Menoana e fetolang 'mala
Menoana kapa menoana ea maoto e ka fetola 'mala ha e pepesetsoa ke mocheso o batang kapa khatello ea maikutlo, kapa ha ho na le bothata ba phepelo ea mali.
Maemo ana a ka etsa hore menoana kapa menoana ea maoto e fetole mmala:
- Lefu la Buerger.
- Chilblains. Ho ruruha ho bohloko ha methapo e nyane ea mali.
- Cryoglobulinemia.
- Serame.
- Necrotizing vasculitis.
- Boloetse ba methapo ea kutlo.
- Ketsahalo ea Raynaud. Phetoho ea tšohanyetso mebala ea menoana e fapana ho ea bophahamo, bofubelu le boputsoa.
- Scleroderma.
- Sesebelisoa sa lupus erythematosus.
Lintho tseo u ka li etsang ho thusa ho thibela bothata bona li kenyelletsa:
- Qoba ho tsuba.
- Qoba ho pepesehela serame ka mokhoa ofe kapa ofe.
- Apara li-mittens kapa liatlana ka ntle le ha o sebetsana le leqhoa kapa lijo tse hoammeng.
- Qoba ho hatsela, ho ka etsahalang kamora papali efe kapa efe ea boithabiso kapa boikoetliso.
- Apara lieta tse phutholohileng, tse pharalletseng le likausi tsa boea.
- Ha u le kantle, lula u roala lieta.
Bitsa mofani oa tlhokomelo ea bophelo haeba:
- Menoana ea hau e fetola 'mala mme sesosa ha se tsejoe.
- Menoana ea hau ea maoto kapa ea menoana e fetoha e ntšo kapa letlalo lea robeha.
Mofani oa hau o tla etsa tlhahlobo ea 'mele, e tla kenyelletsa tlhahlobo e haufi ea matsoho, matsoho le menoana ea hau.
Mofani oa hau o tla botsa lipotso ka nalane ea hau ea bongaka le matšoao, ho kenyeletsoa:
- Na menoana kapa menoana ea maoto e ile ea fetola 'mala ka tšohanyetso?
- Na phetoho ea 'mala e etsahetse pele?
- Na mohatsela kapa ho fetoha hoa maikutlo ho etsa hore menoana ea hau kapa menoana ea maoto e fetohe e tsoeu kapa e putsoa?
- Na liphetoho tsa 'mala oa letlalo li etsahetse kamora ho ba le anesthesia?
- O oa tsuba?
- O na le matšoao a mang a kang bohloko ba menoana? Bohloko ba letsoho kapa ba leoto? Phetoho ea letlalo la hao? Ho lahleheloa ke moriri matsohong kapa matsohong?
Liteko tse ka etsoang li kenyelletsa:
- Teko ea mali ea antiinuclear
- Phapang ea mali
- Palo e felletseng ea mali (CBC)
- Phanele e akaretsang ea metabolic
- Duplex Doppler ultrasound ea methapo ho ea lipheletsong
- Li-cryoglobulins tsa Serum
- Serum protheine electrophoresis
- Ho hlahloba urinal
- X-ray ea matsoho le maoto a hau
Kalafo e ipapisitse le sesosa sa lebaka.
Blanching ea menoana ea hao; Menoana - e lerootho; Menwana ya maoto e fetolang mmala; Menoana ea maoto - palo
MONGOLI OA MOLIMO: Jaff MR, Bartholomew JR. Mafu a mang a amanang le methapo ea kutlo. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 72.
Robert A, Melville I, Baines CP, Belch JJF. Ketsahalo ea Raynaud. Ho: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, bahlophisi. Rheumatology. La 7th. Philadelphia, PA: Elsevier; 2019: khaolo ea 154.
Wigley FM, Flavahan NA. Ketsahalo ea Raynaud. N Engl J Med. 2016; 375 (6): 556-565. PMID: 27509103 www.ncbi.nlm.nih.gov/pubmed/27509103.