Sɛ wohwɛ wo nsateaa ne wo nansoaa da a awɔw wom a osu kakra tɔ a, so wuhu nsensanee nketenkete kɔkɔɔ anaa bruu a ɛho ahonhon kakra na ɛyɛ wo yaw? Ɛtɔ da bi a, ɛyaw kakra. Eyi yɛ biribi a ɛto nnipa pii ankasa. Ɛwom sɛ ɛyɛ nea ɛnyɛ dɛ kakra na ɛhyɛ abufuw de, nanso ɛnyɛ biribi a ɛsɛ sɛ yesuro. Ɛnnɛ yɛreka tebea yi ho asɛm. Wɔ nnuruyɛ mu no, yɛfrɛ eyi Chilblains , anaa Pernio .
Sɛ yɛbɛka no tiawa a, dɛn ne saa Chilblainfo (Pernio) yi?
Chilblains yɛ tebea a ɛma yɛn honam ani akisikuru nketenkete a ɛyɛ kɔkɔɔ a ɛkɔ soro ba. Ɛnyɛ awɔw a ano yɛ den a ɛkyerɛ sɛ awɔw a ɛyɛ nwini na ɛde ba. Mmom no, wim tebea a ɛyɛ nwini na ɛyɛ nwini kakra a wɔde wɔn ho hyɛ mu bere tenten na ɛde ba . Sɛ yɛbɛka no pɛpɛɛpɛ a, awɔw a ɛwɔ mmeae te sɛ Nuwara Eliya a ɛwɔ Sri Lanka no betumi ayɛ ade titiriw a ɛde eyi ba.
Eyinom taa pue wɔ nsateaa ne nansoaa so , nanso ebetumi apue wɔ aso ne hwene nso so. Saa nsensanee yi betumi ayɛ kɔkɔɔ, bruu, anaa kɔkɔɔ. Wobetumi nso ayɛ wo yaw, ayɛ hyew, na ayɛ yaw.
Obiara betumi anya saa tebea yi, nanso nnipa a wɔn Body Mass Index ( BMI ) sua, a ɛkyerɛ sɛ wɔyɛ teateaa no wɔ asiane mu kakra. Afei nso, nkokoaa nso betumi anya saa tebea yi sɛ wɔansiesie wɔn ho sɛnea ɛfata wɔ awɔw bere mu a.
Dɛn ankasa ne eyi ho sɛnkyerɛnne?
Wubetumi ahu sɛnkyerɛnne ahorow wɔ chilblains mu. Ɛtɔ mmere bi mpo a, saa nsensanee yi tumi yɛ te sɛ nea ɛhyerɛn kakra. Momma yɛnhwɛ sɛnkyerɛnne atitiriw no.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Honam ani kɔla a ɛsakra | Nsonsonoe kɔkɔɔ, bruu, anaa kɔkɔɔ wɔ honam ani. Eyi ne sɛnkyerɛnne a ɛtaa ba. |
| Ɛyɛ akisikuru | Ebia ɛyaw a emu yɛ den bɛba mmeae a ɛho ayɛ den no. |
| Ɔfe ne ɛyaw a ɛba | Ebia wobɛte ɔhyew ne ɛyaw nka wɔ mmeae te sɛ nsateaa ano. |
| Rehono | Ebia saa honam ani fã no bɛhonhon. |
| Nsu a ɛyɛ mmerɛw | Wɔ tebea horow bi mu no, sɛ emu yɛ den a, akisikuru a nsu ahyɛ mu ma betumi ayɛ saa mmeae no. |
Dɛn nti na eyi reto yɛn? Dɛn nti na ɛte saa?
Sɛ yɛbɛka no tiawa a, eyi te saa efisɛ yɛn nipadua no yɛ n’ade wɔ awɔw ho wɔ ɔkwan a ɛnteɛ so. Sɛ yɛkɔ wim tebea a ɛyɛ nwini na ɛyɛ nwini mu a, mogya ntini nketenkete a ɛwɔ yɛn honam ani no twetwe . Afei, sɛ yɛsan kɔ baabi a ɛhɔ yɛ hyew a, mogya ntini yi trɛw ntɛmntɛm mpofirim. Esiane sɛ mogya ntini no ntumi nnyina nsakrae a ɛba mpofirim yi ano nti, efi ase sɛ nsu kɔ ntini a atwa ho ahyia no mu. Eyi ne nea ɛde ɔfe, kɔkɔɔ , ne ɛyaw ba .
Nhwehwɛmufo da so ara nnim nea enti a saa mmuae yi ba ankasa. Nanso, abenfo binom gye di sɛ ebia efi:
- Awosu mu nneɛma
- Nsakrae a ɛba nkwaadɔm mu
- Ayaresa mu tebea afoforo a ɛda adi wɔ nipadua no mu (sɛ nhwɛso no, ntini a ɛka bom yɛ nyarewa ) .
Hena na ɔwɔ asiane kɛse mu sɛ obenya saa tebea yi?
Nnipa binom taa nya chilblains sen afoforo. Momma yɛnhwɛ nea saa asiane ahorow no yɛ.
| Asiane a ɛde ba | Nkyerɛmu |
|---|---|
| Nipadua mu duru (BMI) a ɛso tew . | Nnipa a wɔyɛ teateaa wɔ asiane kɛse mu efisɛ ɛyɛ den kakra ma wɔn sɛ wɔbɛkɔ so akura nipadua mu hyew mu. |
| Wim tebea a ɛyɛ nwini | Eyi taa ba nnipa a wɔte mmeae a ɛhɔ yɛ nwini na ɛhɔ yɛ nwini a awɔw nwini nni mu no so. |
| Sigaretnom | Sigaretnom ma mogya ntini no mu yɛ den, na ɛmma mogya nkɔ nipadua no mu. |
| Atade a wɔhyɛ de kɔ afiase | Mpaboa a ɛyɛ den, sɔks, nsateaa, anaa ntade a wɔhyɛ no betumi asɛe mogya a ɛkɔ nipadua no mu na ama tebea yi asɛe kɛse. |
| Ayaresa mu tebea afoforo | Nnipa a wɔwɔ nyarewa a ɛka mogya a ɛkɔ nipadua no mu no wɔ asiane kɛse mu. Nhwɛso ahorow: Lupus , Raynaud adeyɛ , Peripheral Arterial Disease (PAD) . |
Ɔkwan bɛn so na oduruyɛfo hu eyi?
Mpɛn pii no, wo duruyɛfo betumi ahu sɛ wowɔ chilblains denam wo honam ani nhwehwɛmu a ɔbɛhwehwɛ so. Sɛ wubisa nsɛm te sɛ sɛnea wunyaa saa sɛnkyerɛnne ahorow yi ne bere tenten a wode anya bi a, ebetumi ama wo duruyɛfo anya tebea no ho adwene pa.
Nanso, ɛtɔ mmere bi a, tebea afoforo wɔ hɔ a ɛda sɛnkyerɛnne a ɛte saa ara adi, enti ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ mogya mu nhwehwɛmu bi anaa wɔnyɛ honam ani nhwehwɛmu na ama wɔahwɛ ahu sɛ ɛnyɛ pɛ.
Dɛn ne ayaresa ahorow a wɔde sa eyi?
Asɛm a eye sen biara ne sɛ mpɛn pii no, chilblains no ankasa sa yare wɔ adapɛn abien kosi abiɛsa mu, a wonnya ayaresa biara.Ade a ɛho hia sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛbɔ wo ho ban afi awɔw ne nwini ho na ama wo nipadua ayɛ hyew.
Nanso, sɛ tebea yi kɔ so bɛboro adapɛn abiɛsa anaasɛ ɛyaw ne ɛyaw no mu yɛ den a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn. Afei oduruyɛfo no bɛkyerɛw aduru a ɛfata ama wo.
Nnuru a Wɔnom
Saa nnuru yi boa ma mogya ntini mu trɛw na ɛma mogya no tu mpɔn.
- Nifedipine (Adalat®) : Ɛboa ma mogya ntini mu trɛw.
- Pentoxifylline (Trental®, Pentoxil®) : Ɛma mogya a ɛkɔ nipadua no mu no tu mpɔn.
Nnuru a Wɔde Di Dwuma
Eyinom yɛ nnuru a wɔde gu honam ani a ɛka ho no so tẽẽ.
- Nitroglycerin (Nitrol®, Nitro-Bid®) a wɔde yɛ aduru a ɛma obi nya ahoɔden.
- Nnuru a wɔde yɛ aduru a steroid te sɛ betamethasone valerate (Beta-Val®, Valisone®) wom .
Dɛn na yebetumi ayɛ wɔ fie?
Wɔ nnuru a wo duruyɛfo kyerɛw ma wo akyi no, nneɛma pii wɔ hɔ a wubetumi ayɛ wɔ fie de abrɛ saa ɔhaw ahorow yi ase.
- Ma wo nsa ne wo nan nyɛ hyew. Hyɛ sɔks ne mittens.
- Hyɛ ntade a wɔayɛ no ntoatoaso. Sɛ wohyɛ ntade a ɛyɛ tratraa pii a, ɛbɛboa wo ma woakura nipadua mu hyew mu yiye sen sɛ wobɛhyɛ ntade a ɛyɛ den biako.
- Hyɛ kyɛw. Nipadua mu hyew dodow no ara guan fa ti no mu, enti kyɛw a wɔhyɛ no boa ma nipadua no nyinaa yɛ hyew.
- Fa aduru a ɛma wo honam ani yɛ hyew a ɛnyɛ huam gu wo honam ani. Wo honam ani a wobɛyow no betumi ama ayɛ wo yaw kɛse.
- Wubetumi anom NSAID de ahwɛ ɛyaw ne ɔfe, te sɛ ibuprofen (Advil®, Motrin®) . Nanso eye sɛ wubebisa wo duruyɛfo ansa na woanom aduru biara.
- Fa mmeae a ɛho ayɛ den no gu nsu a ɛyɛ hyew mu kakra. Nanso kae sɛ, mfa nsu a ɛyɛ hyew nni dwuma. Afei nso, mfa nwene wo were no denneennen dodo. Saa a wobɛyɛ no betumi ama tebea no asɛe kɛse.
Bere bɛn na eye sɛ wobɛkɔ oduruyɛfo nkyɛn?
Mpɛn pii no, eyi nyɛ tebea a emu yɛ den. Nanso, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara wɔ nsɛm a edidi so yi mu:
| Akwannya | Dɛn nti na ɛno ho hia? |
|---|---|
| Ɛnnya ayaresa bɛboro adapɛn abiɛsa | Eyi betumi afi aduruyɛ mu tebea foforo bi mu, enti nhwehwɛmu a ɛfata ho hia. |
| Sɛ wowɔ asikreyare na wunya chilblains wɔ wo nan so a | Esiane sɛ asikreyarefo nte nka yiye na mogya nkɔ wɔn nan mu nti, kuru ketewaa bi mpo betumi ama wɔanya ɔyare mmoawa a emu yɛ den. |
| Sɛ akisikuru retu afi honam ani a | Eyi yɛ sɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare mmoawa na ehia sɛ wɔsa no yare ntɛm ara. |
| Sɛ wote nka sɛ wo ho ayɛ wo hyew anaasɛ wowɔ atiridii a | Eyi nso betumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ ɔyare mmoawa bi atrɛw wɔ nipadua no mu nyinaa. |
Nkrasɛm a Wɔde Kɔ Fie
- Chilblains fi wim tebea a ɛyɛ nwini na ɛyɛ nwini a wɔde wɔn ho hyɛ mu, na ɛnyɛ awɔw a ɛyɛ nwini mu.
- Ɔkwan pa a wobɛfa so asiw ano ne sɛ wobɛma nipadua no, titiriw nsa ne anan, ayɛ hyew na ayɛ kusuu.
- Mpɛn pii no, saa tebea yi ankasa fi hɔ wɔ adapɛn 1-3 ntam.
- Sɛ ɛyaw ne ɛyaw no mu yɛ den, ɛkyɛ boro adapɛn abiɛsa, anaa sɛ wuhu ɔyare mmoawa ho sɛnkyerɛnne (akisikuru, atiridii) a, hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn.
- Sɛ wowɔ asikreyare a, hwehwɛ aduruyɛfo afotu ntɛm ara wɔ honam ani nsakrae biara a ɛbɛba wo nan ho no ho.
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho