Chilichonse Chimene Muyenera Kudziwa Pazochitika za Raynaud
Zamkati
- Zizindikiro zodabwitsa za Raynaud
- Zoyambitsa
- Zowopsa
- Matendawa
- Chithandizo
- Zosintha m'moyo
- Mankhwala
- Ma Vasospasms
- Chiwonetsero
Chodabwitsa cha Raynaud ndi momwe magazi amayendera zala zanu, zala zakumapazi, makutu, kapena mphuno zimaletsedwa kapena kusokonezedwa. Izi zimachitika pamene mitsempha yamagazi m'manja kapena m'mapazi mwanu imakhazikika. Zigawo za constriction zimatchedwa vasospasms.
Chochitika cha Raynaud chitha kutsagana ndi zovuta zamankhwala. Vasospasms yomwe imayambitsidwa ndi zina, monga nyamakazi, chisanu, kapena matenda amthupi, amatchedwa secondary Raynaud's.
Zochitika za Raynaud zitha kuchitika zokha. Anthu omwe amakumana ndi a Raynaud koma ali athanzi ena amati ali ndi oyambira a Raynaud.
Kutentha kozizira komanso kupsinjika kwamaganizidwe kumatha kuyambitsa zochitika za Raynaud.
Zizindikiro zodabwitsa za Raynaud
Chizindikiro chodziwika kwambiri chazomwe Raynaud adachita ndikusintha zala zanu, zala zakumapazi, makutu, kapena mphuno. Mitsempha yamagazi yomwe imanyamula magazi kupita kumapeto kwanu itatsekedwa, madera omwe akhudzidwa amakhala oyera kwambiri ndikumva kuzizira.
Mumataya chidwi m'malo omwe akhudzidwa. Khungu lanu limatha kutenga tinge yabuluu.
Anthu omwe ali ndi primary Raynaud nthawi zambiri amamva kutsika kwa kutentha kwa thupi m'deralo, koma kupweteka pang'ono. Omwe ali ndi sekondale la Raynaud nthawi zambiri amamva kupweteka kwambiri, dzanzi, komanso kumva kulasa zala kapena zala zakumapazi. Magawo atha kukhala mphindi zochepa kapena mpaka maola angapo.
Vasospasm ikatha ndipo mumalowa m'malo otentha, zala zanu ndi zala zanu zimatha kuphulika ndikuwoneka ofiira. Ntchito yotenthetsayo imayamba magazi anu atayamba kuyenda bwino. Zala zanu ndi zala zanu sizimatha kutentha kwa mphindi 15 kapena kupitilira apo kufalikira kumabwezeretsedwanso.
Ngati muli ndi Raynaud yoyamba, mutha kupeza kuti zala kapena zala zakumanja zomwe zili mbali iliyonse ya thupi lanu zimakhudzidwa nthawi yomweyo. Ngati muli ndi Raynaud yachiwiri, mutha kukhala ndi zizindikilo mbali imodzi kapena mbali zonse ziwiri za thupi lanu.
Palibe magawo awiri a vasospasm ofanana ndendende, ngakhale munthu yemweyo.
Zoyambitsa
Madokotala samamvetsetsa bwino zomwe zimayambitsa Raynaud. Secondary Raynaud's nthawi zambiri imakhudzana ndi matenda kapena zizolowezi za moyo zomwe zimakhudza mitsempha yanu yamagulu kapena minofu yolumikizana, monga:
- kusuta
- kugwiritsa ntchito mankhwala ndi mankhwala omwe amachepetsa mitsempha yanu, monga beta-blockers ndi amphetamines
- nyamakazi
- atherosclerosis, komwe ndiko kuwuma kwa mitsempha yanu
- mthupi, monga lupus, scleroderma, nyamakazi, kapena Sjogren's syndrome
Zomwe zimayambitsa zizindikiro za Raynaud ndi izi:
- kutentha kozizira
- kupsinjika mtima
- kugwira ntchito ndi zida zamanja zomwe zimatulutsa kunjenjemera
Ogwira ntchito yomanga omwe amagwiritsa ntchito ma jackhammers, mwachitsanzo, atha kukhala ndi chiopsezo chowonjezeka cha vasospasm. Komabe, sikuti aliyense amene ali ndi vutoli adzakhala ndi zovuta zomwezo. Ndikofunika kulabadira thupi lanu ndikuphunzira zomwe zimayambitsa.
Zowopsa
Malinga ndi National Institute of Arthritis and Musculoskeletal and Skin Diseases, azimayi ndiwotheka kuposa amuna kukulitsa chodabwitsa cha Raynaud.
Achinyamata omwe sanakwanitse zaka 30 ali ndi chiopsezo chowonjezeka chokhala ndi vuto lalikulu. Kuyamba kwa sekondale Raynaud's kumakhala kofala kwambiri kwa achikulire azaka za 30 ndi 40.
Anthu omwe amakhala m'malo ozizira kwambiri amakhudzidwa kwambiri ndi zomwe Raynaud amachita kuposa anthu okhala m'malo otentha.
Matendawa
Dokotala wanu adzakuyesani, atenge mbiri yanu yazachipatala, ndikukoka magazi anu kuti mupeze zomwe Raynaud adachita.
Adzakufunsani za zizindikilo zanu ndipo atha kupanga capillaroscopy, yomwe ndikuwunika zazing'onoting'ono zazikhomo pafupi ndi zikhadabo zanu kuti mudziwe ngati muli ndi Raynaud yoyamba kapena yachiwiri.
Anthu omwe ali ndi Raynaud yachiwiri nthawi zambiri amakulitsa kapena kupundula mitsempha yamagazi pafupi ndi khola lawo la msomali. Izi ndizosiyana ndi zoyambirira za Reynaud's, pomwe ma capillaries anu nthawi zambiri amawoneka abwinobwino pomwe vasospasm sikuchitika.
Kuyezetsa magazi kumatha kuwonetsa ngati muli ndi kachilombo ka antiinuclear antibody (ANA) kapena ayi. Kupezeka kwa ANAs kungatanthauze kuti mutha kukumana ndi zovuta zamagulu kapena zovuta zamagulu. Izi zimakuyika pachiwopsezo cha Raynaud yachiwiri.
Chithandizo
Zosintha m'moyo
Kusintha kwa moyo ndi gawo lalikulu la njira yochizira chodabwitsa cha Raynaud. Kupewa zinthu zomwe zimapangitsa mitsempha yanu kukhala yovuta ndiyo njira yoyamba yothandizira. Izi zikuphatikizapo kupeŵa mankhwala a caffeine ndi nikotini.
Kutentha ndi kuchita masewera olimbitsa thupi kumathandizanso kuti muchepetse zovuta zina. Kuchita masewera olimbitsa thupi ndikofunikira kwambiri pakulimbikitsa kufalikira ndi kuthana ndi kupsinjika.
Mankhwala
Dokotala wanu akhoza kukupatsani mankhwala ngati mumakhala ndimadongosolo a vasospasm pafupipafupi, okhalitsa, kapena okhalitsa. Mankhwala omwe amathandiza mitsempha yanu kumasuka ndikukula ndikuti:
- mankhwala opatsirana pogonana
- antihypertension mankhwala
- mankhwala osokoneza bongo a erectile
Mankhwala ena amathanso kukulitsa vuto lanu chifukwa amachepetsa mitsempha yamagazi. Zitsanzo ndi izi:
- otchinga beta
- Mankhwala opangira estrogen
- mankhwala a migraine
- mapiritsi olera
- mankhwala ozizira a pseudoephedrine
Ma Vasospasms
Ngati mukukumana ndi vasospasms, ndikofunikira kuti muzitha kutentha. Pofuna kuthana ndi ziwopsezo, mutha:
- Phimbani manja kapena mapazi anu ndi masokosi kapena magolovesi.
- Tuluka kuzizira ndi mphepo ndikutenthetsanso thupi lako lonse.
- Yendetsani manja kapena mapazi anu pansi pamadzi ofunda (osati otentha).
- Sisitani malekezero anu.
Kukhala bata kungathandize kuchepetsa kuukira kwanu. Yesetsani kukhala omasuka komanso opanda nkhawa momwe mungathere. Zitha kuthandizira kudzichotsa nokha pamavuto. Kusinkhasinkha kwambiri kupuma kwanu kumathandizanso kuti mukhale bata.
Chiwonetsero
Ngati muli ndi zochitika za Raynaud, malingaliro anu amadalira thanzi lanu lonse. Popita nthawi yayitali, Raynaud wachiwiri amabweretsa nkhawa zazikulu kuposa mawonekedwe oyamba. Anthu omwe ali ndi Raynaud yachiwiri amatha kutenga kachilombo, zilonda zam'mimba, ndi zilonda.