Khawuthelekelele ukuba wenzakele kancinci engalweni yakho. Okanye umlenze otyumkileyo. Ngokwesiqhelo, le ntlungu kufuneka iphele kwiintsuku ezimbalwa. Kodwa kuthekani ukuba intlungu iya isiba mandundu, ize inganyamezeleki? Kuthekani ukuba uziva intlungu enganyamezelekiyo nokuba unxibe impahla? Yiloo nto sithetha ngayo namhlanje. Oku ngamanye amaxesha kunokwenzeka emva kokwenzakala okuncinci, ukuhlaselwa yintliziyo , okanye istroke.
Yintoni i-RSD?
Ngamafutshane, i-RSD, okanye i-Reflex Sympathetic Dystrophy Syndrome, ligama eliphelelwe lixesha elingasasetyenziswa ngoogqirha. Igama elisemthethweni lale meko ngoku yiComplex Regional Pain Syndrome , okanye i-CRPS ngamafutshane. I-RSD luhlobo olunye lwe-CRPS (Uhlobo I). Kule meko, le ntlungu inzima ibangelwa kukwenzakala kwezicubu zomzimba, ngaphandle komonakalo wemithambo-luvo.
Eyona nto ibalulekileyo kukuba intlungu imbi kakhulu kwaye ayinakuthelekiswa nanto kunengozi yokuqala. Kufana nokuba neenyanga zentlungu enganyamezelekiyo ngenxa yokukrweleka okuncinci.
Kutheni oku kusenzeka? Yintoni unobangela?
Nangona unobangela ochanekileyo woku ungekaziwa, oogqirha bakholelwa ukuba ubangelwa yingxaki kwinkqubo yethu yemithambo-luvo esebenzisana nomzimba.
Cinga ngale nkqubo yemithambo-luvo njengenkqubo yokuzikhusela emzimbeni wethu. Xa wenzakele, le nkqubo inika imiqondiso yokuba imithambo yegazi inciphe. Oku kunciphisa inani legazi eliphuma kwindawo eyonzakeleyo. Emva koko, inika imiqondiso yokuba imithambo yegazi ivuleke kwakhona ukuze inike izondlo ezifunekayo ukuphilisa inxeba.
Kodwa okwenzekayo kumntu one-RSD kukuba le nkqubo yokuzikhusela 'iyadideka' kancinci. Xa kukho ukwenzakala, imithambo yegazi iyaxina, kodwa ayifumani signal yokuvula ngokufanelekileyo. Oko kuthetha ukuba inkqubo 'ivuliwe' kwaye 'ayicinywanga' kwakhona . Kulapho indawo yokwenzakala idumba khona ngenxa yentlungu enzima.
Le meko ixhaphake kancinci phakathi kwabasetyhini . Nangona inokukhula nasebantwaneni, ixhaphake kakhulu kubantu abaphakathi kweminyaka engama-30 ukuya kwengama-60 ubudala.
Zithini iimpawu zale meko?
Iimpawu ze-RSD aziveli ngequbuliso, zifika kancinci kancinci. Intlungu yokuqala inokwanda ngokuhamba kwexesha. Ngamanye amaxesha usenokungaqondi nokuba le yintlungu engaqhelekanga ekuqaleni.
Iziganeko ezincinci ezinokwenzeka nge-RSD:
- Ukuqhekeka kwamathambo
- Ukuqhekeka
- Imivumbo
- Ukutshisa (Bu RNS )
- Utyando oluncinci
- Izinti zeenaliti
- Unyango ngemitha
Le meko idla ngokuvela kwiindawo ezifana nengalo, igxalaba, umlenze, okanye isinqe. Intlungu ingasasazeka nangaphaya kwendawo yokwenzakala.
| Udidi lweempawu | Izinto onokuzibona |
|---|---|
| Uhlobo lwentlungu | Ukutsha, ukuhlaba, ukuqaqamba nzulu, ukurhawuzelela. Intlungu engapheliyo. |
| Utshintsho lolusu | Indawo eyonzakeleyo iba bomvu, idumbe, ize ifudumale xa uyichukumisa. Ulusu lujika lube mhlophe, luhlaza okwesibhakabhaka, okanye lube bomvu. |
| Uvakalelo oluphezulu | Ukuva iintlungu eziqatha nokuba zizinto ezingaqhelekanga ukuba buhlungu (ukuwa kwamanzi, ukukhuhla impahla emzimbeni). |
| Iingxaki zokuhamba | Ubuthathaka okanye ukungcangcazela kwemisipha, amalungu aqinileyo, ubunzima bokushukumisa ingalo/umlenze ngenxa yentlungu. |
| Ezinye iimpawu | Ukubila okugqithisileyo kuphela kwindawo echaphazelekayo. Utshintsho ekukhuleni kweenwele okanye kwezinzipho. |
Uyifumana njani le nto, Gqirha?
Amaxesha amaninzi, kunzima ukubona ngoko nangoko i-RSD njengembangela yentlungu yakho. Ugqirha wakho unokukukrokrela kuphela xa uxela ukuba unentlungu embi kakhulu kunengozi kwaye engapheliyo.
Akukho vavanyo lulodwa oluqinisekileyo lokuqinisekisa ukuba le yi-RSD.
Kunoko, ugqirha wakho uza kwenza uxilongo lokuqala ngokusekelwe kuvavanyo olucokisekileyo kuwe kunye nembali yakho yezonyango. Ukongeza, banokwenza iimvavanyo ezininzi eziza kunika izikhokelo ezongezelelweyo malunga nale meko.
- I-Bone Scan: Olu vavanyo lunceda ukubona ukuba iziphelo zamathambo zigugile na kwaye kukho naziphi na iingxaki zokujikeleza kwegazi.
- I-MRI (iMagnetic Resonance Imaging): I-MRI ingenziwa ukujonga utshintsho oluncinci ngaphakathi emzimbeni, ingakumbi kwizicwili.
- Uvavanyo lokubila: Olu vavanyo lujonga ukuba icala elinye lomzimba libila ngaphezu kwelinye na.
- Uvavanyo lweThermography: Lujonga ukuba ubushushu okanye unikezelo lwegazi kwindawo echaphazelekayo lwahlukile na kwezinye iindawo zomzimba.
- Ii-X-reyi: Kwiimeko eziphucukileyo, i-X-reyi yenziwa ukuze kubonwe ukuba kukho ukulahleka kweeminerali emathanjeni.
Zithini iindlela zonyango?
Eyona nto ibalulekileyo kwesi sifo kukufumanisa isifo nokuqala unyango ngokukhawuleza . Okukhona uqala ngokukhawuleza, kokukhona iziphumo zingcono. Nangona kungekho nyango luthile lwe-RSD, uninzi lweempawu zinokulawulwa kwaye zinyangeke.
Kudla ngokusetyenziswa indibaniselwano yeendlela ezahlukeneyo zonyango.
| Indlela yonyango | Inkcazo |
|---|---|
| Amayeza | Izithomalalisi zentlungu (umz. i-Ibuprofen, i-Naproxen), amayeza okulwa nokuxhuzula, amayeza okudakumba (anceda ukulawula iintlungu), amafutha anjenge-Lidocaine, izitshizi zeempumlo eziqinisa amathambo. |
| Iinaliti zokuthintela imithambo-luvo | Inaliti kufutshane nomthambo obangela iintlungu, ukuze kuthintelwe okwethutyana imiqondiso yeentlungu ukuba ingafiki engqondweni. |
| Ulungiso lwenyama | Enye yezona ndlela zonyango zibalulekileyo. Ukushukumisa ingalo/umlenze ochaphazelekayo ngobunono kunceda ukuqinisa izihlunu kunye nokunciphisa iintlungu. |
| Unyango lwengqondo | Ukufunda iindlela zokuphumla kunokukunceda ukulawula uxinzelelo kunye noxinzelelo oluza nokuphila nentlungu engapheliyo. |
| Ezinye iindlela zonyango | Ii-electrode zifakwa kwi-spinal cord kwaye zithumela imiqondiso yombane ukunciphisa iintlungu, kwaye kunxitywa ii-splint kwiintlungu zengalo. |
| Utyando | Ukuba akukho nyango lumbi olunceda intlungu, ugqirha wakho unokucebisa utyando olubizwa ngokuba yiSympathectomy njengenyathelo lokugqibela. |
Iziyobisi ezibaluleke kakhulu
Iipilisi zokuphelisa iintlungu ezinamandla ezifana ne-corticosteroids (umz., i-Prednisolone) kunye ne-Opioids (umz., i-Morphine, i-Fentanyl) azisetyenziswa rhoqo kwaye zisetyenziswa phantsi kweliso elibukhali likagqirha ngenxa yemiphumo yazo emibi kunye nomngcipheko wokuba likhoboka.
Umyalezo Wokuya Ekhaya
- I-RSD okanye i-CRPS ayisiyonto uyicingayo, yimeko yokwenyani nebuhlungu.
- Le ntlungu imbi kakhulu kunesiganeko sokuqala okanye ukwenzakala. Olu luphawu oluphambili.
- Ukuxilongwa kwangoko kunye nonyango kunokubangela iziphumo ezingcono. Ngoko ke, musa ukuyityeshela intlungu engaqhelekanga.
- Ngenxa yokuba le yimeko enzima, unyango lubandakanya indibaniselwano yamayeza, unyango lomzimba, kunye neengcebiso zengqondo.
- Soloko uthetha nogqirha wakho malunga neentlungu ezingapheliyo nezingaqhelekanga emzimbeni wakho.
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