I kut emaw, i ke emaw-ah hliam te tak te i nei tawh em, a dam hnuah pawh tuar theih loh khawpa natna leh kang i la nei reng em? A châng chuan hliamna hmun chu a hring a, vun rawng a danglam a, mak tak maiin i thawmhnaw a chhuak ṭhin em? Mi tam tak chuan hetiang thil hi an tawn hian thil pangngaiah an ngai a. Mahse, hei hi natna hlauhawm tak, mahse hrehawm tak tak, ‘Complex Regional Pain Syndrome’ emaw CRPS emaw an tih chhinchhiahna a ni thei. Hemi chungchang hi vawiinah hian thumal awlsam takin han sawi ila.
CRPS hi eng nge ni tak tak?
A awlsam zawngin, CRPS hi i taksa peng bik, a bîk takin kut, ke, kut, a nih loh leh kea natna nasa tak, rei tak awm thei a ni . He natna hi natna dang engemaw zat nen a inzawm thei a, chu chu vun rawng danglam leh vun hring te hi a ni.
Doctor-te chuan hei hi a chhan ber chu kan nervous system, thluak, spinal cord, leh taksa pum puia nervous system (central leh peripheral nervous system) hnathawh dan inthlak danglam vang niin an ngai. Kan taksa pain signaling system hi rukruin kan in a rawn luhchilh hian alarm ri angin han ngaihtuah teh. Hliam tenau kan neih chuan he alarm hi a ri a, chu chu kan hrehawm tihna a ni. Mahse CRPS-ah chuan hliam a dam hnuah pawh he alarm hi a ri chhunzawm zel a ni. Chumi awmzia chu natna signal kan control thei tawh lo tihna a ni.
CRPS hi chi hnih a awm a, chungte chu:
| CRPS chi hrang hrang | Hrilhfiahna awlsam tak |
|---|---|
| Type I tih a ni | Hei hi hliam emaw natna emaw, nerve direct-a tichhe lo hnuah a thleng thin. Entirnan, he natna hi kut emaw ke ruh tliak ang chi thil engemaw hnuah a lo awm thei a ni. Tun hma chuan ‘reflex sympathetic dystrophy’ an ti thin. |
| Type II a ni | Hei hi hliam avanga nerve pakhat chiang taka tihchhiat a nih chuan a thleng thin. Hei hi a hmain ‘causalgia’ an ti thin. |
Hetiang dinhmun hi mipa aiin hmeichhiaah a tam zawk deuh. Tin, kum eng pawhah a lo awm thei a, mahse kum 40 hnuah a tam ber tlangpui.
CRPS natna lan chhuah dante chu engte nge ni?
CRPS natna lan chhuah dan hi mi hrang hrangah a inang lo thei a, a nasat dan pawh a inang lo thei bawk. Hliam, ruh tliak emaw, operation emaw a nih atanga kar li atanga kar ruk chhungin a lan chhuah tan tlangpui.
A lan chhuah dan ber leh na ber chu natna hi a ni . He natna hi natna pangngai mai a ni lo.
- Natna chu kang reng ang maia hriat theih .
- Natna chu needle hliam emaw a hrual emaw ang maia hriat theih .
- Vawi tam tak chu a natna chu kut emaw ke emaw chhungril tak atanga lo chhuak ang maiin a awm thin.
He natna bakah hian a natna hmunah hian symptom dang tam tak hmuh tur a awm bawk. A awlsam zawk nan hengte hi table- ah i en ang u .
| Mihring ziarang category | Hrilhfiahna |
|---|---|
| Sensitivity lama inthlak danglamna | - I taksaah bump te tak te emaw, thawmhnaw chi khat emaw i neih pawhin tuar theih loh khawpa natna i hriat. - Thil pangngaia natna thlentu (e.g. pinch tlem) atanga natna nasa tak hriat. - A chang chuan rilru hah lutuk. |
| Vun a inthlak danglam thin | - Swelling: Swelling hi a lo thleng thei a, a kal thei bawk a, a awm reng thei bawk. - Temperature: Kut/ke pakhatah a dang aiin a lum zawk emaw, a vawt zawk emaw tih hriat. - Color: Vun rawng a inthlak danglam thin. Hmun thenkhatah chuan patchy, pale, purple, red emaw pawh a ni thei. - Nature: Vun hi a eng thei a, a hring thei bawk. A nih loh leh thawk hah lutuk a awm thei bawk. |
| Functionality lama inthlak danglamna | - Kut/ke na tak takte chu tha taka che thei lo leh ruhkawr (joint stiffness) tih hriatna. - Chu kut/ke hmanga rit phurh harsa. |
| Nail leh sam te | Chu hmuna nail emaw sam emaw chu a tlangpui aia rang zawk emaw, a sei lo tak tak emaw pawh a ni thei. |
A pawimawh ber chu heng symptoms te hi i neih chuan a rang thei ang bera doctor pan hi a ni a, a chhan chu he natna hi a hmaa hriat chhuah a nih chuan enkawl a awlsam zawk hle.
Engvangin nge CRPS hi a lo awm?
Researcher-te chuan hliam inang nei pakhatin CRPS a vei a, pakhatin a vei loh chhan chiang takin an la hre lo a, mahse kan immune leh nervous system- a thil awm dan pangngai lo vang niin an ngai thung
CRPS vei tam zawk (90% aia tam) hi hliam vanga kut emaw ke emaw a sensory nerve fibers nalh tak tak te tihchhiat vang a ni.
A chhan tlangpui thenkhat chu:
- Fracture: Fracture, a bik takin wrist , hi CRPS thlentu lian tak a ni. A châng chuan cast on a nih pawhin nerve chu a compress thei a ni.
- Surgery: Surgery neih lai hian vun a tan leh stitching vangin nerve a chhe thei a.
- Sprain: Joint a sprain chuan a chhehvel nerve te chu a pinch thei a.
- Kang, hliam emaw, hliam emaw: Heng pawn lam hliam chi hrang hrang hian vun hnuaia nerve te pawh a tichhe thei bawk.
A châng chuan CRPS hi hliam chiang tak awm lovin a awm thei a, mi ṭhenkhat chuan he natna hi an vei theihna a sang zawk bawk.
- Nervous system disorders: Zunthlum ang chi natna nei te hian an nerve tihdam theihna a tlahniam a. Meizial zu thinte pawhin dam lehna an harsat zawk bawk.
- Immune system lama harsatna: Asthma ang chi natna nei te hian an taksaah inflammatory chemicals (cytokines) a tam zawk a, hei hian CRPS vei theihna a tipung a ni.
- Genetic causes: A tlem hle nachungin chhungkaw member engemaw zatin CRPS an vei tih report a awm tawh bawk.
Engtin nge doctor hian CRPS hi a hriat theih ang?
CRPS hriat theihna tur test bik a awm lo. Chuvangin, doctor chuan i natna lan chhuah dan te, i damdawi lam chanchin (tun hnaia hliam i neih te, operation i neih te), leh taksa enfiahna te a zirin a hriat theih ang.
I doctor chuan heng thilte hi a ngaihtuah ber ang:
- Hliam lian leh te aia nasa zawka natna nasa tak danglam tak a awm em?
- A natna hmuna vun hmel, a lum leh a hring (texture) a danglam em?
- Damdawi lam thil dang, heng natna lan chhuahna thlen thei hi a awm em?
A châng chuan ultrasound scan emaw MRI scan emaw hmangin underlying nerve damage a awm em tih an enfiah ṭhin.Pakhat chu tih theih a ni. Tin, EMG (Electromyography) ang chi test te pawh hian neurological disease dang, symptoms inang nei te chu paih chhuah theih a ni bawk.
CRPS enkawlna tur engte nge ni?
CRPS enkawlna tum ber chu natna tihziaawmna, kut/ke natna hmuna hnathawh that leh, i nunphung tihchangtlun a ni. Enkawlna tan hma chuan a rah chhuah a tha zawk. Enkawl loh chuan a na zual thei a, kut/ke chu a khauh thei a, i che thei lo thei bawk.
Enkawl dan hrang hrang inzawmkhawm hi a hlawhtling ber a ni.
Taksa & Hnathawh lam Therapy
Hei hi CRPS enkawlna atana thil pawimawh leh pawimawh tak a ni.
- Physics therapist chuan exercise bik a zirtir ang che, chu chuan natna hmuna thisen kalna a tipung thei a, flexibility leh strength a ti sang thei bawk.
- Occupational therapist chuan nitin hna (e.g., incheina, ei leh in) tih dan thar a zirtir a, natna tlem zawk nen.
Hei bakah hian ‘Mirror Therapy’ tih ang chi hmanraw bik a awm bawk. Hemiah hian darthlalang hmaah i thu a, i kut/ke na chu i thup a, i hmaah chuan kut/ke hrisel tak chu i dah a ni. Tichuan, darthlalang atang chuan kut/ke na tak chu a pangngaiin a che tih a lang. Hei hian kan thluak chu natna tihziaawmna turin a ‘bum’ tih finfiah a ni.
Nunphung a inthlak danglam thin
- Meizial zuk loh tur: Meizial hi nerve damna daltu lian tak a ni.
- Natna dang enkawl dan: Zunthlum ang chi natnate uluk taka enkawl a pawimawh.
- Kut/ke chawi sang: Mut lai emaw, chawlh lai emaw, pillow-a dah ang chi kut/ke na tak chu chawi sang chuan a hring (swelling) a ti tlem ang.
- Exercise: Nitin exercise hi thisen kalna atan a tha hle.
- Compression stockings: I doctor chuan swelling control nan hengte hi ha turin a rawt mai thei.
Rilru hriselna lama tanpuina
Natna rei tak nena kan nun hian lungngaihna, thinrim leh lungkhamna te hi a awm fo thin. Heng thilte hian natna a tizual thei a ni. Chuvangin psychological counselling zawn hi rilru leh rilru lama natna tuar chhuahna kawngah nasa takin a pui thei a ni.
Damdawi (damdawi) .
CRPS atan hian damdawi bik pawm a awm lo. Mahse, doctor chuan natna lan chhuah dan control-na atan damdawi chi hrang hrang a pe thei a ni.
- Natna tidamtu ( NSAIDs ) .
- Vun natna tihdamna cream te
- Nerve natna atana antidepressant leh anti-seizure damdawi thenkhat
- Botox injection hmanga tihdam theih a ni
Pain control na atana enkawlna bik dang
Damdawi dangin natna thunun a harsat chuan doctor chuan hetiang enkawlna buaithlak zawk hi a hmang thei a ni.
- Sympathetic nerve blocks: Thluak lama natna signal phurtu nerve te chu hun eng emaw chen ‘muthilh’ turin anesthetic drug inject.
- Spinal cord stimulation: Electrode te tak te chu surgery hmangin spinal cord bulah dah a ni a, electrical signal fiah lo tak tak a pe a, chu chuan natna signal a tikhawlo a ni.
- IV ketamine infusion: Damdawi ketamine dose tlem chu vein kaltlangin ni engemaw zat pek thin a ni.
CRPS nena i awm hian eng nge i beisei theih ang?
CRPS chungchanga mi zawng zawng tawnhriat hi a inang vek lo. Mi tam tak tan chuan hun kal zelah leh enkawl dan dik a nih chuan natna lan chhuah dan a tlahniam ang a, an dam leh vek tawh mai ang.
Mahse, a tlem berah chuan natna hi a na thei hle a, taksa peng dangah pawh a darh thei bawk. Chuvangin, a natna hi control a, kut/ke hnathawhna vawng reng a pawimawh. Treatment plan dik tak nen chuan mi tam tak chu CRPS hmangin active life an hmang thei a ni.
CRPS hi rilru lam natna a ni em?
Ni lo, CRPS hi rilru lam natna a ni lo. Neurological condition a ni. Mahse, CRPS avanga natna nasa tak leh nunah nghawng a neih hian rilru lam harsatna, lungkhamna leh lungngaihna te a thlen thei a, a tizual thei bawk.
Take-Home Thuchah a ni
- CRPS hi i rilruah i siam chhuah a ni lo. Natna nasa tak thlen thei dinhmun tak tak, tak tak a ni.
- A tlangpuiin, hliam tenau i neih hnuah, hliam nasat lutuk, natna, leh vun rawng leh lumna inthlak danglamna, hliam nena inmil lo a awm chuan ngaihtuah tur a ni.
- Natna hriat chian a, a rang thei ang bera enkawl tan a pawimawh hle. Hei hian hun rei tak chhunga harsatna awm thei chu a veng thei a ni.
- Enkawlna hi thil pakhat a ni lo. Team effort a ni a, physical therapy, damdawi leh psychological support te inzawmkhawm a ni.
- Heng symptoms chungchangah hian rinhlelhna tlemte i neih chuan i doctor hnenah sawipui rawh.
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