Hapasati pasati pava nemishonga chaiyo yekurapa Chirwere chaRaynaud (fomu yekutanga). Zvisinei, zvinokwanisika ku kuderedza kuwanda kwepfari nekuchinja mamwe maitiro, akadai kurega kuputa ou zvidzivirirei pachando.

Mukuwedzera, zviratidzo hazvifaniri kumbofuratirwa sezvo zvichigona kuvanza imwe dambudziko kana kuva chiratidzo chekutanga chechirwere chinokonzera zvakadai se rheumatoid arthritis kana scleroderma. Zvinogona kudaro kuti isu tiri pamberi pe Chirwere chaRaynaud (secondary form). Muchiitiko ichi, kurapwa kuchava nechinangwa chekurapa chirwere chinokonzera, chinoda kubvunzurudzwa kwechiremba.

Chii chekuita kana pakaitika dambudziko?

Dziya ndicho chinhu chekutanga kuita, kuitira kudzikamisa spasm yemidziyo yeropa.

• To dziisa maoko kana tsoka, sezvazvingave:

  zviise pasi pe hapwa,

  vanyudze mukatimvura inodziya (kwete kupisa) kana kudira mvura inodziya pamusoro pavo.

• To dzosa kutenderera :

  famba minwe kana zvigunwe,

  mass zvikamu zvakakanganiswa,

  fambisa maoko ako paunenge uchiita madenderedzwa makuru.

apo kushushikana ndiko kwakabva dambudziko, kuenda kune a nzvimbo yakanyarara uye, paunenge uchidziya nzvimbo dzakakanganiswa, shandisa anti-stress technique. Kana, ibva mumamiriro ezvinhu anonetsa, nerubatsiro rwechitatu kana zvichidiwa, kuitira kuti uzorore.

Pharmaceuticals

Vanhu vane chirwere de Raynaud haawanzoda mushonga. Nekudaro, izvi zvinove zvichidikanwa kuitira yakasimba raynaud's syndrome.

Vasodilators. Mishonga iyi inokurudzira kudiridza kwemagumo nekuwedzera kuvhurika kwetsinga dzeropa.

• Calcium chiteshi blockers. Iyi mishonga (pinaverium, nifedipine, buflomedil, nimodipine, nezvimwewo) zvine simba re zorodza nyama uye dilate tutsinga tweropa. Vanowanzorongedzerwa kurapa mamwe mamiriro emwoyo uye high blood pressure. Calcium channel blockers inopa zororo kune maviri kubva muzvitatu evarwere vane chirwere chaRaynaud (chepuraimari kana chechipiri). Ivo vanobatsirawo mukuporeswa kwe maronda eganda paminwe nezvigunwe.
• Alfa blockers. Iyi mishonga (prazosin, doxasosin, nezvimwewo) inopa zororo kune vamwe varwere nekupikisa chiito che norepinephrine, hormone inobatanidzwa mukuderedza mitsipa yeropa. Anoshandiswawo kurapa high blood pressure. Maitiro avo paRaynaud's syndrome ane mwero; imwe chaiyo alpha blocker iri pasi pekudzidza.
• La nitroglycerine muchimiro che ruomba zvakare dzimwe nguva inoshandiswa pachinangwa ichi.
• Le sildenafil (Viagra®). Iyi phosphodiesterase type 5 (IPDE-5) inhibitor, inonyanya kushandiswa kurapa erectile dysfunction, inogona kuderedza kuwanda kwekubatwa. Yakachengeterwa varwere avo mamwe marapirwo evasodilator asingabatsiri.

Adjuvant kurapwa. Kana murwere asingapinduri kurapwa, chiremba anogona kupa mamwe madhiragi anowedzera simba revasodilators.

• Fluoxetine (antidepressant)
• Le cilostazol
• Pentoxifillin

Notes. Mishonga yakasiyana-siyana inokurudzirwa haiwanzoshanda, kunyanya kurapa Chirwere chaRaynaud. Vamwe vanhu vanonzwa zvakanyanya nemhedzisiro uye havashiviriri kurapwa zvakanaka.

Muzviitiko zvakakomba

Kana kutenderera kweropa kuri chakavharwa uye kuti pane ngozi ronda, ivo kuiswa muchipatara zvingave zvakakosha. Izvi zvinobvumira kuswededzwa kwepedyo kwekiriniki uye, kana zvichidikanwa, kuitiswa kwemamwe mishonga ine simba yevasodilator mukati. Muchirwere chemberi, a kudimburwa zvinogona kudikanwa.