Zambiri kuposa manja ozizira ndi mapazi
Kodi manja anu ndi mapazi anu zimazizira nthawi zonse? Izi ndizodandaula kawirikawiri kwa anthu omwe ali ndi fibromyalgia (FMS) ndi matenda osatopa ( ME / CFS ). Mulimonsemo, ndi chisonyezo chabe.
Muzochitika zina, zikhoza kukhala chifukwa cha chizoloŵezi chofala chotchedwa Raynaud's syndrome (chomwe chimatchedwanso Raynaud's phenomenon).
Kodi Raynaud's Syndrome N'chiyani?
Mu syndrome ya Raynaud, mitsempha ya magazi imakhala yaikulu kuposa momwe iyenera kukhalira, yomwe imalola kuti magazi ocheperapo asapitike.
Sikuti zimangopangitsa kuti mapeto anu azizizira, zimakhala zovuta kwambiri kuziwotcha. Ziwalo za thupi zomwe zimakhudzidwa kwambiri ndizola zala ndi zala, koma milomo yanu, mphuno, khutu la khutu, mawondo, ndi ntchentche zingathenso kuthandizidwa.
Raynaud sikuti onse amazizira, ngakhale. Kutaya kwa magazi kochepa kungayambitse kupweteka m'madera okhudzidwa, ndipo kungapangitsenso khungu kuti likhale la buluu. Zilonda zapakhungu (zilonda) zimatheka, chifukwa zigawo zazing'ono za kutsika magazi zimatha kuwononga matenda anu.
Zizindikiro zowonjezereka, zomwe zimatchedwa zigawenga, zimayamba chifukwa cha kuzizira kapena kupsinjika kwakukulu. Kuukira kungakhale kwa mphindi zingapo kapena kumatha maola ambiri.
Anthu ena ali ndi matenda a Raynaud monga chinthu chofunikira kwambiri, kutanthauza kuti sichikugwirizana ndi matenda ena. Kwa anthu ena, ndi chikhalidwe chachiwiri, kutanthauza kuti sichidzakhalapo popanda matenda ena.
Raynaud amakhalanso wamba mu lupus , rhumumimakazi yamagazi ndi matenda a Sjogren .
Sitikudziwa chomwe chimayambitsa matenda a Raynaud ndipo palibe mankhwala.
Kusanthula Raynaud's Syndrome
Chidziwitso cha Raynaud ndi matenda omwe amakhala ndi zizindikiro komanso kuunika kwa thupi. Komabe, dokotala wanu angayambitsenso mayesero ozizira ozizira, omwe masensa amatha kutulutsa kutentha kwala zala zanu zisanafike ndi pambuyo powakwera m'madzi ozizira.
Dokotala wanu angapemphenso mafunso ambiri okhudza mbiri yanu yachipatala ndikupanga mayeso ena kuti ayang'ane zomwe zimayambitsa matenda a Raynaud. Izi ndizo mayesero omwe ali ofala mu njira yowatulutsira kuti apeze matenda a FMS , ndipo angakhale mbali ya njira ya ME / CFS yoyeretsera malingana ndi zizindikiro zanu. Zikuphatikizapo:
Kuchiza / Kusamalira Raynaud's Syndrome
Njira zambiri zothandizira ndi njira zothandizira zingathandize kuchepetsa zizindikiro za Raynaud. Mzere woyamba wa chitetezo ndikusintha zizoloŵezi zanu kuti muteteze zizindikiro. Mungathe kuchita izi ndi:
- Osati kuyika manja anu kuzizizira kapena kuwateteza pamene simungapewe kuwonetsa
- Kusasuta
- Osati kuvala chilichonse chomwe chimayambitsa magazi, kuphatikizapo mphete kapena masokosi olimba
- Kuyesera kukonzetsa kusintha
- Kusamalira vuto lanu
- Kupewa zizindikiro zomwe zingatheke, kuphatikizapo zizindikiro
Pamene kuukira kwa Raynaud kumachitika, mukhoza kuthandizira kuti:
- Kusuntha kapena kusisita zigawo zomwe zakhudzidwa
- Kupeza malo otentha
- Kuthamanga kutentha (osati kutentha!) Madzi m'madera ozizira
Njira zothandizira mankhwala ndi izi:
- Mankhwala osokoneza bongo, monga alpha blockers , calcium channel blockers , ndi vasodilators , zomwe zimakhudza momwe mitsempha yanu imagwirira ntchito
- Majekeseni a mankhwala omwe amaletsa mitsempha m'manja mwanu kapena m'mapazi
- Nthawi zambiri, kuchotsa opaleshoni ya zida zowonongeka
Njira zina zothandizira, kuphatikizapo biofeedback ndi supplementation ndi gingko kapena mafuta a nsomba, zaperekedwa pofuna kuchiza Raynaud. Komabe, kafukufuku wa kafukufuku amene anapezeka mu 2009 anapeza kuti iwo sanachite kusiyana kwakukulu.
Raynaud ali mu Fibromyalgia / Chronic Fatigue Syndrome
Sitikudziwa bwino chifukwa chake Raynaud ali wamba mwa anthu omwe ali ndi FMS ndi ME / CFS, koma n'zotheka kuti azigawana zochitika za thupi. Zizindikiro za Raynaud zimayambitsidwa chifukwa cha kuchepa kwa magazi, ndipo kafukufuku wina amasonyeza kuti magazi akuyenda bwino mu FMS ndi ME / CFS.
Zizindikiro za Raynaud zingapangitse zizindikiro zina za FMS ndi ME / CFS, zomwe nthawi zambiri zimafuna kutentha . Kutenga chilled kungayambitse ululu kwa wina yemwe ali ndi FMS / ME / CFS ndipo nthawi zina, akhoza kuyambitsa chiwonetsero cha zizindikiro. Izi zimapangitsa kuti zikhale zofunikira kwambiri kuteteza zizindikiro za Raynaud kwa odwalawo.
Ngakhale kuti mankhwala a Raynaud ndi FMS / ME / CFS ndi osiyana, kusintha kwa moyo monga kusasuta, kuchepetsa nkhawa komanso kuchita masewera olimbitsa thupi (zoyenera kuti mukhale oleza mtima) zingathandize kuchepetsa zizindikiro zonsezi.
Ngati mukuganiza kuti muli ndi matenda a Raynaud, onetsetsani kuti muli ndi dokotala wanu kuti mutha kuwapeza ndi kuwachiritsidwa bwino.
Zotsatira:
> Malenfant D, Catton M, Papa JE. Rheumatology (Oxford). 2009 Jul; 48 (7): 791-5. kuthandizira kwa mankhwala othandizira komanso osagwiritsidwa ntchito pochiza chithandizo cha Raynaud: kuwerengera zolemba ndi kusanthula meta.
Papa JE. Mankhwala. 2007; 67 (4): 517-25. Matendawa ndi chithandizo cha Raynaud chodabwitsa: njira yothandiza.
Smith NL. Journal za ululu & chisamaliro chosamalidwa pharmacotherapy. 2004; 18 (4): 31-45. Njira za Serotonin mu ululu ndi matenda ogwira ntchito: managemtne umakhudzidwa ndi comorbid fibromyalgia, mutu, ndi matenda osapweteka m'mimba - phunziro la phunziro ndi kukambirana.
Staud R. Tsogolo la rheumatology. 2008 Oct 1; 3 (5): 475-483. Kuthamanga kwa mtima kumasiyana monga chidziwitso cha matenda a fibromyalgia.
Wigley FM. Chidziwitso cha odwala: Raynaud chochitika UpToDate.com. Maumwini onse ndi otetezedwa. Idapezeka mu December 2011.