Isimo esivamile, ukuzwela nombala wesikhumba kuncike ekunikezeni igazi. Udokotela waseFrance uMaurice Reynaud wathola isifo eminyakeni engaphezu kwengu-150 eyedlule, okuyinto eyenza ukuba imithwalo yegazi imiswe ngokuqinile ngokulandelana kwe-sclerosis kanye nama-fibrosis wezicubu. Lesi sifo sitholakala ku-3-5% sezakhamuzi zeplanethi, ikakhulukazi abadala.
Isifo sikaRaynaud - kuyini abesifazane?
I-disorder echazwe yi-disorder ezinzile yokunikezwa kwegazi okuhambayo ezinyaweni nasezintweni, ezandleni. Ngezinye izikhathi izindlebe, impumulo nezindebe zihilelekile kule nqubo. Kubalulekile ukunciphisa isifo sikaRaynaud ngendlela esifike ngesikhathi - izimpawu kanye nokwelashwa kuyaba kubi kakhulu ngokuqhubeka kwe-pathology. Ngesizathu esingaziwa, abesifazane abasebasha baningi amathuba okuba bahlupheke lesi sifo (lesi sifo sivame ukuphindwa kabili kunamadoda) kusukela eminyakeni engu-20 kuya kweyama-40.
Iyiphi isifo sikaRaynaud esiyingozi?
Njengoba kunesifo segazi ne-oxygen, i-hypoxia yesikhumba nezicubu ezithambile zenzeka, futhi i-necrosis iyabonakala. Esikhathini esiphezulu sesifo sikaRaynaud, izindawo ezithintekile ziqala ukumbozwa ngamabhansela ezithatha izilonda ezinzulu nezingenaphilisi. Ngcono kakhulu, izicubu zizophulukisa, kodwa ngezinye izikhathi zizofa futhi ziphele. Izinkinga ezinjalo zithinta imisipha, amalunga namathambo.
Isifo sikaRaynaud siyimbangela yokuqala
Umsuka wangempela wezokuphazamiseka kwezidakamizwa odokotela awukacaci okwamanje. Kunezici ezivusa isifo sikaRaynaud - izimbangela, okungenzeka kubangele ukugula:
- umsebenzi wobuchwepheshe;
- i-supercooling yesikhathi eside neyesikhathi eside;
- izifo ze-rheumatic ne-endocrine;
- ukulimala kwamakinwe eminwe;
- shintsha ezakhiweni ze-rheological zegazi;
- ukucindezeleka okungapheli;
- izifo ezinzima;
- ukungakwazi ukuzalwa komzimba wezingxenyana ze-lateral zomgogodla;
- izifo zesimiso sezinzwa zomzimba;
- ukungasebenzi kahle kwegland;
- ukukhubazeka kwendawo yemithwalo yegazi eminwe;
- ama-angiospasm we-coronary arteries.
Izifo zikaRaynaud - Izimpawu
Umfanekiso wesitholampilo wesifo sifana nesigaba saso sokuqhubeka. Uma i-pathology ikhula isikhathi eside, isifo sikaRaynaud esaziwa kakhulu - izibonakaliso kubesifazane, kuye ngokuthi ubuhlungu bube bunzima kangakanani:
- Isigaba se-Angiospastic. Izeluleko zeminwe noma izinyawo ziba yinkimbinkimbi, zibandayo futhi ziphaphathekile, futhi zilahlekelwe ukuzwela. Ukuhlasela kuvela emaminithini ambalwa kuya ku-1, ngemuva kwalokho isikhumba sithola ukubukeka okujwayelekile nokushisa.
- Isigaba se-Angioparalytic. Izicubu zezindawo ezithintekile zithola isikhala esibi kakhulu, esizizwa singathi sizwakalisa noma sinezinhlungu. Isikhumba siba yisibhakabhaka ne-blue-violet embala, ukuvuvukala kweminwe kuyabonakala.
- Isigaba seTrophoparalytic noma isifo esinzima sikaRaynaud. Zonke izimpawu ezichazwe ngenhla ziwohloka futhi ziba njalo. Esikhathini esikhuphukile, izibhamu ezinezinto ezibomvu zakhiwa, ngezinye izikhathi zikhona ukuhlaselwa kwe-panaric. Izilonda ze-necrotic zivela esakhiweni sezingcweti eziqhuma. Ngokuhamba kwesikhathi, bayajula noma baqede. Ezimweni ezingavamile ukubulawa kwezicubu kufinyelela emathanjeni.
Izifo zikaRaynaud - Ukuxilongwa
Qinisekisa ukuthi ukuthuthukiswa kwalesi sifo kunzima ngenxa yokufaniswa kwezimpawu zayo ne-syndrome efanayo. Kubalulekile ukuhlukanisa ezinye izifo ze-vascular kanye nesifo sikaRaynaud - ukuhlonza ukuhlukana okuhlukile kuyadingeka ukukhipha okulandelayo:
- ukuqeda ukuphela komzimba ;
- umphumela wesisindo sezinyathelo;
- ukucindezela komcibisholo we-subclavian;
- i-thyrotoxicosis ;
- i-systemic scleroderma ;
- isikhathi sokumisa;
- Sjögren's syndrome;
- isifo se-vibration;
- imbambo yomlomo wesibeletho eyengeziwe;
- i-syringomiaa;
- ukuxiliswa kwamakhemikhali nabanye.
Reynaud's Syndrome kanye nezifo zikaRaynaud
Amagama afanayo afana nawo asetshenziselwa izifo ezihlukene, ezibalulekile ukuze zihlolwe kahle. Izifo kanye ne-Raynaud's syndrome zihlukaniswa yizimbangela zesithombe esitholakala emtholampilo. Esikhathini sokuqala, lesi sifo yisifo esizimele ngezibonakaliso ezithile. I-syndrome iwumphumela wokuqhubeka kwamanye amagciwane, kuhlanganise nesifo sikaRaynaud, okuyisinye sezibonakaliso zayo. Isifo esinjalo se-vascular sitholakala kulezi zifo ezilandelayo:
- i-systemic lupus erythematosus;
- i-arthritis ye-rheumatoid;
- i-scleroderma;
- dermatomyositis;
- i-vasculitis;
- ukucindezelwa kwezikhwebu zezinzwa;
- I-pathology ye-ganglia ezwelayo;
- ukuphazamiseka kwe-diencephalic;
- izifo ezingapheli zegazi nemithambo yegazi;
- i-thrombosis ye-veins ne-arteries;
- i-pathologies yesifo sofuba sezingcubu ezixhunyiwe;
- pheochromocytoma;
- ukuthatha imithi enamandla.
Izivivinyo zikaRaynaud's
Okokuqala, udokotela uhlola ngokucophelela isiguli bese eqoqa anamnesis eningiliziwe. Isifo sikaRaynaud sitholakala ikakhulukazi yizici zayo. Ngesinye isikhathi kuncazelo ye-pathology, ukuhlola ngokucophelela iphethini ye-vascular esifundeni sepilisi ye-nail kusiza. Insimu yemithi ehlola isifo sikaRaynaud isifo se-neurology, ngakho-ke izivivinyo ezengeziwe zenziwa. Okufundiswa kakhulu ukuhlolwa okubandayo - isimo sezitho ngemuva kokubhapathizwa (imizuzu eminingana) emanzini ekushiseni kwama-degree angu-10.
Ezinye izivivinyo ezingasiza ukukhomba isifo sikaMorris-Raynaud:
- Imidwebo yemithambo yegazi;
- ukuhlukumezeka kwamathambo;
- ukuhlolwa kwegazi (isayensi yezinto eziphilayo, ukugcinwa kwe-fibrin);
- i-electrocardiography.
Indlela yokuphatha isifo sikaRaynaud?
Ukwelashwa kwe-pathology okuhlolwayo kwenziwa ngezindlela ezizimele nezindlela zokuhlinzwa. Ukuqala kokukhetha kufanelekile, uma kungavumelani nesifo sikaRaynaud sitholakale - ukwelashwa kunomkhawulo ekuphumuleni kwezimpawu nokuthuthukisa inhlalakahle. Le ndlela ihilela isikhathi eside, futhi kaningi ukuphilisa impilo yonke. Ukuhlinzwa kunqunywe ngezigaba ezinzima zalesi sifo, lapho intuthuko yayo igcwele ukuxoshwa kwamalungu kanye neminye imiphumela eyingozi.
Isifo sikaRaynaud - udokotela okufanele asisebenzise?
Okokuqala, kunconywa ukuvakashela ochwepheshe be-examination jikelele kanye nokuqoqwa kwe-anamnesis. Udokotela jikelele uzokutshela ukuthi isiphi isazi esiphatha isifo sikaRaynaud:
- i-neurologist;
- udokotela ohlinzayo;
- i-neurologist.
Isifo sikaRaynaud - ukwelashwa, izidakamizwa
Lapho ukhetha ukwelashwa kwemithi, udokotela ukhetha:
- Antispasmodics - Papaverin, Spazmonet, Buskopan;
- i-adrenoblockers (ephakathi nendawo) - i-Doxazosin, i-Prazosin, i-Zoxon;
- i-vasodilators - i-Pentoxifylline, i-Theobromine, iPyracetam;
- i-ganglioblokatory - i-Imehin, i-Pirilen, i-Temechin;
- izinselele - Atarax, Diazepam, Phenazepam;
- i-calcium blockers - i-Amlodipine, iNifedipine, i-Felodip;
- izidakamizwa - Azafen, Prozac, Bethol;
- i-cycloid inhibitors - i-Metindol, i-Indomethacin, i-ascorbic acid;
- ama-painkillers angewona ama-steroid - i-Ketanov, i-Naproxen, i-Ibuprofen;
- imithi elwa nokuvuvukala - Mawalis, Nalgezin, Diclofenac ;;
- ama-antibiotics - i-Erythromycin, i-Clindamycin, iphrofrofloxacin;
- amavithamini - nicotinamide, rutin, nicotinic acid.
Ungakwazi ukunciphisa ngokuzimela ubukhulu bokubonakaliswa kwemitholampilo ye-pathology futhi unciphise ama-spasms we-vascular. Nansi indlela yokuphatha isifo sikaRaynaud ekhaya:
- Ukudla okuphelele nokujwayelekile.
- Landela izinga lokushisa elijwayelekile lemilenze, ukugwema i-hypothermia.
- Ukuphumula, gcina indlela enhle yokuvuka nokulala.
- Gwema ukucindezeleka ngokweqile ngokomzwelo.
- Nqabe izidakamizwa, ikakhulukazi ukubhema.
- Ukuzivocavoca nsuku zonke kwezandla nezinyawo.
- Ukuphuca imiphetho.
Isifo seRaynaud siphendula kahle ngezindlela zokwenza izifo ezilandelayo:
- ukuhlelwa kwemininingwane ;
- i-ultraviolet irradiation;
- i-electrophoresis ene-lidase noma i-calcium;
- i-diathermy;
- amabhati galvanic;
- i-acupuncture;
- i-vacuum, laser kanye ne-magnetic therapy.
Isifo sikaRaynaud - ukwelashwa ngamakhambi abantu
Imithi ehlukile inezinketho eziningana zokubuyisela ukujikeleza kwegazi okujwayelekile ezinhlobonhlobo. Indlela enhle kakhulu, indlela yokuphatha ngayo isifo sikaRaynaud ngezikhambi zabantu - ukugeza okuphethwe yi-coniferous. Kubalulekile ukuqoqa amanzi ngokushisa kwama-degrees angaba ngu-37 bese ufaka ama-7-10 amaconsi amafutha abalulekile kuwo. Ekugezeni okunjalo kufanele uphumule imizuzu engu-10-15. Ngenkathi yenqubo, ungenza ukusikhipha okulula kweminwe futhi uhlanganise ngokujulile imipuphu epholile.
Tincture yokwelapha
Izithako:
- Rhizomes owomile weLeuzea - 15 g;
- amanzi abandayo - 500 ml.
Ukulungiselela, sebenzisa :
- Ukusika kahle izinto zokusetshenziswa zemifino.
- Thela izimpande ngamanzi e-ice, shiya isigamu sehora.
- Beka umsebenzi wokusebenza esitofu bese uletha emathumba.
- Bilisa umuthi wamaminithi angu-2-5.
- Vala isitsha ngesembozo, unikeze isixazululo samahora angu-2.
- Hlunga uketshezi.
- Phuza 90-100 ml wezidakamizwa izikhathi ezinhlanu ngosuku.
- Qhubeka ukwelapha amaviki amabili.
Ithi yokuthuthukisa ukujikeleza kwegazi
Izithako:
- amaqabunga ashukela esitshalo - 40-45 g;
- amanzi abilayo - 300-350 ml.
Ukulungiselela, sebenzisa :
- Gaya futhi kancane uhlanganise izinto zokusetshenziswa.
- Thela amaqabunga ngamanzi abilayo, shiya imizuzu engu-5-15.
- Phuza u-150-180 ml weti izikhathi ezingu-2 ngosuku, ungakwazi ukuphuza ujamu noma uju.
Isifo sikaRaynaud siyindlela yokusebenza
Ngakho-ke, i-pathology echazweyo ayiphululi ngokuphelele, ngakho-ke, ngisho nokunamathela ngokuqinile kuzo zonke izincomo kanye nokwelashwa okukhethiwe kahle, kancane kancane kodwa kuqhubeka. Indlela kuphela yokuqeda isifo sikaRaynaud ukuhlinzwa. Ukusebenza (sympathectomy) kuqinisekisa ukususwa noma "ukuvalwa" kwezintambo ze-nerve ezilimele, okuvusa ukuqhuma kwemithambo yegazi. Odokotela bamazinyo zanamuhla basebenzisa imishini yokugcina i-endoscopic ukwenza le nqubo, njengoba kusiza ukufeza imiphumela emihle kakhulu ngokuhlukunyezwa okuncane.
Izifo zikaRaynaud - ukubikezela
Ukuphazamiseka okwenziwe nge-vascular disorder ngokuvamile akuholela ekukhubazekeni noma izinkinga ezinkulu, ikakhulukazi ngezokwelapha ezifike ngesikhathi futhi ezilungile. Nakuba kungekho zindlela zokwelapha ngokuphelele isifo sikaRaynaud, kodwa izibikezelo zokuphila ekuxilongweni okubonisiwe zilungile. Into esemqoka - ukufeza ngokucophelela zonke izincomo zososayensi, njalo uthola izifundo zokuvimbela zokwelapha futhi uqaphele izinga lokushisa kwemikhawulo.