I-Central Pain Syndrome (i-CPS)

-Delile

• Ziyini izimpawu ze-central pain syndrome?
• Yini ebangela i-central pain syndrome?
• Ihlolwe kanjani i-central pain syndrome?
• I-central pain syndrome iphathwa kanjani?
• Yiziphi izinhlobo zodokotela abaphatha i-central pain syndrome?
• Isazi sezinzwa
• Isazi sezinhlungu
• Umelaphi womzimba
• Isazi sokusebenza kwengqondo
• Yiziphi izinkinga ze-central pain syndrome?
• Uyini umbono wabantu abane-central pain syndrome?

Iyini i-central pain syndrome?

Ukulimala kwesistimu yezinzwa eziphakathi (CNS) kungadala ukuphazamiseka kwemizwa okubizwa nge-central pain syndrome (CPS). I-CNS ifaka ubuchopho, ubuchopho, nomgogodla. Ezinye izimo eziningana zingadala ukuthi ithande:

• isifo sohlangothi
• ukuhlukumezeka kwengqondo
• izimila
• isithuthwane

Abantu abane-CPS ngokuvamile bazizwa izinhlobo ezahlukene zemizwa yobuhlungu, njenge:

• ubuhlungu
• evuthayo
• izinhlungu ezibukhali
• ukuba ndikindiki

Izimpawu ziyahlukahluka kakhulu phakathi kwabantu. Ingaqala ngokushesha ngemuva kokuhlukumezeka noma esinye isimo, noma kungathatha izinyanga noma iminyaka ukukhula.

Alikho ikhambi le-CPS elitholakalayo. Imithi yezinhlungu, ama-anti-depressants, nezinye izinhlobo zemithi ngokuvamile kungasiza ekuhlinzekeni ukukhululeka. Isimo singathinta kakhulu ikhwalithi yempilo.

Ziyini izimpawu ze-central pain syndrome?

Uphawu oluyinhloko lwe-CPS ubuhlungu. Ubuhlungu buhluka kakhulu phakathi kwabantu. Kungaba noma yikuphi okulandelayo:

• njalo
• ngezikhathi ezithile
• kukhawulwe engxenyeni ethile yomzimba
• kwandile emzimbeni wonke

Abantu bavame ukuchaza ubuhlungu njengokunye kwalokhu okulandelayo:

• evuthayo
• ubuhlungu
• ukubhoboza noma ukuncinza, kwesinye isikhathi okubizwa ngokuthi “izikhonkwane nezinaliti”
• ukugwaza
• ukulunywa okuphenduka kube buhlungu
• iqhwa
• kuyashaqisa
• ukudwengula

Ubuhlungu buvame ukulingana nobunzima. Ubuhlungu bungaze buchazwe njengokubuhlungu kwabanye abantu. Ezimweni ezinzima, abantu abane-CPS bangaba nobuhlungu noma ngabe bathintwa kancane yizingubo, izingubo zokulala, noma umoya onamandla.

Izici ezahlukahlukene zingenza ubuhlungu bube nzima kakhulu. Lezi zinto zibandakanya okulandelayo:

• thinta
• ukucindezeleka
• intukuthelo
• eminye imizwa enamandla
• ukunyakaza, njengokuvivinya umzimba
• ukucabanga, ukunyakaza okungazibandakanyi, njengokuthimula noma ukuzamula
• imisindo emikhulu
• amalambu akhanyayo
• ukushintsha kwamazinga okushisa, ikakhulukazi amazinga okushisa abandayo
• ukushiswa yilanga
• imvula
• umoya
• ingcindezi ye-barometric iyashintsha
• ukuphakama kuyashintsha

Ezimweni eziningi, i-CPS ihlala iyisimo sempilo yonke.

Yini ebangela i-central pain syndrome?

I-CPS ibhekisa ebuhlungwini obuvela ebuchosheni hhayi obuvela emithanjeni eseceleni, engaphandle kobuchopho nentambo yomgogodla. Ngalesi sizathu, yehlukile kwezinye izimo eziningi zobuhlungu.

Ubuhlungu imvamisa buyimpendulo evikelayo kwisikhuthazi esiyingozi, njengokuthinta isitofu esishisayo. Asikho isikhuthazi esiyingozi esibangela ubuhlungu obenzeka ku-CPS. Esikhundleni salokho, ukulimala ebuchosheni kudala umbono wezinhlungu. Lokhu kulimala kuvame ukwenzeka ku-thalamus, isakhiwo ngaphakathi kobuchopho esisebenza ngamasiginali wezinzwa kwezinye izingxenye zobuchopho.

Izimo ezivame kakhulu ezingaholela ku-CPS zifaka:

• ukopha ebuchosheni
• isifo sohlangothi
• i-multiple sclerosis
• izicubu zobuchopho
• i-aneurysm
• ukulimala komgogodla
• ukulimala okubuhlungu kwengqondo
• isithuthwane
• Isifo sikaParkinson
• izinqubo zokuhlinza ezibandakanya ubuchopho noma umgogodla

ICentral Pain Syndrome Foundation ilinganisela ukuthi cishe abantu abayizigidi ezintathu e-United States bane-CPS.

Ihlolwe kanjani i-central pain syndrome?

I-CPS ingaba nzima ukuyithola. Ubuhlungu bungabhebhetheka futhi bungabonakala bungahlobene nokulimala noma ukuhlukumezeka. Akukho sivivinyo esisodwa esitholakalayo ukunika amandla udokotela wakho ukuthola i-CPS.

Udokotela wakho uzobuyekeza izimpawu zakho, enze ukuhlolwa komzimba, abuze ngomlando wakho wezokwelapha. Kubaluleke kakhulu ukwazisa udokotela wakho nganoma yiziphi izimo noma ukulimala onakho manje noma okungenzeka ukuthi uke waba nakho esikhathini esidlule, nanoma yimiphi imithi oyiphuzayo. I-CPS ayizithuthukisi yodwa. Kwenzeka kuphela ngemuva kokulimala kwe-CNS.

I-central pain syndrome iphathwa kanjani?

I-CPS kunzima ukuyelapha. Imithi yezinhlungu, njenge-morphine, kwesinye isikhathi iyasetshenziswa kepha ayiphumeleli njalo.

Abanye abantu bangakwazi ukuphatha ubuhlungu babo ngemithi ye-antiepileptic noma ye-anti-depressant, efana nale:

• i-amitriptyline (u-Elavil)
• i-duloxetine (iCymbalta)
• i-gabapentin (Neurontin)
• pregabalin (eLyrica)
• i-carbamazepine (Tegretol)
• i-topiramate (Topamax)

Imithi eyengeziwe engasiza ifaka phakathi:

• okhilimu abadlulayo nezimagqabhagqabha
• insangu yezokwelapha
• ukuphumula kwemisipha
• izidambisi nezinsizakusebenza zokulala

Ngokuvamile, le mithi izokwehlisa ubuhlungu, kodwa ngeke ibenze buphele ngokuphelele. Ngokuzama nokwenza iphutha, isiguli nodokotela waso ekugcineni bazothola umuthi noma inhlanganisela yemithi esebenza kahle kakhulu.

I-Neurosurgery ibhekwa njengesixazululo sokugcina. Lolu hlobo lokuhlinzwa lubandakanya ukukhuthazeka kobuchopho okujulile. Phakathi nale nqubo, udokotela wakho uzofaka i-electrode ebizwa nge-neurostimulator ezingxenyeni ezithile zobuchopho bakho ukuthumela ukukhuthazwa kuma-receptors wezinhlungu.

Yiziphi izinhlobo zodokotela abaphatha i-central pain syndrome?

Udokotela oyinhloko uzoba ngudokotela wokuqala ukuxoxa ngezimpawu zakho bese ehlola umlando wakho wezempilo nempilo yamanje. Lapho nje izimo ezithile zikhishelwa ngaphandle, udokotela wakho angakudlulisela kuchwepheshe ukuze ahlolwe ngokwengeziwe nokwelashwa.

Ochwepheshe abaphatha noma abasiza ukuphatha i-CPS bafaka okulandelayo:

Isazi sezinzwa

Isazi sezinzwa ngudokotela ogxile ekuphazamisweni kwesistimu yezinzwa, kufaka phakathi ubuchopho, umgogodla nezinzwa. Ngokuvamile banamakhono okwelapha ubuhlungu obungapheli. Kungadingeka ukuthi ubone odokotela bezinzwa abaningana ngaphambi kokunquma ukuthi iyiphi engakusiza ukuphatha ubuhlungu bakho.

Isazi sezinhlungu

Uchwepheshe wezobuhlungu uvame ukuba ngudokotela oqeqeshwe kwi-neurology noma i-anesthesiology. Basebenza ngokuphathwa kobuhlungu futhi basebenzise izindlela ezahlukahlukene zokwelapha izinhlungu kubandakanya imishanguzo yomlomo nemijovo yemithi ethile kumasayithi abuhlungu ukudambisa izinhlungu.

Umelaphi womzimba

Umelaphi ngokomzimba uchwepheshe ongakusiza ukunciphisa izinhlungu futhi uthuthukise ukuhamba.

Isazi sokusebenza kwengqondo

I-CPS ivame ukuthinta ubudlelwano bakho nenhlalakahle engokomzwelo. Isazi sokusebenza kwengqondo noma owelaphayo uzoxoxa nawe ngezinkinga ezingokomzwelo.

Yiziphi izinkinga ze-central pain syndrome?

I-CPS ingaba buhlungu. Kungakugcina ungabambi iqhaza emicimbini yomphakathi futhi kuthinte kakhulu impilo yakho yansuku zonke. Kungaholela ezinkingeni ezingokomzwelo nakwezinye izinkinga kubandakanya:

• ukucindezeleka
• ukukhathazeka
• ukudana
• ukukhathala
• ukuphazamiseka kokulala
• izinkinga zobudlelwano
• intukuthelo
• ukwehla kwekhwalithi yempilo
• ukuzihlukanisa
• imicabango yokuzibulala

Uyini umbono wabantu abane-central pain syndrome?

I-CPS ayisongeli impilo, kepha isimo sidala ubunzima obukhulu kubantu abaningi. I-CPS ingaphazamisa ukusebenza kwakho kwansuku zonke.

Ezimweni ezimbi kakhulu, ubuhlungu bungaba bukhulu futhi bube nomthelela omkhulu kwikhwalithi yakho yokuphila. Abanye abantu bangakwazi ukuphatha ubuhlungu ngemithi, kepha isimo sihlala isikhathi eside impilo yomuntu wonke.