Kodi munayamba mwaonapo kuti anthu ena ali ndi madontho ofiira, abulauni kapena ofiirira pankhope zawo, monga gulugufe amene amatambasula mapiko ake pamphuno ndi m'masaya awo? Mwina munakumanapo ndi chinthu chonga ichi. Ichi ndi chomwe timachitcha kuti 'Butterfly Rash' kapena chomwe chimadziwika ndi madokotala kuti 'Malar Rash'. Izi nthawi zina zimatha kutsagana ndi kuyabwa pang'ono ndi kutentha. Ndizachibadwa kumva mantha pang'ono mukaona izi. Chifukwa chake, tiyeni tikambirane zonsezi momveka bwino lero.
Kodi Malar Rash iyi ndi chiyani kwenikweni?
Mwachidule, ndi khungu kapena ziphuphu zomwe zimayambira pa tsaya limodzi, zimadutsa pamphuno yanu, kenako zimafalikira ku tsaya lina. Dzina lake limatchedwa chifukwa limafanana ndi gulugufe.
Mawonekedwe a izi amatha kusiyana malinga ndi mtundu wa khungu.
- Izi zingawoneke ngati zofiira kapena pinki kwa munthu wokhala ndi khungu lopepuka .
- Izi zitha kuwoneka zakuda, zakuda, kapena zofiirira kwa munthu wakhungu lakuda .
Nthawi zina ziphuphuzi zimakhala zathyathyathya, nthawi zina zimatha kukwera pang'ono, ndipo nthawi zina zimatha kukhala ndi mamba. Chapadera ndichakuti ziphuphuzi nthawi zambiri sizimafalikira mpaka kumiseche yomwe imayambira pamphuno mpaka m'makona a pakamwa mukaseka. Nthawi zambiri, zimatha kufalikira pamphumi ndi pachibwano.
N’chifukwa chiyani kutupa ngati kumeneku kumachitika?
Chifukwa chachikulu cha izi ndi kusintha kwa chitetezo cha mthupi mwathu. Tangoganizani kuti tili ndi gulu lankhondo loteteza thupi lathu. Umenewo ndi chitetezo chathu cha mthupi. Ntchito yawo ndi kulimbana ndi majeremusi ndi mavairasi omwe amalowa m'thupi ndikutiteteza ku matenda.
Koma nthawi zina chitetezo chathu chimalakwitsa pang'ono. Amaona maselo athu athanzi ndi kuganiza kuti, 'Apa pali mdani,' ndikuyamba kuwaukira. Timatcha izi kuti ndi yankho la autoimmune. Pamenepo ndi pomwe kutupa kotereku kumawonekera pakhungu lathu ngati ziphuphu.
Kugwirizana pakati pa ziphuphu za butterfly ndi lupus
Mwina mwamvapo za matenda otchedwa lupus. Ziphuphu za gulugufe ndi chimodzi mwa zizindikiro zodziwika bwino za lupus. Ndipotu, madokotala amaona kuti ziphuphu zimenezi ndi umboni wofunikira pozindikira matenda a lupus.
Ziphuphu zimenezi zimatha kuwoneka ndi mitundu yosiyanasiyana ya lupus.
- Systemic Lupus Erythematosus (SLE)
- Lupus Erythematosus ya m'mafupa (makamaka Acute Cutaneous Lupus Erythematosus)
- Discoid Lupus
- Lupus ya Subacute Cutaneous
Chofunika ndichakuti si aliyense amene ali ndi ziphuphu pankhope pawo zomwe zimakhala ndi lupus. Komabe, ndikofunikira kwambiri kufunafuna upangiri wa dokotala chifukwa ichi ndi chizindikiro champhamvu cha lupus.
Kodi lupus ndiye chifukwa chokhacho? Kodi pali zifukwa zina?
Inde, lupus ndi chifukwa chimodzi chokha. Pali zifukwa zina zambiri zomwe zimayambitsa ziphuphu za gulugufe. Tiyeni tiwone zomwe zili.
| Matenda | Kufotokozera kosavuta |
|---|---|
| Rosacea ( Rosacea ) ( Rosacea ) | Matenda ofala a pakhungu omwe amachititsa kuti nkhope ipse komanso kutupa, komanso ziphuphu zazing'ono. |
| Cellulitis | Matenda a bakiteriya omwe amakhudza zigawo zakuya za khungu. Khungu limakhala lofiira, lotupa, ndipo limakhala lotentha. |
| Erysipelas | Matenda a bakiteriya omwe ali pamwamba pa khungu. Mofanana ndi cellulitis, ziphuphu zimakhala ndi malire omveka bwino. |
| Pellagra | Matenda omwe amayamba chifukwa cha kusowa kwa vitamini B3 (Niacin). Matuza amaonekera m'malo omwe amawotchedwa ndi dzuwa. |
| Dermatomyositis | Matenda osowa omwe amayambitsa kufooka kwa minofu ndi kutupa pakhungu. |
Kodi ndingapeze bwanji kuti ichi ndi chiyani kwenikweni?
Ngati mukumva ziphuphu ngati zimenezi pankhope panu, chinthu chabwino kwambiri choti muchite ndikuonana ndi dokotala wanu.Adzakufunsani za mbiri yanu ya matenda komanso ngati muli ndi zizindikiro zina. Kenako adzakuyesani.
Kuti mudziwe chifukwa chenicheni, mukhoza kufunsidwa kuti muyese mayeso monga awa:
- Kuyezetsa magazi: Kuyang'ana momwe chitetezo cha mthupi chimagwirira ntchito ndi zizindikiro zina.
- Kuyezetsa mkodzo: Yang'anani ngati ziwalo monga impso zakhudzidwa.
- Kujambula khungu: Kachidutswa kakang'ono kwambiri ka khungu kamatengedwa kuchokera pamalo omwe panali ziphuphu ndikuyang'aniridwa pogwiritsa ntchito maikulosikopu.
Nthawi zina dokotala wanu angakutumizireni kwa dokotala wa khungu .
Kodi mumachiza bwanji ziphuphuzi?
Chithandizo chimadalira chomwe chayambitsa ziphuphu, zomwe zikutanthauza kuti chithandizocho chidzasiyana malinga ndi chomwe chayambitsa.
- Pa matenda a bakiteriya monga rosacea , cellulitis, ndi erysipelas: Mankhwala opha tizilombo amaperekedwa.
- Pa matenda monga lupus ndi dermatomyositis: Mafuta odzola a corticosteroid, mankhwala oletsa malungo, ndi mankhwala oletsa chitetezo chamthupi angaperekedwe.
- Pa Pellagra (kusowa kwa vitamini B3): Mapiritsi a Niacin amaperekedwa.
Ziphuphu zikachira, nthawi zina khungu limatha kusintha mtundu wake. Izi nthawi zina zimatha kukhalapo kwamuyaya. Muthanso kulankhula ndi dokotala wanu za izi ndikupeza upangiri wofunikira.
Ziphuphu izi zabwera ndipo zapita, kodi zingabwererenso?
Inde, zitha kuchitika. Zinthu zina zingayambitse ziphuphuzi kapena kuipiraipira. Timazitcha 'zoyambitsa'.
Choyambitsa chachikulu ndi kuwala kwa dzuwa. Kukhudzidwa ndi kuwala kwa ultraviolet (UV) kuchokera ku dzuwa kungapangitse kuti ziphuphu ziwonjezeke mwa munthu amene ali ndi lupus kapena rosacea . Izi zimatchedwa photosensitivity .
Zinthu zimenezi zimasiyana malinga ndi munthu. Mutha kulankhula ndi dokotala wanu kuti mudziwe zinthu zomwe zimayambitsa matendawa ndikupeza upangiri wa momwe mungapewere. Mwachitsanzo, mungagwiritse ntchito mafuta abwino oteteza khungu ku dzuwa , kuvala chipewa, komanso kuvala zovala zophimba thupi lanu mukapita padzuwa.
Kodi izi zitha kuphimbidwa ndi zodzoladzola?
Inde, palibe cholakwika ndi kugwiritsa ntchito zodzoladzola kuti mubise ziphuphu kwakanthawi. Koma lankhulani ndi dokotala wanu za kusankha zinthu zomwe sizimayambitsa ziwengo komanso zoyenera mtundu wa khungu lanu. Komanso, onetsetsani kuti mwatsuka bwino ndikuchotsa zodzoladzola zonse pankhope panu musanagone usiku.
Uthenga Wopita Nawo Kunyumba
- Ziphuphu pankhope ngati gulugufe (malar rash) zimatha kuchitika pazifukwa zosiyanasiyana. Zingakhale vuto la khungu kapena chizindikiro cha matenda aakulu.
- Ichi chingakhale chizindikiro chachikulu cha lupus, koma chingayambitsidwenso ndi matenda ena a pakhungu, monga rosacea .
- Zinthu zina zomwe zimayambitsa matendawa, monga kuwala kwa dzuwa, zimatha kuipiraipira kapena kuyambitsa ziphuphu zatsopano.
- Ngati muli ndi ziphuphu pankhope panu zomwe simukudziwa chifukwa chake chenicheni, musanyalanyaze ndipo mukaonane ndi dokotala wanu.
- Ngati matenda apezeka bwino, chithandizo chamankhwala, komanso kusintha moyo wanu, vutoli lingathe kuthetsedwa bwino. Choncho musachite mantha.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi ziphuphu za gulugufe / ziphuphu za malar ndi chiyani?
Imeneyi si matenda wamba a pakhungu! 'Butterfly Rash' ndi ziphuphu zoopsa zomwe zimaonekera ngati ziphuphu zofiira/zofiirira zomwe zimafalikira pamphuno ya munthu ndikutsika m'masaya onse awiri (monga mapiko a gulugufe), koma sizimafalikira kuchokera pamphuno kupita ku makutu a nasolabial! Ichi nthawi zambiri chimakhala chizindikiro chachikulu cha matenda aakulu amkati!
💬 Kodi chifukwa chachikulu cha ziphuphu zofiira ngati gulugufe (Malar Rash) pankhope n'chiyani?
Chifukwa chachikulu komanso choopsa kwambiri cha izi ndi kukula kwa matenda oopsa a autoimmune otchedwa 'Lupus (Systemic Lupus Erythematosus / SLE)'! Pachifukwa ichi, chitetezo chathu chamthupi chimasokonekera ndipo chimaukira khungu lathu, chiwindi, impso, ndi mtima nthawi zonse. Kuphatikiza apo, izi zitha kuyambitsidwanso ndi 'Rosacea' (kufiira kwa khungu) ndi matenda oopsa a bakiteriya kumaso (Cellulitis/Erysipelas).
💬 Ngati chiphuphu cha gulugufe chaonekera, mungadziwe bwanji ngati ndi 'Lupus'? N’chifukwa chiyani muyenera kugonekedwa m’chipatala?
Ngati ziphuphu za gulugufezi zikuyaka ngati moto/zikuwonjezeka mukamapita padzuwa (Photosensitivity), pamodzi ndi 'mafupa onse m'manja/zala akutupa komanso akupweteka (Arthritis),' ngati pali zilonda zosalekeza mkamwa/mphuno (zilonda za mkamwa) ndipo ngati mukumva kutopa kwambiri, ndithudi ndi Lupus! Izi zingayambitse kulephera kwa impso/mtima ndi imfa mkati mwa miyezi ingapo, choncho muyenera kuonana ndi katswiri wa matenda a Rheumatologist nthawi yomweyo!
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