Matendawa, monga lamulo, amakhudza amayi omwe ali aang'ono nthawi zambiri: kuyambira zaka 20 mpaka 40. Mwina izi zikuchitika chifukwa cha kugonana kofooka kwa matenda a ubongo ndi matenda a migraine, omwe angakhale nawo mbali yofunikira pa chitukuko cha matendawa.
Matenda ndi matenda a Raynaud
Matendawa ndi matenda opatsirana omwe amadziwika ndi kusokonezeka kwa magazi m'thupi (m'mimba).
Dokotala wa ku France, yemwe dzina lake amatchedwa matenda, ananena kuti matendawa sali kanthu kokha chifukwa cha kuwonjezereka kwapadera kwa malo opititsa patsogolo magulu a msana.
Tiyenera kumvetsetsa kuti Raynaud's syndrome ikuyamba ngati matenda enaake kapena zinthu zina zomwe zimayambitsa matenda, pamene matenda a Raynaud ndi matenda odziimira okha.
Chochitika cha Reynaud kapena matenda a Raynaud ndi chifukwa
Chimodzi mwa zifukwa zazikuluzikulu zomwe zimapangitsa kuti matendawa ayambe kuchitika ndizomwe zimayambitsa matenda. Zomwe zimachitika ku Raynaud zimachitika m'ma 90%.
Zifukwa za matenda a Raynaud:
- Matenda a mitsempha ya m'mitsempha ndi matenda a mtima (matenda a postthrombotic ndi thrombotic, kuthetsa matenda a atherosclerosis);
- Matenda a mtundu wa rhumatini (lupus erythematosus, matenda a Sjogren, nodular periarthritis, nyamakazi ya nyamakazi , systemic scleroderma, obliterating thromboangiitis);
- kugwiritsa ntchito mankhwala osokoneza bongo nthawi yaitali (serotonin, beta blockers, ergotamine, ergotid, mankhwala osokoneza bongo);
- matenda a magazi (thrombocytosis, paroxysmal hemoglobinuria, multipleel myeloma, cryoglobulinemia);
- Matenda a m'magazi (matenda a carpal, matenda osokoneza bongo, plethgia, algodystrophy);
- Zinthu zodziwika bwino (kugwedeza, zinthu zovulaza mumlengalenga);
- Zinthu zowonongeka (kutayika, hypothermia kwa nthawi yaitali).
Matenda a Raynaud - Zizindikiro
Ngati tikukamba za matenda, osati matenda omwewo, chizindikiro cha chizindikiro chimasonyeza khalidwe la matenda kapena chikhalidwe chomwe chinayambitsa chiwonongeko chomwe chilipo. Iwo akhoza kutha okha.
Koma ndi zizindikiro ziti za matenda a Raynaud:
- Pachiyambi choyamba, mawonekedwe ochepa a zala (terminal phalanges) amaonekera, amakhala otumbululuka, ozizira mpaka kukhudza, chimfine chimamveka.
- Gawo lachiwiri, angioparalytic, limapwetekedwa mtima, likuyaka pamapazi, makina a cyanosis phalang akuwoneka, omwe amatha maola angapo. Kuonjezera apo, ma vesicles odzazidwa ndi madzi omwe amachiza pambuyo pa dissection akhoza kupanga pakhungu.
- Pa siteji yotsiriza, trophoparalytic, mu phalanges yaimfa yazing'ono, zovuta zosatsutsika za trophic zimapezeka. Zilonda zowononga khungu zimapangidwa, zomwe zimatsogolera ku necrotization, ziphuphu. Popanda chithandizo, zipangizo zamagetsi za manja zimakhudzidwa.
Zizindikiro za matenda a Raynaud zikuwonekera pamagwiridwe ake, koma zikhoza kuchitika m'magulu osiyanasiyana.
Matenda a Raynaud - Kuzindikira
Vuto lalikulu pakupeza matenda ndi kusiyanitsa matenda a Raynaud ku matenda omwewo. Kwa ichi, pali ziwerengero zambiri zofotokozera:
- Kulibe matenda omwe amachititsa matenda achiwiri a Raynaud;
- Kutalika kwazomwe kuli zaka ziwiri;
- kusinthasintha kwa zizindikiro za matendawo kumapeto onse.
Dokotala yemwe akupezekapo kuti apeze matendawa amayesa miyendo, mitsempha ya mthupi ya wodwalayo ndipo amayambitsa mayesero ozizira kuti azindikire zowona.