Igama elithi "ubuhlungu obukhulu" buzwakala njengento eyinkimbinkimbi, kodwa mhlawumbe uyazi kahle. Uma usika isikhumba sakho, ubuhlungu obuzwayo bubizwa ngokuthi ubuhlungu obuningi. Uzwa ubuhlungu obungokwemvelo uma ulula imisipha kakhulu, ukuzivocavoca isikhathi eside, noma uwele phansi bese uzilimaza.
Kuyini Ubuhlungu Bokushona Kwemvelo?
Ubuhlungu besimo somuntu luhlobo lobuhlungu obuyisifo sociceptive olubizwa nangokuthi ubuhlungu besikhumba, ubuhlungu besisu, noma ubuhlungu besisu.
Ngokungafani nobuhlungu be-visceral (olunye uhlobo lwezinhlungu ze-nociceptive ezivela ezingxenyeni zangaphakathi), izinzwa ezithola ubuhlungu obunama-somatic zitholakala esikhumbeni nasezindukeni ezijulile.
Lezi zinzwa ezikhethekile ezibizwa ngokuthi i- nociceptors , zithatha izinzwa ezihlobene nokushisa, ukudlidliza, nokuvuvukala esikhumbeni, amajoyini, kanye nemisipha - ngokuyisisekelo noma yisiphi isisusa esibuhlungu. Uma bebona uhlobo oluthile lokulimala kwezicubu, ama-nociceptors abese athumela impikiswano ebuchosheni, indlela ozizwa ngayo noma ozwa ubuhlungu.
Ubuhlungu besimo somuntu angase bube bukhulu noma bujulile.
Ubuhlungu BamaSomatic obukhulu
Ubuhlungu obukhulu buvela ku-nociceptive receptors esikhumbeni nasezingxenyeni zamangqamuzana . Isibonelo, uma usika umlomo wakho, lobu buhlungu bubizwa ngokuthi ubuhlungu obukhulu obungokwesimo somuntu. Ubuhlungu obukhulu obungokwemvelo bunjani uhlobo lobuhlungu olwenzekayo ngokulimala okuvamile kwansuku zonke futhi lubonakala njengokuhlunguphaza, okubukhali, okuvuthayo, noma ukuphuza.
Ubuhlungu obujulile bomswakama
Ubuhlungu obujulile bubuhlungu obuvela emzimbeni ojulile emzimbeni wakho, njengamalungu akho, amathambo, ama-tendon nemisipha.
Njengezobuhlungu be-visceral, ubuhlungu obunzima obubuhlungu buvame ukuvutha futhi buhlungu.
Ubuhlungu obujulile bubuhlungu bungaba khona endaweni yangakini noma ngaphezulu ngokuya ngesilinganiso sosizi. Isibonelo, uma ugoqa idolo lakho, ubuhlungu obuzwayo buya endaweni yakho emadolweni. Kodwa-ke, uma uphula i-kneecap yakho (ebizwa ngokuthi i-patella yakho) cishe uzwa ubuhlungu kulo lonke umlenze wakho.
Ukwelapha
Ubuhlungu besimo somusa buphathwa ngezindlela ezihlukahlukene. Kuncike ekutheni ubukhulu nobukhulu bokulimala noma ukulimala, kanye nekhwalithi yobuhlungu umuntu obhekene nayo. Isibonelo, uma uzwa i-spasm kunokuba ubuhlungu obubuhlungu, ukwelashwa okuhlukile kuzosetshenziswa.
Amacala amancane amancane obuhlungu obuhlungu abuzwa kahle ngemithi eminingi efana ne-Tylenol (i-acetaminophen) noma i- NSAID njenge-Aleve (naproxen) noma i-Motrin (ibuprofen). Umehluko omkhulu phakathi kweTylenol ne-NSAID yukuthi iTylenol ayiniki imiphumela emelene nokuvuvukala. Ngakho, iTylenol ngeke isisize ngokuvuvukala okuhlobene. Lokhu kuthiwa, abanye abantu abakwazi ukuthatha ama-NSAID ngenxa yezimo zempilo ezingaphansi kwempilo njengomlando wokugaya kwamathumbu , isifo sezinso noma isifo senhliziyo.
Yingakho kubalulekile ukuthi uhlale uthintana nodokotela wakho ngaphambi kokuthatha noma yimiphi imithi, ngisho nalawo atholakele ngaphezulu.
Ngezinhlungu ezijulile ezibuhlungu noma ubuhlungu be- musculoskeletal , imisipha yokuphumula efana ne-Baclofen noma i-Flexeril (cyclobenzaprine) inganikeza usizo. I-opioids, noma imithi efana ne-oxycodone ne-hydrocodone, ingcono kakhulu igcinwe ubuhlungu obunzima obungatholwa yi-Tylenol noma i-NSAID kuphela. Sicela ugcine engqondweni ukuthi ama-opiods athatha ingozi enkulu yokusebenzisa kabi izidakamizwa nokuthembela.
Yingakho ama-opioid ngokuvamile ehlelwe isikhathi esifushane kuphela.
Ngokuya ngobuhlungu, udokotela wakho angase atuse nezinye izindlela zokwelapha ezifana ne-hot pad noma ipaki elibandayo ezindaweni ezibuhlungu. Ngisho nemisebenzi efana nokwelashwa ngokomzimba, ukusikhipha umzimba noma ukuphumula kungasiza.
Izwi elivela
Izindaba ezinhle mayelana nosizi lwama-somatic ukuthi zivame ukuqhuma lapho ukulimala noma ukuhlambalaza okuyisisekelo kuphulukisa. Kodwa-ke, ubuhlungu obuningi obuhlala isikhathi eside kunokuba kulindeleke (izinyanga ezingaphezu kwezinyanga ezintathu) kungaba ubuhlungu obungapheli , okudinga uhlelo oluyinkimbinkimbi yokwelapha.
Umthombo:
I-Rosenquist RW, i-Vrooman BM. Isahluko 47. Ukuphathwa Kwezinhlungu Zesifo Esiyimpilo. Ku: U-Morgan & Mikhail's Clinical Anesthesiology. 5th ed. ENew York, NY: McGraw-Hill; 2013.