I-Algoneurodystrophy noma i-algodystrophy igama elidala le-Complex Regional Pain Syndrome (CRPS). Ukwelashwa kwayo kusekelwe ku-physiotherapy kanye nezidakamizwa zokukhulula ubuhlungu nokugcina ukuhamba kwamalunga. 

Incazelo

I-Algoneurodystrophy (evame ukubizwa ngokuthi i-algodystrophy futhi manje ebizwa ngokuthi I-Complex Regional Pain Syndrome) isifo sobuhlungu besifunda esitholakala endaweni eduze kwelunga elilodwa noma ngaphezulu, esihlobanisa ubuhlungu obuqhubekayo nokuzwela okwedlulele kwesisusa esibuhlungu noma ukuzwa okubuhlungu kuya kusisusa. hhayi ubuhlungu), ukuqina okuqhubekayo, ukuphazamiseka kwe-vasomotor (ukujuluka ngokweqile, i-edema, ukuphazamiseka kombala wesikhumba).

Izitho ezingezansi (ikakhulukazi unyawo kanye neqakala) zithinteka kakhulu kunezitho zangaphezulu. I-Algodystrophy yisifo esiyingozi. Ihlehla ezimweni eziningi phakathi namasonto ambalwa kuya ezinyangeni ezimbalwa kodwa isifundo singanwetshwa ezinyangeni eziyi-12 kuye kwezingama-24. Imvamisa, iphilisa ngaphandle kwe-sequelae. 

Izimbangela 

Izindlela ze-algodystrophy azaziwa. Kungaba ukungasebenzi kahle kwesistimu yezinzwa emaphakathi neseceleni. 

Ngokuvamile kunesici esivusa amadlingozi: izimbangela ezibuhlungu (i-sprain, i-tendonitis, ukuphuka, njll.) noma izimbangela ezingezona ezibuhlungu (izimbangela ze-osteoarticular ezifana ne-carpal tunnel syndrome noma i-rheumatism yokuvuvukala; izimbangela zemizwa ezifana nokushaywa unhlangothi; izimbangela ze-oncological; izimbangela zemizwa ezifana i-phlebitis, izimbangela ezithathelwanayo ezifana nama-shingles, njll.) Ukuhlinzwa, ikakhulukazi amathambo, futhi kuyimbangela evamile ye-algoneurodystrophy. 

Ukuhlukumezeka kuyimbangela evame kakhulu ye-Algoneurodystrophy noma I-Complex Regional Pain Syndrome. Kukhona ukubambezeleka kwezinsuku ezimbalwa kuya emasontweni ambalwa phakathi kwe-trauma kanye ne-dystrophy. 

Ezimweni ezi-5 kuye kwezingu-10% azikho izinto ezibangela ukuvuvukala. 

kwesifo 

Ukuxilongwa kwe-Algoneurodystrophy noma I-Complex Regional Pain Syndrome kusekelwe ekuhlolweni nasezimpawu zomtholampilo. Kusetshenziswa izindlela zokuxilonga zamazwe ngamazwe. Ukuhlolwa okwengeziwe kungenziwa: i-x-ray, i-MRI, i-bone scintigraphy, njll.

Abantu abathintekayo 

I-Complex Regional Pain Syndrome ayivamile. Kwenzeka kaningi phakathi kweminyaka engama-50 nengama-70 kodwa kungenzeka kunoma iyiphi iminyaka kuyilapho ingavamile ezinganeni nasebancane. I-CRPS ithinta abesifazane abaningi kunabesilisa (3 kuya ku-4 abesifazane ngendoda engu-1). 

Ubuhlungu, uphawu oluyinhloko 

I-Algoneurodystrophy ibonakala ngobuhlungu obuqhubekayo, nge-hyperalgesia (ukuzwela okwedlulele ku-stimulus ebuhlungu) noma i-allodynia (ukuzwa okubuhlungu ku-stimulus engeyona ebuhlungu); ukuqina okuqhubekayo; ukuphazamiseka kwe-vasomotor (ukujuluka ngokweqile, i-edema, ukuphazamiseka kombala wesikhumba).

Kuchazwa izigaba ezintathu: okuthiwa yisigaba esishisayo, okuthiwa yisigaba esibandayo bese siyaphilisa. 

Isigaba sokuvuvukala esishisayo ...

Isigaba sokuqala esibizwa ngokuthi i-hot phase siqhubeka kancane kancane emasontweni ambalwa kuya ezinyangeni ezimbalwa ngemva kwesici esibangela. Lesi sigaba sokuvuvukala esishisayo sibonakala ngobuhlungu obuhlangene kanye ne-periarticular, i-edema (ukuvuvukala), ukuqina, ukushisa kwendawo, ukujuluka ngokweqile. 

… bese kuba yisigaba esibandayo 

Lokhu kubonakala ngesikhumba esibandayo, esibushelelezi, esiphaphathekile, esine-ashy noma se-purplish, esomile kakhulu, ukuhoxiswa kwe-capsuloligamentous kanye nokuqina kwamalunga. 

I-Algoneurodystrophy noma i-Complex Pain Syndrome ingavela ngesigaba esibandayo kusukela ekuqaleni noma ukushintshana kwezigaba ezibandayo nezishisayo. 

Ukwelashwa kuhloswe ukukhulula ubuhlungu nokugcina ukuhamba kwamalunga. Ihlanganisa ukuphumula, i-physiotherapy kanye nezidakamizwa ze-analgesic. 

I-Physiotherapy 

Phakathi nesigaba esishisayo, ukwelashwa kuhlanganisa ukuphumula, i-physiotherapy (i-physiotherapy ye-analgesia, i-balneotherapy, i-circulatory drainage). 

Phakathi nesigaba esibandayo, i-physiotherapy ihlose ukunciphisa ukuhoxiswa kwe-capsuloligamentous nokulwa nokuqina kwamalunga.

Uma kwenzeka ukubandakanyeka komlenze ongaphezulu, ukwelashwa komsebenzi kuyadingeka. 

Izidakamizwa ze-analgesic 

Imithi eminingana yokwelapha ingahlanganiswa: ama-analgesics ekilasi I, II, izidakamizwa ezilwa nokuvuvukala, amabhlogo wesifunda anemithi yokubulala izinzwa, i-transcutaneous electrical nerve stimulation (TENS).

Ama-biphosphates anganikezwa ngomthambo we-dystrophy enzima. 

Ama-Orthotics namathini angasetshenziswa ukukhulula ubuhlungu. 

Kungakwazi ukuvimbela i-Algoneurodysyrophy noma i-Complex Regional Pain Syndrome ngemva kokuhlinzwa kwamathambo noma okubuhlungu ngokulawula kangcono izinhlungu, ukukhawulela ukungakwazi ukunyakazisa ukhonkolo kanye nokusebenzisa ukuhlunyeleliswa okuqhubekayo. 

Ucwaningo lwakamuva lubonise ukuthi ukuthatha i-vitamin C ngesilinganiso se-500 mg nsuku zonke ngezinsuku ze-50 kunciphisa izinga le-syndrome yobuhlungu besifunda esiyinkimbinkimbi ngonyaka owodwa ngemva kokuphuka kwesihlakala. (1)

(1) UFlorence Aim et al, Ukusebenza kahle kwe-vitamin C ekuvimbeleni i-syndrome eyinkimbinkimbi yezinhlungu zesifunda ngemva kokuphuka kwesihlakala: ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta, Ukuhlinzwa Kwezandla Nokuvuselelwa, ivolumu 35, Ukukhishwa kwe-6, Disemba 2016, ikhasi 441