Xa ujonga iminwe yakho neenzwane zakho ngemini ebandayo enemvula encinci, ngaba ubona amabala amancinci abomvu okanye aluhlaza okwesibhakabhaka avuvukileyo kwaye arhawuzelela? Ngamanye amaxesha anentlungu encinci. Oku kuyinto eyenzekayo kubantu abaninzi. Nangona kungakhululeki kwaye kuyacaphukisa, asiyonto yokoyika. Namhlanje sithetha ngale meko. Kwizonyango, oku sikubiza ngokuba yiChilblains , okanye iPernio .
Ngamafutshane, ziintoni ezi Chilblains (Pernio)?
IiChilblains zizinto ezibangela amaqhuma amancinci, abomvu, aphakanyisiweyo eluswini lwethu. Azibangelwa kukugquma kakhulu, oko kuthetha ukubanda okubandayo. Kunoko, zibangelwa kukugquma ixesha elide kwimozulu efumileyo nepholileyo kancinci . Ukuchaneka, imozulu ebandayo kwiindawo ezifana neNuwara Eliya eSri Lanka inokuba yimbangela enkulu yoku.
Ezi zihlala zivela kwiminwe nakwiinzwane , kodwa zinokuvela nakwiindlebe nasempumlweni. La mabala anokuba bomvu, luhlaza okwesibhakabhaka, okanye abe mfusa. Anokuba nokurhawuzelela, ukutsha, kunye buhlungu.
Nabani na unokuba nale meko, kodwa abantu abane-Body Mass Index ( BMI ) ephantsi, oko kuthetha ukuba bancinci, basengozini enkulu kancinci. Kwakhona, iintsana nazo zinokuba nale meko ukuba azinxitywanga ngokufanelekileyo ngexesha lemozulu ebandayo.
Zithini kanye kanye iimpawu zoku?
Ungabona iimpawu ezahlukeneyo kwi-chilblains. Ngamanye amaxesha la mabala anokubonakala ekhazimla kancinci. Makhe sijonge iimpawu eziphambili.
| Uphawu | Inkcazo |
|---|---|
| Ukutshintsha kombala wolusu | Amabala abomvu, aluhlaza okwesibhakabhaka, okanye amfusa eluswini. Olu lolona phawu luqhelekileyo. |
| Ukurhawuzelela | Kusenokubakho ukurhawuzelela okukhulu kwiindawo ezichaphazelekayo. |
| Ukudumba kunye nentlungu | Usenokuziva ukutshisa kunye nentlungu kwiindawo ezifana neeminwe. |
| Ukudumba | Loo ndawo yesikhumba isenokudumba. |
| Amadyungudyungu | Kwezinye iimeko, ukuba iba nkulu, amadyungudyungu azaliswe ngamanzi anokwenzakala kwezo ndawo. |
Kutheni oku kusenzeka kuthi? Yintoni unobangela?
Ngamafutshane, oku kungenxa yokuba imizimba yethu inempendulo engaqhelekanga emakhazeni. Xa sichatshazelwa yimozulu ebandayo nefumileyo, imithambo yegazi emincinci engaphantsi kolusu lwethu iyancipha . Emva koko, xa sibuyela kwindawo efudumeleyo, le mithambo yegazi ivuleka ngequbuliso ngokukhawuleza. Ngenxa yokuba ayikwazi ukumelana nolu tshintsho ngequbuliso, imithambo yegazi iqala ukuvuza ulwelo kwiithishu ezingqongileyo. Yile nto ibangela ukudumba, ukubomvu , kunye nentlungu .
Abaphandi abakaqiniseki ukuba kutheni le mpendulo isenzeka. Nangona kunjalo, ezinye iingcali zikholelwa ukuba oku kusenokuba kungenxa yezi zinto zilandelayo:
- I-genetics
- Utshintsho kwihomoni
- Ezinye iimeko zempilo ezifihlakeleyo emzimbeni (umzekelo, izifo zezicubu ezidityanisiweyo )
Ngubani osengozini enkulu yokuhlaselwa yile meko?
Abanye abantu banamathuba amaninzi okufumana i-chilblains kunabanye. Makhe sijonge ukuba zeziphi ezo zinto ziyingozi .
| Into enobungozi | Inkcazo |
|---|---|
| Ukuncipha kwe-body mass index (BMI) | Abantu abancinci basengozini enkulu kuba kunzima kancinci kubo ukugcina ubushushu bomzimba. |
| Imozulu efumileyo | Oku kuqheleke kakhulu kubantu abahlala kwiindawo ezipholileyo nezifumileyo ezingabandanga kakhulu. |
| Ukutshaya | Ukutshaya kuyayinciphisa imithambo yegazi, nto leyo ethintela ukujikeleza kwegazi. |
| Ukunxiba izinto zasejele | Ukunxiba izihlangu eziqinileyo, iikawusi, iiglavu, okanye impahla kunokuphazamisa ukujikeleza kwegazi kwaye kuyenze mandundu le meko. |
| Ezinye iimeko zonyango | Abantu abanezifo ezichaphazela ukujikeleza kwegazi basengozini enkulu. Imizekelo: I-Lupus , i-Raynaud's phenomenon , i-Peripheral Arterial Disease (PAD) . |
Ugqirha uyibona njani le nto?
Kwiimeko ezininzi, ugqirha wakho unokwazi ukubona ukuba une-chilblains ngokuhlola ulusu lwakho. Ukubuza imibuzo efana nokuba uzifumene njani ezi mpawu kunye nokuba ixesha elide kangakanani unazo kunokunika ugqirha wakho umbono olungileyo ngemeko leyo.
Nangona kunjalo, ngamanye amaxesha kukho ezinye iimeko ezibonisa iimpawu ezifanayo, ngoko ugqirha wakho unokucebisa uvavanyo lwegazi okanye i-skin biopsy ukuqinisekisa ukuba azifani.
Zithini iindlela zonyango zoku?
Iindaba ezimnandi zezokuba uninzi lwexesha, ii-chilblains ziyaphola zodwa kwiiveki ezimbini ukuya kwezintathu, ngaphandle konyango.Eyona nto ibalulekileyo omawuyenze kukuzikhusela kwingqele kunye nokufuma kwaye ugcine umzimba wakho ufudumele.
Nangona kunjalo, ukuba le meko iyaqhubeka kangangeeveki ezingaphezu kwezintathu okanye ukuba intlungu nokurhawuzelela kukhulu, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Ugqirha uya kukunika amayeza afanelekileyo.
Amayeza Omlomo
La mayeza anceda ukwandisa imithambo yegazi nokuphucula ukujikeleza kwegazi.
- I-Nifedipine (Adalat®) : Inceda ukwandisa imithambo yegazi.
- I-Pentoxifylline (Trental®, Pentoxil®) : Iphucula ukujikeleza kwegazi.
Amayeza Asetyenziswa Ngamayeza
La ngamayeza asetyenziswa ngqo kumphezulu wesikhumba ochaphazelekayo.
- Nitroglycerin (Nitrol®, Nitro-Bid®)
- Ikhrimu equlethe i-steroid, efana ne -betamethasone valerate (Beta-Val®, Valisone®) .
Singenza ntoni ekhaya?
Ukongeza kumayeza anikwa ngugqirha wakho, kukho izinto ezininzi onokuzenza ekhaya ukuze unciphise ezi ntlungu.
- Gcina izandla neenyawo zakho zifudumele. Nxiba iikawusi kunye neeglavu.
- Nxiba iileya zempahla. Ukunxiba iileya ezininzi ezincinci zempahla kuya kunceda ukugcina umzimba wakho ufudumele endaweni yokugcina ulusu olunye oluqinileyo.
- Nxiba umnqwazi. Ubushushu bomzimba obuninzi buphuma entloko, ngoko ke ukunxiba umnqwazi kunceda ukugcina umzimba wonke ufudumele.
- Faka i-moisturizer engenavumba eluswini lwakho. Ukomisa ulusu lwakho kunokwenza lurhawuzele ngakumbi.
- Ungathatha i-NSAID yokunceda iintlungu nokudumba, njenge -ibuprofen (Advil®, Motrin®) . Kodwa kungcono ukubuza ugqirha wakho ngaphambi kokuba usebenzise naliphi na iyeza.
- Nciphisa iindawo ezichaphazelekileyo emanzini afudumeleyo okwethutyana. Kodwa khumbula, musa ukusebenzisa amanzi ashushu. Kwakhona, musa ukuhlikihla ulusu kakhulu. Ukwenza njalo kunokuyenza imeko ibe mandundu.
Kunini apho kungcono ukubona ugqirha?
Oku akusoloko kuyinto embi kakhulu. Nangona kunjalo, kufuneka ubone ugqirha ngokukhawuleza kwezi meko zilandelayo:
| Amathuba | Kutheni oko kubalulekile? |
|---|---|
| Ayiphili ngaphezu kweeveki ezintathu | Oku kusenokuba kungenxa yesinye isifo, ngoko ke kufuneka uvavanyo olufanelekileyo. |
| Ukuba unesifo seswekile kwaye une-chilblains ezinyaweni zakho | Ngenxa yokuba abantu abanesifo seswekile abanazo iimvakalelo ezintle kwaye igazi lihamba kakuhle ezinyaweni zabo, nokuba linxeba elincinci linokubangela usulelo olukhulu. |
| Ukuba ubovu buphuma eluswini | Olu luphawu losulelo lwebhaktiriya kwaye lufuna unyango olukhawulezileyo. |
| Ukuba uziva umkhuhlane okanye umkhuhlane | Oku kungaba luphawu lokuba usulelo lusasazeka emzimbeni wonke. |
Umyalezo Wokuya Ekhaya
- IiChilblains zibangelwa kukuvezwa kwimozulu epholileyo nefumileyo, kungekhona kubanda kakhulu.
- Eyona ndlela ingcono yokuthintela oku kukugcina umzimba, ingakumbi izandla neenyawo, ufudumele kwaye womile.
- Kwiimeko ezininzi, le meko iyaziphelela kwisithuba seeveki ezi-1-3.
- Ukuba ukurhawuzelela kunye nentlungu zinzima, zihlala ixesha elingaphezu kweeveki ezintathu, okanye ukuba ubona iimpawu zosulelo (ububomvu, umkhuhlane), qiniseka ukuba ubona ugqirha wakho.
- Ukuba unesifo seswekile, funa ingcebiso kagqirha ngoko nangoko malunga notshintsho olusezinyaweni zakho.
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