Ubuhlungu bukaRaynaud? Izimpawu, Izimbangela, Nokwelashwa

Ubuhlungu bukaRaynaud yisimo lapho iminwe yakho nezinzwane zilahlekela khona okwesikhashana ukugeleza kwegazi uma zivezwa ebuqandeni noma ekuhluphekeni. Imithambo yakho yegazi iyancipha kakhulu, okubangela ukuba izingxenye zakho zomzimba zibe mhlophe, ziblue, noma zibomvu ngendlela ethile.

Lokhu kwenzeka ngoba imithambo emincane yegazi enikeza igazi kwesikhumba sakho iphendula kakhulu kubushushu obuphansi noma ekuhluphekeni ngokomzwelo. Cabanga ngakho njengesistimu yokusabalalisa igazi lomzimba wakho esinempilo kakhulu ezizathwini ezingayihluphi abantu abaningi. Nakuba kungase kubonakale kukhathaza uma kwenzeka, ubuhlungu bukaRaynaud bulawuleka ngendlela efanele.

Ziyini izimpawu zokugula kukaRaynaud?

Uphawu olukhulu lobuhlungu bukaRaynaud ukushintsha kombala eminweni yakho noma ezinyaweni zakho okwenzeka ngokulandelana okuthile. Uzoqaphela ukuthi izingxenye zakho zomzimba ezithintekile ziqala zibe mhlophe, bese zibe blue, ekugcineni zibe bomvu njengoba ukugeleza kwegazi kubuyela.

Ngizokusihamba ngalokho ongase ukubone phakathi nesigameko, ukuze wazi ukuthi yini okulindeleke:

• Iminwe noma izinzwane ziyaba mhlophe noma zibe yelu ekuqaleni
• Izindawo ezithintekile zibe blue noma zibe purple
• Ekugcineni, ziyaba bomvu njengoba ukugeleza kwegazi kubuyela
• Ukuqina noma ukuthamba phakathi kokushintsha kombala
• Ubuhlungu obukhulu, obukhulu njengoba ukugeleza kwegazi kubuyela
• Ukuzizwa ebuqandeni eminweni noma ezinyaweni ezithintekile
• Ubunzima bokuhambisa iminwe yakho phakathi nokuhlaselwa

Lezi zigameko zivame ukuphela kusuka emaminithini ambalwa kuya ku-hora elilodwa. Izindaba ezinhle ukuthi phakathi kokuhlasela, ukugeleza kwegazi kwakho kuvame ukubuyela esimweni esijwayelekile ngokuphelele.

Kwezinye izimo, ungase futhi uqaphele lezi zimpawu ekhaleni lakho, ezindebeni, noma emakhaleni. Nakuba kungavamile, ubuhlungu bukaRaynaud bungathinta lezi zindawo, ikakhulukazi ngesikhathi sezulu elibanda kakhulu noma izimo ezinzima kakhulu.

Ziyini izinhlobo zokugula kukaRaynaud?

Kunezinhlobo ezimbili eziyinhloko zokugula kukaRaynaud, nokuqonda ukuthi iyiphi onayo kusiza ekutholeni indlela yokwelapha engcono kakhulu. Ubuhlungu bukaRaynaud obukhulu yilona elivamile futhi elithambile.

Ubuhlungu bukaRaynaud obukhulu buvela ngokwalo ngaphandle kwanoma yisiphi isimo sezempilo esiyisisekelo. Lo mkhuba uqala ngokuvamile ebuntwaneni bakho noma ebudaleni bakho futhi uba mubi kakhulu. Izimpawu zakho zivame ukulinganiselwa ekushintsheni kombala nasekucasukeni, ngaphandle kwezinkinga ezinzima.

Ubuhlungu bukaRaynaud obubangelwa yinto ethile buvela ngenxa yesimo sezempilo esinye noma imithi. Lo mkhuba uvela ngokuvamile kamuva ekuphileni futhi ungaba nzima kakhulu. Ngezinye izikhathi kubizwa ngokuthi i-Raynaud's phenomenon uma kuhlotshaniswa nezinye izimo ezinjengokugula okuqabukela amasosha omzimba, izifo zegazi, noma imithi ethile.

Ukuhlukaniswa kubalulekile ngoba ubuhlungu bukaRaynaud obubangelwa yinto ethile kungadinga ukwelashwa kwesimo esiyisisekelo. Udokotela wakho angakusiza ekuqondeni ukuthi iyiphi inhlobo onayo ngokusekelwe ebudaleni bakho lapho izimpawu zaqala khona, umlando womndeni, nezinye izici zezempilo.

Yini ebangela ubuhlungu bukaRaynaud?

Imbangela eqondile yobuningi bukaRaynaud ayiqondakali ngokuphelele, kodwa ihilela imithambo yakho yegazi ephendula kakhulu ezizathwini ezijwayelekile. Impendulo yomzimba wakho ebuqandeni ukunciphisa imithambo yegazi ezinyaweni zakho ukuze ugcine ubushushu kwamalungu abalulekile, kepha ebuhlungwini bukaRaynaud, le mpendulo iningi kakhulu.

Izici eziningi zingabangela isigameko, nokwazi izizathu zakho siqu kusiza ekulawuleni isimo kangcono:

• Ubushushu obuphansi, ngisho nemozulu ebandayo kancane
• Ukuphatha izinto ebandayo njengokudla okugqotshiwe noma uqhwa
• Ukuhlupheka ngokomzwelo noma ukukhathazeka
• Ukushintsha kobushushu ngokuzumayo, njengokuya endlini efudumele uye ngaphandle ebandayo
• I-Air conditioning noma abalandeli abaphefumula ngqo kuwe
• Amathuluzi azamazama noma ukunyakaza okuphindaphindayo kwesandla

Ubuhlungu bukaRaynaud obubangelwa yinto ethile bunamabangela ayisisekelo athile adinga ukuhlolwa udokotela wakho. Lokhu kungafaka izimo zokugula okuqabukela amasosha omzimba njengoluphus noma i-scleroderma, izifo zegazi, noma imithi ethonya ukugeleza kwegazi.

Ngezinye izikhathi, ukudalulwa emsebenzini kwizinto ezimbi noma ukuzamazama okuphindaphindayo kwamathuluzi kungase kube nomthelela ekuthuthukiseni ubuhlungu bukaRaynaud. Uma usebenza ngezandla zakho njalo noma usebenzisa imishini ezamazama, lokhu kungaba yinto okufanele uyixoxe nodokotela wakho.

Nini okumele ubona udokotela ngenxa yobuningi bukaRaynaud?

Kufanele ubona udokotela uma ubhekene nokushintsha kombala okuphawulekayo eminweni yakho noma ezinyaweni zakho, ikakhulukazi uma kuhlupha imisebenzi yakho yansuku zonke. Ukuxilongwa kwasekuqaleni kusiza ukuthi uthole ukwelashwa okulungile futhi ufunde amasu okulawula okuphumelelayo.

Hlela i-aphoyintimenti ngokushesha kunokuba kamuva uma uqaphela lezi zimpawu ezinkulu:

• Izigameko ziyaqala kakhulu noma zibe nzima kakhulu
• Ukushintsha kombala kuthinta ohlangothini olulodwa lomzimba wakho
• Uthola amaqhuzu noma izihlamba eminweni yakho noma ezinyaweni zakho
• Izimpawu zakho zaqala ngemuva kweminyaka engama-30
• Unezinye izimpawu ezinjengobuningi bamalunga, isihlungu, noma ubuthakathaka bemisipha
• Izigameko zihlala isikhathi eside kunokujwayelekile noma aziphenduli ekufudumeni

Funani ukunakekelwa kwezokwelapha ngokushesha uma uthola amaqhuzu avulekile, ukutheleleka, noma uma iminwe yakho noma izinzwane zihlala zithambile futhi zibanda ngisho nangemuva kokufudumala. Lokhu kungaba izimpawu zomonakalo wezicubu ezidinga ukwelashwa ngokushesha.

Ungalindi uma ubhekene nobuhlungu obukhulu, ukuqina okuqhubekayo, noma uma isikhumba eminweni yakho ethintekile sibonakala sishintsha ukuma noma sithuthukisa izihlamba. Lezi zimpawu zingase zibonise izinkinga ezidinga ukunakekelwa kwezokwelapha ngokushesha.

Ziyini izici ezikhulu zokugula kukaRaynaud?

Izici eziningi zingandisa amathuba akho okuthuthukisa ubuhlungu bukaRaynaud, nakuba abantu abaningi abanezici ezikhulu abazithuthukisi lelo simo. Ukuqonda lezi zici kusiza wena nodokotela wakho ekuhloleni isimo sakho ngokuqondile.

Nazi izici eziyinhloko ezikhulu abazihlola abakwa-healthcare providers:

• Ukuba owesifazane (abesifazane banamathuba amaningi okuthuthukisa ubuhlungu bukaRaynaud)
• Iminyaka, ikakhulukazi intsha nabantu abadala abasebancane ngohlobo olukhulu
• Ukuphila ezindaweni ezibandayo
• Umlando womndeni wokugula kukaRaynaud
• Ukuba nezinye izimo zokugula okuqabukela amasosha omzimba
• Ukusebenzisa imithi ethonya imithambo yegazi
• Ukusebenza ngamathuluzi azamazama noma ezindaweni ezibandayo
• Ukubhema, okuncipha ukugeleza kwegazi

Eminye imisebenzi inezici ezikhulu, ikakhulukazi lezo ezihilela ukunyakaza okuphindaphindayo kwesandla, ukudalulwa ekuzameni, noma izindawo ezibandayo. Lokhu kufaka umsebenzi wokwakha, ukubhala, ukudlala ipiyano, noma imisebenzi edinga ukusetshenziswa njalo kwamathuluzi amandla.

Imithi ethile ingase futhi iqale noma ibe mbi izimpawu zokugula kukaRaynaud. Lokhu kufaka imithi ethile yegazi, imithi ye-migraine, nemiithi esetshenziswa ekwelapheni ukungakwazi ukugxila. Uma usebenzisa noma iyiphi imithi futhi uqaphela izimpawu ezintsha zokugula, xoxa nodokotela wakho.

Ziyini izinkinga ezingase zenzeke ngenxa yobuningi bukaRaynaud?

Abantu abaningi abane-Raynaud's disease baba nezimpawu ezilula kuphela ezingaholeli ezinkingeni ezinzima. Noma kunjalo, kubalulekile ukuqonda ukuthi yini okufanele uyilinde, ikakhulukazi uma une-secondary form yalesi simo.

Izinkinga ezivamile kakhulu zithuthuka uma ukugeleza kwegazi kunqanyuliwe kakhulu isikhathi eside:

• Amaqhuzu esikhumba noma izihlamba eminweni noma ezinyaweni
• Ukutheleleka ezindaweni lapho ukugeleza kwegazi kubi khona
• Ukwenza amabala noma ukugoba isikhumba somunwe
• Ukuqina okungapheli noma ukunciphisa ukuzwa
• Ubunzima ngemisebenzi emincane yemoto njengokubhala noma ukubopha izinkinobho

Kwezinye izimo ezingavamile, ubuhlungu bukaRaynaud obukhulu bungabangela ukufa kwezicubu ezindaweni ezithintekile. Lokhu kungenzeka kakhulu nge-secondary Raynaud's noma uma isimo siye sashonelwa isikhathi eside. Izindaba ezinhle ukuthi ngokulawulwa okuhle, izinkinga ezinzima azivamile.

Uma une-secondary Raynaud's, izinkinga ezivela esimweni esiyisisekelo zingase futhi zithinte impilo yakho yonke. Kungakho kubalulekile ukusebenzisana nodokotela wakho ukuze ulungise izimpawu zokugula kukaRaynaud nanoma yiziphi izimo zezempilo ezihlobene.

Ubuhlungu bukaRaynaud bungavikeleka kanjani?

Nakuba ungakwazi ukunciphisa ngokuphelele ubuhlungu bukaRaynaud, unganciphisa kakhulu ubukhulu nobunzima bezigameko ngokwenza izinguquko ekuphileni. Okubalulekile ukugwema izizathu zakho ezaziwayo nokuvikela ukugeleza kwegazi kwakho.

Ukulawula ubushushu yilona ikhanda lokuvikela. Gcina umzimba wakho wonke ufudumile, hhayi izandla nezinzwane zakho kuphela, ngoba ubushushu bomzimba buthonya ukugeleza kwegazi ezinyaweni zakho. Gqoka ngezigaba futhi ugqoke iziqhwaga ezifudumele, izokisi, nezicathulo uma uya ngaphandle ezulwini elibandayo.

Nazi izinyathelo ezisebenzayo ezingasiza ekuvimbeni isigameko:

• Gqoka iziqhwaga uma uphatha izinto ebandayo, ngisho nasefrijini
• Sebenzisa izitsha ezifudumele zeziphuzo ebandayo
• Fudumisa imoto yakho ngaphambi kokushayela ezulwini elibandayo
• Gcina ikhaya lakho lifudumele kahle
• Gwema ukushintsha kobushushu ngokuzumayo uma kungenzeka
• Lawula ukucindezeleka ngezindlela zokupumula
• Zivocavoca njalo ukuthuthukisa ukugeleza kwegazi
• Ungabhemi, njengoba kuncipha imithambo yegazi

Ukulawula ukucindezeleka kudlala indima ebalulekile futhi, njengoba ukucindezeleka ngokomzwelo kungabangela isigameko njengobushushu obuphansi. Cabanga ngezindlela ezinjengokuphefumula okujulile, ukucamngca, noma ukuzivocavoca njalo ukuze usiza ekulawuleni amazinga okucindezeleka.

Ubuhlungu bukaRaynaud buxilongwa kanjani?

Ukuxilongwa kukaRaynaud kuqala ngokuvamile ngodokotela wakho oqaphela incazelo yakho yezimpawu nokuqaphela noma yiziphi izimpawu ezibonakalayo ngesikhathi se-aphoyintimenti yakho. Ayikho i-test eyodwa yobuningi bukaRaynaud, ngakho ukuxilongwa kuxhomeke kakhulu esimweni sakho sezimpawu nomlando wezokwelapha.

Umhlinzeki wakho wezokunakekelwa kwezempilo uzokubuza imibuzo eningiliziwe mayelana nokuthi izimpawu zakho zenzeka nini, yini ezibangela, nokuthi zihlala isikhathi esingakanani. Bazofuna ukwazi ngokushintsha kombala obuhlangabezana nawo nokuthi izandla zombili zithinteka ngokulinganayo yini.

Izivivinyo eziningi zingase zisetshenziswe ukuqinisekisa ukuxilongwa nokugwema ezinye izimo:

• I-Cold stimulation test ukuqalisa izimpawu endaweni elawulwayo
• I-Nail fold capillaroscopy ukuhlola imithambo emincane yegazi
• Izivivinyo zegazi ukuhlola izimo zokugula okuqabukela amasosha omzimba
• I-Antinuclear antibody (ANA) test
• I-Erythrocyte sedimentation rate (ESR) ukuthola ukuvuvukala

Lezi zivivinyo zisiza ekuqondeni ukuthi une-primary noma i-secondary Raynaud's. Uma udokotela wakho engabaza i-secondary Raynaud's, bangase babeke izivivinyo ezengeziwe ukuze baqonde noma yiziphi izimo ezingase zibangele izimpawu zakho.

I-nail fold capillaroscopy iwusizo kakhulu ngoba ingathola ukungapheleli kwemithambo emincane yegazi eduze kwamakhaleni akho. Le test elula, engahluphi, ihilela ukuhlola iminwe yakho ngaphansi kokukhulu ukuze ubone izimpawu zezimo zokugula okuqabukela amasosha omzimba.

Ukuphathwa kokugula kukaRaynaud kuyini?

Ukuphathwa kokugula kukaRaynaud kugxile ekuqedeni ubuningi nobunzima bezigameko ngenkathi kuvinjelwa izinkinga. Abantu abaningi bangalawula izimpawu zabo ngokuphumelelayo ngokwenza izinguquko ekuphileni, futhi uma kudingeka, imithi.

Ngokuqala kokugula kukaRaynaud okukhulu, ukwenza izinguquko ekuphileni kuvame ukwanele. Lokhu kufaka ukugcina ufudumile, ukulawula ukucindezeleka, nokugwema izizathu ezaziwayo. Abantu abaningi bathola ukuthi lezi zinguquko ezilula zithuthukisa kakhulu ikhwalithi yempilo yabo.

Uma ukwenza izinguquko ekuphileni kungelona ikhanda, udokotela wakho angase akukhuthaze imithi esiza ekuthuthukiseni ukugeleza kwegazi:

• I-Calcium channel blockers ukuphumula izindonga zemithambo yegazi
• I-Topical nitrates efake ngqo eminweni ethintekile
• I-ACE inhibitors kwezinye izimo
• Imithi yokuthuthukisa ukugeleza kwegazi
• I-Antidepressants ethinta umsebenzi wemithambo yegazi

Ngokuqala kokugula kukaRaynaud obubangelwa yinto ethile, ukwelapha isimo esiyisisekelo kubalulekile. Lokhu kungase kuhilele ukusebenzisana nochwepheshe abanjengabarheumatologists ngezimo zokugula okuqabukela amasosha omzimba noma ukulungisa imithi engase ibe nomthelela ezimpawu zakho.

Kwezinye izimo ezinzima ezingaphenduli kwezinye izindlela zokwelapha, ezinye izinketho eziphambili zingase zicatshangelwe. Lokhu kufaka i-nerve blocks noma, ngokungavamile kakhulu, ukuhlinzwa kokusika imithambo yezinzwa elawula ukunciphisa imithambo yegazi ezindaweni ezithintekile.

Ungalawula kanjani ubuhlungu bukaRaynaud ekhaya?

Ukulawula ubuhlungu bukaRaynaud ekhaya kuqala ngokugcina ufudumile nokwazi ukuthi ungaphatha kanjani isigameko uma siqala. Umgomo ukugcina ukugeleza kwegazi okuhle nokubuyisela ngokushesha ukugeleza kwegazi uma izimpawu ziqala.

Uma uzizwa isigameko siqala, sebenza ngokushesha ukufudumisa indawo ethintekile. Ukufudumala okuthambile kuphumelela kakhulu kunokushisa okukhulu, okungase kubangele izinkinga eziningi. Gcoba amanzi afudumele (angezona ashisayo) phezu kwezandla zakho noma ezinyaweni zakho, noma uwafake etawulini elifudumele.

Nazi izindlela zokulawula ekhaya eziphumelelayo:

• Gcina izifudumezi zezandla nezinzwane zitholakala ezulwini elibandayo
• Gqoka iziqhwaga esikhundleni seziqhwaga uma kungenzeka
• Sebenzisa izitulo ezifudumele zezimoto nezihlanganisi zesitiya
• Phuza iziphuzo ezifudumele ukuze usiza ekuqondiseni ubushushu bomzimba
• Nyakaza futhi uthuthukise iminwe yakho nezinzwane zakho ukuze uthuthukise ukugeleza kwegazi
• Zivocavoca izindlela zokunciphisa ukucindezeleka ezinjengokuphefumula okujulile
• Zivocavoca njalo ukuthuthukisa ukugeleza kwegazi konke

Phakathi nesigameko, gwema ukubhema noma i-caffeine, njengoba lokhu kungase kunciphise imithambo yegazi. Esikhundleni salokho, gxila ekunyakazeni okuthambile nasekufudumeni okuthambile ukuze ukhuthaze ukugeleza kwegazi emuva eminweni yakho nezinzwane zakho.

Cabanga ngokuqapha idayari yezimpawu ukuze uqonde izizathu zakho siqu nezimo. Lolu lwazi lungaba usizo kuwe nodokotela wakho ekuthuthukiseni uhlelo lokulawula oluphumelelayo.

Kufanele uzilungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela kahle i-aphoyintimenti yakho kusiza ekuqinisekiseni ukuthi uthola ukuxilongwa okuqondile kakhulu nohlelo lokwelapha oluphumelelayo. Udokotela wakho uzoxhomeka kakhulu encazelweni yakho yezimpawu, ngakho ukuba nolwazi oluqondile kulungile kubalulekile.

Ngaphambi kokuya kwakho, qapha izimpawu zakho isonto noma amabili uma kungenzeka. Qaphela ukuthi izigameko zenzeka nini, yini engase iziqalise, isikhathi eside kangakanani, neminwe noma izinzwane ezithintekile.

Letha lolu lwazi e-aphoyintimenti yakho:

• Uhlu lwemithi yonke kanye nezinye izinto ozithathayo
• Umlando womndeni wokugula kukaRaynaud noma izimo zokugula okuqabukela amasosha omzimba
• Incazelo yendawo yakho yomsebenzi nemisebenzi
• Izithombe zezandla zakho phakathi nesigameko, uma uzinazo
• Imibuzo mayelana nezinketho zokwelapha kanye nenguquko ekuphileni
• Ulwazi mayelana nezinye izimo zezempilo onazo

Bhala phansi imibuzo yakho ngaphambi kwesikhathi ukuze ungakhohlwa ukuyibuza ngesikhathi se-aphoyintimenti. Imibuzo evamile ifaka ukubuza ngokubuka kwesikhathi eside, ukuthi nini kufanele ufunani ukunakekelwa ngokushesha, nemisebenzi okufanele uyishintshe noma uyigweme.

Uma kungenzeka, zama ukuhlela i-aphoyintimenti yakho ngesikhathi lapho cishe uzohlangabezana khona nezimpawu, noma ubuze udokotela wakho uma bangenza i-cold stimulation test ukuze baqaphele impendulo yakho ngqo.

Iyini into ebalulekile mayelana nokugula kukaRaynaud?

Ubuhlungu bukaRaynaud yisimo esilawuleka esithinta ukugeleza kwegazi kwakho, okubangela ukushintsha kombala okwesikhashana eminweni yakho nezinzwane zakho. Nakuba kungase kube nzima futhi kukhathaze uma izigameko ziqala, abantu abaningi baphila impilo evamile, esebenzayo ngokulawulwa okuhle.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukugcina ufudumile nokugwema izizathu zakho siqu kunganciphisa kakhulu ukuthi uhlangabezana kaningi kangakanani nezimpawu. Izinqubo ezilula zokuphila zivame ukwenza umehluko omkhulu ekududuzeni kwakho kwansuku zonke nekhwalithi yempilo.

Sebenzisana eduze nodokotela wakho ukuze uthuthukise uhlelo lokulawula olusebenza esimweni sakho esithile. Kungakhathaliseki ukuthi udinga ukwenza izinguquko ekuphileni kuphela noma imithi futhi, kunezindlela ezisebenzayo zokunciphisa umthelela wokugula kukaRaynaud emisebenzini yakho yansuku zonke.

Ungavumeli ubuhlungu bukaRaynaud bubeke imingcele kulokho ongakwenza. Ngendlela efanele, ungaqhubeka ujabulela imisebenzi yesikhathi esibandayo, ugcine ukusebenza kwakho, futhi uzizwe uqiniseka ekulawuleni izimpawu zakho uma ziqala.

Imibuzo evamile mayelana nokugula kukaRaynaud

Ingabe ubuhlungu bukaRaynaud bungaphiliswa ngokuphelele?

Ayikho indlela yokwelapha ubuhlungu bukaRaynaud, kodwa ingalawulwa kahle kakhulu. Abantu abaningi abane-primary Raynaud's bathola ukuthi ukwenza izinguquko ekuphileni kunciphisa kakhulu izimpawu zabo. Ngokulawulwa okuhle, abantu abaningi bahlangabezana nezigameko ezimbalwa nezingezibi kakhulu ngokuhamba kwesikhathi. Umgomo ukulawula izimpawu nokugwema izinkinga kunokususwa isimo ngokuphelele.

Ingabe ubuhlungu bukaRaynaud buyafa?

Ubuhlungu bukaRaynaud buvame ukudluliselwa emindenini, okubonisa izingxenye ze-genetic. Uma unembele noma umfowenu onobuningi bukaRaynaud, unethuba elikhulu lokulithola. Noma kunjalo, ukuba nomlando womndeni akukukhapheli ukuthi uzothola isimo. Izici zemvelo nekuphila futhi zidlalela indima ebalulekile ekuthuthukiseni izimpawu nokuthi zibe nzima kangakanani.

Ingabe ubuhlungu bukaRaynaud bungathinta ezinye izingxenye zomzimba ngaphandle kweminwe nezinzwane?

Yebo, ubuhlungu bukaRaynaud bungathinta ezinye izingxenye zomzimba wakho, nakuba iminwe nezinzwane zivame kakhulu. Abanye abantu bahlangabezana nezimpawu ekhaleni labo, emakhaleni, ezindebeni, noma ezinceleni. Ukushintsha kombala okufanayo nezinselelo zokugula kwegazi kungenzeka kulezi zindawo, ikakhulukazi ngesikhathi sezulu elibandayo noma ukucindezeleka. Noma kunjalo, lezi zindawo azithinteki njalo njengeminwe nezinzwane.

Ingabe ubuhlungu bukaRaynaud buyaqala njengoba umuntu esephelele?

Ubuhlungu bukaRaynaud obukhulu buhlala buzinzile noma bungase buthuthuke ngokuhamba kwesikhathi, ikakhulukazi ngokulawulwa okuhle. Noma kunjalo, ubuhlungu bukaRaynaud obubangelwa yinto ethile bungase bube mbi uma isimo esiyisisekelo siqhubeka. Okubalulekile ukugcina imikhuba emihle yokunakekela futhi ukusebenzisana nodokotela wakho ukuze uqaphele noma yikuphi ukushintsha ezimpawu zakho. Abantu abaningi bathola ukuthi izimpawu zabo ziqala ukubikezelwa futhi zilawuleka njengoba befunda izizathu zabo namasu okulawula okuphumelelayo.

Ngingaqhubeka ngizivocavoca futhi ngidlale imidlalo uma nginobuningi bukaRaynaud?

Impela! Ukuzivocavoca njalo kusiza ekuthuthukiseni ukugeleza kwegazi futhi kunganciphisa ubuningi bezigameko zokugula kukaRaynaud. Ungase udinga ukwenza ezinye izinguquko, njengokufudumala kahle ngaphambi kwemisebenzi yangaphandle yasebusika noma ukukhetha ezinye izindlela zangaphakathi ngesikhathi sezulu elibandayo kakhulu. Abaningi abadlali abane-Raynaud's baqhubeka behlanganyela emidlalweni yabo ngokuphumelelayo ngokusebenzisa imishini efanele nokubaqaphela impendulo yomzimba wabo ekushintsheni kobushushu.