I kut zungtang chu khaw lum laiin a rawn sen thin em? Raynaud-a Syndrome chungchang hi i zir dawn teh ang!

I vawt thut emaw, i hlauthawng deuh emaw chuan i kut zungtang emaw, i ke ruh emaw chu a var a, a châng chuan a sen pawh a lo lang tih i hre ngai em? Tichuan rei vak lo chu an sen a, a chang chuan an rilru a na hle. Hei hi khaw lum avanga chhanna mai a ni lo. Hei hi Raynaud’s Syndrome an tih natna chhinchhiahna a ni thei. Vawiin hian he thu hi chipchiar deuhin sawi ila, kan sawi dawn em ni?

Raynaud-a Syndrome hi eng nge ni?

A awlsam zawngin sawi ila, Raynaud’s Syndrome hi i kut zungtang leh ke ruh chhunga thisen kalna kawng te tak te te a nghawng thin a ni. A châng chuan i hnar, hmui leh beng bul ang chi hmuna thisen kalna kawngte pawh a nghawng thei bawk. Thil thleng chu heng thisen kalna kawngte hi khawsik emaw, stress emaw avanga inkharkhip nghal mai hi a ni. Doctor te chuan hei hi vasospastic attack an ti a . Tui pipe a inkhar nghal mai ang maiin han ngaihtuah teh.

I thisen kalna kawng a inzawm khawm chuan i kut zungtang chhunga thisen kalna kawng te (arterioles) leh capillary te chu a tight lutuk thin. Hei hian thisen kal dan a tikhawtlai a ni. I thisenah oxygen a awm loh avangin a natna hmun chu a var a , chutah chuan a sen a ni . Chutih hunah chuan i vawt a, i rilru a buai thei bawk. Hun engemaw chen hnuah chuan a hmun chu a sen leh ang a, a tingling emaw, a numb leh ang maiin a lang leh ang. Hei hi minute 15 vel a awh tlangpui.

Raynaud’s Syndrome hi chi hrang hrang lian ber ber a awm em?

Ni e, hei hi chi hnih lian tak a awm. Eng nge an nih i en ang u:

• Primary Raynaud’s syndrome: Raynaud’s disease an ti bawk a, hei hi a tam ber a ni.
• Secondary Raynaud’s syndrome: Hei hi Raynaud’s phenomenon an ti bawk.

Tunah chuan an pahnih inthlauhna chu chiang takin i en ang u.

Raynaud natna, Raynaud-a phenomenon leh Raynaud-a syndrome te hi eng nge an danglamna?

Mi tam tak chuan heng thumalte hi a inthlak danglamin an hmang a, mahse doctor-te chuan primary leh secondary form thliar hrang nan an hmang thung.

• Raynaud natna: Hei hi a mah chauhva lo awm, natna dang nena inzawmna nei lo a ni. Hei hi primary Raynaud’s syndrome an ti bawk.
• Raynaud-a thil thleng: Hei hi damdawi lam dinhmun dang, damdawi emaw, nunphung emaw avanga lo awm a ni. Hei hi secondary Raynaud’s syndrome an ti bawk.
• Raynaud-a natna (syndrome) chu:Hei hian primary emaw secondary emaw tihna a ni.

He dinhmun hi a pawi em?

Primary Raynaud’s syndrome i neih chuan chutiang chuan a na lo . I thisen kalna kawng a tichhe lo. Mahse, nitin hnathawhnaah harsatna tenau engemaw zat a thlen thei a ni. Mahse nunna atana hlauhawm tak a ni lo.

Mahse, secondary Raynaud-a syndrome hi ngaihtuahawm tak a ni . A châng chuan vun natna a thlen thei a, a tlem berah chuan tissue thihna a thlen thei a, chu chu gangrene an tih natna a ni. Tin, a thlentu natna hnuaia awm chu a chang chuan a na thei hle bawk. Chuvangin, chu pawh chu i fimkhur a ngai a ni.

Tute nge Raynaud’s Syndrome vei tam zawk?

Hetiang dinhmun hian tute nge a nghawng nasa ber tih i lo en ang u.

Primary Raynaud’s syndrome hi a tam ber chu:

• Hmeichhia zingah.
• Kum 30 hnuai lam zingah a intan thei a, a bik takin an tleirawl laiah a intan thei.
• Chhungkaw zinga mi pakhatin Raynaud natna a neih chuan.

Secondary Raynaud’s syndrome hi damdawi lam natna dang nei te zingah hmuh tur a awm tlangpui. Kut pressure reng reng hna neituteah pawh a thleng thei bawk. Entir nan:

• Scleroderma vei mi sawm zinga 9 vel chuan Raynaud-a phenomenon hi an nei ang a, kum tam tak chhunga an natna lan chhuahna awmchhun a ni mai thei.
• Lupus vei mi pathum zinga pakhat vel chuan Raynaud-a phenomenon hi an tawng thin.
• Autoimmune conditions , a bik takin connective tissue natna nei te chu Raynaud’s vei an hlauhawm hle.
• Kut vibration thlen thei hmanrua (e.g., jackhammers, chain saws) hmangtute chuan Raynaud-a phenomenon hi an vei theihna a sang hle. Pianist leh typist te pawhin hetiang dinhmun hi an tawk nasa zawk.

Raynaud’s Syndrome hi engtiang chiahin nge a hluar?

Hei hi a takah chuan thil awm dan tlangpui tak a ni . Chhut dan inang lo mah se, United States-ah ringawt pawh hian mi sawmhnih zinga pakhat velin an nei thei niin an chhut. Chuvangin Sri Lanka ramah pawh hetiang natna nei hi an tlem hle mai thei.

Engtin nge hei hian kan taksa a nghawng?

Raynaud’s Syndrome hi a takah chuan kan taksaa thil awm dan pangngai , vasomotor response tihpun deuh deuh a ni. Vasomotor response hi kan thisen kalna kawng a inhawng ( vasodilation ) leh a inkhar (vasoconstriction a awm thin ).

Ngaihtuah teh, pawn lam a vawt lai hian kan vun hnaih ber thisen kalna kawngte chu a inzawm khawm a, kan taksa chhung thuk takah thisen a thawn chhuak thin. Hei hian taksa lumna a humhim thei a ni. Tin, kan stress hian thisen kalna kawngte chu a inzawm khawm a, chu chuan oxygen humhalhna kawngah a pui thin.

Raynaud natnaah chuan he thil kalphung pangngai hi a buai a, thisen kalna kawngte chu a inzawm tlat a ni . Chu chuan thisen kal dan pangngai a tibuai a, i kut zungtang thlenga oxygen awm zat a tikhawtlai bawk.

Raynaud natna hian ka thinlung a nghawng em?

Primary Raynaud’s syndrome hian i thinlung a nghawng lo . Mahse, secondary Raynaud’s syndrome nena inzawm dinhmunte chuan i thinlung a nghawng thei a ni. I natna hian i thinlung a nghawng em tih chiang taka hriat tumin doctor nen inbiakna neih a tha ber.

Raynaud’s Syndrome natna lan chhuah dan chu engte nge ni?

Raynaud symptoms hian i vun a nghawng ber a ni. An zingah hian:

• Vun rawng a inthlak: Thisen kal a tawp a, a tan leh chuan vun rawng chu a var atanga a sen a, a sen a inthlak thei bawk. Mahse, mi zawng zawng hian rawng pathumte hi an tawng vek lo.
• Khawsik emaw, rilru hah emaw tih hriat: Hei hi i kut zungtang emaw, taksa peng dang natna vei emaw chuan oxygen tamna thisen a hmuh loh chuan a thleng thin. "A muhil tawh" ang maiin a lang.
• Awm, tickling, tingling tih hriat: Hei hi taksa peng natna hmuna thisen a luang leh tan chuan a thleng thin.
• Skin ulcers leh gangrene: Hun rei tak emaw, a lo beih nawn fo emaw chuan kut zungtangah natna na tak a thlen thei. Heng hliamte hi a dam theih nan hun rei tak a ngai a ni. A tlem hle a, tissue thihna, gangrene an tih hi tissue-a oxygen tlakchham vang a ni thei.

Raynaud’s syndrome hi episodic condition a ni a, a lo thleng leh chhuak thin. A tlangpuiin attack hi minute 15 vel a ni. Mahse, a tawi zawk emaw, a sei zawk emaw pawh a ni thei. Chungte chu trigger, khaw lum ang chi nen a inzawm fo thin. Primary Raynaud’s syndrome vei te hian symptoms na lo tak an nei tlangpui. Secondary Raynaud’s syndrome vei te hian symptom na zawk an nei thei a, vun natna ang chi hi a ni.

Raynaud’s hian i vun rawng a tidanglam nghal thei a ni. A hmasa berin a var a, a hnuah a sen a, a rawn sen leh thei bawk. Thisen kal a tlahniam chuan i vun chu a vawt a, attack a tan tirh chuan a hring thei bawk. Thisen a kal tan leh chuan i kut zungtangte chu a lum a, a tingly thei bawk.

He dinhmun tipungtu trigger te chu engte nge ni?

A Raynaud-a ‘attack’ hi hetiang thil hian a tichhuak thei a ni:

• Khaw lum leh vawt:Supermarket-a AC room leh freezer section ang chi hmun te.
• Stress: Lungkhamna, rilru lama buaina emaw, phurna emaw.
• Khua a vawt hle.
• Thil lum khawih: ice water glass khat, freezer atanga thil lak chhuah.
• I thawk hah a, i vunah a vawt lai a cool feeling i neih thin kha.

Raynaud-a Syndrome hi engte nge ni?

Primary Raynaud’s syndrome hi a chhan bulpui hriat a ni lo .

Secondary Raynaud’s syndrome (Raynaud’s phenomenon) hi natna emaw, dinhmun dang emaw avanga lo awm a ni tlangpui. A bik takin connective tissue natna nei zingah a tam hle . Chung natna thenkhat chuan i kut zungtang-a thisen kal chu a ti tlem a ni.

A chhan dangte chu thiltih thenkhat tih chhunzawm zel leh damdawi thenkhat te hi a ni. A hnuaia list-te hian Raynaud-a phenomenon thlen thei thil thenkhat a tarlang a ni.

Raynaud-a phenomenon thlen thei natna leh dinhmun hrang hrangte:

• Buerger natna (a bik takin mipa zu in thinte tan).
• Ngawt.
• Carpal tunnel natna a ni.
• Dermatomyositis natna a ni.
• Hypothyroidism a awm lo.
• Lupus a ni.
• Mixed connective tissue natna a ni.
• Peripheral artery natna (a bik takin mipa kum 50 chunglam tan).
• Polymyositis natna a ni.
• Pulmonary hypertension a awm bawk.
• Rheumatoid arthritis natna a ni.
• Scleroderma leh CREST syndrome te a awm bawk.
• Sjögren-a natna (syndrome) a ni.
• Thoracic outlet natna a ni.
• Vasculitis a ni.

Raynaud-a phenomenon thlen thei damdawi leh thil chi hrang hrang:

• Beta-blockers te pawh a awm.
• Caffeine a awm bawk.
• Chemotherapy (e.g. bleomycin , vinblastine ) hmanga enkawlna.
• Cocaine a ei thin.
• Phenylephrine emaw pseudoephedrine emaw awmna decogestant .
• Epoxy resins a awm bawk.
• Migraine damdawi ergotamine awmna .
• Nicotine a awm bawk.
• Attention deficit hyperactivity disorder ( ADHD ) (e.g. methylphenidate ) damdawi tiharhtu damdawi.

Raynaud-a thil thleng chhan dangte chu:

• Frostbite a ni.
• Traumatic vasospasm hi vibrating instrument emaw kut inhnaih nawn fo emaw hmanga lo awm a ni. Hei hian piano tum pawh a huam thei bawk.

Engtin nge hei hi hriat chhuah a nih?

Doctor-te chuan i symptoms a zirin Raynaud’s syndrome hi an hre thei tlangpui. I doctor chuan i vun inthlak danglamna chu a lo awm zel angin thlalak la turin a ti thei bawk. Tin, taksa lamah pawh an enfiah ang che a, i damdawi lam chanchin leh chhungkaw damdawi lam dinhmun te an zawt ang che.

Raynaud-a syndrome hi hriat a awlsam tlangpui. Mahse primary nge secondary i neih tih erawh a chiang nghal lo mai thei. Chutah chuan diagnostic test hian a pui thei a ni.

Raynaud’s Syndrome hriat theihna tur hian eng test nge tih thin?

Primary emaw secondary emaw i neih leh neih loh chiang taka hriat theihna tur test engemaw zat a awm.

Test pawimawh ber pakhat chu nailfold capillaroscopy a ni . He test-ah hian i doctor chuan i nail bul (nailfold)-a vunah oil drop khat dahin microscope hmangin a en thin. Chuta capillary te chu a lian emaw, a pianzia pangngai lo emaw a nih chuan connective tissue natna i nei thei a ni. Hei hian secondary Raynaud’s syndrome i nei ngei ang tihna a ni.

I doctor-in a order theih test dangte chu:

• Antinuclear antibody (ANA) test: Thisen test, autoimmune natna endikna atana hman thin a ni.
• Complete blood count (CBC): Damdawi lam dinhmun hrang hrang endikna atana hman thin thisen test a ni.
• Erythrocyte sedimentation rate (ESR) test: Taksa a inflammation awm leh awm loh enfiahna thisen test a ni. Rheumatoid arthritis leh autoimmune disorders ang chi natna hriatchhuahna kawngah a pui thei a ni.
• Urinalysis: Damdawi lam harsatna hrang hrang hriat theihna atana hman thin zun test.
• Pulse volume recording: Kut leh kea thisen kal dan enfiahna non-invasive test a ni.
• Rheumatoid factor (RF) test: Thisen test a ni a, autoimmune natna a awm leh awm loh enfiah a ni.

Heng test te hian i doctor chu i Raynaud symptoms thlentu awm thei dinhmunte chu a hriat theih nan emaw, a hnawl theih nan emaw a pui thei a ni.

Tuin nge enkawl?

Raynaud’s Syndrome hian taksa hi kawng hrang hrangin a nghawng thei a, damdawi lam harsatna hrang hrang avanga lo awm thei a nih avangin specialist tam tak hnen atangin enkawlna i dil a ngai mai thei. Entir nan:

• Cardiologist te an ni.
• Dermatologist te an ni.
• Chhungkaw doctor (Primary care physician) te an ni.
• Rheumatologist (joint leh connective tissue natna chungchanga specialist) te an ni.

Eng enkawlna nge awm?

Enkawlna chu i dinhmun nasat dan leh primary emaw secondary emaw i neih leh neih lohah a innghat a ni. Enkawlna tum berte chu:

• Raynaud-a 'attack' te venna.
• Attack nasatzia tihziaawmna tura puitu.
• I nunphung tihchangtlun.
• A hnuaia dinhmun (secondary Raynaud’s i neih chuan) enkawl.
• Skin ulcer leh tissue tihchhiatna venna.

Mi tam tak tan chuan he dinhmun hi nunphung inthlak danglamna hmangin control theih a ni. Chung zingah chuan:

• Hmun lum (e.g. freezer section, AC sang) atanga inthiarfihlim .
• Thil lum (e.g., ice water glass, thir chunglam lum) khawih loh tur .
• Attack thlen thei stress leh emotion chak tak takte enkawl.
• Khua lum tan thawmhnaw lum ha.

Mahse, natna lanchhuahna na tak i neih chuan damdawi i mamawh mai thei. I doctor chuan a hnuaia damdawi pakhat emaw a aia tam emaw a pe thei ang:

• Calcium-channel blockers: Heng damdawi te hian i thisen kalna kawng te te te chu a ti hahdam a, a inhawng a, chu chuan attack tamna leh attack nasatzia a ti tlem thei a ni. I kut zungtang a vun ulcer awmte pawh a dam theih nan an pui thei bawk.
• Alpha-blockers: Heng damdawi te hian hormone norepinephrine , i thisen kalna kawng tikhawtlaitu chu a block a, chu chuan hna a thawk a ni.
• Nitroglycerin skin ointment: Hei hi cream a ni a, kut zungtang hliam tihdam nan hman a ni.

Raynaud natna khirh tak i neih a, enkawlna dang pawhin a hlawhtlin loh chuan i doctor chuan sympathectomy tih ang chi tih a rawt thei ang. Hei hian thisen kalna kawngkhar natna bula nerve te te chu rei lo te chhunga block emaw, cut emaw a huam a ni. Hei hian nerve-te chu thisen kalna kawngte chu an tih tur ang anga constrict turin signal an thawn chu a titawp a ni. He surgery hian kum khat emaw kum hnih emaw chhung chu symptoms a ti reh tur a ni a, mahse nakin lawkah tih nawn leh a ngai mai thei.

Hetiang dinhmun nen hian eng nge i beisei theih ang?

Primary Raynaud’s syndrome vei tam zawk chu an dam tha thin.. A natna lan chhuah dan hian a chang chuan a tibuai thei a, mahse hei hi thil pawi tak leh nunna atana hlauhawm a ni lo. Hun a kal zel a, attack venna tur leh a lo thlen huna enkawl dan tur self-care tips tam zawk i zir ang.

Secondary Raynaud’s syndrome i neih chuan i outlook chu underlying condition-ah a innghat a ni. I doctor nen eng nge i beisei tur tih leh i natna enkawl dan tur sawipui rawh.

Raynaud-a Syndrome hi a veng thei ang em?

Raynaud’s Syndrome a lo awm loh nan engmah tih theih a awm lo. Mahse, i thil tichhuaktu chu i hriat a, chu chu pumpelh tumin hma i la a, chu chuan attack i pumpelh thei a ni .

Kum tin checkup neih a pawimawh bawk. Hei hian i doctor chu Raynaud-a phenomenon thlentu awm thei dinhmun awm thei zawng zawng hriatchhuah leh enkawl turin a pui thei a ni. Heng dinhmun thenkhat hi nunphung tihdanglamna hmanga ven theih a ni bawk a, chu chu zuk leh hmuam ei loh te hi a ni.

Engtin nge ka in enkawl ang?

Raynaud’s Syndrome enkawl nan hian mahni invenna a pawimawh hle . Triggers laka inven dan tur leh attack a lo awm chuan enkawl dan tur i doctor thurawn zawm rawh. A hnuaia tips te hian a pui thei bawk.

Engtin nge Raynaud-a ‘triggers’ te hi kan pumpelh theih ang?

• I in emaw office emaw a lum theih nan thermostat chu siamrem rawh.
• Caffeine ei loh tur.
• Thir lum khawih emaw, tui lum chhunga kut dah emaw loh tur.
• Hmun a vawt dawn tih i hriat chuan jacket emaw sweater emaw keng la.
• Kekawr bul lo kal suh. In chhungah socks bun la, khaw lum kara chhuah dawnin socks pahnih bun bawk ang che.
• I hriselna zawng zawng tihchangtlun nan exercise la fo ang che. Exercise program thar i tan hmain doctor zawt hmasa phawt ang che.
• I kut leh ke vawt leh vawt takin dah la. Portable hand warmer hman tum ang che.
• I taksa pum pui lum tir la, a bik takin i kut, ke leh lu lum rawh. Thawmhnaw hlim lo layer engemaw zat ha rawh. Mittens (hengte hi gloves aiin a lum zawk) leh lukhum pawh theihnghilh suh.
• I nunah stress control dan thar zir rawh.
• Vibrating tools (jackhammers ang chi) hman kha tihtlem rawh.
• AC leh hmun lum (freezer section ang chi)-a i hun hman kha tihtlem rawh.
• Vun enkawl dan tha tak tak zawm rawh. Vun a vawt emaw, a chhe emaw loh nan lotion hnawih thin ang che.
• Meizial zuk bansan (a nih loh leh tan loh). Nicotine hian i vun lumna a tihniam thei a, attack a thlen thei bawk. I doctor nen meizuk bânsan theihna tur kawng hrang hrang sawipui rawh.
• Nilengin i kut chu hnawih fo thin ang che.
• Cold drinks a lum theih nan beverage holder emaw insulating sleeve emaw hmang la.
• Fridge emaw freezer emaw atanga thil i lak chhuah dawnin oven mitts hmang thin ang che.
• Exercise i tih laiin vun atanga thawmhnaw paih chhuak thei wicking fabrics ha thin ang che.

Eng damdawi nge attack tichhuak thei tih hriat a pawimawh bawk. Tuna i damdawi ei mek zingah hian hei hi a tizual thei em tih doctor zawt rawh. Hei hian natna hrang hrang damdawi thenkhat a huam thei a, chungte chu:

• ADHD (Attention Deficit Hyperactivity Disorder) tih a ni a, a rilru a hah lutuk chuan a rilru a buai em em a.
• Ngawt.
• Khawsik leh hnar congestion.
• Thisen sang a sang.
• Lung natna damdawi thenkhat.
• Migraine (migraine) a awm.

Raynaud pakhat ‘attack’ chu engtin nge kan enkawl ang?

Attack i neih chuan hma la nghal rawh . Raynaud pakhat attack chu ngaihthah suh la, a mah chauhin a bo vek ang tih ngaihtuah suh. Step dik tak lak hian attack hun chhung leh a nasatzia a ti tlem thei a ni. Thil tih tur thenkhat chu hetiang hi a ni:

• Hmun lum takah kal nghal rawh.
• A natna hmun chu massage la.
• I kut chu circle angin her kual rawh.
• I kut chu i armpit hnuaiah cupping hmangin lum rawh.
• I kut zungtangte chu tui lum (a lum lutuk lo)-ah hnim la.
• ‘Attack’ hi stress vang a nih chuan meditate emaw, deep breathing exercise emaw ti rawh.

Engtikah nge doctor i hmuh ang?

Heng thilte hi a lo awm a nih chuan doctor ko rawh:

• I taksa sir khatah chauh seizure i neih chuan.
• I kut zungtang ah hliam emaw ulcer emaw i neih chuan.
• A kut emaw ke emaw a natna chu a thawk thei tawh lo ang tih a nih chuan.
• Symptom thar a lo awm tan emaw, a awm tawhte chu a nasat em em emaw a nih chuan.
• Damdawi hian side effect a neih chuan.

Damdawi lam thil dang ang bawkin, i lungkham a, i hlau a, i in enkawl dan tur zawhna i neih chuan engtik lai pawhin doctor pan rawh.

Engtin nge ka fa chu he natna hi enkawl turin ka puih theih ang?

Primary Raynaud natna hi tleirawl lai atanga tan a ni fo thin . A tlem berah chuan a hmain a intan thei. Chuvangin, i fa emaw, i fa naupang emaw chuan symptoms a neih tan chuan doctor hnenah hruai rawh. Doctor chuan a hnuaia natna awm leh awm loh enfiah turin test a ti duh mai thei.

A tlangpuiin Raynaud’s hi naupang leh puitling tleirawlah chuan a na lo hle. Naupang a lo upat deuh deuh chuan symptoms a lo tha chho zel tur a ni. Puitlingte tana management tips ang chiah hian i fa chu a pui ang. Entirnan, khaw lum laiin i fate chu lum takin inchei la (glove pahnih pe la, pakhat ni lovin). I in leh car lum taka dah la, AC hman tam lutuk loh tur.

Hetiang dinhmun hi i fate sikul enkawltute hriattir a pawimawh bawk. I fa chu thla lum zawkah pawn lam thil (gym period ang chi) atanga ngaihdam a nih theih nan phalna bik a mamawh mai thei.

A tawp berah chuan a pawimawh ber (Take-Home Message) .

Raynaud’s Syndrome hi natna tlanglawn tak ni mahse, i nunphung a nghawng thei a ni. In lama mahni in enkawl dan zir hian Raynaud-a ‘attack’ te chu pumpelh turin a pui thei che a, a lo thlen hunah pawh i enkawl thei bawk. I natna lan chhuah danin i duhzawng thil i tih theih loh chuan i doctor nen inenkawl dan tur chungchang sawipui rawh. Chutiang bawka natna nei mi dangte hnen aṭanga zir tûra ṭanpuitu group-a tel chu a ṭangkai thei bawk. Remember, you are not alone , leh he dinhmun hi ṭha taka nun theihna kawng a awm bawk.

Raynaud 's Syndrome, Blue Fingers, Thisen kalna kawng, Khawsik, Stress, Symptoms, Enkawl dan