Algoneurodystrophy kapa algodystrophy ke lebitso la kgale la Complex Regional Pain Syndrome (CRPS). Kalafo ea eona e thehiloe ho physiotherapy le lithethefatsi ho kokobetsa bohloko le ho boloka ho tsamaea ha manonyeletso. 

Tlhaloso

Algoneurodystrophy (hangata e bitswang algodystrophy mme hona jwale e bitswa Complex Regional Pain Syndrome) ke lefu le bohloko la lebatowa le fumanehang sebakeng se pota-potileng lenonyello le le leng kapa a mangata, le amahanyang mahlaba a tswelang pele le kutlo e fetelletseng ya ho hlohlelletswa ha bohloko kapa ho utlwa bohloko ha mokgosi. eseng bohloko), ho satalla ho tsoelang pele, mathata a vasomotor (ho fufuleloa ho feteletseng, edema, ho senyeha ha 'mala oa letlalo).

Maoto a ka tlase (haholo-holo leoto le maqaqailana) a ameha haholo ho feta maoto le matsoho a ka holimo. Algodystrophy ke lefu le kotsi. E khutlela maemong a mangata nakong ea libeke tse 'maloa ho isa likhoeling tse' maloa empa thupelo e ka lelefatsoa ho feta likhoeli tse 12 ho isa ho tse 24. Hangata, e folisa ntle le sequelae. 

Lisosa 

Mekhoa ea algodystrophy ha e tsejoe. E ka 'na ea e-ba ho se sebetse ha tsamaiso ea methapo e bohareng le ea peripheral. 

Hangata ho na le mabaka a susumetsang: lisosa tse sithabetsang (sprain, tendonitis, fracture, joalo-joalo) kapa lisosa tse sa tšoenyeheng (lisosa tsa osteoarticular tse kang lefu la carpal tunnel syndrome kapa ramatiki ea ho ruruha; lisosa tsa methapo e kang stroke; lisosa tsa oncological; lisosa tsa methapo ea kutlo joalo ka phlebitis, lisosa tse tšoaetsanoang tse kang shingles, joalo-joalo) Ho buuoa, haholo-holo masapo a masapo, hape ke sesosa se tloaelehileng sa algoneurodystrophy. 

Trauma ke sesosa se atileng haholo sa Algoneurodystrophy kapa Complex Regional Pain Syndrome. Ho na le tieho ea matsatsi a seng makae ho libeke tse 'maloa pakeng tsa ho sithabela maikutlo le dystrophy. 

Ho 5 ho isa ho 10% ea linyeoe ha ho na ntho e bakang sesosa. 

Diagnostic 

Tlhahlobo ea Algoneurodystrophy kapa Complex Regional Pain Syndrome e ipapisitse le tlhahlobo le matšoao a kliniki. Mekhoa ea machaba ea ho hlahloba e sebelisoa. Litlhahlobo tse ling li ka etsoa: x-ray, MRI, bone scintigraphy, joalo-joalo.

Batho ba amehang 

Complex Regional Pain Syndrome ha e tloaelehe. E etsahala hangata lipakeng tsa lilemo tse 50 le 70 empa e ka etsahala lilemong life kapa life ha e ikhetha ho bana le bacha. CRPS e ama basali ba bangata ho feta banna (3 ho basali ba 4 bakeng sa monna oa 1). 

Bohloko, letšoao le ka sehloohong 

Algoneurodystrophy e bontšoa ke bohloko bo sa khaotseng, bo nang le hyperalgesia (kutloisiso e feteletseng ho ts'usumetso e bohloko) kapa allodynia (maikutlo a bohloko ho ts'usumetso e se nang bohloko); ho satalla ho tsoelang pele; mathata a vasomotor (ho fufuleloa ho feteletseng, edema, mathata a 'mala oa letlalo).

Ho hlalositsoe mekhahlelo e meraro: seo ho thoeng ke hot phase, se bitsoang serame ebe se folisa. 

Mokhahlelo o chesang oa ho ruruha ...

Ntho ea pele eo ho thoeng ke e chesang e tsoela pele butle-butle ka libeke tse 'maloa ho ea ho likhoeli tse' maloa ka mor'a ntlha e bakang. Karolo ena e chesang ea ho ruruha e khetholloa ke bohloko ba manonyeletso le periarticular, edema (ho ruruha), ho satalla, mocheso oa sebaka, ho fufuleloa ho feteletseng. 

... ebe mohato o batang 

Sena se khetholloa ke letlalo le batang, le boreleli, le lerootho, le lerootho kapa le le pherese, le omme haholo, le khutlela morao ka capsuloligamentous le ho satalla ha manonyeletso. 

Algoneurodystrophy kapa Complex Pain Syndrome e ka hlaha ka mohato o batang ho tloha qalong kapa ho fapanyetsana hoa serame le ho chesa. 

Kalafo e ikemiselitse ho kokobetsa bohloko le ho boloka ho sisinyeha ha manonyeletso. E kopanya phomolo, physiotherapy le lithethefatsi tsa analgesic. 

Physiotherapy 

Nakong ea mocheso o chesang, phekolo e kopanya phomolo, physiotherapy (physiotherapy bakeng sa analgesia, balneotherapy, circulatory drainage). 

Nakong ea serame, physiotherapy e ikemiselitse ho fokotsa li-capsuloligamentous retractions le ho loantša ho satalla ha manonyeletso.

Tabeng ea ho kenya letsoho ha setho se ka holimo, phekolo ea mosebetsi e hlokahala. 

Lithethefatsi tsa analgesic 

Liphekolo tse 'maloa tsa lithethefatsi li ka kopanngoa: li-analgesics tsa sehlopha sa I, II, lithethefatsi tse thibelang ho ruruha, li-blocks tsa libaka tse nang le lithethefatsi tse thethefatsang, transcutaneous electrical nerve stimulation (TENS).

Li-biphosphates li ka fanoa ka methapo bakeng sa dystrophy e matla. 

Li-Orthotics le li-canes li ka sebelisoa bakeng sa ho fokotsa bohloko. 

Ho ka khoneha ho thibela Algoneurodysyrophy kapa Complex Regional Pain Syndrome ka mor'a opereishene ea masapo kapa e sithabetsang ka ho laola bohloko hantle, ho fokotsa ho se sebetse ha samente le ho kenya ts'ebetsong tsosoloso e tsoelang pele. 

Phuputso ea morao tjena e bontšitse hore ho noa vithamine C ka tekanyo ea 500 mg letsatsi le leng le le leng bakeng sa matsatsi a 50 ho fokolitse sekhahla sa lefu la bohloko ba sebaka se rarahaneng selemo se le seng ka mor'a ho robeha ha letsoho. (1)

(1) Florence Aim et al, Ho sebetsa hantle ha vithamine C ho thibela lefu la bohloko ba sebaka se rarahaneng ka mor'a ho robeha ha letsoho: tlhahlobo e hlophisitsoeng le tlhahlobo ea meta, ho Buoa ka Matsoho le ho Tsosolosa, volume 35, Issue 6, December 2016, leqepheng la 441