Ingabe ngezinye izikhathi uzizwa ubuhlungu ezingxenyeni ezahlukene zomzimba wakho ngaphandle kwesizathu? Mhlawumbe ubuhlungu sebukhona isikhathi eside futhi abupheli. Noma ingabe uzizwa ungazizwa kahle, uzizwa ucindezelekile, noma uzizwa ushile? Uma uke waba nokuhlangenwe nakho okunjalo, kuzobaluleka kakhulu ukuthi wazi ngalesi simo esibizwa ngokuthi i-Central Pain Syndrome (CPS) , esizokhuluma ngaso namuhla.
Iyini i-Central Pain Syndrome?
Kalula nje, i-Central Pain Syndrome (CPS) yisimo lapho ubuhlungu buzwakala khona njalo, okungukuthi , isikhathi eside, ngenxa yenkinga ohlelweni lwethu lwezinzwa . Isibonelo, uma kukhona umonakalo ebuchosheni bethu noma emgogodleni , noma uma sibuhlungu isikhathi eside futhi uhlelo lwethu lwezinzwa lungasebenzi kahle, lesi simo singavela.
Yile ndlela esebenza ngayo. Lapho ubuchopho noma amangqamuzana ezinzwa onakele, amangqamuzana alimele awasebenzi kahle futhi aqala ukuthumela izimpawu zobuhlungu ngaso sonke isikhathi. Noma, ngenxa yobuhlungu obuqhubekayo, amangqamuzana ethu ezinzwa aba nomuzwa omkhulu ezimpawini zobuhlungu. Bese, lawo maseli angathumela ngephutha izimpawu zobuhlungu ngisho noma kungekho buhlungu, noma angaze ahumushe kabi ezinye izimpawu njengobuhlungu.
Ukwelapha lesi simo kungaba nzima ngezinye izikhathi. Ngisho nangemithi yokubulala izinhlungu ejwayelekile, futhi ngezinye izikhathi ngisho nemithi enamandla ye-opioid , lobu buhlungu bungase bungadambi. Kodwa, ungakhathazeki. Odokotela sebethole izindlela zokwelapha ezintsha kanye nemithi yalokhu. Bakwazile ukusiza abantu abaningi abanalesi simo.
Ingabe lokhu kufana ne-fibromyalgia?
I-CPS kanye ne -fibromyalgia azifani. Kodwa kungase kube nokuxhumana phakathi kwalezi zinto ezimbili. I-Fibromyalgia yisimo sobuhlungu obungapheli esithinta amalunga akho kanye nemisipha. Abantu abane -fibromyalgia banamathuba amaningi okuthuthukisa i-CPS. Lokhu kungenxa yokuthi ubuhlungu obungapheli bushintsha indlela uhlelo lwabo lwezinzwa olusebenza ngayo.
Ubani onamathuba amaningi okuthuthukisa lokhu?
Noma ubani oye waba nomonakalo ohlelweni lwezinzwa oluphakathi, okungukuthi, ubuchopho noma umgogodla, angaba ne-CPS. Ingakhula nakunoma ubani ohlushwa ubuhlungu obungapheli. Abantu abanezimo ezithile zezinzwa banamathuba amaningi okuba nayo. Isibonelo:
- Phakathi kuka-8% no-10% wabantu abake baba nesifo sohlangothi .
- Abantu abaphakathi kuka-20% no-40% abanokulimala komgogodla .
- Cishe abantu abangu-30% abane- multiple sclerosis .
Sivame kangakanani lesi simo?
Kulinganiselwa ukuthi abantu ababalelwa ezigidini ezingu-7 emhlabeni wonke bahlushwa yilesi simo.
Ziyini izimpawu ze-central pain syndrome?
Nge-CPS, ungase uqaphele izinguquko eziningana endleleni ozizwa ngayo ubuhlungu:
- Lapho kubuhlungu khona: Indawo yobuhlungu incike ekutheni iyiphi ingxenye yesimiso sezinzwa ethintekile.
- Uma kubuhlungu: Ubuhlungu be-CPS buvame ukungaguquguquki . Kodwa-ke, kwabanye abantu bungafika budlule. Okukhethekile ukuthi lobu buhlungu buvela ngaphandle kwengozi noma ukulimala emzimbeni.
- Ubuhlungu obukhulu: Ubuhlungu buvame ukusuka kobuphakathi kuya kobukhulu. Kwabanye abantu, bungase buphele kancane ngezinye izikhathi bese buphinde bubuye.
- Izinguquko emqondweni wokuthinta: Abantu abane-CPS babhekana nezinguquko endleleni abazizwa ngayo bethintekile. Lokhu kuhlobene nobuhlungu. Lokhu kungabangela umuzwa wokuba ndikindiki noma izikhonkwane nezinaliti (i-paresthesia) .
- Isikhathi sokuqala: I-CPS ingaqala amasonto, izinyanga, noma ngisho neminyaka ngemva kokugula, ingozi, noma esinye isenzakalo esifanele.
- Amathonya emvelo: Ubuhlungu be-CPS bungabhebhethekiswa yisimo sezulu esibandayo, ukukhathazeka, ukucindezeleka , noma ukushaqeka okungazelelwe. Izinga lakho lomsebenzi womzimba lingathinta nobuhlungu.
- Umkhawulo wakho wobuhlungu: Ngokumangalisayo, abantu abane-CPS ngezinye izikhathi bangase babe nekhono elikhulayo lokubekezelela ubuhlungu bangaphandle, okwaziwa ngokuthi umkhawulo wabo wobuhlungu . Lokhu kusho ukuthi into engalimaza umuntu ojwayelekile ingase ingabalimazi ngokushesha.
Indlela yokuchaza ubuhlungu
Abantu abane-CPS bavame ukuchaza ubuhlungu babo ngezindlela ezifanayo. Izincazelo ezivame kakhulu yilezi:
- Njengokushisa.
- Njengokugwazwa yinto ebukhali.
- Kufana nokuklwebha kabi.
- Kubuhlungu kakhulu, njengokuzwa kokuhlaba
- Ubuhlungu obujulile obuvela ngaphakathi emzimbeni, emisipheni
- Kuzwakala sengathi kucindezelwa, njengokuqiniswa.
- Njengokusika, njengokusakaza
Ezinye izinkinga ezihambisana nalesi simo
Ukuphila nobuhlungu obuqhubekayo kungaba nomthelela omkhulu empilweni yengqondo yomuntu. Ngenxa yalokho, abantu abanezimo zobuhlungu ezifana ne-CPS bangase babe nalokhu okulandelayo:
- Ukukhathazeka
- Ukucindezeleka ( mhlawumbe ngemicabango yokuzibulala)
- Ukulahlekelwa yinkumbulo, inkungu yobuchopho
- Ukukhathala noma ukukhathala okuqhubekayo
- Ubunzima bokulala
Yini ebangela lesi simo?
Kunezizathu ezimbili eziyinhloko zokuthi kungani i-central pain syndrome ikhula: ukulimala noma ukulimala kobuchopho bakho noma umgogodla, noma ubuhlungu obungapheli obuqhubekayo.
Izimo ezingalimaza ubuchopho noma umgogodla
Kunezimo eziningana ezingalimaza ubuchopho kanye nomgogodla. Ezinye zazo zivame kakhulu kunezinye:
- Umdlavuza wobuchopho noma izimila ezingengozi .
- Ukuhlinzwa kobuchopho noma ukuhlinzwa komgogodla .
- Ukubhajwa kwemisipha noma ukulimala kobuchopho okubuhlungu .
- Izimo zokuvuvukala noma zokuwohloka kobuchopho, njenge- multiple sclerosis noma isifo sikaParkinson .
- Izimo zokuxhuzula kanye nezimo zokuxhuzula ezingezona ezexhuzula.
- Izifo.
- Ukulimala komgogodla .
- Isifo sohlangothi .
Cabanga ngakho, kunabantu abathile abaye baba nengozi yemoto noma bawa eminyakeni eminingi edlule futhi umhlane wabo walimala. Ngemva kwesikhathi esithile, umuntu onjalo angaba nalolu hlobo lobuhlungu obukhulu. Isizathu salokho ukulimala komgogodla.
Izimo ezibangela ubuhlungu obungapheli
Noma yisiphi isimo esibangela ubuhlungu obungapheli singadala ne-CPS. Ngenxa yalokho, odokotela baxhumanise i-CPS nezimo eziningana ezihlobene nobuhlungu obungapheli. Ezinye zalezi zifo zifaka:
- Izimo ezihlobene nesifo samathambo , isibonelo i-osteoarthritis .
- Ukuhlungu obusemhlane .
- Umdlavuza .
- Isifo sokukhathala okungapheli .
- Ubuhlungu obungapheli be-pelvic .
- I-Complex regional pain syndrome (CRPS) .
- I-Fibromyalgia .
- Izimo zokuvuvukala ezifana ne -rheumatoid arthritis , i-psoriatic arthritis , i-lupus, noma i-Sjögren's syndrome .
- I-Irritable Bowel Syndrome.
- Ubuhlungu bamalunga .
- I-Migraines .
- I-peripheral neuropathy (lokhu kuvame ukubangelwa yisifo sikashukela sohlobo 2) .
- I-postherpetic neuralgia - ubuhlungu obubangelwa ukulimala kwemizwa okuwumphumela we-shingles .
- Izinkinga zejoyinti le-temporomandibular (TMJ) .
Izakhi zofuzo
Ezinye izifundo zithole ukuthi izakhi zofuzo zidlala indima ekuthuthukisweni kwe-central pain syndrome. Ngokukhethekile, uma othile emndenini wakho - okungukuthi, umama wakho, ubaba, izingane zakini, noma izingane - enalesi simo, ingozi yakho yokuthola lolu hlobo lwesimo sobuhlungu ingase ibe phezulu ngokuphindwe kasishiyagalombili kunezinye! Kodwa izinguquko eziqondile zofuzo ezibangela lokhu azikatholakali okwamanje.
Lesi simo sithinta kanjani umzimba wami?
Enye indlela yokucabanga ngobuhlungu nemiphumela yabo ukucabanga ngomzimba wakho njengesakhiwo esikhulu nesiyinkimbinkimbi. Khona-ke, uhlelo lwethu lwezinzwa, oluzwa futhi lucubungule ubuhlungu emzimbeni wonke, lufana nohlelo lwe-alamu yomlilo kuleso sakhiwo. Lapho uhlelo lwezinzwa luzwa ukuthi kukhona ukulimala noma umonakalo endaweni ethile emzimbeni, luzwakala 'njengensimbi' ukuze lusazise ukuthi kunenkinga.
Kunezinhlobo ezimbili zobuhlungu:
- Ubuhlungu obukhulu: Lokhu kuyindlela umzimba wakho osabela ngayo ekuguleni noma ekulimaleni. Buyaphela zingakapheli izinyanga ezintathu noma ngaphansi njengoba ululama noma ukulimala kuphola.
- Ubuhlungu obungapheli: Uma ubuhlungu obukhulu buqhubeka izinyanga ezintathu kuya kweziyisithupha, buphenduka ubuhlungu obungapheli.
Inqubo evamile yobuhlungu
Kuyo yonke imizimba yethu, njengenethiwekhi yezitholi zomusi noma izinzwa zokushisa ohlelweni lwe-alamu yomlilo, kuneziphetho zemizwa ezizwela ezintweni ezahlukahlukene ezibangela ubuhlungu. Lapho amaseli aseduze onakele, ezinye zalezi zimpawu zesixwayiso samakhemikhali zikhishwa ziye egazini. Iziphetho zakho zemizwa zibona lawo makhemikhali futhi zithumela izimpawu ezibaluleke kakhulu ebuchosheni bakho ngomgogodla. Ubuchopho buchaza lezo zimpawu njengobuhlungu futhi buthumela izimpawu kwezinye izingxenye zobuchopho ukuze zithathe isinyathelo sokukuvikela. Isibonelo, uma isandla sakho sithinta into eshisayo ngokwanele ukukushisa, iziphetho zemizwa zibona lezo zimpawu futhi zithumele izimpawu ebuchosheni bakho, ngakho-ke ususa isandla sakho ngokushesha.
Kwenzekani nge-central pain syndrome?
I-Central pain syndrome ifana nokungasebenzi kahle ohlelweni lwe-alamu yomlilo emzimbeni wakho. Lokhu kungasebenzi kahle kungaba ngezindlela eziningi.
Izinguquko ezibangelwa ukulimala noma umonakalo
I-Central pain syndrome ebangelwa ukulimala noma umonakalo ithinta indawo ngendlela ehlukile:
- Ubuchopho: Ukulimala ebuchosheni kungabangela izinkinga ngendlela ubuchopho obucubungula ngayo izimpawu zobuhlungu. Lokhu kungabangela ukuthi ubuchopho bucubungule kabi futhi buthumele izimpawu njengokungathi kukhona okubangela ubuhlungu emzimbeni.
- Umgogodla: Izimpawu eziningi ezivela ezingxenyeni zomzimba eziya ebuchosheni kumele zifike emgogodleni ngaphambi kokuba zifike ebuchosheni. Uma umgogodla wonakele, amangqamuzana emizwa athintekile angase angasebenzi kahle futhi athumele izimpawu zobuhlungu ezizwakala sengathi zibuhlungu ngempela. Lezi zimpawu aziveli ekulimaleni kwangempela (kodwa zingokoqobo).
Izinguquko ezibangelwa ubuhlungu obungapheli
Umzimba wakho ubeka phambili izimpawu zobuhlungu ngoba zifuna ukukuvikela ekulimaleni okuqhubekayo. Kodwa uma unezinhlungu ezingapheli, isimiso sakho sezinzwa kufanele sicubungule lezi zimpawu ezibaluleke kakhulu kaningi futhi isikhathi eside kunokujwayelekile.
Ngokuhamba kwesikhathi, indlela uhlelo lwakho lwezinzwa kanye nobuchopho obusebenzisa ngayo izimpawu zobuhlungu iqala ukushintsha. Ngokuvamile, uhlelo lwezinzwa luba nomuzwa ojulile ebuhlungwini, noma luba nomuzwa ojulile kangangokuthi luhumusha izimpawu ezingezona ezibuhlungu njengobuhlungu.
- I-Hyperalgesia: Leli igama lesiGreki elisho 'ubuhlungu obukhulu'. Okwenzekayo lapha ukuthi isimiso sezinzwa sandisa izimpawu zobuhlungu, okwenza ubuhlungu buzizwe bubi kakhulu kunalokho obuyikho ngempela.
- I-Allodynia: Leli futhi igama lesiGreki, elisho 'olunye ubuhlungu'. Lokhu kwenzeka lapho into engebuhlungu, njengokuthinta okuvamile, ibhekwa njengobuhlungu ngenxa yephutha ekhonweni lesimiso sezinzwa lokuthumela, ukwamukela, noma ukucubungula izimpawu. Isibonelo, lapho indwangu ithinta umzimba, ibangela ubuhlungu obungenakubekezeleleka.
Ngenxa yokuthi ubuhlungu buthinta ezinye izinhlelo emzimbeni wakho, ikakhulukazi ama-hormone akho, amasosha omzimba, kanye nezinqubo zomzimba zokuzilungisa, ubuhlungu obungapheli kanye ne-CPS kungaphazamisa indlela lezo zinhlelo ezisebenza ngayo. Kungathinta nohlelo lwakho lwe-endocrine , okubangela izinto ezifana nokuphazamiseka kwe-adrenal .
Lesi simo sitholakala kanjani?
I-Central Pain Syndrome (CPS) ngezinye izikhathi kungaba nzima ukuyixilonga ngoba ubuhlungu buzwiwa ngendlela ehlukile yiwo wonke umuntu. Ngakho-ke, udokotela kuzodingeka aqoqe ulwazi oluningiliziwe mayelana nobuhlungu bakho. Lokhu kungafaka:
- Indawo: Ubuhlungu buvela kuphi ? Ingabe ubuhlungu busendaweni eyodwa, noma buseceleni lomzimba kuphela?
- Incazelo yobuhlungu: Bunjani ubuhlungu? Buyashisa? Buyahlaba?
- Isikhathi: Ubuhlungu buqale nini? Ingabe ubuhlungu buvela ngesikhathi esithile sosuku noma ngesikhathi esithile sosuku?
- Imiphumela evela ezimweni zangaphandle: Ingabe ubuhlungu buyashintsha kuye ngendawo okuyo (isib. izinga lokushisa, umsindo, ukucindezeleka noma ukukhathazeka empilweni yakho)?
- Umlando wezokwelapha: Ingabe kukhona ukulimala, izinkinga, noma izimo zezokwelapha ezingaba nomthelela kulobu buhlungu?
- Ezinye izimpawu: Ingabe ubhekene nanoma yiziphi ezinye izimpawu? Ngisho noma zingase zibonakale zingahlobene nobuhlungu, sicela uzisho. Ingabe kukhona ukuvuvukala endaweni yobuhlungu, ukuthamba, noma ezinye izimpawu?
Yiziphi izivivinyo ezenziwayo ukuze kutholakale lesi simo?
Kuye ngesimo, odokotela bangase futhi ba-ode ukuhlolwa kokuxilonga, kwezithombe, noma kwelebhu. Ukuhlolwa kwelebhu kuvame ukwenziwa ukuhlola isifo sokuvuvukala esingaziwa noma ukuphazamiseka kwamasosha omzimba okungase kubangele ubuhlungu bakho. Udokotela wakho angakuchazela kahle ukuthi yiziphi izivivinyo ezinconywayo ngesimo sakho kanye nesimo sakho, nokuthi kungani zinconywa.
Uma i-central pain syndrome ibangelwa ukulimala kobuchopho noma umgogodla, ukuhlolwa okuthile kokuxilonga kanye nokuhlola izithombe kungasiza ekuxilongeni. Lokhu kuhlolwa kufaka phakathi:
- I-Electroencephalography (EEG) .
- Isithombe Sokuzwakala Kwe-Magnetic (MRI) .
- I-Magnetoencephalography (MEG) .
- Ukuskena kwe-Positron Emission Tomography (PET) .
Kukhona olunye uhlobo olukhethekile lokuhlolwa kwe-MRI olungasiza ezimweni ezinjengalezi. Lubizwa ngokuthi “i-functional MRI (fMRI).” Lungaze luthole ngisho nomsebenzi wobuchopho bakho, okungukuthi, ukuthi izingxenye ezahlukene zobuchopho ziyasebenza yini noma cha.
Ilashwa kanjani i-CPS? Ingabe ingelapheka?
Okwamanje akukho ukwelashwa kwe-central pain syndrome. Kodwa-ke, kunezindlela eziningi zokwelapha. Uma i-CPS ibangelwa yisimo sezokwelapha esingaphansi, ukwelapha noma ukwelapha leso simo esingaphansi nakho kungasiza nge-CPS.
Imithi
Izinhlelo eziningi zokwelapha ziqala ngezinhlobo ezahlukene zemithi yokunciphisa ubuhlungu, kusukela emithini engeyona eye-steroidal anti-inflammatory (NSAIDs ) njenge -aspirin noma i-ibuprofen kuya emithini yokunciphisa ubuhlungu ewela esigabeni semithi elawulwayo njenge -opioids .
Kodwa-ke, eziningi zalezi zidakamizwa ezivamile zokudambisa izinhlungu, ngisho nama-opioid anamandla, zivame ukungasebenzi kahle ekwelapheni i-CPS. Uma zingasebenzi, odokotela bangazama umuthi owodwa noma eminingi yale mithi elandelayo (yodwa noma ehlanganisiwe):
- Imithi yokwelapha ukuxhuzula, isibonelo i-gabapentin noma i-lamotrigine .
- Ama-Serotonin-Norepinephrine Reuptake Inhibitors (ama-SNRI) yimithi esetshenziselwa ukwelapha ukucindezeleka, njenge- duloxetine ne- venlafaxine .
- Olunye uhlobo lwe-antidepressant lubizwa ngokuthi ama-tricyclic antidepressants (TCAs) , isibonelo i-amitriptyline noma i-nortriptyline .
- Imithi eza ngesimo samakhrimu noma amabala aqeda isikhumba, isibonelo i-lidocaine .
Kukhona futhi ezinye izindlela zokwelapha ezihlolwayo. Basebenzisa izidakamizwa ezidumile ekusetshenzisweni kokuzijabulisa, kodwa zisacwaningwa. Lezi zingase zibe yingxenye yokwelashwa okujwayelekile kwe-CPS ngolunye usuku:
- Insangu (insangu yezokwelapha) .
- Umjovo we- Ketamine .
Izindlela ezingezona ezemithi
Kunezindlela eziningana ezingezona izidakamizwa, ezinye zivunyiwe, ezinye zisesesigabeni socwaningo, ezingasiza nge-CPS. Nazi izibonelo ezimbalwa:
- Ukwelashwa nge-acupuncture .
- Ukukhuthazwa Kobuchopho Okujulile (i-DBS) .
- I-Microcurrent Ekhethekile Yemvamisa (i-FSM) .
- Ukukhuthazwa Kwamagnetic Kwe-Transcranial (TMS) .
- Ukukhuthazwa Kwezinzwa Zikagesi Ezidluliselwa Ngogesi (i-TENS) .
Ezinye izindlela zokwelapha
Ngenxa yokuthi izinkinga zempilo yengqondo zivame ukwenzeka kanye nezimo zobuhlungu, odokotela bavame ukufaka izinketho zempilo yengqondo ezinhlelweni zokwelapha ze-CPS. Isibonelo, ukwelashwa kokuziphatha kwengqondo (i-CBT) kungakusiza ufunde amakhono okubhekana nezinkinga zempilo yengqondo ezivame ukuhambisana ne-CPS.
Ukwelashwa ngokomzimba kungakusiza ukuthi uzivumelanise nesimo sakho. Kungathuthukisa futhi amandla emisipha yakho, ukuguquguquka, kanye nokuxhumana.
Izinkinga/imiphumela emibi yokwelashwa iyahlukahluka kakhulu kuye ngokwelashwa okutholayo. Udokotela wakho angakunikeza umbono omuhle wokuthi yini ongayilindela.
Ngingazinakekela kanjani noma ngiphathe kanjani izimpawu zami?
I-CPS akuyona inkinga ongayixilonga wedwa. Ngakho-ke, akuwona umqondo omuhle ukuzama ukuzelapha wena. Uma ucabanga ukuthi unalesi simo, kufanele ubonane nodokotela. Angaxilonga inkinga yakho bese ekudlulisela ekwelashweni okufanele.
Indlela engizizwa ngingcono ngayo ngokushesha ngemva kokwelashwa iyahlukahluka kuye ngomuntu nomuntu. Buza udokotela wakho mayelana nokwelashwa kwakho kanye nesikhathi sokululama. Angakutshela ngqo ukuthi yini ongayilindela ngokusekelwe esimweni sakho esithile .
Iyini ikusasa lalesi simo?
I-Central pain syndrome ingaba nomthelela omkhulu ezingeni lempilo yakho, ikakhulukazi ikhono lakho lokwenza izinto ozithandayo.
Umbono walesi simo uncike kakhulu ekutheni siyini imbangela eyisisekelo. Uma kukhona imbangela eyisisekelo engelashwa, eminye yemiphumela yalesi simo cishe izokwelashwa noma iguqulwe.
Uma imbangela eyisisekelo ingenakuphulukiswa, into engcono kakhulu ongayenza ukwelapha izimpawu ze-CPS nokuzivimbela ukuthi zingabi zimbi kakhulu.
Kubalulekile futhi ukuqaphela lesi simo kusenesikhathi bese uqala ukwelashwa. Kubalulekile futhi ukubona uchwepheshe wezempilo yengqondo, uma kudingeka futhi kunconywa. Lokhu kungenxa yokuthi abantu abanalesi simo basengozini enkulu yokuba nokukhathazeka nokucindezeleka, kanye nengozi enkulu yokuzibulala.
I-Central pain syndrome ivame ukuba yisimo esihlala njalo. Kwezinye izimo, imiphumela ingaguqulwa, kuye ngokuthi imbangela nokuthi uthola ukwelashwa ngokushesha kangakanani.
Ngingakuvimbela kanjani lokhu ukuthi kungenzeki, noma nginciphise ingozi?
I-CPS ikhula ngokungalindelekile futhi ithonywa yizici eziningana ongakwazi ukuzilawula. Ngakho-ke, lesi simo asinakuvinjelwa.
Uma kuvela i-central pain syndrome ngenxa yokulimala noma ukulimala kobuchopho noma komgogodla, kuncane ongakwenza ukunciphisa ingozi yakho yokuba nayo. Ukugqoka imishini yokuzivikela kanye nezimpahla zokuvimbela ukulimala kwekhanda nomgogodla kungasiza ekunciphiseni ingozi yakho ngezinga elithile ngokuvimbela ukulimala okungaholela ku-CPS.
Indlela engcono kakhulu yokunciphisa ingozi yakho yokuthola i-CPS ehambisana nobuhlungu obungapheli ukufuna ukwelashwa kwanoma yiziphi izimo ezingaphansi ezingase zibangele ubuhlungu. Kubalulekile futhi ukulandela imiyalelo kadokotela wakho lapho welapha lezo zimo. Ukwenza kokubili kungasiza ekunciphiseni ingozi yakho yokuthola ubuhlungu obungapheli obungaholela ku-CPS esikhathini esizayo.
Ngizinakekela kanjani?
Uma unesifo sobuhlungu obuphakathi, kufanele ulandele imiyalelo kadokotela wakho ukuze uzinakekele futhi welaphe isimo sakho. Izinto ezinhle kakhulu ongayenza yilezi:
- Thatha imithi yakho njengoba uyalelwe.
- Gwema imisebenzi noma izimo ezikhulisa ubuhlungu bakho.
- Ungayinaki impilo yakho yengqondo.
Kufanele ngimbone nini udokotela wami?
Kufanele ubonane nodokotela wakho njengoba kunconyiwe. Cishe uzohlela ama -aphoyintimenti okulandelela ukuze abone ukuthi unjani futhi alungise ukwelashwa kwakho uma kudingeka. Kufanele ubonane nodokotela wakho uma ubona noma yiziphi izinguquko ezimpawu zakho, ikakhulukazi uma zishintsha ngokushesha noma uma ziphazamisa imisebenzi yakho evamile kanye nesimiso.
Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?
Kufanele ufune usizo lwezokwelapha oluphuthumayo uma izimpawu zakho zishintsha esikhathini esifushane, noma uma ziba zimbi kakhulu. Lokhu kuyiqiniso ikakhulukazi uma unezimpawu zohlangothi kanye nezimpawu zakho ze-CPS. Udokotela wakho angakutshela nanganoma yiziphi izimpawu noma izimpawu eziqondene nawe ezingase zibonise ukuthi udinga usizo lwezokwelapha oluphuthumayo.
Okokugcina, izinto okufanele uzikhumbule
I-Central pain syndrome (CPS) yisimo esibucayi esingaba nomthelela omkhulu empilweni yakho. Singabangela ukucindezeleka nobuhlungu, futhi singanciphisa ikhono lakho lokuphila impilo oyifunayo. Nakuba i-central pain syndrome inedumela elibi lokuba nzima ukwelapha, abacwaningi manje bathuthukisa ukwelashwa okusebenzayo, imithi, kanye nezindlela zokusiphatha. Njengoba ucwaningo luqhubeka, kungase kuvele ezinye izindlela zokwelapha lesi simo. Lokhu kuzoletha ithemba kanye nempumuzo kulabo abahlushwa yilesi simo. Ngakho-ke, uma unalezi zimpawu, kungcono ungesabi, kodwa ukubona udokotela ngokushesha okukhulu.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Ingabe i-Central Pain Syndrome iyisifo esibangela ubuhlungu obukhulu ngaphandle kokulimala emzimbeni?
Yebo! Lesi yisifo esibuhlungu kakhulu futhi esingenakucatshangwa. Awunawo ukusika noma ukulimala engalweni noma emlenzeni wakho. Kodwa ngenxa yomonakalo omkhulu ebuchosheni (isimiso sezinzwa), ubuchopho ngokwabo bukhiqiza izimpawu zobuhlungu ngamanga (ngokungafanele), okubangela 'ubuhlungu obukhulu' emzimbeni wonke noma engxenyeni yomzimba. Lokhu kubizwa ngokuthi isimo esingavamile.
💬 Kwenzekani ebuchosheni obubangela ukuthi bunikeze izimpawu zobuhlungu ezingamanga kanje?
Lokhu kuvame ukwenzeka kubantu abaye bashaywa yisifo sohlangothi esinzima. Kungavela ngokuzumayo ngemva kwezinyanga ezimbalwa lapho i-thalamus yonakaliswa yisifo sohlangothi. Kungavela nakubantu abane-multiple sclerosis (MS), isifo sikaParkinson, kanye nokulimala komgogodla.
💬 Ingabe ukuthatha imithi yokubulala izinhlungu ejwayelekile (ama-Painkillers / ama-Panadol) ngeke kwanele kulokhu?
Ungalokothi! Lokhu kuyisifo sesignali yobuchopho, ngakho-ke ngeke kuncishiswe ngamaphilisi obuhlungu avamile noma amaphilisi obuhlungu anamandla (ama-opioid). Ukuze uthulise imizwa ebuchosheni, kufanele uqhubeke nokuthatha ama-anticonvulsants (i-Pregabalin/Gabapentin) noma ama-antidepressants (i-Amitriptyline) njengoba kunqunywe udokotela wakho.
I- Central Nerve Pain Syndrome, I-Central Pain Syndrome, Ubuhlungu Obungapheli, Isimiso Sezinzwa, Izinkinga Zobuchopho, Izinkinga Zentambo Yomgogodla, Ukuphathwa Kobuhlungu


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