Central Pain Syndrome (CPS)

Zvemukati

• Ndezvipi zviratidzo zvecentral pain syndrome?
• Chii chinokonzera central pain syndrome?
• Inonzi central pain syndrome inoonekwa sei?
• Inorapwa sei kurwadziwa kwepakati?
• Ndeapi marudzi echiremba anorapa epakati kurwadziwa chirwere?
• Neurologist
• Nyanzvi yezvekurwadziwa
• Chiremba wepanyama
• Nyanzvi yezvepfungwa
• Ndezvipi zvinetso zvecentral pain syndrome?
• Ndeapi maonero evanhu vane central pain syndrome?

Chii chinonzi central pain syndrome?

Kukuvara kwenzvimbo yepakati yetsinga (CNS) kunogona kukonzera chirwere chetsinga chinonzi central pain syndrome (CPS). Iyo CNS inosanganisira iyo brain, brainstem, uye musana musana. Mamwe mamiriro akati wandei anogona kukonzeresa senge:

• sitiroko
• kushungurudzika kwepfungwa
• mamota
• pfari

Vanhu vane CPS vanowanzonzwa mhando dzakasiyana dzekunzwa kurwadziwa, senge:

• kurwadza
• kusvirwa
• kurwadziwa kwakapinza
• chiveve

Zviratidzo zvinosiyana zvakanyanya pakati pevanhu. Inogona kutanga nekukurumidza mushure mekukuvara kana imwe mamiriro, kana zvinogona kutora mwedzi kana makore kuti ikure.

Hapana mushonga weCPS uripo. Mishonga yemarwadzo, mishonga yekudzvinyirira, uye mamwe marudzi emishonga anogona kazhinji kubatsira kupa zororo. Mamiriro acho anogona kukanganisa hupenyu hwehupenyu.

Ndezvipi zviratidzo zvecentral pain syndrome?

Chiratidzo chikuru cheCPS kurwadziwa. Marwadzo anosiyana zvakanyanya pakati pevanhu. Inogona kuve chero yeanotevera:

• chinogara
• zvenguva pfupi
• yakaganhurirwa kunhengo yemuviri chaiyo
• kwakapararira mumuviri wese

Vanhu vanowanzo tsanangura kurwadziwa sechero yeanotevera:

• kusvirwa
• kurwadza
• kubaya kana kurira, izvo zvinonzi dzimwe nguva zvinonzi "pini uye tsono"
• kubaya
• kuvaviwa uko kunoshanduka kunorwadza
• chando
• zvinotyisa
• kubvarura

Iwo marwadzo anowanzo pakati nepakati kusvika zvakanyanya. Marwadzo anogona kutorondedzerwa sekurwadzisa nevamwe vanhu. Muzviitiko zvakakomba, vanhu vane CPS vanogona kurwadziwa kana kana vakabatwa zvishoma nezvipfeko, magumbeze, kana mhepo ine simba.

Zvinhu zvakasiyana zvinoita kuti marwadzo awedzere. Izvi zvinhu zvinosanganisira zvinotevera:

• bata
• kunetseka
• hasha
• mamwe manzwiro akasimba
• kufamba, senge kurovedza muviri
• kufungidzira, kusazvifambisa kufamba, sekuhotsira kana kupururudza
• ruzha rukuru
• mwenje inopenya
• tembiricha inochinja, kunyanya kutonhora kutonhora
• kubuda kwezuva
• mvura
• mhepo
• barometric kumanikidza shanduko
• kukwirira kunochinja

Muzviitiko zvakawanda, CPS inoramba iri mamiriro ehupenyu hwese.

Chii chinokonzera central pain syndrome?

CPS inoreva kurwadziwa kunouya kubva muhuropi uye kwete kubva kunhengo dzeparutivi, dziri kunze kwehuropi uye musana. Neichi chikonzero, zvinosiyana kubva kune mamwe marwadzo mamiriro.

Marwadzo anowanzo kuve mhinduro yekudzivirira kune inosimudzira kukuvadza, sekubata sitofu inopisa. Hapana chinokuvadza chinokonzeresa chinokonzera kurwadziwa kunoitika muCPS. Pane kudaro, kukuvadzwa kuuropi kunogadzira maonero ekurwadziwa. Uku kukuvara kunowanzoitika mu thalamus, chimiro mukati mehuropi icho chinoita zviratidzo zvekunzwa kune zvimwe zvikamu zvehuropi.

Mamiriro akajairika anogona kutungamira kuCPS anosanganisira:

• kubuda ropa muuropi
• sitiroko
• multiple sclerosis
• mamota europi
• aneurysm
• kukuvara kwemuzongoza
• kukuvara kwepfungwa kunotyisa
• pfari
• Chirwere chePasinson
• nzira dzekuvhiya dzinosanganisira huropi kana musana

ICentral Pain Syndrome Foundation inofungidzira kuti vangangoita mamirioni matatu vanhu muUnited States vane CPS.

Inonzi central pain syndrome inoonekwa sei?

CPS inogona kuve yakaoma kuongorora. Marwadzo anogona kunge akapararira uye angaratidzika kunge asina hukama nekukuvara kana kushungurudzika. Hapana bvunzo imwe chete inowanikwa kuti chiremba wako aongorore CPS.

Chiremba wako anoongorora zviratidzo zvako, kuita bvunzo dzepanyama, uye kubvunza nezve yako nhoroondo yekurapa. Zvakakosha kwazvo kuzivisa chiremba wako nezve chero mamiriro kana kukuvara kwauinako ikozvino kana kuti kwaungave wakaita munguva yakapfuura, uye chero mishonga yauri kutora. CPS haina kukura pachayo. Izvo zvinongoitika zvichitevera kukuvara kune CNS.

Inorapwa sei kurwadziwa kwepakati?

CPS yakaoma kurapa. Mishonga yemarwadzo, senge morphine, dzimwe nguva inoshandiswa asi haiwanzo kubudirira.

Vamwe vanhu vanogona kubata marwadzo avo ne antiepileptic kana antidipressant mishonga, senge:

• amitriptyline (Elavil)
• duloxetine (Cymbalta)
• gabapentin (Neurontin)
• pregabalin (Lyrica)
• carbamazepine (Tegretol)
• topiramate (Topamax)

Mimwe mishonga inogona kubatsira inosanganisira:

• transdermal makirimu uye zvigamba
• mbanje yekurapa
• tsandanyama relaxants
• kunyaradza uye zvinobatsira pakurara

Kazhinji, iyi mishonga inoderedza marwadzo, asi haizoiti kuti iende zvachose. Kubudikidza nekuyedza uye kukanganisa, murwere nachiremba wavo vanozopedzisira vawana mushonga kana musanganiswa wemishonga inoshanda zvakanyanya.

Neurosurgery inoonekwa senzira yekupedzisira. Rudzi rwekuvhiya runosanganisira kudzika kwehuropi. Munguva iyi maitiro, chiremba wako anoisa elektrode inonzi neurostimulator mune chaiwo zvikamu zvehuropi hwako kutumira kukurudzira kune avo vanogamuchira marwadzo.

Ndeapi marudzi echiremba anorapa epakati kurwadziwa chirwere?

Chiremba wekutanga anowanzove ari chiremba wekutanga kukurukura zviratidzo zvako uye kutarisa nhoroondo yako yekurapa uye hutano hwazvino. Kana imwe nguva mamiriro ezvinhu akatongwa kunze, chiremba wako anogona kukuendesa kune nyanzvi kuti uwedzere kuongororwa uye kurapwa.

Nyanzvi dzinobata kana kubatsira kubata CPS dzinosanganisira zvinotevera:

Neurologist

Nyanzvi yezveuropi chiremba anonyanya kugadzirisa kusagadzikana kwehurongwa hwemitsipa, kusanganisira huropi, musana, uye tsinga. Ivo kazhinji vane hunyanzvi pakurapa kurwadziwa kusingaperi. Iwe ungatofanira kuona akati wandei maeurologist usati wafunga kuti ndeipi inogona kukubatsira iwe kugadzirisa marwadzo ako.

Nyanzvi yezvekurwadziwa

Nyanzvi yekurwadziwa inowanzo kuve chiremba uyo akadzidziswa mune zveeurology kana anesthesiology. Ivo vanoita mukurapa kwekurwadziwa uye vanoshandisa akasiyana maitiro ekurapa marwadzo anosanganisira emumuromo mishonga uye majekiseni emimwe mishonga munzvimbo dzinorwadza kudzikamisa marwadzo.

Chiremba wepanyama

Chiremba wepanyama inyanzvi inogona kukubatsira kudzikisa marwadzo nekuvandudza kufamba.

Nyanzvi yezvepfungwa

CPS inowanzo kukanganisa hukama hwako uye hukama hwepamoyo. Nyanzvi yezvepfungwa kana wezvechiremba anozokurukura iwe nezvezvinhu zvemoyo.

Ndezvipi zvinetso zvecentral pain syndrome?

CPS inogona kurwadza. Inogona kukuchengetedza kubva mukutora chikamu mune zveveruzhinji zviitiko uye zvakanyanya kukanganisa hupenyu hwako hwezuva nezuva. Inogona kutungamira kumatambudziko epfungwa uye mamwe matambudziko anosanganisira:

• kunetseka
• kushushikana
• kuora mwoyo
• kuneta
• kukanganiswa kwekurara
• matambudziko ehukama
• hasha
• kuderera kwehupenyu hwehupenyu
• kuiswa kwemurwere kwake ega
• pfungwa dzekuzviuraya

Ndeapi maonero evanhu vane central pain syndrome?

CPS haisi kutyisidzira hupenyu, asi mamiriro acho anokonzeresa kuomarara kwevanhu vazhinji. CPS inogona kukanganisa maitiro ako ezuva nezuva.

Muzviitiko zvakakomba, kurwadziwa kwacho kunogona kuve kwakanyanya uye kunokanganisa hupenyu hwako. Vamwe vanhu vanogona kubata marwadzo nemishonga, asi mamiriro acho anowanzo gara kwehupenyu hwese hwemunhu.