Ðe nèle veve sem le wò asiwo kple afɔwo me si womate ŋu ado dzi atsɔ o tsɔ kpe ɖe ŋutigbalẽ ƒe tɔtrɔ ŋua? Ate ŋu anye CRPS! (Nutome Vevesese ƒe Dɔléle Sesẽ) .

Èbu alesi wòanɔ ne èse veve vevie, si nɔa anyi ɖaa le abɔ alo afɔ ŋu le abi sue aɖe xɔxɔ vɔ megbe, alo ɖewohĩ le susu aɖeke manɔmee ŋu kpɔa? Ame aɖewo to esia me kpɔ. Egbea míele nu ƒom tso nɔnɔme mawo dometɔ ɖeka ŋu, `Complex Regional Pain Syndrome (CRPS). Mègavɔ̃ o, ele vevie ŋutɔ be nànya esia.

Nukae nye CRPS? Kpuie ko la,...

`Complex Regional Pain Syndrome`, alo `(CRPS)` kpuie, nye nɔnɔme si hea vevesese sesẽ vɛ le wò ŋutilã ƒe akpa aɖe koŋ, zi geɖe la, alɔ, afɔ, asibidɛ, alo afɔkpodzi , tsɔ kpe ɖe dzesi bubu geɖewo ŋu, abe ŋutigbalẽ ƒe amadede ƒe tɔtrɔ kple vuvu le teƒe ma ene. Bu eŋu kpɔ, kuxi aɖe si le wò alɔ alo afɔ ŋu na be màte ŋu awɔ dɔ le wò gbesiagbegbenɔnɔ me o, mète ŋu dɔa alɔ̃ nyuie le zã me o, eye wòkpɔa ŋusẽ gã aɖe ɖe wò susu ƒe lãmesẽ hã dzi.

Ðɔktawo xɔe se be míaƒe lãmeka siwo le titina ( ahɔhɔ̃ kple aklã) alo míaƒe lãmeka siwo le gota ( si tsɔa gbedasiwo tso ahɔhɔ̃ kple aklã me yia ŋutinu bubuwo, abɔ kple afɔwo, kple asibidɛwo) ƒe dɔmawɔmawɔ nyuie gbɔe CRPS tsona. Le go sia me la, míaƒe lãmekawo wɔa nu wògbɔa eme ɖe vevesese ƒe dzesiwo ŋu eye mete ŋu tɔa te ŋuɖoɖo ma o.

CRPS ƒomevi vevi eve li:

1. Ƒomevi I: Le esia me la , naneke megblẽ le lãmekawo ŋu o. Zi geɖe la, esia dzɔna le dɔléle alo afɔku aɖe megbe. Gake afɔkua megblẽ nu le lãmeka aɖe ŋu tẽ o. Woyɔa esia tsã be ``Reflex Sympathetic Dystrophy``.

2. Ƒomevi II: Esia ɖee fia kɔte be lãmekawo gblẽ. Woyɔa esia tsã be `Causalgia`.

CRPS ate ŋu anye ɣeyiɣi kpui aɖe (si nu sẽ) alo esi nɔa anyi didi (si nɔa anyi wu ɣleti ade) . Dzɔgbenyuietɔe la, zi geɖe la, woate ŋu adae ahadae.

Amekae ate ŋu axɔ CRPS wu?

CRPS bɔ ɖe ame tsitsiwo me wu ɖeviwo. Zi geɖe la, eɖoa eƒe kɔkɔƒe ne woxɔ ƒe 40. Nyɔnuwo ate ŋu axɔ CRPS wu ŋutsuwo.

Numekukuwo ɖee fia be wokpɔa nɔnɔme sia le amesiwo tso Europa me, eye eƒe bɔbɔ tso 66% va ɖo 80%. Gake enye nɔnɔme si mebɔ kura o. Le kpɔɖeŋu me, le United States la, ame siwo ade 200,000 koe wokpɔna ƒe sia ƒe.

Nukae nye CRPS ƒe dzesiwo? Aleke woawɔ ade dzesii?

CRPS ƒe dzesiwo ƒe sesẽme kple ɣeyiɣi didi si woxɔna la toa vovo tso ame ɖeka gbɔ yi bubu gbɔ.

Zi geɖe la, naneZi geɖe la, CRPS ƒe dzesiwo dzea egɔme le kwasiɖa ene va ɖo ade le abixɔxɔ, eƒe gbagbã, alo amekoko megbe . Ke hã, ɣeaɖewoɣi la, dzesi siawo te ŋu dzena evɔ womate ŋu adze nusi gbɔ wòtso si dze ƒã o.

CRPS ƒe dzesi vevitɔ kple esi ɖe dzesi wue nye vevesese. Vevesese sia ate ŋu anɔ anyi ɖaa alo ava eye wòadzo. Zi geɖe la, ewɔna nam abe vevesese si le dzo dam, le veve sem, alo le veve sem ene . Zi geɖe la, wosea vevesese sia le alɔ alo afɔ si ŋu dɔlélea le la me goglo.

Tsɔ kpe ɖe eŋu la, woate ŋu akpɔ tɔtrɔ le seselelãme ŋu le teƒe si dɔlélea le:

• Vevesese ƒe seselelãme ƒe dzidziɖedzi: Le kpɔɖeŋu me, ne woƒoe vie gɔ̃ hã la, ate ŋu ase veve wu alesi wònɔna ɖaa.
• Vevesese tso nane si le dzɔdzɔme nu mehea vevesese o gbɔ: Kaka ŋutigbalẽa ko gɔ̃ hã ate ŋu ana nàse veve.
• Àte ŋu ase le ɖokuiwò me be yeƒe lãme gbã .

Dzesi bubu aɖewoe nye esi:

• Ŋutilã ƒe vuvu: Ate ŋu ava eye wòadzo, alo ate ŋu anɔ anyi ɖaa.
• Abɔ alo afɔ si ŋu dɔlélea le ƒe dɔwɔwɔ dzi ɖe kpɔtɔ: Ate ŋu asesẽ be woaʋuʋu alɔ alo afɔ si ŋu dɔlélea le, alo ate ŋu ase le eɖokui me be yeƒe lãme sẽ. Ate ŋu asesẽ hã be woatsɔ kpekpeme ade alɔ/afɔ si ŋu dɔlélea le dzi alo atsɔ kpekpeme ade ƒunukpeƒe aɖe dzi.
• Tɔtrɔ siwo vaa ŋutigbalẽ ƒe dzoxɔxɔ me: Asi/afɔ si ŋu dɔlélea le ate ŋu ase le eɖokui me be dzoxɔxɔ alo fafa wu evelia.
• Ŋutilã ƒe amadede ƒe tɔtrɔ: Ŋutilãa ate ŋu adze abe ɖe wòle ƒuƒuie, avuvu, aɖabɛ/aƒo, alo abiã le teƒe aɖewo.
• Tɔtrɔ siwo vaa ŋutigbalẽa ƒe nɔnɔme me: Ŋutilã ate ŋu anɔ keklẽm, aɖiɖi, alo fifia agbɔ eme.
• Tɔtrɔ siwo vaa ɖa kple ɖa ƒe tsitsi me: Taɖa kple taɖa siwo le teƒe ma ate ŋu atsi kabakaba, alo womatsi kura o.

Esi wònye be `CRPS` ƒe dzesiwo nyona ɖe edzi zi geɖe le ɣeyiɣi aɖe megbe ta la, enɔa bɔbɔe na ɖɔktawo be woakpɔe le eƒe gɔmedzedze. Eyata ne dzesi siawo le ŋuwò la, ele vevie ŋutɔ be nàyi ɖɔkta gbɔ kaba ale si nàte ŋui.

Nukatae CRPS va doa mo ɖa? Nukawoe gbɔ wòtsona?

Numekulawo menya nusita tututu ame aɖewo siwo xɔ abi ma ke dzea CRPS eye bubuwo ya mexɔa CRPS o haɖe o. Wosusu be ate ŋu atso dɔdzẽ alo dɔlélenutsiŋutete ƒe dɔwɔwɔ le lãmeka siwo le gota kple lãmeka siwo le titina gbɔ .

Zi geɖe la, wu 90%, CRPS tsoa nuveviwɔame alo abixɔxɔ le lãmeka siwo le alɔ alo afɔ si ŋu dɔlélea le me gbɔ.Elabena. Abi siawo gblẽa nu le seselelãme kple ɖokuisinɔnɔ ƒe lãmeka siwo le tsɛ ŋutɔ siwo le míaƒe ŋutilã me ŋu. Lãmetsiŋusẽ ƒe ka sue siawoe tsɔa seselelãmewo abe vevesese, ʋuʋudedi, kple dzoxɔxɔ ene yia míaƒe ahɔhɔ̃ me. Woawo hãe kpɔa ʋuka suesuesueawo kple lãmenugbagbevi siwo ƒo xlãe ƒe lãmesẽ bliboa dzi.

Nuveviwɔame si bɔ wu si do ƒome kple CRPS enye ƒu ƒe gbagbã , vevietɔ asibidɛ ƒe gbagbã. Lãmetsiwo ate ŋu agblẽ ne ƒu aɖe vuvu alo wogbãe, alo ne ƒu aɖe si wotsɔ ƒu gbe sesĩe na wòte ŋu ƒoe.

Nuveviwɔame ƒomevi bubu siwo bɔ siwo ate ŋu ana woaxɔ CRPS dometɔ aɖewoe nye:

• Amekoko: Lãmetsiŋusẽwo ate ŋu agblẽ ne wotso lãmekawo, wotɔ wo, alo abi le wo ŋu le amekoko me.
• Ƒunukpeƒetete alo teteɖeanyi: Ne kadodoŋusẽa gblẽ la, ƒunukpeƒe aɖe ate ŋu aʋuʋu akpa, si ate ŋu ana lãmeka siwo te ɖe eŋu nate ɖeɖi ame ŋu akpa.
• Dzobibi, abi, alo lãɖeɖe: Esiawo katã nye abi siwo woate ŋu akpɔ, gake woate ŋu agblẽ nu le lãmeka siwo le ete hã ŋu.

Ɣeaɖewoɣi la, CRPS ate ŋu adzɔ abi aɖeke si dze ƒã manɔmee. Alo ne womete ŋu ʋãna o ɣeyiɣi didi hã ate ŋu anye nusi gbɔ wòtso.

Nu aɖewo li siwo nana CRPS xɔxɔ ƒe afɔkua dzina ɖe edzi:

• Lãmetsiŋusẽ ƒe lãmesẽ manyomanyo: Amesiwo ŋu nɔnɔmewo abe suklidɔ ene le la ƒe lãmekawo mete ŋu nɔa te ɖe nɔnɔme sesẽwo nu o eye womehayana o. Ate ŋu asesẽ na amesiwo ŋu ahɔhɔ̃mekawo ƒe dɔléle le hã be woagbugbɔ lãmekawo ƒe lãmenugbagbeviwo awɔ, tso abi siwo le dzɔdzɔme nu mahe kuxi aɖeke vɛ o gɔ̃ hã me. Ate ŋu asesẽ na amesiwo noa atama kple amesiwo wodo atike na tsã le kansa ta hã be woagbugbɔ lãmekawo awɔ.
• Dɔlélenutsiŋutete ƒe kuxiwo: Dɔlélenutsiŋutete wɔa akpa vevi aɖe le abidede míaƒe ŋutilã me me. Ame aɖewo siwo ŋu CRPS le la ƒe atike siwo naa dɔdzẽ siwo woyɔna be cytokines sɔ gbɔ ɖe wo me . Esiawo kpena ɖe CRPS ƒe dzesi aɖewo ŋu. CRPS bɔ ɖe amesiwo ŋu dɔléle bubu siwo tsoa dɔdzẽ kple dɔlélenutsiŋutete gbɔ, abe asrã ene, hã me.
• Domenyiŋusẽfianu: Wò domenyiŋusẽfianu ate ŋu akpɔ ŋusẽ ɖe alesi nàda gbe le abi si nèxɔ me hã dzi. Numekulawo kpɔe be CRPS te ŋu ƒua du le ƒomewo me (`ƒome ƒe ƒuƒoƒo`). Togbɔ be esia mebɔ o hã la, efia be domenyiŋusẽfianu ate ŋu anɔ CRPS dome.

Aleke nàwɔ anya kple kakaɖedzi be CRPS le ŋuwò? (Dɔléle ƒe dzesi) .

Esi wònye be CRPS nye dɔléle si mebɔ o eye ɖɔktawo mese egɔme nyuie o ta la, ɣeaɖewoɣi la, wokpɔa dɔlélea le mɔ gbegblẽ nu.

De dzesi `CRPS`Dodokpɔ aɖeke koŋ meli o. Ðɔktawo koŋue kpɔa dɔlélea to atikewɔwɔ ŋutinya me dzodzro nyuie, ŋutilãmedɔdada, kple wò dzesiwo me toto me. Ðɔktaa abia wò hã nenye be èxɔ abi alo wowɔ dɔ na wò nyitsɔ laa.

Ðɔktaa adi nu siawo koŋ:

• Tɔtrɔ le ŋutigbalẽa ƒe dzedzeme, dzoxɔxɔ, kple eƒe nɔnɔme ŋu le teƒe si dɔlélea le.
• Vevesese geɖe wu alesi wokpɔ mɔe na abixɔxɔ.
• Eɖanye dɔléle alo nɔnɔme bubu aɖe li si ate ŋu ahe wò vevesese, ŋutigbalẽ ƒe tɔtrɔ, alo dzesi bubuwo vɛ o.

Woate ŋu awɔ nɔnɔmetata dodokpɔwo abe ultrasound alo magnetic resonance imaging (MRI) ene atsɔ adi lãmeka siwo gblẽ le wo ŋu. Gake ɖewohĩ menye ɣesiaɣie woake ɖe lãmekawo ƒe gbegblẽ ŋu o.

Wò ɖɔkta ate ŋu aɖe gbe hã be woawɔ dodokpɔ bubuwo atsɔ aɖe nɔnɔme bubu siwo ate ŋu ahe dzesi mawo tɔgbe vɛ la ɖa. Le kpɔɖeŋu me, electromyography (EMG) dodokpɔ ate ŋu aɖe nu bubu siwo hea ahɔhɔ̃mekawo ƒe dɔléle vɛ, si ate ŋu ana ame nase veve nenema ɣeaɖewoɣi.

Nukawoe nye atike siwo wozãna na CRPS?

Taɖodzinu vevi siwo le atikewɔwɔ ŋue nye be wòaɖe wò vevesese kple dzesi bubuwo dzi akpɔtɔ, ana alɔ/afɔ si ŋu dɔlélea le la nagawɔ dɔ nyuie, eye wòalé wò agbenɔnɔ ƒe nyonyome me ɖe asi.

Ele vevie ŋutɔ be woadze atikewɔwɔ gɔme kaba le CRPS ƒe dɔwɔwɔ me. Esia le alea elabena le ɣeyiɣi aɖe megbe la, abɔ kple afɔ si ŋu dɔlélea le ate ŋu asẽ (`stiffen`). Ne womedae o la, zi geɖe la, vevesesea dzina ɖe edzi, eye wòsesẽna ɖe edzi be woaʋuʋu abɔ kple afɔ si ŋu dɔlélea le.

Ne anya wɔ la, anyo wu be nàkpɔ ɖɔkta si si nuteƒekpɔkpɔ le le CRPS dada me. Atikewɔwɔ bia be woatsɔ mɔnu vovovo geɖe aƒo ƒui, eye woakpɔ wo dzi nyuie ɖekae. Esiawo dometɔ aɖewoe nye:

• Lãmesẽfefewɔwɔ kple dɔwɔwɔ ƒe atikewɔwɔ.
• Agbenɔnɔ ƒe tɔtrɔ.
• Tagbɔdɔléle kple nuwɔna ƒe atikewɔwɔ.
• Atikewo.
• Atike bubu siwo wozãna tsɔ ɖua vevesese dzi.

Le ɖevi sue siwo ŋu CRPS le gome la, susuŋutinunya kple ɖɔɖɔɖodɔwoe nye atike vevitɔwo . Zi geɖe la, ɖevi tsitsi siwo ƒe dzesiwo mewɔa dɔ ɖe atikewɔwɔ bubuwo dzi o koe wokafua vevesesenutsitikewo na .

Lãmesẽfefewɔwɔ kple dɔwɔwɔ ƒe atikewɔwɔ

CRPS ƒe atikewɔwɔ vevitɔwo dometɔ ɖekae nye kamedede.Lãmesẽdɔwɔla ate ŋu ana ʋu ƒe sisi nanyo ɖe edzi le wò alɔ/afɔ si ŋu dɔlélea le me, eye ate ŋu azã kamedede tɔxɛwo hã atsɔ ana wò asitɔtrɔ le nɔnɔmewo ŋu, ŋusẽ, lãmekawo ƒe dɔwɔwɔ, kple dɔwɔwɔ nanyo ɖe edzi. Dɔdamɔnufiala ate ŋu afia mɔ yeye siwo dzi nàto awɔ gbesiagbedɔwo wò.

Lãmesẽfefewɔwɔ na CRPS ƒe akpa bubu aɖewoe nye:

• `Graded Motor Imagery`: Esia nye atikewɔwɔ siwo kplɔ wo nɔewo ɖo siwo ɖea vevesese dzi kpɔtɔna eye wòna ŋutete si le ame si be wòaʋuʋu ŋutilã ƒe akpa si ŋu dɔlélea le la nyona ɖe edzi. Ne wò alɔ alo afɔ le veve sem la, eva sesẽna be nàka asi eŋu, aʋuʋui, alo azãe. Azɔ hã, míaƒe ahɔhɔ̃ ƒe ŋkuɖodzinu, alo ``map``, le ŋutilã ƒe akpa vovovowo ŋu. Ale si wosena le wo ɖokui me, ale si woʋãna, kple ale si wozãa wo hena gbesiagbedɔwo wɔwɔ. Ne mèka asi alɔ/afɔ si ŋu dɔlélea le ŋu, ʋuʋu, alo zãe o la, anyigbatata sia adze tɔtrɔ gɔme eye ate ŋu abu gɔ̃ hã. Gake to ``Graded Motor Imagery`` mɔnu sia dzi la, àteŋu atrɔ alo agbugbɔ aɖo anyigbatata sia anyi.
• Ahuhɔ̃e me dɔdamɔnu: Esia nye Graded Motor Imagery ƒomevi aɖe. Èléa ŋku ɖe wò alɔ/afɔ si dzi womekpɔ ŋusẽ ɖo o ŋu le ahuhɔ̃e me. Emegbe ahuhɔ̃e me nɔnɔmetata la aɖi alɔ/afɔ si ŋu wògblẽ nu le la pɛpɛpɛ. Esia ateŋu "able" wò ahɔhɔ̃ be wòasusu be alɔ/afɔ si le veve sem la le sesem le eɖokui me fifia eye wòle ʋuʋum le mɔ nyuitɔ nu.
• `Desensitization`: Mɔnu sia bia be woatsɔ nusiwo ƒe nɔnɔme kple kpekpeme to vovo aka asi teƒe si dɔlélea le ŋu, eye woatsɔ asi/afɔ si ŋu dɔlélea le la ade tsi dzodzoe kple fafɛ me. Le ɣeyiɣi aɖe megbe la, ne èle teƒe si dɔlélea le la ɖom ɖe seselelãme vovovowo ŋu la, wò ahɔhɔ̃ trɔna ɖe seselelãme mawo ŋu eye vevesesea tea ɖiɖi.

Agbenɔnɔ ƒe tɔtrɔ

Àte ŋu ana mɔnukpɔkpɔ si li be nàhaya kabakaba eye nàdzi wò kabakaba ne èɖe nusiwo le mɔ xem na wò lãmeka ƒe dɔyɔyɔ la dometɔ aɖewo ɖa. Esiawo dometɔ aɖewoe nye:

• Asiɖeɖe le atamanono ŋu: Sigaretnono nye mɔxenu gã aɖe na lãmekawo ƒe hayahaya.
• Lãmesẽ ƒe nɔnɔme siwo li fifia dzi kpɔkpɔ: Ne womekpɔ dɔléle siwo gblẽa nu le ʋu ƒe sisi kple lãmekawo ŋu, abe suklidɔ ene dzi nyuie o la, ate ŋu asesẽ na lãmekawo ƒe hayahaya.

Afɔɖeɖe bɔbɔe bubu aɖewo siwo nàte ŋu awɔ le aƒeme atsɔ akpe ɖe ŋuwò le wò dzesiwo me lae nye esi:

• Ne èna alɔ/afɔ si ŋu dɔlélea le la kɔ vie ne èle ɖiɖim ɖe eme alo le alɔ̃ dɔm la, ekpena ɖe tsi si sɔ gbɔ la ŋu wòtrɔna yia dzia me.
• Kamedede edziedzi le vevie be ʋu nate ŋu azɔ ayi lãmeka siwo gblẽ la gbɔ nyuie wu. Ƒo nu kple wò ɖɔkta alo kamededeŋutinunyala tso kamedede ƒe ɖoɖo si sɔ na wò ŋu.
• Compression stockings alo sleeves dodo, vevietɔ ne èle tsitrenu, ate ŋu akpe ɖe ŋuwò nàɖe abi ƒe ʋuʋu dzi akpɔtɔ. Bia wò ɖɔkta nenye be esia nye tiatia na wò.

Tagbɔdɔléle kple nuwɔna ƒe atikewɔwɔ

CRPS ƒe amesinɔnɔ do ƒome kple dzimaɖitsitsi, blanuiléle, kple nuteɖeamedzi ƒe dzidziɖedzi . Esiawo hã ate ŋu ana vevesesea nu nasẽ ɖe edzi. Tagbɔdɔdada ate ŋu akpe ɖe ame ŋu. Tagbɔdɔdada (si woyɔna hã be nuƒoƒo ƒe atikewɔwɔ) nye nya si wozãna na atikewɔwɔ vovovo siwo kpena ɖe ame ŋu wòdea dzesi seselelãme, tamesusu, kple nuwɔna siwo mele lãmesẽ me o eye wòtrɔa wo.

Ne anya wɔ la, anyo wu be nàkpɔ vevesesenutsitike ƒe susuŋutinunyala si wona hehee be wòada CRPS. Le susumedɔdada me la, èƒoa nu kple susuŋutinunyala eye nèsrɔ̃a alesi nàwɔ akpɔ nusiwo nana nèsea veve kple dzesi bubuwo gbɔ nyuie wu.

Atikewo

Atike aɖeke meli si dzi woda asi ɖo koŋ na CRPS le United States o. Gake wò ɖɔkta ate ŋu aŋlɔ atike aɖewo na wò be wòakpe ɖe ŋuwò nàɖu wò dzesiwo dzi.

Atike ƒomevi geɖe siwo ɖea vevesese dzi kpɔtɔna:

• Atike siwo me steroid mele o (NSAIDs): Kpɔɖeŋu aɖewoe nye acetaminophen, ibuprofen, kple naproxen.
• Vevesesenutsitike siwo wozãna ɖe ame ŋu kple esiwo wotsɔna ƒoa woe: Le kpɔɖeŋu me, Lidocaine.
• Blanuilélenutsitike aɖewo: Kpɔɖeŋu aɖewoe nye amitriptyline kple duloxetine.
• Atike siwo tsia alɔ̃dɔdɔ nu: Kpɔɖeŋu aɖewoe nye Gabapentin, Pregabalin, kple Topiramate.
• Bisphosphonates: Le kpɔɖeŋu me, Alendronate.
• Botulinum toxin (Botox) ƒe atikewo dodo.

Tiatia si woate ŋu adze atikeawo zazã gɔme la toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Wò ɖɔkta abu nu geɖe ŋu, siwo dometɔ aɖewoe nye:

• wò ƒexɔxɔ.
• Lãmesẽ ƒe nɔnɔme bubu siwo li fifia.
• Atike ɖesiaɖe si nèzãna fifia.
• Atikea ƒe nugbegblẽ le ame ŋu alo alesi wòate ŋu awɔ dɔ kple atike siwo nèzãna fifia.

Atikewɔmɔnu bubu siwo wozãna tsɔ ɖua vevesese dzi

Atike bubu siwo woate ŋu azã atsɔ axe mɔ ɖe vevesese nu ate ŋu anye:

• `Nu gbagbewo ƒe nyaŋuɖoɖo`
• `Atikewɔwɔ`
• `Ame ƒe gbɔgbɔyɔyɔ`
• `Reiki`
• `Abɔtadɔdamɔnu`

Atikewɔwɔ siwo me wowɔa dɔ le wu

Ne wò CRPS nɔnɔmea mewɔ nu nyuie ɖe atikewɔwɔ siwo míeyɔ ɖe etame nu o, alo ne vevesese sesẽ aɖe le ŋuwò alo CRPS si nɔa anyi ɖaa le ŋuwò la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã atike siawo siwo mewɔa nuvevi ame boo o:

• Trigger point/tender point injections: Ne CRPS le wò abɔta ko la, àte ŋu akpɔ trigger points le wò abɔta ƒe lãmekawo me. Le CRPS ƒe gɔmedzedze la, glucocorticoids dodo, kple atike siwo wua alɔ̃dɔdɔ le teƒea alo esiwo me womezãnɛ le o, ɖe teƒe ɖesiaɖe si wòaʋãe ate ŋu akpe ɖe ame ŋu.
• Veveseseɖeamenu ƒe lãmekawo ƒe mɔxexe: Mɔxexe siawo naa vevesese dzi ɖena kpɔtɔna ŋutɔ na ame aɖewo. Akɔta ƒe veveseseɖeamenu ƒe mɔxexe bia be woado atike si naa alɔ̃dɔdɔ wò akɔta, si te ɖe wò aklã ŋu. Esia xea mɔ na veveseseɖeamenu ƒe kɔsɔkɔsɔ si tsɔa vevesese ƒe dzesiwo tso wò afɔkpodziwo gbɔ yia wò aklã kple ahɔhɔ̃ me tẽ. Woyɔa nusi xea mɔ na CRPS ƒe vevesese le abɔta ƒe akpa si le etame be stellate ganglion block . Esia bia be woado atike si naa alɔ̃dɔdɔ wò kɔ ƒe axadzi.
• Aklã ƒe ʋuʋu: Dɔdamɔnu sia bia be woawɔ dɔ na wò be nàde mɔ̃ aɖe si naa ʋu ƒe sisi na wò ƒodo alo akɔta kple ka (elektrode) siwo te ɖe wò aklã ŋu ƒe ŋutigbalẽ te. Mɔ̃ sia si sɔ kple dzitodzito ƒe mɔ̃ si wotsɔna tsia dzi ƒe dɔwɔwɔ nu la ɖoa elektrikŋusẽ si mebɔ o ɖe wò aklã me. Elektrikŋusẽ siawo xea mɔ na vevesese ƒe dzesi siwo yina wò ahɔhɔ̃ me, si wɔnɛ be woɖea wo dzi kpɔtɔna.
• Dorsal root ganglia stimulation: Atikewɔwɔ sia sɔ kple aklã ƒe ʋuʋu. Gake wotsɔa ka suewo dana ɖe megbe ke ƒe lãkusia dzi tẽ. Akɔta ƒe ke ƒe lãkusi nye seselelãme ƒe ahɔhɔ̃mekawo ƒe ƒuƒoƒo aɖe si le afisi wò ŋutilã ƒe lãmekawo katã dona le wò aklã me le. Enye teƒe si wotsɔa vevesese ƒe dzesiwo ɖona tso lãmeka siwo le gota (wò abɔwo) gbɔ yia lãmeka siwo le titina (wò aklã kple ahɔhɔ̃) gbɔ. Dzideƒoname sia ate ŋu anye atikewɔwɔ si ŋu woɖo taɖodzinu ɖo wu eye wòwɔa dɔ nyuie (si mehiã be woaʋãe boo o) elabena eƒe susu nɔa domedome sue siawo ŋu.
• Lãmetsi siwo le gota ƒe ʋuʋu: Atikewɔwɔ sia bia be woatsɔ ka si doa ŋusẽ ame la ade lãmeka gã aɖe si le wò alɔnu/afɔ me si tsyɔ teƒe si le veve sem la gbɔ. Ewɔa dɔ to vevesese ƒe dzesi si zɔna to lãmeka si woɖo taɖodzinu na me la me tsotso me.
• Ketamine dodo ɖe ʋuka me: Atikewɔwɔ sia bia be woana ketamine ƒe agbɔsɔsɔ sue aɖe to ʋuka me (dodo ɖe ʋuka me) hena ŋkeke 3 va ɖo 5. Ketamine wɔa dɔ to mɔxexe ɖe molecule aɖe koŋ si le wò lãmekawo me (NMDA xɔla) si ate ŋu ana wò vevesesea nu nasẽ ɖe edzi la nu.
• Atike ƒe pɔmpi siwo wotsɔ dea aɖuɖɔ me:Dɔdamɔnu sia zãa ka si wotsɔ dea ame me tsɔ tsɔa vevesesenutsitikewo abe Ziconotide (Prialt®) ene yia wò aklã me tsi me tẽ.

Ðe woate ŋu axe mɔ ɖe CRPS nua?

Esi numekulawo menya nusi tututu gbɔ CRPS tsona o ta la, mɔ aɖeke meli si dzi woato axe mɔ ɖe enu o. Numekuku aɖewo ɖee fia be vitamin C nono hafi woawɔ dɔ nɛ le etsɔme ate ŋu akpe ɖe ame ŋu be woaxe mɔ ɖe CRPS nu.

Etsɔme ka ƒomevie le amesi ŋu CRPS le?

Amesiame ƒe nuteƒekpɔkpɔ le CRPS ŋu to vovo. Le ame geɖe gome la, CRPS nyona ɖe edzi le ɣeyiɣi aɖe megbe eye mlɔeba la, eyia tsɔtsɔke me.

Gake dɔléle sesẽwo alo esiwo nɔa anyi didi (siwo mebɔ o) ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò agbe dzi. Le ame aɖewo gome la, CRPS ate ŋu agblẽ ɖe edzi eye wòakaka ɖe ŋutilã ƒe akpa bubuwo. Susu me nuteɖeamedzi si gbɔ eme le abi si nèxɔ si na nèxɔ CRPS la ate ŋu akpɔ ŋusẽ ɖe nɔnɔmea ƒe sesẽme kple wò ŋutete be nàhaya dzi.

Ame siwo ŋu CRPS le ƒe 10% va ɖo 30% ate ŋu agbugbɔ dɔlélea adze. Womenya nusi tututu gbɔ dɔlélea ƒe akpa gãtɔ tsona o.

Taɖodzinu vevitɔwoe nye be woaɖe vevesese dzi akpɔtɔ eye woagaʋuʋu kple ŋusẽ ake le alɔ/afɔ si ŋu dɔlélea le la me. Vevesese ƒe gbɔdzɔe nana be alesi wòanya wɔ be dɔwɔwɔ nanyo ɖe edzi le nuto ma me kple wò agbenɔnɔ ƒe nyonyome dzina ɖe edzi. Ne wotia atikewɔwɔ ƒe ɖoɖo nyuiwo la, amesiwo ŋu CRPS le dometɔ aɖewo te ŋu kpɔa woƒe vevesesea gbɔ dzidzedzetɔe eye wonɔa agbe dovevienu.

Ɣeyiɣi kawoe nye nyuitɔ kekeake siwo nàte ŋu ayi ɖɔkta gbɔ?

Esi wònye be nɔnɔme sia sesẽ eye ɣeaɖewoɣi la, womekpɔnɛ nyuie o ta la, ele be nàdi vevesesenutsitikeŋutinunyala alo vevesesenutsitike tɔxɛ aɖe si nya nu tso CRPS ŋu ne:

• Ne èsusu be `CRPS` ƒe dzesiwo le ye ŋu.
• Ne wò dzesiwo le sesẽm ɖe edzi.
• Ne wò nɔnɔmea mewɔ nu ɖe ​​atikewɔwɔ bubuwo ŋu o.

Ðe CRPS nye nuwɔametɔ alo tagbɔdɔ?

Ao, menye susumedɔléle aɖekee CRPS nye o. Enye ahɔhɔ̃mekawo ƒe dɔléle. Gake CRPS ate ŋu ahe dzimaɖitsitsi, blanuiléle, kple nuteɖeamedzi vɛ alo ana wòagagblẽ ɖe edzi. Le go aɖewo me la, ate ŋu ana ame nadze nuteɖeamedzi megbe Nuteɖeamedzi (PTSD) gɔ̃ hã .

Le United States la, Hadomegbenɔnɔ Ŋuti Dɔwɔƒe da asi ɖe CRPS dzi be enye nuwɔametɔ, le eƒe sesẽ kple ŋusẽ si wòkpɔna ɖe agbe dzi nu. Àte ŋu aƒo ka na dziɖuɖumegãwo hena nyatakaka bubuwo tso dzedze ƒe dzidzenuwo ŋu.

Gbedasi si Wotsɔ Yi Aƒeme

Nɔnɔme sia si woyɔna be `Complex Regional Pain Syndrome (CRPS)` ateŋu akpɔ ŋusẽ gã aɖe ɖe wò agbe dzi. Gake nya nyuiae nye be, woate ŋu adae.Atikewɔwɔmɔnu geɖe li, eye àte ŋu ate wo ƒokpli kpɔ. Zi alesi wokpɔ CRPS le ŋuwò kaba eye nèdze atikewɔwɔ gɔme la, zi nenemae wò dzesiwo awɔ dɔ ɖe atikewɔwɔ dzii. Ne èsusu be ɖewohĩ CRPS le ye ŋu la, ƒo nu kple wò ɖɔkta. Wole afima be yewoakpe ɖe ŋuwò. Mègavɔ̃ o, eye mègakpe fu wò ɖeka o. Nu vevitɔ kekeakee nye be nàxɔ atikewɔlawo ƒe aɖaŋuɖoɖo kple kpekpeɖeŋu nyuitɔ.

` CRPS, nutome vevesese ƒe dɔléle sesẽ, lãmekawo ƒe vevesese, alɔ kple afɔ ƒe vevesese, vevesese atraɖii, CRPS dɔdamɔnu, CRPS ƒe dzesiwo