ʻO Algoneurodystrophy a i ʻole algodystrophy ka inoa kahiko no Complex Regional Pain Syndrome (CRPS). Hoʻokumu ʻia kāna lāʻau i ka physiotherapy a me nā lāʻau e hōʻoluʻolu i ka ʻeha a mālama i ka neʻe ʻana. 

Definition

ʻO Algoneurodystrophy (kapa ʻia ma ke ʻano he algodystrophy a i kapa ʻia ʻo Complex Regional Pain Syndrome) kahi maʻi ʻāpana ʻeha ʻāina i hoʻonohonoho ʻia ma kahi o hoʻokahi a ʻoi aku paha o nā hono, kahi e hoʻopili ai i ka ʻeha mau me ka noʻonoʻo nui i kahi mea hōʻeha ʻeha a i ʻole kahi ʻehaʻeha i kahi mea hoʻonāukiuki. ʻaʻole ʻeha), ʻoʻoleʻa holomua, nā maʻi vasomotor (ka nui o ka sweating, edema, nā haunaele ʻili o ka ʻili).

ʻO nā lālā o lalo (ʻo ka wāwae hoʻi a me ka kuʻekuʻe wāwae) ʻoi aku ka hopena ma mua o nā lālā o luna. ʻO Algodystrophy kahi maʻi maikaʻi. Hoʻopau ia i ka hapa nui o nā hihia i loko o kekahi mau pule i kekahi mau mahina akā hiki ke hoʻolōʻihi ʻia ka papa ma luna o 12 a 24 mau mahina. ʻO ka pinepine, hoʻōla ia me ka ʻole o ka sequelae. 

Nā kumu 

ʻAʻole ʻike ʻia nā ʻano hana o ka algodystrophy. Hiki iā ia ke hana kīnā o ke kikowaena a me ka ʻōnaehana nūhou. 

Loaʻa pinepine i kahi kumu hoʻonāukiuki: nā kumu traumatic (sprain, tendonitis, haʻi, a me nā mea ʻē aʻe) a i ʻole nā ​​kumu non-traumatic (nā kumu osteoarticular e like me ka carpal tunnel syndrome a i ʻole ka rheumatism inflammatory; nā kumu neurological e like me ka hahau; nā kumu oncological; nā kumu neurological e like me phlebitis, nā maʻi infectious e like me shingles, a me nā mea ʻē aʻe. 

ʻO Trauma ke kumu maʻamau o Algoneurodystrophy a i ʻole Complex Regional Pain Syndrome. Loaʻa ka lohi o kekahi mau lā i kekahi mau pule ma waena o ka ʻeha a me ka distrophy. 

Ma 5 a 10% o nā hihia ʻaʻohe kumu hoʻonāukiuki. 

PalekanaEND_LINK 

ʻO ke kuhi o Algoneurodystrophy a i ʻole Complex Regional Pain Syndrome e pili ana i ka ninaninau a me nā hōʻailona maʻi. Hoʻohana ʻia nā pae hoʻohālikelike ākea. Hiki ke hana i nā hoʻokolokolo hou: x-ray, MRI, scintigraphy iwi, a pēlā aku.

Pili ka poʻe 

Kākaʻikahi ka Regional Regional Pain Syndrome. Kū pinepine ia ma waena o 50 a me 70 mau makahiki akā hiki i kēlā me kēia makahiki ke ʻano ʻē i nā keiki a me nā ʻōpio. Hoʻololi ka CRPS i nā wahine ʻoi aku ka nui o nā kāne (3 a 4 mau wahine no 1 kāne). 

Pain, ka hōʻailona nui 

Hōʻailona ʻia ʻo Algoneurodystrophy e ka ʻeha mau, me ka hyperalgesia (ʻike nui ʻia i kahi stimulus ʻeha) a i ʻole allodynia (ʻeha ʻeha i kahi stimulus non-pain); ʻoʻoleʻa holomua; nā maʻi vasomotor (sweating nui, edema, nā maʻi kala o ka ʻili).

Hōʻike ʻia ʻekolu mau hanana: kahi mahele i kapa ʻia he wela, kahi pae anu i kapa ʻia a laila hoʻōla. 

ʻO kahi pae wela wela…

ʻO kahi pae wela i kapa ʻia i ka wā mua e neʻe lohi ma mua o kekahi mau pule i kekahi mau mahina ma hope o ka mea e hoʻoulu ai. Kuhi ʻia kēia pae wela wela e ka ʻeha hui a me ka periarticular, edema (pehu), ʻoʻoleʻa, wela kūloko, sweating nui. 

… A laila kahi anu anu 

Hoʻohālikelike ʻia kēia e kahi lālā anu, ʻoluʻolu, pale, ʻili a i ʻole ʻili maʻemaʻe, maloʻo loa, retractors capsuloligamentous a me ka paʻa paʻa. 

Hiki i ke Algoneurodystrophy a i ʻole ka Pain Pain Syndrome ke hōʻike maoli me kahi anu anuanu mai ka hoʻomaka a i ʻole ka hoʻololi ʻana o nā anu a me nā ʻāpana wela. 

Hoʻolālā ka lāʻau e hoʻomaha i ka ʻeha a mālama i ka neʻe ʻana. Hoʻohui ia i ke koena, ka physiotherapy a me nā lāʻau analgesic. 

Physiotherapy 

I ka wā o ka wela, hoʻohui ka mālama i ka hoʻomaha, ka physiotherapy (physiotherapy no ka analgesia, balneotherapy, kahena hoʻokahe). 

I ke kau anuanu, manaʻo ka physiotherapy e kaupalena i nā retractions o ka capsuloligamentous a me ka hakakā ʻana me ka paʻa o ka ami.

Inā pili i ka lālā luna, pono ka hoʻomaʻamaʻa ʻoihana. 

Nā lāʻau ʻaʻai analgesic 

Hiki ke hoʻohui pū ʻia kekahi mau lāʻau lapaʻau: ka papa I, II analgesics, nā lāʻau anti-inflammatory, nā palaka āpana me nā anesthetics, stimc nerve nerve stimulate (TENS).

Hiki ke hāʻawi intravenous nā Biphosphates no ka distrophy koʻikoʻi. 

Hiki ke hoʻohana ʻia nā orthotics a me nā kōkō no ka hōʻeha ʻeha. 

Hiki iā ia ke pale aku iā Algoneurodysyrophy a i ʻole Complex Regional Pain Syndrome ma hope o ke kīpē orthopedic a traumatic paha e ka mālama maikaʻi ʻana i ka ʻeha, ka palena ʻana i ka immobilization i kahi cast a me ka hoʻokō ʻana i ka holomua holomua. 

Ua hōʻike ʻia kahi noiʻi i hala iho nei i ka lawe ʻana i ka wikamina C ma kahi mahele o 500 mg i kēlā me kēia lā no 50 mau lā e hoʻemi ana i ka nui o ka maʻi ʻeha ʻāina kūpanaha hoʻokahi makahiki ma hope o ka haʻi o ka pulima. (1)

(1) ʻO Florence Aim et al, Ka pono o ka wikamina C i ka pale ʻana i ka maʻi ʻeha ʻāpana kūpilikiʻi ma hope o ka haʻi ʻana o ka pulima