Ukuba izandla zakho zihlala zibanda, oku kunokuba sisizathu

Umxholo

• Yintoni iRaynaud's syndrome?
• Zithini iimpawu zesifo sikaRaynaud?
• Yintoni ebangela isifo sikaRaynaud?
• Ngaba ungakuthintela okanye ukunyanga isifo sikaRaynaud?
• Uphengululo lwe

Rhoqo, xa ndikhupha iiglavu zam okanye iikawusi zam, ndijonga ezantsi ezandleni zam kwaye ndiqaphele iminwe yam okanye iinzwane zimhlophe-hayi ezibengezelayo, kodwa zinomoya kwaye azikho kwaphela ngombala.

Abonzakalisi, kodwa baziva bebindindisholo, kusenza kube nzima ukukhuphela isicatshulwa okanye uchwetheze ilaptop yam bade babuye ebomini.

Ndihlala eChicago apho ubusika bubaxekileyo kwaye amaqondo obushushu asezantsi, kodwa ukufumana iigloves ezomeleleyo kunye neekawusi akuyilungisi ingxaki. Enyanisweni, kwafana ukuqaqamba kunye nokuntyiloza kwenzekile xa ndigoduka ndisuka kumdlalo wamathole ehlotyeni, ndakhwela nayiphi na inqwelomoya, ndabamba itoti yeLaCroix okanye ndibambe nje ibhegi yebrokholi ekhenkcezileyo kwivenkile yokutya.

Emva koqikelelo oluninzi kunye novavanyo lwasekhaya nasempazamo, ndabona ugqirha wam endiqinisekisile ukuba ndinemeko ebizwa ngokuba yiRaynaud's syndrome, echaphazela imithambo yegazi emaphethelweni akho ibenza bachaphazeleke kakhulu kubushushu obuguquguqukayo. Nangona kwakuvakala ngathi kuyothusa, ndathuthuzeleka xa ndafunda ngezikhalazo zam malunga neminwe ebandayo kunye neenzwane.

Ukuba ucinga ukuba unokujongana nokuninzi ngaphezu kwamanani aqhelekileyo obandayo, nantsi into endiyifundileyo ngesifo sikaRaynaud esinokukunceda:

Yintoni iRaynaud's syndrome?

Isifo sikaRaynaud okanye isifo sikaRaynaud yimeko yemithambo ebangela ukuba imithambo emincinci enikezela ngegazi eluswini lwakho ibe mxinwa, nto leyo ethintela ukuhamba kwegazi kwiindawo ezichaphazelekayo.

Ichaphazela phakathi kwe-5 kunye ne-10 yepesenti yabantu abadala base-US kwaye ixhaphake kakhulu kwabasetyhini kunamadoda, utshilo uMaureen D. Mayes, MD, ugqirha wamathambo kwi-UT Health eHouston, ohleli kwibhodi yeengcebiso kwezonyango kuMbutho kaRaynaud.

Zithini iimpawu zesifo sikaRaynaud?

Le meko ibonakaliswe ngotshintsho oluphawulekayo lombala kwimida yakho, rhoqo kwicala lesandla seminwe yakho okanye ngaphantsi kweenzwane zakho. "Oku kukunqongophala kokunikezelwa kwegazi, ke kukho ukubonakala okumthubi komnwe-inokuba isuka kwindawo edibeneyo ukuya edibeneyo, kodwa ngamanye amaxesha iyinombolo yonke ukuya kwisiseko somnwe," utshilo uGqirha Mayes. "Iminwe inokujika ibe luhlaza okanye imfusa njengoko ifudumala kwakhona, emva koko njengoko igazi libuya, linokuba buhlungu kwaye libe bomvu okanye libomvu."

Lo mbala-mibala yinto ephambili ekwahluleni nasekuxilongeni isifo sikaRaynaud-yahlukile kunezandla zakho nje. imvakalelo kubanda okanye ukufumana ithoni eluhlaza okwesibhakabhaka phantsi kweenzipho zakho, okuyindlela eqhelekileyo yokusabela ekubonakaliseni ukubanda kubantu abaninzi.

Yintoni ebangela isifo sikaRaynaud?

Oogqirha abaqinisekanga ngokupheleleyo ukuba kutheni le mpendulo igqithileyo isenzeka kwabanye abantu, kodwa iingcali ziyazi ukuba ayinyanzelekanga ukuba ibekelwe abantu abakwimozulu ebandayo. UGqirha Mayes uthi ubona iimeko ezininzi zikaRaynaud eTexas njengoko wenzayo kwimeko yakhe yangaphambili yaseMichigan.

"Akukho mntu waziyo ukuba kutheni isenzeka, kodwa kukho impendulo ebaxiweyo kwimithambo yegazi yezinye izigulana," utshilo u-Ashima Makol, MD, ugqirha wamathambo kwiKliniki yaseMayo eRochester, eMinnesota. "Ezinye izinto ezinje ngokubhenca ukubanda, okanye uxinzelelo kunye noxinzelelo, zibangela ukuba imithambo yegazi ingene kwi-spasms kwaye inciphise okwethutyana ukubonelelwa kwegazi."

Ngaphezu koko, kukho iindidi ezimbini zesi sifo. Isifo sikaPrayimari sikaRaynaud, esidla ngokubonisa ebudaleni ukuya kwiminyaka ye-30s, kulula kakhulu ukuzifumanisa ukuba unazo ezi mpawu kodwa unempilo, utshilo uGqirha Makol. Isifo sikaRaynaud sesekondari, nangona kunjalo, sibi kakhulu. Olu lwahluko luzibonakalisa emva kweminyaka engama-40 kwaye lunokuchaphazela icala elinye lomzimba wakho. Ukuba oku kuyenzeka, mlumkise ugqirha wakho, njengakwimeko ezinqabileyo, iRaynaud inokubonisa enye imeko yezempilo ephantsi, efana ne-lupus okanye i-scleroderma, utshilo uGqr. Makol.

Ngaba ungakuthintela okanye ukunyanga isifo sikaRaynaud?

Ukuba ucinga ukuba unoRaynaud, ukugcina ubushushu bomzimba ongundoqo ngundoqo, utsho uGqr Mayes. (BTW, nantsi indlela yokuhlala ushushu kwiofisi yakho ebandayo). Beka kunye nesikipa esongezelelekileyo, ibhatyi, okanye isikhafu kunokuba uthembele kwiigloves ezomeleleyo okanye iikawusi wedwa ukuthintela ingxaki (okanye, ukuba usekhaya, zama ingubo enesisindo). Imikhwa yokuphila esempilweni enjengokungatshayi kunye nokwenza umthambo rhoqo kunokunceda ukuthintela neempawu, utshilo uGqirha Makol. Ukunceda ukubuyisela iziphelo zakho ebomini ukuba ufumana ukuvutha, faka izandla zakho emanzini afudumeleyo, uyongezelela.

Kwiimeko ezinzima ngakumbi, oogqirha banokumisela i-calcium channel blockers, esetyenziswa rhoqo ukunyanga uxinzelelo lwegazi okanye uxinzelelo lwegazi. Ezi meds zinokuphucula ukuhamba kwe-vascular ezandleni nasezinyaweni zakho, kodwa kunokubangela uxinzelelo lwegazi oluphantsi kunye neentloko phakathi kwezinye iziphumo ezibi, utsho uDkt Makol.

Ngokubanzi, kungcono ufunde ukuba yintoni ebangela iRaynaud yakho kwaye uphephe ezo zinto ukulawula iimpawu zakho ngaphambi kokuba zibethe.

Uphengululo lwe