Ingabe izandla nezinyawo zakho ziphenduka zibe luhlaza okwesibhakabhaka? Ingabe lokho kuyi-acrocyanosis? Masiqaphele lokhu!

Wake waphawula ukuthi ngemva kokugeza ngamanzi abandayo noma ukuphuma ngaphandle ngosuku olubandayo ngaphandle kwamagilavu, iziphetho zeminwe noma zezinzwane zakho ziba luhlaza okwesibhakabhaka, ngezinye izikhathi zize zibe mhlophe? Kwabaningi, lokhu kungaba yinto evamile. Kodwa ngezinye izikhathi kungaba uphawu lwesimo sempilo. Yilokho esizokhuluma ngakho namuhla. Lokhu kubizwa ngokuthi i-acrocyanosis ngokwezokwelapha.

Kuyini i-acrocyanosis? Masiyiqonde kalula.

Kalula nje, i-acrocyanosis yisimo lapho izandla noma izinyawo zakho (futhi ngezinye izikhathi ezinye izingxenye zomzimba wakho) ziphenduka zibe luhlaza okwesibhakabhaka, zibe mhlophe, noma zibe mpunga. Lokhu kwenzeka lapho imithambo yegazi emincane emzimbeni wethu, ebizwa ngokuthi imithambo yegazi, iqina kakhulu, noma icindezeleke ngokunembile (vasospasm), isikhathi eside kakhulu . Lokhu kunciphisa inani legazi nomoya-mpilo ofinyelela ezicutshini ezizungezile. Yingakho isikhumba sishintsha umbala. Lokhu kubizwa nangokuthi i-peripheral cyanosis.

Uyakhumbula ngesikhathi useyingane futhi izandla zakho zaphenduka zaba luhlaza okwesibhakabhaka ngenxa yokuba semakhazeni? Yilokho okukuyo. Esikhathini esiningi, lokhu akuyingozi futhi kuzophela uma usufudumala. Kodwa-ke, ngezinye izikhathi kungaba uphawu lwenkinga yempilo eyisisekelo. Ngakho-ke, ukuthi lokhu kuyinto okufanele ukhathazeke ngayo noma cha kuncike ohlotsheni lwe-acrocyanosis onayo. Kunezinhlobo ezimbili eziyinhloko.

Kunezinhlobo ezimbili ze-acrocyanosis:

Empeleni, lesi simo singahlukaniswa ngezigaba ezimbili eziyinhloko: i-Primary Acrocyanosis kanye ne-Secondary Acrocyanosis. Manje ake sibheke lezi ezimbili ngokwehlukana.

Ake sifunde nge-Primary Acrocyanosis.

I-Acrocyanosis eyinhloko uhlobo lwesifo semithambo yegazi esisebenza kahle. Igama elithi "functional" lapha lisho ukuthi akukho monakalo emithanjeni yegazi yakho. Esikhundleni salokho, imithambo yegazi yakho imane inciphe futhi ivuleke ngenxa yezinto ezifana nokushintsha kwezinga lokushisa noma ukucindezeleka. Igama elithi "peripheral" libhekisela ezindaweni ezikude kakhulu nesikhungo somzimba, njengezingalo nemilenze.

Lesi simo, esibizwa ngokuthi i-primary acrocyanosis, singathinta noma ubani. Kodwa sivame kakhulu ezinsaneni ezisanda kuzalwa, izinsana, kanye nabantu abadala abasebasha abaseminyakeni yabo yama-20 . Lolu hlobo luvame ukuthinta izinhlangothi zombili zomzimba (isibonelo, zombili izingalo noma imilenze yomibili). Okubalulekile, i-primary acrocyanosis ayibuhlungu .

Kuyini i-Secondary Acrocyanosis?

I-acrocyanosis yesibili ivame ukwenzeka kanye nezinye izimo zempilo.. Okusho ukuthi, kungenzeka njengomphumela wesimo sezokwelapha. Indlela ebukeka ngayo ingahluka kuye ngembangela eyinhloko. Ngokungafani ne-primary acrocyanosis, uhlobo lwesibili luvame ukuthinta uhlangothi olulodwa lomzimba . Luvame futhi ukuba buhlungu futhi lungabangela ukulimala kwezicubu. Ngakho-ke, ludinga ukwelashwa .

Ziyini izimpawu ze-Acrocyanosis?

Kunezimpawu eziningana ezivamile ezingabonakala kokubili ku-acrocyanosis eyinhloko neyesibili. Lezi yizi:

• Ukushintsha kombala wezandla, izinyawo, neminwe okuluhlaza okwesibhakabhaka noma okumpunga (lokhu kuvamile kakhulu).
• Ukushintsha kombala okuluhlaza okwesibhakabhaka noma okumpunga kwezingalo, amaqakala, izingono, ama-earlobes, noma ikhala (lokhu akuvamile kakhulu).
• Izandla nezinyawo ezijulukayo noma ezibandayo.
• Ukuvuvukala kwezandla nezinyawo.
• Ukunciphisa ukujikeleza kwegazi.
• Ukwehla kwezinga lokushisa kwesikhumba.

Okubalulekile: Uma indawo yesifuba sakho, ulimi, izindebe, noma ingaphakathi lezihlathi zakho liphenduka libe luhlaza okwesibhakabhaka noma lube mpunga, kufanele ubonane nodokotela ngokushesha. Lokhu kungaba izimpawu zesimo esibizwa ngokuthi i-central cyanosis, esidinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu akuyona ihlaya, ngakho khumbula lokhu.

Kungani kwenzeka le acrocyanosis? Ziyini izimbangela?

Izimbangela zalokhu zizohluka kuye ngohlobo lwe-acrocyanosis onayo.

Izimbangela ze-Acrocyanosis Eyinhloko

Odokotela basacwaninga nge-primary acrocyanosis nokuthi kungani yenzeka. Kodwa-ke, kucatshangwa ukuthi ibangelwa ukuminyana kwemithambo yegazi yakho. Kunezici eziningana ezingaba nomthelela kulokhu kuminyana:

• Ukuchayeka emazingeni okushisa abandayo. (Lena yimbangela eyinhloko.)
• Ukuba nesimo sofuzo (okusho ukuthi imithambo yegazi yakho ingase inciphe ngokwemvelo).
• Ukuhlala ezindaweni eziphakeme lapho amazinga okushisa abandayo kanye nomfutho ophansi womoya-mpilo kuvamile khona.

Ingabe kuvamile ukuthi izinsana ezisanda kuzalwa zibe ne-primary acrocyanosis?

Yebo, izingane eziningi ezisanda kuzalwa zine-acrocyanosis emahoreni ambalwa okuqala okuphila kwazo. Lokhu kuyinto evamile futhi akukho okufanele kukhathazeke ngakho. Lokhu kwenzeka ngoba igazi lengane liqala lithwale umoya-mpilo liye ezithweni zayo ezibaluleke kakhulu, njengamaphaphu, izinso, kanye nobuchopho. Njengoba umzimba wengane ujwayela iphethini entsha yokujikeleza kwegazi, le-acrocyanosis izonyamalala. Kamuva, uma ingane izizwa ibanda, umbala oluhlaza okwesibhakabhaka, okhanyayo ungase uvele futhi. Lokhu nakho kujwayelekile, futhi kuzonyamalala lapho ingane ifudumala. Ngakho-ke, uma ungumama onengane encane, akufanele ukhathazeke ngokungadingekile ngalokhu, akunjalo?

Izimbangela ze-Secondary Acrocyanosis

Odokotela bazi kabanzi nge-secondary acrocyanosis ngoba bafunde izimo eziyisisekelo ezivame ukuhambisana nayo. Ngezinye izikhathi i-secondary acrocyanosis ingaba uphawu lokuqala lwesifo. Kwezinye izimo, ingakhula kancane kancane ngokuhamba kwesikhathi.

I-Secondary Acrocyanosis ingabangelwa yi:

• Isifo sikaRaynaud.
• Izinkinga zokudla noma ukungondleki kahle.
• Amazinga aphansi omoya-mpilo egazini (i-hypoxemia).
• Izifo.
• Izifo zofuzo.
• Izifo zemithambo yegazi.
• Izinkinga zegazi.
• Umdlavuza.
• Eminye imithi.

Ubani osengozini enkulu yokuthola i-Acrocyanosis?

Uma unezinye zezimo zempilo esixoxe ngazo ekuqaleni, usengozini enkulu yokuthola i-secondary acrocyanosis.

Abantu abanamathuba amaningi okuthuthukisa i-primary acrocyanosis yilaba:

• Uma uhlala endaweni enesimo sezulu esibandayo.
• Uma usebenza ngaphandle uma kubanda.
• Uma inkomba yesisindo somzimba `(BMI)` iphansi.
• Uma ungaphansi kweminyaka engama-30 ubudala.

Odokotela bakuthola kanjani lokhu?

Udokotela ngokuvamile angabona ukuthi une-acrocyanosis ngokubheka isikhumba sakho bese ehlola umzimba. Bazohlola izandla nezinyawo zakho ukuze babone ukuthi ukushintsha kombala kusehlangothini olulodwa lomzimba wakho noma kuzo zombili izinhlangothi.

Kuye ngesimo sakho, udokotela wakho angase ancome ukuhlolwa okuthile ukuze anqume ukuthi kukhona yini isimo sezokwelapha esiyimfihlo. Lokhu kungafaka:

• I-pulse oximetry (i-pulse ox) ukuhlolwa okulinganisa izinga lomoya-mpilo egazini.
• Ukuhlolwa kwegazi.
• Ukuhlolwa komchamo.
• Ukuhlolwa kokusebenza kwesibindi.
• Ukuhlolwa kokusebenza kwezinso.
• Ukulinganisa igesi yegazi le-arterial (ABG).
• I-X-ray yesifuba.
• I-biopsy yesikhumba.

Iphathwa kanjani i-Acrocyanosis?

Izindaba ezinhle ukuthi i-primary acrocyanosis ayiyona inkinga eyingozi futhi ngokuvamile ayidingi ukwelashwa. Izimpawu zizophela uma umzimba wakho usufudumele.

Ukwelashwa kwe-acrocyanosis yesibili kuncike esimweni sempilo esiyisisekelo. Lokhu kusho ukuthi ukwelapha imbangela eyisisekelo kunganciphisa nezimpawu ze-acrocyanosis.

Lesi simo singaba sibi kangakanani? `(Outlook)`

I-primary acrocyanosis iyisimo esingenangozi esiba ngcono ngokwaso. Iningi labantu likhula lidlule kulesi simo ngokuphelele njengoba likhula.

Isimo se-acrocyanosis yesibili sincike kakhulu enkingeni yezempilo eyisisekelo. Kungaba yingozi kwabanye abantu. Ngakho-ke uma unezimpawu ze-acrocyanosis, qiniseka ukuthi utshela udokotela wakho. Bangabe sebenquma ukuthi kukhona esinye isimo sezokwelapha.

Ingabe i-Acrocyanosis ingavinjelwa?

Lesi simo asinakuvinjelwa ngaso sonke isikhathi, ikakhulukazi i-acrocyanosis yesibili, ngoba senzeka nakwezinye izimo zempilo esingenakuzilawula.

Kodwa-ke, unganciphisa ingozi yakho yokuthola i-primary acrocyanosis. Ungakwenza kanjani lokhu? Gqoka izingubo ezifudumele (ezifana namagilavu ​​​​namasokisi) esimweni sezulu esibandayo. Ungagcina futhi ama-hand warmer amancane, atholakala emakhemisi, ephaketheni lakho lejazi.

Ukuze unciphise ingozi yokuthi umntwana wakho osanda kuzalwa abe ne-acrocyanosis, mbophe ngezingubo ezifudumele. Ungakhohlwa ukumgoqa ngethawula ngemva nje kokugeza. Lezi zinto zizosiza ukumgcina efudumele. Khumbula, i-acrocyanosis iyinto evamile ezinganeni ezisanda kuzalwa futhi izonyamalala uma umntwana esephinde wafudumala.

Kufanele ngimbone nini udokotela?

Kufanele nakanjani ubone udokotela uma ukulesi simo:

• Awubanda, kodwa izitho zakho sezishintshile umbala (ziphenduke zaba luhlaza okwesibhakabhaka/mpunga).
• Uma ushintsha umbala wezindebe zakho, ulimi, noma indawo yesifuba (i-central cyanosis). (Lesi yisimo esiphuthumayo!)
• Uma kukhona ubuhlungu ngokushintsha kombala.

Kuvamile ukuzizwa wesaba uma ubona isikhumba sakho siphenduka sibe luhlaza okwesibhakabhaka noma sibe mpunga. Abazali bezingane ezisanda kuzalwa, ikakhulukazi, bangakhathazeka kakhulu uma bebona ingane yabo ine-acrocyanosis. Lesi simo singavela ngezizathu ezahlukene. Into ebaluleke kakhulu ukuthola ukuthi iyini imbangela eyisisekelo. Ezimweni eziningi, ayilimazi. Kodwa-ke, uma unobuhlungu noma ezinye izimpawu kanye ne-acrocyanosis, bona udokotela ngokushesha. Bangabe sebenquma ukuthi unesifo esithile esingaphansi futhi batuse ukwelashwa okufanele.

Okokugcina, izinto ezibaluleke kakhulu okufanele uzikhumbule

Kulungile, ngakho-ke ngokwalokho esikuxoxile, ngithemba ukuthi unombono omuhle nge-Acrocyanosis. Khumbula:

• I-Acrocyanosis yisimo lapho izitho zomzimba ziphenduka zibe luhlaza okwesibhakabhaka/mpunga. Ivame ukubangelwa ukubanda.
• Uhlobo oluyinhloko aluyona ingozi futhi luzophela uma lufudunyezwa. Lokhu kuvamile, ikakhulukazi ezinganeni ezincane.
• Uhlobo lwesibili lungaba uphawu lwesinye isifo, esidinga ukwelashwa.
• Uma isifuba sakho, ulimi, nezindebe zakho ziphenduka zibe luhlaza okwesibhakabhaka, kungaba yi-central cyanosis. Bonana nodokotela ngokushesha.
• Uma kukhona ubuhlungu kanye nokushintsha kombala, lokho kuyinto okufanele uyikhathalele.

Ungesabi, kodwa qaphela. Uma wena noma othile emndenini wakho enalezi zimpawu, kungcono ukufuna iseluleko sezokwelapha. Khona-ke uzoba nokuthula kwengqondo, akunjalo?

I- Acrocyanosis, ukuluhlaza okwesibhakabhaka kwamalungu, ukushintsha kombala wesikhumba, ukuminyana kwemithambo yegazi, umkhuhlane, izinsana ezisanda kuzalwa, izimpawu