Ese ubu bubabare budasanzwe udashobora kwiyumvisha? Ibi bishobora kuba bireba CRPS! (Complex Regional Pain Syndrome - CRPS)

Ese wigeze ugira igikomere gito ku kuboko cyangwa ku kuguru, ndetse na nyuma yo gukira, ugakomeza kumva ububabare bukabije no gushya? Hari igihe igice cy'igikomere cyabyimbaga, uruhu rugahinduka ibara, kandi ukumva ibyuya bidasanzwe? Abantu benshi batekereza ko ibi ari ibisanzwe iyo bahuye nabyo. Ariko, ibi bishobora kuba ikimenyetso cy'indwara idasanzwe ariko ibabaza cyane yitwa 'Complex Regional Pain Syndrome' cyangwa CRPS . Reka tubiganireho mu magambo yoroheje uyu munsi.

CRPS ni iki mu by'ukuri?

Muri make, CRPS ni indwara itera ububabare bukomeye kandi burambye mu gice runaka cy'umubiri wawe, cyane cyane ukuboko, ukuguru, ikiganza, cyangwa ikirenge . Ubu bubabare bushobora guherekezwa n'ibindi bimenyetso byinshi, nko guhindura ibara ry'uruhu no kubyimba.

Abaganga bemeza ko impamvu nyamukuru ibitera ari impinduka mu mikorere y’imitsi yacu, ari yo ubwonko, uruti rw’umugongo, n’imitsi mu mubiri wose (imitsi yo hagati n’iy’impande). Tekereza ku mikorere y’umubiri wacu nk’intabaza ivuza iyo umujura yinjiye mu nzu yacu. Iyo tugize imvune nto, iyi ntabaza iravuza, bivuze ko twumva ububabare. Ariko muri CRPS, iyi ntabaza ikomeza gusohoka nubwo imvune imaze gukira. Ibi bivuze ko tutagishobora kugenzura ibimenyetso by’ububabare.

Hari ubwoko bubiri bw'ingenzi bwa CRPS:

Iyi ndwara ikunze kugaragara ku bagore kurusha abagabo. Nubwo ishobora kugaragara mu myaka iyo ari yo yose, akenshi ikunze kugaragara nyuma y'imyaka 40.

Ni ibihe bimenyetso bya CRPS?

Ibimenyetso bya CRPS bishobora gutandukana bitewe n'umuntu, kandi ubukana bwabyo bushobora gutandukana. Ibimenyetso bikunze gutangira kugaragara mu byumweru bine kugeza kuri bitandatu nyuma yo gukomereka, kuvunika cyangwa kubagwa.

Ikimenyetso cy'ingenzi kandi gikomeye cyane ni ububabare . Ubu bubabare si ububabare busanzwe gusa.

• Ububabare bumeze nk'ubushyuhe buhoraho .
• Ububabare bumeze nk'aho urushinge rucitse cyangwa rwaracitse .
• Akenshi, ububabare bumera nk'aho buturuka mu kuboko cyangwa ku kuguru kurimo ububabare.

Uretse ubu bubabare, hari n'ibindi bimenyetso byinshi bishobora kugaragara mu gace kagize ikibazo. Kugira ngo byorohe, reka tubirebe mu mbonerahamwe .

Kuki CRPS itera imbere?

Abashakashatsi ntibaramenya neza impamvu umuntu umwe ufite imvune imwe arwara CRPS undi ntayigire, ariko bizera ko biterwa n'ingaruka zidasanzwe mu bwirinzi bw'umubiri n'ubwonko .

Abantu benshi (barenga 90%) barwaye CRPS baterwa no kwangirika kw'imitsi yoroshye cyane yo mu kuboko cyangwa ku kuguru bitewe n'igikomere.

Impamvu zimwe na zimwe zisanzwe ni izi:

• Kuvunika: Kuvunika, cyane cyane mu kuboko , ni yo mpamvu ikomeye itera CRPS. Hari igihe, nubwo haba hari umutsi upfutse, imitsi ishobora gukandamizwa.
• Kubagwa: Mu gihe cyo kubagwa, imitsi ishobora kwangirika bitewe no gukata no kudoda uruhu.
• Gucika intege: Iyo ingingo icitse intege, imitsi iyikikije ishobora gucika intege.
• Gushya, gukomereka, cyangwa gukomereka: Ubwo bwoko bw'ibikomere byo hanze bushobora no kwangiza imitsi iri munsi y'uruhu.

Hari igihe CRPS ishobora kubaho nta gikomere kigaragara, kandi hari abantu baba bafite ibyago byinshi byo kurwara iyi ndwara.

• Indwara z'imitsi: Abantu barwaye indwara nka diyabete bafite ubushobozi buke bwo gukiza imitsi yabo. Abantu banywa itabi nabo bagorwa no gukira.
• Ibibazo by'ubudahangarwa bw'umubiri: Abantu bafite indwara nka asima baba bafite ibinyabutabire byinshi byo kubyimbirwa (cytokines) mu mibiri yabo, ibyo byongera ibyago byo kurwara CRPS.
• Impamvu ziterwa n'uturemangingo: Nubwo ari gake cyane, hari raporo z'uko abagize umuryango benshi barwaye indwara ya CRPS.

Ni gute umuganga asuzuma indwara ya CRPS?

Nta kizamini cyihariye gitangwa cyo gusuzuma CRPS. Kubwibyo, umuganga azasuzuma indwara akurikije ibimenyetso byawe, amateka y'ubuzima bwawe (imvune uherutse kugira, kubagwa), ndetse n'isuzuma ry'umubiri.

Muganga wawe azibanda cyane cyane kuri ibi bintu:

• Ese hari ububabare budasanzwe burenze ingano y'igikomere?
• Ese hari impinduka mu miterere y'uruhu, ubushyuhe n'imiterere yarwo mu gace karwaye?
• Ese hari izindi ndwara zishobora gutera ibi bimenyetso?

Hari igihe hakorwa isuzuma rya ultrasound cyangwa isuzuma rya MRI kugira ngo harebwe niba hari ibyangiritse mu mitsi.Umuntu ashobora no gukorwa. Nanone, ibizamini nka EMG (Electromyography) bishobora gukorwa kugira ngo hamenyekane izindi ndwara z'imitsi zigaragaza ibimenyetso bisa.

Ni ubuhe buryo bwo kuvura CRPS?

Intego nyamukuru zo kuvura CRPS ni ukugabanya ububabare, gusubiza imikorere y'ukuboko/ukuguru byafashwe, no kubungabunga ubuzima bwawe. Uko ubuvuzi butangira vuba, ni ko umusaruro uba mwiza. Iyo butavuwe, ububabare bushobora kwiyongera, ukuboko/ukuguru bishobora gukomera, kandi ushobora kunanirwa kubuhindura.

Uburyo butandukanye bwo kuvura ni bwo buryo butanga umusaruro mwinshi.

Ubuvuzi bw'umubiri n'ubw'akazi

Iki ni igice cy'ingenzi kandi cy'ingenzi mu kuvura indwara ya CRPS.

• Umuganga w’imiti azakwigisha imyitozo ngororamubiri yihariye ishobora kongera amaraso mu gace k’ububabare no kongera ubworoherane n’imbaraga.
• Umuganga w’inzobere mu by’ubuzima bw’umubiri yigisha uburyo bushya bwo gukora imirimo ya buri munsi (urugero: kwambara, kurya) nta bubabare bwinshi.

Byongeye kandi, hari uburyo bwihariye nka 'Mirror Therapy'. Muri ibi, wicara imbere y'indorerwamo, ugahisha ukuboko/ukuguru kubabara, hanyuma ugashyira ukuboko/ukuguru gufite ubuzima bwiza imbere yawe. Hanyuma, indorerwamo igaragaza ko ukuboko/ukuguru kubabara bigenda neza. Ibi byagaragaye ko 'bishuka' ubwonko bwacu kugira ngo bugabanye ububabare.

Impinduka mu mibereho

• Irinde kunywa itabi: Kunywa itabi ni imbogamizi ikomeye mu gukira kw'imitsi.
• Kuvura izindi ndwara: Ni ngombwa gucunga neza indwara nka diyabete.
• Kuzamura ukuboko/ukuguru: Kuzamura ukuboko/ukuguru kubabara mu gihe usinziriye cyangwa uruhuka, nko ku musego, bizagabanya kubyimba.
• Imyitozo ngororamubiri: Imyitozo ngororamubiri ya buri munsi ni myiza cyane mu gutembera kw'amaraso.
• Amasogisi yo gukanda: Muganga wawe ashobora kukugira inama yo kwambara aya masogisi kugira ngo ugabanye kubyimba.

Inkunga ku buzima bwo mu mutwe

Ni ibisanzwe kumva ufite agahinda, uburakari, no guhangayika iyo ubayeho ufite ububabare budakira. Ibi bintu bishobora gutuma ububabare burushaho kwiyongera. Kubwibyo, gusaba inama ku birebana n'imitekerereze bishobora gufasha cyane mu guhangana n'ububabare mu mutwe no mu byiyumvo.

Imiti (imiti)

Nta muti wihariye wemejwe kuri CRPS. Ariko, muganga ashobora kuguha imiti itandukanye kugira ngo afashe mu kurwanya ibimenyetso.

• Imiti igabanya ububabare ( NSAIDs )
• Amavuta yo kugabanya ububabare bw'uruhu
• Imiti imwe n'imwe igabanya ububabare bw'imitsi n'imiti igabanya ububabare bw'imitsi
• Inshinge za Botox

Ubundi buryo bwihariye bwo kuvura ububabare

Iyo ubundi buryo bwo kuvura bugoye kugenzura ububabare, muganga ashobora gukoresha ubundi buryo bugoye nk'ubu.

• Imitsi igabanya ububabare: Gutera umuti ugabanya ububabare kugira ngo imitsi ijyana ibimenyetso by'ububabare mu bwonko by'agateganyo 'isinzirize' by'agateganyo.
• Gukangura umugongo: Electrode ntoya ibagwa hafi y'umugongo igatanga ibimenyetso by'amashanyarazi bito bibuza ibimenyetso by'ububabare.
• Gutera ketamine mu mitsi: Ingano nto y'umuti wa ketamine itangwa binyuze mu mitsi mu gihe cy'iminsi myinshi.

Ni iki wakwitega mu gihe ubana na CRPS?

Ubunararibonye bwa buri wese kuri CRPS si bumwe. Ku bantu benshi, uko igihe kigenda gihita kandi bakavurwa neza, ibimenyetso biragabanuka kandi hafi ya bose bazakira burundu.

Ariko, mu bihe bidasanzwe, iyi ndwara ishobora gukomera cyangwa igakwirakwira mu bindi bice by'umubiri. Kubwibyo, ni ngombwa kugenzura ububabare no gukomeza gukora neza mu kuboko/kuguru. Hamwe n'uburyo bwiza bwo kuvura, abantu benshi bashobora kubaho ubuzima busanzwe bafite CRPS.

Ese CRPS ni indwara yo mu mutwe?

Oya. CRPS si indwara yo mu mutwe. Ni indwara y’imitsi. Ariko, ububabare bukomeye n’ingaruka ku buzima biterwa na CRPS bishobora guteza cyangwa bikarushaho kwiyongera ibibazo by’ubuzima bwo mu mutwe nko guhangayika no kwiheba.