Sibutsetelo se-Central Pain Syndrome

I-Central Pain Syndrome Iyakwenzeka Ngemuva Kwesimiso Sezinzwa Ukulimala

I-syndrome yobuhlungu obukhulu iyisifo esingapheli se- neuropathic ubuhlungu obangelwa umonakalo ohlelweni lwezinzwa eziphakathi. Kungenzeka ngemva kokulimala, ukulimala ebuchosheni, noma ukulimala komgogodla. Kodwa-ke, ingaba khona kanye nezimo ezifana ne- multiple sclerosis noma isifo sika-Parkinson .

I-syndrome yobuhlungu obuphakathi ingaveza ngokuhlukile kuye ngokuthi indawo yesimiso sezinzwa esonakele.

Ubuhlungu bungasendaweni yendawo encane yomzimba noma kungenzeka ukuthi bande. Ubuhlungu obuhlotshaniswa nobuhlungu besifo esibucayi buvame ukuchazwa njengebukhali, obuvuthayo, noma njengezikhonkwane nezinaliti. Kwabaningi, ubuhlungu buhlala njalo.

Ukubuka konke okuphakathi kwe-Central Pain Syndrome

Kumele kuqashelwe ukuthi ubuhlungu obuphakathi buyisikhathi sokugqoka ukuthi, ngokusho kukaGeorge Riddoch ngo-1938, kubhekisela ku "ubuhlungu bokuzizwa nokuhlukunyezwa okubuhlungu ekugqugquzelweni komgomo okubangelwa izilonda ezifakwe kwisisetshenziswa somsakazo ophakathi nendawo okuhlanganisa i-dysaesthesia yohlu olungavumelani. "Igama elithi" dysaesthesia "lisho ukuthi ukuthintwa akuchazwisisi kahle umzimba wakho njengobuhlungu. Igama elithi" lesion "lisho ukulimala komzimba.

Ngamanye amazwi, ubuhlungu obuphakathi bubangelwa noma yikuphi ukuhlambalaza kunoma iyiphi ingxenye yesistimu yezinzwa eziphakathi.

Umlando we-Central Poststroke Pain: Uhlobo Lwezinhlungu Eziphakathi

Ubuhlungu be-poststroke obuphakathi (i-CPSP) luhlobo lobuhlungu obuphakathi kokuqala oluchazwe uDeerer noRoussy eminyakeni engaba ngu-100 edlule.

I-CPSP ngaphambilini yayibizwa ngokuthi ubuhlungu be-thalamic. Ubuhlungu be-thalamic buyaziwa kakhulu kuwo wonke ama-syndromes obuhlungu obuphakathi.

Iyini ubuhlungu obukhulu be-Post Postrostke?

Ubuhlungu obukhulu be-poststroke bubangelwa yisilonda noma ukulimala ku-thalamus. I-thalamus iyingxenye yobuchopho bakho obulawula izimpawu zemoto nezisindo endleleni eya e-cortex yangaphambili.

I-cortex yangaphambili ihumusha ukufaka izinzwa futhi yenza izinqumo. Ukuphawula, ubuhlungu nokungafani nokufana ne-CPSP kungabuyekezwa izilonda ezithile ku-lobe ye-parietal, intambo yomgogodla, ne-brainstem.

I-thalamus ivame ukulimala ngemva kokushaywa yisifo. I-stroke ichazwa ngokuthi ukuphazanyiswa noma ukuvuza kwegazi okuholela ekulimaleni kobuchopho.

I-CPSP ivela cishe ngamaphesenti ayisishiyagalombili abantu abaye baba nesifo sohlangothi futhi kuyisimo esesabekayo, esibuhlungu, nesicindezelayo. Abantu abane-CPSP bazizwa bezwa ubuhlungu obukhulu obuhambisana nokuzwa okungajwayelekile okushisa, okufana nokushisa, ukushisa noma ukukhwabanisa.

Ukwelashwa kwe-Central Poststroke Pain

I-syndrome yobuhlungu obuphakathi ingaphathwa nge-analgesics e-adjuvant, njenge- anti-depressants noma i- anticonvulsants , kodwa ayikho imithi ekhethekile yokuzwa ubuhlungu be-poststroke obuphakathi. Kodwa-ke, imishanguzo elandelayo iye yabonakala iyasiza kwabanye abantu abanalesi simo:

• i-analgesics yokuphumula ubuhlungu;
• ama-anticonvulsants (isibonelo, phenytoin, carbamazepin, ne-gabapentin);
• Ama-SSRIs (ama-anti-depressants afana ne-Prozac noma i-Paxil) '
• i-tricyclic antidepressants;
• phenothiazines;
• ama-opioid (iVidodin, i-Oxycodone, njalonjalo).

Ngeshwa, enye yezingozi zokusebenzisa i- opioid eside isikhathi eside ezimweni ezinjenge-CPSP zingaholela ekuhlukumezweni nasekuxhasweni.

Imigomo ehambisana : i- thalamic syndrome, i-Dejerine-Roussy syndrome, ubuhlungu be-post stroke, ubuhlungu be-poststroke obuphakathi, ubuhlungu be-poststroke obuphakathi (CPSP)

_Umthombo:

_{I-National Institute of Neurological Disorders and Stroke. I-NINDS ye-Central Pain Syndrome Information Page.}