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Ukubuyiswa Kwentlungu kunye Neemvakalelo EzinzimaUkuqiqa kwam kukuba uyazi kwiimeko zokuxinezeleka kwamava kunye nosizi olungapheliyo luya kufakwa njengepakethe. Enyanisweni, ukuxinezeleka yinkinga eqhelekileyo kubantu abaneentlungu ezibuhlungu. Sullivan, kunye. umzekelo, kwiphononongo yabo epapashwe ngo-Julayi 1992 ye- Pain , yabika ukuba abantu abaneentlungu ezingapheliyo emva kweentlungu ezinezihlandlo ezingaphezu kwezi-3-4 kunezo zizonke abantu.
Kwaye ubuhlungu obuninzi obunemva, unokudandatheka okungakumbi, ngokubhekiselele kuCharrie noWang, kwisifundo sabo se-2004, esapapashwa kwakhona ngo- Pain (ngoJanuwari) esithi "Intlungu engapheliyo kunye nokudandatheka okukhulu kwilizwe laseKhanada jikelele." Uphando kulolu cwaningo lufumene ulwalamano oluchanekileyo phakathi kobabini.
UCrusrie noWang bafumanisa ukuba ngelixa i-5.9% yabantu kubantu bonke babenenkxalabo, inani liye lanyuka liya ku-19.8% kwintlungu engapheliyo yintlungu.
Yintoni eyenza le meko - le nxu lumano phakathi kobuhlungu beentlungu kunye nempilo yakho yengqondo? Impendulo inokuthi ilele kwingqondo yakho.
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Uhambo lweSignal SigninUkuqala ukuqonda ubuhlobo phakathi kwentlungu engapheliyo okanye intamo yentlungu kunye nemvakalelo enzima, kufuneka siyazi into ethile malunga nendlela inkqubo yeentlanzi edala ngayo intlungu. Isibalulekileyo kwingxoxo yethu yinkqubo yesistim ephakathi , equlethwe yingqondo yakho kunye nentambo yakho yomthambo.
Ubuhlungu buza malunga nokuba uhlobo oluthile lwe-stimulus - okanye i-mechanical, thermal kunye / okanye yikhemikhali - iyanqunywa kwisigidi sokuphela (unogqirha wesigulane kuwo wonke umzimba wakho) kwaye uhamba ukuya kumgca wesipelini apho uhanjiswa khona aze aguqulelwe kwengqondo.
Inkqubo yesantya ephakathi, ngokukodwa intambo yomgogodla, inika "indlela yokuhamba emgwaqeni" yeentsimbi ukuze zilayishe le miyalezo ye-thermal, mechanical and / or chemicals.
Nangona inkqubo yexesha langempela yintoni eyenza uziva uziva buhlungu kunzima kakhulu, oku kuthethwa ngokucacileyo.
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Izibonakaliso eziPhezulu eziPhezulu kwaye ezingapheliyoKodwa kukho ubuhlungu obukhulu kwaye kukho ubuhlungu obungapheliyo. Ngamnye unalo uhlobo oluhlukileyo lwe-stimulus, oluhamba ngeendlela ezahlukeneyo ukuya kwengqondo kwaye iphelela kwingqondo kwindawo eyahlukileyo.
Indlela elula kakhulu yokuyiqonda nokusebenzisa oku kwahlukileyo kwimeko yakho kukufanisa.
Unokucinga ngeentlungu ezibuhlungu ngokukhawuleza kunye nentlungu engapheliyo. Isantya sokusasazwa kweempawu ezigqitywa kukuba ziba buhlungu bubuhlungu ngenxa yokubuhlungu okungapheliyo kunokuba kube nzima.
Nangona uhlobo oluthile lwenzululwazi luhamba ngeyona ndlela ephezulu yongqondo-ingqondo, "ukuhamba," kuthetha (okubizwa ngokuba yi-spinothalamic tract), nganye isuka kwii-fiber ezihlukileyo ngokupheleleyo.
Uhlobo lweethambo ezithwele imiyalezo eya kutolika njengentlungu eqaqambileyo, kwaye iyakwazi ukudlulisela iimpawu zazo kwisantya esiphantsi kweekhilomitha ezili-150 ngesibini (ababhali bahluka kule nombolo). Ngakolunye uhlangothi, uhlobo lweentsholongwane eziphethe ubuhlungu obungapheliyo buninzi kwaye buncipha kwaye luhambisa ngokukhawuleza ukuya kwi-2 malunga neemitha ngeesibini.
Ngoko ukufana kufana nalokhu: Izibonakaliso zentlungu ehambileyo zihamba ngokuhamba emotweni yemoto eqhubekileyo ehamba phambili, engenabala, ngelixa ubuhlungu obungapheliyo buhamba kwi-clunker endala.
Idibeneyo: Thelekisa iimpawu zentlungu ezinzulu kwiimpawu zentlungu ezingapheliyo.
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I-Basic Accompanies Pain Processing BasicsImangaliselo yinkqubo yakho yeentlanzi ixhotywe ukuphendula ngokukhawuleza xa usengozini yokwenzakalisa ingozi. Oku kukukhusela kwakho kwaye kubonakala ngakumbi xa intlungu ibuhlungu. Masithathe umzekelo.
Yitshitshisa isandla sakho ngelixa uthabathe ukutshisa okutshisayo, i-apple pie ebisikiweyo ephuma ehovini. Kungenzeka ukuba uya kuziva intlungu yesibini okanye emibini emva kokuchukumisa isidlo esinqabileyo.
Njengoko sathetha malunga nesilayidi esedlulileyo, kuya kuthatha kuphela kodwa okwesibini okanye ezimbini ukuba uzive le ntlungu ebuhlungu, eyayixhaswa ngumfutho we-thermal (isitya sakho sokutshisa). Iimbilini ezithatha ukufudumala kwe-thermal zihamba ngendlela eya ebuchosheni, kwakhona, zincinci kwaye zikhawuleza, kwaye ziyakwazi ukudlulisela iimpawu kwijubane malunga ne-1/10 yeeyure ngomzuzwana. Ngenxa yoko, kungenakunqweneleka ukuthetha, ukhawuleza ukwaziswa ukuba isandla sakho sibuhlungu emva kwalolu hlobo lwesiganeko.
Enye into ephawulekayo malunga nezibonakaliso zentlungu ebudanga kukuba bayayifaka yonke indlela eya kwi-cortex yakho-ngokuyinqobo "yakho yekhono yokucinga." I-cortex ngumtoliki onamandla kakhulu weempawu kwaye ngoko kukukunceda ukuba ubone indawo ekhoyo yentlungu (kulo mzekelo isandla sakho.)
Xa ubuchopho becinga isiganeko akubangela ukuba kubekho umonakalo wangempela, kunciphisa ubunzima beempawu zokunxibelelana ezihambelana nale mcimbi. Kwimeko yesandla esitshisiweyo, emva kwexesha unokuziva ukhululekile, kodwa ubuhlungu obukhulu buphelile.
Idibeneyo: Hlala Ulale Ngaphandle Kobuhlungu
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ImiSebenzi yokuPhathwa kweziPhulo ezingapheliyoNangona zombini iindlela zidibanisa ne "cap cap" ekukhankanywe ngasentla, umzila wentlungu ongapheliyo ubonakala udibanisa kwiindawo ezincinci zeengqondo zakho ezidibana neentlungu ezinokubandezeleka. Ikhono lale mihla yokuphelisa ukutshintsha iimpawu abazifumanayo ziqhathaniswa kunye ne "cap".
Izibonakaliso ezihamba ngeendlela ezibuhlungu ezingapheliyo zivakala ngathi zininzi, zincinci, ziqhubekayo kunye / okanye ziphosa; a ba ncinane.
Abantu abanolu hlobo lweentlungu badla kunzima ukutyhila indawo ekhoyo. Ukuchonga ummandla jikelele ngokuqhelekileyo kufikelela ekufikeni kwabo.
Olunye umehluko phakathi kweentlungu ezingapheliyo kunye neentlungu ezibuhlungu kwiingqondo kukuba i-stimulus yokuqala yentlungu engapheliyo, yinto eninzi inxalenye yemichiza yendalo, ngelixa iintlungu ezinzima zenza i-mechanical kunye ne-thermal.
Idibeneyo: Iindlela ezi-5 Unokubangela ukuba i-Sciatica yakho ibangele
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Inkqubo yeLimbic kunye nobuhlungu bakho obungapheliyoKodwa ibali alipheli apho. Ummandla wengqondo apho ubuhlungu obungapheliyo bubonakalisa khona (okubizwa ngokuba yi-thalamus) imisebenzi efana ne-masterboardboard ehambisa iisayina kwezinye iindawo kwingqondo. Omnye ummandla osondeleyo unxibelelwano oluninzi kule ndawo yokuthumela kuyo ibizwa ngokuba yinkqubo yakho yesilwanyana. Inkqubo yesigxina inamalungu amaninzi alawula izinto ezifana ne-drive, iimpendulo zoxinzelelo kunye neemvakalelo ezifana nokwesaba kunye nokuxhalabisa. Inkqubo yesiqhelo isoloko ifumana iimpawu zentlungu kwi-thalamus.
Ngokumalunga ne-thalamus kunye nenkqubo yemilenze, i-Whitten, et al. kwingxelo yabo epapashwe kwinqanaba le-Fall 2005 leNcwadi yePermanente enesihloko esithi Treatment Chronicle Pain: Ulwaphulo olutsha, ukhetho olungakumbi "luthi," ukusebenzisana okunzima kuzo zonke ezi ndawo kuchaza isigulane sengqondo. "
Ewe, wow, unokuthi. Oku kunzima! Enyanisweni, kwaye oku kuluhlu nje kwibhakethi xa kufikelelwe kwindlela intlungu eqhutyelwa ngayo ngengqondo yakho.
Ngoko unokwenza ntoni ukuze uzincede unomhla olungcono xa ubhekene nentlungu engapheliyo okanye intlungu? Kutheni ngokuthatha i-Whitten, ne-al al icebiso kunye nokusebenzisa amaqhinga kukunceda usebenze intlungu engaphantsi ?
> Imithombo:
> Currie, SR, Wang, J. Chronic Chronic Pains and Depression Major kwi-General Canada. Ubuhlungu . 2004 uJan.
> Guyton & Hall. Inkcazo yePhysical Psychology. Udidi lwe-11. Elseiver Saunders. 2006. Philadelphia. 2006.
> IiPops D, uAgasine GJ, uFitzpatrick D, et al., Abahleli. I-Sunderland (MA): Abakwa-Sinauer Associates; 2001.
> Sagheer, MA, Khan, MF, Sharif, S. Umbutho Phakathi kobuhlungu obungapheliyo obuKhuselekileyo, ukuxhalabisa kunye nokuxinezeleka kwabagulane kwiziko loLondolozo lweMfundo ePhakamileyo. J Pak Med Assoc. 2013 Juni; 63 (6): 688-90.
> Sullivan, MJ, Reeson, K., Mikail, S., Fisher, R. Ukunyangwa koxinzelelo kwi-Pain Down Back Pain: Ukuphononongwa kunye neengcebiso. Ubuhlungu. 1992 Jul; 50 (1): 5-13.
> Whitten, Christine, MD, uDonovan, Marilee, RN, PhD, Cristobal, Kristene, MS. Ukunyanga Intlungu Engapheliyo: Ulwazi olutsha, ezininzi izinto. Iminikelo yezonyango. I-Journal permanent. Ukuwa kwe-2005. 9. No. 4.