Primary and Secondary Raynaud's
Kunzwa kunotonhora mumaoko uye / kana netsoka, kana kunzwisiswa kunotonhora, ndiko kunonyanya kunetseka kune vanhu vane utachiona husingaiti, huzivikanwa se hypothyroidism. Kazhinji, kutarisana nehutano senzwi uye kuwedzera kwemvura kunoderera zvakanyanya mushure mekunge wakagamuchira zvakakodzera uye zvakanakisisa kurapa kwako hypothyroidism.
Zvisinei, kune vamwe vanhu vane chirwere chetachiona, zviratidzo izvi zvine hutano zvinopfuurira.
Kana maoko echando uye / kana tsoka dzichiripo, zvakanakisisa kuti uongororwe nachiremba wako sezvaunogona kunge uine humwe hutano-hunonzi chirwere chaRaynaud.
Tsanangudzo yeRaynaud's
Chirwere chaRaynaud chinoreva kukanganisa kweropa kuderera kusvika kune zvigunwe uye zvigunwe (zvisiri zvishoma), nekuda kwemavara asina kukodzera mumidziyo yeropa.
Primary and Secondary Raynaud's
Chinokonzera guru raRaynaud hachizivikanwe (chinowanzonzi chinonzi Raynaud's phenomenon). Rudzi urwu runowanzozivikanwa muvakadzi uye runogona kufamba mumhuri.
Chikoro Raynaud chinoreva kuti chimwe chikonzero chinokonzera (somuenzaniso, chirwere, toxin, kana kukuvadzwa) chiri kutungamirira kune ropa risina kuchena remidziyo.
Mienzaniso yezvirwere zvakabatanidzwa kune yechipiri Raynaud's dzinosanganisira:
- Hypothyroidism
- Systemic lupus erythematosus
- Scleroderma
- Sjögren's syndrome
- Rheumatoid arthritis
Mamwe mamiriro ezvinhu anonyatsopindira mishonga (kana mitsipa inodzora mishonga) mumaoko netsoka inogona kukonzera Raynaud, kufanana necarpal tunnel syndrome, atherosclerosis, kana vasculitis.
Akaona Raynaud's Attack
Kuratidzira kunotonhora (kana kunyanya kunetseka mupfungwa) ndicho chinhu chinoita kuti kuve nekurwisa kwaRaynaud. Zvimwe zvinowanzokonzera Raynaud's zvinosanganisira:
- Kuenda panze panguva yechando chakasviba
- Kubata an iced drink
- Kufamba muimba yepamhepo
- Kuisa maoko ako mufiriji
- Kuisa maoko pasi pemvura inotonhora
Munguva yekurwiswa kwaRaynaud, nzvimbo inoshandiswa inowanzosviba chena, dzimwe nguva yebhuruu, (sezvinoita oxygen inokundikana kusvika kumagumo). Zvadaro, sekukanganiswa kweokisijeni mumatumbu, nzvimbo yacho inoputika.
Mukureva kwekunzwa, minwe kana zvigunwe zvinogona kunzwa zvakaneta uye zvisingasviki sezvo ropa rinopera kwavari rinoparadzaniswa. Iwe unganzwa uchinetseka kana kurwadziwa kunorwadza, uye nzvimbo yakakanganisika inogona kukura. Sezvo kurwisa kuri kuguma uye ropa richidzoka, zvigunwe kana zvigunwe zvinogona kuputika uye kumira. Kazhinji, ropa rinoyerera kusvika paganda richaramba rakadzika kusvikira ganda rava kuchenesa. Pashure pokupisa, zvinowanzotora maminetsi gumi nemakumi maviri nemakumi maviri kuti awane ropa rakati rakaita seganda.
Kuongorora Rainaud's
Mukuwedzera pakuongororwa kwezviratidzo zvako, chiremba wako anogona kuita chirwere chekutsvaira. Muchiyero ichi, chigadziri chinorema kutonhora chinonamirwa kuminwe yako, uye ipapo maoko ako anoiswa mumvura inotonhora. Chigadzirwa chacho chinodhura kuti nokukurumidza minwe yako inopisa sei uye inodzokera kuchitonho chenguva dzose. Kupindura zvishoma kunogona kuva chiratidzo chaRaynaud's.
Chimwe chiedzo chinowanzoitwa chinonzi nailfold capillaroscopic. Muchiyero ichi, doro remafuta rinoshandiswa kune imwe nheyo yewaini yako, iyo inobva iongororwa pasi microscope kuti ione mishonga isingaenzaniswi inogona kuva chiratidzo chaRaynaud's.
Mune dzimwe nguva kuongororwa kweropa kunoshandiswa kubatsira kubatsira kuongorora Raynaud's, kusanganisira:
- Antinuclear antibody (ANA), iyo inotarisa masimba ekurwisa seroi nuclei, iyo inogona kuva chiratidzo chezvimoto
- Erythrocyte sedimentation rate (ESR / muzinga), iyo inogona kuona kuputika
Mishonga yaRaynaud's
Kana uine chirwere chetachiona naRaynaud's, danho rako rokutanga rinofanira kuva yekuwana chirwere chetachiona chakakwana . Imwe danho rinokosha ndekudzivisa kana kuderedza kusviba kunotonhora.
Kuchengeta muviri wako ushamwari, uye kunyanya magumo ako chinhu chinokosha chekudzivirira raRaynaud's. Izvi zvinosanganisira kusazvidzivirira nekukurumidza kwekushisa kunoshanduka.
Hats dzinowanzokurudzirwa, uye kushambidzika kwepurasitiki, masero mashoma emvere, uye makemikari maoko kana tsoka dzinopisa mumamiriro ekupisa anotonhora anogona kupa zvakanyanya kudzivirirwa. Kupfekedza magirazi vasati vatora zvinhu zvakasviba kana zvakanyanyisa uye nekudzivisa kusvuta (kusanganisira kusvuta fodya) kunokurudzirwa zvakare.
Kune mamwe maitiro akaoma, kurapwa kwemishonga kunogona kubatsira. Mimwe yemishonga inoshandiswa mukurapa raRaynaud inosanganisira:
- Calcium channel blockers , dzakadai saProdiadia (nifedipine) kana kuti Norvasc (amlodipine)
- Topical nitrates
- Vasodilator Viagra (sildenafil)
Pakupedzisira, zvakakosha kuita kushungurudzika mupfungwa chikamu chehupenyu hwako hwezuva nezuva, nokuti mhinduro shoma kumanikidziro inonzi inozivikanwa yeRaynaud's. Kuzorodza kana kushungurudzika maitiro akadai sekufema kana kufungisisa kunogona kubatsira kune vamwe vanorwara naRaynaud.
Shoko Rinobva
Kunyange zvazvo uchiona Raynaud's inogona kukuvadza uye isingafadzi, zororo rinokurudzira kune zvinhu zvaunogona kuita kudzivirira kutambudzwa. Uyezve, kana iwe ukaguma uchida kurapwa, ndizvo zvakanaka, zvakare. Iwe unogona kungozvitsvakira zvinyararire, sezvakaita mumwedzi inotonhora.
Sources:
> Hudson M et al. Kusvuta fodya muvarwere vane systemic sclerosis. Arthritis Rheum . 2011 Jan; 63 (1): 230-8.
> Hughes M, Herrick AL. Raynaud's phenomenon. Best Pract Res Clin Rheumatol. 2016 Feb; 30 (1): 112-32.
> Kadan M et al. Kunyatsotevera Kura Kwevarwere neRaynaud Phenomenon kuve Kunakidzwa Sei? Med Sci Monit Basic Res . 2015; 21: 47-52.
> Levien TL. Kufambira mberi mukurapa kwaRaynaud's phenomenon. Vasc Health Risk Manager . 2010; 6: 167-77.
> Wigley FM, Flavahan NA. Raynaud's Phenomenon. N Engl J Med . 2016 Aug 11; 375 (6): 556-65.