[慢性疼痛和疲劳的并发症:常见的机制,常见的治疗步骤]
Monika Hasenbring1, C Levenig2, C Titze3
1Abt. Medizinische Psychologie und Medizinische Soziologie, Medizinische Fakultät, Ruhr-Universität Bochum, Universitätsstr. 150, Bochum, Deutschland. Monika.Hasenbring@rub.de.
概括
疲劳和慢性疼痛经常同时发生,影响各种疾病. 通过检查共享的生物心理社会机制的跨诊断方法可以改善疲劳和疼痛的诊断和治疗.
科学领域:
- 医学科学
- 心理学
- 神经科学
背景情况:
- 疲劳和慢性疼痛是高度共存的, 从功能障碍到癌症和多发性硬化症等严重疾病,
- 这些症状可能在急性感染后持续很长时间,并且经常伴随着焦虑或抑郁.
- 心理因素和生理变化,包括自主调节障碍和大脑活动的改变,导致疲劳和疼痛的持续.
研究的目的:
- 审查疲劳和慢性疼痛中常见的跨诊断机制.
- 探索潜在的临床方法来管理这些重叠的疾病.
- 倡导一个统一的生物心理社会框架来理解和治疗疲劳和疼痛.
主要方法:
- 这是关于疲劳和慢性疼痛的综合研究.
- 审查重点是确定共享的生物心理和生理机制.
- 它研究了对诊断和治疗策略的影响.
主要成果:
- 共同的生理心理因素,如情绪困扰和社会耻辱,在维持疲劳和慢性疼痛方面发挥作用.
- 这两种情况都涉及生理机制,包括自主失调和大脑活动的改变.
- 跨诊断的观点突出了可以为综合治疗方法提供信息的共同点.
结论:
- 对疲劳和慢性疼痛的跨诊断方法,侧重于共享的生物心理社会机制,提供了更个性化和更有效的策略.
- 了解这些重叠的特征可以提高诊断准确性和更有效的管理计划.
- 需要对这些常见途径进行进一步的研究以优化患者护理.
相关概念视频
Analgesia and Pain Management
788
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
788
Chronic Pancreatitis II: Collaborative Care
128
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:
128
Muscle Recovery and Fatigue
2.5K
Muscle fatigue refers to the decline in a muscle's ability to maintain the force of contraction after prolonged activity. It primarily stems from changes within muscle fibers. Even before experiencing muscle fatigue, one may feel tired and have the urge to stop the activity. This response, known as central fatigue, occurs due to changes in the central nervous system, namely the brain and spinal cord. While there is no single mechanism that induces fatigue, it may serve as a protective...
2.5K
Chronic Pancreatitis I: Introduction
148
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
148
Chronic Obstructive Pulmonary Disease-V: Management
2.7K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.7K
Fatigue
238
Fatigue occurs when materials rupture under repeated or fluctuating loads, even at stress levels far below their static breaking strength. It typically results in brittle failure, even for ductile materials. It is a critical consideration in designing machines and structural components subjected to repetitive or varying loads. The nature of these loadings can range from fluctuating loads like unbalanced pump impellers causing vibrations to repeatedly bending a thin steel rod wire back and forth...
238


