I-Livedo reticularis

I-Livedo reticularis (LR) luphawu lolusu. Ibhekisa kwipateni enjengombala obomvu-luhlaza okwesibhakabhaka. Imilenze ihlala ichaphazeleka. Le meko inxulunyaniswa nemithambo yegazi edumbileyo. Isenokuba mandundu xa amaqondo obushushu ebanda.

Njengoko igazi lihamba emzimbeni, imithambo yegazi yimithambo yegazi ehambisa igazi lisuka entliziyweni kwaye iimithambo zilibuyisela igazi entliziyweni. Umzekelo wokuguqulwa kombala wesikhumba we-LR uvela kwiimvini zolusu ezizaliswe ligazi elingaphezulu kwesiqhelo. Oku kunokubangelwa yiyo nayiphi na kwezi zinto zilandelayo:

• Imithambo eyandisiweyo
• Ukuhamba kwegazi okuthintelweyo kushiya imithambo

Zimbini iindlela zeLR: eziziiprayimari nezizisekondari. Isekondari LR ikwabizwa ngokuba yi-livedo racemosa.

Nge-LR ephambili, ukubonakaliswa kukubandayo, ukusetyenziswa kwecuba, okanye ukukhathazeka ngokweemvakalelo kungakhokelela ekuhleni kombala. Abasetyhini abaneminyaka engama-20 ukuya kwengama-50 ubudala bachaphazeleka kakhulu.

Izifo ezininzi ezahlukeneyo zinxulunyaniswa ne-LR yesibini, kubandakanya:

• Ukuzalwa (okwangoku ekuzalweni)
• Njengempendulo kumayeza athile afana ne-amantadine okanye i-interferon
• Ezinye izifo zemithambo yegazi efana ne-polyarteritis nodosa kunye ne-Raynaud phenomenon
• Izifo ezibandakanya igazi njengeeproteni ezingaqhelekanga okanye umngcipheko omkhulu wokukhula kwegazi njenge-antiphospholipid syndrome
• Usulelo olunjenge-hepatitis C
• Ukukhubazeka

Kwiimeko ezininzi, i-LR ichaphazela imilenze. Ngamanye amaxesha, ubuso, umboko, iimpundu, izandla neenyawo ziyabandakanyeka ngokunjalo. Ngokwesiqhelo, akukho zintlungu. Nangona kunjalo, ukuba ukuhamba kwegazi kuthintelwe ngokupheleleyo, iintlungu kunye nezilonda zolusu zinokukhula.

Umboneleli wakho wezempilo uya kubuza malunga neempawu zakho.

Uvavanyo lwegazi okanye i-biopsy yolusu inokwenziwa ukunceda ukufumanisa nayiphi na ingxaki yezempilo.

Kwiprayimari ye-LR:

• Ukuzigcina ufudumele, ngakumbi imilenze, kunokunceda ekunciphiseni ukujika kombala.
• Musa ukutshaya.
• Gwema iimeko ezixinzelelekileyo.
• Ukuba awonwabanga ngenkangeleko yolusu lwakho, thetha nomboneleli wakho ngonyango, njengokuthatha amayeza anokunceda ekungafezekini kwesikhumba.

Kwi-LR yesibini, unyango luxhomekeke kwisifo esisisiseko. Umzekelo, ukuba amahlwili egazi yingxaki, umboneleli wakho unokucebisa ukuba uzame ukuthatha iziyobisi ezicothayo.

Kwiimeko ezininzi, i-LR ephambili iyaphucuka okanye inyamalale ngobudala. Kwi-LR ngenxa yesifo esisisiseko, imbonakalo ixhomekeke kwindlela esinyangwa ngayo isifo.

Shayela umnikezeli wakho ukuba unayo i-LR kwaye ucinga ukuba kungenxa yesifo esisisiseko.

I-LR yaseprayimari inokuthintelwa ngu:

• Ukuhlala kushushu kumaqondo obushushu abandayo
• Ukuphepha icuba
• Ukuphepha uxinzelelo lweemvakalelo

I-Cutis marmorata; I-Livedo reticularis - idiopathic; Isifo seSneddon - idiopathic livedo reticularis; Livedo racemosa

• I-Livedo reticularis-ukusondela
• I-Livedo reticularis kwimilenze

UJaff MR, uBartholomew JR. Ezinye izifo zemithambo-luvo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 80.

IPatterson JW. Ipateni yokuphendula ye-vasculopathic. Ku: Patterson JW, ed. Weedon's Ulusu lwezifo. Ngomhla we-4. IPhiladelphia, PA: Elsevier Churchill Livingstone; 2016: isahl 8.

I-Sangle SR, iD'Cruz DP. I-Livedo reticularis: intsingiselo. U-Isr Med Assoc uJ. 2015; 17 (2): 104-107. IINKCUKACHA: 26223086 www.ncbi.nlm.nih.gov/pubmed/26223086.