So wo nsa ne wo nan reyɛ bruu? So ɛno yɛ acrocyanosis? Momma yɛnhwɛ eyi yiye!

So woahyɛ no nsow pɛn sɛ bere a woaguare awɔw anaa woakɔ abɔnten da a awɔw wom a wunni nsateaa akyi no, wo nsateaa anaa wo nansoaa ano yɛ bruu, na ɛtɔ mmere bi mpo a ɛyɛ fitaa? Wɔ nnipa pii fam no, ebia eyi yɛ ade a ɛfata. Nanso ɛtɔ mmere bi a ebetumi ayɛ akwahosan tebea bi ho sɛnkyerɛnne. Ɛno na yɛrebɛka ho asɛm nnɛ. Wɔfrɛ eyi acrocyanosis wɔ aduruyɛ mu.

Dɛn ne acrocyanosis? Momma yɛnte ase tiawa.

Sɛ yɛbɛka no tiawa a, acrocyanosis yɛ tebea a ɛma wo nsa anaa wo nan (ne ɛtɔ mmere bi a wo nipadua no afã afoforo) dan bruu, fitaa, anaa fitaa. Eyi ba bere a mogya ntini nketenkete a ɛwɔ yɛn nipadua mu a wɔfrɛ no ntini ahorow no mu yɛ den dodo, anaasɛ sɛ yɛbɛka no yiye a , ɛyɛ den (vasospasm), kyɛ dodo no. Eyi ma mogya ne mframa pa a ɛkɔ ntini a atwa ho ahyia no mu no so tew. Ɛno nti na honam ani kɔla sesa no. Wɔsan frɛ eyi sɛ peripheral cyanosis.

So wokae bere a na woyɛ abofra na wo nsa danee bruu esiane awɔw mu no? Saa na ɛte. Mpɛn pii no, eyi nyɛ asiane na sɛ wo ho yɛ hyew pɛ a, ebefi hɔ. Nanso, ɛtɔ mmere bi a ebetumi ayɛ akwahosan ho haw bi a ɛda adi ho sɛnkyerɛnne. Enti, sɛ́ ebia eyi yɛ biribi a ɛsɛ sɛ wohaw wo ho wɔ ho anaasɛ ɛnte saa no gyina acrocyanosis ko a wowɔ so. Nneɛma atitiriw abien na ɛwɔ hɔ.

Acrocyanosis ahorow abien na ɛwɔ hɔ:

Sɛ yɛbɛka no katee a, yebetumi akyekyɛ tebea yi mu akuw atitiriw abien: Primary Acrocyanosis ne Secondary Acrocyanosis. Afei momma yɛnhwɛ abien yi wɔ ɔkwan soronko so.

Momma yensua Primary Acrocyanosis ho ade.

Primary Acrocyanosis yɛ yare bi a ɛwɔ ntini a ɛwɔ akyi a ɛyɛ adwuma. "Functional" wɔ ha no kyerɛ sɛ biribiara nsɛe wo mogya ntini. Mmom no, wo mogya ntini no twetwe na ɛtrɛw kɛkɛ esiane nsakrae a ɛba wo hyew anaa adwennwen mu nti. "Peripheral" kyerɛ mmeae a ɛwɔ akyirikyiri fi nipadua no mfinimfini, te sɛ nsa ne nan.

Saa tebea yi a wɔfrɛ no primary acrocyanosis no betumi aka obiara. Nanso ɛtaa ba mmofra a wɔawo wɔn foforo, nkokoaa, ne mpanyimfo nkumaa a wɔadi mfe 20 so kɛse . Saa ɔkwan yi taa ka nipadua no afã abien no nyinaa (sɛ nhwɛso no, nsa abien no nyinaa anaa anan abien no nyinaa). Nea ɛho hia no, acrocyanosis titiriw nyɛ yaw .

Dɛn ne Acrocyanosis a Ɛto so Abien?

Mpɛn pii no, acrocyanosis a ɛto so abien no ne akwahosan tebea afoforo ka ho.. Ɛne sɛ, ebetumi aba sɛ aduruyɛ tebea bi mu nsunsuanso bɔne. Sɛnea ɛte no betumi ayɛ soronko a egyina nea ɛde ba no so. Nea ɛnte sɛ acrocyanosis titiriw no, nea ɛto so abien no taa ka nipadua no fã biako pɛ . Ɛtaa yɛ yaw nso na ebetumi asɛe ntini ahorow. Enti, ɛhwehwɛ sɛ wɔsa no yare .

Dɛn ne Acrocyanosis ho sɛnkyerɛnne ahorow?

Nsɛnkyerɛnne ahorow pii wɔ hɔ a ɛtaa ba a wobetumi ahu wɔ acrocyanosis a edi kan ne nea ɛto so abien nyinaa mu. Wɔne:

• Nsa, anan, ne nsateaa kɔla a ɛsakra bruu anaa fitaa (eyi ne nea abu so sen biara).
• Nsa, anan, nufu, aso, anaa hwene a ɛdannan bruu anaa fitaa (eyi ntaa mma kakra).
• Nsa ne anan a fifiri anaasɛ ɛyɛ mmerɛw.
• Nsa ne anan a ɛho ahonhon.
• Mogya a ɛkɔ brɛoo.
• Honam ani hyew a ɛso tew.

Nea ɛho hia: Sɛ wo koko, wo tɛkrɛma, w’ano, anaa wo hwene mu dan yɛ bruu anaa fitaa a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara. Eyinom betumi ayɛ tebea bi a wɔfrɛ no central cyanosis a ɛhwehwɛ sɛ wɔde wɔn kɔ ayaresabea ntɛm ara no ho sɛnkyerɛnne. Eyi nyɛ aseresɛm, enti kae eyi.

Dɛn nti na saa acrocyanosis yi ba? Dɛn na ɛde ba?

Nea ɛde eyi ba no bɛsono a egyina acrocyanosis ko a wowɔ so.

Nneɛma a Ɛde Primary Acrocyanosis Ba

Nnuruyɛfo da so ara reyɛ nhwehwɛmu wɔ acrocyanosis titiriw ne nea enti pɔtee a ɛba no ho. Nanso, wosusuw sɛ wo mogya ntini a ɛyɛ mmerɛw na ɛde ba. Nneɛma pii wɔ hɔ a ebetumi ama saa anohyeto yi aba:

• Ɔhyew a ɛyɛ nwini a wɔde wɔn ho bɛhyɛ mu. (Eyi ne ade titiriw a ɛde ba.)
• Awosu mu su a wubenya (a ɛkyerɛ sɛ ebia wo mogya ntini no betumi ayɛ mmerɛw kɛse wɔ awosu mu).
• Sɛ wɔtra mmeae a ɛkorɔn a awɔw wom ne oxygen nhyɛso a ɛba fam abu so.

So ɛtaa ba sɛ mmofra a wɔawo wɔn foforo nya acrocyanosis titiriw?

Yiw, nkokoaa a wɔawo wɔn foforo pii nya acrocyanosis wɔ wɔn nkwa nna mu nnɔnhwerew kakraa a edi kan no mu. Eyi yɛ ade a ɛfata na ɛnyɛ biribiara a ɛsɛ sɛ ɛhaw yɛn ho. Eyi ba efisɛ akokoaa no mogya na edi kan de mframa pa kɔ wɔn akwaa a ɛho hia sen biara te sɛ ahurututu, asaabo, ne amemene mu. Bere a akokoaa no nipadua reyɛ nsakrae wɔ mogya a ɛkɔ nipadua no mu foforo no ho no, saa acrocyanosis yi befi hɔ. Akyiri yi, sɛ akokoaa no te nka sɛ awɔw wom a, kɔla bruu a ɛyɛ mmerɛw no betumi ada adi bio. Eyi nso yɛ ade a ɛfata, na ɛbɛyera bere a akokoaa no ho ayɛ hyew no. Enti, sɛ woyɛ ɛna a wowɔ akokoaa ketewa a, ɛnsɛ sɛ wohaw wo ho wɔ eyi ho a ɛho nhia, ɛnte saa?

Nneɛma a Ɛde Acrocyanosis a Ɛto so Abien Ba

Nnuruyɛfo nim acrocyanosis a ɛto so abien ho nsɛm pii efisɛ wɔasua tebea horow a ɛtaa ka ho no ho ade. Ɛtɔ mmere bi a, acrocyanosis a ɛto so abien betumi ayɛ yare bi ho sɛnkyerɛnne a edi kan. Wɔ tebea afoforo mu no, ebetumi ayɛ kɛse nkakrankakra bere a bere kɔ so no.

Secondary Acrocyanosis betumi afi:

• Raynaud yare a ɛma obi nya ɔyare no.
• Adidi mu haw anaa aduan pa a wonnya nni.
• Oxygen dodow a ɛba fam wɔ mogya mu (hypoxemia).
• Nyarewa a wɔde nyarewa ba.
• Awosu mu nyarewa.
• Ntini mu nyarewa.
• Mogya mu haw ahorow.
• Kokoram.
• Nnuru bi.

Hena na ɔwɔ asiane kɛse mu sɛ obenya Acrocyanosis?

Sɛ wowɔ akwahosan tebea horow a yɛadi kan aka ho asɛm no bi a, asiane kɛse wom sɛ wubenya acrocyanosis a ɛto so abien.

Nnipa a ɛda adi sɛ wobenya acrocyanosis titiriw ne:

• Sɛ wote beae a wim yɛ nwini a.
• Sɛ woyɛ adwuma wɔ abɔnten wɔ awɔw bere mu a.
• Sɛ nipadua mu duru `(BMI)` sua a.
• Sɛ wunnii mfe 30 a.

Ɔkwan bɛn so na nnuruyɛfo hu eyi?

Mpɛn pii no, oduruyɛfo betumi ahu sɛ wowɔ acrocyanosis denam wo honam ani hwɛbea a ɔbɛhwɛ na wayɛ nipadua mu nhwehwɛmu no so. Wɔbɛhwehwɛ wo nsa ne wo nan mu ahwɛ sɛ kɔla a asakra no wɔ wo nipadua no fã biako anaa afã abien no nyinaa anaa.

Ebia wo duruyɛfo bɛkamfo nhwehwɛmu ahorow bi akyerɛ sɛ wobɛyɛ ahwɛ sɛ ebia aduruyɛ mu tebea bi wɔ hɔ a, egyina wo tebea no so. Ebia eyinom bi ne:

• Pulse oximetry (pulse ox) yɛ sɔhwɛ a wɔde kyerɛ oxygen dodow a ɛwɔ mogya no mu.
• Mogya mu nhwehwɛmu.
• Nsu mu nhwehwɛmu.
• Mmɛn dwumadi ho nhwehwɛmu.
• Asaabo dwumadi ho nhwehwɛmu.
• Mogya mu mframa a ɛwɔ ntini mu (ABG) a wɔde susuw.
• Koko so X-ray a wɔyɛ.
• Honam ani nipadua mu nhwehwɛmu.

Ɔkwan bɛn so na wɔsa Acrocyanosis?

Asɛmpa no ne sɛ acrocyanosis titiriw nyɛ tebea a epira na mpɛn pii no enhia sɛ wɔsa. Nsɛnkyerɛnne no befi hɔ bere a wo nipadua no ayɛ hyew no.

Acrocyanosis a ɛto so abien no ayaresa gyina akwahosan tebea a ɛwɔ ase no so. Eyi kyerɛ sɛ nea ɛde ba no a wɔsa no nso betumi atew acrocyanosis ho sɛnkyerɛnne ahorow no so.

Tebea yi betumi ayɛ aniberesɛm dɛn? `(Nsusuwii)`

Primary acrocyanosis yɛ tebea a asiane biara nni ho a ɛno ankasa yɛ yiye. Nnipa dodow no ara nyin boro tebea no so koraa bere a wɔrenyin no.

Tebea a acrocyanosis a ɛto so abien no wɔ no gyina akwahosan ho haw a ɛda adi no so kɛse. Ebetumi ayɛ aniberesɛm ama nnipa binom. Enti sɛ wowɔ acrocyanosis ho sɛnkyerɛnne ahorow a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo. Afei wobetumi ayi aduruyɛ mu tebea foforo afi hɔ.

So wobetumi asiw Acrocyanosis ano?

Wontumi nsiw tebea yi ano bere nyinaa, titiriw acrocyanosis a ɛto so abien, efisɛ ɛba wɔ akwahosan tebea afoforo a yentumi nni so ho.

Nanso, wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya acrocyanosis titiriw no so. Wobɛyɛ dɛn ayɛ eyi? Hyɛ ntade a ɛyɛ hyew (te sɛ nsateaa ne sɔks) wɔ awɔw bere mu. Wubetumi nso de nsa ho hyew nketewa a wobetumi anya wɔ nnurutɔnbea ahorow no ahyɛ wo kotoku kotoku mu.

Nea ɛbɛyɛ na asiane a ɛwɔ hɔ sɛ wo ba a wɔawo no foforo benya acrocyanosis no so atew no, fa ntade a ɛyɛ hyew kata wo ba no so. Mma wo werɛ mmfi sɛ wode mpopaho bɛkyekyere no bere a woaguare awie no ara pɛ . Saa nneɛma yi bɛboa ma ne ho ayɛ hyew. Kae sɛ acrocyanosis yɛ ade a ɛfata ma mmofra a wɔawo wɔn foforo na sɛ akokoaa no ho yɛ hyew bio a, ebefi hɔ.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn sɛ wowɔ tebea yi mu a:

• Wonnyɛ awɔw, nanso wo nsa ne ne nan asesa kɔla (adan bruu/akuturuku).
• Sɛ wowɔ central cyanosis (w’anofafa, wo tɛkrɛma, anaa wo moma so kɔla a ɛsakra). (Eyi yɛ asɛm a egye ntɛmpɛ!)
• Sɛ ɛyaw bi wɔ hɔ a ɛne kɔla nsakrae no.

Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka bere a wuhu sɛ wo honam ani reyɛ bruu anaa fitaa no. Awofo a wɔawo wɔn foforo, titiriw, betumi ahaw kɛse bere a wohu sɛ wɔn ba no anya acrocyanosis no. Saa tebea yi betumi aba esiane nneɛma ahorow nti. Nea ɛho hia sen biara ne sɛ wubehu nea ɛde ba. Mpɛn pii no, ɛnyɛ nea epira. Nanso, sɛ wowɔ ɛyaw anaa sɛnkyerɛnne afoforo a ɛka acrocyanosis ho a, kɔ oduruyɛfo nkyɛn ntɛm ara. Afei wobetumi ahu sɛ ebia wowɔ akwahosan tebea bi a ɛhyɛ wo ase anaa na wɔkamfo ayaresa a ɛfata akyerɛ wo.

Nea etwa to no, nneɛma a ɛho hia sen biara a ɛsɛ sɛ yɛkae

Okay, enti ɛfiri deɛ yɛaka ho asɛm no mu no, mewɔ anidasoɔ sɛ woanya adwene pa wɔ Acrocyanosis ho. Kae:

• Acrocyanosis yɛ tebea a ɛma akwaa no dan bruu/fitaa. Mpɛn pii no, awɔw na ɛde ba.
• Ɔkwan titiriw no nyɛ nea asiane wom na sɛ wɔma ɛyɛ hyew a, ɛbɛkɔ. Eyi yɛ ade a ɛfata, titiriw wɔ nkokoaa nkumaa fam.
• Ebia nea ɛto so abien no yɛ yare foforo ho sɛnkyerɛnne, a ehia sɛ wɔsa.
• Sɛ wo moma so, wo tɛkrɛma, anaa w’ano yɛ bruu a, ebetumi ayɛ central cyanosis. Kɔ oduruyɛfo nkyɛn ntɛm ara.
• Sɛ ɛyaw ka kɔla a ɛsakra no ho a, ɛno nso yɛ biribi a ɛsɛ sɛ ɛhaw yɛn ho.

Mma wo ho nnyɛ wo hu, na mmom hwɛ yiye. Sɛ wo anaa w’abusua mu obi wɔ saa sɛnkyerɛnne ahorow yi a, ɛbɛyɛ papa sɛ wobɛhwehwɛ aduruyɛfo afotu. Afei wubenya asomdwoe, ɛnte saa?

` Acrocyanosis, akwaa a ɛyɛ bruu, honam ani kɔla a ɛsakra, mogya ntini a ɛyɛ mmerɛw, awɔw, mmofra a wɔawo wɔn foforo, sɛnkyerɛnne ahorow