Ubume obubanzi be-Central Pain Syndrome

I-Syndrome ye-Central Pain iyenzeka emva koMonakalo weNervous Injury

I-syndrome yeentlungu zentlupheko yintlungu engapheliyo yeentlungu ezibangelwa ngumonakalo kwinkqubo yesistim ephakathi. Iyakwenzeka emva kokubetha , ukulimala kwengqondo, okanye ukulimala kwentambo yomgogodla. Nangona kunjalo, kunokufumaneka kunye neemeko ezinjenge- multiple sclerosis okanye isifo se-Parkinson .

I-syndrome yeentlungu zentlupheko ingabonisa ngokuhlukileyo ngokuxhomekeke kwingingqi yenkqubo yesantya eyonakalisiweyo.

Ubunzima bubekwe kwindawo emancinci yomzimba okanye inokuba yande. Intlungu enxulumene neentlungu zesifo esibuhlungu ngokuqhelekileyo zichazwa njengezinto ezibukhali, ezivuthayo, okanye njengezikhonkwane kunye neenaliti. Kwabaninzi, intlungu iyaqhubeka.

Ubungakanani bentsholongwane ye-Paint Syndrome

Kufuneka kuqatshelwe ukuba intlungu ephakathi yile ngubo yokulala ethi, ngokutsho kukaGeorge Riddoch ngowe-1938, ibhekisela entlungu "ngokukhawuleza kunye nokunyamezela ukunyuka kwezinto ezibangelwa zizilonda ezigcinwe kwizinto ezisemgangathweni kwinkqubo yesantya equka i-dysaesthesia yolwimi olungavumelaniyo. "Igama elithi" dysaesthesia "lithetha ukuba umnqweno ungasichazwa kakuhle ngomzimba wakho njengentlungu. Igama elithi" lesion "lithetha umonakalo wesikhumba.

Ngamanye amazwi, intlungu ephakathi ingabangelwa naluphi na ukuhlambalaza nayiphi na inxalenye yenkqubo ye-nervous central.

Imbali ye-Central Poststroke Pain: Uhlobo lwe-Paint Pain

Ubunzima be-poststroke ubuhlungu (CPSP) luhlobo lwentlungu ephakathi echazwe nguDeerer noRoussy phantse kwiminyaka eyi-100 edlulileyo.

I-CPSP ngaphambili yayibizwa ngokuba buhlungu be-thalam. Intlungu yeThalam iyona eyaziwayo kakhulu kuzo zonke iintlungu eziphakathi.

Iyiphi Intlungu Yentsimbi Ephakathi?

Intlungu ephakathi kwe-poststroke iphuma kwisihlunu okanye ukulimala kwi-thalamus. I-thalamus iyincenye yengqondo yakho elawula imiqondiso yemoto kunye neengqondo kwindlela eya kwi-cortex yangaphambili.

I-cortex yangaphambili iguqulela igalelo levakalelo kwaye yenza izigqibo. Ingqalelo, intlungu kunye nokuphazamiseka okufana neCPSP inokuveliswa izilonda ezithile kwi-lobe ye-parietal, intambo yomgudu, kunye ne-brainstem.

I-thalamus ibonakala ingonakaliswe emva kwesifo. I-stroke ichazwa njengophazamiseko okanye ukuvuza kwegazi okubangele umonakalo wengqondo.

I-CPSP iyenzeka malunga ne-8 epesenti yabantu abaye babetha isisu kwaye kuyimeko eyoyikisayo, ebuhlungu kunye noxinzelelo. Abantu abane-CPSP baziva intlungu ephakathi kunye neengqungquthela ezingaqhelekanga zentsholongwane, ezifana nokutshisa, ukuqhaqhazela, okanye ukukhwabanisa.

Unyango lwe-Central Poststroke Pain

I-syndrome yeentlungu zentloko inokuphathwa ngeempawu ezinjenge-adjuvant analgesics, ezinjenge- anti-depressants okanye i- anticonvulsants , kodwa akukho nzolo oluthile lweentlungu zesifo se-poststroke. Nangona kunjalo, amayeza alandelayo abonakalise ancedo kwabanye abantu abaneli meko:

• i-analgesics yokuphucula intlungu;
• i-anticonbulsants (umzekelo, i-phenytoin, i-carbamazepin kunye ne-gabapentin);
• I-SSRIs (i-anti-depressants like Prozac okanye i-Paxil) '
• i-tricyclic antidepressants;
• phenothiazines;
• i-opioids (i-Vidodin, i-Oxycodone, njalo njalo).

Ngelishwa, enye yeengozi zokusetyenziswa kwe- opioid ixesha elide kwiimeko ezifana ne-CPSP kunokukhokelela ekuxhatshazweni nasekuxhaseni.

Imiqathango edibeneyo : isifo se-thalam syndrome, i-Dejerine-Roussy syndrome, intlungu yesifo esivumayo, intlungu ye-poststroke, intlungu ye-poststroke (CPSP)

_Umthombo:

_{Isiko seSizwe seNational Psychology and Stroke. Iphepha leNgcaciso yeSifo se-NINDS.}