Iintlobo eziphambili zobuhlungu obungapheliyo

1 -

Ubuhlungu beNciceptive Pain

Intlungu ebuhlungu be-nociceptive ifunyenwe kuwo onke amathishu adibeneyo omzimba (njengamathambo kunye nesikhumba) okanye izitho zentsimbi ekhethekileyo, eyaziwa ngokuba yi- nociceptors . I-nociceptors ifumanisa i- stimuli ebuhlungu , ithumela ulwazi kwintambo yomgogodla kunye nengqondo ekuchazeni nasekuphenduleni.

Intlungu ye-nociceptive ingaba yi- somatic okanye i-visceral kwimvelo.

Imizekelo yeentlungu zesantya:

• Intloko
• Ubuhlungu be-pelvic abubangelwa yingozi yomonakalo
• Arthritis
• Fibromyalgia

2 -

Ubuhlungu beSomatic

Intlungu yoSomatic yintlobo yeentlungu zesifo. Intlungu ye-Somatic ibhekisela entlungu efunyanwe yi-nerve ye-sensual in muscle, skin and tiscues.

Xa ufumana ubuhlungu be-somatic, i-nociceptors ithumela imilayezo yentlungu kwi-spinal cord kunye nengqondo ekuchazeni. Olu hlobo lusizi luvame ukulufumana lula, njengoko iinzwa zentliziyo zisasazwa kuzo zonke izicubu ezithambileyo.

Imizekelo yeentlungu zomntu ziquka:

• Intloko intloko
• Ubuhlungu bepelvic kwi-joint joint
• Arthritis
• Intlungu ebuhlungu engabangelwa yimisipha

3 -

Ubunzima bokujonga

Intlungu ebonakalayo nayo yintlobo yeentlungu zesifo se-nociceptive. Intlungu ebonakalayo ibhekisela kwiintlungu ezifunyenwe ngabaphathi bama-nociceptors kwizitho zangaphakathi zomzimba. Njengentlungu ye-somatic, intlungu ye-visceral efunyenwe ngentsholongwane yintliziyo ithunyelwa kwintambo yomgogodla kunye nengqondo ekuchazeni.

Izisongelo ezivakalayo kwizitho zangaphakathi azifani njengoko zisemzimbeni kunye nasesikhumba. Oku kunokukwenza intlungu ye-visceral iyancipha kwaye inzima ukuyifumana. Ngokungafani nobuhlungu be-somatic, intlungu ye-visceral inokuthi ibonakale ingakumbi kude nomvelaphi wayo.

Eminye imizekelo yeentlungu ezibuhlungu zibandakanya:

• Endometriosis
• I-irritable bowel syndrome
• Iintlungu zesisu (ezifana ne-cystitis)
• Intlungu ye prostate

4 -

Ubuhlungu be-Neuropathic

Intlungu ye-neuropathic nayo ibangelwa yimisipha, kodwa ihluke kwiintlungu ze-nociceptive apho iimbilini zisoloko zingasebenzi "ngokuqhelekileyo."

Intlungu ye-neuropathic ibangelwa ukuphazamiseka kwemisipha kunye nokutshatyalaliswa kweentlungu zentsholongwane kwintambo yomgogodla kunye nengqondo. Iintlungu ze-neuropathic zidla ngokuba zibukhali, ukugwaza okanye ukudubula.

Ezinye izizathu ezibangelwa intlungu ye-neuropathic zibandakanya i-nerve irritation, umonakalo wamantongomane okanye ukwakheka kwe- neuroma .

Imizekelo yeentlungu zengqondo zibandakanya:

• Intlungu yesandla seFantom
• I-peripheral neuropathy (ngamanye amaxesha kuthiwa yi-neuropathy ye-diabetes)
• Intlungu ye-Post-mastectomy
• Sciatica

5 -

Ubuhlungu beengqondo

Intlungu yesifo sengqondo yintetho yeentlungu ezibangelwa yintlupheko yengqondo, njengokudandatheka okanye ukuxhalabisa. Uninzi lweengxaki zengqondo zineengxaki zomzimba, ezifana nokukhathala kunye neentlungu zomzimba kunye neentlungu. Ngenxa yokuba intlungu ye-psychogenic ayinaso nayiphi na imvelaphi yangempela, kunzima ukunyanga kunokuba i-nociceptive okanye intlungu ye-neuropathic.

Intlungu yesifo sengqondo iyinyani, nangona ingafuna indlela eyahlukileyo yokwelashwa kunezinye iintlobo zentlungu. Ukunyanga iintlungu zonyango, ezidibeneyo kunye nezidakamizwa zengqondo, zivame ukuphumelela kunokuba zenze iipilisi zendabuko. Ezi ziquka:

• TENS
• Ukuphazamiseka
• Ukuphumla
• Ukucebisa

6 -

Idiopathic Pain

Intlungu ye-Idiopathic intlungu ekhoyo xa kungekho nto eyaziwayo yomzimba okanye yengqondo. Ubuhlungu be-Idiopathic abukwazi ukulandelwa emva kwesociceptive, neuropathic okanye psychogenic. Nangona imbangela yentlungu ingabonakali ngolwazi lwangonyango lwangoku, lisekhona ngokwenene.

Ubuhlungu be-idiopathic buqhelekile kubantu ababenenkinga yokusabalalisa ngaphambili. Ezi ngxaki ziquka ukuphazamiseka kwe- TMJ kunye ne- fibromyalgia .

Ngenxa yokuba imbangela yayo ayibonakali, intlungu ye-idiopathic iyanzima ukuyiphatha.

_Umthombo:

_{UGould, uHarry J. Ukuqonda Intlungu: Kutheni, Kutheni kwenzeka kwaye Ilawulwa njani. I-American Academy ye-Neurology Press. 2007.}