Fisiopatología Del Dolor UPSJB

7/27/2019 Fisiopatologa Del Dolor UPSJB

1/25

LFTFH]B_HNH@B OJN OHNHW

Or. Kfdabjn Byuobit Wbkhs

Tjoj Ahspftbn Tbi ChsBshdfbdfi Zifvjrsfobo ]rfvbob Tbi Cubi Gbutfstb


2/25

OJLFIFDFI OJ OHNHW

Tjisbdfi h jxpjrfjidfb, sugcjtfvb, pjrshibn

j fitrbisljrfgnj, oj dbrdtjr ojsb`rbobgnj

bshdfbob b njsfi tfsunbr rjbn h phtjidfbn

Tfiifkhs3 Ihdfdjpdfi, bn`fb y sulrfkfjith


3/25

_fphs oj ohnhr

]hr su jvhnudfi3 b`uoh y drifdh ]hr su sf`iflfdboh3 Bobptbtfvh h kbnbobptbtfvh ]hr su nhdbnfzbdfi3 supjrlfdfbn y prhluioh,

rjljrfoh ]hr su jstrudturb3 shktfdh y vfsdjrbn ]hr su fitjisfobo3 Njvj, khojrboh y sjvjrh ]hr su sfithkbthnh`b3 puitbob h qujkbitj,

nhdbnfzboh h oflush ]hr su kjdbifskh3 Ihdfdjptfvh, Filnbkbthrfh,

Ijurhptfdh, Luidfhibn.


4/25

Dhkphijitjs oj nb lfsfhpbthnh`b ojnohnhr

2. Ihdfdjpdfi3 ifdb jtbpb dhki

7. Nb pjrdjpdfi.

4. Jn sulrfkfjith.?. Jn dhkphrtbkfjith ojn ohnhr.


5/25

Ihdfdjpdfi

Js uib jtbpb gfhqufkfdb.

Tj ofvfoj ji3

_rbisouddfi]rhtjibs ihdfdjpthrbs

_rbiskfsfiWjdjpthrjs ihdfdjpthrjs

Khounbdfi ojn ohnhr.


6/25

Ihdfdjpdfi3 _rbisouddfi

Njsfi tfsunbr phr jstkunhs

kjdifdhs, trkfdhs h qukfdhs

Obh djnunbr

Nfgjrbdfi oj

]htbsfh

Nfgjrbdfi oj grbofqufifib

(GE)

Titjsfs oj

]rhstb`nbiofibs

Kbyhr sjisfgfnfobo b grbofqufifib

Bukjith oj sustbidfbs prhoudthrbs oj ohnhr


7/25

]rfidfpbnjs khndunbs ihdfdjptfvbs

D@W]3 ]ptfoh rjnbdfhiboh bn `ji oj nb dbndfthifib


8/25

Ihdfdjpdfi3 _rbisouddfi -_rbiskfsfi

Tjbn ihdfdjptfvb3 ojgj trbislhrkbrsj ji sjbnjndtrfdb pbrb sjr fitjrprjtbob phr jn djrjgrh.

_rbisouddfi3 Bdtfvbdfi oj prhtjibs qujprhoudji bpjrturb oj dbibnjs fifdhs.

_rbiskfsfi3 Bpjrturb oj dbibnjs fifdhsojsphnbrfzbdfi oj kjkgrbibphtjidfbnjsoj bddfi Ubxi ojn ihdfdjpthr[KounbjspfibnDjrjgrh.


9/25

Lfgrbs ijrvfhsbs ihdfdjpthrbs

Lfgrbs ihdfdjpthrbs shi oj 7 tfphs3 B y D

Lfgrbs B ojntb ( B) Lfgrbs D

Dhioudji fkpunshsijrvfhshs rpfohs3 : b := k/s. Oj pjqujh ofkjtrh ykfjnfifzbobs Wjsphioji b jstfkunbdfi

qukfdb, trkfdb h kjdifdb.

Thi lfgrbs oj dhiouddfinjitb Thi bkfjnifdbs Wjsphioji b jstkunhstrkfdhs, kjdifdhs y

qukfdhs Bnrjojohr oj 7== lfgrbs tfphD phr dk7oj pfjn.


10/25

Ljikjih oj nhs ohs ohnhrjs

Nhs ihdfdjpthrjstrkfdhs, kjdifdhs yphnfkhobnjs sj bdtfvbioj kbijrb sfkuntijb.

Bn hdurrfr ui jstfkunh

ihdfdjptfvh (p.jc., ui`hnpj), prfkjrh sjprhoudj ui ohnhrbùoh (lfgrbs B-ojntb),sjùfoh ojspus ojuib pbusb phr ui

sjùioh ohnhr kspjrsfstjitj, fitjish yshroh (lfgrbs D).


11/25

Ihdfdjpdfi3 _rbiskfsfi yKhounbdfi

Khounbdfi ojn ohnhr3Kuy vbrfbgnj jiofljrjitjs sftubdfhijsj fiofvfouhs3Jxpjdtbtfvbs y

Tu`jstfi (pnbdjgh). \b djrjgrbnojsdjiojitj3Afphtnbkh, trhidh ykounb, dhitrhnbsjnjdtfvbkjitj b nbs

ijurhibs ojtrbiskfsfi oj ohnhrjspfibn.


12/25

Lbdthrjs khounbohrjs ojn ohnhr

2. ]jrshibnfobo3 Jstboh oj ifkh, jxpjdtbtfvbs oj nbpjrshib, bisfjobo, kfjoh, jilboh, lrustrbdfi.

7. Khkjith h sftubdfi oj nb vfob ji quj sj prhoudj jnohnhr.

4. Wjnbdfi dhi htrbs pjrshibs, dhkh lbkfnfbrjs, bkf`hsy dhkpbjrhs oj trbgbch.

?. Tjxh y jobo.

:. Ifvjn dh`iftfvh.


13/25

Ohnhr vfsdjrbn

Kjihs jstuofboh3 Ih pujoji jxtrbphnbrsjobths dfjitlfdhs hgtjifohs ojn jstuofh ojnohnhr shktfdh

Nb pjrdjpdfi y prhdjsbkfjith ojn ohnhrtbkgfi oflfjrj

Nbs kbifljstbdfhijs dnifdbs y su kbijch

lbrkbdhn`fdh pujoji sjr ofljrjitjs


14/25

Dbrbdtjrstfdbs ojn ohnhr vfsdjrbn

2. Ih js jvhdboh ji thobs nbs vsdjrbs. Ih ohnhr3 djrjgrh, rfi, a`boh, pbriqufkb

punkhibr

7. Ih jst sfjkprj rjnbdfhiboh dhi njsfivfsdjrbn3 Ofstjisfi, fsqujkfb j filnbkbdfi

4. Js oflush, phgrjkjitj nhdbnfzboh.

?. Js rjljrfoh b htrbs nhdbnfzbdfhijs.:. Tj bdhkpbb oj phtjitjs rjspujstbs rjlnjcbs

buthikfdbs y khthrbs


15/25

Kjdbifskhs ojn ohnhr vfsdjrbn

Oflush ojgfoh b gbcb ojisfobo oj ihdfdjpthrjs y lfgrbsbljrjitjs ji nhs r`bihs.

Ih jxfstj uib vb sjpbrbob pbrb nb trbiskfsfi ojnohnhr vfsdjrbn.

Ohnhr rjljrfoh3 Tj nhdbnfzb shgrj jstrudturbs supjrlfdfbnjs h shktfdbs,

dhkh pfjn y ksdunhs.

Kjdbifskh3 Dhivjr`jidfb oj lfgrbs bljrjitjs shktfdbs yvfsdjrbnjs shgrj ijurhibs jspfibnjs dhkuijs

Jc3 FBK, ohnhr rjljrfoh bn ahkgrh phr frrftbdfi pjrfthijbn


16/25

Dfrdufth oj nb lfsfhnh`b ojn ohnhr


17/25

Kjdbifskhs oj ohnhr pbthn`fdh(ih rjnbdfhiboh bn jstkunh)

Jstfkunbdfi ihdfdjptfvb pjrsfstjitj_rbukb j filnbkbdfi

Ohnhr bobptbtfvh

]nbstfdfobo ijurhibn(sjisfgfnfzbdfi)Ofskfiudfi oj

ukgrbn oj ohnhr

Ohnhr pbthn`fdh

Afpjrbn`jsfbBnhofifb

Kbyhr dhisukh bibn`sfdh


18/25

Tjisfgfnfzbdfi3 Afpjrbn`jsfb y bnhofifb

Wjspujstb bohnhr

ihrkbn

Afpjrbn`jsfb

Ficurfb

Bnhofifb

Fitjisfobo ojn jstkunh

Fitjisfobo

ojnohn

hr


19/25

Kjdbifskhs oj afpjrbn`jsfb

Tjisfgfnfzbdfi pjrflrfdb3

Ohnhr ihdfdjptfvh, filnbkbdfi, ijurbn`fb phst-ajrptfdb

Tjisfgfnfzbdfi djitrbn3

Pfio-up, afpjrjxdftbgfnfobo ji bstb phstjrfhr3pbpjn oj rjdjpthrjs oj IKOB, sustbidfb ],

kjtbghnfths ojn dfoh brbqufoifdh

IKOB3 I-kjtfn O-bspbrtbth


20/25

Tjisfgfnfzbdfi pjrflrfdb

Jstfkunbdfi ihrkbnkjitj ih ihdfvb ji nbpfjn prhoudj uib sjisbdfi oj ohnhr (h ohnhrks fitjish oj nh ihrkbn).

Kjdbifskhs3 Filnbkbdfi3

b. Bdtfvbohrbs ojn ihdfdjpthr3 BO], A+

g. Tjisfgfnfzbohrbs ojn ihdfdjpthr3prhstb`nbiofibs, I@L Grbofqufifibs3 bdtfvbi y sjisfgfnfzbi bn ihdfdjpthr


21/25

Tjisfgfnfzbdfi djitrbn

Pfio-up (obr dujrob)

Js uib lhrkb oj afpjrjxdftbgfnfobo ji jn bstbphstjrfhr.

Tj dhisfojrb sjduiobrfh b ui bukjith`jijrbnfzboh ojn prhkjofh oj bljrjidfbs ojjstkunhs ihdfdjptfvhs y b nb sbnfob oj nhs kfskhsabdfb nb dhrtjzb djrjgrbn.

]bpjn oj rjdjpthrjs oj IKOB, sustbidfb ],prhstb`nbiofibs.


22/25

Ohnhr ijurhptfdh

Hrf`ji ji TI]3 phnfijurhpbtb ofbgtfdb,ijurbn`fb phstajrptfdb, rbofdunhpbtb nukgbr,ohnhr kjofboh phr jn sfkptfdh

Hrf`ji ji TID3 njsfi jspfibn, jsdnjrhsfskntfpnj, BD\.

Ohnhr lbitbskb3 Ji jn 17% oj bkputbohs oj

KKTT y :?% oj KKFF


23/25

Ohnhr luidfhibn

Lfgrhkfbn`fb, dhnhi frrftbgnj, dfstftfs fitjrstfdfbn,ohnhr thrdfdh ih dbrobdh, djlbnjb tjisfhibn

Ih aby njsfi, aby bntjrbdfi oj nb luidfi dhirjspujstb bukjitbob bn fkpunsh ohnhrhsh


24/25

Ofljrjidfbs jitrj ohnhr ijurhptfdh yluidfhibn

Ohnhr

ijurhptfdh

Ohnhrluidfhibn


25/25

Htrhs ljikjihs oj ohnhr shktfdhpbthn`fdh

Afpjrpbtb3 Zkgrbn pbrb jstfkunbdfi bukjitboh,pjrh dubioh sj bndbizb prhoudj ui ohnhr fitjish yqujkbitj.

Tiorhkj tbnkfdh (njsfi oj idnjhs ojn tnbkhphstjrfhr phr hgstruddfi oj rbkb tbnbkh`jifdunbroj brtjrfb djrjgrbn phstjrfhr).btbqujs oj ohnhrprhnhi`boh kuy ojsb`rbobgnjs quj bpbrjdji oj

kbijrb jsphitijb bitj jstkunhs sfkpnjs.

Fisiopatología Del Dolor UPSJB

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