Konke Okudingeka Ukwazi Ngephenomenon kaRaynaud
-Delile
- Izimpawu zomkhuba kaRaynaud
- Izimbangela
- Izici zobungozi
- Ukuxilongwa
- Ukwelashwa
- Izinguquko zendlela yokuphila
- Imithi
- Ama-Vasospasms
- Umbono
Isimo sikaRaynaud yisimo lapho ukugeleza kwegazi kuya eminweni yakho, ezinzwaneni, ezindlebeni, noma ekhaleni kuvinjelwe noma kuphazanyiswa. Lokhu kwenzeka lapho imithambo yegazi esezandleni zakho noma ezinyaweni ihlangana. Iziqephu zokuncipha zibizwa ngokuthi ama-vasospasms.
Isimo sikaRaynaud singahambisana nezimo zezokwelapha ezingaphansi. Ama-Vasospasms acasulwa ezinye izimo, njengesifo samathambo, isithwathwa, noma isifo sokuzivikela komzimba, abizwa ngokuthi yi-secondary Raynaud's.
Isimo sikaRaynaud singenzeka futhi sisodwa. Abantu abahlangabezana nama-Raynaud kodwa bephilile ngenye indlela kuthiwa bane-primary Raynaud's.
Ukushisa okubandayo kanye nokucindezeleka ngokomzwelo kungadala iziqephu zomkhuba kaRaynaud.
Izimpawu zomkhuba kaRaynaud
Uphawu oluvame kakhulu lwento kaRaynaud ukushintsha umbala kweminwe yakho, izinzwane, izindlebe, noma ikhala. Lapho imithambo yegazi ethwala igazi iye emaphethelweni akho ivinjiwe, izindawo ezithintekile ziba mhlophe qwa futhi zizwe kubanda iqhwa.
Ulahlekelwa umuzwa ezindaweni ezithintekile. Isikhumba sakho singathatha i-tinge eluhlaza okwesibhakabhaka.
Abantu abane-Raynaud eyinhloko bavame ukuzwa ukwehla kwezinga lokushisa komzimba esifundeni esithintekile, kodwa ubuhlungu obuncane. Labo abane-Raynaud yesibili bavame ukuzwa ubuhlungu obukhulu, ukuba ndikindiki, nokushosheka eminweni noma ezinzwaneni. Iziqephu zingahlala imizuzu embalwa noma zifike emahoreni amaningana.
Lapho i-vasospasm isiphelile futhi ungena endaweni efudumele, iminwe yakho nezinzwani zakho zingashayana futhi zibonakale zibomvu ngokugqamile. Inqubo yokuvuselela kabusha iqala ngemuva kokuthuthuka kokujikeleza kwegazi lakho. Iminwe yakho nezinzwani zakho zingase zingazizwa zifudumele imizuzu eyi-15 noma ngaphezulu ngemuva kokuthi ukusatshalaliswa kubuyiselwe.
Uma une-Raynaud eyinhloko, ungathola ukuthi iminwe noma izinzwane ezifanayo ohlangothini ngalunye lomzimba wakho ziyathinteka ngasikhathi sinye. Uma une-Raynaud yesibili, ungaba nezimpawu kolunye noma ezinhlangothini zombili zomzimba wakho.
Azikho iziqephu ezimbili ze-vasospasm ezicishe zifane, ngisho nakumuntu ofanayo.
Izimbangela
Odokotela abayiqondi ngokugcwele imbangela kaRaynaud. I-Secondary Raynaud's ivame ukuhlobene nezimo zezokwelapha noma imikhuba yokuphila ethinta imithambo yegazi yakho noma izicubu ezixhuma, njenge:
- ukubhema
- ukusetshenziswa kwemithi nezidakamizwa ezinciphisa imithambo yakho, njengama-beta-blocker nama-amphetamine
- isifo samathambo
- i-atherosclerosis, okuwukuqina kwemithambo yakho
- izimo ezizimele, njenge-lupus, scleroderma, isifo samathambo, noma i-Sjogren's syndrome
Izimbangela ezivamile zezimpawu zikaRaynaud zifaka:
- amazinga okushisa abandayo
- ukucindezeleka ngokomzwelo
- ukusebenza ngamathuluzi esandla akhipha ukudlidlizela
Abasebenzi bokwakha abasebenzisa ama-jackhammers, ngokwesibonelo, bangaba nengozi eyengeziwe ye-vasospasm. Kodwa-ke, akubona bonke abanesimo abazoba nezimbangela ezifanayo. Kubalulekile ukunaka umzimba wakho futhi ufunde ukuthi yiziphi izimbangela zakho.
Izici zobungozi
Ngokusho kweNational Institute of Arthritis and Musculoskeletal and Skin Diseases, abesifazane basemathubeni amaningi kunabesilisa okuthuthukisa isimo sikaRaynaud.
Abantu abasha abangaphansi kweminyaka engama-30 banengozi eyengeziwe yokuthuthukisa isimo esiyisimo sokuqala. Ukuqala kwesekondari iRaynaud’s kuvame kakhulu kubantu abadala abaseminyakeni yabo yama-30 nengama-40.
Labo abahlala ezifundeni ezibandayo kakhulu ezindawo kungenzeka bathinteke ngokwenzeka kukaRaynaud kunabantu abahlala ezindaweni ezifudumele.
Ukuxilongwa
Udokotela wakho uzokwenza ukuhlolwa ngokomzimba, athathe umlando wakho wezokwelapha, futhi adonse igazi lakho ukuze lihlolisise okwenzeka kuRaynaud.
Bazokubuza mayelana nezimpawu zakho futhi bangenza i-capillaroscopy, okuwukuhlolwa okuncane kwemiphetho yezipikili eduze kwezinzipho zakho ukuthola ukuthi unayo yini iRaynaud's eyinhloko noma yesibili.
Abantu abane-Raynaud yesibili bavame ukukhulisa noma ukukhubaza imithambo yegazi eduze kwezikhonkwane zabo zezipikili. Lokhu kuqhathaniswa neReynaud eyinhloko, lapho ama-capillaries akho avame ukuvela ejwayelekile lapho i-vasospasm ingenzeki.
Ukuhlolwa kwegazi kungabonisa ukuthi uhlolwe ukuthi une-antibodies ye-antinuclear (ANA) noma cha. Ukuba khona kwama-ANA kungasho ukuthi kungenzeka ukuthi uhlangabezane nokuphazamiseka kwezicubu zomzimba ezisebenza ngokuzimela noma ngokuxhuma. Lezi zimo zikubeka engcupheni yesibili kaRaynaud.
Ukwelashwa
Izinguquko zendlela yokuphila
Izinguquko zendlela yokuphila ziyingxenye enkulu yenqubo yokwelashwa kwento kaRaynaud. Ukugwema izinto ezenza imithambo yegazi yakho icindezeleke umugqa wokuqala wokwelashwa. Lokhu kubandakanya ukugwema imikhiqizo ye-caffeine kanye ne-nicotine.
Ukuhlala ufudumele nokuzivocavoca nakho kungavimbela noma kwehlise ukuqina kokuhlaselwa okuthile. Ukuzivocavoca kuhle ikakhulukazi ekukhuthazeni ukusakazwa kwegazi nokulawula ukucindezeleka.
Imithi
Udokotela wakho angakunikeza imithi uma uneziqephu ze-vasospasm ezihlala njalo, ezihlala isikhathi eside, noma ezinamandla. Izidakamizwa ezisiza imithambo yegazi yakho iphumule futhi ikhulise zifaka:
- imishanguzo
- imishanguzo yokunciphisa umfutho wegazi ophakeme
- izidakamizwa zokungasebenzi kahle kwe-erectile
Eminye imithi ingenza isimo sakho sibe sibi kakhulu ngoba icindezela imithambo yegazi. Izibonelo zifaka:
- beta-blocker
- izidakamizwa ezisuselwa ku-estrogen
- imithi ye-migraine
- amaphilisi okuvimbela inzalo
- imithi ebandayo esekwe pseudoephedrine
Ama-Vasospasms
Uma uhlangabezana nama-vasospasms, kubalulekile ukuzigcina ufudumele. Ukusiza ukubhekana nokuhlaselwa, unga:
- Vala izandla noma izinyawo zakho ngamasokisi noma amagilavu.
- Phuma emakhazeni nasemoyeni uvuselele umzimba wakho wonke.
- Sebenzisa izandla noma izinyawo zakho ngaphansi kwamanzi afudumele (hhayi ashisayo).
- Massage imikhawulo yakho.
Ukuhlala uzolile kungasiza ekunciphiseni ubunzima bokuhlaselwa kwakho. Zama ukuhlala ukhululekile futhi ungabi nokucindezeleka ngangokunokwenzeka. Kungasiza ukuzisusa ngokomzimba ezimeni ezicindezelayo. Ukugxila ekuphefumuleni kwakho kungakusiza nokuthi wehlise umoya.
Umbono
Uma unesimo sikaRaynaud, umbono wakho uncike empilweni yakho yonke. Ngokuhamba kwesikhathi, iRaynaud yesibili idala ukukhathazeka okukhulu kunefomu eliyinhloko. Abantu abane-Raynaud yesibili maningi amathuba okuthi bathole ukutheleleka, izilonda zesikhumba, nokubola.