Izinhlobo Eziyinhloko Zobuhlungu Bokugcina

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Ubuhlungu be-Nociceptive

Ubuhlungu obunama-nociceptive ubuhlungu obutholakala kunoma yiziphi izicubu ezithambile zomzimba (ezifana nezihluthulelo nesikhumba) noma izitho zemizwa ekhethekile yezinzwa, ezaziwa ngokuthi i- nociceptors . Ama-nociceptors athola isisusa esibuhlungu , athumela ulwazi emthonjeni womgogodla nobuchopho ukuze ahumushe futhi aphendule.

Ubuhlungu be-nociceptive bungaba sematic noma bemvelo.

Izibonelo zokuhlukunyezwa kwe-nociceptive:

• Izinsizwa
• Ubuhlungu be-pelvic abubangelwa umonakalo wezinzwa
• I-arthritis
• I-Fibromyalgia

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Ubuhlungu besimo seSomatic

Ubuhlungu besimo somuntu luhlobo lobuhlungu obunama-nociceptive. Ubuhlungu besimo somusa bubhekisela ebuhlungu obutholakala yizinzwa ezithinta izinzwa, izicubu zesikhumba kanye nezithambile.

Uma uzwa ubuhlungu obukhulu, ama-nociceptors athumela imilayezo yobuhlungu emgodini womgogodla kanye nobuchopho ukuze ahumushe. Lolu hlobo lobuhlungu luvame ukuluthola kalula, njengoba izinzwa ezizwayo zisakazwa kahle kuzo zonke izicubu ezithambile.

Izibonelo zobuhlungu obukhulu buhlanganisa:

• Ukukhanda ikhanda
• Ubuhlungu be-pelvic kusuka kokungazinzi okuhlangene
• I-arthritis
• Ubuhlungu bokubuyela emuva abubangelwa yizinzwa

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Ubuhlungu obubonakalayo

Ubuhlungu obubonakalayo futhi buhlobo lobuhlungu be-nociceptive. Ubuhlungu obubonakalayo bubhekisela ebuhlungu obubonwe yi-nociceptors ezingxenyeni zangaphakathi zomzimba. Njengobunzima besifo esibuhlungu, ubuhlungu besifo esibuhlungu obuthathwa yizinzwa ezithintekayo kuthunyelwa emthonjeni womgogodla nobuchopho ukuze kuhunyushwe.

Izisindo ezithandekayo ezingxenyeni zangaphakathi azifani njengokusakazeka njengoba zisemisipha yomzimba nesikhumba. Lokhu kungenza ubuhlungu be-visceral buzwe bubuhlungu futhi bukhuni ukuthola indawo. Ngokungafani nobuhlungu obuningi, ubuhlungu be-visceral bungase buzwakale kude kakhulu nokuvela kwangempela.

Ezinye izibonelo zobuhlungu be-visceral zifaka:

• I-Endometriosis
• I-syndrome e-irritable syndrome
• Ubuhlungu besisu (njenge-cystitis)
• Ubuhlungu be-prostate

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Ubuhlungu be-Neuropathic

Ubuhlungu be-neuropathic bubangelwa yizinzwa, kodwa kuhluke ngobuhlungu obunama-nociceptive ngoba izinzwa ngokuvamile azisebenzi "ngokuvamile."

Ubuhlungu be-neuropathic bubangelwa ukuphazanyiswa kwemizwa nokudluliswa okuzenzekelayo kwezinzwa zobuhlungu emgogodini nasogwini. Ubuhlungu be-neuropathic buvame ukuchazwa njengebukhali, ukugwaza noma ukudubula.

Ezinye izizathu ezenzekayo zobuhlungu be-neuropathic zihlanganisa ukucasuka kwesibindi, ukulimala kwesibindi noma ukwakheka kwe- neuroma .

Izibonelo zobuhlungu be-neuropathic zifaka:

• Ubuhlungu bezinyawo ze-Phantom
• I-peripheral neuropathy (ngezinye izikhathi ebizwa ngokuthi i-neuropathy yesifo sikashukela)
• Ubuhlungu be-Post-mastectomy
• Sciatica

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Ubuhlungu be-Psychogenic

Ubuhlungu be-Psychogenic yiyona nkulumo yezinhlungu ezibangelwa isifo sengqondo, njengokucindezeleka noma ukukhathazeka. Izinkinga eziningi ezingokwengqondo zinezinkinga zomzimba, ezifana nokukhathala nezihlungu zomzimba nezinhlungu. Ngenxa yokuthi ubuhlungu be-psychogenic abuvame ukuvela emzimbeni, kunzima kakhulu ukuphatha ukwedlula ubuhlungu obunama-nociceptive noma ubuhlungu be-neuropathic.

Ubuhlungu be-Psychogenic real, nakuba kungadinga ukwelashwa okuhlukile kunezinye izinhlobo zobuhlungu obungokwenyama. Imithi yokwelapha engeyona imithi, ihlangene nama-antidepressants noma ezinye imithi yengqondo, ivame ukuphumelela kakhulu kunezidakamizwa zendabuko. Lokhu kufaka:

• TENS
• Ukuphazamiseka
• Ukuphumula
• Ukululekwa

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Ubuhlungu be-Idiopathic

Ubuhlungu be-idiopathic ubuhlungu obukhona uma kungekho mkhuba owaziwa ngokomzimba noma wengqondo. Ubuhlungu be-idiopathic abukwazi ukulandelwa emuva kwe-nociceptive, neuropathic noma ye-psychogenic. Ngenkathi imbangela yobuhlungu ingase ingabonakali ngolwazi lwamanje lwezokwelapha, lisekhona ngempela.

Ubuhlungu be-idiopathic buvame kakhulu kubantu abane-disorder yobuhlungu obukhona ngaphambili. Lezi ziphazamiso zihlanganisa izifo ze- TMJ kanye ne- fibromyalgia .

Ngenxa yokuthi imbangela yayo ayibonakali, ubuhlungu be-idiopathic ngokuvamile bukhuni ukuphatha.

_Umthombo:

_{Gould, Harry J. Understanding Pain: Kuyini, Kungani Kufezeka nokuthi Kulawulwa kanjani. I-American Academy of Neurology Press. 2007.}