Hematohidrosis-yachilendo, yopanda moyo, komanso yovuta
Ngakhale thukuta lamagazi-kapena hematohidrosis-likhoza kuwoneka loopsya, kuchokera kumalingaliro a somatic, ndizovuta kwambiri. Zotsatira zovuta za vutoli ndizovuta maganizo, ndipo anthu omwe ali ndi hematohidrosis amakumana ndi mavuto ndi ena chifukwa amantha kuti akhoza kuyamba kutuluka magazi, makamaka pamene akuvutika.
M'mabuku, pali zochepa zolemba, kapena akaunti, kapena thukuta lakuda.
Pali zifukwa zina zomwe zimayambitsa kapena zimayambitsa hematohidrosis, koma thandizo lothandiza likusowa. Komanso, palibe umboni wokhudzana ndi hematohidrosis ulipo. Tiyeni tiwone zazing'ono zomwe timadziwa zokhudza kutukuta magazi.
Zizindikiro
Hematohidrosis imachitika pa khungu lenjenje, losasweka popanda zilonda. Kaŵirikaŵiri zimapezeka panthawi yamavuto. Zitha kuchitanso nthawi yolimbitsa thupi kapena kugona. Kutupa kwamagazi kumatuluka kumaso ndi manja. Chochititsa chidwi n'chakuti hematohidrosis inalembedwanso ndi mtsikana wazaka 10 yemwe ali ndi hemolacria, ndipo vuto lina limakhalapo misozi yambiri. (Mtsikana uyu adamva kupweteka kwamagazi ndi misonzi.)
Mipukutu ya thukuta yamagazi yakhala ikuwonetsedwa kuti imatha pakati pa mphindi imodzi ndi zisanu. Mwachiwonekere, thukuta limakhala ndi mwazi lofanana mofanana ndi thukuta nthawi zonse.
Kudziwa
Kuphatikiza pa mbiri yachipatala, hematohidrosis imapezeka pamene maselo ofiira a magazi (ie, erythrocytes) amawonedwa mu thukuta lamagazi pansi pa microscope.
Ma laboratory ena amagazi ali m'miyeso yachilendo kuphatikizapo kuchuluka kwa maselo a maselo a magazi, mawonekedwe a kagayidwe kagawo, ndi maphunziro ophimba. Kuwonjezera apo, zotsatira za kuyesa kwa thupi ndi kwa amayi sizingatheke.
Mankhwala a khungu apangidwa kwa anthu ochepa omwe amapezeka ndi hematohidrosis.
Zotsatira za biopsies izi sizodziwika komanso zosagwirizana, ndi zina zomwe zimaonetsa kalembedwe kake pomwe ena amasonyeza kusokonezeka kwa mitsempha ya magazi ya periglandular, kuthamanga kwa magazi pafupi ndi mitsempha ya m'mimba, kapena maselo ofiira a m'magazi amtundu wa tsitsi.
Kusiyana kwina-kapena njira yodziwikiratu kwa odwala omwe ali ndi thukuta wamagazi ndi matenda enieni. Matenda enieni ndi matenda aakulu a maganizo omwe amachititsa wodwala kuganiza kuti akudwala, ndi kuwonetsera zabodza ndi matenda, kuvulala, kapena zizindikiro za thupi. Mofananamo, kupweteka kumatchedwanso ngati kusiyana kwa matenda a hematohidrosis. Chofunika kwambiri, kuchepetsa malingaliro kumasiyana ndi vuto lenileni lomwe liri ndi cholinga: Kutaya malingaliro kumachitidwa ndi phindu laumwini. Pofuna kuthetsa matenda onse okhwima ndi opweteka, odwala omwe ali ndi thukuta lamagazi amatha kuyang'anitsitsa kuti azitha magazi.
Malinga ndi kafukufuku wamabukuwa, zikuwoneka kuti hematohidrosis ikhoza kulemetsa matenda a maganizo, monga kuvutika maganizo, matenda osokonezeka maganizo, ndi mantha oopsa. N'zomvetsa chisoni kuti anthu omwe ali ndi vutoli amadzipatula okha chifukwa cha manyazi komanso nkhawa.
Zimayambitsa
Kawirikawiri, zakhala zikuperekedwa kuti mitsempha ya magazi yomwe ili pafupi ndi mapuloteni a thukuta amatsitsa magazi m'magazi a glands chifukwa cha zozizwitsa zowonongeka (mwachitsanzo, kupititsa patsogolo).
Mafotokozedwe ena amatanthauza kuthamanga kwa magazi ndi kutupa kwa mitsempha ya magazi (ie, vasculitis) ngati zimayambitsa magazi m'magazi a thukuta.
Zomwe amaganizazi, komabe, zimakhalabe zosavomerezeka, komanso kutuluka magazi komweku kumachokera ku mapuloteni a tsitsi komanso m'madera opanda thukuta. Ndipotu, m'mabukuwa, odwala ochepa apereka magazi, kapena makutu.
Mu mutu wa 2015 wotchedwa "Hematohidrosis: chidziwitso ku matenda," Uber ndi anzake akulemba zotsatirazi zokhudza hematohidrosis:
Zina mwazinthu zakhala zikufotokozedwa, kuphatikizapo: kuwonjezeka kwa mphamvu ya mitsempha yomwe imatsogolera ku gawo la maselo a magazi kupyola muzokha za magudumu a thukuta; mitsempha ya mitsempha; komanso kuwonjezereka kwachisoni kumayendetsedwe ka mitsinje ya periglandular ndi kuwonjezereka kwotsatira, kulola kuti gawo la magazi likhale mudontho.
M'nkhaniyi, Uber ndi anzake anali oyamba kulembera chiyanjano pakati pa magulu akuluakulu a hypertensive episodes ndi hematohidrosis. Pogwiritsa ntchito kufufuza kwa magazi kwa ola limodzi ndi maola 24, ochita kafukufukuwo anapeza kuti kuthamanga kwa magazi kwa mayi wina wazaka 18, yemwe anali woyera, kunkafika 180/90 panthawi ya magazi.
Chithandizo
Palibe njira yotsimikiziridwa yochizira hematohidrosis. Propanolol, yomwe ndi beta-blocker yogwiritsira ntchito kuthamanga kwa magazi, yathandiza anthu ena kukhala ndi vutoli. Chifukwa chomwe beta-blockers ali ochizira pakuthandizira hematohidrosis zimakhudzana ndi mfundo yakuti chifundo chosasungira, chomwe chimayendetsedwa ndi beta-blockers, mwina chimakhala ndi gawo mu chikhalidwe ichi.
> Zotsatira:
> Biswas S, Surana T, De A, Nag F. Chifukwa Chofuna Kudziwa Magazi. Int J Dermatology . 2013; 58 (6): 478-480. https://doi.org/10.4103/0019-5154.119964
> Maglie R, Caproni M. Mlandu wamagazi wotumpha: hematohidrosis. CMAJ . 2017; 189: E1314. https://doi.org/10.1503/cmaj.161298
> Praveen, BK, Vincent, J. Hematidrosis ndi Hemolacria: Nkhani Yokhudza Nkhani. Indian J Pediatr . 2012; 79: 109. https://doi.org/10.1007/s12098-011-0449-2
> Uber M et al. Hematohidrosis: chidziwitso ku matenda. Int J Dermatology . 2015; 54: e542-e543. http://dx.doi.org/10.1111/ijd.12932