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.