Raynaud wa pulayimale ndi wachiwiri
Kutentha kwa manja ndi / kapena mapazi, kapena kutenthedwa ndi kuzizira, ndiko kudandaula kwa anthu omwe ali ndi chithokomiro chosawonongeka, chotchedwa hypothyroidism. Kawirikawiri, kuwona kuzizira kotentha ndi kuzizira kumakhala kuchepa kwambiri mutalandira mankhwala abwino komanso opambana anu hypothyroidism.
Komabe, kwa anthu ena omwe ali ndi matenda a chithokomiro, zizindikiro zokhudzana ndi kuzizira zikupitirirabe.
Pamene manja ozizira ndi / kapena mapazi akupitirira, ndibwino kuti muyesedwe ndi dokotala wanu mwina mwina mukudwala matenda ena-otchedwa matenda a Raynaud.
Tanthauzo la Raynaud's
Matenda a Raynaud amatanthauza kusokonezeka kwa magazi m'magazi ndi zala zazing'ono (chifukwa chokhala ndi mitsempha yambiri m'magazi).
Raynaud wa pulayimale ndi wachiwiri
Chifukwa cha Raynaud's chachikulu sichikudziwika (nthawi zambiri amatchedwa Raynaud's phenomenon). Mtundu uwu ndi wowonjezereka mwa amayi ndipo ukhoza kuyenda m'mabanja.
Raynaud wachiwiri amasonyeza kuti chifukwa china (mwachitsanzo, matenda, poizoni, kapena kuvulala) chimatsogolera ku zowonongeka za mitsuko ya magazi.
Zitsanzo za matenda ophatikizidwa ndi wachiwiri Raynaud ndi awa:
- Hypothyroidism
- Mapulaneti lupus erythematosus
- Scleroderma
- Sjögren's syndrome
- Matenda a nyamakazi
Zinthu zina zomwe zimakhudza mitsempha (kapena mitsempha yomwe imayambitsa mitsempha) mmanja ndi mapazi ingayambitse Raynaud, monga matenda a carpal tunnel, atherosclerosis, kapena vasculitis.
Kukumana ndi nkhondo ya Raynaud
Kuzizira kwazizira (kapena ngakhale kupsinjika maganizo) ndikofunika kwambiri kuchititsa kuukira kwa Raynaud. Zina zomwe zimayambitsa Raynaud's ndi izi:
- Kutuluka panja pa nyengo yozizira
- Kusunga chakumwa chakumwa
- Kuyenda m'chipinda chokhala ndi mpweya
- Kuika manja anu mufiriji
- Kuyika manja pansi pa madzi ozizira
Pa nthawi ya Raynaud, malo okhudzidwawo amatha kukhala oyera, nthawi zina buluu, (monga oxygen imalephera kufika pamapeto). Kenako, ngati mpweya umabwerera m'magazi, deralo limakhala lofiira.
Ponena za zovuta, zala zanu kapena zala zanu zimakhala zozizira komanso zopanda malire pamene magazi akuthamanga kwa iwo akusokonezedwa. Mwinamwake mungamve kupwetekedwa kapena kupwetekedwa mtima, ndipo malo okhudzidwa akhoza kuphulika. Pamene chiwonongeko chitha ndipo kutuluka kwa magazi kumabwerera, zala kapena zala zingayambe kupweteka ndi kung'amba. Kawirikawiri, magazi amatuluka pakhungu amakhalabe otsika mpaka khungu lidzawotha. Pambuyo pa kutenthetsa, nthawi zambiri zimatenga mphindi 15 mpaka 20 kuti muthe kuyambiranso magazi.
Kuzindikira za Raynaud
Kuwonjezera pa kuyesedwa kwa zizindikiro zanu, dokotala wanu akhoza kuyesa kuyesa kozizira. Pachiyeso ichi, chipangizo chomwe chimayesa kutentha chimagwiritsidwa kwa zala zanu, ndipo manja anu amaikidwa m'madzi ozizira. Chipangizochi chimapangitsa kuti zala zanu ziziwotha mwamsanga komanso kubwerera kutentha. Yankho laling'ono lingakhale chizindikiro cha Raynaud.
Chiyeso china chimene nthawi zina chimatchedwa ndi capillaroscopic. Pachiyeso ichi, dontho la mafuta likugwiritsidwa ntchito pamunsi pa chigoba chanu, chomwe chimayang'aniridwa ndi microscope kuti mudziwe mitsempha yodabwitsa imene ingakhale chizindikiro cha Raynaud's.
Mankhwala ambiri amagazi amagwiritsidwanso ntchito kuthandiza kuthandizira Raynaud's, kuphatikizapo:
- Antinuclear antibody (ANA), yomwe imayang'ana ma antibodies against cell nuclei, yomwe ingakhale chizindikiro cha autoimmunity
- Mlingo wa Erythrocyte sedimentation (ESR / mlingo), womwe ukhoza kuzindikira kutentha
Mankhwala a Raynaud
Ngati muli ndi matenda a chithokomiro ndi Raynaud, choyamba muyenera kukhala ndi chithandizo chabwino cha chithokomiro . Chinthu china chofunika ndicho kupewa kapena kuchepetsa kutentha kwachisanu.
Kusunga thupi lanu, komanso makamaka mapeto anu ndizofunika kwa Raynaud's. Izi zimaphatikizapo kupeŵa kusintha kwakukulu ndi kutentha kwakukulu.
Nthawi zambiri zipewa zimalimbikitsidwa, komanso zovala zamatenthedwe, masokosi olemera kwambiri, komanso kutentha kwa manja kapena mapazi pamatentha ozizira angapereke chitetezo chokwanira. Kuvala magolovesi musanayambe kugwira ntchito yozizira kapena yozizira komanso kupewa kusuta fodya (kuphatikizapo kusuta fodya) imalimbikitsanso.
Pa milandu yowopsya, mankhwala ochiza mankhwala angathandize. Zina mwa mankhwala omwe amagwiritsidwa ntchito pochiza Raynaud ndi awa:
- Amagetsi a calcium , monga Procardia (nifedipine) kapena Norvasc (amlodipine)
- Masewera otchedwa nitrate
- Vasodilator Viagra (sildenafil)
Chomaliza, ndikofunika kuti kusamalidwa bwino ndi gawo la moyo wanu wa tsiku ndi tsiku, chifukwa kulakwitsa kosautsika ndi nkhawa ndikodziwika kwa Raynaud's. Kukhalitsa kapena kusamalira maganizo monga kupuma kapena kusinkhasinkha kungathandize othandizira a Raynaud.
Mawu Ochokera
Pamene mukukumana ndi Raynaud kungakhale kosautsa komanso kosasangalatsa, mpumulo umatsimikizira kuti pali zinthu zomwe mungachite kuti mutha kuzunzidwa. Komanso, ngati mutha kumwa mankhwala osowa, izi ndi zabwino. Mukhoza kungofuna izi mwachindunji, monga miyezi yozizira.
Zotsatira:
> Hudson M et al. Kusuta fodya kwa odwala okhala ndi systemic sclerosis. Arthritis Rheum . 2011 Jan; 63 (1): 230-8.
> Hughes M, Herrick AL. Zochitika za Raynaud. Malo abwino kwambiri a Pract Res Clin Rheumatol. 2016 Feb; 30 (1): 112-32.
> Kadan M et al. Kodi Otsatira Odwala Raynaud Phenomenon Angakwaniritsidwe Bwanji? Med Sci Monit Basic Res . 2015; 21: 47-52.
> Levien TL. Kupititsa patsogolo pa chithandizo cha Raynaud chodabwitsa. Osc Health Health Management . 2010; 6: 167-77.
> Wigley FM, Flavahan NA. Phenomenon wa Raynaud. N Engl J Med . 2016 Aug 11; 375 (6): 556-65.