Amafutha angabangela nesithwathwa, ukugcoba ngezinyawo kanye nezinhlanzi
Njengoba kuvezwe isikhathi eside kubanda, izinyawo zakho zivame ukuba yingxenye yokuqala yomzimba ukuzwa imiphumela engathandeki. Emzamweni wokugcina izinga lokushisa lomzimba wethu lizinzile, imithwalo yegazi ngaphakathi kwezingalo zethu nasemilenzeni yethu, yingakho izandla zethu nezinyawo zethu kubanda lapho amazinga okushisa ehla.
Ukulimala kwezulu okushisa njenge-frostbite njalo kuwukukhathazeka kwemisebenzi yangaphandle yasebusika nemisebenzi yokuzilibazisa.
Lezi zilimazana zingaba nezibonakaliso ezinomzimba ezinjengobunzima obunomonakalo obunzima obungapheli ongadinga ukunqunyulwa kwezwane.
Izinhlobo Zokulimala Okubandayo Kuzinyawo
Frostnip
Ngezinye izikhathi i-Frostnip ibizwa ngokuthi uhlobo olumnene lwe-frostbite, olwenzeka ngemva kokuvezwa okufutshane ngamazinga okushisa okubandayo. Ngokungafani ne-frostbite yangempela, akukho ukushisa okwenziwe isikhumba noma ama-tissue ajulile, ngakho-ke ama-frostnip ngokuvamile awabangela ukulimala okuhlala njalo lapho izinyawo sezifudumele. Izimpawu ze-frostnip zihlanganisa ukuguquka nokuguquka kombala wesikhumba, njengokugcoba (blanching) noma ukubomvu.
I-Frostbite
I-Frostbite iba yingozi ngokubheka amazinga okushisa amaqanda, ngaphansi noma ngaphansi kuka-32 ° F (0 ° C). I-frostbite iyenzeka lapho ukushisa kwangempela kwenzeka ngaphakathi kwesikhumba, okuholela ezindizeni zokulimala ezihlukahlukene. Ezikhathini zokuqala zama-frostbite, izimpawu zifana ne-frostnip: isikhumba esilahlekile esibomvu futhi ngezinye izikhathi siguquke ekushiseni. Kungenzeka futhi ubuqili, okungenza indawo ikwazi ukulimala uma umuntu engazizwa ubuhlungu futhi athole usizo olufanele lokuqala.
Uma kuqhutshwa ukushisa okuqhubekayo, ukulimala kwama-frostbite kungathuthuka ngokusebenzisa izingqimba zesikhumba futhi kubangele ukugcoba (i-2 degree degree frostbite). Ngesisindo sesithathu seqhwa, umonakalo uqhubeka phakathi kwesikhumba ube yizicubu ezingaphansi. Ama-blister abonakala futhi angagcwaliswa ngegazi. I-frostbite ye-fourth ihlanganisa ukubola kwesigodi esithintekayo, ngokungazelelwe idinga ukunqunywa kwesinye noma izinzwane eziningi.
Kubalulekile ukuqaphela izimpawu ze-frostbite ngangokunokwenzeka. Izindawo ezinamahlombe, ezinqanyelwe izinyawo zingase zivele zimhlophe noma zine-purple-ish futhi zizizwe zinzima ukuthinta. I-slough yesikhumba nesigqoko se-second and third-degree frostbite ingahlala izinsuku noma ngisho nezinyanga, kuye ngezinga. Ukwelashwa kwe-frostbite kuhilela ukufudumala kwezinyawo kuyilapho uqaphela ukugwema ukushisa ngokweqile noma ukucindezelwa ezindaweni ezichaphazelekayo. Kungcono ukuphakamisa isigungu esithintekile futhi ufune ukwelashwa ngokushesha. Izinyathelo zokufudumala ezisheshayo, njengamanzi afudumele angcola, zinganikezwa iqembu lezokwelapha.
Ukugcoba Amanqina noma Amanqina Emigodi
Eyaziwa nangokuthi unyawo lwamanzi, ukugcoba inyawo kwenzeka ngokuvezwa kwezimo ezipholile, ezimanzi. Izimpawu zokucwiliswa ngezinyawo zingafana ne-frostbite, ngaphandle kokuthi ukugcoba ngezinyawo kubonakala ngokuvezwa isikhathi eside kumazinga okushisa okungewona amaqanda. Uma izimo zilungile, ukugcoba unyawo kungase kwenzeke ngenkathi kungaphakathi. Ukunyathelisa unyawo kungaba yinkinga kulabo abahlala ezindaweni ezipholile, lapho amabhuzu agqoke khona futhi ukuvezwa komswakama kuphezulu.
Izimpawu zokuqala zihlanganisa ukuguqulwa kwamagciwane kanye nokushintsha kombala njengokungcola noma ukubuyisela emuva, ekugcineni kuholele ekubukeni, ukuvuvukala, nokuhlelwa kwe-blister ngemva kokuhamba kwezinyawo.
Njenge-frostbite, izimpawu zingase ziqhubeke amasonto futhi zibe nemiphumela yesikhathi eside ezifana nezinguquko zokushisa (isenzo sikaRaynaud) kanye nobuhlungu bokudubula. Njenge-frostbite, kungcono ukuma izinyawo nokuzifudumala ngokushesha ngangokunokwenzeka. Kufanele kutholakale ukunakekelwa kwezokwelapha uma izimpawu zingaxazululwa ngosizo lokuqala.
I-Pernio noma i-Chilblains
Okunye okubizwa nangokuthi ama-Chilblains, i-pernio yinye isimo esingasetshenziswa ngokukhukhulwa ngokweqile kumswakama nokupholisa, hhayi ngokushisa kwamazinga okushisa. I-Pernio inezilonda zesikhumba eziphawulekayo eziwumphumela wokulimala emifuleni encane yegazi kusuka ekuvezeni okubandayo. Izilonda ngokuvamile zivela ezinzwaneni futhi zibonakala njengezindawo ezibomvu, ezikhukhumezayo zesikhumba.
Lezi zindawo zingaba buhlungu futhi zibuhlungu kakhulu, futhi zivame ukuphikelela ngemva kokuvezwa.
Lesi simo sithinta abesifazane ngokuphindaphindiwe kunamadoda futhi singase siphinde sibheke ngokuchayeka okubandayo. Ngokuvamile, izilonda zingabangela ukugcoba noma ukuhlukunyezwa . Ukwelashwa kungabandakanya ama-corticosteroid creams ukuze kukhululeke ukuchithwa nokuvuvukala, mhlawumbe imithi yomlomo yokuthuthukisa ukujikeleza ezindaweni ezithintekile, nokunakekela ukunxeba uma kunesidingo.
Imithombo
Irwin DO, uBrian. I-American Family Physician. I-Case of Too Necrotic. Ifinyelele ngo-1/16/13. 2004 Feb 1; 69 (3): 609-610.
I-Dockery, i-DPM, i-Gary L. noCrawford, i-DPM, uMary Elizabeth (uMq.). Ukuphazamiseka Okunciphile Kweqile Eliphansi. I-Philadelphia: WB Saunders, 1997. 128-29.
Amasevisi Okulawula Nokuvimbela Izifo. I-Cold Stress. Ifinyelele ngo-1/16/13.