Kei a koe anō tēnei mamae roa? Me kōrero tātou mō te mamae mau tonu!

He mea noa te mamae ina whara, ina mate rānei tātou. He rite ki te whakaoho i roto i tō tātou tinana e kī mai ana, "Kei te hē tetahi mea i konei, kia tūpato!" Engari i ētahi wā ka roa pea tēnei mamae mō te neke atu i te toru marama, tae atu ki ngā tau. Koinei te mea e kīia nei e tātou he mamae mau tonu . He tino hoha tēnei āhuatanga, nā te mea ka taea e ia te tango i te nuinga o te harikoa o te ao.

E whakaatu ana tētahi rangahau i whakahaerehia i te Hononga o Amerika neke atu i te 20% o ngā pakeke, neke atu rānei i te 50 miriona tāngata, e pāngia ana e tēnei mamae mau tonu. Nō reira, ka taea e koe te whakaaro ki te whānui o tēnei mate. Ka pā nui tēnei mamae ki tō hauora tinana, ki tō hauora hinengaro hoki. Koia te mea nui kia mōhio koe ki tēnei mea, kia rapu āwhina ai mēnā e tika ana. Me kōrero anō tātou mō tēnei mamae mau tonu i tēnei rā, e tika ana?

He aha ēnei momo mamae mau tonu e kitea whānuitia ana?

Ehara te mamae mau tonu i te mate kotahi e pā ana ki te katoa. He maha ngā āhua, ā, ka puta i ngā wāhanga rerekē o te tinana. He tohu noa te mamae mau tonu o ētahi whara, mate pāwera, me ngā mate. Me titiro tātou ki ētahi o ngā momo tino noa:

• Mamae hononga, mamae rumatiki rānei: He tauira pai tēnei o te mamae turi, e pāngia ana e te tini o te tangata.
• Mamae tuara: He mea noa te mamae, inā koa te tuara o raro, i waenga i te hunga e noho roa ana i te tūranga kotahi.
• Mamae mate pukupuku: Te mamae nui e pā mai ana me te mate pukupuku.
• Fibromyalgia: Ko te tohu o tēnei he mamae, he pakari, me te ngenge nui puta noa i te tinana.
• Mamae upoko: He mamae upoko kino, pumau, pērā i te migraines.
• Mamae kaki.
• Mamae neuropathic: Te mamae e puta mai ana i te kino, i te kore rānei e tika te mahi a ngā io.

He aha te āhua o te mamae mau tonu?

He wheako tino whaiaro tēnei. He rerekē te āhua o te mamae o ia tangata. Engari ko te mea nui ko te roa o tēnei mamae neke atu i te toru marama . Ka taea e koe te whakaahua i tēnei mamae mā te whakamahi i ēnei kupu:

• He rite ki te mamae o roto.
• Ka rite ki te tahunga.
• Pērā i te pupuhi.
• Pērā i te whakakīkī.
• He mārō te āhua o te tinana, he uaua ki te piko (Stiffness).
• Te wero.
• Pērā i te patupatu, pērā i te mamae (Te wiri).

Ka taea e te mamae mau tonu te haere tahi me ētahi atu tohu me ngā āhuatanga. He pono, he tohu kotahi noa te mamae. Ka taea hoki te haere tahi me:

• Mate manukanuka whānui: Ngā kare ā-roto o te wehi me te manukanuka.
• Mate pouri nui: Te pōuri me te ngakau pouri i ngā wā katoa.
• Ngenge: Te ngenge tonu, te kore e taea te mahi i tetahi mea.
• Te kore moe: Te kore e taea te moe i te pō, te kore rānei e taea te moe pai ahakoa kua moe.
• Te riri, te hurihanga rānei o te wairua.

Kia maumahara, ki te mea kei te whakararuraru tēnei mamae i ō mahi o ia rā, he mea pai kia rapu tohutohu hauora koe.

He aha i puta ai tēnei mamae mau tonu?

He mea tino uaua te mamae mau tonu. I ētahi wā, he mārama te take mōna. Hei tauira, ki te mea he mate roa tōu pērā i te mate pukupuku, i te mate rumatiki rānei, ka mamae pea tēnā. Engari i ētahi wā he tino uaua ki te kimi i te take. I ētahi wā, tera pea he maha ngā āhuatanga e hono tahi ana hei take mō tēnei mamae.

Kia kite tātou he aha ngā tino take o te mamae:

• Mamae neuropathic: Ka puta tēnei ina he hapa, he pakaru rānei tetahi mea o tō pūnaha io. Hei tauira, ko te neuropathy peripheral, ko ngā io kua kōpeketia, me te neuralgia trigeminal. He rite ki te waea whati e tuku ana i te tohu hē.
• Mamae uaua-angiwi: He mamae tēnei e pā ana ki ō wheua, hononga, hononga, uaua, me ngā uaua. Ka puta pea tēnei mamae i te whara (hei tauira, te whāwhā o te hononga) i te "ngoikore" rānei i roto i te wā (hei tauira, te mumura o te uaua).
• Mamae ā-roto: Ka puta mai tēnei mamae i ō whekau o roto, pērā i tō ngākau, ō pukahukahu, tō pūkahukahu, ō whekau whakaputa uri, me ō whekau nakunaku. He mate pāwera ā-roto tō ētahi tāngata, ā, ka nui ake te tūponotanga ka pāngia rātou e tēnei momo mamae i ia wā, i ia wā.
• Mamae mumura: Ka puta tēnei mamae ina pakaru, ka mumura hoki te kiko. Ka puta pea i ngā mate mau tonu, i ngā mate poto rānei. Hei tauira, ki te mea he mate pūnaha ārai mate tōu pērā i te rumatiki rheumatoid, i te lupus rānei, ka puta te mumura me te mamae tonu. Waihoki, ki te mea he mate tōu pērā i te shingles, ka arahi pea ki te mamae io roa e kiia nei ko te postherpetic neuralgia.
• Te aro nui ki te pokapū:He ahua uaua tēnei. Ki te whakarāpopototanga, ka puta ngā huringa i roto i tō tātou pūnaha io matua (arā, te roro me te taurakira), ā, i roto i te wā, ka tino pāngia tātou e te mamae me ētahi atu kare ā-roto. Ahakoa ngā mea iti ka tīmata te nui o te mamae. Ka taea tēnei te tupu me tetahi momo mamae. Ka taea hoki te pāngia e te mārama, te tangi, tae atu ki ngā kare ā-roto.
• Mamae hinengaro: He mamae mau tonu tā ētahi tāngata, engari kāore e kitea he tino take tinana. Ehara tēnei i te kī he rūpahu tō mamae. He maha ngā wā, e pā ana tēnei momo mamae ki ngā huringa o tō tātou pūnaha io, tae atu ki ngā āhuatanga hinengaro me ngā āhuatanga kare ā-roto.

I ētahi wā, he maha ngā take o te mamae ka noho tahi. Hei tauira, tera pea ka pāngia te tangata e te mamae tuara nā te mate kōpae pirau, me te fibromyalgia anō hoki.

He aha ngā āhuatanga mōrearea mō te mamae mau tonu?

Nā te mea he maha ngā mate me ngā whara ka pā mai te mamae mau tonu, he maha ngā āhuatanga mōrearea mōna. Ko te tikanga whānui, koinei ngā āhuatanga mōrearea matua:

• Ira tuku iho: Ko ngā take o ētahi mamae mau tonu, hei tauira ko te migraines me te rheumatoid arthritis, ka taea te tuku iho.
• Te koroheketanga: I a koe e pakeke haere ana, ka nui ake te tūponotanga ka pāngia koe e te mamae mau tonu, inā koa te mamae e puta mai ana i te "pakaru me te haehae" o te pūnaha uaua me te wheua.
• Whara o mua: Mena kua pāngia koe e te whara kino, ka nui ake te tūponotanga ka pāngia koe e te mamae mau tonu i muri mai.
• Te mahi ā-ringa: Ki te mahi koe i tētahi mahi uaua ki te tinana , he nui ake tō tūponotanga ki te pāngia e te mamae mau tonu.
• Te ahotea auau, te ahotea nui rānei: Kua whakaatuhia e ngā rangahau he hononga i waenga i te mamae mau tonu, te ahotea auau, me te mate ahotea muri-whara (PTSD).
• Momi hikareti: E toru ngā wā ka nui ake te tūponotanga o te hunga momi hikareti ki te pāngia e te mamae o te tuara o raro. Ka taea hoki e te momi hikareti te whakanui ake i te aro ki te mamae whānui.
• Momona: I a koe e taumaha ana, ka kino haere ētahi āhuatanga hauora e mamae ai, pērā i te mate rumatiki, nā te mea ka nui ake te taumaha o ngā hononga.

Me pēhea te mohio ki te mamae mau tonu?

E kiia ana e ngā tākuta he mamae mau tonu mēnā ka roa ake i te toru marama, mēnā rānei ka haere mai, ka haere atu. Nā te mea he tohu noa te mamae, ka ngana tō tākuta ki te kimi i te pūtake o te mamae mēnā ka taea. Engari he mea tino takitahi te mamae. Ko te tikanga ko te tangata anake e pāngia ana ka taea te tautuhi me te whakaahua. Nō reira, he uaua pea ki ngā tākuta te kimi i te pūtake i ētahi wā.

Mena kei te mamae koe mō te wā roa, me toro atu koe ki te tākuta.Kātahi ka pātai atu ia ki a koe i ēnei mea:

• Kei hea te mamae?
• He pēhea te kino? (I runga i te tauine mai i te 0 ki te 10).
• E hia ngā wā ka puta te mamae?
• He pēhea te nui o tōna pānga ki tō oranga me tō mahi?
• He aha te mea e whakanui ana, e whakaiti ana rānei i te mamae?
• He nui te ahotea, te manukanuka rānei kei roto i tōu ao?
• Kua pāngia koe e ētahi mate, pokanga, mate pūmau rānei o mua?

Ka whakahaerehia e tō tākuta he whakamātautau tinana, ā, ka tono pea i ētahi whakamātautau pēnei hei āwhina i te whakatau i te take o tō mamae:

• Ngā whakamātautau toto me te mimi.
• Tirohia te whakamātautau mahi uaua (EMG - electromyography).
• Ngā whakamātautau whakaahua, pērā i ngā hihi-X me ngā MRI.
• Tirohia mēnā kei te tika te urupare a ngā io (ngā rangahau mō te kawe io).
• Te whakamātautau i ngā urupare me te taurite.
• Ngā whakamātautau wai o te tuaiwi.

He aha ngā maimoatanga mō te mamae mau tonu?

Tērā pea ka tūtohu tō tākuta i tētahi maimoatanga kotahi, i tētahi huinga rānei o ngā maimoatanga. Tērā pea ko te rongoā i te pūtake o tō mamae mau tonu, te whakahaere rānei i te mamae hei tohumate. Kua whakaatuhia e ngā rangahau mā te whakamahi i te huinga o ngā maimoatanga ka taea te whakaiti i te mamae, kaua ki te whakawhāiti i a koe ki tētahi maimoatanga kotahi.

He rerekē te pai o te mahi a te maimoatanga i ia tangata, i ia tangata. Ahakoa he rite tonu te take, ka rerekē pea te mamae mau tonu. I te nuinga o te wā ka tīmata ngā tākuta me ngā tikanga whakahaere mamae iti noa te whakaekenga, ngā tikanga tuku iho rānei. Kātahi ka neke atu rātou ki ngā maimoatanga mōrearea ake. Engari kāore he tikanga "tika" kotahi e pai ana mō te katoa.

Ko te whakahaere mamae mau tonu ka uru pea ki ngā mea penei:

• Ngā huringa āhua noho: te whakahaere taumaha, te whakahaere ahotea, me te korikori tinana.
• Te whakaora tinana me te whakaora mahi.
• Ngā maimoatanga hinengaro mō te mamae: Kei roto pea i ēnei ko te whakaora whanonga hinengaro (CBT), te whakaora rōpū, te whakaora whakaae me te whakapau kaha (ACT), me te whakaora aroātahi.
• Ngā rongoā tāpiri: Ngā mea pēnei i te mirimiri, te urupare koiora, me te whakaaroaro.
• Ngā tikanga hauora me ngā taputapu: Ngā mea pēnei i te pokanga, te TENS (Transcutaneous Electrical Nerve Stimulation), ngā werohanga steroid, me ngā werohanga Botulinum toxin (Botox®).
• Ngā rongoā:`(Ngā NSAID - Ngā rongoā ārai-mumura kore-steroidal)` (ngā rongoā ārai-mumura kore-steroidal), `(Ngā rongoā whakangāwari uaua)`, me `(Ngā opioid)` (ngā rongoā mamae o te rōpū opioid).
• Ngā whakamātautau haumanu.

I runga i te pūtake o tō mamae me ō āhuatanga motuhake, tera pea ka roa te wā ki te kimi i te maimoatanga e pai ana mōu. Me whakamātau pea koe i ētahi maimoatanga rerekē. Mā te mahi tahi me tō tākuta, me tō tīma hauora rānei, ka nui ake te tūponotanga ka angitu tō mahere whakahaere mamae, nā te mea ka rerekē ō hiahia. He mea nui anō hoki kia kōrerohia ngā painga, ngā mōrearea, me ngā pānga taha o ia maimoatanga.

Ka memeha rawatia rānei te mamae mau tonu?

Ina hoki, kāore he "rongoa" mō te mamae mau tonu i tēnei wā. Ko te mea pai rawa atu ka taea e koe ko te kimi i te pūtake o te mamae me te rongoā. Hei tauira, ko te rongoā i te rumatiki ka āwhina i ētahi wā ki te whakamamae i te mamae o ngā hononga.

Engari he tokomaha te hunga e pāngia ana e te mamae mau tonu kāore e mōhio ki te pūtake o tō rātou mamae, nō reira kāore e kitea he rongoā. Ka noho noa rātou me te mamae, mā te whakamahi i te huinga o ngā rongoā, ngā whakaora, me ngā huringa āhua noho.

He aha te āhua o te mate mō te hunga e pāngia ana e te mamae mau tonu?

Kāore te mamae mau tonu e memeha rawa. Engari ka taea e koe te whakahaere mā te whakamahi i ngā tikanga e whai hua ana māu. E kiia ana ko ngā maimoatanga mamae mau tonu o nāianei ka whakaiti i te taumata mamae o te tangata mā te 30%. Hei tāpiri, he nui te pānga o ēnei maimoatanga ki tō kounga o te oranga, ka āwhina ki te whakaiti i te ahotea e puta mai ana i te noho me te mamae mau tonu.

Kei te haere tonu ngā rangahau a ngā kairangahau i ngā mate mamae me ngā maimoatanga, ā, nā te whanaketanga o te pūtaiao roro me te māramatanga ake ki te tinana tangata, e tika ana kia puta ake he maimoatanga angitu ake a muri ake nei.

He aha ngā raruraru o tēnei āhuatanga?

Ka pā kino te mamae mau tonu ki te kounga o tō oranga me tō kaha ki te mahi i ngā mahi o ia rā, ki te kore e whakahaeretia, ki te kore rānei e whakahaeretia paitia. Ka uaua pea māu te tiaki i a koe anō, te mahi, me te pupuri i ngā whanaungatanga ki ētahi atu. Ka kino ake hoki ngā mate mau tonu.

Ko te noho me te mamae mau tonu ka whakanui ake i tō tupono ki:

• Te pouri me/ranei te mate manukanuka whānui: I kitea i roto i tētahi rangahau e 67% o te hunga e pāngia ana e te mamae mau tonu he raruraru hauora hinengaro anō hoki.
• Te whakamomori: Kua whakaatuhia e ngā rangahau ko te mōrearea whakamomori mō te hunga e pāngia ana e te mamae mau tonu kei waenga i te 5% me te 14%. Hei tāpiri, tata ki te 20% o te hunga e whakaaro ana ki te whakamomori.Mena kei te pāngia koe, kei te pāngia rānei koe e ēnei whakaaro, waea atu ki te Rārangi Oranga mō te Whakamomori me te Āhuatanga Raru i te 988. Kei te wātea tetahi hei āwhina i a koe, 24 hāora ia rā.
• Te whakamahinga matū me te mate whakamahi matū.
• Te mate a Alzheimer me ngā āhuatanga e pā ana ki te mate wareware.

Mena kei te pāngia koe e te mamae mau tonu, e tētahi atu rānei o ngā raruraru kua whakahuatia ake nei, he mea nui kia rapu tohutohu hauora koe. Ahakoa he roa te wā ki te kimi i te huinga maimoatanga tika māu, kaua e ngākau mārie.

Āhea ahau me toro atu ki taku tākuta?

Tirohia tō tākuta i roto i ēnei āhuatanga:

• Kāore he aha mēnā ka piki ake te mamae i muri i te maimoatanga, mēnā rānei ka hoki mai anō.
• Mena ka puta he pānga taha kino i ngā maimoatanga whakahaere mamae.
• Mena kei te awangawanga koe, kei te pouri rānei.
• Mena he uaua ki te moe i te pō nā te mamae.
• Ki te kore e taea e koe te mahi i ngā mea e pai ana ki a koe i te nuinga o te wā nā te mamae.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Mena kei te pāngia koe e te mamae mau tonu, he pai pea te pātai atu ki tō tākuta i ēnei pātai:

• He aha te take o tōku mamae?
• Ka ngaro atu rānei tēnei? He aha rānei te kore ai?
• He aha ngā rongoā ka taea e au te tango? He aha ngā pānga taha?
• Me whakamātau ahau i te whakaora tinana, i te whakaora hinengaro rānei?
• He haumaru te whakakorikori tinana?
• He aha atu anō taku e taea ai hei whakaiti i tōku mamae mau tonu?
• Me waea atu ahau ki a koe mēnā ka kino haere te mamae?

Hei whakamutunga, kia maumahara... (Karere hei tango ki te kāinga)

He tino uaua te noho me te mamae mau tonu. Ka pā ki ngā āhuatanga katoa o tō oranga - mai i tō mahi ki tō oranga pāpori, mai i te tiaki i a koe anō ki te manaaki i ētahi atu. I ētahi wā ka rite ki te "noho me te mamae" kaua ki te "noho".

Kāore he huarahi "kotahi te rahi e pai ana mō te katoa" ki te whakahaere i te mamae mau tonu. Tērā pea ka roa te wā ki te kimi i tētahi mahere whakahaere mamae e pai ana mōu. Engari he tino pai te whiwhi i te tiaki e hiahiatia ana e koe, e tika ana hoki. Kōrero ki tō tākuta, ki tētahi tohunga whakahaere mamae rānei, hei matapaki i ngā kōwhiringa maimoatanga hei āwhina i a koe ki te ora i te oranga e hiahia ana koe. Kāore koe i te mokemoke, ā, kaua e wehi ki te tono āwhina.

---

Mamae mau tonu, mamae roa, whakahaere mamae, mamae hononga, mamae tuara, mamae io, ngā take o te mamae, maimoatanga mamae