ʻEha ka ʻili

ʻO nā ʻeha a me nā ʻeha ka maʻamau a hiki ke hoʻopili i nā mākala ma mua o hoʻokahi. Hiki i ka ʻeha puʻupuʻu ke hoʻopili i nā ligament, tendons, a me fascia. ʻO Fascias nāʻiʻo palupalu e hoʻohui i nā mākala, nā iwi, a me nā meaola.

Pili pinepine ka ʻeha puʻupuʻu i ka haʻalulu, ka hoʻohana nui ʻana, a i ʻole ka ʻehaʻeha o ka mākala mai ka hoʻoikaika kino ʻana a i ʻole ka hana hoʻoikaika kino. Pili ka ʻeha i nā mākala kikoʻī a hoʻomaka i ka wā a ma hope paha o ka hana. ʻIke pinepine ʻia kahi hana e ʻeha ai ka ʻeha.

Hiki i ka ʻehaʻeha ke hōʻailona i nā ʻano e pili ana i kou kino holoʻokoʻa. ʻO kahi laʻana, ʻo kekahi mau maʻi (e like me ka maʻi palū) a me nā maʻi e hoʻopili i nā mea hoʻopili i loko o ke kino (e like me ka lupus) hiki ke hōʻeha i nā ʻeha.

ʻO kahi kumu maʻamau o ka ʻehaʻeha a me ka ʻeha ka fibromyalgia, kahi ʻano e palupalu ai i kou mau mākala a me nā mea palupalu e pili ana, nā pilikia o ka hiamoe, nā luhi, a me nā poʻo hina.

ʻO nā kumu maʻamau o ka ʻehaʻeha a me nā ʻeha ka:

• Ka hōʻeha a i ʻole trauma, me nā sprains a me nā kaha
• Hoʻohana nui me ka hoʻohana nui ʻana i kahi mākala, ma mua koke o ka hoʻomehana ʻana, a i ʻole pinepine pinepine
• Hoʻopilikia a koʻikoʻi paha

ʻO ka ʻeha ʻeha pū kekahi ma muli o:

• ʻO kekahi mau lāʻau, me nā mea kāohi ACE no ka hoʻohaʻahaʻa ʻana i ke koko, cocaine, a me nā statins no ka hoʻohaʻahaʻa ʻana i ka kolesterol
• Dermatomyositis
• ʻO ke kaulike uila ʻole, e like me ka potassium a i ʻole ka calcium
• ʻO Fibromyalgia
• Nā maʻi āpau, e like me ka maʻi palū, ka maʻi Lyme, malaria, abscess muscle, polio, ʻike ʻia ʻo Rocky Mountain i ke kuni, trichinosis (roundworm)
• Lupus
• Polymyalgia rheumatica
• ʻO Polymyositis
• Rhabdomyolysis

No ka ʻehaʻeha o ka mākala mai ka hoʻohana nui ʻana a i ʻole ka ʻeha, hoʻomaha i ka ʻāpana o ke kino i hoʻopili ʻia a lawe i ka acetaminophen a i ʻole ka ibuprofen. E noi i ka hau no 24 a 72 mau hola ma mua o ka hōʻeha e hoʻemi i ka ʻeha a me ka mumū. Ma hope o kēlā, ʻike pinepine ka wela i ka mea hōʻoluʻolu.

ʻO ka ʻeha o ka mākala mai ka hoʻohana nui a me ka fibromyalgia e pane pinepine ai i ka lomilomi. He mea kōkua nō hoʻi nā hoʻomaʻamaʻa humuhumu ma hope o ka lōʻihi o ka hoʻomaha.

Hiki i ke hoʻoikaika mau ke kōkua i ka hoʻihoʻi hou ʻana i ke kani o nā mākala. ʻO ka hele wāwae, ke kaʻa paikikala, a me ka ʻauʻau nā hana aerobic maikaʻi e hoʻāʻo. Hiki i kahi mea hoʻoponopono kino ke aʻo iā ʻoe e hoʻolōʻihi, toning, a me nā hoʻolālā aerobic e kōkua iā ʻoe e hōʻoluʻolu a noho ʻole i ka ʻeha. E hoʻomaka lohi a hoʻonui i ka hoʻomaʻamaʻa mālie. Hōʻalo i nā hana aerobic hopena kiʻekiʻe a me ka hāpai hāpai ʻana i ka wā ʻeha a i ʻole ʻeha.

E ʻike pono i ka hiamoe nui a hoʻāʻo e hoʻoliʻiliʻi i ke koʻikoʻi. ʻO Yoga a me ka noʻonoʻo ʻana he ala maikaʻi loa e kōkua iā ʻoe e hiamoe a hoʻomaha.

Inā ʻaʻole e holo pono nā ana o ka home, hiki i kāu kauka olakino ke kuhikuhi i ka lāʻau a i ʻole ke ʻano hoʻoikaika kino. Pono ʻoe e ʻike ʻia ma kahi keʻena maʻi ʻehaʻeha.

Inā pili kou ʻeha i kahi maʻi kikoʻī, hana i nā mea a kāu mea hāʻawi i haʻi aku ai iā ʻoe e mālama i ke ʻano o ke kumu.

Hiki i kēia mau hana ke kōkua i ka hoʻohaʻahaʻa i ka makaʻu no ka ʻeha ʻana i nā mākala.

• E kīloi i mua a ma hope o ka hoʻoikaika kino.
• Hoʻomehana ma mua o ka hoʻoikaika kino ʻana a me ke anuanu ma hope.
• Inu i nā wai he nui ma mua, i ka wā, a ma hope o ka hoʻoikaika kino.
• Inā ʻoe e hana ma ke kūlana like i ka hapanui o ka lā (e like me ka noho ʻana ma ke kamepiula), e hoʻolōʻihi i kēlā me kēia hola.

Kāhea i kāu mea hāʻawi inā:

• ʻOi aku kou ʻehaʻeha ma mua o 3 mau lā.
• He ʻehaʻeha kou, ʻaʻole wehewehe.
• Loaʻa iā ʻoe kahi hōʻailona o ka maʻi, e like me ka pehu ʻana a me ka ʻulaʻula e pili ana i nā mākala palupalu.
• He maikaʻi ʻole kou holo ʻana ma kahi e ʻeha ai nā mākala (e laʻa me kou mau wāwae).
• He nahu kiki ʻoe a i ʻole kahi lapuwale.
• Hoʻopili ʻia kou ʻehaʻeha me ka hoʻomaka a hoʻololi ʻana paha i nā lāʻau o ka lāʻau, e like me ka statin.

Kāhea iā 911 inā:

• Loaʻa kou loaʻa ʻana o ke kaupaona, ka paʻa wai, a i ʻole ka mimiki liʻiliʻi ma mua o ka maʻamau.
• Pokole ʻoe i ka hanu a paʻakikī paha i ka ale ʻana.
• Loaʻa iā ʻoe ka nāwaliwali o ka mākala a ʻaʻole hiki ke neʻe i kahi ʻāpana o kou kino.
• Ke luaʻi nei ʻoe, a i ʻole he ʻāʻī ʻoʻoleʻa a i ʻole ke kuni kiʻekiʻe.

E hana ana kāu mea lawelawe i kahi hoʻokolokolo kino a nīnau i nā nīnau e pili ana i kou ʻehaʻeha, e like me:

• I ka manawa hea i hoʻomaka ai? Pehea kona lōʻihi?
• Aia ma hea ka pololei? Pau āpau a i ʻole ma kahi kikoʻī wale nō?
• Aia mau ma ka wahi like?
• He aha ka mea e maikaʻi ai a maikaʻi ʻole paha?
• Hana ʻia nā ʻōuli ʻē aʻe i ka manawa like, e like me ka ʻeha pū, ke kuni, ka luaʻi, nāwaliwali, malaise (kahi manaʻo maʻamau o ka hōʻoluʻolu a nāwaliwali paha), a i ʻole ka paʻakikī e hoʻohana i ka ʻeha i hoʻopili ʻia?
• Aia kekahi hiʻohiʻona i nā ʻehaʻeha o ka mākala?
• Ua lawe anei ʻoe i kekahi lāʻau i kēia mau lā?

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Helu piha koko (CBC)
• ʻO nā hoʻokolohua koko ʻē aʻe e nānā i nā enzymes musele (creatine kinase) a he hoʻokolohua paha no ka maʻi Lyme a i ʻole kahi maʻi maʻi hoʻopili

ʻEha ʻeha; Myalgia; ʻEha - nā mākala

• ʻEha ʻeha
• Hoʻoiho muscular

ʻO TM, Asplund CA. Hoʻoikaika kino. I: Miller MD, Thompson SR. nā ʻaoʻao ʻO DeLee, Drez a me Miller's Orthopedic Sports Medicine. 5th lā. Piladelapia, PA: Elsevier; 2020: chap 6.

ʻO Clauw DJ. ʻO Fibromyalgia, maʻi luhi mau loa, a me ka ʻeha myofascial. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 258.

Parekh R. Rhabdomyolysis. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 119.