Tangoganizani kuti mwavulala pang'ono pa mkono wanu. Kapena mwendo wosweka. Nthawi zambiri, ululuwu uyenera kutha patatha masiku ochepa. Koma bwanji ngati ululuwo ukukulirakulira, ndipo sukhala wopiririka? Nanga bwanji ngati mukumva ululu wosapiririka ngakhale mutavala chovala? Ndicho chimene tikukamba lero. Izi nthawi zina zingachitike mutavulala pang'ono, matenda a mtima , kapena sitiroko.
Kodi RSD ndi chiyani?
Mwachidule, RSD, kapena Reflex Sympathetic Dystrophy Syndrome, ndi mawu akale omwe madokotala sagwiritsanso ntchito. Dzina lovomerezeka la vutoli tsopano ndi Complex Regional Pain Syndrome , kapena CRPS mwachidule. RSD ndi mtundu umodzi wa CRPS (Mtundu Woyamba). Pankhaniyi, ululu waukuluwu umayamba chifukwa cha kuvulala kwa minofu ya thupi, popanda kuwonongeka kwa mitsempha.
Chofunika kwambiri ndichakuti ululuwo ndi woopsa kwambiri komanso wosayerekezeka kuposa kuvulala koyamba. Zili ngati kukhala ndi miyezi yambiri ya ululu wosapiririka kuchokera ku kukanda pang'ono.
Chifukwa chiyani izi zikuchitika? Chifukwa chake ndi chiyani?
Ngakhale kuti chifukwa chenicheni cha izi sichikudziwikabe, madokotala amakhulupirira kuti izi zimachitika chifukwa cha vuto la mitsempha ya m'thupi lathu.
Ganizirani za dongosolo la mitsempha ili ngati chitetezo m'thupi lathu. Mukavulala, dongosololi limapatsa mitsempha yamagazi chizindikiro kuti ichepetse. Izi zimachepetsa kuchuluka kwa magazi omwe akuyenda kuchokera pamalo ovulala. Kenako, limapatsa mitsempha yamagazi chizindikiro choti itsegulenso kuti ipereke zakudya zofunika kuti bala lichiritsidwe.
Koma chomwe chimachitika kwa munthu amene ali ndi RSD ndichakuti chitetezo cha mthupi chimasokonezeka pang'ono. Pakavulala, mitsempha yamagazi imachepa, koma sipapeza chizindikiro choti itsegule bwino. Izi zikutanthauza kuti dongosololi 'layatsidwa' ndipo 'silizimitsidwa' kachiwiri . Pamenepo ndi pomwe malo ovulalawo amatupa ndi ululu waukulu.
Matendawa ndi ofala pang'ono pakati pa akazi . Ngakhale kuti amathanso kufalikira mwa ana, amapezeka kwambiri mwa anthu azaka zapakati pa 30 ndi 60.
Kodi zizindikiro za vutoli ndi ziti?
Zizindikiro za RSD sizibwera mwadzidzidzi, zimabwera pang'onopang'ono. Ululu woyamba ukhoza kuwonjezeka pakapita nthawi. Nthawi zina simungazindikire kuti uwu ndi ululu wachilendo poyamba.
Zochitika zazing'ono zomwe zingachitike ndi RSD:
- Kusweka kwa mafupa
- Kupondaponda
- Mikwingwirima
- Burns (Bu RNS )
- Opaleshoni yaying'ono
- Ndodo za singano
- Chithandizo cha radiation
Vutoli nthawi zambiri limapezeka m'malo monga mkono, phewa, mwendo, kapena chiuno. Ululuwu ukhozanso kufalikira kupitirira malo ovulalawo.
| Gulu la zizindikiro | Zinthu zoti muwone |
|---|---|
| Mtundu wa ululu | Kupsa, kuluma, kupweteka kwambiri, kupweteka. Kupweteka kosalekeza. |
| Kusintha kwa khungu | Malo ovulalawo amafiira, kutupa, ndipo amamva kutentha akakhudza. Khungu limasintha kukhala loyera, labuluu, kapena lofiira. |
| Kusamva bwino kwa thupi | Kumva ululu waukulu ngakhale kuchokera ku zinthu zomwe nthawi zambiri sizimapweteka (madzi akugwa, zovala zikukwinyika m'thupi). |
| Mavuto ndi kuyenda | Kufooka kwa minofu kapena kunjenjemera, kulimba kwa mafupa, kuvutika kusuntha mkono/mwendo chifukwa cha ululu. |
| Zina mwazinthu | Kutuluka thukuta kwambiri pamalo okhudzidwa okha. Kusintha kwa kukula kwa tsitsi kapena misomali. |
Kodi mwapeza bwanji izi, Dokotala?
Kawirikawiri, zimakhala zovuta kudziwa nthawi yomweyo kuti RSD ndiye chifukwa cha ululu wanu. Dokotala wanu angaganize kuti ululuwo ndi woopsa kwambiri kuposa kuvulalako ndipo sumatha.
Palibe mayeso amodzi otsimikizika otsimikizira ngati iyi ndi RSD.
M'malo mwake, dokotala wanu adzakudziwitsani matenda anu poyamba potengera kufufuzidwa bwino kwa inu ndi mbiri yanu yachipatala. Kuphatikiza apo, angachitenso mayeso angapo omwe angakuthandizeni kudziwa zambiri za matendawa.
- Kujambula Mafupa: Kuyeza kumeneku kumathandiza kuona ngati malekezero a mafupa atha ntchito komanso ngati pali vuto lililonse lokhudza kuyenda kwa magazi.
- MRI (Magnetic Resonance Imaging): MRI ingagwiritsidwe ntchito kuti ione ngati pali kusintha kochepa mkati mwa thupi, makamaka m'maselo.
- Kuyesa thukuta: Izi zimayang'ana ngati mbali imodzi ya thupi imatulutsa thukuta kwambiri kuposa inzake.
- Kuyeza kutentha kwa thupi: Kumafufuza ngati kutentha kapena magazi a dera lomwe lakhudzidwa ndi osiyana ndi ziwalo zina za thupi.
- X-ray: Pa milandu yowonjezereka, X-ray imachitidwa kuti ione ngati pali kutayika kwa mchere m'mafupa.
Kodi mankhwala ake ndi otani?
Chofunika kwambiri pa matendawa ndikupeza matenda ndikuyamba kulandira chithandizo mwamsanga . Mukayamba msanga, zotsatira zake zimakhala zabwino. Ngakhale kuti palibe mankhwala enieni a RSD, zizindikiro zambiri zimatha kuthetsedwa ndikuchiritsidwa.
Njira zosiyanasiyana zochiritsira zimagwiritsidwa ntchito nthawi zambiri.
| Njira yochizira | Kufotokozera |
|---|---|
| Mankhwala | Mankhwala ochepetsa ululu (monga Ibuprofen, Naproxen), mankhwala oletsa khunyu, mankhwala oletsa kuvutika maganizo (amathandiza kuchepetsa ululu), mafuta odzola monga Lidocaine, mankhwala opopera m'mphuno omwe amalimbitsa mafupa. |
| Jakisoni woletsa mitsempha | Jakisoni pafupi ndi mitsempha yomwe imayambitsa ululu, kuti aletse kwakanthawi zizindikiro za ululu kuti zisafike ku ubongo. |
| Kuchiza Thupi | Chimodzi mwa mankhwala ofunikira kwambiri. Kusuntha pang'onopang'ono mkono/mwendo womwe wakhudzidwa kumathandiza kulimbitsa minofu ndikuchepetsa ululu. |
| Chithandizo cha maganizo | Kuphunzira njira zopumulirako kungakuthandizeni kuthana ndi nkhawa ndi nkhawa zomwe zimabwera chifukwa chokhala ndi ululu wosatha. |
| Mankhwala ena | Ma electrode amaikidwa pa chingwe cha msana ndipo amatumiza zizindikiro zamagetsi kuti achepetse ululu, ndipo ma splints amavalidwa pa ululu wa mkono. |
| Opaleshoni | Ngati palibe mankhwala ena omwe amachepetsa ululu, dokotala wanu angakulangizeni opaleshoni yotchedwa Sympathectomy ngati njira yomaliza. |
Mankhwala odziwika bwino kwambiri
Mankhwala amphamvu ochepetsa ululu monga corticosteroids (monga Prednisolone) ndi Opioids (monga Morphine, Fentanyl) amagwiritsidwa ntchito kawirikawiri ndipo amagwiritsidwa ntchito pokhapokha ngati dokotala akuwayang'anira kwambiri chifukwa cha zotsatirapo zake komanso chiopsezo cha kuledzera.
Uthenga Wopita Nawo Kunyumba
- RSD kapena CRPS si chinthu chomwe mungaganizire, ndi vuto lenileni komanso lopweteka.
- Ululu uwu ndi woopsa kwambiri kuposa vuto loyamba kapena kuvulala. Ichi ndiye chizindikiro chachikulu.
- Kuzindikira msanga ndi kulandira chithandizo kungathandize kuti pakhale zotsatira zabwino. Choncho, musanyalanyaze ululu wosadziwika bwino.
- Popeza vutoli ndi lovuta, chithandizo chimaphatikizapo kuphatikiza mankhwala, chithandizo cha thupi, ndi uphungu wa maganizo.
- Nthawi zonse lankhulani ndi dokotala wanu za ululu uliwonse wosazolowereka komanso wosazolowereka m'thupi lanu.
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