Raynaud na farko da sakandare
Jin sanyi a hannayenka da / ko ƙafa, ko jin dadi ga sanyi, wani lamari ne na kowa a cikin mutanen da ke da ciwon daji, wanda ake kira hypothyroidism. Yawancin lokaci, fuskantar wahalar sanyi da sanyi zai rage muhimmanci bayan ka sami mafi dacewa da kyakkyawan magani ga hypothyroidism.
Duk da haka, ga wasu mutane tare da thyroid cuta, wadanda sanyi-related cututtuka ci gaba.
Lokacin da hannayen hannu mai sanyi da / ko ƙafa suka ci gaba, ya fi dacewa don likita ya tantance ku kamar yadda kuna fuskantar wata likita wadda ake kira Raynaud.
Ma'anar Raynaud
Raunin Raynaud yana nufin raguwa cikin jinin jini zuwa yatsun hannu da yatsun kafa (wanda ba a sani ba), saboda magungunan ƙwayoyin cuta a cikin jini.
Raynaud na farko da sakandare
Dalilin farko na Raynaud bai san (wanda ake kira Raynaud). Irin wannan yafi kowa a cikin mata kuma yana iya tafiya cikin iyalai.
Raynaud na sakandare yana nuna cewa wasu dalilai masu mahimmanci (alal misali, cutar, toxin, ko rauni) yana haifar da yaduwar hadarin jini.
Misalan cututtuka da aka haɗa da sakandaren Raynaud sun hada da:
- Hypothyroidism
- Tsarin lupus erythematosus
- Scleroderma
- Sjögren ta ciwo
- Rheumatoid arthritis
Sauran yanayi da ke shafar sutura (ko jijiyoyin da ke kula da arteries) a cikin hannayensu da ƙafãfunsu na iya haifar da Raynaud, kamar ƙwayar motsi na carpal, atherosclerosis, ko vascularitis.
Gana Rayuwar Dan Raynaud
Sakamakon sanyi (ko ma dan damuwa) shine mahimmanci don faɗakar da hare-haren Raynaud. Wasu matsalolin da Rayuwar ke ciki shine:
- Samun waje a lokacin yanayin zafi
- Riƙe abun da aka haƙa
- Tafiya cikin ɗakin iska
- Ƙara hannunka a cikin injin daskarewa
- Ƙara hannun a ƙarƙashin ruwan sanyi
A lokacin da ake kaiwa Raynaud farmaki, yankin da ya kamu da shi ya zama fari, wani lokacin blue, (kamar yadda oxygen ya kasa kaiwa ga iyakar). Bayan haka, yayin da oxygen ya dawo cikin kyallen takarda, yankin ya juya ja.
Game da jin dadi, yatsunsu ko yatsun hannu na iya ji sanyi da ƙin jini kamar yadda aka katse musu. Kuna iya jin tingling ko mai ciwo mai zafi, kuma yankin da ya shafa zai iya ƙara. Yayin da harin ya ƙare kuma jini ya dawo, yatsunsu ko yatsun kafa na iya zubar da tingle. Yawanci, jinin yana gudana zuwa fatar jiki zai kasance da ƙananan har sai fata ya sake farfadowa. Bayan warming, yawancin lokaci yana ɗaukar tsawon minti 15 zuwa 20 don sake farfado da jini a jikin fata.
Diagnosing Raynaud's
Bugu da ƙari, don dubawa game da bayyanar cututtuka, likitanku na iya yin gwajin gwaji mai sanyi. A wannan jarabawar, na'urar da za ta daidaita yawan zafin jiki an rufe ta zuwa yatsunsu, sannan a sanya hannunka a cikin ruwan sanyi. Na'urar yayi la'akari da yadda yatsunku suka fara dumi kuma dawowa zuwa zafin jiki na yau da kullum. Rigar jinkirin zai iya zama alamar Raynaud.
Wani gwajin da ake yi a wasu lokuta ana kiranta capillaroscopic nailfold. A cikin wannan gwaji, an yi amfani da man fetur zuwa tushe na ƙwanƙwalwar ku, wanda aka bincika a karkashin wani microscope don gano jigilar mahaukaci wanda zai iya zama alamar Raynaud.
Ana amfani da gwaje-gwaje da dama na jini don taimakawa wajen gano asalin Raynaud, ciki har da:
- Antinuclear antibody (ANA), wanda ke neman maganin rigakafi da kwayoyin halitta, wanda zai iya zama alamar autoimmunity
- Erythrocyte sedimentation rate (ESR / rate), wanda zai iya gano ƙonewa
Jiyya ga Raynaud's
Idan kana da ciwon maganin thyroid tare da Raynaud, aikin farko shine ya kamata ka sami maganin maganin karoid . Wani muhimmin mataki shine don kaucewa ko rage girman bayyanar sanyi.
Tsayawa jikinka dumi, kuma musamman magungunanku shine matakan muhimmanci ga Raynaud. Wannan kuma ya hada da guje wa canje-canje mai zafi da zafi.
Ana amfani dasu a lokacin da aka ba da shawarar, da kuma takalma mai zafi, kayan woolen mai nauyi, da kuma hannayen haya ko ƙafar ƙafa a yanayin sanyi yana iya samar da ƙarin kariya. Gyafofin safofin hannu kafin yin amfani da kayan sanyi ko daskararre kuma kauce wa shan taba (ciki har da hayaki na biyu) an bada shawarar.
Don lokuta mafi tsanani, magani na likita zai iya taimakawa. Wasu magunguna da ake amfani da su don magance Raynaud sun hada da:
- Kwayoyin kwalliya mai launi , irin su Proardia (nifedipine) ko Norvasc (amlodipine)
- Topical nitrates
- Wurin dajin Viagra (sildenafil)
A ƙarshe, yana da muhimmanci don yin jituwa a cikin rayuwarka na yau da kullum, saboda rashin talauci ga mawuyacin hali shine faɗakarwa ga Raynaud. Rashin kwantar da hankali ko ayyuka na kulawa da damuwa irin su motsa jiki ko tunani yana iya taimaka wa wasu masu fama da Raynaud.
Kalma Daga
Yayinda yake fuskantar Raynaud na iya zama damuwa da rashin jin dadi, hutawa ya tabbata akwai wasu abubuwa da za ku iya yi don hana hare-haren. Bugu da ƙari, idan kun ƙare sama da buƙatar magani, wannan shi ne OK, ma. Kuna iya buƙatar shi kawai, kamar lokacin watannin sanyi.
Sources:
> Hudson M et al. Cigarette shan taba a marasa lafiya tare da tsarin sclerosis. Rheum arthritis . 2011 Janairu 63 (1): 230-8.
> Hughes M, Herrick AL. Tarihin Raynaud. Mafi Amfani da Rheumatol Clinic. 2016 Feb, 30 (1): 112-32.
> Kadan M et al. Ta yaya za a iya inganta wadanda ke tare da Raynaud Phenomenon? Med Sci Monit Basic Res . 2015; 21: 47-52.
> Levien TL. Nasarawa wajen lura da irin abubuwan da Raynaud yayi. Vasc Health Hazard Manag . 2010; 6: 167-77.
> Wigley FM, Flavahan NA. Raynaud's Phenomenon. N Engl J Med . 2016 Aug 11; 375 (6): 556-65.