Zochitika za Raynaud (zomwe zimatchedwanso "Raynaud's syndrome" kapena "Raynaud's disease") ndizozizira komwe kutentha ndi / kapena kupanikizika zimayambitsa mitsempha yaing'ono ya magazi kuti ikhale yopapatiza ndipo nthawi zina imaletsa magazi kutuluka kwa zala, zala, makutu, mphuno.
Zimayambitsa
Asayansi asanadziwe chifukwa chake mitsempha ya magazi ya anthu omwe ali ndi Raynaud imayamba kuchepa ndi kuyima chifukwa cha kutentha ndi kuzipsinjika.
Komabe, vutoli likuoneka kuti ndilofala pakati pa akazi, komanso anthu omwe amakhala m'madera otentha komanso / kapena ndi mbiri ya banja la Raynaud.
Nthawi zina (wotchedwa "secondary Raynaud's"), matendawa amagwirizanitsidwa ndi zovuta zina kapena zokhudzana ndi moyo, kuphatikizapo:
- Atherosclerosis
- Matenda opangira
- Matenda a Carpal
- Matenda a nyamakazi
- Matenda osakanikirana , monga Sjogren's syndrome , dermatomyositis , ndi polymyositis
- Kuvulala kobwerezabwereza
- Kusuta
- Mapulaneti lupus erythematosus (SLE)
- Matenda a sclerosis (scleroderma)
- Kugwiritsa ntchito mankhwala ena (monga amphetamines ndi mitundu ina ya beta-blockers ndi mankhwala a khansa)
- Matenda a chithokomiro
Zizindikiro
Ngakhale kuti zizindikiro zimasiyana pakati pa munthu ndi mnzake, Raynaud amachititsa kuti thupi likhale loyera, kenako limakhala lofiira, chifukwa cha nkhawa kapena kutentha. Kuukira kungakhale kwa mphindi zingapo mpaka ola limodzi. Pomwe magazi akuyambiranso, malo okhudzidwawo akhoza kutembenuka wofiira asanabwerenso mtundu wake womwewo.
Nthaŵi zambiri, anthu omwe ali ndi Raynaud amasonyeza zizindikiro za matendawa ndi zala ziwiriziwiri. Kukumana kungakhale kochepa ngati mphindi zingapo kapena nthawi yaitali.
Ngakhale kuti Raynaud sakhala womasuka nthawi zonse, anthu omwe ali ndi kachilombo ka Raynaud nthawi zambiri amamva kupweteka kapena kutentha komanso amatha kukhala ndi zilonda zopweteka kapena ngakhale ziphuphu.
Matenda Achilengedwe
Pakalipano, kusowa chithandizo cha sayansi kwa kugwiritsa ntchito mankhwala ochiza matenda a Raynaud, komabe njira zotsatirazi zingapindulepo:
Biofeedback
Mu maphunziro a biofeedback, anthu amaphunzira momwe angagwiritsire ntchito mphamvu zomwe thupi limagwira (kuphatikiza kupuma, kuthamanga kwa mtima, ndi kuthamanga kwa magazi ) mothandizidwa ndi njira zotsitsimutsa ndi ndemanga zowunikira zomwe zimaperekedwa ndi zipangizo zamakono zamagetsi.
Ngakhale akatswiri ena amalimbikitsa kugwiritsa ntchito biofeedback kuti athetse kutentha kwa thupi ndi kuchepetsa kuopsa kwa chiwembu cha Raynaud, kafukufuku wofufuza mu 2009 anapeza kuti biofeedback siigwira ntchito ya Raynaud.
Zowonjezera Zakudya Zakudya
Kufufuza koyamba kumasonyeza kuti kutenga mafuta oyenera amchere amathandiza kwambiri pochiza matenda a Raynaud. Vitamini B3 (yomwe imatchedwanso niacin) imaganiziranso kuti imathandiza anthu omwe ali ndi Raynaud, popeza kuti michere imayambitsa mitsempha ya m'magazi ndikuyambitsa kufalikira kwa khungu. Komabe, siacin siinaphunzire mozama ngati mankhwala a Raynaud ndipo ingayambitse mavuto monga kutsegula m'mimba, kupweteka kwa m'mimba, kupwetekedwa m'mimba, ndi kupweteka kwa khungu.
Ginkgo Biloba
Njira yowonongeka yowonongeka yomwe imagwiritsidwa ntchito popewera kuukira kwa Raynaud, ginkgo biloba siinaphunzire kwambiri chifukwa cha matendawa. Kafufuzidwe kafukufukuyu akuphatikizapo kafukufuku wochepa wofalitsidwa ku Clinical Rheumatology yomwe inkayerekeza nthano ya ginkgo biloba kuti ikhale yotulutsa nifedipine (mtundu wa mankhwala wotchedwa calcium channel blocker). Pambuyo pa masabata asanu ndi atatu, nifedipine inapezeka kuti ikuthandiza kwambiri kuchepetsa chiwerengero cha zigawenga, ndi kusintha kwa iwo omwe amachititsa nifedipine pa 50.1 peresenti, poyerekeza ndi 31.0 peresenti mwa iwo omwe amatenga ginkgo.
Kupewa Kutentha kwa Flare
Wopereka chithandizo chamankhwala angakulimbikitseni kusintha kwa moyo:
- Kupewa caffeine
- Kuvala zovala zothandizira (monga mittens kapena magolovesi) mukamazizira
- Kusiya kusuta
- Kuchita nthawi zonse
- Kusamalira nkhawa
Mfundo Yofunika Kwambiri
Posakhalitsa kulimbikitsa njira iliyonse yothetsera vuto la Raynaud. Ngati mukuganiza kuyesera njira yachilengedwe, onetsetsani kuti mukulankhula ndi wothandizira zaumoyo wanu poyamba kuti muone ngati zingakhale zoopsa ndi zopindulitsa ndikukambirana ngati ziri zoyenera (ndi zotetezeka) kwa inu.
> Zotsatira:
> Choi WS, Choi CJ, Kim KS, et al. Kuyerekezera mphamvu ndi chitetezo cha nifedipine chomasulidwa ndi Ginkgo biloba extract kuti athandize odwala omwe ali ndi vuto lalikulu la Raynaud ku South Korea; Kuphunzira kwa Korea Raynaud (kuphunzira KOARA). Clin Rheumatol. 2009 May; 28 (5): 553-9.
> Malenfant D, Catton M, Papa JE. Kugwiritsa ntchito mankhwala othandizira komanso osagwiritsidwa ntchito pochiza chithandizo cha Raynaud: kuwerengera zolemba ndi kusanthula meta. Rheumatology 2009 48 (7): 791-5.
> Zolinga: Zomwe zili pa tsambali zimapangidwira cholinga cha maphunziro okha ndipo sizilowetsamo malangizo, matenda kapena chithandizo ndi dokotala wololedwa. Sichikutanthauza kubisa zonse zomwe zingatheke, kuyanjana kwa mankhwala, zochitika kapena zotsatirapo zoipa. Muyenera kupeza chithandizo chamankhwala mwamsanga pa nkhani iliyonse yathanzi ndikufunsani dokotala musanagwiritse ntchito mankhwala osakaniza kapena kusintha kwa regimen yanu.