Chikhalidwe, chidziwitso komanso mtundu wa khungu zimadalira magazi. Mayi wina wa ku France dzina lake Maurice Reynaud anapeza matendawa zaka zoposa 150 zapitazo, zomwe zimapangitsa kuti mitsempha ikhale yochepa kwambiri. Matendawa amapezeka mu 3-5% a anthu, makamaka achikulire.
Matenda a Raynaud - Ndi chiyani ndi akazi?
Matenda ofotokozedwa ndi matenda osokonezeka a magazi opangira mapazi ndi manja, pamanja. Nthawi zina makutu, mphuno ndi milomo zimakhudzidwa. Ndikofunika kuchepetsa matenda a Raynaud m'nthawi yake - zizindikiro ndi chithandizo cha mankhwala zimakhala zoipitsitsa ndi kukula kwa matenda. Chifukwa chachidziwikire, atsikana amavutika kwambiri ndi matendawa (matendawa ndi ochuluka kwambiri kuposa amuna) kuyambira zaka 20 mpaka 40.
Kodi ndi matenda owopsa a Raynaud?
Chifukwa cha kusowa kwa magazi ndi mpweya, hypoxia wa khungu ndi mapewa ofewa amapezeka, ndipo necrosis imapezeka. Kumapeto kwa matenda a Raynaud, malo okhudzidwawo amayamba kutsekedwa ndi zilonda zam'mimba zomwe zimalowetsa zilonda zam'mimba komanso zopanda machiritso. Nthawi zambiri, minofu imachiritsa, koma nthawi zina imamwalira komanso imangopweteka . Zovuta zoterezi zimakhudza minofu, ziwalo ndi mafupa.
Matenda a Raynaud ndi omwe amachititsa kuti ayambire
Chiyambi chenichenicho cha mchitidwe wosokoneza mitsempha wa dokotala sichinafotokozedwebe. Pali zifukwa zomwe zimayambitsa matenda a Raynaud - zifukwa zomwe zimayambitsa matenda:
- ntchito yamalonda;
- Kuphwanya kwa miyendo kwafupipafupi komanso kwa nthawi yaitali;
- matenda a rheumatic ndi endocrine;
- kuwonongeka kwa mawonekedwe kwa zala;
- kusintha muzigawo zamagazi;
- nkhawa;
- matenda aakulu;
- Kulephera kokwanira kwa mzere wa msana wa msana;
- matenda a pulogalamu yamanjenje yaumphawi;
- malingaliro oipa;
- zolakwika za m'deralo za mitsempha ya mitsempha;
- angiospasm ya mitsempha yamakono.
Matenda a Raynaud - Zizindikiro
Chithunzi cha kachipatala cha matendawa chikufanana ndi msinkhu wake wopita patsogolo. Matendawa atakula kwambiri, matenda omwe Raynaud akudziwika kwambiri - zizindikiro za amayi, malinga ndi kufooka kwa matenda:
- Gawo la Angiospastic. Malingaliro a zala kapena mapazi amangozizira, amakhala ozizira komanso otumbululuka, ndipo amatha kuzindikira. Nkhondoyo imakhalapo kwa mphindi zingapo mpaka 1 ora, kenako khungu limakhala ndi mawonekedwe abwino komanso kutentha.
- Gawo la Angioparalytic. Ziphuphu za m'madera okhudzidwawo zimakhala zowawa kwambiri, zomwe zimawoneka ngati zovuta kapena zopweteka. Khungu limakhala lofiira ndi buluu-violet mu mtundu, kutupa kwalala kumawoneka.
- Gawo la Trophoparalytic kapena matenda a Raynaud. Zizindikiro zonse zomwe zafotokozedwa pamwambazi zimawonongeka ndipo zimakhala zofala. Pa khungu lofiira, thovu ndi madzi ofiirira omwe amapangidwawo amapangidwa, nthawi zina pamakhala zoopsa zowopsya. Zilonda zamtunduwu zimapezeka pa tsamba la mabotolo opasuka. Patapita nthawi, amakula kapena amauma. Nthawi zambiri anthu amafa chifukwa cha ziphuphu zomwe zimafika pamphuno.
Matenda a Raynaud - Kuzindikira
Onetsetsani kuti kukula kwa matendawa ndi kovuta chifukwa cha kufanana kwa zizindikiro zake ndi matenda omwewo. Ndikofunika kusiyanitsa matenda ena a mitsempha ndi matenda a Raynaud - kuzindikiritsa kusiyana kwazomwe kuli kofunikira kuti mutulukepo zotsatirazi:
- kuthetsa matenda otsekula m'mimba ;
- chodabwitsa cha masitepe;
- kupopera kwaseri ya subclavia;
- chonchi ;
- systemic scleroderma ;
- nthawi yamakono;
- Sjögren's syndrome;
- matenda osokoneza;
- nthiti yowonjezera yachiberekero;
- syringomyelia;
- kumwa mowa ndi ena.
Reynaud's Syndrome ndi matenda a Raynaud
Mayina ofanana ndi omwe amagwiritsidwa ntchito mosiyana siyana, omwe ndi ofunikira kupeza bwinobwino. Matenda ndi matenda a Raynaud amasiyana ndi chifukwa cha chithunzi cha kachipatala. Poyamba, matendawa ndi matenda odziimira okhaokha. Matendawa ndi chifukwa cha kukula kwa matenda ena, kuphatikizapo matenda a Raynaud, omwe ndi chimodzi mwa zizindikiro zake. Matenda oterewa ndi ofanana ndi mavuto awa:
- systemic lupus erythematosus;
- nyamakazi ya nyamakazi;
- scleroderma;
- dermatomyositis;
- mphutsi;
- kupanikizika kwa mitsempha ya mitsempha;
- chiwonongeko;
- matenda a diencephalic;
- matenda aakulu a magazi ndi mitsempha ya magazi;
- kupweteka kwa mitsempha ndi mitsempha;
- matenda osokoneza bongo;
- pheochromocytoma;
- kutenga mankhwala amphamvu.
Matenda a Raynaud - matenda
Choyamba, dokotala amayang'anitsitsa wodwalayo ndipo amatha kulongosola mwatsatanetsatane anamnesis. Matenda a Raynaud amapezeka makamaka ndi zizindikiro zake. Nthawi zina mukutanthauzira kwa matenda, kuyang'anitsitsa bwino mitsempha m'madera a misomali kumathandiza. Munda wamankhwala womwe umaphunzira matenda a Raynaud ndi matenda a ubongo, choncho mayesero ena amachitidwa. Chodziwitsa kwambiri ndi kuyesa kwa chimfine - chiwalo cha miyendo atangomatizidwa (mphindi zingapo) m'madzi pamtunda wa madigiri 10.
Mayesero ena omwe angathandizire matenda a Morris-Raynaud:
- Mafilimu a mitsempha ya mitsempha;
- dopplerography ya mitsempha;
- kuyesa magazi (biochemical, fibrin maintenance);
- makina opangira magetsi.
Mmene mungachitire ndi matenda a Raynaud?
Thandizo la kafukufukuyu likuchitidwa ndi njira zoyenera komanso zopangira opaleshoni. Njira yoyamba ndi yoyenera, ngati palibe vuto la matenda a Raynaud akupezeka - mankhwala amangopereka mpumulo wa zizindikiro ndi kusintha kwa ubwino. Njira imeneyi imaphatikizapo nthawi yaitali, ndipo nthawi zambiri amachiza moyo wonse. Opaleshoni imaperekedwa pazigawo zoopsa za matendawa, pamene chitukukocho chimadza ndi kuchotsedwa kwa miyendo ndi zotsatira zina zoopsa.
Matenda a Raynaud - ndi dokotala uti amene angagwiritse ntchito?
Choyamba, ndibwino kukachezera wothandizira kuti ayambe kufufuza ndi kusonkhanitsa anamnesis. Dokotala wamkulu angakuuzeni katswiri yemwe amachitira matenda a Raynaud:
- katswiri wa zamagulu;
- dokotala wochita opaleshoni;
- katswiri wa zamagulu.
Matenda a Raynaud - mankhwala, mankhwala osokoneza bongo
Posankha chithandizo chamankhwala, adokotala amaika:
- antispasmodics - Papaverin, Spazmonet, Buskopan;
- adrenoblockers (pakati ndi padera) - Doxazosin, Prazosin, Zoxon;
- vasodilators - Pentoxifylline, Theobromine, Pyracetam;
- ziphuphu - Imehin, Pirilen, Temechin;
- zotetezera - Atarax, Diazepam, Phenazepam;
- calcium blockers - Amlodipine, Nifedipine, Felodip;
- odwala - Azafen, Prozac, Bethol;
- cycloid inhibitors - Metindol, Indomethacin, ascorbic asidi;
- osakaniza steroid painkillers - Ketanov, Naproxen, Ibuprofen;
- mankhwala odana ndi kutupa - Mawalis, Nalgezin, Diclofenac ,;
- maantibayotiki - Erythromycin, Clindamycin, Ciprofloxacin;
- mavitamini - nicotinamide, rutin, nicotinic asidi.
Mutha kudziletsa kuti musamawonetseke kuti mukudwala matendawa komanso kuchepetsa kupweteka kwa mitsempha yambiri. Momwe mungachiritse matenda a Raynaud kunyumba:
- Kudya kwathunthu ndi kawirikawiri.
- Tsatirani kutentha kwabwino kwa miyendo, kupeŵa hypothermia.
- Pumula, penyani momwe mungayendere ndi kugona.
- Pewani kupanikizika kwambiri.
- Pewani kuledzera, makamaka kusuta.
- Zochita za tsiku ndi tsiku za manja ndi mapazi.
- Sambani pamapeto.
Matenda a Raynaud amayankha bwino njira zotsatirazi:
- chithunzi ;
- dzuwa;
- electrophoresis ndi lidase kapena calcium;
- diathermy;
- galvanic osambira;
- kuchitsulo;
- kupuma, laser komanso magnetic therapy.
Matenda a Raynaud - mankhwala ndi mankhwala ochiritsira
Mankhwala ochiritsira ali ndi njira zingapo zowonjezeretsa kufalikira kwa magazi m'magazi. Njira yabwino kwambiri, momwe mungachitire ndi matenda a Raynaud ndi mankhwala ochizira - mankhwala ochizira osowa. Ndikofunika kusonkhanitsa madzi ndi kutentha kwa madigiri 37 ndi kuwonjezera madontho 7-10 a mafuta ofunika kwambiri. Mukasambe muyenera kumasuka kwa mphindi 10-15. Panthawiyi, mungathe kupaka minofu yaing'ono ndikupaka mvula yonyezimira.
Kuchiza tincture
Zosakaniza:
- Rhizomes owuma a Leuzea - 15 g;
- madzi ozizira - 500 ml.
Kukonzekera, gwiritsani ntchito :
- Finely kudula masamba zipangizo.
- Thirani mizu ndi madzi a ayezi, pita kwa theka la ora.
- Ikani workpiece pa chitofu ndipo mubweretse ku chithupsa.
- Wiritsani mankhwalawa kwa mphindi 2-5.
- Phimbani chidebecho ndi chivindikiro, chititsani yankho la maola awiri.
- Sakanizani madzi.
- Imwani 90-100 ml ya mankhwala 5 pa tsiku.
- Pitirizani kulandira mankhwala kwa milungu iwiri.
Teya yowonjezera kuyendayenda kwa magazi
Zosakaniza:
- watsopano sitiroberi masamba - 40-45 g;
- madzi otentha - 300-350 ml.
Kukonzekera, gwiritsani ntchito :
- Sungani ndi pang'ono phulani zipangizo.
- Thirani masamba ndi madzi otentha, tulukani kwa mphindi 5-15.
- Imwani 150-180 ml ya tiyi 2 pa tsiku, mukhoza kukometsera kupanikizana kapena uchi.
Matenda a Raynaud ndi opaleshoni
Choncho, matendawa sachiritsidwa, choncho, ngakhale kutsatila mosamalitsa kuzinyoza zonse ndi mankhwala osankhidwa bwino, pang'onopang'ono koma ikupita patsogolo. Njira yokhayo yothetsera matenda a Raynaud ndi opaleshoni. Kugwiritsira ntchito (sympathectomy) kumathandiza kuchotsa kapena "kutseka" kwa mitsempha yowonongeka, yomwe imayambitsa mitsempha ya magazi. Ochita opaleshoni amasiku ano amagwiritsira ntchito zipangizo zamakono kuti azitha kuchita zimenezi, chifukwa zimathandiza kupeza zotsatira zabwino ndi vuto lalikulu.
Matenda a Raynaud - akutsutsa
Matendawa amachititsa kuti munthu akhale wolumala kapena mavuto aakulu, makamaka ndi mankhwala oyenera. Ngakhale palibe njira zothetsera matenda a Raynaud kwathunthu, koma maulosi a moyo pazidziwitso zodziwika ndi zabwino. Chinthu chachikulu - kukwaniritsa mwatsatanetsatane malingaliro onse a katswiri, nthawi zonse amachititsa njira zothandizira mankhwala ndi kuyang'anira kutentha kwa mapeto.