Isimo sikaRaynaud (owaziwa nangokuthi "uRaynaud's syndrome" noma "isifo sikaRaynaud") yisimo lapho izinga lokushisa lokushisa kanye / noma ukucindezeleka kubangela imithwalo encane yegazi ukuze iminyane futhi imise okwesikhashana ukugeleza kwegazi ku iminwe, izinzwane, izindlebe, impumulo.
Izimbangela
Ososayensi abakakaze banqume ukuthi kungani imithwalo yegazi yabantu abaneRaynaud ijwayele ukugxila futhi igxile ekuphenduleni izinga lokushisa okubandayo nokucindezeleka.
Kodwa-ke, isimo sibonakala sijwayelekile phakathi kwabesifazane, kanye nabantu abahlala ezindaweni ezibandayo kanye / noma abanomlando womndeni kaRaynaud's.
Kwezinye izimo (eyaziwa ngokuthi "i-secondary Raynaud's"), i-syndrome ihlotshaniswa nezinye izimo noma izinkinga zokuphila, kufaka phakathi:
- I-aestrosclerosis
- Isifo soBuerger
- I-Carpal tunnel syndrome
- I-rheumatoid arthritis
- Izifo zesisu ezixhunyiwe, ezifana neSjogren's syndrome , i- dermatomyositis , ne- polymyositis
- Ukulimala okuphindaphindiwe
- Ukubhema
- I-systemic lupus erythematosus (SLE)
- I-Systemic sclerosis (i-scleroderma)
- Ukusetshenziswa kwezidakamizwa ezithile (njengama-amphetamines nezinhlobo ezithile ze-beta-blockers nemithi yomdlavuza)
- Izifo ze-thyroid
Izimpawu
Nakuba izimpawu ziyahlukahluka komunye nomuntu, uRaynaud udala izingxenye zomzimba ezithintekayo ukuba ziphenduke zimhlophe, bese ziluhlaza okwesibhakabhaka, ngokuphendula ukucindezeleka noma ukuvezwa kokubandayo. Ukuhlaselwa kungadlula amaminithi ambalwa ngaphezu kwehora. Uma ukuphuma kwegazi kuqala futhi, indawo ethintekile ingase ibomvu ngaphambi kokubuyela kumbala wayo ojwayelekile.
Ezimweni eziningi, abantu abanezibonakaliso zikaRaynaud izimpawu zaleso sifo eminweni efanayo kuzo zombili izandla. Ukuhlaselwa kungase kube okufutshane njengemizuzu embalwa noma uma nje amahora amaningana.
Ngenkathi uRaynaud ahlale engakhululekile, abantu abane-Raynaud yesibili bavame ukuzwa ukuzwa okubuhlungu noma okuvuthayo futhi bangathuthukisa izilonda ezibuhlungu noma ngisho nezilonda.
Izifo Zemvelo
Kuze kube manje, ukungabi nokusekelwa kwesayensi ekusetshenzisweni kwamakhambi ekwelapheni kukaRaynaud, kodwa izindlela ezilandelayo zingase zinikeze ezinye izinzuzo:
I-Biofeedback
Ekuqeqeshweni kwe-biofeedback, abantu bafunda ukuthi bangathinta kanjani imisebenzi ebalulekile yomzimba (kufaka phakathi ukuphefumula, izinga lokushaya kwenhliziyo, nokucindezelwa kwegazi ) ngosizo lwezindlela zokuphumula kanye nempendulo yolwazi olunikezwa amadivaysi akhethekile kagesi.
Nakuba abanye odokotela bakhuthaza ukusebenzisa i-biofeedback ukusiza ukulawula ukushisa komzimba nokunciphisa ubukhulu nokuvama kokuhlaselwa kukaRaynaud, ukubuyekezwa kocwaningo okushicilelwe ngo-2009 kwaphetha ngokuthi i-biofeedback ayisebenzeli isifo sikaRaynaud.
Izithako Zokudla
Ucwaningo lokuqala luveza ukuthi ukuthatha izithako ezidingekayo ze-fatty acid kungase kube ngempumelelo ekunakekeleni umphumela kaRaynaud. I-Vitamin B3 (eyaziwa ngokuthi i-niacin) nayo icatshangwa ukuthi izuzisa abantu abaneRaynaud's, njengoba izakhi zidala imithwalo yegazi ukuba ihlanza futhi igqugquzele ukusakazeka esikhumbeni. Kodwa-ke, i-niacin ayizange ifundwe kabanzi njengokwelashwa kukaRaynaud futhi ingabangela imiphumela emibi efana nesifo sohudo, ikhanda, isisu esidabukisayo, nokuthinta isikhumba esibi.
Ginkgo Biloba
Enye ikhambi lemvelo elicatshangwa ukuthi liwusizo ekuvimbeleni ukuhlaselwa kukaRaynaud, i-ginkgo biloba ayizange ifundwe kabanzi ngemiphumela yayo kule sifo. Ucwaningo olutholakalayo lubandakanya isifundo esincane eshicilelwe ku- Clinical Rheumatology eqhathanisa i-ginkgo biloba ekhishwe ku-nifedipine-ukukhululwa okuqhubekayo (uhlobo lwemithi ebizwa ngokuthi i-calcium channel blocker). Ngemuva kokwelashwa amasonto ayisishiyagalolunye, i-nifedipine itholakala ukuthi iyasebenza kakhulu ekunciphiseni inani lokuhlaselwa, nokuthuthukiswa kulabo abathatha i-nifedipine ngamaphesenti angu-50.1, uma kuqhathaniswa namaphesenti angu-31.0 kulabo abathatha i-ginkgo.
Ukuvimbela i-Flare-Ups
Umhlinzeki wakho wokunakekelwa kwezempilo angancoma izinguquko zendlela yokuphila:
- Ukugwema i-caffeine
- Ukugqoka izingubo zokuzivikela kanye nezesekeli (ezifana namagundane noma amagilavu) uma kubonakala sengathi kubanda
- Ukuyeka ukubhema
- Ukusebenzisa njalo
- Ukuphatha ukucindezeleka
Okubalulekile
Kuyashesha kakhulu ukutusa noma iyiphi indlela yokwelapha isenzo sikaRaynaud. Uma ucabangela ukuzama indlela yemvelo, qiniseka ukuthi ukhuluma nomhlinzeki wakho wezokunakekelwa kwezempilo kuqala ukuthi ucabangele izingozi nezinzuzo ezingase zibe khona futhi uxoxe ukuthi kufanelekile yini (futhi iphephile) kuwe.
> Imithombo:
> Choi WS, Choi CJ, Kim KS, et al. Ukuqhathanisa ukuphumelela nokuphepha kokukhululwa kwe-nifedipine okuqhubekayo noGinkgo biloba okhiqizwa ukuphatha iziguli ezinezinto eziyinhloko zikaRaynaud eNingizimu Korea; Ucwaningo lwesiKorea uRaynaud (isifundo seKOARA). I-Clin Rheumatol. 2009 Meyi; 28 (5): 553-9.
> Malenfant D, Catton M, uPapa JE. Ukusebenza kwemithi ehambisanayo nokunye ekwelapheni isenzo sikaRaynaud: ukubuyekezwa kwezincwadi nokuhlaziywa kwemeta. I-Rheumatology 2009 48 (7): 791-5.
> Ukuziphendulela: Ulwazi oluqukethwe kule sayithi luhloswe ngezinjongo zemfundo kuphela futhi aluthathi iseluleko, ukuxilongwa noma ukwelashwa ngudokotela ovunyelwe. Akuhloselwe ukumboza zonke izinyathelo zokuqapha, ukusebenzisana kwezidakamizwa, izimo noma imiphumela emibi. Kufanele ufune ukunakekelwa okusheshayo kwezokwelapha kunoma yiziphi izinkinga zezempilo bese uthintana nodokotela wakho ngaphambi kokusebenzisa enye imithi noma wenze ushintsho ohlelweni lwakho.