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Ngaba nawe uziva uqaqanjelwa nje? Isenokuba yiCentral Pain Syndrome!

Ngaba nawe uziva uqaqanjelwa nje? Isenokuba yiCentral Pain Syndrome!

Ngaba ngamanye amaxesha uziva iintlungu kwiindawo ezahlukeneyo zomzimba wakho ngaphandle kwesizathu? Mhlawumbi iintlungu bezikho ixesha elide kwaye azipheli. Okanye ngaba ngequbuliso uziva ungenamdla, uneenaliti, okanye uziva utshile? Ukuba ukhe waba namava anjalo, kuya kuba baluleke kakhulu kuwe ukwazi ngale meko ibizwa ngokuba yiCentral Pain Syndrome (CPS) , esiza kuthetha ngayo namhlanje.

Yintoni iCentral Pain Syndrome?

Ngamafutshane, iCentral Pain Syndrome (CPS) yimeko apho intlungu ivakala khona rhoqo, oko kukuthi , ngokungapheliyo, ngenxa yengxaki kwinkqubo yethu yemithambo-luvo . Umzekelo, ukuba kukho umonakalo engqondweni okanye emgogodleni , okanye ukuba sibuhlungu ixesha elide kwaye inkqubo yethu yemithambo-luvo ayisebenzi kakuhle, le meko inokwenzeka.

Le yindlela esebenza ngayo. Xa ingqondo okanye iiseli zemithambo-luvo zonakele, iiseli ezonakeleyo azisebenzi kakuhle kwaye ziqala ukuthumela imiqondiso yentlungu ngalo lonke ixesha. Okanye, ngenxa yentlungu eqhubekayo, iiseli zethu zemithambo-luvo ziba novelwano kakhulu kwimiqondiso yentlungu. Emva koko, ezo seli zinokuthumela imiqondiso yentlungu ngempazamo nokuba akukho ntlungu, okanye zinokude zichaze ezinye izibonakaliso njengentlungu.

Ukunyanga le meko ngamanye amaxesha kunokuba nzima kancinci. Nokuba usebenzisa amayeza aqhelekileyo okudambisa iintlungu, kwaye ngamanye amaxesha kwanamayeza anamandla e-opioid , le ntlungu isenokungapheli. Kodwa, ungakhathazeki. Oogqirha ngoku bafumene unyango olutsha kunye namayeza oku. Bakwazile ukunceda abantu abaninzi abanengxaki le.

Ngaba oku kuyafana ne-fibromyalgia?

I-CPS kunye ne -fibromyalgia azifani. Kodwa kunokubakho unxibelelwano phakathi kwezi zimbini. I-Fibromyalgia yimeko yentlungu engapheliyo echaphazela amalungu akho kunye nemisipha. Abantu abane -fibromyalgia banamathuba amaninzi okuba ne-CPS. Oku kungenxa yokuba iintlungu ezingapheliyo zitshintsha indlela esebenza ngayo inkqubo yabo yemithambo-luvo.

Ngubani onokuthi aphuhlise oku ngakumbi?

Nabani na oye wonzakala kwinkqubo yemithambo-luvo ephakathi, oko kukuthi, ingqondo okanye umqolo, unokuba ne-CPS. Ingakhula nakubani na ohlushwa yintlungu engapheliyo. Abantu abaneengxaki ezithile zemithambo-luvo banamathuba amaninzi okuba nayo. Umzekelo:

  • Phakathi kwe-8% kunye ne-10% yabantu abaye baba nestroke .
  • Phakathi kwama-20% nama-40% abantu abenzakeleyo emgogodleni .
  • Malunga nama-30% abantu abane- multiple sclerosis .

Ixhaphake kangakanani le meko?

Kuqikelelwa ukuba malunga nezigidi ezisi-7 zabantu kwihlabathi liphela banesifo esinjalo.

Zithini iimpawu ze-central pain syndrome?

Nge-CPS, ungabona utshintsho oluninzi kwindlela oziva ngayo iintlungu:

  • Apho ibuhlungu khona: Indawo ekuyo intlungu ixhomekeke ekubeni leliphi icala lenkqubo yemithambo-luvo elichaphazelekileyo.
  • Xa kubuhlungu: Intlungu ye-CPS idla ngokuhlala ihleli . Nangona kunjalo, kwabanye abantu inokuza idlule. Okumangalisayo kukuba le ntlungu yenzeka ngaphandle kwengozi okanye ukwenzakala emzimbeni.
  • Ubunzima bentlungu: Intlungu idla ngokuqala kwephakathi ukuya kwenkulu. Kwabanye abantu, inokuphela kancinci ngamanye amaxesha ize ibuye kwakhona.
  • Utshintsho kwindlela yokuchukumisa: Abantu abane-CPS bafumana utshintsho kwindlela abaziva ngayo xa bechukumisa. Oku kunxulumene nentlungu. Oku kunokubangela ukuziva ngathi abananto okanye iinaliti (paresthesia) .
  • Ixesha lokuqala: I-CPS ingaqalisa iiveki, iinyanga, okanye iminyaka emva kokugula, ingozi, okanye esinye isiganeko esifanelekileyo.
  • Iimpembelelo zokusingqongileyo: Intlungu ye-CPS inokwenziwa mandundu yimozulu ebandayo, ixhala, uxinzelelo , okanye ukothuka ngequbuliso. Umgangatho womsebenzi wakho womzimba unokuchaphazela nentlungu.
  • Umlinganiselo wakho weentlungu: Okumangalisayo kukuba, abantu abane-CPS ngamanye amaxesha banokuba namandla okunyamezela iintlungu zangaphandle, ezaziwa ngokuba ngumlinganiselo wabo weentlungu . Oku kuthetha ukuba into enokulimaza umntu oqhelekileyo isenokungabangeli buhlungu ngokukhawuleza.

Indlela yokuchaza intlungu

Abantu abane-CPS badla ngokuchaza iintlungu zabo ngeendlela ezifanayo. Iinkcazo eziqhelekileyo zezi:

  • Njengokutshisa.
  • Njengokuhlatywa yinto ebukhali.
  • Kufana nokukrwela kakubi.
  • Ndindisholo kabuhlungu, njengokuhlaba
  • Intlungu enzulu evela ngaphakathi emzimbeni, kwimisipha
  • Kuvakala ngathi kukucinezela, njengokuqina.
  • Njengokusika, njengokusasaza

Ezinye iingxaki eziza nale meko

Ukuphila nentlungu eqhubekayo kunokuba nefuthe elikhulu kwimpilo yengqondo yomntu. Ngenxa yoko, abantu abaneengxaki zentlungu ezifana ne-CPS banokufumana oku kulandelayo:

  • Ixhala
  • Ukudakumba ( mhlawumbi kunye neengcinga zokuzibulala)
  • Ukulahlekelwa yinkumbulo, inkungu yengqondo
  • Ukudinwa okanye ukudinwa rhoqo
  • Ubunzima bokulala

Yintoni ebangela le meko?

Kukho izizathu ezibini eziphambili zokuba i-central pain syndrome ivele: ukwenzakala okanye umonakalo engqondweni yakho okanye emgogodleni, okanye intlungu engapheliyo eqhubekayo.

Iimeko ezingonakalisa ingqondo okanye umqolo

Kukho iimeko ezahlukeneyo ezinokonakalisa ingqondo kunye nomqolo. Ezinye zazo zixhaphake kakhulu kunezinye:

  • Umhlaza wobuchopho okanye iithumba ezingengozini .
  • Utyando lwengqondo okanye utyando lomqolo .
  • Ukubetheka okanye ukwenzakala kwengqondo okubuhlungu .
  • Iimeko zokuwohloka okanye zokudumba, ezifana ne -multiple sclerosis okanye isifo sikaParkinson .
  • Iimeko zokuxhuzula kunye neemeko zokuxhuzula ezingezizo ezoxhuzula.
  • Iintsholongwane.
  • Ukulimala komqolo .
  • Istroke .

Cinga nje, kukho abantu abaye baba nengozi yemoto okanye bawa kwiminyaka emininzi eyadlulayo baza benzakala umqolo wabo. Emva kwexesha elithile, umntu onjalo unokuba nolu hlobo lwentlungu enzima. Isizathu soko kukonakala komqolo.

Iimeko ezibangela iintlungu ezingapheliyo

Nasiphi na isifo esibangela iintlungu ezingapheliyo sinokubangela i-CPS. Ngenxa yoko, oogqirha baye badibanisa i-CPS neemeko ezininzi ezinxulumene neentlungu ezingapheliyo. Ezinye zezi ziquka:

  • Iimeko ezinxulumene nesifo samathambo , umzekelo i-osteoarthritis .
  • Umqolo obuhlungu .
  • Umhlaza .
  • Isifo sokudinwa okungapheliyo .
  • Intlungu engapheliyo yesinqe .
  • I-Complex regional pain syndrome (CRPS) .
  • I-Fibromyalgia .
  • Iimeko zokudumba ezifana ne -rheumatoid arthritis , i-psoriatic arthritis , i-lupus, okanye i-Sjögren's syndrome .
  • Isifo samathumbu esirhawuzelelayo .
  • Intlungu yamalungu .
  • Iintloko ezibuhlungu .
  • I-peripheral neuropathy (oku kubangelwa kakhulu sisifo seswekile sohlobo lwesibini) .
  • I-postherpetic neuralgia - iintlungu ezibangelwa kukonakala kwemithambo-luvo okubangelwa yi-shingles .
  • Iingxaki ze-temporomandibular joint (TMJ) .

I-genetics

Ezinye izifundo zifumanise ukuba ii-genes zidlala indima ekuphuhlisweni kwe-central pain syndrome. Ngokukodwa, ukuba umntu kusapho lwakho - oko kukuthi, umama wakho, utata wakho, abantakwenu, okanye abantwana bakho - unesi sifo, umngcipheko wakho wokufumana olu hlobo lwesifo sentlungu unokuba phezulu ngokuphindwe kasibhozo kunezinye! Kodwa utshintsho oluchanekileyo lwe-genetic olubangela oku alukachongwa okwangoku.

Le meko ichaphazela njani umzimba wam?

Enye indlela yokucinga ngentlungu kunye nemiphumo yayo kukucinga ngomzimba wakho njengesakhiwo esikhulu nesintsonkothileyo. Emva koko, inkqubo yethu yemithambo-luvo, eva kwaye iqhuba iintlungu emzimbeni wonke, ifana nenkqubo yesilumkiso somlilo kweso sakhiwo. Xa inkqubo yemithambo-luvo iva ukuba kukho ukwenzakala okanye umonakalo kwindawo ethile emzimbeni, ivakala ngolu hlobo 'lwentsimbi' ukusazisa ukuba kukho ingxaki.

Kukho iintlobo ezimbini zentlungu:

  • Intlungu ebukhali: Le yindlela umzimba wakho osabela ngayo kwisifo okanye ukwenzakala. Iyaphela kwisithuba seenyanga ezintathu okanye ngaphantsi njengoko uphola okanye ukwenzakala kuphola.
  • Intlungu engapheliyo: Ukuba intlungu ebukhali iqhubeka iinyanga ezintathu ukuya kwezintandathu, iba yintlungu engapheliyo.

Inkqubo eqhelekileyo yentlungu

Kuyo yonke imizimba yethu, njengenethiwekhi yezixhobo zokubona umsi okanye izixhobo zokubona ubushushu kwinkqubo yesilumkiso somlilo, kukho iziphelo zemithambo-luvo ezibuthathaka kwizinto ezahlukeneyo ezibangela iintlungu. Xa iiseli ezikufutshane zonakele, ezinye zezi mpawu zesilumkiso sekhemikhali zikhutshwa zingene egazini. Iziphelo zemithambo-luvo yakho zibona ezo khemikhali kwaye zithumele imiqondiso ephambili engqondweni yakho ngentambo yomqolo. Ingqondo itolika ezo mpawu njengentlungu kwaye ithumela imiqondiso kwezinye iindawo zengqondo ukuze ithathe inyathelo lokukukhusela. Umzekelo, ukuba isandla sakho sichukumisa into eshushu ngokwaneleyo ukuba ikutshise, iziphelo zemithambo-luvo zibona ezo mpawu kwaye zithumele imiqondiso engqondweni yakho, ngoko ke ukhawuleza utsale isandla sakho.

Kwenzeka ntoni nge-central pain syndrome?

I-Central pain syndrome ifana nokungasebenzi kakuhle kwenkqubo yesilumkiso somlilo emzimbeni wakho. Ezi ngxaki zinokuba ngeendlela ezininzi.

Utshintsho olubangelwa kukwenzakala okanye umonakalo

I-Central pain syndrome ebangelwa kukwenzakala okanye umonakalo ichaphazela indawo ngokwahlukileyo:

  • Ubuchopho: Ukonakala kwengqondo kunokubangela iingxaki kwindlela ingqondo esebenza ngayo imiqondiso yentlungu. Oku kunokubangela ukuba ingqondo ingasebenzi kakuhle kwaye ithumele imiqondiso ngokungathi kukho into ebangela intlungu emzimbeni.
  • Intambo yomqolo: Imiqondiso emininzi esuka kwiindawo zomzimba ukuya engqondweni kufuneka ifikelele kwintambo yomqolo ngaphambi kokuba ifikelele kwingqondo. Ukuba intambo yomqolo yonakele, iiseli zemithambo-luvo ezichaphazelekayo zinokungasebenzi kakuhle kwaye zithumele imiqondiso yentlungu evakala ngathi isentlungwini. Le miqondiso ayiveli kwingozi yokwenyani (kodwa iyinyani).

Utshintsho olubangelwa yintlungu engapheliyo

Umzimba wakho ubeka phambili iimpawu zentlungu kuba zifuna ukukukhusela kwingozi engaphezulu. Kodwa xa unentlungu engapheliyo, inkqubo yakho yemithambo-luvo kufuneka iqhubeke nokucubungula ezi zimpawu zibalulekileyo rhoqo kwaye ixesha elide kunesiqhelo.

Ekuhambeni kwexesha, indlela inkqubo yakho yemithambo-luvo kunye nenkqubo yobuchopho bakho iqalisa ukutshintsha. Ngokwesiqhelo, inkqubo yemithambo-luvo iba novelwano kakhulu kwintlungu, okanye iba novelwano kangangokuba itolika iimpawu ezingebuhlungu njengentlungu.

  • I-Hyperalgesia: Eli ligama lesiGrike elithetha 'intlungu egqithisileyo'. Okwenzekayo apha kukuba inkqubo yemithambo-luvo yandisa iimpawu zentlungu, nto leyo eyenza intlungu ibe mandundu kunokuba injalo ngokwenene.
  • I-Allodynia: Eli ligama lesiGrike elithetha 'ezinye iintlungu'. Oku kuxa into engebuhlungu, njengokuchukumisa okuqhelekileyo, ibonwa njengentlungu ngenxa yesiphene kwinkqubo yemithambo-luvo ekukwazini ukuthumela, ukufumana, okanye ukuqhuba imiqondiso. Umzekelo, xa ilaphu lichukumisa umzimba, libangela iintlungu ezinganyamezelekiyo.

Ngenxa yokuba iintlungu zichaphazela ezinye iinkqubo zomzimba wakho, ingakumbi iihomoni zakho, inkqubo yomzimba yokuzikhusela, kunye neenkqubo zokuzilungisa, iintlungu ezingapheliyo kunye ne-CPS zinokuphazamisa indlela ezisebenza ngayo ezo nkqubo. Zinokuchaphazela nenkqubo yakho ye-endocrine , zibangele izinto ezifana neengxaki ze-adrenal .

Ifunyaniswa njani le meko?

I-Central Pain Syndrome (CPS) ngamanye amaxesha inokuba nzima ukuyixilonga kuba intlungu ifunyanwa ngendlela eyahlukileyo ngumntu wonke. Ke ngoko, ugqirha kuya kufuneka aqokelele ulwazi oluneenkcukacha malunga nentlungu yakho. Oku kunokuquka:

  • Indawo: Ivela phi intlungu ? Ingaba intlungu ikwindawo enye, okanye ikwicala elinye lomzimba kuphela?
  • Inkcazo yentlungu: Injani intlungu? Ingaba iyatshisa? Ingaba iyahlaba?
  • Ixesha: Intlungu iqale nini? Ingaba intlungu yenzeka ngexesha elithile losuku okanye ngexesha elithile losuku?
  • Iziphumo ezivela kwiimeko zangaphandle: Ngaba iintlungu ziyatshintsha ngokuxhomekeke kwindawo okuyo (umz., ubushushu bomoya, ingxolo, uxinzelelo okanye ixhala ebomini bakho)?
  • Imbali yezonyango: Ngaba kukho naziphi na izinto ezenzekileyo, iingxaki, okanye iimeko zempilo ezinokubangela le ntlungu?
  • Ezinye iimpawu: Ngaba kukho ezinye iimpawu onazo? Nokuba zibonakala ngathi azinanto yakwenza nentlungu, nceda uzikhankanye. Ngaba kukho ukudumba okujikeleze indawo yentlungu, ukuthamba, okanye naziphi na ezinye iimpawu?

Zeziphi iimvavanyo ezenziwayo ukuze kufunyaniswe esi sifo?

Ngokuxhomekeke kwimeko, oogqirha banokuyalela uvavanyo lokuxilonga, lokuthatha imifanekiso, okanye lwelebhu. Uvavanyo lwelebhu ludla ngokwenziwa ukujonga isifo esingaziwayo sokudumba okanye isifo sokuzikhusela komzimba esinokubangela intlungu yakho. Ugqirha wakho unokukuchazela ngqo ukuba zeziphi iimvavanyo ezicetyiswayo kwimeko yakho ethile kunye nemeko yakho, kunye nesizathu sokuba zicetyiswe.

Ukuba i-central pain syndrome ibangelwa kukwenzakala kwengqondo okanye umqolo, uvavanyo oluthile lokuxilonga kunye nolwemifanekiso lunokunceda ekuxilongeni. Olu vavanyo luquka:

  • I-Electroencephalography (EEG) .
  • Umzobo weMagnetic Resonance (MRI) .
  • I-Magnetoencephalography (MEG) .
  • Iskeni sePositron Emission Tomography (PET) .

Kukho olunye uhlobo olukhethekileyo lovavanyo lwe-MRI olunokunceda kwiimeko ezinje. Lubizwa ngokuba yi- “functional MRI (fMRI).” Lunokufumanisa nokusebenza kwengqondo yakho, oko kukuthi, nokuba iindawo ezahlukeneyo zengqondo ziyasebenza okanye azisebenzi.

Inyangwa njani i-CPS? Ngaba inganyangeka?

Okwangoku akukho nyango lwe-central pain syndrome. Nangona kunjalo, kukho iindlela ezininzi zonyango. Ukuba i-CPS ibangelwa yimeko yezonyango engaphantsi komhlaba, ukunyanga okanye ukunyanga loo meko ingaphantsi komhlaba kunokunceda kwi-CPS.

Amayeza

Izicwangciso ezininzi zonyango ziqala ngeentlobo ezahlukeneyo zemithi yokunciphisa iintlungu, ukusuka kwimithi engeyiyo i-steroidal anti-inflammatory (NSAIDs ) efana ne -aspirin okanye i-ibuprofen ukuya kwimithi yokunciphisa iintlungu ewela kudidi lwezinto ezilawulwayo ezifana nee-opioids .

Nangona kunjalo, uninzi lwala mayeza aqhelekileyo okudambisa iintlungu, kwanalawo anamandla e-opioid , adla ngokungasebenzi kakuhle ekunyangeni i-CPS. Ukuba azisebenzi, oogqirha banokuzama elinye okanye ngaphezulu kwala mayeza alandelayo (ewodwa okanye xa edibene):

  • Amayeza okuxhuzula, umzekelo i-gabapentin okanye i-lamotrigine .
  • IiSerotonin-Norepinephrine Reuptake Inhibitors (iiSNRI) ngamayeza asetyenziselwa ukunyanga uxinzelelo, njenge- duloxetine kunye ne -venlafaxine .
  • Olunye uhlobo lwe-antidepressant lubizwa ngokuba yi -tricyclic antidepressants (TCAs) , umzekelo i-amitriptyline okanye i-nortriptyline .
  • Amayeza afika ngohlobo lweekhrimu okanye amabala ayenza buthathaka umphezulu wolusu, umzekelo i-lidocaine .

Kukwakho nonyango oluthile oluvavanyiweyo. Basebenzisa iziyobisi ezidumileyo ekusetyenzisweni ngokuzonwabisa, kodwa zisaphandwa. Ezi zisenokuba yinxalenye yonyango oluqhelekileyo lwe-CPS ngenye imini:

  • Intsangu (intsangu yezonyango) .
  • Inaliti yeKetamine .

Iindlela ezingezizo ezamayeza

Kukho iindlela ezahlukeneyo ezingezizo ezonyango, ezinye zivunyiwe, ezinye zisesekwinqanaba lophando, ezinokunceda kwi-CPS. Nazi imizekelo embalwa:

  • Unyango lwe-acupuncture .
  • Ukukhuthazwa Kobuchopho Obunzulu (i-DBS) .
  • I-Microcurrent eQhelekileyo (i-FSM) .
  • Ukukhuthazwa kweMagnetic yeTranscranial (TMS) .
  • Ukukhuthazwa kweMithambo yoMbane eGuqukileyo (i-TENS) .

Ezinye iindlela zonyango

Ngenxa yokuba iingxaki zempilo yengqondo zihlala zenzeka kunye neemeko zentlungu, oogqirha badla ngokubandakanya iindlela zempilo yengqondo kwizicwangciso zonyango lwe-CPS. Umzekelo, unyango lokuziphatha kwengqondo (i-CBT) lunokukunceda ufunde izakhono zokujongana neengxaki zempilo yengqondo ezihlala zihamba ne-CPS.

Unyango lomzimba lunokukunceda ulungelelane nemeko yakho. Lunokuphucula amandla emisipha yakho, ukuguquguquka kwayo, kunye nokulungelelaniswa kwayo.

Iingxaki/iziphumo ebezingalindelekanga zonyango ziyahluka kakhulu ngokuxhomekeke kunyango olufumanayo. Ugqirha wakho angakunika umbono olungileyo wento omawuyilindele.

Ndingazinyamekela njani okanye ndilawule njani iimpawu zam?

I-CPS ayisiyongxaki onokuyixilonga wedwa. Ngoko ke, ayisiyongcinga ilungileyo ukuzama ukuyinyanga ngokwakho. Ukuba ucinga ukuba unayo le meko, kufuneka ubone ugqirha. Angayixilonga imeko yakho aze akuthumele kunyango olufanelekileyo.

Indlela endiziva ngcono ngayo ngokukhawuleza emva konyango iyahluka kumntu nomntu. Buza ugqirha wakho malunga nonyango lwakho kunye nexesha lokuchacha. Angakuxelela kanye into omawuyilindele ngokusekelwe kwimeko yakho ethile .

Iyintoni ikamva lale meko?

I-Central pain syndrome inokuba nefuthe elikhulu kumgangatho wobomi bakho, ingakumbi amandla akho okwenza izinto ozithandayo.

Imbonakalo yale meko ixhomekeke kakhulu ekubeni yintoni unobangela oyintloko. Xa kukho unobangela ongundoqo onokunyangwa, ezinye zeziphumo zale meko zinokunyangeka okanye ziguqulwe.

Xa unobangela oyintloko ungenakunyangwa, eyona nto ingcono onokuyenza kukuphatha iimpawu ze-CPS nokuzithintela ukuba zingabi mandundu.

Kubalulekile nokuqaphela imeko kwangethuba uze uqale unyango. Kubalulekile nokubona ingcali yezempilo yengqondo, ukuba kuyimfuneko kwaye icebisekile. Oku kungenxa yokuba abantu abanale meko basengozini enkulu yokuba nexhala kunye nokudakumba, kunye nomngcipheko omkhulu wokuzibulala.

I-Central pain syndrome idla ngokuba yimeko engapheliyo. Kwezinye iimeko, iziphumo zinokuguqulwa, kuxhomekeke kwisizathu kunye nokuba ufumana unyango ngokukhawuleza kangakanani.

Ndingayithintela njani le nto ukuba ingenzeki, okanye ndinciphise umngcipheko?

I-CPS ikhula ngokungalindelekanga kwaye iphenjelelwa zizinto ezininzi ongenakukwazi ukuzilawula. Ke ngoko, le meko ayinakuthintelwa.

Xa i-central pain syndrome ikhula ngenxa yokwenzakala okanye umonakalo engqondweni okanye emgogodleni, akukho nto ingako onokuyenza ukunciphisa umngcipheko wokuba nayo. Ukunxiba izixhobo zokuzikhusela kunye nezixhobo zokuthintela ukwenzakala entloko nasemqolo kunokunceda ukunciphisa umngcipheko wakho ngandlela thile ngokuthintela ukwenzakala okunokukhokelela kwi-CPS.

Eyona ndlela ilungileyo yokunciphisa umngcipheko wakho wokuba ne-CPS enxulumene neentlungu ezingapheliyo kukufuna unyango lwazo naziphi na iimeko ezinokubangela iintlungu. Kubalulekile nokulandela imiyalelo kagqirha wakho xa unyanga ezo meko. Ukwenza zombini kunokunceda ukunciphisa umngcipheko wakho wokuba nentlungu engapheliyo enokukhokelela kwi-CPS kwixesha elizayo.

Ndingazinyamekela njani?

Ukuba unesifo sentlungu esiphakathi, kufuneka ulandele imiyalelo kagqirha wakho ukuze uzinyamekele kwaye unyange imeko yakho. Ezona zinto zilungileyo onokuzenza zezi:

  • Sela amayeza akho njengoko uyalelwe.
  • Ziphephe izenzo okanye iimeko eziyandisa intlungu yakho.
  • Musa ukuyityeshela impilo yakho yengqondo.

Ndifanele ndimbone nini ugqirha wam?

Ufanele ubonane nogqirha wakho njengoko kucetyisiwe. Kusenokwenzeka ukuba uza kucwangcisa amadinga okulandela ukuze abone ukuba uqhuba njani aze alungise unyango lwakho ukuba kuyimfuneko. Ufanele ubonane nogqirha wakho ukuba ubona naluphi na utshintsho kwiimpawu zakho, ingakumbi ukuba zitshintsha ngokukhawuleza okanye ukuba ziphazamisana nemisebenzi yakho yesiqhelo kunye nesiqhelo.

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Kufuneka ufune uncedo lonyango olungxamisekileyo ukuba iimpawu zakho zitshintsha kwixesha elifutshane, okanye ukuba ziba nzima kakhulu. Oku kuyinyani ngakumbi ukuba uneempawu zestroke kunye neempawu zakho ze-CPS. Ugqirha wakho angakuxelela nangazo naziphi na iimpawu okanye iimpawu ezikungqongileyo ezinokubonisa ukuba kufuneka ufune uncedo lonyango olungxamisekileyo.

Okokugqibela, izinto ekufuneka uzikhumbule

I-Central pain syndrome (CPS) yimeko enzima enokuba nefuthe elikhulu ebomini bakho. Ingakubangela uxinzelelo kunye nentlungu, kwaye inokukunciphisa amandla akho okuphila ubomi obufunayo. Nangona i-central pain syndrome inegama elibi lokuba kunzima ukuyinyanga, abaphandi ngoku baphuhlisa unyango olusebenzayo, amayeza kunye neendlela zokuyinyanga. Njengoko uphando luqhubeka, kunokuvela ezinye iindlela zokunyanga le meko. Oku kuya kuzisa ithemba kunye nokukhululeka kwabo bahluphekileyo yile meko. Ke, ukuba unezi mpawu, kungcono ungoyiki, kodwa ubone ugqirha ngokukhawuleza.

👩🏽‍⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)

💬 Ngaba iCentral Pain Syndrome sisifo esibangela iintlungu eziqatha ngaphandle kokwenzakala emzimbeni?

Ewe! Esi sisifo esibuhlungu kakhulu nesingenakucingelwa. Awunanxeba okanye unzakele engalweni okanye emlenzeni. Kodwa ngenxa yomonakalo omkhulu engqondweni (inkqubo yemithambo-luvo), ingqondo ngokwayo ivelisa imiqondiso yentlungu ngokungekho mthethweni, ebangela 'iintlungu ezibuhlungu' kuwo wonke umzimba okanye isiqingatha somzimba. Oku kubizwa ngokuba yimeko engaqhelekanga.

💬 Kwenzeka ntoni engqondweni ebangela ukuba inike imiqondiso yentlungu engeyonyani ngolu hlobo?

Oku kwenzeka rhoqo kubantu abaye bahlaselwa sistroke esinzima. Kunokwenzeka ngequbuliso emva kweenyanga ezimbalwa xa ithalamus yonakaliswe sistroke. Kunokwenzeka nakubantu abane-multiple sclerosis (MS), isifo sikaParkinson, kunye nokwenzakala komqolo.

💬 Ngaba ukuthatha amayeza okudambisa iintlungu rhoqo (iiPanadol / iiPanadol) bekungayi kwanela oku?

Awusoze! Esi sisifo sokuphazamiseka kwengqondo, ngoko ke asiyi kuncitshiswa ziipilisi zentlungu eziqhelekileyo okanye iipilisi zentlungu ezinamandla (ii-Opioids). Ukuze uzole imithambo-luvo engqondweni, kufuneka uqhubeke nokuthatha amayeza okuthomalalisa ukuxhuzula (iPregabalin/Gabapentin) okanye amayeza okudakumba (i-Amitriptyline) njengoko ugqirha wakho ekuyalele.


I- Central Nerve Pain Syndrome, I-Central Pain Syndrome, Intlungu Engapheliyo, Inkqubo Yeemvakalelo, Iingxaki Zobuchopho, Iingxaki Zentambo Yomgogodla, Ulawulo Lweentlungu

Frequently Asked Questions (FAQ)

Kwenzeka ntoni nge-central pain syndrome?

I-Central pain syndrome ifana nokungasebenzi kakuhle kwenkqubo yesilumkiso somlilo emzimbeni wakho. Ezi ngxaki zinokuba ngeendlela ezininzi.

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Ngaba nawe uziva uqaqanjelwa nje? Isenokuba yiCentral Pain Syndrome!

Ngaba nawe uziva uqaqanjelwa nje? Isenokuba yiCentral Pain Syndrome!

Ngaba ngamanye amaxesha uziva iintlungu kwiindawo ezahlukeneyo zomzimba wakho ngaphandle kwesizathu? Mhlawumbi iintlungu bezikho ixesha elide kwaye azipheli. Okanye ngaba ngequbuliso uziva ungenamdla, uneenaliti, okanye uziva utshile? Ukuba ukhe waba namava anjalo, kuya kuba baluleke kakhulu kuwe ukwazi ngale meko ibizwa ngokuba yiCentral Pain Syndrome (CPS) , esiza kuthetha ngayo namhlanje.

Yintoni iCentral Pain Syndrome?

Ngamafutshane, iCentral Pain Syndrome (CPS) yimeko apho intlungu ivakala khona rhoqo, oko kukuthi , ngokungapheliyo, ngenxa yengxaki kwinkqubo yethu yemithambo-luvo . Umzekelo, ukuba kukho umonakalo engqondweni okanye emgogodleni , okanye ukuba sibuhlungu ixesha elide kwaye inkqubo yethu yemithambo-luvo ayisebenzi kakuhle, le meko inokwenzeka.

Le yindlela esebenza ngayo. Xa ingqondo okanye iiseli zemithambo-luvo zonakele, iiseli ezonakeleyo azisebenzi kakuhle kwaye ziqala ukuthumela imiqondiso yentlungu ngalo lonke ixesha. Okanye, ngenxa yentlungu eqhubekayo, iiseli zethu zemithambo-luvo ziba novelwano kakhulu kwimiqondiso yentlungu. Emva koko, ezo seli zinokuthumela imiqondiso yentlungu ngempazamo nokuba akukho ntlungu, okanye zinokude zichaze ezinye izibonakaliso njengentlungu.

Ukunyanga le meko ngamanye amaxesha kunokuba nzima kancinci. Nokuba usebenzisa amayeza aqhelekileyo okudambisa iintlungu, kwaye ngamanye amaxesha kwanamayeza anamandla e-opioid , le ntlungu isenokungapheli. Kodwa, ungakhathazeki. Oogqirha ngoku bafumene unyango olutsha kunye namayeza oku. Bakwazile ukunceda abantu abaninzi abanengxaki le.

Ngaba oku kuyafana ne-fibromyalgia?

I-CPS kunye ne -fibromyalgia azifani. Kodwa kunokubakho unxibelelwano phakathi kwezi zimbini. I-Fibromyalgia yimeko yentlungu engapheliyo echaphazela amalungu akho kunye nemisipha. Abantu abane -fibromyalgia banamathuba amaninzi okuba ne-CPS. Oku kungenxa yokuba iintlungu ezingapheliyo zitshintsha indlela esebenza ngayo inkqubo yabo yemithambo-luvo.

Ngubani onokuthi aphuhlise oku ngakumbi?

Nabani na oye wonzakala kwinkqubo yemithambo-luvo ephakathi, oko kukuthi, ingqondo okanye umqolo, unokuba ne-CPS. Ingakhula nakubani na ohlushwa yintlungu engapheliyo. Abantu abaneengxaki ezithile zemithambo-luvo banamathuba amaninzi okuba nayo. Umzekelo:

  • Phakathi kwe-8% kunye ne-10% yabantu abaye baba nestroke .
  • Phakathi kwama-20% nama-40% abantu abenzakeleyo emgogodleni .
  • Malunga nama-30% abantu abane- multiple sclerosis .

Ixhaphake kangakanani le meko?

Kuqikelelwa ukuba malunga nezigidi ezisi-7 zabantu kwihlabathi liphela banesifo esinjalo.

Zithini iimpawu ze-central pain syndrome?

Nge-CPS, ungabona utshintsho oluninzi kwindlela oziva ngayo iintlungu:

  • Apho ibuhlungu khona: Indawo ekuyo intlungu ixhomekeke ekubeni leliphi icala lenkqubo yemithambo-luvo elichaphazelekileyo.
  • Xa kubuhlungu: Intlungu ye-CPS idla ngokuhlala ihleli . Nangona kunjalo, kwabanye abantu inokuza idlule. Okumangalisayo kukuba le ntlungu yenzeka ngaphandle kwengozi okanye ukwenzakala emzimbeni.
  • Ubunzima bentlungu: Intlungu idla ngokuqala kwephakathi ukuya kwenkulu. Kwabanye abantu, inokuphela kancinci ngamanye amaxesha ize ibuye kwakhona.
  • Utshintsho kwindlela yokuchukumisa: Abantu abane-CPS bafumana utshintsho kwindlela abaziva ngayo xa bechukumisa. Oku kunxulumene nentlungu. Oku kunokubangela ukuziva ngathi abananto okanye iinaliti (paresthesia) .
  • Ixesha lokuqala: I-CPS ingaqalisa iiveki, iinyanga, okanye iminyaka emva kokugula, ingozi, okanye esinye isiganeko esifanelekileyo.
  • Iimpembelelo zokusingqongileyo: Intlungu ye-CPS inokwenziwa mandundu yimozulu ebandayo, ixhala, uxinzelelo , okanye ukothuka ngequbuliso. Umgangatho womsebenzi wakho womzimba unokuchaphazela nentlungu.
  • Umlinganiselo wakho weentlungu: Okumangalisayo kukuba, abantu abane-CPS ngamanye amaxesha banokuba namandla okunyamezela iintlungu zangaphandle, ezaziwa ngokuba ngumlinganiselo wabo weentlungu . Oku kuthetha ukuba into enokulimaza umntu oqhelekileyo isenokungabangeli buhlungu ngokukhawuleza.

Indlela yokuchaza intlungu

Abantu abane-CPS badla ngokuchaza iintlungu zabo ngeendlela ezifanayo. Iinkcazo eziqhelekileyo zezi:

  • Njengokutshisa.
  • Njengokuhlatywa yinto ebukhali.
  • Kufana nokukrwela kakubi.
  • Ndindisholo kabuhlungu, njengokuhlaba
  • Intlungu enzulu evela ngaphakathi emzimbeni, kwimisipha
  • Kuvakala ngathi kukucinezela, njengokuqina.
  • Njengokusika, njengokusasaza

Ezinye iingxaki eziza nale meko

Ukuphila nentlungu eqhubekayo kunokuba nefuthe elikhulu kwimpilo yengqondo yomntu. Ngenxa yoko, abantu abaneengxaki zentlungu ezifana ne-CPS banokufumana oku kulandelayo:

  • Ixhala
  • Ukudakumba ( mhlawumbi kunye neengcinga zokuzibulala)
  • Ukulahlekelwa yinkumbulo, inkungu yengqondo
  • Ukudinwa okanye ukudinwa rhoqo
  • Ubunzima bokulala

Yintoni ebangela le meko?

Kukho izizathu ezibini eziphambili zokuba i-central pain syndrome ivele: ukwenzakala okanye umonakalo engqondweni yakho okanye emgogodleni, okanye intlungu engapheliyo eqhubekayo.

Iimeko ezingonakalisa ingqondo okanye umqolo

Kukho iimeko ezahlukeneyo ezinokonakalisa ingqondo kunye nomqolo. Ezinye zazo zixhaphake kakhulu kunezinye:

  • Umhlaza wobuchopho okanye iithumba ezingengozini .
  • Utyando lwengqondo okanye utyando lomqolo .
  • Ukubetheka okanye ukwenzakala kwengqondo okubuhlungu .
  • Iimeko zokuwohloka okanye zokudumba, ezifana ne -multiple sclerosis okanye isifo sikaParkinson .
  • Iimeko zokuxhuzula kunye neemeko zokuxhuzula ezingezizo ezoxhuzula.
  • Iintsholongwane.
  • Ukulimala komqolo .
  • Istroke .

Cinga nje, kukho abantu abaye baba nengozi yemoto okanye bawa kwiminyaka emininzi eyadlulayo baza benzakala umqolo wabo. Emva kwexesha elithile, umntu onjalo unokuba nolu hlobo lwentlungu enzima. Isizathu soko kukonakala komqolo.

Iimeko ezibangela iintlungu ezingapheliyo

Nasiphi na isifo esibangela iintlungu ezingapheliyo sinokubangela i-CPS. Ngenxa yoko, oogqirha baye badibanisa i-CPS neemeko ezininzi ezinxulumene neentlungu ezingapheliyo. Ezinye zezi ziquka:

  • Iimeko ezinxulumene nesifo samathambo , umzekelo i-osteoarthritis .
  • Umqolo obuhlungu .
  • Umhlaza .
  • Isifo sokudinwa okungapheliyo .
  • Intlungu engapheliyo yesinqe .
  • I-Complex regional pain syndrome (CRPS) .
  • I-Fibromyalgia .
  • Iimeko zokudumba ezifana ne -rheumatoid arthritis , i-psoriatic arthritis , i-lupus, okanye i-Sjögren's syndrome .
  • Isifo samathumbu esirhawuzelelayo .
  • Intlungu yamalungu .
  • Iintloko ezibuhlungu .
  • I-peripheral neuropathy (oku kubangelwa kakhulu sisifo seswekile sohlobo lwesibini) .
  • I-postherpetic neuralgia - iintlungu ezibangelwa kukonakala kwemithambo-luvo okubangelwa yi-shingles .
  • Iingxaki ze-temporomandibular joint (TMJ) .

I-genetics

Ezinye izifundo zifumanise ukuba ii-genes zidlala indima ekuphuhlisweni kwe-central pain syndrome. Ngokukodwa, ukuba umntu kusapho lwakho - oko kukuthi, umama wakho, utata wakho, abantakwenu, okanye abantwana bakho - unesi sifo, umngcipheko wakho wokufumana olu hlobo lwesifo sentlungu unokuba phezulu ngokuphindwe kasibhozo kunezinye! Kodwa utshintsho oluchanekileyo lwe-genetic olubangela oku alukachongwa okwangoku.

Le meko ichaphazela njani umzimba wam?

Enye indlela yokucinga ngentlungu kunye nemiphumo yayo kukucinga ngomzimba wakho njengesakhiwo esikhulu nesintsonkothileyo. Emva koko, inkqubo yethu yemithambo-luvo, eva kwaye iqhuba iintlungu emzimbeni wonke, ifana nenkqubo yesilumkiso somlilo kweso sakhiwo. Xa inkqubo yemithambo-luvo iva ukuba kukho ukwenzakala okanye umonakalo kwindawo ethile emzimbeni, ivakala ngolu hlobo 'lwentsimbi' ukusazisa ukuba kukho ingxaki.

Kukho iintlobo ezimbini zentlungu:

  • Intlungu ebukhali: Le yindlela umzimba wakho osabela ngayo kwisifo okanye ukwenzakala. Iyaphela kwisithuba seenyanga ezintathu okanye ngaphantsi njengoko uphola okanye ukwenzakala kuphola.
  • Intlungu engapheliyo: Ukuba intlungu ebukhali iqhubeka iinyanga ezintathu ukuya kwezintandathu, iba yintlungu engapheliyo.

Inkqubo eqhelekileyo yentlungu

Kuyo yonke imizimba yethu, njengenethiwekhi yezixhobo zokubona umsi okanye izixhobo zokubona ubushushu kwinkqubo yesilumkiso somlilo, kukho iziphelo zemithambo-luvo ezibuthathaka kwizinto ezahlukeneyo ezibangela iintlungu. Xa iiseli ezikufutshane zonakele, ezinye zezi mpawu zesilumkiso sekhemikhali zikhutshwa zingene egazini. Iziphelo zemithambo-luvo yakho zibona ezo khemikhali kwaye zithumele imiqondiso ephambili engqondweni yakho ngentambo yomqolo. Ingqondo itolika ezo mpawu njengentlungu kwaye ithumela imiqondiso kwezinye iindawo zengqondo ukuze ithathe inyathelo lokukukhusela. Umzekelo, ukuba isandla sakho sichukumisa into eshushu ngokwaneleyo ukuba ikutshise, iziphelo zemithambo-luvo zibona ezo mpawu kwaye zithumele imiqondiso engqondweni yakho, ngoko ke ukhawuleza utsale isandla sakho.

Kwenzeka ntoni nge-central pain syndrome?

I-Central pain syndrome ifana nokungasebenzi kakuhle kwenkqubo yesilumkiso somlilo emzimbeni wakho. Ezi ngxaki zinokuba ngeendlela ezininzi.

Utshintsho olubangelwa kukwenzakala okanye umonakalo

I-Central pain syndrome ebangelwa kukwenzakala okanye umonakalo ichaphazela indawo ngokwahlukileyo:

  • Ubuchopho: Ukonakala kwengqondo kunokubangela iingxaki kwindlela ingqondo esebenza ngayo imiqondiso yentlungu. Oku kunokubangela ukuba ingqondo ingasebenzi kakuhle kwaye ithumele imiqondiso ngokungathi kukho into ebangela intlungu emzimbeni.
  • Intambo yomqolo: Imiqondiso emininzi esuka kwiindawo zomzimba ukuya engqondweni kufuneka ifikelele kwintambo yomqolo ngaphambi kokuba ifikelele kwingqondo. Ukuba intambo yomqolo yonakele, iiseli zemithambo-luvo ezichaphazelekayo zinokungasebenzi kakuhle kwaye zithumele imiqondiso yentlungu evakala ngathi isentlungwini. Le miqondiso ayiveli kwingozi yokwenyani (kodwa iyinyani).

Utshintsho olubangelwa yintlungu engapheliyo

Umzimba wakho ubeka phambili iimpawu zentlungu kuba zifuna ukukukhusela kwingozi engaphezulu. Kodwa xa unentlungu engapheliyo, inkqubo yakho yemithambo-luvo kufuneka iqhubeke nokucubungula ezi zimpawu zibalulekileyo rhoqo kwaye ixesha elide kunesiqhelo.

Ekuhambeni kwexesha, indlela inkqubo yakho yemithambo-luvo kunye nenkqubo yobuchopho bakho iqalisa ukutshintsha. Ngokwesiqhelo, inkqubo yemithambo-luvo iba novelwano kakhulu kwintlungu, okanye iba novelwano kangangokuba itolika iimpawu ezingebuhlungu njengentlungu.

  • I-Hyperalgesia: Eli ligama lesiGrike elithetha 'intlungu egqithisileyo'. Okwenzekayo apha kukuba inkqubo yemithambo-luvo yandisa iimpawu zentlungu, nto leyo eyenza intlungu ibe mandundu kunokuba injalo ngokwenene.
  • I-Allodynia: Eli ligama lesiGrike elithetha 'ezinye iintlungu'. Oku kuxa into engebuhlungu, njengokuchukumisa okuqhelekileyo, ibonwa njengentlungu ngenxa yesiphene kwinkqubo yemithambo-luvo ekukwazini ukuthumela, ukufumana, okanye ukuqhuba imiqondiso. Umzekelo, xa ilaphu lichukumisa umzimba, libangela iintlungu ezinganyamezelekiyo.

Ngenxa yokuba iintlungu zichaphazela ezinye iinkqubo zomzimba wakho, ingakumbi iihomoni zakho, inkqubo yomzimba yokuzikhusela, kunye neenkqubo zokuzilungisa, iintlungu ezingapheliyo kunye ne-CPS zinokuphazamisa indlela ezisebenza ngayo ezo nkqubo. Zinokuchaphazela nenkqubo yakho ye-endocrine , zibangele izinto ezifana neengxaki ze-adrenal .

Ifunyaniswa njani le meko?

I-Central Pain Syndrome (CPS) ngamanye amaxesha inokuba nzima ukuyixilonga kuba intlungu ifunyanwa ngendlela eyahlukileyo ngumntu wonke. Ke ngoko, ugqirha kuya kufuneka aqokelele ulwazi oluneenkcukacha malunga nentlungu yakho. Oku kunokuquka:

  • Indawo: Ivela phi intlungu ? Ingaba intlungu ikwindawo enye, okanye ikwicala elinye lomzimba kuphela?
  • Inkcazo yentlungu: Injani intlungu? Ingaba iyatshisa? Ingaba iyahlaba?
  • Ixesha: Intlungu iqale nini? Ingaba intlungu yenzeka ngexesha elithile losuku okanye ngexesha elithile losuku?
  • Iziphumo ezivela kwiimeko zangaphandle: Ngaba iintlungu ziyatshintsha ngokuxhomekeke kwindawo okuyo (umz., ubushushu bomoya, ingxolo, uxinzelelo okanye ixhala ebomini bakho)?
  • Imbali yezonyango: Ngaba kukho naziphi na izinto ezenzekileyo, iingxaki, okanye iimeko zempilo ezinokubangela le ntlungu?
  • Ezinye iimpawu: Ngaba kukho ezinye iimpawu onazo? Nokuba zibonakala ngathi azinanto yakwenza nentlungu, nceda uzikhankanye. Ngaba kukho ukudumba okujikeleze indawo yentlungu, ukuthamba, okanye naziphi na ezinye iimpawu?

Zeziphi iimvavanyo ezenziwayo ukuze kufunyaniswe esi sifo?

Ngokuxhomekeke kwimeko, oogqirha banokuyalela uvavanyo lokuxilonga, lokuthatha imifanekiso, okanye lwelebhu. Uvavanyo lwelebhu ludla ngokwenziwa ukujonga isifo esingaziwayo sokudumba okanye isifo sokuzikhusela komzimba esinokubangela intlungu yakho. Ugqirha wakho unokukuchazela ngqo ukuba zeziphi iimvavanyo ezicetyiswayo kwimeko yakho ethile kunye nemeko yakho, kunye nesizathu sokuba zicetyiswe.

Ukuba i-central pain syndrome ibangelwa kukwenzakala kwengqondo okanye umqolo, uvavanyo oluthile lokuxilonga kunye nolwemifanekiso lunokunceda ekuxilongeni. Olu vavanyo luquka:

  • I-Electroencephalography (EEG) .
  • Umzobo weMagnetic Resonance (MRI) .
  • I-Magnetoencephalography (MEG) .
  • Iskeni sePositron Emission Tomography (PET) .

Kukho olunye uhlobo olukhethekileyo lovavanyo lwe-MRI olunokunceda kwiimeko ezinje. Lubizwa ngokuba yi- “functional MRI (fMRI).” Lunokufumanisa nokusebenza kwengqondo yakho, oko kukuthi, nokuba iindawo ezahlukeneyo zengqondo ziyasebenza okanye azisebenzi.

Inyangwa njani i-CPS? Ngaba inganyangeka?

Okwangoku akukho nyango lwe-central pain syndrome. Nangona kunjalo, kukho iindlela ezininzi zonyango. Ukuba i-CPS ibangelwa yimeko yezonyango engaphantsi komhlaba, ukunyanga okanye ukunyanga loo meko ingaphantsi komhlaba kunokunceda kwi-CPS.

Amayeza

Izicwangciso ezininzi zonyango ziqala ngeentlobo ezahlukeneyo zemithi yokunciphisa iintlungu, ukusuka kwimithi engeyiyo i-steroidal anti-inflammatory (NSAIDs ) efana ne -aspirin okanye i-ibuprofen ukuya kwimithi yokunciphisa iintlungu ewela kudidi lwezinto ezilawulwayo ezifana nee-opioids .

Nangona kunjalo, uninzi lwala mayeza aqhelekileyo okudambisa iintlungu, kwanalawo anamandla e-opioid , adla ngokungasebenzi kakuhle ekunyangeni i-CPS. Ukuba azisebenzi, oogqirha banokuzama elinye okanye ngaphezulu kwala mayeza alandelayo (ewodwa okanye xa edibene):

  • Amayeza okuxhuzula, umzekelo i-gabapentin okanye i-lamotrigine .
  • IiSerotonin-Norepinephrine Reuptake Inhibitors (iiSNRI) ngamayeza asetyenziselwa ukunyanga uxinzelelo, njenge- duloxetine kunye ne -venlafaxine .
  • Olunye uhlobo lwe-antidepressant lubizwa ngokuba yi -tricyclic antidepressants (TCAs) , umzekelo i-amitriptyline okanye i-nortriptyline .
  • Amayeza afika ngohlobo lweekhrimu okanye amabala ayenza buthathaka umphezulu wolusu, umzekelo i-lidocaine .

Kukwakho nonyango oluthile oluvavanyiweyo. Basebenzisa iziyobisi ezidumileyo ekusetyenzisweni ngokuzonwabisa, kodwa zisaphandwa. Ezi zisenokuba yinxalenye yonyango oluqhelekileyo lwe-CPS ngenye imini:

  • Intsangu (intsangu yezonyango) .
  • Inaliti yeKetamine .

Iindlela ezingezizo ezamayeza

Kukho iindlela ezahlukeneyo ezingezizo ezonyango, ezinye zivunyiwe, ezinye zisesekwinqanaba lophando, ezinokunceda kwi-CPS. Nazi imizekelo embalwa:

  • Unyango lwe-acupuncture .
  • Ukukhuthazwa Kobuchopho Obunzulu (i-DBS) .
  • I-Microcurrent eQhelekileyo (i-FSM) .
  • Ukukhuthazwa kweMagnetic yeTranscranial (TMS) .
  • Ukukhuthazwa kweMithambo yoMbane eGuqukileyo (i-TENS) .

Ezinye iindlela zonyango

Ngenxa yokuba iingxaki zempilo yengqondo zihlala zenzeka kunye neemeko zentlungu, oogqirha badla ngokubandakanya iindlela zempilo yengqondo kwizicwangciso zonyango lwe-CPS. Umzekelo, unyango lokuziphatha kwengqondo (i-CBT) lunokukunceda ufunde izakhono zokujongana neengxaki zempilo yengqondo ezihlala zihamba ne-CPS.

Unyango lomzimba lunokukunceda ulungelelane nemeko yakho. Lunokuphucula amandla emisipha yakho, ukuguquguquka kwayo, kunye nokulungelelaniswa kwayo.

Iingxaki/iziphumo ebezingalindelekanga zonyango ziyahluka kakhulu ngokuxhomekeke kunyango olufumanayo. Ugqirha wakho angakunika umbono olungileyo wento omawuyilindele.

Ndingazinyamekela njani okanye ndilawule njani iimpawu zam?

I-CPS ayisiyongxaki onokuyixilonga wedwa. Ngoko ke, ayisiyongcinga ilungileyo ukuzama ukuyinyanga ngokwakho. Ukuba ucinga ukuba unayo le meko, kufuneka ubone ugqirha. Angayixilonga imeko yakho aze akuthumele kunyango olufanelekileyo.

Indlela endiziva ngcono ngayo ngokukhawuleza emva konyango iyahluka kumntu nomntu. Buza ugqirha wakho malunga nonyango lwakho kunye nexesha lokuchacha. Angakuxelela kanye into omawuyilindele ngokusekelwe kwimeko yakho ethile .

Iyintoni ikamva lale meko?

I-Central pain syndrome inokuba nefuthe elikhulu kumgangatho wobomi bakho, ingakumbi amandla akho okwenza izinto ozithandayo.

Imbonakalo yale meko ixhomekeke kakhulu ekubeni yintoni unobangela oyintloko. Xa kukho unobangela ongundoqo onokunyangwa, ezinye zeziphumo zale meko zinokunyangeka okanye ziguqulwe.

Xa unobangela oyintloko ungenakunyangwa, eyona nto ingcono onokuyenza kukuphatha iimpawu ze-CPS nokuzithintela ukuba zingabi mandundu.

Kubalulekile nokuqaphela imeko kwangethuba uze uqale unyango. Kubalulekile nokubona ingcali yezempilo yengqondo, ukuba kuyimfuneko kwaye icebisekile. Oku kungenxa yokuba abantu abanale meko basengozini enkulu yokuba nexhala kunye nokudakumba, kunye nomngcipheko omkhulu wokuzibulala.

I-Central pain syndrome idla ngokuba yimeko engapheliyo. Kwezinye iimeko, iziphumo zinokuguqulwa, kuxhomekeke kwisizathu kunye nokuba ufumana unyango ngokukhawuleza kangakanani.

Ndingayithintela njani le nto ukuba ingenzeki, okanye ndinciphise umngcipheko?

I-CPS ikhula ngokungalindelekanga kwaye iphenjelelwa zizinto ezininzi ongenakukwazi ukuzilawula. Ke ngoko, le meko ayinakuthintelwa.

Xa i-central pain syndrome ikhula ngenxa yokwenzakala okanye umonakalo engqondweni okanye emgogodleni, akukho nto ingako onokuyenza ukunciphisa umngcipheko wokuba nayo. Ukunxiba izixhobo zokuzikhusela kunye nezixhobo zokuthintela ukwenzakala entloko nasemqolo kunokunceda ukunciphisa umngcipheko wakho ngandlela thile ngokuthintela ukwenzakala okunokukhokelela kwi-CPS.

Eyona ndlela ilungileyo yokunciphisa umngcipheko wakho wokuba ne-CPS enxulumene neentlungu ezingapheliyo kukufuna unyango lwazo naziphi na iimeko ezinokubangela iintlungu. Kubalulekile nokulandela imiyalelo kagqirha wakho xa unyanga ezo meko. Ukwenza zombini kunokunceda ukunciphisa umngcipheko wakho wokuba nentlungu engapheliyo enokukhokelela kwi-CPS kwixesha elizayo.

Ndingazinyamekela njani?

Ukuba unesifo sentlungu esiphakathi, kufuneka ulandele imiyalelo kagqirha wakho ukuze uzinyamekele kwaye unyange imeko yakho. Ezona zinto zilungileyo onokuzenza zezi:

  • Sela amayeza akho njengoko uyalelwe.
  • Ziphephe izenzo okanye iimeko eziyandisa intlungu yakho.
  • Musa ukuyityeshela impilo yakho yengqondo.

Ndifanele ndimbone nini ugqirha wam?

Ufanele ubonane nogqirha wakho njengoko kucetyisiwe. Kusenokwenzeka ukuba uza kucwangcisa amadinga okulandela ukuze abone ukuba uqhuba njani aze alungise unyango lwakho ukuba kuyimfuneko. Ufanele ubonane nogqirha wakho ukuba ubona naluphi na utshintsho kwiimpawu zakho, ingakumbi ukuba zitshintsha ngokukhawuleza okanye ukuba ziphazamisana nemisebenzi yakho yesiqhelo kunye nesiqhelo.

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Kufuneka ufune uncedo lonyango olungxamisekileyo ukuba iimpawu zakho zitshintsha kwixesha elifutshane, okanye ukuba ziba nzima kakhulu. Oku kuyinyani ngakumbi ukuba uneempawu zestroke kunye neempawu zakho ze-CPS. Ugqirha wakho angakuxelela nangazo naziphi na iimpawu okanye iimpawu ezikungqongileyo ezinokubonisa ukuba kufuneka ufune uncedo lonyango olungxamisekileyo.

Okokugqibela, izinto ekufuneka uzikhumbule

I-Central pain syndrome (CPS) yimeko enzima enokuba nefuthe elikhulu ebomini bakho. Ingakubangela uxinzelelo kunye nentlungu, kwaye inokukunciphisa amandla akho okuphila ubomi obufunayo. Nangona i-central pain syndrome inegama elibi lokuba kunzima ukuyinyanga, abaphandi ngoku baphuhlisa unyango olusebenzayo, amayeza kunye neendlela zokuyinyanga. Njengoko uphando luqhubeka, kunokuvela ezinye iindlela zokunyanga le meko. Oku kuya kuzisa ithemba kunye nokukhululeka kwabo bahluphekileyo yile meko. Ke, ukuba unezi mpawu, kungcono ungoyiki, kodwa ubone ugqirha ngokukhawuleza.

👩🏽‍⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)

💬 Ngaba iCentral Pain Syndrome sisifo esibangela iintlungu eziqatha ngaphandle kokwenzakala emzimbeni?

Ewe! Esi sisifo esibuhlungu kakhulu nesingenakucingelwa. Awunanxeba okanye unzakele engalweni okanye emlenzeni. Kodwa ngenxa yomonakalo omkhulu engqondweni (inkqubo yemithambo-luvo), ingqondo ngokwayo ivelisa imiqondiso yentlungu ngokungekho mthethweni, ebangela 'iintlungu ezibuhlungu' kuwo wonke umzimba okanye isiqingatha somzimba. Oku kubizwa ngokuba yimeko engaqhelekanga.

💬 Kwenzeka ntoni engqondweni ebangela ukuba inike imiqondiso yentlungu engeyonyani ngolu hlobo?

Oku kwenzeka rhoqo kubantu abaye bahlaselwa sistroke esinzima. Kunokwenzeka ngequbuliso emva kweenyanga ezimbalwa xa ithalamus yonakaliswe sistroke. Kunokwenzeka nakubantu abane-multiple sclerosis (MS), isifo sikaParkinson, kunye nokwenzakala komqolo.

💬 Ngaba ukuthatha amayeza okudambisa iintlungu rhoqo (iiPanadol / iiPanadol) bekungayi kwanela oku?

Awusoze! Esi sisifo sokuphazamiseka kwengqondo, ngoko ke asiyi kuncitshiswa ziipilisi zentlungu eziqhelekileyo okanye iipilisi zentlungu ezinamandla (ii-Opioids). Ukuze uzole imithambo-luvo engqondweni, kufuneka uqhubeke nokuthatha amayeza okuthomalalisa ukuxhuzula (iPregabalin/Gabapentin) okanye amayeza okudakumba (i-Amitriptyline) njengoko ugqirha wakho ekuyalele.


I- Central Nerve Pain Syndrome, I-Central Pain Syndrome, Intlungu Engapheliyo, Inkqubo Yeemvakalelo, Iingxaki Zobuchopho, Iingxaki Zentambo Yomgogodla, Ulawulo Lweentlungu

Frequently Asked Questions (FAQ)

Kwenzeka ntoni nge-central pain syndrome?

I-Central pain syndrome ifana nokungasebenzi kakuhle kwenkqubo yesilumkiso somlilo emzimbeni wakho. Ezi ngxaki zinokuba ngeendlela ezininzi.

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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