Raynaud tus kab mob yog ib yam kab mob uas tshwm sim los ntawm qhov tshwm sim ntawm angiotrophoneurosis nrog thawj qhov txhab ntawm cov hlab ntsha thiab cov hlab ntsha me me thiab (feem ntau cov ceg ceg, feem ntau me ntsis - taw, tawv nqaij ntawm lub qhov ntswg, puab tsaig thiab pob ntseg). Raws li qhov tshwm sim, thaj chaw cuam tshuam tsis tau txais cov khoom noj khoom haus tsim nyog vim muaj qhov txo qis ntawm cov ntshav nkag mus rau hauv nws. Cov kab mob zoo sib xws hauv cov poj niam tshwm sim ntau zaus ntau dua li cov txiv neej, feem ntau tshwm sim hauv cov hluas lossis hnub nyoog nruab nrab.
Raynaud's syndrome yog ib qho tshwm sim uas qee zaus muaj cov vasospasm thim rov qab ntawm cov ntiv tes thiab ntiv taw hauv cov lus teb rau qhov xwm txheej ntxhov siab lossis hypothermia.
Qhov laj thawj tseem ceeb ntawm cov kab mob no
feem pua ntawm cov kab mob tshwm sim rau Raynaud tus kab mob tsawg heev, thiab yog li 5% ntawm tag nrho cov mob. Feem ntau cov localizationCov kab mob yog qhov chaw peripheral ntawm cov ceg ceg - taw thiab txhais tes. Kev swb ntawm cov cheeb tsam no feem ntau tshwm sim symmetrically.
Qhov laj thawj tseem ceeb ntawm tus kab mob no yog:
- Ntawm cov laj thawj tseem ceeb (ua rau) ntawm Raynaud tus kab mob yog qhov cuam tshuam ntawm qhov kub thiab txias. Hauv qee tus neeg, txawm tias lub sijhawm luv luv rau qhov txias thiab cov av noo siab tuaj yeem ua rau tus kab mob loj tuaj.
- Kev raug mob. Raws li qhov ua rau muaj tus kab mob no, kev raug mob ntawm lub cev yog qhov txaus ntshai heev, uas suav nrog kev nyem cov ceg tawv, hnyav hnyav thiab hnyav, nrog rau kev raug mob uas cuam tshuam nrog ntau yam tshuaj lom neeg.
- Rheumatic mob xws li periarthritis nodosa (mob ntawm cov leeg), rheumatoid mob caj dab (mob sib koom), scleroderma, systemic lupus erythematosus.
- Lwm yam ua rau Raynaud tus kab mob yog qhov kev xav tau zoo. Muaj cov ntaub ntawv tshawb fawb qhia tias kwv yees li ib nrab ntawm cov neeg mob raug kev txom nyem los ntawm tus mob no vim kev puas siab puas ntsws overload.
- Kev cuam tshuam hauv kev ua haujlwm ntawm cov kabmob hauv nruab nrog cev, nrog rau qee cov kab mob endocrine xws li hypothyroidism thiab pheochromocytoma.
- YDown Syndrome.
- Kev noj qee yam tshuaj kuj tuaj yeem ua rau tus mob no. Qhov no siv rau cov tshuaj uas muaj cov nyhuv vasoconstrictor. Feem ntau, cov tshuaj no yog siv los kho mob ntshav siab thiab mob migraines.
Cia peb xav txogCov tsos mob ntawm Raynaud's disease.
Symptomatics
Tus kab mob no tshwm sim los ntawm kev tawm tsam, txhua yam uas feem ntau muaj peb theem:
- Spasm ntawm cov hlab ntsha ntawm sab sauv lossis sab qis. Cov ntiv tes txias thiab daj ntseg, thiab qhov mob yuav tshwm sim.
- mob pib nce zuj zus, daim tawv nqaij ntawm qhov extremities ua bluish, hws txias tshwm.
- Nyob rau theem tom ntej, qhov kev siv ntawm spasm txo qis, daim tawv nqaij sov thiab nws cov xim zoo li qub. Cov haujlwm limb tau rov qab los.
Cov tsos mob ntawm Raynaud tus kab mob, cuam tshuam rau cov xim ntawm daim tawv nqaij, maj mam loj hlob. Ua ntej, muaj tus yam ntxwv pallor, qhov hnyav ntawm uas nyob ntawm qhov degree ntawm vasospasm. Feem ntau, cov theem no yog nrog los ntawm qhov mob, uas yog tam sim no, raws li txoj cai, nyob rau hauv tag nrho cov theem, tab sis feem ntau hais nyob rau hauv thawj, thaum tus ntiv tes ntawm lub extremities yog daj ntseg.
Hauv qee tus neeg mob, kev tawm tsam tuaj yeem tshwm sim ob peb zaug hauv ib hnub, hauv lwm tus - ib zaug txhua ob peb lub hlis. Kev loj hlob ntawm tus kab mob no ua rau lub sijhawm ntev ntawm kev tawm tsam mus txog ib teev, nrog rau lawv qhov zaus thiab qhov pib tshwm sim tam sim yam tsis muaj laj thawj tshwj xeeb. Nruab nrab ntawm lawv, ob txhais taw thiab txhais tes txias, cyanotic, ntub.
Cov neeg mob yws txog dab tsi?
Qhov zaus ntawm kev ua haujlwm tsis zoo ntawm lub paj hlwb hauv Raynaud tus kab mob tau pom nyob hauv kwv yees li ib nrab ntawm cov neeg mob. Cov neeg mob yws txog cov xwm txheej hauv qab no:
- mob taub hau tas li;
- hnyav hauv cov tuam tsev;
- mob nraub qaum thiab ceg ceg;
- kev sib koom tes ntawm kev txav.
Stages of Raynaud's disease
Cov chav kawm ntawm pathology tau muab faib ua peb theem tseem ceeb: angiospastic, angioparalytic thiab atropphoparalytic.
Thaum thawj theem, muaj qhov tshwm sim ntawm lub sij hawm luv luv ntawm cov tawv nqaij loog, qhov kub thiab txias hauv cov cheeb tsam cuam tshuam thiab blanching ntawm daim tawv nqaij, ua raws li qhov pib ntawm qhov mob. Tom qab muaj kev tawm tsam, pom kev hloov pauv hauv cov cheeb tsam no tsis pom.
Nyob rau theem thib ob, qee cov tsos mob ntawm tus kab mob tau ntxiv rau cov cim qhia. Cov xim ntawm daim tawv nqaij pib kom tau ib tug bluish tint, xim ntawm daim tawv nqaij ua "marble", nws kuj yog ua tau rau cov tsos ntawm puffiness, tshwj xeeb tshaj yog nyob rau hauv cov cheeb tsam cuam tshuam. Mob thaum muaj kev tawm tsam yuav khaus thiab hais tau ntau dua.
Lub sijhawm ntawm ob theem yog nyob nruab nrab ntawm peb mus rau tsib xyoos. Nrog rau txoj kev loj hlob ntawm cov txheej txheem pathological, feem ntau tuaj yeem soj ntsuam cov tsos mob ntawm peb theem tib lub sijhawm.
Nyob rau theem thib peb ntawm cov kab mob, muaj kev nyiam tsim cov kab mob thiab felons, mus txog rau necrosis ntawm daim tawv nqaij thiab cov nqaij mos ntawm phalanges.
Qhov no yog yam kab mob Raynaud yog qhov txaus ntshai rau.
Yuav ua li cas pom zoo rau kev mob nkeeg?
Nrog rau txoj kev loj hlob ntawm cov kab mob no, nws yog ib qho tseem ceeb heev kom tshem tawm cov xwm txheej uas ua rau muaj qhov tshwm sim ntawm tus kab mob. Yog tias qhov ua rau nws tshwm sim yog kev ua haujlwm, nws yuav tsum tau hloov lossis kho.
Tus neeg nrog qhov nopathology yog contraindicated rau kev koom tes nyob rau hauv kev ua hauj lwm uas yog txuam nrog hypothermia ntawm extremities, meej txav ntawm cov ntiv tes, kev sib cuag nrog ntau yam tshuaj. Kuv yuav tsum pom tus kws kho mob twg rau Raynaud tus kab mob?
Kev kuaj mob pathological tshwm sim
Yog tias koj xav tias muaj tus kab mob, koj yuav tsum hu rau tus kws kho mob tshwj xeeb xws li kws kho mob angiologist, tab sis tus kws kho mob rheumatologist tseem koom nrog kev kuaj mob thiab kho cov kab mob no. Tsis tas li ntawd, kev sab laj nrog tus kws phais mob vascular thiab kws kho plawv yuav xav tau.
Kev kuaj mob ntawm Raynaud tus kab mob yog dab tsi?
Qhov kev kuaj mob tseem ceeb rau qhov tshwm sim ntawm cov kab mob no yog qhov ua kom tsis tu ncua ntawm cov hlab ntsha ntawm daim tawv nqaij. Lub ntsiab lus ntawm qhov spasm yog tias thaum sov, cov hlab ntsha hauv cov ceg ceg tsis rov qab los, lawv tseem nyob daj ntseg thiab txias.
Thaum lub sijhawm kuaj mob ntawm cov neeg mob uas muaj tus kab mob Raynaud (raws li ICD-10 - code I73.0.), nws yuav tsum tau tsim ua ntej seb qhov tshwm sim no tsis yog kev cai lij choj ntawm cov ntshav ncig, piv txwv li. natural physiological cov tshuaj tiv thaiv nyob rau hauv lub cuam tshuam ntawm tsawg kub sib txawv intensities.
Cov kev kuaj hauv qab no kuj tseem yuav tsum tau kuaj xyuas:
- Tau suav suav.
- Ntxiv coagulogram, erythrocyte thiab platelet zog, qib fibrinogen.
- Kev soj ntsuam rau c-reactive tag nrho thiab cov protein, globulin feem thiab albumin.
NyobNyob rau theem tam sim no ntawm txoj kev loj hlob ntawm kev kho mob science, cov kws kho mob tshwj xeeb tau sau tseg qhov ua tau zoo ntawm txoj kev tshiab rau kev kuaj mob Raynaud tus kab mob - qhov dav-tawm capillaroscopy ntawm tus ntsia thawv txaj. Txoj kev no muaj qhov tseeb ntawm kev kuaj tus kab mob no.
Qhov kev kuaj mob zaum kawg tuaj yeem tsim tau tsuas yog tom qab tau txais cov txiaj ntsig ntawm kev ntsuas ntsuas thiab kuaj hauv chav kuaj. Yog tias tus neeg mob tsis muaj cov kab mob sib kis uas tuaj yeem ua rau cov tsos mob ntawm tus kab mob, qhov kev kuaj mob tsim nyog tau tsim.
Kev kho tus kab mob Raynaud yuav tsum tau raws sijhawm.
Tsev txheej txheem
Kev kho mob ntawm cov neeg mob muaj qee qhov teeb meem, uas feem ntau cuam tshuam nrog kev xav tau los txheeb xyuas qhov laj thawj tshwj xeeb uas ua rau muaj tus mob no, yog li kev txiav txim siab yuav kho tus kab mob no li cas, lossis theej, txoj kev twg yog qhov tseeb dua. ua nws, txhawm rau ua tiav qhov ua tau zoo tshaj plaws, sib tham los ntawm ntau lub ntsiab lus pom.
Thaum qhov tshwm sim thawj zaug ntawm cov kab mob no tau txiav txim siab, tus neeg mob txoj kev kho yuav tsum suav nrog kev kho cov kab mob hauv qab thiab kev soj ntsuam los ntawm tus kws kho mob tsim nyog.
Cov lus qhia kho mob rau Raynaud tus kab mob yuav tsum tau ua raws nruj me ntsis.
Kev kho mob feem ntau yog cov tsos mob thiab suav nrog cov tshuaj hauv qab no:
- tshuaj tonic;
- Yantispasmodics;
- tshuaj tua kab mob;
- tshuaj uas normalize hormonallub cev tom qab.
Nyob rau theem thawj thiab thib ob ntawm tus kabmob, kev kho tshuaj kuj suav nrog cov tshuaj uas txo cov ntshav ntom, piv txwv li, Dipyridamole lossis Curantil.
Los ntawm cov txheej txheem physiotherapeutic, nws tuaj yeem siv:
- electrosleep;
- hluav taws xob stimulation ntawm thaj chaw frontotemporal hauv lub hlwb;
- diadynamic tam sim no lossis ultrasound rau lub lumbar thiab ncauj tsev menyuam sympathetic nodes;
- electrophoresis nrog sedatives thiab antispasmodics;
- magnetotherapy.
Nyob rau theem thib peb ntawm kev txhim kho cov txheej txheem pathological hauv Raynaud tus kab mob, tus yam ntxwv los ntawm kev txhim kho ntawm daim tawv nqaij ulcerative lesions thiab necrosis ntawm nws thaj chaw, kho qhov txhab kho mob. Kev kho mob ntawm pathology tuaj yeem siv sijhawm ntev heev, qee zaum rau xyoo, txog rau thaum lub sijhawm tshwm sim ntawm angiospasms tsis nres teb rau kev siv vasodilators.
Ib qho tseem ceeb ntawm kev kho mob Raynaud tus kab mob yog txwv tus neeg mob kev sib cuag nrog ntau yam ua rau muaj kev cuam tshuam. Nrog rau kev ntxhov siab ntau ntxiv, cov tshuaj sedative yuav tsum tau muab rau tus neeg mob. Nyob rau hauv rooj plaub uas nws tsis tuaj yeem tshem tawm qhov chaw txias thiab qhov chaw ntub dej, cov neeg mob tau qhia kom hnav khaub ncaws sov dua li niaj zaus, thiab tshwj xeeb tshaj yog sov ob txhais taw thiab tes.
Kev phais txoj kev kho mob muaj nyob rau hauv sympathectomy, uas yog tus cwj pwm los ntawm kev cuam tshuam ntawm kev cuam tshuam ntawm kev ntws ntawm pathological impulses uas ua rau vasospasm hauvQee qhov chaw ntawm lub paj hlwb autonomic, uas yog lub luag haujlwm rau lub xeev ntawm lub suab ntawm cov hlab ntsha me.
Khoom noj
Kev noj zaub mov hauv qhov xwm txheej ntawm qhov pathology coincides nrog kev noj haus ntawm cov neeg mob uas muaj atherosclerosis ntawm extremities. Nrog Raynaud tus kab mob, cov zaub mov muaj roj yuav tsum raug cais tawm ntawm cov khoom noj kom ntau li ntau tau - cov nqaij haus luam yeeb, hnyuv ntxwm, nqaij rog, nqaij qaib ob txhais ceg, mayonnaise, qaub cream, rog tsev cheese.
Cov khoom lag luam yuav tsum muaj ntau cov vitamins B, vitamin C thiab niaj hnub, uas pab txhawb cov phab ntsa vascular thiab ua kom lawv elasticity, uas pab lawv teb txaus rau qhov kub thiab txias ntawm ib puag ncig.
Nws kuj pom zoo kom haus ntau cov txiv hmab txiv ntoo thiab zaub hauv txhua daim ntawv. Ntxiv rau qhov suav hais tias yog ib qho ntawm cov vitamins, cov zaub mov no muaj fiber ntau, uas yog ib qho khoom noj rau cov kab mob uas muaj txiaj ntsig zoo uas nyob hauv plab hnyuv mucosa, ua rau muaj zog ntau lub cev sov so.
Yuav ua li cas lwm yam kev kho mob rau Raynaud's yuav ua tau zoo?
Txoj kev kho neeg mob
Thaum muaj kab mob tshwm sim, ntau hom zaub mov txawv pej xeem siv, uas nyob rau hauv tus kab mob no tsis muaj txiaj ntsig zoo dua li tshuaj.
Piv txwv li, fir da dej muaj txiaj ntsig zoo. Hauv qhov no, cov dej hauv da dej yuav tsum tsis txhob kub heev. Fir roj yog ntxiv rau nws, nrog rau lwm cov roj uas muaj lub calming thiabvasodilating nyhuv. Lub sij hawm da dej tsis pub dhau kaum tsib feeb.
Tseem muaj ib daim ntawv qhia Siberian los kho tus mob no - noj ib daim mov ci nrog ob peb tee ntawm fir roj ntawm lub plab khoob.
Kev kho tus kab mob Raynaud nrog kev kho pej xeem yuav tsum tau ua raws li kev saib xyuas ntawm tus kws kho mob.
Daim ntawv qhia pej xeem hauv qab no kuj tseem pom zoo: noj ob peb nplooj ntawm tsob ntoo aloe (zoo dua li peb xyoos), chop lawv thiab nyem cov kua txiv hmab txiv ntoo. Tom qab ntawd, nws yog ib qhov tsim nyog los npaj cov ntaub qhwv ntsej muag, tsau nws nrog kua txiv aloe thiab siv rau thaj chaw cuam tshuam ntawm lub cev rau ob peb teev. Txhawm rau kom muaj txiaj ntsig zoo ntawm cov txheej txheem no, nws raug nquahu kom ua ntej zaws cov ceg.
Kev mob sai sai ntawm tus kab mob no tuaj yeem zam tau yooj yim dua los ntawm kev siv cov zaws mos, ua kom sov dej haus thiab ntaub plaub, uas qhwv ib ncig ntawm ceg ceg.
Tshuaj rau Raynaud tus kab mob
Nrog rau cov kab mob no, cov tshuaj hauv qab no yog cov neeg nyiam tshaj plaws, uas tau muab los ntawm cov kws kho mob tshwj xeeb tsis yog tam sim ntawd thaum lub sijhawm tawm tsam tus kab mob, tab sis kuj rau kev kho mob:
- "Actovegin" yog cov tshuaj tiv thaiv hypoxic uas muaj peb hom kev ua haujlwm: neuroprotective, metabolic thiab microcirculatory. Cov tshuaj tsub kom qhov nqus ntawm oxygen los ntawm cov ntaub so ntswg, muaj txiaj ntsig zoo rau kev thauj thiab kev siv cov piam thaj, uas txhim kho lub zog metabolism ntawm cov hlwb thiab txo qis kev tsim lactate thaum lub sij hawm ischemia. Tsis tas li ntawd, qhov cuab yeej notiv thaiv qhov tshwm sim ntawm apoptosis, uas yog induced los ntawm beta-amyloid. Cov txiaj ntsig zoo ntawm cov tshuaj yog qhov nce ntawm cov ntshav ntws hauv cov hlab ntsha, txo qis hauv thaj chaw pericapillary, txo qis hauv myogenic tone ntawm arterioles thiab vascular sphincters, nrog rau qib ntawm shunting arteriovenular ntshav txaus.
- "Mydocalm" yog cov tshuaj uas yog lub hauv paus ua kom cov leeg nqaij so. Cov tshuaj no muaj cov tshuaj loog hauv zos thiab daim nyias nyias-stabilizing nyhuv, inhibits kev nkag mus ntawm impulses ntawm lub cev muaj zog neurons thiab thawj afferent fibers, uas pab txhawb rau kev thaiv cov leeg hlwb, inhibits kev tso tawm ntawm cov neeg nruab nrab los ntawm inhibiting calcium nkag mus rau hauv lub synapses. Cov tshuaj kuj tseem txhim kho cov ntshav ntws mus rau hauv peripheral.
- "Sermion" - ib qho tshuaj uas txhim kho peripheral thiab cerebral ncig, uas, ntxiv rau, yog ib qho alpha-blocker. Txhim kho cov txheej txheem hemodynamic thiab metabolic, txo platelet aggregation thiab normalizes rheological zog ntawm cov ntshav, txhim kho cov ntshav txaus nyob rau hauv cov extremities, muaj ib tug adrenoceptor thaiv cov nyhuv thiab cuam tshuam cov neurotransmitter cerebral systems, nce lawv cov kev ua, txhim kho kev txawj ntse.
Cov tshuaj no tau siv dav hauv kev kho mob thiab tiv thaiv Raynaud tus kab mob, txo qhov zaus ntawm kev tawm tsam pathological thiab tshwm sim ntawm cov tsos mob tseem ceeb ntawm tus kab mob no. Tsis txhob pib tus kab mob, nco ntsoov sab laj nrog tus kws kho mob tshwj xeeb ntawm thawj cov tsos mobmuab kev pab tsim nyog.
