Imajin se yu gɛt smɔl wund na yu an. Ɔ wan leg we dɔn swɛt. Bɔku tɛm, dis pen fɔ stɔp insay sɔm dez. Bɔt wetin yu go du if di pen de wɔs mɔ ɛn mɔ, ɛn i nɔ go ebul fɔ bia? Wetin yu go du if yu fil pen we yu nɔ go ebul fɔ bia ivin we yu wɛr klos? Na dat wi de tok abaut tide. Sɔntɛnde dis kin apin afta yu dɔn wund smɔl, at atak , ɔr yu gɛt strok.
Wetin na RSD?
Fɔ tɔk am simpul wan, RSD, ɔ Reflex Sympathetic Dystrophy Syndrome, na wan wɔd we dɔn ol smɔl ɛn we dɔktɔ dɛn nɔ de yuz igen. Di ɔfishal nem fɔ dis sik naw na Kɔmpleks Rijinal Pen Sindrom , ɔ CRPS fɔ shɔt. RSD na wan kayn CRPS (Type I). If na so i bi, dis bad bad pen kin kam bikɔs i wund di bɔdi in tisu dɛn, ɛn i nɔ kin gɛt ɛni nerve damej.
De tin wae impɔtant pas ɔl na dat de pen kin wɔs pasmak ɛn nɔr kin kɔmpia am pas di fɔs injuri. I tan lɛk se yu gɛt mɔnt dɛn we yu nɔ go ebul fɔ bia wit pen frɔm smɔl skrach.
Wetin mek dis de apin? Wetin na di rizin?
Pan ɔl we wi nɔ no di rayt tin we kin mek dis apin stil, dɔktɔ dɛn biliv se na prɔblɛm we de wit wi bɔdi in sɔri -at na wi bɔdi.
Tink bɔt dis nervɔs sistɛm as difɛns sistɛm na wi bɔdi. We yu wund, dis sistɛm de mek di blɔd vesel dɛn kɔnstrikt. Dis kin mek di blɔd we de kɔmɔt na di say we i wund nɔ bɔku. Dɔn, i kin mek di blɔd vesel dɛn opin bak fɔ gi di tin dɛn we dɛn nid fɔ mek di wund wɛl.
Bɔt wetin kin apin to pɔsin we gɛt RSD na dat dis difɛns sistɛm kin ‘kɔnfyus’ smɔl. We injuri de, di blɔd vesel dɛn kin kɔnstrikt, bɔt dɛn nɔ kin gɛt di signal fɔ opin fayn fayn wan. Dat min se di sistɛm ‘dɔn’ ɛn nɔ ‘ɔf’ igen . Na da tɛm de di say we di injuri kin swel wit bad bad pen.
Dis sik kin mɔna uman dɛn smɔl . Pan ɔl we i kin kam pan pikin dɛn bak, i kin bɔku pan pipul dɛn we ol bitwin 30 ɛn 60 ia.
Wetin na di sayn dɛm fɔ dis sik?
RSD simptom nɔ kin kam wantɛm wantɛm, dɛn kin kam smɔl smɔl. Di pen we yu kin fil fɔs kin bɔku as tɛm de go. Sɔntɛnde, yu nɔ kin ivin no se dis na pen we nɔ kɔmɔn fɔs.
Smɔl smɔl tin dɛn we kin apin wit RSD:
- Fraktrɔs dɛn
- Sprains we kin mek pɔsin swɛt
- Brus dɛn we de na di bɔdi
- Bɔn dɛn (Bu RNS ) .
- Smɔl ɔpreshɔn we dɛn kin du
- Nidul stik dɛn
- Redyushɔn tɛrapi
Dis sik kin apin bɔrku tɛm na say dɛm lɛk di an, sholda, leg, ɔr hip. Di pen kin spre bak pas di say we di injury de.
| Kategori fɔ di simptom dɛn | Tin dɛn fɔ si |
|---|---|
| Nature of pen | Bɔn, sting, dip pen, throb. Pen we de kɔntinyu fɔ de. |
| Skin kin chenj | Di say we yu wund kin rɛd, i kin swel, ɛn i kin fil wam we yu tɔch am. Di skin kin tɔn wayt, blu, ɔ rɛd. |
| Di we aw pɔsin kin fil pasmak | Fɔ fil bad bad pen ivin frɔm tin dɛm we nɔmal wan nɔr kin at (wata fɔdɔm, klos de rɔb pan di bɔdi). |
| Prɔblɛm dɛn we de wit muvmɛnt | di mכsul dεm wik כ de shek, di joyn dεm stif, i at fכ muv di an/leg bikoz fכ pen. |
| Ɔda tin dɛn we de apin | Fɔ swet pasmak na di say we di sik afɛkt nɔmɔ. Di chenj dɛn we de apin na di ia ɔ di nel we de gro. |
Aw yu go fɛn dis, Dɔktɔ?
Bɔrku tɛm, e kin tranga fɔ no RSD wantɛm wantɛm as di kɔz fɔ yu pen. Yu dɔktɔ kin jɔs sɔprayz am we yu ripɔt se yu gɛt pen we wɔs pas di injury ɛn we nɔ de go.
Nɔ wan difinitiv tɛst nɔ de fɔ kɔnfɔm if dis na RSD.
Bifo dat, yu dɔktɔ go mek di fɔs diagnosis bay we i dɔn chɛk yu gud gud wan ɛn yu mɛdikal istri. Apat frɔm dat, dɛn kin du sɔm tɛst dɛn bak we de gi ɔda tin dɛn fɔ no bɔt di sik.
- Bon Skan: Dis tɛst de ɛp fɔ si if di ɛnd dɛn na di bon dɛn dɔn west ɛn if ɛni prɔblɛm de wit di blɔd we de go.
- MRI (Magnetic Resonance Imaging): Dɛn kin du MRI fɔ luk fɔ chenj dɛn we nɔ klia insay di bɔdi, mɔ na di tisu dɛn.
- Swet tɛst: Dis kin chɛk fɔ si if wan say na di bɔdi de swet pas di ɔda wan.
- Tɛmografi tɛst: I de chɛk if di tɛmpracha ɔ di blɔd we de na di say we di sik afɛkt difrɛn frɔm ɔda pat dɛn na di bɔdi.
- X-ray: We i dɔn go bifo, dɛn kin du ɛkstrem rayt fɔ si if di minral dɛn we de na di bon dɛn dɔn lɔs.
Wetin na di tritmɛnt dɛn?
Di tin we impɔtant pas ɔl na dis sik na fɔ no di sik ɛn bigin fɔ trit am kwik kwik wan . Di kwik we yu bigin, na di mɔ di tin go bɛtɛ. Pan ɔl we no patikyula mɛrɛsin nɔ de fɔ RSD, dɛn kin kɔntrol bɔku pan di sik dɛn ɛn mɛn dɛn.
Dɛn kin yuz sɔm tritmɛnt dɛn we dɛn jɔyn togɛda.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| Di mɛrɛsin dɛn we dɛn kin yuz | Di mɛrɛsin wae de mek pɔrsin fil pen (e.g. Ibuprofen, Naproxen), mɛrɛsin wae de mek pɔrsin nɔr de fil fayn, mɛrɛsin wae de mek pɔrsin fil bad (de ɛp fɔ kɔntrol pen), ɔnt lɛk Lidocaine, sprɛy na yu nos we de mek di bon dɛn strɔng. |
| Injɛkshɔn dɛn we de blok di nerve | Wan injεkshכn nia di nεv we de mek yu fil pen, fכ stכp fכ sכm tεm di pen signal dεm fכ rich di bren. |
| Fizik Tɛrapi | Wan pan di tritmɛnt dɛn we impɔtant pas ɔl. fכ muv di an/leg we dεn afekt jכnt de εp fכ mek di mכsul dεm strכng εn ridyus di pen. |
| Saykotɛrapi | We yu lan aw fɔ rilaks, dat kin ɛp yu fɔ kɔntrol di strɛs ɛn wɔri we kin kam wit aw yu de liv wit pen we nɔ de dɔn. |
| Ɔda tritmɛnt dɛn | Dɛn kin put ilɛktrɔd dɛn na di spɛnal kɔd ɛn sɛn ilɛktrik signal fɔ mek di pen nɔ bɔku, ɛn dɛn kin wɛr splin fɔ mek di an fil pen. |
| Ɔpreshɔn | If no ɔda tritmɛnt nɔ de mek yu nɔ fil pen, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn we dɛn kɔl Sympathectomy as di las tin we yu go du. |
Na drɔgs dɛn we wi fɔ no mɔ bɔt
Strɔng pen kil lɛk kɔtikosterɔyd (e.g., Prednisolone) ɛn Opioid (e.g., Morphine, Fentanyl) dɛn kin yuz am rili smɔl ɛn na ɔnda di strikt sɔpɔtishɔn fɔ dɔktɔ bikɔs ɔf dɛn sayd ɛfɛkt ɛn risk fɔ adikshɔn.
Mɛsej we dɛn kin kɛr go na os
- RSD ɔr CRPS nɔto sɔntin we yu kin imajin, na rial, penful kɔndishɔn.
- Dis pen kin wɔs pas di fɔs tin ɔr injury. Dis na di men sayn we de sho se yu gɛt dis sik.
- If yu no di sik kwik kwik wan ɛn trit yu, dat kin mek yu gɛt bɛtɛ tin fɔ du. So, nɔ ignore di pen we nɔ kɔmɔn.
- Bikɔs dis na kɔmpleks sik, di tritmɛnt kin gɛt fɔ du wit mɛrɛsin, tritmɛnt fɔ yu bɔdi, ɛn fɔ advays yu maynd.
- Ɔltɛm tɔk to yu dɔktɔ bɔt ɛni pen we de kɔntinyu fɔ de, we nɔ kɔmɔn na yu bɔdi.
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