Kan dam chhung hian engtik lai pawhin kan tlu vek tawh a, kan ke ruh a tichhe vek tawh a, kawngkaah kan kut zungtang kan man vek tawh a ni lawm ni? Chu 'oh my' hrehawmna chu chutih lai tak chuan... Chu chu vawiinah kan sawi tum chu a ni. Hei hi kan taksain accident chungchanga signal min pek hmasak ber leh pawimawh ber a ni. Hei hi damdawi lama nociceptive pain kan tih chu a ni.
Nociceptive Pain tih hi eng nge ni?
A awlsam zawngin sawi ila, nociceptive pain chu i taksa tissue a chhiat emaw, a hliam emaw avanga i rilru hahna emaw, i natna emaw a ni. He natna hi kawng hrang hrangin hriat theih a ni.
- A na hle
- Kang (Burning) ang maiin .
- Cramping a awm
- Stabbing a ni
- Throbbing leh natna tlemte nen
I kal laiin i tlu a, i tlu a, i elbow a ti na ang tih han ngaihtuah teh. A nih loh leh chair ke i tawk a, i kut zungtang i hliam tihna a ni. Accident hnuah natna i nei nghal a ni lawm ni? Chu chu Doctor ten Nociceptive Pain an tih chu a ni.
Hei hi a chhan chu kan taksa tissue te a chhiat chuan kan nervous system-a ‘sensors’ bikte chu a thawk chhuak thin a ni. Heng nerve tawp te hi nociceptors an ti a . Hengte hi thluak hnenah, "Hetah hian harsatna a awm, accident a awm" tih signal thawn thinte an ni. Hei hi kan hrehawmna chi khat chu a ni vek.
He natna hi chi hnih a awm a.
Nociceptive Pain hi chi hnih ah then theih a ni. Chu chu i hriatthiamna chuan i hrehawmna chu i hrethiam zâwk thei a ni.
| Natna chi hrang hrang | A awlsam zawngin... | Entirnan |
|---|---|---|
| Somatic Pain a ni | Pointable pain chu kut zungtang hmanga pinpoint theih natna a ni. Hei hi vun, ruh, ruh, emaw connective tissue atanga lo chhuak natna a ni. | I kut a hliam, khup hliam, ruh tliak, exercise zawhah taksa ruh na. |
| Visceral Pain a ni | Taksa chhungril tak atanga lo chhuak natna a ni a, chutah chuan hmun dik tak i hmu thei lo. Hei hi chhungril lam taksa peng hrang hrang, intestine, lung leh heart atanga lo chhuak a ni. | Digestive system-a tumor awm avanga pum na, thlasik laiin natna. |
Engtin nge hrehawmna kan neih? Engtin nge hetiang kalphung hi a lo awm?
Step tlemte kan kal hnuah "hurt" kan ti thin. Mahse heng zawng zawng hi mit khap chhungin a thleng vek a ni.
1. Transduction: A hmasa berin i taksa a chhe (e.g., i kut zungtang i tan). Chutih lai tak chuan chu hmun atang chuan chemical substance a chhuak ta a ni. Heng chemical te hi kan sawi tak sensor, nociceptors an tih te hian electrical signal ah an chantir thin.
2. Transmission: A dawtah chuan he electrical signal hi nerve kaltlangin rang takin, kawngpui ang maiin thluak thlengin a kal a.
3. Modulation: Tunah chuan signal chu thluak a thleng tawh a, thluak chuan nerve-ah message a thawn let leh a, chu chuan natna nasatna a tipung emaw, a ti tlem emaw a ni. A châng chuan thluak hian natna chu tlem a ti tlem thei hle.
4. Perception: A tawpah chuan, "Aw, chu chu a hrehawm hle mai," tih i hre tan ta a ni. Hei hi natna an tih chu a ni.
Heng zawng zawng hi a thleng rang em em a, a hnuhnung ber chauh kan hre thei - chu chu natna hriatna hi a ni. Tichuan thluak chuan hlauhawm laka humhim turin theihtawp a chhuah thin. Entirnan, chair-a i kut zungtang i bump hian i zuang leh thin a ni lawm ni? Chutiang chuan thluak hian a venghim che a ni.
Nociceptive pain thlentu ber
Taksa tissue a chhiat apiang hian he natna hi a thlen thei a ni. Hei hi entirnan thenkhat chu:
- Taksa accident: tlu, bump, cut, hliam, ruh tliak.
- Surgery: Eng surgery pawh hnua natna.
- Kang: Thil lum khawih emaw, taksaa chemical awm emaw atanga lo chhuak.
- Inflammation: Arthritis ang chi natna avanga ruh natna.
- Infection: Bacteria leh virus ang chi thil avanga natna.
- Sprains emaw strains: Infiamna khelh laiin i ke ruh roll ang chi thil.
He natna hi engtin nge kan enkawl ang?
Natna enkawl dan chu a chhan leh a hliam nasat danah a innghat a ni.
- Hliam a nih chuan a niUluk takin silfai la, damdawi leh bandage hnawih bawk ang che.
- Kut emaw ke emaw a tliak emaw a hliam emaw a nih chuan cast emaw sling/brace emaw hman thin a ni .
- Tui lum bottle emaw ice pack emaw a natna hmunah hnawih .
- Chawlh tha la , hna hahthlak tak tak pumpelh rawh.
- Thil engemaw takah chuan taksa lam enkawlna a ngai thei bawk.
- Doctor-in a pek painkiller ei.
In lama thil tih theih ang bawkin, a châng chuan doctor pan a ngai ṭhin. A bik takin a natna a nasat chuan doctor nen inbia ang che. A hrehawmna chu tuar a ngai lo.
Doctor hmuh hun tha ber berte chu engte nge ni?
Natna tenau te, hliam tenau ang mai hian ni engemaw zat hnuah a bo mai thin. Mahse, a hnuaia thil thlengah hian damdawi lam thurawn i la ngei tur a ni.
- Natna tuar theih loh a awm chuan .
- Ni engemaw zat emaw kar tam tak emaw a natna a awm reng chuan .
- Enkawlna nei chung pawhin a natna a lo lang leh a nih chuan.
- In lama ei tur painkiller a tlakchham loh chuan .
- Accident hnua natna nasa tak i neih chuan , damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh.
Natna hi min tithinur viau nachungin kan taksa invenna system-ah a tel ve a ni. "Hetah hian thil dik lo a awm a, ngaihven rawh," tiin min hrilh a ni. Chuvangin hrehawmna hi ngaihthah suh.
Take-Home Thuchah a ni
- Nociceptive pain hi taksa atanga hlauhawm emaw tissue tihchhiat emaw a awm tih hriattirna signal a ni. Hei hi thil pangngai a ni.
- He natna hi localized (somatic) emaw taksa chhung atanga lo chhuak a ni thei a, localized (visceral) a ni thei lo.
- Enkawl dan tur chu natna thlentuah a innghat a, chawlh hahdam awlsam atanga damdawi lam enkawlna thlengin a awm thei.
- Natna nasa tak, awm reng, enkawl ni mah se, a lo lang leh ṭhin chu ngaihthah ngai suh. I doctor nen inbia ngei ang che.
- "Natna chu khelh tir suh. Ṭanpuina dil rawh." I tanpui thei tur enkawlna a awm.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Thawmhnaw pangngai lo (Sweating / Hyperhidrosis / Diaphoresis) tih hi eng nge ni?
Sweating hi thil pangngai tak a ni a, gym-a workout emaw, ni lum kara i chhuah emaw hian a thleng thin. Mahse he dinhmun (Diaphoresis) hi i thawmhnaw tam lutuk hian a ni a, AC chhunga lumna awm lovin i awm pawhin a ni. ‘Hyperhidrosis’ hi dam chhung zawnga i kutphah, ke, leh kekawrte atanga chhan hriat loha thawkrim lutuk a ni!
💬 Hetianga chhan awm lova thawmhnaw (diaphoresis) awm chhan berte chu engte nge ni?
Hei hi a chhan lian tak tak engemaw zat a awm a, chungte chu: 1) ‘Heart Attack’ - Heart muscle thihna chhinchhiahna lian ber leh pawimawh ber chu he thawmhnaw danglam tak hi a ni! 2) Thisen sugar zero-a tlahniam (Hypoglycemia / Diabetic coma). 3) Hmeichhiaah Menopause / Hot flashes - Hormone a tlahniam chuan taksa a lum a, a thawk a hah. 4) Thyroid hnathawh dan pangngai lo taka rang (Hyperthyroidism). 5) Malaria/Tuberculosis (Infections/TB) natnaah zan lama thawk hah.
💬 Thawmhnaw hak lai hian fan vuah lova damdawi in pan nghal/Ambulance koh nghal tur 'fatal/emergency' te chu engte nge ni?
Khaw lum laia i thawmhnaw hak chuan tui/tui tam tak in thin ang che. Mahse, a hlauhawm ber chu! I inbual laiin hetiang hian i thawk a, 1) tuar theih loh khawpin i rilru na/heart attack i nei a, 2) thawk harsatna i nei a, 3) i kut veilam emaw, i hmui hnuaiah emaw na i nei a, 4) i luak chhuak a, i muhil a nih chuan damdawi in emergency room-ah i kal nghal tur a ni a, a chhan chu coma-ah i lut a, minute tlemte chhungin i thi thei a ni!
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