Algoneurodystrophy kana algodystrophy izita rekare reComplex Regional Pain Syndrome (CRPS). Kurapa kwayo kunobva pa physiotherapy nemishonga yekubvisa marwadzo uye kuchengetedza majoini kufamba. 

tsananguro

Algoneurodystrophy (inowanzonzi algodystrophy uye yava kunzi Complex Regional Pain Syndrome) chirwere chemarwadzo chedunhu chinowanikwa munharaunda imwe chete kana kupfuura majoini, icho chinobatanidza marwadzo anoenderera mberi nekunzwa kwakanyanyisa kune kukurudzira kunorwadza kana kunzwa kunorwadza kune kukurudzira. kwete kurwadza), kufambira mberi kuoma, vasomotor kusagadzikana (kunyanya kutuka, edema, kukanganisa kwemavara eganda).

Mitezo yezasi (kunyanya tsoka netsoka) inobatwa zvakanyanya kupfuura mitezo yepamusoro. Algodystrophy chirwere chisina kunaka. Inodzokororwa muzviitiko zvakawanda mukati memavhiki mashoma kusvika kumwedzi mishoma asi kosi yacho inogona kurebeswa mukati memwedzi gumi nemaviri kusvika makumi maviri nemana. Kazhinji, inoporesa pasina sequelae. 

Zvinokonzera 

Maitiro e algodystrophy haazivikanwe. Inogona kunge iri kusashanda kwepakati uye peripheral nervous system. 

Pane kazhinji kazhinji chinokonzeresa: zvikonzero zvinoshungurudza (sprain, tendonitis, fracture, etc.) kana zvikonzero zvisiri-zvinoshungurudza (osteoarticular zvikonzero zvakaita se carpal tunnel syndrome kana inflammatory rheumatism; zvikonzero zvetsinga senge sitiroko; oncological zvikonzero; zvikonzero zvetsinga senge phlebitis, zvikonzero zvinotapukira zvakadai se shingles, nezvimwewo) Kuvhiya, kunyanya orthopedic, inowanzokonzera algoneurodystrophy. 

Trauma ndiyo inonyanya kukonzera Algoneurodystrophy kana Complex Regional Pain Syndrome. Pane kunonoka kwemazuva mashomanana kusvika kumavhiki mashomanana pakati pekushungurudzika uye dystrophy. 

Mu5 kusvika ku10% yezviitiko hapana chinokonzeresa. 

chirwere 

Kuongororwa kweAlgoneurodystrophy kana Complex Regional Pain Syndrome kunobva pakuongorora uye zviratidzo zvekiriniki. International diagnostic criteria inoshandiswa. Kuwedzera kuongororwa kunogona kuitwa: x-ray, MRI, bone scintigraphy, nezvimwe.

Vanhu vane hanya 

Complex Regional Pain Syndrome haiwanzo. Zvinowanzoitika pakati pemakore makumi mashanu nemakumi manomwe asi zvinogoneka pazera ripi zvaro asi zvichishamisa muvana nevechiri kuyaruka. CRPS inobata vakadzi vakawanda kupfuura varume (50 kusvika 70 vakadzi kune 3 murume). 

Marwadzo, chiratidzo chikuru 

Algoneurodystrophy inoratidzwa nekurwadziwa kunoramba kuripo, ne hyperalgesia (kunyanya kunzwisiswa kune zvinorwadza zvinokurudzira) kana allodynia (kunzwa kunorwadza kune kusingarwadzi kunorwadza); kuomesa kunowedzera; vasomotor kusagadzikana (kunyanya kudikitira, edema, kukanganiswa kwemavara eganda).

Zvikamu zvitatu zvinotsanangurwa: inonzi inonzi hot phase, inonzi cold phase then kuporesa. 

Chikamu chinopisa chekuzvimba…

Chikamu chekutanga chinonzi chinopisa chinofambira mberi zvishoma nezvishoma kwemavhiki mashomanana kusvika kumwedzi mishomanana mushure mechikonzero chinokonzera. Ichi chinopisa chinopisa chikamu chinoratidzwa nekurwadziwa kwekubatana uye periarticular, edema (kuzvimba), kuoma, kupisa kwenzvimbo, kudikitira zvakanyanya. 

... ipapo chikamu chinotonhora 

Izvi zvinoratidzwa nenhengo inotonhora, yakatsetseka, yakacheneruka, ashy kana purplish ganda, yakaoma kwazvo, capsuloligamentous retractions uye kuoma kwemajoini. 

Algoneurodystrophy kana Complex Pain Syndrome inogona kunyatso kuunza nechikamu chinotonhora kubva pakutanga kana kuchinjana kwekutonhora nekupisa. 

Mushonga wacho une chinangwa chekubvisa marwadzo uye kuchengetedza kufamba kwemajoini. Inobatanidza kuzorora, physiotherapy uye analgesic zvinodhaka. 

Physiotherapy 

Munguva yekupisa, kurapwa kunobatanidza kuzorora, physiotherapy (physiotherapy for analgesia, balneotherapy, circulatory drainage). 

Munguva yechando chikamu, physiotherapy inovavarira kudzikamisa capsuloligamentous retractions uye kurwisa kuoma kwemajoini.

Muchiitiko chekubatanidzwa kwegumbo repamusoro, kurapwa kwebasa kunodiwa. 

Analgesic mishonga 

Mishonga yakawanda inogona kusanganiswa: kirasi I, II analgesics, anti-inflammatory drugs, region blocks ane anesthetics, transcutaneous magetsi nerve stimulation (TENS).

Biphosphates inogona kupihwa intravenously kune yakanyanya dystrophy. 

Orthotics nenzimbe zvinogona kushandiswa kubvisa marwadzo. 

Zvinogoneka kudzivirira Algoneurodysyrophy kana Complex Regional Pain Syndrome mushure mekuvhiyiwa kwemapfupa kana kushungurudza nekugadzirisa zvirinani marwadzo, kudzikisira kusamira mukanda uye kuita kufambira mberi kwekuvandudza. 

Ongororo ichangobva kuitika yakaratidza kuti kutora vhitamini C pachiyero che 500 mg zuva nezuva kwemazuva 50 kwakaderedza chiyero chekuoma kwenharaunda kurwadziwa syndrome gore rimwe mushure mekuputsika kwechanza. (1)

(1) Florence Aim et al, Kubudirira kwevhitamini C mukudzivirira dambudziko rekurwadziwa kwenharaunda mushure mekuputsika kwemaoko: kuongorora kwakarongeka uye meta-analysis, Kuvhiyiwa Kwemaoko uye Kugadzirisa, bhuku 35, Nyaya 6, December 2016, peji 441