Ngaba wakha waba nenxeba elincinci engalweni okanye emlenzeni wakho, kwaye nasemva kokuba lipholile, wawusaziva iintlungu ezinganyamezelekiyo kunye nokutsha? Ngamanye amaxesha indawo yenxeba yayidumba, ulusu lutshintsha umbala, kwaye ubila ngendlela engaqhelekanga? Abantu abaninzi bacinga ukuba oku kuqhelekile xa befumana oku. Nangona kunjalo, oku kungaba luphawu lwemeko engaqhelekanga kodwa ebuhlungu kakhulu ebizwa ngokuba yi-'Complex Regional Pain Syndrome' okanye i-CRPS . Makhe sithethe ngale nto ngokulula namhlanje.
Yintoni kanye kanye i-CRPS?
Ngamafutshane, i-CRPS yimeko ebangela iintlungu ezinzima nezihlala ixesha elide kwindawo ethile yomzimba wakho, ingakumbi ingalo, umlenze, isandla, okanye unyawo . Le ntlungu inokukhatshwa zizimpawu ezininzi, ezinje ngokutshintsha kombala wolusu kunye nokudumba.
Oogqirha bakholelwa ukuba imbangela ephambili yoku kukutshintsha kokusebenza kwenkqubo yethu yemithambo-luvo, ebuchotsheni, emgogodleni, nakwinkqubo yemithambo-luvo emzimbeni wonke (iinkqubo zemithambo-luvo eziphakathi nezingaphandle). Cinga ngenkqubo yemiqondiso yentlungu yomzimba wethu njenge-alamu ekhalayo xa isela lingena endlwini yethu. Xa sifumana ukwenzakala okuncinci, le alamu iyakhala, oko kuthetha ukuba siziva iintlungu. Kodwa kwi-CRPS, le alamu iyaqhubeka nokukhala nasemva kokuba ukwenzakala kupholile. Oku kuthetha ukuba asisakwazi ukulawula iimpawu zentlungu.
Kukho iintlobo ezimbini eziphambili ze-CRPS:
| Uhlobo lwe-CRPS | Ingcaciso elula |
|---|---|
| Uhlobo I | Oku kwenzeka emva kokwenzakala okanye ukugula okungayonakalisi ngqo imithambo-luvo. Umzekelo, le meko ingenzeka emva kwento efana nengalo okanye umlenze owaphukileyo. Ngaphambili yayibizwa ngokuba yi-'reflex sympathetic dystrophy'. |
| Uhlobo II | Oku kwenzeka xa umthambo wonakaliswe ngokucacileyo kukwenzakala. Oku kwakubizwa ngokuba yi-'causalgia' ngaphambili. |
Le meko ixhaphake kancinci kwabasetyhini kunakwamadoda. Nangona inokuvela nakweyiphi na iminyaka, idla ngokuba yinto eqhelekileyo emva kweminyaka engama-40.
Zithini iimpawu ze-CRPS?
Iimpawu ze-CRPS zingahluka kumntu nomntu, kwaye ubukhali bazo bungahluka. Iimpawu zihlala ziqala ukubonakala kwiiveki ezine ukuya kwezintandathu emva kokwenzakala, ukwaphuka, okanye utyando.
Uphawu oluphambili nolunzima kakhulu yintlungu . Le ntlungu ayisiyontlungu nje eqhelekileyo.
- Intlungu evakala ngathi kukutsha okungapheliyo .
- Intlungu evakala ngathi yinaliti ehlabayo okanye ekrazukileyo .
- Amaxesha amaninzi, intlungu ivakala ngathi ivela ngaphakathi engalweni okanye emlenzeni obuhlungu.
Ukongeza kule ntlungu, kukho nezinye iimpawu ezininzi ezinokubonwa kwindawo echaphazelekayo. Ukuze kube lula, makhe sijonge ezi kwitheyibhile .
| Udidi lweempawu | Ingcaciso |
|---|---|
| Utshintsho kubuntununtunu | - Ukuziva iintlungu ezinganyamezelekiyo nokuba ufumana isilonda esincinci okanye iqhekeza lempahla emzimbeni wakho. - Ukuziva intlungu egqithisileyo ngenxa yento edla ngokubangela intlungu (umz. ukuncinwa kancinci). - Ngamanye amaxesha uzive ungenamdla. |
| Utshintsho lolusu | - Ukudumba: Ukudumba kunokufika kudlule okanye kuqhubeke. - Ubushushu: Ukuziva ushushu okanye ubanda kakhulu engalweni/emlenzeni omnye kunomnye. - Umbala: Utshintsho kumbala wolusu. Unokuba namabala, umhlophe, umfusa, okanye ubomvu kwiindawo ezithile. - Indalo: Ulusu lusenokukhazimla kwaye lube buthathaka. Okanye kunokubakho ukubila okugqithisileyo. |
| Utshintsho ekusebenzeni | - Ukungakwazi ukuhambisa ingalo/umlenze obuhlungu ngokufanelekileyo kunye nokuziva ukuqina kwamalungu. - Ubunzima bokuthwala ubunzima ngaloo ngalo/umlenze. |
| Iinzipho neenwele | Iinzipho okanye iinwele kuloo ndawo zinokukhula ngokukhawuleza kunesiqhelo okanye zingakhuli konke konke. |
Eyona nto ibalulekileyo kukubona ugqirha ngokukhawuleza ukuba unale mpawu, kuba le meko kulula kakhulu ukuyinyanga ukuba ifunyenwe kwangethuba.
Kutheni i-CRPS iphuhla?
Abaphandi abakayazi kakuhle ukuba kutheni umntu omnye onenzakala efanayo eba ne-CRPS aze omnye angabi nayo, kodwa bakholelwa ukuba kungenxa yempendulo engaqhelekanga kwiinkqubo zethu zomzimba nezoluvo .
Uninzi (ngaphezulu kwe-90%) lweemeko ze-CRPS zibangelwa kukonakala kwemithambo-luvo ethambileyo engalweni okanye emlenzeni ngenxa yokwenzakala.
Ezinye zezizathu eziqhelekileyo zezi:
- Ukwaphuka: Ukwaphuka, ingakumbi esihlahleni , yeyona nto ibangela i-CRPS. Ngamanye amaxesha, nokuba kukho i-cast, i-nerve inokucinezelwa.
- Utyando: Ngexesha lotyando, imithambo-luvo inokonakala ngenxa yokusikwa nokuthungwa kolusu.
- Ukutyhafa: Xa ilungu lityumkile, imithambo-luvo ejikeleze lona inokuxinana.
- Ukutsha, ukukrweleka, okanye ukusikwa: Olu hlobo lokulimala kwangaphandle lungonakalisa nemithambo-luvo engaphantsi kolusu.
Ngamanye amaxesha i-CRPS inokwenzeka ngaphandle kokwenzakala okubonakalayo, kwaye abanye abantu basengozini enkulu yokuhlaselwa yile meko.
- Iingxaki zenkqubo yemithambo-luvo: Abantu abanezifo ezifana nesifo seswekile abanawo amandla okuphilisa imithambo-luvo yabo. Abantu abatshayayo nabo banengxaki yokuchacha.
- Iingxaki zenkqubo yomzimba yokuzikhusela: Abantu abaneemeko ezifana ne-asthma banezinga eliphezulu leekhemikhali ezibangela ukudumba (ii-cytokines) emizimbeni yabo, nto leyo ebabeka emngciphekweni omkhulu we-CRPS.
- Izizathu zofuzo: Nangona zinqabile kakhulu, kukho iingxelo zamalungu amaninzi osapho afumana i-CRPS.
Ugqirha uyixilonga njani i-CRPS?
Akukho vavanyo luthile lokuxilonga i-CRPS. Ngoko ke, ugqirha uza kuyixilonga imeko ngokusekelwe kwiimpawu zakho, imbali yakho yezonyango (ukwenzakala kutshanje, utyando), kunye novavanyo lomzimba.
Ugqirha wakho uza kugxila kakhulu kwezi zinto zilandelayo:
- Ngaba kukho intlungu engaqhelekanga engaphaya kobukhulu benxeba?
- Ngaba kukho utshintsho kwinkangeleko, ubushushu, kunye nokumila kolusu kwindawo echaphazelekayo?
- Ngaba kukho ezinye iimeko zempilo ezinokubangela ezi mpawu?
Ngamanye amaxesha kwenziwa i-ultrasound scan okanye i-MRI scan ukuze kubonwe ukuba akukho monakalo kwimithambo-luvo.Kwakhona, uvavanyo olufana ne -EMG (i-Electromyography) lunokwenziwa ukuze kuthintelwe ezinye izifo zemithambo-luvo ezibonisa iimpawu ezifanayo.
Ziziphi iindlela zonyango ze-CRPS?
Iinjongo eziphambili zonyango lwe-CRPS kukunciphisa iintlungu, ukubuyisela ukusebenza kwengalo/umlenze ochaphazelekayo, kunye nokugcina umgangatho wobomi bakho. Unyango luqala ngokukhawuleza, kokukhona iziphumo ziba ngcono. Ukuba alunyangwa, iintlungu zinokuba mandundu, ingalo/umlenze unokuba lukhuni, kwaye usenokungakwazi ukuzishukumisa.
Ukudibanisa iindlela ezahlukeneyo zonyango yeyona ndlela iphumelele kakhulu.
Unyango Lomzimba Nomsebenzi
Le yinxalenye ebalulekileyo nebalulekileyo yonyango lwe-CRPS.
- Ingcali yezonyango iza kukufundisa imithambo ethile enokunyusa ukuhamba kwegazi kwindawo yentlungu kwaye iphucule ukuguquguquka namandla.
- Ingcali yezonyango emsebenzini ifundisa iindlela ezintsha zokwenza imisebenzi yemihla ngemihla (umz., ukunxiba, ukutya) ngaphandle kwentlungu ingako.
Ukongeza, kukho iindlela ezikhethekileyo ezifana ne-'Mirror Therapy'. Kule nto, uhlala phambi kwesibuko, ufihle ingalo/umlenze obuhlungu, uze ubeke ingalo/umlenze ophilileyo phambi kwakho. Emva koko, isibuko sibonisa ukuba ingalo/umlenze obuhlungu uhamba ngokuqhelekileyo. Oku kuye kwangqinwa ukuba 'kukhohlisa' iingqondo zethu ukuze zinciphise iintlungu.
Utshintsho kwindlela yokuphila
- Kuphephe ukutshaya: Ukutshaya ngumqobo omkhulu ekupholiseni imithambo-luvo.
- Ukulawula ezinye izifo: Kubalulekile ukulawula izifo ezifana nesifo seswekile kakuhle.
- Ukuphakamisa ingalo/umlenze: Ukuphakamisa ingalo/umlenze obuhlungu xa ulele okanye uphumle, njengakumqamelo, kuya kunciphisa ukudumba.
- Ukuzilolonga: Ukuzilolonga imihla ngemihla kulungile kakhulu ekujikelezeni kwegazi.
- Iikawusi zokucinezelwa: Ugqirha wakho angacebisa ukuba uzinxibe ezi ukuze ulawule ukudumba.
Inkxaso yempilo yengqondo
Kuqhelekile ukuziva udandathekile, unomsindo, kwaye uxhalabile xa uphila nentlungu engapheliyo. Ezi zinto zingenza intlungu ibe mandundu. Ke ngoko, ukufuna iingcebiso zengqondo kunokuba luncedo olukhulu ekuhlangabezaneni nentlungu engqondweni nangokweemvakalelo.
Amayeza (amayeza)
Akukho mayeza athile avunyiweyo kwi-CRPS. Nangona kunjalo, ugqirha angakunika amayeza ahlukeneyo ukunceda ukulawula iimpawu.
- Iipilisi zokunciphisa iintlungu ( ii-NSAID )
- Iikhrimu zokunciphisa iintlungu zolusu
- Amanye amayeza okudakumba kunye namayeza okulwa nokuxhuzula iintlungu zemithambo-luvo
- Iinaliti zeBotox
Ezinye iindlela zonyango ezithile zokulawula iintlungu
Ukuba ezinye iindlela zonyango kunzima ukuzilawula iintlungu, ugqirha angasebenzisa ezinye iindlela zonyango ezinzima ezifana nale.
- Iibhloko zemithambo-luvo ezibangela intlungu: Ukujova iyeza lokubulala iintlungu ukuze 'kulale' okwethutyana imithambo-luvo ethwala imiqondiso yentlungu iyise engqondweni.
- Ukuvuselelwa kwentambo yomqolo: I-electrode encinci ifakwa ngotyando kufutshane nentambo yomqolo kwaye inika imiqondiso yombane engabonakaliyo ethintela imiqondiso yentlungu.
- Ukufakwa kwe-IV ketamine: Idosi ephantsi ye-ketamine yeziyobisi inikwa ngemithambo yegazi kangangeentsuku ezininzi.
Yintoni onokuyilindela xa uhlala ne-CRPS?
Ayingomntu wonke amava e-CRPS afanayo. Kwabaninzi, ngokuhamba kwexesha nangonyango olufanelekileyo, iimpawu ziya kuncipha baze baphile phantse ngokupheleleyo.
Nangona kunjalo, kwiimeko ezingaqhelekanga, le meko inokuba nzima okanye isasazeke kwezinye iindawo zomzimba. Ke ngoko, kubalulekile ukulawula iintlungu nokugcina ukusebenza kwengalo/umlenze. Ngesicwangciso sonyango esifanelekileyo, abantu abaninzi banokuphila ubomi obusebenzayo nge-CRPS.
Ngaba i-CRPS sisifo sengqondo?
Hayi. I-CRPS ayisosifo sengqondo. Yimeko yemithambo-luvo. Nangona kunjalo, iintlungu eziqatha kunye nempembelelo ebomini ebangelwa yi-CRPS zinokubangela okanye zibenze mandundu iingxaki zempilo yengqondo ezifana nokuxhalaba kunye nokudakumba.
Umyalezo Wokuya Ekhaya
- I-CRPS ayisiyonto oyicingayo engqondweni yakho. Yimeko yokwenyani, yokwenyani ebangela iintlungu eziqatha.
- Ngokwesiqhelo, emva kokwenzakala okuncinci, ukuba kukho ukudumba okugqithisileyo, iintlungu, kunye notshintsho kumbala wolusu kunye nobushushu obungalinganiyo nokwenzakala, xhalaba.
- Kubaluleke kakhulu ukufumanisa isifo nokuqala unyango ngokukhawuleza. Oku kunokuthintela iingxaki ezihlala ixesha elide.
- Unyango aluyonto inye. Luyinzame yeqela edibanisa unyango lomzimba, amayeza kunye nenkxaso yengqondo.
- Ukuba unesikrokro esincinci malunga nezi mpawu, nceda uthethe nogqirha wakho ngazo.
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