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Kodi mukumva kupweteka kosapiririka m'manja ndi m'mapazi anu komanso kusintha kwa khungu? Kungakhale CRPS! (Complex Regional Pain Syndrome)

Kodi mukumva kupweteka kosapiririka m'manja ndi m'mapazi anu komanso kusintha kwa khungu? Kungakhale CRPS! (Complex Regional Pain Syndrome)

Kodi munayamba mwadzifunsapo kuti zingakhale bwanji kumva ululu waukulu komanso wopitilira mu mkono kapena mwendo mutavulala pang'ono, kapena mwina popanda chifukwa chomveka? Anthu ena adakumanapo ndi izi. Lero tikambirana za vuto limodzi lotere, `Complex Regional Pain Syndrome (CRPS). Musachite mantha, ndikofunikira kwambiri kudziwa izi.

Kodi CRPS ndi chiyani? Mwachidule...

`Complex Regional Pain Syndrome`, kapena `(CRPS)` mwachidule, ndi vuto lomwe limayambitsa kupweteka kwambiri m'mbali inayake ya thupi lanu, nthawi zambiri mkono, mwendo, chikhatho, kapena phazi , pamodzi ndi zizindikiro zina zingapo, monga kusintha kwa mtundu wa khungu ndi kutupa m'derali. Tangoganizirani, vuto la mkono kapena mwendo wanu limapangitsa kuti zikhale zovuta kugwira ntchito m'moyo wanu watsiku ndi tsiku, simungathe kugona bwino usiku, ndipo limakhudzanso thanzi lanu la maganizo.

Madokotala amakhulupirira kuti CRPS imayamba chifukwa cha kulephera kugwira ntchito bwino kwa dongosolo lathu la mitsempha ( ubongo ndi msana) kapena dongosolo lathu la mitsempha ( dongosolo lomwe limanyamula mauthenga ochokera ku ubongo ndi msana kupita ku ziwalo zina, miyendo, ndi zala). Pankhaniyi, dongosolo lathu la mitsempha limakhudzidwa kwambiri ndi zizindikiro za ululu ndipo silingathe kuletsa kuyankha kumeneko.

Pali mitundu iwiri ikuluikulu ya CRPS:

1. Mtundu Woyamba: Mu izi , palibe kuwonongeka kwa mitsempha. Izi nthawi zambiri zimachitika pambuyo pa matenda kapena ngozi. Komabe, ngoziyo sinawononge mwachindunji mitsempha. Izi kale zinkatchedwa ``Reflex Sympathetic Dystrophy``.

2. Mtundu Wachiwiri: Ichi ndi chizindikiro chodziwikiratu cha kuwonongeka kwa mitsempha. Izi kale zinkatchedwa `Causalgia`.

Matenda a CRPS amatha kukhala a kanthawi kochepa (oopsa) kapena osatha (otenga miyezi yoposa isanu ndi umodzi) . Mwamwayi, nthawi zambiri amatha kuchiritsidwa ndikuchiritsidwa.

Ndani amene ali ndi mwayi waukulu wopeza matenda a CRPS?

Matenda a CRPS amapezeka kwambiri mwa akuluakulu kuposa ana. Nthawi zambiri amapezeka kwambiri ali ndi zaka 40. Azimayi ali ndi mwayi waukulu wodwala matenda a CRPS kuposa amuna.

Kafukufuku wasonyeza kuti vutoli limapezeka mwa anthu ochokera ku Ulaya, ndipo anthu ambiri amakhala pakati pa 66% ndi 80%. Komabe, ndi vuto losowa kwambiri. Mwachitsanzo, ku United States, milandu pafupifupi 200,000 yokha ndi yomwe imanenedwa chaka chilichonse.

Kodi zizindikiro za CRPS ndi ziti? Kodi mungazindikire bwanji?

Kuopsa ndi nthawi ya zizindikiro za CRPS zimasiyana malinga ndi munthu.

Kawirikawiri chinachakeZizindikiro za CRPS nthawi zambiri zimayamba milungu inayi kapena isanu ndi umodzi mutavulala, kusweka, kapena opaleshoni . Komabe, nthawi zina zizindikirozi zimatha kuwoneka popanda chifukwa chodziwika bwino.

Chizindikiro chachikulu komanso chodziwika bwino cha CRPS ndi ululu. Ululu uwu ukhoza kukhala wokhazikika kapena wobwera ndi kutuluka. Nthawi zambiri umamveka ngati ululu woyaka, wopweteka, kapena wong'ambika . Ululu uwu nthawi zambiri umamveka mkati mwa mkono kapena mwendo womwe wakhudzidwa.

Kuphatikiza apo, kusintha kwa kukhudzidwa kungaonekere m'dera lomwe lakhudzidwa:

  • Kuwonjezeka kwa chidwi ndi zinthu zopweteka: Mwachitsanzo, ngakhale kukanda pang'ono kungamveke kowawa kwambiri kuposa masiku onse.
  • Kumva kupweteka chifukwa cha chinthu chomwe nthawi zambiri sichimayambitsa ululu: Ululu ukhoza kuchitika ngakhale khungu litangokhudzidwa.
  • Mungamve dzanzi .

Nazi zizindikiro zina:

  • Kutupa kwa khungu: Kutupa kungabwere ndi kutha, kapena kungakhale kosalekeza.
  • Kuchepa kwa ntchito ya mkono kapena mwendo wokhudzidwa: Zingakhale zovuta kusuntha mkono kapena mwendo wokhudzidwa, kapena zingamveke zolimba. Zingakhalenso zovuta kukweza mkono/mwendo wokhudzidwa kapena kukweza cholumikizira.
  • Kusintha kwa kutentha kwa khungu: Dzanja/phazi lomwe lakhudzidwa likhoza kumva kutentha kapena kuzizira kuposa lina.
  • Kusintha kwa mtundu wa khungu: Khungu likhoza kuoneka lofiirira, lofiirira/lofiira, kapena lofiira m'malo ena.
  • Kusintha kwa kapangidwe ka khungu: Khungu likhoza kunyezimira, kupyapyala, kapena kutuluka thukuta kwambiri.
  • Kusintha kwa kukula kwa misomali ndi tsitsi: Misomali ndi tsitsi m'dera limenelo zingakule mofulumira, kapena sizingakule konse.

Popeza zizindikiro za `CRPS` nthawi zambiri zimachepa pakapita nthawi, zimakhala zosavuta kwa madokotala kuzizindikira pachiyambi. Chifukwa chake, ngati muli ndi zizindikirozi, ndikofunikira kwambiri kupita kwa dokotala mwachangu.

Kodi n’chifukwa chiyani matenda a CRPS amayamba? Kodi zimayambitsa matenda amenewa ndi chiyani?

Ofufuza sakudziwabe chifukwa chake anthu ena omwe ali ndi vuto lomweli amadwala matenda a CRPS pomwe ena sadwala. Amaganiza kuti izi zitha kuchitika chifukwa cha kutupa kapena chitetezo chamthupi m'mitsempha ya m'mphepete mwa mitsempha ndi m'mitsempha yapakati .

Nthawi zambiri, kupitirira 90%, CRPS imayamba chifukwa cha kuvulala kapena kuvulala kwa mitsempha m'dzanja kapena mwendo womwe wakhudzidwa.Chifukwa. Kuvulala kumeneku kumawononga ulusi wofewa kwambiri wa mitsempha ya m'thupi lathu. Ulusi waung'ono wa mitsempha uwu ndi womwe umanyamula ululu, kuyabwa, ndi kutentha ku ubongo wathu. Ndiwonso umalamulira thanzi lonse la mitsempha yaying'ono yamagazi ndi maselo ozungulira.

Kuvulala kofala kwambiri komwe kumakhudzana ndi CRPS ndi kusweka kwa fupa , makamaka kusweka kwa dzanja. Mitsempha imatha kuwonongeka ngati fupa lasweka kapena kuphwanyidwa, kapena ngati chitsulo cholimba chimayambitsa kupanikizika.

Mitundu ina yodziwika bwino ya kuvulala komwe kungayambitse CRPS ndi iyi:

  • Opaleshoni: Mitsempha imatha kuwonongeka chifukwa cha kuduladula, kusoka, kapena mabala panthawi ya opaleshoni.
  • Kupindika kapena kupindika: Pamene minofu yolumikizirana yawonongeka, chiwalo chimatha kusuntha kwambiri, zomwe zingayambitse kupsinjika kwakukulu pa mitsempha yapafupi.
  • Kupsa, kuvulala, kapena kuvulala: Zonsezi ndi kuvulala kooneka, koma zimathanso kuwononga mitsempha yomwe ili pansi.

Nthawi zina CRPS imatha kuchitika popanda kuvulala koonekeratu. Kapena kulephera kuyenda kwa nthawi yayitali kungakhalenso chifukwa.

Pali zinthu zina zomwe zimawonjezera chiopsezo cha matenda a CRPS:

  • Thanzi la mitsempha: Anthu omwe ali ndi matenda monga matenda a shuga amakhala ndi vuto lochepa la mitsempha komanso kuchira. Anthu omwe ali ndi vuto la mitsempha ya m'mitsempha amathanso kuvutika kukonzanso maselo a mitsempha, ngakhale atavulala zomwe sizingayambitse vuto. Anthu omwe amasuta fodya komanso omwe adalandira kale mankhwala a chemotherapy a khansa nawonso akhoza kuvutika kukonzanso mitsempha.
  • Mavuto a chitetezo chamthupi: Chitetezo chamthupi chimagwira ntchito yaikulu pakuyambitsa kutupa m'thupi lathu. Anthu ena omwe ali ndi CRPS ali ndi kuchuluka kwa mankhwala otupa otchedwa ma cytokines . Izi zimapangitsa kuti zizindikiro za CRPS ziwonekere. CRPS imapezekanso mwa anthu omwe ali ndi matenda ena otupa komanso odziteteza ku matenda ena, monga mphumu .
  • Zinthu zokhudza majini: Majini anu angakhudzenso momwe mumachiritsira kuvulala. Ofufuza apeza kuti CRPS imakonda kuyenda m'mabanja ('magulu a mabanja'). Ngakhale izi sizichitika kawirikawiri, zikusonyeza kuti CRPS ikhoza kukhala ndi ubale wa majini.

Kodi mungadziwe bwanji ngati muli ndi CRPS? (Kuzindikira)

Popeza CRPS ndi matenda osowa kwambiri ndipo madokotala samvetsa bwino, nthawi zina matendawa amalembedwa molakwika.

Dziwani 'CRPS'Palibe mayeso enieni. Madokotala amazindikira vutoli mwa kulemba mbiri yachipatala mosamala, kuchita mayeso akuthupi, ndikuwunikanso zizindikiro zanu. Dokotala adzakufunsaninso ngati mwavulalapo kapena mwachitidwa opaleshoni yaposachedwa.

Dokotala adzafufuza zinthu izi mwachindunji:

  • Kusintha kwa mawonekedwe, kutentha, ndi kapangidwe ka khungu m'dera lomwe lakhudzidwa.
  • Kukhala ndi ululu wochuluka kuposa momwe amayembekezera chifukwa cha kuvulala.
  • Kaya pali matenda ena kapena vuto lomwe lingayambitse ululu wanu, kusintha kwa khungu, kapena zizindikiro zina.

Mayeso ojambulira zithunzi monga ultrasound kapena magnetic resonance imaging (MRI) angachitike kuti aone ngati pali vuto la mitsempha. Komabe, vuto la mitsempha silingapezeke nthawi zonse.

Dokotala wanu angakupatseninso mayeso ena kuti athetse matenda ena omwe angayambitse zizindikiro zofanana. Mwachitsanzo, mayeso a electromyography (EMG) angasonyeze zifukwa zina za matenda a mitsempha ya m'mitsempha, zomwe nthawi zina zingayambitse ululu wofanana.

Kodi mankhwala a CRPS ndi ati?

Zolinga zazikulu za chithandizo ndi kuchepetsa ululu wanu ndi zizindikiro zina, kubwezeretsa ntchito ya mkono/mwendo womwe wakhudzidwa, ndikusunga moyo wanu wabwino.

Ndikofunikira kwambiri kuyamba chithandizo msanga munthawi ya CRPS. Izi zili choncho chifukwa pakapita nthawi, mwendo wokhudzidwawo ukhoza kuuma (`stiffen`). Ngati sunalandire chithandizo, ululu nthawi zambiri umawonjezeka, ndipo zimakhala zovuta kwambiri kusuntha mwendo wokhudzidwawo.

Ngati n'kotheka, ndi bwino kuonana ndi dokotala yemwe ali ndi luso lochiza matenda a CRPS. Chithandizo chimaphatikizapo kuphatikiza njira zingapo zosiyanasiyana, zomwe zimayendetsedwa mosamala pamodzi. Izi zikuphatikizapo:

  • Kuchiza thupi ndi chithandizo cha ntchito.
  • Kusintha kwa moyo.
  • Chithandizo cha maganizo ndi khalidwe.
  • Mankhwala.
  • Njira zina zochizira ululu.

Kwa ana aang'ono omwe ali ndi CRPS, mankhwala amisala ndi obwezeretsa thanzi ndiwo mankhwala akuluakulu . Mankhwala ochepetsa ululu nthawi zambiri amalimbikitsidwa kwa ana okalamba okha omwe ali ndi zizindikiro zomwe sizikugwirizana ndi mankhwala ena.

Kuchiza thupi ndi chithandizo cha ntchito

Chimodzi mwa mankhwala ofunikira kwambiri a CRPS ndi physiotherapy.Katswiri wa zamaganizo angathandize kuti magazi aziyenda bwino m'manja/mwendo wanu womwe wakhudzidwa, komanso angagwiritse ntchito masewera olimbitsa thupi kuti akuthandizeni kusinthasintha, mphamvu, minofu, ndi kugwira ntchito bwino. Katswiri wa zamaganizo angakuthandizeni njira zatsopano zochitira zinthu za tsiku ndi tsiku.

Mbali zina za chithandizo cha thupi cha CRPS ndi izi:

  • `Zithunzi Zojambulidwa ndi Magalimoto`: Iyi ndi njira yotsatizana ya mankhwala yomwe imachepetsa ululu ndikuwonjezera mphamvu yosuntha gawo la thupi lomwe lakhudzidwa. Pamene dzanja kapena mwendo wanu uli wopweteka, zimakhala zovuta kukhudza, kusuntha, kapena kugwiritsa ntchito. Komanso, ubongo wathu uli ndi kukumbukira, kapena ``mapu``, kwa ziwalo zosiyanasiyana za thupi. Momwe zimamvera, momwe zimayendera, ndi momwe zimagwiritsidwira ntchito pa ntchito za tsiku ndi tsiku. Ngati simukhudza, kusuntha, kapena kugwiritsa ntchito mkono/mwendo womwe wakhudzidwa, mapu awa amayamba kusintha ndipo amatha kutha. Koma ndi njira iyi ya ``Zithunzi Zojambulidwa ndi Magalimoto``, mutha kusintha kapena kukhazikitsanso mapu awa.
  • Chithandizo cha pagalasi: Iyi ndi njira yojambulira zithunzi za magalimoto. Mumayang'ana mkono/mwendo wanu wosakhudzidwa pagalasi. Chithunzi cha pagalasi chidzafanana ndendende ndi mkono/mwendo womwe wakhudzidwa. Izi zitha "kunyenga" ubongo wanu kuganiza kuti mkono/mwendo wopweteka tsopano ukumva bwino komanso ukuyenda bwino.
  • `Kuchepetsa kukhudzidwa`: Njira iyi imaphatikizapo kukhudza malo okhudzidwa ndi zinthu zamitundu yosiyanasiyana ndi zolemera, ndikuyika dzanja/phazi lokhudzidwa m'madzi otentha ndi ozizira. Pakapita nthawi, pamene mukuwonetsa malo okhudzidwa ndi malingaliro osiyanasiyana, ubongo wanu umazolowera malingaliro amenewo ndipo ululu umayamba kuchepa.

Kusintha kwa moyo

Mukhoza kuwonjezera mwayi wanu wochira mwachangu mwa kuchotsa zina mwa zinthu zomwe zimasokoneza njira yochiritsira mitsempha yanu. Izi zikuphatikizapo:

  • Kusiya kusuta: Kusuta fodya ndi vuto lalikulu lomwe limapangitsa kuti mitsempha isabwererenso.
  • Kusamalira matenda omwe alipo: Ngati matenda omwe amakhudza kuyenda kwa magazi ndi mitsempha, monga matenda a shuga, sakuthandizidwa bwino, zingakhale zovuta kuti mitsempha ichire.

Nazi njira zina zosavuta zomwe mungachite kunyumba kuti muchepetse zizindikiro zanu:

  • Kusunga mkono/mwendo womwe wakhudzidwawo ukukwezedwa pang'ono pamene ukupuma kapena ukugona kumathandiza kuti madzi owonjezerawo abwerere mumtima.
  • Kuchita masewera olimbitsa thupi nthawi zonse n'kofunika kuti magazi aziyenda bwino m'mitsempha yowonongeka. Lankhulani ndi dokotala wanu kapena katswiri wa masewera olimbitsa thupi za dongosolo lochita masewera olimbitsa thupi lomwe lili loyenera kwa inu.
  • Kuvala masokisi kapena manja opondereza, makamaka mutayimirira, kungathandize kuchepetsa kutupa. Funsani dokotala ngati iyi ndi njira yabwino kwa inu.

Chithandizo cha maganizo ndi khalidwe

Kukhala ndi CRPS kumayenderana ndi nkhawa yowonjezereka, kuvutika maganizo, ndi kupsinjika maganizo . Izi zingapangitsenso ululu kukhala woipa kwambiri. Psychotherapy ingathandize. Psychotherapy (yomwe imatchedwanso talk therapy) ndi mawu ofala a mitundu yosiyanasiyana ya mankhwala omwe amathandiza munthu kuzindikira ndikusintha malingaliro, malingaliro, ndi makhalidwe oipa.

Ngati n'kotheka, ndi bwino kuonana ndi katswiri wa zamaganizo yemwe amaphunzira kuchiza CRPS. Mu psychotherapy, mumalankhula ndi katswiri wa zamaganizo ndikuphunzira momwe mungathanirane bwino ndi zinthu zomwe zimayambitsa ululu wanu ndi zizindikiro zina.

Mankhwala

Palibe mankhwala ovomerezeka a CRPS ku United States. Komabe, dokotala wanu angakupatseni mankhwala ena kuti akuthandizeni kuthana ndi zizindikiro zanu.

Mitundu ingapo ya mankhwala omwe amachepetsa ululu:

  • Mankhwala oletsa kutupa omwe si a steroidal (NSAIDs): Zitsanzo zake ndi monga acetaminophen, ibuprofen, ndi naproxen.
  • Mafuta odzola ochepetsa ululu ndi ma patches: Mwachitsanzo, Lidocaine.
  • Mankhwala ena oletsa kuvutika maganizo: Zitsanzo zake ndi Amitriptyline ndi Duloxetine.
  • Mankhwala oletsa khunyu: Zitsanzo zake ndi Gabapentin, Pregabalin, ndi Topiramate.
  • Bisphosphonates: Mwachitsanzo, Alendronate.
  • Jakisoni wa poizoni wa botulinum (Botox).

Kusankha koyambira kumwa mankhwala kumasiyana malinga ndi munthu. Dokotala wanu adzaganizira zinthu zingapo, kuphatikizapo:

  • zaka zanu.
  • Matenda ena omwe alipo kale.
  • Mankhwala aliwonse omwe mukumwa panopa.
  • Kuthekera kwa zotsatirapo zoyipa za mankhwala kapena kuyanjana ndi mankhwala omwe mukumwa pakadali pano.

Njira zina zochizira ululu

Njira zina zothandizira kuchepetsa ululu zingaphatikizepo:

  • `Mayankho a Zamoyo`
  • 'Kuthira Acupuncture'
  • 'Kunyenga'
  • `Reiki`
  • 'Kuchiza Mafupa'

Mankhwala ena opha anthu ambiri

Ngati vuto lanu la CRPS silinayankhe bwino ku mankhwala omwe atchulidwa pamwambapa, kapena ngati muli ndi ululu waukulu kapena CRPS yosatha, dokotala wanu angakulangizeni mankhwala awa osapweteka kwambiri:

  • Jakisoni wa point/tender point: Pamene CRPS imangokhala m'manja mwanu apamwamba, mungakhale ndi points zoyambitsa matenda m'minofu ya lamba wanu wa phewa. Poyamba CRPS, jakisoni wa glucocorticoids, wokhala ndi kapena wopanda mankhwala oletsa ululu am'deralo, mu point iliyonse yoyambitsa matendawa angathandize.
  • Kutsekeka kwa mitsempha ya sympathetic: Kutsekeka kumeneku kumathandizira kwambiri kupweteka kwa anthu ena. Kutsekeka kwa lumbar sympathetic kumaphatikizapo kubaya mankhwala oletsa ululu kumbuyo kwanu, pafupi ndi msana wanu. Izi zimaletsa mwachindunji unyolo wa sympathetic womwe umanyamula zizindikiro za ululu kuchokera kumapazi anu otsika kupita ku msana wanu ndi ubongo. Kutsekeka kwa ululu wa CRPS kumtunda kwa mkono kumatchedwa stellate ganglion block . Izi zimaphatikizapo kubaya mankhwala oletsa ululu m'mbali mwa khosi lanu.
  • Kulimbikitsa msana: Chithandizochi chimaphatikizapo kuyika chipangizo chopangira ma pulse pansi pa khungu la mimba kapena matako ndi mawaya (electrodes) pafupi ndi msana. Chipangizochi, chofanana ndi pacemaker, chimatumiza mafunde amagetsi otsika ku msana wanu. Ma pulse amagetsi awa amasokoneza zizindikiro za ululu zomwe zimapita ku ubongo wanu, zomwe zimawachepetsa.
  • Kulimbikitsa mizu ya m'mimba: Mankhwalawa ndi ofanana ndi kulimbikitsa mitsempha ya msana. Komabe, mawaya ang'onoang'ono amayikidwa mwachindunji pamwamba pa mitsempha ya m'mimba ya m'mimba. Mitsempha ya mizu ya m'mimba ndi gulu la ma neuron omwe ali pamalo pomwe mitsempha yonse m'thupi lanu imatuluka mu mitsempha ya msana. Ndi malo olumikizirana zizindikiro za ululu kuchokera ku mitsempha ya m'mimba (miyendo yanu) kupita ku mitsempha yapakati (msana wanu ndi ubongo). Kulimbikitsa kumeneku kungakhale chithandizo cholunjika komanso chothandiza (chofuna kulimbitsa pang'ono) chifukwa chimayang'ana kwambiri mfundo zazing'ono izi.
  • Kulimbikitsa mitsempha ya m'mphepete mwa thupi: Chithandizochi chimaphatikizapo kuyika waya wolimbikitsa pafupi ndi mitsempha yayikulu m'dzanja/mwendo wanu yomwe imaphimba malo opweteka. Imagwira ntchito poletsa chizindikiro cha ululu chomwe chikuyenda kudzera mu mitsempha yomwe mukufuna.
  • Kulowetsedwa kwa ketamine m'mitsempha: Chithandizochi chimaphatikizapo kupereka mlingo wochepa wa ketamine m'mitsempha (kulowetsedwa kwa IV) kwa masiku atatu mpaka asanu. Ketamine imagwira ntchito potseka molekyulu inayake mu dongosolo lanu la mitsempha (cholandirira cha NMDA) chomwe chingapangitse ululu wanu kukhala woipitsitsa.
  • Mapampu a mankhwala opangidwa m'mimba:Mankhwalawa amagwiritsa ntchito katheta woyikidwa kuti apereke mankhwala ochepetsa ululu monga Ziconotide (Prialt®) mwachindunji m'madzi amsana.

Kodi CRPS ingapewedwe?

Popeza ofufuza sakudziwa chomwe chimayambitsa CRPS, palibe njira yeniyeni yopewera. Kafukufuku wina wasonyeza kuti kumwa vitamini C musanachite opaleshoni yamtsogolo kungathandize kupewa CRPS.

Kodi munthu amene ali ndi CRPS ali ndi tsogolo lotani?

Zomwe aliyense amakumana nazo ndi CRPS n'zosiyana. Kwa anthu ambiri, CRPS imakula pakapita nthawi ndipo pamapeto pake imachepa.

Komabe, milandu yoopsa kapena yayitali (yomwe siichitika kawirikawiri) ingakhudze kwambiri moyo wanu. Kwa anthu ena, matenda a CRPS amatha kuipiraipira ndikufalikira ku ziwalo zina za thupi. Kuvutika maganizo kwambiri panthawi ya kuvulala komwe kunayambitsa matenda a CRPS kungakhudze kuopsa kwa vutoli komanso kuthekera kwanu kuchira.

Pakati pa 10% ndi 30% ya anthu omwe ali ndi CRPS akhoza kubwereranso ku matendawa. Chifukwa chenicheni chomwe chimayambitsa kubwereranso kwa matendawa sichidziwika.

Zolinga zofunika kwambiri ndikuchepetsa ululu ndikubwezeretsa mphamvu m'dzanja/mwendo womwe wakhudzidwa. Kuchepetsa ululu kumawonjezera mwayi woti ntchito iyende bwino m'derali komanso moyo wanu ukhale wabwino. Ndi mapulani osankhidwa bwino a chithandizo, anthu ena omwe ali ndi CRPS amatha kuthana ndi ululu wawo bwino ndikukhala ndi moyo wokangalika.

Kodi nthawi zabwino zokaonana ndi dokotala ndi ziti?

Popeza vutoli ndi lovuta ndipo nthawi zina silipezeka bwino, muyenera kupeza katswiri wothandiza kupweteka kapena malo apadera ochizira ululu omwe amadziwa bwino za CRPS ngati muli ndi:

  • Ngati mukuganiza kuti muli ndi zizindikiro za `CRPS`.
  • Ngati zizindikiro zanu zikuipiraipira.
  • Ngati vuto lanu silinayankhe mankhwala ena.

Kodi CRPS ndi chilema kapena matenda amisala?

Ayi, CRPS si matenda amisala. Ndi matenda amitsempha. Komabe, CRPS ingayambitse kapena kuipitsa nkhawa, kuvutika maganizo, komanso kupsinjika maganizo. Nthawi zina, ingayambitsenso matenda a Post-Traumatic Stress Disorder (PTSD) .

Ku United States, Social Security Administration imazindikira CRPS ngati chilema, kutengera kuopsa kwake komanso momwe imakhudzira moyo. Mutha kulankhulana ndi akuluakulu aboma kuti mudziwe zambiri zokhudza zomwe munthu akuyenera kuchita.

Uthenga Wopita Nawo Kunyumba

Matendawa otchedwa `Complex Regional Pain Syndrome (CRPS)` angakhudze kwambiri moyo wanu. Koma nkhani yabwino ndi yakuti, akhoza kuchiritsidwa.Pali njira zambiri zochiritsira, ndipo mutha kuyesa kuphatikiza. Mukapezeka ndi CRPS mwachangu ndikuyamba kulandira chithandizo, zizindikiro zanu zimatha kuyankha chithandizo. Ngati mukuganiza kuti muli ndi CRPS, lankhulani ndi dokotala wanu. Alipo kuti akuthandizeni. Musachite mantha, ndipo musavutike nokha. Chofunika kwambiri ndikupeza upangiri woyenera wachipatala ndi chithandizo.


CRPS , complex regional pain syndrome, kupweteka kwa mitsempha, kupweteka kwa mkono ndi mwendo, kupweteka kosatha, chithandizo cha CRPS, zizindikiro za CRPS

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Kodi mukumva kupweteka kosapiririka m'manja ndi m'mapazi anu komanso kusintha kwa khungu? Kungakhale CRPS! (Complex Regional Pain Syndrome)

Kodi mukumva kupweteka kosapiririka m'manja ndi m'mapazi anu komanso kusintha kwa khungu? Kungakhale CRPS! (Complex Regional Pain Syndrome)

Kodi munayamba mwadzifunsapo kuti zingakhale bwanji kumva ululu waukulu komanso wopitilira mu mkono kapena mwendo mutavulala pang'ono, kapena mwina popanda chifukwa chomveka? Anthu ena adakumanapo ndi izi. Lero tikambirana za vuto limodzi lotere, `Complex Regional Pain Syndrome (CRPS). Musachite mantha, ndikofunikira kwambiri kudziwa izi.

Kodi CRPS ndi chiyani? Mwachidule...

`Complex Regional Pain Syndrome`, kapena `(CRPS)` mwachidule, ndi vuto lomwe limayambitsa kupweteka kwambiri m'mbali inayake ya thupi lanu, nthawi zambiri mkono, mwendo, chikhatho, kapena phazi , pamodzi ndi zizindikiro zina zingapo, monga kusintha kwa mtundu wa khungu ndi kutupa m'derali. Tangoganizirani, vuto la mkono kapena mwendo wanu limapangitsa kuti zikhale zovuta kugwira ntchito m'moyo wanu watsiku ndi tsiku, simungathe kugona bwino usiku, ndipo limakhudzanso thanzi lanu la maganizo.

Madokotala amakhulupirira kuti CRPS imayamba chifukwa cha kulephera kugwira ntchito bwino kwa dongosolo lathu la mitsempha ( ubongo ndi msana) kapena dongosolo lathu la mitsempha ( dongosolo lomwe limanyamula mauthenga ochokera ku ubongo ndi msana kupita ku ziwalo zina, miyendo, ndi zala). Pankhaniyi, dongosolo lathu la mitsempha limakhudzidwa kwambiri ndi zizindikiro za ululu ndipo silingathe kuletsa kuyankha kumeneko.

Pali mitundu iwiri ikuluikulu ya CRPS:

1. Mtundu Woyamba: Mu izi , palibe kuwonongeka kwa mitsempha. Izi nthawi zambiri zimachitika pambuyo pa matenda kapena ngozi. Komabe, ngoziyo sinawononge mwachindunji mitsempha. Izi kale zinkatchedwa ``Reflex Sympathetic Dystrophy``.

2. Mtundu Wachiwiri: Ichi ndi chizindikiro chodziwikiratu cha kuwonongeka kwa mitsempha. Izi kale zinkatchedwa `Causalgia`.

Matenda a CRPS amatha kukhala a kanthawi kochepa (oopsa) kapena osatha (otenga miyezi yoposa isanu ndi umodzi) . Mwamwayi, nthawi zambiri amatha kuchiritsidwa ndikuchiritsidwa.

Ndani amene ali ndi mwayi waukulu wopeza matenda a CRPS?

Matenda a CRPS amapezeka kwambiri mwa akuluakulu kuposa ana. Nthawi zambiri amapezeka kwambiri ali ndi zaka 40. Azimayi ali ndi mwayi waukulu wodwala matenda a CRPS kuposa amuna.

Kafukufuku wasonyeza kuti vutoli limapezeka mwa anthu ochokera ku Ulaya, ndipo anthu ambiri amakhala pakati pa 66% ndi 80%. Komabe, ndi vuto losowa kwambiri. Mwachitsanzo, ku United States, milandu pafupifupi 200,000 yokha ndi yomwe imanenedwa chaka chilichonse.

Kodi zizindikiro za CRPS ndi ziti? Kodi mungazindikire bwanji?

Kuopsa ndi nthawi ya zizindikiro za CRPS zimasiyana malinga ndi munthu.

Kawirikawiri chinachakeZizindikiro za CRPS nthawi zambiri zimayamba milungu inayi kapena isanu ndi umodzi mutavulala, kusweka, kapena opaleshoni . Komabe, nthawi zina zizindikirozi zimatha kuwoneka popanda chifukwa chodziwika bwino.

Chizindikiro chachikulu komanso chodziwika bwino cha CRPS ndi ululu. Ululu uwu ukhoza kukhala wokhazikika kapena wobwera ndi kutuluka. Nthawi zambiri umamveka ngati ululu woyaka, wopweteka, kapena wong'ambika . Ululu uwu nthawi zambiri umamveka mkati mwa mkono kapena mwendo womwe wakhudzidwa.

Kuphatikiza apo, kusintha kwa kukhudzidwa kungaonekere m'dera lomwe lakhudzidwa:

  • Kuwonjezeka kwa chidwi ndi zinthu zopweteka: Mwachitsanzo, ngakhale kukanda pang'ono kungamveke kowawa kwambiri kuposa masiku onse.
  • Kumva kupweteka chifukwa cha chinthu chomwe nthawi zambiri sichimayambitsa ululu: Ululu ukhoza kuchitika ngakhale khungu litangokhudzidwa.
  • Mungamve dzanzi .

Nazi zizindikiro zina:

  • Kutupa kwa khungu: Kutupa kungabwere ndi kutha, kapena kungakhale kosalekeza.
  • Kuchepa kwa ntchito ya mkono kapena mwendo wokhudzidwa: Zingakhale zovuta kusuntha mkono kapena mwendo wokhudzidwa, kapena zingamveke zolimba. Zingakhalenso zovuta kukweza mkono/mwendo wokhudzidwa kapena kukweza cholumikizira.
  • Kusintha kwa kutentha kwa khungu: Dzanja/phazi lomwe lakhudzidwa likhoza kumva kutentha kapena kuzizira kuposa lina.
  • Kusintha kwa mtundu wa khungu: Khungu likhoza kuoneka lofiirira, lofiirira/lofiira, kapena lofiira m'malo ena.
  • Kusintha kwa kapangidwe ka khungu: Khungu likhoza kunyezimira, kupyapyala, kapena kutuluka thukuta kwambiri.
  • Kusintha kwa kukula kwa misomali ndi tsitsi: Misomali ndi tsitsi m'dera limenelo zingakule mofulumira, kapena sizingakule konse.

Popeza zizindikiro za `CRPS` nthawi zambiri zimachepa pakapita nthawi, zimakhala zosavuta kwa madokotala kuzizindikira pachiyambi. Chifukwa chake, ngati muli ndi zizindikirozi, ndikofunikira kwambiri kupita kwa dokotala mwachangu.

Kodi n’chifukwa chiyani matenda a CRPS amayamba? Kodi zimayambitsa matenda amenewa ndi chiyani?

Ofufuza sakudziwabe chifukwa chake anthu ena omwe ali ndi vuto lomweli amadwala matenda a CRPS pomwe ena sadwala. Amaganiza kuti izi zitha kuchitika chifukwa cha kutupa kapena chitetezo chamthupi m'mitsempha ya m'mphepete mwa mitsempha ndi m'mitsempha yapakati .

Nthawi zambiri, kupitirira 90%, CRPS imayamba chifukwa cha kuvulala kapena kuvulala kwa mitsempha m'dzanja kapena mwendo womwe wakhudzidwa.Chifukwa. Kuvulala kumeneku kumawononga ulusi wofewa kwambiri wa mitsempha ya m'thupi lathu. Ulusi waung'ono wa mitsempha uwu ndi womwe umanyamula ululu, kuyabwa, ndi kutentha ku ubongo wathu. Ndiwonso umalamulira thanzi lonse la mitsempha yaying'ono yamagazi ndi maselo ozungulira.

Kuvulala kofala kwambiri komwe kumakhudzana ndi CRPS ndi kusweka kwa fupa , makamaka kusweka kwa dzanja. Mitsempha imatha kuwonongeka ngati fupa lasweka kapena kuphwanyidwa, kapena ngati chitsulo cholimba chimayambitsa kupanikizika.

Mitundu ina yodziwika bwino ya kuvulala komwe kungayambitse CRPS ndi iyi:

  • Opaleshoni: Mitsempha imatha kuwonongeka chifukwa cha kuduladula, kusoka, kapena mabala panthawi ya opaleshoni.
  • Kupindika kapena kupindika: Pamene minofu yolumikizirana yawonongeka, chiwalo chimatha kusuntha kwambiri, zomwe zingayambitse kupsinjika kwakukulu pa mitsempha yapafupi.
  • Kupsa, kuvulala, kapena kuvulala: Zonsezi ndi kuvulala kooneka, koma zimathanso kuwononga mitsempha yomwe ili pansi.

Nthawi zina CRPS imatha kuchitika popanda kuvulala koonekeratu. Kapena kulephera kuyenda kwa nthawi yayitali kungakhalenso chifukwa.

Pali zinthu zina zomwe zimawonjezera chiopsezo cha matenda a CRPS:

  • Thanzi la mitsempha: Anthu omwe ali ndi matenda monga matenda a shuga amakhala ndi vuto lochepa la mitsempha komanso kuchira. Anthu omwe ali ndi vuto la mitsempha ya m'mitsempha amathanso kuvutika kukonzanso maselo a mitsempha, ngakhale atavulala zomwe sizingayambitse vuto. Anthu omwe amasuta fodya komanso omwe adalandira kale mankhwala a chemotherapy a khansa nawonso akhoza kuvutika kukonzanso mitsempha.
  • Mavuto a chitetezo chamthupi: Chitetezo chamthupi chimagwira ntchito yaikulu pakuyambitsa kutupa m'thupi lathu. Anthu ena omwe ali ndi CRPS ali ndi kuchuluka kwa mankhwala otupa otchedwa ma cytokines . Izi zimapangitsa kuti zizindikiro za CRPS ziwonekere. CRPS imapezekanso mwa anthu omwe ali ndi matenda ena otupa komanso odziteteza ku matenda ena, monga mphumu .
  • Zinthu zokhudza majini: Majini anu angakhudzenso momwe mumachiritsira kuvulala. Ofufuza apeza kuti CRPS imakonda kuyenda m'mabanja ('magulu a mabanja'). Ngakhale izi sizichitika kawirikawiri, zikusonyeza kuti CRPS ikhoza kukhala ndi ubale wa majini.

Kodi mungadziwe bwanji ngati muli ndi CRPS? (Kuzindikira)

Popeza CRPS ndi matenda osowa kwambiri ndipo madokotala samvetsa bwino, nthawi zina matendawa amalembedwa molakwika.

Dziwani 'CRPS'Palibe mayeso enieni. Madokotala amazindikira vutoli mwa kulemba mbiri yachipatala mosamala, kuchita mayeso akuthupi, ndikuwunikanso zizindikiro zanu. Dokotala adzakufunsaninso ngati mwavulalapo kapena mwachitidwa opaleshoni yaposachedwa.

Dokotala adzafufuza zinthu izi mwachindunji:

  • Kusintha kwa mawonekedwe, kutentha, ndi kapangidwe ka khungu m'dera lomwe lakhudzidwa.
  • Kukhala ndi ululu wochuluka kuposa momwe amayembekezera chifukwa cha kuvulala.
  • Kaya pali matenda ena kapena vuto lomwe lingayambitse ululu wanu, kusintha kwa khungu, kapena zizindikiro zina.

Mayeso ojambulira zithunzi monga ultrasound kapena magnetic resonance imaging (MRI) angachitike kuti aone ngati pali vuto la mitsempha. Komabe, vuto la mitsempha silingapezeke nthawi zonse.

Dokotala wanu angakupatseninso mayeso ena kuti athetse matenda ena omwe angayambitse zizindikiro zofanana. Mwachitsanzo, mayeso a electromyography (EMG) angasonyeze zifukwa zina za matenda a mitsempha ya m'mitsempha, zomwe nthawi zina zingayambitse ululu wofanana.

Kodi mankhwala a CRPS ndi ati?

Zolinga zazikulu za chithandizo ndi kuchepetsa ululu wanu ndi zizindikiro zina, kubwezeretsa ntchito ya mkono/mwendo womwe wakhudzidwa, ndikusunga moyo wanu wabwino.

Ndikofunikira kwambiri kuyamba chithandizo msanga munthawi ya CRPS. Izi zili choncho chifukwa pakapita nthawi, mwendo wokhudzidwawo ukhoza kuuma (`stiffen`). Ngati sunalandire chithandizo, ululu nthawi zambiri umawonjezeka, ndipo zimakhala zovuta kwambiri kusuntha mwendo wokhudzidwawo.

Ngati n'kotheka, ndi bwino kuonana ndi dokotala yemwe ali ndi luso lochiza matenda a CRPS. Chithandizo chimaphatikizapo kuphatikiza njira zingapo zosiyanasiyana, zomwe zimayendetsedwa mosamala pamodzi. Izi zikuphatikizapo:

  • Kuchiza thupi ndi chithandizo cha ntchito.
  • Kusintha kwa moyo.
  • Chithandizo cha maganizo ndi khalidwe.
  • Mankhwala.
  • Njira zina zochizira ululu.

Kwa ana aang'ono omwe ali ndi CRPS, mankhwala amisala ndi obwezeretsa thanzi ndiwo mankhwala akuluakulu . Mankhwala ochepetsa ululu nthawi zambiri amalimbikitsidwa kwa ana okalamba okha omwe ali ndi zizindikiro zomwe sizikugwirizana ndi mankhwala ena.

Kuchiza thupi ndi chithandizo cha ntchito

Chimodzi mwa mankhwala ofunikira kwambiri a CRPS ndi physiotherapy.Katswiri wa zamaganizo angathandize kuti magazi aziyenda bwino m'manja/mwendo wanu womwe wakhudzidwa, komanso angagwiritse ntchito masewera olimbitsa thupi kuti akuthandizeni kusinthasintha, mphamvu, minofu, ndi kugwira ntchito bwino. Katswiri wa zamaganizo angakuthandizeni njira zatsopano zochitira zinthu za tsiku ndi tsiku.

Mbali zina za chithandizo cha thupi cha CRPS ndi izi:

  • `Zithunzi Zojambulidwa ndi Magalimoto`: Iyi ndi njira yotsatizana ya mankhwala yomwe imachepetsa ululu ndikuwonjezera mphamvu yosuntha gawo la thupi lomwe lakhudzidwa. Pamene dzanja kapena mwendo wanu uli wopweteka, zimakhala zovuta kukhudza, kusuntha, kapena kugwiritsa ntchito. Komanso, ubongo wathu uli ndi kukumbukira, kapena ``mapu``, kwa ziwalo zosiyanasiyana za thupi. Momwe zimamvera, momwe zimayendera, ndi momwe zimagwiritsidwira ntchito pa ntchito za tsiku ndi tsiku. Ngati simukhudza, kusuntha, kapena kugwiritsa ntchito mkono/mwendo womwe wakhudzidwa, mapu awa amayamba kusintha ndipo amatha kutha. Koma ndi njira iyi ya ``Zithunzi Zojambulidwa ndi Magalimoto``, mutha kusintha kapena kukhazikitsanso mapu awa.
  • Chithandizo cha pagalasi: Iyi ndi njira yojambulira zithunzi za magalimoto. Mumayang'ana mkono/mwendo wanu wosakhudzidwa pagalasi. Chithunzi cha pagalasi chidzafanana ndendende ndi mkono/mwendo womwe wakhudzidwa. Izi zitha "kunyenga" ubongo wanu kuganiza kuti mkono/mwendo wopweteka tsopano ukumva bwino komanso ukuyenda bwino.
  • `Kuchepetsa kukhudzidwa`: Njira iyi imaphatikizapo kukhudza malo okhudzidwa ndi zinthu zamitundu yosiyanasiyana ndi zolemera, ndikuyika dzanja/phazi lokhudzidwa m'madzi otentha ndi ozizira. Pakapita nthawi, pamene mukuwonetsa malo okhudzidwa ndi malingaliro osiyanasiyana, ubongo wanu umazolowera malingaliro amenewo ndipo ululu umayamba kuchepa.

Kusintha kwa moyo

Mukhoza kuwonjezera mwayi wanu wochira mwachangu mwa kuchotsa zina mwa zinthu zomwe zimasokoneza njira yochiritsira mitsempha yanu. Izi zikuphatikizapo:

  • Kusiya kusuta: Kusuta fodya ndi vuto lalikulu lomwe limapangitsa kuti mitsempha isabwererenso.
  • Kusamalira matenda omwe alipo: Ngati matenda omwe amakhudza kuyenda kwa magazi ndi mitsempha, monga matenda a shuga, sakuthandizidwa bwino, zingakhale zovuta kuti mitsempha ichire.

Nazi njira zina zosavuta zomwe mungachite kunyumba kuti muchepetse zizindikiro zanu:

  • Kusunga mkono/mwendo womwe wakhudzidwawo ukukwezedwa pang'ono pamene ukupuma kapena ukugona kumathandiza kuti madzi owonjezerawo abwerere mumtima.
  • Kuchita masewera olimbitsa thupi nthawi zonse n'kofunika kuti magazi aziyenda bwino m'mitsempha yowonongeka. Lankhulani ndi dokotala wanu kapena katswiri wa masewera olimbitsa thupi za dongosolo lochita masewera olimbitsa thupi lomwe lili loyenera kwa inu.
  • Kuvala masokisi kapena manja opondereza, makamaka mutayimirira, kungathandize kuchepetsa kutupa. Funsani dokotala ngati iyi ndi njira yabwino kwa inu.

Chithandizo cha maganizo ndi khalidwe

Kukhala ndi CRPS kumayenderana ndi nkhawa yowonjezereka, kuvutika maganizo, ndi kupsinjika maganizo . Izi zingapangitsenso ululu kukhala woipa kwambiri. Psychotherapy ingathandize. Psychotherapy (yomwe imatchedwanso talk therapy) ndi mawu ofala a mitundu yosiyanasiyana ya mankhwala omwe amathandiza munthu kuzindikira ndikusintha malingaliro, malingaliro, ndi makhalidwe oipa.

Ngati n'kotheka, ndi bwino kuonana ndi katswiri wa zamaganizo yemwe amaphunzira kuchiza CRPS. Mu psychotherapy, mumalankhula ndi katswiri wa zamaganizo ndikuphunzira momwe mungathanirane bwino ndi zinthu zomwe zimayambitsa ululu wanu ndi zizindikiro zina.

Mankhwala

Palibe mankhwala ovomerezeka a CRPS ku United States. Komabe, dokotala wanu angakupatseni mankhwala ena kuti akuthandizeni kuthana ndi zizindikiro zanu.

Mitundu ingapo ya mankhwala omwe amachepetsa ululu:

  • Mankhwala oletsa kutupa omwe si a steroidal (NSAIDs): Zitsanzo zake ndi monga acetaminophen, ibuprofen, ndi naproxen.
  • Mafuta odzola ochepetsa ululu ndi ma patches: Mwachitsanzo, Lidocaine.
  • Mankhwala ena oletsa kuvutika maganizo: Zitsanzo zake ndi Amitriptyline ndi Duloxetine.
  • Mankhwala oletsa khunyu: Zitsanzo zake ndi Gabapentin, Pregabalin, ndi Topiramate.
  • Bisphosphonates: Mwachitsanzo, Alendronate.
  • Jakisoni wa poizoni wa botulinum (Botox).

Kusankha koyambira kumwa mankhwala kumasiyana malinga ndi munthu. Dokotala wanu adzaganizira zinthu zingapo, kuphatikizapo:

  • zaka zanu.
  • Matenda ena omwe alipo kale.
  • Mankhwala aliwonse omwe mukumwa panopa.
  • Kuthekera kwa zotsatirapo zoyipa za mankhwala kapena kuyanjana ndi mankhwala omwe mukumwa pakadali pano.

Njira zina zochizira ululu

Njira zina zothandizira kuchepetsa ululu zingaphatikizepo:

  • `Mayankho a Zamoyo`
  • 'Kuthira Acupuncture'
  • 'Kunyenga'
  • `Reiki`
  • 'Kuchiza Mafupa'

Mankhwala ena opha anthu ambiri

Ngati vuto lanu la CRPS silinayankhe bwino ku mankhwala omwe atchulidwa pamwambapa, kapena ngati muli ndi ululu waukulu kapena CRPS yosatha, dokotala wanu angakulangizeni mankhwala awa osapweteka kwambiri:

  • Jakisoni wa point/tender point: Pamene CRPS imangokhala m'manja mwanu apamwamba, mungakhale ndi points zoyambitsa matenda m'minofu ya lamba wanu wa phewa. Poyamba CRPS, jakisoni wa glucocorticoids, wokhala ndi kapena wopanda mankhwala oletsa ululu am'deralo, mu point iliyonse yoyambitsa matendawa angathandize.
  • Kutsekeka kwa mitsempha ya sympathetic: Kutsekeka kumeneku kumathandizira kwambiri kupweteka kwa anthu ena. Kutsekeka kwa lumbar sympathetic kumaphatikizapo kubaya mankhwala oletsa ululu kumbuyo kwanu, pafupi ndi msana wanu. Izi zimaletsa mwachindunji unyolo wa sympathetic womwe umanyamula zizindikiro za ululu kuchokera kumapazi anu otsika kupita ku msana wanu ndi ubongo. Kutsekeka kwa ululu wa CRPS kumtunda kwa mkono kumatchedwa stellate ganglion block . Izi zimaphatikizapo kubaya mankhwala oletsa ululu m'mbali mwa khosi lanu.
  • Kulimbikitsa msana: Chithandizochi chimaphatikizapo kuyika chipangizo chopangira ma pulse pansi pa khungu la mimba kapena matako ndi mawaya (electrodes) pafupi ndi msana. Chipangizochi, chofanana ndi pacemaker, chimatumiza mafunde amagetsi otsika ku msana wanu. Ma pulse amagetsi awa amasokoneza zizindikiro za ululu zomwe zimapita ku ubongo wanu, zomwe zimawachepetsa.
  • Kulimbikitsa mizu ya m'mimba: Mankhwalawa ndi ofanana ndi kulimbikitsa mitsempha ya msana. Komabe, mawaya ang'onoang'ono amayikidwa mwachindunji pamwamba pa mitsempha ya m'mimba ya m'mimba. Mitsempha ya mizu ya m'mimba ndi gulu la ma neuron omwe ali pamalo pomwe mitsempha yonse m'thupi lanu imatuluka mu mitsempha ya msana. Ndi malo olumikizirana zizindikiro za ululu kuchokera ku mitsempha ya m'mimba (miyendo yanu) kupita ku mitsempha yapakati (msana wanu ndi ubongo). Kulimbikitsa kumeneku kungakhale chithandizo cholunjika komanso chothandiza (chofuna kulimbitsa pang'ono) chifukwa chimayang'ana kwambiri mfundo zazing'ono izi.
  • Kulimbikitsa mitsempha ya m'mphepete mwa thupi: Chithandizochi chimaphatikizapo kuyika waya wolimbikitsa pafupi ndi mitsempha yayikulu m'dzanja/mwendo wanu yomwe imaphimba malo opweteka. Imagwira ntchito poletsa chizindikiro cha ululu chomwe chikuyenda kudzera mu mitsempha yomwe mukufuna.
  • Kulowetsedwa kwa ketamine m'mitsempha: Chithandizochi chimaphatikizapo kupereka mlingo wochepa wa ketamine m'mitsempha (kulowetsedwa kwa IV) kwa masiku atatu mpaka asanu. Ketamine imagwira ntchito potseka molekyulu inayake mu dongosolo lanu la mitsempha (cholandirira cha NMDA) chomwe chingapangitse ululu wanu kukhala woipitsitsa.
  • Mapampu a mankhwala opangidwa m'mimba:Mankhwalawa amagwiritsa ntchito katheta woyikidwa kuti apereke mankhwala ochepetsa ululu monga Ziconotide (Prialt®) mwachindunji m'madzi amsana.

Kodi CRPS ingapewedwe?

Popeza ofufuza sakudziwa chomwe chimayambitsa CRPS, palibe njira yeniyeni yopewera. Kafukufuku wina wasonyeza kuti kumwa vitamini C musanachite opaleshoni yamtsogolo kungathandize kupewa CRPS.

Kodi munthu amene ali ndi CRPS ali ndi tsogolo lotani?

Zomwe aliyense amakumana nazo ndi CRPS n'zosiyana. Kwa anthu ambiri, CRPS imakula pakapita nthawi ndipo pamapeto pake imachepa.

Komabe, milandu yoopsa kapena yayitali (yomwe siichitika kawirikawiri) ingakhudze kwambiri moyo wanu. Kwa anthu ena, matenda a CRPS amatha kuipiraipira ndikufalikira ku ziwalo zina za thupi. Kuvutika maganizo kwambiri panthawi ya kuvulala komwe kunayambitsa matenda a CRPS kungakhudze kuopsa kwa vutoli komanso kuthekera kwanu kuchira.

Pakati pa 10% ndi 30% ya anthu omwe ali ndi CRPS akhoza kubwereranso ku matendawa. Chifukwa chenicheni chomwe chimayambitsa kubwereranso kwa matendawa sichidziwika.

Zolinga zofunika kwambiri ndikuchepetsa ululu ndikubwezeretsa mphamvu m'dzanja/mwendo womwe wakhudzidwa. Kuchepetsa ululu kumawonjezera mwayi woti ntchito iyende bwino m'derali komanso moyo wanu ukhale wabwino. Ndi mapulani osankhidwa bwino a chithandizo, anthu ena omwe ali ndi CRPS amatha kuthana ndi ululu wawo bwino ndikukhala ndi moyo wokangalika.

Kodi nthawi zabwino zokaonana ndi dokotala ndi ziti?

Popeza vutoli ndi lovuta ndipo nthawi zina silipezeka bwino, muyenera kupeza katswiri wothandiza kupweteka kapena malo apadera ochizira ululu omwe amadziwa bwino za CRPS ngati muli ndi:

  • Ngati mukuganiza kuti muli ndi zizindikiro za `CRPS`.
  • Ngati zizindikiro zanu zikuipiraipira.
  • Ngati vuto lanu silinayankhe mankhwala ena.

Kodi CRPS ndi chilema kapena matenda amisala?

Ayi, CRPS si matenda amisala. Ndi matenda amitsempha. Komabe, CRPS ingayambitse kapena kuipitsa nkhawa, kuvutika maganizo, komanso kupsinjika maganizo. Nthawi zina, ingayambitsenso matenda a Post-Traumatic Stress Disorder (PTSD) .

Ku United States, Social Security Administration imazindikira CRPS ngati chilema, kutengera kuopsa kwake komanso momwe imakhudzira moyo. Mutha kulankhulana ndi akuluakulu aboma kuti mudziwe zambiri zokhudza zomwe munthu akuyenera kuchita.

Uthenga Wopita Nawo Kunyumba

Matendawa otchedwa `Complex Regional Pain Syndrome (CRPS)` angakhudze kwambiri moyo wanu. Koma nkhani yabwino ndi yakuti, akhoza kuchiritsidwa.Pali njira zambiri zochiritsira, ndipo mutha kuyesa kuphatikiza. Mukapezeka ndi CRPS mwachangu ndikuyamba kulandira chithandizo, zizindikiro zanu zimatha kuyankha chithandizo. Ngati mukuganiza kuti muli ndi CRPS, lankhulani ndi dokotala wanu. Alipo kuti akuthandizeni. Musachite mantha, ndipo musavutike nokha. Chofunika kwambiri ndikupeza upangiri woyenera wachipatala ndi chithandizo.


CRPS , complex regional pain syndrome, kupweteka kwa mitsempha, kupweteka kwa mkono ndi mwendo, kupweteka kosatha, chithandizo cha CRPS, zizindikiro za CRPS

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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