Kodi munayamba mwaonapo kuti miyendo yanu, makamaka akakolo, ili ndi ziphuphu zofiira, zopweteka, komanso zazing'ono zomwe zimawonekera pa iyo? Nthawi zina, izi zimatha kubwera ndi malungo komanso kumva kufooka. Uwu ndi matenda a pakhungu omwe tikambirane lero otchedwa `(Erythema Nodosum)`. Palibe choopa, mukadziwa bwino izi, zinthu zambiri zidzamveka bwino.
Ndiye kodi ichi ndi chiyani (Erythema Nodosum)?
Mwachidule, `(Erythema Nodosum)` ndi kutupa kwa mafuta omwe ali pansi pa khungu lathu. Taganizirani ngati chinachake mkati mwa khungu lathu chikutupa. Chomwe chimachitika pamenepa ndichakuti timibulu tofiira, totentha pang'ono, komanso tofewa timaonekera pa miyendo yanu, makamaka pa miyendo pansi pa mawondo. Timibuluto tingaoneke osati kamodzi kapena kawiri kokha, koma nthawi zina kangapo. Chofunika kwambiri ndichakuti si matenda omwe amangochitika. Nthawi zambiri, zimachitika ngati 'njira yothana ndi matenda' ena, matenda, kapena mankhwala m'thupi. Mwanjira ina, timibuluto timeneti tingakhale chizindikiro cha vuto lina mkati mwa thupi.
Ndani angapange `(Erythema Nodosum)` iyi?
Ndipotu, vutoli limatha kuchitika pa msinkhu uliwonse, mwa aliyense. Komabe, kafukufuku wasonyeza kuti akazi ndi omwe ali ndi mwayi waukulu wolidwala. Pakati pawo, limapezeka kwambiri pakati pa atsikana azaka zapakati pa 20 ndi 30. Komabe, si zosatheka kuti amuna, ana, ndi okalamba ali ndi vutoli.
Tsopano mwina mukudzifunsa kuti, 'Kodi izi zingandichitikirenso ine?' Nawa anthu ena omwe ali pachiwopsezo chachikulu chotenga matendawa. Mwachitsanzo:
- Ngati muli ndi matenda (monga kupweteka pakhosi, matenda pachifuwa).
- Ngati muli ndi vuto ngati matenda a kutupa m'matumbo (IBD).
- Ngati mukumwa mankhwala enaake (tidzakambirana za izi mwatsatanetsatane pambuyo pake).
Muzochitika zotere, kuthekera kopanga `(Erythema Nodosum)` kumakhala kwakukulu.
Kodi izi ndizofala bwanji?
Ndipotu, `(Erythema Nodosum)` si matenda ofala kwambiri. Malinga ndi ziwerengero, akuti pakati pa munthu m'modzi (1) ndi asanu (5) mwa anthu 100,000 ali ndi matendawa. Izi zikutanthauza kuti si aliyense amene angakumane nawo. Komabe, si bwino kunyalanyaza matendawa chifukwa pakhoza kukhala chifukwa china chomwe chikuchititsa izi.
Kodi Erythema Nodosum imakhudza bwanji thupi langa?
Chinthu chachikulu chomwe chimachitika ndichakuti mumapeza ziphuphu (`nodules`) pakhungu lanu. Ziphuphu zimenezi zimakhala zofewa kukhudza, ndipo nthawi zina zimakhala zopweteka kuzigwira. Zimamvanso kutentha pang'ono kukhudza.Mudzamva. Chifukwa cha izi, malo omwe pali ziphuphu angakhale osasangalatsa kwambiri. Tangoganizirani momwe zingakhalire zovuta ngati zingakupwetekeni kwambiri moti simungathe ngakhale kuyika phazi lanu pansi.
Chinanso n'chakuti pamene ziphuphuzi zikuchira, mungazindikire kuti zimasintha mtundu . Zingayambe kufiira, kenako n’kukhala zofiirira, kenako n’kukhala zofiirira. Zimawoneka ngati bala. Pamapeto pake, khungu lanu lidzabwerera ku mtundu wake wamba. Kusintha kwa mtundu kumeneku ndi kwachibadwa, choncho musadandaule nazo.
Kodi zizindikiro za `(Erythema Nodosum)` ndi ziti?
Zizindikiro zimenezi zimatha kusiyana malinga ndi munthu. Ena angamve kwambiri, pomwe ena angamve pang'ono.
Zizindikiro zazikulu ndi zomwe zimawonekera pakhungu:
- Kuoneka kwa ziphuphu pakhungu (`nodules`): Ichi ndiye chizindikiro chachikulu.
- Ziphuphu zimakhala zofunda ndipo zimasintha mtundu: Zimafunda zikakhudza. Poyamba zimakhala zofiira, kenako zimakhala zofiirira, ngati bala.
- Ziphuphuzo zimapweteka: Zimapweteka mukakhudzidwa kapena mukakhala pomwepo.
- Kuphwanyika ndi kusintha mtundu pamene ziphuphu zikuchira: Pakatha milungu ingapo, ziphuphuzi zimaphwanyika pang'onopang'ono, kuchoka pa utoto wofiirira kupita pa bulauni, kenako zimazimiririka kwathunthu.
Kuwonjezera pa izi, zizindikiro zina zingawonekere:
- Malungo: Mungathe kutenga malungo ngati thupi lanu latentha kwambiri.
- Kufooka: Kumva kufooka ndi kusasangalala, ngati kuti ukuyamba kudwala.
- Kutopa: Kungomva kutopa, mpaka kufika poti sindingathe kuchita chilichonse.
- Kupweteka kwa mafupa: Kupweteka kwa mafupa kumatha kuchitika m'miyendo. Taganizirani izi, sikuti ndi kupweteka kwa mafupa okha, komanso kungapangitse kuyenda kukhala kovuta. Mwachitsanzo, anthu ena amamva kupweteka m'malo monga mawondo ndi akakolo awo.
Chofunika: Ngati muli ndi chimodzi mwa zizindikiro izi, ndi bwino kufunafuna upangiri wa dokotala. Musangokhala panyumba.
Kodi zizindikirozi zimakhudza kwambiri thupi lanu kuti?
Kawirikawiri, ziphuphu za `(Erythema Nodosum)` zimawoneka kutsogolo kwa miyendo (miyendo) pansi pa mawondo. Ndiko kuti, m'dera la miyendo yanu. Koma, si zokhazo. Nthawi zina ziphuphuzi zimatha kuwonekeranso m'zigawo zina za thupi. Mwachitsanzo:
- Zigawo zina za miyendo (Miyendo)
- Matako
- Ana a Ng'ombe
- Akakolo
- Matchafu
Choncho, muyenera kusamala ngati muwona ziphuphu ngati izi osati pa miyendo yanu yokha, komanso m'malo ena omwe atchulidwa.
Kodi zimayambitsa `(Erythema Nodosum)` ndi ziti?
Ndipotu, nthawi zina zimakhala zovuta kunena chomwe chimayambitsa `(Erythema Nodosum)`. Komabe, nthawi zambiri, zimawoneka ngati momwe thupi limayankhira chinthu china. Izi zikutanthauza kuti, sizingakhale chifukwa chachikulu, koma zotsatira zake .
Nthawi zina, ngakhale atayesedwa motani, palibe chifukwa chomwe chingapezeke. Mu zamankhwala, timatcha milandu yotereyi kuti "idiopathic." Izi zikutanthauza kuti palibe chifukwa chomwe chingadziwike .
Komabe, nthawi zambiri, pali zinthu zingapo zomwe zingayambitse izi:
1. Matenda opatsirana
Erythema Nodosum imatha kuyambitsidwa ndi matenda osiyanasiyana. Mitundu ina yodziwika bwino ya matenda ndi:
- Matenda a Streptococcus: Awa ndi mabakiteriya omwe amayambitsa zilonda pakhosi ndi kutupa kwa matoni. Nthawi zina, matenda ngati amenewa akachira, Erythema Nodosum imatha kubuka. Tangoganizirani kuti mwana wanu ali ndi zilonda pakhosi ndipo patatha masiku angapo amakhala ndi ziphuphu zofiira pamiyendo yake.
- Matenda opatsirana ndi mavairasi m'mapapo: Matenda opatsirana ndi mavairasi monga chimfine ndi fuluwenza.
- Chifuwa chachikulu (TB): Ichi chingakhalenso chifukwa cha Erythema Nodosum.
- Chiwindi cha chiwindi B: Matenda opatsirana omwe amakhudza chiwindi.
- Coccidioidomycosis: Iyi ndi matenda a bowa omwe si ofala kwambiri ku Sri Lanka.
- Matenda a bakiteriya otchedwa gastroenteritis: Monga chimfine cha m'mimba.
2. Matenda ena omwe amayambitsa
Nthawi zina, `(Erythema Nodosum)` imawoneka ngati chizindikiro cha matenda ena m'thupi. Matenda ena otere ndi awa:
- Matenda a m'matumbo akuluakulu ndi matenda a Crohn: Zonsezi zili m'gulu la matenda otupa m'matumbo (IBD) . Izi ndi matenda otupa omwe amakhudza matumbo akuluakulu ndi matumbo ang'onoang'ono kwa nthawi yayitali.
- Sarcoidosis: Izi zimapangitsa kuti maselo otupa (granulomas) ang'onoang'ono apangidwe m'ziwalo zosiyanasiyana za thupi.
- Matenda a nyamakazi: Matenda omwe angachitike munthu akadwala matenda a streptococcus ndipo amakhudza mtima, mafupa, ubongo, ndi khungu.
- Matenda a Behçet: Izi zingayambitse zilonda pakamwa, zilonda zoberekera, mavuto a khungu, komanso kutupa kwa maso.
- Matenda a Sweet: Matenda osowa omwe amayambitsa malungo ndi zilonda zopweteka pakhungu.
- Mimba: Musadabwe, amayi ena apakati nawonso akhoza kukumana ndi vutoli.
- Khansa ya m'magazi ndi Lymphoma: Iyi ndi mitundu ya khansa.
3. Monga zotsatira zoyipa za mankhwala ena
Mankhwala ena omwe mumamwa angayambitsenso `(Erythema Nodosum)`. Mankhwala ena otere ndi awa:
- Mankhwala opha tizilombo: Makamaka sulfonamides ndi penicillin.
- Mapiritsi oletsa kubereka.
Chofunika kwambiri: Ngati mukuganiza kuti vutoli limayamba chifukwa cha mankhwala omwe mukumwa, musasiye kumwa popanda kulankhula ndi dokotala wanu. Kusiya kumwa mankhwala mwadzidzidzi kungayambitse mavuto ena.
Kodi Erythema Nodosum ndi matenda a autoimmune?
Ili ndi vuto lomwe anthu ambiri ali nalo. `(Erythema Nodosum)` si vuto la `autoimmune immune disorder`.
Mwachidule, matenda a autoimmune ndi pamene chitetezo chathu chamthupi - chomwe chimatiteteza ku matenda - chimayamba molakwika kuukira maselo ndi minofu yathu yathanzi. Zili ngati kuukira nyumba yathu.
Komabe, sizili choncho ndi `(Erythema Nodosum)`. Chomwe chimachitika pankhaniyi ndichakuti momwe thupi limayankhira chifukwa china (matenda, matenda ena, mankhwala) zimayambitsa kutupa kwa mafuta omwe ali pansi pa khungu. Chifukwa chake, musasokoneze awiriwa.
Kodi mungazindikire bwanji `(Erythema Nodosum)`?
Ngati muli ndi zizindikiro ngati izi, chinthu choyamba chimene dokotala angachite mukapita kwa dokotala ndikuchita mayeso a thupi . Iye adzakufunsani za zizindikiro zanu, momwe zinayambira, matenda ena aliwonse omwe muli nawo, ndi mankhwala aliwonse omwe mumamwa.
Nthawi zambiri, dokotala amatha kuzindikira Erythema Nodosum kutengera mawonekedwe a ziphuphuzi komanso zomwe mwapereka.
Komabe, nthawi zina mayeso ena angafunike kuti atsimikizire matendawo ndikupeza chomwe chikuyambitsa matendawa . Mayeso oterewa akuphatikizapo:
- Kuyezetsa magazi kapena kuyezetsa magazi: Izi zingathandize kudziwa ngati pali matenda. Mwachitsanzo, matenda a strep throat kapena matenda ena a bakiteriya kapena mavairasi.
- X-ray ya pachifuwa: Izi zingathandize kufufuza matenda a m'mapapo monga chifuwa chachikulu. Zingasonyezenso zizindikiro za matenda monga sarcoidosis.
- Kuyeza khungu: Izi zimaphatikizapo kutenga khungu laling'ono kwambiri kuchokera pamalo otupa ndikuyang'ana pansi pa maikulosikopu. Si aliyense amene amafunikira izi. Kuyeza kumeneku kumachitika ngati pali kukayikira za matenda, kapena ngati pakufunika kusiyanitsa ndi matenda ena a pakhungu.
Kodi mungachiritse bwanji `(Erythema Nodosum)`?
Chithandizo cha izi chingasiyane malinga ndi munthu, makamaka chifukwa zimadalira chomwe chimayambitsa zizindikiro zanu.
Pali njira zingapo zochiritsira:
- Kuchiza matenda kapena vuto lomwe limayambitsa matendawa:Mwachitsanzo, ngati muli ndi `(Erythema Nodosum)` chifukwa cha matenda a streptococcus, muyenera kupatsidwa maantibayotiki a matendawa. Ngati ndi chifuwa chachikulu, muyenera kuyamba kulandira chithandizo cha matendawa. Ngati ndi matenda otupa m'matumbo (IBD), muyenera kupatsidwa mankhwala oletsa matendawa. Choyambitsa matendawa chikachiritsidwa, ziphuphu za `(Erythema Nodosum)` nthawi zambiri zimachira.
- Kusiya mankhwala omwe amayambitsa zizindikiro (pokhapokha ngati dokotala akupatsani upangiri!): Nthawi zina, ngati zotupazi zachitika chifukwa cha mankhwala omwe mukumwa, dokotala wanu angasiye kumwa mankhwalawo kapena kukusamutsirani mankhwala ena. Komabe, musasiye kumwa mankhwala anu popanda upangiri wa dokotala wanu.
- Kumwa mankhwala ochepetsa zizindikiro: Mankhwala angaperekedwe kuti achepetse ululu ndi kutupa (tikambirana izi posachedwa).
- Kukweza gawo la thupi lomwe lakhudzidwa: Mwachitsanzo, ngati muli ndi chotupa mwendo wanu, kwezani mwendo wanu pa pilo pamene mukugona. Izi zithandiza kuchepetsa kutupa.
- Pumulani ndipo pewani kuchita zinthu zolemetsa: Ndikofunikira kwambiri kupatsa thupi lanu mpumulo. Pewani kuthamanga, kulumpha, ndi kunyamula zinthu zolemera kwa kanthawi.
Nkhani yabwino! Nthawi zambiri, Erythema Nodosum imatha yokha mkati mwa milungu kapena miyezi ingapo popanda chithandizo chapadera. Komabe, ngati pali chifukwa chenicheni, ndikofunikira kuchichiza.
Kodi mankhwala otani omwe amaperekedwa kuti achepetse zizindikiro za `(Erythema Nodosum)` ndi ati?
Pochiza chomwe chimayambitsa vutoli, madokotala amaperekanso mankhwala oletsa zizindikiro monga kupweteka ndi kutupa komwe kumachitika chifukwa cha ziphuphuzi.
- Mankhwala oletsa kutupa osagwiritsa ntchito steroidal (NSAIDs): Awa ndi mankhwala omwe amagwiritsidwa ntchito kwambiri pochepetsa kutupa ndi ululu. Zitsanzo zake ndi ibuprofen ndi naproxen. Komabe, awa ayenera kumwedwa kokha monga momwe dokotala wanu wanenera komanso mu mlingo woyenera.
- Mankhwala oletsa kutupa (monga corticosteroids): Ngati kutupa kuli kwakukulu ndipo ululu ndi waukulu, nthawi zina corticosteroids (monga prednisolone) ingaperekedwe kwa kanthawi kochepa. Izi zimachepetsa kutupa mwachangu.
- Mankhwala a potaziyamu iodide: Awa ndi mankhwala ena omwe amagwiritsidwa ntchito kuchepetsa kutupa. Si onse omwe amaperekedwa, pokhapokha ngati dokotala akuona kuti ndi kofunikira.
- Mankhwala ochepetsa ululu: Mungagwiritse ntchito chinthu monga paracetamol pa ululu wochepa. Komabe, ngati mukupatsidwa NSAIDs, izi sizingakhale zofunikira.
Apanso, chonde gwiritsani ntchito mankhwala onsewa pokhapokha ngati dokotala wakupatsani upangiri ndi kuyang'anira.
Kodi pali zakudya ndi zakumwa zomwe muyenera kupewa mukakhala ndi `(Erythema Nodosum)`?
Izi zikadali mu gawo la kafukufuku. Izi zikutanthauza kuti palibe umboni wokwanira wotsimikizira kuti kudya zakudya zopanda thanzi kumachepetsa matendawa, kapena kudya zakudya zopanda thanzi kudzawonjezera matendawa.
Komabe, madokotala nthawi zambiri amalimbikitsa kudya zakudya zopatsa thanzi komanso zopatsa thanzi . Izi zikutanthauza kuti muyenera kudya ndiwo zamasamba zambiri, zipatso, ndi madzi oyera. Ndi bwino kuti thupi lichepetse zakudya zopangidwa ndi zinthu zopangidwa ndi zinthu zina monga zokometsera, mitundu, ndi zotetezera.
Ngati mukuona kuti zizindikiro zanu zikukulirakulira mukamadya zakudya zinazake, ndi bwino kulankhula ndi dokotala wanu za vutoli.
Kodi ndidzakhala bwino nthawi yayitali bwanji nditayamba kulandira chithandizo?
Mukangoyamba kulandira chithandizo, ululu ndi kutupa komwe mukumva kumayamba kuchepa pang'onopang'ono. Ichi ndi chizindikiro chabwino.
Komabe, timibulu ndi mawonekedwe awo sizitha usiku wonse. Zitha kukhala pakhungu kwa milungu ingapo, mwina mwezi umodzi kapena iwiri. Panthawiyi, monga tafotokozera kale, mtundu wa khungu ukhoza kusintha. Kuchokera kufiira kupita ku utoto wofiirira, kenako bulauni, ndipo pamapeto pake khungu lanu limabwerera ku mtundu wake wabwinobwino. Izi ndi zachilendo, ndipo musadandaule nazo. Zizindikirozi zidzatha pakapita nthawi.
Kodi chitukuko cha `(Erythema Nodosum)` chingapewedwe?
Kunena zoona, Erythema Nodosum siingathe kupewedwa nthawi zonse, chifukwa nthawi zina imatha kukhala yosadziwika bwino kapena chifukwa cha matenda ena.
Komabe, pali zinthu zingapo zomwe tingachite kuti tichepetse chiopsezo cha kubuka kwa zizindikiro :
- Kupewa mankhwala odziwika kuti amayambitsa Erythema Nodosum: Ngati mudakumanapo ndi mankhwala omwe adayambitsa vutoli, dziwitsani dokotala wanu za mankhwalawa ndipo pewani mankhwalawa ngati n'kotheka.
- Kuchiza ndi kuwongolera bwino matenda omwe amayambitsa matenda: Mwachitsanzo, ngati muli ndi IBD, ndikofunikira kupeza chithandizo choyenera ndikusunga matendawa mosamala.
- Pewani anthu omwe ali ndi matenda opatsirana ndi mavairasi kapena mabakiteriya: Momwe mungathere, chepetsani kukhudzana kwambiri ndi anthu omwe ali ndi matenda opatsirana monga malungo, chimfine, ndi zilonda za pakhosi. Iyi ndi njira yabwino yogwiritsira ntchito matenda onse.
Kodi munthu amene ali ndi `(Erythema Nodosum)` ayenera kuyembekezera chiyani?
Matenda a `(Erythema Nodosum)`, akangoyamba kukula ndikuchira, amatha kubwereranso kwa moyo wawo wonse. Izi zikutanthauza kuti ali ndi mwayi wobwereranso.
Komabe, ngati muli ndi ziphuphu izi chifukwa cha vuto linalake lachipatala, kuchiza ndi kuwongolera vutoli moyenera, kapena ngati ndi chifukwa cha mankhwala, kusiya mankhwalawo (monga momwe dokotala wanu walangizira) kungachepetse kwambiri chiopsezo cha Erythema Nodosum kubwereranso.
Zinthu zomwe mungachite kunyumba ndi izi:
- Mungathe kumwa mankhwala ochepetsa ululu monga NSAIDs (monga ibuprofen) monga momwe dokotala wanu wanenera (mitundu ya mankhwala omwe amapezeka mu pharmacy).
- Sungani gawo la thupi lomwe lakhudzidwalo mmwamba. Mwachitsanzo, ngati muli ndi chotupa pa mwendo wanu, sungani mwendo wanu mmwamba pa pilo pamene mukugona. Izi zithandiza kuchepetsa kutupa.
- Khazikani mtima pansi.
Chofunika: Ngati zizindikiro zanu ndi zazikulu , zomwe zikutanthauza kuti zimapweteka kwambiri moti simungathe kuchita ntchito zanu za tsiku ndi tsiku, lankhulani ndi dokotala wanu. Musangokhala panyumba ndikuvutika.
Kodi Erythema Nodosum ndi matenda oopsa kwambiri?
Ichi ndi chinthu chomwe anthu ambiri amachiopa. Ayi, Erythema Nodosum si matenda oopsa. Matumbo omwe amaonekera pakhungu lanu ndi zizindikiro zake (ululu, kutupa) nthawi zambiri amatha pakatha milungu ingapo kapena miyezi ingapo.
Koma palinso china apa. Ngati Erythema Nodosum ndi chizindikiro cha vuto lina loyambitsa matenda, vuto limenelo likhoza kukhala loopsa. Mwachitsanzo, chifuwa chachikulu, mitundu ina ya khansa, ndi zina zotero.
Komabe, ziphuphu pakhungu ndi chizindikiro chakanthawi chabe cha matendawa. Chifukwa chake, musaope ziphuphu za `(Erythema Nodosum)`, koma chofunika kwambiri ndikupeza chomwe chikuyambitsa ndikuchichiza.
Kodi ndiyenera kupita kwa dokotala liti?
Ngati mukuganiza kuti muli ndi zizindikiro za Erythema Nodosum (matumbo ofiira komanso opweteka), onetsetsani kuti mwawonana ndi dokotala.
Makamaka,
- Ngati pali malungo pamodzi ndi ziphuphu pakhungu,
- Ngati mukumva kusasangalala kwambiri (malaise),
Funani upangiri wa dokotala nthawi yomweyo.
Dokotala ndiye amene amazindikira bwino vuto lanu, kupeza chomwe chikuyambitsa, ndikupereka chithandizo chomwe mukufunikira kuti muchire msanga.
Ndi mafunso ati omwe muyenera kufunsa dokotala?
Mukapita kukaonana ndi dokotala, ndikofunikira kwambiri kufunsa ndikupeza bwino zinthu izi:
- "Dokotala, n’chiyani chikuyambitsa zizindikiro zimenezi? "
- "Ngati mukumwa mankhwala monga `NSAIDs` kuti muchepetse ululu, muyenera kumwa kangati komanso kuchuluka kwake? "
- "Ngati ndili ndi zotupa izi chifukwa cha matenda ena, ndingatani kuti ndithetse vuto lomwe limayambitsa vutoli? Ndichite chiyani?"
- "Ndiyenera kuchita chiyani kuti vutoli lisabwerenso ?"
Funsani mafunso ngati amenewa kuti mumvetse bwino vuto lanu. Mukatero nanunso mudzakhala omasuka.
Ndiye, ndi zinthu ziti zomwe tiyenera kukumbukira kuchokera pa zonsezi? (Uthenga Wopita Nawo Kunyumba)
Zizindikiro za Erythema Nodosum, makamaka zotupa za miyendo, zimatha kukhala zopweteka kwambiri ndipo zimasokoneza zochita za tsiku ndi tsiku. Zitha kukhala kuyambira milungu ingapo mpaka miyezi ingapo.
Panthawi imeneyi, mungathe:
- Pumulani bwino.
- Sungani gawo la thupi lomwe lakhudzidwa (nthawi zambiri mwendo) pamwamba poika chinthu chonga pilo pamwamba pake. Izi zichepetsa kutupa.
- Imwani mankhwala ochepetsa ululu monga momwe dokotala wanu wanenera.
Chofunika kwambiri: Musangoganiza kuti "palibe vuto" mukaona zizindikirozi. Nthawi zina, Erythema Nodosum ikhoza kukhala chizindikiro cha vuto lina lomwe likufunika kuchiritsidwa.
Choncho, ngati muli ndi zizindikirozi, makamaka ngati zikutsagana ndi malungo ndi kupweteka kwa thupi, pitani kwa dokotala mwamsanga. Pokhapokha mutapeza chifukwa chenicheni, kupeza chithandizo choyenera, ndikuchira msanga. Musachite mantha, koma samalani!
Erythema Nodosum, ziphuphu pakhungu, ziphuphu pamiyendo, matenda a pakhungu, kutupa, matenda, ululu











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Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu