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  • DR Yusak Neuro Pain

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    Klarasita Wibowo
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    The document discusses pain pathways and different types of pain. It states that pain sensation travels from nociceptors through peripheral nerves to the dorsal root ganglia and dorsal horn of the spinal cord before crossing sides and traveling to the thalamus and post central gyrus. Tissue damage stimulates the release of prostaglandins which lower the threshold for activating C fiber nociceptors. Nociceptive pain directly damages nociceptors while neuropathic pain damages the nervous system. It also discusses common pain medications and their uses and mechanisms including acetaminophen, NSAIDs, opioids, dextromethorphan, lidocaine, gabapentin and others.

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    dr Yusak Neuro Pain

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    The document discusses pain pathways and different types of pain. It states that pain sensation travels from nociceptors through peripheral nerves to the dorsal root ganglia and dorsal horn of the spinal cord before crossing sides and traveling to the thalamus and post central gyrus. Tissue damage stimulates the release of prostaglandins which lower the threshold for activating C fiber nociceptors. Nociceptive pain directly damages nociceptors while neuropathic pain damages the nervous system. It also discusses common pain medications and their uses and mechanisms including acetaminophen, NSAIDs, opioids, dextromethorphan, lidocaine, gabapentin and others.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    19 views2 pages

    DR Yusak Neuro Pain

    Uploaded by

    Klarasita Wibowo
    The document discusses pain pathways and different types of pain. It states that pain sensation travels from nociceptors through peripheral nerves to the dorsal root ganglia and dorsal horn of the spinal cord before crossing sides and traveling to the thalamus and post central gyrus. Tissue damage stimulates the release of prostaglandins which lower the threshold for activating C fiber nociceptors. Nociceptive pain directly damages nociceptors while neuropathic pain damages the nervous system. It also discusses common pain medications and their uses and mechanisms including acetaminophen, NSAIDs, opioids, dextromethorphan, lidocaine, gabapentin and others.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 2

    Lect dr.

    Yusak 11 September 2020


    PAIN
    Kalo sensory ga nyilang, nyilangnya diatas makanya ipsilateral, kalo pain contra krn diia
    nyilang dibawah
    Nyeri nociceptor  aktivasi peripheral nerve  lewat C-fiber  dorsal root ganglia 
    dorsal horn di medula spinalis  nyilang  thalamus  post central gyurs
    Tissue damage itu ngerangsang keluarnya prostaglandin makanya ngerangsang C fiber
    nociceptornya krn ambang nyerinya turun
    Kalo low intensity  a-beta fiber; kalo high intensity stimul  c & a-delta fiber

    Nociceptive vs Neuropathic pain


    Yg ngerusak nociceptornya, kl neuropathic yg negrusak sarafnya
    Nociceptive:
    Neuropathic: ada lesion/dysfunction di nervous systemnya
    Nociceptive  ringan krn kaya skin, ligament, sendi, biasanya localized
    Neuropathic  krn kerusakan syarafnya
    Acetaminophen  nyeri ringan smp sedang
    NSAID  rapi analgesic, makin tinggi dosis makin tinggi efek samping tjd
    Oral opioid  paling tinggi, dgn cara intramuscular injeksi
    Transdermal  fentanile
    Dextromethorphan  itu kaya obat batuk
    Neuralgia : block Na channel; anti covulsant(gabapentine) & anesthetic (lidocaine iv topical)

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