Ukudinwa

Imfucumfucu ukulahleka kombala okungajwayelekile kusuka esikhunjeni esijwayelekile noma kulwelwesi lwamafinyila.

Ngaphandle kokuthi isikhumba esikhanyayo sihambisane nezindebe eziphaphathekile, ulimi, izintende zezandla, ngaphakathi komlomo, nolwelwesi lwamehlo, mhlawumbe akusona isimo esibi, futhi akudingi ukwelashwa.

Ukuphaphatheka okujwayelekile kuthinta wonke umzimba. Kubonakala kalula ebusweni, ulwelwesi lwamehlo, umlomo wangaphakathi nezinzipho. Ukuphaphatheka kwendawo kuvame ukuthinta isitho esisodwa.

Ukutholakala kalula kokuphaphatheka kuyahlukahluka ngombala wesikhumba, nobukhulu nenani lemithambo yegazi esikhunjeni esingaphansi kwesikhumba. Kwesinye isikhathi kuba ukukhanya kombala wesikhumba kuphela. Ukudonsa umbala kungaba nzima ukukuthola kumuntu onesikhumba esimnyama, futhi kutholakala kuphela ulwelwesi lwamehlo nolomlomo.

Imfucumfucu ingaba ngumphumela wokwehla kwegazi esikhunjeni. Kungaba futhi ngenxa yokuncipha kwenani lamaseli abomvu egazi (i-anemia). Ukuphaphatheka kwesikhumba akufani nokulahleka kwesikhumba esikhunjeni. Imfucumfucu ihlobene nokugeleza kwegazi esikhunjeni kunokufaka i-melanin esikhunjeni.

Umbala ungabangelwa:

• I-anemia (ukulahleka kwegazi, ukungondleki kahle, noma isifo esiyimbangela)
• Izinkinga ngohlelo lokujikeleza kwegazi
• Ukushaqeka
• Ukuquleka
• Isithwathwa
• Ushukela wegazi ophansi
• Izifo ezingamahlalakhona (zesikhathi eside) ezibandakanya ukutheleleka kanye nomdlavuza
• Imithi ethile
• Ukushoda okuthile kwamavithamini

Shayela umhlinzeki wakho wezokunakekelwa kwempilo noma inombolo ephuthumayo uma umuntu ngokuzumayo eba nobuthakathaka obujwayelekile. Kungadingeka isenzo esiphuthumayo ukugcina ukujikeleza kwegazi okufanele.

Phinda ushayele umhlinzeki wakho uma ukuphaphatheka kuhambisana nokuphefumula okuncane, igazi esitokisini, noma ezinye izimpawu ezingachazeki.

Umhlinzeki wakho uzokuhlola abuze ngomlando wakho wezokwelapha nezimpawu, kufaka phakathi:

• Ingabe umbala waphenduka ngokuzumayo?
• Ingabe kwenzeka ngemuva kwezikhumbuzo zesigameko esibuhlungu?
• Ingabe uphaphathekile umzimba wonke noma ingxenye eyodwa kuphela yomzimba? Uma kunjalo, kuphi?
• Yiziphi ezinye izimpawu onazo? Isibonelo, unezinhlungu, ukuphefumula okuncane, igazi esitokisini, noma uhlanza igazi?
• Ngabe unengalo ephaphathekile, isandla, umlenze noma unyawo, futhi awukwazi ukuzwa ukushaya kwenhliziyo endaweni?

Izivivinyo ezinga-odwa zifaka:

• I-Extremity arteriography
• I-CBC (ukubalwa kwegazi okuphelele)
• Ukuhlukaniswa kwegazi
• Ukuhlolwa komsebenzi we-thyroid
• Colonoscopy ukuhlola ukopha emathunjini amakhulu

Ukwelashwa kuzoya ngesizathu sokubala.

Isikhumba - siphaphathekile noma mpunga; Pallor

USchwarzenberger K, uCallen JP. Ukubonakaliswa kwe-dermatologic ezigulini ezinesifo se-systemic. Ku: Bolognia JL, Schaffer JV, Cerroni L, ama-eds. Isikhumba. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 53.

Umthengisi RH, Symons AB. Izinkinga zesikhumba. Ku: Umthengisi RH, Symons AB, eds. Ukwahlukaniswa Kokuxilongwa Kwezikhalazo Ezijwayelekile. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 29.