I-Livedo reticularis

I-Livedo reticularis (LR) uphawu lwesikhumba. Kushiwo iphethini enjenge-net yombala obomvu ngokuluhlaza okwesibhakabhaka. Imilenze ivame ukuthinteka. Isimo sixhumene nemithambo yegazi evuvukile. Kungaba kubi kakhulu lapho izinga lokushisa libanda.

Njengoba igazi ligeleza emzimbeni, imithambo yegazi yimithambo yegazi ehambisa igazi lisuke enhliziyweni futhi imithambo ibuyisela igazi liye enhliziyweni. Iphethini yokuguqulwa kwesikhumba ye-LR ivela emithanjeni esikhunjeni esigcwele igazi eliningi kunokujwayelekile. Lokhu kungabangelwa yinoma ikuphi kokulandelayo:

• Imithambo ekhulisiwe
• Ukuhamba kwegazi okuvinjiwe kushiya imithambo

Kunezinhlobo ezimbili ze-LR: eyokuqala neyesibili. I-LR yesibili yaziwa nangokuthi i-livedo racemosa.

Nge-LR eyinhloko, ukuchayeka emakhazeni, ukusetshenziswa kukagwayi, noma ukucasuka ngokomzwelo kungaholela ekushintsheni kwesikhumba. Abesifazane abaneminyaka engama-20 kuya kwengama-50 ubudala bathinteka kakhulu.

Izifo eziningi ezahlukahlukene zihlotshaniswa ne-LR yesibili, kufaka phakathi:

• I-Congenital (ekhona ngesikhathi sokuzalwa)
• Njengokusabela emithini ethile efana ne-amantadine noma i-interferon
• Ezinye izifo zemithambo yegazi efana ne-polyarteritis nodosa ne-Raynaud phenomenon
• Izifo ezibandakanya igazi njengamaprotheni angajwayelekile noma ingozi enkulu yokuthola amahlule egazi njenge-antiphospholipid syndrome
• Izifo ezifana ne-hepatitis C
• Ukukhubazeka

Ezimweni eziningi, i-LR ithinta imilenze. Kwesinye isikhathi, ubuso, isiqu, izinqe, izandla nezinyawo kuyabandakanyeka futhi. Imvamisa, abukho ubuhlungu. Kodwa-ke, uma ukugeleza kwegazi kuvinjelwe ngokuphelele, izinhlungu nezilonda zesikhumba zingakhula.

Umhlinzeki wakho wokunakekelwa kwezempilo uzokubuza ngezimpawu zakho.

Ukuhlolwa kwegazi noma i-biopsy yesikhumba kungenziwa ukusiza ukuxilonga noma iyiphi inkinga yezempilo.

Kwe-LR eyinhloko:

• Ukuzigcina ufudumele, ikakhulukazi imilenze, kungasiza ekunciphiseni ukuguquka kwesikhumba.
• Ungabhemi.
• Gwema izimo ezicindezelayo.
• Uma ungaphathekile kahle ngokubonakala kwesikhumba sakho, khuluma nomhlinzeki wakho mayelana nokwelashwa, njengokuthatha imithi engasiza ekushintsheni kwesikhumba.

Kwi-LR yesibili, ukwelashwa kuya ngesifo esiyisisekelo. Isibonelo, uma amahlule egazi eyinkinga, umhlinzeki wakho angasikisela ukuthi uzame ukuthatha izidakamizwa zokuncipha kwegazi.

Ezimweni eziningi, i-LR eyinhloko iyathuthuka noma inyamalale ngobudala. Ku-LR ngenxa yesifo esiyimbangela, ukubukeka kuncike ekutheni isifo siphethwe kanjani.

Shayela umhlinzeki wakho uma une-LR bese ucabanga ukuthi kungenzeka kungenxa yesifo esiyimbangela.

I-LR eyinhloko ingavinjelwa ngu:

• Ukuhlala ufudumele ezindaweni ezibandayo
• Ukugwema ugwayi
• Ukugwema ukucindezeleka ngokomzwelo

I-Cutis marmorata; I-Livedo reticularis - idiopathic; I-Sneddon syndrome - i-idiopathic livedo reticularis; Livedo racemosa

• I-Livedo reticularis - ukusondela
• I-Livedo reticularis emilenzeni

UJaff MR, uBartholomew JR. Ezinye izifo ezisemaphethelweni zemithambo yegazi. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 80.

IPatterson JW. Iphethini yokuphendula ye-vasculopathic. Ku: Patterson JW, ed. I-Weedon's Skin Pathology. Umhla wesi-4. IPhiladelphia, PA: Elsevier Churchill Livingstone; 2016: isahluko 8.

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