Kodi mukumvanso matuza ang'onoang'ono amadzi m'manja ndi m'mapazi omwe amakuyabwa? Zingakhale dyshidrotic eczema!

Kodi muli ndi matuza ang'onoang'ono, amadzi m'manja mwanu, pakati pa zala zanu, kapena m'manja mwanu omwe amayabwa kwambiri? Nthawi zina matuza awa akauma, khungu limasweka ndipo limakhala lopweteka, zomwe zimapangitsa kuti pakhale mavuto ambiri? Ndiye mutha kukhala ndi vuto la khungu lotchedwa 'Dyshidrotic Eczema'. Musadandaule, tikambirana izi mwatsatanetsatane komanso mosavuta lero.

Kodi Dyshidrotic Eczema ndi chiyani?

Mwachidule, ndi vuto la pakhungu lomwe limatenga nthawi yayitali, kapena kuti, limakhalapo kwa nthawi yayitali . Limadziwika ndi kukula kwa matuza ang'onoang'ono odzaza ndi madzi pa zala, m'manja, ndipo nthawi zina pansi pa mapazi. Khungu limathanso kuuma ndi kuyabwa . Taganizirani ngati matuza ang'onoang'ono a sopo.

Matendawa ali ndi mayina ena angapo. Anthu ena amawatchanso kuti Dyshidrosis, Acute Palmoplantar Eczema, Vesiculobullous Dermatitis, kapena Pompholyx. Ngakhale kuti ali ndi mayina ambiri, zizindikiro zake zimakhala zofanana kwambiri.

Ndani amene ali ndi mwayi waukulu wopeza vutoli?

Aliyense akhoza kudwala dyshidrotic eczema. Komabe, anthu ena ali ndi mwayi waukulu woti adwale matendawa. Tiyeni tiwone omwe ali:

• Kawirikawiri kwa anthu azaka zapakati pa 20 ndi 40 .
• Vutoli ndi lofala kwa akazi .
• Ngati inu kapena wina m'banja mwanu mudadwalapo eczema kale.
• Kwa iwo omwe adadwalapo contact dermatitis .
• Anthu ena amakhala ndi vuto la ziwengo pamene chinthu chachilendo, chomwe ndi antigen, chikakhudza thupi lawo. Izi zingachitikirenso anthu otere.
• Matendawa nthawi zina amatha kuchitika mwa anthu omwe amalandira jakisoni wa antibody, kutanthauza, intravenous immunoglobulin (IVIG), yomwe imaperekedwa kwa anthu omwe ali ndi chitetezo chamthupi chofooka.

Mwachitsanzo, akazi ena amavala zodzikongoletsera zomwe zimawakhudza m'manja nthawi zambiri. Ofufuza amati zitsulo monga nickel kapena cobalt zomwe zili mu zodzikongoletserazi zitha kukhalanso chifukwa cha eczema iyi. Ichi mwina ndichifukwa chake imapezeka kwambiri mwa akazi. Ponseponse, pafupifupi 50% ya anthu omwe ali ndi dyshidrotic eczema amakhala ndi vuto la antigen.

Kodi vutoli ndi lofala bwanji?

M'malo ogwirira ntchito kapena kuchipatala, pakati pa 5% ndi 20% ya milandu ya dermatitis yamanja imanenedwa kuti imayambitsidwa ndi dyshidrotic eczema.

Kodi dyshidrotic eczema imakhudza bwanji thupi?

Matendawa amakhudza kwambiri khungu la m'manja mwanu, m'mbali mwa zala zanu, komanso pansi pa mapazi anu .

Matuza ang'onoang'ono pakhungu lanu omwe amaoneka ngati sopoMatuza awa nthawi zambiri amakhala ndi kukula kwa milimita imodzi kapena ziwiri. Komabe, nthawi zina matuza ang'onoang'ono awa amatha kulumikizana kuti apange chithuza chimodzi chachikulu.

Matuza awa akauma, khungu lomwe lili pamalopo likhoza kukhala ndi mamba ndi ming'alu . Likhozanso kupweteka pang'ono.

Kodi zizindikiro zake ndi ziti?

Zizindikiro za dyshidrotic eczema zimatha kubwera mwadzidzidzi, kutha patatha masiku angapo, kenako nkubwereranso. Zizindikirozi zimatha kwa milungu ingapo. Yang'anani ngati muli ndi zizindikiro izi:

• Matuza ang'onoang'ono komanso olimba amaonekera m'manja, m'mbali mwa zala, ndi pansi pa mapazi.
• Matuza awa nthawi zina amakhala opweteka .
• Kuyabwa kwambiri ndi kukwawa kwa khungu pa kapena mozungulira matuza.
• Kuchuluka kwa thukuta komwe kumayenderana ndi matuza.
• Pamene matuza akutha, khungu pamalopo limauma komanso limasweka .

Ngati mukanda madera amenewa pafupipafupi, khungu likhoza kukhala lolimba. Matuza akuluakulu kapena malo okhala ndi matuza ambiri nthawi zina amatha kukhala ndi kachilomboka . Chifukwa chake ndikofunikira kuwongolera kukanda momwe mungathere.

Kodi n’chiyani chimayambitsa vutoli? (Zimayambitsa)

Madokotala ndi ofufuza sakudziwabe chomwe chimayambitsa dyshidrosis, koma amakhulupirira kuti ikhoza kuyambitsidwa ndi zinthu zosiyanasiyana.

• Kusagwira bwino ntchito kwa chitetezo chamthupi: Ngati muli ndi dyshidrotic eczema, chitetezo chamthupi chanu chingakhudzidwe kwambiri ndi zinthu zazing'ono zoyambitsa kukwiya kapena zinthu zina zomwe zimayambitsa ziwengo. Kuchuluka kumeneku kumayambitsa kutupa kwa khungu.
• Ziwengo: Kukumana ndi zinthu zina monga simenti, nickel, cobalt, ndi chromium kungapangitse kuti eczema iyi ikule kwambiri. Zingawonjezerenso chifukwa cha ziwengo zina monga hay fever/allergy rhinitis kapena ziwengo zina za chakudya.
• Chinyezi: Dyshidrotic eczema ingathenso kuchitika chifukwa cha thukuta nthawi zonse komanso kunyowa m'manja kapena mapazi. Izi ndi zinthu zofunika kusamala nazo chifukwa cha nyengo m'dziko lathu.

Kodi izi zikufalikira? Kodi zikufalikira?

Nthawi zina zoopsa kwambiri, matuza amenewa amatha kukula ndikufalikira kumbuyo kwa manja, mapazi, ndi zala, koma safalikira mbali zina za thupi.

Chofunika kwambiri ndichakuti dyshidrotic eczema si yopatsirana. Simungathe kufalitsa kwa wina.

Komabe, ngati muphwanya khungu mwa kukanda matuza, zingayambitse matenda. Ngati matuza atenga kachilombo, muyenera kuonana ndi dokotala. Kenako angakupatseni mankhwala opha tizilombo toyambitsa matenda.

Kodi mumazindikira bwanji izi?

Mukapita kwa dokotala, adzafufuza madera omwe akhudzidwa ndi khungu lanu. Angafunse mafunso monga ngati muli ndi nkhawa kwambiri, ngati pali aliyense m'banja mwanu amene ali ndi vutoli, ngati mwagwiritsa ntchito zinthu zatsopano pakhungu, mwavala zodzikongoletsera zatsopano, kapena mwadya zakudya zatsopano.

Kodi mayeso oyezetsa matenda ndi ati?

Dokotala wanu angafune mayeso ena kuti atsimikizire matenda anu kapena kuchotsa matenda ena ofanana nawo, monga contact dermatitis, bullous pemphigoid, ndi matenda a manja, mapazi, ndi pakamwa. Izi zingaphatikizepo:

• Mayeso a ziwengo.
• Kutenga kachidutswa kakang'ono ka khungu kuti kakayesedwe (Biopsy).
• Kuyezetsa magazi.

Kodi mungachiritse bwanji dyshidrotic eczema?

Anthu ambiri amayamba ndi kuthana ndi vutoli ndi njira yosamalira khungu kunyumba.

Ndi mankhwala otani omwe angachitike kunyumba?

• Gwiritsani ntchito madzi ofunda m'malo mwa madzi otentha mukamatsuka m'manja.
• Zilowerereni manja ndi mapazi anu m'madzi ozizira kwa kanthawi kuti muchepetse zizindikiro.
• Kuti muchepetse kuyabwa ndi kutupa , ikani ma compress ozizira ndi nsalu yoyera yoviikidwa m'madzi ozizira ngati pakufunika. Siyani kwa mphindi 10-15, lolani mpweya uume, kenako pakani mafuta odzola bwino. Ndi bwino kuchita izi katatu kapena kanayi patsiku.
• Kuti khungu lisaume, pakani mafuta odzola bwino kangapo patsiku. Izi ndizofunikira kwambiri.
• Umitsani manja ndi mapazi anu mwachangu komanso bwino mukatha kusamba kapena kusambira.
• Ngati n'kotheka, chepetsani kuchuluka kwa masokosi, masokisi, ndi nsapato zomwe mumavala. Ngati mukuyeneradi kuvala, valani masokosi a thonje kapena ubweya omwe amayamwa chinyezi ndi nsapato zomwe zimapuma bwino ndipo sizimapanikiza mapazi anu.

Dokotala wanu angakupatseni mankhwala ogulitsidwa kunja kwa kampani (OTC), monga mafuta odzola a corticosteroid kapena mafuta odzola . Angakulembeninso mankhwala oletsa kutupa (monga fexofenadine ndi cetirizine). Izi zingathandize kuchepetsa kutupa ndi kuyabwa.

Ndi mankhwala otani omwe amaperekedwa malinga ndi malangizo a dokotala?

Ngati dyshidrotic eczema ndi yoopsa kwambiri, dokotala wanu angakulangizeni mankhwala ngati awa kuti athandize kuchepetsa zizindikiro:

• Mankhwala a corticosteroid m'thupi lonse: Ngati mafuta a corticosteroid apakhungu sapereka mpumulo, dokotala wanu angakulembereni mankhwala a corticosteroid opangidwa pakamwa, monga prednisone.
• Mankhwala oletsa chitetezo chamthupi omwe si a steroidal:Popeza kumwa mankhwala a steroid kwa nthawi yayitali kungakhale kovulaza thanzi lanu, dokotala wanu angakulangizeni mankhwala monga mapiritsi a methotrexate, mapiritsi a mycophenolate, kapena jakisoni wa dupilumab.
• Kuchiza ndi Phototherapy: Izi zimaphatikizapo kugwiritsa ntchito nyali zapadera kuti zitsogolere kuwala kwa ultraviolet, komwe nthawi zambiri kumakhala kuwala kwa ultraviolet B (UVB), pakhungu. Kuwala kwa UV kumeneku kungathandize kuchiza matenda ena a pakhungu, kuphatikizapo dyshidrotic eczema. Komabe, kuwala kwa UVB kungayambitse mawanga akuda (hyperpigmentation) kwa anthu omwe ali ndi khungu lakuda, choncho ndi bwino kulankhula ndi dokotala wanu za izi ngati muli ndi khungu lakuda.

Kodi pali njira yochotsera izi mwachangu?

Inde, thupi la aliyense ndi losiyana. Anthu ena angapeze mpumulo pogwiritsa ntchito mankhwala apakhomo komanso mankhwala ogulitsidwa kunja kwa chipatala. Ena angafunike mafuta amphamvu a corticosteroid monga Clobetasol.

Dyshidrotic eczema nthawi zambiri imakula bwino mukalandira chithandizo, koma imatha kubwereranso pakapita nthawi. Chifukwa chake, mungafunike kutsatira njira inayake yosamalira khungu kapena kupitiriza kugwiritsa ntchito mankhwala kuti muchepetse zizindikiro zanu.

Kodi dyshidrotic eczema ingapewedwe?

Mwatsoka, dyshidrotic eczema singathe kupewedwa kotheratu. Ndi matenda a nthawi yayitali omwe amatha kubuka nthawi ndi nthawi m'moyo wonse . Komabe, kuphulika kumatha kuthetsedwa.

Kodi muyenera kuchita chiyani ngati muli ndi dyshidrotic eczema?

Ngati muli ndi dyshidrotic eczema, pali zinthu zomwe mungachite kuti muchepetse kuphulika kwa khungu. Kutsatira njira yabwino yosamalira khungu komanso kugwiritsa ntchito mankhwala monga antihistamines kungathandize kuchepetsa zizindikiro. Ngati pakufunika, pali njira zina zochiritsira, monga phototherapy.

Anthu ambiri amakhala ndi dyshidrotic eczema, koma nthawi zina zimakhala zovuta. Mutha kukhala ndi vutoli kamodzi koma osabwereranso, kapena lingabukenso mobwerezabwereza m'moyo wanu wonse. Nthawi zina, zizindikiro zimatha kutha kwathunthu. Nthawi zimenezi zimatchedwa nthawi zopumula. Kusamalira bwino khungu ndi chithandizo kungathandize kupewa kuphulika kwa khungu ndikuwonjezera nthawi zopumula.

Kumbukirani, pewani zinthu zoyambitsa khungu, pakani mafuta odzola pakhungu lanu, imwani mankhwala olembedwa ndi dokotala, ndipo tsatirani malangizo a dokotala wanu.

Pali zinthu zingapo zomwe mungachite kuti muchepetse ululu womwe umabwera chifukwa cha matuza anu:

• Tsukani malo okhudzidwa ndi sopo wofatsa .
• Pakani kirimu kapena mafuta ophera tizilombo toyambitsa matenda .
• Phimbani malo omwe akhudzidwa ndi bandeji kapena chidutswa cha gauze .
• Sinthani bandeji kamodzi patsiku.

Zingawoneke ngati lingaliro labwino kumasula chithupsacho ndikuchichotsa. Komabe, kuchita zimenezo si lingaliro labwino konse. Khungu lomwe lili pamwamba pa chithupsacho lilipo kuti liteteze zigawo za khungu zomwe zili pansi pake ku matenda.

Kodi muyenera kupita kwa dokotala liti?

Ndi bwino kupita kwa dokotala mwamsanga mukangoona matuza m'manja, zala, kapena mapazi. Mukayamba chithandizo msanga, zimakhala zosavuta kuwongolera vutoli.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

• Kodi mungadziwe bwanji ngati ndili ndi dyshidrotic eczema?
• Ngati ndilibe dyshidrotic eczema, ndi matenda ena ati a pakhungu omwe ndingakhale nawo?
• Kodi pali kirimu kapena mafuta odzola omwe mungamupatse?
• Ndi mankhwala ati omwe mumalimbikitsa?
• Kodi ndi mankhwala ati apakhomo omwe mumalimbikitsa?
• Kodi pali mafuta odzola omwe mumalimbikitsa?
• Kodi ndiyenera kupita kwa dokotala wa khungu kapena katswiri wina?

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Dyshidrotic eczema ndi matenda ofala pakhungu omwe amatha kukhala opweteka komanso oyabwa. Mutha kukhala nawo kamodzi kokha m'moyo wanu koma osawapezanso, kapena angabwerezedwenso nthawi ndi nthawi m'moyo wanu wonse. Ngati muli ndi khungu lopweteka, lotupa, komanso loyabwa, onetsetsani kuti mwalankhula ndi dokotala.

Chofunika kwambiri ndikupempha upangiri woyenera kwa dokotala mukangozindikira zizindikiro. Musamangochita zomwe mukumva kapena kupita kukalandira chithandizo kutengera zomwe ena akunena. Nthawi zina, zimatha kuipitsa vutoli.

Matenda ofatsa a dyshidrotic eczema amatha kuchiritsidwa ndi mafuta odzola, mafuta odzola, ndi mankhwala ogulitsidwa kunja kwa ofesi. Matenda owopsa angafunike mankhwala olembedwa ndi dokotala kapena mankhwala ena. Mwa kutsatira njira yoyenera yosamalira khungu, mutha kuchepetsa zotsatira za dyshidrotic eczema ndikukhalabe ndi thanzi labwino.

Dyshidrotic eczema, matuza m'manja, matuza m'mapazi, khungu loyabwa, pompholyx, dermatology, chisamaliro cha khungu