PATHOPHYSIOLOGY OF PAIN
Pain is a complex psycho-emotional unpleasant
sensation, is realized with a special system of pain sensitivity and the higher
parts of the brain. It indicates actions that cause tissue damage, or of
existing injuries. The system of perception and transmission of the pain signal
is also called nociceptive system.
There are physiological and pathological pain.
Physiological pain is important adaptive defense mechanism. It indicates the
action of damaging agents, on the already incurred damage and the development
of pathological processes in tissues. Physiological pain activates protective
processes and behavioral responses to address the action of pain (algogenic)
factors and the consequences of this action.
People with congenital or acquired (for example,
trauma, infectious lesions) pathology of the nociceptive system, devoid of pain
sensitivity, do not notice the damage that can lead to serious consequences.
Pathological pain is maladaptive and pathogenic
significance. Various types of pathological pain occur as characteristic for it
syndromes and symptoms which are absent at physiological pain. These include
causalgia, hyperpathia, primary and secondary hyperalgesia, expansion and new
algogenic receptive areas, persistent pain, spontaneous episodes of pain,
preservation of pain after the termination of the provoking stimulus and other
phenomena. Pathological pain is nociceptive done the same system, but the
changes in the conditions of disease.
Pathological pain causes the development of
structural and functional changes and damage to internal organs, particularly
in the cardiovascular system, degeneration of tissues, violation of autonomic
reactions, changes in neural activity, endocrine and immune systems,
psycho-emotional sphere and behavior. Extreme pain can cause severe shock,
uncontrollable chronic pain can be the cause of disability. Pathological pain
becomes pathogenic factor in the development of new pathological processes and
acquires the value of self-neuropathological syndrome or disease. Pathological
pain is poorly corrected and with it the struggle difficult. If abnormal pain
occurs a second time (with severe somatic diseases, malignancies, etc.), Then
often it becomes the main target of treatment interventions that aim to reduce
patient suffering
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