I kutah hliam tenau i nei niin han ngaihtuah teh. A nih loh leh ke ruh tliak a awm bawk. A tlangpuiin he natna hi ni rei lo te chhungin a reh tur a ni. Mahse, a natna chu a zual zel a, tuar theih loh a lo ni ta a nih chuan engtin nge ni ang? Thawmhnaw i hak pawhin tuar theih loh khawpa natna i neih chuan engtin nge ni ang? Chu chu vawiina kan sawi tum chu a ni. Hei hi a châng chuan hliam tenau, heart attack , a nih loh leh stroke hnuah a thleng thei a ni.
RSD chu eng nge ni?
A awlsam zawngin, RSD, a nih loh leh Reflex Sympathetic Dystrophy Syndrome tih hi thumal hmanlai deuh, doctor-te hman tawh loh a ni. Tunah chuan he natna hi official hming chu Complex Regional Pain Syndrome , a tawi zawngin CRPS tih a ni ta. RSD hi CRPS chi khat (Type I) a ni. Hetiang a nih chuan he natna nasa tak hi taksa peng hrang hrang hliam vang a ni a, nerve tihchhiat a awm lo.
A pawimawh ber chu a natna hi a hmaa a hliam aiin a na zawk a, a tehkhin theih loh zawk a ni. Thla tam tak chhunga natna tenau tak atanga tuar theih loh khawpa natna nei ang mai a ni.
Engvangin nge hetiang hi a lo awm? Eng nge a chhan?
Hei hi a chhan dik tak hriat chian ni lo mah se, doctor-te chuan kan taksa sympathetic nervous system-a harsatna awm vang niin an ngai.
He nervous system hi kan taksaa defence system angin han ngaihtuah teh. I hliam chuan he system hian thisen kalna kawngte chu constrict turin signal a pe thin. Hei hian hliam na hmun atanga thisen luang chhuak a ti tlem a ni. Tichuan, thisen kalna kawngte chu inhawng leh turin signal a pe a, chu chuan hliam damna atana mamawh ei tur a pe a ni.
Mahse RSD vei chunga thil thleng chu he defense system hi a ‘confused’ deuh thin. Hliam a awm chuan thisen kalna kawngte chu a inzawm khawm a, mahse a inhawng tha tur signal an hmu lo. Chumi awmzia chu system chu ‘turned’ a ni a, ‘turn off’ leh tawh lo tihna a ni . Chutah chuan hliam na hmun chu natna nasa tak nen a lo hring chhuak thin.
Hetiang dinhmun hi hmeichhiaah hian a tam zawk deuh a ni . Naupangah pawh a awm thei a, mahse kum 30 leh 60 inkar ah a awm tam ber.
Hetiang natna lan chhuah dan hi engte nge ni?
RSD symptoms hi a lo lang nghal lo va, a lo lang zauh zauh. A tir lama natna hi hun kal zelah a pung thei a ni. A châng chuan hei hi a tir lamah chuan natna danglam tak a ni tih pawh i hre lo mai thei.
RSD nena inzawm thil tenau lo thleng thei:
- Fractures a awm
- Sprains a awm
- A hliam (Bruises) a awm
- Kangmei (Bu RNS ) .
- Surgery tenau tak tak a awm
- Needle stick a awm bawk
- Radiation hmanga enkawlna a ni
Hetiang dinhmun hi kut, ke, ke, hip ang chi hmunah a awm fo thin. Hliamna hmun piah lamah pawh natna hi a darh thei bawk.
| Symptom category hrang hrang a awm | Thil hmuh tur awm |
|---|---|
| Nature of pain | Kang, stinging, deep aching, throbbing. Natna awm reng. |
| Vun a inthlak danglam thin | Hliamna hmun chu a sen a, a hring a, khawih pawhin a lum hle. A vun chu a var, a sen emaw, a sen emaw a ni. |
| Hriselna nasa tak (hypersensitivity) a awm | Thil pangngaia hliam lo (tui tla, thawmhnaw taksaa inhnim) atang pawhin natna nasa tak hriat. |
| Incheina lama harsatna awm | Muscle chak lo emaw, khur emaw, ruh nghet lo, natna avanga kut/ke chet harsat. |
| Thil dang pawh a awm | A natna hmunah chauh thawk hah lutuk. Sam emaw nail sei dan inthlak danglamna. |
Engtin nge hei hi i hmuh theih, Doctor?
Vawi tam tak chu RSD hi i natna thlentu nia hriat nghal a harsa thin. I doctor-in hliam aia na zawk leh a reh loh thu i report hunah chauh a ringhlel mai thei.
Hei hi RSD a nih leh nih loh finfiah nan definitive test pakhat mah a awm lo .
Chu ai chuan i doctor chuan nangmah leh i medical history uluk taka a enfiahna hmangin preliminary diagnosis a siam ang. Chu bakah, test eng emaw zat an ti thei bawk a, chu chuan he natna chungchangah hian clues dang a pe thei bawk.
- Bone Scan: He test hian ruh tawp te chu a chhe tawh em tih leh thisen kal danah harsatna a awm em tih hriat nan a pui thin.
- MRI (Magnetic Resonance Imaging): MRI hi taksa chhunga inthlak danglamna fiah lo tak tak, a bik takin tissue-a inthlak danglamna zawng turin tih theih a ni.
- Sweat test: Hei hian taksa sir khat chu a sir lehlamah a thawmhnaw a tam zawk em tih a enfiah thin.
- Thermography test: A natna hmuna temperature emaw thisen supply emaw chu taksa peng dang nen a danglam em tih a enfiah thin.
- X-ray: A zual deuh deuhah chuan X-ray hmangin ruh chhungah mineral a hloh em tih enfiah a ni.
Enkawlnate chu engte nge ni?
He natna a pawimawh ber chu natna hi hriatchhuah a rang thei ang bera enkawl tan hi a ni . I tan hma chuan a rah chhuah a tha zawk. RSD damdawi chiang tak awm lo mah se, a lan chhuah tam tak chu control theih leh tihdam theih a ni.
Enkawl dan hrang hrang inzawmkhawm hman a ni tlangpui.
| Enkawl dan tur | Hrilhfiahna |
|---|---|
| Damdawi chi hrang hrang | Painkiller (e.g. Ibuprofen, Naproxen), seizure damdawi, antidepressant (natna control thei), ointment Lidocaine ang chi, ruh tichaktu hnar spray. |
| Nerve blocking injection te pawh a awm bawk | Natna thlentu nerve bula injection, natna signal thluak thleng tur chu rei lo te chhung tihtawp nan. |
| Taksa lam enkawlna | Enkawlna pawimawh ber pakhat. Kut/ke natna vei zawi zawia sawn hian taksa ruh a tichak a, natna a tiziaawm bawk. |
| Psychotherapy hmanga enkawlna | Relaxation methods zir hian natna khirh tak nena nunpui avanga lungkhamna leh lungkhamna lo awm thin chu i thunun thei a ni. |
| Enkawlna dang | Electrode te chu ruhro (spinal cord)-ah dahin, natna tihziaawmna turin electrical signal an thawn a, kut natna atan splint an vuah bawk. |
| Inzai | Damdawi dangin natna a tihziaawm loh chuan i doctor chuan a hnuhnung ber atan Sympathectomy tih surgery neih a rawt thei ang. |
A bik takin damdawi hriat tur pawimawh tak tak te
Painkiller chak tak tak, corticosteroids (e.g., Prednisolone) leh Opioids (e.g., Morphine, Fentanyl) te hi hman a tlem hle a, a side effect leh addiction hlauhawmna avang hian doctor enkawlna khauh tak hnuaiah chauh hman a ni.
Take-Home Thuchah a ni
- RSD emaw CRPS emaw hi i ngaihtuah ang chi a ni lo va, dinhmun tak tak, hrehawm tak a ni.
- He natna hi a tir lama thil thleng emaw, hliam emaw aiin a na zawk hle. Hei hi a symptom ber a ni.
- A hmaa hriatchhuah leh enkawl chuan result tha zawk a awm thei. Chuvangin, hrehawmna danglam tak chu ngaihthah suh.
- Hei hi thil buaithlak tak a nih avangin enkawlnaah hian damdawi, taksa lam enkawlna, leh rilru lam counseling te hman a ni.
- I taksaa natna awm reng, danglam bik eng pawh chu i doctor nen sawiho fo ang che .
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