Umehluko Phakathi Kobuhlungu Besikhathi Esibuhlungu Nebuhlungu
Ubuhlungu bungenye yezikhalazo ezivame kakhulu eziya kudokotela. E-US kuphela, abantu abangaphezu kwezigidi eziyi-100 kulinganiselwa ukuthi bahlala nobuhlungu obungapheli.
Ubuhlungu obungapheli buhluke kakhulu ebuhlungu obukhulu. Uzwa ubuhlungu obunzima uma uzwa ubuhlungu-uthi, uma uphula ithambo noma ushisa isandla sakho-noma uma kukhona okungahambi kahle emzimbeni wakho, njengokusikisela, ukufakwa kwe-appendicitis, noma itshe elidlulayo.
Ubuhlungu obukhulu bufana nenqubo ye-alamu. Ikutshela ukuthi umzimba wakho ukhona noma usanda kubonakaliswa ukuze ukwazi ukwenza okuthile ngakho. Umlayezo ungaba, "Umshisa ushisayo, ngakho-ke sicela uthinte ukuwuthinta," noma "I-tendon ekhanda lakho ibonakale futhi ukuhamba kuyo kuyoba nemiphumela emibi." Ukwaziswa okudingayo futhi ungawasebenzisa.
Ubuhlungu obungapheliyo bufana ne-alamu engasebenzi kahle noma iyahamba uma ingadingeki, njengalapho i-alamu yomshubhu ibhethri elifa. Sonke sinawo umakhelwane ono-alamu wezimoto ahamba noma nini lapho ikati ihamba noma umoya uphazamisa, ukuphakamisa phakathi phakathi nobusuku nokuqhubeka nokuqhubeka. Wonke umuntu emgwaqweni uyazi ukuthi akudingeki abize u-911 noma eze ekhuphuka emkhunjini ukuze axoshe isela, kodwa nokho ukuthi i-alamu isenomthelela empilweni yakho.
Lapho Ubuhlungu Obunzima Buba Isiguli
Ubuhlungu obukhulu bungaba ubuhlungu obungapheli. Odokotela abahlukene banezilinganiso ezihlukene zokuthi kuthatha isikhathi eside kangakanani ukuba sibe nesiguli.
Abanye bathi izinyanga ezintathu, abanye bathi izinyanga eziyisithupha noma ngonyaka. Noma kunjalo, abanye bacabanga ukuthi kungapheli uma ubuhlungu buye buqhubeka isikhathi eside kunalokho okwakungabangela noma yini eyabangela.
Isayensi yezokwelapha ayizange isetshenziselwe ukuqonda ukuthi kungani ubuhlungu buzohlala ngemva kokuphulukiswa okuthile. Ngokuvamile, bangathi ubuhlungu "buyikhanda lakho konke."
Nokho, maduze nje, abacwaningi bathole ukuthi ubuhlungu obukhulu ngezinye izikhathi bushintsha indlela ubuchopho bethu obuthile ngayo.
Uma uzwa ubuhlungu, kwenzekani ukuthi izinzwa zakho zibona inkinga futhi zithumela izimpawu ebuchosheni bakho. Ubuchopho bakho buyathumela izimpawu emzimbeni wakho okuhlose ukususa ingozi nokuqondisa inqubo yokuphulukisa.
Uma izibonakaliso zilokhu zihamba phambili, zifana nesistimu yakho yezinzwa ziba nomkhuba wokuzithumela, futhi ngezinye izikhathi, aziyeki ngisho nalapho kufanele. Izakhiwo ezithwala lezo zimpawu zishintshile, ngokufanayo nendlela indlela ebuchosheni bakho ishintsha ngayo lapho ufunda ikhono elisha.
Lapho Ubuhlungu Bomsulwa Buqala Ezingokwakho
Ngezinye izikhathi, ubuhlungu obungapheli bukhula lapho kungakaze kube khona ukulimala noma ukuhlinzwa okubangela. Ngokuvamile, lokhu kungenxa yokugula.
Izimo eziningi zingabangela ubuhlungu obungapheli, noma ezindaweni ezithile noma umzimba wonke. Ezinye ezivamile zihlanganisa:
- I-arthritis
- I-Fibromyalgia
- Lupus
- Multiple sclerosis
- I-Cancer
- Ukucindezeleka kwemizwa (ie, sciatica , carpal tunnel syndrome )
- I-neuropathy (ubuhlungu obubangelwa umonakalo wamanyo)
- I-Migraine
- Ukungasebenzi okuhlangene (okungukuthi, TMJ )
- Noma yisiphi isimo se- autoimmune / sokuvuvukala
Lezi zimo zibangelwa izinto ezihlukahlukene futhi azikwazi ukuphathwa ngendlela efanayo.
Uma uhlakulela ubuhlungu obungapheli, kubalulekile ukuthi ubone udokotela bese uthola ukuxilongwa okufanele. Lokhu kukunikeza ithuba elingcono kakhulu lokuthola ukwelashwa okuphumelelayo namasu okuphatha.
Izinhlobo zobuhlungu obungapheliyo
Akuwona wonke ubuhlungu obuzwayo obufanayo. Uma uke unqunywe, ukulimaza, ukushisa, nokushayeka, uyazi ukuthi zonke zihlukile. Ubuhlungu obungapheli futhi buhluka ngenxa yalokho.
Ubuhlungu obungapheli kuvame ukuchazwa ngokuthi:
- Ukudubula
- Ukuvutha
- Ugesi (zingy, prickly)
- Ukugwaza
- Dull
- Achy
- Ukuqothula
- Ithenda
- Inkani
Izincazelo ezingavamile zingafaka amagama afana nokuthi "okujulile" noma "okufudumele."
Udokotela angakwazi ukutshela okuningi ukuthi uchaza kanjani ubuhlungu bakho.
Isibonelo, ukudubula ubuhlungu bukagesi cishe buvela emgodleni.
Izinhlobo Zezinhlungu ezingavamile
Izinhlobo ezithile zobuhlungu azivamile kunezinye futhi zingase zihlobene kuphela nezimo ezithile.
I-hyperalgesia ubuhlungu bokuphulukisa-ngokuyisisekelo ukuguqula ivolumu yobuhlungu. Lapho bebona izimpawu zobuhlungu, izinzwa zithumela izimpawu eziningi kunalokho okufanele, futhi ubuchopho buphendule futhi. Umphumela wukuthi uzwa ubuhlungu obuningi kunalokho obuvame ukukwenza.
I-Hyperalgesia ixhunywe ku:
- Isibungu
- Umonakalo wezinzwa
- Ukuvuvukala
- Ukusebenzisa isikhathi eside ababulali be-opioid (ie, i-Vicodin, i-oxycodone)
- Ukugula, ikakhulukazi i- fibromyalgia nezinye izimo zokuzwela
Olunye uhlobo olungavamile lobuhlungu luyi- allodynia , okusho ubuhlungu kusuka kokungavamile ubuhlungu. Lokho kungabandakanya ukuthinta okulula, indwangu yokubopha isikhumba, noma ukubandisa okubandayo noma ukushisa.
I-Allodynia isici se:
- I-Migraine
- I-Fibromyalgia
- Ezinye izimo zokuzwela eziphakathi
Abanye abantu bavame ukwahlulela labo abane-hyperalgesia ne-allodynia ngonya, bekholelwa ukuthi benza into enkulu kakhulu ekuhluphekeni kwabo, noma bawufake, noma ngandlela-thile futhi bebuthaka ngokwengqondo ukubhekana nayo. Kodwa ubuhlungu obuvela kubo, noma kunjalo, buyiqiniso futhi buvame ukukhubaza.
Izinhlungu zobuhlungu
Ngezinye izikhathi ubuhlungu obungapheliyo buhlala njalo, kodwa akudingeki kube. Ubuhlungu besimo esinjenge-syndrome esilusiziyo singase sibe khona ngemva kokudla ukudla okuthile, kepha kungabhekwa njengokungapheli. Okufanayo kuya ekubuyeni kwamadolo okubangelwa ukushisa noma ukuphuza ngokweqile kodwa akusikho ngaso sonke isikhathi.
Izinkinga zakho ezibuhlungu zingabuye zitshele udokotela okuningi ngalokho okwenzeka emzimbeni wakho. Kwezinye izimo, ingakwazi ngisho nokukhomba amasu athile okuphatha.
Izimpawu Ezixhunyaniswe Nezinhlungu Ezingapheliyo
Ngenkathi ubuhlungu buyisimpawu esiyinhloko, ezinye izimpawu zihambisana nokubuhlungu okungapheli. Lezi zivame ukufaka:
- Ukukhathala
- Ukulala okubi
- Ukucindezeleka
- Ukukhathazeka
- Ukunciphisa ukudla
- Ukukhubazeka kwengqondo
- I-nausea
- Ukubambisana okubi
Akuwona wonke umuntu ozwa ubuhlungu obungapheli ozobhekana nazo zonke lezi zimpawu. Futhi, ezinye izimo ezingabuhlungu zifaka izimpawu eziningi ezengeziwe, futhi.
Ukuhlonza ubuhlungu obungapheliyo
Njengokwenza ubuhlungu obukhulu, uma uya kudokotela bese uthi, "Nginebuhlungu obungapheli," mhlawumbe uyabuza, "Kuphi ukulimala?"
Uma ungakwazi ukukhomba indawo (noma izindawo ezimbalwa,) ngokuvamile kuyisizo esikhulu uma kuziwa ekuhloleni kwakho. Udokotela cishe uzohlola indawo futhi angathola i-ray ray noma enye iskena ukuze abone ukuthi kwenzekani ngaphakathi.
Uma bebuza ukuthi "kuphi" futhi uthi "kuyo yonke indawo," inqubo izohamba ngokuhlukile. Lindela ukuhlolwa kwegazi ukuze ubheke izibonakaliso zokuvuvukala noma ezinye izifo zesifo. Udokotela wakho angase futhi ahlele ukuhlola, kuye ngokuthi izimpawu zakho nomlando wezokwelapha.
Uma ubuhlungu obukhulu kakhudlwana, yilokhu kungasiza ekugcineni umagazini wezinhlungu. Lokhu kungakusiza ukuthi ubone izimbangela, uphendule imibuzo mayelana nokuthi ungakanani ubuhlungu, nokuthi ubukhulu nobunjani (okungukuthi, ukushisa, ukugwaza) kobuhlungu bakho. (Umagazini wezinhlungu uyithuluzi kuwe, ngakho ungaqonda ubuhlungu bakho kangcono. Ungayinikezi udokotela futhi ulindele ukuthi yena akuphethele.)
Ukwelapha Ukuhlupheka Okungapheli
Ukwelapha ubuhlungu obungapheli kungahluka kakhulu kuye ngokuthi uhlolwe yini.
Imithi yobuhlungu ingafaka:
- Ama-painkillers ama-opioid
- Anti-inflammatories
- Corticosteroids
- Izidakamizwa eziphikisana ne-rheumatic
- Izidakamizwa zesisu
- Ama-antidepressants
- Ama-relaxant muscle
Kuye ngezibonakaliso zakho nezimo eziqhamukayo, udokotela wakho angancoma ukwelashwa okwengeziwe, njengokuthi:
- Ukwelapha ngokomzimba
- Ukwelashwa kwe-Massage
- Ukunakekelwa kwe-Chiropractic
- I-Acupuncture
- Izithako zokudla okunomsoco
- I-Psychotherapy
Izinguquko zokuphila zingakusiza uzizwe ungcono. Lezi zingabandakanya:
- Izinguquko zokudla
- Amazinga womsebenzi wokuguqulwa
- Indawo ekhethekile esikoleni noma emsebenzini
- Ukuyeka isikole noma ukusebenza
- Ukuyeka ukubhema
- Ukulinganisa noma ukuqeda udoti
- Ukucindezeleka ukuphathwa
- Izinsiza zokuhamba
Ukuphila Kwansuku zonke Ngezinhlungu Eziphuthumayo
Ukuphila nobuhlungu obungapheli kunzima. Ngezinye izikhathi, ungase uzizwe ungenathemba noma unesiphephelo sokuthola usizo.
Ngokuxilongwa kahle nokwelapha, ubuhlungu obunzima obungapheli buhamba ngokuhamba kwesikhathi. Abanye abakwenzi. Ngenkathi kungekho ukulingana komuntu oyedwa-wonke ukwelashwa, unezinketho eziningi ezitholakalayo zokunciphisa ubuhlungu bakho, okungathuthukisa ukusebenza kwakho kanye nekhwalithi yokuphila.
Ngokusebenza nodokotela wakho ukuthola umuthi wokwelapha okufanele, futhi ngokwenza izinqumo ezihlakaniphile, ezinempilo, ungakwazi ukwenza ngcono kakhulu.
Imithombo:
Blackburn-Munro G, Blackburn-Munro RE. Ubuhlungu obungapheliyo, ukucindezeleka okungapheli nokucindezeleka: ngokungahambi kahle kokuphumela? I-Journal ye-neuroendocrinology
I-National Academy of Science. Ukukhulula Ubuhlungu Emazweni AseMelika: Igalelo Lokuguqula Ukuvimbela, Ukunakekelwa, Imfundo Nokucwaninga.
Ren W, Centeno MV, Berger S, et al. Indlela eqondile yegobolondo ye-nucleus accumbens ikhulisa ubuhlungu be-neuropathic. Imvelo Neuroscience. 2016 Feb; 19 (2): 220-2.
I-Yunus MB. Isifo senhliziyo yokuzwela: i-paradigm entsha neqembu lezinsizakalo ze-fibromyalgia nemibandela edibeneyo, kanye nezindaba ezihlobene nesifo ngokuhambisana nokugula. Ama-Seminar e-arthritis ne-rheumatism. 2008 Jun; 37 (6): 339-52.