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Raynaud's Syndrome - लक्षण, कारण और उपचार
Raynaud's Syndrome - लक्षण, कारण और उपचार
Raynaud's Syndrome - लक्षण, कारण और उपचार
रेनॉड का सिंड्रोम
Raynaud's syndrome आपकी उंगलियों और पैर की उंगलियों में छोटी रक्त वाहिकाओं में ऐंठन का
कारण बनता है। यह रक्त के प्रवाह को सीमित करता है और त्वचा के रंग में परिवर्तन, ठं डी त्वचा और एक
पिन और सुई की सनसनी जैसे लक्षणों की ओर जाता है। Raynaud के हमलों के सामान्य ट्रिगर्स में ठं ड
का मौसम और तनाव शामिल हैं। बहुत से लोगों में हल्के लक्षण होते हैं जिन्हें वे जीवनशैली में बदलाव
करके प्रबंधित कर सकते हैं।
लक्षण और कारण
निदान और परीक्षण
प्रबंधन और उपचार
निवारण
आउटलुक / पूर्वानुमान
अवलोकन
कारण
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लक्षण
आमतौर पर हल्का (त्वचा के रंग में परिवर्तन, सुन्नता, झुनझुनी और सुई)। त्वचा के अल्सर या गैंग्रीन का कारण नहीं बनता
है।
हल्का या अधिक गंभीर हो सकता है। त्वचा के अल्सर या गैंगरीन का कारण हो सकता है।
प्रसार
और भी आम।
कम प्रचलित।
इलाज
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For example, if it’s cold outside, blood vessels near your skin’s surface
constrict to move blood to veins deeper in your body. This allows your body to
conserve heat. Your blood vessels also constrict when you’re stressed to help
your body save oxygen.
Raynaud’s disrupts this normal body process and causes your blood vessels
to constrict more than they should. This interrupts your normal blood flow and
limits the oxygen available to your fingers or toes.
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SYMPTOMS AND CAUSES
Color changes. As blood flow stops and then returns, your skin color may
change from white to blue to red. Some people don’t experience all three
changes in skin color.
Feeling cold or numb. This happens when your finger or other affected
body part isn’t receiving oxygen-rich blood. It feels like that part of your
body has “fallen asleep.”
Feeling warmth, tingling or throbbing: This happens as blood flow returns
to your affected body part.
Skin ulcers and gangrene: Longer or more frequent attacks may lead to Ad
painful sores on your fingertips. These sores can take a while to heal.
Rarely, lack of oxygen to your tissues may lead to tissue death (gangrene).
Symptoms of Raynaud’s syndrome are episodic. That means they come and
go. A typical episode, or attack, lasts about 15 minutes. But attacks may be
shorter or longer. Episodes are often associated with certain triggers such as
cold weather. Symptoms are usually mild in people with primary Raynaud’s
syndrome. People with secondary Raynaud’s syndrome may have more severe
symptoms, including skin ulcers.
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Raynaud’s can cause your skin to change color briefly . It may first look white
before turning blue then red. Your skin may also feel cold or numb at the start
of an attack due to reduced blood flow. When blood flow returns, your fingers
may feel warm or throb.
Air-conditioned rooms or other cold spaces like the frozen food aisle in a
grocery store.
Anxiety, emotional stress or excitement.
Cold weather.
Holding a glass of ice water or another cold drink.
Reaching into the freezer.
Sweat that cools on your skin.
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What causes Raynaud’s syndrome?
Primary Raynaud’s syndrome has no identifiable underlying cause.
Other causes include repetitive motions and some medications. The lists
below break down the many causes of Raynaud’s phenomenon.
Frostbite.
Traumatic vasospasm from vibrating tools or repeated pounding with the
palm of your hand. This can include playing a piano.
One test that’s particularly useful is a nailfold capillaroscopy. For this test, your
provider places a drop of oil on your skin at the base of your fingernail. This
spot is called your nailfold. Your provider then looks at your nailfold under a
microscope. If your capillaries in the area are enlarged or abnormal, you may
have a connective tissue disease. This would indicate you likely have
secondary Raynaud’s syndrome. Ad
These tests can help your provider identify or rule out underlying conditions as
causes of your Raynaud’s symptoms.
Cardiologists.
Dermatologists.
Primary care physicians.
Rheumatologists.
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For many people, lifestyle changes are enough to manage their condition.
These include:
Avoid cold spaces (like the frozen food aisle or extreme air conditioning).
Avoid touching cold objects (like glasses of ice water or cold metal
surfaces).
Manage stress and strong emotions that could trigger an attack.
Wear warm clothes during cold weather.
However, if you have severe symptoms, you may need medication. Your
provider may prescribe one or more of the following medications:
If you have severe Raynaud’s and other treatment methods don’t work, your
provider may recommend a procedure called a sympathectomy. A
sympathectomy temporarily blocks or cuts tiny nerves near your affected
blood vessels. This prevents the nerves from sending signals that make your
blood vessels get too narrow. The procedure should relieve your symptoms for
one or two years, but you may need it again in the future.
PREVENTION
It’s also important to visit your provider for yearly checkups. Doing so can help
your provider diagnose and treat underlying conditions that may cause
Raynaud’s phenomenon. Some of these conditions are preventable with
lifestyle changes, such as avoiding tobacco products.
OUTLOOK / PROGNOSIS
For most people with primary Raynaud’s syndrome, the outlook is positive.
Symptoms may bother you off and on, but the condition isn’t serious or life-
threatening. Over time, you’ll learn more self-care tips for preventing attacks or
helping them go away.
LIVING WITH
Keep your whole body warm, but especially your hands, feet and head. Wear
several layers of loose clothing. Don’t forget mittens (warmer than gloves)
and a hat.
Learn new ways to manage stress in your life.
Limit use of tools (like jackhammers) that vibrate.
Limit your time in air conditioning and in cold spaces (like the frozen foods
aisle).
Practice good skin care. Apply lotion to prevent dry or cracked skin.
Quit smoking (or don’t start). Nicotine causes your skin temperature to
drop, which may trigger an attack. Talk to your healthcare provider about
ways to help quit smoking.
Take frequent breaks during the day to rub your hands together.
Use a beverage holder or insulating sleeve to hold cold drinks.
Wear oven mitts when you reach into your fridge or freezer.
Wear wicking fabrics when you exercise to move sweat away from your
skin.
Also, it’s important to know which medications can trigger an attack. Ask your
provider if any of your current medications could cause your condition to flare
up. These include some medications that treat:
ADHD.
Cancer.
Colds and nasal congestion.
High blood pressure.
Certain heart medicines.
Migraines.
As with any condition, see your provider any time you’re worried, frightened or
have questions about how to care for yourself.
It’s also important to tell administrators at your child’s school about their
condition. Your child may need special permission to avoid outdoor activities
(like gym class) during the colder months.
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