Ukuthi yini i-CRPS (Complex Regional Pain Syndrome)? Izimpawu, Izimbangela, kanye Nokwelashwa

I-Complex Regional Pain Syndrome (CRPS) iyisimo sobuhlungu obuhlala isikhathi eside esivame ukuthinta ingalo noma umlenze owodwa ngemva kokulimalala, ukuhlinzwa, noma ukulimala. Isistimu yakho yezinzwa ngokuyisisekelo ihlala iphezulu, ithumela izikhumbuzo zobuhlungu ngokuqhubekayo ngisho noma ukulimala okuqalayo sekupholile.

Cabanga ngakho njengesixwayiso somzimba wakho esingasebenzi kahle. Esikhundleni sokucima uma ingozi idlulile, siyaqhubeka nokukhala ngebuhlungu obukhulu, obuvuthayo obuvame ukuba bukhulu kunalokho obungakulindela ekulimala okuqalayo.

Zithini izimpawu ze-CRPS?

Uphawu olukhulu lwe-CRPS yibuhlungu elibukhali, eliqabulako elibonakala lingalingani nokulimala okungase kube khona. Lobu buhlungu ngokuvamile buzwakala sengathi uhlangothi lwakho oluthintekayo luqhuma umlilo noma lucindezelwe.

Ngaphezu kobuhlungu obukhulu, ungase uqaphele izinguquko eziningi ezingase zibe yizinto eziyikhathazayo ekuqaleni. Nanka izinto abantu abaningi abane-CRPS abazibhekana nazo:

• Ubuhlungu obuqabulako noma obuthungayo obuhlala njalo futhi obukhulu
• Ukukhuluphala kakhulu kokuthinta lapho ngisho nomoya olukhanyayo noma isembatho elithambile kuzwakala kubhlungu
• Ukukhuluphala nokuqina endaweni ethintekayo
• Izingoquko zombala wesikhumba ezingase zibonakale zibomvu, zibomvu, noma ziqhelelane
• Izingoquko zokushisa lapho isikhumba sakho sizizwa sishisa noma sibanda kakhulu
• Izingoquko zokwakheka kwesikhumba eziba khanyayo, zincinci, noma zinezinyoni ezingavamile
• Ubuthakathaka bemisipha nokuzamazama eluthangini oluthintekayo
• Ukulinganiselwa kokunyakaza okwenza kube nzima ukunyakaza

Abanye abantu nabo bahlangabezana nezimpawu ezingavamile njengokubamba kwemisipha, ukuguquka kokukhula kwezinzipho nezinyoni, noma ngisho nezinkinga zokuzwa nokubona. Izimpawu zingase zihluke kakhulu kumuntu nomuntu, okuyenza kube nzima ukuxilonga.

Ziyini izinhlobo ze-CRPS?

I-CRPS iza ngezinhlobo ezimbili eziyinhloko, nakuba zombili zibangela izimpawu ezifanayo namanqanaba obuhlungu. Umehluko ukhona kulokho okwenzeka ezinzwaneni zakho ngesikhathi sokulimala okuqalayo.

I-CRPS uhlobo 1, eyayibizwa ngokuthi i-Reflex Sympathetic Dystrophy, ivela ngaphandle kokulimalala kwezinzwa okuqinisekisiwe. Lona uhlobo oluvamile, olukhulu ngama-90% azo zonke izimo ze-CRPS. Ungase uthole lokhu ngemva kokulimalala okuncane njengokuqhekeka, ukuphuka, noma ngisho nesiqondiso sokuhlinzwa okulula.

I-CRPS uhlobo 2, eyayaziwa ngokuthi i-Causalgia, iyenzeka uma kunobubufakazi obuncane bokulimala kwezinzwa ekulimala okuqalayo. Lokhu kungase kwenzeke ngemva kokusika okujulile, isikhali sokuthwesa, noma inqubo yokuhlinzwa eyalimala ngokuqondile inzwa.

Zombili izinhlobo zibangela ubuhlungu obukhulu kanye nezinye izimpawu. Ukwahlukaniswa kusiza ikakhulukazi odokotela ukuqonda ukuthi yini engase ibe yimbangela yesimo sakho, kodwa akushintshi indlela abazokwelapha ngayo.

Yini ebangela i-CRPS?

I-CRPS ivela lapho uhlelo lwakho lwezinzwa luphawula kakhulu ekulimala noma ekulimala, kodwa odokotela abakuqondi ngokugcwele ukuthi kungani lokhu kwenzeka kwabanye abantu hhayi kwabanye. Kufana nokuphendula kobuhlungu bomzimba wakho okuhlala ku-“on” position.

Izimbangela eziningi zingase ziholele e-CRPS, nokuqonda lokhu kungasiza ekuchazeni ukuthi isimo sakho singase siqale kanjani:

• Ukuphuka, ikakhulukazi ehlombe, ezinzwini, noma ezinyaweni
• Ukuqhekeka nokuqina okuqala kubonakala kuncane
• Izinqubo zokuhlinzwa, ngisho nezivamile
• Ukusika noma ukwephulwa okulimaza izinzwa
• Ukushisa noma ukubanda okuthinta iziphetho zezinzwa
• Ukuhlaselwa yinhliziyo noma isifo sobuchopho okuthinta ukugeleza kwegazi
• Ukutheleleka okuqalisa ukuvuvukala
• Ukungahambi isikhathi eside ngokuqhekeka noma ukuphumula embhedeni

Kwezinye izimo ezingavamile, i-CRPS ingase ivela ngaphandle kwanoma yisiphi isizathu esicacile. Abanye abacwaningi bakholelwa ukuthi i-genetics, ukungasebenzi kahle kohlelo lokuvikela umzimba, noma izimpendulo ezingavamile zokuvuvukala zingase zidlale indima ekutheni abantu abathile bathuthukise lesi simo.

Nini kufanele ubheke udokotela nge-CRPS?

Kufanele ubheke udokotela ngokushesha uma ubhekana nobuhlungu obukhulu, obuhlala njalo obukhulu kunalokho obungakulindela ekulimala kwakho. Ukwelashwa kwasekuqaleni kuvame ukuletha imiphumela emihle nge-CRPS.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uqaphela ubuhlungu obuqabulako noma obuthungayo njalo, ikakhulukazi uma buhambisana nokuhluka kombala wesikhumba, ukukhuluphala, noma ukukhuluphala kokuthinta. Ungalindi ukubona uma kuzoba ngcono ngokwalo.

Kufanele uxhumane nodokotela wakho uma uthuthukisa noma yiziphi izimpawu ezintsha njengobuthakathaka bemisipha, ukuzamazama, noma uma uhlangothi lwakho oluthintekayo luqala ukubukeka luhlukile kwelomunye. Izingoquko zokwakheka kwesikhumba, ukushisa, noma izindlela zokukhula kwezinzipho nazo yizimpawu ezibalulekile okufanele uzixoxe nodokotela wakho.

Ziyini izici ezingase zikhulise amathuba okuthola i-CRPS?

Ngenkathi i-CRPS ingase ibe kubantu bonke, izici ezithile zingase zikhulise amathuba akho okuthuthukisa lesi simo. Ukuqonda lezi zici ezingase zikhulise amathuba kungakusiza wena nodokotela wakho ukuthi niqaphele izimpawu zokuqala.

Nanza izici eziyinhloko ezitholakele ucwaningo:

• Ukuba owesifazane - abesifazane bathuthukisa i-CRPS kathathu kunabesilisa
• Iminyaka ephakathi kuka-40-60 - nakuba ingase ibe khona kunoma iyiphi iminyaka
• Ukuba nezinye izimo zobuhlungu obuhlala njalo njenge-fibromyalgia noma i-arthritis
• Umlando wemicrane noma ezinye izimo zezinzwa
• Ukubhema okungase kuthinte ukugeleza kwegazi nokuphulukisa
• Ukungahambi isikhathi eside ngemva kokulimalala noma ukuhlinzwa
• Ukukhethwa kwe-genetic - imindeni eminye ibonakala ihlushwa kakhulu
• Amazinga aphezulu engcindezi noma umlando wokulimalala

Ukuba nalezi zici ezingase zikhulise amathuba akusho ukuthi uzokuthuthukisa ngokuqinisekile i-CRPS. Abantu abaningi abanezinye izici ezingase zikhulise amathuba abazange bahlangabezane nalesi simo, kanti abanye abangenazo izici ezingase zikhulise amathuba ebonakalayo bayithuthukisa.

Ziyini izinhlanganisela ezingase zenzeke nge-CRPS?

I-CRPS ingase iholele kwezinye izinhlanganisela uma ingalashwa, kodwa ukuqonda lezi zinto ezingase zenzeke kungakusiza ukusebenza neqembu lakho lezokunakekelwa kwezempilo ukuze uzivimbele. Izinhlelo eziningi zithuthuka kancane kancane futhi ngokuvamile zingaphathwa noma zivinjelwe ngokunakekelwa okuhle.

Izinhlanganisela ezivamile ongahlangabezana nazo zihlanganisa:

• Ukunciphisa kwemisipha nobuthakathaka ngokungasetshenziswa kolwimi oluhlungu
• Ukuqina kwamajozi nokuqina okulinganiselwa ukunyakaza unomphela
• Ukwehliswa kwamathambo (osteoporosis) endaweni ethintekayo
• Ukukhubazeka okuhlala njalo okuthinta imisebenzi yansuku zonke
• Usizi nokukhathazeka ngokubhekana nobuhlungu obuhlala njalo
• Ukuphazamiseka kokulala okuthinta impilo yonke
• Ukuzihlukanisa nabantu ngenxa yokulinganiselwa kwemisebenzi

Ngokungavamile, abanye abantu bahlangabezana nokubhebhetheka kwe-CRPS kwezinye izingxenye zomzimba, ikakhulukazi ngezikhathi zengcindezi noma ngemva kokulimalala okwengeziwe. Kungakho ukwelashwa kwasekuqaleni nokuphathwa kwengcindezi kubaluleke kangaka.

Izindaba ezinhle ukuthi ngokwelashwa okuhle nokunakekela kwakho, izinhlanganisela eziningi zingavikelwa noma zinciphisiwe. Iqembu lakho lezokunakekelwa kwezempilo lizokusebenza nawe ukuze ligcine uhlangothi lwakho oluthintekayo lusebenza ngangokunokwenzeka.

I-CRPS ingavikelwa kanjani?

Ngenkathi kungekho ndlela eqinisekisiwe yokuvimbela i-CRPS, izinyathelo ezithile ngemva kokulimalala noma ukuhlinzwa zingase zinciphisa ingozi yakho. Ikhona ukukhuthaza ukuphulukisa okuhle nokugcina ukunyakaza uma kunokwenzeka ngokuphepha.

Uma uhlinzwa noma ulimele, xoxani ngalezi zindlela zokuvimbela nodokotela wakho:

• Ukusebenza kwasekuqaleni - ukunyakaza okuthambile uma kuphephile
• Ukulawulwa okuhle kobuhlungu - ungavumeli ubuhlungu bube bukhulu kakhulu
• I-Physical therapy - uqale ngokushesha ngangokunconywa udokotela wakho
• Ukuphathwa kwengcindezi - usebenzisa amasu okuphumula ngesikhathi sokuphulukisa
• Ukusetshenziswa kwe-Vitamin C - ezinye izifundo ziqondisa ukuthi i-500mg nsuku zonke ingasiza
• Ukugwema ukungahambi isikhathi eside - uma kufanele ngokwelapha

Uma uke waba ne-CRPS ngaphambili, ukuqapha okwengeziwe nganoma yiziphi izinqubo zezokwelapha noma ukulimala kwesikhathi esizayo kubaluleke kakhulu. Iqembu lakho lezokunakekelwa kwezempilo kufanele liqaphele umlando wakho ukuze likwazi ukulungisa ukunakekelwa kwakho ngokufanele.

I-CRPS ixilongwa kanjani?

Ukuxilonga i-CRPS kusekelwe ikakhulukazi ezimpawu zakho nokuhlolwa komzimba njengoba kungekho ukuhlolwa olulodwa oluqinisekisa isimo. Udokotela wakho uzolalela ngokucophelela incazelo yakho yobuhlungu futhi abone indawo ethintekayo.

Umhlinzeki wakho wezokunakekelwa kwezempilo uzobheka izimpawu eziyinhloko ze-CRPS ngesikhathi sokucubungula. Bazohlola ubuhlungu obukhulu obukhulu kunanoma yikuphi ukulimala, ukuguquka kombala wesikhumba noma ukushisa, ukukhuluphala, nokukhuluphala kokuthinta.

Ukuze kuqale ezinye izimo, udokotela wakho angase anikeze ukuhlolwa okuthile:

• Izithombe ze-X-ray ukuhlola izingoquko zamathambo noma ukuphuka
• I-MRI scans ukubuka izicubu ezithambile namathambo ngemininingwane
• Ukuhlolwa kwamathambo ukuthola izingoquko ekusebenzeni kwamathambo
• Izivivinyo zokuphatha kwezinzwa ukuhlola ukusebenza kwezinzwa
• Izivivinyo zegazi ukuqala ukutheleleka noma izimo zokuvuvukala

Ukuxilonga ngokuvamile kuthatha isikhathi ngoba odokotela kudingeka baqale ezinye izimo ezingase zibangele izimpawu ezifanayo. Ukubekezela kwakho ngalesi sikhathi kubalulekile, njengoba ukuthola ukuxilongwa okuhle kuholela ohlelweni lokwelapha oluphumelelayo.

Yini ukwelashwa kwe-CRPS?

Ukwelashwa kwe-CRPS kugxile ekuthambiseni ubuhlungu, ekuthuthukiseni ukusebenza, nasekuvimbeleni izinhlanganisela. Ukwelashwa okuqala, amathuba akho okuphulukisa, ngakho ungalihli ukufuna usizo.

Uhlelo lwakho lokwelapha cishe luzoba nezindlela eziningi ezisebenza ndawonye. Nanka izinto iqembu lakho lezokunakekelwa kwezempilo elizoncoma:

• Imithi yobuhlungu kuhlanganise imithi yokulwa nokuvuvukala, imithi yobuhlungu bezinzwa, noma imithi ebuhlungu eqinile
• I-Physical therapy ukugcina ukunyakaza nokuvimbela ukuqina
• I-Occupational therapy ukusiza ngemisebenzi yansuku zonke
• Ukubamba kwezinzwa - ukugcoba okuvimbela izikhumbuzo zobuhlungu isikhashana
• Ukukhuthaza kokukhuthaza umgogodla ezimweni ezinkulu ezingaphenduli kwezinye izindlela zokwelapha
• I-Ketamine infusions - ukwelashwa okukhethekile ezimweni ezingaphenduli
• Ukusekelwa ngokwengqondo ukusiza ukubhekana nobuhlungu obuhlala njalo

Abanye abantu bayazuza ekwelapheni okwengeziwe njenge-acupuncture, ukugcoba, noma amasu okuphumula. Lokhu akufanele kuthathe indawo yokwelapha kwezokwelapha kodwa kungaba yizengezo eziwusizo ohlelweni lwakho lonke lokunakekelwa.

Ukwelashwa ngokuvamile kudinga ukuzeka kade umsindo nokuqina. Lokho okusebenza kahle kungahlukahluka kumuntu nomuntu, ngakho iqembu lakho lezokunakekelwa kwezempilo lingase lidinga ukuzama izinhlanganisela ezahlukene zokwelapha ukuze lithole lokho okukusiza kakhulu.

Indlela yokuphatha i-CRPS ekhaya?

Ukuphathwa ekhaya kudlala indima ebalulekile ekulawuleni izimpawu ze-CRPS nokugcina ikhwalithi yakho yokuphila. Ikhona ukufuna izindlela ezithambile zokuhlala usebenza ngenkathi ulawula ubuhlungu ngokuphumelelayo.

Amasu okuzinakekela nsuku zonke angenza umehluko omkhulu endleleni ozizwa ngayo:

• Ukuzivocavoca okuthambile - ngisho nokunyakaza okuncane kusiza ukuvimbela ukuqina
• Ukunciphisa ingcindezi ngokuzindla, ukuphefumula okujulile, noma i-yoga ethambile
• Ukwelashwa ngokushisa - abanye abantu bathola impumuzo ngokushisa noma ukubanda
• Imikhuba yokulala efanele - usebenzisa izikhwama zokusekela uhlangothi oluthintekayo
• Ukulinganisa imisebenzi - ukulinganisa umsebenzi nezikhathi zokuphumula
• Ukunakekelwa kwesikhumba - ukugcina indawo ethintekayo ihlanzekile futhi inamanzi
• Ukudla okunempilo - ukugxila ekudleni okulwa nokuvuvukala

Kubalulekile ukuhlala uxhumene nabangane nomndeni, ngisho noma ubuhlungu benza kube nzima ukuxhumana nabantu. Cabanga ngokujoyina amaqembu wokusekela lapho ungaxhumana khona nabanye abaqonda lokho okubhekana nakho.

Gcina idayari yobuhlungu ukuze uqaphele ukuthi yini esiza nokuthi yini eyenza izimpawu zibe zimbi. Lolu lwazi lungaba lubalulekile eqenjini lakho lezokunakekelwa kwezempilo ekuhleni uhlelo lwakho lokwelapha.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho kungasiza ukuqinisekisa ukuthi uthola okuningi ngesikhathi sakho nomhlinzeki wakho wezokunakekelwa kwezempilo. Ukulungiselela okuhle kuholela ekuxhumaneni okuhle nohlelo lokwelapha oluphumelelayo.

Ngaphambi kokuya kwakho, bhala phansi izimpawu zakho ngemininingwane. Faka lapho zaqala khona, yini eyenza zibe ngcono noma zimbi, nokuthi zithinta kanjani impilo yakho yansuku zonke. Ungakhathazeki ngokusebenzisa amagama ezokwelapha - chaza lokho okubhekana nakho ngamazwi akho.

Letha uhlu oluphelele lwemithi yonke oyithathayo, kuhlanganise nemithi yokuthengwa ngaphandle komthetho kanye nezinye izithasiselo. Buye uqoqe noma yimaphi amarekhodi ezokwelapha okuvela ekwelapheni kwangaphambili noma imiphumela yokuhlola ehambelana nesimo sakho.

Lungisa imibuzo ofuna ukuyibuza udokotela. Cabanga ngokubuza ngezindlela zokwelapha, lokho okufanele ukulindele, indlela yokuphatha izimpawu ekhaya, nokuthi nini kufanele ufunane ukunakekelwa okusheshayo. Ungangabazi ukucela incazelo uma kukhona okungacaci.

Yini okufanele uyikhumbule nge-CRPS?

I-CRPS iyisimo esinzima kodwa esingaphathwa esithinta impendulo yobuhlungu yohlelo lwakho lwezinzwa. Nakuba kungase kube nzima ukuphila nayo, abantu abaningi baphatha izimpawu zabo ngempumelelo futhi bagcina ikhwalithi enhle yokuphila ngokwelashwa okuhle.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukwelashwa kwasekuqaleni kuvame ukuletha imiphumela emihle. Uma ubhekana nobuhlungu obukhulu, obuhlala njalo ngemva kokulimalala, ungalindi ukufuna ukunakekelwa kwezokwelapha.

Ukuphulukisa kwe-CRPS kuthatha isikhathi nokubekezela, kodwa awuwedwa kule ndlela. Ngeqembu lezokunakekelwa kwezempilo elifanele, uhlelo lokwelapha, nesisekelo, ungasebenza ekuthambiseni ubuhlungu bakho nokuthuthukisa ukusebenza kwakho.

Imibuzo evamile ebuzwa nge-CRPS

Ingase ihambe ngokuphelele i-CRPS?

Yebo, i-CRPS ingase iye ekuphumuleni, ikakhulukazi uma ilashwa kwasekuqaleni. Abanye abantu bahlangabezana nokuphulukisa okuphelele, kanti abanye bafunda ukuphatha izimpawu zabo ngokuphumelelayo. Ikhona ukuqala ukwelashwa ngokushesha ngangokunokwenzeka nokugcina uqine ohlelweni lwakho lokunakekelwa.

Ingabe i-CRPS iyisimo sezempilo esiqinisekisiwe?

Ngokuqinisekile. I-CRPS iyisimo sezempilo esiqinisekisiwe esinezindinganiso ezithile zokuxilonga. Akulona “konke kukhanda lakho” - kuhilela izingoquko zangempela ohlelweni lwakho lwezinzwa ezibangela izimpawu zangempela zomzimba. Ochwepheshe bezokwelapha baqonda ukuthi lesi simo esinzima esidinga ukwelashwa okuhle.

Ingabe ingcindezi ingenza i-CRPS ibe zimbi?

Yebo, ingcindezi ingenza izimpawu ze-CRPS zibe zimbi kubantu abaningi. Amazinga aphezulu engcindezi angase akhulise ukukhuluphala kobuhlungu futhi aqalise ukubhebhetheka. Kungakho amasu okuphathwa kwengcindezi njengokuphumula, ukuzindla, noma ukwelashwa ngokuvamile kuyizingxenye ezibalulekile zokwelapha.

Ingabe ngizodinga ukuhlinzwa nge-CRPS?

Abantu abaningi abane-CRPS abadingi ukuhlinzwa. Ukwelashwa ngokuvamile kugxile emithi, ukwelashwa, nezinqubo ezingathinti kakhulu njengokubamba kwezinzwa. Ukuhlinzwa kungase kubhekwe ezimweni ezinkulu ezingaphenduli kwezinye izindlela zokwelapha, njengokufakwa kwe-spinal cord stimulator.

Ingabe i-CRPS ingase isakazeke kwezinye izingxenye zomzimba wami?

Nakuba kungavamile, i-CRPS ngezinye izikhathi ingase isakazeke kwezinye izindawo, ikakhulukazi ngezikhathi zengcindezi enkulu noma ngemva kokulimalala okwengeziwe. Lona omunye wamagama okubaluleka kokwelashwa kwasekuqaleni nokuphathwa kwengcindezi. Abantu abaningi abangahlangabezani nokubhebhetheka, ikakhulukazi ngokunakekelwa okuhle.