Complex Regional Pain Syndrome
Overview
Reflex Tsitsi Dystrophy (RSD) inotumidzwa nemamwe mazita akawanda, kusanganisira:
- Reflex Tsitsi Dystrophy Syndrome-RSDS
- Complex Regional Pain Syndrome
- Akabatana-Anopa Simba
- Causalgia
- Sudeck's Atrophy
Zvinokonzera
Maererano neNational Institute of Neurological Disorders uye Stroke (NINDS), RSD " chirwere chisingaperi chisingatauri chinokonzerwa nekushaya simba mukati kana mukati mehutachiona hutsika ." Maererano neMedicineNet, RSD inosanganisira "kushungurudzika uye kusuruvara kusina kunakidza kwematope anokanganisa, zvichiita kuti pfungwa dzisina kufanana dzive nemisungo inokanganisa midziyo yeropa neganda."
Zvidzidzo zvezvipfuwo zvinoratidza kuti norepinephrine, catecholamine yakabudiswa kubva munzwirwe tsitsi, inowana simba rekuita marwadzo maitiro nenzira mushure mutsva kana kushungurudzika kwemhutu, zvichiita kuti iRSD. Imwe nyanzvi inoratidza kuti RSD, iyo inotevera kukuvadzwa, inokonzerwa nekukonzera maitiro ekuzvidzivirira mumuviri uye zviratidzo zvinokonzerwa nokuputika (kubwinya, kushambidzika, kuzvimba). RSD haifungi kuti ine chikonzero chimwe chete, asi pane zvikonzero zvakawanda zvinokonzera zviratidzo zvakafanana.
Zvinotyisa
Ikoko kunogona kuva nehuwandu hukuru hweRDD, kusanganisira:
- kukuvara kana kushungurudzika
- kuvhiyiwa
- arthritis inopera yemutsipa
- sunga matambudziko
- chirwere chemoyo
- stroke
- chirwere cheshuga
- kenza
- utachiona
- zvirwere zvepfungwa
- thyroid disorders
- carpal tunnel
- shingles
- mamwe mishonga
Mukufungidzirwa chikamu chetatu chevarwere vane RSD, hapana chekuita.
Zviratidzo
RSD inowanzokonzera imwe yemigumo (ruoko, gumbo, ruoko, kana rutsoka). Chiratidzo chikuru cheRDD ndechekurwadziwa, kunoramba kuripo.
Maererano neNINDS, urongwa hwezviratidzo hunoenderana neRDD hunosanganisira:
- kutsva kupisa
- kuwedzera kwekunzwa kweganda
- ganda rekushisa rinoshanduka (rinopisa kana rinotonhora kupfuura kupikisa kumucheto)
- ruvara rweganda kuchinja (kubwinya, ruvara rwepepuru, ruvara, ruvara)
- ruvara rweganda rinoshanduka (shiny, ronda, rakaputika)
- kuchinja muisil uye vhudzi kukura maitiro
- kuoma uye kuvhara muzvikamu zvakakanganiswa
- kupera kwekodzero yekufamba mhepo yakagadzirirwa
Urombo hunogona kupararira kune nzvimbo yakakura (kureva kubva paminwe kusvika kumativi ose) uye inogona kupararira kune imwe nzvimbo yakatarisa (kureva, kubva kuruboshwe kuruoko rworudyi). Kushungurudzika mupfungwa kunogona kuita kuti zviratidzo zviwedzere.
Dzimwe nyanzvi dzinoratidza kuti pane zvikamu zvitatu zveRDD, panguva iyo kuchinja kunofambira mberi kunoitika paganda, masisita, mafundo, mitsipa, uye mapfupa emunharaunda. Kufambira mberi hakugere kusimbiswa neongororo dzechipatara, zvakadaro.
Nhanho
Nhanho 1
- inopedza mwedzi 1 kusvika ku3
- zvakanyanya, zvinopisa zvinorwadza
- tsvina tsvina
- kubatana kuoma
- kukurumidza kutsva kukura
- ruvara rweganda uye kupisa kushanduka
Nhanho 2
- inosvika pamwedzi 3 kusvika ku6
- kurwadziwa kunowedzera kuwedzera
- kuzvimba
- kuderedza vhudzi kukura
- misumari inoputika, inoputika, inogunzva, inotonhora
- mapfupa akanyorova
- mitsipa mikukutu
- kusimba musimba tone
Nhanho 3
- kuchinja kusingapinduki kune ganda uye pfupa
- kurwadziwa kunopfuurira
- muscle atrophy
- zvakanyanya kukanganisa kufamba
- zvinopesana nemasumbu uye tete (mitsipa inogona kushandiswa)
Kuziva
Nhoroondo yezvirwere zvehutano (zviratidzo nezviratidzo) ndizvo zvakakosha pakuongorora RSD. Kuongororwa kunoitwa zvakaoma nokuti dzakawanda zvezviratidzo zvinowanikwa nedzimwe mamiriro.
Iko hakuna kujekesa ropa kana zvimwe zviratidzo zvekuongorora kweRDD.
X-rays inogona kuratidza kudonha kwemapfupa (osteoporosis) uye nyukliya bone kuongorora kunogona kuratidzira maitiro ekugadzirisa anobatsira kutsvaga RSD.
Mishonga
Kurapa kunotarisa kubvisa zviratidzo zvinorwadza zvakabatana neRDD. Mishonga inogona kusanganisira:
- physically therapy and exercise
- psychotherapy kuti ibvise kushungurudzika, kuzvidya mwoyo, uye kuora mwoyo
- kunzwira tsitsi mitsipa
- kuvhiyiwa kusanganisira sympathectomy (inonzi inopesana)
- spinal cord stimulation
- intrathecal drug pump
- mishonga inosanganisira:
- topical analgesics
- anti-seizure drugs
- antidepressants
- corticosteroids
- opioids
Inbrel Inowanzoshandiswa Kubata RSD here?
Enbrel iri pakati peTNF blockers inoshandiswa kurapa rheumatoid arthritis.
Paakabvunzwa kana inoshandiswawo kubata chirwere cheRDD, rheumatologist Scott Zashin MD akataura, "Enbrel haisi FDA inogamuchirwa kubata chirwere cheRDD.Ukuongorora kwakaratidza zvimwe zvinobatsira mukurapa kusuruvara kwehutano.Sezvo RSD inonzwika kuva neurological component, inogona kunge inobatsira uye inokodzera kuedza.Chiitiko ichi dzimwe nguva chinogona kuva chakaoma kurapa nemishonga yakawanda. "
Unonyanya kuzivisa Hondo neRDD
Mutongi wekare weAmerican Idol uye mukurumbira Paula Abdul akazivisa kuti pashure pemakore makumi maviri ehondo achirwadziwa nekushungurudzika kwenguva refu, yakagadzirirwa nengozi ye cheerleading paakanga ava nemakore 17, ave akabatwa ane RSD.
Nhepfenyuro yezvinyorwa inopiwa kuhondo yaAdul yezvokurapa kwenguva pfupi yakaisa RSD pamashure mapepa nemagazini. RSD iri pakati pezana zana remarthritis uye rheumatic diseases. Inofungidzirwa kuti pakati pe500 000 ne 750 000 vanhu vane RSD.
> Sources:
> NIH Publication Nha. 04-4173
> Reflex Tsitsi Dystrophy Syndrome, MedicineNet
> My Secret Battle (Paula Abdul), VANHU