Yu dɔn ɛva gɛt smɔl wund na yu an ɔ yu fut, ɛn ivin afta we i dɔn wɛl, yu stil de fil pen ɛn bɔn we yu nɔ go ebul fɔ bia? Sɔntɛnde, di say we yu wund kin swel, di skin kin chenj in kɔlɔ, ɛn yu kin swet we strenj? Bɔrku pipul kin tink se dis na nɔrmal tin wae dɛn kin gɛt dis kayn tin. Bɔt dis kin bi sayn fɔ wan sik we nɔ kin apin so ɔltɛm bɔt we kin rili pen we dɛn kɔl ‘Complex Regional Pain Syndrome’ ɔ CRPS . Lɛ wi tɔk bɔt dis insay simpul wɔd dɛn tide.
Wetin na CRPS rili?
Fɔ tɔk am simpul wan, CRPS na wan sik we kin mek yu fil bad bad wan we kin de fɔ lɔng tɛm na wan patikyula pat na yu bɔdi, mɔ na yu an, yu leg, yu an, ɔ yu fut . Dis pen kin kam wit bɔku ɔda sayn dɛm, lɛk fɔ chenj in kɔlɔ ɛn fɔ swel.
Dɔktɔ dɛn biliv se di men tin we kin mek dis apin na we wi de chenj di we aw wi nervɔs sistɛm de wok, we na di bren, spɛshal kɔd, ɛn di nervɔs sistɛm ɔlsay na di bɔdi (sɛntral ɛn periferik nɛvɔs sistɛm). Tink bɔt di we aw wi bɔdi de sho aw pɔsin de fil pen lɛk alam we kin blo we tifman brok insay wi os. We wi gɛt smɔl injuri, dis alam kin blo, we min se wi kin fil pen. Bɔt na CRPS, dis alam kin kɔntinyu fɔ blo ivin afta di injuri dɔn wɛl. Dis min se wi nɔ go ebul fɔ kɔntrol di sayn dɛn we de sho se wi de fil pen igen.
Tu men kayn CRPS de:
| Di kayn CRPS we dɛn kin yuz | Simpul ɛksplen |
|---|---|
| Tayp I. Tayp I | Dis kin apin afta pɔrsin gɛt injury ɔr sik wae nɔr de damej wan nerve dairekt wan. Fɔ ɛgzampul, dis sik kin apin afta sɔmtin lɛk wae in an ɔr leg brok. Fכs dεn bin de kכl am ‘rεflεks simpatik distrofi’. |
| Tayp II | Dis kin apin we i klia se di nerve dɔn pwɛl bikɔs i wund. Fɔs, dɛn bin de kɔl dis ‘causalgia’. |
Dis kכndyushכn kin bכku pan uman dεm pas man dεm. Ɛn pan ɔl we i kin gɛt ɛni ej, bɔku tɛm i kin apin mɔ afta i dɔn ol 40 ia.
Wetin na di sayn dɛm fɔ CRPS?
De sayn dɛm fɔ CRPS kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, ɛn aw dɛn kin tranga kin difrɛn. Bɔrku tɛm, di sayn dɛm kin bigin fɔ sho insay 4 to 6 wiks afta pɔrsin wund, frakt, ɔr ɔpreshɔn.
Di men ɛn bad bad sayn na pen . Dis pen nɔto jɔs nɔmal pen.
- Wan pen we kin fil lɛk se yu de bɔn ɔltɛm .
- Pen we de fil lɛk se nidul de chuk ɔ te .
- Bɔrku tɛm, de pen kin fil lɛk se i de kɔmɔt dip insay di an ɔr leg we de fil pen.
Apat frɔm dis pen, yu kin si bɔku ɔda sayn dɛm na di say we di sik dɔn afɛkt. Fɔ mek i izi fɔ wi, lɛ wi luk dɛn tin ya na tebul .
| Karakteristik kategori | Fɔ ɛksplen |
|---|---|
| Chenj dɛn na di sɛnsitiviti | - Fɔ fil pen we yu nɔ go ebul fɔ bia ivin if yu gɛt smɔl bɔmp ɔ wan klos pan yu bɔdi. - Fɔ fil bad bad pen frɔm sɔntin we nɔmal fɔ mek yu fil pen (e.g. smɔl pinch). - Sɔntɛnde, yu kin fil lɛk se yu nɔ ebul fɔ du natin. |
| Skin kin chenj | - Swɛlin: Swɛl kin kam ɛn go ɔr kin de ɔltɛm. - Tεmpratura: Yu kin fil wam ɔ kol na wan an/leg pas di ɔda wan. - Kɔlɔ: I de chenj di kɔlɔ we di skin gɛt. I kin gɛt pat, pale, pepul, ɔ rɛd na sɔm say dɛn. - Nature: Di skin kin shayn ɛn tan. Ɔ i kin bi se pɔsin kin swet pasmak. |
| Chenj dɛn we de apin na di wok we dɛn de du | - Nɔ ebul fɔ muv di an/lɛg we de pen fayn fayn wan ɛn fil se di jɔyn dɛn stif. - I nɔ izi fɔ kɛr wet wit da an/lɛg de. |
| Nɛl ɛn ia | Di nel ɔ ia we de na da say de kin gro fast pas aw i kin gro ɔ i nɔ kin gro atɔl. |
De tin wae impɔtant pas ɔl na fɔ go to dɔktɔ kwik kwik wan if yu gɛt dɛn kayn sik ya, bikɔs dis sik kin izi fɔ trit if dɛn no am kwik.
Wetin mek CRPS de divɛlɔp?
Risach pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin mek wan pɔsin we gɛt di sem injuri kin gɛt CRPS ɛn di ɔda wan nɔ kin gɛt CRPS, bɔt dɛn biliv se na bikɔs ɔf wan abnɔmal riakshɔn na wi imyun ɛn nervɔs sistɛm .
mכst (כva 90%) kes dεm fכ CRPS kin kכz fכ damej pan di vεri dilikεt sεns nεv fayb dεm na wan an כ leg bikoz fכ injuri.
Sɔm rizin dɛn we kin apin na:
- Fraktrɔs: Fraktrɔs, mɔ na di an , na di men tin we kin mek pɔsin gɛt CRPS. Sɔntɛnde, ivin we dɛn put di kast pan am, di nɛv kin kɔmprɛs.
- Ɔpreshɔn: We dɛn de du ɔpreshɔn, di nerv dɛn kin pwɛl bikɔs dɛn de kɔt ɛn stich di skin.
- Sprain: We di joyn sprain, di nerves we de rawnd am kin pinch.
- Bɔn, brus, ɔ kɔt: Dɛn kayn bad bad tin ya we kin apin na do kin pwɛl di nɛf dɛn we de ɔnda di skin bak.
Sɔmtɛm CRPS kin apin witout ɛni klia injury, ɛn sɔm pipul dɛn kin gɛt bɔrku risk fɔ gɛt dis sik.
- Dizayd na dɛn nervɔs sistɛm: Pipul dɛn we gɛt sik lɛk dayabitis nɔ kin ebul fɔ mɛn dɛn nerves. Pipul dɛm wae de smok kin gɛt prɔblɛm bak fɔ wɛl.
- Prɔblɛm wit di imyun sistɛm: Pipul dɛn we gɛt kɔndishɔn lɛk asma gɛt bɔku bɔku inflammatory chemicals (cytokines) na dɛn bɔdi, we kin put dɛn pan ay risk fɔ gɛt CRPS.
- Di tin dɛn we kin mek pɔsin gɛt jɛnɛtiks: Pan ɔl we i nɔ kin apin so ɔltɛm, dɛn dɔn ripɔt se sɔm pipul dɛn na di famili kin gɛt CRPS.
Aw dɔktɔ kin no se yu gɛt CRPS?
No patikyula tɛst nɔ de fɔ no if pɔsin gɛt CRPS. So, dɔktɔ go no di sik bay di sayn dɛm we yu gɛt, yu mɛdikal istri (di injuri dɛm we yu jɔs dɔn gɛt, di ɔpreshɔn dɛm), ɛn di ɛgzam fɔ yu bɔdi.
Yu dɔktɔ go mɔs pe atɛnshɔn pan dɛn tin ya:
- Yu tink se pen de we nɔ kɔmɔn pas di sayz we di wund gɛt?
- Yu tink se chenj de pan di we aw di skin de luk, di tɛmpracha, ɛn di we aw i tan na di say we di sik dɔn afɛkt?
- Ɔda sik dɛn de we kin mek pɔsin gɛt dɛn sik ya?
Sɔntɛnde dɛn kin du ɔltra saund skan ɔ MRI skan fɔ si if di ɔndalayn nɛv dɛn dɔn pwɛl.Wan kin bi. Dɔn bak, dɛn kin du tɛst lɛk EMG (Electromyography) fɔ pul ɔda nyurolɔjik sik dɛn we de sho di sem kayn sayn dɛm.
Wetin na di tritmɛnt dɛm fɔ CRPS?
Di men gol dɛm fɔ CRPS tritmɛnt na fɔ ridyus pen, fɔ mek di an/leg we dɛn afɛkt wok bak, ɛn fɔ mek yu gɛt kwaliti layf. Di kwik we dɛn bigin fɔ trit, na di mɔ di tin go fayn. If yu nɔ trit yu, di pen kin wɔs, yu an/leg kin stif, ɛn yu nɔ kin ebul fɔ muv am.
We dɛn jɔyn bɔku tritmɛnt dɛn, na di we we kin wok fayn pas ɔl.
Fizik & Ɔkupeshɔn Tɛrapi
Dis na impɔtant ɛn impɔtant pat pan CRPS tritmɛnt.
- Wan dɔktɔ we de mɛn yu bɔdi go tich yu sɔm patikyula ɛgzampul dɛn we go mek yu blɔd go na di say we yu de fil pen ɛn mek yu ebul fɔ chenj ɛn trɛnk.
- Wan ɔkupeshɔn thɛrapist de tich nyu we fɔ du ɛvride wok (e.g., fɔ drɛs, it) wit smɔl pen.
pan tap dat, spεshal mεtכd dεm de lεk ‘Mirror Therapy’. Insay dis, yu kin sidɔm bifo miro, ayd di an/lɛg we de pen, ɛn put di an/lɛg we gɛt wɛlbɔdi bifo yu. Dɔn, di miro de sho se di an/leg we de pen de muv nɔmal wan. Dɛn dɔn pruv se dis kin ‘trik’ wi bren fɔ ridyus pen.
Di we aw pipul dɛn de liv dɛn layf kin chenj
- Nɔ smok: Smok na big tin we kin mek pɔsin in nerv wɛl.
- Fɔ mɛn ɔda sik dɛn: I impɔtant fɔ mɛn sik dɛn lɛk dayabitis fayn fayn wan.
- Fɔ ɛlevɛt di an/lɛg: If yu ɛlev di an/lɛg we de pen we yu de slip ɔ rɛst, lɛk pan pilo, i go mek yu nɔ swel.
- Ɛksesaiz: Ɛksesaiz ɛvride rili fayn fɔ mek di blɔd go ɔlsay.
- Kɔmpreshɔn stɔkin: Yu dɔktɔ kin tɛl yu fɔ wɛr dɛn tin ya fɔ kɔntrol di swɛlin.
Mental wɛlbɔdi sɔpɔt
Na kɔmɔn tin fɔ fil pwɛl hat, vɛks, ɛn wɔri we yu de liv wit pen we nɔ de dɔn. Dɛn tin ya kin mek di pen wɔs. So, fɔ go to saykilɔjik advays kin ɛp yu fɔ bia wit de pen na yu maynd ɛn aw yu de fil.
Mɛrɛsin dɛn (drɔg dɛn) .
No patikyula mɛrɛsin nɔ de we dɛn dɔn gri fɔ fɔ CRPS. Bɔt dɔktɔ kin gi yu difrɛn mɛrɛsin dɛn fɔ ɛp fɔ kɔntrol di sik dɛn we de sho se yu gɛt dis sik.
- Di tin dɛn we dɛn kin yuz fɔ mɛn pen ( NSAID ) .
- Krim dɛn we de mek yu skin nɔ fil pen
- Sɔm mɛrɛsin wae de mek pɔrsin gɛt pwɛl hat ɛn mɛrɛsin wae de mek pɔrsin fil bad fɔ yu nerve pen
- Botox injɛkshɔn dɛn
Ɔda patikyula tritmɛnt dɛn fɔ kɔntrol di pen
If ɔda tritmɛnt dɛn at fɔ kɔntrol di pen, dɔktɔ kin yuz mɔ kɔmpleks tritmɛnt dɛn lɛk dis.
- Sympathetic nerve blocks: Fɔ injekt wan anestetik drɔg fɔ ‘slip’ di nerv dɛm we de kɛr pen signal to di bren fɔ sɔm tɛm.
- di spεnal kכd stimulashכn: dεn de כpכt wan tin εlektrod nia di spεnal kכd εn i de gi sכft ilektrikal signal dεm we de blכk di pen signal dεm.
- IV ketamine infusion: Dɛn kin gi smɔl doz fɔ di drɔg ketamine tru wan vein fɔ sɔm dez.
Wetin yu kin ɛkspɛkt we yu de liv wit CRPS?
Nɔto ɔlman in ɛkspiriɛns wit CRPS na di sem. Fɔ bɔrku pipul dɛm, as tɛm de go ɛn if dɛn gɛt di rayt tritmɛnt, di sayn dɛm go shɔt ɛn i go lɛf smɔl fɔ lɛ dɛn wɛl.
Bɔt nɔr kin bɔrku, de sik kin tranga ɔr kin pas na ɔda pat na di bɔdi. So, i impɔtant fɔ kɔntrol di pen ɛn kɔntinyu fɔ wok na di an/leg. If yu gɛt di rayt tritmɛnt plan, bɔku pipul dɛn kin liv aktif layf wit CRPS.
CRPS na mental sik?
Nɔ, CRPS nɔto mental sik. Na wan sik we de ambɔg di nyurolɔjik. Bɔt di bad bad pen ɛn impak pan layf we CRPS kin gɛt kin mek ɔr mek yu gɛt prɔblɛm wit yu maynd wɛl bɔdi lɛk fɔ wɔri ɛn pwɛl hat.
Mɛsej we dɛn kin kɛr go na os
- CRPS nɔto sɔntin we yu mek na yu maynd. Na rial, rial kɔndishɔn wae kin mek pɔrsin fil bad bad wan.
- Bɔku tɛm, afta smɔl wund, if yu gɛt bɔku bɔku inflamɛns, pen, ɛn chenj na di skin kɔlɔ ɛn tɛmpracha we nɔ fit di injuri, na fɔ wɔri.
- I rili impɔtant fɔ no di sik ɛn bigin fɔ trit am kwik kwik wan. Dis kin mek yu nɔ gɛt prɔblɛm dɛn we go de fɔ lɔng tɛm.
- Tritmɛnt nɔto wan tin. Na wan tim ɛfɔt we de jɔyn fyzikal tritmɛnt, mɛrɛsin, ɛn saykilɔjik sɔpɔt.
- If yu gɛt smɔl saspek bɔt dɛn sik ya, duya tɔk to yu dɔktɔ bɔt am.
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