Ketsahalo ea Raynaud

Ketsahalo ea Raynaud ke boemo boo mocheso o batang kapa maikutlo a matla a bakang likhahla tsa mali. Sena se thibela phallo ea mali ho ea menoaneng, menoaneng, litsebeng le linkong.

Ketsahalo ea Raynaud e bitsoa "primary" ha e sa hokahanngoa le bothata bo bong. Hangata e qala ho basali ba ka tlase ho lilemo tse 30. Ketsahalo ea Raynaud ea mahareng e hokahane le maemo a mang mme hangata e etsahala ho batho ba ka holimo ho lilemo tse 30.

Lisosa tse tloaelehileng tsa ts'ebetso ea bobeli ea Raynaud ke:

• Mafu a methapo (joalo ka atherosclerosis le lefu la Buerger)
• Lithethefatsi tse bakang methapo e menyenyane (joalo ka amphetamine, mefuta e meng ea beta-blockers, lithethefatsi tse ling tsa mofetše, lithethefatsi tse ling tse sebelisetsoang ho opeloa ke hlooho ea migraine)
• Ramatiki le maemo a autoimmune (joalo ka scleroderma, Sjögren syndrome, ramatiki ea ramatiki le systemic lupus erythematosus)
• Mathata a mang a mali, joalo ka lefu le batang la agglutinin kapa cryoglobulinemia
  
• Kotsi e sebelisoang khafetsa kapa ts'ebeliso joalo ka ts'ebeliso e boima ea lisebelisoa tsa letsoho kapa mochini o sisinyehang
• Ho tsuba
• Serame
• Thoracic outlet syndrome

Ho hlahisa maikutlo ho bata kapa maikutlo a matla ho tlisa liphetoho.

• Pele, menoana, menoana ea maoto, litsebe, kapa linko li ba tšoeu, ebe li ba putsoa. Hangata menoana ea ameha, empa menoana, litsebe kapa nko le tsona li ka fetola 'mala.
• Ha phallo ea mali e khutla, sebaka seo se ba bofubelu ebe hamorao se khutlela ho 'mala o tloaelehileng.
• Litlhaselo li kanna tsa nka metsotso ho isa ho lihora.

Batho ba nang le ts'ebetso ea mantlha ea Raynaud ba na le mathata ho menoana e ts'oanang ka mahlakore ka bobeli. Batho ba bangata ha ba na bohloko bo boholo. Letlalo la matsoho kapa la maoto le hlahisa matheba a maputsoa. Sena sea fela ha letlalo le futhumala.

Batho ba nang le ts'ebetso ea bobeli ea Raynaud ba na le monyetla oa ho ba le bohloko kapa ho hlohlona menoaneng. Lisosa tse bohloko li ka hlaha menoaneng e amehileng haeba litlhaselo li le mpe haholo.

Mofani oa hao oa tlhokomelo ea bophelo hangata a ka fumana boemo bo bakang ketsahalo ea Raynaud ka ho u botsa lipotso le ho etsa tlhahlobo ea 'mele.

Liteko tse ka etsoang ho netefatsa ts'oaetso li kenyelletsa:

• Ho hlahlojoa methapo ea mali e matsohong a menoana ho sebelisoa lense e ikhethang e bitsoang nailfold capillary microscopy
• Motsoako oa ultrasound
• Liteko tsa mali ho batla maemo a ramatiki le boits'ireletso ba mmele a ka bakang ts'ebetso ea Raynaud

Ho nka mehato ena ho ka thusa ho laola ts'ebetso ea Raynaud:

• Boloka mmele o futhumetse. Qoba ho pepesehela serame ka mokhoa ofe kapa ofe. Apara li-mittens kapa liatlana ka ntle le ha o sebetsana le leqhoa kapa lijo tse hoammeng. Qoba ho hatsela, ho ka etsahalang kamora papali efe kapa efe ea boithabiso.
• Khaotsa ho tsuba. Ho tsuba ho etsa hore methapo ea mali e fokotsehe le ho feta.
• Qoba k'hafeine.
• Qoba ho noa meriana e etsang hore methapo ea mali e tiee kapa e qhale.
• Apara lieta tse phutholohileng, tse pharalletseng le likausi tsa boea. Ha u le kantle, lula u roala lieta.

Mofani oa hau a ka fana ka meriana ea ho atolosa marako a methapo ea mali. Tsena li kenyelletsa tranelate ea nitroglycerin ea lihlooho tseo u itlotsang ka tsona letlalong, li-block channel tsa calcium, sildenafil (Viagra), le ACE inhibitors.

Hangata aspirin ea tekanyetso e tlase e sebelisoa ho thibela ho koaloa ha mali.

Bakeng sa lefu le matla (joalo ka ha seso se qaleha menoaneng kapa menoaneng), ho ka sebelisoa meriana e kenang methapong. Ho ka buuoa hape ho fokotsa methapo e bakang spasm methapong ea mali. Hangata batho ba kena sepetlele ha boemo bo le bobe joalo.

Ho bohlokoa ho sebetsana le boemo bo bakang ts'ebetso ea Raynaud.

Phello e fapana. Ho ipapisitse le sesosa sa bothata le hore na bo bobe hakae.

Mathata a ka kenyelletsa:

• Sefuba kapa liso tsa letlalo li ka hlaha haeba mothapo o koetsoe ka botlalo. Bothata bona bo ka etsahala ho batho ba nang le ramatiki kapa maemo a ikemetseng.
• Menoana e ka 'na ea e-ba mosesaane' me ea khabisoa ka letlalo le benyang le manala a hola butle.Sena se bakoa ke phallo e mpe ea mali libakeng tse ling.

Bitsa mofani oa hau haeba:

• U na le nalane ea ts'ebetso ea Raynaud mme karolo e amehileng ea 'mele (letsoho, leoto, kapa karolo e ngoe) e tšoaetsoa kapa e ba le leqeba.
• Menoana ea hao fetola 'mala, haholo-holo tšoeu kapa putsoa, ​​ha ho bata.
• Menoana ea hau ea maoto kapa ea menoana e ba ntšo kapa letlalo le senyehe.
• O na le seso letlalong la maoto kapa matsoho a hao le sa foleng.
• U na le feberu, ho ruruha kapa manonyeletso a bohloko, kapa mahlaseli a letlalo.

Ketsahalo ea Raynaud; Lefu la Raynaud

• Ketsahalo ea Raynaud
• Sesebelisoa sa lupus erythematosus
• Tsamaiso ea potoloho ea mali

Giglia JS. Ketsahalo ea Raynaud. Ka: Cameron JL, Cameron AM, bahlophisi. Phekolo ea Hajoale ea Ts'ebetso. 12th ed. Philadelphia, PA: Elsevier; Ka 2017: 1047-1052.

Landry GJ. Ketsahalo ea Raynaud. Ka: Sidawy AN, Perler BA, bahlophisi. Rutherford's Vasculry and Endovascular Therapy. La 9th. Philadelphia, PA: Elsevier; 2019: khaolo ea 141.

Roustit M, Giai J, Gaget O le ba bang. Sildenafil e batloang e le kalafo ea Raynaud Phenomenon: letoto la liteko tsa n-of-1. Ann Intern Med. 2018; 169 (10): 694-703. PMID: 30383134 www.ncbi.nlm.nih.gov/pubmed/30383134.

Khoele T, Phokolo ea mali AN. Ketsahalo ea Raynaud: likhopolo tsa hajoale. Kliniki ea Dermatol. 2018; 36 (4): 498-507. PMID: 30047433 www.ncbi.nlm.nih.gov/pubmed/30047433.