Pilikino Regional Pain Syndrome Type II (Causalgia)

Anter

• He aha ka causalgia?
• Nā ʻōuli o causalgia
• Nā kumu o ka causalgia
• Pehea e ʻike ʻia ai ka causalgia
• Nā koho lapaʻau no ka causalgia
• ʻO ka nānā aku

He aha ka causalgia?

ʻIke ʻia ʻo Causalgia ma ke ʻano he maʻi ʻehaʻeha kūpanaha ʻāina ʻano II (CRPS II). He maʻi neurological ia e hiki ke hana i ka ʻeha lōʻihi loa.

Kū aʻe ʻo CRPS II ma hope o ka hōʻeha a hōʻeha paha i ke aʻalolo āpau. Holo nā aʻalolo peripheral mai kou kuamoʻo a me kou lolo i kou mau kihi. ʻO ka pūnaewele maʻamau o ka ʻeha CRPS II i ka mea i kapa ʻia ʻo "brachial plexus." ʻO kēia pūpū o nā aʻalolo e holo mai kou ʻāʻī a i kou lima. Kākaʻikahi ka CRPS II, e hoʻoliʻiliʻi iki ana ma mua o.

Nā ʻōuli o causalgia

ʻAʻole like me CRPS I (i ʻike ʻia ma mua he reflexive sympathetic dystrophy), CRPS II ʻeha e maʻa mau ʻia i ka wahi e pili ana i ke aʻalolo ʻeha. Inā kū ka ʻeha i ke aʻalolo i kou wāwae, no ka laʻana, a laila kau ka ʻeha i kou wāwae. ʻO ka mea ʻē aʻe, me CRPS I, ka mea pili ʻole i kahi ʻeha nerve i ʻike ʻia, hiki i ka ʻeha mai kahi manamana ʻeha ke hoʻomālamalama i kou kino.

Hiki i ka CRPS II ke hana ma nā wahi āpau kahi ʻehaʻeha o ke aʻa āpau. Holo nā aʻalolo peripheral mai kou kuamoʻo a i kou mau ʻaoʻao, ʻo ia hoʻi ʻike pinepine ʻia ʻo CRPS II i kāu:

• lima
• wāwae
• lima
• wawae

Nānā ʻole ʻia ka ʻeha o ke aʻa āpau e hōʻeha ʻia, ʻo nā ʻōuli o CRPS II ke ʻano like a hoʻopili pū ʻia:

• ʻeha, ʻehaʻeha, ʻeha ʻehaʻeha a hala ʻeono mau mahina a ʻoi paha ka lōʻihi a me he mea lā ʻaʻole i hoʻohālikelike ʻia i ka ʻeha nāna i lawe mai.
• nā manaʻo kui a me nā nila
• hypersensitivity a puni ka wahi o ka ʻeha, kahi e pā ai a i ʻole ke ʻaʻa ʻana i nā lole hiki ke hoʻomaka i ka noʻonoʻo
• pehu a ʻoʻoleʻa paha o ka lālā i hoʻopili ʻia
• ka sweating maʻamau a puni ka pūnaewele ʻeha
• ke kala o ka ʻili a i ʻole ke anilā e pili ana i ka wahi ʻeha, e like me ka ʻili ke nānā a pale a anuanu a laila ʻulaʻula a mehana a hoʻi hou

Nā kumu o ka causalgia

Ma ke aʻa o CRPS II ka ʻeha nerve āpau. Hiki i kēlā ʻeha ke hopena i ka haʻi, sprain, a i ʻole ke ʻoki kino. I ka ʻoiaʻiʻo, e like me ka hoʻokolokolo ʻana, kokoke he 400 mau kapuaʻi wawae koho a me nā kuʻekuʻe wāwae i hoʻomohala CRPS II ma hope o ke kaha ʻana. Nā kumu ʻē aʻe o CRPS II me:

• hōʻeha kino-palupalu, e like me ka wela
• ʻehaʻeha, e like me ke kī ʻana i kou manamana lima i ka puka o ke kaʻa
• ʻoki ʻana

Eia nō naʻe, ʻaʻole ʻike ʻia ke kumu e pane nui ai kekahi poʻe i kēia mau hanana a ʻaʻole nā ​​poʻe ʻē aʻe.

Hiki paha i nā poʻe me CRPS (ʻo I a i ʻole II) he mau mea maʻamau ʻole i ka uhi ʻana o ko lākou aʻa aʻa, i mea e hypersensitive i nā hōʻailona ʻeha. Hiki i kēia mau mea ʻino ke hoʻomaka i kahi pane hoʻoweliweli a hoʻohuli i nā loli i nā kīʻaha koko. ʻO kēia ke kumu e hiki ai i nā poʻe he nui me CRPS II ke loaʻa i ka pehu a me ka hoʻoliʻiliʻi o ka ʻili ma kahi o ka ʻeha.

Pehea e ʻike ʻia ai ka causalgia

ʻAʻohe hōʻike e hiki ke wehewehe pono iā CRPS II. E hana ana kāu kauka i kahi hoʻokolohua kino, hoʻopaʻa i kāu mōʻaukala olakino, a laila kauoha i nā hoʻokolohua e komo pū paha:

• kahi X-ray e nānā ai no nā iwi haki a me ka nalo ʻana o nā minelala iwi
• kahi MRI e nānā i nā mea palupalu
• thermography e hoʻāʻo i ka mahana o ka ʻili a me ke kahe o ke koko ma waena o nā lālā ʻeha a ʻeha ʻole ʻia

I ka manawa e hoʻopau ʻia ai nā kūlana maʻamau e like me fibromyalgia, hiki i kāu kauka ke hana me ka wiwo ʻole i kahi hōʻoia CRPS II.

Nā koho lapaʻau no ka causalgia

ʻO ka mālama ʻana ʻo CRPS II he mau lāʻau lapaʻau a me kekahi ʻano o ka hoʻoponopono kino a me ke aʻalolo.

Inā hāʻawi ʻole nā ​​mea hōʻeha ʻeha e like me ka acetaminophen (Tylenol) a i ʻole ibuprofen (Advil) i ke kōkua, hiki i kāu kauka ke kuhikuhi i nā lāʻau ikaika. Hiki i kēia mau mea ke:

• steroid e hōʻemi i ka pehu
• kekahi antidepressants a me anticonvulsants, e like me Neurontin, i loaʻa nā hopena hōʻoluʻolu ʻeha
• nā poloka nerve, kahi e hoʻopili pono ai i kahi anesthetic i loko o ke aʻalolo i hoʻopili ʻia
• opioids a me nā pauma e hoʻopili pono i nā lāʻau i kou iwi kuamoʻo e ālai i nā hōʻailona ʻeha mai nā aʻalolo

Hoʻohana pinepine ʻia ka lāʻau hoʻoikaika kino, hoʻohana ʻia e kākoʻo a hoʻomaikaʻi paha i ke ʻano o ka neʻe ʻana i nā lālā ʻeha. Hiki paha i kāu mea hoʻoponopono kino ke hoʻāʻo i ka mea i kapa ʻia transcutaneous uila nerve stimulate (TENS), e hoʻouna i nā impulses uila ma o nā olonā i kou kino e pale i nā hōʻailona ʻeha. I ka noiʻi ʻana i ka poʻe me CRPS I, ʻo ka poʻe i loaʻa iā TENS therapy ua hōʻike ʻoi aku ka nui o ka ʻeha ma mua o ka poʻe i loaʻa ʻole. Loaʻa nā mīkini TENS hana ʻia me ka uila no ka home ma ka home.

Ua ʻike kekahi poʻe i ka hoʻomehana wela - me ka hoʻohana ʻana i ka pale hoʻomehana i kēlā me kēia manawa a puni ka lā - hiki ke kōkua pū kekahi. Eia pehea e hiki ai iā ʻoe ke hana i kāu pad hoʻomehana ponoʻī.

ʻO ka nānā aku

Ke ʻike ʻoe i ka ʻeha hoʻolōʻihi e hoʻopilikia ai i kou ola a hoʻomaha ʻole ʻia e nā lāʻau lapaʻau over-the-counter, pono ʻoe e ʻike i kāu kauka.

ʻO CRPS II kahi maʻi paʻakikī e pono ai i nā ʻano loea e mālama iā ia. Hiki i kēia mau loea ke komo pū i ka poʻe loea i ka orthopedics, ka mālama ʻeha, a me ka psychiatry hoʻi, no ka mea, hiki i ka ʻeha mau ke hana i ke olakino olakino.

ʻOiai ʻo CRPS II kahi ʻano koʻikoʻi, aia kekahi mau lāʻau lapaʻau maikaʻi. Ke hōʻike koke ʻia a mālama ʻia, ʻoi aku ka maikaʻi o kāu kūlana no kahi hopena maikaʻi.