Kodi uwu ndi ululu wosazolowereka womwe simungaganizire? Izi zitha kukhala za CRPS! (Complex Regional Pain Syndrome - CRPS)

Kodi munayamba mwakhala ndi bala laling'ono pa mkono kapena mwendo wanu, ndipo ngakhale litachira, mumamvabe ululu wosapiririka komanso kutentha? Nthawi zina malo a bala ankatupa, khungu linkasintha mtundu, ndipo munkatuluka thukuta modabwitsa? Anthu ambiri amaganiza kuti izi ndi zachilendo akakumana ndi izi. Komabe, izi zitha kukhala chizindikiro cha matenda osowa koma opweteka kwambiri otchedwa 'Complex Regional Pain Syndrome' kapena CRPS . Tiyeni tikambirane za izi mwachidule lero.

Kodi CRPS ndi chiyani kwenikweni?

Mwachidule, CRPS ndi matenda omwe amayambitsa ululu waukulu komanso wokhalitsa m'thupi lanu, makamaka mkono, mwendo, dzanja, kapena phazi . Ululu uwu ukhoza kutsagana ndi zizindikiro zina zingapo, monga kusintha kwa mtundu wa khungu ndi kutupa.

Madokotala amakhulupirira kuti chifukwa chachikulu cha izi ndi kusintha kwa magwiridwe antchito a mitsempha yathu, yomwe ndi ubongo, msana, ndi mitsempha m'thupi lonse (machitidwe apakati ndi a m'mphepete mwa mitsempha). Taganizirani za dongosolo lodziwitsa ululu la thupi lathu ngati alamu yomwe imalira pamene wakuba walowa m'nyumba mwathu. Tikavulala pang'ono, alamu iyi imalira, zomwe zikutanthauza kuti timamva ululu. Koma mu CRPS, alamu iyi imapitirizabe kulira ngakhale kuvulalako kutachira. Izi zikutanthauza kuti sitingathenso kulamulira zizindikiro za ululu.

Pali mitundu iwiri ikuluikulu ya CRPS:

Matendawa amapezeka kwambiri mwa akazi kuposa amuna. Ndipo ngakhale amatha kufalikira pa msinkhu uliwonse, nthawi zambiri amapezeka kwambiri munthu akakwanitsa zaka 40.

Kodi zizindikiro za CRPS ndi ziti?

Zizindikiro za CRPS zimatha kusiyana malinga ndi munthu, ndipo kuopsa kwake kumatha kusiyana. Zizindikiro nthawi zambiri zimayamba kuonekera mkati mwa milungu inayi kapena isanu ndi umodzi kuchokera pamene munthu wavulala, wasweka, kapena wachitidwa opaleshoni.

Chizindikiro chachikulu komanso choopsa kwambiri ndi ululu . Ululu uwu si ululu wamba.

• Ululu womwe umamveka ngati kutentha kosalekeza .
• Ululu womwe umamveka ngati singano ikung'ambika kapena kung'ambika .
• Kawirikawiri, ululu umamveka ngati ukuchokera mkati mwa mkono kapena mwendo womwe ukupweteka.

Kuwonjezera pa ululu uwu, zizindikiro zina zambiri zimatha kuwoneka m'dera lomwe lakhudzidwa. Kuti zikhale zosavuta, tiyeni tiwone izi patebulo .

Chifukwa chiyani CRPS imayamba?

Ofufuza sakudziwabe chifukwa chake munthu m'modzi yemwe ali ndi vuto lomweli amadwala matenda a CRPS ndipo winayo sadwala, koma amakhulupirira kuti izi zimachitika chifukwa cha kusakhazikika kwa chitetezo chamthupi komanso mitsempha .

Milandu yambiri (yoposa 90%) ya CRPS imayamba chifukwa cha kuwonongeka kwa ulusi wofewa kwambiri wa mitsempha ya m'manja kapena mwendo chifukwa cha kuvulala.

Zifukwa zina zodziwika bwino ndi izi:

• Kusweka kwa mafupa: Kusweka kwa mafupa, makamaka m'dzanja , ndi chifukwa chachikulu cha CRPS. Nthawi zina, ngakhale mutavala chigoba, mitsempha imatha kupanikizika.
• Opaleshoni: Pa opaleshoni, mitsempha imatha kuwonongeka chifukwa cha kudula ndi kusoka khungu.
• Kupindika: Pamene chiwalo cha mafupa chapindika, mitsempha yozungulira chikhoza kupindika.
• Kupsa, kuvulala, kapena kudulidwa: Kuvulala kwakunja kwamtunduwu kumatha kuwononganso mitsempha yomwe ili pansi pa khungu.

Nthawi zina CRPS imatha kuchitika popanda kuvulala kulikonse, ndipo anthu ena ali pachiwopsezo chachikulu chotenga vutoli.

• Matenda a mitsempha: Anthu omwe ali ndi matenda monga matenda a shuga amakhala ndi mphamvu yochepa yochiritsa mitsempha yawo. Anthu omwe amasuta amavutikanso kuchira.
• Mavuto a chitetezo chamthupi: Anthu omwe ali ndi matenda monga mphumu amakhala ndi mankhwala otupa (cytokines) ambiri m'thupi lawo, zomwe zimawaika pachiwopsezo chachikulu cha matenda a CRPS.
• Zifukwa za majini: Ngakhale kuti sizichitika kawirikawiri, pakhala malipoti akuti anthu angapo m'banjamo akudwala matenda a CRPS.

Kodi dokotala amazindikira bwanji CRPS?

Palibe mayeso enieni odziwira matenda a CRPS. Chifukwa chake, dokotala adzazindikira matendawa kutengera zizindikiro zanu, mbiri yanu yachipatala (kuvulala kwaposachedwa, opaleshoni), komanso kuyezetsa thupi.

Dokotala wanu adzayang'ana kwambiri zinthu izi:

• Kodi pali ululu waukulu kwambiri kuposa kukula kwa bala?
• Kodi pali kusintha kwa mawonekedwe, kutentha, ndi kapangidwe ka khungu pamalo okhudzidwawo?
• Kodi pali matenda ena omwe angayambitse zizindikiro izi?

Nthawi zina scan ya ultrasound kapena MRI imachitika kuti ione ngati pali kuwonongeka kwa mitsempha komwe kumayambitsa.Chingachitike chimodzi. Komanso, mayeso monga EMG (Electromyography) angachitike kuti athetse matenda ena amitsempha omwe amasonyeza zizindikiro zofanana.

Kodi mankhwala a CRPS ndi ati?

Zolinga zazikulu za chithandizo cha CRPS ndikuchepetsa ululu, kubwezeretsa ntchito ya mkono/mwendo womwe wakhudzidwa, ndikusunga moyo wanu wabwino. Chithandizo chikayamba msanga, zotsatira zake zimakhala zabwino. Ngati sichinachiritsidwe, ululu ukhoza kukulirakulira, mkono/mwendo ukhoza kuuma, ndipo simungathe kuusuntha.

Kuphatikiza njira zingapo zochiritsira ndiyo njira yopambana kwambiri.

Kuchiza Thupi ndi Ntchito

Ichi ndi gawo lofunikira komanso lofunikira la chithandizo cha CRPS.

• Katswiri wa zamaganizo adzakuphunzitsani masewera olimbitsa thupi omwe angathandize kupititsa patsogolo kuyenda kwa magazi kupita kumalo opweteka ndikuwonjezera kusinthasintha ndi mphamvu.
• Katswiri wa zamaganizo amaphunzitsa njira zatsopano zogwirira ntchito za tsiku ndi tsiku (monga kuvala, kudya) popanda kupweteka kwambiri.

Kuphatikiza apo, pali njira zapadera monga 'Mirror Therapy'. Mu izi, mumakhala patsogolo pa galasi, kubisa mkono/mwendo wopweteka, ndikuyika mkono/mwendo wathanzi patsogolo panu. Kenako, galasilo limasonyeza kuti mkono/mwendo wopweteka ukuyenda bwino. Izi zatsimikiziridwa kuti 'zimanyenga' ubongo wathu kuti uchepetse ululu.

Kusintha kwa moyo

• Pewani kusuta: Kusuta fodya ndi vuto lalikulu lomwe limalepheretsa kuchira kwa mitsempha.
• Kusamalira matenda ena: Ndikofunikira kwambiri kusamalira matenda monga matenda a shuga.
• Kukweza mkono/mwendo: Kukweza mkono/mwendo wopweteka pamene mukugona kapena mukupumula, monga pa pilo, kumachepetsa kutupa.
• Kuchita Masewera Olimbitsa Thupi: Kuchita masewera olimbitsa thupi tsiku ndi tsiku kumathandiza kwambiri kuti magazi aziyenda bwino.
• Masokisi opondereza: Dokotala wanu angakulangizeni kuti muvale izi kuti muchepetse kutupa.

Thandizo la thanzi la maganizo

Ndizachilendo kumva kupsinjika maganizo, kukwiya, komanso kuda nkhawa mukakhala ndi ululu wosatha. Zinthu izi zingapangitse ululuwo kukhala woipa kwambiri. Chifukwa chake, kufunafuna uphungu wa zamaganizo kungathandize kwambiri polimbana ndi ululu m'maganizo ndi m'maganizo.

Mankhwala (mankhwala)

Palibe mankhwala enieni omwe amavomerezedwa kuti agwiritsidwe ntchito pa matenda a CRPS. Komabe, dokotala angapereke mankhwala osiyanasiyana kuti athandize kuchepetsa zizindikiro.

• Mankhwala oletsa ululu ( NSAIDs )
• Mafuta ochepetsa ululu pakhungu
• Mankhwala ena oletsa kuvutika maganizo ndi mankhwala oletsa kugwidwa ndi ululu wa mitsempha
• Jakisoni wa Botox

Mankhwala ena enieni oletsa ululu

Ngati njira zina zochiritsira ululu n’zovuta kuziletsa, dokotala angagwiritse ntchito njira zovuta kwambiri ngati izi.

• Kuletsa mitsempha ya chifundo: Kuika jakisoni wa mankhwala oletsa ululu kuti mitsempha yomwe imanyamula zizindikiro za ululu ku ubongo igone kwakanthawi.
• Kulimbikitsa msana: Chotsukira cha electrode chopyapyala chimayikidwa opaleshoni pafupi ndi msana ndipo chimapereka zizindikiro zamagetsi zosaoneka bwino zomwe zimaletsa zizindikiro za ululu.
• Kulowetsedwa kwa ketamine m'mitsempha: Mlingo wochepa wa ketamine umaperekedwa kudzera m'mitsempha kwa masiku angapo.

Kodi mungayembekezere chiyani mukakhala ndi CRPS?

Si aliyense amene amakumana ndi CRPS mofanana. Kwa anthu ambiri, pakapita nthawi komanso akalandira chithandizo choyenera, zizindikiro zimachepa ndipo amachira pafupifupi kwathunthu.

Komabe, nthawi zina, vutoli limatha kukhala lalikulu kapena kufalikira ku ziwalo zina za thupi. Chifukwa chake, ndikofunikira kuwongolera ululu ndikupitiliza kugwira ntchito bwino m'manja/mwendo. Ndi dongosolo loyenera la chithandizo, anthu ambiri amatha kukhala ndi moyo wathanzi ndi CRPS.

Kodi CRPS ndi matenda amisala?

Ayi. CRPS si matenda amisala. Ndi matenda amitsempha. Komabe, ululu waukulu komanso momwe CRPS imakhudzira moyo zomwe zimachitika chifukwa cha matendawa zimatha kuyambitsa kapena kukulitsa mavuto amisala monga nkhawa ndi kuvutika maganizo.