Livedo reticularis

Livedo reticularis (LR) ndi chizindikiro cha khungu. Limatanthauza mtundu wofanana ndi ukonde wosinthika khungu. Miyendo imakhudzidwa nthawi zambiri. Vutoli limalumikizidwa ndi zotupa zamagazi zotupa. Zingathe kuipiraipira pamene kutentha kukuzizira.

Magazi akamayenda mthupi lonse, mitsempha ndiyo mitsempha yamagazi yomwe imanyamula magazi kuchokera pamtima ndipo mitsempha imabweza magazi kubwerera kumtima. Mtundu wa khungu womwe umasinthika wa LR umachokera ku mitsempha pakhungu lomwe ladzaza ndi magazi ambiri kuposa zachilendo. Izi zitha kuyambitsidwa ndi izi:

• Mitsempha yowonjezera
• Kutsekedwa kwa magazi kutuluka m'mitsempha

Pali mitundu iwiri ya LR: pulayimale ndi sekondale. Sekondale LR imadziwikanso kuti livedo racemosa.

Ndi LR yoyamba, kukhudzana ndi kuzizira, kusuta fodya, kapena kukhumudwa kumatha kuyambitsa khungu. Amayi azaka 20 mpaka 50 amakhudzidwa kwambiri.

Matenda ambiri osiyanasiyana amaphatikizidwa ndi LR yachiwiri, kuphatikiza:

• Kobadwa nako (alipo pobadwa)
• Monga momwe zimachitikira ndi mankhwala ena monga amantadine kapena interferon
• Matenda ena amitsempha yamagazi monga polyarteritis nodosa ndi chodabwitsa cha Raynaud
• Matenda omwe amaphatikizapo magazi monga mapuloteni achilendo kapena chiopsezo chachikulu chokhala ndi magazi monga antiphospholipid syndrome
• Matenda monga hepatitis C
• Kufa ziwalo

Nthawi zambiri, LR imakhudza miyendo. Nthawi zina, nkhope, thunthu, matako, manja ndi mapazi zimathandizidwanso. Kawirikawiri, sipakhala kupweteka. Komabe, ngati magazi amayenda kwathunthu, ululu ndi zilonda pakhungu zimatha.

Wothandizira zaumoyo wanu adzafunsa za matenda anu.

Kuyezetsa magazi kapena kupenda khungu kumatha kuchitidwa kuti zithandizire kuzindikira vuto lililonse laumoyo.

Kwa LR yoyamba:

• Kutentha, makamaka miyendo, kumatha kuthandizira kutulutsa khungu.
• Osasuta.
• Pewani zochitika zovuta.
• Ngati simukusangalala ndi khungu lanu, lankhulani ndi omwe amakupatsani chithandizo, monga kumwa mankhwala omwe angathandize pakhungu.

Kwa LR yachiwiri, chithandizo chimadalira matendawa. Mwachitsanzo, ngati kuundana kwa magazi ndivuto, omwe akukupatsani angakuuzeni kuti muyesere kumwa mankhwala ochepetsa magazi.

Nthaŵi zambiri, LR yoyamba imakula bwino kapena imatha msinkhu. Kwa LR chifukwa cha matenda oyambitsa matenda, mawonekedwe amatengera momwe matendawa amathandizidwira.

Itanani omwe akukuthandizani ngati muli ndi LR ndipo mukuganiza kuti mwina ndi chifukwa cha matenda.

Pulayimale LR itha kupewedwa ndi:

• Kutentha kutentha
• Kupewa fodya
• Kupewa kupsinjika kwamaganizidwe

Cutis marmorata; Livedo reticularis - chidziwitso; Matenda a Sneddon - idiopathic livedo reticularis; Livedo racemosa

• Livedo reticularis - pafupi
• Livedo reticularis pa miyendo

Jaff MR, Bartholomew JR. Matenda ena ozungulira ochepa. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 80.

Patterson JW. Njira ya vasculopathic reaction. Mu: Patterson JW, mkonzi. Matenda a Khungu la Weedon. Wolemba 4. Philadelphia, PA: Elsevier Churchill Livingstone; 2016: mutu 8.

Sangle SR, D'Cruz DP. Livedo reticularis: chovuta. Isr Med Assoc J. 2015; 17 (2): 104-107. PMID: 26223086 www.ncbi.nlm.nih.gov/pubmed/26223086. (Adasankhidwa)