“The hardest pain can be caused by the other,
Is to deny that he is suffering. “
As a young researcher,
I devoted several years of my life to studying pain,
I wanted to share that statement with Cesar Pavez,
Which touched me tremendously.
Why? Because, according to my point of view, represents a compelling truth
Where the victim is the most innocent among human beings,
I mean the child.
In fact, since less than 30 years,
Then, even I, I was not yet born,
We deny the suffering of children,
We consider that infants and young children are protected
By their immaturity,
And that their brain was not mature enough to absorb the pain,
Even if they feel pain,
They quickly forget it,
So why do we hurt ourselves to give them painkillers?
However, the painful experiences we have experienced since we were young
Its a great effect
The way we interact with the pain.
Before we understand how they consist
Circles of pain in the child,
You should first understand how pain works.
To illustrate, we will take an example that we all know well
Imagine that you rise from your knees,
Your little toe hit the coffee table stand.
Really hurt, right? (Laughter)
What happens in your body then?
Well, pain receptors, which fall in the toe
Feel this painful sensation,
Then lift it in the form of an electrical signal,
Through the nerves in your legs,
To the spinal cord,
Then the spinal cord moves the painful sensation to the brain
Who then becomes consciously aware that your little finger has hit violently.
Certainly, what happens to our bodies’ bodies is more complex than that,
We have very important mechanisms that overlap
We can call it the internal controls of pain.
Can be compared
By the doors, which along the painful signal cycle,
It can close itself to make it more difficult
The process of crossing that painful information into the brain,
And thus the pain dwells.
I imagine that your first response will be when you are suffering from a smaller finger,
Is to scream all the absurdities of the earth,
(Laughter)
Then take your feet in your hands and gently grasp the smaller finger
Well, that involuntary reaction, completely natural,
It relieves the painful sensation
The internal controls of pain are activated.
Result: The pain becomes lighter.
So, now that we have seen how it works in general,
Circles of pain in adults,
We should understand how these circuits are formed
During individual development.
This is what has been achieved in the last 20 years,
The pain chart is gradually formed
During intrauterine life.
In fact, the initial receptors of pain appear in the embryos,
At the oral gap level,
In the eighth week of pregnancy,
Which often means even before the future mother realizes that she is pregnant.
These receptors then extend to the hands and feet
In the 10th week of pregnancy,
Then covering the whole body in the 20th week of pregnancy.
Now, from week 26, from the beginning of the sixth month of pregnancy,
Pain transfer mechanisms work.
In 1994, a study was conducted on the results of blood samples from intrauterine embryos
For the detection of embryonic diseases,
Showed that fetuses aged between 6 and 9 months were upset
When the needle is inserted into their abdominal cavity.
The heartbeat of their hearts accelerated,
And discovered the existence of the release (cortisol),
Stress hormone,
In their bodies.
What is a terrible thing, it is
Before even realizing that there is pain when the embryos,
When children are born prematurely,
Many heart surgery is an urgent need to keep a child alive,
The opening of the thorax requires an anesthetic.
Can you imagine that during the 1980s,
The only prescribed treatment for these infants was derived from the cotar poison,
With the ability to paralyze the muscles and used by surgeons to simplify their work?
(Sigh)
Fortunately, that property is no longer acceptable today.
However, many treatments,
Which seems to be as dangerous to us as adults,
But it is very painful for children,
We can still avoid it,
Whether repeated blood samples of the heel,
For diagnostic tests and periodic examinations,
Or even put medical patches on the skin,
Whose removal is generally painful.
In the same way, if the brains of the children are mature enough to absorb the pain
They have not yet completed internal controls for pain
The pain is therefore felt more severely by the children
Nothing helps to ease their pain.
Just as the child does not have the concept of time or of sedation,
It fills the pain very quickly
In the sense that Alma Hina for us,
The child lives as a pain in the long term.
When the duration of severe pain,
The child’s behavior changes,
He keeps himself on his less painful situation,
And becomes indifferent to the world around him,
With his parents or stuffed stuffed.
He can stay calm and quiet,
As long as the pain lasts.
As the child grows, he develops the ability to control pain,
Or at least learn how to overcome it.
When we become preoccupied with the development of pain in the child,
It is interesting to recall the works of John Piaget,
A Swiss psychologist during 1900,
Who was very interested in individual development.
Piaget identified four major stages of evolution.
During the first phase,
Which applies to the first two years of life,
Where the system develops which allows the child to know where the pain is.
I will explain to you,
The newborn does not recognize the boundaries of his or her own body
As an individual.
Such as sensory and motor experiences paid for their basic needs,
Such as hunger, thirst and the search for safety in the hearts of his parents,
Which allows the child to identify himself as an independent individual.
For example, this occurs only from the 15th month,
That the child be aware that his feet,
Which plays with it as if it were a trifle,
Is in fact an integral part of his body.
At this stage,
The response to pain appears to be in the form of an angry reaction
Or sad.
No wonder children do not have words to express their pain in words,
Beyond the limits of tears.
They have not yet developed sources that help them relieve pain,
Meaning they do not just do not understand the pain
But also can not control it
And do not wait to happen by easing their pain,
As adults, we can do,
When we join our little finger for example.
Then comes the second stage,
Which one has lived from two to seven years.
At this stage, the child develops his / her language,
As such, the child is able to describe his or her pain by speaking:
“Ah”, “wounded”, “wrench”, “
And to determine its location accurately:
In the head, stomach, knee, foot, etc.
Despite the above, it does not always succeed in making a link between cause and effect.
“I was shocked,
So I’m in pain. “
In contrast, what is interesting at this stage,
Is the possibility of convincing the child that the pain can go away
With a little powder (Burlanababa) or a magic kiss.
After a short time, we learn about the third stage, from the age of seven to eleven.
During this stage, the child is able to describe pain in precise terms,
In tangible progress, he can measure his intensity.
It also becomes conscious during this stage
That the path he is taking helps him calm down,
And more than that, he sincerely avoids pain.
For example, if I ride the bike too fast I will fall and hurt myself.
Finally comes the fourth and final stage
Which we have known since the age of 11 years until we reach adulthood.
This stage marked the real and complex logical associations,
Ability to self-reflection in the individual,
Characterization of the idea, and characterization of the pain.
“This hurts like rupture, or stab a sharp blade in the stomach,
This effort … “
At this stage,
The teenager realizes that the psychological path he follows
Can affect his health,
His illness, or his pain.
Will gain the ability to face pain,
Persuading himself that he can deal with him.
By shedding pain or not paying attention.
So, now that I have told you all of the above,
You can think, according to an old popular idea,
The child is suffering from severe pain at an early age
Become solid.
Well, that’s not true.
The opposite is what happens.
It seems to produce an awareness of the pain,
But without yet understanding the mechanisms.
I will give you an example,
Circumcision is the most common surgical procedure
Among young children in the United States,
An average of 60% of young males are circumcised at birth.
Certainly this varies by region.
During 2000,
This operation was performed without pain medication.
However, it has been shown that since 1990,
That young boys who were circumcised without anesthetic,
They cried harder,
They underwent behavioral changes
And severe psychological disorders
When they were given future vaccinations,
Compared to their peers who were circumcised after their anesthesia,
And those young boys who have never undergone circumcision.
It seems, therefore, that there has been a form of memory for pain.
In another way we say,
That the nervous system of the newborn
Able to keep the impact of a painful event,
This, even after the incident several months.
Finally, these small effects of pain accumulate in the long term
In order to create great signs of pain,
That will lead to serious consequences at puberty,
Can range, for example from the fear of the dentist to the phobia of injections
To avoid medical consultations and hospitalization,
Things that a good number of us know without a doubt.
I would like to take your consideration
How important it is to take better care of the pain in children.
Luckily,
The research work, carried out over the last 25 years,
It enabled us to understand a few more things
About how the pain is formed in the child,
Which helped us to stop them,
And relieve pain in children better
Which indirectly affects one’s life at puberty.
I would also like to draw your attention to the reality which he asserts
The existence of pain is something that is good for children:
Bruising, bruising, scratches, and small wounds
Will help children learn the limits of their body,
And learn the limits of their environment.
Conversely,
The pain associated with the disease,
Those that are caused by surgery or dysplasia in the lumbar vertebrae,
Was never a necessary stage towards maturity.
We still have a long way to go
In order to ease and relieve our children pain.
I hope that the current and future research work will help us
To go further
In the end, our children can one day cry for no reason
Thank you
(clap)
”
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