Kupewa algodystrophy

Chithandizo cha algodystrophy

Palibe mankhwala enieni a dystrophy. Kuphatikizika kwa physiotherapy mankhwala ndi mankhwala ena amapezeka mwa anthu ena kuti achepetse ululu ndi kusunga kuyenda pamodzi.

Kuchiza kumakhala kothandiza kwambiri akayamba matendawa atangoyamba kumene. Amatha kuchepetsa kukula kwa matendawa ndipo nthawi zina kumapangitsa kuti zizindikirozo ziwonongeke.

Achinyamata ambiri amene ali ndi vutoli amachira kotheratu. Anthu ena, ngakhale akulandira chithandizo, amakhalabe ndi ululu wokhazikika kapena wopunduka, komanso kusintha kosasinthika kwakunja.

Kukonzekera. Kuchita masewera olimbitsa thupi moyenera kumathandiza kuti miyendo yopweteka ikhale yogwira ntchito komanso kuti magazi aziyenda bwino. Zochita zolimbitsa thupi zimatha kusintha kusinthasintha komanso mphamvu m'miyendo yokhudzidwa.

TENS (Tanscutaneous electrical nerve stimulation). Ichi ndi chithandizo chogwiritsa ntchito chipangizo chomwe chimatumiza kugunda kwamagetsi kwazing'ono kudzera m'mitsempha kuti dzanzi ululu.  

Aquatherapy. Mapulogalamu ochita masewera olimbitsa thupi m'madzi ndi othandiza kwambiri. Odwala ambiri sakonda kutentha ndipo amakhala omasuka m'madzi otentha kuti azichita masewera olimbitsa thupi.

Kuchiza matenda. Anthu omwe amavutika ndi ululu nthawi zonse amatha kukhala ndi nkhawa kapena nkhawa zomwe zimakhudza miyoyo yawo ndi mabanja awo. Thandizo lamaganizo nthawi zina ndilofunika kuti athandize anthu omwe ali ndi matendawa kuwongolera moyo wawo watsiku ndi tsiku ndikuthandizira kukonzanso kwawo.

Mankhwala ochepetsa ululu

Kusakaniza kosiyanasiyana kwa mankhwala kungakhale kothandiza kuthetsa zizindikiro za matenda opweteka a m'madera ovuta. Kugwira ntchito kwamankhwala kumatha kusiyana munthu ndi munthu.

• NSAIDs kuchepetsa ululu ndi kutupa: Aspirin, iburpofen (Advil®, Motrin®), naproxen (Aleve®).
• Corticosteroids kuchiza kutupa ndi kutupa: prednisolone ndi prednisone.
• Tricyclic antidepressants: amitriptyline kapena nortriptyline.
• Jekeseni wa poizoni wa botulinum.
• Opioids: Tramadol®, morphine.
• Mafuta opangira manambala apakhungu: lidocaine ndi ketamine.
• Serotonin-norepinephrine reuptake inhibitors: venlafaxine kapena duloxetine.
• Gabapentin (Neurontin®, anticonvulsant) ndi pregabalin (Lyrica®, anticonvulsant ndi pain reliever)
• Calcitonin kapena bisphosphonates ndi othandiza pothandizira kusunga kapena kulimbitsa mafupa.

Njira zochiritsira

Mitundu yosiyanasiyana ya jekeseni kapena yotchinga mankhwala imaphatikizapo jekeseni chinthu chomwe chimalepheretsa kwakanthawi komanso komweko komweko kumagwira ntchito ya dongosolo lamanjenje lachifundo kuti aletse kumva kupweteka. Truncal anesthesia ndi dera la mtsempha wamagazi nthawi zina amagwiritsidwa ntchito.

Njira zina zowononga kwambiri motero njira zowopsa zimaphatikizapo neurostimulation, intrathecal infusion ya clonidine, ndi kukondoweza kwa dera la msana.

Anthu omwe ali ndi ululu wowawa kwambiri womwe umatenga nthawi yayitali nthawi zambiri samayankha bwino akalandira chithandizo. Anthuwa nthawi zina amafunika kutsata ndondomeko yachipatala yogwirizana ndi ululu wawo wopweteka.