KRONİK AĞRI MEKANİZMALARI, NÖRALTERAPİ ve ORTOMOLEKÜLER DESTEK TEDAVİLERİ

Bu derlemede kronik ağrı mekanizmaları; kronik ağrıya Nöralterapi yaklaşımı, ortomoleküler ürünler ve etki mekanizmaları incelenmiştir. Kronik ağrı; Nöralterapide kullanılan lokal anesteziklerin; ağrı yolakları, nörojenik inflamasyon, bozucu alanlar ve santral ağrı hafızasını oluşturan yapıların üzerindeki etkileri ile düzenlenebilmektedir. Ortomoleküler tıp; “vitaminler, mineraller, amino asitler, eser elementler ve yağ asidi gibi” doğal molekülleri, bedenin ihtiyacına göre ve doğru miktarlarda kullanarak bireysel biyokimyasal temelli dengesizlikleri veya eksiklikleri düzeltme girişimlerini içermektedir. Kronik ağrı patofizyolojisinde önemli bir yer tutan glutamat ve NMDA reseptörleri üzerinde etkileri bulunan ortomoleküler ürünler destek tedavilerinde kullanılmaktadır. Kronik ağrıya yaklaşım bütünsel bir bakış açısı gerektirmektedir. Kronik inflamasyon, asidik yıkım ürünlerinin artışı, bağışıklık ve hormonal sistemin kronik ağrıdaki yeri göz ardı edilemez. Bu makalenin konusu içinde yer almamasına rağmen, sağlıklı bir bağırsak florası oluşturulması, enterik sistem regülasyonunun sağlanması, bağ dokusunun temizlenmesi ve şelasyon kronik ağrıya bütünsel yaklaşımın kilit taşlarıdır (1). Nöralterapi uygulamaları ve bütünsel bakış açısına uygun ortomoleküler desteklerle hastaların kronik ağrı sağaltımına katkı sağlanabilecektir

A REVIEW: MECHANISMS OF CHRONIC PAIN, NEURALTHERAPY and ORTHOMOLECULAR SUPPORTIVE TREATMENT

In this review; mechanisms of chronic pain; Neuraltherapy approach to chronic pain, orthomolecular products for chronic pain and mechanisms of actions of both Neuraltherapy and orthomolecular products have been examined. Chronic pain relief can be provided by the local anesthetics that is used in Neuraltherapy practice; with the effects on Pain pathways, neurogenic inflammation, disturbing fields, and effects on structures that constitute the central pain memory. Orthomolecular medicine includes attempts to correct individual biochemical-based imbalances or deficiencies by using natural molecules such as “vitamins, minerals, amino acids, trace elements and fatty acids” according to the body’s needs and in the right quantities.The orthomolecular products that have effects on glutamate and NMDA receptors -which plays an important role in pathophysiology of chronic pain- are used in supportive therapies for chronic pain.The approach to chronic pain requires a holistic perspective. Chronic inflammation, increased acidic degradation products, and the immune-hormonal system dysfunctions; their role in the formation of chronic pain cannot be ruled out. Despite the absence of the subject of this article; the establishment of a healthy intestinal flora, the regulation of the enteric system, the cleansing of connective tissue-basic matrix- and chelation are the keystones of a holistic approach to chronic pain (1). Methods of Neuraltherapy and orthomolecular support for a holistic perspective will contribute to the chronic pain relief of patients

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