruraru e pā mai ana me tēnei āhuatanga

Ka pā nui te noho me te mamae tonu ki te hauora hinengaro o te tangata. Nō reira, ka pāngia pea te hunga whai mate mamae pēnei i te CPS e:

• Manukanuka
• Te pouri ( tērā pea me ngā whakaaro whakamomori)
• Te ngaronga o te mahara, te kohu roro
• Ngenge tonu, ngenge rānei
• Te uaua ki te moe

He aha te take o tēnei āhuatanga?

E rua ngā take matua e puta ai te mamae pokapū: he whara, he pakaru rānei ki tō roro, ki tō taurakira rānei, he mamae mau tonu rānei.

Ngā āhuatanga ka kino pea ki te roro, ki te taurakira rānei

He maha ngā āhuatanga ka pā kino ki te roro me te taurakira. Ko ētahi o ēnei he mea noa ake i ētahi atu:

• Matepukupuku roro, pukupuku pai rānei .
• Pokanga roro, pokanga tuaiwi rānei .
• Ngā whati roro, ngā whara roro rānei .
• Ngā āhuatanga pirau, mumura rānei, pērā i te sclerosis maha , te mate a Parkinson rānei.
• Ngā āhuatanga o te mate haurangi me ngā āhuatanga kore-ohorere.
• Ngā mate urutā.
• Ngā whara o te taurakira .
• Te whiu .

Whakaarohia, kei reira ētahi tāngata kua pāngia e te aituā motuka, kua hinga rānei i ngā tau maha kua pahure ake nei, ā, kua whara ō rātou tuara. I muri i tētahi wā, ka pāngia pea tētahi tangata pēnei e tēnei momo mamae nui. Ko te take o tēnā ko te pakaru o te taurakira.

Ngā āhuatanga e puta ai te mamae mau tonu

Ka taea hoki e ngā āhuatanga katoa e puta ai te mamae mau tonu te puta o te CPS. Nō reira, kua honoa e ngā tākuta te CPS ki ētahi āhuatanga e pā ana ki te mamae mau tonu. Ko ētahi o ēnei ko:

• Ngā mate e pā ana ki te rumatiki , hei tauira te osteoarthritis .
• Mamae tuara .
• Matepukupuku .
• Te mate ngenge mau tonu .
• Te mamae pūmau o te hope .
• Te mamae ā-rohe matatini (CRPS) .
• Te mate pukupuku o te uaua (Fibromyalgia ).
• Ngā mate mumura pērā i te rumatiki rheumatoid , te rumatiki psoriatic , te lupus, te mate Sjögren rānei.
• Te mate puku puku puku.
• Te mamae o ngā hononga .
• Ngā migraines .
• Te neuropathy peripheral (ko te mate huka momo 2 te tino take o tēnei) .
• Neuralgia postherpetic - te mamae i puta mai i te kino o ngā io he pānga taha o te shingles .
• Ngā mate o te hononga temporomandibular (TMJ) .

Ngā ira

Kua kitea e ētahi rangahau he wāhi nui tā ngā ira ki te whanaketanga o te mate mamae pokapū. Mēnā kei roto i tō whānau tētahi – arā, tō whaea, tō pāpā, ō tuākana, tuākana rānei, ō tamariki rānei – kei a rātou tēnei mate, ka waru ngā wā ka nui ake tō tupono ki te whakawhanake i tēnei momo mate mamae i ērā atu! Engari kāore anō kia tautuhia ngā huringa ira e whai wāhi ana ki tēnei.

He aha te pānga o tēnei āhuatanga ki tōku tinana?

Ko tētahi huarahi hei whakaaro mō te mamae me ōna pānga ko te whakaaro ki tō tinana he whare nui, he whare matatini. Kātahi, ko tō tātou pūnaha io, e rongo ana, e tukatuka ana i te mamae puta noa i te tinana, ka rite ki tētahi pūnaha whakaoho ahi i roto i taua whare. Ina rongo te pūnaha io kei reira he whara, he kino rānei i tētahi wāhi o te tinana, ka tangihia tēnei 'pere' hei whakamōhio mai kei reira he raruraru.

E rua ngā momo mamae:

• Mamae whakapeka: Koinei te urupare a tō tinana ki tētahi mate, ki tētahi whara rānei. Ka memeha i roto i ngā marama e toru, iti iho rānei, i a koe e ora ana, e ora ana rānei te whara.
• Mamae mau tonu: Ki te roa te mamae nui mō te toru ki te ono marama, ka huri hei mamae mau tonu.

Te tukanga mamae noa

I roto i ō tātou tinana katoa, pērā i te whatunga o ngā pūoko paoa, i ngā pūoko wera rānei i roto i te pūnaha whakaoho ahi, kei reira ngā pito io e aro ana ki ngā momo mea e puta ai te mamae. Ina pakaru ngā pūtau tata, ka tukuna ētahi o ēnei tohu whakatūpato matū ki roto i te toto. Ka kitea e ō pito io aua matū, ka tukuna ngā tohu matua ki tō roro mā te taurakira. Ka whakamāramahia e te roro aua tohu hei mamae, ka tukuna ngā tohu ki ētahi atu wāhanga o te roro kia mahi hei tiaki i a koe. Hei tauira, ki te pā tō ringa ki tētahi mea e wera ana hei tahu i a koe, ka kitea e ngā pito io aua tohu, ka tukuna ngā tohu ki tō roro, nō reira ka hohoro tō unuhia atu i tō ringa.

He aha te mea ka tupu me te mate mamae pokapū?

He rite te mamae pokapū ki tētahi hapa o te pūnaha whakaoho ahi i roto i tō tinana. He maha ngā āhua o ēnei hapa.

Ngā huringa nā te whara, te kino rānei

He rerekē te pānga o te mamae o te pokapū i puta mai i te whara, i te kino rānei ki te rohe:

• Roro: Ka raru pea te roro i te tukatuka a te roro i ngā tohu mamae. Ka hē te tukatuka me te tuku tohu a te roro me te mea nei kei te puta he mamae tinana.
• Tauira tuaiwi: He maha ngā tohu mai i ngā wāhanga o te tinana ki te roro me tae atu ki te tauira tuaiwi i mua i te taenga atu ki te roro. Mēnā kua pakaru te tauira tuaiwi, ka taea e ngā pūtau io kua pāngia te mahi kino, ka tukuna ngā tohu mamae e rite ana ki te mea kei te mamae tonu rātou. Ehara ēnei tohu i te mea nō tētahi whara tūturu (engari he tūturu).

Ngā huringa nā te mamae mau tonu

Ka aro nui tō tinana ki ngā tohu mamae nā te mea e hiahia ana rātou ki te tiaki i a koe mai i ngā whara kino atu anō. Engari ki te pāngia koe e te mamae mau tonu, me tukatuka e tō pūnaha io ēnei tohu matua i ngā wā maha atu, ā, mō ngā wā roa atu i te tikanga.

I roto i te wā, ka tīmata te rerekētanga o te tukanga a tō pūnaha io me tō roro i ngā tohu mamae. I te nuinga o te wā, ka tino pāngia te pūnaha io e te mamae, ka tino pāngia rānei e te mamae, ā, ka whakamāramahia ngā tohu kāore i te mamae hei mamae.

• Hyperalgesia: He kupu Kariki tēnei e kī ana ko te 'mamae nui rawa'. Ko te mea e tupu ana i konei ko te whakanui ake i ngā tohu mamae e te pūnaha io, ka kino ake te mamae i tōna āhua tūturu.
• Allodynia: He kupu Kariki anō hoki tēnei, ko tōna tikanga he 'mamae kē atu'. Koinei te wā e kitea ai tētahi mea kāore e mamae, pērā i te pā noa, he mamae nā te ngoikoretanga o te kaha o te pūnaha io ki te tuku, ki te whiwhi, ki te tukatuka rānei i ngā tohu. Hei tauira, ina pā tētahi wahi kakahu ki te tinana, ka puta he mamae e kore e taea te whakamanawanui.

Nā te mea ka pā te mamae ki ētahi atu pūnaha o tō tinana, inā koa ō homoni, te pūnaha ārai mate, me ngā tukanga whakatikatika a te tinana, ka taea e te mamae mau tonu me te CPS te whakararuraru i te mahi a aua pūnaha. Ka pā hoki ki tō pūnaha endocrine , ka puta ai ngā mea pēnei i ngā mate adrenal .

Me pēhea te tautuhi i tēnei mate?

He uaua pea te tautuhi i te Central Pain Syndrome (CPS) i ētahi wā nā te mea he rerekē te mamae e pā ana ki te katoa. Nō reira, me kohikohi e te tākuta ngā mōhiohio taipitopito mō tō mamae. Kei roto pea i ēnei:

• Tauwāhi: Kei hea te mamae e pā mai ana? Kei te kotahi te wāhi o te mamae, kei te taha kotahi rānei o te tinana?
• Whakaahuatanga o te mamae: He aha te āhua o te mamae? He wera? He wero?
• Te Wā: Nōnahea te tīmatanga o te mamae? Ka puta te mamae i tētahi wā motuhake o te rā, i tētahi wā motuhake rānei o te rā?
• Ngā pānga mai i ngā āhuatanga o waho: Ka rerekē te mamae i runga i tō taiao (hei tauira, te pāmahana o te taiao, te taumata haruru, te ahotea, te manukanuka rānei i roto i tō ao)?
• Hītori hauora: He whara, he raruraru, he āhuatanga hauora rānei āu e whai wāhi atu ai ki tēnei mamae?
• Ētahi atu tohu: Kei te pāngia koe e ētahi atu tohu? Ahakoa te āhua nei kāore e pā ki te mamae, tena koa whakahuatia mai. He pupuhi kei te taha o te wāhi e mamae ana, e ngawari ana, he tohu kē atu rānei?

He aha ngā whakamātautau e mahia ana hei tautuhi i tēnei mate?

I runga anō i te āhuatanga, ka taea e ngā tākuta te tono i ngā whakamātautau tātaritanga, whakaahua, taiwhanga rānei. He maha ngā wā ka mahia ngā whakamātautau taiwhanga hei tirotiro mō tētahi mate mumura kāore i te mōhiotia, he mate ārai mate rānei e pā ana ki tō mamae. Ka taea e tō tākuta te whakamārama atu ki a koe he aha ngā whakamātautau e taunakitia ana mō tō āhuatanga me tō āhua, me te take hoki e taunakitia ai.

Mena i puta te mamae o te pokapū i te whara o te roro, o te taurakira rānei, ka taea e ētahi whakamātautau tātaritanga me te whakaahua te āwhina ki te tautuhi i te mate. Kei roto i ēnei whakamātautau:

• Te whakamātautau irahiko (EEG) .
• Whakaahua Āhua Aukume (MRI) .
• Te whakamātautau irahiko ā-magneto (MEG) .
• Ngā matawai o te Tomography Tukunga Positron (PET) .

Tērā tētahi atu momo whakamātautau MRI motuhake ka taea te āwhina i ngā āhuatanga pēnei. Ka kiia ko te "functional MRI (fMRI)". Ka taea hoki e ia te kite i te mahi a tō roro, arā, mēnā kei te mahi tahi ngā wāhanga rerekē o te roro, kāore rānei.

Me pēhea te rongoā i te CPS? Ka taea te rongoā?

Kāore anō kia kitea he rongoā mō te mamae o te pokapū o te tinana i tēnei wā. Heoi, he maha ngā huarahi maimoatanga. Mena he mate hauora kei raro i te maru o te CPS, mā te rongoā, te whakaora rānei i taua mate ka āwhina pea i te CPS.

Ngā rongoā

He maha ngā mahere maimoatanga ka tīmata me ngā momo rongoā mamae, mai i ngā rongoā anti-inflammatory kore-steroidal (NSAID ) pērā i te aspirin , i te ibuprofen rānei, ki ngā rongoā mamae e taka ana ki te wāhanga o ngā matū whakahaeretia pērā i te opioids .

Heoi, he maha ngā rongoā mamae noa nei, tae atu ki ngā opioid kaha, kāore e whai hua ki te rongoā i te CPS. Mēnā kāore e whai hua, ka whakamātau pea ngā tākuta i tētahi, i ētahi rānei o ēnei rongoā (kotahi, i te whakakotahi rānei):

• Ngā rongoā mō ngā mate haurangi, hei tauira, te gabapentin , te lamotrigine rānei.
• Ko ngā rongoā Serotonin-Norepinephrine Reuptake Inhibitors (SNRI) he rongoā e whakamahia ana hei rongoā i te pouri, pērā i te duloxetine me te venlafaxine .
• Ko tētahi atu momo rongoā ārai pouri e kiia ana ko ngā rongoā ārai pouri tricyclic (TCAs) , hei tauira ko te amitriptyline , ko te nortriptyline rānei.
• Ko ngā rongoā e puta mai ana i te ahua o ngā kirīmi, o ngā pāti rānei hei whakangote i te mata o te kiri, hei tauira, te lidocaine .

Kei reira anō hoki ētahi maimoatanga whakamātautau. Ka whakamahia e rātou ngā rongoā e rongonui ana mō te whakamahinga whakangahau, engari kei te rangahauhia tonutia. Tērā pea ka uru ēnei ki te maimoatanga paerewa mō te CPS i tētahi rā:

• Tarukino (tarukino rongoā) .
• Werohanga Ketamine .

Ngā tikanga kore-rongoā

He maha ngā huarahi kore-rongoā, ko ētahi kua whakaaetia, ko ētahi kei roto tonu i te wāhanga rangahau, ka taea te āwhina i te CPS. Anei ētahi tauira:

• Te rongoā wero ngira .
• Te Whakaohooho Roro Hōhonu (DBS) .
• Iahiko Moroiti Motuhake-Auautanga (FSM) .
• Te Whakaoho Aukume Whakawhiti-Angaanga (TMS) .
• Te Whakaoho Hiko o te Io i te Kiri (TENS) .

Ētahi atu maimoatanga

Nā te mea he maha ngā wā ka puta tahi ngā raruraru hauora hinengaro me ngā āhuatanga mamae, he maha ngā wā ka whakaurua e ngā tākuta ngā kōwhiringa hauora hinengaro ki roto i ngā mahere maimoatanga CPS. Hei tauira, ka taea e te rongoā whanonga hinengaro (CBT) te āwhina i a koe ki te ako i ngā pūkenga hei whakatau i ngā raruraru hauora hinengaro e haere tahi ana me te CPS.

Ka taea e te whakaora tinana te āwhina i a koe ki te urutau ki tō āhua. Ka taea hoki e ia te whakapai ake i te kaha o ō uaua, te ngāwari, me te taunga o te tinana.

He rerekē rawa ngā raruraru/ngā pānga taha o te maimoatanga i runga i te maimoatanga ka whiwhi koe. Ka taea e tō tākuta te hoatu he whakaaro pai ki a koe mō ngā mea ka tumanakohia.

Me pēhea taku tiaki i ahau anō, me pēhea rānei te whakahaere i aku tohumate?

Ehara te CPS i te mate e taea e koe te tātaritanga i a koe anō. Nō reira, ehara i te mea pai te whakamātau ki te rongoā i a koe anō. Ki te whakaaro koe kei a koe tēnei mate, me toro atu koe ki te tākuta. Ka taea e ia te tātaritanga i tō mate me te tuku i a koe ki te maimoatanga tika.

He rerekē te tere o taku pai ake i muri i te maimoatanga i ia tangata, i ia tangata. Pātai atu ki tō tākuta mō tō maimoatanga me te roa o te wā whakaora. Ka taea e ia te kī atu ki a koe he aha ngā mea hei tumanakohia i runga i tō āhua motuhake .

He aha te tirohanga mō tēnei āhuatanga?

Ka pā nui te mamae o te pokapū o te tinana ki te kounga o tō oranga, inā koa tō kaha ki te mahi i ngā mea e pai ana ki a koe.

Ko te tirohanga mō tēnei āhuatanga e whakawhirinaki ana ki te pūtake o te mate. Mēnā he pūtake ka taea te rongoā, he nui ake te tūponotanga ka rongoātia, ka whakakorea rānei ētahi o ngā pānga o te āhuatanga.

Ki te kore e taea te rongoā i te pūtake o te mate, ko te mea pai ko te rongoā i ngā tohu o te CPS me te ārai i aua tohu kei kino haere.

He mea nui anō hoki kia mōhio wawe ki te mate, kia tīmata ai te maimoatanga. He mea nui anō hoki kia kite i tētahi tohunga hauora hinengaro, mēnā e tika ana, ā, mēnā e taunakitia ana. Nā te mea he nui ake te tūponotanga o te hunga whai mate pēnei ki te whakawhanake i te manukanuka me te pouri, me te nui ake hoki o te tūponotanga ki te whakamomori.

He mate pumau te mamae o te pokapū o te tinana. I ētahi wā, ka taea te whakakore i ngā pānga, i runga i te take me te tere o te whiwhi maimoatanga.

Me pēhea taku ārai i tēnei mea kei puta, me pēhea rānei te whakaiti i te mōrearea?

Ka puta ohorere te CPS, ā, he maha ngā āhuatanga e kore e taea te whakahaere e pāngia ai. Nō reira, kāore e taea te ārai i tēnei āhuatanga.

Ina puta te mamae o te pokapū o te tinana nā te whara, te kino rānei o te roro, te taurakira rānei, he iti noa ngā mea ka taea e koe te mahi hei whakaiti i tō tupono ki te pāngia e taua whara. Mā te mau i ngā taputapu tiaki me ngā taputapu hei ārai i ngā whara o te mahunga me te taurakira ka āwhina i te whakaiti i tō tupono mā te ārai i ngā whara ka arahi pea ki te CPS.

Ko te huarahi pai ki te whakaiti i tō tupono ki te whakawhanake i te CPS e pā ana ki te mamae mau tonu ko te rapu maimoatanga mō ngā mate pūtake e puta ai te mamae. He mea nui hoki kia whai i ngā tohutohu a tō tākuta i te wā e rongoā ana i aua mate. Mā te mahi i ngā mea e rua ka āwhina i te whakaiti i tō tupono ki te whakawhanake i te mamae mau tonu ka arahi pea ki te CPS a muri ake nei.

Me pēhea taku tiaki i ahau anō?

Mena kei a koe te mamae o te pokapū o te tinana, me whai koe i ngā tohutohu a tō tākuta hei tiaki i a koe anō me te rongoā i tō āhua. Ko ngā mea pai rawa atu ka taea e koe te mahi ko:

• Tangohia tāu rongoā kia rite ki te mea i whakaritea.
• Āta karohia ngā mahi, ngā āhuatanga rānei e whakanui ana i tō mamae.
• Kaua e wareware ki tō hauora hinengaro.

Āhea ahau me toro atu ki taku tākuta?

Me toro atu koe ki tō tākuta kia rite ki te taunakitanga. Tērā pea ka whakaritea e ia he wā tirotiro kia kite ai koe i tō āhua, ā, ka whakarerekē i tō maimoatanga mēnā e tika ana. Me toro atu koe ki tō tākuta mēnā ka kite koe i ētahi huringa o ō tohumate, inā koa mēnā ka tere te huri, ka whakararuraru rānei i ō mahi me ō tikanga o ia rā.

Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Me rapu awhina hauora ohorere koe mēnā ka rerekē ō tohu i roto i te wā poto, mēnā rānei ka tino kino. He pono rawa tēnei mēnā kei a koe ētahi tohu whiu me ō tohu CPS. Ka taea hoki e tō tākuta te kōrero ki a koe mō ngā tohu, ngā āhuatanga rānei e pā ana ki a koe e tohu ana me rapu awhina hauora ohorere koe.

Hei whakamutunga, ngā mea hei maumahara

He mate kino te Central Pain Syndrome (CPS) ka pā nui ki tō oranga. Ka taea e ia te whakararuraru me te mamae, ā, ka taea hoki te whakawhāiti i tō kaha ki te noho i te oranga e hiahia ana koe. Ahakoa he ingoa kino te Central Pain Syndrome mō te uaua ki te rongoā, kei te whakawhanake ngā kairangahau i ngā maimoatanga, ngā rongoā, me ngā huarahi whai hua mōna. I te haere tonu o ngā rangahau, tera pea ka puta ake ētahi atu kōwhiringa hei rongoā i tēnei mate. Ma tēnei ka kawea mai he tumanako me te whakamarie ki te hunga e pāngia ana e tēnei mate. Nō reira, ki te pāngia koe e ēnei tohu, he pai ake kia kaua e mataku, engari me toro atu ki te tākuta i te wā e taea ai.

` Te Mate Mamae o te Io Waenganui, Te Mate Mamae o te Io Waenganui, Te Mamae Mau tonu, Te Pūnaha Io, Ngā Mate Roro, Ngā Mate Tuaiwi, Te Whakahaere Mamae