Raynaud’s Disease is a rare disorder that affects the arteries. Arteries are blood vessels that carry blood from the heart to different parts of body. Raynaud’s sometimes is called a disease, syndrome, or phenomenon. In Raynaud’s disease, smaller arteries that supply blood to the skin become narrow, limiting blood flow to affected areas (vasospasm). Women are more likely than men to have Raynaud’s disease, also known as Raynaud’s phenomenon or syndrome. It appears to be more common in people who live in colder climates. The disorder is marked by brief episodes of vasospasm, or narrowing of small blood vessels or capillaries. Vasospasm of the arteries reduces blood flow to the fingers and toes. Raynaud’s disease causes some areas of the body, such as the fingers and toes — to feel numb and cold in response to cold temperatures or stress.
Signs and symptoms
During a Raynaud’s attack, the arteries become very narrow for a brief period. As a result, little or no blood flows to affected body parts. This may cause these areas to:
- Turn pale or white and then blue
- Feel numb, cold, or painful
- Turn red, throb, tingle, burn, or feel numb as blood flow returns to the affected areas
Numb, prickly feeling or stinging pain upon warming or stress relief. Mostly it takes around 15 minutes or more time to restore the normalcy of blood circulation.
Cause
There are two main types of Raynaud’s—primary and secondary.
In primary Raynaud’s (also called Raynaud’s disease), the cause isn’t known. Primary Raynaud’s is more common and tends to be less severe than secondary Raynaud’s.
Secondary Raynaud’s is caused by an underlying disease, condition, or other factor such as:
- Diseases and conditions that directly damage the arteries or damage the nerves that control the arteries in the hands and feet.
- Repetitive actions that damage the nerves that control the arteries in the hands and feet
- Injuries to the hands and feet
- Exposure to certain chemicals
- Medicines that narrow the arteries or affect blood pressure
- Certain medicines including beta blockers for high blood pressure, migraine medications that contain ergotamine and sumatriptan, attention-deficit/hyperactivity disorder medications, and some chemotherapy agents.
Fisiopatologia
Vascular tone is controlled by complex interactions between endothelial cells, the muscular layer, soluble mediators and neuronal stimulation. The imbalance between strong vasoconstricting and weaker vasodilatory events is central to the pathophysiology. Some of the underlying pathological mechanisms may be intrinsic disturbances of endothelial or vascular smooth muscle cells; some may be extrinsic, encompassing neuro-regulation and soluble mediators.
Diagnosi
- Clinical examination
- Cold simulation test
- Nailfold capillaroscopy
- Antinuclear antibodies test
- Erythrocyte sedimentation rate.
Trattamenti
Treatments include lifestyle changes like avoiding cold temperatures.
Dressing for the cold in layers and wearing gloves or heavy socks will help in mild cases.
medicines like calcium channel blockers, alpha blockers, prescription skin creams, and ACE inhibitors, and vasodilators. In rare cases, surgery to block the nerves in the hands or feet that control the arteries and Botox injection are needed.
Prognosi
Primary Raynaud’s (Raynaud’s disease) and secondary Raynaud’s (Raynaud’s phenomenon) have no cure. However, treatments can reduce the number and severity of Raynaud’s attacks.
Complicazioni
If secondary Raynaud’s is severe, in rare cases, reduced blood flow to the fingers or toes can cause tissue damage. It can lead to skin sores or gangrene.
Malattie e Ayurveda
According to Ayurveda, movement is the function of Vaata dosha. When Vaata vitiates in the bold vessels it is called Siraagata Vaata.
Nidana
Dhaatukshaya (degeneration of body tissues)
Aavarana (obstruction in the channels)
Purvaaroopa
Non menzionato
Samprapti
Due to the causative factors, Vaata dosha is vitiated and gets lodged in the blood vessels and cause the disease.
Lakshana
Aadhmaana and riktata of siras – alternate distension and emptying of blood vessels
Divisioni
Not mensioned
Prognosi
Yaapya
Chikithsa
Treatment of siraagatavaata includes local and whole body treatments. Bringing back the vitiated Vaata into its normal ciurse is the main target. T includes snehana or oleation(when aama is not present) , daahakarma(local cauyerisation with heat) and upanahanam (bandage )
Samana
Snehanam
Upanaaham
Sodhana
Daahakarmam
Then treatment of wound should be done
Farmaci di uso comune
Gulguluthiktakam Kashayam
Kaisoraguggulu
Guduchisatwa
Marche disponibili
AVS Kottakal
AVP Coimbatore
SNA oushadhasala
Vaidyaratnam oushadhasala
Rimedi casalinghi
Preventive measures for episodes of Raynaud’s attacks:
- Bundle up outdoors.Use a hat, scarf, socks and boots, and two layers of mittens or gloves before going out in the winter.
Use chemical hand warmers.
- Warm the car.Run the car heater for a few minutes before driving in cold weather.
Set the air conditioner to a warmer temperature. Use insulated drinking glasses.
Dieta
- Da evitare
I pasti pesanti e gli alimenti difficili da digerire causano indigestione.
Cibi spazzatura: causano disturbi della digestione e riducono la biodisponibilità del farmaco.
Bevande gassate: rendono lo stomaco più acido e disturbano la digestione.
Cibi refrigerati e congelati - causano una digestione debole e lenta indebolendo Agni (fuoco digestivo).
Latte e prodotti lattiero-caseari - aumentano kapha, causano l'ostruzione dei canali e l'obesità.
Cagliata - causa vidaaha e quindi molte altre malattie
- Da aggiungere
Pasti leggeri e alimenti facilmente digeribili
Green gram, soups, sesame oil
Cibo fresco e caldo trattato con semi di cumino, zenzero, pepe nero, ajwain, ecc.
Comportamento:
Proteggersi dal clima freddo.
È meglio evitare l'esposizione a luce solare eccessiva, pioggia o polvere.
Mantenere un programma alimentare e di sonno regolare.
Evitare di trattenere o forzare gli stimoli come urina, feci, tosse, starnuti ecc.
Avoid sedentary lifestyle. Be active
lo yoga
Regular stretching and mild cardio exercises are advised. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended.
L'esercizio fisico regolare aiuta a migliorare la biodisponibilità dei farmaci e degli alimenti ingeriti e porta a una salute positiva.
Lo yoga può mantenere l'armonia all'interno del corpo e con il sistema circostante.
Pavanamuktasana
Nadisudhi pranayama
Bhujangasana
Semplici esercizi per la salute dei polmoni e del cuore
Tutti gli esercizi e gli sforzi fisici devono essere decisi ed eseguiti esclusivamente sotto la supervisione di un medico esperto.
Articoli di ricerca
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139949/
doi: 10.1191/1358863x02vm455oa.
A clinical study was done to investigate the clinical efficacy of a standardized Ginkgo biloba extract (Seredrin) in the treatment of Raynaud’s phenomenon in patients with no apparent, associated condition such as systemic sclerosis. There was a significant effect in the number of attacks per day in treatment group over placebo.
https://doi.org/10.1161/CIRCULATIONAHA.104.523324
To investigate the effects of sildenafil on symptoms and capillary perfusion in patients with Raynaud’s phenomenon, a double-blinded, placebo-controlled, fixed-dose, crossover study was done in 16 patients with symptomatic secondary Raynaud’s phenomenon resistant to vasodilatory therapy. Patients were treated with 50 mg sildenafil or placebo twice daily for 4 weeks.
Sildenafil is an effective and well-tolerated treatment in patients with Raynaud’s phenomenon.
Queste dichiarazioni non sono state valutate dalla Food and Drug Administration degli Stati Uniti. Questo prodotto non è destinato a diagnosticare, trattare, curare o prevenire alcuna malattia. Consultare il proprio medico di famiglia prima dell'assunzione.
Scrittore:
Il dottor Rajesh Nair, cofondatore e consulente capo di Ayurvedaforall.com, si è laureato presso il prestigioso Vaidyaratnam Ayurveda College (affiliato all'Università di Calicut), in Kerala, India. Inoltre, ha conseguito un diploma post-laurea in Yoga Terapia presso l'Università di Annamalai.
Il Dr. Nair offre consulenze in due cliniche molto frequentate a Haripad e dintorni, Alleppey, Kerala, lo stato meridionale famoso in tutto il mondo per gli autentici trattamenti ayurvedici e per i medici. Oltre a offrire consulenze su tutti gli aspetti dei trattamenti ayurvedici, il Dr. Nair ha un interesse particolare per il Panchkarma, lo Yoga e il Massaggio.
Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India.
Il Dr. Nair partecipa regolarmente a conferenze sull'Ayurveda e ha visitato la Germania per diffondere l'Ayurveda. Potete scrivere direttamente a lui
rajesh@ayurvedaforall.com
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