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Ese urimo kugira ububabare bukabije mu biganza no mu birenge hamwe n'impinduka z'uruhu? Bishobora kuba ari CRPS! (Complex Regional Pain Syndrome)

Ese urimo kugira ububabare bukabije mu biganza no mu birenge hamwe n'impinduka z'uruhu? Bishobora kuba ari CRPS! (Complex Regional Pain Syndrome)

Ese wigeze wibaza uko byaba bimeze kugira ububabare bukomeye kandi buhoraho mu kuboko cyangwa ku kuguru nyuma y'imvune nto, cyangwa wenda nta mpamvu igaragara? Hari abantu bahuye n'ibi. Uyu munsi tugiye kuvuga kuri imwe muri izo ndwara, `Complex Regional Pain Syndrome (CRPS). Ntutinye, ni ngombwa cyane kubimenya.

CRPS ni iki? Mu magambo make...

Mu magambo make, `Complex Regional Pain Syndrome`, cyangwa `(CRPS)`, ni indwara itera ububabare bukomeye mu gice runaka cy'umubiri wawe, akenshi ukuboko, ukuguru, ikiganza, cyangwa igitsinsino , hamwe n'ibindi bimenyetso byinshi, nko guhinduka kw'ibara ry'uruhu no kubyimba muri ako gace. Tekereza, ikibazo ku kuboko cyangwa ukuguru kwawe gituma bidashoboka gukora mu buzima bwawe bwa buri munsi, ntushobora gusinzira neza nijoro, kandi bigira ingaruka zikomeye ku buzima bwawe bwo mu mutwe.

Abaganga bemeza ko CRPS iterwa n'imikorere mibi y'imitsi yo mu mutwe ( ubwonko n'umugongo) cyangwa imitsi yo mu mpande ( imitsi ijyana ubutumwa buva mu bwonko no mu mugongo ku zindi ngingo, amaguru n'amaboko). Muri iki gihe, imitsi yacu irakira cyane iyo ibonye ibimenyetso by'ububabare kandi ntishobore guhagarika iyo mikorere.

Hari ubwoko bubiri bw'ingenzi bwa CRPS:

1. Ubwoko bwa I: Muri ibi , nta kwangirika kw'imitsi. Ibi bikunze kubaho nyuma y'uburwayi cyangwa impanuka. Ariko, impanuka ntiyangije imitsi mu buryo butaziguye. Ibi byari byitwaga ``Reflex Sympathetic Dystrophy```.

2. Ubwoko bwa kabiri: Iki ni ikimenyetso cyerekana neza ko imitsi yangiritse. Ibi byari byitwaga `Causalgia`.

CRPS ishobora kuba iy'igihe gito (ikomeye) cyangwa iy'igihe kirekire (imara amezi arenga atandatu) . Ku bw'amahirwe, akenshi ishobora kuvurwa no gukira.

Ni nde ushobora kurwara CRPS cyane?

CRPS ikunze kugaragara cyane mu bantu bakuru kurusha mu bana. Akenshi igera ku kigero cy’imyaka 40. Abagore bafite amahirwe menshi yo kurwara CRPS kurusha abagabo.

Ubushakashatsi bwagaragaje ko iyi ndwara igaragara mu bantu bafite inkomoko mu Burayi, aho igaragara hagati ya 66% na 80%. Ariko, ni indwara idakunze kugaragara. Urugero, muri Leta Zunze Ubumwe za Amerika, abantu bagera ku 200.000 ni bo bandura buri mwaka.

Ni ibihe bimenyetso bya CRPS? Wabimenya ute ?

Uburemere n'igihe ibimenyetso bya CRPS bimara biratandukanye bitewe n'umuntu ku giti cye.

Ubusanzwe ikintuIbimenyetso bya CRPS bikunze gutangira nyuma y'ibyumweru bine kugeza kuri bitandatu nyuma y'imvune, kuvunika cyangwa kubagwa . Ariko, rimwe na rimwe ibi bimenyetso bishobora kugaragara nta mpamvu igaragara.

Ikimenyetso cy'ingenzi kandi kigaragara cyane cya CRPS ni ububabare. Ubu bubabare bushobora kuba buhoraho cyangwa bukaza bugashira. Akenshi bumera nk'ububabare butwika, bubabaza, cyangwa bucika . Ubu bubabare bukunze kugaragara mu kuboko cyangwa ku kuguru byafashwe.

Byongeye kandi, impinduka mu bwonko zishobora kugaragara mu gace kagizweho ingaruka:

  • Kongera ubushobozi bwo kumva ibintu bibabaza: Urugero, no gukanda gato bishobora kubabaza cyane kurusha uko bisanzwe.
  • Kumva ububabare buturutse ku kintu ubusanzwe kidatera ububabare: Ndetse no gukora ku ruhu gusa bishobora gutera ububabare.
  • Ushobora kumva ufite ibinya .

Dore ibindi bimenyetso:

  • Kubyimba uruhu: Kubyimba bishobora kuza bikagenda, cyangwa bikaba bigikomeza.
  • Kugabanuka k'imikorere y'ukuboko cyangwa ukuguru kwangiritse: Bishobora kugorana kwimura ukuboko cyangwa ukuguru kwangiritse, cyangwa bigashobora kumva bikomereye. Bishobora kandi kugorana gushyira ibiro ku kuboko/ukuguru kwangiritse cyangwa gushyira ibiro ku ngingo.
  • Impinduka mu bushyuhe bw'uruhu: Ikiganza/ikirenge cyafashwe gishobora kumva gishyushye cyangwa gikonje kurusha ikindi.
  • Guhindura ibara ry'uruhu: Uruhu rushobora kugaragara nk'urufite uduce duto, rutoshye, rufite umuhengeri/udukonje, cyangwa rutukura ahantu runaka.
  • Impinduka mu miterere y'uruhu: Uruhu rushobora kuba rubengerana, rukagabanuka, cyangwa rukabira ibyuya cyane.
  • Impinduka mu mikurire y'inzara n'umusatsi: Inzara n'umusatsi muri ako gace bishobora gukura vuba, cyangwa ntibikure na gato.

Kubera ko ibimenyetso bya `CRPS` bikunze kwiyongera uko igihe kigenda gihita, biroroha ko abaganga babimenya mu ntangiriro. Kubwibyo, niba ufite ibi bimenyetso, ni ngombwa cyane kujya kwa muganga vuba bishoboka.

Kuki CRPS itera? Ni izihe mpamvu?

Abashakashatsi ntibaramenya neza impamvu bamwe mu bantu bafite imvune imwe barwara CRPS abandi ntibayirwara. Batekereza ko ishobora guterwa no kubyimba cyangwa ubudahangarwa bw'umubiri mu mitsi yo mu mpande no mu mitsi yo hagati .

Kenshi na kenshi, hejuru ya 90%, CRPS iterwa n'ihungabana cyangwa gukomereka kw'imitsi yo mu kuboko cyangwa ukuguru byafashwe.Kubera ko. Izi mvune zangiza imitsi yoroshye cyane y’ibyumviro n’iy’umubiri wacu. Iyi mitsi mito ni yo ijyana ububabare, uburyaryate n’ubushyuhe mu bwonko bwacu. Ni na yo igenzura ubuzima rusange bw’imitsi mito y’amaraso n’uturemangingo tuyikikije.

Imvune ikunze kugaragara iterwa na CRPS ni ukuvunika kw'igufwa , cyane cyane kuvunika kw'ukuboko. Imitsi ishobora kwangirika iyo igufwa ricitse cyangwa rivunitse, cyangwa iyo igufwa rifunze cyane riteye umuvuduko.

Izindi mvune zikunze gutera CRPS zirimo:

  • Kubagwa: Imitsi ishobora kwangirika bitewe no gukata, kudoda, cyangwa inkovu mu gihe cyo kubagwa.
  • Gucika intege cyangwa gucika intege: Iyo ingingo ihuza ingingo yangiritse, ingingo ishobora kwimuka cyane, ibyo bikaba byatera imitsi iri hafi aho gucika intege cyane.
  • Gutwika, gukomereka, cyangwa gukomereka: Ibi byose ni ibikomere bigaragara, ariko bishobora no kwangiza imitsi iri munsi.

Hari igihe CRPS ishobora kugaragara nta mvune igaragara. Cyangwa se guhagarika kugenda igihe kirekire nabyo bishobora kuba impamvu.

Hari ibintu bimwe na bimwe byongera ibyago byo kurwara CRPS:

  • Ubuzima bubi bw'imitsi: Abantu barwaye indwara nka diyabete ntibabasha kwihanganira no gukira. Abantu barwaye indwara ya neuropathy yo mu mitsi bashobora no kugorwa no kuvugurura uturemangingo tw'imitsi, ndetse no mu bikomere bisanzwe bitabatera ikibazo. Abantu banywa itabi n'abahoze bahabwa imiti ivura kanseri na bo bashobora kugorwa no kuvugurura imitsi.
  • Ibibazo by’ubudahangarwa bw’umubiri: Ubudahangarwa bw’umubiri bugira uruhare runini mu gutera ububyimbirwe mu mibiri yacu. Bamwe mu bantu barwaye CRPS bafite urugero rwo hejuru rw’ibinyabutabire byitwa cytokines . Ibi bigira uruhare mu bimenyetso bimwe na bimwe bya CRPS. CRPS ikunze kugaragara ku bantu bafite izindi ndwara ziterwa n’ububyimbirwe n’iziterwa n’ubwiyongere bw’umubiri, nka asima .
  • Ibintu bigize imiterere y’uturemangingo: Uturemangingo twawe dushobora no kugira ingaruka ku buryo ukira imvune. Abashakashatsi basanze CRPS ikunda kugaragara mu miryango (`amatsinda y’imiryango`). Nubwo ibi bidakunze kubaho, bigaragaza ko CRPS ishobora kuba ifite isano n’uturemangingo.

Wamenya ute neza ko ufite CRPS? (Isuzuma)

Kubera ko CRPS ari indwara idakunze kugaragara kandi abaganga ntibayisobanukirwe neza, rimwe na rimwe ipimwa nabi.

Kumenya 'CRPS'Nta kizamini cyihariye gitangwa. Abaganga basuzuma ahanini indwara bakurikije amateka y’uburwayi bwabo, bagakora isuzuma ry’umubiri, kandi bakareba ibimenyetso by’uburwayi bwawe. Muganga azabaza kandi niba hari ibikomere cyangwa abaganga baherutse kubaga.

Muganga azareba ibi bintu by’umwihariko:

  • Impinduka mu miterere, ubushyuhe, n'imiterere y'uruhu mu gace karwaye.
  • Kugira ububabare bwinshi kurusha uko byari byitezwe ku gikomere.
  • Niba hari indi ndwara cyangwa indwara ishobora gutera ububabare bwawe, impinduka z'uruhu, cyangwa ibindi bimenyetso.

Ibipimo byo gupima amashusho nka ultrasound cyangwa magnetic resonance imaging (MRI) bishobora gukorwa kugira ngo harebwe niba hari ibyangiritse mu mitsi. Ariko, ibyangiritse mu mitsi bishobora kutaboneka buri gihe.

Muganga wawe ashobora kandi gutegeka ibindi bipimo kugira ngo agaragaze izindi ndwara zishobora gutera ibimenyetso bisa. Urugero, ikizamini cya electromyography (EMG) gishobora kugaragaza izindi mpamvu zitera indwara z'imitsi, rimwe na rimwe zishobora gutera ububabare nk'ubwo.

Ni ubuhe buryo bwo kuvura CRPS?

Intego z'ingenzi zo kuvura ni ukugabanya ububabare bwawe n'ibindi bimenyetso, gusubiza imikorere y'ukuboko/ukuguru byangiritse, no kubungabunga ubuzima bwawe.

Ni ngombwa cyane gutangira kuvurwa hakiri kare mu gihe cya CRPS. Ibi biterwa nuko uko igihe kigenda gihita, urugingo rwangiritse rushobora gukomera (`stiffen`). Iyo rutavuwe, ububabare bukunze kwiyongera, kandi bikagorana kwimura urugingo rwangiritse.

Niba bishoboka, ni byiza kujya kwa muganga ufite uburambe mu kuvura indwara za CRPS. Ubuvuzi bukubiyemo uburyo butandukanye butandukanye, bugacungwa neza hamwe. Muri ubwo buryo harimo:

  • Ubuvuzi bw'umubiri n'ubuvuzi bw'akazi.
  • Impinduka mu mibereho.
  • Ubuvuzi bw'imitekerereze n'imyitwarire.
  • Imiti.
  • Ubundi buryo bwo kuvura ububabare.

Ku bana bato bafite CRPS, uburyo bw'ingenzi bwo kuvura indwara zo mu mutwe no kuvura indwara zo mu mutwe ni bwo buryo bw'ingenzi bwo kuvura . Imiti igabanya ububabare ikunze kwitabwaho gusa ku bana bakuru bafite ibimenyetso bidakira ubundi buryo bwo kuvura.

Ubuvuzi bw'umubiri n'ubuvuzi bw'akazi

Bumwe mu buryo bw'ingenzi bwo kuvura CRPS ni ubuvuzi bw'umubiri.Umuganga w’imitsi ashobora kunoza urujya n’uruza rw’amaraso mu kuboko/ukuguru kwawe kwangiritse, kandi ashobora no gukoresha imyitozo ngororamubiri yihariye kugira ngo yongere ubwiyongere bwawe, imbaraga, imitsi, n’imikorere. Umuganga w’imitsi ashobora kukwigisha uburyo bushya bwo gukora imirimo ya buri munsi.

Izindi ngingo zo kuvura CRPS zirimo:

  • `Ishusho y'imashini ipima amanota`: Iyi ni urukurikirane rw'uburyo bwo kuvura bugabanya ububabare kandi bukongera ubushobozi bwo kwimura igice cy'umubiri cyafashwe. Iyo ukuboko cyangwa ukuguru kwawe bibabaza, biragorana kubikoraho, kubihindura, cyangwa kubikoresha. Nanone, ubwonko bwacu bufite kwibuka, cyangwa ``ikarita``, y'ibice bitandukanye by'umubiri. Uko bumva, uko bihindura, n'uko bikoreshwa mu mirimo ya buri munsi. Iyo udakozeho, utimutse, cyangwa ngo ukoreshe ukuboko/ukuguru byafashwe, iyi karita itangira guhinduka ndetse ishobora no kuzimira. Ariko ukoresheje ubu buryo bwa ``Ishusho y'imashini ipima amanota``, ushobora guhindura cyangwa kongera gushyiraho iyi karita.
  • Ubuvuzi bw'indorerwamo: Ubu ni ubwoko bwa Graded Motor Imagery. Ureba ukuboko/ukuguru kwawe kudafite ingaruka mu ndorerwamo. Ishusho y'indorerwamo izasa neza n'ukuboko/ukuguru kwafashwe. Ibi bishobora "gushuka" ubwonko bwawe bugatekereza ko ukuboko/ukuguru kwababara ubu kurimo kumva no kugenda neza.
  • `Gukuraho ububabare`: Ubu buryo bukubiyemo gukora ku gace kagize ikibazo ukoresheje ibintu bifite imiterere n'uburemere butandukanye, no gushyira ikiganza/ikirenge cyagize ikibazo mu mazi ashyushye n'akonje. Uko igihe kigenda gihita, uko ushyira agace kagize ikibazo mu buryo butandukanye, ubwonko bwawe bumenyera ubwo buryo maze ububabare bugatangira kugabanuka.

Impinduka mu mibereho

Ushobora kongera amahirwe n'umuvuduko wo gukira ukuraho bimwe mu bintu bibangamira gukira kw'imitsi yawe. Ibi birimo:

  • Kureka kunywa itabi: Kunywa itabi ni imbogamizi ikomeye ku mitsi.
  • Gukemura ibibazo by'ubuzima biriho: Iyo indwara zigira ingaruka ku mikorere y'amaraso n'imitsi, nka diyabete, zidafashwe neza, bishobora kugorana gukira kw'imitsi.

Dore izindi ntambwe zoroshye ushobora gutera uri mu rugo kugira ngo ufashe ibimenyetso byawe:

  • Gukomeza ukuboko/ukuguru byafashwe hejuru gato mu gihe uruhuka cyangwa usinziriye bifasha amazi y'inyongera kugaruka mu mutima.
  • Gukora imyitozo ngororamubiri buri gihe ni ingenzi kugira ngo amaraso atembera neza mu mitsi yangiritse. Vugana na muganga wawe cyangwa umuvuzi w'umubiri ku byerekeye gahunda y'imyitozo ngororamubiri ikubereye.
  • Kwambara amasogisi cyangwa amaboko yo gukanda, cyane cyane iyo uhagaze, bishobora kugabanya kubyimba. Baza muganga wawe niba ari amahitamo yawe.

Ubuvuzi bw'imitekerereze n'imyitwarire

Kugira CRPS bijyana no kwiyongera k'imihangayiko, kwiheba, no guhangayika . Ibi bishobora kandi gutuma ububabare burushaho kwiyongera. Ubuvuzi bw'imitsi bushobora gufasha. Ubuvuzi bw'imitsi (buzwi kandi nk'ubuvuzi bwo kuvuga) ni ijambo rusange risobanura uburyo butandukanye bwo kuvura bufasha umuntu kumenya no guhindura amarangamutima, ibitekerezo, n'imyitwarire mibi.

Niba bishoboka, ni byiza kureba inzobere mu by’imitekerereze ya muntu mu bijyanye no kuvura ububabare wahuguwe ku kuvura indwara za CRPS. Mu bijyanye no kuvura indwara za psychotherapy, uganira n’inzobere mu by’imitekerereze ya muntu ukamenya uburyo bwo guhangana neza n’ibintu bituma ububabare bwawe n’ibindi bimenyetso bikubabaza.

Imiti

Nta miti yemewe by’umwihariko kuri CRPS muri Leta Zunze Ubumwe za Amerika. Ariko, muganga wawe ashobora kukwandikira imiti imwe n’imwe kugira ngo igufashe mu kugabanya ibimenyetso byawe.

Ubwoko butandukanye bw'imiti igabanya ububabare:

  • Imiti igabanya ububyimbirwe itari iya steroide (NSAIDs): Ingero zirimo acetaminophen, ibuprofen, na naproxen.
  • Amavuta yo kugabanya ububabare n'udusimba two mu mutwe: Urugero, Lidocaine.
  • Imwe mu miti igabanya ubukana bw'imitsi: Ingero zirimo Amitriptyline na Duloxetine.
  • Imiti igabanya ihungabana ry'umubiri: Ingero zirimo Gabapentin, Pregabalin, na Topiramate.
  • Bisphosphonates: Urugero, Alendronate.
  • Inshinge za Botulinum Toxin (Botox).

Amahitamo yo gutangira imiti aratandukanye bitewe n'umuntu ku giti cye. Muganga wawe azasuzuma ibintu byinshi birimo:

  • imyaka yawe.
  • Izindi ndwara zisanzweho.
  • Imiti iyo ari yo yose urimo gufata ubu.
  • Ingaruka mbi zishobora guterwa n'umuti cyangwa ingaruka zawo ku miti urimo gufata ubu.

Ubundi buryo bwo kuvura ububabare

Ubundi buryo bwo kuvura ububabare bushobora kuba burimo:

  • `Ibitekerezo bya Bio`
  • "Acupuncture"
  • "Hypnosis"
  • `Reiki`
  • `Ubuvuzi bwa Chiropraktike`

Uburyo bwinshi bwo kuvura buterwa n'inzoga

Niba indwara yawe ya CRPS itakiriye neza imiti yavuzwe haruguru, cyangwa niba ufite ububabare bukomeye cyangwa CRPS idakira, muganga wawe ashobora kukugira inama yo kuvura iyi miti idakunze kuvura:

  • Gutera ingingo z'inyuma/iz'inyuma: Iyo CRPS igarukira ku maboko yawe yo hejuru, ushobora kugira ingingo z'inyuma mu mitsi yo mu rutugu rwawe. Mu ntangiriro za CRPS, gutera glucocorticoids, hamwe n'imiti igabanya ububabare cyangwa idafite, muri buri ngingo z'inyuma bishobora gufasha.
  • Imitsi igabanya ububabare: Iyi mitsi igabanya ububabare cyane kuri bamwe. Imitsi igabanya ububabare mu kibuno ikubiyemo gutera umuti ugabanya ububabare mu mugongo wo hasi, hafi y'umugongo wawe. Ibi bizitira umuyoboro ugabanya ububabare ujyana ibimenyetso by'ububabare mu mpande zawe zo hasi ukawujyana mu mugongo wawe no mu bwonko. Umuyoboro ugabanya ububabare bwa CRPS mu kuboko ko hejuru witwa stellate ganglion block . Ibi bizitira gutera umuti ugabanya ububabare mu ruhande rw'ijosi ryawe.
  • Gukangura umugongo: Ubu buryo bwo kuvura bukubiyemo kubaga igikoresho gitanga umuvuduko w'amaraso munsi y'uruhu rw'inda yawe cyangwa ku matako yawe n'insinga (electrodes) hafi y'umugongo wawe. Iki gikoresho, kimwe n'icyuma gitanga umuvuduko w'amaraso, cyohereza imiyoboro y'amashanyarazi yo hasi ku mugongo wawe. Iyi miyoboro y'amashanyarazi ihagarika ibimenyetso by'ububabare bijya mu bwonko bwawe, bikagabanya.
  • Gukangura imiterere y'imitsi yo mu ruti rw'umugongo: Ubu buryo bwo kuvura busa no gukangura imiterere y'umugongo. Ariko, insinga nto zishyirwa hejuru y'imitsi yo mu ruti rw'umugongo. Agatsi k'imitsi yo mu ruti rw'umugongo ni itsinda ry'imitsi ihuza ibyiyumvo iherereye aho imitsi yose yo mu mubiri wawe isohoka mu ruti rw'umugongo. Ni ahantu ho kujyana ibimenyetso by'ububabare biva mu mpande z'umubiri (ingingo zawe) bikajya mu ruti rw'imitsi rwo hagati (uruti rw'umugongo n'ubwonko). Ubu buryo bwo kuvura bushobora kuba uburyo bwo kuvura bwibanda kandi bufite akamaro (busaba gukangura gake) kuko bwibanda kuri izi ngingo nto zo hagati.
  • Gukangura imitsi yo mu mpande: Ubu buryo bwo kuvura bukubiyemo gushyira insinga yo gukangura hafi y'umutsi ukomeye mu kuboko/kuguru kwawe utwikira agace kababara. Bukora mu guhagarika ikimenyetso cy'ububabare kinyura mu mutsi ugenewe.
  • Gutera ketamine mu mitsi: Ubu buryo bwo kuvura bukubiyemo gutanga dose nke ya ketamine mu mitsi (IV infusion) mu gihe cy'iminsi 3 kugeza kuri 5. Ketamine ikora mu guhagarika molekile runaka mu mitsi yawe (NMDA receptor) ishobora gutuma ububabare burushaho kwiyongera.
  • Pompe z'imiti zikoreshwa mu gutera imiti mu nda:Ubu buryo bwo kuvura bukoresha catheter yashyizwemo kugira ngo butange ububabare nka Ziconotide (Prialt®) mu mazi y'umugongo wawe.

Ese CRPS ishobora kwirindwa?

Kubera ko abashakashatsi batazi impamvu nyayo ya CRPS, nta buryo bwihariye bwo kuyirinda. Ubushakashatsi bumwe bwagaragaje ko gufata vitamine C mbere yo kubagwa mu gihe kizaza bishobora gufasha gukumira CRPS.

Ni ubuhe buryo bw'ejo hazaza umuntu urwaye CRPS afite?

Ubunararibonye bwa buri wese kuri CRPS buratandukanye. Ku bantu benshi, CRPS iragenda irushaho kuba nziza uko igihe kigenda gihita, amaherezo ikagabanuka.

Ariko, indwara zikomeye cyangwa iz’igihe kirekire (zidakunze kugaragara) zishobora kugira ingaruka zikomeye ku buzima bwawe. Kuri bamwe, indwara ya CRPS ishobora kwiyongera cyane ikagera no mu bindi bice by’umubiri. Guhura n’ibibazo bikomeye byo mu mutwe mu gihe cy’imvune yateye CRPS bishobora kugira ingaruka ku buremere bw’indwara ndetse n’ubushobozi bwawe bwo gukira.

Hagati ya 10% na 30% by'abantu barwaye CRPS bashobora kongera kurwara. Impamvu nyayo itera kongera kurwara ntabwo izwi.

Intego z'ingenzi ni ukugabanya ububabare no kugarura imbaraga mu kuboko/ukuguru byafashwe. Kugabanya ububabare byongera amahirwe yo kunoza imikorere muri ako gace no ku mibereho yawe. Hamwe na gahunda zo kuvura zatoranijwe neza, bamwe mu bantu barwaye CRPS bashobora kwihanganira ububabare bwabo no kubaho ubuzima busanzwe.

Ni ibihe bihe byiza byo kujya kwa muganga?

Kubera ko iyi ndwara iba igoye kandi rimwe na rimwe idashobora kwitabwaho neza, ugomba gushaka inzobere mu kuvura ububabare cyangwa ikigo cyihariye cy’ububabare gifite ubumenyi ku bijyanye na CRPS niba ufite:

  • Niba utekereza ko ufite ibimenyetso bya `CRPS`.
  • Niba ibimenyetso byawe birimo kwiyongera.
  • Niba indwara yawe itarakira ubundi buryo bwo kuvura.

Ese CRPS ni ubumuga cyangwa indwara yo mu mutwe?

Oya, CRPS si indwara yo mu mutwe. Ni indwara y’imitsi. Ariko, CRPS ishobora gutera cyangwa ikongera imihangayiko, kwiheba, no guhangayika. Hari n’igihe ishobora no gutera indwara yo guhangayika nyuma yo guhungabana (PTSD) .

Muri Leta Zunze Ubumwe za Amerika, Ikigo gishinzwe Ubwiteganyirize bw'Abakozi cyemera ko CRPS ari ubumuga, bitewe n'uburemere bwayo n'ingaruka zayo ku buzima. Ushobora kuvugana n'abayobozi ba leta kugira ngo ubone amakuru arambuye ku bijyanye n'ibisabwa kugira ngo umuntu yemererwe kwiga.

Ubutumwa bwo kujyana mu rugo

Iyi ndwara yitwa 'Complex Regional Pain Syndrome (CRPS)' ishobora kugira ingaruka zikomeye ku buzima bwawe. Ariko inkuru nziza ni uko ishobora kuvurwa.Hari uburyo bwinshi bwo kuvura, kandi ushobora kugerageza kubuvanga. Uko umenyekanye vuba urwaye CRPS ugatangira kuvurwa, niko ibimenyetso byawe bishobora kugaragara nyuma yo kuvurwa. Niba utekereza ko ushobora kuba ufite CRPS, vugana na muganga wawe. Barahari kugira ngo bagufashe. Ntutinye, kandi ntubabare wenyine. Icy'ingenzi ni ukubona inama n'ubufasha bikwiye by'abaganga.


CRPS , indwara ikomeye y’ububabare bw’akarere, ububabare bw’imitsi, ububabare bw’amaboko n’amaguru, ububabare budakira, uburyo bwo kuvura CRPS, ibimenyetso bya 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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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha

Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.

Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha 5 + 8 =
Ese urimo kugira ububabare bukabije mu biganza no mu birenge hamwe n'impinduka z'uruhu? Bishobora kuba ari CRPS! (Complex Regional Pain Syndrome)

Ese urimo kugira ububabare bukabije mu biganza no mu birenge hamwe n'impinduka z'uruhu? Bishobora kuba ari CRPS! (Complex Regional Pain Syndrome)

Ese wigeze wibaza uko byaba bimeze kugira ububabare bukomeye kandi buhoraho mu kuboko cyangwa ku kuguru nyuma y'imvune nto, cyangwa wenda nta mpamvu igaragara? Hari abantu bahuye n'ibi. Uyu munsi tugiye kuvuga kuri imwe muri izo ndwara, `Complex Regional Pain Syndrome (CRPS). Ntutinye, ni ngombwa cyane kubimenya.

CRPS ni iki? Mu magambo make...

Mu magambo make, `Complex Regional Pain Syndrome`, cyangwa `(CRPS)`, ni indwara itera ububabare bukomeye mu gice runaka cy'umubiri wawe, akenshi ukuboko, ukuguru, ikiganza, cyangwa igitsinsino , hamwe n'ibindi bimenyetso byinshi, nko guhinduka kw'ibara ry'uruhu no kubyimba muri ako gace. Tekereza, ikibazo ku kuboko cyangwa ukuguru kwawe gituma bidashoboka gukora mu buzima bwawe bwa buri munsi, ntushobora gusinzira neza nijoro, kandi bigira ingaruka zikomeye ku buzima bwawe bwo mu mutwe.

Abaganga bemeza ko CRPS iterwa n'imikorere mibi y'imitsi yo mu mutwe ( ubwonko n'umugongo) cyangwa imitsi yo mu mpande ( imitsi ijyana ubutumwa buva mu bwonko no mu mugongo ku zindi ngingo, amaguru n'amaboko). Muri iki gihe, imitsi yacu irakira cyane iyo ibonye ibimenyetso by'ububabare kandi ntishobore guhagarika iyo mikorere.

Hari ubwoko bubiri bw'ingenzi bwa CRPS:

1. Ubwoko bwa I: Muri ibi , nta kwangirika kw'imitsi. Ibi bikunze kubaho nyuma y'uburwayi cyangwa impanuka. Ariko, impanuka ntiyangije imitsi mu buryo butaziguye. Ibi byari byitwaga ``Reflex Sympathetic Dystrophy```.

2. Ubwoko bwa kabiri: Iki ni ikimenyetso cyerekana neza ko imitsi yangiritse. Ibi byari byitwaga `Causalgia`.

CRPS ishobora kuba iy'igihe gito (ikomeye) cyangwa iy'igihe kirekire (imara amezi arenga atandatu) . Ku bw'amahirwe, akenshi ishobora kuvurwa no gukira.

Ni nde ushobora kurwara CRPS cyane?

CRPS ikunze kugaragara cyane mu bantu bakuru kurusha mu bana. Akenshi igera ku kigero cy’imyaka 40. Abagore bafite amahirwe menshi yo kurwara CRPS kurusha abagabo.

Ubushakashatsi bwagaragaje ko iyi ndwara igaragara mu bantu bafite inkomoko mu Burayi, aho igaragara hagati ya 66% na 80%. Ariko, ni indwara idakunze kugaragara. Urugero, muri Leta Zunze Ubumwe za Amerika, abantu bagera ku 200.000 ni bo bandura buri mwaka.

Ni ibihe bimenyetso bya CRPS? Wabimenya ute ?

Uburemere n'igihe ibimenyetso bya CRPS bimara biratandukanye bitewe n'umuntu ku giti cye.

Ubusanzwe ikintuIbimenyetso bya CRPS bikunze gutangira nyuma y'ibyumweru bine kugeza kuri bitandatu nyuma y'imvune, kuvunika cyangwa kubagwa . Ariko, rimwe na rimwe ibi bimenyetso bishobora kugaragara nta mpamvu igaragara.

Ikimenyetso cy'ingenzi kandi kigaragara cyane cya CRPS ni ububabare. Ubu bubabare bushobora kuba buhoraho cyangwa bukaza bugashira. Akenshi bumera nk'ububabare butwika, bubabaza, cyangwa bucika . Ubu bubabare bukunze kugaragara mu kuboko cyangwa ku kuguru byafashwe.

Byongeye kandi, impinduka mu bwonko zishobora kugaragara mu gace kagizweho ingaruka:

  • Kongera ubushobozi bwo kumva ibintu bibabaza: Urugero, no gukanda gato bishobora kubabaza cyane kurusha uko bisanzwe.
  • Kumva ububabare buturutse ku kintu ubusanzwe kidatera ububabare: Ndetse no gukora ku ruhu gusa bishobora gutera ububabare.
  • Ushobora kumva ufite ibinya .

Dore ibindi bimenyetso:

  • Kubyimba uruhu: Kubyimba bishobora kuza bikagenda, cyangwa bikaba bigikomeza.
  • Kugabanuka k'imikorere y'ukuboko cyangwa ukuguru kwangiritse: Bishobora kugorana kwimura ukuboko cyangwa ukuguru kwangiritse, cyangwa bigashobora kumva bikomereye. Bishobora kandi kugorana gushyira ibiro ku kuboko/ukuguru kwangiritse cyangwa gushyira ibiro ku ngingo.
  • Impinduka mu bushyuhe bw'uruhu: Ikiganza/ikirenge cyafashwe gishobora kumva gishyushye cyangwa gikonje kurusha ikindi.
  • Guhindura ibara ry'uruhu: Uruhu rushobora kugaragara nk'urufite uduce duto, rutoshye, rufite umuhengeri/udukonje, cyangwa rutukura ahantu runaka.
  • Impinduka mu miterere y'uruhu: Uruhu rushobora kuba rubengerana, rukagabanuka, cyangwa rukabira ibyuya cyane.
  • Impinduka mu mikurire y'inzara n'umusatsi: Inzara n'umusatsi muri ako gace bishobora gukura vuba, cyangwa ntibikure na gato.

Kubera ko ibimenyetso bya `CRPS` bikunze kwiyongera uko igihe kigenda gihita, biroroha ko abaganga babimenya mu ntangiriro. Kubwibyo, niba ufite ibi bimenyetso, ni ngombwa cyane kujya kwa muganga vuba bishoboka.

Kuki CRPS itera? Ni izihe mpamvu?

Abashakashatsi ntibaramenya neza impamvu bamwe mu bantu bafite imvune imwe barwara CRPS abandi ntibayirwara. Batekereza ko ishobora guterwa no kubyimba cyangwa ubudahangarwa bw'umubiri mu mitsi yo mu mpande no mu mitsi yo hagati .

Kenshi na kenshi, hejuru ya 90%, CRPS iterwa n'ihungabana cyangwa gukomereka kw'imitsi yo mu kuboko cyangwa ukuguru byafashwe.Kubera ko. Izi mvune zangiza imitsi yoroshye cyane y’ibyumviro n’iy’umubiri wacu. Iyi mitsi mito ni yo ijyana ububabare, uburyaryate n’ubushyuhe mu bwonko bwacu. Ni na yo igenzura ubuzima rusange bw’imitsi mito y’amaraso n’uturemangingo tuyikikije.

Imvune ikunze kugaragara iterwa na CRPS ni ukuvunika kw'igufwa , cyane cyane kuvunika kw'ukuboko. Imitsi ishobora kwangirika iyo igufwa ricitse cyangwa rivunitse, cyangwa iyo igufwa rifunze cyane riteye umuvuduko.

Izindi mvune zikunze gutera CRPS zirimo:

  • Kubagwa: Imitsi ishobora kwangirika bitewe no gukata, kudoda, cyangwa inkovu mu gihe cyo kubagwa.
  • Gucika intege cyangwa gucika intege: Iyo ingingo ihuza ingingo yangiritse, ingingo ishobora kwimuka cyane, ibyo bikaba byatera imitsi iri hafi aho gucika intege cyane.
  • Gutwika, gukomereka, cyangwa gukomereka: Ibi byose ni ibikomere bigaragara, ariko bishobora no kwangiza imitsi iri munsi.

Hari igihe CRPS ishobora kugaragara nta mvune igaragara. Cyangwa se guhagarika kugenda igihe kirekire nabyo bishobora kuba impamvu.

Hari ibintu bimwe na bimwe byongera ibyago byo kurwara CRPS:

  • Ubuzima bubi bw'imitsi: Abantu barwaye indwara nka diyabete ntibabasha kwihanganira no gukira. Abantu barwaye indwara ya neuropathy yo mu mitsi bashobora no kugorwa no kuvugurura uturemangingo tw'imitsi, ndetse no mu bikomere bisanzwe bitabatera ikibazo. Abantu banywa itabi n'abahoze bahabwa imiti ivura kanseri na bo bashobora kugorwa no kuvugurura imitsi.
  • Ibibazo by’ubudahangarwa bw’umubiri: Ubudahangarwa bw’umubiri bugira uruhare runini mu gutera ububyimbirwe mu mibiri yacu. Bamwe mu bantu barwaye CRPS bafite urugero rwo hejuru rw’ibinyabutabire byitwa cytokines . Ibi bigira uruhare mu bimenyetso bimwe na bimwe bya CRPS. CRPS ikunze kugaragara ku bantu bafite izindi ndwara ziterwa n’ububyimbirwe n’iziterwa n’ubwiyongere bw’umubiri, nka asima .
  • Ibintu bigize imiterere y’uturemangingo: Uturemangingo twawe dushobora no kugira ingaruka ku buryo ukira imvune. Abashakashatsi basanze CRPS ikunda kugaragara mu miryango (`amatsinda y’imiryango`). Nubwo ibi bidakunze kubaho, bigaragaza ko CRPS ishobora kuba ifite isano n’uturemangingo.

Wamenya ute neza ko ufite CRPS? (Isuzuma)

Kubera ko CRPS ari indwara idakunze kugaragara kandi abaganga ntibayisobanukirwe neza, rimwe na rimwe ipimwa nabi.

Kumenya 'CRPS'Nta kizamini cyihariye gitangwa. Abaganga basuzuma ahanini indwara bakurikije amateka y’uburwayi bwabo, bagakora isuzuma ry’umubiri, kandi bakareba ibimenyetso by’uburwayi bwawe. Muganga azabaza kandi niba hari ibikomere cyangwa abaganga baherutse kubaga.

Muganga azareba ibi bintu by’umwihariko:

  • Impinduka mu miterere, ubushyuhe, n'imiterere y'uruhu mu gace karwaye.
  • Kugira ububabare bwinshi kurusha uko byari byitezwe ku gikomere.
  • Niba hari indi ndwara cyangwa indwara ishobora gutera ububabare bwawe, impinduka z'uruhu, cyangwa ibindi bimenyetso.

Ibipimo byo gupima amashusho nka ultrasound cyangwa magnetic resonance imaging (MRI) bishobora gukorwa kugira ngo harebwe niba hari ibyangiritse mu mitsi. Ariko, ibyangiritse mu mitsi bishobora kutaboneka buri gihe.

Muganga wawe ashobora kandi gutegeka ibindi bipimo kugira ngo agaragaze izindi ndwara zishobora gutera ibimenyetso bisa. Urugero, ikizamini cya electromyography (EMG) gishobora kugaragaza izindi mpamvu zitera indwara z'imitsi, rimwe na rimwe zishobora gutera ububabare nk'ubwo.

Ni ubuhe buryo bwo kuvura CRPS?

Intego z'ingenzi zo kuvura ni ukugabanya ububabare bwawe n'ibindi bimenyetso, gusubiza imikorere y'ukuboko/ukuguru byangiritse, no kubungabunga ubuzima bwawe.

Ni ngombwa cyane gutangira kuvurwa hakiri kare mu gihe cya CRPS. Ibi biterwa nuko uko igihe kigenda gihita, urugingo rwangiritse rushobora gukomera (`stiffen`). Iyo rutavuwe, ububabare bukunze kwiyongera, kandi bikagorana kwimura urugingo rwangiritse.

Niba bishoboka, ni byiza kujya kwa muganga ufite uburambe mu kuvura indwara za CRPS. Ubuvuzi bukubiyemo uburyo butandukanye butandukanye, bugacungwa neza hamwe. Muri ubwo buryo harimo:

  • Ubuvuzi bw'umubiri n'ubuvuzi bw'akazi.
  • Impinduka mu mibereho.
  • Ubuvuzi bw'imitekerereze n'imyitwarire.
  • Imiti.
  • Ubundi buryo bwo kuvura ububabare.

Ku bana bato bafite CRPS, uburyo bw'ingenzi bwo kuvura indwara zo mu mutwe no kuvura indwara zo mu mutwe ni bwo buryo bw'ingenzi bwo kuvura . Imiti igabanya ububabare ikunze kwitabwaho gusa ku bana bakuru bafite ibimenyetso bidakira ubundi buryo bwo kuvura.

Ubuvuzi bw'umubiri n'ubuvuzi bw'akazi

Bumwe mu buryo bw'ingenzi bwo kuvura CRPS ni ubuvuzi bw'umubiri.Umuganga w’imitsi ashobora kunoza urujya n’uruza rw’amaraso mu kuboko/ukuguru kwawe kwangiritse, kandi ashobora no gukoresha imyitozo ngororamubiri yihariye kugira ngo yongere ubwiyongere bwawe, imbaraga, imitsi, n’imikorere. Umuganga w’imitsi ashobora kukwigisha uburyo bushya bwo gukora imirimo ya buri munsi.

Izindi ngingo zo kuvura CRPS zirimo:

  • `Ishusho y'imashini ipima amanota`: Iyi ni urukurikirane rw'uburyo bwo kuvura bugabanya ububabare kandi bukongera ubushobozi bwo kwimura igice cy'umubiri cyafashwe. Iyo ukuboko cyangwa ukuguru kwawe bibabaza, biragorana kubikoraho, kubihindura, cyangwa kubikoresha. Nanone, ubwonko bwacu bufite kwibuka, cyangwa ``ikarita``, y'ibice bitandukanye by'umubiri. Uko bumva, uko bihindura, n'uko bikoreshwa mu mirimo ya buri munsi. Iyo udakozeho, utimutse, cyangwa ngo ukoreshe ukuboko/ukuguru byafashwe, iyi karita itangira guhinduka ndetse ishobora no kuzimira. Ariko ukoresheje ubu buryo bwa ``Ishusho y'imashini ipima amanota``, ushobora guhindura cyangwa kongera gushyiraho iyi karita.
  • Ubuvuzi bw'indorerwamo: Ubu ni ubwoko bwa Graded Motor Imagery. Ureba ukuboko/ukuguru kwawe kudafite ingaruka mu ndorerwamo. Ishusho y'indorerwamo izasa neza n'ukuboko/ukuguru kwafashwe. Ibi bishobora "gushuka" ubwonko bwawe bugatekereza ko ukuboko/ukuguru kwababara ubu kurimo kumva no kugenda neza.
  • `Gukuraho ububabare`: Ubu buryo bukubiyemo gukora ku gace kagize ikibazo ukoresheje ibintu bifite imiterere n'uburemere butandukanye, no gushyira ikiganza/ikirenge cyagize ikibazo mu mazi ashyushye n'akonje. Uko igihe kigenda gihita, uko ushyira agace kagize ikibazo mu buryo butandukanye, ubwonko bwawe bumenyera ubwo buryo maze ububabare bugatangira kugabanuka.

Impinduka mu mibereho

Ushobora kongera amahirwe n'umuvuduko wo gukira ukuraho bimwe mu bintu bibangamira gukira kw'imitsi yawe. Ibi birimo:

  • Kureka kunywa itabi: Kunywa itabi ni imbogamizi ikomeye ku mitsi.
  • Gukemura ibibazo by'ubuzima biriho: Iyo indwara zigira ingaruka ku mikorere y'amaraso n'imitsi, nka diyabete, zidafashwe neza, bishobora kugorana gukira kw'imitsi.

Dore izindi ntambwe zoroshye ushobora gutera uri mu rugo kugira ngo ufashe ibimenyetso byawe:

  • Gukomeza ukuboko/ukuguru byafashwe hejuru gato mu gihe uruhuka cyangwa usinziriye bifasha amazi y'inyongera kugaruka mu mutima.
  • Gukora imyitozo ngororamubiri buri gihe ni ingenzi kugira ngo amaraso atembera neza mu mitsi yangiritse. Vugana na muganga wawe cyangwa umuvuzi w'umubiri ku byerekeye gahunda y'imyitozo ngororamubiri ikubereye.
  • Kwambara amasogisi cyangwa amaboko yo gukanda, cyane cyane iyo uhagaze, bishobora kugabanya kubyimba. Baza muganga wawe niba ari amahitamo yawe.

Ubuvuzi bw'imitekerereze n'imyitwarire

Kugira CRPS bijyana no kwiyongera k'imihangayiko, kwiheba, no guhangayika . Ibi bishobora kandi gutuma ububabare burushaho kwiyongera. Ubuvuzi bw'imitsi bushobora gufasha. Ubuvuzi bw'imitsi (buzwi kandi nk'ubuvuzi bwo kuvuga) ni ijambo rusange risobanura uburyo butandukanye bwo kuvura bufasha umuntu kumenya no guhindura amarangamutima, ibitekerezo, n'imyitwarire mibi.

Niba bishoboka, ni byiza kureba inzobere mu by’imitekerereze ya muntu mu bijyanye no kuvura ububabare wahuguwe ku kuvura indwara za CRPS. Mu bijyanye no kuvura indwara za psychotherapy, uganira n’inzobere mu by’imitekerereze ya muntu ukamenya uburyo bwo guhangana neza n’ibintu bituma ububabare bwawe n’ibindi bimenyetso bikubabaza.

Imiti

Nta miti yemewe by’umwihariko kuri CRPS muri Leta Zunze Ubumwe za Amerika. Ariko, muganga wawe ashobora kukwandikira imiti imwe n’imwe kugira ngo igufashe mu kugabanya ibimenyetso byawe.

Ubwoko butandukanye bw'imiti igabanya ububabare:

  • Imiti igabanya ububyimbirwe itari iya steroide (NSAIDs): Ingero zirimo acetaminophen, ibuprofen, na naproxen.
  • Amavuta yo kugabanya ububabare n'udusimba two mu mutwe: Urugero, Lidocaine.
  • Imwe mu miti igabanya ubukana bw'imitsi: Ingero zirimo Amitriptyline na Duloxetine.
  • Imiti igabanya ihungabana ry'umubiri: Ingero zirimo Gabapentin, Pregabalin, na Topiramate.
  • Bisphosphonates: Urugero, Alendronate.
  • Inshinge za Botulinum Toxin (Botox).

Amahitamo yo gutangira imiti aratandukanye bitewe n'umuntu ku giti cye. Muganga wawe azasuzuma ibintu byinshi birimo:

  • imyaka yawe.
  • Izindi ndwara zisanzweho.
  • Imiti iyo ari yo yose urimo gufata ubu.
  • Ingaruka mbi zishobora guterwa n'umuti cyangwa ingaruka zawo ku miti urimo gufata ubu.

Ubundi buryo bwo kuvura ububabare

Ubundi buryo bwo kuvura ububabare bushobora kuba burimo:

  • `Ibitekerezo bya Bio`
  • "Acupuncture"
  • "Hypnosis"
  • `Reiki`
  • `Ubuvuzi bwa Chiropraktike`

Uburyo bwinshi bwo kuvura buterwa n'inzoga

Niba indwara yawe ya CRPS itakiriye neza imiti yavuzwe haruguru, cyangwa niba ufite ububabare bukomeye cyangwa CRPS idakira, muganga wawe ashobora kukugira inama yo kuvura iyi miti idakunze kuvura:

  • Gutera ingingo z'inyuma/iz'inyuma: Iyo CRPS igarukira ku maboko yawe yo hejuru, ushobora kugira ingingo z'inyuma mu mitsi yo mu rutugu rwawe. Mu ntangiriro za CRPS, gutera glucocorticoids, hamwe n'imiti igabanya ububabare cyangwa idafite, muri buri ngingo z'inyuma bishobora gufasha.
  • Imitsi igabanya ububabare: Iyi mitsi igabanya ububabare cyane kuri bamwe. Imitsi igabanya ububabare mu kibuno ikubiyemo gutera umuti ugabanya ububabare mu mugongo wo hasi, hafi y'umugongo wawe. Ibi bizitira umuyoboro ugabanya ububabare ujyana ibimenyetso by'ububabare mu mpande zawe zo hasi ukawujyana mu mugongo wawe no mu bwonko. Umuyoboro ugabanya ububabare bwa CRPS mu kuboko ko hejuru witwa stellate ganglion block . Ibi bizitira gutera umuti ugabanya ububabare mu ruhande rw'ijosi ryawe.
  • Gukangura umugongo: Ubu buryo bwo kuvura bukubiyemo kubaga igikoresho gitanga umuvuduko w'amaraso munsi y'uruhu rw'inda yawe cyangwa ku matako yawe n'insinga (electrodes) hafi y'umugongo wawe. Iki gikoresho, kimwe n'icyuma gitanga umuvuduko w'amaraso, cyohereza imiyoboro y'amashanyarazi yo hasi ku mugongo wawe. Iyi miyoboro y'amashanyarazi ihagarika ibimenyetso by'ububabare bijya mu bwonko bwawe, bikagabanya.
  • Gukangura imiterere y'imitsi yo mu ruti rw'umugongo: Ubu buryo bwo kuvura busa no gukangura imiterere y'umugongo. Ariko, insinga nto zishyirwa hejuru y'imitsi yo mu ruti rw'umugongo. Agatsi k'imitsi yo mu ruti rw'umugongo ni itsinda ry'imitsi ihuza ibyiyumvo iherereye aho imitsi yose yo mu mubiri wawe isohoka mu ruti rw'umugongo. Ni ahantu ho kujyana ibimenyetso by'ububabare biva mu mpande z'umubiri (ingingo zawe) bikajya mu ruti rw'imitsi rwo hagati (uruti rw'umugongo n'ubwonko). Ubu buryo bwo kuvura bushobora kuba uburyo bwo kuvura bwibanda kandi bufite akamaro (busaba gukangura gake) kuko bwibanda kuri izi ngingo nto zo hagati.
  • Gukangura imitsi yo mu mpande: Ubu buryo bwo kuvura bukubiyemo gushyira insinga yo gukangura hafi y'umutsi ukomeye mu kuboko/kuguru kwawe utwikira agace kababara. Bukora mu guhagarika ikimenyetso cy'ububabare kinyura mu mutsi ugenewe.
  • Gutera ketamine mu mitsi: Ubu buryo bwo kuvura bukubiyemo gutanga dose nke ya ketamine mu mitsi (IV infusion) mu gihe cy'iminsi 3 kugeza kuri 5. Ketamine ikora mu guhagarika molekile runaka mu mitsi yawe (NMDA receptor) ishobora gutuma ububabare burushaho kwiyongera.
  • Pompe z'imiti zikoreshwa mu gutera imiti mu nda:Ubu buryo bwo kuvura bukoresha catheter yashyizwemo kugira ngo butange ububabare nka Ziconotide (Prialt®) mu mazi y'umugongo wawe.

Ese CRPS ishobora kwirindwa?

Kubera ko abashakashatsi batazi impamvu nyayo ya CRPS, nta buryo bwihariye bwo kuyirinda. Ubushakashatsi bumwe bwagaragaje ko gufata vitamine C mbere yo kubagwa mu gihe kizaza bishobora gufasha gukumira CRPS.

Ni ubuhe buryo bw'ejo hazaza umuntu urwaye CRPS afite?

Ubunararibonye bwa buri wese kuri CRPS buratandukanye. Ku bantu benshi, CRPS iragenda irushaho kuba nziza uko igihe kigenda gihita, amaherezo ikagabanuka.

Ariko, indwara zikomeye cyangwa iz’igihe kirekire (zidakunze kugaragara) zishobora kugira ingaruka zikomeye ku buzima bwawe. Kuri bamwe, indwara ya CRPS ishobora kwiyongera cyane ikagera no mu bindi bice by’umubiri. Guhura n’ibibazo bikomeye byo mu mutwe mu gihe cy’imvune yateye CRPS bishobora kugira ingaruka ku buremere bw’indwara ndetse n’ubushobozi bwawe bwo gukira.

Hagati ya 10% na 30% by'abantu barwaye CRPS bashobora kongera kurwara. Impamvu nyayo itera kongera kurwara ntabwo izwi.

Intego z'ingenzi ni ukugabanya ububabare no kugarura imbaraga mu kuboko/ukuguru byafashwe. Kugabanya ububabare byongera amahirwe yo kunoza imikorere muri ako gace no ku mibereho yawe. Hamwe na gahunda zo kuvura zatoranijwe neza, bamwe mu bantu barwaye CRPS bashobora kwihanganira ububabare bwabo no kubaho ubuzima busanzwe.

Ni ibihe bihe byiza byo kujya kwa muganga?

Kubera ko iyi ndwara iba igoye kandi rimwe na rimwe idashobora kwitabwaho neza, ugomba gushaka inzobere mu kuvura ububabare cyangwa ikigo cyihariye cy’ububabare gifite ubumenyi ku bijyanye na CRPS niba ufite:

  • Niba utekereza ko ufite ibimenyetso bya `CRPS`.
  • Niba ibimenyetso byawe birimo kwiyongera.
  • Niba indwara yawe itarakira ubundi buryo bwo kuvura.

Ese CRPS ni ubumuga cyangwa indwara yo mu mutwe?

Oya, CRPS si indwara yo mu mutwe. Ni indwara y’imitsi. Ariko, CRPS ishobora gutera cyangwa ikongera imihangayiko, kwiheba, no guhangayika. Hari n’igihe ishobora no gutera indwara yo guhangayika nyuma yo guhungabana (PTSD) .

Muri Leta Zunze Ubumwe za Amerika, Ikigo gishinzwe Ubwiteganyirize bw'Abakozi cyemera ko CRPS ari ubumuga, bitewe n'uburemere bwayo n'ingaruka zayo ku buzima. Ushobora kuvugana n'abayobozi ba leta kugira ngo ubone amakuru arambuye ku bijyanye n'ibisabwa kugira ngo umuntu yemererwe kwiga.

Ubutumwa bwo kujyana mu rugo

Iyi ndwara yitwa 'Complex Regional Pain Syndrome (CRPS)' ishobora kugira ingaruka zikomeye ku buzima bwawe. Ariko inkuru nziza ni uko ishobora kuvurwa.Hari uburyo bwinshi bwo kuvura, kandi ushobora kugerageza kubuvanga. Uko umenyekanye vuba urwaye CRPS ugatangira kuvurwa, niko ibimenyetso byawe bishobora kugaragara nyuma yo kuvurwa. Niba utekereza ko ushobora kuba ufite CRPS, vugana na muganga wawe. Barahari kugira ngo bagufashe. Ntutinye, kandi ntubabare wenyine. Icy'ingenzi ni ukubona inama n'ubufasha bikwiye by'abaganga.


CRPS , indwara ikomeye y’ububabare bw’akarere, ububabare bw’imitsi, ububabare bw’amaboko n’amaguru, ububabare budakira, uburyo bwo kuvura CRPS, ibimenyetso bya 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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