Faraha midabka badala

Faraha ama suulasha way is beddeli karaan midab markay la kulmaan heerkulka qabow ama walaaca, ama markay dhibaato ka timaaddo bixinta dhiiggooda.

Xaaladahaani waxay sababi karaan faraha ama suulasha inay midabka beddelaan:

• Cudurka buergerka.
• Chilblains. Caabuq xanuun leh ee xididdada dhiigga ee yaryar.
• Cryoglobulinemia.
• Qabow.
• Necrotizing vaskulitis.
• Cudurka halbowlaha durugsan.
• Raynaud ifafaale. Isbeddelka degdegga ah ee midabka farta wuxuu u dhexeeyaa cirro ilaa casaan ilaa buluug.
• Scleroderma.
• Nidaamka lupus erythematosus.

Waxyaabaha aad sameyn kartid si aad uga hortagto dhibaatadan waxaa ka mid ah:

• Ka fogow sigaar cabista.
• Ka fogow soo-gaadhista qabowga nooc kasta oo uu yahay.
• Xidho mittens ama galoofyada bannaanka iyo markaad qabato barafka ama cuntada la qaboojiyey.
• Ka fogow qabow, taas oo dhici karta ka dib wixii jimicsi firfircoon ama jimicsi kale.
• Xidho kabo raaxo leh, qolal sarajoog ah iyo sharaabaad dhogor ah.
• Markaad banaanka joogto, marwalba kabo xidho.

Wac daryeel caafimaad bixiyaha haddii:

• Farahaaga ayaa midab badalaya sababta lama oga.
• Farahaaga ama lugahaaga ayaa isku madoobaada ama maqaarku wuu jabayaa.

Bixiyahaagu wuxuu sameyn doonaa baaritaan jireed, kaas oo ay ku jiri doonaan baaritaanka dhow ee gacmahaaga, gacmahaaga, iyo farahaaga.

Bixiyahaaga ayaa ku weydiin doona su'aalo ku saabsan taariikhdaada caafimaad iyo calaamadahaaga, oo ay ka mid yihiin:

• Faraha ama lugaha si kedis ah miyey badaleen midab?
• Miyuu midabku isbeddelay ka hor?
• Qabowga ama isbeddelada shucuurtaadu ma waxay keenayaan in farahaaga ama lugahaaga ay isku beddelaan caddaan ama buluug?
• Miyuu isbeddelay midabka maqaarku suuxdinta ka dib?
• Sigaar ma cabtaa?
• Miyaad leedahay calaamado kale sida xanuunka farta? Gacan ama lug xanuun? Isbadal ku dhaca maqaarkaaga maqaarkiisa? Timo luminta gacmahaaga ama gacmahaaga?

Tijaabooyinka la qaadi karo waxaa ka mid ah:

• Baaritaanka dhiigga ee unugyada jirka ee loo yaqaan Antinuclear
• Dhiig kala duwanaansho
• Tirinta dhiigga oo dhameystiran (CBC)
• Guddi dheef-shiid kiimikaad dhammaystiran
• Duplex Doppler ultrasound-ka xididdada halbowlayaasha ilaa xag-jiryada
• Seryo cryoglobulins
• Serum protein electrophoresis
• Kaadida
• Raajo gacmahaaga iyo cagahaaga ah

Daaweyntu waxay kuxirantahay sababta keentay.

Faaruqinta faraha; Faraha - cirro; Suulasha midabka badala; Suulasha - cirro

Jaff MR, Bartholomew JR. Cudurrada kale ee xididdada dhiigga. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: cutubka 72.

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

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