[CLINICAL ENTITIES AND CHARACTERISTICS OF PAIN IN PATIENTS WITH RHEUMATIC DISEASES]

Autor: Prus, V., Zeljka Kardum
Rok vydání: 2018
Předmět:
Zdroj: Scopus-Elsevier
Reumatizam
Volume 63
Issue suppl.1
ISSN: 0374-1338
2459-6159
Popis: Mišićno-koštana bol najčešći je simptom prisutan u gotovo svim reumatskim bolestima. Reumatske bolesti obuhvaćaju više od 150 kliničkih entiteta. Nema jedinstvene klasifi kacije reumatskih bolesti. Općenito ih dijelimo na upalne reumatske bolesti, neupalne bolesti zglobova degenerativnog karaktera, sustavne bolesti vezivnog tkiva, metaboličke poremećaje s manifestacijom na zglobovima, regionalne i proširene bolne sindrome. Bol je prema Međunarodnom udruženju za proučavanje boli (IASP) defi nirana kao neugodan osjećaj povezan s oštećenjem tkiva ili opisan u vrijeme takvog oštećenja. Ona ima svoju tjelesnu, duševnu i socijalnu komponentu. Najčešće se u reumatskim bolestima radi o kroničnoj boli koja može narušiti opće stanje organizma, traje duže od 3 ili 6 mjeseci, a prema nekim defi nicijama, već i ako postoji duže od 6 tjedana. Uglavnom je nociceptivna, a rjeđe neuropatska. Mišićno-koštana bol, osobito kronična, globalni je javnozdravstveni problem zbog svoje učestalosti, nerijetko oštećenja funkcije i razvoja kroničnoga bolnog sindroma koji se može smatrati zasebnim kliničkim entitetom i zahtijeva biopsihosocijalni pristup u liječenju bolesnika.
Musculoskeletal pain is the most common symptom present in almost all rheumatic diseases. Rheumatic diseases include more than 150 clinical entities. Th ere is no uniform classifi cation of rheumatic diseases. In general, we distinguish infl ammatory rheumatic diseases, non-infl ammatory degenerative articular diseases, systemic connective tissue diseases, metabolic disorders with articular manifestations, and regional and extended pain syndromes. According to the International Association for the Study of Pain (IASP), pain is defi ned as an unpleasant sensation associated with tissue damage or reported simultaneously with such damage. Pain has a physical, mental, and social component. In rheumatic diseases the pain is mostly chronic and may severely impair the patient’s general condition. Th e defi ning criteria involve a period of more than 3 or 6 months, and according to some defi nitions more than 6 weeks. In most cases the pain is nociceptive rather than neuropathic. Musculoskeletal pain, especially chronic pain, is a global public health problem because of its prevalence, as well as the frequently associated muslculoskeletal function impairment and development of chronic pain syndrome, which can be considered as a separate clinical entity and requires a biopsychosocial treatment approach.
Databáze: OpenAIRE