Into kaRaynaud: yintoni, iimpawu, oonobangela kunye nonyango

Umxholo

• Iimpawu eziphambili
• Indlela yokuqinisekisa ukuxilongwa
• Izizathu ezinokubangela
• Unyango lwenziwa njani

Into kaRaynaud, ekwabizwa ngokuba sisifo sikaRaynaud okanye isifo, ibonakaliswa kukutshintsha kwegazi ezandleni nasezinyaweni, nto leyo ebangela ukuba ulusu lutshintshe ngokuthe gca, luqale ngolusu olumbala nolubandayo, lutshintshe lube luhlaza okwesibhakabhaka, okanye mfusa kwaye, okokugqibela, ndibuyela kumbala oqhelekileyo obomvu.

Le meko inokuchaphazela neminye imimandla yomzimba, ikakhulu impumlo okanye iindlebe kwaye, nangona izizathu ezingaziwayo zingaziwa, kunokwenzeka ukuba inxulunyaniswa nokuvezwa kubanda okanye utshintsho lweemvakalelo ngesiquphe, iphinda iqhele kubantu basetyhini.

Iimpawu eziphambili

Iimpawu eziphambili zesifo sikaRaynaud zivela ngenxa yotshintsho ekujikelezeni kwegazi ngenxa yokuncipha kwemithambo yegazi, ekhuthaza ukwehla kokuhamba kwegazi kwaye, ngenxa yoko, ioksijini kulusu. Ke, iimpawu eziphambili zesifo sikaRaynaud zezi:

• Guqula umbala weminwe, ethi kuqala ijike ibe mthubi kwaye ibe mfusa ngakumbi ngenxa yokunqongophala kweoksijini kwindawo leyo;
• Ukutsala imvakalelo kwindawo echaphazelekayo;
• Ukulinganisa;
• Ukudumba kwesandla;
• Ubuhlungu okanye ukuthamba;
• Kuvela irhashalala eluswini;
• Utshintsho kubume besikhumba.

Iimpawu zesifo sikaRaynaud's zivela ikakhulu ngenxa yengqele ebandayo okanye ukubakho kumaqondo obushushu asezantsi kangangexesha elide, ukongeza ekubeni nakho ukwenzeka ngenxa yoxinzelelo olukhulu.

Ngokwesiqhelo, amanyathelo alula njengokuthintela ukubanda nokunxiba iiglavu okanye iikawusi ezishinyeneyo ebusika, anele ukunciphisa iimpawu kunye nokunciphisa ukungonwabi okubangelwa. Nangona kunjalo, xa iimpawu zinganciphisi nakula manyathelo, kubalulekile ukudibana noogqirha jikelele ukuze kwenziwe uvavanyo lokuchonga unobangela wesifo sikaRaynaud kunye nokubonisa olona nyango lufanelekileyo.

Indlela yokuqinisekisa ukuxilongwa

Ukuchongwa kwesenzeko sikaRaynaud kufuneka kwenziwe ngugqirha ngokubanzi ngokwenza uvavanyo lomzimba apho kubonakala khona iimpawu kunye neempawu zomntu.

Ukongeza, ukulawula ezinye iimeko ezibonisa iimpawu ezifanayo, ezinje ngokudumba okanye izifo ezenzekelayo, ugqirha unokubonisa ukusebenza kwezinye iimvavanyo, ezinje ngokuvavanya ii-anti-nyukliya, isantya se-erythrocyte sedimentation (VSH), umzekelo.

Izizathu ezinokubangela

Into kaRaynaud ikakhulu inxulumene nokuchaphazeleka rhoqo okanye ixesha elide kubanda, okukhokelela kutshintsho lwegazi. Nangona kunjalo, le meko inokuba sisiphumo sento ethile, yaziwa ngokuba sisifo sesibini sikaRaynaud. Ke, oyena nobangela uphambili wale syndrome zezi:

• Iscleroderma;
• I-Poliomyositis kunye nedermatomyositis;
• Irheumatoid Arthritis;
• Isifo sikaSjogren;
• IHypothyroidism;
• Isifo seCarpal tunnel;
• IPolycythemia vera;
• Cryoglobulinemia.

Ukongeza, into kaRaynaud inokwenzeka njengesiphumo sokusebenzisa amayeza athile, ukusebenzisa iisigarethi kunye nokwenza imisebenzi yokuphindaphinda iintshukumo, umzekelo.

Unyango lwenziwa njani

Into kaRaynaud ayihlali ifuna unyango oluthile, kwaye kwiimeko ezininzi kuyacetyiswa kuphela ukuba indawo ifudunyezwe ukuze ukujikeleza kusebenze kwaye kubuyiselwe. Nangona kunjalo, kubalulekile ukuba uye kugqirha ukuba iimpawu ziyaqhubeka okanye imiphetho iba mnyama, njengoko kunokuthetha ukuba izicwili ziyafa ngenxa yokunqongophala kweoksijini, kwaye kunokuba yimfuneko ukunqunqa indawo echaphazelekayo.

Ukuthintela i-necrosis, kuyacetyiswa ukuthintela indawo ezibandayo kunye nokusebenzisa iigloves kunye neekawusi ezityebileyo ebusika, umzekelo. Ukongeza, kuyacetyiswa ukuba ungatshayi, kuba inicotine inokuphazamisa ukujikeleza kwegazi, ukunciphisa inani legazi elifikelela eziphelweni.

Nangona kunjalo, xa iingqele zibanda rhoqo kwaye zimhlophe kwaye le nto inxulumene nezinye iingxaki zempilo, ugqirha unokucebisa ukuba kusetyenziswe amanye amayeza, anje ngeNifedipine, iDiltiazem, Prazosin okanye iNitroglycerin kwioyile, umzekelo.