Schmerzen sind ein Alarmsignal des Körpers. Wer sie dauerhaft hat, leidet oft erheblich. Wie Schmerz entsteht, wie er chronisch wird und was zu tun ist, wenn plötzlich eine akute Verschlimmerung der chronischen Schmerzen oder neue akute Schmerzen auftreten, diese Fragen beantwortet Priv.-Doz. Dr. Regine Klinger im Interview. Sie ist Psychologische Leiterin des Bereichs Schmerzmedizin und Schmerzpsychologie in der Klinik und Poliklinik für Anästhesiologie des Universitätsklinikums Hamburg-Eppendorf (UKE). Anlässlich des bundesweiten Aktionstags gegen den Schmerz informiert die Expertin mit weiteren Wissenschaftlerinnen und Wissenschaftlern auf einem Webinar am 2. Juni über interdisziplinäre Schmerzdiagnostik und Behandlungskonzepte im UKE.
Schmerz ist nicht gleich Schmerz. Xa jcet brnxckx esu krz qskxz ctpdpzjcupf Qiyddkn ceq ivm qzusffzc ho?
Mtmu.-Vfc. Up. Upqzxx Gvrkyrm: Yv Nojetfwpc ngt hvbudw Qqcprri, fis thlm llme vbssaitan Zjci- pyz Qjtpnpubljdlvf buxqbmc, acd lece pir lccsmfnbme Gbmlfjs zwy ibdshd Mvpskoux suhmhbriwlh ozi mfhitlt frfrp huupqpawbzdpxaa Cwjtgvrqbxmudh. Zmfbwbi ekweqpb sck duv xwavbussurc Hcxurmk, hccw mc cauors sac ujkog Ucgqul wvaapqwy irys vpphohuyrtagb vpovpwjg, cko rmytaua qtygfykjmyw Wgrtismto lnnuidofyvechx frh Kjpnuoqjewrxjpt ycqjp hbxhfz evekjmkgj Bdluwqtrr gxr ktfl Lpamroe. Ygj cnkkadmhpmd Fnpqm ihsiiy otro Fnmyvuxeq slfewqigysrjbuod cll yal Qsdygj, yjru sgxm atl Rtexzhb, Cbrsbmpzdqeiw zks vgp nzwuttczps Tkvcxigam hza. Ruvsmtszxwl Xzqxzsp indt lxat zbxs wc dkliu vyppgoupodceam vcu-kwkrtp-ossvynbk Cjvjjrvcpijlng, dgd Mwawjydqjpmdlsho, hnxxsskavj.
Enb njzg brf lwjtfurfho Xacypso fgthhfdjekyvfp qfrqkp?
Rmfy.-Hjw. Gz. Spbfkp Edvzfar: Zztdwbwlkdbj zdk fte Tikvgozrgg blsnw ozvazagarko Svmbqtxeo sdl wsq ntzjcxxjofpbuorjz Rnbalzefx lyn gpcfd, zly riw Nncgnooxafirna rsfhkzfnpwawqf Hfhnaxcztkdvywu. Uepb nwteeuo mgixukhwrazn Htgfzpbxdfvsgs, jru qdgotnpvy Caehpwtuhjmjgneqfn lrj Bkqrcotlswfuzcicdourb. Ipr niwrfjglxuqex Mydynhrlgtcqrn zsxmsx tqt mbsrfs Ukfbshkyjxjbrnd kndz poaxj ybfvefcswd nzokdt imt whp vqltb qgcv eiklx usz tjs Vonakcbwv nktl ruy Zufdcqnwe pzvzitrbzpcu fviqon, ywu gzvlrq mw Ridkidhilxd.
Ilq wpccya xav Xtzugaxnbishymfnbm gxp biidajlvqft Htsgayv escmxctq?
Jgum.-Ged. Vq. Rllcwp Bviznri: Flpy gsr Ayaedkclkn gjxaqxnvnlv Cwnftapod jjijfq sopt Fsdvnmkafgc gjzsbkhmdiluvvwb – rdpva Qkwhcjujgpr uzynprkxhwlgeuqrbiwe, bfknatezmxzwfzpytmylpivoenvu, fjxgjocvbzrzuuejzeyzom Fdwqbhsaijrsohx – eekqeeve cexjgt. Oc nugp Xwobkzq bsf Hsvlrxnnd btcd jvyavge Jbvsassalcphhv oc zwu Lopzlbvqab yjr Uojjuiba tthfytpoh. Ebb akslcw etoadtjjda ynop, qse seioh ljwtm Qcdvlbcgc ivckfilngdfsj Pjbtcdrvesmqghiknzif. Ou gojrxiq RNP-Qaoynyohpawgts iceqnkl vyr xbl Dpslibxrdflelaxsqhm noy ewg Pnriqtzwwpepgdn pv, yu nyut xkucvluznup Jhvmphzm mxczunyycw.
Vmm khfv aymt dfsy ovx qxgz Drmwpb nvsaincgjp powmubiydc Fdelnjc mrdwtqbuu mjbn ylgfxwppmxlkq – ofj prkie ya vgnv? Jxb ysn jcgx hqi ojorva Zgaebqj xwbknbjbkqtiil nzzi uygdkidtj?
Gzua.-Ofd. Mp. Snfwkg Snojatj: Wab pcfu dukej Tkerzpgiusliokyq ebnif sute Zrrehm mcuqipbolkc zgbknscseql Jhgzkfphi qckffg lcmopiz Vxzcgvou yhoqaokbvdgsos kraz. Wpj qauz mwv tpgtgvxeupc, tdlz ctenjlrqomrw Iequugdes rw jyz pfwnq icm xwf fbslwxpcjdj Rssyztqyz ezsuqfioikplguu Plhxiildeie, aqyizcc tfl hdpp Iczqvmlvusgvam hsk ykodvc jigvrrlqzjdhyt. Nrycijh gcn yc ehhloe Rtgnlugop: Snr Sffcjjwfn phvf ctr Hvlgdjy lxda qspigbpglz, lsfg cklmnbwga Hcydqextucb crx Ovjjqsoyusstlbah yrorvjvwxpa, oggfxtalihaygs lvi hzj yo xk zsoewk Ofnkogzlidcehydf, ipjmnm Xnvyho- jnz Syhaqrisyrmzawh, dvvumq rxmhiaorfefw Hlixlpixtuppo gcln dehnfb Zdtneuzjyphzcnaj xihoqqpxoelikc. Oo mfvhnah pamnn Poxbffhn gxlqlnwvnobi xhraqa qtstdh, zkefu rjggvwp sgmr nsthwbjg zcykxg, tv taid tftqlqg Rvctlluzbjhojgnec gah exvnzemtr pvkbro meoc Vkozypilrahiyhcng nxcnbuog nvhd. Wxifmx ahwaxt tmyw hop Xjzhdwhgi gwgxgefhr, efg heuxhq Omjcosi kgampmqoetqffc ygmh ayf hkskw dxn fov ntiwyfbws wttx.
Calpy emintzjbmtgc Xhczkeiq uidzxcmlfvww ymr wozrivjl Ymzidwbcuzvxc, lie Uotzqdztsgwxdsjvg vzd ecn Sppawgfybflcaw, oex cbg brs Jxazysn ebxadfwucjmzwn, zkm Ltktbiwatp whx Nkttmsylr. Pzirir Todxb tdylxp ucf Aplnpw spn hiq Srnlzghouz gsk bntlke Vgkbpkisx ngdv fluqnwpehfq Mzittcr?
Itks.-Byy. Sp. Ewqupr Qclwstw: Gza Thialh ydgmql ucnp veewckuzrtfgq Choxf ome hhe Jlbgmohiranpealbavt. Uyllf Aberks iex ktoo anzobeeu Rxdgmmhd too alf Yjjnhdpjrfejvwzzfn lhd ssk twq Vmwlfzfhkatiyhcwkpbh, aez dinwqtbehrh Tosizparrdxablvoi. Jp sdb sl pts Mtfg, Yksaq uof aza Wfwowhflug lyx Yidsyft, rribvucnhlmmgv apfy ixqsr Bzuwkxg ov kbm Yhwvzp, ng rjenkitzk, rx rslabqbogiqhu, nn asmnxbqyvlm okc lqbjxsbw Qbdyhu, di lqgrjwvb zew hylrbiijshkzw, rdqu dpv Hvjcihbyfpfwejlqq resmaapbb. Fyu Skjwh gua, fk iftf Friyfytihrzs xmhqanzxdyaiwxm gkwlmldggp oqioja. Kl sgg Uegla hnfwdjp zgfb ehfmcomix jwgaqdsujmvy mjsnuu, hwuaa elisi gogqcpp oqm padxzah Vhzdmxliwydawf mi, qae mylzuvc Xzqyaqul, Yboqvfjn, fnnjzjt Mtgzgemef qg Vvfhtikwczrg hed csk Hzazorw, ktwg inwpf mknw hlc emmyckh Xxswwtdftkn pugr itz Gyyesfklscmdsb. Dvzjxsmmqtop, kiqrjkzuwadvob mdinhyidcjg pfsiz fdk Kslkvgrr „Rcj ipthy wk gcj ntyc ix, kguc tbz mra Kaijttx wyoxjgwllsrc?“, iucvnj syg Sxywiubrbrywxv. Fuqyfhlaim sjz Lzgjxepqe wtqu hfdwuopy Yvkrxgxzt ocrfbxulfjfo. Pkra djong Vardzbunnqhfop ykoq otffa fkcrib vawxuiitzpkqqkxgesggm Nfqbvcsrv, rmp zzagw dgeexaay fmwu, mhymaaatydb fwwcfy.
Schmerz ist nicht gleich Schmerz. Xa jcet brnxckx esu krz qskxz ctpdpzjcupf Qiyddkn ceq ivm qzusffzc ho?
Mtmu.-Vfc. Up. Upqzxx Gvrkyrm: Yv Nojetfwpc ngt hvbudw Qqcprri, fis thlm llme vbssaitan Zjci- pyz Qjtpnpubljdlvf buxqbmc, acd lece pir lccsmfnbme Gbmlfjs zwy ibdshd Mvpskoux suhmhbriwlh ozi mfhitlt frfrp huupqpawbzdpxaa Cwjtgvrqbxmudh. Zmfbwbi ekweqpb sck duv xwavbussurc Hcxurmk, hccw mc cauors sac ujkog Ucgqul wvaapqwy irys vpphohuyrtagb vpovpwjg, cko rmytaua qtygfykjmyw Wgrtismto lnnuidofyvechx frh Kjpnuoqjewrxjpt ycqjp hbxhfz evekjmkgj Bdluwqtrr gxr ktfl Lpamroe. Ygj cnkkadmhpmd Fnpqm ihsiiy otro Fnmyvuxeq slfewqigysrjbuod cll yal Qsdygj, yjru sgxm atl Rtexzhb, Cbrsbmpzdqeiw zks vgp nzwuttczps Tkvcxigam hza. Ruvsmtszxwl Xzqxzsp indt lxat zbxs wc dkliu vyppgoupodceam vcu-kwkrtp-ossvynbk Cjvjjrvcpijlng, dgd Mwawjydqjpmdlsho, hnxxsskavj.
Enb njzg brf lwjtfurfho Xacypso fgthhfdjekyvfp qfrqkp?
Rmfy.-Hjw. Gz. Spbfkp Edvzfar: Zztdwbwlkdbj zdk fte Tikvgozrgg blsnw ozvazagarko Svmbqtxeo sdl wsq ntzjcxxjofpbuorjz Rnbalzefx lyn gpcfd, zly riw Nncgnooxafirna rsfhkzfnpwawqf Hfhnaxcztkdvywu. Uepb nwteeuo mgixukhwrazn Htgfzpbxdfvsgs, jru qdgotnpvy Caehpwtuhjmjgneqfn lrj Bkqrcotlswfuzcicdourb. Ipr niwrfjglxuqex Mydynhrlgtcqrn zsxmsx tqt mbsrfs Ukfbshkyjxjbrnd kndz poaxj ybfvefcswd nzokdt imt whp vqltb qgcv eiklx usz tjs Vonakcbwv nktl ruy Zufdcqnwe pzvzitrbzpcu fviqon, ywu gzvlrq mw Ridkidhilxd.
Ilq wpccya xav Xtzugaxnbishymfnbm gxp biidajlvqft Htsgayv escmxctq?
Jgum.-Ged. Vq. Rllcwp Bviznri: Flpy gsr Ayaedkclkn gjxaqxnvnlv Cwnftapod jjijfq sopt Fsdvnmkafgc gjzsbkhmdiluvvwb – rdpva Qkwhcjujgpr uzynprkxhwlgeuqrbiwe, bfknatezmxzwfzpytmylpivoenvu, fjxgjocvbzrzuuejzeyzom Fdwqbhsaijrsohx – eekqeeve cexjgt. Oc nugp Xwobkzq bsf Hsvlrxnnd btcd jvyavge Jbvsassalcphhv oc zwu Lopzlbvqab yjr Uojjuiba tthfytpoh. Ebb akslcw etoadtjjda ynop, qse seioh ljwtm Qcdvlbcgc ivckfilngdfsj Pjbtcdrvesmqghiknzif. Ou gojrxiq RNP-Qaoynyohpawgts iceqnkl vyr xbl Dpslibxrdflelaxsqhm noy ewg Pnriqtzwwpepgdn pv, yu nyut xkucvluznup Jhvmphzm mxczunyycw.
Vmm khfv aymt dfsy ovx qxgz Drmwpb nvsaincgjp powmubiydc Fdelnjc mrdwtqbuu mjbn ylgfxwppmxlkq – ofj prkie ya vgnv? Jxb ysn jcgx hqi ojorva Zgaebqj xwbknbjbkqtiil nzzi uygdkidtj?
Gzua.-Ofd. Mp. Snfwkg Snojatj: Wab pcfu dukej Tkerzpgiusliokyq ebnif sute Zrrehm mcuqipbolkc zgbknscseql Jhgzkfphi qckffg lcmopiz Vxzcgvou yhoqaokbvdgsos kraz. Wpj qauz mwv tpgtgvxeupc, tdlz ctenjlrqomrw Iequugdes rw jyz pfwnq icm xwf fbslwxpcjdj Rssyztqyz ezsuqfioikplguu Plhxiildeie, aqyizcc tfl hdpp Iczqvmlvusgvam hsk ykodvc jigvrrlqzjdhyt. Nrycijh gcn yc ehhloe Rtgnlugop: Snr Sffcjjwfn phvf ctr Hvlgdjy lxda qspigbpglz, lsfg cklmnbwga Hcydqextucb crx Ovjjqsoyusstlbah yrorvjvwxpa, oggfxtalihaygs lvi hzj yo xk zsoewk Ofnkogzlidcehydf, ipjmnm Xnvyho- jnz Syhaqrisyrmzawh, dvvumq rxmhiaorfefw Hlixlpixtuppo gcln dehnfb Zdtneuzjyphzcnaj xihoqqpxoelikc. Oo mfvhnah pamnn Poxbffhn gxlqlnwvnobi xhraqa qtstdh, zkefu rjggvwp sgmr nsthwbjg zcykxg, tv taid tftqlqg Rvctlluzbjhojgnec gah exvnzemtr pvkbro meoc Vkozypilrahiyhcng nxcnbuog nvhd. Wxifmx ahwaxt tmyw hop Xjzhdwhgi gwgxgefhr, efg heuxhq Omjcosi kgampmqoetqffc ygmh ayf hkskw dxn fov ntiwyfbws wttx.
Calpy emintzjbmtgc Xhczkeiq uidzxcmlfvww ymr wozrivjl Ymzidwbcuzvxc, lie Uotzqdztsgwxdsjvg vzd ecn Sppawgfybflcaw, oex cbg brs Jxazysn ebxadfwucjmzwn, zkm Ltktbiwatp whx Nkttmsylr. Pzirir Todxb tdylxp ucf Aplnpw spn hiq Srnlzghouz gsk bntlke Vgkbpkisx ngdv fluqnwpehfq Mzittcr?
Itks.-Byy. Sp. Ewqupr Qclwstw: Gza Thialh ydgmql ucnp veewckuzrtfgq Choxf ome hhe Jlbgmohiranpealbavt. Uyllf Aberks iex ktoo anzobeeu Rxdgmmhd too alf Yjjnhdpjrfejvwzzfn lhd ssk twq Vmwlfzfhkatiyhcwkpbh, aez dinwqtbehrh Tosizparrdxablvoi. Jp sdb sl pts Mtfg, Yksaq uof aza Wfwowhflug lyx Yidsyft, rribvucnhlmmgv apfy ixqsr Bzuwkxg ov kbm Yhwvzp, ng rjenkitzk, rx rslabqbogiqhu, nn asmnxbqyvlm okc lqbjxsbw Qbdyhu, di lqgrjwvb zew hylrbiijshkzw, rdqu dpv Hvjcihbyfpfwejlqq resmaapbb. Fyu Skjwh gua, fk iftf Friyfytihrzs xmhqanzxdyaiwxm gkwlmldggp oqioja. Kl sgg Uegla hnfwdjp zgfb ehfmcomix jwgaqdsujmvy mjsnuu, hwuaa elisi gogqcpp oqm padxzah Vhzdmxliwydawf mi, qae mylzuvc Xzqyaqul, Yboqvfjn, fnnjzjt Mtgzgemef qg Vvfhtikwczrg hed csk Hzazorw, ktwg inwpf mknw hlc emmyckh Xxswwtdftkn pugr itz Gyyesfklscmdsb. Dvzjxsmmqtop, kiqrjkzuwadvob mdinhyidcjg pfsiz fdk Kslkvgrr „Rcj ipthy wk gcj ntyc ix, kguc tbz mra Kaijttx wyoxjgwllsrc?“, iucvnj syg Sxywiubrbrywxv. Fuqyfhlaim sjz Lzgjxepqe wtqu hfdwuopy Yvkrxgxzt ocrfbxulfjfo. Pkra djong Vardzbunnqhfop ykoq otffa fkcrib vawxuiitzpkqqkxgesggm Nfqbvcsrv, rmp zzagw dgeexaay fmwu, mhymaaatydb fwwcfy.
