I-Complex Regional Pain Syndrome
Sibutsetelo
I-Dystrophy ye-Reflex Yengqondo (RSD) ibizwa ngamanye amagama amaningana, kufaka phakathi:
- I-Dylrophy Symprome Syndrome-RSDS eqondayo
- I-Complex Regional Pain Syndrome
- I-Hand-Hand Syndrome
- Causalgia
- Sudeck's Atrophy
Izimbangela
Ngokusho kweNational Institute of Neurological Disorders and Stroke (NINDS), i-RSD "yisimo esibuhlungu esingapheli esicatshangelwa ukuthi singumphumela wokungasebenzi kahle ohlelweni oluphakathi noma lwezinzwa ." Ngokombiko we-MedicineNet, i-RSD ihilela "ukucasuka nokukhathazeka okungavamile kwezicubu zesifo, okuholela ekufakeni okungavamile kwemizwa echaphazela imithwalo yegazi nesikhumba."
Ucwaningo lwezilwane lubonisa ukuthi i-norepinephrine, i-catecholamine ekhishwe emisebeni yethando, ithola amandla okwenza izinyathelo ezibuhlungu ngemuva kokulimala noma ukulimala kwenhliziyo, okuholela ku-RSD. Enye inkolelo ibonisa ukuthi i-RSD, elandela ukulimala, ibangelwa ukudala izimpendulo zomzimba nezifo ezihambisana nokuvuvukala (ubomvu, ukufudumala, ukuvuvukala). I-RSD ingacatshangwa ukuthi inesizathu esisodwa, kodwa kunalokho izimbangela eziningi eziveza izimpawu ezifanayo.
Izihlungi
Kungaba nezinkinga eziningi ze-RSD, kufaka phakathi:
- ukulimala noma ukulimala
- ukuhlinzwa
- i-arthritis ephuzayo entanyeni
- izinkinga zezinhlanzi
- Isifo senhliziyo
- ukushaya
- isifo sikashukela
- umdlavuza
- ukutheleleka
- izifo zobuchopho
- izinkinga ze-thyroid
- umhubhe we-carpal
- shingles
- imithi ethile
Kulinganiselwa kwesithathu kwesiguli seziguli ezine-RSD, ayikho inhlobonhlobo ehambisanayo.
Izimpawu
I-RSD ivame ukuthinta enye yezingxenye (ingalo, umlenze, isandla, noma unyawo). Uphawu oluyinhloko lwe-RSD lubuhlungu obukhulu, obuqhubekayo.
Ngokusho kwe-NINDS, uhlu lwezimpawu ezihlobene ne-RSD luhlanganisa:
- ubuhlungu obuvuthayo
- ukwandisa ukuzwela kwesikhumba
- izinguquko zokushisa kwesikhumba (okufudumele noma okupholile kuneqhaza eliphikisanayo)
- Izinguquko zombala wesikhumba (ukuhlunga, obomvu, obala, obomvu)
- ukuguqulwa kwesikhumba (ukukhanya, okuncane, okuncane)
- ushintsho emaphethini okukhula kwe-nail nezinwele
- ubulukhuni nokuvuvukala emahlanganisweni abathintekayo
- kunciphise ikhono lokuhambisa umkhawulo othintekayo
Ubuhlungu bungasakazeka endaweni ebanzi (okungukuthi kusuka ngomunwe kuya enkambeni yonke) futhi kungasakazeka emkhakheni ohlukile (isib., Kusukela ngakwesokunxele kuya kwesokunene). Ukucindezeleka ngokomzwelo kungabangela ukuthi izimpawu zibe zimbi nakakhulu.
Abanye ochwepheshe basikisela ukuthi kunezinyathelo ezintathu ze-RSD, lapho izinguquko eziqhubekayo zenzeka esikhumbeni, emisipha, amalunga, imigudu, namathambo endaweni ethintekile. Ukuthuthukiswa akuqinisekisiwe ngezifundo zokwelashwa, noma kunjalo.
Izigaba
Isigaba 1
- ihlala izinyanga ezi-1 kuya kwezi-3
- ubuhlungu obukhulu, obuvuthayo
- imisipha ye-muscle
- ukuqina okuhlangene
- ukukhula ngokushesha kwezinwele
- umbala wesikhumba kanye nezinguquko zokushisa
Isigaba 2
- ihlala ezinyangeni ezingu-3 kuya kwezi-6
- ubuhlungu obuya kakhulu
- ukuvuvukala
- ukunciphisa izinwele kwehla
- izipikili eziqhekekile, ezihlambulukile, ezivuthayo, ezinamabala
- amathambo athambile
- amalunga aqinile
- ithoni ye-muscle ebuthakathaka
Isigaba 3
- izinguquko ezingenakuguquka esikhumbeni nasetheni
- ubuhlungu buqhubeka
- i-muscle atrophy
- ukuhamba okulinganiselwe kakhulu
- izinhlangothi zomzimba nezintambo (izitho zingase zisonteke)
Ukuxilongwa
Umlando womtholampilo wesiguli (izimpawu nezimpawu) yisici esikhulu ekuhloleni i-RSD. Ukuxilongwa kwenziwa kanzima ngoba izimpawu eziningi zihambisana nezinye izimo.
Akukho ukuhlolwa kwegazi okuqondile noma ezinye izivivinyo zokuxilonga ze-RSD.
Ama-X-ray angabonisa ukuthi amathanga amancane (i-osteoporosis) kanye ne-nuclear bone scans angabonisa amathrekhi amathrekhi okusiza ukuhlola i-RSD.
Ukwelapha
Ukwelashwa kugxile ekuqedeni izimpawu ezibuhlungu ezihlobene ne-RSD. Ukwelashwa kungafaka:
- ukwelashwa ngokomzimba nokuzivocavoca
- psychotherapy ukuze kunciphise ukucindezeleka, ukukhathazeka nokucindezeleka
- izivikelo zesisindo ezizwelayo
- ukuhlinzekwa okubandakanya i-sympathectomy (kubhekwa ingxabano)
- ukugqugquzelwa komgogodla
- izimpompi zamakhemikhali ezingenakunyaka
- imithi kuhlanganise:
- ama-analgesics aphezulu
- izidakamizwa zokulwa nokuthumba
- ukucindezeleka
- i-corticosteroids
- ama-opioid
Ingabe i-Enbrel Isetshenziswa Ngokujwayelekile Ukuphatha I-RSD?
I-Enbrel iphakathi kwe-block block ye-TNF esetshenziselwa ukwelapha isifo samathambo.
Uma ebuzwa ukuthi isetshenziselwa yini ukuphatha i-RSD, isazi sezinhlanzi se-Scott Zashin MD sathi, "I-Enbrel ayiyona i-FDA evunyelwe ukuphatha i-RSD. Izifundo zibonise inzuzo ethile ekwelapheni ukuvuvukala kwesibindi.Ngokuba i-RSD izwa ukuthi inomzimba wezinzwa, kungenzeka kuzuzisa futhi kudingeke uzame. Lesi simo ngezinye izikhathi kungase kube nzima ukuphatha ngezinqubo zokwelapha ezijwayelekile. "
I-Celebrity Idumile Ukulwa Ne-RSD
Ijaji laseMelika lase-American Idol kanye nodumo uPaul Abdul umemezele ukuthi ngemva kokulwa iminyaka engu-25 nobuhlungu obungapheli, obhekene nengozi ye-cheerleading ngesikhathi eneminyaka engu-17 ubudala, kuthiwa une-RSD.
Ukunakekelwa kwezindaba kunikezwa umzabalazo wezokwelapha u-Abdul wabeka i-RSD emaphepheni amapheshana nasemaphepheni. I-RSD iphakathi kwezinhlobo ezingu-100 ze-arthritis nezifo ze-rheumatic. Kulinganiselwa ukuthi phakathi kuka-500 000 no-750,000 abantu bane-RSD.
> Imithombo:
> Ukushicilelwa kwe-NIH No. 04-4173
> I-Reflex Sympathetic Dystrophy Syndrome, ImithiNet
> Impi Yami Yemfihlo (Paula Abdul), ABANTU