Mukayang'ana zala zanu ndi zala zanu tsiku lozizira ndi mvula pang'ono, kodi mumawona madontho ang'onoang'ono ofiira kapena abuluu omwe amatupa pang'ono komanso kuyabwa? Nthawi zina ndi ululu pang'ono. Izi zimachitikadi kwa anthu ambiri. Ngakhale kuti ndi zosasangalatsa komanso zosasangalatsa pang'ono, si chinthu choopa. Lero tikulankhula za vutoli. Mu zamankhwala, timatcha izi Chilblains , kapena Pernio .
Mwachidule, kodi ma Chilblain (Pernio) awa ndi chiyani?
Matenda a Chilblain ndi matenda omwe amayambitsa ziphuphu zazing'ono, zofiira, komanso zokwezeka pakhungu lathu. Sizimachitika chifukwa cha kuzizira kwambiri, kutanthauza kuzizira kwambiri. M'malo mwake, zimachitika chifukwa cha kuzizira kwa nthawi yayitali komanso konyowa pang'ono . Kunena zoona, kuzizira m'malo ngati Nuwara Eliya ku Sri Lanka kungakhale chifukwa chachikulu cha izi.
Izi nthawi zambiri zimawonekera pa zala ndi zala zakumapazi , komanso zimatha kuwonekeranso m'makutu ndi mphuno. Madonthowa akhoza kukhala ofiira, abuluu, kapena ofiirira. Akhozanso kuyabwa, kutentha, komanso kupweteka.
Aliyense akhoza kukhala ndi vutoli, koma anthu omwe ali ndi BMI yochepa, zomwe zikutanthauza kuti ndi ochepa thupi, ali pachiwopsezo chachikulu. Komanso, makanda amathanso kukhala ndi vutoli ngati sanavale bwino nthawi yozizira.
Kodi zizindikiro za izi ndi ziti kwenikweni?
Mungathe kuona zizindikiro zosiyanasiyana mwa ana aang'ono. Nthawi zina madontho amenewa amatha kuoneka owala pang'ono. Tiyeni tiwone zizindikiro zazikulu.
| Chizindikiro | Kufotokozera |
|---|---|
| Kusintha kwa mtundu wa khungu | Madontho ofiira, abuluu, kapena ofiirira pakhungu. Ichi ndiye chizindikiro chofala kwambiri. |
| Kuyabwa | Pakhoza kukhala kuyabwa kwakukulu m'malo okhudzidwa. |
| Kutupa ndi ululu | Mungamve kutentha ndi kupweteka m'malo monga m'manja mwa zala. |
| Kutupa | Khungu limenelo likhoza kutupa. |
| Matuza | Nthawi zina, ngati zakula kwambiri, matuza odzaza ndi madzi amatha kupangika m'malo amenewo. |
N’chifukwa chiyani izi zikuchitika kwa ife? Chifukwa chake n’chiyani?
Mwachidule, izi zimachitika chifukwa chakuti thupi lathu limayankha molakwika kuzizira. Tikakumana ndi nyengo yozizira komanso yachinyezi, mitsempha yaing'ono yamagazi yomwe ili pansi pa khungu lathu imachepa . Kenako, tikabwerera kumalo otentha, mitsempha yamagazi iyi imakula mwadzidzidzi. Polephera kuthana ndi kusintha kwadzidzidzi kumeneku, mitsempha yamagazi imayamba kutulutsa madzi m'thupi lozungulira. Izi ndi zomwe zimayambitsa kutupa, kufiira , ndi kupweteka .
Ofufuza sakudziwabe chifukwa chake izi zimachitika. Komabe, akatswiri ena amakhulupirira kuti mwina chifukwa cha:
- Majini
- Kusintha kwa mahomoni
- Matenda ena omwe amapezeka m'thupi (monga matenda a minofu yolumikizana )
Ndani ali pachiwopsezo chachikulu chotenga matendawa?
Anthu ena ali ndi mwayi waukulu wopeza matenda a chilblain kuposa ena. Tiyeni tiwone zomwe zimayambitsa matendawa .
| Choopsa | Kufotokozera |
|---|---|
| Kutsika kwa chiwerengero cha kulemera kwa thupi (BMI) | Anthu oonda ali pachiwopsezo chachikulu chifukwa zimakhala zovuta pang'ono kuti asunge kutentha kwa thupi lawo. |
| Nyengo yamvula | Izi zimachitika kwambiri kwa anthu okhala m'malo ozizira komanso amvula omwe sazizira kwambiri. |
| Kusuta | Kusuta kumatsekereza mitsempha yamagazi, zomwe zimalepheretsa kuyenda kwa magazi. |
| Kuvala zovala za kundende | Kuvala nsapato zolimba, masokisi, magolovesi, kapena zovala kungasokoneze kayendedwe ka magazi ndikupangitsa vutoli kukhala loipa kwambiri. |
| Matenda ena | Anthu omwe ali ndi matenda omwe amakhudza kuyenda kwa magazi ali pachiwopsezo chachikulu. Zitsanzo: Lupus , Raynaud's phenomenon , Peripheral Arterial Disease (PAD) . |
Kodi dokotala amazindikira bwanji izi?
Nthawi zambiri, dokotala wanu amatha kudziwa ngati muli ndi chilblains pofufuza khungu lanu. Kufunsa mafunso monga momwe mudapezera zizindikirozi komanso nthawi yomwe mwakhala nazo kungapatse dokotala wanu lingaliro labwino la vutoli.
Komabe, nthawi zina pamakhala matenda ena omwe amasonyeza zizindikiro zofanana, kotero dokotala wanu angakulangizeni kuti muyese magazi kapena kuchitidwa biopsy ya khungu kuti muwonetsetse kuti sizili zofanana.
Kodi mankhwala ochizira izi ndi otani?
Nkhani yabwino kwambiri ndi yakuti nthawi zambiri, ana aang'ono amachira okha mkati mwa milungu iwiri kapena itatu, popanda chithandizo chilichonse.Chofunika kwambiri ndikudziteteza ku kuzizira ndi chinyezi komanso kusunga thupi lanu lofunda.
Komabe, ngati vutoli likupitirira kwa milungu itatu kapena ngati ululu ndi kuyabwa kwakukulu, muyenera kuonana ndi dokotala. Dokotalayo adzakupatsani mankhwala oyenera.
Mankhwala Omwa
Mankhwalawa amathandiza kukulitsa mitsempha yamagazi ndikupangitsa kuti magazi aziyenda bwino.
- Nifedipine (Adalat®) : Imathandiza kukulitsa mitsempha yamagazi.
- Pentoxifylline (Trental®, Pentoxil®) : Imathandizira kuyenda kwa magazi.
Mankhwala Opangira Pakhungu
Awa ndi mankhwala omwe amaperekedwa mwachindunji pamwamba pa khungu lomwe lakhudzidwa.
- Nitroglycerin (Nitrol®, Nitro-Bid®)
- Kirimu wokhala ndi steroid, monga betamethasone valerate (Beta-Val®, Valisone®) .
Kodi tingatani kunyumba?
Kuwonjezera pa mankhwala omwe dokotala wanu wakupatsani, palinso zinthu zingapo zomwe mungachite kunyumba kuti muchepetse mavutowa.
- Manja ndi mapazi anu azikhala otentha. Valani masokosi ndi magolovesi.
- Valani zovala zingapo zopyapyala. Kuvala zovala zingapo zopyapyala kungathandize kuti thupi lanu likhale lofunda m'malo mokhala ndi chovala chimodzi chokhuthala.
- Valani chipewa. Kutentha kwambiri kwa thupi kumatuluka m'mutu, kotero kuvala chipewa kumathandiza kuti thupi lonse likhale lofunda.
- Pakani mafuta odzola osanunkhira pakhungu lanu. Kuumitsa khungu lanu kungapangitse kuti liyambe kuyabwa kwambiri.
- Mukhoza kumwa mankhwala a NSAID ochepetsa ululu ndi kutupa, monga ibuprofen (Advil®, Motrin®) . Koma ndi bwino kufunsa dokotala wanu musanamwe mankhwala aliwonse.
- Zilowerereni malo omwe akhudzidwa ndi matendawa m'madzi ofunda kwa kanthawi. Koma kumbukirani, musagwiritse ntchito madzi otentha. Komanso, musamapake khungu mwamphamvu. Kuchita zimenezi kungapangitse kuti vutoli liipireipire.
Kodi ndi liti pamene kuli bwino kupita kwa dokotala?
Kawirikawiri izi si vuto lalikulu. Komabe, muyenera kuonana ndi dokotala nthawi yomweyo ngati zotsatirazi:
| Mwayi | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Sachira kwa milungu yoposa itatu | Izi zitha kukhala chifukwa cha matenda ena, kotero kufufuza koyenera ndikofunikira. |
| Ngati muli ndi matenda a shuga ndipo mumakhala ndi chilblains pamapazi anu | Popeza anthu odwala matenda a shuga samva bwino ndipo magazi safika bwino m'mapazi awo, ngakhale bala laling'ono lingayambitse matenda aakulu. |
| Ngati mafinya akutuluka pakhungu | Ichi ndi chizindikiro cha matenda a bakiteriya ndipo chimafuna chithandizo chachangu. |
| Ngati mukumva kutentha thupi kapena muli ndi chimfine | Izi zitha kukhalanso chizindikiro cha matenda omwe akufalikira m'thupi lonse. |
Uthenga Wopita Nawo Kunyumba
- Matenda a Chilblain amayamba chifukwa cha nyengo yozizira komanso yonyowa, osati yozizira kwambiri.
- Njira yabwino yopewera matendawa ndi kusunga thupi, makamaka manja ndi mapazi, kukhala lofunda komanso louma.
- Nthawi zambiri, vutoli limatha lokha mkati mwa milungu 1-3.
- Ngati kuyabwa ndi ululu zili zazikulu, zimatha kwa milungu yoposa itatu, kapena ngati mukuona zizindikiro za matenda (mafinya, malungo), onetsetsani kuti mwaonana ndi dokotala.
- Ngati muli ndi matenda a shuga, funsani upangiri wa dokotala nthawi yomweyo ngati khungu lanu lasintha.
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