治疗普遍病变和控制痛阈

J. C. Jiménez-Sáez
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摘要

本文介绍一种以改变痛阈为基本特征的疾病。在这种疾病中,疼痛阈值会发生变化,一般来说,疼痛阈值会降低,因此疼痛感会提前出现。导致疼痛阈值降低的原因是持续的压力刺激,其强度高于或接近阈值,并随着时间的推移而持续。降低阈值的持续时间取决于强度的大小:如果强度较低,持续时间会更长。在没有药物治疗的情况下,阈值降低的特征是受影响区域出现电痛感,随后出现异感、痛觉减退和痛觉障碍。该部位的疼痛耐受水平下降,因此患者无法支撑该部位。这种疾病会完全致残。该患者被诊断为普遍性痛觉亢进;事实上,阈值的降低既会影响躯体疼痛,也会影响内脏疼痛。虽然这种疾病本身在全球的发病率很低,因为个体存活的概率很小,但本文介绍的内容对治疗高病变和控制痛阈很有帮助。卡马西平和托吡酯是两种可以调节痛阈的药物。进行有氧运动也很重要。此外,有必要始终控制传入通路的刺激,包括持续时间和强度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Treatment of universal hyperpathy and pain threshold control
This article presents a disease fundamentally characterized by an alteration of the pain threshold. In this disease, the pain threshold can change and, in general, is lower, so pain is perceived before. The cause of the decrease is a continuous pressure stimulus of intensity above or close to the threshold that persists over time. The duration to reduce the threshold will depend on the degree of intensity: It will be longer if it is of lower intensity. In the absence of medication, the decrease in threshold is characterized by a sensation of electrical pain followed by allodynia, hyperalgesia, and dysesthesia in the affected area. The level of pain tolerance in that area drops, so the patient cannot support that area. The disease becomes completely disabling. The patient was diagnosed with universal hyperpathy; in fact, the decrease in the threshold can affect both somatic and visceral pain. Although the disease itself would have a minimum level of incidence worldwide, since the probability of survival of individuals is small, the content presented here is useful for the treatment of hyperpathy and the control of the pain threshold. Carbamazepine and topiramate turn out to be two medications that allow modulation of the threshold. Performing aerobic exercise is also essential. Furthermore, it is necessary to control the stimuli of the afferent pathways at all times, both in duration and intensity.
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