Ukuchonga nokunyanga isifo sikaRaynaud

Imfundo yezeMpilo Nantsi indlela oogqirha abayiqonda ngayo le ngxaki yokuxinana kwegazi

Ndaqala ndaqaphela ukuba umzimba wam wawungaphenduli kakuhle kubanda xa ndandihlala eVermont, apho ubushushu obuqhelekileyo bobusika bungama-22 degrees Fahrenheit. Iminwe neenzwane zam zajika zaba bomvu nezimfusa; baba lukhuni kwaye kunzima ukuhamba. Kwandithatha iminyaka emithathu, ukutyelela ingcali, kunye nohambo oluya kwilebhu ngaphambi kokufumana isifo sika-Raynaud.

I-Raynaud's yenzeka xa imithambo yegazi encinci kwimida yakho (kubandakanya iminwe kunye neenzwane, kodwa kunye nempumlo kunye neendlebe) ikhontrakthi kwimozulu ebandayo kwaye unqumle ukunikezelwa kwegazi kulusu lwakho kwindawo ekuhlaleni. Ngaphandle kwesi sibonakaliso siqhelekileyo nesilawulekayo, iRaynaud's inokuchaphazela abantu ngokwahlukileyo. Kukho ukuqaphela ukuxilongwa kunye nokunyangwa kukaRaynaud's okunokuphucula umgangatho wobomi kwaye kwandise nexesha lokuphila.

Isifo sikaRaynaud ngokuchasene nesenzeko sikaRaynaud

Akukho luhlobo lunye lukaRaynaud. Kukho iindidi ezimbini omele wazi ngazo (ezaziwa ngokudibeneyo njenge-Raynaud's syndrome):

• IPrayimari kaRaynaud (esibizwa ngokuba sisifo sikaRaynaud) senzeka xa kungekho meko aziwayo egalela kwiimpawu zikaRaynaud. Le nguqulo ixhaphake kwaye ihlala ithambile.
• Kwinqanaba lesibini iRaynaud's (ekwabizwa ngokuba yinto kaRaynaud) yenzeka xa kukho imeko ebangela igalelo kwiimpawu zikaRaynaud. Eminye imizekelo yeemeko zonyango zibandakanya i-scleroderma, ilupus , isifo samathambo, kunye Isifo seCarpal tunnel . Ngelixa lingaqhelekanga kakhulu, iklasi yesibini kaRaynaud ithande ukuba qatha.

Kuzo zombini iiprayimari neziziisekondari zikaRaynaud, icandelo eliphambili yi-vasoconstriction (okanye ukunciphisa imithambo yegazi). Inkcazo iyafana, ngombala omnyama, omfusa, kunye nobomvu njengoko ukuphuma kwegazi kunqunyulwa kwaye kubuye emva koko. Nangona kunjalo, kuphela imeko yesibini kaRaynaud enonobangela olandelwayo.

Ukuchonga iiprayimari neziziisekondari zikaRaynaud

Xa ujonge iimpawu zikaRaynaud, umboneleli wezempilo unokukwazi ukubona utshintsho olumhlophe, omfusa, kunye nobomvu kumanani akho ngovavanyo lomzimba. Ngaphandle koko, ugqirha unokusebenzisa uvavanyo lwamanzi abandayo, apho ubeka izandla kunye neenyawo emanzini e-ice ukuze ubone ukuba ulusu luphendula njani.

Ngenxa yokuba i-Raynaud's ephambili ayinaso isizathu esaziwayo, inkqubo yoxilongo ibandakanya ukulawula iimeko ezingaphantsi. Unokufunyanwa kuphela ukuba une-Raynaud yokuqala emva kokuvavanya ngokupheleleyo ezinye izizathu, utsho UAron Emmel , Pharm. D., Umlawuli wenkqubo kwiFarmacy Tech Scholar. Ke kuya kufuneka uyiphelise imeko kaRaynaud yesibini ngaphambi kokuba ufumane isifo. Ukuba ubonakalisa iimpawu zikaRaynaud, ugqirha unokwenza oku ngoku-odola uvavanyo lwegazi.

Xa uxilonga i-Raynaud yesibini, ababoneleli bezempilo bahlala bejongana nezifo ezizimele. Ulusu luwindow ngaphakathi kwezi meko zokuzimela, ucacisa uNoreen Galaria, MD, ugqirha wesikhumba oqinisekisiweyo kunye nomnini Ugqirha weplastikhi yeGalaria kunye neDermatology . Abo banezi ntlobo zokuphazamiseka komzimba banokuthi batyekele ekutshisweni lilanga, irhashalala, ukulahleka kweenwele kwaye-ewe-imeko kaRaynaud.

Iqheleke kangakanani iRaynaud?

Ngaphezulu kwe-20% yabemi behlabathi nokuba baneefom zaseprayimari okanye ezesekondari zikaRaynaud, ngokwe IMpilo kaZwelonke eScotland . Nangona kunjalo, uqikelelo luyahluka kakhulu kwaye inani linokuba likhulu kakhulu kuba sisiqingatha kuphela esifuna unyango. Uninzi alunakuze luziqaphele iimpawu kuba zithambile okanye umntu unokuhlala kwimozulu eshushu. (Iimpawu zam ziye zaphela unyaka opheleleyo xa ndihlala kwilizwe elitshisayo.)

Nabani na onokufumana isifo sikaRaynaud, kodwa abasetyhini banamathuba ambalwa kunamadoda okuphuhlisa iimpawu zempilo. IPrayimari iRaynaud ijwayele ukufumanisa ukuba incinci (phakathi kweminyaka eyi-15 ukuya kwengama-30). Ukufunyaniswa kwesekondari kukaRaynaud kukholisa ukuza kamva ebomini, ngesiqhelo phakathi kweminyaka engama-35 nama-40 .

Ngamanye amaxesha, abantu abafunyaniswa benesiseko sokuqala sikaRaynaud ekugqibeleni bafumana ukuxilongwa kwesifo esisisiseko kamva ebomini. Kumava am, malunga ne-10% yabo bane-primary Raynaud's bayokuphuhlisa unobangela wesibini kwixesha elizayo, utshilo uGqirha Galaria.

Yintoni ebangela uRaynaud?

Zininzi izinto ezahlukeneyo ezinokubangela ukuqala kweempawu zikaRaynaud.

Amayeza

Amayeza abangela iimpawu ezihambelana nekaRaynaud axhaphakile. Iziyobisi ezibangela i-vasoconstriction-njengolawulo lokuzalwa okanye i-beta blockers- zihlala zikhokelela kumboniso kaRaynaud. Okanye, igazi elincinanana iWarfarin linokubangela le distchem ischemia ephantse ilingise iRaynaud, utshilo uGqirha Emmel.

Le mpendulo inokwenzeka kubantu abaphantsi kukaRaynaud. Okanye, inokulinganisa iimpawu. Kwezo meko, nje ukuba isiguli siyeke iyeza elibangela imeko, iimpawu ziya kuguquka. Nanini na xa umntu enophawu olutsha lwento, into yokuqala ethi qatha engqondweni yam yile, 'Kulungile, phonononga uluhlu lwamayeza,' utshilo uGqirha Emmel.

Ukutshaya

Ukutshaya kwenza ukuba imithambo yegazi yakho iqine kwaye ikhontrakthi, enokubangela iimpawu. Inkqubo ye- i-CDC uxela ukuba i-14% yabantu abadala base-US ngoku bayatshaya icuba, kwaye ke oku kuphakamisa ukubanokwenzeka ukuba abantu abaninzi banokufumana iimpawu zikaRaynaud.

Ukufuma

Kubantu abane-Raynaud's, ukufuma okuvela kumbilo kunokupholisa ulusu kwaye kusebenze iimpawu. Umzekelo, ukuba unxiba iikawusi ezifudumeleyo, kodwa loo nto ayifuni umswakama, ukubila kwakho kunokubangela uhlaselo lukaRaynaud.

Icaffeine

Abanye, kakhulu ikhafeyini ikwabangela uhlaselo lukaRaynaud.

Inzulu kangakanani iRaynaud?

Isifo sikaPrayimari sikaRaynaud ngokuqinisekileyo asizukufumana kubi ngokuguga , nangona inokuhlala ubomi bonke. Kulabo abanemeko yesibini, unokujongana nezinye iimpawu zesifo samathambo okanye ukwenzakala phantsi komgca. Isifo esisisiseko sinokuza nomngcipheko owongezelelweyo okanye ukunciphisa ixesha lokuphila. Umzekelo, akukho lunyango lwe-scleroderma (olunxulunyaniswa noRaynaud), nangona kuthetha ixesha lokuphila iphucule ukuya kwiminyaka engama-74.5 ubudala.

Nkqu neprayimari kaRaynaud's (engahambelaniyo nemeko engaphantsi) ineengozi. Ukuba iRaynaud's ayilawulwa, ukungabikho kwegazi ukuya kumanani kunokukhokelela kwizilonda, i-necrosis, kwaye-kwiimeko ezinzima-ukufa kwidijithi, kufuna ukunqunyulwa, utshilo uGqirha Galaria.

Ngaphandle kwento yokuba uRaynaud uxhaphake kakhulu kwiziphelo, inokuchaphazela nentliziyo yakho. Ngo-2017, a ukufunda ibonise abaguli abaneRaynaud banegazi eliphantsi lokungena kwinyama yentliziyo, enokubangela iimeko zentliziyo ezantsi emgceni. Nangona kunjalo, ayingabo bonke ababandakanyekayo kwintliziyo, kwaye abantu abaninzi bayayilawula imeko yabo kakuhle ngeendlela zothintelo.

Ungayiphatha njani iRaynaud

Ngaphandle kwento yokuba uGqirha Emmel ngusokhemesti, uthi, Kuhlala kulunge ukuqala ngazo naziphi na iindlela zonyango ezinganyangekiyo. Uninzi lwabantu lukhetha ukusebenzisa utshintsho lwendlela yokuphila kunye namayeza apheleleyo kunokuba luxhomekeke kunyango olusisigxina okanye lonyaka.

Utshintsho kwindlela yokuphila

Kwiiprayimari neziziisekondari zikaRaynaud, ukhuseleko luthintelo. Obu buchule bulandelayo bunokunceda ukugcina iimpawu zikhona:

• Gwema imozulu ebandayo. Oku kunokuthetha ukuhlala kwimozulu efudumeleyo, okanye ukuhlala endlwini xa amaqondo obushushu esihla.
• Zigcine ufudumele xa ungaphandle -Ngabi ngamanani akho kuphela. Ndihlala ndibaxelela abaguli bam ukuba kubalulekile ukuba bagcine ukufudumala kwabo, utshilo uGqirha Galaria. Ukuba umzimba uziva ngathi ushushu embindini, uya kulithumela ngokulula igazi emaphethelweni endaweni yokunyanzela imithambo encinci eminwe nasezinzwaneni.
• Hlala ubumnandi ngaphakathi ezindlini, nawe. Sebenzisa iphedi yokufudumeza, ingubo, iheater ephathekayo, okanye iiglavu ezingenaminwe endlwini
• Nxiba iiglavu, iikawusi kunye neminqwazi eyenziwe ngezinto zokucheba ukufuma, njengoboya beemerino. Cinga ukusebenzisa ukufudumeza izandla ngaphakathi kweiglavu okanye kwimittens.
• Bamba okanye usele isiselo esishushu ezifana iti decaffeinated okanye cocoa.
• Nciphisa icaffeine , ezinokunyanzela imithambo yakho yegazi.
• Sebenza ekuyekeni ukutshaya . Lo mkhwa unokuminyanisa imithambo yegazi.
• Beka iminwe kunye neenzwane kwindawo yokuhlambela yamanzi ashushu. Ngokungafaniyo neqabaka, amanzi afudumeleyo aphucula iimpawu zikaRaynaud.
• Gqibezela uphononongo lwamayeza kunye nekhemesti yakho Ukuqinisekisa ukuba awuthathi nantoni na enokuthintela imithambo yegazi. Ukuba kukho imfuneko, khangela ezinye iindlela kunalezo zonyango.
• Thintela uxinzelelo lweemvakalelo. Uxinzelelo kunokubangela ukuxinana kwemithambo yegazi. Ukujongana noxinzelelo lwendalo kubalulekile ngokokubona konke.
• Qhagamshelana nomboneleli wakho wezempilo malunga nezongezelelo ezikhuthaza ukujikeleza kwegazi, njenge ganoderma lucidum, okanye reishi imashurumi

Ukuba ezi ndlela azincedi ukunciphisa iimpawu, kukho ezinye iindlela zonyango zikaRaynaud ezikhoyo.

Amayeza

Ukuba iRaynaud isachaphazela umgangatho wobomi bakho emva kokwenza utshintsho kwindlela ophila ngayo, unokufuna unyango lweyeza. Zine iindlela eziphambili zokukhetha amayeza.

1. Izithinteli zeCalcium channel blocker

Iibhlokhi zesitayile seCalcium ngokubanzi ziyindlela yokuqala yonyango, ugqirha uEmmel uthi, ngokukodwa i-dihydropyridine calcium block blockers efana neamlodipine okanye nifedipine. Ezi ziyobisi zi-vasodilators, oko kuthetha ukuba ziyancipha kwimithambo yegazi. Oko kuncipha kwenqanawa yegazi kunokunceda ukuhamba kwegazi kungene eminweni nasezinzwaneni kwaye kuncede ukukhulula iimpawu, ucacisa uGqirha Emmel

2. I-nitrate yezihloko

Umboneleli wakho wezempilo unokumisela i-nitrate, efana ne-nitroglycerin. Olu nyango lunobungqina obuncinci obuxhasa ukusebenza kwalo, lunokuba yinto emdaka, kwaye ihlala ibangela iintloko njengempembelelo esecaleni. Ngaphandle kwendalo, i-nitroglycerin yomelele kwaye inokuhlisa uxinzelelo lwegazi isixa esimiselweyo. Nangona kunjalo, abanye abantu abanakuthatha i-calcium block blocker kwaye banokuthambekela ekuzameni.

3. I-Phosphodiesterase inhibitors

Kukho udidi lwee-vasodilators ezinamandla ezibizwa ngokuba yi-phosphodiesterase inhibitors, kwaye elinye lala mayeza laziwa kakhulu phantsi kwegama lophawu lweViagra. Kukho ubungqina obuncinci-kodwa obunye ubungqina-benzuzo, utshilo uGqirha Emmel.

4. IBotox

UGqr. Galaria wongeza athi ikhona Olunye unyango olothusayo phaya lweRaynaud's: I-Botox iyanceda nge-vasodilation kwaye inokuthintela ezinye i-neurotransmitters, inceda ekushukumeni nasekunciphiseni inani lohlaselo.

Amayeza anyanga iRaynaud's
Igama leziyobisi	Iklasi yeziyobisi	Inceda njani	Fumana isigqebhezana	Funda nzulu
INorvasc (amlodipine)	I-Dihydropyridine calcium block blockers	Ikhupha imithambo yegazi	Fumana isigqebhezana	Funda nzulu
Nifedipine	I-Dihydropyridine calcium block blockers	Ikhupha imithambo yegazi	Fumana isigqebhezana	Funda nzulu
INitroglycerin	I-nitrate yezihloko	Ikhupha imithambo yegazi	Fumana isigqebhezana	Funda nzulu
Viagra (isildenafil)	Iiphosphodiesterase inhibitors	Ikhupha imithambo yegazi	Fumana isigqebhezana	Funda nzulu
IBotox (ityhefu yebhotulinum)	Iprotein ye-Neurotoxic	Ikhupha imithambo yegazi	Fumana isigqebhezana	Funda nzulu

Ngokubanzi, u-Emmel uthi, Onke la machiza onokuwasebenzisa ukunyanga anemiqolomba. Izigulana kufuneka zixoxe ngokunxibelelana kweziyobisi kunye nokuhlangana kwezifo neziyobisi kunye nomboneleli wazo wezempilo ngaphambi kokuba uthathe amayeza athile.