Uma ubheka iminwe nezinzwane zakho ngosuku olubandayo olunemvula encane, ubona amabala amancane abomvu noma aluhlaza okwesibhakabhaka avuvukele kancane futhi alumayo? Ngezinye izikhathi anobuhlungu obuncane. Empeleni lokhu kuyinto eyenzeka kubantu abaningi. Nakuba kungakhululeki futhi kuyacasula kancane, akuyona into okufanele uyesabe. Namuhla sikhuluma ngalesi simo. Kwezokwelapha, lokhu sikubiza ngokuthi amaChilblains , noma amaPernio .
Kalula nje, ziyini lezi zi-Chilblains (Pernio)?
Ama-Chilblain yisimo esibangela amaqhubu amancane, abomvu, aphakanyisiwe esikhumbeni sethu. Awabangelwa ukuchayeka emakhazeni amakhulu, okusho ukubanda okubandayo. Kunalokho, abangelwa ukuchayeka isikhathi eside esimweni sezulu esinomswakama nesipholile kancane . Uma sikhuluma iqiniso, isimo sezulu esibandayo ezindaweni ezifana neNuwara Eliya eSri Lanka singaba yimbangela enkulu kulokhu.
Lokhu kuvame ukuvela eminweni nasezinzwaneni , kodwa kungavela nasezindlebeni nasekhaleni. Lawa mabala angaba bomvu, luhlaza okwesibhakabhaka, noma onsomi. Angaba futhi nokuluma, ukusha, futhi kube buhlungu.
Noma ubani angaba nalesi simo, kodwa abantu abane-Body Mass Index ( BMI ) ephansi, okusho ukuthi bancane, basengozini enkulu kancane. Futhi, izingane zingaba nalesi simo uma zingagqokile kahle ngesikhathi sezulu esibandayo.
Ziyini ngempela izimpawu zalokhu?
Ungabona izimpawu ezahlukahlukene kuma-chilblains. Ngezinye izikhathi la mabala angabonakala ecwebezela kancane. Ake sibheke izimpawu eziyinhloko.
| Isibonakaliso | Incazelo |
|---|---|
| Ukushintsha kombala wesikhumba | Amabala abomvu, aluhlaza okwesibhakabhaka, noma ansomi esikhumbeni. Lolu uphawu oluvame kakhulu. |
| Ukuluma | Kungase kube nokulunywa okukhulu ezindaweni ezithintekile. |
| Ukuvuvukala nobuhlungu | Ungase uzizwe ukusha nobuhlungu ezindaweni ezifana neminwe. |
| Ukuvuvukala | Leyo ndawo yesikhumba ingase ivuvuke. |
| Amabhamuza | Kwezinye izimo, uma kuba kubi kakhulu, kungase kwakheke amabhamuza agcwele amanzi kulezo zindawo. |
Kungani lokhu kwenzeka kithi? Iyini imbangela?
Kalula nje, lokhu kungenxa yokuthi imizimba yethu inempendulo engavamile emakhazeni. Uma sibhekene nesimo sezulu esibandayo nesinomswakama, imithambo yegazi emincane ngaphansi kwesikhumba sethu iyancipha . Bese kuthi, lapho sibuyela endaweni efudumele, le mithambo yegazi ivuleka ngokushesha. Njengoba ingakwazi ukubhekana nalolu shintsho oluzumayo, imithambo yegazi iqala ukuvuza uketshezi ezicutshini ezizungezile. Yilokhu okubangela ukuvuvukala, ukubomvu , nobuhlungu .
Abacwaningi abakaqiniseki ukuthi kungani le mpendulo ivele. Kodwa-ke, abanye ochwepheshe bakholelwa ukuthi kungenzeka ukuthi kungenxa yalokhu:
- Izakhi zofuzo
- Izinguquko zama-hormone
- Ezinye izimo zezokwelapha eziyisisekelo emzimbeni (isibonelo, izifo zezicubu ezixhumeneyo )
Ubani osengozini enkulu yokuthola lesi simo?
Abanye abantu banamathuba amaningi okuthola i-chilblain kunabanye. Ake sibheke ukuthi yiziphi lezo zinto eziyingozi .
| Isici sengozi | Incazelo |
|---|---|
| Inkomba yesisindo somzimba enciphile (i-BMI) | Abantu abancane basengozini enkulu ngoba kunzima kakhulu ngabo ukugcina ukushisa komzimba. |
| Isimo sezulu esinomswakama | Lokhu kuvame kakhulu kubantu abahlala ezindaweni ezipholile nezinomswakama ezingabanda kakhulu. |
| Ukubhema | Ukubhema kunciphisa imithambo yegazi, okuphazamisa ukujikeleza kwegazi. |
| Ukugqoka izingubo zasejele | Ukugqoka izicathulo eziqinile, amasokisi, amagilavu, noma izingubo kungaphazamisa ukujikeleza kwegazi futhi kubhebhethekise lesi simo. |
| Ezinye izimo zezokwelapha | Abantu abanezifo ezithinta ukujikeleza kwegazi basengozini enkulu. Izibonelo: I-Lupus , isenzakalo sikaRaynaud , Isifo Semithambo Engasogwini (i-PAD) . |
Udokotela ukubona kanjani lokhu?
Ezimweni eziningi, udokotela wakho angabona ukuthi une-chilblain ngokuhlola isikhumba sakho. Ukubuza imibuzo efana nokuthi uthole kanjani lezi zimpawu nokuthi usunesikhathi eside kangakanani unazo kunganikeza udokotela wakho umbono omuhle ngalesi simo.
Kodwa-ke, ngezinye izikhathi kunezinye izimo ezibonisa izimpawu ezifanayo, ngakho udokotela wakho angase ancome ukuhlolwa kwegazi noma i-biopsy yesikhumba ukuqinisekisa ukuthi azifani.
Yiziphi izindlela zokwelapha lokhu?
Izindaba ezinhle kakhulu ukuthi esikhathini esiningi, ama-chilblain aphulukisa ngokwawo phakathi kwamasonto amabili kuya kwamathathu, ngaphandle kokwelashwa.Into ebaluleke kakhulu okufanele uyenze ukuzivikela emakhazeni nasebushushwini bomswakama nokugcina umzimba wakho ufudumele.
Kodwa-ke, uma lesi simo siqhubeka isikhathi esingaphezu kwamasonto amathathu noma uma ubuhlungu nokulunywa kukhulu, kufanele nakanjani ubone udokotela. Udokotela uzobe esekunikeza imithi efanele.
Imithi Yomlomo
Le mithi isiza ukwandisa imithambo yegazi nokuthuthukisa ukujikeleza kwegazi.
- I-Nifedipine (Adalat®) : Isiza ukwandisa imithambo yegazi.
- I-Pentoxifylline (Trental®, Pentoxil®) : Ithuthukisa ukujikeleza kwegazi.
Imithi Yokwelapha
Lena imithi esetshenziswa ngqo endaweni ethintekile yesikhumba.
- I-Nitroglycerin (Nitrol®, Nitro-Bid®)
- Ukhilimu oqukethe i-steroid, njenge -betamethasone valerate (Beta-Val®, Valisone®) .
Yini esingayenza ekhaya?
Ngaphezu kwemithi enikezwa udokotela wakho, kunezinto eziningana ongazenza ekhaya ukuze unciphise lokhu kungakhululeki.
- Gcina izandla nezinyawo zakho zifudumele. Gqoka amasokisi nama-mitten.
- Gqoka izembatho eziningana ezincane. Ukugqoka izembatho eziningana ezincane kuzosiza ukugcina umzimba wakho ufudumele kunokuba ugcine ungqimba olulodwa olujiyile.
- Gqoka isigqoko. Ukushisa komzimba okuningi kuphuma ekhanda, ngakho-ke ukugqoka isigqoko kusiza ukugcina umzimba wonke ufudumele.
- Faka i-moisturizer engenaphunga esikhumbeni sakho. Ukomisa isikhumba sakho kungenza silume kakhulu.
- Ungathatha i-NSAID yobuhlungu nokuvuvukala, njenge -ibuprofen (Advil®, Motrin®) . Kodwa kungcono ukubuza udokotela wakho ngaphambi kokuthatha noma yimuphi umuthi.
- Faka izindawo ezithintekile emanzini afudumele isikhashana. Kodwa khumbula, ungasebenzisi amanzi ashisayo. Futhi, ungahlikihli isikhumba kakhulu. Ukwenza kanjalo kungenza isimo sibe sibi kakhulu.
Kunini lapho kungcono ukubona udokotela?
Lokhu ngokuvamile akuyona inkinga enkulu. Kodwa-ke, kufanele ubonane nodokotela ngokushesha ezimweni ezilandelayo:
| Ithuba | Kungani lokho kubalulekile? |
|---|---|
| Akupholi isikhathi esingaphezu kwamasonto amathathu | Lokhu kungaba ngenxa yesinye isimo sezokwelapha, ngakho-ke kudingeka ukuhlolwa okufanele. |
| Uma unesifo sikashukela futhi unezinkinga zezinyawo | Ngenxa yokuthi abantu abanesifo sikashukela abazizwa kahle futhi igazi ligeleza ezinyaweni zabo, ngisho nesilonda esincane singaholela ezifweni ezinkulu. |
| Uma ubomvu buphuma esikhumbeni | Lokhu kuyisibonakaliso sokutheleleka ngamagciwane futhi kudinga ukwelashwa ngokushesha. |
| Uma uzizwa ushisa noma unesifo somkhuhlane | Lokhu kungaba futhi uphawu lokutheleleka okusakazeka emzimbeni wonke. |
Umlayezo Wokuya Nawe Ekhaya
- Ama-Chilblain abangelwa ukuchayeka esimweni sezulu esibandayo nesimanzi, hhayi ukubanda okubandayo.
- Indlela engcono kakhulu yokuvimbela lokhu ukugcina umzimba, ikakhulukazi izandla nezinyawo, ufudumele futhi womile.
- Ezimweni eziningi, lesi simo sixazululeka sodwa phakathi nesonto eli-1-3.
- Uma ukulunywa nobuhlungu kukhulu, kuthatha isikhathi esingaphezu kwamasonto amathathu, noma uma ubona izimpawu zokutheleleka (ububomvu, umkhuhlane), qiniseka ukuthi ubona udokotela wakho.
- Uma unesifo sikashukela, funa iseluleko sezokwelapha ngokushesha mayelana nanoma yiziphi izinguquko zesikhumba ezinyaweni zakho.
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