Minwe inoshandura ruvara

Minwe kana zvigunwe zvinogona kuchinja ruvara kana zvikaonekwa kutonhora kana kushushikana, kana kana paine dambudziko neropa ravo.

Aya mamiriro anogona kukonzera minwe kana zvigunwe kushandura ruvara:

• Buerger chirwere.
• Chilblains. Kurwadziwa kuzvimba kwemidziyo midiki yeropa.
• Cryoglobulinemia.
• Frostbite.
• Necrotizing vasculitis.
• Peripheral tsinga chirwere.
• Raynaud chiitiko. Kamwe kamwe shanduko mumunwe wemavara anotanga kubva pairo kusvika pane tsvuku kuenda kubhuruu.
• Scleroderma.
• Systemic lupus erythematosus.

Zvinhu zvaunogona kuita kubatsira kudzivirira dambudziko iri zvinosanganisira:

• Dzivisa kusvuta.
• Dzivisa kusangana nechando mune chero chimiro.
• Pfeka mittens kana magirovhosi panze uye kana uchibata chando kana chikafu chakaomeswa nechando.
• Dzivisa kuita kutonhora, izvo zvinogona kuitika uchitevera chero mutambo unoshanda wekuvaraidza kana chimwe chiitiko chemuviri.
• Pfeka shangu dzakasununguka, dzakazara uye masokisi emvere.
• Kana uri panze, gara wakapfeka shangu.

Fonera wako mupi wezvehutano kana:

• Minwe yako inoshandura ruvara uye chikonzero hachizivikanwe.
• Minwe yako kana zvigunwe zvinosviba kana ganda rinotsemuka.

Wako mupi achaita bvunzo dzepanyama, dzinove dzinosanganisira kunyatsoongorora kwemaoko ako, maoko, neminwe.

Wako mupi achabvunza mibvunzo nezve yako nhoroondo yezvokurapa uye zviratidzo, zvinosanganisira:

• Ko minwe kana zvigunwe zvakangoerekana zvachinja ruvara?
• Iko kushanduka kwemavara kwakaitika kare here?
• Iko kutonhora kana shanduko mumanzwiro ako zvinoita kuti minwe yako kana zvigunwe zvitsvuke zvichena kana bhuruu?
• Ko ruvara rweganda rwakachinja here mushure mekunge iwe uine anesthesia?
• Unoputa here?
• Iwe une zvimwe zviratidzo sekurwadziwa kwemunwe here? Ruoko kana kurwadziwa kwegumbo? Iko shanduko mukugadzirwa kweganda rako? Kurasikirwa nebvudzi pamaoko ako kana pamaoko?

Miedzo inogona kuitwa inosanganisira:

• Antinuclear antibody ropa bvunzo
• Ropa kusiyanisa
• Yakazara kuverenga ropa (CBC)
• Yakakwana metabolic pani
• Duplex Doppler ultrasound yemariti kusvika kumagumo
• Serum cryoglobulins
• Serum protein electrophoresis
• Kuongorora urinal
• X-ray yemaoko ako netsoka

Kurapa kunoenderana nechikonzero chinokonzera.

Blanching yeminwe; Minwe - yakachenuruka; Zvigunwe zvinoshandura ruvara; Zvigunwe - zvakacheneruka

Jaff MR, Bartholomew JR. Zvimwe zvechipenga arterial hosha. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 72.

Robert A, Melville I, Baines CP, Belch JJF. Raynaud chiitiko. Mu: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. 7th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 154.

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