Ese ni iki CRPS (Complex Regional Pain Syndrome)? Ibimenyetso, Impamvu, n’Ubuvuzi

Complex Regional Pain Syndrome (CRPS) ni uburwayi bw’ububabare buhoraho busanzwe bugira ingaruka ku kuboko kumwe cyangwa ukuguru nyuma y’imvune, kubagwa, cyangwa trauma. Sisitemu yawe y’imiterere y’umubiri ishobora guhora ikora cyane, ikohereza ubutumwa bw’ububabare buhoraho nubwo imvune yabanje yarakize.

Tekereza ko ari nk’aho sisitemu y’ibimenyetso by’umubiri wawe idakora neza. Aho guhagarara iyo akaga kashize, ikomeza gutangaza umuhamagaro w’ububabare bukabije, bwaka cyane, kandi bukabije kurusha ubwakubera imvune yabanje.

Ni ibihe bimenyetso bya CRPS?

Ikimenyetso gikomeye cya CRPS ni ububabare bukabije, bwaka cyane, kandi bukabije kurusha imvune ushobora kuba waragize. Ubu bubabare bushobora kumva nk’aho umugingo wawe uri mu muriro cyangwa ufite ikintu gikomeye cyawufashe.

Uretse ububabare bukabije, ushobora kubona izindi mpinduka nyinshi zishobora kukutera ubwoba. Dore ibyo abantu benshi bafite CRPS bahura na byo:

• Ububabare bwaka cyangwa bukomeye buhoraho kandi bukabije
• Umuco wo gukomeretsa cyane aho n’umuyaga muke cyangwa umwenda woroshye bishobora kubabaza
• Kubyimbagira no gukomera mu gice cyagizweho ingaruka
• Ihinduka ry’irangi ry’uruhu rishobora kugaragara rwijimye, ry’ubururu, cyangwa ry’ibara ry’ibishishwa
• Ihinduka ry’ubushyuhe aho uruhu rwawe rumva rushyushye cyangwa rikonje cyane
• Ihinduka ry’imiterere y’uruhu rukaba rwiza, rworoshye, cyangwa rufite ubwoya bwinshi
• Intege nke y’imikaya no guhindagurika mu gice cyagizweho ingaruka
• Ubushobozi buke bwo kugenda butuma kugenda bigorana

Bamwe mu bantu bagira n’ibimenyetso bidafite akamaro nk’uko imikaya ikomera, impinduka mu mikurire y’imisumari n’ubwoya, cyangwa ibibazo by’umva n’iby’ubona. Ibimenyetso bishobora gutandukana cyane ukurikije umuntu, rimwe na rimwe bigatuma gupima bigorana.

Ni iyihe mitype ya CRPS?

CRPS ifite imitype ibiri y’ingenzi, nubwo zombi ziterwa n’ibimenyetso n’ububabare bumwe. Itandukaniro riri mu byabaye ku mitsi yawe mu gihe cy’imvune yabanje.

CRPS yo mu bwoko bwa mbere, izwiho kera nka Reflex Sympathetic Dystrophy, ibaho nta gukomeretsa kw’imitsi byemezwa. Ni yo mitype isanzwe, igize 90% by’ibibazo byose bya CRPS. Ushobora kuyibona nyuma y’imvune ntoya nko gucika, gucika amagufa, cyangwa n’uburyo bworoshye bwo kuvura.

CRPS yo mu bwoko bwa kabiri, izwiho kera nka Causalgia, ibaho iyo hari ibimenyetso byumvikana byo gukomeretsa imitsi biturutse ku mvune yabanje. Ibi bishobora kubaho nyuma yo gucika cyane, guhanurwa amasasu, cyangwa kubagwa byakomerekeje imitsi.

Ubu bwoko bwombi butera ububabare bukabije n’ibindi bimenyetso. Itandukaniro rifasha abaganga gusobanukirwa icyaba cyateye uburwayi bwawe, ariko ntibihindura uburyo bazakuvura.

Ese CRPS iterwa n’iki?

CRPS iterwa n’uko sisitemu yawe y’imiterere y’umubiri isubiza nabi imvune cyangwa trauma, ariko abaganga ntibasobanukiwe neza impamvu ibi bibaho kuri bamwe kandi bikaba bitabaho kuri abandi. Ni nk’aho igisubizo cy’ububabare cy’umubiri wawe gikomeza kuba gicanye.

Ibintu byinshi bishobora gutera CRPS, kandi kubyumva bishobora kugufasha gusobanukirwa uko uburwayi bwawe bushobora kuba bwatangiye:

• Gucika amagufa, cyane cyane mu ijosi, ikirenge, cyangwa ikirenge
• Gucika no kunanuka bishobora kugaragara bito ubanza
• Kubagwa, ndetse n’ibikorwa bisanzwe
• Gucika cyangwa gutobora ibikomere bikomeretsa imitsi
• Kwikomeretsa n’umuriro cyangwa igihe cy’ubukonje bigira ingaruka ku mpera z’imitsi
• Ibitero by’umutima cyangwa ibicurane bigira ingaruka ku mitemere y’amaraso
• Amazi atuma haba uburibwe
• Guhora udashobora kugenda kubera guhambirwa cyangwa kuryama

Mu bihe bitoroshye, CRPS ishobora kubaho nta kintu cyumvikana cyayiteye. Bamwe mu bashakashatsi bemeza ko imico, kudakora neza kw’imiterere y’umubiri, cyangwa gusubiza nabi kw’uburibwe bishobora kugira uruhare mu mpamvu bamwe mu bantu barwara ubu burwayi.

Ni ryari ukwiye kubona muganga kubera CRPS?

Ukwiye kubona muganga vuba bishoboka niba ufite ububabare bukabije, buhoraho, kandi bukabije kurusha ubwakubera imvune yawe. Kuvurwa hakiri kare kenshi biragira ingaruka nziza kuri CRPS.

Shaka ubufasha bw’abaganga vuba bishoboka niba ubona ububabare bwaka cyangwa bukomeye buhoraho, cyane cyane niba buherekejwe n’impinduka z’irangi ry’uruhu, kubyimbagira, cyangwa gukomeretsa cyane. Ntugatege amatwi ngo urebe niba bizagenda ubwabyo.

Ugomba kandi kuvugana n’umuganga wawe niba ugize ibindi bimenyetso bishya nko kugira intege nke y’imikaya, guhindagurika, cyangwa niba umugingo wawe ugaragara ukundi ugereranyije n’undi. Impinduka mu miterere y’uruhu, ubushyuhe, cyangwa imikurire y’ubwoya ni ibimenyetso by’ingenzi ugomba kuvugana na muganga wawe.

Ni ibihe bintu byongera ibyago bya CRPS?

Nubwo CRPS ishobora kubaho kuri uwo ari we wese, ibintu bimwe na bimwe bishobora kongera amahirwe yo kurwara ubu burwayi. Gusobanukirwa ibyo bintu byongera ibyago bishobora kugufasha wowe n’umuganga wawe kuba maso ku bimenyetso bya mbere.

Dore ibintu by’ingenzi ubushakashatsi bugaragaza:

• Kuba umugore - abagore barwara CRPS inshuro eshatu kurusha abagabo
• Imyaka iri hagati ya 40-60 - nubwo ishobora kubaho mu myaka yose
• Kugira ibindi bibazo by’ububabare buhoraho nka fibromyalgia cyangwa arthrite
• Amateka ya migraines cyangwa ibindi bibazo by’imitsi
• Kunywisha itabi bishobora kugira ingaruka ku mitemere y’amaraso no gukira
• Guhora udashobora kugenda nyuma y’imvune cyangwa kubagwa
• Gukomoka mu muryango - imiryango imwe isa n’iyorohewe
• Umuvuduko mwinshi cyangwa amateka y’ibibazo bikomeye

Kugira ibyo bintu byongera ibyago ntibisobanura ko uzabona CRPS. Abantu benshi bafite ibintu byinshi byongera ibyago ntibabona ubu burwayi, mu gihe abandi badafite ibyago byumvikana babona.

Ni ibihe bibazo bishoboka bya CRPS?

CRPS ishobora gutera ibibazo byinshi niba idavuwe, ariko gusobanukirwa ibyo bishoboka bishobora kugufasha gukorana n’itsinda ryawe ry’ubuvuzi kugira ngo ubirinde. Ibibazo byinshi bigenda bigaragara buhoro buhoro kandi kenshi bishobora gufatwaho ingamba cyangwa bikarindwa hakoreshejwe ubuvuzi bukwiye.

Ibibazo bisanzwe ushobora guhura na byo birimo:

• Intege nke y’imikaya no gucika intege kubera kudakoresha umugingo ubabaza
• Gukomera kw’ingingo no gucika bigabanya ubushobozi bwo kugenda burundu
• Gutakaza amagufa (osteoporosis) mu gice cyagizweho ingaruka
• Ubumuga buhoraho bugira ingaruka ku bikorwa bya buri munsi
• Ikiniga n’ubwoba biterwa no guhangana n’ububabare buhoraho
• Ibibazo byo gusinzira bigira ingaruka ku buzima muri rusange
• Kwikurura mu muryango kubera kudakora

Bidafite akamaro, bamwe mu bantu bagira CRPS ikwirakwira mu bindi bice by’umubiri, cyane cyane mu bihe by’umuvuduko cyangwa nyuma y’ibikomere byongeyeho. Niyo mpamvu kuvurwa hakiri kare no guhangana n’umuvuduko ari ingenzi cyane.

Inkuru nziza ni uko hakoreshejwe ubuvuzi bukwiye no kwita ku buzima bwawe, ibibazo byinshi bishobora kwirindwa cyangwa bigatumbagira. Itsinda ryawe ry’ubuvuzi rizakorana nawe kugira ngo umugingo wawe ugire akazi neza.

CRPS ishobora kwirindwa gute?

Nubwo nta buryo bwo kwirinda CRPS buhamye, intambwe zimwe na zimwe nyuma y’imvune cyangwa kubagwa zishobora kugabanya ibyago byawe. Icyingenzi ni ukwiteza imbere gukira neza no kugumana ubushobozi bwo kugenda iyo bishoboka.

Niba ugiye kubagwa cyangwa ufite imvune, ugomba kuvugana n’umuganga wawe kuri iyi ngamba zo kwirinda:

• Kugenda hakiri kare - kugenda buhoro buhoro iyo bishoboka
• Kugabanya ububabare - ntukareke ububabare bukabije
• Ubuvuzi bw’umubiri - gutangira hakiri kare nk’uko muganga wawe abisaba
• Guhangana n’umuvuduko - gukoresha uburyo bwo kuruhuka mu gihe cyo gukira
• Ubufasha bwa vitamine C - ubushakashatsi bumwe buvuga ko 500mg buri munsi bishobora gufasha
• Kwimakaza kudakora - iyo bikwiye

Niba waragize CRPS mbere, kwitondera cyane mu bindi bikorwa by’ubuvuzi cyangwa imvune bihinduka ikintu cy’ingenzi. Itsinda ryawe ry’ubuvuzi rikwiye kumenya amateka yawe kugira ngo ribashe kugutegurira ubuvuzi bukwiye.

CRPS ipima ite?

Gupima CRPS bishingira ahanini ku bimenyetso byawe no gusuzuma umubiri kuko nta buryo bumwe bwo gupima bushobora kwemeza ubu burwayi. Muganga wawe azakwumva neza uko ububabare bwawe bumeze kandi azareba igice cyagizweho ingaruka.

Umuganga wawe azashaka ibimenyetso by’ingenzi bya CRPS mu gihe cyo gusuzuma. Azareba ububabare bukabije budahuje n’imvune, impinduka z’irangi ry’uruhu cyangwa ubushyuhe, kubyimbagira, no gukomeretsa.

Kugira ngo akureho ibindi bibazo, muganga wawe ashobora gutegeka ibizamini byinshi:

• Amafoto y’amagufa kugira ngo arebe impinduka z’amagufa cyangwa gucika
• Ibizamini bya MRI kugira ngo arebe imyanya yoroheje n’amagufa neza
• Ibizamini by’amagufa kugira ngo arebe impinduka mu mikurire y’amagufa
• Ibizamini byo kuyobora imitsi kugira ngo asuzume imikorere y’imitsi
• Ibizamini by’amaraso kugira ngo akureho indwara cyangwa uburibwe

Gupima kenshi bisaba igihe kuko abaganga bagomba gukuraho ibindi bibazo bishobora gutera ibimenyetso nk’ibyo. Umujinya wawe muri uyu mujyi ni ingenzi, kuko kubona uburyo bukwiye bwo gupima biyobora gahunda y’ubuvuzi ikwiye.

Ni iki kivura CRPS?

Ubuvuzi bwa CRPS bugamije kugabanya ububabare, kunoza imikorere, no kwirinda ibibazo. Ubuvuzi butangira hakiri kare, amahirwe yo gukira arushaho kuba meza, ntutinze gushaka ubufasha.

Gahunda yawe y’ubuvuzi ishobora kuba irimo uburyo bwinshi bukorera hamwe. Dore ibyo itsinda ryawe ry’ubuvuzi rishobora kugutegeka:

• Imiti igabanya ububabare irimo imiti igabanya uburibwe, imiti y’ububabare bw’imitsi, cyangwa imiti ikomeye yo kugabanya ububabare
• Ubuvuzi bw’umubiri kugira ngo ugumane ubushobozi bwo kugenda no kwirinda gukomera
• Ubuvuzi bw’akazi kugira ngo ugufashe mu bikorwa bya buri munsi
• Guhagarika imitsi - inshinge zihosha ubutumwa bw’ububabare by’igihe gito
• Gukangurira imitsi y’umugongo mu bihe bikomeye bidakira n’ubundi buvuzi
• Gutanga ketamine - uburyo bwo kuvura bwihariye ku bihe bidafite igisubizo
• Ubufasha bwo mu mutwe kugira ngo ugufashe guhangana n’ububabare buhoraho

Bamwe mu bantu bagira akamaro mu buvuzi bw’inyongera nka acupuncture, massage, cyangwa uburyo bwo kuruhuka. Ibi ntibikwiye gusimbura ubuvuzi bw’abaganga ariko bishobora kuba ingirakamaro mu gahunda yawe y’ubuvuzi.

Ubuvuzi busaba kwihangana no gukomeza. Icyakora neza gishobora gutandukana ukurikije umuntu, bityo itsinda ryawe ry’ubuvuzi rishobora gukenera kugerageza uburyo butandukanye bwo kuvura kugira ngo basange icyakugirira akamaro.

Uburyo bwo guhangana na CRPS murugo?

Guhangana murugo bigira uruhare rukomeye mu kuringaniza ibimenyetso bya CRPS no kubungabunga ubuzima bwawe. Icyingenzi ni ukubona uburyo bworoshye bwo kuguma ukora imyitozo mu gihe ugabanya ububabare.

Uburyo bwo kwita ku buzima bwawe buri munsi bushobora kugira uruhare rukomeye mu buryo wumva:

• Imikino yoroheje - n’imyitozo mito ifasha kwirinda gukomera
• Kugabanya umuvuduko binyuze mu gukora imyitozo yo gutekereza, guhumeka cyane, cyangwa yoga yoroheje
• Ubuvuzi bw’ubushyuhe - bamwe mu bantu babona ihumure mu bushyuhe cyangwa mu bukonje
• Umujinya mwiza wo gusinzira - gukoresha ibyuma kugira ngo ufashe umugingo wagizweho ingaruka
• Gukora ibikorwa - guhuza ibikorwa n’igihe cyo kuruhuka
• Kwita ku ruhu - kugumana igice cyagizweho ingaruka cyiza kandi gifite amazi
• Ibiryo byiza - kwibanda ku biribwa bigabanya uburibwe

Ni ngombwa kugumana umubano n’inshuti n’umuryango, nubwo ububabare butuma gusohokana bigorana. Tegereza kwinjira mu matsinda y’ubufasha aho ushobora kuvugana n’abandi basobanukiwe ibyo uhanganye na byo.

Kora ibitabo by’ububabare kugira ngo ukureho icyakugirira akamaro n’icyo kibabaza. Aya makuru ashobora kugira akamaro ku itsinda ryawe ry’ubuvuzi mu guhindura gahunda yawe y’ubuvuzi.

Uko wakwitegura ku muhango wawe w’umuganga?

Kwitunganya ku muhango wawe bishobora kugufasha kugira icyo ugeraho mu gihe cyawe n’umuganga wawe. Gutegura neza biyobora itumanaho ryiza n’uburyo bwiza bwo gutegura ubuvuzi.

Mbere y’uruzinduko rwawe, andika ibimenyetso byawe mu buryo burambuye. Kora igihe byatangiye, icyabibabaza cyangwa icyabinoza, n’uko bigira ingaruka ku buzima bwawe bwa buri munsi. Ntukabe umujinya gukoresha imvugo y’abaganga - soma ibyo uhanganye na byo mu magambo yawe.

Zana urutonde rwuzuye rw’imiti yose ufata, harimo imiti yo mu maduka n’ibindi byongerwamo. Kandi, komora amakuru y’ubuvuzi yavuye mu buvuzi bwa mbere cyangwa ibisubizo by’ibizamini bijyanye n’uburwayi bwawe.

Tegura ibibazo ushaka kubabaza muganga wawe. Tegereza kubabaza ibijyanye n’uburyo bwo kuvura, icyo ugomba kwitega, uburyo bwo guhangana n’ibimenyetso murugo, n’igihe ukwiye gushaka ubufasha bwihuse. Ntukabe umujinya gusaba ibisobanuro niba hari ikintu kitumvikana.

Ni iki cy’ingenzi cyo kuzirikana kuri CRPS?

CRPS ni uburwayi bukomeye ariko buvurwa bugira ingaruka ku gisubizo cy’ububabare cya sisitemu yawe y’imiterere y’umubiri. Nubwo bishobora kuba bigoye kubana na byo, abantu benshi babasha guhangana n’ibimenyetso byabo no kugira ubuzima bwiza hakoreshejwe ubuvuzi bukwiye.

Ikintu cy’ingenzi cyo kuzirikana ni uko kuvurwa hakiri kare kenshi bigira ingaruka nziza. Niba ufite ububabare bukabije, buhoraho nyuma y’imvune, ntutinze gushaka ubufasha bw’abaganga.

Gukira CRPS bisaba igihe n’ubwihangane, ariko nturi wenyine muri uru rugendo. Ukoresheje itsinda ry’ubuvuzi rikwiye, gahunda y’ubuvuzi, n’ubufasha, ushobora gukora kugira ngo ugabanye ububabare bwawe kandi unoze imikorere yawe.

Ibibazo byakajagajwe cyane kuri CRPS

Ese CRPS ishobora guhita ikira?

Yego, CRPS ishobora guhita ikira, cyane cyane iyo ivuwe hakiri kare. Bamwe mu bantu bakira neza, abandi biga guhangana n’ibimenyetso byabo neza. Icyingenzi ni ukutangira kuvurwa hakiri kare no gukomeza gahunda yawe y’ubuvuzi.

Ese CRPS ni uburwayi nyakuri?

Yego rwose. CRPS ni uburwayi bwemewe bufite uburyo bwihariye bwo gupima. Si “ibintu byose biri mu mutwe wawe” - birimo impinduka nyakuri muri sisitemu yawe y’imiterere y’umubiri itera ibimenyetso nyakuri. Abaganga basobanukiwe ko ari uburwayi bukomeye busaba ubuvuzi bukwiye.

Ese umuvuduko ushobora kongera CRPS?

Yego, umuvuduko ushobora kongera ibimenyetso bya CRPS kuri benshi. Umuvuduko mwinshi ushobora kongera uburibwe no gutera ibibazo. Niyo mpamvu uburyo bwo guhangana n’umuvuduko nko kuruhuka, gutekereza, cyangwa inama kenshi ari ibice by’ingenzi by’ubuvuzi.

Ese nzakenera kubagwa kubera CRPS?

Abantu benshi bafite CRPS ntibakenera kubagwa. Ubuvuzi busanzwe bugamije imiti, ubuvuzi, n’uburyo buke bwo kuvura nk’ihagarika imitsi. Kubagwa bishobora kugenzurwa mu bihe bikomeye bidakira n’ubundi buvuzi, nko gushyiramo ibikoresho byo gukangurira imitsi y’umugongo.

Ese CRPS ishobora gukwirakwira mu bindi bice by’umubiri wanjye?

Nubwo bidafite akamaro, CRPS rimwe na rimwe ishobora gukwirakwira mu bindi bice, cyane cyane mu bihe by’umuvuduko mwinshi cyangwa nyuma y’ibikomere byongeyeho. Iyi ni indi mpamvu kuvurwa hakiri kare no guhangana n’umuvuduko ari ingenzi cyane. Abantu benshi ntibabona ikwirakwira, cyane cyane bafite ubuvuzi bukwiye.