Ingabe uzwa ubuhlungu obungabekezeleleki ezandleni nasezinyaweni zakho kanye nokushintsha kwesikhumba? Kungaba yi-CRPS! (I-Complex Regional Pain Syndrome)

Wake wazibuza ukuthi kungaba njani ukuzwa ubuhlungu obukhulu, obuqhubekayo engalweni noma emlenzeni ngemva kokulimala okuncane, noma mhlawumbe ngaphandle kwesizathu esicacile? Abanye abantu bake babhekana nalokhu. Namuhla sizokhuluma ngesinye isimo esinjalo, i-`Complex Regional Pain Syndrome (CRPS). Ungesabi, kubaluleke kakhulu ukuqaphela lokhu.

Kuyini i-CRPS? Kalula nje...

I-'Complex Regional Pain Syndrome', noma '(CRPS)' ngamafuphi, yisimo esibangela ubuhlungu obukhulu engxenyeni ethile yomzimba wakho, ngokuvamile ingalo, umlenze, intende, noma iqakala , kanye nezinye izimpawu eziningi, njengokushintsha kombala wesikhumba nokuvuvukala kuleyo ndawo. Cabanga nje, inkinga engalweni noma emlenzeni wakho yenza kube nzima ukusebenza empilweni yakho yansuku zonke, awukwazi ukulala kahle ebusuku, futhi inomthelela omkhulu empilweni yakho yengqondo.

Odokotela bakholelwa ukuthi i-CRPS ibangelwa ukungasebenzi kahle ohlelweni lwethu lwezinzwa oluphakathi ( ubuchopho kanye nomgogodla) noma ohlelweni lwethu lwezinzwa oluseceleni ( uhlelo oluthwala imiyalezo evela ebuchosheni kanye nomgogodla iye kwezinye izitho, izitho, kanye neminwe). Kulesi simo, uhlelo lwethu lwezinzwa lusabela ngokweqile ezimpawini zobuhlungu futhi lungakwazi ukuvimba leyo mpendulo.

Kunezinhlobo ezimbili eziyinhloko ze-CRPS:

1. Uhlobo I: Kulokhu , akukho monakalo emithanjeni. Lokhu kuvame ukwenzeka ngemva kokugula noma ingozi ethile. Kodwa-ke, ingozi ayizange ilimaze ngqo imithambo. Lokhu kwakubizwa ngokuthi ``Reflex Sympathetic Dystrophy``.

2. Uhlobo II: Lokhu kuyinkomba ecacile yokulimala kwemizwa. Lokhu kwakubizwa ngokuthi `i-Causalgia` ngaphambilini.

I-CRPS ingaba yesikhashana (ebukhali) noma engamahlalakhona (ehlala isikhathi esingaphezu kwezinyanga eziyisithupha) . Ngenhlanhla, ivame ukwelashwa futhi yelapheke.

Ubani okungenzeka kakhulu ukuthi athole i-CRPS?

I-CRPS ivame kakhulu kubantu abadala kunasezinganeni. Ivame ukuba sezingeni eliphezulu cishe eminyakeni engama-40. Abesifazane banamathuba amaningi okuthola i-CRPS kunabesilisa.

Ucwaningo lubonise ukuthi lesi simo sibonakala kubantu bozalo lwaseYurophu, njengoba sivame ukuba phakathi kuka-66% no-80%. Kodwa-ke, lesi simo singavamile kakhulu. Isibonelo, e-United States, kubikwa amacala angaba ngu-200,000 kuphela minyaka yonke.

Ziyini izimpawu ze-CRPS? Ungazibona kanjani ?

Ubunzima kanye nobude bezimpawu ze-CRPS kuyahlukahluka kuye ngomuntu nomuntu.

Ngokuvamile into ethileIzimpawu ze-CRPS zivame ukuqala emavikini amane kuya kwayisithupha ngemuva kokulimala, ukuphuka, noma ukuhlinzwa . Kodwa-ke, ngezinye izikhathi lezi zimpawu zingavela ngaphandle kwesizathu esisobala.

Uphawu oluyinhloko noluvelele kakhulu lwe-CRPS ubuhlungu. Lobuhlungu bungahlala njalo noma bufike budlule. Ngokuvamile buzwakala njengobuhlungu obuvuthayo, obubuhlungu, noma obudabukisayo . Lobuhlungu buvame ukuzwakala bujule engalweni noma emlenzeni othintekile.

Ngaphezu kwalokho, izinguquko ekuzweleni zingabonakala endaweni ethintekile:

• Ukuzwela okukhulu ezintweni ezibangela ubuhlungu: Isibonelo, ngisho nokuncinza okuncane kungase kuzwakale kubuhlungu kakhulu kunokujwayelekile.
• Ukuzwa ubuhlungu obuvela entweni engavamile ukubangela ubuhlungu: Ubuhlungu bungenzeka ngisho noma isikhumba sisanda kuthintwa.
• Ungase uzizwe ungenamizwa .

Nazi ezinye izimpawu:

• Ukuvuvukala kwesikhumba: Ukuvuvukala kungase kufike kudlule, noma kungase kuqhubeke njalo.
• Ukungasebenzi kahle kwengalo noma umlenze othintekile: Kungaba nzima ukuhambisa ingalo noma umlenze othintekile, noma kungase kuzwakale kuqinile. Kungaba nzima futhi ukufaka isisindo engalweni/umlenze othintekile noma ukufaka isisindo esilungwini.
• Izinguquko ekushiseni kwesikhumba: Isandla/unyawo oluthintekile lungase luzizwe lushisa noma lubanda kunolunye.
• Ukushintsha kombala wesikhumba: Isikhumba singase sibonakale sinamabala, simhlophe, sinsomi/sinamabala, noma sibomvu kwezinye izindawo.
• Izinguquko ekubunjweni kwesikhumba: Isikhumba singase sicwebezele, sibe sincane, noma sijuluke kakhulu.
• Izinguquko ekukhuleni kwezinzipho nezinwele: Izinzipho nezinwele kuleyo ndawo zingase zikhule ngokushesha, noma zingakhuli nhlobo.

Ngenxa yokuthi izimpawu ze-'CRPS' zivame ukuthuthuka ngokuhamba kwesikhathi, kulula ngodokotela ukuyixilonga ezigabeni zokuqala. Ngakho-ke, uma unalezi zimpawu, kubaluleke kakhulu ukubona udokotela ngokushesha okukhulu.

Kungani i-CRPS ikhula? Ziyini izimbangela?

Abacwaningi abakakazi kahle ukuthi kungani abanye abantu abanokulimala okufanayo beba ne-CRPS kanti abanye abanayo. Bacabanga ukuthi kungenzeka ukuthi kungenxa yokusabela kokuvuvukala noma kokuzivikela komzimba ohlelweni lwezinzwa oluseceleni kanye nohlelo lwezinzwa oluphakathi .

Ezimweni eziningi, ngaphezu kwama-90%, i-CRPS ibangelwa ukulimala noma ukulimala kwemizwa engalweni noma emlenzeni othintekile.Ngoba. Lokhu kulimala kulimaza imicu yezinzwa ethambile kakhulu kanye ne-autonomic nerve emzimbeni wethu. Le micu yezinzwa emincane yiyo ethwala imizwa efana nobuhlungu, ukulunywa, kanye nokushisa ebuchosheni bethu. Yiyo futhi elawula impilo yonke yemithambo yegazi emincane kanye namaseli azungezile.

Ukulimala okuvame kakhulu okuhlobene ne-CRPS ukuphuka kwethambo , ikakhulukazi ukuphuka esihlakaleni. Imizwa ingalimala uma ithambo liphumile noma lichotshoziwe, noma uma i-tight cast ibangela ingcindezi.

Ezinye izinhlobo ezivamile zokulimala ezingaholela ku-CRPS zifaka:

• Ukuhlinzwa: Imizwa ingonakalisa ukusikwa, ukuthungwa, noma izibazi ngesikhathi sokuhlinzwa.
• Ukuqhekeka noma ukuminyana: Uma izicubu ezixhumeneyo zonakele, ilunga linganyakaza kakhulu, okungabangela ukucindezeleka okukhulu emithanjeni eseduze.
• Ukusha, imihuzuko, noma ukusikeka: Konke lokhu ukulimala okubonakalayo, kodwa kungalimaza nemizwa engaphansi.

Ngezinye izikhathi i-CRPS ingakhula ngaphandle kokulimala okusobala. Noma ukukhubazeka isikhathi eside nakho kungaba yimbangela.

Kunezici ezithile ezandisa ingozi yokuthola i-CRPS:

• Impilo yemizwa engeyinhle: Abantu abanezimo ezifana nesifo sikashukela banamandla amancane okuqina kwemizwa nokululama. Abantu abane-peripheral neuropathy bangase babe nobunzima bokuvuselela amangqamuzana emizwa, ngisho nokulimala okungabangeli inkinga ngokuvamile. Abantu ababhemayo nalabo abake bathola ukwelashwa ngamakhemikhali omdlavuza ngaphambilini bangase babe nobunzima bokuvuselela amangqamuzana emizwa.
• Izinkinga zesimiso somzimba sokuzivikela: Isimiso somzimba sokuzivikela sidlala indima enkulu ekubangeleni ukuvuvukala emizimbeni yethu. Abanye abantu abane-CRPS banamazinga aphezulu amakhemikhali okuvuvukala abizwa ngokuthi ama-cytokines . Lokhu kunegalelo kwezinye zezimpawu ze-CRPS. I-CRPS ivame kakhulu nakubantu abanezinye izifo zokuvuvukala kanye nezifo zokuzivikela komzimba, njenge-asthma .
• Izici zofuzo: Izakhi zofuzo zakho zingathinta nendlela ophulukiswa ngayo ekulimaleni. Abacwaningi bathole ukuthi i-CRPS ivame ukugijima emindenini ('amaqoqo emindeni'). Nakuba lokhu kungavamile, kusikisela ukuthi i-CRPS ingaba nokuxhumana kwezakhi zofuzo.

Wazi kanjani ukuthi une-CRPS? (Ukuxilongwa)

Ngenxa yokuthi i-CRPS iyisimo esingavamile futhi odokotela abasiqondi ngokugcwele, ngezinye izikhathi sihlolwa ngendlela engafanele.

Thola i-'CRPS'Akukho ukuhlolwa okuqondile. Odokotela bavame ukuyixilonga ngokuthatha umlando wezokwelapha ngokucophelela, ukwenza ukuhlolwa ngokomzimba, nokubukeza izimpawu zakho. Udokotela uzobuza nokuthi ngabe uke waba nokulimala noma ukuhlinzwa muva nje.

Udokotela uzobheka ngqo lezi zinto:

• Ushintsho ekubukekeni, izinga lokushisa, kanye nokuthungwa kwesikhumba endaweni ethintekile.
• Ukuba nobuhlungu obukhulu kunalokho obekulindelwe ngokulimala.
• Kungakhathaliseki ukuthi kukhona esinye isifo noma isimo esingase sibangele ubuhlungu bakho, izinguquko zesikhumba, noma ezinye izimpawu.

Ukuhlolwa kwezithombe ezifana ne -ultrasound noma i-magnetic resonance imaging (MRI) kungenziwa ukuze kubhekwe umonakalo wezinzwa ongaphansi. Kodwa-ke, umonakalo wezinzwa ungase ungatholakali njalo.

Udokotela wakho angase futhi acele ezinye izivivinyo ukuze akhiphe ezinye izimo ezingabangela izimpawu ezifanayo. Isibonelo, ukuhlolwa kwe-electromyography (EMG) kungaveza ezinye izimbangela ze-neuropathy, ngezinye izikhathi ezingabangela ubuhlungu obufanayo.

Yiziphi izindlela zokwelapha i-CRPS?

Imigomo eyinhloko yokwelashwa ukunciphisa ubuhlungu bakho nezinye izimpawu, ukubuyisela ukusebenza kwengalo/umlenze othintekile, nokugcina ikhwalithi yempilo yakho.

Kubaluleke kakhulu ukuqala ukwelashwa kusenesikhathi ngesikhathi se-CRPS. Lokhu kungenxa yokuthi ngokuhamba kwesikhathi, isitho esithintekile singaqina ('siqine'). Uma singalashwa, ubuhlungu buvame ukwanda, futhi kuba nzima kakhulu ukuhambisa isitho esithintekile.

Uma kungenzeka, kungcono ukubona udokotela onolwazi lokwelapha i-CRPS. Ukwelashwa kuhilela inhlanganisela yezindlela eziningana ezahlukene, eziphathwa ngokucophelela ndawonye. Lezi zifaka:

• Ukwelashwa ngokomzimba kanye nokwelashwa ngokomsebenzi.
• Izinguquko zendlela yokuphila.
• Ukwelashwa kwengqondo kanye nokuziphatha.
• Imithi.
• Ezinye izindlela zokwelapha zokulawula ubuhlungu.

Ezinganeni ezincane ezine-CRPS, ukwelashwa kwengqondo nokuvuselelwa yizona zindlela zokwelapha eziyinhloko . Imithi yokuqeda ubuhlungu ivame ukunconywa kuphela ezinganeni ezindala ezinezimpawu ezingaphenduli kwezinye izindlela zokwelapha.

Ukwelashwa ngokomzimba kanye nokwelashwa emsebenzini

Enye yezindlela zokwelapha ezibaluleke kakhulu ze-CRPS ukwelashwa ngokomzimba.Udokotela wezokwelapha ngokomzimba angathuthukisa ukujikeleza kwegazi engalweni/emlenzeni wakho othintekile, futhi angasebenzisa nokuzivocavoca okuthile ukuthuthukisa ukuguquguquka kwakho, amandla, ithoni yemisipha, kanye nokusebenza. Udokotela wezokwelapha emsebenzini angakufundisa izindlela ezintsha zokwenza imisebenzi yansuku zonke.

Ezinye izici zokwelapha ngokomzimba ze-CRPS zifaka:

• `Izithombe Zemoto Ezinezinga`: Lolu uchungechunge lwezindlela zokwelapha ezinciphisa ubuhlungu futhi zithuthukise ikhono lokuhambisa ingxenye yomzimba ethintekile. Uma ingalo noma umlenze wakho ubuhlungu, kuba nzima ukuwuthinta, ukuwunyakazisa, noma ukuwusebenzisa. Futhi, ubuchopho bethu bunenkumbulo, noma ``imephu``, yezingxenye zomzimba ezahlukene. Indlela ezizizwa ngayo, indlela ezihamba ngayo, kanye nendlela ezisetshenziswa ngayo imisebenzi yansuku zonke. Uma ungathinti, unganyakazi, noma ungasebenzisi ingalo/umlenze othintekile, le mephu iqala ukushintsha futhi ingase inyamalale. Kodwa ngale ndlela ``Izithombe Zemoto Ezinezinga``, ungashintsha noma uvuselele le mephu.
• Ukwelashwa Ngesibuko: Lolu uhlobo lwe-Graded Motor Imagery. Ubheka ingalo/umlenze wakho ongathintekile esibukweni. Isithombe sesibuko sizobe sesifana ncamashi nengalo/umlenze othintekile. Lokhu kungakhohlisa ubuchopho bakho ukuthi bucabange ukuthi ingalo/umlenze obuhlungu manje usuzizwa futhi uhamba ngendlela evamile.
• `Ukunciphisa ubukhali`: Le ndlela ihilela ukuthinta indawo ethintekile ngezinto ezinezimo ezahlukene kanye nezisindo, nokubeka isandla/unyawo oluthintekile emanzini ashisayo nabandayo. Ngokuhamba kwesikhathi, njengoba uveza indawo ethintekile emizweni ehlukene, ubuchopho bakho buyajwayela leyo mizwa futhi ubuhlungu buqala ukwehla.

Izinguquko zendlela yokuphila

Ungandisa amathuba kanye nesivinini sokululama kwakho ngokuqeda ezinye zezinto eziphazamisa inqubo yokuphulukiswa kwemizwa yakho. Lokhu kufaka phakathi:

• Ukuyeka ukubhema: Ukubhema kuyisithiyo esikhulu ekuvuseleleni imizwa.
• Ukuphatha izimo zempilo ezikhona: Uma izifo ezithinta ukujikeleza kwegazi kanye nezinzwa, njengesifo sikashukela, zingaphathwa kahle, kungaba nzima ukuthi izinzwa zelapheke.

Nazi ezinye izinyathelo ezilula ongazithatha ekhaya ukusiza ngezimpawu zakho:

• Ukugcina ingalo/umlenze othintekile uphakeme kancane ngenkathi uphumule noma ulele kusiza uketshezi oluthe xaxa lubuyele enhliziyweni.
• Ukuzivocavoca njalo kubalulekile ukuze kuthuthukiswe ukujikeleza kwegazi ezinzwa ezonakele. Khuluma nodokotela wakho noma nochwepheshe wezokwelapha ngohlelo lokuzivocavoca olukufanele.
• Ukugqoka amasokisi noma imikhono yokucindezela, ikakhulukazi uma umile, kungasiza ekunciphiseni ukuvuvukala. Buza udokotela wakho ukuthi lokhu kuyindlela yakho.

Ukwelashwa kwengqondo kanye nokuziphatha

Ukuba ne-CRPS kuhlotshaniswa nokukhathazeka okukhulu, ukucindezeleka, kanye nokucindezeleka . Lokhu kungenza ubuhlungu bube bubi nakakhulu. Ukwelashwa kwengqondo kungasiza. Ukwelashwa kwengqondo (okubizwa nangokuthi ukwelashwa ngenkulumo) igama elijwayelekile lezinhlobo ezahlukene zokwelapha ezisiza umuntu ukuthi abone futhi ashintshe imizwa, imicabango, kanye nokuziphatha okungenampilo.

Uma kungenzeka, kungcono ukubona isazi sokusebenza kwengqondo esiqeqesha ukwelapha i-CRPS. Ku-psychotherapy, ukhuluma nesazi sokusebenza kwengqondo bese ufunda ukuthi ungabhekana kanjani kangcono nezici ezibangela ubuhlungu bakho nezinye izimpawu.

Imithi

Ayikho imithi evunyelwe ngqo i-CRPS e-United States. Kodwa-ke, udokotela wakho angase akunike imithi ethile ukusiza ukulawula izimpawu zakho.

Izinhlobo eziningana zemithi eqeda ubuhlungu:

• Imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID): Izibonelo zifaka i-acetaminophen, i-ibuprofen, kanye ne-naproxen.
• Okhilimu nama-patches okuqeda izinhlungu endaweni: Isibonelo, i-Lidocaine.
• Eminye imithi yokucindezeleka: Izibonelo zifaka phakathi i-Amitriptyline ne-Duloxetine.
• Imithi yokulwa nokuquleka: Izibonelo zifaka phakathi iGabapentin, iPregabalin, kanye neTopiramate.
• Ama-Bisphosphonates: Isibonelo, i-Alendronate.
• Imijovo ye-Botulinum toxin (Botox).

Ukukhetha kokuqala imithi kuyahlukahluka kuye ngomuntu nomuntu. Udokotela wakho uzocabangela izici eziningana, okuhlanganisa:

• iminyaka yakho.
• Ezinye izimo zempilo ezikhona.
• Noma yimiphi imithi oyithathayo njengamanje.
• Amathuba okuba nemiphumela emibi yomuthi noma ukusebenzisana nemithi oyiphuzayo njengamanje.

Izindlela zokwelapha ezihlukile zokulawula ubuhlungu

Ezinye izindlela zokwelapha zokulawula ubuhlungu zingafaka:

• `Impendulo ye-Bio`
• `Ukwelashwa nge-acupuncture`
• 'I-Hypnosis'
• `Reiki`
• `Ukwelapha Nge-Chiropractic`

Ukwelashwa okwengeziwe okungafuneki

Uma isimo sakho se-CRPS singasabelanga kahle ekwelashweni okukhulunywe ngakho ngenhla, noma uma unobuhlungu obukhulu noma i-CRPS eqhubekayo, udokotela wakho angase ancome lezi zindlela zokwelapha ezingangenisi kakhulu:

• Imijovo ye-trigger point/tender point: Uma i-CRPS ikhawulelwe ezingalweni zakho ezingaphezulu, ungase ube namaphuzu e-trigger emisipheni yebhande lakho lehlombe. Ezigabeni zokuqala ze-CRPS, imijovo ye-glucocorticoids, ene-anesthetics yendawo noma engenayo, endaweni ngayinye ye-trigger ingasiza.
• Ama-Sympathetic nerve blocks: Lawa ma-blocks anikeza ukukhululeka okukhulu ebuhlungwini kwabanye abantu. I-lumbar sympathetic block ihilela ukufaka i-anesthetic emhlane wakho ongezansi, eduze kwe-spinal cord yakho. Lokhu kuvimbela ngqo i-sympathetic chain ethwala izimpawu zobuhlungu kusuka emaphethelweni akho aphansi kuya e-spinal cord yakho nasebuchosheni. I-block yobuhlungu be-CRPS engalweni engenhla ibizwa ngokuthi i-stellate ganglion block . Lokhu kuhilela ukufaka i-anesthetic ohlangothini lwentamo yakho.
• Ukuvuselelwa kwentambo yomgogodla: Lokhu kwelashwa kuhilela ukufakwa ngokuhlinzwa kwedivayisi yokukhiqiza i-pulse ngaphansi kwesikhumba sesisu sakho noma izinqe kanye nezintambo (ama-electrode) eduze kwentambo yomgogodla wakho. Le divayisi, efana ne-pacemaker, ithumela imisinga kagesi ephansi entanjeni yakho yomgogodla. Lezi zinsinga zikagesi ziphazamisa izimpawu zobuhlungu eziya ebuchosheni bakho, zinciphise.
• Ukuvuselelwa kwe-dorsal root ganglia: Lokhu kwelashwa kufana nokuvuselelwa kwe-spinal cord. Kodwa-ke, izintambo ezincane zifakwa ngqo phezu kwe-dorsal root ganglioni. I-dorsal root ganglioni iyiqoqo lama-sensory neurons atholakala lapho yonke imizwa emzimbeni wakho iphuma khona ku-spinal cord yakho. Kuyisiteshi sokudlulisela izimpawu zobuhlungu ezivela ohlelweni lwezinzwa oluseceleni (izitho zakho) ziye ohlelweni lwezinzwa oluphakathi (umgogodla wakho kanye nobuchopho). Lokhu kuvuselelwa kungaba ukwelashwa okuqondiswe kakhulu futhi okuphumelelayo (okudinga ukuvuselelwa okuncane) ngoba kugxile kula maphuzu amancane aphakathi.
• Ukuvuselelwa kwemizwa engaphandle: Lokhu kwelashwa kuhilela ukubeka ucingo lokuvuselela eduze kwemizwa enkulu engalweni/emlenzeni wakho emboza indawo ebuhlungu. Kusebenza ngokuphazamisa isignali yobuhlungu ehamba ngemizwa eqondiwe.
• Ukufakwa kwe-ketamine nge-IV: Lokhu kwelashwa kuhilela ukunikeza umthamo ophansi we-ketamine ngemithambo yegazi (ukufakwa kwe-IV) izinsuku ezi-3 kuya kwezi-5. I-Ketamine isebenza ngokuvimba i-molecule ethile ohlelweni lwakho lwezinzwa (i-NMDA receptor) engenza ubuhlungu bakho bube bubi nakakhulu.
• Amaphampu emithi angaphakathi:Lokhu kwelashwa kusebenzisa i-catheter efakiwe ukuze kulethwe ama-painkillers njenge-Ziconotide (Prialt®) ngqo oketshezini lwakho lomgogodla.

Ingabe i-CRPS ingavinjelwa?

Ngenxa yokuthi abacwaningi abazi imbangela eqondile ye-CRPS, ayikho indlela eqondile yokuyivimbela. Ezinye izifundo zikhombisile ukuthi ukuthatha i-vitamin C ngaphambi kokuhlinzwa esikhathini esizayo kungasiza ekuvimbeleni i-CRPS.

Luhlobo luni lwekusasa umuntu one-CRPS analo?

Okuhlangenwe nakho kwawo wonke umuntu nge-CRPS kuhlukile. Kwabaningi, i-CRPS iyathuthuka ngokuhamba kwesikhathi futhi ekugcineni iyaphela.

Kodwa-ke, amacala anzima noma ahlala isikhathi eside (angavamile) angaba nomthelela omkhulu empilweni yakho. Kwabanye abantu, i-CRPS ingaba yimbi kakhulu futhi isakazekele kwezinye izingxenye zomzimba. Ukubhekana nokucindezeleka kwengqondo ngokweqile ngesikhathi sokulimala okuholele ku-CRPS kungathinta ubukhali besimo kanye nekhono lakho lokululama.

Abantu abaphakathi kuka-10% no-30% abane-CRPS bangase baphinde babuye. Imbangela eqondile yokuphindaphinda okuningi ayaziwa.

Imigomo ebaluleke kakhulu ukuqeda ubuhlungu nokubuyisa ukunyakaza namandla engalweni/emlenzeni othintekile. Ukuqeda ubuhlungu kwandisa amathuba okuthuthukisa ukusebenza kuleyo ndawo kanye nekhwalithi yempilo yakho. Ngezinhlelo zokwelapha ezikhethwe ngokucophelela, abanye abantu abane-CRPS bayakwazi ukuphatha ubuhlungu babo ngempumelelo futhi baphile impilo esebenzayo.

Yiziphi izikhathi ezinhle kakhulu zokuya kudokotela?

Ngenxa yokuthi lesi simo siyinkimbinkimbi futhi ngezinye izikhathi asihlolwa kahle, kufanele uthole uchwepheshe wokuphatha ubuhlungu noma isikhungo sobuhlungu esikhethekile esinolwazi nge-CRPS uma unalokhu:

• Uma ucabanga ukuthi unezimpawu ze-'CRPS'.
• Uma izimpawu zakho ziba zimbi kakhulu.
• Uma isimo sakho singakaphenduli kwezinye izindlela zokwelapha.

Ingabe i-CRPS iwukukhubazeka noma ukugula kwengqondo?

Cha, i-CRPS akuyona inkinga yempilo yengqondo. Yisimo sezinzwa. Kodwa-ke, i-CRPS ingabangela noma ibhebhethekise ukukhathazeka, ukucindezeleka kanye nokucindezeleka. Kwezinye izimo, ingaholela ngisho naseSifo Sokucindezeleka Ngemva Kokuhlukumezeka (PTSD) .

E-United States, i-Social Security Administration iqaphela i-CRPS njengokukhubazeka, kuye ngokuthi ibucayi kangakanani kanye nomthelela wayo empilweni. Ungaxhumana nezikhulu zikahulumeni ukuthola ulwazi olwengeziwe mayelana nezindlela zokufaneleka.

Umlayezo Wokuya Nawe Ekhaya

Lesi simo esibizwa ngokuthi i-'Complex Regional Pain Syndrome (CRPS)' singaba nomthelela omkhulu empilweni yakho. Kodwa izindaba ezinhle ukuthi, singelashwa.Kunezindlela eziningi zokwelapha, futhi ungazama inhlanganisela yazo. Uma usheshe utholakale une-CRPS bese uqala ukwelashwa, kulapho izimpawu zakho zizosabela khona ekwelashweni. Uma ucabanga ukuthi ungaba ne-CRPS, khuluma nodokotela wakho. Bakhona ukukusiza. Ungesabi, futhi ungabi wedwa. Into ebaluleke kakhulu ukuthola iseluleko sezokwelapha esifanele kanye nokusekelwa.

I- CRPS, i-complex regional pain syndrome, ubuhlungu bemizwa, ubuhlungu bengalo nemilenze, ubuhlungu obungapheli, ukwelashwa kwe-CRPS, izimpawu ze-CRPS