Kei a koe tēnei momo mamae io (Pamae Neuropathic)? Me kōrero tāua!

Ka rongo koe i ētahi wā i te mamae rerekē, i te ngoikore rānei o tō tinana, kāore he take e kitea ana? Pēnei i te ru hiko, i te werawera rānei, i te werowero rānei? Ehara ēnei i te mea hanga noa iho. Ka kiia tēnei he mamae io, he mamae neuropathic rānei. Me kōrero taipitopito atu tātou mō tēnei i tēnei rā, nā te mea ka pā ki te tini o te tangata.

He aha te mamae Neuropathic?

I te whakarapopototanga, ko te mamae o ngā io he mamae i puta mai i te hapa, i te kino rānei o tō tātou pūnaha io. I mōhio koe kei a tātou tēnei whatunga io puta noa i ō tātou tinana? He rite rātou ki ngā waea e kawe ana i ngā mōhiohio puta noa i ō tātou tinana. E rua ngā wāhanga matua o tēnei pūnaha io. Ko tētahi ko te pūnaha io matua . Kei roto i tēnei ko tō tātou roro, ko te taurakira, me ngā io. Ko tētahi ko te pūnaha io taha . Ka horahia ēnei io puta noa i te toenga o ō tātou tinana, tae atu ki ō tātou waewae, ngā maihao, tae atu ki ō tātou whekau o roto.

Nō reira, ina pakaru ēnei muka io i tētahi mea, ka tīmata rātou ki te tuku i ngā tohu hē ki ō tātou pokapū mamae. Koinā te wā ka rongo tātou i tēnei mamae io e kore e taea te manawanui. I ētahi wā, ehara i te mea ko te wāhi anake e pakaru ana ngā io, engari ko tō tātou pūnaha io matua ka huri. Ka kiia tēnei ko te "central sensitization" i roto i ngā kupu hauora.

Kua rongo pea koe i te kupu 'Neuropathy'. Ko tōna tikanga he raruraru, he panoni rānei i te mahi a tētahi, neke atu rānei o ngā io. I mōhio koe e 30% o ēnei āhuatanga 'neuropathy' ka puta mai i te mate huka . Heoi, he rau atu anō ngā mate ka puta ai tēnei. Hei tauira, ka pāngia hoki tēnei e ngā mate pēnei i te 'shingles', te 'HIV/AIDS', me te mate inu waipiro.

He aha ngā tohu o tēnei mamae io?

Kāore e rite te mamae o ngā io mō te katoa, engari he maha ngā tohu noa:

• Mamae ohorere: I ētahi wā ka rite tēnei ki te werawera, te wero, te ru hiko rānei. Tērā pea ka pāngia ētahi tāngata e te māuiui, te ahua rānei o te "ngoikore".
• Allodynia: He ahua rerekē tēnei. Whakaarohia, ki te pupuhi mai he hau mārie ki tō kiri, ki te pā mārie mai rānei tētahi ki a koe, ki tētahi mea rānei kāore e mamae, ka tino pāngia koe e te mamae. Koinei te allodynia. He tino pāngia koe e te pā .
• Te Hiperalgesia:Ko te mea ka tupu i tēnei wā, ko tētahi mea e mamae ana i te nuinga o te wā, pērā i te werohanga o tētahi ngira iti, ka huri hei mamae e kore e taea te tohe. Arā, he nui atu te mamae i te mea e tika ana .
• Hypoalgesia: Ko te ritenga kē tēnei. Ko tētahi mea e mamae ana i te nuinga o te wā, pērā i te werohanga ngira, ka whakaiti i te mamae , ka kore rānei e mamae.
• Te koretake o te manawa: Ko te tikanga ka pāngia koe e ngā kare ā-roto rerekē, kino, ā, i ētahi wā ka mamae , kāore he take e kitea ana. Tērā pea ka rongo ētahi tāngata me te mea kei te ngokingoki ngā kutukutu i roto i ō rātou tinana, me te mea rānei kei te taka iho ngā pata wai.
• Te kore moe: He maha ngā tāngata e uaua ana ki te moe nā tēnei mamae. Ina whakararuraruhia te moe, ka taea hoki e te mamae te whakanui ake i te ahotea.

He aha tātou ka pāngia ai e tēnei momo mamae io? He aha ngā take?

He maha ngā take mō tēnei mamae io. Me titiro tātou ki ngā mea matua:

• Te mate whakamahi waipiro: Ko te hunga e inu nui ana i te waipiro ka pāngia e te kino o ngā io me te mamae pēnei.
• Mate Huka: He raruraru te mate huka e pāngia ana e te tini o te tangata i Sri Lanka. I mōhio koe mēnā kāore e tika te whakahaere, ka pāngia pea ngā io e te mate huka, ā, ka mamae pea ēnei momo mamae? Koia te take me tūpato tonu te hunga mate huka ki ō rātou taumata huka toto, inā koa ō rātou waewae.
• Ngā mate o te io kanohi: I ētahi wā ka puta hoki tēnei mamae i ngā mate e pā ana ki ngā io kanohi.
• HIV/AIDS: Ka pāngia hoki te pūnaha io e tēnei mate, ā, ka mamae hoki.
• Ngā mate o te pūnaha io matua: Hei tauira, ko ngā mate pēnei i te whiu, te mate a Parkinson, me te sclerosis maha (MS) ka pāngia hoki e te mamae o te io.
• Te mamae ā-rohe matatini: He take anō hoki tēnei o te mamae io.
• Te rewharewha: Ko te rewharewha tētahi atu take noa. Ka pā ki te hunga kua pāngia e te rewharewha i a rātou e tamariki ana. Ka roa pea tēnei ponana mamae, me te pupuhi, mō ngā marama, tae noa ki ngā tau.

Haunga tēnei, kei reira ētahi atu take:

• Ngā rongoā chemotherapy: Ka taea hoki e ētahi rongoā mate pukupuku, pērā i te cisplatin, te paclitaxel, me te vincristine, te whakararu i ngā io.
• Whakaora irahiko: Ka taea hoki e te rongoā irahiko mō te mate pukupuku te mamae o ngā io.
• Te Ngaronga o te Waewae `(Motuhanga):`Ina tangohia he peka mā te pokanga, ka puta pea te mamae o te peka wairua. He mamae io anō hoki tēnei.
• Te pēhanga, te mumura rānei o ngā io tuaiwi: Ka pā mai hoki tēnei mamae mēnā ka pēhia ngā io o te tuaiwi.
• Whara, pokanga rānei, ā, ka puta he kino ki ngā io: Ka pā mai pea te kino ki ngā io i muri i tētahi aituā nui, i tētahi pokanga rānei.
• Ngā pukupuku e pēhi ana i ngā io: Mena ka puta he pukupuku i tētahi wāhi o te tinana ka pēhi i tētahi io, ka mamae anō hoki.

Me pēhea te mōhio o ngā tākuta ki tēnei?

Ina kite koe i tētahi tākuta, ka pātai tuatahi rātou mō tō hītori hauora, kātahi ka tirotirohia tō tinana. Mēnā ka whakapae te tākuta kei te pakaru ō io, ka rapua e rātou ngā tohu e pā ana ki te mamae o te io. Kātahi ka ngana rātou ki te kimi i te pūtake. I ētahi wā, me mahi pea rātou i ngā whakamātautau toto me ngā matawai.

He aha ngā maimoatanga mō tēnei?

Nā, kia titiro tātou ki ngā maimoatanga mō tēnei mamae io. Ko te tikanga, ko te maimoatanga mō tēnei ka whakawhirinaki ki te pūtake me ō tohumate. Mā tō tākuta e waihanga he mahere maimoatanga e pai ana mōu.

Ko ngā whāinga matua o te maimoatanga ko:

• Te rongoā i te mate pūtake: Hei tauira, mēnā he pukupuku e pēhi ana i te io, ka taea te whakamahi i te rongoā irahiko, i te pokanga rānei hei whakaiti i te pukupuku.
• Whakamamae mamae .
• Kia mau ki te mahi .
• Whakapai ake i te kounga o tō oranga .

He maha ngā wā, e hiahiatia ana he huinga o ngā maimoatanga hei whakahaere i tēnei mamae io, kaua ko te maimoatanga kotahi anake. Tērā pea kei roto i ēnei maimoatanga:

Ngā rongoā

• Ngā rongoā mamae kore-tohu (OTC): Ka taea e ngā rongoā pēnei i te acetaminophen me te ibuprofen te āwhina i ētahi mamae ngawari.
• Ngā rongoā ārai-hōhā: Kāore i te tino mōhiotia he aha i tino whai hua ai ēnei rongoā mō te mamae o ngā io, engari ki ētahi tāngata he tino āwhina. E whakaarohia ana ka whakararuraru ēnei rongoā i ngā tohu mamae o te tinana.
• Ngā rongoā ārai pouri:Inaianei pea kei te whakaaro koe, 'Āe, he mamae ōku io, he aha ahau i hoatu ai he rongoā mō te pouri?' Inaa, ka taea e te manukanuka me te pouri te whakanui ake i te mamae o ngā io. Waihoki, kua kitea ētahi rongoā ārai pouri hei āwhina i te whakaiti i te mamae o ngā io. Ko te tikanga o tēnei ka whakaora ēnei rongoā i te mamae me te ahotea i te wā kotahi.
• Ngā maimoatanga ā-pā: Ka taea te pani tika i ngā kirīmi, ngā hinu whakahinuhinu, ngā pāti rānei kei roto ko te lidocaine, ko te capsaicin rānei ki te wāhi mamae. Ka whakaora mamae ēnei i te wā poto.

Ētahi atu maimoatanga

• Ngā aukati io: He maimoatanga ēnei e hoatu ana hei werohanga. Ka hoatu tata ki te io mamae, ki te rōpū io rānei. Ka taea hoki e tēnei te whakaiti i te mamae mō te wā poto.
• Whakaora tinana: Ka āwhina tēnei ki te whakaiti i te pakari me te kore whakamarie i puta mai i te mamae o ngā io. Ka āwhina hoki i te tinana ki te whakaputa i ngā matū whakaora mamae taiao. Kei roto i tēnei ko ngā tikanga mirimiri me te whakakori tinana.
• Pokanga: I ētahi wā, ka taea hoki e te pokanga te āwhina ki te whakamamae i te mamae o ngā io. Ka taea e te taote pokanga te whakawātea, te whakatika, te tango rānei i ētahi io.
• Te tohutohu hinengaro: Haunga te maimoatanga hauora, tera pea ka whai hua koe i te tohutohu hinengaro. Ka taea e tēnei te āwhina i a koe ki te aro atu ki te ahotea i puta mai i te mamae o te io.

Ki te kore ēnei maimoatanga e whakaora i tō mamae io, ka tūtohu pea tō tākuta i ngā maimoatanga pēnei i te whakaoho i te taurakira, te whakaoho io ā-taha, te whakaoho roro rānei. Ka kōrero tō tākuta ki a koe mō ngā painga me ngā huakore o ēnei maimoatanga.

He huarahi hei karo i te mamae o ngā io?

Ahakoa kāore e taea e tātou te ārai i te mamae o ngā io i ngā wā katoa, he iti noa ngā mea ka taea e tātou te mahi hei whakaiti i te mōrearea:

• Ki te kai paipa koe, kati. Koinei te mea pai rawa atu ka taea e koe te mahi.
• Waihangahia he mahinga whakakori tinana auau e pai ana ki a koe.
• Tāpirihia he nui o ngā hua hou, huawhenua, pīni, witi katoa, me ngā pūmua kikokore (pērā i te ika me te heihei) ki roto i tāu kai.
• Ki te inu waipiro koe, whakawhāitihia.
• Ki te mea he mate huka koe, tirohia tonutia ō taumata huka toto, ā, kia tino tiakina ō waewae. Ahakoa he patunga iti noa iho, ka taea e ia te noho hei raruraru nui.

He pēhea te kino o tēnei āhuatanga? He aha ngā mea ka tupu ā muri ake nei?

He uaua pea te rongoā i te mamae o ngā io i ētahi wā, engari kāore e mōrearea ki te ora.Ka tutuki ngā hua pai rawa atu mā te tautoko i tō oranga hinengaro, oranga pāpori, me te oranga kare ā-roto me te whakaora anō hoki. Ko te mea nui i konei ko te whakahaere i te mamae me te whakapai ake i te kounga o tō oranga, me te āwhina a te tohunga mamae, mā te whakamahi i ngā tikanga kua whakahuatia ake nei.

Āhea tātou me toro atu ki te tākuta?

Mena kei a koe ngā tohu e tohu ana kua pakaru tō io, tirohia he tākuta:

• te ngoikore
• Te wiri
• ngoikore o te uaua
• Te āhua nei kei te wiriwiri tō tinana, kāore e taea te whakahaere (Te wiriwiri kāore e taea te whakahaere)
• Mena he maha ngā mea kei roto i tō ringaringa e taka ana ki te whenua `(He maha ngā mea e taka ana)`

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

Ki te mamae nui koe, ki te korekore, ki te ngoikore rānei, ā, te āhua nei kei te tere haere te kino, me haere tonu koe ki te rūma whawhati tata. Tērā pea he tohu ēnei o te kino nui o te io. Ko ētahi atu tohu kino ko:

• Te tere o te manawa, te kore rānei e tika ana
• Ngā huringa o ō tikanga kaukau (hei tauira, te uaua ki te mimi)
• Pōuriuri, ngoikore rānei

He aha te āhua o tēnei mamae whānui?

He tokomaha te hunga e whakaahua ana i te mamae o ngā io he rite ki te wero, te wero, te wera rānei . Ko ētahi ka rite ki te ru hiko.

He aha te momo mamae io e tino kitea ana?

Ahakoa he maha ngā momo mamae io, ko te neuropathy e pā ana ki te mate huka te 30% anake o ngā take katoa.

Ka taea e te mamae o te io te haere mai, te haere atu rānei, he mamae pumau, kāore e taea te whakamanawanui. Ka taea e te mamae ngawari, te mamae kino rānei. Ka taea te pā ki tētahi wāhanga o te tinana. Ahakoa kāore te mamae o te io i te mea morearea, ka pā nui ki te kounga o tō oranga. Mena he mamae nui tō te io, ki te kore rānei te mamae e memeha, me toro atu ki te tākuta. Ka taea e ia te kimi i te take me te kī atu ki a koe he aha te maimoatanga tika māu.

Hei whakamutunga, ko ngā mea tino nui hei maumahara (Karere hei tango ki te kāinga)

Āe, mai i tā tātou i kōrero ai i tēnei rā, ko te tumanako kua mārama ake koe ki te mamae neuropathic.

Ko te mea nui ko te toro atu ki te tākuta mēnā kei a koe ēnei tohu, kaua e wareware noa. I ētahi wā, he tohu pea tēnei nō tētahi atu mate. Nō reira, he mea tino nui kia kitea te tino take, kia tīmata wawe tonu te maimoatanga.

Kia maumahara, kāore koe i te mokemoke. He maha ngā tākuta me ngā maimoatanga hei āwhina i ēnei āhuatanga. Kaua e mataku, kia kaha, kia anga atu ki tēnei.

Mamae io, mamae neuropathique, Mamae Neuropathique, Ngā mate io, Mate huka, Ngoikore, Mumura