Central Pain Syndrome Inoitika Pashure peNervous System Injury
Central pain syndrome chirwere chisingaperi chisinganzwisisiki chinokonzerwa nekukuvadza kunonzi central nerve system. Inogona kuitika mushure mekurohwa , kurohwa kweuropi, kana kukuvara kwemutsipa. Zvisinei, inogonawo kuvapo pamwe nemamiriro ezvinhu akadai se multiple multiple sclerosis kana chirwere chePalinson .
Central pain syndrome inogona kupa zvakasiyana zvichienderana nenzvimbo yenheyo yenyoka yakanga yakanganisa.
Urombo hunogona kuwanikwa munzvimbo shoma yemuviri kana kuti hungazopararira. Utano hunobatanidza nehutano hwepfungwa hunowanzorondedzerwa sehupamhi, kupisa, kana sepini nemasero. Kune vakawanda, kurwadziwa kunoramba kuripo.
Central Pain Syndrome Overview
Izvo zvinofanira kuonekwa kuti kurwadziwa kwepakati ndiro nguva yegiroti iyo, maererano naGeorge Riddoch muna 1938, inoreva "kurwadziwa kwepfungwa uye kunetseka kunokonzerwa nechinangwa chinokurudzira zvichibva kune zvipembenene zvakagadzirirwa kuzvinhu zvepakati penheyo system kusanganisira dysaesthesia yemhando isingagamuchirwi. "Shoko rokuti" dysaesthesia "rinoreva kuti kubata kunotsanangurirwa nemuviri wako sekurwadziwa. Shoko rokuti" lesion "rinoreva kukuvadza kwemavara.
Mune mamwe mazwi, kurwadziwa kwepakati kunogona kukonzerwa nekutuka kupi kune chero rutivi rwepakati yenheyo system.
Nhoroondo dzeCentral Poststroke Pain: A Type of Central Pain
Central painststroke pain (CPSP) chiratidzo chekurwadziwa kukuru kwakatanga kurondedzerwa naDheerine naRoussy anenge makore zana akapfuura.
CPSP yaimboti inonzi thalamic pain. Kutambudzika kweThalami ndiko kunonyanya kuzivikanwa kwezvose zvinosuruvarisa zvirwere.
Chii chiri Central Poststroke Pain?
Central poststroke kurwadziwa kunokonzerwa nechirwere kana kukuvadzwa kune thalamus. Iyo thalamus isati iri chikamu chepfungwa dzako dzinodzora motokari uye zviratidzo zvepfungwa pavanenge vachienda kumakortox epamberi.
Iyo cortex yakatarisa inoshandura mhinduro inonzwa uye inoita zvisarudzo. Nyaya, kurwadziwa uye kusagadzikana zvakafanana neCPSP zvinogonawo kubudiswa zvimwe zvipembenene mune parietal lobe, musana wemusana, uye uropi.
Iyo thalamus inowanzovhiringidzika mushure mekurohwa. Kurwadza kunorondedzerwa sekuvhiringidzika kana kuparara kweropa rinokonzera kukanganisa kweuropi.
CPSP inoitika munenge 8-muzana yevanhu vane chirwere uye chinotyisa, chinorwadza, uye chinotambudza. Vanhu vane CPSP vanonzwa kurwadziwa kwepakati nepakati pamwe chete nekushamiswa kwemafuta anonzwa, zvakadai sekupisa, kupisa, kana kupisa.
Kurapa kweCent Poststroke Pain
Central pain syndrome inogona kurapwa neanorganics adjuvant, dzakadai sevanorwisa mweya kana kuti anticonvulsants , asi hapana chirwere chinonyanya kukonzera kurwadziwa kwepastroke. Zvisinei, mishonga inotevera inoratidza kuti inobatsira kune vamwe vanhu vane chirwere ichi:
- analgesics nekuda kwekurwadziwa kwekutambudzika;
- anticonvulsants (somuenzaniso, phenytoin, carbamazepin, uye gabapentin);
- SSRIs (antidipressants like Prozac kana Paxil) '
- tricyclic antidepressants;
- phenothiazines;
- opioid (Vidodin, Oxycodone, nezvakadaro).
Zvinosuruvarisa, chimwe chezvipingamupinyi zvekushandisa kwenguva refu maopioid kumamiriro akaita seCPSP zvinogona kutungamirira mukushungurudzwa uye kuvimba.
Sangano Rokubatanidza: Thalamic pain syndrome, Dejerine-Roussy syndrome, kurwadziwa kwepashure, kurwadziwa kwepasitroke, central painstroke pain (CPSP)
Kunobva:
National Institute of Neurological Disorders uye Stroke. NINDS Central Central Pain Syndrome Information Page.