Ne èlé ŋku ɖe wò asibidɛwo kple afɔbidɛwo ŋu le ŋkeke si dzi vuvɔ le wɔwɔm eye tsi dza vie la, ɖe nèkpɔa teƒe sue siwo biã alo blɔ siwo vuvu vie eye wole ʋuʋum? Ɣeaɖewoɣi la, vevesese vi aɖe nɔa eŋu. Le nyateƒe me la, esia nye nusi dzɔna ɖe ame geɖe dzi. Togbɔ be eɖea fu na ame vie eye wòdoa dziku hã la, menye nusi wòle be woavɔ̃ na o. Egbea míele nu ƒom tso nɔnɔme sia ŋu. Le atikewɔwɔ me la, míeyɔa esia be Chilblains , alo Pernio .
Kpuie ko la, nukae nye Chilblain (Pernio) siawo?
Chilblains nye dɔléle si nana míaƒe ŋutigbalẽ ƒoa ƒu suesuesue siwo biã, siwo kɔ ɖe dzi. Menye vuvɔ si nu sẽ, si fia vuvɔ si nu sẽ ŋutɔ, gbɔe wotsona o. Ke boŋ yame ƒe fafa kple fafa vie ƒe nɔnɔ ɣeyiɣi didi gbɔe wotsona . Ne míagblɔe tututu la, vuvɔ si le teƒewo abe Nuwara Eliya le Sri Lanka ene ate ŋu anye nu vevi aɖe si gbɔ esia tso.
Zi geɖe la, esiawo dzena le asibidɛwo kple afɔbidɛwo dzi , gake woate ŋu adze le to kple ŋɔti hã dzi. Teƒe siawo ate ŋu anye dzĩ, blɔ, alo aŋutiɖiɖi. Woate ŋu aɖu dzi, abi, eye woase veve hã.
Amesiame ate ŋu axɔ nɔnɔme sia, gake amesiwo ƒe Body Mass Index ( BMI ), si fia be wole tsɛ la, le afɔku me vie. Azɔ hã, vidzĩwo hã ate ŋu axɔ nɔnɔme sia ne womedo awu nyuie na vuvɔ o.
Nukawo tututue nye esia ƒe dzesiwo?
Àte ŋu akpɔ dzesi vovovowo le chilblains me. Ɣeaɖewoɣi la, teƒe siawo te ŋu dzena abe ɖe wole keklẽm vie gɔ̃ hã ene. Mina míalé ŋku ɖe dzesi veviawo ŋu.
| Dzesi si dzena | Nuɖᴐɖᴐ |
|---|---|
| Ŋutilã ƒe amadede ƒe tɔtrɔ | Teƒe dzĩ, blɔ, alo aŋutiɖiɖi le ŋutigbalẽa ŋu. Esiae nye dzesi si bɔ wu. |
| Ʋuʋudedi | Ate ŋu anɔ ʋuʋum vevie le teƒe siwo dɔlélea le. |
| Dzoxɔxɔ kple vevesese | Àte ŋu ase dzobibi kple vevesese le teƒewo abe asibidɛwo ene. |
| Tete | Ŋutilãa ƒe akpa ma ate ŋu avuvu. |
| Ʋuʋudediwo | Le go aɖewo me la, ne esẽ la, ʋuʋudedi siwo me tsi yɔ fũ ate ŋu ado ɖe teƒe mawo. |
Nukatae esia le dzɔdzɔm ɖe mía dzi? Nuka tae?
Kpuie ko la, esia le alea elabena míaƒe ŋutilã wɔa nu ɖe vuvɔ ŋu le mɔ si mesɔ o nu. Ne míeɖo yame ƒe fafɛ kple fafa me la, ʋuka sue siwo le míaƒe ŋutigbalẽ te la xaxana . Emegbe ne míetrɔ yi teƒe si dzoxɔxɔ le wu la, ʋuka siawo kekena kabakaba zi ɖeka. Esi ʋukawo mete ŋu nɔa te ɖe tɔtrɔ kpata sia nu o ta la, wodzea tsi si le dodom ɖe lãkusi siwo ƒo xlã wo me. Esiae nana ame ƒe vuvu, biã , kple vevesese .
Numekulawo meka ɖe nusita tututu ŋuɖoɖo sia dzɔna dzi haɖe o. Gake eŋutinunyala aɖewo xɔe se be ate ŋu atso:
- Domenyiŋusẽfianu
- Lãmetsiŋusẽ ƒe tɔtrɔ
- Atikewɔwɔ ƒe nɔnɔme bubu siwo le ŋutilãa me (le kpɔɖeŋu me, kadodoŋusẽdɔlélewo ) .
Amekawoe le afɔku gã me be woaxɔ dɔléle sia?
Ame aɖewo te ŋu xɔa chilblains wu ame bubuwo. Mina míalé ŋku ɖe nusiwo nye afɔku mawo ŋu.
| Afɔku ƒe nusi gbɔ wòtso | Nuɖᴐɖᴐ |
|---|---|
| Ŋutilã ƒe lolome dzi ɖeɖe kpɔtɔ (BMI) . | Ame tsɛwo le afɔku me wu elabena esesẽna vie na wo be woalé ŋutilã ƒe dzoxɔxɔ me ɖe asi. |
| Yame ƒe nɔnɔme si me fafa le | Esia bɔ ɖe amesiwo le yame fafɛ kple fafa si me vuvɔ mefa o me wu. |
| Sigaretnono | Sigaretnono xea mɔ na ʋukawo, si xea mɔ na ʋu ƒe sisi. |
| Awudodo na gaxɔmenɔnɔ | Afɔkpa, sox, asigɛ, alo awu sesẽ dodo ate ŋu agblẽ ʋu ƒe sisi me eye wòana nɔnɔme sia nagagblẽ ɖe edzi. |
| Atikewɔwɔ ƒe nɔnɔme bubuwo | Ame siwo ŋu dɔléle siwo gblẽa nu le ʋu ƒe sisi ŋu le la le afɔku gã aɖe me. Kpɔɖeŋuwo: Lupus , Raynaud ƒe nudzɔdzɔ , Peripheral Arterial Disease (PAD) . |
Aleke ɖɔkta wɔna dea dzesi esia?
Zi geɖe la, wò ɖɔkta ate ŋu anya ne chilblains le ŋuwò ne edo wò ŋutigbalẽ kpɔ. Nyabiasewo abe alesi nèxɔ dzesi siawo kple ɣeyiɣi didi si nèxɔe ene, ate ŋu ana wò ɖɔkta nanya nɔnɔmea nyuie.
Gake ɣeaɖewoɣi la, nɔnɔme bubu aɖewo hã li siwo ɖea dzesi mawo tɔgbe fiana, eyata wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàdo ʋu aɖewo kpɔ alo awɔ ŋutigbalẽ me lãmenugbagbeviwo atsɔ akpɔ egbɔ be womesɔ o.
Nukawoe nye atike siwo wozãna na esia?
Nya nyuitɔ kekeakee nye be zi geɖe la, chilblains hayana le wo ɖokui si le kwasiɖa eve va ɖo etɔ̃ me, eye womewɔa atike aɖeke nɛ o.Nu vevitɔ si wòle be nàwɔe nye be nàkpɔ ɖokuiwò ta tso vuvɔ kple fafa me eye nàna wò ŋutilã naxɔ dzo.
Gake ne nɔnɔme sia gakpɔtɔ li wu kwasiɖa etɔ̃ alo ne vevesesea kple ʋuʋudedia nu sẽ la, ele be nàyi ɖɔkta gbɔ godoo. Emegbe ɖɔktaa aŋlɔ atike si sɔ na wò.
Atike Siwo Wonona
Atike siawo kpena ɖe ame ŋu be ʋukawo kekena eye ʋu ƒe sisi nyona ɖe edzi.
- Nifedipine (Adalat®) : Ekpena ɖe ame ŋu be ʋukawo nakeke.
- Pentoxifylline (Trental®, Pentoxil®) : Enaa ʋu ƒe sisi nyona ɖe edzi.
Atike Siwo Wozãna Ðe Atikewo Ŋu
Esiawo nye atike siwo wotsɔna ƒoa ŋutigbalẽ si ŋu dɔlélea le la tẽ.
- Nitroglycerin (Nitrol®, Nitro-Bid®) ƒe ʋuƒoƒo .
- Kreme si me steroid, abe betamethasone valerate (Beta-Val®, Valisone®) ene le .
Nukae míate ŋu awɔ le aƒeme?
Tsɔ kpe ɖe atike siwo wò ɖɔkta ŋlɔna na wò ŋu la, nu geɖe li nàte ŋu awɔ le aƒeme be wòaɖe vevesese siawo dzi akpɔtɔ.
- Na wò asiwo kple afɔwo naxɔ dzo. Do soxwo kple asigɛwo.
- Do awu siwo wotsɔ ƒo ƒu ɖe wo nɔewo dzi. Awu tsɛ geɖe dodo akpe ɖe ŋuwò be wò ŋutilã naxɔ dzo tsɔ wu be nàdo awu ʋlaya ɣi ɖeka.
- Do kposɔfu. Ŋutilã ƒe dzoxɔxɔ akpa gãtɔ sina toa ta me, eyata kposɔ dodo kpena ɖe ametia katã ŋu wòxɔa dzo.
- De tsilénu si me ʋeʋẽ lilili mele o ɖe wò ŋutigbalẽ ŋu. Wò ŋutigbalẽ ƒuƒu ate ŋu ana wòavuvu ɖe edzi.
- Àte ŋu ano NSAID na vevesese kple abi, abe ibuprofen (Advil®, Motrin®) ene . Gake anyo wu be nàbia wò ɖɔkta hafi ano atike aɖeke.
- Tsɔ teƒe siwo dɔlélea le la de tsi fafɛ me hena ɣeyiɣi aɖe. Gake ɖo ŋku edzi be mègazã tsi dzodzoe o. Azɔ hã, mègatutu ŋutigbalẽa sesĩe akpa o. Esia wɔwɔ ate ŋu ana nɔnɔmea nagagblẽ ɖe edzi.
Ɣekaɣie wòanyo wu be nàyi ɖɔkta gbɔ?
Zi geɖe la, esia menyea nɔnɔme sesẽ o. Gake ele be nàyi ɖɔkta gbɔ enumake le nɔnɔme siwo gbɔna me:
| Mɔnukpɔkpɔ | Nukatae ema le vevie? |
|---|---|
| Meda gbe le eŋu o wu kwasiɖa etɔ̃ | Esia ate ŋu atso atikewɔwɔ ƒe nɔnɔme bubu gbɔ, eyata ehiã be woadoe kpɔ nyuie. |
| Ne suklidɔ le ŋuwò eye chilblains le wò afɔwo ŋu | Esi suklidɔlélawo mesea veve nyuie o eye ʋu megena ɖe woƒe afɔwo me o ta la, abi sue aɖe gɔ̃ hã ate ŋu ana woaxɔ dɔlékui sesẽwo. |
| Ne ʋuʋudedi le dodom tso ŋutigbalẽa me | Esia nye dɔlékui ƒe dɔléle ƒe dzesi eye wòhiã be woawɔ atike nɛ enumake. |
| Ne èse le ɖokuiwò me be asrã le ye ŋu alo dzamezã le ye ŋu | Esia ate ŋu anye dɔlékui aɖe si le kakam ɖe ŋutilã bliboa me ƒe dzesi hã. |
Gbedasi si Wotsɔ Yi Aƒeme
- Chilblains tsoa yame ƒe fafɛ si me tsi dzana le gbɔ, ke menye vuvɔ si me tsikpe le o.
- Mɔ nyuitɔ si dzi woato axe mɔ ɖe enue nye be woana ŋutilãa, vevietɔ asiwo kple afɔwo, naxɔ dzo eye woaƒu.
- Zi geɖe la, nɔnɔme sia nu tsona le eɖokui si le kwasiɖa 1-3 me.
- Ne ʋuʋudedi kple vevesesea nu sẽ, enɔa anyi wu kwasiɖa etɔ̃, alo ne èkpɔ dɔlékui ƒe dzesiwo (aɖuɖɔtoe, dzoxɔxɔ) la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.
- Ne suklidɔ le ŋuwò la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake tso ŋutigbalẽ ƒe tɔtrɔ ɖesiaɖe si ava wò afɔwo ŋu ŋu.
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