Kusiyanisa Nociceptive Pain Kubva Neuropathic Pain
Vanhu vanopfuura mamiriyoni gumi nemashanu muUnited States neEurope vane marwadzo europathic , kana kurwadziwa kwemitsipa. Kana zvikaitika, kurwadziwa kwepfungwa kunogona kuvhiringidza. Pakaipisisa, kurwadziwa kwemitsipa kunonyanyisa. Zvakanakisisa, zvinoshungurudza.
Vanhu kazhinji havazivi chii chakaunza marwadzo. Izvo zvinogona kunge zvakaoma kutsanangura zvavari kutambura (kurwadziwa kwakakomba, kugwa, kuputa, kupisa, kupera).
Nzwisiso inokosha yekushandiswa kwemishonga inogona kubatsira.
Overview
Inonzi central nervous system inoumbwa neuropi uye musipinha. Mutsipa wespelinha unoshanda senzvimbo huru kumitsipa inoshandiswa kuenda kune dzimwe nhengo dzomuviri. Mitsipa iyo inobuda kune dzimwe nhengo dzomuviri inotumidzwa semakumbo emiromo . Mutsipa wepelinha uye rutivi rwaro rwemitsipa yemazamu inogadzirirwa mukati memapfupa emapfupa, anozivikanwa semutsetse weganda. Chitubu-se-diski (ine gelatinous centre) inogara pakati pemavhebrae.
Maviri makumi matatu nematatu emisero anobva mumutsipa wepelinha kuburikidza nekuzaruka pakati pevheti uye ozobuda kune dzimwe nhengo dzomuviri. Nheyo yekubuda kune mutsara inonzi maitiro emutsipa . Dambudziko rePeripheral rinosanganisira mitsipa inofadza uye motokari. Utsi hwekunzwa hunobatanidza nemamwe manzwiro (semuenzaniso, kupisa, kutonhora, kurwadza). Motokari mishonga (inotungamirira kumasumbu) inobatanidzwa nekufamba.
Kuti iparadze izvi zvakatowedzera, rimwe nerimwe masero emasero anosanganisira axon (inzira yepakati iyo inoparidzirwa mashoko) uye myelin sheath (yakafukidzirwa yekunze inodzivirira musero wesimbi uye inobatsira kutumira mashoko). Kukuvadzwa kana kutsamwirwa kune chikamu chipi nechipi chehutachiona hunogona kukonzera kurwadziwa kwehutano.
Aina
Iko kune zvikamu zviviri zvehutano hwemutsipa- marwadzo ehupiceptive uye marwadzo europathic (kureva, neuropathy). Nokurwadziwa kwechirwere, nerve inotumira mafungiro kuratidza kuti chikamu chemuviri chakakuvadzwa kana kukuvara. Nemarwadzo europathy, mushupa pachayo ndiko kukuvadzwa kunokonzera kutengesa kusina kukwana kwemafungiro.
Zviratidzo
Uturu hwemitsipa hunogona kuzviratidza nenzira shomanana dzakasiyana, zvichienderana nenzvimbo uye chikonzero chekukuvara kwehuipi kana kukuvara.
- Ikoko kunogona kuwedzerwa kunzwisisika pahutano hweganda, munharaunda inoshandiswa neruzha rakakanganisika. Kana izvi zvikaitika, kunyorova kubata munharaunda iyi kunonzwa sekurwadziwa-dzimwe nguva kurwadziwa kwakanyanya.
- Ikoko kunogona kunge kuine simba pamugwagwa wenzara yakakanganiswa. Kazhinji, kana izvi zviri izvo, kupera nguva dzose kunowanikwa panzvimbo imwe chete (semuenzaniso, rutsoka runobatanidza neronda rakakanganiswa). Inogona kunge iri nguva dzose kana inopindirana. Izvo zvinogona kuitika nekunzwa kushungurudza kana kunzwa kunopisa. Inogona kukura zvakanyanya nekufamba.
- Misungo inopiwa nehutachiona yakakanganisika inogona kushaya simba, kana mune dzimwe nguva, yakaoma mitezo.
Zvinokonzera
Uturu hweshungu hunogona kuenzaniswa nehutano hwakasiyana-siyana kana kuiswa kune mamwe makemikari, pamwe nekukuvadzwa kunorwadza. Zvimwe zvinokonzera zvinosanganisira:
- Chirwere cheshuga
- Kurwara
- Lupus
- Multiple sclerosis
- HIV
- Complex regional pain syndrome
- Tungamira kuisa
- Vitamin kukanganisa
- Sciatica
- Herniated disc
- Kuvhiringidza kweropa
- Kuomesa kwemitsipa kana kuvhara mutsara
- Shingles
- Cancer
- Surgery
- Mamwe mishonga
Kune humwe humwe uchapupu hwokuti kusakanganiswa kwezvinhu zvose zviri pakati nepakati pese zvinotyisa zvinotamba mabasa anokosha mu fibromyalgia, kunyange zvazvo chikonzero che fibromyalgia chisingazivikanwi. Zvinodhaka zvinoshanda pakurapa fibromyalgia zvinoshandawo pakurapa marwadzo emutsara.
Kuongorora nekurapa
Kuti uongorore kurwadziwa kwepfungwa, kazhinji, varwere vane unyanzvi hwekuongorora mutsva, MRI kuti iongorore hurongwa hwemitsipa, uye EMG (electromyelography) kuti iongorore nerve conduction .
Kana zvichidikanwa, pombi yepamusoro inogona kupa mamwe mashoko.
Pane nzira dzakasiyana-siyana dzokurapa marwadzo emutsipa. Zvichienderana nenzvimbo uye chirwere chekurwadziwa kwehutano, uye chinokonzera kana ichizivikanwa, mishonga, injection, epidurals, mamwe marapirwo, mushonga wepelinha stimulation , nerve ablation, uye dzimwe nguva kuravhirwa kunogona kupa ruzivo kubva mumarwadzo emutsipa.
The Bottom Line
Pamusoro pezvinyorwa zvangu, ndakangotarisana nedzimwe ruzivo nemarwadzo emutsipa munaDisemba 2012 uye munaJanuary 2013. MRI yakabudisa dhayi yea herniated pamwe nehutachiona hwemagetsi . Ini ndingati, ndiyo yakanga yakaoma kwazvo, inokanganisa kurwadza kwandaimbova nako, pamusoro napashure moutano hwangu hwekurwara rheumatoid arthritis . Ndinoda kukurudzira kuti vanhu vane kurwadziwa kwepfungwa vadzidze chinokonzera marwadzo avo uye vadzidze nezvekusarudzwa kwemishonga. Kunzwisisa zvaunogona kuita. Ndakanga ndine rutsva rwemasimba matatu uye ndakakwanisa kuwana 85% zororo. Iva nechokwadi kuti une nyanzvi yepamusoro yepamusoro yeuroyoti uye chirwere chekurwadziwa muchechi yako, zvakare. Muna 2016, ndakanga ndine lumbar laminectomy.
Sources:
Anatomy of Nerve Pain. Ralph F. Rashbaum, MD. Utano-utano. 6/27/2001.
Nerve Pain. University of Michigan Neurosciences.