Zala zosintha mtundu

Zala kapena zala zimatha kusintha utoto zikamakumana ndi kuzizira kapena kupsinjika, kapena pakakhala vuto ndi magazi awo.

Izi zitha kupangitsa kuti zala kapena zala zakumanja zisinthe mtundu:

• Matenda a Buerger.
• Chilblains. Kutupa kowawa kwa mitsempha yaying'ono yamagazi.
• Cryoglobulinemia.
• Frostbite.
• Necrotizing vasculitis.
• Matenda a mtsempha wamagazi.
• Chodabwitsa cha Raynaud. Kusintha kwadzidzidzi pamiyala yamiyala yoyera mpaka yofiira mpaka kubuluu.
• Scleroderma.
• Njira lupus erythematosus.

Zinthu zomwe mungachite kuti muthane ndi vutoli ndi monga:

• Pewani kusuta.
• Pewani kukhudzana ndi kuzizira kwamtundu uliwonse.
• Valani zovala kapena magolovesi panja komanso mukamagwiritsa ntchito madzi oundana kapena achisanu.
• Pewani kuzizira, zomwe zingachitike pambuyo pamasewera aliwonse osangalatsa kapena zochitika zina zolimbitsa thupi.
• Valani nsapato zabwino, zotakata ndi masokosi aubweya.
• Mukakhala panja, nthawi zonse muzivala nsapato.

Imbani wothandizira zaumoyo wanu ngati:

• Zala zanu zimasintha mtundu ndipo chifukwa sichikudziwika.
• Zala kapena zala zanu zakuda kapena khungu likuswa.

Wothandizira anu amayesa mayeso, omwe akuphatikizapo kuyang'anitsitsa manja anu, mikono yanu, ndi zala zanu.

Wothandizira anu adzafunsa mafunso okhudza mbiri yanu yazachipatala ndi zizindikilo, kuphatikiza:

• Kodi zala zakumapazi zasintha mtundu mwadzidzidzi?
• Kodi kusintha kwa mtundu kudachitikapo kale?
• Kodi kuzizira kapena kusintha kwa momwe mumamvera kumapangitsa kuti zala zanu kapena zala zanu zisanduke zoyera kapena zamtambo?
• Kodi kusintha kwa khungu kunachitika mutakhala ndi anesthesia?
• Mumasuta?
• Kodi muli ndi zizindikiro zina monga kupweteka kwa zala? Kupweteka kwa mkono kapena mwendo? Kusintha kwa kapangidwe ka khungu lanu? Kutaya tsitsi m'manja kapena m'manja mwanu?

Mayeso omwe angachitike ndi awa:

• Kuyezetsa magazi kwa antiinuclear
• Kusiyanitsa kwa magazi
• Kuwerengera kwathunthu kwa magazi (CBC)
• Zowonjezera zamagetsi
• Duplex Doppler ultrasound ya mitsempha mpaka kumapeto
• Seramu cryoglobulins
• Seramu mapuloteni electrophoresis
• Kupenda kwamadzi
• X-ray ya manja ndi mapazi anu

Chithandizo chimadalira chomwe chimayambitsa.

Blanching zala; Zala - zotumbululuka; Zala zomwe zimasintha mtundu; Zala - wotumbululuka

Jaff MR, Bartholomew JR. Matenda ena ozungulira ochepa. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 72.

Robert A, Melville I, Baines CP, Belch JJF. Chodabwitsa cha Raynaud. Mu: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, olemba. Zamatsenga. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: mutu 154.

Wigley FM, Flavahan NA. Chodabwitsa cha Raynaud. N Engl J Med. 2016; 375 (6): 556-565. PMID: 27509103 www.ncbi.nlm.nih.gov/pubmed/27509103. (Adasankhidwa)