URaynaud oPrayimari noPhezulu
Ivakalelo lokubanda ezandleni kunye / okanye iinyawo, okanye uvakalelo kubanda, kuyinkxalabo eqhelekileyo kubantu abane-thyroid engasebenzi, ebizwa ngokuba yi-hypothyroidism. Ngokuqhelekileyo, uvakalelo lokubanda kubanda kunye nemigqomo ebandayo kuza kwehla kakhulu emva kokuba ufumene unyango olufanelekileyo kunye olufanelekileyo lwe-hypothyroidism yakho.
Nangona kunjalo, kubantu abathile abaneesifo se-thyroid, loo mpawu ikhupha.
Xa izandla ezibandayo kunye / okanye iinyawo ziqhubeka, kulunge ukuba uhlolwe ngugqirha wakho njengoko unokuba nesinye isimo sengonyango-esibizwa ngokuba sisifo sikaRaynaud.
Inkcazo kaRaynaud
Isifo sikaRaynaud sibhekisela ekuphazamiseni ukuhamba kwegazi ukuya eminwe nasezinzwaneni (ezingaphantsi kwezinto eziqhelekileyo), ngenxa yeziphahlazo ezingavamile kwimithana yegazi.
URaynaud oPrayimari noPhezulu
Isizathu sokuqala sikaRaynaud asiyazi (ngokuqhelekileyo sibizwa ngokuba yi-Raynaud's phenomenon). Olu hlobo luqhelekileyo kubasetyhini kwaye luya kuqhutywa kwiintsapho.
I-Raynaud yesiSekondari ibonisa ukuba ezinye izizathu ezibangelwayo (umzekelo, isifo, i-toxin, okanye ukulimala) kukhokelela kwiindawo eziqhelekileyo zeemfestile zegazi.
Imizekelo yezifo ezinxulumene noRaynaud osibini ziquka:
- Hypothyroidism
- Systemic lupus erythematosus
- Scleroderma
- Sjögren's syndrome
- Irheumatoid arthritis
Ezinye iimeko ezichaphazela ngqo imirhobho (okanye iimbilini ezilawula imirhobho) ezandleni nasezinyaweni zingabangela uRaynaud, njenge-carpal tunnel syndrome, i-atherosclerosis, okanye i-vasculitis.
Ukufumana ukuhlaselwa kukaRaynaud
Ukubonakaliswa kokubanda (okanye ukuxinzezeleka kwengqondo) kuyona nto ibangela ukuhlaselwa kukaRaynaud. Ezinye izinto eziqhelekileyo ezibangelwa uRaynaud ziquka:
- Ukuphuma ngaphandle ngexesha lokushisa kwamaqondo
- Ukubamba isiselo se-iced
- Ukuhamba ekamelweni elinesimo-moya
- Ukubeka izandla kwifriji
- Ukubeka izandla phantsi kwamanzi abandayo
Ngexesha lokuhlaselwa kukaRaynaud, indawo echaphazelekayo iyajika imhlophe, ngamanye amaxesha eluhlaza, (njengoko i-oksijini ihluleka ukufikelela kwimida). Emva koko, njengoko i-oksijeni iphinda ibuyele kwiifom, indawo leyo ibomvu.
Ngokweemvakalelo, iminwe yakho okanye iinzwane zivakalelwa zibandayo kwaye ziphazamisekile njengoko ukuphuma kwegazi kubo kuphazamisekile. Unokuvakalelwa okanye utyumle, kwaye indawo echaphazelekayo ingakhula. Njengoko ukuhlaselwa kuphelile kunye nokubuya kwegazi, iminwe okanye iinzwane zingase ziqhube kunye ne-tingle. Ngokuqhelekileyo, ukuphuma kwegazi kwesikhumba kuya kuhlala kusezantsi kuze kube yilapho ulusu lukhutshwe. Emva kokufudumala, ngokuqhelekileyo kuthatha imizuzu eyi-15 ukuya kwe-20 ukufumana ukuhamba kwegazi ngokuqhelekileyo kwesikhumba.
Ukuchonga uRaynaud
Ukongeza kokuvavanya kweempawu zakho, ugqirha wakho angenza uvavanyo olushukumisayo lokuvuselela. Kule vavanyo, ifowuni enokulinganisa ukushisa ifakwe kwiminwe yakho, kwaye ke izandla zakho zifakwa emanzini abandayo. Ifowuni imanyanisa ukuba iminwe yakho ifudumele njani kwaye ibuyele kwiqondo lokushisa eliqhelekileyo. Ukuphendula ngokukhawuleza kunokubonisa uphawu lukaRaynaud.
Olunye uvavanyo olwenziwa ngamanye amaxesha lubizwa ngokuba yi-nailfold capillaroscopic. Kulo vavanyo, i-drop of oil isetyenziswe kwisiseko somnwe wakho, ovavanyelwa phantsi kwe-microscope ukufumanisa imirhoxo engavamile engayibonakaliso kaRaynaud.
Iimvavanyo ezininzi zegazi zisetyenziselwa ukunceda ukuxilongwa kukaRaynaud, kuquka:
- I-anti-nuclear anti-antibody (ANA), ekhangelelwa ngama-antibodies ngokubhekiselele kwi-cell nuclei, engayimpawu yokuzimela
- Ireyiti ye-sedimentation ye-Erythrocyte (ESR / izinga), ekwazi ukubona ukuvuvukala
Unyango lukaRaynaud
Ukuba unesifo se-thyroid kunye noRaynaud, isinyathelo sakho sokuqala sifanele sibe ukufumana unyango lwe-thyroid . Enye inyathelo ebalulekileyo kukuphepha okanye ukunciphisa ukutshisa okubandayo.
Ukugcina umzimba wakho ufudumele, kwaye ngokugqithiseleyo iziphumo zakho ziyimfuneko ebalulekileyo yokukhusela uRaynaud. Oku kubandakanya ukuphepha ukutshintsha kwexesha lokukhawuleza nokugqithiseleyo.
Iinqhathi zivame ukucetyiswa, kunye neengubo zangaphantsi ezitshatileyo, iisokisi ezilukhuni, kunye neekhemikhali ngesandla okanye iinyawo zokufudumala kwiindawo ezifudumalayo zinobungqina obukhuselekileyo. Ukugqoka iiglavu ngaphambi kokuphatha izinto ezibandayo okanye ezinqabileyo kunye nokuphepha ukutshaya (kuquka ukutshaya komsi).
Kwiimeko ezinzima, unyango lweziyobisi lunokunceda. Amanye amayeza asetyenziswa ukunyanga uRaynaud aquka:
- I-blockers ye-calcium , njenge-Procardia (nifedipine) okanye i-Norvasc (i-amlodipine)
- I-nitric
- I-vasodilator Viagra (sildenafil)
Ekugqibeleni, kubalulekile ukwenza ulawulo loxinzelelo luyingxenye yobomi bakho bemihla ngemihla, kuba impendulo engapheliyo yokuxinezeleka yintambo eyaziwayo kaRaynaud. Ukuphumula okanye ukulawula uxinzelelo njengokuphefumula okanye ukucamngca kunokuba luncedo kwabanye abagulayo bakaRaynaud.
ILizwi
Nangona u-Raynaud unokufumana uxinzelelo kwaye ungathandeki, ukuphumla okuqinisekisileyo kukho izinto onokuzenza ukukhusela ukuhlaselwa. Ngaphezu koko, ukuba uya kugqiba ukufumana unyango, kulungile, kunjalo. Usenokufuna nje ngokukhawuleza, njengamathuba eenyanga ezibandayo.
Imithombo:
> Hudson M et al. Ukubhema i-cigarette kwizigulane ezine-systemic sclerosis. Arthritis Rheum . NgoJan 2011; 63 (1): 230-8.
> Hughes M, uHerrick AL. Yinto kaRaynaud. I-Best Pract Res Clin yaseRheumatol. 2016 Feb; 30 (1): 112-32.
> IKadan M et al. Ukulandelelana kwezigulane kunye noRaynaud Phenomenon kunokunyaniseka njani? IMed Sci Monit Basic Res . 2015; 21: 47-52.
> Levien TL. Intuthuko ekwenzeni unyango lukaRaynaud. Umphathi wezeMpilo weVasc . 2010; 6: 167-77.
> Wigley FM, Flavahan NA. I-Phenomenon kaRaynaud. N Engl J Med . 2016 Aug 11; 375 (6): 556-65.