Igama elithi hyperpathia lichaza ukuphendula okunyanisekileyo kwizinto ezinokubangela ukuba buhlungu. I-stimuli enjalo iquka ukuthintela, ukuzulazula, i-pinpricks, ubushushu, ubanda kunye noxinzelelo.
I-Hyperpathia iyanciphisa ubunzima beentlungu zakho, ukwandisa ukuqonda kwakho kwizinto ozivelayo. Kufana ne-hyperalgesia, kunye nokudibanisa ukuba intlungu yentlungu iyaqhubeka nangemva kokuvuselela okubangela ukuba isuswe.
Iingcali zenzululwazi ziqala ukufundela iindlela eziphambili ze-hypersensitivity kunye neempendulo zentlungu ezongeziweyo.
Idibeneyo : Iyintoni i-Nocioceptive Pain?
Ukuqonda i-Hyperpathia, Khangela kwi-Hyperalgesia
Ukuqonda i-hyperpathia, mhlawumbi ingcamango enhle ukuqala nge-hyperalgesia, njengoko uphando olungaphezulu lujoliswe apha.
I-Hyperalgesia enye yezona zihlobo ezininzi ze- neuropathic (oko kukuthi, iimbilini) iimpawu zentlungu. Jensen, et. u-Allodynia kunye ne-hyperalgesia kwiintlungu zentsholongwane: izibonakaliso zeklinikhi kunye neendlela, "epapashwe ngo-Septemba 2014, i -Lancet ithi phakathi kwe-15% kunye ne-50% yezigulane ezineentlungu ze-hyperalgesia.
Nangona ubuhlungu beentlungu kunye neentlungu zobuhlungu ziyimpawu ezibalulekileyo zokulinganisa, ukuqonda nokuzilandelela, mhlawumbi azichazi ngokugcwele amava eempatho zentlungu ezinzulu ezifana ne-hyperalgesia kunye ne-hyperpathia. Kungenxa yokuba ubuhlungu obungapheliyo buhlungu bunzima kwimvelo.
Jensen, et. al. ithi ukuquka i-hyperalgesia kwizifundo kunokunceda oososayensi bafumane ukuqonda okubhetele ngakumbi kwintlungu yesifo ngokubanzi.
I-hyperalgesia ihlelwa kwiincinci ezinxulumene nohlobo lwe-stimuli ebangela impendulo. Ezi zibandakanya i-stimuli ekhankanywe ngasentla, ngamanye amagama, iimvakalelo zentsimbi, uxinzelelo, ukuthintela kunye nokunye.
I-subtype nganye inendlela yayo yokusebenza (ebizwa ngokuba yindlela.)
Ukunyanzeliswa kwemvelo kunokuveliswa kwaye / okanye kuqhutywe ngeendlela ezimbini: Ukuphucula umgangatho wendawo kunye / okanye utshintsho oluphambili. Ukukhutshulwa kwamapherha kubangelwa ukunyuka okuthe xaxa kunye / okanye ukunciphisa ubuhlungu obuncitshisiweyo ekupheleni kweentsholongwane kwesikhumba sakho, nakumisipha, amajoyini kunye / okanye izitho zakho. Utshintsho kwinkqubo yakho ye-nervous central ibonakaliswe ngokukhutshwa kweeseli kwinkqubo yakho ye-nervous central.
Ezihlobene: Allodynia
Ngaba Ingqondo Yakho Inokuthintela Amanqanaba Abuhlungu Bakho?
Ukuba utyhafiswe ngengqondo yakho ingozi yenkinga yokubuya engapheliyo inganyuka - nangona ungenayo i-PTSD. (Oososayensi baye bafumana umbutho phakathi kwe-PTSD kunye nobungozi obungapheliyo obubuhlungu obubuyela emuva.) Kuthetha ukuba, iingcali zentlungu azicacanga ngendima eyenziwa yimbozi yengqondo eyenziwa yintlungu engapheliyo emva.
Ukuzalisa ezinye zeenkcukacha zolwazi, Tesarz, et. Uqhube uphando olubandakanya i-180 yabathathi-nxaxheba kunye nangengxaki yokukhathazeka kwengqondo kunye kunye nangenabuhlungu obungapheliyo. Isifundo, esinesihloko esithi "Ulwahlulo oluninzi lwamaqondo okuvavanya kwintsholongwane engapheliyo kunye nokungaxhatshazwa kwengqondo," kwanyatheliswa kwiNgxelo ye- Pain ka-Aprili 2015.
Abaphandi bahlula abathathi-nxaxheba kumaqela alinganisa amathathu kwaye babuza umbuzo othi: Ingaba utshintsho oluthile lusetyenziso lweentlungu luhamba noxinzelelo lwengqondo?
Kule meko, ukukhathazeka kwengqondo kuye kwaqulunqwa ngolu vavanyo olwenziwe kubafundi abathatha inxaxheba. Uvavanyo lwababuza abathathi-nxaxheba malunga nexhala kunye nokuxinezeleka, kunye nokunye.
Abaphandi baphetha ngelithi abantu abane-hyperalgesia abaye babhekana nokukhathazeka kwengqondo babenemithwalo emincinci engaphantsi-kwiindawo zombini ezibuhlungu (okt, iminyango yabo) kunye neendawo ezingenabuhlungu ezifana nezandla zabo. Abathathi-nxaxheba abafundayo abazange babone ukukhathazeka kwengqondo kodwa ababenomdla we-hyperalgesia nabo babe neembandezelo ezincinci, kodwa kuphela kwiindawo ezibuhlungu (kwakhona, emhlane.)
Ababhali bacacisa ukuba umahluko phakathi kwezigulane ezinokukhathazeka kwengqondo kunye nabangenawo kungabikho ngenxa yokunyusa umsebenzi wokucwangcisa ngenxalenye yenkqubo ye-nervous central.
Imithombo:
I-Curatolo, M., Arendt-Nielsen, L. I-central hypersensitivity kwiintlungu ezingapheliyo ze-musculoskeletal. I-Phys Med yokuvuselela iklinikhi N Am. Meyi 2015
Jensen, Troels, S., iDMS, Finnerup, Nanna, B., iDMSc. I-Allodynia kunye ne-hyperalgesia kwintlungu e-neuropathic: ukubonakaliswa kwekliniki kunye neendlela zeLancet. Septemba 2014. http://www.thelancet.com/journals/laneur/article/PIIS1474-4422 .14)70102-4/abstract
NoTesar, noYonasa; Gerhardt, Andreasa; Leisner, Sabine; UJanke, uSusannea; Treede, uRolf-Detlefb; I-Eich, iWolfganga ehlukeneyo yokuhlola iinzululwazi zengqondo kwiimeko ezingapheliyo zentlungu emva kokungabikho kwengqondo. Ubuhlungu. Epreli 2015
Woolf, C. Pain hypersensitivity. Ubuhlungu. I-Wellcome Trust. Fi kelele. Sept 2015. http://www.wellcome.ac.uk/en/pain/microsite/science4.html