Kei te pāngia koe e te mamae kore e taea te whakamātau i ō ringaringa me ō waewae, me ngā panonitanga o te kiri? Tērā pea he CRPS! (Complex Regional Pain Syndrome)

Kua whakaaro koe he aha te āhua o te mamae nui, pumau tonu i roto i te ringa, i te waewae rānei i muri i te whara iti, i te kore rānei he take e kitea ana? Kua pāngia ētahi e tēnei. I tēnei rā ka kōrero tātou mō tētahi o aua mate, ko te 'Complex Regional Pain Syndrome' (CRPS). Kaua e wehi, he mea nui kia mōhio ki tēnei.

He aha te CRPS? He māmā noa iho...

Ko te 'Complex Regional Pain Syndrome', arā, '(CRPS)', he mate e puta ai te mamae nui i tētahi wāhanga motuhake o tō tinana, he maha ngā wā he ringa, he waewae, he nikau, he kapu rānei , me ētahi atu tohu, pērā i te panoni o te tae kiri me te pupuhi i taua wāhi. Whakaarohia, he raruraru kei tō ringa, kei tō waewae rānei, kāore e taea e koe te mahi i ia rā, kāore e taea e koe te moe pai i te pō, ā, he pānga nui anō hoki ki tō hauora hinengaro.

E whakapono ana ngā tākuta ko te CRPS i puta mai i tētahi hapa i roto i tō tātou pūnaha io matua ( te roro me te taurakira) i roto rānei i tō tātou pūnaha io taha ( te pūnaha e kawe ana i ngā karere mai i te roro me te taurakira ki ētahi atu okana, peka, me ngā maihao). I tēnei wā, ka nui rawa te urupare a tō tātou pūnaha io ki ngā tohu mamae, ā, kāore e taea te aukati i taua urupare.

E rua ngā momo matua o te CRPS:

1. Momo I: I tēnei , kāore he kino ki ngā io. I te nuinga o te wā ka puta tēnei i muri i tētahi mate, i tētahi aituā rānei. Heoi, kāore te aituā i kino tika i tētahi io. I mua ko te "Reflex Sympathetic Dystrophy" tēnei.

2. Momo II: He tohu mārama tēnei mō te pakaru o te io. I mua ko te 'Causalgia' te ingoa o tēnei.

Ka taea e te CRPS te noho poto (whakapeka) te noho roa rānei (neke atu i te ono marama te roa) . Waimarie, he maha ngā wā ka taea te rongoā me te whakaora.

Ko wai te mea tino pea ka pāngia e te CRPS?

He nui ake te kitea o te CRPS i roto i ngā pakeke i ngā tamariki. I te nuinga o te wā ka tino piki ake i te 40 tau te pakeke . He nui ake te tūponotanga o ngā wāhine ki te pāngia e te CRPS i ngā tāne.

Kua whakaatuhia e ngā rangahau ka kitea tēnei mate i roto i ngā tāngata nō te iwi Pākehā, ā, ko te horapa i waenga i te 66% me te 80%. Heoi, he mate tino onge. Hei tauira, i te Hononga o Amerika, tata ki te 200,000 noa iho ngā take e pūrongohia ana i ia tau.

He aha ngā tohu o te CRPS? Me pēhea te tautuhi?

He rerekē te kaha me te roa o ngā tohumate CRPS i ia tangata, i ia tangata.

I te nuinga o te wā he meaE whā ki te ono wiki te roa ka tīmata ngā tohumate o te CRPS i muri i te whara, te whati, te pokanga rānei . Heoi, i ētahi wā ka puta mai ēnei tohumate me te kore he take e kitea ana.

Ko te tohu matua me te tohu tino kitea o te CRPS ko te mamae. Ka taea e tēnei mamae te noho tonu, te haere mai, te haere atu rānei. He rite tonu ki te mamae wera, te mamae, te haehae rānei . He maha ngā wā ka pāngia te ringa, te waewae rānei e pāngia ana e tēnei mamae.

Hei tāpiri, ka kitea pea ngā panoni o te aro ki te rohe e pāngia ana:

• Te tairongo nui ake ki ngā whakaoho mamae: Hei tauira, ahakoa he iti noa te wero, ka nui ake te mamae i te tikanga.
• Te mamae i tētahi mea kāore e puta ai te mamae: Ka pā pea te mamae ahakoa kua pā noa te kiri.
• Tērā pea ka pāngia koe e te ngoikore .

Anei ētahi atu tohu:

• Te pupuhi kiri: Ka puta mai, ka memeha atu te pupuhi, ka mau tonu rānei.
• Te ngoikore o te mahi a te ringa, te waewae rānei e pāngia ana: Tērā pea he uaua ki te neke i te ringa, i te waewae rānei e pāngia ana, he mārō rānei. Tērā pea he uaua ki te whakatakoto taumaha ki runga i te ringa/waewae e pāngia ana, ki te whakatakoto taumaha rānei ki runga i te hononga.
• Ngā huringa o te pāmahana kiri: Tērā pea ka wera ake, ka makariri ake rānei te ringa/waewae kua pāngia i tērā atu.
• Te rerekētanga o te kiri: Tērā pea ka puta he kiri papatahi, he mā, he papura/marumaru, he whero rānei i ētahi wāhi.
• Ngā panonitanga ki te kakano o te kiri: Ka kanapa pea te kiri, ka angiangi, ka nui rawa rānei te werawera.
• Ngā panonitanga o te tipu o ngā maikuku me te huruhuru: Tērā pea ka tere ake te tipu o ngā maikuku me ngā huruhuru i taua wāhi, kāore rānei e tupu.

Nā te mea ka pai haere ngā tohu o te `CRPS` i te roanga o te wā, he māmā ake mā ngā tākuta te tautuhi i te mate i ngā wāhanga tōmua. Nō reira, ki te pāngia koe e ēnei tohu, he mea nui kia kite wawe koe i te tākuta.

He aha te take e puta ai te CRPS? He aha ngā take?

Kāore anō kia tino mōhiotia e ngā kairangahau he aha i pāngia ai ētahi tāngata e te whara kotahi e te CRPS, ā, kāore ētahi. Ki tā rātou whakaaro, tera pea nā te mumura, te mate pāwera rānei i roto i te pūnaha io taha me te pūnaha io matua .

I te nuinga o te wā, neke atu i te 90%, ka puta te CRPS i te whara, i te whara rānei o ngā io o te ringa, o te waewae rānei e pāngia ana.Nā te mea. Ka pā kino ēnei whara ki ngā muka io tino ngāwari o te tinana, ā, ka pā kino hoki ki te tinana. Ko ēnei muka io ririki nei ngā mea e kawe ana i ngā kare ā-roto pērā i te mamae, te mākūkū, me te pāmahana ki te roro. Ko ēnei anō hoki ngā mea e whakahaere ana i te hauora whānui o ngā oko toto ririki me ngā pūtau e karapoti ana.

Ko te whara tino noa e pā ana ki te CRPS ko te whati wheua , inā koa he whati i te ringaringa. Ka taea te pakaru o ngā io mēnā ka nekehia, ka kuruhia rānei te wheua, mēnā rānei ka pēhia e te maka piri.

Ko ētahi atu momo whara noa ka arahi pea ki te CRPS ko:

• Pokanga: Ka pakaru pea ngā io i te tapahi, i te tuitui, i te koha rānei i te wā o te pokanga.
• Ngā whāwhā, ngā totoro rānei: Ina pakaru te kiko honohono, ka nui rawa te nekeneke o te hononga, ka nui rawa te taumahatanga ki ngā io tata.
• Ngā wera, ngā marō, ngā motu rānei: He whara e kitea ana ēnei katoa, engari ka taea hoki e rātou te whara i ngā io o raro.

I ētahi wā ka puta te CRPS me te kore e kitea he whara. Tērā pea ko te kore e taea te neke mō te wā roa te take.

Anei ētahi āhuatanga hei whakanui ake i te mōrearea o te whakawhanake i te CRPS:

• Hauora ngoikore o ngā io: Ko te hunga whai mate pēnei i te mate huka he iti ake te kaha me te whakaora o ngā io. Ko te hunga whai neuropathy peripheral ka uaua pea ki te whakaora i ngā pūtau io, ahakoa i ngā whara kāore i te tino raru. Ko te hunga kaipaipa me te hunga kua whiwhi chemotherapy mō te mate pukupuku ka uaua pea ki te whakaora i ngā io.
• Ngā raruraru o te pūnaha ārai mate: He mahi nui tā te pūnaha ārai mate ki te whakaputa mumura i roto i ō tātou tinana. Ko ētahi tāngata whai CRPS he nui ake ngā taumata o ngā matū mumura e kiia nei ko ngā cytokine . Ka whai wāhi ēnei ki ētahi o ngā tohu o te CRPS. He mea noa hoki te CRPS i roto i te hunga whai mate mumura me ngā mate pūnaha ārai mate, pērā i te mate huango .
• Ngā āhuatanga ira: Ka pā pea ō ira ki te āhua o tō oranga mai i tētahi whara. Kua kitea e ngā kairangahau he rite tonu te whānau ki te whānau ('rōpū whānau') te CRPS. Ahakoa he onge tēnei, e kī ana pea he hononga ira tō te CRPS.

Me pēhea koe e tino mōhio ai mēnā kei a koe te CRPS? (Tauātanga)

Nā te mea he mate onge te CRPS, ā, kāore ngā tākuta e tino mārama ki tēnei mate, i ētahi wā ka hē te tautuhi i a ia anō.

Tāutuhia te `CRPS`Kāore he whakamātautau motuhake. Ko te nuinga o te wā ka tātarihia e ngā tākuta mā te tango i tētahi hītori hauora ātaahua, te mahi i tētahi whakamātautau tinana, me te arotake i ō tohumate. Ka pātai atu hoki te tākuta mēnā kua whara koe, kua pokanga rānei i ngā wā tata nei.

Ka tirohia e te tākuta ēnei mea motuhake:

• He panonitanga o te āhua, te pāmahana, me te kakano o te kiri i te wāhi e pāngia ana.
• He nui atu te mamae i te mea i whakaarohia mō tētahi whara.
• Mehemea he mate, he āhuatanga rānei kei te pūtake o tō mamae, o ō huringa kiri, o ētahi atu tohu rānei.

Tērā pea ka mahia ngā whakamātautau whakaahua pēnei i te ultrasound, te magnetic resonance imaging rānei (MRI) hei rapu i te kino o te io. Heoi, kāore pea e kitea i ngā wā katoa te kino o te io.

Tērā pea ka tonoa e tō tākuta ētahi atu whakamātautau hei whakakore i ētahi atu āhuatanga ka puta ai ngā tohu rite. Hei tauira, ka taea e te whakamātautau electromyography (EMG) te whakaatu i ētahi atu take o te neuropathy, ka puta ai te mamae rite i ētahi wā.

He aha ngā maimoatanga mō te CRPS?

Ko ngā whāinga matua o te maimoatanga he whakaiti i te mamae me ērā atu tohumate, he whakaora i te mahi a te ringa/waewae e pāngia ana, me te pupuri i te kounga o tō oranga.

He mea tino nui te tīmata wawe i te maimoatanga i te wā e pāngia ana te CRPS. Nā te mea i roto i te wā, ka pakari haere te peka e pāngia ana (‘whakapakari’). Ki te kore e rongoatia, ka piki haere te mamae, ā, ka uaua haere te neke i te peka e pāngia ana.

Ki te taea, he pai ake te toro atu ki tētahi tākuta kua mōhio ki te rongoā i te CRPS. Ko te rongoā he whakakotahitanga o ētahi huarahi rerekē, ā, he pai te whakahaere ngātahi. Kei roto i ēnei ko:

• Te whakaora tinana me te whakaora mahi.
• Ngā huringa o te āhua noho.
• Te rongoā hinengaro-pāpori me te rongoā whanonga.
• Ngā rongoā.
• Ngā maimoatanga rerekē mō te whakahaere mamae.

Mō ngā tamariki nohinohi e pāngia ana e te CRPS, ko ngā rongoā hinengaro me ngā rongoā whakaora ngā maimoatanga matua . Ko ngā rongoā whakamamae mamae ka tūtohutia noa mō ngā tamariki pakeke ake e pāngia ana e ngā tohu kāore e pai ki ētahi atu maimoatanga.

Te whakaora tinana me te whakaora mahi

Ko tētahi o ngā maimoatanga tino nui mō te CRPS ko te whakaora tinana.Ka taea e te kaiwhakaora tinana te whakapai ake i te tohanga toto i roto i tō ringa/waewae e pāngia ana, ā, ka taea hoki e ia te whakamahi i ngā mahi whakakori tinana motuhake hei whakapai ake i tō ngāwari, tō kaha, tō āhua o te uaua, me te mahi. Ka taea e te kaiwhakaora mahi te whakaako i a koe ki ngā huarahi hou hei mahi i ngā mahi o ia rā.

Ko ētahi atu āhuatanga o te rongoā tinana mō te CRPS ko:

• `Whakaahua Motuka Whakarōpū`: He raupapa maimoatanga tēnei e whakaiti ana i te mamae me te whakapai ake i te kaha ki te neke i te wāhanga tinana e pāngia ana. Ina mamae tō ringa, tō waewae rānei, ka uaua ki te pā atu, ki te neke, ki te whakamahi rānei. Waihoki, he mahara, he ``mapi`` rānei tō tō tātou roro, mō ngā wāhanga tinana rerekē. Te āhua o ō rātou kare ā-roto, te āhua o tā rātou neke, me te whakamahinga mō ngā mahi o ia rā. Ki te kore koe e pā atu, e neke, e whakamahi rānei i te ringa/waewae e pāngia ana, ka tīmata te huri o tēnei mapi, ā, ka ngaro pea. Engari mā tēnei tikanga ``Whakaahua Motuka Whakarōpū``, ka taea e koe te huri, te whakatū anō rānei i tēnei mapi.
• Whakaata Whakaata: He momo Whakaahua Nekeneke Whakarōpū tēnei. Ka titiro koe ki tō ringa/waewae kāore i pāngia i roto i te whakaata. Kātahi ka rite te āhua o te whakaata ki te ringa/waewae e pāngia ana. Ka taea e tēnei te "tinihanga" i tō roro kia whakaaro kei te pai te ahua me te neke o te ringa/waewae mamae.
• `Whakakore i te aro ki te tangata`: Ko tēnei tikanga he pā atu ki te wāhi e pāngia ana ki ngā mea rerekē te kakano me te taumaha, ā, ka whakatakotoria te ringa/waewae e pāngia ana ki te wai wera me te wai matao. I roto i te wā, i a koe e whakaatu ana i te wāhi e pāngia ana ki ngā kare ā-roto rerekē, ka urutau tō roro ki aua kare ā-roto, ā, ka tīmata te whakaiti i te mamae.

Ngā huringa āhua noho

Ka taea e koe te whakanui ake i te tūponotanga me te tere o tō whakaoranga mā te whakakore i ētahi o ngā mea e whakararuraru ana i te tukanga whakaora o tō io. Ko ētahi o ēnei ko:

• Te whakamutu i te kai paipa: He arai nui te kai paipa ki te whakaora i te io.
• Te whakahaere i ngā āhuatanga hauora o nāianei: Ki te kore e whakahaerea tikatia ngā mate e pā ana ki te tohanga toto me ngā io, pērā i te mate huka, ka uaua pea te whakaora i ngā io.

Anei ētahi atu mahi māmā ka taea e koe te mahi i te kāinga hei āwhina i ō tohumate:

• Mā te pupuri i te ringa/waewae e pāngia ana kia paku teitei ake i a koe e okioki ana, e moe ana rānei, ka āwhina i te wai tāpiri kia hoki ki te ngākau.
• He mea nui te whakakori tinana auau hei whakapai ake i te rere o te toto ki ngā io kua pakaru. Kōrero ki tō tākuta, ki tō kaiwhakaora tinana rānei mō tētahi mahere whakakori tinana e tika ana māu.
• Mā te mau i ngā tōkena pēhi, i ngā ringaringa rānei, ina koa i te wā e tū ana, ka āwhina i te whakaiti i te pupuhi. Pātai atu ki tō tākuta mēnā he kōwhiringa tēnei māu.

Te rongoā hinengaro-pāpori me te rongoā whanonga

Ko te pānga o te CRPS ki te pikinga o te manukanuka, te pouri, me te ahotea . Ka taea hoki e ēnei te whakanui ake i te mamae. Ka taea e te hinengaro whakaora te āwhina. Ko te hinengaro whakaora (e kiia ana ko te kōrero whakaora) he kupu whānui mō ngā momo maimoatanga e āwhina ana i te tangata ki te tautuhi me te whakarerekē i ngā kare ā-roto, ngā whakaaro, me ngā whanonga kino.

Ki te taea, he pai ake te kite i tētahi tohunga hinengaro haumanu whakahaere mamae kua whakangungua ki te rongoā i te CRPS. I roto i te hinengaro hinengaro, ka kōrero koe ki te tohunga hinengaro, ka ako me pēhea te whakahaere pai ake i ngā āhuatanga e whai wāhi ana ki tō mamae me ētahi atu tohumate.

Ngā rongoā

Kāore he rongoā kua whakaaetia mō te CRPS i te Hononga o Amerika. Heoi, ka tohua pea e tō tākuta ētahi rongoā hei āwhina i te whakahaere i ō tohumate.

He maha ngā momo rongoā e whai pānga ana ki te whakamamae i te mamae:

• Ngā rongoā anti-inflammatory kore-steroidal (NSAID): Ko ētahi tauira ko te acetaminophen, ibuprofen, me te naproxen.
• Ngā kirimi me ngā pāti whakamamae kiri: Hei tauira, Lidocaine.
• Ētahi rongoā ārai pouri: Ko ētahi tauira ko te Amitriptyline me te Duloxetine.
• Ngā rongoā ārai-hopu: Ko ētahi tauira ko Gabapentin, Pregabalin, me Topiramate.
• Ngā Bisphosphonates: Hei tauira, Alendronate.
• Ngā werohanga paitini botulinum (Botox).

He rerekē te whiriwhiri i te rongoā tīmatanga mō ia tangata, mō ia tangata. Ka whakaarohia e tō tākuta ētahi āhuatanga, tae atu ki:

• tō tau.
• Ētahi atu āhuatanga hauora o nāianei.
• Ngā rongoā katoa e tangohia ana e koe i tēnei wā.
• Te tūponotanga o ngā pānga taha o te rongoā, ngā taunekeneke rānei me ngā rongoā e tangohia ana e koe i tēnei wā.

Ngā rongoā rerekē mō te whakahaere mamae

Ko ētahi atu maimoatanga hei whakahaere i te mamae ko:

• `Urupare Koiora`
• `Te wero ngira`
• `Te Whakamātautau`
• `Reiki`
• `Tirohanga-whakapaipai`

Ngā maimoatanga whakaekenga atu

Mena kāore tō āhua CRPS i pai te urupare ki ngā maimoatanga kua whakahuatia ake nei, ki te mamae nui rānei koe, ki te mau tonu rānei te CRPS, ka tūtohu pea tō tākuta i ēnei maimoatanga iti ake te whakaekenga:

• Werohanga pūwāhi/pūwāhi mamae: Ina pāngia ō ringaringa o runga e te CRPS, tera pea ka pāngia koe e ngā pūwāhi mamae i roto i ngā uaua o tō whitiki pakihiwi. I ngā wāhanga tōmua o te CRPS, ka āwhina pea ngā werohanga glucocorticoids, me ngā rongoā whakamoe ā-rohe, me te kore rānei, ki roto i ia pūwāhi mamae.
• Ngā aukati io pūngāwerewere: Ka tino whakamamaetia te mamae e ēnei aukati mō ētahi tāngata. Ko te aukati pūngāwerewere o te hope ko te werohanga i tētahi rongoā whakamoe ki roto i tō tuara o raro, e tata ana ki tō taurakira. Ka aukati tika tēnei i te mekameka pūngāwerewere e kawe ana i ngā tohu mamae mai i ō pito o raro ki tō taurakira me te roro. Ko te aukati mō te mamae CRPS i te ringa o runga ka kiia ko te aukati stellate ganglion . Ko te werohanga i tētahi rongoā whakamoe ki te taha o tō kaki.
• Te whakaohooho i te taurakira: Ko tēnei maimoatanga he pokanga te whakato i tētahi taputapu whakaputa pāorooro ki raro i te kiri o tō puku, o tō papa rānei, me ngā waea (ngā hiko) e tata ana ki tō taurakira. He rite tēnei taputapu ki tētahi taputapu whakatere, ka tukuna ngā iahiko hiko iti ki tō taurakira. Ka whakakorea e ēnei pāorooro hiko ngā tohu mamae e haere ana ki tō roro, ka whakaitihia.
• Te whakaoho i ngā ganglia pakiaka tuara: He rite tēnei maimoatanga ki te whakaoho i te taurakira. Heoi, ka whakatakotoria ngā waea iti ki runga tonu i te ganglion pakiaka tuara. Ko te ganglion pakiaka tuara he rōpū neurons sensory kei te hononga e puta ai ngā io katoa o tō tinana i tō taurakira. He teihana tuku mō ngā tohu mamae mai i te pūnaha io peripheral (ō peka) ki te pūnaha io matua (tō taurakira me tō roro). Ka taea e tēnei whakaoho te whai hua ake, ā, he pai ake te maimoatanga (he iti ake te whakaoho e hiahiatia ana) nā te mea e aro ana ki ēnei pūwāhi waenga iti.
• Te whakaohooho io ā-taha: Ko tēnei maimoatanga he whakatakoto i tētahi waea whakaohooho tata ki tētahi io nui i roto i tō ringa/waewae e kapi ana i te wāhi mamae. Ka mahi mā te whakakore i te tohu mamae e haere ana i roto i te io kua tohua.
• Te werohanga ketamine IV: Ko tēnei maimoatanga he hoatu i tētahi horopeta iti o te ketamine mā roto i te uaua (te werohanga IV) mō ngā rā 3 ki te 5. Ko te mahi a te Ketamine mā te aukati i tētahi ngota motuhake i roto i tō pūnaha io (te kaiwhakawhiwhi NMDA) ka kaha ake te mamae.
• Ngā papu rongoā ā-roto:Ka whakamahia e tēnei maimoatanga he catheter kua whakatōkia hei tuku tika i ngā rongoā whakamamae pēnei i te Ziconotide (Prialt®) ki roto i te wai o tō tuaiwi.

Ka taea te ārai i te CRPS?

Nā te mea kāore ngā kairangahau i te mōhio ki te tino take o te CRPS, kāore he huarahi motuhake hei ārai i tēnei. Kua whakaatuhia e ētahi rangahau ko te tango i te huaora C i mua i te pokanga o muri mai ka āwhina pea i te ārai i te CRPS.

He aha te momo heke mai mō te tangata whai CRPS?

He rerekē te wheako o te katoa ki te CRPS. Mō te tini o te tangata, ka pai ake te CRPS i te roanga o te wā, ā, ka mutu, ka memeha haere.

Heoi, ko ngā mate kino, ngā mate roa rānei (he onge noa iho) ka pā kino ki tō oranga. Mō ētahi tāngata, ka kino haere te CRPS, ka horapa ki ētahi atu wāhanga o te tinana. Ko te nui rawa o te mamae hinengaro i te wā i whara ai te CRPS ka pā ki te kaha o te mate me tō kaha ki te ora.

I waenganui i te 10% me te 30% o te hunga whai CRPS ka hoki anō ki te mate. Kāore i te mōhiotia te tino take o te nuinga o ngā hokinga mai.

Ko ngā whāinga tino nui ko te whakamamae i te mamae me te whakahoki mai i te nekehanga me te kaha o te ringa/waewae e pāngia ana. Mā te whakamamae i te mamae ka piki ake te tūponotanga o te whakapai ake i te mahi i taua wāhi me tō kounga o te oranga. Mā ngā mahere maimoatanga kua whiriwhiria marietia, ka taea e ētahi tāngata whai CRPS te whakahaere angitu i ō rātou mamae me te noho ora.

He aha ngā wā pai rawa atu hei toro atu ki te tākuta?

Nā te mea he uaua tēnei āhuatanga, ā, i ētahi wā ka hē te tautuhi i tōna mate, me kimi e koe he tohunga whakahaere mamae, he pokapū mamae motuhake rānei e mōhio ana ki te CRPS mēnā kei a koe:

• Ki te whakaaro koe kei a koe ngā tohu o te 'CRPS'.
• Mena kei te kino haere ō tohumate.
• Mena kāore tō āhua i pai ki ētahi atu maimoatanga.

He hauātanga, he mate hinengaro rānei te CRPS?

Kāo, ehara te CRPS i te mate hinengaro. He mate pūnaha io. Heoi, ka taea e te CRPS te whakararu, te whakararu rānei i te manukanuka, te pouri, me te ahotea. I ētahi wā, ka arahi pea ki te Mate Ahotea Whai Muri i te Trauma (PTSD) .

I te Hononga o Amerika, e whakaae ana te Tari Haumaru Hapori ki te CRPS hei hauātanga, i runga i tōna kaha me tōna pānga ki te oranga. Ka taea e koe te whakapā atu ki ngā āpiha kāwanatanga mō ētahi atu kōrero e pā ana ki ngā paearu whakauru.

Karere Tangohia ki te Kāinga

Ka pā nui pea tēnei āhuatanga e kiia nei ko te 'Complex Regional Pain Syndrome (CRPS)' ki tō oranga. Engari ko te rongo pai, ka taea te rongoā.He maha ngā kōwhiringa maimoatanga, ā, ka taea e koe te whakamātau i tētahi huinga o ēnei. Ko te wawe o te tātaritanga o te CRPS ki a koe, me te tīmata i te maimoatanga, ko te nui ake o te tūponotanga ka taurite ō tohu ki te maimoatanga. Ki te whakaaro koe kei a koe te CRPS, kōrero ki tō tākuta. Kei reira rātou hei āwhina i a koe. Kaua e mataku, kaua hoki e mamae ko koe anake. Ko te mea nui ko te tiki i te tohutohu hauora me te tautoko tika.

` CRPS, te mamae ā-rohe matatini, te mamae io, te mamae ringa me te waewae, te mamae mau tonu, te maimoatanga CRPS, ngā tohu CRPS