Algoneurodystrophy ma ọ bụ algodystrophy bụ aha ochie maka Mgbagwoju anya Regional Pain Syndrome (CRPS). Ọgwụgwọ ya dabere na physiotherapy na ọgwụ iji belata mgbu na ichekwa mmegharị nkwonkwo. 

definition

Algoneurodystrophy (nke a na-akpọkarị algodystrophy ma ugbu a a na-akpọ Complex Regional Pain Syndrome) bụ ọrịa mgbu mpaghara nke dị n'akụkụ otu ma ọ bụ karịa nkwonkwo, nke na-ejikọta ihe mgbu na-aga n'ihu na oke mmetụta nke mkpali na-egbu mgbu ma ọ bụ mmetụta na-egbu mgbu na mkpali. adịghị egbu mgbu), isi ike na-aga n'ihu, ọrịa vasomotor (oke ọsụsọ, edema, ọgba aghara agba akpụkpọ ahụ).

Akụkụ dị ala (karịsịa ụkwụ na nkwonkwo ụkwụ) na-emetụta karịa akụkụ elu. Algodystrophy bụ ọrịa na-adịghị mma. Ọ na-alaghachi n'ọtụtụ ikpe n'ime izu ole na ole ruo ọnwa ole na ole mana enwere ike ịgbatị usoro ọmụmụ ihe karịrị ọnwa 12 ruo 24. Ọtụtụ mgbe, ọ na-agwọta na-enweghị sequelae. 

Eme 

Amaghi usoro nke algodystrophy. O nwere ike ịbụ arụrụ ọrụ nke sistemu ụjọ etiti na nke mpụta. 

A na-enwekarị ihe na-akpali akpali: ihe na-akpata traumatic (sprain, tendonitis, fracture, etc.) ma ọ bụ ihe ndị na-adịghị na ya (ihe ndị na-akpata osteoarticular dị ka ọrịa ọwara carpal ma ọ bụ ọrịa rheumatism na-egbuke egbuke; ihe na-akpata ụbụrụ dị ka ọrịa strok; ọrịa oncological; ihe na-akpata ọrịa na-adịghị ahụkebe dị ka ọrịa ụbụrụ). phlebitis, ọrịa na-efe efe dị ka shingles, wdg) Ịwa ahụ, karịsịa orthopedic, bụkwa ihe na-akpatakarị algoneurodystrophy. 

Trauma bụ ihe na-akpatakarị Algoneurodystrophy ma ọ bụ Mgbagwoju anya Regional Pain Syndrome. Enwere igbu oge nke ụbọchị ole na ole ruo izu ole na ole n'etiti trauma na dystrophy. 

N'ime 5 ruo 10% nke ikpe enweghị ihe na-akpalite. 

diagnostic 

Nchọpụta nke Algoneurodystrophy ma ọ bụ mgbagwoju anya Regional Pain Syndrome dabeere na nyocha na akara ngosi ụlọ ọgwụ. A na-eji njirisi nyocha nke mba ụwa. Enwere ike ịme nyocha ndị ọzọ: x-ray, MRI, scintigraphy ọkpụkpụ, wdg.

Ndị ọ gbasara 

Mgbagwoju anya Regional Pain Syndrome dị ụkọ. Ọ na-emekarị n'agbata afọ 50 na 70 mana ọ ga-ekwe omume n'afọ ọ bụla ebe ọ bụ ihe pụrụ iche na ụmụaka na ndị nọ n'afọ iri na ụma. CRPS na-emetụta ọtụtụ ụmụ nwanyị karịa ụmụ nwoke (ụmụ nwanyị 3 ruo 4 maka otu nwoke). 

Mgbu, isi ihe mgbaàmà 

A na-egosipụta Algoneurodystrophy site na mgbu na-aga n'ihu, na hyperalgesia (ntụgharị uche na-emetụ n'ahụ na-egbu mgbu) ma ọ bụ allodynia (mmetụta na-egbu mgbu nke na-adịghị egbu mgbu); na-aga n'ihu isi ike; ọrịa vasomotor (ọsụsọ dị ukwuu, edema, ọrịa agba akpụkpọ anụ).

Akọwara akụkụ atọ: nke a na-akpọ oge ọkụ, ihe a na-akpọ oge oyi wee gwọọ ya. 

Oge mkpali na-ekpo ọkụ…

Nke mbụ a na-akpọ oge ọkụ na-eji nwayọọ nwayọọ na-aga n'ihu n'ime izu ole na ole ruo ọnwa ole na ole mgbe ihe na-akpalite. Nke a na-ekpo ọkụ na-ekpo ọkụ na-ekpo ọkụ na-egosipụta site na nkwonkwo na mgbu periarticular, edema (ọzịza), isi ike, okpomọkụ mpaghara, oke ọsụsọ. 

… mgbe ahụ a oyi na-adọ 

Ihe e ji mara nke a bụ ụkwụ oyi, dị ire ụtọ, chachapụrụ agbachapụ, ajị anụ ma ọ bụ nke na-acha odo odo, kpọrọ nkụ nke ukwuu, ndọghachi azụ capsuloligamentous na nkwonkwo isi ike. 

Algoneurodystrophy ma ọ bụ Mgbagwoju Mgbu Ọrịa nwere ike na-enwe oge oyi site na mmalite ma ọ bụ mgbanwe nke oyi na ọkụ. 

Ọgwụgwọ ahụ na-achọ ịkwụsị mgbu ma chekwaa mmegharị nkwonkwo. Ọ na-ejikọta izu ike, physiotherapy na ọgwụ analgesic. 

Usoro ọgwụgwọ anụ ahụ 

N'oge oge na-ekpo ọkụ, ọgwụgwọ na-ejikọta ezumike, physiotherapy (physiotherapy maka analgesia, balneotherapy, drainage ọbara). 

N'oge oyi na-atụ, physiotherapy na-achọ igbochi nkwụsịtụ capsuloligamentous na ọgụ megide isi ike nkwonkwo.

N'ihe banyere itinye aka na aka elu, ọgwụgwọ ọrụ dị mkpa. 

Ọgwụ analgesic 

Enwere ike ijikọta ọtụtụ ọgwụgwọ ọgwụ: klas I, II analgesics, ọgwụ mgbochi mkpali, mgbochi mpaghara nwere anestetiiki, mkpali akwara eletrọnịkị transcutaneous (TENS).

Enwere ike inye biphosphates n'ime intravenous maka dystrophy siri ike. 

Enwere ike iji orthotics na okpete mee ihe maka mgbu mgbu. 

Ọ ga-ekwe omume igbochi Algoneurodysyrophy ma ọ bụ Mgbagwoju anya Regional Pain Syndrome mgbe orthopedic ma ọ bụ traumatic ịwa ahụ site na ijikwa ihe mgbu nke ọma, na-amachi nkwụsịtụ na nkedo na imejuputa mmezigharị na-aga n'ihu. 

Nnyocha e mere n'oge na-adịbeghị anya gosiri na ịṅụ vitamin C na dose nke 500 mg kwa ụbọchị maka ụbọchị 50 belatara ọnụ ọgụgụ nke ọrịa mgbu mpaghara mgbagwoju anya otu afọ mgbe mgbawa nkwojiaka gasịrị. (1)

(1) Florence Aim et al, Ịdị irè nke vitamin C na igbochi mgbagwoju anya ọrịa mgbu mpaghara mgbe ọkpụkpụ aka mgbawa: nyochaa usoro na meta-analysis, Ịwa ahụ aka na Ndozigharị, olu 35, mbipụta 6, December 2016, ibe 441