Isenzo sikaRaynaud - siyini lesi sifo?

Ngokuvumelana nomsebenzi walo, Ibhodi Lokuhlela le-MedTvoiLokony lenza yonke imizamo yokuhlinzeka ngokuqukethwe kwezokwelapha okuthembekile okusekelwa ulwazi lwakamuva lwesayensi. Ifulegi elengeziwe elithi "Okuqukethwe Okuhloliwe" libonisa ukuthi i-athikili ibuyekezwe noma yabhalwa udokotela ngokuqondile. Lokhu kuqinisekisa okuyizinyathelo ezimbili: intatheli yezokwelapha kanye nodokotela basivumela ukuthi sinikeze okuqukethwe kwekhwalithi ephezulu ngokuhambisana nolwazi lwamanje lwezokwelapha.

Ukuzibophezela kwethu kule ndawo kuye kwathakaselwa, phakathi kokunye, yiNhlangano Yezintatheli Zezempilo, eyaklomelisa Ibhodi Lokuhlela le-MedTvoiLokony ngesihloko sokuhlonipha esithi Umfundisi Omkhulu.

Isimo sikaRaynaud yisimo esibonakala ngokuba ndikindiki eminwe nasezinzwaneni, kanye nokubanda kwekhala nezindlebe. Ingqikithi yayo i-vasoconstriction eyeqile ebangelwa ukucindezeleka, izinga lokushisa eliphansi le-ambient noma imisebenzi yezandla ejulile. I-etiology yalesi sifo se-vasomotor ayaziwa.

  1. Uphawu oluvame kakhulu ukuba ndikindiki kanye neminwe eluhlaza okwesibhakabhaka, ehambisana nobuhlungu
  2. Ukuvela kwezimpawu ezinjalo kufanele kube uphawu lokuxhumana nodokotela
  3. Isifo sikaRaynaud sisongela, phakathi kokunye, abadlali bopiyano, kodwa nabesifazane abasebasha
  4. Ulwazi olwengeziwe lungatholakala ekhasini eliyisiqalo le-Onet

Siyini isifo sikaRaynaud nesifo?

Isenzakalo sikaRaynaud siwukuphazamiseka kwe-vasomotor ye-etiology engaziwa ebonakala ngokuphaphatheka kungazelelwe, bese kuba nemihuzuko kanye nokuba bomvu kweminwe, izinzwane, okungajwayelekile ikhala nezindlebe, okuhambisana nokuba ndikindiki nobuhlungu. Zihlukaniswe zibe ukuphazamiseka okuyinhloko, okubizwa nangokuthi Isifo sikaRaynaud futhi okwesibili, okuhambisana nezinye izifo, okubhekiselwa kuzo ngokuthi Isifo sikaRaynaud.

Isigameko sesimo sikaRaynaud singamaphesenti angama-3-4. inani labantu. Ezindaweni ezinesimo sezulu esipholile, ubukhona bayo bulinganiselwa cishe ku-30%. Ivame ukutholakala kwabesifazane abasebasha abanomthwalo womndeni.

Isithombe somtholampilo sesifo sikaRaynaud

Isifo sika-Raynaud ngokuvamile sihlasela abantu abaneminyaka ephakathi kwe-15 nengama-45. Uphawu lwakudala iminwe yakho ishintshashintshashintshashintshashintshashintshayo futhi inyakaze ngaphansi kwethonya lokubanda noma ingcindezi. Bese ziba blush futhi zibe ndikindiki, futhi ngemva kwesikhathi esithile, zibomvu ngokuzwa ubuhlungu. Iminwe nezinzwane zivame ukuthinteka. Ngaphezu kwalokho, uphawu lungase luvele endaweni ye-auricles, ulimi, ikhala nezindebe. Abanye abantu bangase babe nezilonda zeminwe ngisho ne-necrosis yeminwe.

Ukushintsha umbala ku-Raynaud's syndrome ngokuvamile kuchazwa kahle futhi kuthinta umunwe owodwa noma ngaphezulu. Ezigulini kukhona:

  1. ukufiphala - isici sesigaba se-ischemic; kuvela ngenxa yokuncipha kwe-arterioles endaweni yeminwe;
  2. i-cyanosis - ukuntuleka kokunikezwa kwegazi okufanele kuholela ekwandeni kwemithambo kanye nama-capillaries, okubangela ukuthi igazi le-deoxygenated lihlale ezitsheni;
  3. i-hyperemia - kwenzeka ngesikhathi sokushisa ngenxa yokumiswa kokunciphisa imithambo yeminwe kanye nokwanda kokugeleza kwegazi nge-arterioles nama-capillaries.

Funda kabanzi mayelana nezimbangela ezingase zibe ndikindiki eminwe esesandleni sobunxele.

Isifo sikaRaynaud

Ngemuva kokuthi izimbangela zesibili ze-Raynaud's phenomenon sezikhishiwe, leli gama livame ukubizwa ngokuthi isifo sikaRaynaud. Ukuthambekela kokuvela kwayo kukhulu ebulilini besifazane (kufika izikhathi ezinhlanu kunabantu besilisa). Imvamisa sihlasela abantu abaphakathi kweminyaka engama-20 nengama-40 ubudala. Kuyafaneleka ukubalula lokho ingxenye yeziguli ezinesifo sikaRaynaud sinesifo sikaRaynaud. Iminwe iyathinteka phakathi nalesi sifo. Ekuqaleni, lesi sifo singase sithinte umunwe owodwa noma emibili, futhi ngokuhamba kwesikhathi singase sithinte wonke umunwe noma yonke iminwe. Ukuxilonga akulula neze. Odokotela bavame ukungaboni noma yikuphi ukungahambi kahle, isb emithanjeni ekhanyayo, ezindololwaneni nasezinyaweni - ukushaya kwenhliziyo kujwayelekile. Kwezinye iqembu leziguli, ukuqina kwezicubu ezingaphansi kwesikhumba endaweni yeminwe kuyabonakala.

Ngokusho kochwepheshe, isimo sikaRaynaud sithambile kakhulu kubantu abaphethwe yilesi sifo.

Isifo sikaRaynaud - izimbangela

Isifo sikaRaynaud kanye ne-syndrome kungenzeka ngaphansi kwezimo ezilandelayo:

  1. i-atherosclerosis yemithambo yegazi,
  2. i-systemic lupus erythematosus,
  3. isifo sezicubu ezixhumene,
  4. isifo samathambo,
  5. i-polymyositis ne-dermatomyositis,
  6. i-polyarteritis nodosa,
  7. I-granulomatosis ye-Wegener,
  8. i-systemic scleroderma,
  9. Isifo sikaBehcet,
  10. I-Thromboembolic vasculitis (izinsizwa ezibhemayo zisengozini ikakhulukazi),
  11. ukuphazamiseka kokwakheka kwegazi (lokhu ikakhulukazi ezigulini ezihlushwa i-agglutinin syndrome ebandayo, i-macroglobulinemia ka-Waldenstrom, i-cryofibrinogenemia noma i-cryoglobulinemia.

Abantu okutholakala ukuthi bane-endocarditis ethathelwanayo, isifo seLyme, i-mononucleosis esithathelwanayo kanye ne-hepatitis B no-C nabo basengozini yalesi sifo.

Isifo sikaRaynaud kanye nesifo sivame kakhulu kubantu abahlushwa i-fibromyalgia, umfutho wegazi ophezulu wamaphaphu nomdlavuza, kanye nezifo ezinokwanda kwe-viscosity yegazi, njenge-cryoglobulinemia, i-myeloma eminingi, i-lymphomas kanye ne-leukemia, i-polycythemia vera ne-thrombocytopenia. Futhi, ama-syndromes okucindezela afana ne-carpal tunnel syndrome kanye ne-upper thoracic outlet syndrome asengozini yokuthola lesi sifo. Isifo sikaRaynaud kanye nesifo se-syndrome kuvamile futhi nakubantu abathatha imithi ethile yenhliziyo, izivimbela-nzalo zomlomo kanye nama-immunosuppressants (i-cyclosporin A, i-methotrexate). Ukuchayeka emsebenzini ezinsimbi ezisindayo: umthofu nethallium, kanye ne-vinyl chloride nakho kubaluleke kakhulu. Ngakho-ke, abasebenzisa ama-jackhammer, amasaha kaphethiloli emahlathini nasezindaweni zokumba ezibanjwa ngesandla ezimayini, kanye nabanyathelisa ngama-computer, abadlali bopiyano nezisebenzi zasefrijini, bavame ukugula ngenxa yalesi sifo.

Bheka ukuthi uphethwe yini i-carpal tunnel syndrome.

Sitholakala kanjani isifo sikaRaynaud?

Ukuxilongwa kwesifo sikaRaynaud kwenziwa ngudokotela ngesisekelo sokuxoxisana, ukuhlolwa ngokomzimba kanye nokuhlolwa okwengeziwe. Ukuxilongwa kwezimpawu zomtholampilo zezifo lapho kwenzeka khona uRaynaud kuvumela ukuxilongwa kwe-Raynaud's syndrome.

Ukuthola ukuxilongwa kubaluleke kakhulu kubantu abasengozini enkulu yokuthola isifo sikaRaynaud. Lokhu kufaka phakathi abantu abane-Raynaud's phenomenon ngaphambi kweminyaka engama-30 kanye nabo bonke abanezinguquko ze-trophic (izilonda, i-necrosis) eminweni kanye neziguli ezinezifo ze-systemic connective tissue.

Ingabe ufuna indlela yokuthuthukisa imetabolism yakho? I-Berberine ingaba ukusekelwa. Ungathola isengezo ngaso kuMedonet Market.

Ezigulini ezithola i-paroxysmal paling yeminwe nezinzwane ngaphansi kwethonya lemizwelo noma amakhaza, udokotela wenza ukuhlolwa kokucasula. Ngesikhathi sokuhlolwa, izandla noma izinyawo zesiguli kufanele zicwiliswe emanzini abandayo imizuzu embalwa noma zifakwe ngaphansi komfudlana wamanzi abandayo. Ngaphezu kwalokho, ukuhlolwa kwegazi (okudingekayo ukuze kutholakale imbangela ye-Raynaud's phenomenon) kwenziwa. Umphumela wokuhlolwa oqondile ohlangene nezimpawu ungase ubonise ukuthi lesi sifo sikaRaynaud.

Ukwelashwa kwesenzo sikaRaynaud

Iziguli eziningi ezine-primary Raynaud's syndrome azidingi ukwelashwa. Abantu abanohlobo lwesibili lwesifo kufanele belashwe, ngeshwa ukwelashwa kuvame ukungasebenzi. Ukwelashwa kwe-Raynaud's syndrome ukwelapha isifo esiyisisekelo kanye nezimpawu ze-vasospasm. Ukuvimbela kubalulekile. Ngakho-ke, udokotela kufanele achaze kuqala ukuthi siyini lesi sifo nokuthi yiziphi izindlela zokusivimbela. Isihluthulelo siwukugwema ukuchayeka emakhazeni, ukuyeka ukubhema, ukunciphisa ukuphuza iziphuzo ezine-caffeine nokuyeka izinto zokuvimbela inzalo kanye namalungiselelo abangela ukugobhoza kwemithambo yegazi (isib. imithi ethile yenhliziyo).

Funda ngezifo ezivamile zesimiso segazi.

Kwezinye izimo, lapho isifo sinzima futhi izinyathelo zokuvimbela zihlulekile, i-pharmacotherapy isetshenziswa. Bese kusebenza okulandelayo:

  1. amalungiselelo e-sympatholytic ngendlela ye-pentoxybenzamine, i-guanethidine ne-methyldopa;
  2. ama-calcium channel blockers, ikakhulukazi ekwehliseni izimpawu ze-Raynaud's syndrome, isb i-felodipine, i-nifedipine, i-isradipine ne-amlodipine;
  3. I-α1-adrenergic post-synaptic antagonists - i-doxazosin, i-prazosin ne-terazosin iyasebenza.

I-Sympathectomy yenziwa ezigulini ezingaphenduli ekwelashweni kwemithi. Kuhilela ukucekelwa phansi kwezinzwa ezizwelayo ezinikeza imithambo yegazi.

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Futhi hlola:

  1. Imithi emihlanu ebiza kakhulu emhlabeni - umnikazi werekhodi ubiza ngaphezu kwezigidi ezimbili zamadola!
  2. Izifo eziyisikhombisa esingazithola emakatini
  3. Izitho zomzimba umuntu angazidingi

Sesiside isikhathi ungayitholi imbangela yokugula kwakho noma usafuna? Ingabe ufuna ukusitshela indaba yakho noma udonsele ukunaka kwenkinga yezempilo evamile? Bhalela ekhelini [email protected] #Sisonke singenza okwengeziwe

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