Maererano neNational Institute of Neurological Disorders uye Stroke, vanhu vanopfuura mamiriyoni makumi maviri veAmerica vanoona mamwe marwadzo anogara kubva mashomanana kusvika kumakore. Uyezve, munhu wose anotambura nenhamo kwenguva pfupi panguva dzakasiyana-siyana muhupenyu hwavo hwose, zvichida nekuda kwekurwadziwa musoro, dhi rinotapukirwa, kutemwa kana kuputsika pfupa, nezvimwe. Nezvo zviri nyore kungofunga kuti "kurwadziwa kunorwadza," chokwadi chiri chakaoma zvikuru .
IYouth Association yeChidzidzo chePain inotsanangura marwadzo se "mafungiro asina kufadza uye manzwiro anokonzerwa neicho chaicho kana kuti chinogona kukanganisa maronda kana kunotsanangurwa maererano nemamiriro ezvinhu akadaro." Mune mamwe mazwi, apo mumwe nomumwe wedu anogona kutaura nyore nyore kana imwe chikamu chemuviri wedu chichirwadza, marwadzo edu haagoni kuongororwa zvakajeka kana kuyerwa nevamwe nokuti chete isu tinoziva manzwiro ayo. Chiremba haagoni kutarisa murwere, somuenzaniso, uye anoziva chaizvoizvo zvinoshungurudza, sei zvakashata, uye zvinorwadza zvakadini. Naizvozvo, marwadzo, naizvozvo, ndizvo zvinoshandiswa nemumwe munhu arizvo zvinoreva.
Zvikamu zvePain
Kunyangwe kurwadziwa hakugoni kuenzaniswa, kurwa kunoparadzaniswa kuita zvikamu zviviri:
Nhamo Yakakomba : Kurwadziwa kwakanyanya kunouya kamwe kamwe nekuda kwekukuvadzwa, zvirwere, kurwara, utachiona kana kuputika. Uku kurwadziwa kunowanzotsanangurira munhu kuti mamwe marwadzo omumuviri akaitika-akadai akavhunika pfupa, akacheka, kuvhiyiwa, kupisa, etc.- uye chikonzero chinogona kazhinji kugadziriswa nekurapwa.
Kunyange zvazvo kurwadziwa kunorwadza dzimwe nguva kunouyisa manzwiro ekutya, kuzvidya mwoyo uye / kana kusagadzikana mumurwere, kurwadziwa uye zviratidzo zvepanyama uye / kana zvepfungwa zvinowanzopera mukati maawa mashomanana, mazuva, vhiki kana (panguva yakanyanya) mumwedzi mitanhatu, zvichienderana pachikonzero chacho. Kana chinokonzera chikonzero chisingagoni kuonekwa kana kurapwa, zvakadaro, kurwadziwa kunorwadza kunogona kukura kuva kurwadziwa kusingaperi.
Dambudziko Risingagumi : Kubva pakuneta kusvikira kune zvakanyanya, kurwadziwa kusingaperi kunogara kwenguva refu-kwemwedzi mitanhatu kana kupfuura kusvika kumakore mazhinji-uye inowanzobatanidzwa nehupenyu hunogadzirisa kana kuti -kurwara. Kukurudzira kwekusarwa kusingaperi kunogona kuodza mwoyo kune murwere pane dzimwe nguva uye kunogona kukonzera dzimwe nharo, dzakadai semanzwiro ekuora mwoyo, kubvisa uye / kana kupera, pamwe nekurasika kwekufamba kana kuzvimirira.
Kunyange zvazvo kune nzira dzakasiyana-siyana dzokurapa nekugadzirisa kurwadziwa kusingaperi , dzimwe nguva chinokonzera kurwadziwa kusingaperi hakugoni kuonekwa kana kurapwa.
Maitiro Emuviri Anoratidza Kurwadziwa
Iyo yakakosha yenheyo mumuviri womunhu inoumbwa neuropi uye musipinha. Nzvimbo yakawanda yehutano (iyo yakagadzikana yenyoka) inowedzera kubva mumutsipa wepelinha ichienda kune dzimwe nhengo dzomuviri, dzakadai seganda redu, masimba, uye nhengo. Kana chimwe chinetso chemuviri chikaitika, zvakadai sokucheka munwe wako paunenge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchitarisa. Ikoko, uropi hunoshandisa ruzivo uye nokukurumidza hunoita kuti iwe, maonero uye pfungwa dzako dzive nemhinduro.
Ivociceptors mumuviri wedu vanoona kukuvadzwa kumatumbu edu, ayo anogona kuwira mumarudzi maviri.
Dambudziko reSomatic rinokonzerwa nokukuvara kumapfupa edu, mafundo kana kuti zvinyoro zviduku, zvakadai sesimba redu uye ganda. Manzwiro eSomatic anowanzotaridzirwa uye anowanzotsanangurwa seanopinza, akaremara, achishungurudza, anoputika kana gnawing. Mienzaniso yekunetseka kwepfungwa kunosanganisira kuputika kwemapfupa, kenza yemasitema yemapfupa, maronda, uye arthritis.
Nociceptors inoonawo kuvhuvhuta, distension kana kutambanudza nhengo dzedu dzomukati, izvo zvinoguma nekurwadziwa kwemavara. Izvo zvinorwadza hazviwanzovi munzvimbo uye zvinowanzotsanangurwa sekutambudzika, kupwanya, "kurwadza kwakadzika" kana kuti kuomeswa. Mienzaniso inosanganisira marwadzo mumimba kubva pamadziro ekudzivirira, uye kurwadziwa muruoko rworuboshwe uye / kana musaya kubva kune akaoma myocardial infarction (kurwisa kwemoyo).
Kana mishonga pachayo ichinge yaparara kana kuti irega kushanda mune imwe yenharaunda kana yepamusoro yenheyo, vatachiona vanogona kurwadziwa neuropathic. Uku kurwadziwa kunowanzotsanangurwa sekupfuta, kurira, kupfura, kupwanya kana kushamisa. Kukuvadza kune uropi, zviputi zvehupfungwa , chirwere cheshuga chekushaya chirwere cheshuga, uye herpes zoster yose mienzaniso yezvinhu zvinogona kukonzera marwadzo europathic, izvo zvinogona kuratidza zvakaoma kurapa kupfuura kurwadziwa kwechirwere.
Pain and Care Palliative
Murwere anogamuchira kuchengetedza uye / kana hospice services angave ane hutano hwakasiyana-siyana hunobatana nechirwere chinokonzera kana chirwere chinorwara. Izvozvo zvinorwadza zvinowanzotsanangurwa sekutambudzika kusingaperi uye zvinogona kunge zvisinganzwisisiki kana neuropathic, asi iye anogonawo kurwadziwa kwakanyanya. Mimwe mienzaniso inosanganisira marwadzo kubva kune zvinokonzera kuonda (maronda emubhedha), kukuvadzwa nekudonha, kana kuti migumisiro inobva kune chirwere chepachirwere, zvakadai sekubuda ropa mukati memukondombera.
Pasinei nerudzi rwemarwadzo, kuoma kwayo kana kuti kukonzera, kutarisira kurapa , uye hospice zvakanyatsogadziriswa kuzviritira. Urombo hwekutarisira ndicho chinangwa chikuru chekunyaradza kutarisira.
> Sources:
> The International Association for the Study of Pain, www.iasp-pain.org
> Kinzbrunner, Policzer, uye Weinreb: 20 Common Problems: End of Life Care