Nang pawh i hrehawm mai mai em? Central Pain Syndrome a ni thei!

I taksa peng hrang hrangah chhan awm lovin natna i nei \hin em? A natna chu a awm rei tawh a, a reh ngai lo pawh a ni mai thei. A nih loh leh, i rilru natna, pin leh needle, a nih loh leh kangmei chhuak i nei nghal em? Chutiang thil i tawn tawh chuan he natna hi Central Pain Syndrome (CPS) , vawiinah kan sawi dawn tih hi hriat a pawimawh hle ang.

Central Pain Syndrome hi eng nge ni?

A awlsam zawngin, Central Pain Syndrome (CPS) hi natna hriat chhunzawm zelna a ni a, chu chu , chronically, kan nervous system-a harsatna avanga natna a ni. Entirnan, kan thluak emaw, kan ruhro emaw a chhiat chuan , emaw, rei tak kan na a, kan nervous system a thawk tha lo a nih chuan, he natna hi a awm thei a ni.

Hei hi a hnathawh dan a ni. Thluak emaw nerve cell emaw a chhiat chuan a chhiat chuan hna a thawk tha lo va, natna signal a thawn chhuak fo thin. A nih loh leh, natna kal zel avang hian kan nerve cell te hian natna signal te chu an sensitive hle thin. Tichuan, chu cell-te chuan natna awm loh lai pawhin natna signal an thawn sual thei a, a nih loh leh signal dangte chu natna anga an hrilhfiah sual thei bawk.

Hetiang dinhmun enkawl hi a chang chuan a harsa deuh thei. Painkiller pangngai hmang pawhin, a chang chuan opioid damdawi chak tak pawh hmang ila, he natna hi a reh lo mai thei. Mahse, lungngai suh. Tunah chuan Doctor-te chuan hemi atan hian enkawlna thar leh damdawi thar an hmuchhuak ta a ni. Hetiang dinhmun nei mi tam tak an pui thei tawh a ni.

Hei hi fibromyalgia nen a inang em?

CPS leh fibromyalgia hi thil inang lo tak a ni. Mahse, an pahnih inkarah hian inzawmna a awm mai thei. Fibromyalgia hi natna khirh tak a ni a, i ruh leh ruh te a nghawng a ni. Fibromyalgia vei te hian CPS an vei tam zawk. Hei hi a chhan chu natna khirh tak hian an nervous system hnathawh dan a thlak danglam vang a ni.

Hetiang hi tuin nge nei tam zawk?

Central nervous system, chu chu thluak emaw, ruhro emaw a tihchhiat tawh chuan CPS a nei thei a ni. Natna khirh tak tuar apiangah pawh a lo awm thei bawk. Neurological condition thenkhat nei te chuan an vei tam zawk. Entir nan:

• Stroke vei zinga 8% leh 10% inkar .
• Spinal cord hliam nei zinga 20% leh 40% inkar .
• Multiple sclerosis vei zinga 30% vel .

Hetiang dinhmun hi engtiang chiahin nge a awm?

Khawvel pumah mi maktaduai 7 velin he natna hi an vei nia chhut a ni.

Central pain syndrome natna lan chhuahna chu engte nge ni?

CPS hmang hian natna i hriat danah inthlak danglamna engemaw zat i hmu thei ang:

• Khawiah nge a na: Natna awmna hmun chu nervous system eng hmun nge a nghawng tih a innghat a ni.
• A natna lai: CPS natna hi a awm reng thin . Mahse, mi thenkhat tan chuan a lo kal thei a, a kal thei bawk. Thil danglam bik chu he natna hi taksa tana hlauhawm leh hliam awm lovin a awm thin.
• Natna nasatna: Natna hi a tlangpuiin a hniam lam atanga na tak thlengin a awm thei. Mi thenkhat tan chuan a chang chuan a reh deuh a, a lo let leh thei bawk.
• Khawih hriatna lama inthlak danglamna: CPS vei te hian khawih an hriat danah inthlak danglamna an tawk thin. Hei hi natna nen a inzawm tlat a ni. Hei hian rilru hahna emaw, pin leh needle (paresthesia) emaw a thlen thei .
• A bul tan hun: CPS hi natna, accident, emaw thil dang kaihhnawih atanga kar tam tak, thla tam tak, emaw kum tam tak hnuah pawh a intan thei a ni.
• Environment influences: CPS natna hi khaw lum, lungkhamna, stress , emaw, rang taka shock vangin a zual thei a ni. I taksa chakna level hian natna a nghawng thei bawk.
• I natna threshold: Mak tak maiin, CPS vei te hian pawn lam natna tuar theihna a tipung thei a, chu chu an natna threshold tia hriat a ni. Chumi awmzia chu mi pangngai tihnat tur thil chuan chutiang chuan a ti na lo mai thei tihna a ni.

Natna sawifiah dan

CPS vei te hian an natna hi chutiang bawk chuan an sawi fo thin. A sawifiahna tlangpui chu:

• Hal ang maiin.
• Thil hrual hrual ang maiin.
• Scratch nasat ang mai a ni.
• Painfully numb, pricking sensation ang mai a ni
• Taksa chhungril atanga natna thuk tak lo chhuak, taksa ruh atanga lo chhuak
• A hrual ang maiin a lang a, tihkhauh ang maiin a lang.
• Cutting ang mai, theh darh ang mai

Hetiang dinhmun nena lo awm harsatna dangte

Natna chhunzawm zel nena nun hian mi rilru hriselnaah nghawng lian tak a nei thei a ni. Chumi avang chuan CPS ang chi natna nei te pawhin:

• Hlauhthawnna
• Depression ( mahni intihhlum tumna nei pawh a ni thei) .
• Hriatrengna hloh, thluak fog
• Chauhna emaw, hahna emaw reng reng
• Mut harsat

Eng thilin nge hetiang dinhmun hi a thlen?

Central pain syndrome lo awm chhan lian tak pahnih a awm a, chungte chu: i thluak emaw, i ruhro emaw hliam emaw, tihchhiat emaw, natna rei tak kal zel emaw a ni.

Thluak emaw, ruhro emaw tichhe thei dinhmun

Thluak leh ruhro tichhe thei thil engemaw zat a awm. Ṭhenkhat chu a dang aiin a tam zawk:

• Brain cancer emaw benign tumor emaw a awm thei .
• Thluak surgery emaw ruhro surgery emaw .
• Concussion emaw thluak hliam na tak emaw .
• Degenerative emaw inflammatory conditions, multiple sclerosis emaw Parkinson’s disease emaw ang chi .
• Epilepsy leh non-epileptic seizure natna te.
• Infection awm thei te.
• Spinal cord hliam tuar .
• Thai .

Ngaihtuah teh, mi thenkhat kum tam tak kalta khan car accident emaw, tlu emaw an awm a, an hnungzang a hliam bawk. Hun engemaw chen hnuah chuan chutiang mi chuan he natna khirh tak hi a nei thei a ni. Chumi chhan chu ruhro (spinal cord) a chhiat vang a ni.

Natna rei tak thlen thei dinhmun

Natna rei tak thlentu dinhmun eng pawh hian CPS a thlen thei bawk. Chuvang chuan doctor-te chuan CPS hi natna khirh tak tak nena inzawm natna engemaw zat nen an inzawm tir a ni. Chung zinga ṭhenkhat chu:

• Arthritis- kaihhnawih natna, entirnan osteoarthritis .
• Hnung lam natna .
• Ngawt .
• Chronic fatigue syndrome tih hi a ni.
• Pelvic natna rei tak a awm .
• A rilru a buai em em a, a rilru a hah em em bawk a. Complex regional pain syndrome (CRPS) .
• Fibromyalgia natna a ni .
• Inflammatory conditions te chu rheumatoid arthritis , psoriatic arthritis , lupus, emaw Sjögren’s syndrome te hi a ni.
• Irritable bowel natna (irritable bowel) natna a ni.
• Joint natna .
• Migraine a awm thin .
• Peripheral neuropathy (hei hi type 2 diabetes avanga lo awm a ni ber) .
• Postherpetic neuralgia - nerve chhiatna avanga natna chu shingles natna avanga natna a ni .
• Temporomandibular joint (TMJ) natna a awm thei .

Genetics lam thil a ni

Zirna thenkhatah chuan central pain syndrome lo awm turah hian genes hian chanvo a nei tih hmuhchhuah a ni. A bik takin, i chhungkuaa mi tu emaw – chu chu i nu, i pa, i unaute, emaw i fate emaw hian he natna hi a neih chuan, hetiang natna chi hi i vei theihna tur hi midang aiin a let riat thlengin a sang thei a ni! Mahse hei hi a thlentu genetic change dik tak chu hriat chian a la ni lo.

He dinhmun hian engtin nge ka taksa a nghawng?

Natna leh a nghawng ngaihtuah dan pakhat chu i taksa hi building lian tak, complex tak anga ngaih hi a ni. Tichuan, kan nervous system, taksa pum puia natna hretu leh process tu chu chu building chhunga kangmei alarm system ang mai a ni. Nervous system-in taksa khawi emaw laiah hliam emaw, chhiatna emaw a awm tih a hriat chuan harsatna a awm tih min hriattir nan he ‘bell’ hi a ri ta a ni.

Natna chi hnih a awm a, chungte chu:

• Acute pain: Hei hi natna emaw, hliam emaw i taksain a chhan dan a ni. I dam leh emaw, hliam a dam emaw chuan thla thum emaw a aia rei lo chhungin a bo vek.
• Chronic pain: Acute pain thla thum atanga thla ruk chhung a awm chuan natna khirh tak a lo ni ta a ni.

Natna kalphung pangngai

Kan taksa pum puiah hian, kangmei alarm system-a meikhu hriatna emaw, heat sensor emaw network ang maiin, natna thlentu thil chi hrang hranga sensitive nerve endings a awm a. A bul hnaia cell awmte a chhiat chuan heng chemical warning signal thenkhat hi thisenah a chhuak thin. I nerve endings chuan chu chemicals te chu a hmuchhuak a, spinal cord kaltlangin i thluak ah high-priority signal a thawn thin. Thluak chuan chu signal chu natna angin a hrilhfiah a, thluak hmun dangah signal a thawn a, chu chuan i humhim turin hma a la a ni. Entîr nân, i kut chuan i kang thei khawpa lum thil a khawih chuan, nerve endings-te chuan chu signal chu a hre chhuak a, i thluak lamah signal a thawn a, chuvângin rang takin i kut chu i hrual chhuak a ni.

Central pain syndrome hi eng nge thleng?

Central pain syndrome hi i taksaa fire alarm system a thawk tha lo ang mai a ni. Heng malfunction te hi chi hrang hrang a awm thei.

Hliam emaw chhiatna emaw avanga inthlak danglamna

Hliam emaw chhiatna emaw avanga central pain syndrome hian a hmun hi a nghawng dan a inang lo hle:

• Thluak: Thluak chhiatna hian thluak hian natna signal a process danah harsatna a thlen thei a ni. Hei hian thluak hian thil pakhatin taksa natna a thlen tak tak ang maiin dik lo takin a process thei a, signal a thawn thei bawk.
• Spinal cord: Taksa peng hrang hrang atanga thluak panna signal tam tak chu thluak a thlen hmain ruhro (spinal cord) thleng a ngai a ni. Spinal cord a chhiat chuan a nghawng nerve cell te chu a thawk tha lo thei a, natna signal a thawn thei a, chu chu natna tak tak angin a lang thei a ni. Heng signal te hi hliam tak tak atanga lo chhuak a ni lo (mahse a tak tak a ni).

Natna rei tak avanga inthlak danglamna

I taksa hian natna signal te hi a ngai pawimawh hle a, a chhan chu harsatna dang laka humhim che an duh vang a ni. Mahse natna khirh tak i neih hian i nervous system hian heng high-priority signal te hi a process fo thin a, a tlangpui aia rei zawk a ngai thin.

Hun a kal zel a, i nervous system leh thluak in natna signal process dan chu a danglam tan thin. A tlangpuiin, nervous system hian natna a hrethiam lutuk a, a nih loh leh a sensitive lutuk a, natna nei lo signal te chu natna anga a hrilhfiah thin.

• Hyperalgesia: Hei hi Greek tawng a ni a, a awmzia chu ‘na lutuk’ tihna a ni. Heta thil thleng chu nervous system hian natna signal a tichak a, chu chuan natna chu a nihna tak aiin a ti na zual hle.
• Allodynia: Hei hi Greek tawng a ni bawk a, ‘natna dang’ tihna a ni. Hei hi thil hrehawm lo, khawih pangngai ang chi chu nervous system-in signal a thawn theihna, a dawn theihna leh a process theihna a chhiatna avanga natna anga ngaih a nih hian a ni. Entîr nân, puan hrui pakhatin taksa a khawih chuan tuar theih loh khawpin natna a thlen a ni.

Natna hian i taksaa system dang, a bik takin i hormone, immune system leh taksa insiamthat dan a nghawng avangin, natna rei tak leh CPS hian chutiang system hnathawh dan chu a tibuai thei a ni. I endocrine system pawh a nghawng thei a , adrenal disorder ang chi thil a thlen thei bawk .

Engtin nge he natna hi hriat chhuah a nih?

Central Pain Syndrome (CPS) hi a chang chuan hriat a harsa thei a, a chhan chu natna hi mi zawng zawngin an tawn dan a inang lo. Chuvangin doctor chuan i natna chungchang chipchiar takin a khawlkhawm a ngai dawn a ni. Hei hian a huam thei ang:

• Hmun: Khawiah nge natna hi a awm? Natna chu hmun khatah nge, taksa sir khatah chauh?
• Natna sawifiahna: Natna chu eng ang nge a nih? A kang em? Stabbing a ni em?
• Timing: Engtik lai khan nge natna hi a lo intan? Natna hi ni khata hun bik emaw, ni khata hun bik emaw -ah a thleng em?
• Pawn lam thil atanga nghawng: I awmna hmun (e.g., ambient temperature, noise level, i nunah stress emaw anxiety) a zirin natna hi a danglam em?
• Medical history: Hetiang natna thlen thei tur hliam, harsatna, damdawi lam dinhmun i nei em?
• Symptom dang: Symptom dang i nei em? Natna nena inzawm lo anga lang pawh ni se, khawngaihin sawi rawh. Natna, natna, a nih loh leh chhinchhiahna dang awmna hmun vel chu a hring a awm em?

He natna hi hriat theih nan eng test nge tih thin?

Thil awmdan azirin doctor-te chuan diagnostic, imaging, emaw lab test emaw pawh an ti thei bawk. Lab test hi i natna thlentu tur inflammatory disorder emaw immune disorder hriat loh emaw enfiah nan an ti fo thin. I doctor chuan i dinhmun leh i dinhmun bik atan eng test nge tih tur tih chiang takin a hrilhfiah thei che a, engvangin nge tih tur tih pawh a hrilhfiah thei bawk che.

Central pain syndrome hi thluak emaw, ruhro emaw hliam avanga lo awm a nih chuan diagnostic leh imaging test thenkhat hmangin a hriat theih a ni. Heng test hrang hrangte hi:

• Electroencephalography (EEG) hmanga tih a ni .
• Magnetic Resonance Imaging (MRI) hmanga thil tih a ni .
• Magnetoencephalography (MEG) hmanga tih a ni .
• Positron Emission Tomography (PET) hmanga enfiah a ni .

Hetiang thil thlengah hian MRI test chi khat bik dang a awm a, hei hian a pui thei a ni. Chu chu “functional MRI (fMRI)” an ti a. I thluak hnathawh dan pawh a hre thei a, chu chu thluak hmun hrang hrangin hna an thawk dun em tih pawh a hre thei a ni.

CPS hi engtin nge enkawl a nih? Tihdam theih a ni em?

Tunah hian central pain syndrome hi damdawi a la awm lo. Mahse, enkawl dan tur tam tak a awm. CPS hi damdawi lam dinhmun hnuaia awm a nih chuan, chu natna hnuaia awm chu enkawl emaw tihdam emaw pawh hian CPS-ah a pui thei bawk.

Damdawi chi hrang hrang

Enkawlna ruahmanna tam tak chu natna tidamtu chi hrang hrang hmanga tan a ni a, nonsteroidal anti-inflammatory drugs (NSAIDs ) aspirin emaw ibuprofen ang chi atanga natna tidamtu, opioid ang chi controlled substance category-a tel thlengin a ni.

Mahse, heng natna tidamtu hman tlanglawn tak tak tam tak, opioid chak tak tak pawh hi CPS enkawlnaah hian a hlawk lo fo thin. An thawk tha lo a nih chuan doctor-te chuan a hnuaia damdawi pakhat emaw a aia tam emaw (amah chauh emaw, a inzawm emaw) an enchhin thei a ni:

• Seizure damdawi, entirnan gabapentin emaw lamotrigine emaw .
• Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs) hi lungngaihna enkawlna atana hman thin damdawi, duloxetine leh venlafaxine te hi a ni.
• Antidepressant chi dang chu tricyclic antidepressants (TCAs) an ti a, entirnan amitriptyline emaw nortriptyline emaw an ti a.
• Damdawi, vun chunglam tichhe thei cream emaw patch emaw ang chi, entirnan lidocaine .

Experimental treatment thenkhat pawh a awm bawk. Intihhlimna atana hman lar ruihhlo an hmang a, mahse zirchian mek an la ni. Hengte hi ni khat chu CPS enkawlna standard-ah a tel thei a ni:

• Cannabis (damdawi atana hman tur marijuana) .
• Ketamine injection hmanga tihdam theih a ni.

Damdawi hman loh dan

Drug ni lo approach engemaw zat a awm a, a then chu pawm a ni a, a then chu research stage-ah a la awm a, CPS-ah hian a pui thei a ni. Entirna tlemte chu hetiang hi a ni:

• Acupuncture hmanga tih a ni .
• Thluak thuk tak tihchak (DBS) .
• Frequency-Specific Microcurrent (FSM) hmanga tihchhuah a ni .
• Transcranial Magnetic Stimulation (TMS) hmanga tihchak a ni .
• Transcutaneous Electrical Nerve tihchak (TENS) hmanga tihchak .

Enkawlna dang

Mental health issues hi natna conditions nen a inzawm fo avangin doctor-te chuan CPS treatment plan-ah mental health options an dah tel fo thin. Entirnan, cognitive behavioral therapy (CBT) hian CPS nena inzawm fo thin rilru lam hriselna chungchanga harsatna awm thinte hmachhawn dan tur thiamna zir turin a pui thei che a ni.

Physical therapy hian i dinhmun nena inmil turin a pui thei che a ni. I taksa chakna, i insiamrem theihna leh i thawhhona a tichak thei bawk.

Enkawlna avanga harsatna/side effects te hi enkawlna i dawn dan azirin a inang lo hle. I doctor chuan i beisei tur chu a ngaihtuah tha thei che a ni.

Engtin nge ka in enkawl ang emaw, ka symptoms te hi ka enkawl ang?

CPS hi mahni chauha i hriat theih tur condition a ni lo. Chuvangin nangmah ngeiin enkawl tum hi a tha lo. Hetiang dinhmun hi i nei nia i hriat chuan Doctor pan tur a ni. I dinhmun chu a hmuchhuak thei a, enkawlna dik takah a refer thei che a ni.

Enkawlna hnua ka dam chak dan hi mi hrang hrangah a inang lo. I enkawl dan leh i dam leh hun tur doctor zawt rawh. I dinhmun bik a zirin i beisei tur dik tak a hrilh thei che a ni.

Hetiang dinhmun hi eng nge a thlir ang?

Central pain syndrome hian i nunphungah nghawng lian tak a nei thei a, a bik takin i thil duh zawng tih theihnaah nghawng lian tak a nei thei a ni.

He dinhmun thlirna hi a chhan bulpui ber chu eng nge ni tih ah a innghat nasa hle. Enkawl theih tur chhan bulpui a awm chuan, chu natna avanga nghawng thenkhat chu enkawl emaw, tihdanglam emaw a awlsam zawk.

A chhan bulpui tihdam theih loh hunah chuan a tha ber chu CPS symptoms enkawl a, a na zual loh nan ven hi a ni.

Tin, a dinhmun hi hriat hmasak a, enkawl tan a pawimawh bawk. Tin, rilru lam hriselna lama mithiamte hmuh a pawimawh bawk a, a tul leh rawt a nih chuan. Hei hi a chhan chu hetiang natna vei te hian lungkhamna leh lungngaihna an neih theihna a sang a, chubakah mahni intihhlum theihna a sang hle bawk.

Central pain syndrome hi a tlangpuiin a awm reng a ni. A then phei chuan a nghawng chu a let leh thei a, chu chu a chhan leh enkawlna i dawn thuai dan azirin a ni.

Engtin nge hetiang thil hi ka ven theih ang, a nih loh leh a hlauhawmna chu ka tihtlem theih ang?

CPS hi beisei loh takin a lo thang lian a, i thunun theih loh thil engemaw zatin a nghawng a ni. Chuvangin he dinhmun hi ven theih a ni lo.

Central pain syndrome hi thluak emaw, ruhro emaw hliam emaw, tihchhiat emaw avanga lo awm a nih chuan, i vei theihna tur tihtlem nan i tih theih tlem hle. Lu leh ruh hliam laka invenna hmanrua leh gear bun hian CPS thlen thei hliam venna hmangin i hlauhawmna chu eng emaw chen a tihziaawm thei a ni.

Natna rei tak nena inzawm CPS i vei theihna tur tihtlem dan tha ber chu natna thlentu awm thei dinhmun hnuaia awm eng pawh enkawlna zawng hi a ni. Chutiang natna enkawlnaah chuan doctor thupek zawm a pawimawh bawk. An pahnih tih hian nakin lawka CPS thlen thei tur natna khirh tak i neih theihna tur a ti tlem thei a ni.

Engtin nge ka in enkawl ang?

Central pain syndrome i neih chuan i doctor thupek zawm tur a ni a, mahni in enkawl tur leh i dinhmun enkawl tur a ni. I tih theih tha ber berte chu:

• I damdawi ei tur chu a tih angin ei rawh.
• I natna tipung thei thiltih emaw, dinhmun emaw chu pumpelh rawh.
• I rilru hriselna hi ngaihthah suh.

Engtikah nge ka doctor ka hmuh ang?

Doctor rawt angin i hmu tur a ni. I dinhmun en tûrin follow-up appointment a ruahman ang a, a ṭûl chuan i enkawlna chu a siamrem mai thei bawk. I natna lan chhuahnaah danglamna i hmuh chuan doctor i pan tur a ni a, a bik takin a danglam vat chuan emaw, i thiltih pangngai leh i tih dan pangngai a tibuai a nih chuan i doctor pan tur a ni.

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

Hun rei lote chhunga i natna lan chhuah dan a danglam a nih chuan, a bik takin a nasat chuan damdawi lam pan nghal tur a ni. Hei hi a bik takin i CPS symptoms te nen stroke symptoms i neih chuan a dik hle. I doctor chuan i tana chiang taka chhinchhiahna emaw, chhinchhiahna emaw, emergency medical attention i pan a ngai tih a hriattir thei bawk che a ni.

A tawp berah chuan thil hriat reng tur

Central pain syndrome (CPS) hi natna khirh tak a ni a, i nunah nghawng lian tak a nei thei a ni. Stress leh hrehawmna a thlen thei che a, i duh ang nun i hman theihna pawh a tikhawtlai thei bawk. Central pain syndrome hi enkawl harsa tia hming chhe tak nei mah se, tunah chuan zirchiangtute chuan enkawlna tha tak tak, damdawi leh tih dan tur tha tak tak an siam chhuak ta a ni. Research a kal zel chuan he natna enkawlna tur hian duhthlan tur tam zawk a lo chhuak thei a ni. Hei hian he dinhmun tuarte tan beiseina leh thlamuanna a thlen ang. Chuvangin, heng symptoms te hi i neih chuan hlauthawng lo la, a rang thei ang bera Doctor pan hmasa phawt a tha.

` Central Nerve Pain Syndrome, Central Pain Syndrome, Chronic Pain, Nervous System, Thluak lama harsatna, Spinal Cord Disorder, Natna enkawl dan