Ingqungquthela kaRaynaud (eyaziwa nangokuthi "i-Raynaud's syndrome" okanye "isifo sikaRaynaud") yimeko apho ukushisa okubanda kunye / okanye uxinzelelo kubangelwa imilambo encinci yegazi, kwaye, ngokukhawuleza ukhawuleze ukuhamba kwegazi kwiminwe yakho, iinzwane, iindlebe kunye impumlo.
Izizathu
Iingcali zenzululwazi azikaze zibonise ukuba kutheni imithwalo yegazi yabantu abaneRaynaud iyancipha kwaye iyancipha ekuphenduleni kwamaqondo abandayo kunye noxinzelelo.
Nangona kunjalo, imeko ibonakala iyinto eqhelekileyo phakathi kwabasetyhini, kunye nabantu abahlala kwiindawo ezinobunzima kunye / okanye banenkqubela yentsapho kaRaynaud.
Kwezinye iimeko (eyaziwa ngokuba yi "yecala likaRaynaud"), i-syndrome idibene nezinye iimeko okanye izinto zokuphila, kuquka:
- Atherosclerosis
- Isifo seBuffer
- I-Carpal tunnel syndrome
- Irheumatoid arthritis
- Izifo zesisu ezixubileyo, ezifana neSjogren's syndrome , i- dermatomyositis , kunye ne- polymyositis
- Ukulimala kwakhona
- Ukutshaya
- I-lupic erythematosus ye-Systemic (SLE)
- Systemic sclerosis (i-scleroderma)
- Ukusetyenziswa kwezidakamizwa ezithile (njengama-amphetamines kunye neentlobo ezithile ze-beta-blockers kunye nemithi yomhlaza)
- Iingxaki zeTyroid
Iimpawu
Nangona iimpawu zihluka ukusuka kumntu kumntu, uRaynaud ubangela ukuba izixhobo zomzimba ezichaphazelekayo ziphendukele ezimhlophe, zibe ziluhlaza okwesibhakabhaka, ekuphenduleni uxinzelelo okanye ukutyhalela. Ukuhlaselwa kungadlulela embalwa imizuzu ngaphezulu kweyure. Xa ukuphuma kwegazi kuqhubeka kwakhona, indawo echaphazelekayo ingajika ibomvu ngaphambi kokuba ibuyele kumbala wayo oqhelekileyo.
Kwiimeko ezininzi, abantu abaneRaynaud babonisa iimpawu zesifo kwiminwe efanayo kwizandla zombini. Ukuhlaselwa kungase kube mfutshane njengemizuzu embalwa okanye ixesha elide kwieyure eziliqela.
Nangona uRaynaud ahlale engonwabi, abantu abane-Raynaud abancinci banamaxesha amaninzi abanamava okanye abavuthayo kwaye banokuvelisa izilonda ezinobunzima okanye nokuba nesifo esiyingozi.
IziNyango zeNdalo
Kuze kube ngoku, kunqongophala kwenkxaso yesayensi malunga nokusetyenziswa kwamanyathelo ekhatyweni kukaRaynaud, nangona kunjalo, iindlela ezilandelayo zinokunika izibonelelo ezithile:
Biofeedback
Ngokuqeqeshwa kwe-biofeedback, abantu bafunda indlela yokwenza impembelelo kwimisebenzi ebalulekileyo yomzimba (kubandakanywa ukuphefumula, izinga lentliziyo, kunye nexinzelelo lwegazi ) ngoncedo lweendlela zokuphumla kunye nempendulo yengxelo ehanjiswa zizixhobo ezizodwa zobugcisa.
Nangona ezinye iingcali zikhuthaza ukusebenzisa i-biofeedback ukukunceda ukulawula ukushisa komzimba nokunciphisa ubunzima kunye nokuphindaphindiweyo kokuhlaselwa kukaRaynaud, uphando oluphandwe ngo-2009 lwagqiba ukuba i-biofeedback ayisebenzeli isifo sikaRaynaud.
Izongezelelo zeZondlo
Uphando oluphambili lubonisa ukuba ukuthatha isisombululo esibalulekileyo se-fatty acids kungenziwa ngempumelelo ngonyango lukaRaynaud. I-Vitamin B3 (eyaziwa ngokuba yi-niacin) icingelwa ukuba incede abantu abaneRaynaud, kuba izondlo zenza imivenge yegazi ihlaziye kwaye ivuselele ukusasazeka kwesikhumba. Nangona kunjalo, i-niacin ayizange isetyenziswe ngokubanzi njengonyango kaRaynaud kwaye ingabangela iziphumo ezinjenge-diarrhea, intloko yesisu, isisu esicasulayo, kunye neempatho zesikhumba ezimbi.
Ginkgo Biloba
Olunye ulungelo lwemvelo olucinga ukuba luncedo ekukhuseleni ukuhlaselwa kukaRaynaud, i-ginkgo biloba ayizange ifundwe ngokubanzi ngemiphumo yalo kwisifo. Uphando olukhoyo luquka uphando oluthile olupapashwe kwi- Clinical Rheumatology oluqhathanisa i-ginkgo biloba ekhishwe kwi-nifedipine yokukhululwa (uhlobo lweyeza elibizwa ngokuba yi-calcium channel blocker). Emva kwonyango lweeveki ezisibhozo, i-nifedipine ifumaneke ukuba isebenze ngakumbi ekunciphiseni inani lokuhlaselwa, kunye nokuphucula kwabo bathatha i-nifedipine ngama-50.1 ekhulwini, xa kuthelekiswa nama-31.0 ekhulwini kulabo bathatha i-ginkgo.
Ukukhusela i-Flare-Ups
Umboneleli wakho wezempilo unokuncoma utshintsho lwendlela yokuphila:
- Ukuphepha i-caffeine
- Ukugqoka iimpahla zokukhusela kunye nezixhobo (ezinjengeemittens okanye iiglavu) xa zibonakala zibandayo
- Ukuyeka ukutshaya
- Ukusebenzisa rhoqo
- Ukulawula uxinzelelo
Ngaphantsi
Ngokukhawuleza ukucebisa naluphi na umuthi wokuphatha uhambo lukaRaynaud. Ukuba ucinga ukuzama indlela yokwenza izinto, qiniseka ukuba uthetha nomniki-nkonzo wakho wezempilo kuqala ukuba uqikelele ingozi kunye neenzuzo kwaye uxoxe ukuba kufanelekile (kwaye ukhuselekileyo) kuwe.
> Imithombo:
> Choi WS, Choi CJ, Kim KS, et al. Ukuthelekisa usebenze kunye nokukhuselwa kokukhululwa kwe-nifedipine kunye no-Ginkgo biloba ukukrazula izigulane ngeyona nto ephambili yaseRainaud yaseMzantsi Korea; Isifundo saseKorea uRaynaud (i-KOARA study). KwiKliniki yaseRheumatol. 2009 ngoMeyi; 28 (5): 553-9.
> Malenfant D, uCatton M, uPapa UY. Ukusebenza kweyeza elongezelelweyo kunye neyonyango ekwenzeni unyango lukaRaynaud: uphando lweencwadi kunye nokuhlaziywa kwemeta. I-Rheumatology 2009 48 (7): 791-5.
> Ukuziphendulela: Ulwazi oluqulethwe kule ndawo lujoliswe kwiinjongo zemfundo kuphela kwaye alithathi indawo yeengcebiso, ukuxilongwa okanye unyango ngumgqirha onikwe ilayisenisi. Akunakuthetha ukukhusela zonke iindlela zokulondoloza, ukusebenzisana kwezidakamizwa, iimeko kunye nemiphumo emibi. Kufuneka uncede unyango lwangonyango ngokukhawuleza kuyo nayiphi na imiba yempilo uze ubonane nodokotela wakho ngaphambi kokusebenzisa elinye iyeza okanye wenze utshintsho kwi-regimen yakho.