ʻO ke kūlana maʻamau, ka hiʻona a me kaʻili o kaʻili ke pili i ka hāʻawiʻana i ke koko. Uaʻikeʻo Malarice Reynaudʻo ke kauka French i kahi maʻi iʻoi aku i ka 150 mau makahiki i hala aku nei, e hoʻonāukiuki i ka'ōnihiʻoi o nā kīʻaha koko me ka maʻi sclerosis a me fibrosis o nā mea. Uaʻikeʻia kēiaʻano pilikino i 3-5% o ka poʻe noho honua, ka nui o ka poʻe mākua.
Ke maʻi o Raynaud - he aha ka mea me nā wāhine?
ʻO ka maʻiʻino i haʻiʻia he maʻi palekana o ka hāʻawi kokoʻana i nā wāwae a me nā lima, nā lima lima. I kekahi manawa, komo nā pepeiao, ka ihu a me nā lehelehe i loko o ka hana. He mea nui e pale i ka maʻi o Raynaud i ka manawa kūpono -ʻo ka hōʻailona a me ka liloʻana i meaʻino aku i ka holomua o nā maʻi. No kaʻikeʻole iʻikeʻia, hiki i nā kaikamāhine keʻeha i ka maʻi (ʻo ka maʻi he 5 mau manawa iʻoi aku ka lōna ma mua o nā kāne) mai 20 a 40 mau makahiki.
He aha ka maʻiʻino o Raynaud?
Me ke kalaʻole o ke koko a me ka oxygen, hanaʻia ka hypoxia o kaʻili a me nā'ōpala maʻemaʻe, aʻikeʻia ka necrosis. I ka hopena o ka maʻi o Raynaud, ua uhi muaʻia nā wahi i hoʻopilikiaʻia i nā lolo e pani ai i nā maʻi maʻi hohonu a me ka maʻiʻole. Ma keʻano maikaʻi, e ola ke kino, akā, i kekahi manawa e make anaʻo ia a me ka diarenerene . ʻO nā pilikia e pili ana i nāʻiʻo, nā iwi a me nā iwi.
ʻO ka maʻi o Raynaud ke kumu o ka hoʻomaka
ʻAʻole i weheweheʻia kahi kumu kumu o ka hoʻopilikiaʻiaʻana o ke kauka. Aia kekahi mau kumu e hoʻonāukiuki i ka maʻi o Raynaud - nā kumu, hiki paha ke hōʻeha i nā maʻi:
- ʻoihanaʻoihana;
- ka loloa pinepine a lōʻihi o nā lālā;
- nā maʻi'āmumu a me ka endocrine;
- ka hanaʻino i nā manamana lima;
- ke hoʻololi i nā'āpana hoʻokele o ke koko;
- pilikia nui;
- nā maʻi nui;
- ka holomua o ka mahele o nā kiwi o ke kuamoʻo;
- nā maʻi o ka'ōlohelohe puni honua;
- ke kūlana o ka'āpana o ke kala;
- nā pilikia o ke koko i nā manamana lima;
- ka angiospasm o ke anakē kala.
ʻO ka maʻi o Raymond - hōʻailona
ʻO ke kiʻi o ka maʻi ke kūlike i kona manawa o ka holomua. ʻO ka lōʻihi o ka hoʻolālāʻana o nā maʻi,ʻo ia hoʻi ka maʻi o Raynaud i'ōleloʻia -ʻo nā hōʻailona o nā wāhine, ma muli o ka maʻi o ke maʻi:
- ʻAno Angiospastic. Hiki ke heluʻia ke kuhi o nā manamana a me nā wāwae, a noʻonoʻo a palekana, a nalowale ka manaʻo. ʻO ka hoʻouka kauaʻana mai nā minuke he minuke i ka hola 1, ma hope iho o ka loaʻaʻana o kaʻili i ka hiʻohiʻona a me ka mahana maʻamau.
- ʻO ka hana Angioparalytic. ʻO nā kinikini o nā wahi iʻeha i loaʻa i kahi maʻi nui, iʻikeʻia e like me ke kaniʻana a me kaʻeha. Hiki keʻili i kaʻulaʻula a me ka poni violin i kaʻula, aʻikeʻia ka'ōhūʻana o nā manamana lima.
- ʻO ka'ōʻana o ka'ōlohelohe a me ka maʻi nui o Raynaud. ʻO nā hōʻailona a pau i hōʻikeʻia ma luna nei, uaʻano paʻakikī a lilo i mau pinepine. Ma luna o kaʻili'ōmaʻomaʻo, ua hanaʻia nā'ōpū me nāʻulaʻulaʻulaʻula, i kekahi manawa he pāhaʻi panaric. Keʻikeʻia nā maʻi maʻi necrotic ma ka pūnaewele o ka ulupili. I ka manawa lōʻihi, e hōʻeneʻe aiʻole iʻole. Ma nāʻano maʻamau i ka makeʻana o nā iwi e komo i ka iwi.
ʻO ka maʻi o Raynona -ʻO kaʻike
E hōʻoia i ka paʻakikī o ka hoʻomohalaʻana i kēia mauʻano pilikino no ka likeʻana o nā hōʻailona me ka maʻi hoʻokahi. He mea nui e wehewehe i nā maʻi'ē aʻe a me nā maʻi o Raynaud -ʻike ponoʻia kaʻikepiliʻano'ē aʻe no ka hoʻokaʻawaleʻana i nā māhele penei:
- hōʻalo i ka endarteritis ;
- keʻano o ka puʻupuʻu kaupae;
- ke kuhiʻana i ke kahakihana subclavian;
- kāu mea lāʻauʻona ;
- 'ōnaehana pūnaewele ;
- ka manawa climacteric;
- ʻO Sjögren's Syndrome;
- nā maʻi uila;
- nā iwi nui'ē aʻe;
- syringomyelia;
- ka lāʻauʻona a me nā mea'ē aʻe.
ʻO Reynaud's Syndrome a me ka maʻi o Raynaud
Hoʻohanaʻia nā inoa likeʻole no nāʻano maʻi likeʻole, he mea nui eʻike pono. ʻO ka maʻi a me ka maʻi o Raynaud eʻikeʻia ma muli o ke kumu o kekahi kiʻiʻokoʻa. I ka hihia mua, he maʻi kūʻokoʻa ka maʻi a me nā hōʻailona maʻamau. ʻO ka maʻi ka hopena o ka holomua o nā maʻi'ē aʻe, e like me ka maʻi o Raynaud,ʻo ia kekahi o kāna mau hōʻailona. ʻO kēiaʻano maʻi kūlohelohe i loko o kēia mau pilikia:
- lupus erythematosus pūnaewele;
- hawīmatoid arthritis;
- ka scleroderma;
- dermatomyositis;
- vascularitis;
- ka paʻipaʻiʻana i nā pūpū neurovascular;
- nāʻike pilikino o ka pūʻali koa lokomaikaʻi;
- nā maʻi diabolal;
- nā maʻi mau loa o ke koko a me nā kīʻaha koko;
- ka lāʻau kuʻi o nā uamo a me nāʻale;
- nā maʻi pilikino o ka pilina pili;
- pheochromocytoma;
- lawe i kekahi mau lāʻau ikaika.
ʻO ka maʻi o Raynaud - nā ho'āʻo
ʻO ka mea mua, e nānā pono ke kauka i ka mea maʻi a loaʻa i kahi hana hana. Uaʻikeʻia ka maʻi o Raynaud ma muli o kona mau hiʻohiʻonaʻano. I kekahi manawa ma ka ho'ākākaʻana o ka maʻi pilikino, e kōkua pono ka nānāʻana i keʻano hana lolopa i ka'āpana o nā papa kui. ʻO ka lāʻau lapaʻau e aʻo ai i ka maʻi o Raynaud, no laila ke hanaʻia nei kekahi mau hoʻokolohua hou. ʻO ka meaʻike nui loa ka ho'āʻo maʻamau -ʻo ka moku o nā lālā ma hope o ko lākou bapetizoʻana (no nā minuke he nui) i loko o ka wai i kahi mahana o 10 mau.
Nā ho'āʻo'ē aʻe e hiki ke kōkua i ke kuhikuhiʻana i ka maʻi o Morris-Raynaud:
- Radiography o nā moku koko;
- ka hoʻopihapiha o nā'enemene;
- nā hōʻoiaʻana o ke koko (mea kanu, no ka mālamaʻana i ka uila);
- ke kohopili.
Pehea e mālama ai i ka maʻi o Raynaud?
Hoʻoponoponoʻia ka hōʻailona o nā hana pilikino e nā hana mālama kūʻokoʻa a me nā kaulike. ʻO ka koho mua loa he mea pono ia, ināʻikeʻia ka maʻi o Raynaud - hikiʻole ke mālamaʻia i ka hōʻailona o nā hōʻailona a me ka hoʻoikaikaʻana i ka maikaʻi. ʻO kēia alahele e pili ana i ka wā lōʻihi, a he pinepine hoʻi i ke olaʻana. Hoʻopaʻaʻia keʻano o ke kaha ma nā wā nui o ka maʻi, i ka wā e hoʻonuiʻia ai kona holomua me kaʻokiʻana o nā lālā a me nā hopena maikaʻi'ē aʻe.
Ke maʻi o Raynaud -ʻo wai ke kauka e noi ai?
ʻO ka mua, he mea pono e hele i ke kāpena no ka loiloi nui a me ka hōʻiliʻili o ka hana amene. Hiki i kekahi kauka lapaʻau e haʻi iāʻoe ke mea nāna e hoʻolaha i ka maʻi o Raynaud:
- neurologist;
- he kahuna hōʻailona liʻiliʻi;
- neurologist.
ʻO ka maʻi o Raynaud - nā lāʻau lapaʻau
Ke kohoʻana i ka lāʻau lapaʻau, hoʻonohonoho ke kauka:
- nā antispasmodics - Papaverin, Spazmonet, Buskopan;
- adrenoblockers (waena a me ke kiʻikuhi) - Doxazosin, Prazosin, Zoxon;
- vasodilators - Pentoxifylline, Theobromine, Pyracetam;
- 'āpana pāhili - Imehin, Pirilen, Temechin;
- nā kānalua - Atarax, Diazepam, Phenazepam;
- ka'āpana calcium - Amlodipine, Nifedipine, Felodip;
- nā'āpana antidepressants - Azafen, Prozac, Bethol;
- nā mea hoʻopukaʻonika - Metindol, Indomethacin, ascorbic acid;
- nā kinakona paʻakikī - Ketanov, Naproxen, Ibuprofen;
- nā lāʻau anti-inflammatory - Mawalis, Nalgezin, Diclofenac;
- nā lāʻau 'ālika - Erythromycin, Clindamycin, Ciprofloxacin;
- nā huaʻona - nicotinamide, kaʻaila, ka waikawa nicotinic.
Hiki iāʻoe ke hoʻohaʻahaʻa i ke koʻikoʻi o nā hōʻailona o ka pilikino a e ho'ēmi i ka hopena o nā maʻi spas. Eia keʻano e mālama ai i ka maʻi o Raynaud ma ka home:
- ʻO kaʻaiʻana a me kaʻai mau.
- E hahai i ka mahana maʻamau o nā lālā, e hōʻalo i ka hypothermia.
- E hoʻomaha, e nānā i keʻano kūpono o ka hiamoe a me ka moe.
- E hōʻalo i ka pilikia nui o ka naʻau.
- Hōʻole i nā lāʻauʻaʻai, i ka mea puhi.
- Hana i nā lā a me nā wāwae.
- Ke kapa massage i nā kihi.
ʻO ka maʻi Raynaud e pane maikaʻi i nāʻano o ka hana physiotherapeutic:
- keonakona ;
- ka ultraviolet irradiation;
- electrophoresis me ka lidase a iʻole ka konukino;
- hoahoʻi;
- nāʻauʻau galvano;
- uʻona;
- ka mimiki, ka laser a me ka magnetic therapy.
ʻO ka maʻi o Raynaud - ka lāʻau lapaʻau me nā lāʻau lapaʻau
ʻO kekahi lāʻau lapaʻau'ē aʻe he nui nā koho no ka hoihoiʻana i ke kaheʻana o ka lolo maʻamau i loko o nā'opa. ʻO keʻano maikaʻi, pehea e mālama ai i ka maʻi o Raynaud me nā hōʻailona -ʻo ka wai bath coniferous curative. Pono pono e ohi i ka wai me ka mahana o 37 mau tikeliʻi a hoʻonui i 7-10 mau siliki o ka hinu hinu nui i ia. I kēlāʻanoʻauʻau e hoʻomahaʻoe no 10-15 mau minuke. I ka wā o ke kaʻina hana, hiki iāʻoe ke hana i kahi manamana māmā o nā manamana a hoʻolālā hohonu i nā vaʻaʻala.
ʻO ke kano maʻi
Mea Kai:
- rhizomes maloo o Leuzea - 15 g;
- ka wai anuanu - 500 ml.
Hoʻo hoʻomākaukau, hoʻohana :
- Eʻoki pono i nā mea kanu pono.
- E ninini i ke aʻa me ka wai hau, e waiho no ka hapalua hola.
- E kau i ka hana ma luna o ka pahu a lawe i kahi maʻi.
- E puhi i ka lāʻau no 2-5 mau minuke.
- E uhi i ka pahu me kahi poʻi, e hoʻokomo i ka hopena no 2 mau hola.
- E hoʻopili i ka wai.
- E inu 90-100 ml o ka lāʻau lapaʻau i 5 mau manawa i ka lā.
- E hoʻomau i ka hoʻonāuki no 2 mau pule.
ʻO ke kūkulu no ka hoʻomaikaʻiʻana i ke koko
Mea Kai:
- nā lālā'alea hou - 40-45 g;
- i ka wai kohua - 300-350 ml.
Hoʻo hoʻomākaukau, hoʻohana :
- E kanu a pume i nā'ōpala.
- E pīpī i nā lau me ka waiʻaila, e waiho no 5-15 mau minuke.
- E inu i 150-180 ml o ke kē 2 mau lā i ka lā, hiki iāʻoe ke hoʻonani i ka meli a me ka meli.
ʻO ka maʻi o Raynaud kahi hana
ʻO nāʻano maʻi pilikino i hōʻikeʻia,ʻaʻole i ho'ōla loaʻia, no laila, me ke kūpaʻa pono i nā manaʻo a pau a me nā maʻamau pono i kohoʻia, ua mālie a holomua. ʻO ke ala hoʻokahi e hoʻopau ai i ka maʻi o Raynaud. ʻO ka hana (sympathectomy) ka mea e hōʻoiaʻiʻo ai i ka weheʻana a iʻole ka "paʻa"ʻana o nā mea i hoʻopiliʻia i ke aʻalolo, ka mea e hoʻonāukiuki i nā huahua koko. Hoʻokomo nā kauā'ōpiopio hou i nā mea endoscopic e hana ai i ke kaʻina hana, no ka mea, kōkua ia i ka loaʻaʻana o nā hopena maikaʻi loa me kaʻole trauma.
ʻO ka maʻi o Raynaud - hōʻailona
Hāʻawiʻia ka maʻiʻehaʻole i ka hemahema a iʻole nā pilikia nui, i ka manawa kūpono a me ka hoʻoponopono pololeiʻana. ʻOiaiʻaʻole he mauʻano no ka hoʻopakeleʻana i ka maʻi o Raynaud, akā,ʻo ka wānana no ke ola ma ka hōʻailona hōʻikeʻia he maikaʻi. ʻO ka mea nui - hoʻokō pono i nā'ōlelo a pau a ke kanaka lapaʻau, i nā manawa a pau e hana i nā papa hana o ka hoʻomehana a nānā i ka mahana o nā welau.