Isimo sikaRaynaud: siyini, izimpawu, izimbangela kanye nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Izimbangela ezingaba khona
• Yelashwa kanjani

Isimo sikaRaynaud, esaziwa nangokuthi isifo noma isifo sikaRaynaud, sibonakala ngokushintshwa kwegazi ezandleni nasezinyaweni, okwenza umbala wesikhumba uhluke kakhulu, uqale ngesikhumba esiphaphathekile nesibandayo, ushintshe ube luhlaza okwesibhakabhaka, noma onsomi futhi, ekugcineni, ngibuyela kumbala ojwayelekile obomvu.

Le nto ingathinta nezinye izifunda zomzimba, ikakhulukazi ikhala noma izindlebe futhi, yize izimbangela zayo zingaziwa, kungenzeka ukuthi ihlotshaniswa nokuchayeka ekushintsheni okubandayo noma okungazelelwe kwemizwa, futhi kuvame kakhulu kwabesifazane.

Izimpawu eziyinhloko

Izimpawu eziyinhloko ze-Raynaud's syndrome zivela ngenxa yezinguquko ekujikelezeni kwegazi ngenxa yokuncipha kwemithambo yegazi, ekhuthaza ukwehla kwegazi futhi, ngenxa yalokho, i-oxygen esikhunjeni. Ngakho-ke, izimpawu eziyinhloko zesifo sikaRaynaud yilezi:

• Shintsha umbala weminwe, oqala uphenduke bese uba nsomi ngokwengeziwe ngenxa yokushoda komoya-mpilo kuleyo ndawo;
• Ukuzwa okushisayo endaweni ethintekile;
• Ukulinganisa;
• Ukuvuvukala kwesandla;
• Ubuhlungu noma isisa;
• Kuvela ukuqubuka okuncane esikhunjeni;
• Izinguquko ekubunjweni kwesikhumba.

Izimpawu zesifo sikaRaynaud's zivele ikakhulu ngenxa yamakhaza amakhulu noma ukuchayeka emazingeni okushisa aphansi isikhathi eside, ngaphezu kokukwazi ukwenzeka ngenxa yengcindezi enkulu.

Imvamisa, izinyathelo ezilula njengokugwema amakhaza nokugqoka amagilavu ​​noma amasokisi awugqinsi ebusika, zanele ukuqeda izimpawu nokunciphisa ukungaphatheki kahle okubangelwe. Kodwa-ke, lapho izimpawu zinganciphisi noma yilezi zinyathelo, kubalulekile ukubonisana nodokotela ojwayelekile ukuze kwenziwe ukuhlolwa ukuthola imbangela yesifo sikaRaynaud nokukhombisa ukwelashwa okufanele kakhulu.

Ungakuqinisekisa kanjani ukuxilongwa

Ukuxilongwa kwesimo sikaRaynaud kufanele kwenziwe ngudokotela ojwayelekile ngokuhlola ngokomzimba lapho kubonakala khona izimpawu nezimpawu zomuntu.

Ngaphezu kwalokho, ukukhipha ezinye izimo ezinikeza izimpawu ezifanayo, njengokuvuvukala noma izifo ezizimele, udokotela angakhombisa ukusebenza kokunye ukuhlolwa, njengokuhlola ama-antinuclear antibodies, i-erythrocyte sedimentation speed (VSH), ngokwesibonelo.

Izimbangela ezingaba khona

Isimo sikaRaynaud sihlobene kakhulu nokuchayeka emakhazeni njalo noma isikhathi eside, okuholela ekushintsheni kokugeleza kwegazi. Kodwa-ke, lesi simo futhi singaba ngumphumela wento ethile, saziwe njengesifo sesibili sikaRaynaud. Ngakho-ke, izimbangela eziyinhloko zalesi sifo yilezi:

• I-Scleroderma;
• I-Poliomyositis ne-dermatomyositis;
• Isifo samathambo;
• Isifo sikaSjogren;
• I-Hypothyroidism;
• Carpal Umhubhe syndrome;
• IPolycythemia vera;
• I-Cryoglobulinemia.

Ngaphezu kwalokho, into kaRaynaud ingenzeka njengomphumela wokusebenzisa umuthi othile, ukusebenzisa osikilidi nokwenza imisebenzi ngokunyakaza okuphindaphindwayo, ngokwesibonelo.

Yelashwa kanjani

Isimo sikaRaynaud asidingi ukwelashwa okukhethekile, futhi ezimweni eziningi kunconywa kuphela ukuthi isifunda sishiswe ukuze ukusakazwa kwegazi kusebenze futhi kubuyiselwe. Kodwa-ke, kubalulekile ukuya kudokotela uma izimpawu ziqhubeka noma imiphetho iba mnyama, njengoba kungasho ukuthi izicubu ziyafa ngenxa yokushoda komoya-mpilo, futhi kungadingeka ukunquma indawo ethintekile.

Ukugwema i-necrosis, kunconywa ukuthi uvikele izindawo ezibandayo futhi usebenzise amagilavu ​​namasokisi awugqinsi ebusika, isibonelo. Ngaphezu kwalokho, kunconywa ukuthi ungabhemi, ngoba i-nicotine nayo ingaphazamisa ukujikeleza kwegazi, inciphise inani legazi elifinyelela emaphethelweni.

Kodwa-ke, lapho imingcele ibanda njalo futhi imhlophe futhi lo mkhuba uhlobene nezinye izinkinga zempilo, udokotela angancoma ukusetshenziswa kwemithi ethile, njengeNifedipine, iDiltiazem, Prazosin noma iNitroglycerin kumafutha, ngokwesibonelo.