Ukwahlula ubuhlungu be-Nociceptive Pain ukusuka kubuhlungu be-neuropathic
Abantu abangaphezu kwezigidi ezili-15 e-United States naseYurophu banentlungu e-neuropathic , okanye intlungu yesifo. Xa kwenzeka, intlungu yesifo idideka. Okubi kakhulu, intlungu yesibindi ibuhlungu kakhulu. Eyona nto iyanceda.
Abantu badla ngokungazi ukuba kwenze ntoni intlungu. Kwakhona kunokuba kunzima ukuchazela oko bajamelana nayo (ubuhlungu obukhulu, ukugwaza, ukugubha, ukugquma, ukuphazamiseka).
Ukuqonda okuyisiseko malunga nendlela ukusebenza ngayo amaninzi kunokuba luncedo.
Sibanzi
Inkqubo yesiseko senzwa iqulethwe yingqondo kunye nentambo yomgudu. Intambo yomgogodla isebenza njengomkhulu wamathambo ahanjiswa kuwo nakwezinye iindawo zomzimba. Iimbilini ezithatha ezinye izitho zomzimba zibhekiswa njengezitha zomhlaba . Intambo yomthambo kunye neengcambu zengcambu yayo yendawo yokuhlala ihlala ngaphakathi kwimiba yamathambo, eyaziwa ngokuba ngumqolo we-vertebral. I-disc efana ne-cushion (ne-gelatinous center) ihlala phakathi kwe-vertebrae.
Iimbini zamashumi amathathu anesibindi sezikhupha ziphuma entanjeni yomgudu ngokuvuleka phakathi kwe-vertebrae uze uqhube kwezinye iindawo zomzimba. Iphuzu lokuphuma kwentsholongwane libizwa ngokuba yingcambu yomgca . Iimbulunga zepheripher ziqukethe imizwa yentsholongwane kunye nemisipha. Iimvumi ezivakalayo zidibaniswa nendlela into evakalelwa ngayo (umzekelo, ishushu, ibanda, ibuhlungu). Izibilini zeemoto (ezikhokelela kwizihlunu) zihambelana nokunyakaza.
Ukuphula le nto ngakumbi, iiseliti zomzimba ngamnye zibandakanya i-axon (indlela yangaphakathi apho ulwazi ludluliselwa khona) kunye nesheath yami ye-myelin (isithambiso esingaphandle sokhuseleko esilungisa iselfowuni kwaye sinceda ukuhambisa ulwazi). Ukulimala okanye ukucaphuka kunoma yiphina inxalenye yesakhiwo semisipha kunokubangela iintlungu zentlungu.
Iintlobo
Kukho ngokwenene iindidi ezibini zentlungu- inciceptive intlungu kunye nentlungu ye-neuropathic (oko kukuthi, i-neuropathy). Ngeentlungu zengqondo, iimbilini zithumela iimpembelelo ukuba zibonise ukuba inxalenye yomzimba yenzakele okanye yonakaliswe. Ngeentlungu zentliziyo, inzwa ngokwayo yenzakalo eyenza ukuhanjiswa okungavamile kwemivo.
Iimpawu
Iintlungu zentlungu zingabonakalisa ngeendlela ezimbalwa ezahlukeneyo, kuxhomekeke kwindawo kunye nendawo yokulimala komonakalo okanye umonakalo.
- Ku no kunyuswa kwengqondo kwinqanaba lesikhumba, kwingingqi ekhokelwa yi-nerve eyonakalisiweyo. Xa kunjalo, ukuchukumisa ngokuthe tye kule ndawo kubonakala ngathi intlungu-ngamanye amava buhlungu .
- Kusenokwenzeka ukuba kunobunzima kwindlela yomonakalo owonakele. Ngokuqhelekileyo, xa kunjalo, i-numbness ihlala ihlala kwindawo efanayo (umz., Unyawo oluhambelana nenyolo ewonakele). Inokuthi ihlale ihleli okanye iphakathi. Kungenzeka ngenjongo yokugwaza okanye ukuvutha komlilo. Iyakhula ngakumbi ngokunyakaza.
- Imisipha ehlinzekwa yimbilini eyonakalisiweyo ingabuthathaka, okanye kwezinye iimeko, ikhubazekile.
Izizathu
Intlungu yomnxeba inokudibaniswa neemeko ezahlukeneyo zonyango okanye ukuchithwa kwamachiza athile, kunye nokulimala kabuhlungu. Izizathu ezinokwenzeka ziquka:
- Sikashukela
- Sulelo
- Lupus
- Isifo sokugubhuka
- HIV
- Inkqubo yesifo seengxaki zengingqi
- Ukufaka ingeniso
- Ukungasebenzi kweVitamin
- Sciatica
- I-disniated disc
- Ukuvuvukala kwentsholongwane
- Ukunyanzeliswa kwentsholongwane okanye i- nerced nerve
- Amakhanda
- Cancer
- Ukuhlinzwa
- Amanye amayeza
Kukho ubungqina bokuba ukungaqhelekanga kwiinkqubo zombilini kunye nendawo ye-nervous idlala indima ebalulekileyo kwi-fibromyalgia, nangona i-cause ye fibromyalgia isaziwa. Izidakamizwa ezisebenzayo ekuphatheni i-fibromyalgia nazo ziyasebenza ekuphatheni ubuhlungu beentlungu.
Ukuxilongwa kunye noTyango
Ukufumanisa intlungu yesibindi, ngokuqhelekileyo, izigulane zinokuhlolwa kovavanyo olunzulu lwe-neurological, i-MRI yokuvavanya isakhiwo semisipha, kunye ne-EMG (i-electromyelography) ukuvavanya i- nerve conduction .
Ukuba kuyimfuneko, umpompo womgca unokunika ulwazi olungaphezulu.
Kukho iindlela ezininzi zokunyanga iintlungu. Ngokuxhomekeka kwindawo kunye nohlobo lweentlungu zentlungu, kunye nesibangela ukuba saziwa, amayeza, amayeza, ama-epidurals, unyango oluthile, ukukhupha umthambo , ukunyuka kwamantongomane, kunye nokuvulwa kwamanye amaxesha kunokubonelela ngokukhululeka kwintlungu.
Ngaphantsi
Kwilizwi lomntu siqu, ndandidlulela ngamava enyantya ngoDisemba 2012 noJanuwari 2013. I-MRI ibonise idiski ye-herniated kunye ne- facet hythropathy . Ndiya kuthi, kwakuyiyona intlungu enzima kakhulu, ephosakeleyo endiyifumene nayo, ngaphaya nangaphezulu kwam intlungu yesifo se-rheumatoid ye-arthritis . Ndiya kuncomela ukuba abantu abaneentlungu zentlungu bafunde oko kubangela iintlungu zabo baze bafunde malunga neendlela zokonyango. Ukuqonda zakho iindlela. Ndineenqwanqwa zezilwanyana ezintathu kwaye ndakwazi ukufumana u-85% wokunceda. Qinisekisa ukuba unogqirha we-neurologist ohloniphekileyo kwaye ugqirha lolawulo lweentlungu kwiqela lakho, naye. Ngo-2016, ndine-lumbar laminectomy.
Imithombo:
I-Anatomy yeNerve Pain. URalph F. Rashbaum, MD. Zempilo. 6/27/2001.
Nerve Pain. IYunivesithi yaseMichigan Neuroscience.