Raynaud tshwm sim

Cov teeb meem Raynaud yog qhov mob uas qhov txias txias lossis lub zog muaj zog ua rau cov hlab ntshav txhaws. Qhov no thaiv cov ntshav ntws mus rau cov ntiv tes, ntiv taw, pob ntseg, thiab qhov ntswg.

Cov teeb meem Raynaud yog hu ua "thawj" thaum nws tsis txuas rau lwm qhov cuam tshuam. Feem ntau nws pib rau cov poj niam hnub nyoog qis dua 30. Qhov tshwm sim ntawm Raynaud txuas mus rau lwm yam mob thiab feem ntau tshwm sim hauv cov neeg uas muaj hnub nyoog tshaj 30 xyoo.

Cov teeb meem ua rau theem nrab ntawm Raynaud tshwm sim yog:

• Kab mob ntawm cov hlab ntsha (xws li mob atherosclerosis thiab Buerger)
• Cov tshuaj uas ua rau nqaim ntawm cov hlab ntsha (xws li amphetamines, qee yam ntawm beta-blockers, qee cov tshuaj mob qog noj ntshav, qee cov tshuaj siv rau mob taub hau)
• Mob caj dab thiab cov mob autoimmune (xws li scleroderma, Sjögren syndrome, mob rheumatoid, thiab mob caj pas lupus erythematosus)
• Qee cov ntshav cuam tshuam, xws li mob khaub thuas agglutinin lossis cryoglobulinemia
  
• Rov ua dua raug mob lossis siv xws li los ntawm hnyav siv ntawm cov cuab yeej siv tes los yog lub tshuab ua haujlwm deeg
• Haus Yeeb
• Khov khov
• Thoracic qhov hluav taws xob tuag

Raug rau txias los yog muaj zog xav coj qhov hloov.

• Ua ntej, tus ntiv tes, ntiv taw, pob ntseg, lossis lub qhov ntswg ua neeg dawb, thiab tom qab ntawd tig xiav xim. Cov ntiv tes yog feem ntau cuam tshuam, tab sis ntiv taw, pob ntseg lossis lub qhov ntswg kuj tuaj yeem hloov xim.
• Thaum cov ntshav ntws rov qab, qhov chaw ntawd liab thiab tom qab ntawd rov qab los rau xim qub.
• Kev tawm tsam tuaj yeem nyob ntawm feeb mus rau ntau teev.

Cov neeg uas muaj qhov tshwm sim Raynaud muaj teeb meem hauv tib tus ntiv tes ntawm ob sab. Tib neeg feem coob tsis muaj mob ntau. Daim tawv nqaij ntawm caj npab lossis txhais ceg txhim kho bluish blotches. Qhov no ploj mus thaum tawv nqaij sov.

Cov neeg uas muaj tus kab mob Raynaud theem nrab feem ntau yuav muaj qhov mob lossis caj dab hauv cov ntiv tes. Kev mob voos yuav tshwm sim ntawm cov ntiv tes yog tias muaj ntau qhov kev tawm tsam tsis zoo.

Koj tus kws kho mob tuaj yeem nrhiav pom qhov xwm txheej ua rau Raynaud tshwm sim los ntawm kev nug koj cov lus nug thiab kuaj lub cev.

Kev ntsuam xyuas uas yuav ua tau los ua pov thawj rau kev kuaj mob suav nrog:

• Kev soj ntsuam ntawm cov hlab ntshav hauv cov ntsis ntiv tes uas siv lub ntsej muag tshwj xeeb hu ua ntsia thawv ntsia hlau me me
• Vascular ultrasound
• Kev kuaj ntshav los saib rau cov mob arthritic thiab autoimmune uas tuaj yeem ua rau Raynaud tshwm sim

Ua raws li cov kauj ruam no tuaj yeem tswj hwm qhov teeb meem Raynaud:

• Ua kom lub cev sov. Zam tsis txhob nphav raug tus mob khaub thuas hauv ib daim ntawv. Hnav cov hnab looj tes lossis hnab looj tes sab nraud thiab thaum kov cov dej khov lossis khoom noj khov. Zam tsis txhob chilled, uas yuav tshwm sim tom qab ib qho kev lom zem ua si.
• Txiav kev haus luam yeeb. Kev haus luam yeeb ua rau cov hlab ntshav nqaim ntxiv.
• Zam txhob haus caffeine.
• Zam txhob noj tshuaj uas ua rau cov leeg ntshav txhaws.
• Hnav nyiam, khau thiab khau plaub thom khwm. Thaum sab nraum, ib txwm hnav khau.

Koj tus kws kho mob yuav sau ntawv tawm tshuaj los txhaws phab ntsa ntawm cov hlab ntshav. Cov no suav nrog tshuaj pleev nitroglycerin uas koj tshiav koj cov tawv nqaij, calcium channel blockers, sildenafil (Viagra), thiab ACE inhibitors.

Kev noj tshuaj qis qis tsawg feem ntau siv los tiv thaiv cov ntshav txhaws.

Txog rau tus kab mob hnyav (xws li thaum mob leeg nqaij pib los ntawm ntiv tes lossis ntiv taw), tej zaum yuav siv cov tshuaj muaj leeg tau. Kev phais mob tuaj yeem ua tiav los txiav cov hlab ntsha uas ua rau spasm hauv cov hlab ntshav. Cov neeg feem ntau tau pw hauv tsev kho mob thaum qhov mob loj heev.

Nws yog qhov tseem ceeb heev los kho tus mob ua rau Raynaud tshwm sim.

Qhov tshwm sim sib txawv. Nws nyob ntawm qhov ua kom muaj teeb meem thiab yuav ua li cas nws phem.

Teeb meem yuav suav nrog:

• Mob caj pas lossis daim tawv nqaij yuav ua rau muaj ntshav ntws los. Qhov teeb meem no ntau dua rau cov neeg uas muaj mob caj dab lossis mob ua rau lub cev tsis muaj zog.
• Ntiv tes tuaj yeem ua nyias thiab tawv ncauj nrog cov tawv nqaij du thiab ntiv tes uas maj mam loj tuaj.Qhov no yog vim qhov tsis zoo cov ntshav ntws mus rau thaj chaw.

Hu rau koj tus kws khomob yog:

• Koj muaj keeb kwm ntawm Raynaud tshwm sim thiab lub cev muaj feem (tes, taw, lossis lwm qhov) kis tau tus mob los yog pib mob.
• Koj cov ntiv tes hloov xim, tshwj xeeb yog dawb lossis xiav, thaum lawv txias.
• Koj cov ntiv tes lossis ntiv taw tig dub lossis tawv nqaij tawg.
• Koj muaj mob ntawm daim tawv nqaij ntawm koj txhais taw lossis txhais tes uas tsis zoo.
• Koj muaj ua npaws, o lossis mob pob qij txha, lossis tawm pob ntawm daim tawv nqaij.

Raynaud's qhov tshwm sim; Raynaud's disease

• Raynaud's qhov tshwm sim
• Txheej txheem lupus erythematosus
• Kev kaw lus hauv lub cev

Giglia JS. Raynaud's qhov tshwm sim. Hauv: Cameron JL, Cameron AM, eds. Kev Kho Mob Tam Sim NoCov. 12th ed. Philadelphia, PA: Elsevier; 2017: 1047-1052.

Tsaws GJ. Raynaud tshwm sim. Hauv: Siavy AN, Perler BA, eds. Rutherford's Kev Kho Mob Ntshav Qab Zib thiab Kev Kho Mob EndovascularCov. 9le ed. Philadelphia, PA: Elsevier; 2019: cha 141.

Roustit M, Giai J, Gaget O, li al. Ntawm-thov Sildenafil ua kev kho rau Raynaud Phenomenon: kev sim n-of-1 sim. Ann Intern MedCov. 2018; 169 (10): 694-703. PMID: 30383134 www.ncbi.nlm.nih.gov/pubmed/30383134.

Txoj hlua T, Femia AN. Raynaud qhov tshwm sim: cov ntsiab lus tam sim no. Clin DermatolCov. 2018; 36 (4): 498-507. PMID: 30047433 www.ncbi.nlm.nih.gov/pubmed/30047433.