Ahakoa te mamae noa, kāore e taea te whakamanawanui? Me kōrero tātou mō te Hyperalgesia!

Whakaarohia he wera iti tō ringa i a koe e mahi ana i te kīhini. He rakuraku iti rānei tō ringa i a koe e tākaro kirikiti ana. He mea noa te mamae i ngā wā pēnei. Engari me pēhea mēnā ka kore e taea te whakamanawanui i taua mamae iti, ka tino kaha rawa, ā, ka hiahia koe ki te hamama? Koinei te āhua e kōrerohia ana i tēnei rā, ko te 'Hyperalgesia'. He tohu tēnei, ehara i te mate. Me kōrero tātou mō tēnei me ētahi atu taipitopito .

He aha te tikanga o te hyperalgesia?

He wāhanga hauora, he wāhanga noa o ō tātou tinana te mamae. He rite ki te pere whakatūpato. E whakaatu mai ana te mamae kei te hē tetahi mea, kei te hē tetahi mea o ō tātou tinana. Ina pāngia tātou e te mamae, ka aro atu tātou ki taua mea, me te ngana ki te whakamutu i te mamae. Whakaarohia te maha o ngā aituā kino ka pā ki a tātou mēnā kāore tātou i pāngia e te mamae.

Ko te Hyperalgesia he āhuatanga e pāngia ai te mamae i te taumata e tino kaha atu ana i te tikanga, ahakoa e tika ana. He māmā noa iho, ka piki ake te urupare ki te mamae. Ka puta pea tēnei i ngā take maha, ā, he maha ngā wā ka taea te whakahaere mā te maimoatanga tika.

He aha te rerekētanga i waenga i te Hyperalgesia me te Allodynia?

Ahakoa he āhua ōrite ēnei kupu e rua, he mārama te rerekētanga i waenganui i ēnei āhuatanga e rua. Kia mārama ai koe ki tēnei, tirohia te ripanga i raro nei.

Kei te mārama koe ki te rerekētanga? I roto i te hyperalgesia, ka puta te mamae i tētahi mea e tika ana kia mamae, engari he kino rawa. I roto i te allodynia, ka puta te mamae i tētahi mea kāore e tika ana kia mamae.

He pēhea te puta o tēnei mea e kiia nei ko te Hyperalgesia i roto i ō tātou tinana?

Ka whakarerekē te Hyperalgesia i te huarahi e whakaputa ai, e tukatuka ai hoki tō tātou tinana i ngā tohu mamae. He maha ngā huarahi matua e taea ai tēnei:

• Ka whakaitihia te paepae mō te mamae: Ka tino whakaitihia te paepae mamae e mamae ai tetahi mea e kiia ana he kore whakamarie i roto i tēnei āhua. Ko te tikanga o tēnei, ahakoa te mea iti rawa, ka taea te mamae.
• Ka kaha ake te urupare: Ka nui ake, ka kaha ake hoki ngā kaiwhakawhiwhi mamae o te tinana i te mea noa. Nā tēnei ka kaha ake te mamae.
• Kāore ngā tohu mamae e mutu: Ahakoa kua tangohia te pūtake o te mamae, ka tere tonu te aro o ngā kaiwhakawhiwhi mamae, ā, ka haere tonu te tuku tohu mamae ki te roro.

Ka taea tēnei te wehewehe ki ngā momo matua e rua:

1. Te hyperalgesia tuatahi: Koinei te wā ka pāngia te mamae e te wāhi i whara ai. Hei tauira, ko te kiri kua wera i te rā ka nui ake te mamae i te wāhi i whara ai.

2. Te hyperalgesia tuarua: Koinei te wā e pāngia ai te mamae e ngā wāhi e karapoti ana i te whara, kāore e pā ki te wāhi i whara ai. Ka puta tēnei nā te huringa o te huarahi e tukatuka ai tō tātou pūnaha io i ngā tohu mamae.

He aha ngā tino take o te hyperalgesia?

E mōhio ana tātou ināianei ko te take o tēnei mate ko te tere o te aro o ngā kaiwhakawhiwhi mamae o te tinana. He maha ngā take pea mō tēnei.

• Ngā wera (tae atu ki te werawera o te rā)
• Ngā wero, ngā ngau rānei a ngā pepeke, ngā ngārara, me ētahi atu kararehe rānei
• Ngā āhuatanga mate pukupuku
• Ngā raruraru o te whakamahinga roa o ētahi rongoā (ka kōrerohia tēnei i raro nei)
• Te kino o ngā io i puta mai i te mate huka (Diabetic Neuropathy)
• Ngā mate pūnaha ārai mate (hei tauira, Lupus, Multiple Sclerosis)
• Ngā mate pāwera e pā ana ki te pūnaha io (hei tauira, te mate pukupuku, te huaketo Herpes)
• Ngā āhuatanga pēnei i te migraines
• Ngā mate mamae mau tonu pērā i te 'Complex regional pain syndrome'
• Tetahi momo whara o waho (pēnei i te wheua whati, te uaua haehae, te whara io)

Te mamae nui ake nā te tango i ngā rongoā whakamamae (Opioid-induced hyperalgesia - OIH)

He mea tino nui tēnei, he mea nui hoki kia arohia. Ina whakamahia ngā rongoā mamae opioid (he paku kaha) mō te wā roa, ka puta pea he pānga taha e kiia nei ko te `Opioid-induced hyperalgesia (OIH)`. Ko te tikanga o tēnei ka piki ake te aro o te tinana ki te mamae nā te mea ka tangohia ngā rongoā mamae hei whakaiti i te mamae, ka kino ake te mamae.

Koia te take e whakaaroaro rua ai ngā tākuta mō te tuku rongoā mamae opioid mō te wā roa. Mēnā ka pāngia te tangata e te OIH, ka whakaitihia mārire e te tākuta te horopeta o te rongoā, kātahi ka mutu katoa. Kāore e taea te mahi i tēnei i te wā kotahi, nā te mea ka pā mai he pānga kino kino. Nō reira, me mahi noa tēnei i raro i te tohutohu me te tirotiro a te tākuta.

He aha ngā maimoatanga mō te hyperalgesia?

Ko te maimoatanga e whakawhirinaki ana ki te take me te momo o te hyperalgesia. Ka taea te whakamahi i te maimoatanga kotahi, i te whakakotahitanga rānei o ngā maimoatanga. Ko tō tākuta anake ka mōhio ko tēhea te maimoatanga e pai ana mō tō āhua.

Anei ētahi maimoatanga e whakamahia whānuitia ana:

• Ngā Rongoā: He maha ngā momo rongoā e whakamahia ana mō tēnei. Hei tauira, ko te 'Acetaminophen' (Paracetamol), ko ngā 'NSAID' (ngā rongoā ārai-mumura kore-steroidal), ko ngā 'rongoā ārai-pōuri', ko ētahi rongoā mō te mate haurangi, me ngā rongoā whakamoe ā-rohe pērā i te 'Lidocaine'.
• Ngā tango i ngā io: Ko te whakakorenga mō te wā poto i ngā io e tuku ana i ngā tohu mamae hē. Ka taea tēnei mā te tango i ngā tohu mamae auau irirangi, mā te werohanga rānei i tētahi matū pēnei i te Botox.
• Ngā aukati io: Te werohanga i tētahi rongoā whakamoe ki roto i te io hei aukati i ngā tohu mamae kei tae atu ki te roro.
• TENS (Whakaohooho hiko ā-kiri): He tikanga hei whakahaere i ngā tohu mamae mā te tuku i tētahi iahiko iti rawa mā te mata o te kiri.

He aha ngā wā pai rawa atu hei toro atu ki te tākuta?

Ko te mamae o tētahi mea iti noa iho, pērā i te werawera noa iho i te rā, ka memeha haere i roto i ētahi rā. Heoi, ki te tino kaha te mamae, ā, kāore e taea te whakamanawanui, ā, kāore e taea te mahi i ngā mahi o ia rā , ki te roa rānei te mamae mō ngā wiki , he tohu tino tika tēnei me toro atu koe ki te tākuta.

He mea tino nui te rapu tohutohu hauora mō ngā wera nui (tohu tuarua, neke atu rānei), ngā wera rānei ki te mahunga, ki te mata, ki ngā ira tangata rānei. Mā tō tākuta koe e tohutohu mēnā he nui rawa tō mamae e hiahiatia ana kia haere ki te Tari Whawhati Tata (ETU).

Kāore te hunga whai mate pēnei e whakaari ana i te mamae, e whakaari ana rānei i ō rātou mamae. Nā te mea he raruraru kei roto i te tukatuka mamae o ō rātou tinana, ka tino kaha te mamae. Nō reira, ki te pāngia koe, tētahi atu rānei e mōhio ana koe e tēnei momo mamae rerekē, kino, ko te mea pai me te haumaru ko te rapu tohutohu hauora.