Autism a me Amplified Musculoskeletal Pain Syndrome (AMPS)
Anter
He manaʻo paʻa lōʻihi ia o nā keiki ma ka pae autism i pale i ka ʻeha. Ua hoʻokumu ʻia kēlā ʻano manaʻo i nā ʻike anecdotal. ʻO ka hana hōʻeha ponoʻī a me ka ʻole o nā pane ʻeha mau i lawe ʻia e like me ka hōʻoia ʻana ʻaʻole i kau inoa nā hōʻailona ʻeha a i ʻole kiʻekiʻe kiʻekiʻe ka paepae no ka ʻeha.
ʻO ka hopena kuhihewa a weliweli hoʻi i hiki ʻole i nā keiki autistic ke ʻike i ka ʻeha ua hoʻopau ʻia. Nānā pono ka noiʻi i nā pane ʻeha i nā hoʻonohonoho hoʻokolohua kāohi ʻia (ma ke ʻano he laʻana o ia ʻano noiʻi e ʻike iā Nader et al, 2004; no ka loiloi o kēia mau noiʻi, e nānā iā Moore, 2015). Hōʻike kēia mau noiʻi ʻaʻole ia he ʻeha nā keiki ma ka pae. Ma kahi o lākou, hōʻike lākou i ka ʻeha ma nā ala i hiki ʻole ke hoʻomaopopo koke ʻia e nā poʻe ʻē aʻe.
ʻOiaʻiʻo, ke ulu nei kahi ʻimi noiʻi e hōʻike nei ʻaʻole wale ka ʻeha o ka poʻe autistic akā ʻike lākou i kahi kekelē ʻoi aku ma mua o nā mea ʻē aʻe. ʻo ia hoʻi i ka hoʻonāwaliwali ʻana i nā kūlana ʻeha mau (e ʻike iā Lipsker et al, 2018).
He aha ka AMPS?
ʻO kekahi o nā kūlana ʻehaʻeha mau loa e noʻonoʻo ai i Autism ka Amplified Musculoskeletal Pain Syndrome a i ʻole AMPS no ka pōkole. Ua wehewehe ka American College of Rheumatology i ka AMPS ma ke ʻano he "umbrella term for noninflam inflammatory musculoskeletal pain".
ʻO kekahi mau ʻano o ka AMPS:
- Ikaika loa ka ʻeha a hoʻonui pinepine i ka manawa
- Hiki ke laka ʻia ka ʻeha i kekahi ʻāpana o ke kino a i ʻole diffuse (e hoʻopili ana i nā wahi o ke kino)
- Hele pū me ka māluhiluhi, hiamoe maikaʻi ʻole, a me ka 'fogginess' noʻonoʻo
- Hoʻokomo pinepine ʻia ka allodynia-ʻo kēia ka ʻike o ka ʻeha i ka pane ʻana i ka stimulate māmā loa
ʻO ka mālama kūpono ʻana o AMPS he multidisciplinary i ke ʻano. Ka Amplified Pain Program aʻu e pili pū ai ma o ka Atlantic Health System hoʻohana i kahi hui e pili ana i ke olakino a me ka ʻoihana hana, ka noʻonoʻo hoʻomalu manaʻo, ke kākoʻo ʻohana, nā hoʻoponopono hoʻoponopono e like me ke mele mele, a me ka nānā ʻana a ke kauka ma o ka laulima ʻana ma waena o nā keʻena o Rheumatology a ʻOihana Kahuna.
I nā hihia āpau, koʻikoʻi ka hōʻoia kūpono a me nā kumu kūpono ʻē aʻe o ka ʻeha e pono e hōʻole ʻia e ke kauka. I ka manawa e hoʻomaopopo ʻia, ʻo ka pahuhopu mua o ka mālama ʻana he hoʻi i ka hana.
Hōʻike nā ʻikepili i loaʻa i kā mākou papahana ma Atlantis Health System i kahi ala multidisciplinary i ka AMPS ʻaʻole e hoʻoliʻiliʻi wale i ka ʻeha akā hoʻomaikaʻi i ka maikaʻi o ke ola ma waena o nā kāʻei (Lynch, et al., 2020).
AMPS a me nā mea Sensory
ʻOiai ʻaʻole maopopo ke kumu kikoʻī o ka AMPS, hōʻike ka noiʻi e hōʻino ʻole ʻia ka ʻōnaehana hōʻailona. I nā huaʻōlelo ʻē aʻe, hana ka lolo i ka ʻike māmā loa me he mea lā ke ʻike ʻia nei kekahi ʻano hōʻino nui a hōʻeha paha.
Hāʻawi ʻia kahi ʻōnaehana hōʻailona ʻike i loko o ka AMPS, ʻaʻole ia he mea kānalua ke kū nei kēia ʻano i ka poʻe ma ka pae autism. ʻO ka hana sensory (hoʻonohonoho a me nā kānana kānana) ʻike ʻia e hōʻino ʻia i ka autism a ʻo kēia mau hōʻino nā mea kōkua nui i ka pilikia. ʻO ka ʻeha ma ke ʻano he kikowaena o ka ʻōnaehana hōʻailona hiki ke lilo i disregulated e like me nā ʻōnaehana ʻike ʻē aʻe (e laʻa me ke tactile, auditory, ʻono, a pēlā aku.).
AMPS a me nā ʻikepili Emotional
Ma waho aʻe o nā mea sensory, i ka AMPS (e like me nā ʻano ʻeha mau o nā wā ʻeha), ʻike ʻia he hiki i nā mea noʻonoʻo ke hopena i nā hōʻailona. Aia kahi pilina ikaika ma waena o ka ʻeha mau a me nā mokuʻāina manaʻo e like me ka hopohopo a me ke kaumaha a ʻo kēia pilina ke ʻano he ʻelua. I nā huaʻōlelo ʻē aʻe, hiki i ka ʻeha ke hoʻonāukiuki i kekahi a hiki i ka hopohopo a me ke kaumaha ke hōʻeha i ka ʻeha.
Hana ʻia ka hana ʻana o ka naʻau ma ka noʻonoʻo a me ke kino. Ke hoʻololi nei ke kino i ka pane i ka naʻau e lilo nā hōʻailona ʻeha i hypersensitive a hoʻomaka i ke ahi. No laila, ʻike ke kanaka i ka ʻeha o ke kino ʻoiai ʻaʻohe kumu physiological ma waho o ke kino.
ʻO ke ʻano hopohopo a me nā pilikia hopohopo e ʻike kiʻekiʻe ʻia no nā poʻe ma ka pae autism. ʻO ia hopohopo ma muli o ke ʻano o nā kumu e like me ka nui o ka sensory, nā pilikia me ka hoʻoponopono ʻana i nā loli a me nā hoʻololi, a me ke koʻikoʻi o ka stigma kaiaulu. No laila, no ka poʻe ma ka laulaha hopohopo a me nā ʻōnaehana sensory e launa pū paha e hōʻino i ka ʻōnaehana hōʻailona ʻeha.