Livedo reticularis

Livedo reticularis (LR) chiratidzo cheganda. Icho chinoreva kune yakafanana neteni pateni yereddish-bhuruu ganda kutsvuka. Makumbo anowanzo kanganiswa. Mamiriro acho akabatanidzwa nekuzvimba tsinga dzeropa. Zvinogona kuwedzera kana tembiricha iri kutonhora.

Sezvo ropa richiyerera nemuviri, tsinga ndidzo tsinga dzeropa dzinotakura ropa kubva pamoyo uye tsinga dzinotakura ropa kudzokera kumoyo. Iyo ganda discoloration pateni yeLR inoguma kubva mutsinga dziri muganda dzakazadzwa neropa rakawanda kupfuura zvakajairwa. Izvi zvinogona kukonzerwa nechero yeanotevera:

• Yakawedzera tsinga
• Ropa rakadzivirirwa kuyerera richisiya tsinga

Kune maviri mafomu eLR: epuraimari uye echipiri. Sekondari LR inonziwo livedo racemosa.

Neyekutanga LR, kuratidzwa nechando, kushandiswa kwefodya, kana kushushikana pamoyo kunogona kutungamira kugadzirwa kweganda. Vakadzi vane makore makumi maviri kusvika makumi mashanu vanobatwa zvakanyanya.

Zvirwere zvakawanda zvakasiyana zvinosanganiswa neyechipiri LR, inosanganisira:

• Kuberekwa (ikozvino pakuberekwa)
• Semhinduro kune mimwe mishonga yakadai seamantadine kana interferon
• Zvimwe zvirwere zvemutsipa weropa senge polyarteritis nodosa uye Raynaud phenomenon
• Zvirwere zvinosanganisira ropa senge zvisina kujairika mapuroteni kana njodzi huru yekukura kweropa rakagwamba senge antiphospholipid syndrome
• Zvirwere zvakadai sehepatitis C
• Kuoma mitezo

Muzviitiko zvakawanda, LR inokanganisa makumbo. Dzimwe nguva, kumeso, trunk, magaro, maoko nemakumbo zvinobatanidzwa futi. Kazhinji, hapana kurwadziwa. Nekudaro, kana kuyerera kweropa kukavharwa zvachose, maronda uye maronda eganda anogona kukura.

Anopa hutano hwako anobvunza nezve ako zviratidzo.

Kuongororwa kweropa kana ganda biopsy kunogona kuitwa kubatsira kuongorora chero dambudziko rehutano.

Zvekutanga LR:

• Kuchengeta inodziya, kunyanya makumbo, zvinogona kubatsira kudzikamisa kugadzikana kweganda.
• Usapute.
• Dzivisa mamiriro ekumanikidza.
• Kana iwe usina kugadzikana nechitarisiko cheganda rako, taura nemupi wako nezvekurapa, sekutora mishonga inogona kubatsira nekutsvuka kweganda.

Kune yechipiri LR, kurapwa kunoenderana nechirwere chiri pasi. Semuenzaniso, kana kugwamba kweropa iri iro dambudziko, mupi wako anogona kukurudzira kuti iwe uedze kutora ropa rekuonda mishonga.

Muzviitiko zvakawanda, yekutanga LR inovandudza kana kutsakatika nezera. Kune LR nekuda kwechirwere chepasi, maonero anoenderana nekuti chirwere chacho chinorapwa sei.

Fonera mupiki wako kana uine LR uye uchifunga kuti zvinogona kunge zvichikonzerwa nechirwere chiri pasi.

Primary LR inogona kudzivirirwa ne:

• Kugara uchidziya mukutonhora kunotonhora
• Kudzivisa fodya
• Kudzivisa kushungurudzika mupfungwa

Cutis marmorata; Livedo reticularis - idiopathic; Sneddon chirwere - idiopathic livedo reticularis; Livedo racemosa

• Livedo reticularis - pedyo-kumusoro
• Livedo reticularis pamakumbo

Jaff MR, Bartholomew JR. Zvimwe zvechipenga arterial hosha. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 80.

Patterson JW. Iyo vasculopathic reaction pateni. Mune: Patterson JW, ed. Weedon's Ganda Pathology. 4th ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2016: chits. 8.

Sangle SR, D'Cruz DP. Livedo reticularis: chirevo. Isr Med Assoc J. 2015; 17 (2): 104-107. PMID: 26223086 www.ncbi.nlm.nih.gov/pubmed/26223086.