Uluhlu lweentlungu ezingabunzima ukuzichazela uze uchaze
Intlungu ebonakalayo yintlobo yeentlungu ezibangelwa yizinyathelo zangaphakathi. Njengokuba ubuhlungu be-somatic , i-receptors yeentlungu ezibizwa ngokuthi i- nociceptors zithumela umqondiso kwintambo yomgogodla kunye nengqondo xa kubonakala umonakalo. Ngokungafani nobuhlungu be-somatic, nangona kunjalo, intlungu ye-visceral kunzima ukuyifumanisa ngokuphathelele indawo kwindawo yomzimba.
Ezinye iintlobo zentlungu ye- pelvic kunye nentlungu yesisu, njengalezo ezibangelwa zizifo zesisu okanye isifo sengqondo sesifo esilumkileyo, zibhekwa njengeengxaki zentlungu.
Yiyiphi i-Visceral Pain Feels Like
Iintlungu ezibonakalayo zivame ukuchazwa njengeziqhwaba okanye ukucima. Yibangelwa ukunyanzeliswa ngaphakathi kunye neenxa zonke izitho, okanye ngokusulwa kwesigxina esiswini. Ngamanye amaxesha ubuhlungu be-visceral buya kuhamba kwezinye iindawo zomzimba, okwenza kube nzima ukukhomba indawo ekhoyo.
Umehluko phakathi kobuhlungu obukhulu kunye nobunzima obubonakalayo
Xa usika umunwe wakho ngomsi, ufumana intlungu ebukhali kwaye ibuhlungu. Kodwa izitho ezinzulu (njengamathumbu akho okanye i-bladder) azinako ukufumana iintlungu ezibonisa ubuhlungu obubukhali kwaye bukhawuleza-ngoko ke umgangatho kunye nexesha lobuhlungu be-visceral lihluke entlungu.
Ukongezelela, xa usika umnwe wakho, uyazi apho intlungu-ngamanye amagama, uyakwazi ukuyibeka. Kodwa ngobuhlungu obukhulu, buhlungu kakhulu, kunzima ukuxelela ngokuthe ngqo ukuba yintoni intlungu yentlungu leyo, njengoko intlungu idlalwa rhoqo. Ngokomzekelo, intlungu esuka entliziyweni inokuthi ibonakale engxeni nasentanyeni yesobunxele, kwaye intlungu yesisu ingabonwa kwi- perineum .
Ukongezelela, iimpawu zenkqubo, okanye iinkqubo zomhlaba jikelele, zihamba kunye neentlungu zesibindi, ezifana nesicefe, ukujuluka, ubuhlungu, kunye noshintsho kwixinzelelo lwegazi, izinga leentliziyo kunye nokushisa. Ekugqibeleni ngokungafani nosizi olungenangqondo, intlungu ye-visceral ivame ukukhanya kwezinye izitho zomzimba ezenza ukuba iintlungu zonke ziveze ngakumbi kwaye zingabonakali kakuhle.
Ngokubanzi, isizathu sokuba umehluko kwindawo kunye nexesha leentlungu ezihambelana neentlungu ezibangelwa yintlungu ngenxa yesibalo esincinci se-receptor ezithandekayo ezifumaneka kwi-viscera (izitho zangaphakathi).
Ukufanisa ubuhlungu be-Visceral kwiLebhu
Xa bezama ukuvuselela intlungu ye-visceral, abaphandi bafaka ibhaluni kwi-tube baze bahlutha ibhaluni ngelixa besesisu. Abaphengululi banako ukuqonda ngokugqithiseleyo ubunzima beentlungu ze-visceral kwaye bafumanisa ukuba inkulu kakhulu kunye nokujikeleza komzimba.
Ukusebenzisa eli vavanyo lebhu kwibomi langempela, ukuba unomqobo omncinci wesisu , amathumbu aphazamisa aze abangele amathumbu emathumbu. Colic ichaza iintlungu ezixhamlayo kwaye zihamba. Njengoko amathumbu aqhubeka ephazamisa, ukuvuvukala kunye nokulimala kwenzalo kwenzeka, okukhethekileyo kwintsimili encinci, njengokuhamba. Ukuba uke wambona umntu onomngcipheko wembilini, uyazi ukuba kunye nokunyakaza okuzifihlakeleyo kunokuzisa intlungu ebuhlungu.
Unyango lwe-Visceral Pain
Intlungu ebonakalayo isabela kakuhle kwi- opioids ephosakeleyo njengekhowudi, nangona i-opioid ezinamandla ezifana ne-morphine ingasetyenziswa kwakhona. Oko kuthethwa, i-opioids ingabangela iziphumo ezimbi ezingathandekiyo ezifana nokuqhawulwa nokulala. Baphatha umngcipheko womntu ophuhlisa ukunyamezela kunye / okanye umlutha.
Iindaba ezilungileyo kukuba iingcali ziphanda uphando olungcono lwezonyango zokuphazamiseka kweentlungu zentlungu. Ngokomzekelo, amayeza aseLyrica (Pregabalin) asetyenziselwa ukuphatha i-fibromyalgia, imeko yeentlungu ezibangelwa yintlungu eyenza i-muscle tenderness, kunye nezinye iimpawu.
> Imithombo:
> Barrett KE, uBarman SM, uBoitano S, i-Brooks HL. I-Somatosensory I-Neurotransmission: Thintela, Ubuhlungu, kunye Nokushisa. Ku: Barrett KE, Barman SM, Boitano S, Brooks HL. eds. Ukuhlaziywa kwe-Ganong yePhysical Psychology, 25e . New York, NY: McGraw-Hill; 2016.
> Sikandar S, uDickenson AH. Ubuhlungu obubonakalayo - i-Ins kunye ne-Outs, i-Ups ne-Downs. I-Curr Opin Inkxaso yePalliat Care . 2012 Mar; 6 (1): 17-26.