Isifo sePain Central Syndrome (CPS)

Umxholo

• Ziintoni iimpawu zesifo sentlungu esembindini?
• Yintoni ebangela i-central pain syndrome?
• I-central pain syndrome ifunyanwa njani?
• I-central pain syndrome iphathwa njani?
• Zeziphi iintlobo zoogqirha ezinyanga isifo sentlungu esembindini?
• Ingcali yonyango
• Ingcali yentlungu
• Unyango ngokwasemzimbeni
• Ingcali yeengqondo
• Zeziphi iingxaki zesifo sentlungu esembindini?
• Yiyiphi imbonakalo yabantu abane-central pain syndrome?

Yintoni i-central pain syndrome?

Ukonakala kwenkqubo ye-nervous system (i-CNS) kunokubangela ukuphazamiseka kwemithambo-luvo ekuthiwa yi-central pain syndrome (CPS). I-CNS ibandakanya ubuchopho, ubuchopho kunye nomqolo. Ezinye iimeko ezininzi zinokubangela ukuba:

• icala
• ukwenzakala kwengqondo
• amathumba
• ukuxhuzula

Abantu abane-CPS baziva iintlobo ezahlukeneyo zentlungu, ezinje:

• ukuba buhlungu
• ukutshisa
• iintlungu ezibukhali
• ukuba ndindisholo

Iimpawu ziyahluka ngokubanzi phakathi kwabantu. Inokuqala kwangoko emva koxinzelelo okanye enye imeko, okanye kungathatha iinyanga okanye iminyaka ukukhula.

Akukho nyango lwe-CPS lufumanekayo. Unyango, iintlungu, kunye nezinye iintlobo zonyango zihlala zinokukunceda ukubonelela ngoncedo. Imeko inokuchaphazela kakhulu ubomi.

Ziintoni iimpawu zesifo sentlungu esembindini?

Uphawu oluphambili lweCPS yintlungu. Intlungu ihluka kakhulu phakathi kwabantu. Inokuba yeyiphi na kwezi zilandelayo:

• rhoqo
• ngexeshana
• kuthintelwe kwilungu elithile lomzimba
• isasazeke emzimbeni wonke

Abantu bahlala bechaza iintlungu njengayo nayiphi na kwezi zilandelayo:

• ukutshisa
• ukuba buhlungu
• ukuhlaba okanye ukurhawuzelela, maxa wambi okubizwa ngokuba “zizikhonkwane neenaliti”
• ukuhlaba
• ukurhawuzela kuguquka kabuhlungu
• kubanda
• eyothusayo
• ukukrazula

Intlungu ihlala imodareyitha ibe nzima. Intlungu inokude ichazwe njengokubandezeleka kwabanye abantu. Kwiimeko ezinzima, abantu abane-CPS banokuba nentlungu nokuba bathe bachukunyiswa kancinci yimpahla, iingubo, okanye umoya onamandla.

Izinto ezahlukeneyo zinokwenza ukuba iintlungu zibe mandundu. Ezi zinto zibandakanya oku kulandelayo:

• ukuchukumisa
• uxinzelelo
• umsindo
• ezinye iimvakalelo ezinamandla
• intshukumo, njengokuzilolonga
• Ukuhamba ngokunganyanzelekanga, njengokuhamba uthimla okanye ukuzamla
• ingxolo enkulu
• izibane eziqaqambileyo
• utshintsho lobushushu, ngakumbi amaqondo obushushu abandayo
• Ukukhanya kwelanga
• imvula
• umoya
• Utshintsho koxinzelelo lwe-barometric
• utshintsho oluphezulu

Kwiimeko ezininzi, i-CPS ihlala iyimeko yobomi bonke.

Yintoni ebangela i-central pain syndrome?

I-CPS ibhekisa kwintlungu evela kwingqondo hayi kwimithambo yoluvo, engaphandle kwengqondo kunye nomqolo. Ngesi sizathu, yahlukile kwezinye iimeko zentlungu.

Iintlungu zihlala ziyimpendulo yokukhusela kwisikhuthazi esiyingozi, njengokuchukumisa isitovu esishushu. Akukho sishukumisi siyingozi sibangela iintlungu ezenzeka kwi-CPS. Endaweni yoko, ukwenzakala kwengqondo kudala imbono yentlungu. Oku kwenzakala kuhlala kwenzeka kwi-thalamus, isakhiwo ngaphakathi kwengqondo esenza imiqondiso yeemvakalelo kwamanye amalungu engqondo.

Ezona meko zixhaphakileyo ezinokukhokelela kwi-CPS zibandakanya:

• Ukopha ebuchotsheni
• icala
• isifo sokugubhuka
• amathumba engqondo
• imithambo-luvo
• ukwenzakala kwethambo lomqolo
• ukwenzakala kwengqondo okubuhlungu
• ukuxhuzula
• Isifo sikaParkinson
• iinkqubo zotyando ezibandakanya ingqondo okanye umqolo

I-Central Pain Syndrome Foundation iqikelela ukuba phantse i-3 yezigidi zabantu e-United States bane-CPS.

I-central pain syndrome ifunyanwa njani?

I-CPS kunokuba nzima ukuyichonga. Intlungu inokusasazeka kwaye inokubonakala ingahambelani nakuphi na ukwenzakala okanye ukwenzakala. Akukho vavanyo lunye lufumanekayo ukwenza ukuba ugqirha wakho abhaqe i-CPS.

Ugqirha wakho uya kujonga iimpawu zakho, enze uvavanyo lomzimba, kwaye abuze malunga nembali yakho yezonyango. Kubaluleke kakhulu ukwazisa ugqirha wakho malunga nayiphi na imeko okanye ukwenzakala onakho ngoku okanye onokuthi ubenako ngaphambili, kunye nawaphi na amayeza owasebenzisayo. I-CPS ayizikhupheli yodwa. Kwenzeka kuphela emva kokonzakala kwi-CNS.

I-central pain syndrome iphathwa njani?

I-CPS kunzima ukuyinyanga. Amayeza eentlungu, anjenge morphine, ngamanye amaxesha ayasetyenziswa kodwa awasoloko ephumelela.

Abanye abantu banokulawula iintlungu zabo ngamayeza e-antiepileptic okanye antidepressant, anje ngala:

• umgca we-amitriptyline (Elavil)
• duloxetine (ICymbalta)
• gabapentin (iNeurontin)
• pregabalin (ILyrica)
• icarbamazepine (Tegretol)
• itopiramate (Topamax)

Amayeza ongezelelweyo anokunceda ukubandakanya:

• ii-transdermal creams kunye neepatches
• intsangu yezonyango
• izihlunu eziphumlayo
• ukuthomalalisa kunye nezinto zokulala

Ngokubanzi, la mayeza aya kunciphisa intlungu, kodwa ayiyi kuyenza ihambe ngokupheleleyo. Ngokuzama kunye nephutha, isigulana kunye nogqirha wabo ekugqibeleni bayakufumana amayeza okanye indibaniselwano yamayeza asebenza ngcono.

I-Neurosurgery ithathwa njengecebo lokugqibela. Olu hlobo lotyando lubandakanya ukukhuthazeka kwengqondo okunzulu. Ngethuba lale nkqubo, ugqirha wakho uya kufaka i-electrode ebizwa ngokuba yi-neurostimulator kwiindawo ezithile zobuchopho bakho ukuba uthumele ukukhuthazwa kwi-receptors yeentlungu.

Zeziphi iintlobo zoogqirha ezinyanga isifo sentlungu esembindini?

Ugqirha wokhathalelo oluphambili uya kuba ngugqirha wokuqala ukuxoxa ngeempawu zakho kwaye ujonge imbali yakho yezempilo kunye nempilo yangoku. Nje ukuba iimeko ezithile zikhutshwe ngaphandle, ugqirha wakho angakuthumela kwingcali kuvavanyo ngakumbi kunye nonyango.

Iingcali ezinyanga okanye ezincedisa ukulawula ii-CPS zibandakanya oku kulandelayo:

Ingcali yonyango

Ugqirha wemithambo-luvo ngugqirha ogxile kukuphazamiseka kwenkqubo yemithambo-luvo, kubandakanya nengqondo, umnqonqo kunye nemithambo-luvo. Bahlala benobuchule ekunyangeni iintlungu ezingapheliyo. Kuya kufuneka ubone i-neurologists ezininzi ngaphambi kokuthatha isigqibo sokuba yeyiphi enokukunceda ukulawula iintlungu zakho.

Ingcali yentlungu

Ingcali yeentlungu ihlala ingugqirha oqeqeshelwe i-neurology okanye i-anesthesiology. Zijolise ekulawuleni iintlungu kwaye zisebenzisa iindlela ezahlukeneyo ukunyanga iintlungu kubandakanya amayeza omlomo kunye neenaliti zamayeza athile kwiziza ezibuhlungu ukunciphisa iintlungu.

Unyango ngokwasemzimbeni

Ingcali yonyango yingcali enokukunceda ukunciphisa iintlungu kunye nokuphucula ukuhamba.

Ingcali yeengqondo

I-CPS ihlala ichaphazela ubudlelwane bakho kunye nentlalo-ntle yeemvakalelo. Ingcali yezengqondo okanye ingcali iya kuxoxa ngemicimbi yeemvakalelo kunye nawe.

Zeziphi iingxaki zesifo sentlungu esembindini?

I-CPS inokuba buhlungu. Inokukugcina ungathathi nxaxheba kwiminyhadala yoluntu kwaye ichaphazele kakhulu ubomi bakho bemihla ngemihla. Ingakhokelela kwiingxaki zeemvakalelo kunye nezinye iingxaki kubandakanya:

• uxinzelelo
• ixhala
• ukudakumba
• ukudinwa
• ukuphazamiseka kokulala
• iingxaki zobudlelwane
• umsindo
• ukwehla komgangatho wobomi
• ukubekwa wedwa
• Iingcinga zokuzibulala

Yiyiphi imbonakalo yabantu abane-central pain syndrome?

I-CPS ayisongeli ubomi, kodwa imeko ibangela ubunzima obuninzi kubantu abaninzi. I-CPS inokuphazamisa inkqubo yakho yemihla ngemihla.

Kwiimeko ezinzima, iintlungu zinokuba nzima kwaye zichaphazele kakhulu umgangatho wobomi. Abanye abantu banokulawula iintlungu ngamayeza, kodwa imeko ihlala ihlala ubomi bomntu bonke.