Algoneurodystrophy kapena algodystrophy ndi dzina lakale la Complex Regional Pain Syndrome (CRPS). Chithandizo chake chimachokera ku physiotherapy ndi mankhwala kuti athetse ululu ndikusunga kuyenda molumikizana. 

Tanthauzo

Algoneurodystrophy (yomwe nthawi zambiri imatchedwa algodystrophy ndipo tsopano imatchedwa Complex Regional Pain Syndrome) ndi matenda opweteka a m'chigawo omwe amapezeka pafupi ndi mfundo imodzi kapena zingapo, zomwe zimagwirizanitsa kupweteka kosalekeza ndi kumva mopambanitsa kwa kukondoweza kowawa kapena kumva kuwawa kwa chikoka. osati zopweteka), kuuma pang'onopang'ono, kusokonezeka kwa vasomotor (kutuluka thukuta kwambiri, edema, kusokonezeka kwa khungu).

Miyendo yapansi (makamaka phazi ndi akakolo) imakhudzidwa kwambiri kuposa miyendo yakumtunda. Algodystrophy ndi matenda oopsa. Imabwereranso nthawi zambiri mkati mwa milungu ingapo mpaka miyezi ingapo koma maphunzirowo amatha kupitilira miyezi 12 mpaka 24. Nthawi zambiri, amachiritsa popanda sequelaes. 

Zimayambitsa 

Njira za algodystrophy sizidziwika. Kungakhale kukanika kwa chapakati ndi zotumphukira mantha dongosolo. 

Nthawi zambiri pamakhala chinthu choyambitsa: zowawa (sprain, tendonitis, fracture, etc.) kapena zomwe sizimayambitsa zoopsa (zoyambitsa matenda a osteoarticular monga matenda a carpal tunnel syndrome kapena rheumatism; zimayambitsa mitsempha monga sitiroko; zimayambitsa oncological; zimayambitsa ubongo monga phlebitis, matenda opatsirana monga shingles, etc.) Opaleshoni, makamaka mafupa a mafupa, amakhalanso chifukwa chofala cha algoneurodystrophy. 

Trauma ndi yomwe imayambitsa Algoneurodystrophy kapena Complex Regional Pain Syndrome. Pali kuchedwa kwa masiku angapo mpaka masabata angapo pakati pa zoopsa ndi dystrophy. 

Mu 5 mpaka 10% ya milandu palibe chomwe chimayambitsa. 

matenda 

Kuzindikira kwa Algoneurodystrophy kapena Complex Regional Pain Syndrome kumatengera kuunika komanso zizindikiro zachipatala. Njira zowunikira zapadziko lonse lapansi zimagwiritsidwa ntchito. Mayeso owonjezera amatha kuchitidwa: x-ray, MRI, scintigraphy ya fupa, etc.

Anthu okhudzidwa 

Complex Regional Pain Syndrome ndiyosowa. Zimapezeka nthawi zambiri pakati pa zaka 50 ndi 70 koma zimatheka pa msinkhu uliwonse pamene zimakhala zachilendo kwa ana ndi achinyamata. CRPS imakhudza akazi ambiri kuposa amuna (3 mpaka 4 akazi kwa 1 mwamuna). 

Ululu, chizindikiro chachikulu 

Algoneurodystrophy imasonyezedwa ndi kupweteka kosalekeza, ndi hyperalgesia (kuwonjezereka kwachidziwitso ku zowawa zowawa) kapena allodynia (zowawa zowawa zowawa zomwe sizimapweteka); kulimbikira kwapang'onopang'ono; matenda a vasomotor (kutuluka thukuta kwambiri, edema, matenda a khungu).

Magawo atatu akufotokozedwa: gawo lotchedwa gawo lotentha, lotchedwa gawo lozizira ndiye kuchiritsa. 

Nthawi yotentha yotupa…

Gawo loyamba lotchedwa lotentha limapita pang'onopang'ono kwa masabata angapo mpaka miyezi ingapo pambuyo poyambitsa. Gawo lotentha lotupali limadziwika ndi ululu wamagulu ndi periarticular, edema (kutupa), kuuma, kutentha kwapakati, thukuta kwambiri. 

... ndiye gawo lozizira 

Izi zimadziwika ndi chiwalo chozizira, chosalala, chotumbululuka, ashy kapena purplish khungu, louma kwambiri, capsuloligamentous retractions ndi kuuma kwa mgwirizano. 

Algoneurodystrophy kapena Complex Pain Syndrome imatha kupezeka ndi kuzizira kuyambira koyambira kapena kusinthana kwa magawo ozizira ndi otentha. 

Chithandizochi chimafuna kuthetsa ululu ndikusunga kuyenda kwamagulu. Zimaphatikiza mpumulo, physiotherapy ndi mankhwala ochepetsa ululu. 

Physiotherapy 

Pa nthawi yotentha, mankhwalawa amaphatikiza mpumulo, physiotherapy (physiotherapy kwa analgesia, balneotherapy, madzi amadzimadzi). 

Panthawi yozizira, physiotherapy imafuna kuchepetsa kubweza kwa capsuloligamentous ndikulimbana ndi kuuma kwamagulu.

Pankhani ya kumtunda kwa mwendo, chithandizo chantchito ndichofunikira. 

Analgesic mankhwala 

Mankhwala angapo amatha kuphatikizidwa: ma analgesics a kalasi I, II, anti-inflammatory drugs, midadada yachigawo yokhala ndi mankhwala oletsa ululu, transcutaneous electrical nerve stimulation (TENS).

Biphosphates atha kuperekedwa kudzera m'mitsempha chifukwa cha dystrophy yayikulu. 

Orthotics ndi ndodo zingagwiritsidwe ntchito pochotsa ululu. 

Zingakhale zotheka kupewa Algoneurodysyrophy kapena Complex Regional Pain Syndrome pambuyo pa opaleshoni ya mafupa kapena yopweteketsa mtima poyang'anira bwino ululu, kuchepetsa kusasunthika muzitsulo ndi kukhazikitsa kukonzanso pang'onopang'ono. 

Kafukufuku waposachedwapa wasonyeza kuti kutenga vitamini C pa mlingo wa 500 mg tsiku lililonse kwa masiku 50 kunachepetsa chiwerengero cha matenda opweteka a m'deralo chaka chimodzi pambuyo pa kusweka kwa dzanja. (1)

(1) Florence Aim et al, Kuchita bwino kwa vitamini C popewa matenda opweteka a m'chigawo pambuyo pa kusweka kwa dzanja: kuwunika mwadongosolo ndi kusanthula meta, Kupanga Opaleshoni Yamanja ndi Kukonzanso, voliyumu 35, Nkhani 6, December 2016, tsamba 441