Ngaba wakha wazibuza ukuba kuya kuba njani ukuva iintlungu ezinzima nezingapheliyo engalweni okanye emlenzeni emva kokwenzakala okuncinci, okanye mhlawumbi ngaphandle kwesizathu esicacileyo? Abanye abantu baye bahlangabezana noku. Namhlanje siza kuthetha ngenye yeemeko ezinjalo, `iComplex Regional Pain Syndrome (CRPS). Musa ukoyika, kubaluleke kakhulu ukuqaphela oku.
Yintoni i-CRPS? Ngamafutshane...
I-'Complex Regional Pain Syndrome', okanye `(CRPS)` ngamafutshane, yimeko ebangela iintlungu eziqatha kwinxalenye ethile yomzimba wakho, idla ngokuba yingalo, umlenze, intende, okanye iqakala , kunye nezinye iimpawu ezininzi, ezinje ngokutshintsha kombala wolusu kunye nokudumba kuloo ndawo. Khawucinge nje, ingxaki engalweni okanye emlenzeni wakho yenza kube nzima ukusebenza kubomi bakho bemihla ngemihla, awukwazi ukulala kakuhle ebusuku, kwaye ikwachaphazela kakhulu impilo yakho yengqondo.
Oogqirha bakholelwa ukuba i-CRPS ibangelwa kukungasebenzi kakuhle kwenkqubo yethu yemithambo-luvo ( ingqondo kunye nomqolo) okanye inkqubo yethu yemithambo-luvo ejikeleze umzimba ( inkqubo ethwala imiyalezo esuka kwingqondo kunye nomqolo iye kwezinye izitho, amalungu, kunye neminwe). Kule meko, inkqubo yethu yemithambo-luvo isabela kakhulu kwimiqondiso yentlungu kwaye ayikwazi ukuyimisa loo mpendulo.
Kukho iintlobo ezimbini eziphambili ze-CRPS:
1. Uhlobo I: Kule ngxaki , akukho monakalo kwimithambo-luvo. Oku kwenzeka rhoqo emva kokugula okanye ingozi ethile. Nangona kunjalo, ingozi ayizange yonakalise ngqo imithambo-luvo. Oku ngaphambili kwakubizwa ngokuba yi-``Reflex Sympathetic Dystrophy```.
2. Uhlobo lwesibini: Olu luphawu olucacileyo lomonakalo wemithambo-luvo. Oku kwakubizwa ngokuba yi-'Causalgia' ngaphambili.
I-CRPS inokuba yeyokwexeshana elifutshane (ebukhali) okanye engapheliyo (ehlala ixesha elingaphezu kweenyanga ezintandathu) . Ngethamsanqa, inokuhlala inyangwa kwaye inyangeke.
Ngubani onokuthi abe ne-CRPS?
I-CRPS ixhaphake kakhulu kubantu abadala kunabantwana. Ihlala ifikelela kwinqanaba eliphezulu xa ifikelela kwiminyaka engama-40 ubudala . Abafazi banamathuba amaninzi okufumana i-CRPS kunamadoda.
Izifundo zibonise ukuba le meko ibonwa kubantu abazalwa eYurophu, apho ixhaphake khona phakathi kwama-66% nama-80%. Nangona kunjalo, yimeko engaqhelekanga. Umzekelo, eMelika, zimalunga nama-200,000 kuphela iimeko ezixelwayo minyaka le.
Zithini iimpawu ze-CRPS? Ungazibona njani ?
Ubunzima kunye nobude beempawu ze-CRPS ziyahluka kumntu nomntu.
Ngokwesiqhelo into ethileIimpawu ze-CRPS zihlala ziqala kwiiveki ezine ukuya kwezintandathu emva kokwenzakala, ukwaphuka, okanye utyando . Nangona kunjalo, ngamanye amaxesha ezi mpawu zinokuvela ngaphandle kwesizathu esicacileyo.
Uphawu oluphambili nolubalaseleyo lwe-CRPS ziintlungu. Ezi ntlungu zingaba yinto engapheliyo okanye zize zidlule. Zihlala zivakala njengentlungu etshayo, ebuhlungu, okanye ekrazukileyo . Ezi ntlungu zihlala zivakala nzulu engalweni okanye emlenzeni ochaphazelekayo.
Ukongeza, utshintsho kubuntununtunu lunokubonwa kwindawo echaphazelekayo:
- Ukwanda kovakalelo kwizinto ezibangela iintlungu: Umzekelo, nokuba ukuncinwa kancinci kunokuvakala kubuhlungu ngaphezu kwesiqhelo.
- Ukuva iintlungu ezivela kwinto engaqhelekanga ukubangela iintlungu: Iintlungu zinokwenzeka nokuba ulusu luchukunyiswe nje.
- Usenokuziva ungenamdla .
Nazi ezinye iimpawu:
- Ukudumba kolusu: Ukudumba kusenokufika kuphele, okanye kusenokuqhubeka ixesha elide.
- Ukusebenza okunciphileyo kwengalo okanye umlenze ochaphazelekayo: Kunokuba nzima ukuhambisa ingalo okanye umlenze ochaphazelekayo, okanye ungaziva uqinile. Kunokuba nzima nokubeka ubunzima engalweni/umlenze ochaphazelekayo okanye ukubeka ubunzima kwilungu.
- Utshintsho kubushushu bolusu: Isandla/unyawo oluchaphazelekileyo lusenokuvakala lushushu okanye lubanda kunolunye.
- Ukutshintsha kombala wolusu: Ulusu lunokubonakala lunamabala, lumhlophe, lumfusa/lukrwelwe, okanye lubomvu kwezinye iindawo.
- Utshintsho kwindlela olumile ngayo ulusu: Ulusu lunokukhazimla, lube lubhityile, okanye lubile kakhulu.
- Utshintsho ekukhuleni kweenzipho neenwele: Izinzipho neenwele kuloo ndawo zinokukhula ngokukhawuleza, okanye zingakhuli kwaphela.
Ngenxa yokuba iimpawu ze-'CRPS' zihlala ziphucuka ngokuhamba kwexesha, kulula ukuba oogqirha bayixilonge kwasekuqaleni. Ke ngoko, ukuba unezi mpawu, kubaluleke kakhulu ukubona ugqirha ngokukhawuleza.
Kutheni i-CRPS ikhula? Zithini izizathu?
Abaphandi abakayazi kakuhle ukuba kutheni abanye abantu abanokwenzakala okufanayo befumana i-CRPS kanti abanye bengenayo. Bacinga ukuba oku kusenokuba kungenxa yokuvuvukala okanye ukusabela komzimba kwinkqubo yemithambo-luvo ejikeleze umzimba nakwinkqubo yemithambo-luvo ephakathi .
Kwiimeko ezininzi, ngaphezulu kwe-90%, i-CRPS ibangelwa kukwenzakala okanye ukwenzakala kwemithambo-luvo engalweni okanye emlenzeni ochaphazelekayo.Kuba. Ezi ntlungu zonakalisa imicu yemithambo-luvo ethambileyo neyi-autonomic emzimbeni wethu. Ezi micu yemithambo-luvo zincinci zezona zithwala iimvakalelo ezifana neentlungu, ukurhawuzelelwa, kunye nobushushu engqondweni yethu. Zikwalawula impilo iyonke yemithambo yegazi emincinci kunye neeseli ezingqongileyo.
Eyona ngozi ixhaphakileyo enxulunyaniswa ne-CRPS kukwaphuka kwethambo , ingakumbi ukwaphuka esihlahleni. Imithambo-luvo ingonakalisa ukuba ithambo likhutshiwe okanye lityumkile, okanye ukuba i-tight cast ibangela uxinzelelo.
Ezinye iintlobo eziqhelekileyo zokwenzakala ezinokubangela i-CRPS ziquka:
- Utyando: Imithambo-luvo ingonakalisa ngenxa yokusikwa, ukuthungwa, okanye amanxeba ngexesha lotyando.
- Ukuqhekeka okanye ukuxinana: Xa izicubu ezidityanisiweyo zonakele, ilungu linokuhamba kakhulu, nto leyo enokubangela uxinzelelo olukhulu kwimithambo-luvo ekufutshane.
- Ukutsha, imivumbo, okanye amanxeba: Zonke ezi zizilonda ezibonakalayo, kodwa zingonakalisa nemithambo-luvo engaphantsi.
Ngamanye amaxesha i-CRPS inokukhula ngaphandle kokwenzakala okucacileyo. Okanye ukungasebenzi kakuhle ixesha elide nako kungaba yimbangela.
Kukho izinto ezithile ezibangela umngcipheko wokufumana i-CRPS:
- Impilo embi yemithambo-luvo: Abantu abaneengxaki ezifana nesifo seswekile abanawo amandla okumelana nemithambo-luvo kwaye bayaphola. Abantu abane-peripheral neuropathy banokuba nobunzima bokuvuselela iiseli zemithambo-luvo, nokuba kukwenzakala okungaqhelekanga ukubangela ingxaki. Abantu abatshayayo kunye nabo bafumene i-chemotherapy yomhlaza ngaphambili banokuba nobunzima bokuvuselela iiseli zemithambo-luvo.
- Iingxaki zenkqubo yomzimba yokuzikhusela: Inkqubo yomzimba yokuzikhusela idlala indima enkulu ekubangeleni ukudumba emizimbeni yethu. Abanye abantu abane-CRPS banezinga eliphezulu leekhemikhali zokudumba ezibizwa ngokuba zii-cytokines . Ezi zinegalelo kwezinye zeempawu ze-CRPS. I-CRPS ikwaxhaphakile nakubantu abanezinye izifo zokudumba kunye nezokuzikhusela komzimba, ezifana ne-asthma .
- Izinto ezibangela imfuza: Imfuza yakho inokuchaphazela nendlela ophilisa ngayo xa wenzakele. Abaphandi bafumanise ukuba i-CRPS idla ngokuhamba kwiintsapho ('iiqela zeentsapho'). Nangona oku kunqabile, kubonisa ukuba i-CRPS inokuba nonxibelelwano lwemfuza.
Ungazi njani ngokuqinisekileyo ukuba une-CRPS? (Ukuxilongwa)
Ngenxa yokuba i-CRPS yimeko engaqhelekanga kwaye oogqirha abayiqondi ngokupheleleyo, ngamanye amaxesha ayifumaneki kakuhle.
Chonga 'i-CRPS'Akukho vavanyo luthile. Oogqirha baxilonga kakhulu ngokuthatha imbali yezonyango ngononophelo, benze uvavanyo lomzimba, baze bahlole iimpawu zakho. Ugqirha uya kubuza nokuba ngaba ukhe wenzakala okanye watyandwa kutshanje.
Ugqirha uza kujonga ezi zinto ngokukodwa:
- Utshintsho kwinkangeleko, ubushushu, kunye nokumila kolusu kwindawo echaphazelekayo.
- Ukuba neentlungu ezingaphezulu kunokuba bekulindelwe xa wenzakele.
- Nokuba kukho esinye isifo okanye imeko enokubangela intlungu yakho, utshintsho lolusu, okanye ezinye iimpawu.
Uvavanyo lwemifanekiso olufana ne -ultrasound okanye i-magnetic resonance imaging (MRI) lunokwenziwa ukujonga umonakalo wemithambo-luvo ongaphantsi. Nangona kunjalo, umonakalo wemithambo-luvo usenokungafumaneki rhoqo.
Ugqirha wakho unokuyalela nezinye iimvavanyo ukuze akhuphe ezinye iimeko ezinokubangela iimpawu ezifanayo. Umzekelo, uvavanyo lwe-electromyography (EMG) lunokubonisa ezinye izizathu ze-neuropathy, ezinokubangela iintlungu ezifanayo ngamanye amaxesha.
Ziziphi iindlela zonyango ze-CRPS?
Iinjongo eziphambili zonyango kukunciphisa iintlungu zakho kunye nezinye iimpawu, ukubuyisela ukusebenza kwengalo/umlenze ochaphazelekayo, kunye nokugcina umgangatho wobomi bakho.
Kubaluleke kakhulu ukuqala unyango kwangethuba ngexesha le-CRPS. Oku kungenxa yokuba ngokuhamba kwexesha, ilungu elichaphazelekayo linokuba lukhuni (`liqine`). Ukuba alinyangwa, iintlungu zihlala zisanda, kwaye kuba nzima ngakumbi ukuhambisa ilungu elichaphazelekayo.
Ukuba kunokwenzeka, kungcono ukubona ugqirha onamava okunyanga i-CRPS. Unyango lubandakanya indibaniselwano yeendlela ezahlukeneyo, ezilawulwa ngononophelo kunye. Ezi ziquka:
- Unyango lomzimba kunye nonyango lomsebenzi.
- Utshintsho kwindlela yokuphila.
- Unyango lwezengqondo kunye nokuziphatha.
- Amayeza.
- Iindlela zonyango ezizezinye zokulawula iintlungu.
Kubantwana abancinci abane-CRPS, unyango lwengqondo kunye nonyango lokubuyisela kwimeko yesiqhelo zezona ndlela ziphambili zonyango . Amayeza okunciphisa iintlungu adla ngokucetyiswa kuphela kubantwana abadala abaneempawu ezingaphenduliyo kwezinye iindlela zonyango.
Unyango lomzimba kunye nonyango lomsebenzi
Enye yezona ndlela zibalulekileyo zonyango lwe-CRPS kunyango lomzimba.Ingcali yezonyango ingaphucula ukujikeleza kwegazi engalweni/emlenzeni wakho ochaphazelekayo, kwaye ingasebenzisa nemithambo ethile ukuphucula ukuguquguquka kwakho, amandla, ithoni yemisipha, kunye nokusebenza. Ingcali yezonyango yezonyango ingakufundisa iindlela ezintsha zokwenza imisebenzi yemihla ngemihla.
Ezinye iinkalo zonyango lomzimba lwe-CRPS ziquka:
- `Imifanekiso yeMoto eHleliweyo`: Olu luluhlu lweendlela zonyango ezinciphisa iintlungu kwaye ziphucule amandla okuhambisa inxalenye yomzimba echaphazelekayo. Xa ingalo okanye umlenze wakho ubuhlungu, kuba nzima ukuwuchukumisa, ukuwushukumisa, okanye ukuwusebenzisa. Kwakhona, ingqondo yethu inenkumbulo, okanye ``imaphu``, yamalungu omzimba ahlukeneyo. Indlela ezivakalelwa ngayo, indlela ezihamba ngayo, kunye nendlela ezisetyenziswa ngayo kwimisebenzi yemihla ngemihla. Ukuba awuchukumisi, awushukumi, okanye awusebenzisi ingalo/umlenze ochaphazelekayo, le mephu iqala ukutshintsha kwaye isenokunyamalala. Kodwa ngale ndlela ``Imifanekiso yeMoto eHleliweyo``, ungayitshintsha okanye uyiphinde uyilungise le mephu.
- Unyango lweSipili: Olu luhlobo lweMifanekiso yeMoto eHleliweyo. Ujonga ingalo/umlenze wakho ongachaphazelekanga kwisipili. Umfanekiso wesipili uya kufana ngqo nengalo/umlenze ochaphazelekileyo. Oku kunokukhohlisa ingqondo yakho ukuba icinge ukuba ingalo/umlenze obuhlungu ngoku uziva kwaye uhamba ngokuqhelekileyo.
- `Ukunciphisa uvakalelo`: Le ndlela ibandakanya ukuchukumisa indawo echaphazelekayo ngezinto ezahlukeneyo kunye nobunzima, nokubeka isandla/unyawo oluchaphazelekayo emanzini ashushu nabandayo. Ekuhambeni kwexesha, njengoko utyhila indawo echaphazelekayo kwiimvakalelo ezahlukeneyo, ingqondo yakho iyaqhelana nezo mvakalelo kwaye intlungu iqala ukuncipha.
Utshintsho kwindlela yokuphila
Ungawandisa amathuba kunye nesantya sokuchacha kwakho ngokususa ezinye zezinto eziphazamisa inkqubo yokuphiliswa kwemithambo-luvo yakho. Ezi ziquka:
- Ukuyeka ukutshaya: Ukutshaya ngumqobo omkhulu ekubuyiseleni imithambo-luvo.
- Ukulawula iimeko zempilo ezikhoyo: Ukuba izifo ezichaphazela ukujikeleza kwegazi kunye nemithambo-luvo, efana nesifo seswekile, azilawulwa kakuhle, kunokuba nzima ukuba imithambo-luvo iphiliswe.
Nazi ezinye iindlela ezilula onokuzithatha ekhaya ukunceda ngeempawu zakho:
- Ukugcina ingalo/umlenze ochaphazelekayo uphakanyisiwe kancinci ngelixa uphumle okanye ulele kunceda ulwelo olongezelelweyo lubuyele entliziyweni.
- Ukuzilolonga rhoqo kubalulekile ukuphucula ukujikeleza kwegazi kwiimithambo-luvo ezonakeleyo. Thetha nogqirha wakho okanye ingcali yezonyango malunga nesicwangciso sokuzilolonga esifanelekileyo kuwe.
- Ukunxiba iikawusi okanye imikhono yokucinezela, ingakumbi xa umile, kunokunceda ekunciphiseni ukudumba. Buza ugqirha wakho ukuba olu khetho lukulungele na.
Unyango lwezengqondo kunye nokuziphatha
Ukuba ne-CRPS kunxulunyaniswa noxinzelelo oluphezulu, ukudakumba, kunye noxinzelelo . Oku kunokwenza iintlungu zibe mandundu. Unyango lwengqondo lunokunceda. Unyango lwengqondo (olukwabizwa ngokuba yi-talk therapy) ligama eliqhelekileyo leentlobo ngeentlobo zonyango ezinceda umntu ukuba abone kwaye atshintshe iimvakalelo, iingcinga kunye nokuziphatha okungekuhle.
Ukuba kunokwenzeka, kungcono ukubona ingcali yezengqondo ejongene nokulawula iintlungu eqeqeshwe ukunyanga i-CRPS. Kwi-psychotherapy, uthetha nengcali yezengqondo kwaye ufunde indlela yokujongana ngcono nezinto ezibangela intlungu yakho kunye nezinye iimpawu.
Amayeza
Akukho mayeza avunyiweyo ngokukodwa kwi-CRPS eMelika. Nangona kunjalo, ugqirha wakho unokukunika amayeza athile okunceda ukulawula iimpawu zakho.
Iindidi ezahlukeneyo zamayeza anefuthe lokunciphisa iintlungu:
- Amayeza angengowe-steroidal alwa nokuvuvukala (ii-NSAID): Imizekelo ibandakanya i-acetaminophen, i-ibuprofen, kunye ne-naproxen.
- Iikhrimu kunye neepetshi zokunciphisa iintlungu: Umzekelo, iLidocaine.
- Ezinye izinto ezithintela uxinezeleko: Imizekelo iquka i-Amitriptyline kunye ne-Duloxetine.
- Amayeza okulwa nokuxhuzula: Imizekelo iquka iGabapentin, iPregabalin, kunye neTopiramate.
- IiBisphosphonates: Umzekelo, iAlendronate.
- Iinaliti zeBotulinum toxin (Botox).
Ukukhetha amayeza okuqala kuyahluka kumntu nomntu. Ugqirha wakho uza kuqwalasela izinto ezininzi, kuquka:
- iminyaka yakho.
- Ezinye iimeko zempilo ezikhoyo.
- Nawaphi na amayeza owasebenzisayo okwangoku.
- Ukwenzeka kweziphumo ebezingalindelekanga zamayeza okanye ukusebenzisana kwawo namayeza owasebenzisayo ngoku.
Iindlela zonyango ezizezinye zokulawula iintlungu
Ezinye iindlela zonyango zokulawula iintlungu zingabandakanya:
- `Impendulo yebhayoloji`
- `Unyango lwe-Acupuncture`
- `I-Hypnosis`
- `Reiki`
- `Unyango lweChiropractic`
Unyango olungakumbi olungena ngaphakathi
Ukuba imeko yakho ye-CRPS ayisabelanga kakuhle kunyango olukhankanyiweyo apha ngasentla, okanye ukuba unentlungu eqatha okanye i-CRPS engapheliyo, ugqirha wakho unokucebisa olu nyango lungangenisi kakhulu:
- Inaliti ze-trigger point/tender point: Xa i-CRPS ilinganiselwe kwiingalo zakho ezingaphezulu, unokuba neendawo ze-trigger kwimisipha yebhanti yakho yamagxa. Kwinqanaba lokuqala le-CRPS, ukujova ii-glucocorticoids, kunye okanye ngaphandle kwe-anesthetics yendawo, kwindawo nganye ye-trigger kunokunceda.
- Iibhloko zemithambo-luvo ezisebenzisanayo: Ezi bhloko zibonelela ngokukhululeka okukhulu kwintlungu kwabanye abantu. Ibhloko ye-lumbar sympathetic ibandakanya ukufaka i-anesthetic kumqolo wakho ongezantsi, kufutshane nomqolo wakho. Oku kuthintela ngokuthe ngqo ikhonkco le-sympathetic elithwala imiqondiso yentlungu ukusuka kwimilenze yakho esezantsi ukuya kumqolo wakho nakwingqondo yakho. Ibhloko yentlungu ye-CRPS engalweni ephezulu ibizwa ngokuba yi-stellate ganglion block . Oku kubandakanya ukufaka i-anesthetic ecaleni kwentamo yakho.
- Ukuvuselelwa kwentambo yomqolo: Olu nyango lubandakanya ukufakelwa isixhobo sokuvelisa i-pulse phantsi kwesikhumba sesisu sakho okanye iimpundu kunye neengcingo (ii-electrodes) kufutshane nentambo yomqolo. Esi sixhobo, esifana ne-pacemaker, sithumela imisinga yombane ephantsi kwintambo yomqolo. Ezi pulse zombane ziphazamisa imiqondiso yentlungu eya engqondweni yakho, zize ziyinciphise.
- Ukuvuselelwa kweengcambu ze-dorsal ganglia: Olu nyango lufana nokuvuselelwa kwentambo yomqolo. Nangona kunjalo, iintambo ezincinci zibekwe ngqo phezu kwe-dorsal root ganglioni. I-dorsal root ganglioni yiqela lee-sensory neurons ezifumaneka kwindawo apho zonke ii-nerves emzimbeni wakho ziphuma khona kwintambo yomqolo. Sisikhululo sokudlulisela imiqondiso yentlungu evela kwinkqubo ye-peripheral nervous (amalungu akho) ukuya kwinkqubo ye-central nervous (intambo yomqolo kunye nengqondo yakho). Olu vuselelo lunokuba lunyango olujolise ngakumbi nolusebenzayo (olufuna ukuvuselelwa okuncinci) kuba lugxila kula manqaku amancinci aphakathi.
- Ukuvuselelwa kwemithambo-luvo ejikeleze imithambo-luvo: Olu nyango lubandakanya ukubeka ucingo lokuvuselela kufutshane nomthambo omkhulu engalweni/emlenzeni wakho ogubungela indawo ebuhlungu. Isebenza ngokuphazamisa isignali yentlungu ehamba ngemithambo-luvo ekujoliswe kuyo.
- Ukufakwa kwe-ketamine nge-IV: Olu nyango lubandakanya ukunika idosi ephantsi ye-ketamine ngemithambo (ukufakwa kwe-IV) kangangeentsuku ezi-3 ukuya kwezi-5. I-Ketamine isebenza ngokuthintela imolekyuli ethile kwinkqubo yakho yemithambo-luvo (i-NMDA receptor) enokwenza intlungu yakho ibe mandundu.
- Iimpompo zamayeza ezisetyenziswa ngaphakathi kwethekoli:Olu nyango lusebenzisa i-catheter efakelweyo ukuhambisa iintlungu ezifana neZiconotide (Prialt®) ngqo kulwelo lwakho lomqolo.
Ngaba i-CRPS ingathintelwa?
Ngenxa yokuba abaphandi bengayazi eyona nto ibangela i-CRPS, akukho ndlela ithile yokuyithintela. Ezinye izifundo zibonise ukuba ukuthatha i-vitamin C ngaphambi kotyando oluzayo kunokunceda ukuthintela i-CRPS.
Luhlobo luni lwekamva umntu one-CRPS analo?
Amava omntu wonke nge-CRPS ahlukile. Kwabaninzi abantu, i-CRPS iyaphucuka ngokuhamba kwexesha ize ekugqibeleni ifikelele esiphelweni.
Nangona kunjalo, iimeko ezinzima okanye ezihlala ixesha elide (ezingaqhelekanga) zinokuba nefuthe elikhulu ebomini bakho. Kwabanye abantu, i-CRPS inokuba mandundu ize isasazeke kwezinye iindawo zomzimba. Ukuba neengxaki zengqondo ezigqithisileyo ngexesha lokwenzakala okukhokelele kwi-CRPS kunokuchaphazela ubukhali bemeko kunye nokukwazi kwakho ukuchacha.
Phakathi kwe-10% kunye ne-30% yabantu abane-CRPS basenokuba nokubuyela umva kwesi sifo. Isizathu esichanekileyo sokubuyela umva kwesi sifo asaziwa.
Eyona njongo ibalulekileyo kukunciphisa iintlungu nokubuyisela intshukumo namandla engalweni/emlenzeni ochaphazelekayo. Ukunciphisa iintlungu kwandisa amathuba okuphucula ukusebenza kuloo ndawo kunye nomgangatho wobomi bakho. Ngezicwangciso zonyango ezikhethwe ngononophelo, abanye abantu abane-CRPS bayakwazi ukulawula iintlungu zabo ngempumelelo kwaye baphile ubomi obusebenzayo.
Ngawaphi amaxesha afanelekileyo okubonana nogqirha?
Ngenxa yokuba le meko inzima kwaye ngamanye amaxesha ayifumaneki kakuhle, kuya kufuneka ufumane ingcali yokulawula iintlungu okanye iziko leentlungu elinolwazi nge-CRPS ukuba unayo:
- Ukuba ucinga ukuba uneempawu ze-'CRPS'.
- Ukuba iimpawu zakho ziya zisiba mandundu.
- Ukuba imeko yakho ayiphendulanga kwezinye iindlela zonyango.
Ingaba i-CRPS kukukhubazeka okanye sisifo sengqondo?
Hayi, i-CRPS ayisiyongxaki yempilo yengqondo. Yimeko yemithambo-luvo. Nangona kunjalo, i-CRPS inokubangela okanye ibenze mandundu ixhala, ukudakumba, kunye noxinzelelo. Kwezinye iimeko, inokukhokelela kwi -Post-Traumatic Stress Disorder (PTSD) .
E-United States, i-Social Security Administration iyayibona i-CRPS njengokukhubazeka, kuxhomekeke kubukhali bayo kunye nempembelelo yayo ebomini. Ungaqhagamshelana namagosa karhulumente ukuze ufumane ulwazi oluthe kratya malunga neendlela zokufaneleka.
Umyalezo Wokuya Ekhaya
Le meko ibizwa ngokuba yi-'Complex Regional Pain Syndrome (CRPS)' inokuba nefuthe elikhulu ebomini bakho. Kodwa iindaba ezimnandi zezokuba, inokunyangeka.Kukho iindlela ezininzi zonyango, kwaye ungazama ukudibanisa kwazo. Okukhona ufunyaniswa une-CRPS ngokukhawuleza kwaye uqale unyango, kokukhona iimpawu zakho ziya kusabela kunyango. Ukuba ucinga ukuba unokuba ne-CRPS, thetha nogqirha wakho. Bakho ukukunceda. Musa ukoyika, kwaye ungabi wedwa. Eyona nto ibalulekileyo kukufumana iingcebiso zonyango ezifanelekileyo kunye nenkxaso.
I- CRPS, i-complex regional pain syndrome, iintlungu zemithambo-luvo, iintlungu zengalo nemilenze, iintlungu ezingapheliyo, unyango lwe-CRPS, iimpawu ze-CRPS











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