Uhlobo Oluyinkimbinkimbi Lwesifo Sobuhlungu Sesifunda Uhlobo II (Causalgia)

-Delile

• Yini i-causalgia?
• Izimpawu ze-causalgia
• Izimbangela ze-causalgia
• I-causalgia itholakala kanjani
• Izinketho zokwelashwa ze-causalgia
• Umbono

Yini i-causalgia?

I-Causalgia yaziwa ngokusemthethweni njengeyinkimbinkimbi yesifunda sohlobo lwesifo sohlobo II (CRPS II). Kuyisifo sezinzwa esingakhiqiza ubuhlungu obuhlala isikhathi eside, obukhulu.

I-CRPS II ivela ngemuva kokulimala noma ukuhlukumezeka emthanjeni wendlela. Izinzwa zomngcele zigijima zisuka emgogodleni wakho nasebuchosheni ziye emaphethelweni akho. Indawo evame kakhulu yobuhlungu be-CRPS II ikulokho okubizwa nge- "brachial plexus." Lesi yisigaxa semizwa esukela entanyeni yakho siye engalweni yakho. I-CRPS II ayivamile, ithinta okuncane kakhulu kune-.

Izimpawu ze-causalgia

Ngokungafani ne-CRPS I (ngaphambili eyayaziwa njenge-reflexive sympathetic dystrophy), ubuhlungu be-CRPS II buvame ukwenziwa endaweni ezungeze inzwa elimele. Uma ukulimala kwenzeka kunzwa emlenzeni wakho, isibonelo, khona-ke izinhlungu zihlala emlenzeni wakho. Ngakolunye uhlangothi, nge-CRPS I, engabandakanyi ukulimala okubonakalayo kwezinzwa, ubuhlungu bomunwe obuhlungu bungaphuma emzimbeni wakho wonke.

I-CRPS II ingenzeka noma yikuphi lapho kunokulimala kwemizwa khona. Izinzwa zomngcele zigijima zisuka emgogodleni wakho ziye emaphethelweni akho, okusho ukuthi i-CRPS II ivame ukutholakala ku:

• izingalo
• imilenze
• izandla
• izinyawo

Kungakhathalekile ukuthi ilimaleni i-peripheral nerve, izimpawu ze-CRPS II zivame ukuhlala zifana futhi zifaka:

• ukuvutha, ukuqaqamba, ubuhlungu obucindezelayo obuhlala izinyanga eziyisithupha noma ngaphezulu futhi bubukeka bungalingani nokulimala obukulethile
• izikhonkwane nezinaliti ukuzwa
• i-hypersensitivity ezungeze indawo yokulimala, lapho ukuthintwa noma ukugqoka izingubo kungadala ukuzwela
• ukuvuvukala noma ukuqina kwesitho esithintekile
• ukujuluka okungajwayelekile esizeni esilimele
• umbala wesikhumba noma ukushintsha kwezinga lokushisa kuzungeze indawo elimele, njengesikhumba esibukeka siphaphatheka futhi sizwakale sibanda bese sibomvu futhi sifudumele futhi sibuyele emuva futhi

Izimbangela ze-causalgia

Empandeni ye-CRPS II ukulimala komzimba. Lokho kulimala kungavela ekuqhekekeni, kwesibindi, noma kokuhlinzwa. Eqinisweni, ngokophenyo oluthile, ezigulini zokuhlinza izinyawo nezinyawo ezikhethiwe ezingaba ngu-400 zenze iCRPS II ngemuva kokuhlinzwa. Ezinye izimbangela ze-CRPS II zifaka:

• ukuhlukumezeka kwezicubu ezithambile, njengokusha
• ukulimala okulimazayo, njengokushaya umunwe wakho emnyango wemoto
• ukunqunywa

Kodwa-ke, akukaziwa ukuthi kungani abanye abantu bephendula ngokumangazayo ngale micimbi kanti abanye bengaphenduli.

Kungenzeka ukuthi abantu abane-CRPS (noma i-I noma i-II) babe nokungajwayelekile ezintanjeni zezintambo zabo zezinzwa, okubenza bazizwe bebekezelela izimpawu zobuhlungu. Lokhu okungahambi kahle nakho kungaqala impendulo yokuvuvukala futhi kudale ushintsho emithanjeni yegazi. Yingakho abantu abaningi abane-CRPS II bengaba nokuvuvukala nokuqunjelwa kwesikhumba endaweni yokulimala.

I-causalgia itholakala kanjani

Asikho isivivinyo esisodwa esingahlonza ngokusobala i-CRPS II. Udokotela wakho uzokwenza isivivinyo somzimba, aqophe umlando wakho wezokwelapha, bese oda izivivinyo ezingafaka:

• i-X-ray yokuhlola amathambo aphukile nokulahleka kwamaminerali amathambo
• i-MRI yokubheka izicubu ezithambile
• i-thermography yokuhlola ukushisa kwesikhumba nokuhamba kwegazi phakathi kwezitho ezilimele nezingalimele

Uma nje ezinye izimo ezivamile ezifana ne-fibromyalgia zisusiwe, udokotela wakho angenza ukuxilongwa kwe-CRPS II ngokuzethemba okukhulu.

Izinketho zokwelashwa ze-causalgia

Ukwelashwa kwe-CRPS II ngokuvamile kuqukethe imishanguzo nezinhlobo ezithile zokwelapha ezishukumisa umzimba nezinzwa.

Uma izinhlungu ezithengiswayo zithoba njenge-acetaminophen (i-Tylenol) noma i-ibuprofen (i-Advil) ayinikezeli ukukhululeka, udokotela wakho angakunika izidakamizwa ezinamandla. Lokhu kungafaka:

• i-steroids ukunciphisa ukuvuvukala
• ama-anti-depressants athile kanye nama-anticonvulsants, njenge-Neurontin, anemiphumela yokudambisa izinhlungu
• izinzwa, ezibandakanya ukujova i-anesthetic ngqo ezinzwa ezithintekile
• ama-opioid namaphampu afaka izidakamizwa ngqo emgogodleni wakho ukuvimba amasiginali obuhlungu avela emithanjeni

Ukwelashwa ngokomzimba, okusetshenziselwa ukugcina noma ukuthuthukisa ukunyakaza kwezitho ezibuhlungu, nakho kuyasetshenziswa. Uchwepheshe wakho womzimba angazama futhi lokho okubizwa ngokuthi i-transcutaneous electrical nerve stimulation (TENS), ethumela imizwa kagesi ngemicu emzimbeni wakho ukuvimba amasiginali obuhlungu. Ekucwaningeni okutadisha abantu abane-CRPS I, labo abathola ukwelashwa kwe-TENS babike ukukhululeka kobuhlungu kunalabo abangakutholi. Imishini ye-TENS esebenza ngamabhethri iyatholakala ukuze isetshenziswe ekhaya.

Abanye abantu bathole ukuthi ukwelashwa kokushisa - ukusebenzisa iphedi yokushisa ngezikhathi ezithile usuku lonke - nakho kungasiza. Nakhu ukuthi ungenza kanjani iphedi yakho yokushisa.

Umbono

Noma kunini lapho uzwa khona ubuhlungu besikhathi eside obuphazamisa impilo yakho futhi obungakhululeki yimithi ethengiswayo, kufanele ubone udokotela wakho.

I-CRPS II yisifo esiyinkimbinkimbi esingahle sidinge ochwepheshe abahlukahlukene ukuze siyelaphe. Lezi zingcweti zingafaka ochwepheshe be-orthopedics, ukuphathwa kwezinhlungu, kanye nokugula kwengqondo, njengoba ubuhlungu obungapheli bungayilimaza impilo yakho yengqondo.

Ngenkathi i-CRPS II iyisimo esibi, kunezindlela zokwelashwa eziphumelelayo. Ngokushesha lapho kutholakala futhi kwelashwa, ngcono amathuba akho okuba nomphumela omuhle.