Tiyeni tiphunzire za matuza a m'madzi omwe amavutitsa omwe amaonekera pa kanjedza ndi pansi pa mapazi (Dyshidrotic Eczema)?

Kodi muli ndi matuza ang'onoang'ono okwiyitsa pakati pa zala zanu, m'manja mwanu, kapena m'mapazi anu, omwenso ndi ouma, osweka, komanso oyabwa? Nthawi zina kuyabwa kumatha kukhala koopsa kwambiri moti kumakudzutsani usiku. Ngati mwakumanapo ndi izi, lero tikambirana za nkhani yofunika kwambiri kwa inu. M'mawu azachipatala, timatcha vutoli Dyshidrotic Eczema . Anthu ena amalitchanso Dyshidrosis kapena Pompholyx. Matendawa ndi a gulu la matenda a pakhungu lotchedwa Eczema. Siwowopsa monga momwe mungaganizire, koma amatha kukhala okwiyitsa kwambiri kotero kuti angasokoneze zochita zanu za tsiku ndi tsiku. Chifukwa chake musadandaule, tidzakambirana momveka bwino.

Kodi zizindikiro za matendawa ndi ziti?

Zizindikiro za dyshidrotic eczema nthawi zambiri zimabwera mwadzidzidzi, zimatenga milungu ingapo, kenako zimatha. Zikatero, kusintha kwakukulu kumakhala pakhungu lanu.

Mwachidule, matuza awa ali ngati ngale zazing'ono zodzazidwa ndi madzi. Nthawi zina amakhala ang'onoang'ono ngati mutu wa pini . Koma nthawi zina matuza ang'onoang'ono awa amatha kulumikizana pamodzi ndikukhala matuza akuluakulu. Matuza awa akauma, khungu lomwe lili pamalopo limayamba kung'ambika ngati mamba, ndipo khungu limathanso kusweka.

Zizindikiro zazikulu zomwe zimawonedwa ndi izi:

• Matuza ang'onoang'ono komanso olimba amadzi: Izi ndiye chizindikiro chachikulu cha matendawa. Amapezeka kwambiri m'mbali mwa zala, m'manja, ndi m'mapazi.
• Kuyabwa kwambiri: Matuza awa angayambitse kuyabwa kosapiririka.
• Ululu: Nthawi zina pangakhale ululu kapena kuuma pamalo pomwe matuza apangika.
• Kuchotsa khungu: Matuza akauma, khungu lomwe lili pamalopo limachotsa khungu.
• Kusintha kwa mtundu wa khungu: Anthu ena angakumane ndi kusintha kwakanthawi kwa mtundu wa khungu m'dera lomwe lakhudzidwa matendawa atachira.
• Kutuluka thukuta kwambiri: Anthu ena omwe ali ndi vutoli amatuluka thukuta losazolowereka m'manja ndi m'mapazi awo.
• Kuuma ndi kusweka kwa khungu: Matuza akachira, khungu lomwe lili pamalopo limatha kuuma ndikukhala ndi ming'alu yopweteka kwambiri.

Nthawi zina zoopsa kwambiri, matuza amenewa amatha kufalikira mpaka pamwamba pa zala, manja, ndi mapazi. Komabe, safalikira ku ziwalo zina za thupi .

N’chifukwa chiyani chinthu chonga ichi chimachitika?

Madokotala sakudziwabe chomwe chimayambitsa Dyshidrotic Eczema, koma amakhulupirira kuti imayamba chifukwa cha majini ndi zinthu zachilengedwe .Onse awiri amakhudzidwa. Izi zikutanthauza kuti, uwu ndi matenda omwe angachokere kwa makolo. Ngati amayi anu, abambo anu, kapena m'bale wanu ali ndi vutoli, muli ndi mwayi waukulu woti mudwale nalo. Komanso, zinthu zina zomwe zili m'malo mwathu, monga zinthu zomwe zimayambitsa ziwengo kapena kupsinjika maganizo, zingayambitse zizindikirozi.

Kodi ndi zinthu ziti zomwe zimayambitsa matendawa?

Pali zifukwa zingapo zomwe zizindikirozi zimatha kukulirakulira mwadzidzidzi, kapena zomwe timatcha "kutupa." Nthawi zina chimodzi kapena zingapo mwa zifukwazi zimapangitsa kuti matendawa achuluke.

Ndani amene ali pachiwopsezo chachikulu chotenga matendawa?

Ngakhale kuti vutoli likhoza kufalikira mwa aliyense, anthu ena ali ndi mwayi waukulu woti adwale matendawa.

• Ngati muli ndi zaka pakati pa 20 ndi 40 .
• Ngati ndinu mkazi .
• Ngati wina m'banja mwanu ali ndi eczema .
• Ngati muli ndi vuto la ziwengo mukakhudza chinthu china chake.
• Ngati mwalandira ma antibodies ena kuti muwonjezere chitetezo chanu cha mthupi.
• Ngati mukumwa mankhwala enaake, monga aspirin kapena mapiritsi oletsa kubereka .

Chimachitika ndi chiyani ngati muluma? (Zovuta)

Kuyabwa komwe kumabwera ndi matuza awa n'kovuta kwambiri kupirira. Koma ngati mukanda matuza awa, khungu likhoza kuwonongeka ndipo kachilombo ka bakiteriya kangayambe. Ngati izi zitachitika, mabala amatha kutuluka mafinya, kutupa, komanso kupweteka kwambiri. Ngati muwona zizindikiro za matenda otere, pitani kwa dokotala nthawi yomweyo . Iye adzakupatsani mankhwala opha mabakiteriya ofunikira.

Pakapita nthawi, khungu la m'manja ndi m'mapazi anu likhoza kukhala lokhuthala, louma, komanso losweka chifukwa chokanda nthawi zonse. Popeza vutoli limawonekera m'manja ndi m'mapazi anu, anthu ena amatha kuchita manyazi komanso kusamasuka pagulu. Kupsinjika maganizo komwe kumachitika chifukwa cha izi kungayambitse kuphulika kwina. Chifukwa chake, thanzi la khungu lanu ndi lofunika kwambiri monga thanzi lanu la maganizo . Musazengereze kulankhula ndi dokotala wanu za izi.

Dokotala, mumazindikira bwanji izi?

Mukapita kukaonana ndi dokotala, chinthu choyamba chimene angachite ndi kufufuza mosamala malo omwe akhudzidwa ndi khungu lanu. Kenako, adzakufunsani za mbiri yanu yachipatala komanso ngati pali aliyense m'banja mwanu amene wakhala ndi matenda ofanana ndi anu pakhungu.

Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala atsopano omwe mwayamba kugwiritsa ntchito posachedwapa.

• Mtundu watsopano wa sopo, kirimu, shampu
• Zodzikongoletsera zomwe zangogulidwa kumene (makamaka zongopeka)
• Mtundu watsopano wa chakudya

Chidziwitsochi chidzakuthandizani kwambiri kupeza chomwe chikuchititsa kuti matenda anu aipireipire.

Nthawi zina, kuti atsimikizire matendawa ndikuchotsa matenda ena omwe ali ndi zizindikiro zofanana (monga contact dermatitis, matenda a manja, mapazi, ndi pakamwa), dokotala wanu angafunenso mayeso angapo, monga:

• Mayeso a ziwengo
• Kuyeza khungu ndi njira yoyezera yomwe imafuna kutenga chidutswa chaching'ono cha khungu.
• Kuyezetsa magazi

Kodi mankhwala ochizira izi ndi otani?

Pali zolinga zazikulu zingapo pochiza dyshidrotic eczema: kuchepetsa kuyabwa ndi ululu, kupewa matenda, komanso kuchepetsa kubwereranso kwa matendawa.

Zinthu zomwe mungachite kunyumba

Mukakhala ndi zizindikiro zochepa, pali zinthu zosavuta zomwe mungachite kunyumba.

• Sambani ndi madzi ozizira: Zilowetseni manja ndi mapazi omwe akhudzidwa m'madzi ozizira kwa kanthawi. Izi zichepetsa kuyabwa ndikupereka mpumulo.
• Konzani bwino: Zilowerereni nsalu yoyera m'madzi ozizira ndikuyiyika pamalo otupa kwa mphindi 10-15. Kenako ilole kuti iume bwino ndipo nthawi yomweyo ikani mafuta odzola bwino .
• Kugwiritsa ntchito mafuta odzola: Matendawa amafooketsa chitetezo cha khungu. Chifukwa chake, ndikofunikira kugwiritsa ntchito mafuta odzola abwino komanso osanunkhira pafupipafupi tsiku lonse. Izi zitha kuletsa khungu kuti lisaume ndi kusweka.

Chithandizo chomwe dokotala akulangiza

Ngati chisamaliro cha kunyumba sichikwanira kuthetsa vutoli, dokotala wanu adzakupatsani mankhwala.

• Mafuta ndi Zodzola:
• Mafuta odzola a Corticosteroid: Awa ndi mankhwala omwe amagwiritsidwa ntchito kwambiri. Amathandiza kuchepetsa kuyabwa ndi kutupa. Ngakhale kuti mafuta odzola ofatsa monga hydrocortisone amapezeka mu kauntala, dokotala angakupatseni mafuta amphamvu a steroid pa milandu yoopsa kwambiri.
• Mafuta odzola osakhala a steroidal: Mankhwala oletsa calcineurin, monga tacrolimus kapena pimecrolimus, nthawi zina amaperekedwa.
• Mitundu ya mapiritsi:
• Mankhwala oletsa kuyabwa: Mapiritsi monga `(Fexofenadine)` kapena `(Cetirizine)` angathandize kuchepetsa kuyabwa.
• Mankhwala a Corticosteroids Omwe Amamwa: Pa milandu yoopsa kwambiri, mapiritsi ngati `(Prednisone)` angaperekedwe kwa nthawi yochepa.
• Mankhwala ena:
• Mankhwala oletsa chitetezo chamthupi: Mankhwala monga `(Methotrexate)`, `(Mycophenolate)`, kapena jakisoni monga `(Dupilumab)` amagwiritsidwa ntchito pazochitika zoopsa kwambiri zomwe sizikugwirizana ndi mankhwala ena.
• Phototherapy: Njira yochizira khungu pogwiritsa ntchito kuwala kwa ultraviolet (UV).

Kodi muyenera kupita kwa dokotala liti?

Ngati zizindikiro zanu zili zatsopano kapena zikuipiraipira, onetsetsani kuti mwaonana ndi dokotala. Funsani upangiri wa dokotala nthawi yomweyo, makamaka ngati muwona zizindikiro za matenda .

• Mafinya akutuluka m'mabala
• Ululu waukulu
• Kutupa
• Kumva kutentha mukakhudza
• Kupangika kwa chikasu

Ngati muli ndi zizindikiro izi, mwina ndi matenda a bakiteriya, ndipo ndikofunikira kupeza chithandizo mwachangu.

Kodi ndingatani kuti izi zisabwerezenso?

Ngakhale kuti vutoli silingathe kuchiritsidwa kwathunthu, kufalikira kwa matenda pafupipafupi kumatha kuthetsedwa mwa kupewa zinthu zomwe zimayambitsa matendawa ndikusamalira bwino khungu lanu.

• Mukasamba m'manja, gwiritsani ntchito madzi ofunda m'malo mwa madzi otentha .
• Ngati mwakhudza chinthu chomwe mukudziwa kuti muli ndi vuto la ziwengo, sambitsani malowo bwino nthawi yomweyo .
• Valani magolovesi mukamatsuka mbale kapena mukamagwira ntchito ndi mankhwala oopsa.
• Ngati muli ndi vuto la ziwengo chifukwa cha zitsulo, pewani kuvala zodzikongoletsera zongoyerekeza .
• Umitsani manja ndi mapazi anu bwino mukatha kusamba kapena kusambira. Musawasiye atanyowa.
• Yesani kuchepetsa nkhawa . Zinthu monga kusinkhasinkha ndi kuchita masewera olimbitsa thupi zingathandize pa izi.

Vutoli lingapangitse kuti zikhale zopweteka kuchita ntchito za tsiku ndi tsiku, nthawi zina ngakhale kunyamula kapu ya khofi kapena kugwirana chanza ndi munthu wina. Koma ndi chithandizo choyenera komanso chisamaliro cha khungu, mutha kuthana ndi mavutowa ndikusangalala kuchita zinthu zomwe mumakonda. Dokotala wanu alipo kuti akuthandizeni pa izi.