Hyperalgesia inowedzera kurwadziwa kunowanzoitika mu fibromyalgia (FMS) uye isingaperi inopera simba ( ME / CFS ). Mu fibromyalgia, chinhu chakadai chakakosha icho chinonyatsotsanangura chimiro.
Taura zvakajeka, paunenge uine hyperalgesia, muviri wako unoita zvinorwadza zvinorwadza kupfuura zvazviri. Izvi zvinowanzotumidzwa se "kushandura izwi" pamarwadzo.
Icho chinhu chaicho, chiitiko chepanyama uye kwete nekuda kwechirwere chepfungwa chakadai se hypochondria. Uyewo haisi mhedzisiro yemunhu "kuita chibvumirano chikuru kunze kwechinhu," sezvinoitwa nevamwe vanhu.
High-tech uropi hunotarisa zvinoratidza izvi pamusoro-kupindura kurwadziwa, pamwe nenzvimbo dzinorwadza dzeuropi dzinovhenekera zvikuru kune vanhu vane zvirwere zvine hyperalgesia kupfuura kune vasina. Izvozvo zvinoratidza musiyano mune zvepanyama - kwete mupfungwa - ruzivo rwekutambudzika.
Semuenzaniso, kana munhu wepakati paanenge achienzanisa kushungurudzika kumwe pavashanu pazera remarwadzo, mumwe munhu ane hyperalgesia anogona kuenzana naro paanomwe kana ane masere.
Kuwedzera kwehutambudzo hunokonzerwa ne hyperalgesia kunogona kuvharirwa kune dzimwe nzvimbo dzomuviri kana kunogona kupararira.
Chimwe chisingazivikanwi che hyperalgesia ndechokuti hachikonzeri zvakananga kurwadziwa, zvinongowedzera kuwedzera. Munhu anofanira kunge aine marwadzo kubva kune imwe nzvimbo asati hyperalgesia inogona kuva nemigumisiro.
Kuwedzera kunorwa nekuda kwechiratidzo ichi dzimwe nguva chinokonzera musiyano pakati pemunhu ari kushanda uye kuora mwoyo nehutano hwavo (es).
Kunyange zvazvo ichiita seicho chinopesana, opioid (narcotic) kurwadziwa kunoderedza zvakadai saVicodin (hydrocodone-acetaminophen) uye OxyContin (oxycodone) dzimwe nguva, pamwe nekushandisa kwenguva refu, inotungamirira ku hyperalgesia.
Izvi zvinonzi opioid-induced hyperalgesia. Muzviitiko izvi, mishonga vanhu vanovimba nayo kuti vanzwe zviri nani vari kuita kuti vawedzere kunzwa vawedzere. Mhinduro ndeyokurega kutora mhando dzemishonga.
Hyperalgesia uye Central Sensitivity Syndromes
Hyperalgesia inowanzoonekwa neboka rezvirwere zvinonzi central sensitivity syndromes , iyo inosanganisira FMS, ME / CFS, inoshungurudza bowel syndrome , kusagadzikana kwemakumbo syndrome , nemamwe mimwe mitemo. Inobatanidzwawo nemamwe mamiriro ekuvhiringidza uye kukanganisa kune mamwe marudzi emitsipa.
Uyezve, hyperalgesia inogona kuva mhinduro kumasero ezvirwere zvemuviri anonzi pro-inflammatory cytokines , ayo muviri wako unobudiswa mukupindura kwehutachiona. Pro-inflammatory cytokines inotarisirwa kuvapo pane dzimwe mamiriro e ME / CFS. (Haisati yazivikanwa kana izvi zviripo nekuda kwetachiwana hutachiwana kana nekuda kwechirwere chekudzivirira chitunha chisingaperi.)
Zvakawanda zvezvipatara zveFMS neM ME / CFS zvinangwa, kunyanya chikamu, pakuderedza hyperalgesia. Izvi zvinosanganisira mishonga inorwisa zvinodzvinyirira (zvakadai seCymbalta , Savella , uye amitriptyline ) uye mishonga inorwisa-seizure (kusanganisira Lyrica uye gabapentin .)
Iyi kurwadziwa yakasiyana yakasiyana neAllodynia , iyo inowanzonziwo muFMS uye iripo pane dzimwe mamiriro e ME / CFS.
Allodynia inorwadza pane chimwe chinhu chisingawanzwi chinorwadzisa, chakadai sechigunha chekudzivirira. Allodynia inowanzotumidzwa se "kurwadziwa kweganda," sezvo inowanzoratidza kuti inonyanyisa kunzwisisika kana kuenderera mberi kune ganda.