Nā manamana lima e hoʻololi i ke kala

Hiki ke hoʻololi i nā manamana a i ʻole nā ​​manamana wāwae i ke kala ke hōʻike ʻia i nā anuanu anuanu a i ʻole ke koʻikoʻi, a i ʻole inā aia kekahi pilikia me kā lākou lako koko.

Hiki i kēia mau kūlana ke hoʻolilo i nā manamana lima a me nā manamana wāwae paha i ke kala:

• Maʻi maʻi Buerger.
• ʻO Chilblains. ʻEha ʻeha o nā kīʻaha koko liʻiliʻi.
• Cryoglobulinemia.
• ʻO Frostbite.
• Necrotizing vasculitis.
• Maʻi maʻi peripheral artery.
• Hanana Raynaud. ʻO ka hoʻololi koke ʻana o ke kala o ka manamana mai ka pale a i ka ʻulaʻula a i ka uliuli.
• Scleroderma.
• ʻO ka lupus erythematosus ʻōnaehana.

Nā mea hiki iā ʻoe ke hana e pale aku i kēia pilikia me:

• Pale i ka puhipaka.
• Hōʻalo i ke anuanu i kēlā me kēia ʻano.
• E komo i nā mikena a i nā mīkina lima i waho a ke lawelawe ʻana i ka hau a i ʻole ka meaʻai paʻahau.
• Hōʻalo i ka hoʻonuanu, e hana paha ma hope o nā haʻuki leʻaleʻa a i ʻole nā ​​hana hoʻoikaika kino.
• E komo i nā kāmaʻa ʻoluʻolu, lumi a me nā kākini hulu hipa.
• Ke kū i waho, e ʻaʻa mau i nā kāmaʻa.

Kāhea i kāu kahu mālama ola inā:

• Hoʻololi kou mau manamana lima i ke kala a ʻike ʻole ʻia ke kumu.
• Eʻeleʻele kou mau manamana lima a manamana wāwae a haki paha ka ʻili.

E hana ana kāu mea hāʻawi i kahi hoʻokolohua kino, kahi e hoʻopili pono ai i kāu mau lima, nā lima, a me nā manamana lima.

E nīnau ana kāu mea hāʻawi e pili ana i kāu mōʻaukala a me nā ʻōuli, e like me:

• Ua hoʻololi koke ka kala i nā manamana a i ʻole nā ​​manamana wāwae?
• Ua hoʻololi ʻia ke kala i mua?
• ʻO ke anuanu a hoʻololi paha i kou mau manaʻo e hoʻolilo i kou mau manamana lima a me nā manamana wāwae i keʻokeʻo a polū paha?
• Ua loli paha ka ʻili o ka ʻili ma hope o kou loaʻa ʻana i ka anesthesia?
• Puhi paha ʻoe?
• Loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe e like me ka ʻeha manamana? Ka ʻeha a ʻeha paha o ka wāwae? ʻO kahi hoʻololi i ke ʻano o kou ʻili? Loaʻa ka lauoho i kou mau lima a lima paha?

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Hōʻike koko Antinuclear antibody
• ʻOkoʻa ke koko
• Helu piha koko (CBC)
• Panela metabolic piha
• ʻO Duplex Doppler ultrasound o nā aʻa i nā kihi
• Cryoglobulins serum
• ʻO ka electrophoresis protein protein
• Urinalysis
• X-ray o kou mau lima a me kou mau wāwae

Pili ka mālama ʻana i ke kumu kumu.

Blanching o nā manamana lima; Manamana lima - pale; ʻO nā manamana wāwae e hoʻololi i ke kala; Manamana wāwae - pale

ʻO Jaff MR, ʻo Bartholomew JR. Nā maʻi arterial peripheral ʻē aʻe. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 72.

ʻO Robert A, Melville I, Baines CP, Belch JJF. Hanana Raynaud. I: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 154.

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