{"id":17573,"date":"2019-11-29T09:43:03","date_gmt":"2019-11-29T07:43:03","guid":{"rendered":"https:\/\/biomed.lt\/uncategorized\/algodistrofija\/"},"modified":"2026-04-18T11:23:44","modified_gmt":"2026-04-18T08:23:44","slug":"algodistrofija","status":"publish","type":"post","link":"https:\/\/biomed.lt\/en\/magnetine-terapija\/algodistrofija\/","title":{"rendered":"Algodistrofija"},"content":{"rendered":"

Algodistrofija yra reta, daugiasimptom\u0117 liga. Ji sukelia stiprius bei nepaliaujamus skausmus, kurie da\u017eniausiai susitelkia \u012f gal\u016bnes. Skausm\u0105 beveik visada lydi patinimas.<\/p>\n

\u0160ios ligos kilm\u0117 gal\u0117t\u0173 b\u016bti siejama su \u012fvairi\u0173 k\u016bno sistem\u0173 (pvz. nerv\u0173, med\u017eiag\u0173 apykaitos, imuniteto) sutrikimais.<\/p>\n

Pasak ekspert\u0173, i\u0161skiriamos dviej\u0173 tip\u0173 algodistrofijos:<\/p>\n

1. Algodistrofija I<\/strong>, da\u017eniau \u017einoma kaip \u201eKompleksinis regioninio skausmo sindromas I\u201c<\/p>\n<\/div>\n
2. Algodistrofija II<\/strong> arba \u201eKompleksinis regioninio skausmo sindromas II\u201c<\/p>\n<\/div>\n

Tais atvejais, kada lig\u0105 i\u0161\u0161aukia nerv\u0173 sistemos trauma, liga vadinama Algodistrofija II<\/em>, visais kitais atvejais \u2013 Algodistrofija I<\/em>.<\/p>\n

Literat\u016broje dar galima rasti kit\u0105 \u0161ios ligos pavadinim\u0105 \u2013 Sudeck Atrophy<\/em> (Sudeko atrofija).<\/p>\n

Prie\u0161 susitelkiant \u012f ligos suk\u0117l\u0117jus bei simptomus, ap\u017evelkime tas k\u016bno dalis, kurias labiausiai kamuoja \u0161is sindromas.<\/p>\n

Kaip min\u0117jome anks\u010diau, algodistrofija skaud\u017eiausiai paveikia gal\u016bnes.<\/p>\n

Kojose algodistrofija da\u017eniausiai lokalizuojama keliuose bei klube, ta\u010diau Sudeko atrofija paveikia ir p\u0117das bei \u010diurnas.<\/p>\n

Kada liga aptinkama ir rankose, did\u017eiausias poveikis pastebimas pla\u0161takos regione.<\/p>\n

Prie\u017eastys<\/strong><\/p>\n

Jau min\u0117jome, kad ekspertai teigia, jog \u0161is sindromas kyla i\u0161 to, jog sutrinka centrin\u0117s ir periferin\u0117s nerv\u0173<\/strong>, imunin\u0117s<\/strong> bei kraujotakos<\/strong> sistema. Pastaroji yra itin svarbi, mat j\u0105 sudaro visos k\u016bne esan\u010dios venos bei arterijos, perne\u0161an\u010dios krauj\u0105.<\/p>\n

Toki\u0105 i\u0161vad\u0105 ekspertai pri\u0117jo tik d\u0117l to, kad \u0161i liga paveikia b\u016btent tas organizmo funkcijas, kurias kontroliuoja \u0161ios trys sistemos.<\/p>\n

Nepaisant toki\u0173 abstrak\u010di\u0173 i\u0161vad\u0173, tikrosios ligos prie\u017eastys did\u017ei\u0105ja dalimi yra ne\u017einomos.<\/p>\n

K\u0105 mokslininkai \u017eino, galima vadinti rizikos faktoriais, kurie, pasteb\u0117ta, jog stipriai padidina \u0161ansus susirgti \u0161ia liga.<\/p>\n

Buvo pasteb\u0117ta, jog daugiau nei 90 procent\u0173 atvej\u0173, algodistrofija susirgo tie \u017emon\u0117s, kurie patyr\u0117 kaul\u0173 l\u016b\u017eius, nikstel\u0117jimus, s\u0105nari\u0173 i\u0161nirimus, nudegimus, nuplikimus, \u012fsipjovimus. <\/p>\n

Seniau taip pat vyravo nuostata, kad \u0161i liga da\u017eniausiai pakenkdavo n\u0117\u0161\u010dioms moterims. Ilgalaikiai klinikiniai tyrimai bei steb\u0117jimai paneig\u0117 s\u0105ry\u0161\u012f tarp n\u0117\u0161tumo ir didesn\u0117s algodistrofijos rizikos. Ta\u010diau atrastas kitas \u012fdomus dalykas \u2013 algodistrofija da\u017en\u0117ja tada, kada priaugama svorio, o b\u016btent tai ir nutinka n\u0117\u0161tumo metu. <\/p>\n

Diagnozavimas<\/strong><\/p>\n

Deja, algodistrofij\u0105 diagnozuoti yra sud\u0117tinga, nes simptomai, per kuriuos \u0161i liga pasirei\u0161kia, yra abstrakt\u016bs ir da\u017enai atspindi kitas ligas bei diagnozes.<\/p>\n

Nepaisant \u0161io fakto, nepaliaujamas skausmas konkre\u010diame, apibr\u0117\u017etame regione arba k\u016bno vietoje gali b\u016bti traktuojamas kaip signalas, pad\u0117siantis gydytojui diagnozuoti algodistrofij\u0105.<\/p>\n

Po diagnoz\u0117s, bet kurie susij\u0119 arba v\u0117liau atsirad\u0119 simptomai bei traum\u0173 istorija yra vertinama individualiai. \u0160is vertinimas gali pad\u0117ti prieiti tinkamas i\u0161vadas bei skelbti diagnoz\u0119.<\/p>\n

\u0160tai puikus pavyzdys: vienas da\u017eniausi\u0173 algodistrofijos \u017eenkl\u0173 \u2013 odos poky\u010diai. Ji i\u0161blyk\u0161ta, i\u0161saus\u0117ja ir savoti\u0161kai atrofuojasi.<\/p>\n

Algodistrofijos simptomus pasteb\u0117ti gali X spinduliuot\u0117 arba, jeigu jie lokalizuoti vienoje vietoje \u2013 magnetinio rezonanso tyrimas arba net trifaz\u0117 scintigrafija.<\/p>\n

Scintigrafija yra laikoma pa\u010diu tinkamiausiu tyrimo bei diagnozavimo metodu, kadangi jos d\u0117ka galima pasteb\u0117ti net pa\u010dius ma\u017eiausius ir smulkiausius kaulin\u0117s strukt\u016bros pakitimus, lyginant su kitais tyrimo b\u016bdais.<\/p>\n

Nepaisant \u010dia i\u0161vardint\u0173 privalum\u0173, yra ir vienas tr\u016bkumas. Scintigrafin\u0117 nuotrauka gali kisti, priklausomai nuo esamos ligos stadijos.<\/p>\n

Prie vis\u0173, anks\u010diau i\u0161vardint\u0173 metod\u0173, atliekamas ir kraujo m\u0117ginio tyrimas bei nerv\u0173 laidumo tyrimas (ENG \u2013 elektroneurografija). Tai daroma tam, kad atmetimo b\u016bdu b\u016bt\u0173 galima pa\u0161alinti infekcini\u0173 lig\u0173 bei nerv\u0173 pa\u017eeidimo tikimybes.<\/p>\n

Taigi, i\u0161vada tokia, kad jokio vieno arba labiausiai tikslaus diagnozavimo metodo \u0161iai ligai n\u0117ra. Nepaisant galimyb\u0117s naudoti \u012fvairius instrumentus bei tyrimus, diagnozuoti algodistrofij\u0105 da\u017eniausiai pavyksta klinikiniu b\u016bdu.<\/p>\n

Gydymas<\/strong><\/p>\n

Specializuoto bei ai\u0161kaus algodistrofijos gydymo, deja, n\u0117ra. Terapija bei gydomosios proced\u016bros susideda i\u0161 proced\u016br\u0173, kurios turi vien\u0105 vienintel\u012f tiksl\u0105 \u2013 susilpninti ligos simptomus (simptomatin\u0117 terapija).<\/p>\n

D\u0117l \u0161ios prie\u017easties yra beveik ne\u012fmanoma kalb\u0117ti apie gydom\u0105j\u012f period\u0105 bei jo ypatumus su tais, kurie serga algodistrofija.<\/p>\n

Dabar i\u0161vardinsime tris pagrindinius terapijos\/gydymo metodus.<\/p>\n

Fizin\u0117 terapija<\/strong> susideda i\u0161 fizioterapini\u0173 pratim\u0173, skirt\u0173 b\u016bkl\u0117s gerinimui ir rank\u0173, klub\u0173, p\u0117d\u0173 bei vis\u0173 gal\u016bni\u0173 reabilitavimui. Pratimai skirti gerinti kraujotak\u0105, s\u0105nari\u0173 paslankum\u0105, didinti raumen\u0173 j\u0117g\u0105 bei elastingum\u0105.<\/p>\n

Vaistin\u0117s terapijos<\/strong> atveju daktarai gali i\u0161ra\u0161yti labai plat\u0173 spektr\u0105 medikament\u0173:<\/p>\n

1. Ne steroidini\u0173 vaist\u0173 nuo u\u017edegimo (NSAID) \u2013 jie kovoja prie\u0161 u\u017edegim\u0105 ir taip ma\u017eina skausm\u0105<\/p>\n<\/div>\n
2. Kortikosteroid\u0173 \u2013 \u0161ie prie\u0161u\u017edegiminiai vaistai tur\u0117t\u0173 b\u016bti vartojami atsakingai, mat j\u0173 \u0161alutinis poveikis gali i\u0161\u0161aukti tokias ligas kaip osteoporoz\u0117 ar diabetas<\/p>\n<\/div>\n
3. Prie\u0161traukulini\u0173 vaist\u0173 (antikonvulsant\u0173)<\/p>\n<\/div>\n
4. Tricikliai antidepresantai<\/p>\n<\/div>\n
5. Opioidai (pvz. morfinas) – kadangi jie yra labai stipr\u016bs analgetikai. Taip pat, kaip ir kortikosteroid\u0173 atvej\u0173, b\u016btinas saikingas vartojimas. D\u0117l toki\u0173 \u0161alutini\u0173 poveiki\u0173 kaip pykinimas ir v\u0117mimas, i\u0161sekimas, jud\u0117jimo ir kognityviniai sutrikimai bei net depresija, dozavimas bus labai svarbus.<\/p>\n<\/div>\n
6. Vietiniai anestetikai: jie da\u017eniausiai b\u016bna tepalo pavidalo<\/p>\n<\/div>\n

Gal\u0173 gale taikoma ir psichologin\u0117 terapija<\/strong>, vadinama psichoterapija. J\u0105 rekomenduoja daktarai tiems \u017emon\u0117ms, kuriems i\u0161sivyst\u0117 depresija, nerimas arba kitos psichologin\u0117s problemos, susijusios su algodistrofijos atsiradimu.<\/p>\n

Taip pat yra ir kit\u0173, ma\u017eiau \u017einom\u0173 ir re\u010diau taikom\u0173 algodistrofijos gydymo b\u016bd\u0173. Tai yra:<\/p>\n

1. Simpatin\u0117s nerv\u0173 sistemos blokavimas. Jis susideda i\u0161 anestetiko injekcijos netoli stuburo smegen\u0173. Taip sustabdoma vieno arba daugiau nerv\u0173 simpatin\u0117je sistemoje veikla. Ilguoju laikotarpiu \u0161is b\u016bdas n\u0117ra veiksmingas, ta\u010diau bent laikinai efektyvus ma\u017einant skausm\u0105.<\/p>\n<\/div>\n
2. Simpatektomija: operacijos metu dalis simpatin\u0117s nerv\u0173 sistemos yra pa\u0161alinama.<\/p>\n<\/div>\n
3. Stuburo smegen\u0173 stimuliacija. Smegenis stimuliuoja elektrodai, pritvirtinti prie slanksteli\u0173.<\/p>\n<\/div>\n

PEMF (elektromagnetinio lauko) terapija gali pad\u0117ti ma\u017eindama skausmingus simptomus, silpnindama u\u017edegimus bei j\u0173 sukeliamus poveikius. D\u0117ka l\u0105steli\u0173 biostimuliacijos, tinkama elektros i\u0161krova atkuria l\u0105steles, i\u0161 naujo su\u017eadindama savigydos procesus j\u016bs\u0173 organizme.<\/p>\n

Jeigu jums \u0161is straipsnis pasirod\u0117 naudingas, kod\u0117l gi nepasidalinus juo su \u0161eima, draugais ar kolegomis?<\/p>","protected":false},"excerpt":{"rendered":"

Algodistrofija yra reta, daugiasimptom\u0117 liga. Ji sukelia stiprius bei nepaliaujamus skausmus, kurie da\u017eniausiai susitelkia \u012f gal\u016bnes. Skausm\u0105 beveik visada lydi<\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[29],"tags":[],"post_folder":[],"class_list":["post-17573","post","type-post","status-publish","format-standard","hentry","category-magnetine-terapija"],"yoast_head":"\nAlgodistrofija<\/title>\n<meta name=\"description\" content=\"Algodistrofija: kas tai? Su\u017einokite atsiradimo prie\u017eastis, diagnozavimo simptomus bei gydymo eig\u0105. 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