Cabanga ukuthi unokulimala okuncane engalweni yakho. Noma umlenze ophukile. Ngokuvamile, lobu buhlungu kufanele buphele ezinsukwini ezimbalwa. Kodwa kuthiwani uma ubuhlungu buba bubi kakhulu, futhi bungabi bubekezeleleki? Kuthiwani uma uzwa ubuhlungu obungenakubekezeleleka ngisho nalapho ugqoke ingubo? Yilokho esikhuluma ngakho namuhla. Lokhu kungenzeka ngezinye izikhathi ngemva kokulimala okuncane, ukuhlaselwa yinhliziyo , noma isifo sohlangothi.
Iyini i-RSD?
Kalula nje, i-RSD, noma i-Reflex Sympathetic Dystrophy Syndrome, igama eliphelelwe yisikhathi odokotela abangasalisebenzisi. Igama elisemthethweni lalesi simo manje seliyi -Complex Regional Pain Syndrome , noma i-CRPS ngamafuphi. I-RSD uhlobo olulodwa lwe-CRPS (Uhlobo I). Kulesi simo, lobu buhlungu obukhulu bubangelwa ukulimala kwezicubu zomzimba, ngaphandle kokulimala kwemizwa.
Into ebaluleke kakhulu ukuthi ubuhlungu bukhulu kakhulu futhi abunakulinganiswa kunokulimala kokuqala. Kufana nokuba nobuhlungu obungabekezeleleki izinyanga eziningi kusukela ekuklwebhekeni okuncane.
Kungani lokhu kwenzeka? Iyini imbangela?
Nakuba imbangela eqondile yalokhu ingakaziwa, odokotela bakholelwa ukuthi kubangelwa inkinga ohlelweni lwezinzwa oluzwela umzimba wethu.
Cabanga ngalesi simiso sezinzwa njengohlelo lokuzivikela emzimbeni wethu. Uma ulimala, lesi simiso sibonisa imithambo yegazi ukuthi inciphe. Lokhu kunciphisa inani legazi eligeleza lisuka endaweni elimele. Bese, sibonisa imithambo yegazi ukuthi ivuleke futhi ukuze inikeze izakhamzimba ezidingekayo ukuze kuphole inxeba.
Kodwa okwenzekayo kumuntu one-RSD ukuthi lolu hlelo lokuzivikela luyadideka kancane. Uma kukhona ukulimala, imithambo yegazi iyaqina, kodwa ayitholi isignali yokuvuleka kahle. Lokho kusho ukuthi uhlelo 'luvuliwe' futhi 'alucinywanga' futhi . Yilapho indawo yokulimala ivuvukala khona ngenxa yobuhlungu obukhulu.
Lesi simo sivame kakhulu kwabesifazane . Nakuba singakhula nasezinganeni, sivame kakhulu kubantu abaneminyaka ephakathi kuka-30 no-60.
Ziyini izimpawu zalesi simo?
Izimpawu ze-RSD aziveli ngokuzumayo, zifika kancane kancane. Ubuhlungu bokuqala bungakhula ngokuhamba kwesikhathi. Ngezinye izikhathi ungase ungaqapheli nokuthi lobu ubuhlungu obungavamile ekuqaleni.
Izehlakalo ezincane ezingase zenzeke nge-RSD:
- Ukuphuka kwamathambo
- Ukuqhekeka
- Imivimbo
- Ukushisa (Bu RNS )
- Ukuhlinzwa okuncane
- Izinti zenaliti
- Ukwelashwa ngemisebe
Lesi simo sivame ukwenzeka ezindaweni ezifana nengalo, ihlombe, umlenze, noma inqulu. Ubuhlungu bungasakazeka nangale kwendawo yokulimala.
| Isigaba sezimpawu | Izinto okufanele uzibone |
|---|---|
| Uhlobo lobuhlungu | Ukusha, ukuhlaba, ubuhlungu obujulile, ukuqaqamba. Ubuhlungu obuqhubekayo. |
| Izinguquko zesikhumba | Indawo elimele iba bomvu, ivuvuke, futhi izwakale ifudumele uma uyithinta. Isikhumba siphenduka sibe mhlophe, sibe luhlaza okwesibhakabhaka, noma sibe bomvu. |
| Ukuzwela ngokweqile | Ukuzwa ubuhlungu obukhulu ngisho nezinto ezingavamile ukulimaza (ukuwa kwamanzi, ukukhuhla izingubo emzimbeni). |
| Izinkinga ngokunyakaza | Ubuthakathaka noma ukuthuthumela kwemisipha, amalunga aqinile, ubunzima bokuhambisa ingalo/umlenze ngenxa yobuhlungu. |
| Ezinye izici | Ukujuluka ngokweqile endaweni ethintekile kuphela. Izinguquko ekukhuleni kwezinwele noma kwezinzipho. |
Ukuthola kanjani lokhu, Dokotela?
Ngokuvamile, kunzima ukukhomba ngokushesha i-RSD njengembangela yobuhlungu bakho. Udokotela wakho angase akusole kuphela uma ubika ukuthi ubuhlungu bakho bukhulu kakhulu kunokulimala futhi obungapheli.
Akukho ukuhlolwa okukodwa okuqinisekile okuqinisekisa ukuthi lokhu kuyi-RSD.
Kunalokho, udokotela wakho uzokwenza ukuxilongwa kokuqala ngokusekelwe ekuhlolweni kwakho okuphelele kanye nomlando wakho wezokwelapha. Ngaphezu kwalokho, angenza nokuhlolwa okuningana okuhlinzeka ngezinkomba ezengeziwe ngalesi simo.
- Ukuskena Kwamathambo: Lokhu kuhlola kusiza ukubona ukuthi iziphetho zamathambo zigugile yini nokuthi kukhona yini izinkinga ngokujikeleza kwegazi.
- I-MRI (Umfanekiso Wokubukana Kwamagnetic): I-MRI ingenziwa ukuze kubhekwe izinguquko ezincane emzimbeni, ikakhulukazi ezicutshini.
- Ukuhlolwa kokujuluka: Lokhu kuhlola ukuthi uhlangothi olulodwa lomzimba lujuluka kakhulu kunolunye.
- Ukuhlolwa kwe-Thermography: Kuhlola ukuthi izinga lokushisa noma ukutholakala kwegazi endaweni ethintekile kuhlukile yini kwezinye izingxenye zomzimba.
- Ama-X-ray: Ezimweni ezithuthukile kakhulu, kwenziwa i-X-ray ukuze kubonakale ukuthi kukhona yini ukulahleka kwamaminerali emathanjeni.
Yiziphi izindlela zokwelapha?
Into ebaluleke kakhulu kulesi sifo ukuxilonga lesi sifo bese uqala ukwelashwa ngokushesha okukhulu . Uma uqala ngokushesha, umphumela uba ngcono. Nakuba kungekho ukwelashwa okuqondile kwe-RSD, izimpawu eziningi zingalawulwa futhi zelapheke.
Ngokuvamile kusetshenziswa inhlanganisela yezindlela eziningana zokwelapha.
| Indlela yokwelapha | Incazelo |
|---|---|
| Imithi | Iziqeda-buhlungu (isib. i-Ibuprofen, i-Naproxen), imithi yokulwa nokuquleka, imithi yokucindezeleka (iyasiza ukulawula ubuhlungu), amafutha okugcoba afana ne-Lidocaine, izifutho zamakhala eziqinisa amathambo. |
| Imijovo yokuvimba imizwa | Umjovo eduze kwenzwa obangela ubuhlungu, ukuvimba okwesikhashana izimpawu zobuhlungu ukuthi zingafiki ebuchosheni. |
| Ukwelashwa Komzimba | Enye yezindlela zokwelapha ezibaluleke kakhulu. Ukuhambisa kancane ingalo/umlenze othintekile kusiza ukuqinisa imisipha nokunciphisa ubuhlungu. |
| Ukwelapha ngengqondo | Ukufunda izindlela zokuphumula kungakusiza ukuthi uphathe ukucindezeleka nokukhathazeka okuhambisana nokuphila nobuhlungu obungapheli. |
| Ezinye izindlela zokwelapha | Ama-electrode afakwa emgogodleni bese ethumela izimpawu zikagesi ukuze kuncishiswe ubuhlungu, kanti ama-splint agqokwa ngenxa yobuhlungu bengalo. |
| Ukuhlinzwa | Uma kungekho okunye ukwelashwa okudambisa ubuhlungu, udokotela wakho angase ancome ukuhlinzwa okubizwa ngokuthi i-Sympathectomy njengendlela yokugcina. |
Izidakamizwa eziphawuleka kakhulu
Amaphilisi okudambisa ubuhlungu anamandla njenge-corticosteroids (isb., i-Prednisolone) kanye ne-Opioids (isb., i-Morphine, i-Fentanyl) asetshenziswa kaningi futhi asetshenziswa ngaphansi kokuqondisa okuqinile kukadokotela ngenxa yemiphumela emibi yawo kanye nengozi yokulutha.
Umlayezo Wokuya Nawe Ekhaya
- I-RSD noma i-CRPS akuyona into oyicabangayo, iyisimo sangempela nesibuhlungu.
- Lobuhlungu bubuhlungu kakhulu kunesigameko sokuqala noma ukulimala. Lolu uphawu oluyinhloko.
- Ukuxilongwa kusenesikhathi kanye nokwelashwa kungaholela emiphumeleni engcono. Ngakho-ke, ungabunaki ubuhlungu obungavamile.
- Ngenxa yokuthi lesi yisimo esiyinkimbinkimbi, ukwelashwa kuhilela inhlanganisela yemithi, ukwelashwa ngokomzimba, kanye nokwelulekwa kwengqondo.
- Khuluma nodokotela wakho njalo nganoma yibuphi ubuhlungu obungapheli nobungajwayelekile emzimbeni wakho.
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