Kusakaniza Magazi Ochokera M'nyanja
Zala ndi zala zanu zimakhala zoyamba zogwirizana ndi dziko. Choncho, zokopa zanu ndi zida zanu zimakhala zovulaza makamaka ngati zili zopanda pake kapena kuvulaza zida.
Nthawi zina kuvulaza koteroko kumayambitsa magazi pansi pa msomali, chomwe chimatchedwa subungual hematoma . Magaziwa amatha kutulutsa mdima wambiri (ie, misomali yakuda), kupanikizika ndi ululu.
Kuwonjezera pa zopweteka, misomali yowonongeka ikhoza kukhala yosamvetsetseka, yomwe ndi chifukwa china chomwe anthu ambiri amafunira chithandizo chachipatala pa vutoli.
Ngati mukukumana ndi mtundu uwu wamagazi, ndibwino kuti mupange msonkhano ndi dokotala wanu kuchipatala.
Kwenikweni, kugwedeza kwa msomali, njira yomwe dzenje limapangidwira msomali kuti lipange mtsinje, lingathandize.
Tsatanetsatane wa chidziwitso cha mankhwala
Ndi subungual hematoma, kuvulaza msomali kumayambitsa magazi (hematoma) pamtanda wa msomali (pansi pa msomali) kapena msomali.
Zindikirani, msomali wa msomali ndi maselo ogawidwa mofulumira m'munsi mwa msomali womwe uli pafupi ndi cuticle. Kusiyanitsa mofulumira maselo a msomali msomali kudzaza ndi keratin ndipo motero ukhale msomali wowumitsa.
Kuwonongeka kwakukulu kwa msomali sikungangotulutsa magazi pansi pa msomali (ie, simple subungual hematoma) komanso kuwonongeka kwakukulu kwa khola la msomali kapena chiwerengero chokha.
Ngati sichimasamalidwa, kachilombo kakang'ono ka subungual hematoma kamakula kamodzi ndi kutalika kwa mbale ya msomali ndikukhazikitsa yekha. Zindikirani, nthawi zina maimfa amatha kupangitsa msomali wanu kugwa (ie, onycholysis).
Mpaka msomali ukule, komabe mungathe kuyembekezera masabata kufikira miyezi yambiri yakuda.
Chochititsa chidwi, zikhomo zimakula mofulumira kusiyana ndi zowonongeka kotero zimatengera nthawi yaitali kuti zibzala zanu zikule.
Kuphatikizana ndi kusintha kwa magazi, magazi pansi pa msomali akhoza kupangitsa kupanikizika ndi ululu, zomwe zingathe kumasulidwa ndi dokotala wamkulu wa chisamaliro kapena wolemba masewera (ie, "phazi dokotala"). Kuchedwa kwachangu kungawononge kuwonongeka kwa msomali kapena matenda.
Pomaliza, ndikumva ululu ndi kuvulazidwa kochepa ndi subungual hematoma, muyeneranso kuona wothandizira zachipatala chifukwa pangakhale chala chala kapena kupweteka kwala.
Zingakhale Zotani?
Malingana ndi mbiri ndi kuyesedwa kwa thupi, nthawi zambiri subungual hematoma ikhoza kupezedwa mosavuta (ndi kuchiritsidwa) ndi wothandizira zaumoyo wanu. Ngati fracture ikuyembekezeredwa, x-ray ikufunika.
Kawirikawiri, chimene chikuwoneka kuti ndi subungual hematoma chingakhale china monga:
- Nail bed nevus (mole kapena birthmark yomwe ikukula pang'onopang'ono kapena ayi)
- Kutaya magazi pang'ono (kutanthauza psoriasis kapena endocarditis )
- Longitudinal melanonychia (magulu a mitundu yosiyanasiyana)
- Melanoma
Zonsezi zikutanthauza kuti palibe zopweteka, ndipo, mosiyana ndi ziwalo zamagazi, izi zimasintha kapena kusintha pang'onopang'ono.
Chifukwa chakuti ena mwa matendawa ndi ovuta, monga matenda a endocarditis (mwachitsanzo, matenda a mtima) kapena khansa ya khansa (mwachitsanzo, kansa ya khungu), ndibwino kuti misomali yanu iwonongeke ndi dokotala wanu mukawona chinthu chokayikitsa.
Chithandizo
Zimatengera pafupifupi maola 48 kuti magazi ali pamunsi pa bedi lachisomali. Panthawiyi, magazi awa akhoza kudyedwa ndi dokotala, njira yotchedwa kunyoza kwa msomali. Ngati mudikira kuti magazi asakanike, chiwonetsero cha msomali sichingakhoze kuchitidwa.
Pogwedeza misomali, dokotala amagwiritsa ntchito waya wonyezimira, chipangizo cha electrocautery, kapena kupota, chachikulu-chokhala ndi singano kuti aphe pabedi la msomali.
Penje lopangidwa ndi kupyola liyenera kukhala lalikulu mokwanira kuti magaziwo asambe omwe amatenga pafupifupi tsiku limodzi kapena awiri. Panthawiyi, dzenje lomwe magazi amafukula amayenera kuphimbidwa ndi wosabala.
Pambuyo pa kuwatsutsana kwa msomali, simudzasowa maantibayotiki ngakhale kuti kupwetekedwa mtima ngati ibuprofen kungathandize ndi kupweteka kochepa. Dokotala wanu adzakukulangizani pa chithandizo chopweteka chotheka.
Pambuyo pochita chiwembu, onetsetsani kuti mukutsatira malangizo a dokotala wanu (kuphatikizapo malangizo kuti mulowetse malo okhudzidwa ndikugwiritsa ntchito kuvala koyera) ndikutsata dokotala wanu monga momwe mwafunira. Ngati zikuwoneka kuti dera lomwe lakhudzidwa limayambitsanso magazi kapena limakhala ndi kachilombo ka HIV, kambiranani ndi dokotala wanu nthawi yomweyo.
Ngakhale kuti kunjenjemera kwa msomali kumakhala kowawa, mwatsoka, bedi la msomali silinayambe kusungidwa popanda chikhomodzinso cha misomali sichikupweteka.
Pamene hematoma ili ndi zoposa theka la msomali, dokotala wanu angasankhe kuchotsa msomali kwathunthu. Komanso, ngati chovulaza cha msomali chiri chakuya, msomali ukhozanso kuchotsedwa, Musanachotse msomali, dokotala wanu adzapanga digito kuti awonetsere deralo.
Pomaliza, kumbukirani kuti zingatenge miyezi ingapo kuti msomali ufike kumbuyo.
Zotsatira
> Bonisteel PS. Trephining subungual hematomas. Canadian Family Physician. 2008 May; 54 (5): 693.
Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr. Chaputala 196. Hematoma ya Subungual. Mu: Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr .. eds. The Atlas of Family Medicine, 2e . New York, NY: Hill ya McGraw; 2013.