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Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, Vol. 69 No. Suplement 1, 2015.

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PAIN AND ITS PREVENTION IN CHRONIC WOUND

MARIJANA PERSOLI-GUDELJ ; Croatian Society for Pain Control, Croatian Medical Association, Zagreb, Croatia
MIRJANA LONČARIĆ-KATUŠIN ; Croatian Society for Pain Control, Croatian Medical Association, Zagreb, Croatia

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Abstract

This article describes the pathomechanism of the development of painful sensation and its spread from the site of injury to the cortex, with special reference to pain in chronic injury, as well as the importance of timely and proper treatment. Special attention is paid to nociceptors (recipients of painful stimuli) and chemical intermediaries (neurotransmitters), as well as to allogeneic substances released at the site of injury to stimulate nociceptive neurons. Treatment is focused on pharmacotherapy (analgesics). The recommended basis for the rational use of analgesics is the Who "three-degree” scale. The need of combining pharmacotherapy with non-pharmacological elements (surgical, physical) is also stressed. The positive effect of VIP light on faster healing of chronic injuries is especially highlighted.

Keywords

pain; chronic pain; pathophysiology; treatment; analgesics

Hrčak ID:

148117

URI

https://hrcak.srce.hr/148117

Publication date:

8.11.2015.

Article data in other languages: croatian

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