Matenda Ovuta Kwambiri Akumidzi
Mwachidule
Tsitsi lachifundo Dystrophy (RSD) amatchulidwa ndi mayina ena angapo, kuphatikizapo:
- Zokoma Zowona Dystrophy Syndrome-RSDS
- Matenda Ovuta Kwambiri Akumidzi
- Matenda Akhuni
- Causalgia
- Sudeck's Atrophy
Zimayambitsa
Malingana ndi National Institute of Neurological Disorders ndi Stroke (NINDS), RSD ndi " matenda aakulu omwe amakhulupirira kuti ndi chifukwa cha kusagwira ntchito pakatikati kapena m'magazi ." Malingana ndi MedicineNet, RSD imaphatikizapo "kupsa mtima komanso kusasangalatsa kwa minofu, zomwe zimachititsa kuti zikhale zovuta kwambiri m'mitsempha yomwe imakhudza mitsempha ya magazi ndi khungu."
Kafukufuku wa zinyama amasonyeza kuti norepinephrine, catecholamine yomwe imatulutsidwa ndi mitsempha yowakomera mtima, imatha kuyambitsa kupweteka pamtunda pambuyo pa minofu kapena mitsempha ya mitsempha, zomwe zimayambitsa RSD. Nthano ina imasonyeza kuti RSD, yomwe imatsatira kuvulala, imayambitsidwa ndi kuyambitsa chitetezo cha mthupi komanso zizindikiro zowononga (kutentha, kutentha, kutupa). RSD sichikuganiza kuti ili ndi chifukwa chimodzi, koma m'malo mwake zimayambitsa zizindikiro zofanana.
Zimayambitsa
Pakhoza kukhala zambiri zomwe zimayambitsa RSD, kuphatikizapo:
- kuvulala kapena kupwetekedwa mtima
- opaleshoni
- nyamakazi yofooka ya khosi
- mavuto
- matenda a mtima
- kupwetekedwa
- matenda a shuga
- khansa
- matenda
- matenda a ubongo
- matenda a chithokomiro
- msewu wa carpal
- shingles
- mankhwala ena
Pafupifupi gawo limodzi mwa atatu mwa odwala omwe ali ndi RSD, palibe wogwirizana.
Zizindikiro
RSD kawirikawiri imakhudza imodzi mwa mapeto (mkono, mwendo, dzanja, kapena phazi). Chizindikiro chachikulu cha RSD ndi kupweteka kosalekeza.
Malingana ndi NINDS, mndandanda wa zizindikiro za RSD ndizo:
- ululu wopsa
- kuwonjezeka kwa khungu
- Kutentha kwa khungu kumasintha (kotentha kapena kozizira kusiyana ndi kutsutsana kwambiri)
- Mtundu wa khungu ukusintha (wofiira, wofiirira, wotumbululuka, wofiira)
- Khungu limasintha (lowala, lochepa, lopweteka)
- Kusintha kwa msomali ndi kumera kwa tsitsi
- kuuma ndi kutupa m'magulu omwe amakhudzidwa
- kuchepa kukhoza kusuntha chimaliziro chokhudzidwa
Ululu ukhoza kufalikira kumadera ambiri (mwachitsanzo kuchokera pala mpaka mkono wonse) ndipo ukhoza kufalikira kumbali yosiyana (ie, kuchokera kumanzere kumanja kupita kumanja). Kusokonezeka maganizo kungayambitse zizindikiro.
Akatswiri ena amati pali magawo atatu a RSD, pomwe kusintha kwachitika pakhungu, minofu, mafupa, mitsempha, ndi mafupa a m'deralo. Kupita patsogolo sikunatsimikizidwe ndi maphunziro azachipatala, komabe.
Miyendo
Gawo 1
- amatha miyezi 1 mpaka itatu
- zowawa, zopweteka
- kupweteka kwa minofu
- kuumitsa pamodzi
- kukula mofulumira tsitsi
- Mtundu wa khungu ndi kusintha kwa kutentha
Gawo 2
- amatha miyezi 3 mpaka 6
- ululu umene umakula kwambiri
- kutupa
- kuchepa kwa tsitsi kumachepa
- misomali yomwe imasweka, yowopsya, yowonongeka, yosalala
- mafupa ochepetsedwa
- ziwalo zolimba
- zofooka za minofu
Gawo 3
- kusintha kosasinthika kwa khungu ndi fupa
- ululu ndi wopitirira
- minofu ya atrophy
- kuyenda mochepa
- Mitundu ya misampha ndi matumbo (miyendo ingakhale yopotoka)
Kudziwa
Mbiri yachipatala ya odwala (zizindikiro ndi zizindikiro) ndizo zikuluzikulu pakuzindikira RSD. Matendawa amakhala ovuta chifukwa zizindikiro zambiri zimakhala ndi zina.
Palibe njira yeniyeni yowopa magazi kapena mayesero ena opatsirana a RSD.
X-rays angasonyeze kupopera kwa mafupa (osteoporosis) ndi nyukiliya fupa zamagazi zingasonyeze njira zomwe zimathandizira kupeza matenda a RSD.
Kuchiza
Chithandizo chimayang'ana kuthetsa zizindikiro zowawa zogwirizana ndi RSD. Chithandizo chingaphatikizepo:
- mankhwala opatsirana ndi kuchita masewera olimbitsa thupi
- psychotherapy kuti athetse nkhawa, nkhawa, ndi kupanikizika
- kumvetsa mitsempha ya mitsempha
- Kuchita opaleshoni kuphatikizapo sympathectomy (kumangokangana)
- msana wothandizira
- mapampu amadzimadzi osakanikirana
- mankhwala kuphatikizapo:
- zamatsenga zamatsenga
- mankhwala osokoneza bongo
- anti-depressants
- corticosteroids
- opioids
Kodi Kawirikawiri Matendawa Amagwiritsidwa Ntchito Potengera RSD?
Enbrel ndi imodzi mwa zida za TNF zomwe zimagwiritsidwa ntchito pochiza nyamakazi.
Atafunsidwa ngati akugwiritsanso ntchito kachilombo ka RSD, katswiri wa zizindikiro za matenda a zinyama Scott Zashin MD anati, "Enbrel sivomerezedwa ndi FDA kuti ikhale ndi matenda a RSD.Phunziroli lawonetsa phindu linalake pochiza kutupa kwa mitsempha.Somwe RSD imamva kuti ili ndi gawo la ubongo, ikhoza kukhala Zopindulitsa komanso zoyesayesa. Nthawi zina vutoli lingakhale lovuta kuchiza ndi mankhwala ochiritsira. "
Anthu Amalengeza Kuti Nkhondo Ndi RSD
Woweruza wakale wa American Idol komanso wotchuka Paula Abdul adalengeza kuti pambuyo pa zaka 25 akuvutika ndi ululu wosatha, wozizwitsa ndi ngozi ya cheerleading ali ndi zaka 17, adapezeka kuti ali ndi RSD.
Kusamalidwa kwa atolankhani kumaperekedwa kwa kuthandizira kwachipatala cha Abdul kupatula kwa RSD pamapepala amtsogolo ndi m'magazini. RSD ndi imodzi mwa mitundu 100 ya matenda a nyamakazi ndi matenda a rheumatic. Akuti pakati pa 500,000 ndi 750,000 anthu ali ndi RSD.
> Zotsatira:
> NIH Publication No. 04-4173
> Wopanda Chifundo Dystrophy Syndrome, MedicineNet
> Nkhondo Yanga Yachibwibwi (Paula Abdul), ANTHU