Ke uliuli nei kou mau lima a me kou mau wāwae? He acrocyanosis anei kēlā? E makaʻala kākou i kēia!

Ua ʻike anei ʻoe ma hope o ka ʻauʻau anu ʻana a i ʻole ka hele ʻana i waho i kahi lā anuanu me ka ʻole o nā mikina lima, e polū ana nā wēlau o kou mau manamana lima a manamana wāwae paha, a i kekahi manawa he keʻokeʻo paha? No nā kānaka he nui, he mea maʻamau paha kēia. Akā i kekahi manawa he hōʻailona ia o kahi maʻi olakino. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā. Ua kapa ʻia kēia he acrocyanosis ma nā ʻōlelo lapaʻau.

He aha ka acrocyanosis? E hoʻomaopopo maʻalahi kākou.

I ka ʻōlelo maʻalahi, ʻo ka acrocyanosis kahi kūlana kahi e lilo ai kou mau lima a i ʻole nā ​​wāwae (a i kekahi manawa nā ʻāpana ʻē aʻe o kou kino) i polū, keʻokeʻo, a hina paha. Hana ʻia kēia i ka wā e paʻa loa ai nā kīʻaha koko liʻiliʻi i loko o ko mākou kino, i kapa ʻia ʻo nā arteries, a ʻoi aku ka pololei , ʻoi aku ka paʻa (vasospasm), no ka manawa lōʻihi. Hoʻemi kēia i ka nui o ke koko a me ka oxygen e hiki ai i nā ʻiʻo a puni. ʻO ia ke kumu e loli ai ke kala o ka ʻili. Ua kapa ʻia hoʻi kēia he peripheral cyanosis.

Ke hoʻomanaʻo nei ʻoe i kou wā kamaliʻi a ua polū kou mau lima i ke anu? Pēlā nō ia. ʻO ka hapa nui o ka manawa, ʻaʻole kēia he mea weliweli a e nalo wale nō ia ke mahana ʻoe. Eia nō naʻe, i kekahi manawa hiki ke lilo i hōʻailona o kahi pilikia olakino. No laila, inā he mea kēia e hopohopo ai, pili ia i ke ʻano o ka acrocyanosis āu e loaʻa nei. ʻElua ʻano nui.

Aia ʻelua ʻano o ka acrocyanosis:

Ma ke ʻano pololei, hiki ke hoʻokaʻawale ʻia kēia maʻi i ʻelua mau māhele nui: ʻO ka Acrocyanosis mua a me ka Acrocyanosis lua. E nānā kākou i kēia mau mea ʻelua ma ke kaʻawale.

E aʻo kākou e pili ana i ka Acrocyanosis Mua.

ʻO ka Acrocyanosis mua kahi ʻano maʻi arterial peripheral functional. ʻO ke ʻano o "Functional" ma ʻaneʻi ʻaʻohe hōʻino i kou mau kīʻaha koko. Akā, ʻūlū wale a hoʻonui kou mau kīʻaha koko i ka pane ʻana i nā mea e like me nā loli o ka mahana a i ʻole ke kaumaha. ʻO "Peripheral" e pili ana i nā wahi mamao aku mai ke kikowaena o ke kino, e like me nā lima a me nā wāwae.

Hiki i kēia ʻano maʻi, i kapa ʻia ʻo primary acrocyanosis, ke hoʻopilikia i kekahi. Akā, ʻoi aku ka maʻamau i nā pēpē hānau hou, nā pēpē, a me nā mākua ʻōpio i ko lākou mau makahiki 20. Hoʻopilikia pinepine kēia ʻano i nā ʻaoʻao ʻelua o ke kino (no ka laʻana, nā lima ʻelua a i ʻole nā ​​wāwae ʻelua). ʻO ka mea nui, ʻaʻole ʻeha ka primary acrocyanosis .

He aha ka Acrocyanosis Lua?

ʻO ka maʻamau, hana ʻia ka Acrocyanosis lua me nā pilikia olakino ʻē aʻe.ʻO ia hoʻi, hiki ke hana ʻia ma ke ʻano he hopena ʻaoʻao o kahi maʻi. Hiki ke ʻokoʻa ke ʻano o kona ʻano ma muli o ke kumu kumu. ʻAʻole e like me ka acrocyanosis mua, ʻo ke ʻano lua e hoʻopilikia pinepine i hoʻokahi ʻaoʻao o ke kino . He ʻeha pinepine hoʻi ia a hiki ke hōʻino i nā ʻiʻo. No laila, pono ia e mālama ʻia .

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He aha nā hōʻailona o ka Acrocyanosis?

Aia kekahi mau hōʻailona maʻamau i ʻike ʻia ma ka acrocyanosis mua a me ke lua. ʻO lākou kēia:

• Ka loli ʻana o ke kala polū a hina paha o nā lima, nā wāwae, a me nā manamana lima (ʻo ia ka mea maʻamau).
• E huli ana nā pulima, nā kuʻekuʻe wāwae, nā nipples, nā pepeiao, a i ʻole ka ihu i polū a hina paha (he mea maʻamau ʻole kēia).
• Nā lima a me nā wāwae e hou ana a pulu paha.
• Ka pehu ʻana o nā lima a me nā wāwae.
• Ka lohi o ke kahe ʻana o ke koko.
• Ua emi ka mahana o ka ʻili.

Mea nui: Inā polū a hina paha kou ʻāpana umauma, ke alelo, nā lehelehe, a i ʻole loko o kou mau papālina, pono ʻoe e ʻike koke i ke kauka. He mau hōʻailona paha kēia o kahi maʻi i kapa ʻia ʻo central cyanosis, kahi e pono ai ke kōkua koke ʻia e ke kauka. ʻAʻole kēia he mea hoʻohenehene, no laila e hoʻomanaʻo i kēia.

No ke aha e kū mai ai kēia acrocyanosis? He aha nā kumu?

E loli ana ke kumu o kēia ma muli o ke ʻano o ka acrocyanosis āu e loaʻa ai.

Nā kumu o ka Acrocyanosis mua

Ke noiʻi nei nā kauka i ka acrocyanosis mua a me ke kumu pololei o ia mea. Eia nō naʻe, ua manaʻo ʻia ua hana ʻia e ka ʻūlū ʻana o kou mau kīʻaha koko. Aia kekahi mau kumu e hiki ke kōkua i kēia ʻūlū ʻana:

• Ka ʻike ʻia ʻana i nā mahana anu. (ʻO kēia ke kumu nui.)
• Loaʻa kahi predisposition genetic (ʻo ia hoʻi, ʻoi aku ka maʻalahi o kou mau kīʻaha koko e hoʻopili).
• Noho ma nā wahi kiʻekiʻe kahi i maʻamau ai ke anuanu a me ke kaomi oxygen haʻahaʻa.

He mea maʻamau anei i nā pēpē hānau hou ke loaʻa i ka acrocyanosis mua?

ʻAe, he nui nā pēpē hānau hou i loaʻa i ka acrocyanosis i nā hola mua o ko lākou ola. He mea maʻamau kēia a ʻaʻohe mea e hopohopo ai. Hana ʻia kēia no ka mea ʻo ke koko o ka pēpē ke lawe mua nei i ka oxygen i ko lākou mau ʻōpū koʻikoʻi loa, e like me nā māmā, nā puʻupaʻa, a me ka lolo. I ka hoʻomaʻamaʻa ʻana o ke kino o ka pēpē i ke ʻano kahe koko hou, e nalowale kēia acrocyanosis. Ma hope mai, inā manaʻo ke pēpē i ke anu, e ʻike hou ʻia ke kala polū a mae. He mea maʻamau nō hoʻi kēia, a e nalowale ia i ka wā e mahana ai ka pēpē. No laila, inā he makuahine ʻoe me kahi pēpē liʻiliʻi, ʻaʻole pono ʻoe e hopohopo nui e pili ana i kēia, ʻeā?

Nā kumu o ka Acrocyanosis Lua

ʻIke nui nā kauka e pili ana i ka acrocyanosis lua no ka mea ua aʻo lākou i nā kūlana kumu e hele pū me ia. I kekahi manawa hiki i ka acrocyanosis lua ke lilo i hōʻailona mua o kahi maʻi. I nā hihia ʻē aʻe, hiki ke ulu mālie i ka hala ʻana o ka manawa.

Hiki ke hana ʻia ka Acrocyanosis lua e:

• ʻO ka maʻi Raynaud.
• Nā maʻi ʻai a i ʻole ka nele i ka ʻai.
• Ka haʻahaʻa o ka oxygen i loko o ke koko (hypoxemia).
• Nā maʻi.
• Nā maʻi hoʻoilina.
• Nā maʻi vascular.
• Nā maʻi koko.
• Ka maʻi ʻaʻai.
• Kekahi mau lāʻau lapaʻau.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka Acrocyanosis?

Inā loaʻa iā ʻoe kekahi o nā kūlana olakino a mākou i kūkākūkā ai ma mua, ʻoi aku ka nui o kou pilikia o ka hoʻomohala ʻana i ka acrocyanosis lua.

ʻO ka poʻe i ʻoi aku ka nui o ka hoʻomohala ʻana i ka acrocyanosis mua:

• Inā ʻoe e noho ana ma kahi me ke aniau anu.
• Inā ʻoe e hana ma waho i ke anuanu.
• Inā haʻahaʻa ka helu nui o ke kino (BMI).
• Inā ʻoe ma lalo o 30 mau makahiki.

Pehea e ʻike ai nā kauka i kēia?

Hiki i ke kauka ke ʻike inā he acrocyanosis kou ma ka nānā ʻana i kou ʻili a me ka hana ʻana i kahi hoʻokolokolo kino. E nānā lākou i kou mau lima a me kou mau wāwae e ʻike inā aia ka ʻeleʻele ma kekahi ʻaoʻao o kou kino a i ʻole ma nā ʻaoʻao ʻelua.

Ma muli o kou kūlana, hiki i kāu kauka ke paipai i kekahi mau hoʻokolohua e hoʻoholo ai inā he kūlana olakino ma lalo. Hiki i kēia mau mea ke komo pū me:

• ʻO ka pulse oximetry (pulse ox) kahi hoʻāʻo e ana i ka pae oxygen i loko o ke koko.
• Nā hoʻāʻo koko.
• Ka nānā ʻana i ka mimi.
• Nā hoʻāʻo hana o ke akepaʻa.
• Nā hoʻāʻo hana puʻupaʻa.
• Ke ana ʻana o ke kinoea koko arterial (ABG).
• X-ray umauma.
• ʻO ka biopsy ʻili.

Pehea e mālama ʻia ai ka Acrocyanosis?

ʻO ka nūhou maikaʻi, ʻaʻole ia he maʻi ʻino ka acrocyanosis mua a ʻaʻole pono ka lāʻau lapaʻau. E nalo nā hōʻailona ke mahana kou kino.

ʻO ka mālama ʻana no ka acrocyanosis lua e pili ana i ke kūlana olakino kumu. ʻO ke ʻano kēia, ʻo ka mālama ʻana i ke kumu kumu e hōʻemi paha i nā hōʻailona o ka acrocyanosis.

Pehea ke koʻikoʻi o kēia kūlana? (Outlook)

He maʻi ʻino ʻole ka acrocyanosis mua e hoʻōla ponoʻī ʻia. Hoʻopau ka hapa nui o ka poʻe i ke ʻano i ko lākou ʻelemakule ʻana.

ʻO ke kūlana o ka acrocyanosis lua e hilinaʻi nui ʻia i ka pilikia olakino ma lalo. Hiki ke lilo i mea koʻikoʻi no kekahi poʻe. No laila, inā loaʻa iā ʻoe nā hōʻailona o ka acrocyanosis, e hōʻoia e haʻi i kāu kauka. A laila hiki iā lākou ke kāpae i kahi maʻi ʻē aʻe.

Hiki ke pale ʻia ka Acrocyanosis?

ʻAʻole hiki ke pale ʻia kēia ʻano i nā manawa a pau, ʻoiai ke acrocyanosis lua, no ka mea, hiki mai ia me nā kūlana olakino ʻē aʻe i hiki ʻole iā mākou ke kaohi.

Eia nō naʻe, hiki iā ʻoe ke hōʻemi i kou pilikia o ka loaʻa ʻana o ka acrocyanosis mua. Pehea ʻoe e hana ai i kēia? E ʻaʻahu i nā lole mahana (e like me nā mīkina lima a me nā kāmaʻa wāwae) i ke anuanu. Hiki iā ʻoe ke mālama i nā mea hoʻomehana lima liʻiliʻi, i loaʻa ma nā hale kūʻai lāʻau lapaʻau, i loko o kāu ʻeke ʻaʻahu.

I mea e hōʻemi ai i ka pilikia o kāu pēpē hānau hou e loaʻa ana i ka acrocyanosis, e ʻōwili i kāu pēpē i nā lole mahana. Mai poina e ʻōwili iā ia i loko o ke kāwele ma hope koke o ka ʻauʻau ʻana. E kōkua kēia mau mea iā ia e hoʻomehana. E hoʻomanaʻo, he mea maʻamau ka acrocyanosis no nā pēpē hānau hou a e nalo aku ia ke mahana hou ka pēpē.

Āhea wau e ʻike ai i ke kauka?

Pono ʻoe e ʻike i ke kauka inā ʻoe i kēia kūlana:

• ʻAʻole ʻoe i anu, akā ua loli ke kala o kou mau lālā (lilo i polū/hina).
• Inā he loli ke kala o kou mau lehelehe, ke alelo, a i ʻole ka ʻāpana umauma (cyanosis waena). (He pilikia kēia!)
• Inā he ʻeha me ka loli o ke kala.

He mea maʻamau ka makaʻu ke ʻike ʻoe i kou ʻili e polū a hina paha. ʻO nā mākua o nā pēpē hānau hou, ʻoi aku hoʻi, hiki ke hopohopo nui ke ʻike lākou i kā lākou pēpē me ka acrocyanosis. Hiki ke loaʻa kēia ʻano maʻi no nā kumu like ʻole. ʻO ka mea nui loa, ʻo ia ka ʻike ʻana i ke kumu kumu. I ka hapa nui o nā hihia, ʻaʻole ia he mea ʻino. Eia nō naʻe, inā loaʻa iā ʻoe ka ʻeha a i ʻole nā ​​​​hōʻailona ʻē aʻe me ka acrocyanosis, e ʻike koke i ke kauka. A laila hiki iā lākou ke hoʻoholo inā he ʻano olakino kou a paipai i ka lāʻau kūpono.

ʻO ka mea hope loa, nā mea nui e hoʻomanaʻo

ʻAe, mai nā mea a mākou i kūkākūkā ai, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi manaʻo maikaʻi e pili ana i ka Acrocyanosis. E hoʻomanaʻo:

• ʻO ke Acrocyanosis kahi maʻi e lilo ai nā lālā i polū/hina. Hoʻokumu pinepine ʻia e ke anu.
• ʻAʻole weliweli ke ʻano mua a e nalowale ia ke hoʻomehana ʻia. He mea maʻamau kēia, ʻoiai no nā pēpē ʻōpio.
• ʻO ke ʻano lua paha he hōʻailona ia o kahi maʻi ʻē aʻe, e pono ai ka mālama ʻana.
• Inā polū kou umauma, alelo, a i ʻole nā ​​lehelehe, he cyanosis waena paha ia. E ʻike koke i ke kauka.
• Inā he ʻeha me ka loli o ke kala, he mea nō hoʻi ia e hopohopo ai.

Mai hopohopo, akā e makaʻala. Inā loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana kēia mau hōʻailona, ​​ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau. A laila e loaʻa iā ʻoe ka maluhia o ka noʻonoʻo, ʻeā?

ʻAcrocyanosis , polū o nā lālā, ʻili ʻino, ʻūlū ʻana o nā kīʻaha koko, anu, pēpē hānau hou, nā hōʻailona