Algodystrophy: kudzivirira uye kurapwa
Kudzivirira algodystrophy
Basic kudzivirira matanho ekudzivirira |
|
Kurapa kwe algodystrophy
Hapana kurapa kwakananga kwedystrophy. Kusanganiswa kwe physiotherapy mishonga uye mimwe mishonga inowanikwa mune vamwe vanhu kuderedza marwadzo uye kuchengetedza majoini ekufamba.
Kurapa kunonyanya kushanda kana kwatanga nguva pfupi mushure mekutanga kwechirwere. Vanogona kunonoka kufambira mberi kwechirwere uye dzimwe nguva vanoita kuti zviratidzo zvipere zvachose.
Vachiri kuyaruka vakawanda vane chirwere ichi vanopora zvachose. Vamwe vanhu, kunyangwe nekurapwa, vachine marwadzo ekugara kana anoremadza, pamwe nekumwe kusinga gadzirise shanduko yekunze.
Kuvandudza. Chirongwa chakakodzera chekurovedza muviri chinobatsira kuchengetedza mitezo inorwadza kushanda uye inogona kuvandudza kutenderera kweropa. Maekisesaizi anogona kuvandudza kushanduka uye kusimba mumakumbo nemakumbo.
TENS (Tanscutaneous magetsi nerve stimulation). Uku kurapa uchishandisa mudziyo unotumira madiki madiki emagetsi kuburikidza netsinga kuti ave chiveve marwadzo.
Aquatherapy. Zvirongwa zvekudzidzira zvemumvura zvinonyanya kushanda. Varwere vazhinji vanonzwa tembiricha uye vanonyanya kugadzikana mumvura inopisa kuita maekisesaizi avo.
Psychotherapy. Vanhu vanotambura nekurwadziwa nguva dzose vanogona kutanga kuora mwoyo kana kufunganya izvo zvinokanganisa hupenyu hwavo nemhuri. Tsigiro yepfungwa dzimwe nguva inodiwa kuitira kubatsira vanhu vane chirwere ichi kubata hupenyu hwavo hwezuva nezuva uye kuita kuti vagadzirise.
Mishonga yekuderedza marwadzo
Misanganiswa yakasiyana-siyana yemishonga inogona kubudirira mukubvisa zviratidzo zvekutambudzika kwenharaunda yemarwadzo syndrome. Kushanda kwekurapa kunogona kusiyana pamunhu nemunhu.
- NSAIDs kuderedza marwadzo nekuputika: Aspirin, iburpofen (Advil®, Motrin®), naproxen (Aleve®).
- Corticosteroids kurapa kuzvimba uye kuzvimba: prednisolone uye prednisone.
- Tricyclic antidepressants: amitriptyline kana nortriptyline.
- Botulinum toxin jekiseni.
- Opioids: Tramadol®, morphine.
- Topical numbing creams: lidocaine uye ketamine.
- Serotonin-norepinephrine reuptake inhibitors: venlafaxine kana duloxetine.
- Gabapentin (Neurontin®, an anticonvulsant) uye pregabalin (Lyrica®, anticonvulsant uye inoderedza marwadzo)
- Calcitonin kana bisphosphonates inobatsira pakubatsira kuchengetedza kana kusimbisa kusimba kwemapfupa.
Injection therapies
Majekiseni akasiyana-siyana kana kuti block therapies anosanganisira kubaya chinhu icho kwenguva pfupi uye munharaunda inodzivirira kuita kwetsitsi inonzwira tsitsi system kuitira kudzivirira kunzwa kwemarwadzo. Truncal anesthesia uye yedunhu intravenous block dzimwe nguva inoshandiswa.
Dzimwe nzira dzekuwedzera uye saka dzine njodzi dzinosanganisira neurostimulation, intrathecal infusion yeclonidine, uye kukurudzira kwenharaunda yemuzongoza.
Vanhu vane kurwadziwa kwakanyanya kunotora nguva yakareba vanowanzopindura zvishoma pakurapwa. Vanhu ava dzimwe nguva vanoda kutevera chirongwa chekurapa chakaenderana nekurwadziwa kwavo kusingaperi.