Central Pain Syndrome (CPS)

Anter

• He aha nā hōʻailona o ka maʻi maʻi waena?
• He aha ke kumu o ka maʻi ʻeha o ke kikowaena?
• Pehea e ʻike ʻia ai ka maʻi ʻeha o ke kikowaena?
• Pehea e mālama ʻia ai ka maʻi ʻehaʻeha?
• He aha nā ʻano kauka e mālama ai i ka maʻi ʻehaʻeha?
• Neurologist
• Loea ʻeha
• Lapaʻau kino
• ʻOlogistlapa psychologist
• He aha nā pilikia o ka maʻi o ke kikowaena?
• He aha ka manaʻo no ka poʻe me ka maʻi ʻeha o ke kikowaena?

He aha ka maʻi maʻi waena?

Hiki i ka hōʻino ʻana i ka ʻōnaehana waena (CNS) ke kumu i kahi maʻi neurological i kapa ʻia ʻo Central pain Syndrome (CPS). Hoʻopili pū ka CNS i ka lolo, ʻōnaehana lolo, a me nā iwi kuamoo. Hiki i kekahi mau kūlana ʻē aʻe ke kumu iā ia e like me:

• he hahau
• hōʻeha lolo
• ʻōiwi
• epilepsy

Manaʻo ka poʻe me CPS i nā ʻano ʻeha o ka ʻeha, e like me:

• ʻehaʻeha
• lapalapa ʻana
• ʻeha ʻeha
• ʻōlohelohe

Hoʻololi ākea nā ʻōuli i waena o nā kānaka. Hiki iā ia ke hoʻomaka koke ma hope o kahi trauma a i ʻole ke ʻano ʻē aʻe, a i ʻole he mau mahina a mau makahiki paha e hoʻomohala ai.

ʻAʻohe lāʻau no CPS i loaʻa. ʻO nā lāʻau ʻeha, antidepressants, a me nā ʻano lāʻau ʻē aʻe hiki ke kōkua i ka hāʻawi ʻana i kekahi mau kōkua. Hiki i ke ʻano ke hoʻololi i ka maikaʻi o ke ola.

He aha nā hōʻailona o ka maʻi maʻi waena?

ʻO ka hōʻailona nui o CPS ka ʻeha. Hoʻololi ka ʻeha i waena o nā kānaka. Hiki iā ia i kekahi o kēia mau mea:

• kūmau mau
• pākuʻi
• kaupalena ʻia i kekahi ʻāpana kino
• laha a puni ke kino

Hoʻomaopopo pinepine ka poʻe i ka ʻeha e like me kekahi o kēia:

• lapalapa ʻana
• ʻehaʻeha
• prickling a i ʻole tingling, i kapa ʻia i kekahi manawa ʻo "pin a me nā nila"
• hou ana
• ʻalalā e huli ʻeha
• hau paʻa
• pīhoihoi
• haehae

Kūpono ka ʻeha a paʻakikī. E wehewehe ʻia paha ka ʻeha ma ke ʻano he ʻehaʻeha e kekahi poʻe. I nā hihia koʻikoʻi, ʻeha ka poʻe me CPS i ka ʻeha ke pā iki ʻia e nā lole, nā kapa moe, a i ʻole ka makani ikaika.

Hiki i nā ʻano mea like ʻole ke hōʻeha i ka ʻeha. Hoʻopili kēia mau mea i kēia mau mea:

• hoʻopā
• hoʻoluhi
• huhū
• naʻau ikaika ʻē aʻe
• neʻe, e like me ka hoʻoikaika kino
• reflexive, neʻe wale, e like me ka hū ʻana a i ʻole ka ʻū ʻana
• leo nui
• kukui uila
• hoʻololi i ka mahana, ʻoi aku ke anuanu
• wehe lā
• ua
• makani
• loli ke kaomi barometric
• loli ke kiʻekiʻe

I ka hapanui o nā hihia, noho ʻo CPS i ke ʻano holoʻokoʻa.

He aha ke kumu o ka maʻi ʻeha o ke kikowaena?

ʻO CPS pili i ka ʻeha e hele mai ka lolo a ʻaʻole mai nā aʻa peripheral, aia ma waho o ka lolo a me ka iwi kuamoo. No kēia kumu, ʻokoʻa ia mai nā ʻano ʻeha ʻē aʻe.

ʻO ka ʻeha ka mea maʻamau i kahi pale pale i kahi mea hoʻonāukiuki hoʻonāukiuki, e like me ka hoʻopā ʻana i kahi kapuahi wela. ʻAʻohe kumu hoʻonāukiuki e hoʻonāukiuki i ka ʻeha ma CPS. Akā, kahi ʻeha i ka lolo e hana i ka ʻike o ka ʻeha. Kū pinepine kēia ʻeha i ka thalamus, kahi hanana i loko o ka lolo e hana i nā hōʻailona sensory i nā ʻāpana ʻē aʻe o ka lolo.

ʻO nā kūlana maʻamau e hiki ai ke alakaʻi iā CPS nā:

• hemorrhage lolo
• he hahau
• sclerosis maha
• ʻōpū o ka lolo
• he aneurysm
• kahi ʻeha o ke kuamoʻo
• kahi ʻeha lolo ʻeha
• epilepsy
• Maʻi ʻo Parkinson
• nā kaʻina hana e hoʻopili ai i ka lolo a i ʻole ka iwi kuamoʻo

Ua kuhi ka Central Pain Syndrome Foundation kokoke i 3 miliona mau kānaka ma ʻAmelika Hui Pū ʻIa i loaʻa CPS.

Pehea e ʻike ʻia ai ka maʻi ʻeha o ke kikowaena?

Hiki i ka CPS ke paʻakikī e kuhikuhi. Pālahalaha paha ka ʻeha a ʻano pili ʻole paha i kekahi ʻeha a ʻeha hoʻi. ʻAʻole loaʻa hoʻokahi hōʻike e hiki ai i kāu kauka ke hōʻoia iā CPS.

E nānā kāu kauka i kāu mau hōʻailona, ​​hana i kahi hoʻokolohua kino, a nīnau e pili ana i kāu mōʻaukala olakino. He mea nui loa ia e haʻi aku i kāu kauka e pili ana i nā kūlana a i ʻole nā ​​ʻeha āu i loaʻa ai i kēia manawa a i ʻole ma mua paha, a me nā lāʻau āu e lawe nei. ʻAʻole hoʻomohala ʻo CPS iā ia iho. Kū wale ia ma hope o kahi ʻeha i ka CNS.

Pehea e mālama ʻia ai ka maʻi ʻehaʻeha?

He paʻakikī ʻo CPS e mālama. Hoʻohana ʻia nā lāʻau ʻeha, e like me morphine, akā ʻaʻole kūleʻa mau.

Hiki i kekahi poʻe ke mālama i ko lākou ʻeha me nā lāʻau antiepileptic a i ʻole antidepressant, e like me:

• amitriptyline (Elavil)
• duloxetine (Cymbalta)
• gabapentin (Neurontin)
• Kaumakaiwa Kanakaʻole (Lyrica)
• carbamazepine (Tegretol)
• topiramate (Topamax)

Nā lāʻau lapaʻau hou aʻe e kōkua paha i ka:

• nā kalima transdermal a me nā loʻi
• pakalōlō lapaʻau
• nā mea hoʻomaha hoʻomaha nāʻiʻo
• nā mea hoʻohiamoe a me nā mea kōkua hiamoe

Ma ka laulaha, e hōʻemi kēia mau lāʻau i ka ʻeha, akā ʻaʻole lākou e holo loa. Ma o ka hoʻāʻo ʻana a me ka hemahema, e ʻike ka mea maʻi a me kā lākou kauka i ka lāʻau lapaʻau a i ʻole ka hui pū ʻana o nā lāʻau i ʻoi aku ka maikaʻi.

Manaʻo ʻia ʻo Neurosurgery kahi ala hope loa. Pili kēia ʻano ʻoki ʻana i ka hoʻonāukiuki ʻana o ka lolo. I loko o kēia kaʻina hana, e hoʻokomo kāu kauka i kahi electrode i kapa ʻia he neurostimulator i nā ʻāpana kikoʻī o kou lolo e hoʻouna ai i nā mea hōʻeha i nā mea loaʻa ʻeha.

He aha nā ʻano kauka e mālama ai i ka maʻi ʻehaʻeha?

ʻO ke kauka mālama mua ke kauka mua e kūkākūkā i kāu mau ʻōuli a nānā i kāu mōʻaukala olakino a me kou olakino o kēia manawa. Ke hoʻopau ʻia kekahi mau kūlana, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi loea no ka hoʻāʻo hou ʻana a me ka mālama ʻana.

ʻO nā loea nāna e mālama a kōkua paha i ka mālama ʻana iā CPS e hoʻopili i kēia mau mea:

Neurologist

ʻO ke neurologist kahi kauka e loea i nā maʻi o ka ʻōnaehana ʻōnaehana, me ka lolo, ka iwi kuamoo, a me nā ʻalolo. Maʻamau lākou i ka mālama ʻana i ka ʻeha mau. E ʻike paha ʻoe i kekahi mau neurologist ma mua o ka hoʻoholo ʻana i kahi e hiki ke kōkua iā ʻoe e mālama i kou ʻeha.

Loea ʻeha

ʻO ka loea ʻeha he kauka maʻamau i aʻo ʻia i ka neurology a i ʻole ka anesthesiology. Hoʻolālā lākou i ka mālama ʻeha a hoʻohana i nā ʻano hana like ʻole e mālama ai i ka ʻeha e like me nā lāʻau a me nā injection o kekahi mau lāʻau i loko o nā wahi ʻeha e hōʻoluʻolu i ka ʻeha.

Lapaʻau kino

ʻO kahi mea hoʻoponopono kino kahi loea i hiki ke kōkua iā ʻoe e hōʻemi i ka ʻeha a hoʻomaikaʻi i ka neʻe.

ʻOlogistlapa psychologist

Hoʻopili pinepine ʻo CPS i kou mau pilina a me ke olakino manaʻo. E kūkākūkā kahi psychologist a mea hoʻoponopono paha i nā pilikia manaʻo me ʻoe.

He aha nā pilikia o ka maʻi o ke kikowaena?

Hiki i ka CPS ke ʻeha. Hiki iā ia ke mālama iā ʻoe mai ke komo ʻana i nā hanana kaiaulu a hoʻololi nui i kou ola i kēlā me kēia lā. Hiki iā ia ke alakaʻi i nā pilikia a me nā pilikia ʻē aʻe e like me:

• hoʻoluhi
• hopohopo
• kaumaha
• luhi
• haunaele hiamoe
• pilikia pilikia
• huhū
• he hoʻemi i ka maikaʻi o ke ola
• kaʻawale
• manaʻo suicidal

He aha ka manaʻo no ka poʻe me ka maʻi ʻeha o ke kikowaena?

ʻAʻole hoʻoweliweli CPS i ke ola, akā ʻo ke ʻano ke kumu o ka paʻakikī no ka hapa nui o ka poʻe. Hiki iā CPS ke hoʻopilikia i kāu hana o kēlā me kēia lā.

I nā hihia koʻikoʻi, hiki i kaʻeha ke koʻikoʻi a hoʻololi nui i kou maikaʻi o ke ola. Hiki i kekahi poʻe ke mālama i ka ʻeha me nā lāʻau lapaʻau, akā mau ke ʻano no ke koena o ke ola o ke kanaka.