Yini i-Chronic Pain Syndrome?

-Delile

• Izimpawu zesifo esingapheliyo sezinhlungu
• Izimbangela zesifo esibuhlungu esingapheli
• Izici zobungozi
• Isifo esibuhlungu esingapheli ngokumelene ne-fibromyalgia
• Ukuxilongwa kwesifo esibuhlungu esingapheliyo
• Ukwelashwa kwesifo esibuhlungu esingapheli
• Ezokwelapha
• Okuhlukile
• Ukubhekana nesifo esibuhlungu esingapheli

Ukubuka konke

Ubuhlungu obuningi buyadamba ngemuva kokuphulukiswa kokulimala noma ukugula kuqhubeka. Kepha ngesifo esibuhlungu esingapheli, ubuhlungu bungahlala izinyanga ngisho neminyaka ngemuva kokuphulukiswa komzimba. Kungaze kwenzeke lapho ingekho imbangela eyaziwayo yobuhlungu.Ngokwe-the, ubuhlungu obungapheli buchazwa njengokuhlala noma kuphi kusuka ezinyangeni ezi-3 kuye kwezi-6, futhi kuthinta abantu baseMelika abangaba yizigidi ezingama-25.

Izimpawu zesifo esingapheliyo sezinhlungu

Isifo esibuhlungu esingapheli sithinta impilo yakho yomzimba nengqondo. Ngenkathi ubuhlungu bungasondela-njalo, kungahle kube nokuqubuka kobuhlungu obukhulu ngenxa yokwanda kwengcindezi noma umsebenzi. Izimpawu zifaka:

• ubuhlungu obuhlangene
• ubuhlungu bemisipha
• ubuhlungu obuvuthayo
• ukukhathala
• izinkinga zokulala
• ukulahlekelwa amandla nokuguquguquka, ngenxa yokwehla komsebenzi
• izinkinga zemizwa, kufaka phakathi ukudangala, ukukhathazeka, nokucasuka

Kokunye ucwaningo olushicilelwe ephephabhukwini i-Pain, lezifundo ezibike ubuhlungu obungapheli zibuye zibe nokudangala, iningi lazo linezimpawu “ezinqala” zezinga.

Izimbangela zesifo esibuhlungu esingapheli

Izimo ezibangela ubuhlungu obusakazekile futhi obuhlala isikhathi eside, akumangazi, zivame ukuxhunyaniswa nesifo esibuhlungu esingapheli. Ezinye zalezi zimo zifaka:

• I-osteoarthritis. Lolu hlobo lwe-arthritis ngokuvamile lubangelwa ukuwohloka emzimbeni futhi kwenzeka lapho uqwanga oluvikelayo phakathi kwamathambo luphela.
• Isifo samathambo. Lesi yisifo esizimele esibangela ukuvuvukala okubuhlungu emajoyini.
• Ukuhlungu obusemhlane. Lobu buhlungu bungavela ezinkingeni zemisipha, ukucindezelwa kwemizwa, noma i-arthritis yomgogodla (obizwa nge-spinal stenosis).
• I-Fibromyalgia. Lesi yisimo sezinzwa esibangela ubuhlungu nesisa ezingxenyeni ezahlukahlukene zomzimba (ezaziwa njengama-trigger points).
• Isifo samathumbu esivuthayo. Lesi simo sidala ukuvuvukala okungapheli komgudu wokugaya ukudla futhi singaveza ubuhlungu bamathumbu nokucinana.
• Ukuhlukumezeka kokuhlinzwa.
• Umdlavuza othuthukile.

Ngisho noma lezi zimo zithuthuka (ngemithi noma ngemithi yokwelashwa), abanye abantu basengathola ubuhlungu obungapheli. Lolu hlobo lobuhlungu ngokuvamile lubangelwa ukungahambisani kahle phakathi kobuchopho nesistimu yezinzwa. (Ngezizathu ezingachazeki, abanye abantu bangahlangabezana nalolu hlobo lobuhlungu ngaphandle kwezimbangela ezaziwayo.)

Ubuhlungu obungapheli bungashintsha indlela ama-neurons (amangqamuzana ezinzwa ebuchosheni adlulisa futhi acubungule okokufaka kwezinzwa) aziphathe ngayo, abenze bazwele kakhulu emiyalezweni yobuhlungu. Isibonelo, ngokusho kwe-Arthritis Foundation, amaphesenti angama-20 abantu abane-osteoarthritis abaguqulwa ngamadolo (futhi kungenzeka ukuthi abanazinkinga ezihlangene ezibuhlungu) basazobika ubuhlungu obungapheli.

Izici zobungozi

Ucwaningo lukhombisa ukuthi abanye abantu bathambekele kakhulu ekuhluphekeni okungapheli kunabanye. Kunjalo:

• Labo abanezimo ezingapheli nezibuhlungu, njengesifo samathambo.
• Labo abacindezelekile. Ochwepheshe abaqiniseki kahle ukuthi kungani lokhu kunjalo, kodwa umbono owodwa ukuthi ukucindezeleka kuguqula indlela ubuchopho obuthola ngayo futhi buhumushe imiyalezo evela ohlelweni lwezinzwa.
• Labo ababhemayo. Okwamanje azikho izimpendulo ezicacile, kepha ochwepheshe bahlola ukuthi kungani ukubhema kubonakala kwenza ubuhlungu bube buhlungu kakhulu kulabo abane-arthritis, i-fibromyalgia, nezinye izifo ezibuhlungu ezingapheli. Ngokusho komtholampilo waseCleveland, ababhemayo bakha amaphesenti angama-50 alabo abafuna ukwelashwa ukuze kudambiswe izinhlungu.
• Labo abakhuluphele ngokweqile. Ngokusho kocwaningo, amaphesenti angama-50 alabo abafuna ukwelashwa kokukhuluphala babika ubuhlungu obuphansi kuya kabuhlungu. Ochwepheshe abaqiniseki ukuthi lokhu kungenxa yengcindezi isisindo esengeziwe esisibeka emzimbeni noma uma kungenxa yendlela eyinkimbinkimbi yokukhuluphala edlala namahomoni omzimba kanye nokwakheka komzimba.
• Labo abesifazane. Abesifazane bavame ukuzwela kakhulu ebuhlungu. Abaphenyi bathi lokho kungenzeka kungenxa yamahomoni noma ukwehluka kobuningi bezinsimbi zomuntu wesilisa uma kuqhathaniswa nabesilisa.
• Labo asebekhulile kuneminyaka engama-65. Njengoba ukhula, uthambekele kakhulu kuzo zonke izinhlobo zezimo ezingakhipha ubuhlungu obungapheli.

Isifo esibuhlungu esingapheli ngokumelene ne-fibromyalgia

Ngenkathi isifo esingamahlalakhona esibuhlungu kanye ne-fibromyalgia kuvame ukuhlangana, kuyizinkinga ezimbili ezihlukile. Isifo esibuhlungu esingalapheki sivame ukuba nesikhuthazi esingakhonjwa, njengesifo samathambo noma ukulimala kwethambo eliphukile elingapholi kahle.

I-Fibromyalgia - ukuphazamiseka kwesistimu yezinzwa ebonakala ngobuhlungu bemisipha namalunga nokukhathala - kuvame ukuvela ngaphandle kwesizathu esaziwayo. Uma ubheka i-X-ray, ubungeke ukuthole ukulimala kwezicubu noma zemizwa. I-Fibromyalgia, noma kunjalo, iba nomthelela endleleni izinzwa ezizwa ngayo futhi idlulise ngayo imiyalezo ebuhlungu. Ngisho nalapho welashwa, ubuhlungu be-fibromyalgia busengaba njalo (ngaleyo ndlela buholele ekuguleni okungapheli).

Ukuxilongwa kwesifo esibuhlungu esingapheliyo

Into yokuqala ezokwenziwa udokotela wakho ukuthatha umlando ophelele wezokwelapha. Uzobuzwa izinto ezifana nokuthi:

• lapho ubuhlungu bakho buqala
• ukuthi kunjani (ngokwesibonelo, ukushisa nokubukhali noma ukubuthuntu nokuqaqamba)
• lapho itholakala khona
• uma kukhona okwenza kube ngcono noma kubi

Ngoba izimo ezithile zingaholela ekubeni nesifo esingapheliyo sezinhlungu, udokotela wakho angalawula ukuhlolwa kwe-imaging ukuthola ukuthi kukhona ukulimala okuhlangene noma kwezicubu okungachaza ubuhlungu bakho. Isibonelo, udokotela wakho angalawula i-MRI ukuthola ukuthi ubuhlungu bakho buvela kwi-disk ye-herniated, i-X-ray ukubona ukuthi unayo yini i-osteoarthritis, noma ukuhlolwa kwegazi ukuhlola i-rheumatoid arthritis.

Ngaphandle kokukwazi ukuthola imbangela eqondile yobuhlungu bakho - noma uma becabanga ukuthi ubuhlungu abulingani ngokulingana nomsuka - abanye odokotela bazokhipha izimpawu zakho noma bakutshele ukuthi "konke kusekhanda lakho." Kunzima ukwenza okuthile lapho ungazizwa kahle, kodwa qhubeka uphenye ezinye izindlela. Uma kudingeka, khuluma nodokotela wakho ngalokho ocabanga ukuthi kubangela ubuhlungu bakho bese ucela izivivinyo nezindlela zokwelashwa ezifanele. Ukusebenza njengeqembu kudutshulwe kakhulu ekutholeni ukukhululeka.

Ukwelashwa kwesifo esibuhlungu esingapheli

Ubuhlungu obungapheli bungadida, kodwa buyelapheka. Ezinye izinketho zifaka:

Ezokwelapha

• Izidakamizwa zokudambisa izinhlungu. Lokhu kungaba ngama-anti-inflammatories, ama-steroids, ama-relaxer emisipha, ama-anti-depressants nawo anezimpawu zokudambisa izinhlungu futhi, ezimweni ezinzima, ama-opioid (lokhu kuyindlela yokugcina).
• Ukwelashwa ngokomzimba ukwandisa ukuguquguquka nobubanzi bokuhamba.
• Izinzwa zivimba ukuphazamisa izimpawu zobuhlungu.
• Ukwelashwa kwengqondo / isimilo. Ngenkathi kungenzeka zingabi nomthelela omkhulu ebuhlungwini, ezinye izindlela zokwelapha ezingokwengqondo zingaba nethonya elihle kumzwelo. Isibonelo, ukwelashwa kokuziphatha kwengqondo (uhlobo lokwelashwa okusiza ukuthi uqambe kabusha ukucabanga okungalungile) kukhonjisiwe ukuthi kuyasebenza ekukhuliseni imizwa, ngisho kuze kube unyaka ngemuva kokuphela kokwelashwa. Kwesinye isifundo, i-biofeedback yayizuzisa ekunciphiseni ukungezwani kwemisipha nokudangala nokwenza ngcono ukubhekana nobuhlungu obungapheli. I-Biofeedback uhlobo lwezokwelapha olufundisa ukusebenzisa ingqondo yakho ukulawula ukusabela komzimba, njengokuphefumula okusheshayo.

Okuhlukile

• Ukuthoma. Ngokuya ngokuhlaziywa kocwaningo, ukutshopa kwehlisa amazinga obuhlungu kulabo abazama, uma kuqhathaniswa nokwehliswa kobuhlungu ngamaphesenti angama-30 kulabo abangazange bathole ukutshopa.
• I-Hypnosis. Ucwaningo lubika ukuthi amaphesenti angama-71 ezifundo ezine-irritable bowel syndrome (IBS) abike izimpawu ezithuthukiswe kakhulu ngemuva kwesifundo se-hypnosis. Le miphumela yanweba kuze kube yiminyaka emihlanu yokwelashwa ngemuva kokulashwa.
• I-Yoga. Ngoba kusiza ukukhulula imisipha, kukhuthaza ukuphefumula okujulile, okubuyisayo futhi kukhulise ukucabanga, kukhombisa ukuthi i-yoga ingaba lusizo ekwehliseni ukucindezeleka nokukhathazeka okuza nobuhlungu obungapheli, ngaleyo ndlela kuthuthukise ikhwalithi yempilo yakho.

Ukubhekana nesifo esibuhlungu esingapheli

Uma ungazizwa kahle, ukuphatha ubuhlungu obungapheli kungaba nzima. Ukucindezeleka ngokomzwelo kungenza ubuhlungu bube bubi nakakhulu. Kungaba nzima ukusebenza, futhi ungabheka ukuthi kungenzeka yini uthole izinzuzo zokukhubazeka. Noma kunjalo, cwaninga lokhu ngokucophelela. I-Social Security Administration inezidingo eziqonde ngqo okumele uhlangabezane nazo ngaphambi kokuba kukhokhwe izinzuzo.

Okwamanje, i-American Psychological Association iphakamisa lawa macebiso okubhekana nobuhlungu obungapheli:

• Gxila kokuhle empilweni yakho.
• Yiba nesethembiso. Musa ukuhoxa emndenini nakubangani noma emisebenzini oyithandayo futhi osengayenza.
• Bamba iqhaza emaqenjini okusekela. Udokotela wakho noma isibhedlela sendawo singakwazi ukukudlulisela kwesinye.
• Funa usizo, kokubili ngokwengqondo nangokomzimba. Futhi khumbula, uma uzizwa ukuthi odokotela bakho bayabuchitha ubuhlungu bakho, qhubeka useshe. Ochwepheshe bezempilo abanobubele bakhona lapho. Cela abangani ngezincomo kanye namaqembu okusekela othintana nabo, izinhlangano zezempilo ezinikezelwe ukugula okuthile, kanye nezibhedlela zendawo ukuze zithunyelwe.