I-Complex Circle Syndrome
Sibanzi
I-Reflex I-Dystrophy enobubele (RSD) ibhekiselwa ngamanye amagama amaninzi, kuquka:
- I-Reflex Sympathetic Dystrophy Syndrome-RSDS
- I-Complex Circle Syndrome
- Ukunyamezela
- Causalgia
- Sudeck's Atrophy
Izizathu
Ngokutsho kweNational Institute of Neurological Disorders and Stroke (i-NINDS), i-RSD "yimeko yokubuhlungu engapheliyo ekholelwa ukuba yiphumo lokungasebenzi kwiinkqubo eziphakathi okanye eziphazamisayo ." Ngokutsho kwe-MedicineNet, i-RSD ibandakanya "ukucatshulwa nokukhathazeka okungavamile kwimizimba yesifo, ekhokelela kwiminqweno engaqhelekanga kunye neentsholongwane ezithintela imithana yegazi kunye nesikhumba."
Izifundo zezilwanyana zibonisa ukuba i-norepinephrine, i-catecholamine ekhutshwe kwiimbandezelo zenceba, ifumana amandla okwenza iintlungu zenzeke emva kweethambo okanye ukulimala kwentsholongwane, okubangelwa kwi-RSD. Enye imbono ibonisa ukuba i-RSD, elandela ukulimala, ibangelwa ngokubangela ukuphendula komzimba kunye neempawu ezinxulumene nokuvuvukala (ubomvu, ukufudumala, ukuvuvukala). I-RSD ayicingelwa ukuba inobangela omnye, kodwa kunokuba izizathu ezininzi zivelise iimpawu ezifanayo.
Abacebisi
Kukho izinto ezininzi ezibangelwa i-RSD, kuquka:
- ukulimala okanye ukukhathazeka
- utyando
- isifo samathambo entanyeni
- iingxaki zomthwalo
- isifo sentliziyo
- ukubetha
- iswekile
- nomhlaza
- sulelo
- izifo zengqondo
- iingxaki ze-thyroid
- i-carpal tunnel
- ngxinwa
- ezithile iyeza
Kuqikelelwa kwisithathu kwisigulane se-RSD, akukho nxu lumene.
Iimpawu
I-RSD idla ngokuchaphazela enye yemida (ingalo, umlenze, isandla, okanye unyawo). Uphawu oluphambili lwe-RSD lukhulu, intlungu eqhubekayo.
Ngokutsho kwe-NINDS, uluhlu lweempawu ezinxulumene ne-RSD lubandakanya:
- ubuhlungu obuvuthayo
- ukwanda kwesikhumba
- Iqondo lokushisa kwesikhumba (utshisa okanye kupholile kunexesha elichasileyo)
- utshintsho lombala wesikhumba (uhlaza, obomvu, obomvu, obomvu)
- ukuguquka kwesikhumba kuguquka
- utshintsho kwimizekelo yokukhula kwesikhonkwane kunye neenwele
- ukuqina nokuvuvukala kumalungu axhatshaziweyo
- ukunciphisa amandla okuhambisa umxhesho ochaphazelekayo
Ubunzima bunokusasazeka kwindawo enkulu (oko kukuthi ukusuka kumunwe ukuya kwingalo yonke) kwaye unokusasazeka kumda ochaseneyo (oko kukuthi, ukusuka ngengalo engesobunxele kuya kwesokunene). Ukuxinezeleka ngokomzwelo kunokubangela ukuba iimpawu zibe nzima.
Ezinye iingcali zibonisa ukuba kukho izigaba ezintathu ze-RSD, ngexesha apho utshintsho oluqhubekayo lwenzeka kwesikhumba, izihlunu, amanxeba, iigaments, kunye namathambo kwindawo echaphazelekayo. Inkqubela phambili ayizange iqinisekiswe ngezifundo zeklinikhi, nangona kunjalo.
Amanqanaba
Isigaba 1
- ihlala kwiinyanga ezi-1 ukuya kwezi-3
- buhlungu, buhlungu
- i-spasm muscle
- ukuqina okuhlangeneyo
- ukukhula kweenwele ngokukhawuleza
- Umbala wesikhumba kunye noshintsho lokushisa
Isigaba 2
- ihlala kwiinyanga ezintathu ukuya kwezi-6
- intlungu eyenza ngakumbi
- ukuvuvukala
- kuncipha kweenwele
- izipikili eziqhekezayo, eziqhekezayo, ezivuthayo, ezinamabala
- amathambo
- amajoyina anzima
- ithoni ebuthathaka
Isigaba 3
- utshintsho olungenakuguquka kwesikhumba nasethambo
- intlungu iqhubeka
- i-atrophy
- ukuhamba ngokukhawuleza
- ukuphambana kwezihlunu kunye neetoni (izitho zingaphazamiseka)
Ukuxilongwa
Imbali yesigulane yesigulane (iimpawu kunye neempawu) yinto ebalulekileyo ekuhloleni i-RSD. Ukuxilongwa kwenziwa nzima kuba ezininzi iimpawu ziyafumaneka kwezinye iimeko.
Akukho uphando lwegazi okanye ezinye iimvavanyo zokuxilongwa kwe-RSD.
I-ray-ray ingabonakalisa ukutyilwa kwamathambo (i-osteoporosis) kunye ne-nuclear bone scans ingabonisa iipatheni zokufumana iimpawu ezinceda ukuxilonga i-RSD.
Unyango
Utyando lujolise ekunciphiseni iimpawu ezibuhlungu ezinxulumene ne-RSD. Unyango luquka:
- unyango kunye nomzimba
- i-psychotherapy ukuphelisa uxinzelelo, ukuxhalaba kunye nokudandatheka
- iibhloko zeentsholongwane
- utyando olubandakanya i-sympathectomy (ithathwa ingxabano)
- ukuvuselela intambo yomgudu
- iimpompo zeziyobisi zangaphakathi
- amayeza kuquka:
- analgesics
- izidakamizwa zokulwa noxinzelelo
- ezixinzelelekileyo
- corticosteroids
- opioids
Ngaba i-Enbrel isetyenziswa ngokuqhelekileyo ukuphatha i-RSD?
I-Enbrel iphakathi kwee-blockers ze-TNF ezisetyenziselwa ukuphatha i- rheumatoid arthritis.
Xa ebuzwa ukuba kusetyenziswe ukuphatha i-RSD, i-rheumatologist uScott Zashin MD yathi, "I-Enbrel ayivunyelwe i-FDA ukuba iphathe i-RSD." Izifundo zibonise inzuzo ethile ekuphatheni ukuvuvukala kwenzwa. uncedo kwaye unelungelo lokuzama. Ngamanye amaxesha le meko kunokuba nzima ukunyanga ngeendlela eziqhelekileyo. "
Uboniso Ukwazisa Ukulwa Ne-RSD
Umgwebi owayengumdala wase-American kunye nodumo uPaul Abdul wachaza ukuba emva kokulwa neminyaka engama-25 kunye neentlungu ezingapheliyo, ezithinteka ngengozi yokuhlaziya xa eneminyaka eyi-17 ubudala, uye wafumanisa ukuba une-RSD.
Ingqwalaselo yabeendaba inikwe ulwalamano luka-Abdul lwezokwelapha okwethutyana ibeke i-RSD kumaphepha angaphambili namaphephancwadi. I-RSD iphakathi kweentlobo ezili-100 ze-arthritis nezifo ze-rheumatic. Kuqikelelwa ukuba phakathi kwama-500 000 no-750,000 abantu bane-RSD.
> Imithombo:
> Upapasho lwe-NIH No. 04-4173
> Reflex Sympathetic Dystrophy Syndrome, iMicrosoftNet
> Imfazwe yam eyimfihlo (Paula Abdul), ABANTU