Uhlobo lweComplex Pain Pain Syndrome Uhlobo II (Causalgia)

Umxholo

• Yintoni icausalgia?
• Iimpawu ze-causalgia
• Unobangela we-causalgia
• Ichongwa njani i-causalgia
• Unyango ukhetho lwe-causalgia
• Imbonakalo

Yintoni icausalgia?

I-Causalgia yaziwa ngokuba bubuchwephesha bendawo yesifo sentlungu yohlobo II (CRPS II). Kukuphazamiseka kwemithambo-luvo okunokuvelisa iintlungu ezihlala ixesha elide, ezinzulu.

I-CRPS II ivela emva kokonzakala okanye ukwenzakala kwimithambo yoluvo. Imithambo yoluvo ibaleka kumqolo wakho kunye nengqondo iye kwiiphelo zakho. Eyona ndawo ixhaphakileyo ye-CRPS II iintlungu zikoko kubizwa ngokuba yi "brachial plexus." Eli liqela lemithambo ebaleka ukusuka entanyeni yakho ukuya engalweni. I-CRPS II inqabile, ichaphazela kambalwa kune.

Iimpawu ze-causalgia

Ngokungafaniyo ne-CRPS I (eyayisaziwa njenge-reflexive novelwano dystrophy), iintlungu ze-CRPS II zihlala kwindawo ejikeleze inwebu eyenzakeleyo. Ukuba ukwenzakala kwenzeke kwimbilini emlenzeni wakho, umzekelo, iintlungu zihlala emlenzeni wakho. Kwelinye icala, ngeCRPS I, engabandakanyi ukwenzakala okubonakalayo kwentliziyo, iintlungu ezivela kumnwe owenzakeleyo zinokukhanyisa emzimbeni wakho wonke.

I-CRPS II inokwenzeka naphi na apho kukho ukwenzakala kwemithambo-luvo. Imithambo yoluvo ibaleka ukusuka kumqolo wakho ukuya kwiziphelo zakho, oko kuthetha ukuba i-CRPS II ihlala ifumaneka:

• iingalo
• imilenze
• izandla
• iinyawo

Nokuba yeyiphi na imithambo-luvo eyenzakeleyo eyenzakeleyo, iimpawu zeCRPS II zihlala zihlala zinjalo kwaye zibandakanya:

• Ukutsha, ukuqaqanjelwa, iintlungu ezibuhlungu ezihlala iinyanga ezintandathu okanye nangaphezulu kwaye zibonakala ngathi azilingani nokwenzakala okukuzisileyo
• Izikhonkwane kunye neenaliti zokuva
• hypersensitivity ejikeleze indawo yokulimala, apho ukubanjwa okanye ukunxiba iimpahla kunokubangela uvakalelo
• ukudumba okanye ukuqina kwelungu elichaphazelekayo
• ukubila okungaqhelekanga kwindawo engxwelerhekileyo
• Umbala wolusu okanye iqondo lobushushu liyatshintsha kwindawo eyenzakeleyo, njengolusu olujongeka luthuthu kwaye luziva lubanda kwaye lubomvu kwaye lufudumele kwaye lubuya kwakhona

Unobangela we-causalgia

Kwingcambu yeCRPS II kukulimala kwemithambo-luvo. Oko kwenzakala kunokubangelwa kukophuka, ukuqunjelwa, okanye utyando. Ngapha koko, ngokophando olunye, malunga ne-400 yeenyawo ezikhethiweyo zokunyanga iinyawo kunye namaqatha abaguli benza i-CRPS II emva kotyando. Ezinye izizathu zeCRPS II zibandakanya:

• i-soft-tissue trauma, njengokutsha
• ukwenzakala okutyumkileyo, njengokumbakraza umnwe wakho kumnyango wemoto
• ukunqunyulwa

Nangona kunjalo, akukaziwa ukuba kutheni abanye abantu bephendula ngokumangalisayo kwezi ziganeko kwaye abanye bengaphenduli.

Kungenzeka ukuba abantu abane-CRPS (nokuba ngu-I okanye u-II) banezinto ezingaqhelekanga kwi-linings ye-nerve fibers zabo, ezibenza babe ne-hypersensitive kwiimpawu zentlungu. Oku kungaqhelekanga kunokubangela ukuphendula ngokudumba kwaye kubangele utshintsho kwimithambo yegazi. Kungenxa yoko le nto abantu abaninzi abane-CRPS II benokudumba kunye nolusu kwindawo yokulimala.

Ichongwa njani i-causalgia

Akukho luvavanyo lunye olunokuchonga ngokuqinisekileyo i-CRPS II. Ugqirha wakho uya kwenza uvavanyo lomzimba, arekhode imbali yakho yonyango, emva koko u-odole iimvavanyo ezinokubandakanya:

• iX-reyi ukukhangela amathambo aqhekekileyo kunye nelahleko yezimbiwa
• iMRI yokujonga izihlunu ezithambileyo
• i-thermography yokuvavanya iqondo lobushushu lolusu kunye nokuhamba kwegazi phakathi kwamalungu onzakeleyo nalawo angonzakalanga

Nje ukuba ezinye iimeko eziqhelekileyo ezinje nge-fibromyalgia zisuswe, ugqirha wakho angenza isifo se-CRPS II ngokuzithemba ngakumbi.

Unyango ukhetho lwe-causalgia

Unyango lweCRPS II ngokubanzi luqukethe amayeza kunye neentlobo ezithile zonyango kunye nezokuvuselela imithambo-luvo.

Ukuba iintlungu ezingaphezulu kwekhawuntari ziyancipha njenge-acetaminophen (iTylenol) okanye ibuprofen (Advil) ayinikezeli ngoncedo, ugqirha wakho unokukunika amachiza anamandla. Oku kunokubandakanya:

• i-steroids ukunciphisa ukudumba
• ii-antidepressants ezithile kunye ne-anticonvulsants, ezinje nge-Neurontin, eneziphumo zokuphelisa iintlungu
• iibhloko zemithambo-luvo, ezibandakanya ukujova i-anesthetic ngqo kwi-nerve echaphazelekayo
• iiopioid kunye neempompo ezifaka iziyobisi ngqo kumqolo wakho ukuvimba imiqondiso yeentlungu ezivela kwimithambo-luvo

Unyango lomzimba, olusetyenziselwa ukugcina okanye ukuphucula uluhlu lwentshukumo kwimilenze ebuhlungu, lukwasetyenziswa rhoqo. Umgqirha wakho womzimba unokuzama oko kubizwa ngokuba yi-transcutaneous electrical nerve stimulation (TENS), ethumela iimpembelelo zombane ngokusebenzisa iifayili emzimbeni wakho ukuvimba iimpawu zentlungu. Kuphando lokufunda abantu abaneCRPS I, abo bafumana unyango lwe-TENS baxela ukukhululeka kwentlungu kunaleyo ingayifumaniyo. Oomatshini be-TENS abasebenza ngebhetri bayasetyenziswa ekhaya.

Abanye abantu bafumanise ukuba unyango lobushushu - kusetyenziswa iphedi yokufudumeza ngamaxesha athile kuyo yonke imini- nayo inokunceda. Nantsi indlela onokuyenza ngayo iphedi yokufudumeza.

Imbonakalo

Nanini na xa uva iintlungu ezingapheliyo eziphazamisa ubomi bakho kwaye ungakhululekanga ngamayeza e-counter, kufuneka ubone ugqirha wakho.

I-CRPS II sisifo esintsonkothileyo esinokufuna iingcali ezahlukeneyo ukuze zisinyange. Ezi ngcali zinokubandakanya iingcali kumathambo, ulawulo lweentlungu, kunye nonyango lwengqondo, njengoko iintlungu ezingapheliyo zinokuthatha impilo yakho yengqondo.

Ngelixa i-CRPS II ikwimeko embi, kukho unyango olusebenzayo. Ngokukhawuleza ukuba ufunyaniswe kwaye uphathwe, ngcono amathuba akho okuba neziphumo ezilungileyo.