Chodabwitsa cha Raynaud: ndi chiyani, zizindikiro, zoyambitsa ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire matendawa
• Zomwe zingayambitse
• Momwe mankhwalawa amachitikira

Chochitika cha Raynaud, chomwe chimadziwikanso kuti Raynaud's disease or syndrome, chimadziwika ndi kusintha kwa magazi m'manja ndi kumapazi, komwe kumapangitsa kuti khungu lisinthe kwambiri, kuyambira khungu lotumbululuka komanso lozizira, kusintha kukhala buluu, kapena wofiirira ndipo, potsiriza, kubwerera ku mtundu wabwinobwino ofiira.

Chodabwitsachi chikhozanso kukhudza madera ena amthupi, makamaka mphuno kapena ma earlobes ndipo, ngakhale zoyambitsa zake sizikudziwika, ndizotheka kuti zimalumikizidwa ndi kuzizira kapena kusintha kwadzidzidzi kwamalingaliro, kumakhalanso mwa akazi.

Zizindikiro zazikulu

Zizindikiro zazikulu za matenda a Raynaud zimayamba chifukwa cha kusintha kwa magazi chifukwa cha kuchepa kwa mitsempha ya magazi, yomwe imalimbikitsa kutsika kwa magazi, motero, mpweya pakhungu. Chifukwa chake, zizindikilo zazikulu za matenda a Raynaud ndi izi:

• Sinthani mtundu wa zala, zomwe zimayamba kutumbululuka kenako nkukhala zofiirira kwambiri chifukwa chosowa mpweya pamalowo;
• Kutulutsa chidwi m'dera lomwe lakhudzidwa;
• Kuyimba;
• Kutupa kwa dzanja;
• Ululu kapena kukoma;
• Zotupa zazing'ono zimawoneka pakhungu;
• Zosintha pakhungu.

Zizindikiro za matenda a Raynaud zimayamba makamaka chifukwa cha kuzizira kwambiri kapena kutentha kwakanthawi kwa nthawi yayitali, kuphatikiza pakupezekanso chifukwa chapanikizika kwambiri.

Nthawi zambiri, njira zosavuta monga kupewa kuzizira komanso kuvala magolovesi kapena masokosi akuthwa m'nyengo yozizira, ndizokwanira kuthana ndi zovuta komanso kuchepetsa mavuto omwe amayamba. Komabe, ngati zizindikilo sizikutha ngakhale ndi izi, ndikofunikira kukaonana ndi dokotala kuti kuyezetsa kuchitike kuti mudziwe chomwe chimayambitsa matenda a Raynaud ndikuwonetsa chithandizo choyenera kwambiri.

Momwe mungatsimikizire matendawa

Kuzindikira zochitika za Raynaud kuyenera kuchitidwa ndi dokotala wamba pofufuza momwe ziwonetsero ndi zomwe munthuyo amawonekera.

Kuphatikiza apo, kuti athetse zina zomwe zimapereka zizindikilo zofananira, monga kutupa kapena matenda amthupi, adotolo atha kuwonetsa mayesero ena, monga kuyesa ma anti-nyukiliya, erythrocyte sedimentation liwiro (VSH), mwachitsanzo.

Zomwe zingayambitse

Zodabwitsazi za Raynaud zimakhudzana kwambiri ndi kuzizira nthawi zonse kapena kwanthawi yayitali, komwe kumapangitsa kuti magazi aziyenda bwino. Komabe, izi zitha kukhalanso zotsatira za china chake, kudziwika kuti matenda achiwiri a Raynaud. Chifukwa chake, zomwe zimayambitsa matendawa ndi izi:

• Scleroderma;
• Poliomyositis ndi dermatomyositis;
• Nyamakazi;
• Matenda a Sjogren;
• Hypothyroidism;
• Matenda a Carpal;
• Polycythemia vera;
• Cryoglobulinemia.

Kuphatikiza apo, chodabwitsa cha Raynaud chitha kuchitika chifukwa chogwiritsa ntchito mankhwala, kugwiritsa ntchito ndudu ndikuchita zochitika mobwerezabwereza, mwachitsanzo.

Momwe mankhwalawa amachitikira

Zodabwitsazi za Raynaud sizimafunikira chithandizo chapadera, ndipo nthawi zambiri zimangolimbikitsidwa kuti derali litenthe kotero kuti kufalitsa kumayambitsidwanso ndikubwezeretsanso. Komabe, ndikofunikira kupita kwa dokotala ngati zizindikirazo zikupitilira kapena malekezero akuda, chifukwa kungatanthauze kuti ziphuphu zikufa chifukwa cha kusowa kwa mpweya, ndipo kungafunikire kudula dera lomwe lakhudzidwa.

Pofuna kupewa necrosis, tikulimbikitsidwa kupewa malo ozizira ndikugwiritsa ntchito magolovesi ndi masokosi akulu m'nyengo yozizira, mwachitsanzo. Kuphatikiza apo, tikulimbikitsidwa kuti tisasute, popeza chikonga chimasokonezanso kayendedwe ka magazi, ndikuchepetsa magazi omwe amafika kumapeto.

Komabe, pamene malekezero amakhala ozizira komanso oyera komanso zodabwitsazi zikugwirizana ndi mavuto ena azaumoyo, adotolo angavomereze kugwiritsa ntchito mankhwala ena, monga Nifedipine, Diltiazem, Prazosin kapena Nitroglycerin mu mafuta, mwachitsanzo.