Mavuto a Regional Pain Syndrome Mtundu Wachiwiri (Causalgia)

Zamkati

• Kodi causalgia ndi chiyani?
• Zizindikiro za causalgia
• Zomwe zimayambitsa causalgia
• Momwe causalgia imadziwira
• Njira zochiritsira za causalgia
• Maganizo ake

Kodi causalgia ndi chiyani?

Causalgia amadziwika kuti matenda ovuta am'madera amtundu wa II (CRPS II). Ndi matenda amitsempha omwe amatha kupanga ululu wokhalitsa, wopweteka kwambiri.

CRPS II imachitika pambuyo povulala kapena kuvulala pamitsempha yotumphukira. Mitsempha ya m'mphepete imathamanga kuchokera kumsana ndi ubongo mpaka kumapeto. Malo omwe CRPS II akumva kuwawa kwambiri ndi omwe amatchedwa "brachial plexus." Ili ndiye gulu la mitsempha yomwe imachokera m'khosi mwanu kupita m'manja mwanu. CRPS II ndiyosowa, imakhudza pang'ono pang'ono kuposa.

Zizindikiro za causalgia

Mosiyana ndi CRPS I (yemwe kale ankadziwika kuti reflexive sympathetic dystrophy), kupweteka kwa CRPS II nthawi zambiri kumadera ozungulira mitsempha yovulala. Ngati chovulalacho chinachitika mu mitsempha ya mwendo wanu, mwachitsanzo, kupweteka kumakhazikika mu mwendo wanu. Mofananamo, ndi CRPS I, yomwe siyimaphatikizapo kuvulala kwamitsempha, kupweteka kwa chala chopweteka kumatha kutuluka mthupi lanu lonse.

CRPS II imatha kuchitika paliponse pomwe pali vuto la mitsempha yowopsa. Mitsempha ya m'mphepete imathamanga kuchokera kumsana wanu kupita kumapeto kwanu, zomwe zikutanthauza kuti CRPS II imapezeka mu:

• mikono
• miyendo
• manja
• mapazi

Mosasamala kanthu za mitsempha yowonongeka yomwe yavulala, zizindikiro za CRPS II zimakhalabe zomwezo ndikuphatikizapo:

• kutentha, kupweteka, kupweteka kopweteka komwe kumatha miyezi isanu ndi umodzi kapena kupitilira apo ndipo kumawoneka kosafanana ndi kuvulala komwe kudabweretsa
• zikhomo ndi singano zotengeka
• hypersensitivity mozungulira malo ovulala, momwe kukhudzidwa kapena kuvala zovala kumatha kuyambitsa chidwi
• kutupa kapena kuuma kwa chiwalo chomwe chakhudzidwa
• thukuta losazungulira pamalo ovulalawo
• Mtundu wa khungu kapena kutentha kumasintha mozungulira malo ovulalawo, monga khungu lomwe limawoneka lotumbululuka ndikumamva kuzizira kenako lofiira komanso lotentha ndikubwerera

Zomwe zimayambitsa causalgia

Pakati pa mizu ya CRPS II kuvulala kwamitsempha yotumphukira. Kuvulala kumeneku kumatha kubwera chifukwa chophwanyika, kupindika, kapena kuchitidwa opaleshoni. M'malo mwake, malinga ndi kafukufuku wina, pafupifupi 400 opangira opaleshoni yamapazi ndi akakolo adapanga CRPS II atachitidwa opaleshoni. Zina mwazomwe zimayambitsa CRPS II ndi izi:

• zoopsa zofewa, monga kuwotcha
• kuphwanya kuvulala, monga kuphwanya chala chanu pakhomo lagalimoto
• kudula

Komabe, sizikudziwika chifukwa chake anthu ena amayankha modabwitsa pa zochitikazi ndipo ena satero.

Ndizotheka kuti anthu omwe ali ndi CRPS (kaya ine kapena II) ali ndi zovuta zina zolumikizana ndi ulusi wamitsempha yawo, zomwe zimawapangitsa kukhala osakhudzidwa ndi zizindikilo zopweteka. Zovuta izi zimatha kuyambitsanso kuyambitsa kutupa ndikupangitsa kusintha kwa mitsempha yamagazi. Ichi ndichifukwa chake anthu ambiri omwe ali ndi CRPS II amatha kutupa ndi kutulutsa khungu pamalo omwe wavulalawo.

Momwe causalgia imadziwira

Palibe mayeso amodzi omwe angazindikiritse bwinobwino CRPS II. Dokotala wanu adzakuyesani, kulemba mbiri yanu yazachipatala, kenako kuyitanitsa mayeso omwe angaphatikizepo:

• X-ray kuti ayang'ane mafupa osweka ndi kutayika kwa mchere
• MRI yoyang'ana minofu yofewa
• thermography yoyesa kutentha kwa khungu ndi kuthamanga kwa magazi pakati pa miyendo yovulala ndi yosavulala

Zinthu zina zodziwika bwino monga fibromyalgia zitachotsedwa, dokotala wanu amatha kuyambitsa matenda a CRPS II molimba mtima.

Njira zochiritsira za causalgia

Chithandizo cha CRPS II nthawi zambiri chimakhala ndimankhwala ndi mitundu ina yamankhwala olimbikitsa thupi.

Ngati kupweteka kwapafupipafupi kumachepetsa monga acetaminophen (Tylenol) kapena ibuprofen (Advil) sikukupatsani mpumulo, dokotala wanu akhoza kukupatsani mankhwala amphamvu. Izi zingaphatikizepo:

• steroids kuti muchepetse kutupa
• mankhwala ena opatsirana pogonana komanso ma anticonvulsants, monga Neurontin, omwe amakhala ndi zotsatirapo zopweteka
• mitsempha, yomwe imakhudza kubaya mankhwala osokoneza bongo m'mitsempha yomwe yakhudzidwa
• ma opioid ndi mapampu omwe amalowetsa mankhwala molunjika msana wanu kutsekereza zowawa zamitsempha

Mankhwala amthupi, omwe amagwiritsidwa ntchito kupititsa patsogolo kapena kusinthasintha mayendedwe amiyendo yopweteka, amagwiritsidwanso ntchito. Wothandizira thupi lanu angayesenso zomwe zimatchedwa transcutaneous electrical nerve stimulation (TENS), yomwe imatumiza zikoka zamagetsi kudzera mu ulusi mthupi lanu kuti zilepheretse zowawa. Pakufufuza komwe kumafufuza anthu omwe ali ndi CRPS I, omwe amalandila chithandizo cha TENS adanenanso za kupumula kwamphamvu kuposa omwe samalandira. Makina a TENS ogwiritsidwa ntchito ndi batri amapezeka kunyumba.

Anthu ena apeza kuti mankhwala othandizira kutentha - kugwiritsa ntchito pedi yotenthetsera nthawi ndi nthawi tsiku lonse - itha kuthandizanso. Nazi momwe mungapangire pedi yanu yotenthetsera.

Maganizo ake

Nthawi zonse mukamamva kupweteka kwakanthawi komwe kumasokoneza moyo wanu ndipo sikumatsitsimutsidwa ndi mankhwala owonjezera, muyenera kuwona dokotala wanu.

CRPS II ndi matenda ovuta omwe angafunike akatswiri osiyanasiyana kuti awachiritse. Akatswiriwa atha kuphatikizira akatswiri a mafupa, kusamalira ululu, komanso matenda amisala, chifukwa kupweteka kwakanthawi kumatha kuwononga thanzi lanu.

Ngakhale CRPS II ili vuto lalikulu, pali mankhwala othandiza. Mukazindikira msanga ndikuthandizidwa, mwayi wanu ndiwopeza zabwino.