Ingabe ngezinye izikhathi uthola imihuzuko namabala aluhlaza okwesibhakabhaka esikhumbeni sakho? (Ukuphuma kwegazi esikhumbeni) Ake sixoxe ngalokhu!

Wake waphawula ukuthi isikhumba sakho siphenduka ngokuzumayo sibe luhlaza okwesibhakabhaka, noma sinamabala amancane abomvu? Ngezinye izikhathi lokhu kungenzeka ngaphandle kokuthi uthinte noma yini. Lokhu yilokho esikubiza ngokuthi i-Bleeding Into the Skin . Lokhu kungase kuzwakale njengento enkulu, kodwa ungakhathazeki, isikhathi esiningi akukubi kangako. Ake sixoxe ngakho ngokuningiliziwe namuhla.

Kuyini lokhu kuphuma kwegazi esikhumbeni?

Kalula nje, lokhu kwenzeka lapho umthambo omncane wegazi, noma umthambo wegazi , ngaphansi kwesikhumba sakho uqhuma. Bese kuthi igazi elithile liphume kulowo mthambo liye ezicutshini ezizungezile. Cabanga ngakho njengepayipi lamanzi elivuzayo lapho libhoboka kancane. Lapho igazi liphuma ngale ndlela, sibona ushintsho embala wesikhumba, okuwukuphuka noma ukuluhlaza okwesibhakabhaka. Esikhathini esiningi, ukuphuka okufana nalokhu kuyaphola ngokwako ezinsukwini noma emavikini ambalwa.

Ingabe kunezinhlobo ezahlukene zokopha esikhumbeni?

Yebo, lokhu kungenzeka ngezindlela ezahlukene. Cishe uke wezwa ngala magama.

• Imivimbo: Lolu uhlobo oluvame kakhulu lokulimala esilwaziyo sonke. Ngokuvamile kwenzeka lapho othile eshaya noma elimala okuthile. Kungabonakala kubomvu, kuluhlaza okwesibhakabhaka, kumnyama, noma kunsomi. Ngokuhamba kwesikhathi, lo mbala uyashintsha futhi uyaphola.

Manje ake sibone ukuthi yiziphi izinhlobo ezithile:

• I-Petechiae: Lezi zincane kakhulu. Cabanga ngazo njengamachashazi abomvu alingana nesihloko sepensela. Zibangelwa ukuqhuma kwemithambo yegazi embalwa emincane kakhulu. Zincane kune-2 millimeters (mm). Uma sikhuluma iqiniso, cishe ububanzi besihloko sekhrayoni yakho.

• I-Purpura: Lokhu kwenzeka lapho imithambo yegazi embalwa, emikhulu kancane kune-petechiae, iqhuma. Ibonakala njengamabala abomvu-onsomi. Lawa mabala angahluka ngobukhulu kusukela kumamilimitha angu-4 kuya cishe ku-intshi (lokho kufana nosayizi we-pensele raser kuya cishe kufana nohlamvu lwemali lwama-rupee amahlanu).

• I-Ecchymosis: Lokhu kwenzeka lapho imithambo yegazi eminingi esondelene kakhulu iqhuma ngesikhathi esisodwa. Lokhu kubangela ukuthi igazi lihlangane ngaphansi kwesikhumba, libukeke njengenxeba. Kodwa-ke, lokhu akubangelwa njalo ukulimala.

• I-Hematoma: Lena umthambo wegazi omncane oqhumayo. Igazi bese liqoqana futhi ngezinye izikhathi lingazwakala njengeqhubu elincane. Ama-hematoma amaningi awabi mancane. Kodwa-ke, uma evelela ezithweni ezinkulu njengobuchopho, isifuba, noma imigodi yomzimba , angaba mancane futhi asongele nokuphila.

Ubani onamathuba amaningi okuba nokopha esikhumbeni?

Eqinisweni, noma ubani angathola imihuzuko. Kodwa abanye abantu banamathuba amaningi okuyithola. Hlola ukuthi bangobani:

• Abantu abangaphezu kweminyaka engama-65 ubudala: Njengoba ukhula, isikhumba sakho siba sincane futhi imithambo yegazi yakho iba buthakathaka, ngakho-ke ungaphuka kalula.
• Abantu abathatha imithi yokunciphisa igazi (ama-anticoagulant):Lo muthi unciphisa ukujiya kwegazi, ngakho-ke ngisho nesilonda esincane singabangela ukopha okwandisiwe.
• Abantu abathatha izithasiselo ezandisa ingozi yokopha, njengevithamini E.
• Abantu abanesikhumba esikhanyayo: Imivimbo empeleni ibonakala kakhulu esikhumbeni esikhanyayo.
• Abantu abadlala imidlalo ethile yokuthintana: Ngesikhathi bedlala imidlalo efana ne-rugby kanye ne-boxing, imihuzuko ingenzeka ngenxa yokuquleka nokuwa.

Futhi, ezinye izimo zezokwelapha ezingabonakali zingabangela umuntu ukuba akhumule noma ophe igazi kalula. Isibonelo:

• I-Hemophilia
• I-Leukemia (umdlavuza wegazi)
• Isifo sesibindi
• I-Lupus
• I-Marfan syndrome
• I-Meningitis
• Izinkinga zeplatelet, isibonelo, i-thrombocytopenia (amaplatelet aphansi egazini)
• Ukuntuleka kwe-Vitamin K

Uyini umehluko phakathi kokuphuma kwegazi esikhumbeni kanye nokubomvu kwesikhumba?

Lona umbuzo omuhle. Ngisho noma uphuma igazi esikhumbeni, ungabonakala njengebala elibomvu esikhumbeni. Kodwa kunomehluko omkhulu . Uma ucindezela endaweni lapho uphuma khona igazi esikhumbeni ngomunwe wakho, ibala ngeke liphenduke libe mhlophe (blanch). Lokho kusho ukuthi ibala lizohlala linombala ofanayo.

Kodwa-ke, uma unesikhumba esifana ne-`erythema`, uma ucindezela kuleyo ndawo, izoshintsha ibe mhlophe okwesikhashana. Uyaqonda?

Yini ebangela ukopha esikhumbeni?

Ukulimala kuvame ukuba yimbangela eyinhloko. Uma ushayisana nento ethile, uwela, noma ushayeka ngenkathi udlala imidlalo (uxolo, "ukushaya" noma "ukuhlangana" kungaba ngcono ngesiSinhala), ungathola imihuzuko enjengale. Sonke sibe nokuhlangenwe nakho okunjengalokhu. Uyakhumbula lapho unamadolo aluhlaza okwesibhakabhaka udlala useyingane?

Kunezinye izizathu futhi:

• Ukuzikhandla lapho ukhala, ukhwehlela, noma uhlanza kakhulu: Phakathi nalesi sikhathi, ingcindezi emzimbeni iyanda, futhi imithambo yegazi emincane esikhumbeni ingaqhuma. Kungenzeka ukuthi uke wabona ezinye izingane ezikhala kakhulu futhi ziveza amabala amancane abomvu ebusweni bazo.
• Kungabangelwa futhi yingcindezi yokusebenzisa izinduku zokusikeka noma ukuba ne-cast emlenzeni wakho .
• Ukugqoka izicathulo, izingubo, noma izibuko ezingakufaneli kahle: Uma lokhu kuqhubeka nokuhlikihla noma kucindezela isikhumba, kungase kube nokopha okuncane kulezo zindawo.

Ziyini izimpawu zokuphuma kwegazi ngaphakathi kwesikhumba?

Ngezinye izikhathi, uphawu olulodwa kuphela ukushintsha kombala wesikhumba . Lokhu kusho ukuthi ungabona kuphela ibala elibomvu, elimnyama, eliluhlaza okwesibhakabhaka, noma elinsomi esikhumbeni.

Kodwa-ke, ngezinye izikhathi ukuphuka kungahambisana nalokhu okulandelayo:

• Kubuhlungu
• Ukuvuvukala (Ukuvuvukala)
• Ithambile ekuthinteni

Udokotela ukuxilonga kanjani ukopha kwangaphakathi kwesikhumba?

Ngokuvamile, udokotela uzohlola leyo ndawo yesikhumba sakho.Lokhu kutholakala ngokukuhlola ngokomzimba . Angase akubuze imibuzo efana nalokhu:

• Uqale nini ukuqaphela lezi zimpawu?
• Ingabe unezinye izimpawu? (njengomkhuhlane, izinhlungu zomzimba)
• Yimiphi imithi oyithathayo? (ikakhulukazi imithi yokunciphisa igazi)
• Ungangitshela ukuthi yikuphi ukulimala okubangele ukuphuka?
• Ingabe ukhona emndenini wakho onesifo esibangela ukushaqeka okulula noma ukopha ngokweqile? (isib., i-hemophilia)

Uma udokotela wakho esola ukuthi imihuzuko yakho ibangelwa yisimo sezempilo esingaphansi, angase enze nokuhlolwa okufana nalokhu:

• Ukuhlolwa kwegazi: Hlola izinto ezifana nenani lama-platelet kanye nekhono lokujiya kwegazi.
• Ukuhlolwa komnkantsha wamathambo: Ukubona ukuthi kunenkinga yini ngendawo lapho kwenziwa khona amaseli egazi.
• Ukuhlolwa komchamo: Hlola izinto ezifana nezinkinga zezinso.
• I-Ultrasound, i-CT scan, noma i-MRI scan: Lokhu kuthatha izithombe zengaphakathi lomzimba.

Yiziphi izindlela zokwelapha ukopha kwangaphakathi kwesikhumba?

Ezimweni eziningi, ungelapha lesi simo ekhaya. Uma unemivimbo emincane, zama lezi zinto:

• Faka iphakethe leqhwa endaweni ebuhlungu imizuzu eyi-10-15. Yenza lokhu izikhathi eziningana ngosuku. Ungalifaki iqhwa ngqo esikhumbeni, ligoqe ngendwangu.
• Gwema ukushisa okuqondile emahoreni okuqala angu-48. Lokhu kusho ukugwema amabhodlela amanzi ashisayo kanye namanzi okugeza ashisayo.
• Phakamisa indawo elimele. Isibonelo, uma umlenze wakho ukhubekile, beka umcamelo phezulu.
• Thatha umuthi wokunciphisa izinhlungu njenge-ibuprofen (isib. i-Advil®) noma i-acetaminophen (isib. i-Tylenol®) ukuze unciphise ubuhlungu.

Kodwa-ke, uma ukopha ngaphansi kwesikhumba kungathuthuki noma kwenzeka njalo, udokotela angase azame ezinye izindlela zokwelapha. Angase akunike imithi ethile noma akucele ukuthi uyeke ukuthatha imithi ethile. Futhi, uma kukhona isimo sezokwelapha esibangela ukopha, kungadingeka ukuthi selashwe.

Ukuvimbela kanjani ukopha esikhumbeni?

Esikhathini esiningi, lokhu kulimala kwenzeka ngemva kokushaywa ekhanda. Ngakho-ke, ukufaka iqhwa endaweni ethintekile nokuyigcina iphakeme kungasiza ekunciphiseni ingozi yokushayeka. Uma udlala imidlalo yokuthintana, gqoka njalo izinto zokuzivikela.

Uma unesifo esikwenza uvuvuke kalula, qiniseka ukuthi ufuna iseluleko sezokwelapha. Uma unezifo ezingamahlalakhona, ukuzelapha ngendlela efanele kunganciphisa ingozi yalezi zinkinga.

Yini esingayilindela ekuphumeni kwegazi ngaphakathi kwesikhumba?

Ngokuvamile, ukuphuma kwegazi esikhumbeni kuncane kakhulu.. Ngokuvamile iyaziphelela ngokwayo cishe emavikini amabili. Kodwa-ke, eminye imithi (njengemithi yokunciphisa igazi) noma izimo ezingamahlalakhona ingakwenza ushayeke kalula. Ukwelapha isimo esiyisisekelo kungasiza ekunciphiseni ingozi yakho yokushayeka. Udokotela wakho angase futhi ancome ukuyeka imithi ebangela ukopha. (Kodwa khumbula, ungalokothi uyeke ukuthatha noma yimuphi umuthi ngaphandle kweseluleko sikadokotela wakho.)

Ingabe ukopha ngaphansi kwesikhumba kungaba yinto embi kakhulu?

Esikhathini esiningi, lokhu kuyinkinga encane. Kodwa-ke, uma izimpawu zivela njalo endaweni efanayo, noma uma zingathuthuki isikhathi esingaphezu kwamasonto amabili, kungaba uphawu lwesimo esibucayi kakhulu.

Kufanele simbone nini udokotela ngalokhu?

Uma uphuma igazi ngaphansi kwesikhumba isikhathi esingaphezu kwamasonto amabili, kufanele nakanjani ubone udokotela. Futhi, uma unezinye zezimpawu ezilandelayo kanye nokulimala kwakho, kufanele ubonane nodokotela ngokushesha:

• Uma unegazi emchameni noma esitulweni sakho.
• Uma izinsini ziphuma igazi (izinsini eziphuma igazi).
• Uma uhlangabezana nezimo ezifana nokuquleka noma isiyezi.
• Uma unomkhuhlane.
• Uma unesicanucanu noma uhlanza.
• Uma kukhona ubuhlungu obukhulu noma ukuvuvukala.

Khumbula, ukuphuma kwegazi ngaphansi kwesikhumba kwenzeka lapho umthambo wegazi omncane ngaphansi kobuso besikhumba uqhuma. Le mithambo yegazi ivuza igazi ezicutshini ezizungezile. Lokhu kungabangela isikhumba sakho ukuba sibe bomvu, sibe nsomi, sibe luhlaza okwesibhakabhaka, noma sibe mnyama. Ngezinye izikhathi kungase kube noshintsho nje kumbala, noma indawo ingase ivuvuke futhi ithambe uma uyithinta. Esikhathini esiningi, lokhu kuncane futhi kuzophola cishe emavikini amabili.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho ake sikukhumbuze amanye amaphuzu abaluleke kakhulu kulokho esikhulume ngakho namuhla.

• Ukopha ngaphansi kwesikhumba, noma imihuzuko, ngokuvamile asikho isidingo sokukhathazeka ngakho. Kuvamile futhi kungabangelwa ukulimala okuncane noma ukuwa.
• Kunezinhlobo ezahlukene ze-petechiae, i-purpura, i-ecchymosis, kanye ne-hematoma. Lokhu kuyahlukahluka ngenani lokopha kanye nendlela okuvela ngayo.
• Abanye abantu (asebekhulile, labo abathatha imithi yokunciphisa igazi) bangase bavuvuke kalula.
• Ungelapha lokhu ekhaya ngokufaka iqhwa, ulibeke endaweni elimele, bese uthatha imithi yokubulala izinhlungu.
• Kodwa-ke, uma imivimbo ivela njalo, inkulu, ithatha isikhathi eside ukuphola, noma ihambisana nezinye izimpawu ezinkulu (umkhuhlane, igazi emchameni, ubuhlungu obukhulu), kufanele nakanjani ubone udokotela.
• Lezi zivuvu zingase zibangelwe yisimo sezempilo esingaphansi, ngakho-ke kubalulekile ukufuna iseluleko sezokwelapha.

Ngakho-ke, ngithemba ukuthi lolu lwazi lube wusizo kuwe. Hlala uphilile!

'Imivimbo, imivimbo, ukuphuma kwegazi ngaphakathi kwesikhumba, i-petechiae, i-purpura, i-ecchymosis, i-hematoma, izifo zesikhumba, usizo lokuqala