Qhov qub mob, rhiab heev thiab xim ntawm daim tawv nqaij nyob ntawm nws cov ntshav. Fabkis tus kws kho mob Maurice Reynaud tau pom muaj kab mob ntau tshaj 150 tawm xyoo dhau los, uas provokes ib qho zuj zus ntawm cov hlab ntsha nrog tom sclerosis thiab fibrosis ntawm cov ntaub so ntswg. Cov kab mob pathology no yog kuaj pom nyob rau hauv 3-5% ntawm ntiaj chaw lub inhabitants, feem ntau cov neeg laus.
Raynaud tus kab mob - dab tsi yog nws nrog poj niam?
Qhov teeb meem tau piav no yog ib qho kev tsis haum ntawm cov ntshav ntawm cov hlab ntshav mus rau ntawm txhais taw thiab ob txhais tes, cov ntiv tes. Qee lub sij hawm lub pob ntseg, lub qhov ntswg thiab daim di ncauj yog kev koom tes hauv tus txheej txheem. Nws yog ib qho tseem ceeb rau tus kab mob Ryeaud tus kab mob nyob rau hauv lub sijhawm - cov tsos mob thiab kev kho mob dhau zuj zus nrog txoj kev loj hlob ntawm kev mob ntsws. Rau qhov tsis paub tias vim li cas, cov poj niam hluas feem ntau yuav raug kev txom nyem los ntawm tus kab mob (tus kab mob yog 5 zaus ntau tshaj li cov txiv neej) txij li 20 txog 40 xyoos.
Tus kab mob Raynaud tus kabmob yog dabtsi?
Nrog lub deficiency ntawm ntshav thiab oxygen, hypoxia ntawm daim tawv nqaij thiab cov nqaij mos mos tshwm sim, thiab necrosis yog pom. Thaum lub sijhawm Raynaud tus kabmob lig dhau los, cov cheebtsam uas raug mob yog thawj zaug uas muaj cov hlwv uas hloov cov kabmob no: Qhov zoo tshaj, cov ntaub so ntswg yuav zoo, tab sis qee zaus nws yuav tuag thiab gangrene . Cov teeb meem zoo li no cuam tshuam rau cov leeg, pob qij txha thiab pob txha.
Tus kab mob Raynaud yog qhov ua rau pib
Cov keeb kwm ntawm cov vascular cuam tshuam ntawm tus kws kho mob tau tsis tau meej. Muaj ntau yam uas ua rau Raynaud tus kab mob - qhov ua rau, txawm yuav ua rau pathology:
- kev ua haujlwm;
- nquag thiab ntev heev ntawm lub pob zeb loj;
- kab mob rheumatic thiab endocrine kab mob;
- mechanical puas tsuaj rau cov ntiv tes;
- hloov kev hloov hauv cov ntshav;
- kev nyuab siab heev;
- mob hnyav;
- congenital insufficiency ntawm cheeb tsam ntawm lub caj dab horns ntawm tus txha caj qaum;
- kab mob ntawm cov hlab ntsha hauv peripheral;
- adrenal caj pas tsis hloov;
- cov teeb meem hauv zos ntawm cov hlab ntsha hauv cov ntiv tes;
- angiospasm ntawm cov hlab ntsha coronary.
Raynaud's Disease - Cov tsos mob
Daim duab saib mob ntawm tus kab mob sib raug mus rau nws cov theem ntawm kev mob. Cov kab mob ntev ntev, qhov tshwm sim ntau dua Raynaud tus kab mob - cov tsos mob ntawm cov poj niam, nyob ntawm qhov mob ntawm qhov mob:
- Angiospastic theem. Cov tswv yim ntawm cov ntiv tes los yog ob txhais taw dheev ua loog, ua txias thiab daj ntseg, thiab poob siab. Cov kab no siv li ob peb feeb mus rau 1 xuab moos, tom qab uas cov tawv nqaij tau txais ib qho zoo li qub thiab kub.
- Angioparalytic theem. Cov ntaub so ntswg ntawm cov cheeb tsam uas muaj mob tshwm sim muaj ib qho mob loj heev, uas tau hnov zoo li tingling lossis mob nqaij. Cov tawv nqaij ua cov dej khov thiab xiav-violet hauv xim, ua rau cov ntiv tes o tuaj.
- Trophoparalytic theem lossis mob Raynaud tus kabmob. Tag nrho cov kev mob tshwm sim saum toj no tsis zoo dua thiab ua ntau heev. Rau ntawm daim tawv nqaij, cov kab npuas nrog cov kua reddish txheem yog tsim, qee zaus muaj kev tawm tsam. Necrotic ulcers tshwm rau ntawm qhov chaw ntawm qhov tawg paj blisters. Txij lub sij hawm, lawv tob tob los yog caws pliav. Nyob rau hauv tsawg zaus teeb meem ntawm cov ntaub so ntswg ncav lub pob txha.
Raynaud's Disease - Kev kuaj mob
Paub meej tias qhov kev tsim tawm ntawm cov kab mob pathology no yog qhov nyuaj vim qhov zoo sib xws ntawm nws cov tsos mob nrog tus mob tib yam. Nws yog ib qho tseem ceeb kom paub qhov txawv lwm cov vascular mob thiab Raynaud tus kab mob - sib txawv ntawm tus mob yog tsim nyog los tshem tawm cov hauv qab no:
- obliterating endarteritis ;
- qhov phenomenon ntawm cov leeg staircase;
- zawm ntawm qhov subclavian artery;
- thyrotoxicosis ;
- kev soj ntsuam scleroderma ;
- lub caij nyoog nyhav;
- Sjögren's syndrome;
- kab mob kev vibration;
- dua lwm tus;
- syringomyelia;
- tshuaj qaug tshuaj lom neeg thiab lwm tus.
Reynaud's Syndrome thiab Raynaud's Disease
Cov npe zoo tib yam yog siv rau cov kab mob sib txawv, uas yog ib qho tseem ceeb rau kev kuaj kom haum. Tus kab mob thiab Raynaud's syndrome yog qhov txawv ntawm qhov ua rau tus yam ntxwv mob tshwm sim. Hauv thawj cov ntaub ntawv, tus kab mob no yog tus kab mob uas muaj kev ywj pheej nrog rau cov tsos mob tshwm sim. Qhov Syndrome no yog ib qho txiaj ntsig ntawm qhov kev mob ntawm lwm cov kab mob pathologies, nrog rau Raynaud tus kab mob, uas yog ib qho ntawm nws cov tsos mob. Xws li tus kab mob qog nqaij hlav hauv lub cev yog cov kab mob hauv qab no:
- kev mob lupus erythematosus;
- rheumatoid kev mob caj dab;
- scleroderma;
- dermatomyositis;
- vasculitis;
- compression ntawm neurovascular nras;
- pathology ntawm sympathetic ganglia;
- kev mob hlwb;
- cov kab mob ntev ntawm cov ntshav thiab cov hlab ntsha;
- plhaw ntawm cov leeg thiab cov hlab ntsha;
- muaj menyuam hauv plab;
- pheochromocytoma;
- noj tshuaj qee yam tshuaj.
Raynaud tus kab mob - kev ntsuam xyuas
Ua ntej, tus kws kho mob ua tib zoo tshuaj xyuas tus neeg mob thiab sau cov ncauj lus kom ntxaws. Tus kab mob Raynaud yog kuaj tau los ntawm nws tus xeeb ceem nta. Qee lub sij hawm nyob rau hauv lub ntsiab lus ntawm pathology, ceev faj soj ntsuam ntawm cov kab mob hauv plab hauv cheeb tsam ntawm cov thawv daim hlau pab. Lub tshav pob ntawm cov tshuaj uas kawm Raynaud tus kab mob yog neurology, yog li kev ntsuam xyuas ntxiv. Cov ntaub ntawv tshaj tawm yog kev sim txias - lub xeev ntawm cov ceg tawv tom qab lawv raug raus (rau ob peb feeb) rau hauv dej ntawm qhov kub ntawm 10 degrees.
Lwm yam kev ntsuam xyuas uas tuaj yeem pab txheeb xyuas tau Morris-Raynaud's disease:
- Radiography ntawm cov hlab ntsha;
- dopplerography ntawm cov hlab ntsha;
- kuaj ntshav (biochemical, kev kho fibrin);
- electrocardiography.
Yuav kho tus kab mob Raynaud li cas?
Txoj kev kho ntawm qhov kev ntsuam xyuas pathology yog muab los ntawm kev sib xyaw thiab kev phais. Qhov kev xaiv thib ib yog tsim nyog, yog tias tsis mob Raynaud tus kab mob lawm - kev kho tsuas yog cia rau cov kev mob tshwm sim thiab kev txhim kho kev nyab xeeb. Txoj kev qhia no yuav siv sij hawm ntev, thiab feem ntau txoj kev kho lub neej. Cov kev phais yuav tsum tau ua nyob rau hauv theem mob loj heev, thaum nws txoj kev kawm tau phom sij nrog kev sib ceg ntawm kev nqua thiab lwm yam kev phem.
Raynaud tus kab mob - uas tus kws kho mob yuav thov?
Ua ntej, nws yuav tsum tau mus ntsib tus kws kho mob rau kev ntsuam xyuas thiab kev sau ntawm anamnesis. Ib tus kws kho mob yuav qhia rau koj tias tus kws kho mob tshwj xeeb Raynaud tus kab mob:
- neurologist;
- tus kab mob cwj pwm vascular;
- neurologist.
Raynaud tus kab mob - kho, tshuaj
Thaum xaiv cov tshuaj kho mob, tus kws kho mob tau txais:
- antispasmodics - Papaverin, Spazmonet, Buskopan;
- adrenoblockers (central thiab peripheral) - Doxazosin, Prazosin, Zoxon;
- vasodilators - Pentoxifylline, Theobromine, Pyracetam;
- ganglioblokatory - Imehin, Pirilen, Temechin;
- tranquilizers - Atarax, Diazepam, Phenazepam;
- calcium blockers - Amlodipine, Nifedipine, Felodip;
- antidepressants - Azafen, Prozac, Bethol;
- cycloid inhibitors - Metindol, Indomethacin, ascorbic acid;
- cov tshuaj mob tsis yog steroid - Ketanov, Naproxen, Ibuprofen;
- anti-inflammatory tshuaj - Mawalis, Nalgezin, Diclofenac ,;
- tshuaj tua kab mob - Erythromycin, Clindamycin, Ciprofloxacin;
- vitamins - nicotinamide, rutin, nicotinic acid.
Koj tuaj yeem txo qhov hnyav ntawm qhov kev ntsuam xyuas ntawm pathology thiab txo qaug dab peg ntawm cov leeg tshau. Ntawm no yog yuav kho tus kab mob Raynaud li cas tom tsev:
- Tag nrho thiab noj mov.
- Ua raws li kev ntsuas kub ntawm lub nqua, tsis txhob hypothermia.
- So, saib xyuas txoj kev pom ntawm kev vam meej thiab kev pw tsaug zog.
- Tsis txhob muaj kev ntxhov siab ntau dhau.
- Tsis kam siv kev quav yeeb quav tshuaj, tshwj xeeb yog haus luam yeeb.
- Txhua hnub qoj ib ce rau tes thiab taw.
- Massage cov extremities.
Tus kab mob Raynaud teb zoo rau cov kab mob hauv qab ntawm kev ua haujlwm ntawm kev ua haujlwm:
- darsonvalization ;
- ultraviolet irradiation;
- electrophoresis nrog lidase lossis calcium;
- diathermy;
- galvanic da dej;
- acupuncture;
- nqus, laser thiab sib nqus kho.
Raynaud tus kab mob - kho nrog pej xeem tshuaj
Lwm hom tshuaj muaj ntau txoj hau kev xaiv kho cov ntshav qis hauv cov nqaij. Qhov zoo tshaj plaws txoj kev, yuav ua li cas kho Raynaud tus kab mob nrog pej xeem tshuaj - curative coniferous da. Nws yog ib qho tsim nyog los khaws cov dej kom sov li ntawm 37 degrees thiab ntxiv 7-10 tee ntawm cov khoom tseem ceeb roj rau nws. Nyob rau hauv xws li ib da dej koj yuav tsum so kom txaus rau 10-15 feeb. Thaum lub sij hawm tus txheej txheem, koj tuaj yeem ua lub zuaj lub ntsej muag ntawm cov ntiv tes thiab nqus pa nqus cov pa tsw qab.
Therapeutic tincture
Cov khoom xyaw:
- qhuav rhizomes ntawm Leuzea - 15 g;
- dej txias - 500 ml.
Npaj, siv :
- Finely txiav zaub raw cov ntaub ntawv.
- Ncuav lub keeb kwm nrog dej khov dej, tawm rau ib nrab ib teev.
- Muab cov khoom ntim tso rau ntawm lub qhov cub thiab coj mus rau ib qho dej.
- Boil qhov kev khwv rau 2-5 feeb.
- Npog lub hau nrog lub hau, muab tshuaj rau 2 xuab moos.
- Lim cov kua.
- Haus 90-100 ml ntawm yeeb tshuaj 5 zaug ib hnub twg.
- Txiav kev kho rau 2 lub lis piam.
Tshuaj yej rau kev txhim kho cov ntshav
Cov khoom xyaw:
- tshiab Strawberry nplooj - 40-45 g;
- boiling dej - 300-350 ml.
Npaj, siv :
- Grind thiab me ntsis mash lub raw cov ntaub ntawv.
- Ncuav lub nplooj nrog boiling dej, tawm rau 5-15 feeb.
- Haus 150-180 ml ntawm tshuaj yej 2 zaug ib hnub twg, koj muaj peev xwm sweeten jam los yog zib mu.
Raynaud tus kab mob yog ua haujlwm
Tus kws kho mob tau piav meej tsis yog kho kom zoo, yog li ntawd, txawm tias ua raws li cov lus pom zoo thiab txiav txim siab kho kom zoo, nws qeeb tab sis nws vam meej. Tib txoj kev los tua Raynaud tus kab mob yog kev phais. Kev ua hauj lwm (sympathectomy) ua kom tshem tawm lossis "kaw" ntawm cov hlab ntsha puas tsuaj, uas ua rau muaj cov ntsha ntshav ntawm cov hlab ntsha. Cov kws phais neeg siv niaj hnub no siv cov cuab yeej siv los ntsuas qhov kev ua kom tiav, raws li nws yuav pab kom ua tiav cov txiaj ntsim zoo nrog kev sib txeeb tsawg.
Tus Raynaud's Disease - qhov kev mob
Cov kab mob ua pob txha tsis tshua muaj kev tsis tshua tshwm sim los ua rau muaj mob xiam oob qhab los yog muaj teeb meem loj, tshwj xeeb tshaj yog kev kho mob raws sij hawm thiab kev kho. Thaum tsis muaj cov hau kev yuav ua li cas kho Raynaud tus kab mob kiag li, tab sis cov kev twv rau lub neej ntawm cov kab mob uas tau hais qhia tau zoo. Qhov tseem ceeb tshaj plaws - txhawm rau ua tiav tag nrho cov kev pom zoo ntawm ib tug kws kho mob tshwj xeeb, ua ntu zus hauv cov kev tiv thaiv kev tiv thaiv thiab saib xyuas qhov kub ntawm cov extremities.