Saturday, December 12, 2009

Referred pain သုိ႔မဟုတ္ ေရာဂါတျခား-အနာတျခား


ေရာဂါျဖစ္ေနသည္ကတေနရာ-နာက်ဥ္ျခင္းေ၀ဒနာခံစားေနရသည္ကတျခားတေနရာျဖစ္သည္ကုိ Referred pain ဟုေခၚပါသည္။ လူတုိ႔၏ကုိယ္ခႏၶာအစိတ္အပုိင္းမ်ား-ကလီစာမ်ားကုိ အာရုံေၾကာမ်ားကတဆင့္ ဦးေႏွာက္သုိ႔ဆက္သြယ္ထားသည္။ ဦးေႏွာက္သုိ႔မေရာက္မီ၊ ေက်ာရုိးအာရုံေၾကာမၾကီးႏွင့္ ကုိယ္ခႏၶာအႏွံ႕အျပားမွ အာရုံေၾကာေလးမ်ား ဆက္သြယ္ထားသည္။ တခ်ိဳ႕အဂၤါအစိတ္အပုိင္းမ်ားမွာ တခုႏွင့္တခုဆက္စပ္ေနျခင္းမရိွေသာ္လည္း၊ သက္ဆုိင္ရာအာရုံေၾကာငယ္ေလးမ်ားက ေက်ာရုိးအာရုံေၾကာမၾကီးႏွင့္ဆက္သည့္ေနရာတြင္ နီးကပ္စြာရွိေနတတ္ၾကသည္။ တခါတရံ ေရာဂါျဖစ္ေနသည့္ေနရာမွအနာကုိ၊ တျခားမဆုိင္သည့္ေနရာတခုမွ နာသကဲ့သုိ႔ ဦးေႏွာက္ဆီသတင္းပုိ႔မွားသည့္အခါ၊ အနာကျပင္းထန္လြန္းေသာအခါတြင္ Referred pain ကုိခံစားရပါသည္။
ႏွလုံး၊ အဆုတ္၊ အသည္း၊ ေက်ာက္ကပ္၊ အစာအိမ္၊ သည္းေျခအိတ္စသည့္ကုိယ္တြင္းအဂၤါမ်ားမွေရာဂါကုိ အျခားေနရာမ်ားတြင္ နာေနက်ဥ္ေနသကဲ့သုိ႔ခံစားရႏုိင္ပါသည္။ ျဖစ္ခဲသည္ဆုိေသာ္လည္းျဖစ္တတ္ေသာေရာဂါလကၡဏာျဖစ္သျဖင့္၊ ဗဟုသုတသိရွိထားလွ်င္၊ မေပါ့ဆဘဲ တတ္ကၽြမ္းနားလည္သူဆရာ၀န္မ်ားႏွင့္ အခ်ိန္မီျပသႏုိင္မည္ျဖစ္ပါသည္။

ခံတြင္း-ေမးရုိး-မ်က္ႏွာပုိင္းဆုိင္ရာ referred pain တခ်ဳိ႕ကုိေဖာ္ျပလုိက္ပါတယ္-
ႏွလုံးေရာဂါ- လက္၀ဲဖက္ရင္ပတ္ေအာင့္၊ လက္၀ဲဖက္လက္ေမာင္း၊ လက္၀ဲဖက္ပုခုံးေအာင့္မွသည္ ေအာက္ေမးရုိးနာ၊ ေအာက္သြားမ်ားကုိက္သည္အထိ Referred pain ခံစားရႏုိင္သည္။
နားကုိက္ျခင္း၊ ထိပ္ကပ္နာ (sinusitis) စသည္မွလည္း သြားကုိက္သည့္ေ၀ဒနာခံစားရႏုိင္သည္။
သြားေရာဂါ ကုိ နားကုိက္ျခင္း၊ မ်က္စိကုိက္ျခင္းအေနႏွင့္ခံစားရႏုိင္သည္။
ေမးရုိးဆစ္ေရာဂါ (temporomandibular joint disorder) မွ သြားကုိက္၊ နားထင္ကုိက္-ပါးကုိက္ေ၀ဒနာခံစားရႏုိင္သည္။
Trigeminal neuralgia - မ်က္ႏွာေမးရုိးဆုိင္ရာအာရုံေၾကာမေရာဂါ - ဘယ္ဘက္ သုိ႔မဟုတ္ ညာဘက္မ်က္ႏွာ၊ နားထင္၊ ေမးရုိး၊ သြားမ်ား ကုိက္ျခင္း၊ နာက်ဥ္ျခင္းကုိ မၾကာခဏခံစားရသည္။ စူးျပီးနာျခင္း၊ က်ဥ္စက္ႏွင့္တုိ႔ခံရသကဲ့သုိ႔နာက်ဥ္ျခင္း၊ တခါတရံမ်က္ႏွာႏွင့္လက္ထိမိခ်ိန္ေလးတြင္နာျခင္း၊ ေလစိမ္းတုိက္ခံရလွ်င္နာတတ္ျခင္း။

8 comments:

ၾကည္ said...

တစ္ကယ္သိသင့္တဲ့ အခ်က္ေတြပါပဲ။
ေက်းဇူးတင္ပါတယ္ဆရာ။

Daisy said...

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Dr. Nyan said...

Thank you Ma Kyi Kyi and Ma Daisy.

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