Ngaphezu nje kwezandla ezibandayo nezinyawo
Ingabe izandla zakho nezinyawo zakho kubanda ngaso sonke isikhathi? Lesi yisikhalazo esivamile kubantu abane fibromyalgia (FMS) kanye nesifo esingapheliyo sokukhathala ( ME / CFS ). Kwesinye isimo, kungumfanekiso nje.
Kwezinye izimo, noma kunjalo, kungenzeka ngenxa yesimo esivumelanayo esibizwa ngokuthi i-Raynaud's syndrome (eyaziwa ngokuthi yi-Raynaud's phenomenon).
Kuyini I-Raynaud's Syndrome?
E-Raynaud's syndrome, imithwalo yegazi igxila kakhulu kunalokho okufanele, okuvumela igazi elingaphansi ukuba lifinyelele.
Lokhu akugcini nje kuphela kwenza izingxenye zakho zibandayo, kubenza kube nzima kakhulu ukufudumala. Izingxenye zomzimba ezithinteka kakhulu ziyiminwe nezinzwane, kodwa izindebe zakho, impumulo, indlebe, amaconsi nezinsipho nazo zingabandakanyeka.
Kodwa uRaynaud akuyona yonke into ebandayo. Ukugeleza kwegazi okunciphise kungabangela ubuhlungu ezindaweni ezithintekile, futhi kungabangela isikhumba lapho ukuba sivule okwesibhakabhaka. Izilonda zesikhumba (izilonda) kungenzeka, ngoba iziqephu zesikhathi eside zokugeleza kwegazi okuphansi zingalimaza izicubu zakho.
Izimpawu ezikhulayo, ezibizwa ngokuthi ukuhlasela, ngokuvamile zibangelwa ukuvezwa kwamazinga okubandayo noma aphezulu. Ukuhlaselwa kungase kuhlale emaminithini ambalwa noma kungaqhubeka amahora.
Abanye abantu bane-Raynaud's syndrome njengesimo esiyinhloko, okusho ukuthi akuhambisani nokugula. Kwabanye abantu, isimo sesibili, okusho ukuthi ngeke sibe khona ngaphandle kwesinye isifo.
U-Raynaud naye uvame ukwelapha i-lupus , i- rheumatoid arthritis ne- Sjogren's syndrome .
Asisazi ukuthi yini ebangela i-Raynaud's syndrome futhi ayikho ikhambi.
Ukuqaphela i-Raynaud's Syndrome
Ukuxilongwa kwe-Raynaud's syndrome ngokuvamile kuxhomeke ezimpawu nasekuhloleni ngokomzimba. Noma kunjalo, udokotela wakho angase futhi ahlele ukuhlolwa okubandayo, lapho izinzwa zokushisa zizorekhoda ukushisa eminwe yakho ngaphambi nangemva kokuzifaka emanzini abandayo.
Udokotela wakho angase abuze imibuzo eminingi ngomlando wakho wezokwelapha futhi enze izivivinyo ezengeziwe ukuze abheke izimbangela zesifo sesibili sikaRaynaud's. Lezi zivivinyo ezijwayelekile ohlelweni lokukhishwa lokuxilongwa kwe-FMS , futhi zingase zibe yingxenye yenqubo yokuhlonza i - ME / CFS kuye ngezibonakaliso zakho. Zihlanganisa:
Ukuphatha / Ukuphatha uRaynaud's Syndrome
Amasu amaningi wokwelapha nokuphatha angasiza ekunciphiseni izimpawu zikaRaynaud's. Umzila wokuqala wokuzivikela ukuguqula imikhuba yakho ukusiza ukuvimbela izimpawu. Ungakwenza lokhu ngo:
- Ukungabonakali izandla zakho kubanda noma ukuzivikela lapho ungakwazi ukugwema ukuvezwa
- Ukungabhemi
- Akugqoke noma yini ebeka ukugeleza kwegazi, kufaka phakathi amasongo noma amasokisi aqinile
- Ukusebenzisa ukuthuthukisa ukujikeleza
- Ukuphatha ukucindezeleka kwakho
- Gwema izimbangela ezibonakalayo zesibonakaliso, kufaka phakathi ukudlidliza
Lapho ukuhlaselwa kukaRaynaud kwenzeka, ungasiza ukukuqeda ngokuthi:
- Ukuhambisa noma ukumisa izingxenye ezithintekayo
- Ukuthola indawo efudumele
- Ukufudumala (hhayi kushisa!) Amanzi ezindaweni ezibandayo
Izinketho zokwelashwa zihlanganisa:
- Izidakamizwa, ezifana ne- alpha blockers , abavimbela isiteshi se-calcium , nama- vasodilators , konke okuthinta indlela izitsha zakho zegazi ezisebenza ngayo
- Izifo zamakhemikhali ezivimbela izinzwa ezandleni noma ezinyaweni zakho
- Ezimweni ezingavamile, ukususwa kokuhlinzwa kwezicubu ezilinakele
Ezinye izindlela zokwelashwa, okubandakanya i-biofeedback kanye ne-supplementation nge-gingko noma amafutha wezinhlanzi, kuye kwanconywa ukuba kuphulukiswe uRaynaud's. Kodwa-ke, ukubuyekezwa kuka-2009 kocwaningo olutholakalayo bathole ukuthi abazange benze umehluko omkhulu.
URaynaud u-Fibromyalgia / Chronic Fatigue Syndrome
Asazi ukuthi kungani uRaynaud ejwayelekile kubantu abaneFMS ne-ME / CFS, kodwa kungenzeka ukuthi babelane ngezakhiwo ezingokwenyama. Izimpawu zikaRaynaud zibangelwa ukugeleza kwegazi okwanele, kanti olunye ucwaningo lubonisa ukugeleza kwegazi okungafaneleki ku-FMS naku-ME / CFS.
Izimpawu zikaRaynaud zingase zikhulise izimpawu ezithile ze-FMS ne-ME / CFS, evame ukubandakanya ukuzwela kokushisa . Ukuthola i-chilled kungabangela ubuhlungu kumuntu onenkinga ye-FMS / ME / CFS futhi kungenzeka, kwezinye izimo, kubangele ukuphazamisa uphawu. Lokhu kwenza kubaluleke kakhulu ukuvimbela izimpawu zikaRaynaud kulabo abagulayo.
Ngenkathi ukwelashwa kukaRaynaud's no-FMS / ME / CFS kuhlukile, indlela yokuphila iguquka njengokungabhemi, ukulawula ukucindezeleka nokuzivocavoca ngobumnene (okufanelekile ezingeni lakho lokubekezela) kungasiza ekunciphiseni izimpawu zalezo zimo.
Uma usola ukuthi une-Raynaud's syndrome, qiniseka ukuthi uyayikhulisa nodokotela wakho ukuze utholakale futhi uphathwe kahle.
Imithombo:
> Malenfant D, Catton M, uPapa JE. I-Rheumatology (i-Oxford). 2009 Jul; 48 (7): 791-5. ukuphumelela kwemithi ehambisanayo neminye ekwelapheni isenzo sikaRaynaud: ukubuyekezwa kwezincwadi nokuhlaziywa kwemeta.
UPapa JE. Izidakamizwa. 2007; 67 (4): 517-25. Ukuxilongwa nokwelashwa kwesimo sikaRaynaud: indlela ewusizo.
Smith NL. Journal of ubuhlungu & ukunakekelwa palliative pharmacotherapy. 2004; 18 (4): 31-45. Izindlela ze-Serotonin ebuhlungu nasekusebenziseni i-syndrome esebenzayo: izimpendulo eziphathekayo ku-comorbid fibromyalgia, ikhanda le-syndrome elicasulayo - isifundo socwaningo kanye nengxoxo.
I-Staud R. I-rheumatology ezayo. 2008 Okthoba 1; 3 (5): 475-483. Ukuhluka kwezinga lenhliziyo njenge-biomarker ye-fibromyalgia syndrome.
I-Wigley FM. Ukwaziswa kwesineke: I-Raynaud iphutha i-UpToDate.com. Wonke Amalungelo Agodliwe. Ifinyelele ngoDisemba 2011.