Hoʻomaʻamaʻa kūpilikiʻi cognitive no ka ʻeha o ke kua

Hiki ke kōkua i ka behavioral therapy (CBT) i nā poʻe he nui e hana me ka ʻeha mau.

CBT kahi ʻano o ka psychological therapy. Hoʻohui pinepine ia iā 10 a 20 mau hālāwai me kahi therapist. Ke kau nei i kou mau manaʻo i ka ʻaoʻao ʻike o ka CBT. ʻO ka nānā ʻana i kāu mau hana ka ʻaoʻao lawena.

ʻO ka mea mua, kōkua kāu mea hoʻomaʻamaʻa iā ʻoe e ʻike i nā manaʻo maikaʻi ʻole a me nā manaʻo e loaʻa ke loaʻa iā ʻoe ka ʻeha o ke kua. A laila aʻo aku kāu mea hoʻoponopono iā ʻoe pehea e hoʻololi ai i kēlā mau mea i nā manaʻo kōkua a me nā hana olakino. Ke hoʻololi nei i kou mau manaʻo mai ka maikaʻi ʻole i ka maikaʻi hiki ke kōkua iā ʻoe e hoʻokele i kou ʻeha.

Manaʻo ʻia ʻo ka hoʻololi ʻana i kou mau manaʻo e pili ana i ka ʻeha hiki ke hoʻololi i ka hopena o kou kino i ka ʻeha.

ʻAʻole hiki iā ʻoe ke hoʻokū i ka ʻeha o ke kino mai ka hanana ʻana. Akā, me ka hoʻomaʻamaʻa, hiki iā ʻoe ke kaohi i ka hopena o kou noʻonoʻo i ka ʻeha. Ke hoʻololi nei kahi laʻana i kahi manaʻo maikaʻi ʻole, e like me "ʻAʻole hiki iaʻu ke hana hou i kekahi mea," i kahi manaʻo maikaʻi aʻe, e like me "Ua hana wau i kēia ma mua a hiki iaʻu ke hana hou."

E kōkua kahi mea hoʻoponopono iā CBT iā ʻoe e aʻo i:

• E ʻike i nā manaʻo maikaʻi ʻole
• E hōʻoki i nā manaʻo maikaʻi ʻole
• E hoʻomaʻamaʻa i ka hoʻohana ʻana i nā manaʻo maikaʻi
• E hoʻomohala i ka noʻonoʻo olakino

Pili ka noʻonoʻo olakino i nā manaʻo maikaʻi a hoʻoluʻolu i kou noʻonoʻo a me kou kino ma o ka hoʻohana ʻana i nā ʻenehana e like me yoga, lomilomi, a kiʻi paha. ʻO ka noʻonoʻo olakino e hōʻoluʻolu ai iā ʻoe, a ʻo ka manaʻo maikaʻi e hōʻemi i ka ʻeha.

Hiki iā CBT ke aʻo iā ʻoe e lilo i mea ʻeleu hou. He mea nui kēia ma muli o ka hoʻoikaika mau, haʻahaʻa hopena, e like me ka hele wāwae a me ka ʻauʻau ʻana, hiki ke kōkua i ka hōʻemi a pale ʻana i ka ʻeha o ke kua i ka holo lōʻihi.

No CBT e kōkua e hōʻemi i ka ʻeha, pono e ʻike i kāu mau pahuhopu lapaʻau a pono e hana i kāu lapaʻau i nā ʻanuʻu. ʻO kahi laʻana, ʻo kāu mau pahuhopu e ʻike i nā hoaaloha hou a hoʻomaka i ka hoʻoikaika kino. He mea kūpono ke ʻike aku i hoʻokahi a i ʻole ʻelua mau hoaaloha i ka wā mua a hele wāwae pōkole, maliʻa paha ma lalo o ka palaka. ʻAʻole kūpono ia e launa hou me kāu poʻe hoaaloha āpau i ka manawa hoʻokahi a hele wāwae i 3 mile (5 mau mile) i ka manawa hoʻokahi i kāu puka mua. Hiki i ka hoʻoikaika kino ke kōkua iā ʻoe e hana me nā pilikia ʻeha mau.

E noi i kāu mea mālama ola no nā inoa o kekahi mau mea hoʻoponopono a ʻike i ka mea i uhi ʻia e kāu ʻinikua.

Kāhea aku iā 2 a 3 i nā mea hoʻoponopono a nīnau iā lākou ma ke kelepona. E nīnau iā lākou e pili ana i ko lākou ʻike me ka hoʻohana ʻana iā CBT e hoʻokele i ka ʻeha hope mau. Inā ʻaʻole ʻoe makemake i ka mea lapaʻau mua āu e kamaʻilio ai ʻike ai paha, e hoʻāʻo i kahi mea ʻē aʻe.

ʻEha ʻaoʻao ʻaoʻao ʻole - behavioral cognitive; Backache - maʻi - behavioral cognitive; Lumbar ʻeha - maʻi - behavioral cognitive; ʻEha - kua - mau - ʻano hana noʻonoʻo; ʻEha kua ʻeha - haʻahaʻa - behavioral cognitive

• ʻAchesiwi ʻiwi

ʻO Cohen SP, Raja SN. ʻEha. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier Saunders; 2020: chap 27.

Davin S, Jimenez XF, Covington EC, Scheman J. Nā hoʻolālā psychological no ka ʻeha mau. I: Garfin SR, Eismont FJ, Bell GR, Fischgrund JS, Bono CM, eds. ʻO Rothman-Simeone lāua ʻo Herkowitz's The Spine. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 108.

ʻO Narayan S, ʻo Dubin A. Hoʻopili kūlike i ka mālama ʻeha. I: Argoff CE, Dubin A, Pilitsis JG, eds. Nā mea huna Management Pain. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 50.

ʻO Tureke DC. Nā hiʻohiʻona psychosocial o ka ʻeha mau. I: Benzon HT, Rathmell JP, Wu CL, Turk DC, Argoff CE, Hurley RW, hua pā. Ka Hoʻolālā Pono o Pain. 5th lā. Piladelapia, PA: Elsevier Mosby; 2014: chap 12.

• Paʻi Kua
• Ka mālama ʻeha ʻole i ka lāʻau