Raynaud Primary and Secondary
Ukuzizwa okubandayo ezandleni nasezinyaweni, noma ukuzwela emakhazeni, kuyisikhalazo esivamile kubantu abanesifo se-thyroid esingasebenzi, okuthiwa i-hypothyroidism. Ngokuvamile, ukuzwela okubandayo nemikhawulo ebandayo kuyoncipha kakhulu emva kokuthola ukwelashwa okufanele futhi okulungile kwe-hypothyroidism yakho.
Nokho, kwabanye abantu abanesifo se-thyroid, lezo zimpawu ezihlobene nokubandayo ziyaqhubeka.
Uma izandla ezibandayo kanye / noma izinyawo ziqhubeka, kungcono ukuthi uhlolwe udokotela wakho njengoba kungenzeka ukuthi uhlangabezana nesinye isimo sezokwelapha-esibizwa isifo sikaRaynaud.
Incazelo kaRaynaud's
Isifo sikaRaynaud sibhekisela ekuphazamiseni ukugeleza kwegazi kuya eminwe nasezinzwaneni (ezingavamile kakhulu), ngenxa yezinselele ezingavamile emithanjeni yegazi.
Raynaud Primary and Secondary
Isizathu se-Raynaud's oyinhloko asiziwa (ngokuvamile esibizwa ngokuthi yi-Raynaud's phenomenon). Lolu hlobo luvame kakhulu kubantu besifazane futhi lungasebenza emindenini.
I-Raynaud yesiShayamthetho isho ukuthi esinye isizathu esibangela (isibonelo, isifo, i-toxin, noma ukulimala) kuholele ekusakazeni kwegazi okungavamile kwegazi.
Izibonelo zezifo ezixhunywe ku-Raynaud's secondary zihlanganisa:
- I-Hypothyroidism
- I-Systemic lupus erythematosus
- Scleroderma
- I-Sjögren's syndrome
- I-rheumatoid arthritis
Ezinye izimo ezithinta ngokuqondile imishanguzo (noma izinzwa ezilawula imithwalo) ezandleni nasezinyaweni zingabangela uRaynaud, njenge-carpal tunnel syndrome, i-atherosclerosis, noma i-vasculitis.
Ukubhekana nokuhlasela kukaRaynaud
Ukuveza ukushisa (noma ukucindezeleka ngokomzwelo) kuyisihluthulelo sokubangela ukuhlaselwa kukaRaynaud. Ezinye izinto ezivame ukuvota uRaynaud's zihlanganisa:
- Ukuphuma ngaphandle ngesikhathi sokushisa okubandayo
- Ukuphatha isiphuzo se-iced
- Ukuhamba egumbini eliphethwe umoya
- Ukufaka izandla zakho efrijini
- Ukubeka izandla ngaphansi kwamanzi abandayo
Ngesikhathi sokuhlaselwa kukaRaynaud, indawo ethintekayo iphenduka imhlophe, ngezinye izikhathi iluhlaza okwesibhakabhaka, (njengoba i-oksijini ihluleka ukufinyelela emikhawulweni). Khona-ke, njengoba umoya-mpilo uphindela kuzicubu, indawo iyaba bomvu.
Ngokwezinzwa, iminwe noma izinzwane zakho zingase zizwe zibandayo futhi zinzima njengoba igazi ligeleza kubo liphazamisekile. Ungase uzwe ukukhala noma ubuhlungu obuhlungu, kanti indawo ethintekile ingase ivuke. Njengoba ukuhlasela kuphelile futhi ukuphuma kwegazi kubuyela emuva, iminwe noma izinzwane zingase ziqhube futhi zihlanganise. Ngokuvamile, ukugeleza kwegazi esikhumbeni kuzohlala phansi kuze isikhumba sivuselelwe. Ngemuva kokufudumala, ngokuvamile kuthatha imizuzu engu-15 ukuya kwangu-20 ukubuyisela ukugeleza kwegazi okujwayelekile esikhumbeni.
Ukubona uRaynaud's
Ngaphandle kokuhlola izimpawu zakho, udokotela wakho angenza ukuhlolwa okubanda ukushisa. Kulesi sivivinyo, idivayisi esilinganisa izinga lokushisa ishaywa eminwe yakho, bese izandla zakho zifakwa emanzini abandayo. Idivaysi inquma ukuthi masinyane iminwe yakho ifudumele kanjani futhi ubuyele ekushiseni okuvamile. Ukusabela okusheshayo kungaba uphawu lukaRaynaud.
Olunye uvivinyo olwenziwa ngezinye izikhathi lubizwa ngokuthi i-nailfold capillaroscopic. Kulesi sivivinyo, i-drop of oils isetshenziselwa isisekelo seminwe yakho, ehlolwe ngaphansi kwe-microscope ukukhomba imishanguzo engavamile engase ibe uphawu lukaRaynaud's.
Izivivinyo eziningi zegazi zisetshenziselwa ukuxilonga uRaynaud's, kuhlanganise:
- I-anti-nuclear antibody (ANA), ehlola amasosha omzimba ngokumelene ne-cell nuclei, engaba uphawu lokuzimela
- Isilinganiso se-erythrocyte sedimentation (ESR / isilinganiso), esingathola ukuvuvukala
Ukwelashwa kukaRaynaud's
Uma unesifo segciwane ngoRaynaud's, isinyathelo sakho sokuqala kufanele sibe ukuthola ukwelashwa okuhle kwegciwane . Esinye isinyathelo esibalulekile ukugwema noma ukunciphisa ukushisa okubandayo.
Ukugcina umzimba wakho ufudumele, futhi ikakhulukazi imikhawulo yakho iyisilinganiso esibalulekile sokuvimbela uRaynaud's. Lokhu kuhlanganisa nokugwema izinguquko zokushisa okusheshayo nezimbi kakhulu.
Amahhashi avame ukuphakanyiswa, nezambatho zangaphansi ezishisayo, amasokisi alukhuni okwesibindi, namakhemikhali ezandla noma izinyawo ezishisayo emazingeni okushisa angabanikeza ukuvikeleka okwengeziwe. Ukugqoke amagilavu ngaphambi kokuphatha izinto ezibandayo noma ezibandayo futhi ugweme ukubhema (kufaka phakathi nentuthu yomsizi) uphakanyiswa.
Ezimweni ezimbi kakhulu, ukwelashwa kwezidakamizwa kungasiza. Eminye imithi esetshenziselwa ukwelashwa kukaRaynaud ihlanganisa:
- Abavimba be-calcium , njenge-Procardia (nifedipine) noma i-Norvasc (i-amlodipine)
- I-nitrate yezihloko
- I-vasodilator Viagra (sildenafil)
Okokugcina, kubalulekile ukwenza ukucindezeleka kube yingxenye yokuphila kwakho kwansuku zonke, ngoba impendulo engalungile ekucindezelekeni iyisisusa esaziwayo sikaRaynaud's. Ukuphumula noma ukuphathwa kokucindezeleka njengokuphefumula noma ukuzindla kungasiza kwabanye abagulayo bakaRaynaud.
Izwi elivela
Ngenkathi uhlangabezana noRaynaud kungase kuphazamise futhi kungathandeki, ukuphumula kuqinisekisile ukuthi kukhona izinto ongayenza ukuvimbela ukuhlaselwa. Ngaphezu kwalokho, uma ugcina imithi edingayo, lokho kulungile, futhi. Ungase ufune nje ngokuzenzekelayo, njengasezinyangeni ezibandayo.
Imithombo:
> Hudson M et al. Ukubhema ugwayi ezigulini ezine-sclerosis. I-Arthritis Rheum . 2011 Jan; 63 (1): 230-8.
> Hughes M, uHerrick AL. Isimo sikaRaynaud. I-Best Pract Res Clin Rheumatol. 2016 Feb; 30 (1): 112-32.
> IKadan M et al. Ungalandela Kanjani Iziguli ZamaRaynaud Phenomenon? I-Med Sci Monit Basic Res . 2015; 21: 47-52.
> Levien TL. Intuthuko ekwelapheni isenzo sikaRaynaud. I-Vasc Managing Risk Manager . 2010; 6: 167-77.
> Wigley FM, Flavahan NA. Phenomenon kaRaynaud. N Engl J Med . 2016 Aug 11; 375 (6): 556-65.