Iminwe etshintsha umbala

Iminwe okanye iinzwane zinokutshintsha umbala xa zisengozini yokubanda okanye uxinzelelo, okanye xa kukho ingxaki kunikezelo lwegazi.

Ezi meko zinokubangela ukuba iminwe okanye iinzwane zitshintshe umbala:

• Isifo seBugerger.
• Chilblains. Ukudumba okubuhlungu kwemithambo yegazi encinci.
• Cryoglobulinemia.
• Umqwebedu.
• Ukutsala i-vasculitis.
• Imithambo yegazi lomda.
• Into kaRaynaud. Utshintsho ngequbuliso kumanqanaba ombala weminwe ukusuka kwibala elimhlophe ukuya kobomvu.
• Iscleroderma.
• Inkqubo ye lupus erythematosus.

Izinto onokuzenza ukunceda ukuthintela le ngxaki zibandakanya:

• Kuphephe ukutshaya.
• Gwema ukubonakaliswa kubanda nangaluphi na uhlobo.
• Nxiba iimitha okanye iiglavu ngaphandle naxa uphethe umkhenkce okanye ukutya okubandayo.
• Kunqande ukubanda, okunokuthi kwenzeke emva kwawo nawuphi na umdlalo wokuzonwabisa okanye omnye umsebenzi womzimba.
• Nxiba izihlangu ezikhululekileyo, ezivulekileyo neekawusi.
• Xa ungaphandle, soloko unxiba izihlangu.

Fowunela umboneleli wakho wezempilo ukuba:

• Iminwe yakho iyatshintsha umbala kwaye isizathu asaziwa.
• Iminwe yakho okanye iinzwane zakho ziba mnyama okanye ulusu luyaphuka.

Umboneleli wakho uya kwenza uvavanyo lomzimba, oluya kubandakanya uvavanyo olusondeleyo lwezandla zakho, iingalo kunye neminwe.

Umboneleli wakho uya kubuza imibuzo malunga nembali yakho yezonyango kunye neempawu, kubandakanya:

• Ngaba iminwe okanye iinzwane zitshintshe ngesiquphe umbala?
• Ngaba utshintsho lombala lwenzekile ngaphambili?
• Ngaba ingqele okanye utshintsho kwiimvakalelo zakho lubangela ukuba iminwe yakho okanye iinzwane zijike zibe mhlophe okanye luhlaza okwesibhakabhaka?
• Ngaba utshintsho lwebala lolusu lwenzekile emva kokuba une-anesthesia?
• Uyatshaya?
• Ngaba unazo ezinye iimpawu ezifana nentlungu yomnwe? Intlungu okanye umlenze? Utshintsho kubume besikhumba sakho? Ukuphulukana neenwele ezingalweni okanye ezandleni zakho?

Uvavanyo olunokwenziwa lunokubandakanya:

• Uvavanyo lwegazi elichasene ne-anti-nuclear
• Umahluko wegazi
• Gcwalisa ubalo lwegazi (CBC)
• Iphaneli yemetabolism ebanzi
• I-Duplex Doppler ultrasound yee-artery ukuya eziphelweni
• I-Serum cryoglobulins
• Iprotheni yeprotein electrophoresis
• Uhlalutyo lomchamo
• X-reyi yezandla neenyawo zakho

Unyango luxhomekeke kwisizathu esingunobangela.

Ukuqhawulwa kweminwe; Iminwe - iphaphathekile; Iinzwane ezitshintsha umbala; Iinzwane - ziluthuthu

UJaff MR, uBartholomew JR. Ezinye izifo zemithambo-luvo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 72.

URobert A, uMelville I, uBaines CP, uBelch JJF. Into kaRaynaud. Ku: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, ii-eds. Rheumatology. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 154.

IWigley FM, iFlavahan NA. Into kaRaynaud. N Engl J Med. Ngo-2016; 375 (6): 556-565. IINKCUKACHA: 27509103 www.ncbi.nlm.nih.gov/pubmed/27509103.