Hanana Raynaud

ʻO kahi hanana Raynaud kahi ʻano kahi e anu ai nā mahana anuanu a i ʻole nā ​​manaʻo ikaika i nā spasms o ke kīʻaha koko. Mālama kēia i ke kahe o ke koko i nā manamana, nā manamana wāwae, nā pepeiao, a me ka ihu.

Kāhea ʻia ʻo Raynaud hanana "kumu" ke pili ʻole ia i kekahi maʻi ʻē aʻe. Hoʻomaka pinepine ia i nā wahine ma mua o ka makahiki 30. Hoʻopili ʻia ke ʻano Raynaud kiʻekiʻe i nā ʻano ʻē aʻe a hana pinepine ʻia i ka poʻe i ʻoi i ka makahiki 30.

ʻO nā kumu maʻamau o ke kūlana kiʻekiʻe o Raynaud:

• Nā maʻi o nā aʻa (e like me atherosclerosis a me Buerger maʻi)
• Nā lāʻau i kumu e hoʻopili ai i nā aʻa (e like me amphetamines, kekahi ʻano beta-blockers, kekahi mau lāʻau ʻino, kekahi mau lāʻau i hoʻohana ʻia no ka ulu poʻo o ka migraine)
• Nā kūlana arthritis a me nā kūlana autoimmune (e like me scleroderma, Sjögren syndrome, rheumatoid arthritis, a me systemic lupus erythematosus)
• ʻO kekahi mau maʻi o ke koko, e like me ke anuanu aglutinin maʻi a i ʻole cryoglobulinemia
  
• ʻO ka hōʻeha hou a hoʻohana paha e like me ka hoʻohana nui ʻana i nā mea hana lima a i ʻole nā ​​mīkini vibrating
• Puhipaka
• ʻO Frostbite
• ʻO Thoracic outlet syndrome

Hōʻike ka hōʻike i ke anu a i ʻole nā ​​manaʻo ikaika i nā loli.

• ʻO ka mua, keʻokeʻo nā manamana lima, manamana wāwae, pepeiao, a ihu paha, a laila polū polū. Pili pinepine nā manamana lima, akā hiki i nā manamana wāwae, pepeiao a i ʻole ka ihu ke hoʻololi i ke kala.
• Ke hoʻi mai ke kahe o ke koko, ʻulaʻula ka wahi a ma hope hoʻi i ke kala maʻamau.
• E mau paha nā hoʻouka kaua mai minuke a i mau hola.

Loaʻa nā pilikia i ka poʻe me ka hanana Raynaud mua i nā manamana like ma nā ʻaoʻao ʻelua. ʻAʻole ʻeha ka hapa nui o ka poʻe. Hoʻonui ka ʻili o nā lima a me nā wāwae i nā blotches bluish. Hele kēia i ka wā e mahana ai ka ʻili.

ʻO ka poʻe me ke kūlana kiʻekiʻe ʻo Raynaud e loaʻa ka ʻeha a ʻūlū paha i nā manamana lima. Hiki ke hana ʻia nā maʻi ʻehaʻeha ma nā manamana lima i hoʻopili inā maikaʻi ʻole nā ​​hoʻouka.

Hiki i kāu mea mālama ola ke ʻike pinepine i ke ʻano o ke kumu o Raynaud ma ke noi ʻana iā ʻoe i nā nīnau a me ka hana ʻana i kahi hoʻokolohua kino.

Nā hoʻokolohua e hana ʻia ai e hōʻoia i ka hōʻoia me:

• ʻO ka hoʻokolokolo ʻana i nā kīʻaha koko ma nā manamana lima e hoʻohana ana i kahi aniani kūikawā i kapa ʻia ʻo microscopy capillary capfary
• Pākuʻi ultrasound
• ʻO nā hoʻokolohua koko e nānā i nā kūlana arthritic a me nā autoimmune e kumu ai i ka hanana Raynaud

Ke kōkua nei i ka hana ʻana i kēia mau ʻanuʻu e kāohi iā Raynaud hanana:

• E hoʻomehana i ke kino. Hōʻalo i ke anuanu i kēlā me kēia ʻano. E komo i nā mikena a i nā mīkina lima i waho a ke lawelawe ʻana i ka hau a i ʻole ka meaʻai paʻahau. E hōʻalo i ka hoʻonuanu, e hiki ke hana ma hope o nā haʻuki leʻaleʻa ʻeleu.
• Uoki ka puhipaka. Hoʻopiʻi ka puhi ʻana i nā kīʻaha koko i nā mea hou aku.
• Hōʻalo i ka caffeine.
• Hōʻalo i ka lawe ʻana i nā lāʻau e hoʻopiʻi ai i nā kīʻaha koko a spasm paha.
• E komo i nā kāmaʻa ʻoluʻolu, lumi a me nā kākini hulu hipa. Ke kū i waho, e ʻaʻa mau i nā kāmaʻa.

Kauoha paha kāu mea hāʻawi i nā lāʻau e hoʻolahalaha i nā paia o nā kīʻaha koko. Hoʻopili kēia i ka krima nitroglycerin topical āu e ʻānai ai i kou ʻili, nā blockers o ka puna calcium, sildenafil (Viagra), a me nā mea kāohi ACE.

Hoʻohana pinepine ʻia ka aspirin haʻahaʻa e pale ai i nā kahe koko.

No nā maʻi nui (e like me ka hoʻomaka ʻana o ka gangrene i nā manamana lima a i ʻole nā ​​manamana wāwae), hiki ke hoʻohana ʻia nā lāʻau i loko o ke kino. Hiki ke hana ʻoki ʻia e ʻoki i nā aʻalolo e kumu ai ka spasm i loko o nā kīʻaha koko. Hoʻokipa pinepine ʻia ka poʻe i ka haukapila ke koʻikoʻi kēia ʻano.

He mea nui ia e mālama i ke ʻano o ke kumu o Raynaud.

Hoʻololi ka hopena. Aia ia i ke kumu o ka pilikia a me kona ʻino.

Komo pū nā pilikia:

• Hiki ke hana ʻia ʻo Gangrene a i ʻole nā ​​maʻi ʻili inā paʻa loa ke aʻa. ʻOi aku paha kēia pilikia i ka poʻe i loaʻa i ka maʻi arthritis a me nā kūlana autoimmune.
• Hiki i ka manamana lima ke lahilahi a wili ʻia me ka ʻili hinuhinu a me nā kui i ulu lohi.Loaʻa kēia i ke kahe o ke koko maikaʻi ʻole i nā wahi.

Kāhea i kāu mea hāʻawi inā:

• He mōʻaukala kāu no Raynaud hanana a me ka ʻāpana o ke kino i hoʻopilikia ʻia (ka lima, ka wāwae, a i ʻole kekahi ʻāpana ʻē aʻe) i hele a maʻi a hoʻomōhala paha i kahi ʻeha.
• Hoʻololi i kou manamana lima i ke kala, ke keʻokeʻo a polū paha, ke anuanu.
• ʻEleʻele paha kou mau manamana lima a ʻekio paha a haki paha ka ʻili.
• He ʻeha kou ma ka ʻili o kou mau wāwae a lima paha e ola ʻole ai.
• He kuni kou, pehu, ʻehaʻeha paha, a i ʻole nā ​​huehue o ka ʻili.

Hanana o Raynaud; Maʻi ʻo Raynaud

• Ka hanana o Raynaud
• ʻO ka lupus erythematosus ʻōnaehana
• ʻŌnaehana puni

ʻO Giglia JS. Ka hanana o Raynaud. I: Cameron JL, Cameron AM, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 12th ed. Piladelapia, PA: Elsevier; 2017: 1047-1052.

Landry GJ. Hanana Raynaud. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 141.

Roustit M, Giai J, Gaget O, et al. ʻO Sildenafil e koi ʻia ma ke ʻano he lapaʻau no Raynaud Phen scenario: kahi moʻo o nā n-of-1 hoʻokolohua. ʻO Ann Intern Med. 2018; 169 (10): 694-703. PMID: 30383134 www.ncbi.nlm.nih.gov/pubmed/30383134.

Stringer T, Femia AN. ʻO kā Raynaud hanana: nā manaʻo o kēia manawa. ʻO Dermatol Clin. 2018; 36 (4): 498-507. PMID: 30047433 www.ncbi.nlm.nih.gov/pubmed/30047433.