Isimo esivamile, ubuzwe kunye nombala wesikhumba kuxhomekeke kwigazi layo. Udokotela waseFransi uMaurice Reynaud ufumene isifo ngaphezu kweminyaka engama-150 eyadlulayo, okubangela ukunciphisa imithana yegazi kunye ne-sclerosis elandelayo kunye ne-fibrosis yamathishu. Ezi zifo zifunyaniswa kwi-3-5% yabemi beeplanethi, ngokubanzi abantu abadala.
Isifo sikaRaynaud - kuthini ngabafazi?
Ingxaki echazwe yintlupheko ezinzileyo yokunikezelwa kwegazi kwiinyawo nezandla, izandla. Ngamanye amaxesha indlebe, impumlo kunye nomlomo zibandakanyeka kule nkqubo. Kubalulekile ukugulisa isifo sikaRaynaud ngexesha elifanelekileyo - iimpawu kunye nonyango ziba zibi nakwi-progression of pathology. Ngenxa yesizathu esingaziwayo, abasetyhini abaselula banokuthi bahlupheke kwisifo (isifo sinamaxesha angama-5 aqhelekileyo kunabantu) ukusuka kwiminyaka engama-20 ukuya kwe-40.
Yintoni eyingozi isifo sikaRaynaud?
Ngenxa yokusilela kwegazi kunye ne-oksijini, i-hypoxia yolusu kunye nezicubu ezinotshoyo zenzeka, kwaye i-necrosis iyaqwalaselwa. Ekupheleni kwesigulo sikaRaynaud, iindawo ezichaphazelekayo ziqala ukugqithiswa ngamabhanti ezithatha izilonda ezinzulu kunye nokungaphili. Eyona ndlela, izicubu ziya kuphulukisa, kodwa ngamanye amaxesha ziya kufa kwaye zifake . Iingxaki ezinjalo zichaphazela izihlunu, amaqela kunye namathambo.
Isifo sikaRaynaud siyimbangela yokuqala
Imvelaphi eyiyo yenkxalabo ye-vascular disorder of the doctor has not yet been clarified. Kukho izizathu ezivusa isifo sikaRaynaud - izizathu, mhlawumbi kubangela ukugula:
- umsebenzi wobugcisa;
- i-supercooling yexesha eliqhelekileyo kunye nexesha elide;
- izifo ze-rheumatic ne-endocrine;
- umonakalo owenzela umbane kwiminwe;
- utshintshe kwiipropati ze-rheological zegazi;
- uxinzelelo olungapheliyo;
- zifo;
- ukungakwazi ukuzalwa komda weendawo eziphambili zompompo;
- izifo zesistim se-nervous system;
- i-adrenal gland ukungasebenzi;
- iimpazamo zendawo zemizila yegazi kwiminwe;
- i-angiospasm yeerterotic coronary.
Izifo zikaRaynaud - Iimpawu
Umfanekiso wekliniki wesi sifo uhambelana nesigaba saso sokuqhubela phambili. Xa ixesha elide likhula, isifo sikaRaynaud esichazwe ngakumbi - iimpawu kubasetyhini, kuxhomekeka kubukhulu besifo:
- Sigaba se Angiospastic. Iingcebiso zeminwe okanye iinyawo ziphazamisekile, ziba zibandayo kwaye ziphaphazele, kwaye zilahleke ukuqonda. Uhlaselo luvela kwiminithi embalwa ukuya kwiyure eli-1, emva koko ulusu lufumana ukubonakala okuqhelekileyo kunye nobushushu.
- Isigaba saseAngioparalytic. Iimfucu zeendawo ezichaphazelekayo zihlaselwa ngamandla, ezithandwa njengento yokugubha okanye ukukhathazeka. Ulusu luba lukhuni kunye ne-blue-violet ngombala, ukuvuvukala kweminwe kuyabonwa.
- Isigaba seTrophoparalytic okanye isifo esibi sikaRaynaud. Zonke iimpawu ezichazwe apha ngasentla ziba ziphantsi kwaye ziba rhoqo. Kwikhumba elikhuniweyo, iimbumba ezinezinto ezibomvu zenziwa, ngamanye amaxesha kukho ukuhlaselwa kwe-panaric. Izilonda zamakhanda ezibonakalayo zivela kwisiza se-blisters ephazamisayo. Ngokuhamba kwexesha, bajonge okanye banqabile. Kwiimeko ezinqabileyo ezinokubulawa kwezicubu ziya kufuma.
Izifo zikaRaynaud - I-Diagnosis
Qinisekisa ukuphuhliswa kwesi sifo kunzima ngenxa yokufana kweempawu zayo kunye nesifo esifanayo. Kubalulekile ukuhlukanisa ezinye iingxaki ze-vascular kunye nesifo sikaRaynaud - ukuxilongwa ngokuhlukana kwemida kuyimfuneko ukukhuphela ngaphandle oku kulandelayo:
- ku phelisa i-endarteritis ;
- iimeko zesisipha;
- ukucima i-subclavia;
- thyrotoxicosis ;
- scleroderma ;
- ixesha elide;
- Sjögren's syndrome;
- isifo sokuguquka;
- intambo yomlomo wesibeleko;
- syringomiaa;
- utywala kunye nabanye.
Reynaud's Syndrome kunye nezifo zikaRaynaud
Amagama afana namagama afana nawo asetyenziswe kwiipathologi ezahlukileyo, ezibalulekileyo ukuxilonga ngokuchanekileyo. Izifo kunye ne-Raynaud's syndrome ziyaziwayo ngenxa yesimo somfanekiso wesithombeni. Kwimeko yokuqala, lesi sifo sisifo esizimeleyo kunye neempawu ezithile. Isifo sisisiphumo sokuqhubela phambili kwezinye izifo, kuquka nesifo sikaRaynaud, esinye sezibonakaliso zayo. Ingxaki enjalo ye-vascular iyangqinelana nalezi zifo ezilandelayo:
- lupus erythematosus;
- i-rheumatoid arthritis;
- scleroderma;
- dermatomyositis;
- i-vasculitis;
- ukunyanzeliswa kweempahla ezixhatshazwayo;
- i-pathology ye-ganglia enovelwano;
- izifo zesifo se-diencephalic;
- izifo ezingapheliyo zegazi nemithambo yegazi;
- i-thrombosis yeemvini kunye neetriyeri;
- iintsholongwane zokuzalwa zesifo seesistim;
- pheochromocytoma;
- ukuthatha amayeza athile.
Izilingo zikaRaynaud
Okokuqala, ugqirha uyayihlolisisa isigulane aze aqokelele amannesis. Isifo sikaRaynaud sifumaneka kakhulu kwizinto ezibonakalayo. Ngamanye amaxesha kunenkcazo yokugula, ukuhlolwa ngokucophelela kwipatheni ye-vascular kummandla weiplati ze-nail kunceda. Intsimi yeyeza ephonononga isifo sikaRaynaud sisifo se-neurology, ngoko ke iimvavanyo ezongezelelweyo zenziwa. Iyona nto inolwazi luvavanyo lokubanda - isimo seenyawo emva kokuba zibhaptizwe (imizuzu emininzi) kumanzi kwiqondo lokushisa lama-10 degrees.
Ezinye iimvavanyo ezinganceda ukufumanisa isifo sikaMormis-Raynaud:
- Iimifanekiso zemizila yegazi;
- i-dopplerography of arteries;
- ukuhlolwa kwegazi (i-biochemical, yokugcinwa kwe-fibrin);
- electrocardiography.
Indlela yokuphatha isifo sikaRaynaud?
Ulwaphulo lwe-pathology oluhlolwayo luqhutywa yindlela ekhuselekileyo kunye nocwangco. Inketho yokuqala ifanelekile, ukuba ingekho inkxalabo yesifo sikaRaynaud sifumaneka-unyango lukhawulelwe ekuphumuleni kweempawu kunye nokuphuculwa kwentlalo-ntle. Le ndlela ibandakanya ixesha elide, kwaye kaninzi luhlala lonyango. Ugqirha ukhankanywe kwizigaba ezinzima zesi sifo, xa inkqubela yayo iqukumbela ukuxutywa kwamalungu kunye nezinye iziphumo eziyingozi.
Isifo sikaRaynaud - ugqirha ukuba afake isicelo?
Okokuqala, kucetyiswa ukutyelela umphathiswa wokuhlola kunye nokuqokelela i-anamnesis. Ugqirha oqhelekileyo uya kukuxelela ukuba yiphi ingcali ephethe isifo sikaRaynaud:
- neurologist;
- ogqirha wezilwanyana;
- neurologist.
Isifo sengqondo sikaRaynaud, iziyobisi
Xa ukhetha unyango lweyeza, ugqirha ukhetha:
- i-antispasmodics - i-Papaverin, i-Spazmonet, i-Buskopan;
- i-adrenoblockers (ephakathi nendawo) - i-Doxazosin, i-Prazosin, i-Zoxon;
- i-vasodilators - iPentoxifylline, i-Theobromine, iPyracetam;
- i-ganglioblokatory - Imehin, uPirilen, iTemechin;
- i-tranquilizers - i-Atarax, i-Diazepam, i-Phenazepam;
- i-calcium blockers - i-Amlodipine, iNifedipine, i-Felodip;
- i-antizapressants - Azafen, Prozac, eBholhol;
- i-cycloid inhibitors - i-Metindol, i-Indomethacin, i-ascorbic acid;
- ii-painkillers ezingekho-steroid - i-Ketanov, i-Naproxen, i-Ibuprofen;
- imithi echasayo-i-Mawalis, i-Nalgezin, i-Diclofenac;
- ii-antibiotics - i-Erythromycin, i-Clindamycin, i-Ciprofloxacin;
- iivithamini - nicotinamide, rutin, nicotinic acid.
Unokuzimela ngokuzimeleyo ubunzima beembonakaliso zeklinikhi kunye nokunciphisa ama-spasms. Nantsi indlela yokuphatha isifo sikaRaynaud ekhaya:
- Ukutya ngokupheleleyo nangokuqhelekileyo.
- Landela ukushisa okuqhelekileyo kweelungu, ukuphepha ukugaya i-hypothermia.
- Phumla, gcina indlela efanelekileyo yokuvuka nokulala.
- Gwema ukuxinezeleka kwengqondo.
- Ukuthintela kwizidakamizwa, ngakumbi ukutshaya.
- Ukuzilolonga rhoqo kwizandla nangeenyawo.
- Ukuhlawula iiphelo.
Isifo sikaRaynaud siphendula kakuhle kwezi zilandelayo zendlela zokwenza izifo ze-physiotherapeutic:
- uhlaselo ;
- i-ultraviolet irradiation;
- i-electrophoresis ene-lidase okanye i-calcium;
- diathermy;
- zokuhlambela i-galvanic;
- i-acupuncture;
- i-vacuum, i-laser kunye ne-magnetic therapy.
Isifo sikaRaynaud - unyango kunye nezilwanyana zomntu
Elinye ilungu linamathuba amaninzi okubuyisela ukujikeleza kwegazi ngokuqhelekileyo kwimizimba. Indlela efanelekileyo, indlela yokuphatha ngayo isifo sikaRaynaud ngezilwanyana zomntu - izibhedlele zokukhupha i-coniferous. Kubalulekile ukuqokelela amanzi ngeqondo lokushisa malunga nama-degrees ama-37 kwaye ungeze ama-7-10 amaconsi eoli efunekayo kuwo. Ngokuhlamba kufuneka ukhulule imizuzu eyi-10-15. Ngethuba le nkqubo, unokwenza umsila wokukhanya owenziwe ngeminwe kwaye ukhulule kakhulu umphunga ococekileyo.
Tincture unyango
Izithako:
- rhizomes owomileyo weLeuzea - 15 g;
- amanzi abandayo - 500 ml.
Ukulungiselela, sebenzisa :
- Ukusika ngokufanelekileyo izixhobo eziluhlaza.
- Thela iingcambu ngamanzi e-ice, shiya ihafu yeyure.
- Beka usebenze kwisitofu uze ubilise.
- Ubilise ikhambi emizuzu emi-2-5.
- Gubungela isitya kunye nesiqhekeza, sinika isisombululo kwiiyure ezingama-2.
- Ukucoca ulwelo.
- Phuza i-90-100 ml yesilwanyana amahlanu amahlanu ngosuku.
- Qhubeka unyango kwiiveki ezimbini.
I-tea yokuphucula ukujikeleza kwegazi
Izithako:
- amaqabunga ama-strawberry amasha - 40-45 g;
- amanzi abilayo - 300-350 ml.
Ukulungiselela, sebenzisa :
- Gaya kwaye utshise kancane izinto ezibonakalayo.
- Thela amaqabunga ngamanzi abilayo, shiya imizuzu emi-5 ukuya ku-15.
- Phuza i-150-180 ml yeeyi kangangezihlandlo ezimbini ngosuku, unako ukucola i-jam okanye ubusi.
Isifo sikaRaynaud sisisebenza
I-pathology echazweyo ayiphiliswanga ngokupheleleyo, ngoko ke, ngokunyanzelisa ngokungqongqo kuzo zonke iinqununu kunye nokonyango oluchanekileyo olukhethiweyo, luhamba kancane kodwa luqhubeka. Indlela yodwa yokuphelisa isifo sikaRaynaud yindlela yokuhlinzwa. Ukusebenza (sympathectomy) kuqinisekisa ukususwa okanye "ukuvalwa" kwemibhobho enobungozi eyonakalisiweyo, ephazamisa imipu yegazi. Abagqirha banamhlanje basebenzisa izixhobo ze-endoscopic ukwenza inkqubo, njengoko kunceda ukuphumeza iziphumo ezintle kunye neengxaki ezincinci.
Izifo zikaRaynaud - ukuhlaziya
Ingxaki yesifo se-vascular iveza ngokungaqhelekanga ukukhubazeka okanye iingxaki ezinzulu, ngokukodwa ngeyeza elifanelekileyo nangokuchanekileyo. Ngelixa zikho iindlela zokuphilisa isifo sikaRaynaud ngokupheleleyo, kodwa izibikezelo zobomi kwi-diagnostic ebonisiweyo ziyabonakala. Into ephambili - ukuzalisekisa ngokusisigxina zonke iingcebiso zeengcali, zihlala zifumana izifundo zokuthintela unyango kwaye zijonge ukushisa kwemida.