Ziphuphu za gulugufe pankhope: Tiyeni tiphunzire za Acute Cutaneous Lupus (ACLE) mwachidule

Kodi munayamba mwakhalapo ndi ziphuphu zomwe zimaoneka ngati mapiko a gulugufe, kapena ziphuphu zofiira, m'masaya ndi m'mphuno mwanu? Anthu ambiri amaganiza kuti ndi kutentha kwa dzuwa kapena ziwengo. Koma nthawi zina zimatha kukhala chizindikiro cha chinthu china choopsa kwambiri. Lero tikulankhula za 'Acute Cutaneous Lupus', mtundu wa lupus womwe umakhudza khungu ndipo uli ndi zizindikiro izi.

Choyamba, tiyeni tiwone, kodi Lupus ndi chiyani?

Mwachidule, lupus ndi matenda omwe amayambitsa chitetezo chamthupi. Abambo, kodi zimenezo zikumveka zovuta pang'ono? Chabwino, ndiloleni ndifotokoze. Tangoganizani kuti thupi lathu lili ndi chitetezo chamthupi. Timachitcha chitetezo chamthupi. Ntchito yawo ndi kuzindikira ndi kuukira adani monga majeremusi, mavairasi, ndi mabakiteriya omwe amalowa m'thupi kuchokera kunja, ndikutiteteza ku matenda.

Koma, mwa munthu amene ali ndi matenda odziteteza okha monga lupus, pali vuto linalake. Chitetezo chimenecho chimalakwitsa ndipo sichingathe kusiyanitsa pakati pa olowa m'malo akunja ndi maselo ndi minofu yathu yathanzi. Chifukwa chake, amayamba kuukira maselo athu athanzi. Izi zingayambitse kutupa, kupweteka, ndi kuwonongeka m'malo osiyanasiyana a thupi.

Mtundu wa lupus wofala kwambiri komanso wofala kwambiri ndi Systemic Lupus Erythematosus (SLE) . Pa vutoli, kuukira kwa autoimmune sikungokhala pakhungu lokha. Kungakhudzenso ziwalo zamkati monga impso, mtima, mapapo, ndi mafupa. Pafupifupi anthu atatu mwa anayi aliwonse omwe ali ndi lupus ali ndi vutoli.

Ndiye kodi lupus ya khungu ndi chiyani?

Mawu oti 'cutaneous' amatanthauza "zokhudzana ndi khungu." Cutaneous Lupus Erythematosus (CLE) ndi matenda omwe lupus imakhudza kwambiri khungu. Apa ndi pamene chitetezo cha mthupi chimaukira mwachindunji maselo a khungu. Izi zimayambitsa mitundu yosiyanasiyana ya mawanga, zilonda, ndi zilonda pakhungu.

Lupus ya Acute Cutaneous (ACLE) ndi mtundu wa lupus ya pakhungu. 'Acute' amatanthauza "kumachitika mwadzidzidzi." Choncho chomwe chimachitika pankhaniyi ndi chakuti zizindikiro, makamaka ziphuphu za gulugufe, zimaonekera mwadzidzidzi. Nthawi zambiri, izi zimachitika munthu akakhala padzuwa.

Kodi mitundu ya lupus ya khungu ndi iti?

Pali mitundu itatu ikuluikulu ya lupus yomwe imakhudza khungu. Mtundu uliwonse uli ndi ziphuphu zosiyana. Kuti mumvetse bwino izi, onani tebulo ili m'munsimu.

Ndani amene ali ndi mwayi waukulu wopeza vutoli la ACLE?

Choyambitsa chenicheni cha lupus sichinadziwikebe, koma anthu ena apezeka kuti ali pachiwopsezo chachikulu.

• Zifukwa zobadwira: Ngati wina m'banja mwanu ali ndi lupus kapena matenda ena odziteteza ku matenda a autoimmune, inunso mungakhale pachiwopsezo.
• Jenda: Chodabwitsa n'chakuti, matendawa ndi ofala kwambiri pakati pa akazi.
• Zaka: Kawirikawiri zimapezeka mwa akazi azaka zapakati pa 20 ndi 50.
• Mtundu: Matendawa amapezeka kwambiri pakati pa mafuko ena, mwachitsanzo, anthu ochokera ku Africa ndi Asia.

Pafupifupi anthu awiri pa atatu aliwonse omwe ali ndi SLE amakhala ndi zizindikiro za pakhungu, kuphatikizapo ACLE. Anthu ena amapezeka koyamba ndi lupus pambuyo poti ziphuphu za gulugufezi zaonekera.

Kodi zizindikiro za ACLE ndi ziti?

Chizindikiro chachikulu komanso chodziwikiratu kwambiri ndi ziphuphu za gulugufe zomwe takambirana. Izi zimatchedwa 'malar rash' m'chipatala. 'Malar' amatanthauza tsaya. Ngakhale kuti zimaoneka ngati kutentha kwa dzuwa, nthawi zambiri sizimapweteka. Komabe, nthawi zina zimatha kuyabwa pang'ono.

Ubwino wa ziphuphuzi ndi wakuti sizimasiya zipsera pakapita nthawi. Komabe, ziphuphuzo zikachira, mtundu wa khungu m'malo amenewo ukhoza kukhala wopepuka pang'ono kapena wakuda kuposa kale.

Kuwonjezera pa ziphuphu za gulugufe, zizindikiro zina zingachitike.

• Ziphuphu m'manja ndi m'mapazi mutatentha padzuwa.
• Zilonda zopweteka mkamwa (zilonda za khansa).
• Matuza opweteka pakhungu (matuza).
• Kutaya tsitsi kwakanthawi.

Kodi "kuphulika" kumeneku n'chiyani?

Munthu amene ali ndi ACLE sakhala ndi zizindikiro nthawi zonse. Pali zizindikiro zomwe zimawonekera, zimachepa kwa kanthawi, kenako zimabwereranso. Kuwonjezeka kwadzidzidzi kwa zizindikirozi ndi komwe timatcha "kuphulika."

Pali zifukwa zenizeni, kapena 'zoyambitsa', zomwe zimayambitsa kuphulika kumeneku.

• Kuwala kwa dzuwa (UV ray): Ichi ndiye chinthu chachikulu chomwe chimayambitsa vutoli. Ndicho chifukwa chake ziphuphu zimakula kwambiri mukatuluka padzuwa.
• Kupsinjika Maganizo: Zinthu monga kupanikizika kwambiri ndi nkhawa zimatha kuipitsa matendawa.
• Matenda ena opatsirana.
• Kusagona mokwanira.

Kodi mungazindikire bwanji matendawa?

Ngati muli ndi zizindikiro izi, chinthu choyamba chomwe muyenera kuchita ndikuwonana ndi dokotala wa banja lanu. Iye adzakutumizani kwa dokotala wa khungu kapena katswiri wa nyamakazi, ngati pakufunika kutero.

Dokotala wanu adzafufuza khungu lanu. Nthawi zina , pangafunike kuyesedwa khungu kuti mupeze matenda enieni . Izi zimaphatikizapo kutenga kachidutswa kakang'ono ka khungu kuchokera pamalo omwe pali ziphuphu ndikukayang'ana pansi pa maikulosikopu. Izi zingathandize kudziwa ngati ziphuphuzo zayamba chifukwa cha ACLE kapena vuto lina la khungu.

Kodi mankhwala ake ndi otani?

ACLE si matenda ochiritsika kwathunthu. Komabe, zizindikiro ndi kuphulika kwa minofu zimatha kuthetsedwa bwino ndi chithandizo choyenera. Dokotala wanu adzakupatsani chithandizo choyenera kutengera kuopsa kwa zizindikiro zanu.

• Mafuta odzola a steroid: Awa ndi mankhwala omwe amapakidwa pakhungu pomwe pali ziphuphu. Mwachitsanzo, fluocinolone acetonide kapena hydrocortisone butyrate. Izi zimachepetsa kutupa ndi kufiira.
• Mankhwala oletsa kutupa: Mankhwala monga dapsone kapena methotrexate yotsika amatha kuchepetsa ululu ndi kutupa.
• Mankhwala oletsa malungo: Mankhwala monga `hydroxychloroquine` (Plaquenil®) ndi othandiza kwambiri pochiza malungo. Amachepetsa kutopa, ziphuphu, ndi kupweteka kwa mafupa.
• Mankhwala oletsa chitetezo chamthupi (Calcineurin inhibitors): Mankhwala monga tacrolimus kapena pimecrolimus amalamulira ntchito ya chitetezo chamthupi pamlingo winawake, zomwe zimachepetsa kuukira kwake pakhungu.

Kodi mungapewe bwanji kuphulika kwa mphuno?

Chofunika kwambiri monga kumwa mankhwala ndi kupewa zinthu zomwe zingayambitse kuphulika kwa khungu. Pakati pa 40% ndi 70% ya anthu omwe ali ndi lupus amaphulika akakhala pa kuwala kwa UV, kotero chitetezo cha dzuwa chiyenera kukhala choyamba.

• Gwiritsani ntchito mafuta oteteza ku dzuwa tsiku lililonse mukapita padzuwa. Sankhani mafuta oteteza ku dzuwa okhala ndi mphamvu ya SPF 30 kapena kuposerapo omwe amateteza ku kuwala kwa UVA ndi UVB.
• Pewani kutentha kwambiri padzuwa. Pewani kutuluka padzuwa nthawi zonse kuyambira 10 koloko m'mawa mpaka 4 koloko madzulo.
• Valani zovala zophimba bwino. Valani zinthu monga manja aatali, zipewa zazikulu, ndi magalasi a dzuwa.
• Pewani kuwala kwa UV kopangidwa ndi opanga monga mabedi opaka utoto .
• Magetsi ena a fluorescent omwe amagwiritsidwa ntchito m'nyumba amathanso kutulutsa kuwala kochepa kwa UV. Chifukwa chake, chepetsani kuwonekera nthawi yayitali.

Kodi mungachite chiyani kupatula kudziteteza ku dzuwa?

• Idyani zakudya zopatsa thanzi. Phatikizani zipatso, ndiwo zamasamba, nyemba, ndi tirigu wambiri muzakudya zanu.
• Chitani masewera olimbitsa thupi osatopetsa, monga kuyenda kapena yoga, tsiku lililonse.
• Sinthani kupsinjika maganizo. Pumulani maganizo anu m'njira yomwe ikukuyenererani, monga kusinkhasinkha kapena kumvetsera nyimbo.
• Gonani bwino. Gonani maola osachepera 7-8 patsiku.
• Ngati mukusuta, siyani nthawi yomweyo. Kusuta kungapangitse kuti ziphuphu pakhungu ziwonjezeke komanso kuchepetsa mphamvu ya mankhwala ochizira.