内脏器官疼痛和头痛:并发症的挑战
Giannapia Affaitati1, Raffaele Costantini2, Michele Fiordaliso3
1Department of Innovative Technologies in Medicine and Dentistry, Center for Advanced Studies and Technology (CAST), G. D'Annunzio University of Chieti, 66100 Chieti, Italy.
Diagnostics (Basel, Switzerland)
|August 29, 2024
概括
头痛和内脏疼痛经常同时存在,这表明它们有共同的机制. 本综述探讨了像偏头痛这样的常见关联与心脏或胃肠道问题,突出了诊断和治疗至关重要的复杂相互作用.
科学领域:
- 疼痛医学 医学 疼痛医学
- 神经学 神经学
- 胃肠病学 胃肠病学
背景情况:
- 头痛和内脏疼痛是普遍存在的临床条件.
- 它们频繁的共同发生表明共享的病理生理路径.
- 了解这些关联对于患者护理至关重要.
研究的目的:
- 为了审查常见的头痛和内脏疼痛的关联.
- 讨论潜在的机制和诊断/治疗影响.
- 综合最近有关该主题的国际文献.
主要方法:
- 现有文献的叙述性审查.
- 专注于心血管,胃肠道和泌尿器官内脏疼痛.
- 检查主要头痛疾病,如偏头痛和紧张型头痛.
主要成果:
- 常见的并发症包括心脏缺血 - 偏头痛,功能性胃肠道疾病 (如IBS) 与头痛,偏头痛和疼痛性膀综合征 - 头痛.
- 潜在的共享机制包括内皮功能障碍,氧化应激,遗传/激素因素和敏感化过程.
- 关联往往涉及复杂的相互作用与症状增强,而不仅仅是附加效应.
结论:
- 头痛和内脏疼痛并发症是复杂的,并且有显著的相互作用.
- 识别这些相互作用对于准确诊断至关重要.
- 有效的治疗策略必须考虑这些多方面的关联.
相关概念视频
Chronic Bowel Disorders: Introduction
414
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
414
Appendicitis-I: Introduction
99
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
99
Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
2.7K
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
2.7K
Tonsillitis I: Introduction
216
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Etiology
Three primary contributing factors have been identified.
216
Chronic Pancreatitis II: Collaborative Care
77
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
77
Pain
471
Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...
471


