Ezinye iimeko zePhysical and Psychosocial Can Leader to Pain Postoperative Pain
Akuqhelekanga ukuva iintlungu emva kokuhlinzwa. Ekuqwalaseleni ukuba utyando lubandakanya ukusika izicubu zomzimba, kubonakala ngathi kuqhelekile ukuba ufumane ubunzima obukhulu okanye ubuhlungu emva kwenkqubo. Ngelishwa, kwezinye izigulane, iintlungu ezithatha emva koko azihambi emva kokuphilisa. Kuba bantu, intlungu engapheliyo emva kokuba yindlela yokuphila.
Kukho izizathu ezibalulekileyo zokuba intlungu yomntu ehamba emva kwayo ingapheliyo, kubandakanywa umonakalo wamantongomane, ukubunjwa kwamathambo, ukulimala kwamathambo ngexesha lotyando, kunye noxinzelelo lwangemva kokuhlinzwa, njengokwenyuka. Ezinye izizathu ezibangela ukuba iintlungu ezingapheliyo zenzeke zibandakanya izinto zengqondo kunye nemiba enxulumene nokuhlinzwa kunye nokuziphucula ngokwayo.
Izizathu Zezinto Ezibonakalayo Zobuhlungu Bokuhlala Kwangasemva
- Umonakalo wemisipha : Intlungu ye-neuropathic , okanye intlungu ebangelwa ngumonakalo wamantongomane okanye ukungasebenzi, yenye yezona ntlobo eziqhelekileyo zentlungu engapheliyo emva kokusebenza. Nangona oogqirha benyamekela ukuba bagweme umonakalo wesantya ngexesha lotyando, ama-nicks amancinci kunye neentambo zelula ngamanye amaxesha akwenzeki. Eminye imizekelo yeentlungu zentlungu emva kokubandakanya iintlungu ziquka intlungu ye- phantom kunye neentlungu zentathu.
- I-Scar Tissue : Gweba iifom zenyama xa ulusu kunye nezicubu ziphilisa emva kokuhlinzwa. Izicubu ezinokuthi zidibanise izicubu ezizungezile, zixinzezele okanye zivuthe ukuphela kweentsimbi, okanye zineentsimbi ze-nerve ezingenazo ngaphakathi kwayo. Zonke ezi zinto zingakhokelela kwiintlungu kunye nokuphazamiseka kummandla ogqityiweyo. Iintlungu zesifo se-tissue zihlala ziqhubeka emva kokuhlinzwa okwenyulu, okubizwa ngokuba yi- cholecystectomy .
- Ukulimala kweTisue : Iintlungu ezingapheliyo emva kokulimala komzimba ziqhelekileyo ngexesha lotyando lwemizimba. Amathambo kunye namathambo athambileyo angakonakaliswa okanye asuswe ngexesha loqhaqho, njengento yokutshintshwa ngokubambisana, kwaye oku kunokukhokelela ekubuhlungu kwintlungu engapheliyo.
- Ukuqhaqeka kwesilonda: Intlungu eqhubekayo enxeba iqhelekile emva kokuhlinzwa komzimba; Nangona kunjalo, ngokuqhelekileyo luhlobo oluthile olunzima lwentlungu eqhubekayo. Ukuqhaqhazela okujikeleza isilonda kunokubangela ukuba ubuhlungu obungapheliyo, kodwa kukho uphando oluncinane olukhoyo kwesi sihloko.
Iingxaki Zengqondo Zengxaki Ezingapheliyo Zomsebenzi
Inkqubo yokugqirha ngokwayo ayiyena yodwa into ebangela ukuba ubuhlungu obungapheliyo bubele. Uphando luye lwabonisa ukuba uninzi lweengxaki zengqondo zingabangela neentlungu eziqhubekayo emva kokuhlinzwa. Ezi ziquka:
- Ezinye iimeko zonyango , ezifana ne- fibromyalgia okanye izifo zikaRaynaud
- Inqanaba eliphezulu leentlungu zokuqala
- Izimo zengqondo zengaphambili , ezifana nokuxhalaba okanye ukuxinezeleka
- Uloyiko okanye uxhalabe malunga nokuhlinzwa
- Ubudala
Ezinye Iingxaki Zobunzima Bobuhlungu obungasemva
Iintlungu ezingapheliyo zingaphinda zibangelwe ezinye izinto ngexesha kunye nangemva kokuhlinzwa. Ngokomzekelo, kukho ubungqina bokuthi utyando oluhlala ixesha elide ngaphezu kweeyure ezintathu lunokubangela ukuba ubuhlungu obungapheliyo bubele. Ukongezelela, iintlobo ezithile zonyango okanye i- chemotherapy zonyango ngokukhawuleza zonyango zinganyusa umngcipheko wokuhlakulela intlungu emva kokusebenza.
Ulawulo lwe-Anesthesia lenye indawo ephandwa ngayo indima yayo ekukhuseleni okanye ekunciphiseni ubuhlungu obungapheliyo buhlungu. Nangona uphantsi kophando, i-anesthesia yesithili kunye nokuthintela intlungu ebuhlungu emva kokuhlinzwa kunokunciphisa umngcipheko weentlungu ezingapheliyo emva kokusebenza. Oku kucatshangelwa ukuthintela inkqubo ye-nervous ukuba ivuselelwe emva kokuhlinzwa.
Kungakhathaliseki ukuba yintoni imbangela yeentlungu ezingapheliyo emva kokusebenza, kuyinkinga kubantu abaninzi emhlabeni jikelele. Uphando luyaqhubeka ngokukhawuleza ukucacisa iimeko ezinokuthi zenzeke ukuba ubuhlungu obungapheliyo buhlungu emva kokuba unyango luqaliswe ekuqaleni.
Imithombo:
UCork Randall C, uAlexander Lori, uMalusi Clifton, et al. Impembelelo ye-Erbium: YAG iLerer Treatment kwi-Scar Pain. I-Journal Journal ye-Anesthesiology. 2004 Umqulu 8 Inani 2.
Ho Sue C, uRoyse Colin F, uRoyse Alistair G et al. Ubunzima obuqhubekayo Emva kokuPiliswa kweCardiac: Uphicotho lweeTranspiritual Epidural and Primary Primary opioid Treatmentia Therapies. IAnesthesia kunye ne-Analgesia. 2002; 95: 820-823
Ip, uHui Yun Vivian, Abrishami, Amir, Peng, uFilipu W et al. Abaqaphelisi bePail Postoperative kunye nokuSebenzisana kweNtsholongwane: UkuHlola okuHloniphekileyo kokuHlola. Anesthesiology. NgoSeptemba 2009. 111 (3) iphe 657-677
Macrae, WH. Ubunzima Bokuhamba Kwangemva Kwesifo: Emva kweminyaka eyi-10. I-British Journal ye-Anesthesia, i-doi: 10.1093 / bja / aen099
I-Perkins FM, uKehlet H. Isigulane esingapheliyo njengesiphumo soBuloyiki: Ukuhlaziywa kwezinto eziPhambili. Anesthesiology. 2000; 93: pp1123-1133.
UVisser, u-Eric J. Chronic Pain-Surgical Pain: I-Epidemiology kunye neNtsholongwane yeeNtsholongwane zoLawulo lwePain Acute. Pain Acute. Umqulu 8, Issue 2, Juni 2006, iphepha 73-81