Kodi mukuyamba kukhala ndi mawanga oyera pakhungu lanu (Vitiligo)? Tiyeni tikambirane zonse za izi!

Kodi munayamba mwawonapo anthu ena ali ndi mawanga oyera pakhungu lawo? Mwina inunso mwakumanapo ndi zomwezo. Izi ndi zomwe timangotcha mawanga oyera, mawanga oyera, kapena monga momwe madokotala nthawi zambiri amawatchulira `(Vitiligo)`. Ngakhale izi zingawoneke zoopsa pang'ono kuziona, kwenikweni si matenda oopsa. Komabe, ndikofunikira kwambiri kudziwa izi. Lero, tiyeni tikambirane za `(Vitiligo)` mwatsatanetsatane komanso mosavuta, sichoncho?

Kodi Vitiligo ndi chiyani?

Mwachidule, vitiligo ndi vuto lomwe khungu lanu limataya utoto wake. Izi zimapangitsa kuti khungu lanu likhale lopepuka kuposa lachibadwa, nthawi zina loyera kotheratu. Ziphuphu za khungu izi zomwe ndi zazing'ono kuposa sentimita imodzi zimatchedwa macules, ndipo ziphuphu zazikulu zimatchedwa ziphuphu. Komabe, nthawi zambiri timazitcha madontho oyera. Ngati muli ndi vitiligo komwe muli ndi tsitsi, ngakhale tsitsi limenelo likhoza kukhala loyera kapena lasiliva. Vutoli limayamba chifukwa chitetezo cha mthupi lanu chikuwononga mtundu wa selo lopaka utoto la khungu lotchedwa melanocytes. Ma melanocytes awa amapanga mankhwala otchedwa melanin. Melanin iyi ndi yomwe imapatsa khungu lathu, tsitsi, ndi maso athu mtundu. Chifukwa chake maselo awa akatayika, kupanga melanin kumasiya, ndipo khungu limataya mtundu wake.

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Matenda a Vitiligo amatha kugwira anthu amitundu yonse komanso amuna ndi akazi . Komabe, amapezeka kwambiri mwa anthu omwe ali ndi khungu lakuda. Matenda a Vitiligo amatha kuchitika pa msinkhu uliwonse, koma nthawi zambiri amayamba munthu asanakwanitse zaka 30. Ngati muli ndi matenda enaake oteteza chitetezo chamthupi, mungakhale pachiwopsezo chachikulu chotenga matenda a vitiligo. Mwachitsanzo:

• Matenda a Addison
• Kuchepa kwa magazi m'thupi
• Matenda a Shuga (Mtundu 1 )
• Matenda a Lupus
• Psoriasis
• Matenda a nyamakazi (rheumatoid arthritis )
• Matenda a chithokomiro

Kodi matenda a vitiligo ndi ofala bwanji?

Padziko lonse lapansi, anthu oposa 1% akuti ali ndi vuto la khungu loyera, Vitiligo. Izi zikutanthauza kuti si zachilendo.

Kodi matenda a vitiligo amayamba bwanji komanso amafalikira bwanji?

Matenda a Vitiligo nthawi zambiri amayamba ndi madontho ang'onoang'ono oyera . Izi zimatha kufalikira pang'onopang'ono m'thupi lanu lonse. Nthawi zambiri, madonthowa amayamba kuwoneka m'manja, pamphumi, m'khwapa, m'mapazi, ndi pankhope. Komabe, vutoli likhoza kuchitika kulikonse m'thupi lanu, kuphatikizapo nembanemba yozungulira pakamwa panu, mphuno, ziwalo zoberekera, ndi m'matako, komanso m'maso ndi makutu anu. Nthawi zina, madontho akuluakulu amatha kufalikira ndikukulirakulira, koma nthawi zina amatha kukhala pamalo omwewo kwa zaka zambiri. Malo omwe madontho ang'onoang'ono amapezeka amatha kusintha pakapita nthawi, ndipo malo ena amatha kutaya utoto ndikumeranso. Si aliyense amene ali ndi vitiligo amene ali ndi khungu lofanana. Anthu ena ali ndi madontho ang'onoang'ono ochepa, pomwe ena amatha kutaya mtundu kwambiri pakhungu lawo lonse.

Kodi mitundu ikuluikulu ya vitiligo ndi iti?

Pali mitundu ikuluikulu ingapo ya `(Vitiligo)`. Tiyeni tiwone zomwe zili:

• Zodziwika: Uwu ndi mtundu wofala kwambiri . Mu mtundu uwu, madontho amaonekera m'malo osiyanasiyana a thupi.
• Mtundu wa magawo: Mu mtundu uwu, madonthowa amawonekera mbali imodzi yokha ya thupi, kapena m'dera limodzi lokha, monga m'manja kapena kumaso.
• Mtundu wa mucosal: Izi zimakhudza nembanemba ya mucous ya pakamwa ndi/kapena ziwalo zoberekera.
• Chofunikira: Ichi ndi mtundu wosowa kwambiri . Mu mtundu uwu, madontho amawonekera pamalo ang'onoang'ono ndipo samafalikira mwanjira inayake kwa chaka chimodzi kapena ziwiri.
• Mtundu wa Trichrome: Mu mtundu uwu, mutha kuwona gawo loyera kapena lopanda mtundu pakati, ngati chandamale, lokhala ndi gawo lowala mozungulira, kenako gawo lomwe ndi mtundu wa khungu lanu wamba mozungulira.
• Mtundu wa chilengedwe chonse: Mtundu uwu ndi wosowa kwambiri. Pachifukwa ichi , khungu lanu loposa 80% limataya utoto wake.

Kodi zizindikiro za Vitiligo ndi ziti?

Zizindikiro zazikulu za `(Vitiligo)` ndi izi:

• Madontho a mtundu pakhungu kapena mucous nembanemba. Izi zingawoneke zoyera kapena zopepuka kuposa mtundu wa khungu lanu wamba.
• Tsitsi la thupi lanu ndi lasiliva, imvi, kapena loyera .

Zizindikiro zake zimakhala zochepa kwambiri, zomwe zikutanthauza kuti zimangopezeka pamalo ochepa, kapena zimakhala zoopsa kwambiri, zomwe zimakhudza malo akuluakulu a khungu. Anthu ena amatha kuyabwa pamalopo khungu lisanayambe kutaya mtundu.

Kodi zizindikiro za vitiligo zimawonekera pati mthupi?

Zizindikiro za matenda a Vitiligo zimatha kuwoneka pakhungu kulikonse pathupi, koma nthawi zambiri zimawonekera m'malo otsatirawa:

• Manja
• Mapazi
• Mkono (mkono)
• Nkhope
• Ma nembanemba a mucous (mkati mwa pakamwa, milomo, mkati mwa mphuno)
• Ziwalo zoberekera (monga mbolo)

Kodi matenda a vitiligo ndi ati?

Matenda a Vitiligo amayamba chifukwa cha kutayika kwa melanin, mtundu wa pigment pakhungu. Koma sizikudziwika bwino chifukwa chake izi zimachitika . Kafukufuku wapeza kuti zinthu zotsatirazi zingathandize pakukula kwa matenda a vitiligo:

• Matenda a autoimmune : Chitetezo chanu cha mthupi chimaganiza molakwika kuti maselo athanzi (pankhaniyi, ma melanocyte) ndi olowa m'thupi, monga mabakiteriya owopsa. Izi zimapangitsa kuti chitetezo cha mthupi chizigwira ntchito mopitirira muyeso ndikupanga ma antibodies kuti awononge ma melanocyte anu.
• Kusintha kwa majini: Kusintha kwa majini kapena kusintha kwa DNA ya thupi lanu kungakhudze momwe ma melanocyte amagwirira ntchito. Pali majini opitilira 30 omwe amawonjezera chiopsezo chotenga matenda a vitiligo.
• Kupsinjika Maganizo: Ngati nthawi zonse mumakhala ndi nkhawa, kapena ngati mukukumana ndi nkhawa mwakuthupi mutavulala, kuchuluka kwa utoto wopangidwa ndi ma melanocyte kungasinthe.
• Zinthu zomwe zimayambitsa chilengedwe: Zinthu zachilengedwe monga kukhudzidwa ndi kuwala kwa ultraviolet ndi mankhwala oopsa zingakhudzenso ntchito ya melanocytes.

Kodi izi ndi zotsatira za majini?

Zomwe zimayambitsa matenda a vitiligo zikufufuzidwabe. Komabe, kafukufuku akusonyeza kuti pafupifupi 30% ya anthu omwe ali ndi vitiligo amakhala ndi matenda a majini . Izi zikutanthauza kuti matendawa amatha kufalikira kuchokera ku mibadwomibadwo, ndipo ngati wina m'banja mwanu ali nawo, mumakhala ndi mwayi waukulu woti muwapeze. Pali kusintha kwa majini komwe kumakhudza ntchito ya melanocytes. Ngati kusinthaku kukuyang'ana maselo omwe amapatsa khungu lanu mtundu wake, mutha kukhala ndi vitiligo.

Kodi Vitiligo imapweteka?

Ayi, `(Vitiligo)` si vuto lopweteka. Komabe, `(Vitiligo)` ingayambitse mawanga a khungu lowala, zomwe zingakhale zopweteka komanso zopweteka kutentha ndi dzuwa. Chifukwa chake, ndikofunikira kwambiri kudziteteza ku dzuwa . Muyenera kuchita zinthu monga kugwiritsa ntchito mafuta oteteza ku dzuwa, kupewa kutuluka padzuwa mukadali ndi dzuwa, komanso kuvala zovala zoteteza.

Kodi vitiligo ingayambitse mavuto ena?

Ngakhale kuti vitiligo ndi matenda omwe amakhudza kwambiri mawonekedwe a khungu, mavuto ena amatha kuchitika:

• Khungu lofewa: Popeza malo omwe ali ndi utoto alibe ma melanocyte, malo amenewo a khungu amatha kukhala omasuka kwambiri ku dzuwa kuposa khungu lonse. Izi zingayambitse kutentha mofulumira kuposa momwe zimakhalira ndi utoto.
• Matenda a maso:Anthu ena omwe ali ndi vitiligo angakhale ndi vuto m'maso mwawo (gawo lamkati mwa diso lomwe lili ndi maselo omwe amazindikira kuwala) komanso kusintha kwa mtundu wa maso awo (gawo lomwe limapereka mtundu ku diso). Nthawi zina pangakhale kutupa kwa maso kapena maso, koma nthawi zambiri maso sakhudzidwa.
• Matenda ena a chitetezo chamthupi: Anthu omwe ali ndi vitiligo ali ndi mwayi waukulu wopeza matenda ena a chitetezo chamthupi omwe amakhudza momwe chitetezo chamthupi chimagwirira ntchito. Matenda ofala a chitetezo chamthupi ndi monga hypothyroidism, matenda a shuga, ndi kuchepa kwa magazi m'thupi.
• Mavuto a maganizo: Anthu ena omwe ali ndi matenda a vitiligo angachite manyazi ndi mawonekedwe a khungu lawo. Ena angakhalenso ndi kudziona ngati osafunika . Izi zingayambitse nkhawa kapena kuvutika maganizo, ndipo angayese kudzipatula okha. Ngati mukumva choncho, ndikofunikira kulankhula ndi dokotala wanu, mlangizi wa zaumoyo wamaganizo , kapena banja lanu ndi anzanu.

Kodi mungazindikire bwanji vitiligo?

Kawirikawiri dokotala amatha kuzindikira matenda a Vitiligo pongoyang'ana khungu lanu. Nthawi zina, dokotala angagwiritse ntchito chipangizo chotchedwa Wood's lamp kuti aone khungu lanu. Nyali iyi imawunikira kuwala kwa ultraviolet (UV) pakhungu lanu. Izi zimathandiza dokotala kusiyanitsa vitiligo ndi matenda ena a pakhungu. Kuphatikiza apo, angafunse mafunso okhudza mbiri yanu yachipatala komanso mbiri yachipatala ya banja lanu.

Ndi matenda ena ati omwe amaoneka ngati vitiligo?

Pali zinthu zina zingapo zomwe zimasintha mtundu wa khungu lanu kapena kupangitsa kuti litaye utoto. Mwachitsanzo:

• Leukoderma ya mankhwala: Kukhudzana ndi mankhwala omwe amagwiritsidwa ntchito m'mafakitale ena kumatha kuwononga maselo a khungu, zomwe zimapangitsa kuti pakhungu pakhale malo oyera, okhala ndi mikwingwirima kapena owoneka ngati mawanga.
• Tinea versicolor (mphutsi ya m'mphuno): Iyi ndi matenda a yisiti. Ingayambitse mawanga akuda pakhungu lowala komanso mawanga owala pakhungu lowala.
• Ulubino: Uwu ndi matenda omwe amayamba chifukwa cha majini omwe amachititsa kuti pakhungu, tsitsi, ndi/kapena maso pakhale melanin yochepa.
• Pityriasis alba: Matendawa amayamba ndi mawanga ofiira pakhungu. Kenako amafota, kusiya mawanga owala komanso ofiira.

Kodi Vitiligo imachiritsidwa bwanji?

Popeza matenda otchedwa ``Vitiligo'' si owopsa pa thupi lanu ndipo amakhudza kwambiri maonekedwe anu, chithandizo sichifunika.Koma ngati muli ndi matenda a vitiligo ambiri, kapena ngati zizindikiro izi zikukhudza thanzi lanu la maganizo, dokotala wanu angakuthandizeni kupeza chithandizo chomwe chingakuthandizeni. Mankhwalawa amabwezeretsa mtundu womwe watayika (repigmentation) kapena kuchotsa mtundu wotsalawo ndikupangitsa khungu lonse kukhala ndi mtundu womwewo (depigmentation). Mankhwala odziwika bwino a vitiligo ndi awa:

• Mitundu ya mankhwala
• Chithandizo chopepuka
• Chithandizo cha kuchotsa khungu lofiira
• Opaleshoni
• Uphungu

Tiyeni tikambirane za chilichonse mwa izi mwatsatanetsatane.

Mitundu ya mankhwala

Ngakhale kuti palibe mankhwala enieni oletsa vutoli kuti lisakhudze khungu, pali mankhwala ena omwe angachepetse kutayika kwa utoto, kuthandiza melanocytes kukulanso, kapena kuthandiza kubwezeretsa mtundu wa khungu. Mankhwala a vitiligo angaphatikizepo:

• Corticosteroids (mafuta odzola kapena mapiritsi)
• Mankhwala oletsa Janus kinase (monga mafuta a ruxolitinib)
• Mafuta oletsa calcineurin (odzola)

Chithandizo chopepuka

Chithandizo cha kuwala, kapena ``phototherapy,`` ndi chithandizo chomwe chimathandiza kubwezeretsa mtundu wa khungu lanu. Pachifukwa ichi, dokotala wanu adzawunikira bokosi lowala, kuwala kwa ultraviolet B ``UVB``, kapena laser yachipatala pakhungu lanu kwa kanthawi kochepa. Zingatenge nthawi zingapo za chithandizo cha kuwala kuti muwone zotsatira pakhungu lanu. Chithandizochi, chomwe chimaphatikiza mankhwala otchedwa ``psoralen`` omwe amatengedwa pakamwa ndi kuwala kwa ultraviolet A ``PUVA``, chimagwiritsidwa ntchito kwa anthu omwe ali ndi madera akuluakulu a ``Vitiligo``. Chithandizochi chimagwira ntchito kwa anthu omwe ali ndi ``Vitiligo`` pamutu, pakhosi, pathupi, m'manja, ndi m'miyendo.

Chithandizo cha kuchotsa khungu lofiira

Chithandizochi chimaphatikizapo kuchotsa mtundu wa khungu lanu labwinobwino kuti ligwirizane ndi malo omwe ali ndi vitiligo. Izi zimagwiritsa ntchito mankhwala otchedwa "monobenzone." Kirimu uyu akapakidwa pakhungu lanu lamtundu, amasanduka oyera ndipo amakhala ndi mtundu womwewo ngati malo omwe ali ndi vitiligo.

Opaleshoni

Opaleshoni ndi njira imodzi yothandizira anthu omwe ali ndi vitiligo. Mankhwala ochizira opaleshoni angaphatikizepo:

• Kuika pakhungu: Khungu limatengedwa kuchokera ku mbali ina ya thupi lanu ndikuikidwa pamalo omwe ali ndi vitiligo. Komabe, izi zingayambitse zipsera, matenda, kapena kutaya mtundu. Izi zimatchedwanso "kuika pakhungu pang'ono."
• Kulumikiza matuza: Pachifukwa ichi, matuza amapangidwa kuchokera pakhungu lanu pogwiritsa ntchito njira yoyamwa, ndipo gawo la pamwamba la matuza limatengedwa ndi kumamatira pamalo omwe muli ndi vitiligo.

Komabe, dokotala wanu sangakulangizeni opaleshoni ngati muli ndi vuto lililonse mwa izi:

• Ngati `(Vitiligo)` imafalikira mofulumira.
• Ngati mumapeza zipsera mosavuta.
• Ngati mupanga ma keloid, omwe amakula kuposa bala.

Uphungu

Anthu ena omwe ali ndi vitiligo angaone kuti n'kothandiza kupeza uphungu kapena uphungu wa thanzi la maganizo kuti awathandize kuthana ndi vuto la kudziona ngati osafunika, nkhawa, kapena kuvutika maganizo komwe kungachitike chifukwa cha kusintha kwa khungu lawo. Vitiligo ikhoza kukhala yovutitsa maganizo, yomwe imakhudza momwe mumaonera moyo komanso ubale wanu ndi anthu. Ngati izi zitachitika, dokotala wanu angakulangizeni kuti mukaone uphungu kapena kulowa nawo gulu lothandizira.

Kodi matenda a vitiligo angapewedwe?

Palibe njira yodziwika yopewera matenda a vitiligo chifukwa pali zifukwa zambiri zomwe zingachitike. Komabe, mungachite izi kuti muchepetse chiopsezo chanu chokhala ndi matenda a vitiligo:

• Kutsatira njira zodzitetezera mukamakhala padzuwa (monga kugwiritsa ntchito mafuta oteteza ku dzuwa, zipewa).
• Samalirani khungu lanu bwino pogwiritsa ntchito mafuta odzola tsiku lililonse.
• Kupewa kupsinjika maganizo ndi kuvulala kwakuthupi.
• Ngati pali matenda enaake omwe amayambitsa matenda a autoimmune, athetseni bwino.

Kodi chimachitika ndi chiyani ngati muli ndi vitiligo?

Matenda a Vitiligo angakhudze mawonekedwe anu, komanso angakhudze momwe mumamvera khungu lanu mukakhala pagulu. Anthu ambiri amalankhula ndi mlangizi wa zaumoyo wamaganizo kuti awathandize kudzidalira komanso kudzidalira.

Kumbukirani kuti palibe mankhwala a matenda a vitiligo. Koma ngati mukufuna chithandizo, dokotala wanu angakuthandizeni kusankha chithandizo chomwe chili choyenera inu ndi khungu lanu.

Kodi mtundu wachilengedwe wa khungu udzabweranso ndi vitiligo?

Pafupifupi 10% mpaka 20% ya anthu omwe ali ndi matenda a vitiligo adzabwezeretsa mtundu wa khungu lawo kwathunthu. Izi zimachitika kwambiri mwa anthu omwe:

• Anthu omwe adapezeka ndi matendawa asanakwanitse zaka 20, kutanthauza kuti, ali aang'ono .
• Anthu omwe anafika pachimake pa mliri wa matendawa m'miyezi isanu ndi umodzi kapena kuchepera.
• Anthu omwe ali ndi zizindikiro zambiri pankhope .

Pazochitika izi, mtundu wa pigmentation yanu sudzabweranso:

• Ngati zizindikiro za "Vitiligo" zikuwonekera mutakwanitsa zaka 20.
• Ngati pali zizindikiro pamilomo, miyendo (makamaka zala).

Kodi mungabise bwanji mawanga a vitiligo?

Ngati simukusangalala ndi mawonekedwe a khungu lanu (Vitiligo), mutha kuyesa zinthu izi kunyumba kuti mubise mawanga awa:

• Gwiritsani ntchito mafuta oteteza ku dzuwa okhala ndi SPF ya 30 kapena kuposerapo . Kugwiritsa ntchito mafuta oteteza ku dzuwa kungachepetse khungu kukhala lofiirira komanso kuchepetsa kusiyana kwa mtundu pakati pa malo omwe ali ndi vitiligo ndi khungu labwinobwino.
• Gwiritsani ntchito zodzoladzola kuti muphimbe malo omwe utoto umatayika. Palinso zinthu zapadera zodzoladzola zachipatala zogwiritsira ntchito izi.
• Ngati mtundu wa tsitsi lanu watha, gwiritsani ntchito utoto wa tsitsi kuti ugwirizane ndi tsitsi lanu lonse.
• Pezani utoto wa khungu . Izi zimaphatikizapo kujambula mawanga a vitiligo. Zimagwira ntchito ngati zodzoladzola zosatha ndipo zimathandiza kubisa zizindikiro zake.

Kodi matenda a Vitiligo ndi opatsirana?

Ayi. Vitiligo si matenda opatsirana. Siifalikira kuchokera kwa munthu wina kupita kwa wina kudzera mu kukhudzana thupi. Chifukwa chake, simuyenera kuopa kukhala pafupi ndi munthu amene ali ndi Vitiligo.

Kodi muyenera kupita kwa dokotala liti?

Onani dokotala wanu pazochitika zotsatirazi:

• Ngati utoto kapena khungu lanu likutha msanga .
• Ngati kutayika kwa utoto kumafalikira kudera lalikulu la thupi.
• Ngati kusintha kwa khungu kukukhudza thanzi lanu la maganizo ndi thanzi lanu .

Ndi mafunso ati omwe ndiyenera kufunsa dokotala?

Ndi bwino kufunsa mafunso awa mukapita kwa dokotala:

• Kodi ndili ndi mtundu wanji wa Vitiligo?
• Kodi khungu langa lidzabwereranso mtundu wake?
• Kodi ndiyenera kudziteteza bwanji ku dzuwa?
• Kodi njira zabwino kwambiri zochiritsira khungu langa ndi ziti?
• Kodi ana anga amtsogolo angapatsire vutoli kudzera m'majini?

Kodi pali kusiyana kotani pakati pa Tinea versicolor (ringworm) ndi Vitiligo?

Matenda a Tinea versicolor (omwe amadziwikanso kuti mphutsi) ndi vitiligo ndi matenda awiri osiyana omwe amakhudza mtundu wa khungu lanu. Matenda a Tinea versicolor ndi bowa omwe amachititsa kuti pakhungu panu pawoneke mawanga oyera, achikasu, ofiira, pinki, kapena abulauni. Matenda a Vitiligo ndi matenda omwe amayambitsa chitetezo chamthupi chomwe chimapangitsa khungu lanu kutaya utoto wake, zomwe zimapangitsa kuti likhale loyera kapena loyera kuposa mtundu wa khungu lanu wamba.

Kodi Piebaldism ndi yofanana ndi Vitiligo?

Ayi. Matenda onsewa amayambitsa mawanga oyera kapena opepuka pakhungu kapena tsitsi, koma ndi osiyana. Kusakhazikika kwa khungu kumachitika chifukwa cha kusowa kwa ma melanocyte (maselo omwe amapanga melanin ya pigment) m'dera la khungu lanu. Mumabadwa ndi piebaldism. Vitiligo imayamba chifukwa cha kuwonongeka kwa ma melanocyte m'thupi lanu. Vitiligo imayamba pakapita nthawi.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Matenda a Vitiligo ndi matenda omwe amangokhudza mawonekedwe a khungu lanu. Si oopsa ndipo safuna chithandizo . Komabe, n'zoona kuti kusintha kwa khungu komwe kumachitika chifukwa cha matenda a vitiligo kungakhudze kudzidalira, kukupangitsani kudzimva kuti ndinu wosatetezeka, kapena kukupangitsani kumva kuti simuli bwino.

Musazengereze kulankhula ndi dokotala wanu za momwe maonekedwe anu akukhudzira thanzi lanu la maganizo. Ngakhale kuti palibe mankhwala a matenda a vitiligo, pali mankhwala omwe angakuthandizeni kukhala omasuka.Simuli nokha, pali anthu ambiri omwe ali ndi vutoli ndipo amatha kuthana nalo bwino. Choncho chofunika kwambiri ndikukhala olimba mtima!