Kodi mumapezanso madontho ozungulira pakhungu lanu? Tiyeni tikambirane za izi (Granuloma Annulare)!

Kodi munayamba mwaonapo kuti khungu lanu nthawi zina limakhala ndi madontho ozungulira, nthawi zina pinki, okwera pang'ono? Kapena ngati mabala ang'onoang'ono pansi pa khungu? Ikhoza kukhala vuto la khungu lotchedwa `(Granuloma Annulare)` . Palibe chodetsa nkhawa nacho, sichoopsa kwenikweni. Kodi tikambirane izi mwatsatanetsatane?

Kodi ichi ndi chiyani (Granuloma Annulare)`?

Mwachidule, Granuloma Annulare ndi matenda a pakhungu abwino, osati khansa, koma nthawi zina osatha . Amayamba chifukwa cha kutupa pakhungu lathu. Kutupa kumeneku kumayambitsa mawanga otuwa, kapena ziphuphu pansi pa khungu. Mawanga amenewa nthawi zambiri amapezeka m'manja, m'mapazi, m'manja, ndi m'zigongono.

Kodi pali mitundu ya Granuloma Annulare?

Inde, pali mitundu ikuluikulu isanu ya izi. Nthawi zina munthu yemweyo amatha kukhala ndi mitundu yoposa umodzi mwa iyi. Tiyeni tiwone kuti ndi chiyani?

• Granuloma annular yodziwika bwino: Iyi ndi mtundu wofala kwambiri. Ndi chilonda chozungulira chomwe chimapezeka m'dera limodzi lokha la khungu. Tangoganizani kuti muli ndi banga lozungulira padzanja lanu.
• `Granuloma annulare` (mtundu wofalitsidwa): Apa ndi pamene ziphuphu zimafalikira pakhungu lalikulu, monga mkono wonse.
• Granuloma ya pansi pa khungu: Mtundu uwu wa granuloma umakula pansi pa khungu. Nthawi zina, umatha kumveka m'manja.
• Granuloma yoboola (mtundu wopweteka): Mtundu uwu umayambitsa ziphuphu zopweteka m'manja ndi zala.
• Patch granuloma annulare (mtundu womwe umawoneka ngati chigamba): Apa, zilonda zimawoneka ngati malo athyathyathya, ofanana ndi zigamba pakhungu.

Ndani amene ali ndi mwayi waukulu wopeza Granuloma Annulare?

Ngakhale kuti imatha kufalikira pa msinkhu uliwonse, imapezeka kwambiri mwa ana ndi achinyamata . Azimayi nawonso ali ndi mwayi wowirikiza kawiri wa kudwala matendawa kuposa amuna.

Chinthu china ndi chakuti, ngati muli ndi matenda a shuga , makamaka mtundu woyamba, mtundu wa matenda a shuga womwe umadalira insulin , muli ndi mwayi waukulu wopeza granuloma annular.

Si zokhazo, ngati muli ndi matenda a chithokomiro , monga thyroiditis (kutupa kwa chithokomiro), hypothyroidism (kuchepa kwa mahomoni a chithokomiro), kapena thyroid adenoma (chotupa chosaopsa chomwe chimakula mu chithokomiro), ndiye kuti muli pachiwopsezo chotenga matendawa.

Chofunika kwambiri ndichakuti ngati dokotala akukuuzani kuti muli ndi Granuloma Annulare, makamaka ngati ndi mtundu wofala kwambiri (Generalized Granuloma Annulare), funsani dokotala wanu ngati kuli bwino kuyezetsa matenda ena omwe nthawi zina amapezeka ndi vutoli.

Akutinso anthu ku Hawaii amadwala mtundu wopweteka wotchedwa ``Perforating granuloma annulare'', kawirikawiri.

Kodi izi zidzachita chiyani ndi thupi langa?

Kutengera ndi mtundu wa khungu lanu, kutupa kumeneku kukatha, khungu m'malo amenewo nthawi zina limakhala lakuda (hyperpigmentation) . Izi zikutanthauza kuti mawanga akuda akhoza kukhalabe.

Granuloma Annulare ya nthawi yayitali ingakhudzenso thanzi lanu la maganizo . Ingakhudze momwe anthu ndi magulu a anthu amakhudzira malingaliro ndi malingaliro anu (maganizo ndi chikhalidwe) komanso momwe mumaganizira za inu nokha ndi khalidwe lanu (maganizo). Izi zingayambitse matenda monga kupsinjika maganizo , nkhawa, ndi kuvutika maganizo .

Kodi zizindikiro za Granuloma Annulare ndi ziti?

Zizindikiro zimasiyana malinga ndi mtundu wa Granuloma Annulare yomwe muli nayo. Tiyeni tiwone zizindikiro zokhudzana ndi mtundu uliwonse.

Granuloma annular yodziwika bwino (mtundu womwe umangokhala dera limodzi)

Makhalidwe omwe akuwoneka mu mtundu uwu ndi awa:

• Ziphuphu zazing'ono zimaonekera pakhungu lisanatuluke ziphuphu.
• Ziphuphu zozungulira zimaonekera pakhungu. Izi zingayambe ngati zozungulira zazing'ono kenako n’kulumikizana pamodzi n’kukhala zazikulu.
• Madontho amenewa akhoza kukhala ofiira, pinki, ofiirira, kapena mtundu womwewo monga khungu lanu lachibadwa.

`Generalized granuloma annular` (mtundu wa diffuse)

Zizindikiro za mtundu uwu ndi izi:

• Ziphuphu zimaonekera pakhungu lalikulu.
• Ziphuphu zimenezi zimalumikizana pamodzi kuti zikhale malo akuluakulu komanso osinthika mtundu.

`Subcutaneous granuloma annular` (mtundu womwe umapezeka pansi pa khungu)

Zinthu zomwe zimawoneka mu izi ndi izi:

• Ziphuphu zazing'ono zimaonekera pansi pa khungu.
• Ziphuphu zimenezi zimatha kukula mofulumira.
• Izi nthawi zambiri zimakhala zotupa zolimba, zozungulira, komanso zopanda ululu.
• Ngati mtundu wofiira kapena pinki sudziwika bwino, ukhoza kukhala chiphuphu chosintha mtundu.

`Granuloma yoboola annular` (mtundu wopweteka)

Makhalidwe a mtundu uwu:

• Matumbo ang'onoang'ono, opweteka, komanso okhala ndi mamba amaonekera m'manja kapena zala.
• Matumbo awa akhoza kuyabwa kapena kupweteka.
• Nthawi zina ziphuphu izi zimatha kutuluka madzi.
• Nthawi zina ziphuphu zimenezi zimatha kufalikira ndikugwirizana kuti zikhale zilonda zazikulu.

Chigamba cha granuloma annulare (mtundu womwe umawoneka ngati zigamba)

Zinthu zomwe zimawoneka mu izi ndi izi:

• Madontho ofiira, ofiira-bulauni, kapena ofiirira amaonekera.
• Zilonda zimenezi zingaonekere pamalo amodzi kapena angapo pakhungu.

N’chifukwa chiyani `(Granuloma Annulare)` imeneyi imayamba? Kodi pali zifukwa zilizonse?

Ndipotu, madokotala ndi ofufuza sanapezebe chomwe chimayambitsa Granuloma Annulare. Kafukufuku wina akusonyeza kuti mwina izi zimachitika chifukwa chitetezo chathu cha mthupi sichichita bwino pakavulala khungu.

Komanso, madokotala amaganiza kuti zinthu zotsatirazi zitha kukulitsa Granuloma Annulare:

• Kulumidwa ndi tizilombo.
• Mankhwala ena, monga `allopurinol` (Aloprim®, Zyloprim®) .
• Matenda ena, monga `HIV (Human Immunodeficiency Virus)` ndi `Hepatitis C` .

Anthu ena amatha kukhala ndi Granuloma Annulare atakhala pamavuto enaake monga kukhala padzuwa kwa nthawi yayitali.

Kodi `Kupsinjika maganizo` kumakhudzanso kukula kwa `(Granuloma Annulare)`?

Kafukufuku wina akusonyeza kuti kupsinjika maganizo kosatha kungayambitse Granuloma Annulare. Chifukwa chake, kuchepetsa kupsinjika maganizo kungathandize kupewa vutoli. Yesani zinthu izi kuti muchepetse kupsinjika maganizo:

• Pumirani mpweya wambiri ndipo muwerenge mpaka 10.
• Kuchita masewera olimbitsa thupi tsiku lililonse.
• Chepetsani kumwa caffeine ndi mowa.
• Gonani maola osachepera 8 usiku.
• Idyani chakudya chabwino chopatsa thanzi.
• Yesani kuganiza bwino pa chilichonse.
• Lembani tsiku lililonse.
• Kambiranani zinthu zomwe zili m'moyo wanu ndi anzanu, abale anu, kapena katswiri wa zamaganizo.

Kodi izi ndi zopatsirana?

Ayi, `(Granuloma Annulare)` si matenda opatsirana. Sangafalikire kwa munthu wina kudzera mu kukhudzana kwa khungu ndi khungu. Choncho palibe chodetsa nkhawa.

Kodi dokotala amazindikira bwanji izi?

Dokotala adzayamba kaye wafufuza bwino khungu lanu.

Kenako, kuti mutsimikizire matendawa, mungafunike kuchitidwa biopsy ya khungu . Izi zimaphatikizapo kutenga chitsanzo cha khungu lanu ndikutumiza ku labu. Madokotala kumeneko adzachiyang'ana pansi pa maikulosikopu kuti athandize kudziwa chomwe chikuyambitsa zilonda pakhungu lanu.

Kodi Granuloma Annulare imachiritsidwa bwanji?

Kwa anthu ambiri, Granuloma Annulare imatha yokha popanda chithandizo chilichonse . Nthawi zambiri imatha kwathunthu mkati mwa zaka ziwiri. Komabe, kwa anthu ena, zilondazo zimatha kubwereranso pambuyo pake.

Komabe, ngati granuloma annulare ikukhudza madera akuluakulu a khungu lanu, kapena ngati muli ndi ziphuphu zazikulu, zakuya pansi pa khungu lanu, dokotala wanu angakulangizeni chithandizo.

Cholinga chachikulu cha chithandizo ndi kuchepetsa kuyabwa kapena kupweteka . Chithandizo chingafupikitsenso nthawi yomwe zilonda zanu zimachira.

Pali njira zingapo zochizira:

• Mankhwala: Mankhwala ena angathandize kuchepetsa kutupa ndi kuyeretsa khungu. Dokotala wanu angakulembereni mankhwala monga corticosteroids (omwe angagwiritsidwe ntchito ngati kirimu kapena jekeseni), isotretinoin (Absorica®, Zenatane®) , kapena tacrolimus (Protopic®) . Mankhwala omwe amagwiritsidwa ntchito pochiza malungo, monga hydroxychloroquine , angathandizenso kuchepetsa zilonda za pakhungu.
• Chithandizo cha PUVA: Uwu ndi mtundu wa chithandizo cha kuwala. Dokotala wanu amagwiritsa ntchito mankhwala otchedwa psoralen ndi kuwala kwa ultraviolet A (UVA) . Psoralen imapangitsa khungu lanu kukhala losavuta kumva kuwala. Kuwala kwa UV kumeneku kumaletsa kukula kwa maselo a khungu ndipo kumathandiza kuletsa kufalikira kwa granuloma annulare. Chithandizo cha PUVA chimatchedwanso photochemotherapy .
• Chithandizo cha Cryotherapy: Pano, dokotala amagwiritsa ntchito chipangizo chapadera kuti aziziritse madera omwe akhudzidwa ndi khungu lanu. Izi zimaletsa zilonda kufalikira.
• Chithandizo cha laser: Dokotala amagwiritsa ntchito kuwala kwapadera kwa laser pochiza khungu lomwe lakhudzidwa. Laser imatenthetsa khungu, kuchepetsa kutupa ndikuthandizira kupewa kufalikira kwa chotupacho.
• Mapiritsi a Vitamini E: Ngati mankhwala ena sagwira ntchito, dokotala wanu angakulangizeninso mapiritsi a vitamini E.

Kwa anthu ena, kuchiza Granuloma Annulare kungakhale kovuta pang'ono. Mungafunike kuyesa njira zosiyanasiyana zochiritsira mpaka mutapeza yomwe ingakuthandizeni.

Kodi chakudya ndi zakumwa zingathandize pa `(Granuloma Annulare)`?

Kusintha zakudya zanu kungathandize kukonza vuto lanu la Granuloma Annulare. Kafukufuku wina akusonyeza kuti kuchepetsa kuchuluka kwa mafuta (lipids) muzakudya zanu (monga cholesterol ndi triglycerides) kungathandize kuti Granuloma Annulare yanu ichepe msanga. Izi zitha kukhala zoona makamaka ngati muli ndi matenda a shuga, mafuta ambiri m'magazi, kapena matenda ena omwe amapezeka mwa anthu omwe ali ndi Granuloma Annulare.

Kodi pali zinthu zomwe mungachite kunyumba pa Granuloma Annulare?

Palibe kafukufuku wochuluka wokhudza momwe mankhwala ochiritsira kunyumba amathandizira Granuloma Annulare. Komabe, zizolowezi zoyenera zosamalira khungu zingathandize kuti khungu lanu likhale ndi thanzi labwino.

Zinthu izi zidzakuthandizani kukhala ndi thanzi labwino la khungu:

• Gwiritsani ntchito chotenthetsera kuti musunge chinyezi m'chipindamo.
• Gwiritsani ntchito sopo wofewa mukamasamba kapena kutsuka thupi lanu.
• Sambani kapena sambitsani thupi lanu ndi madzi ofunda, osati madzi otentha.
• Pakani kirimu kapena mafuta odzola kuti musunge chinyezi mukangodzuka.
• Pewani kuvala zovala zoyabwa, monga ubweya.

Kodi pali njira yopewera izi?

Palibe njira yeniyeni yopewera Granuloma Annulare.

Kodi tiyenera kuyembekezera chiyani ngati izi zitachitika?

Kwa anthu ambiri, Granuloma Annulare imadzichiritsa yokha popanda chithandizo chilichonse , ndipo siisiya zipsera kapena mabala.

Komabe, Granuloma Annulare ndi matenda osatha. Izi zikutanthauza kuti madontho amatha kubwerera , nthawi zambiri pamalo omwewo omwe adawonekera koyamba. Koma ngati abwerera, nthawi zambiri amatha msanga kuposa momwe adachitira poyamba.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Ndi bwino kufunsa mafunso awa mukapita kwa dokotala wanu:

• Kodi mungadziwe bwanji ngati ndili ndi `(Granuloma Annulare)`?
• Ngati ndilibe `(Granuloma Annulare)`, ndi matenda ena ati a pakhungu omwe ndingakhale nawo?
• Kodi ndi njira ziti zochiritsira zomwe mumalimbikitsa?
• Kodi zotsatirapo zake ndi ziti?
• Kodi ndiyenera kupita kwa dokotala wa khungu kapena katswiri wina?

Kodi kusiyana pakati pa `(Granuloma Annulare)` ndi `(Ringworm)` ndi kotani?

Granuloma annular ndi matenda a pakhungu omwe amayambitsa ziphuphu zotuwa, zosinthika mtundu kapena ziphuphu pakhungu. Madokotala sakudziwa chomwe chimayambitsa matendawa. Chitetezo cha mthupi lanu chikhoza kukhala nacho. Sichifalikira kuchokera kwa munthu wina kupita kwa wina kudzera mu kukhudzana kwa khungu ndi khungu.

Matenda a Ringworm ndi matenda omwe amayambitsa kuyabwa, kusintha mtundu, komanso zilonda zozungulira pakhungu. Matenda a Ringworm amayamba chifukwa cha bowa - kwenikweni si nyongolotsi. Ndi opatsirana kwambiri . Angafalikire mwa kukhudzana mwachindunji ndi munthu kapena nyama yomwe ili ndi kachilomboka, kapena kukhudza malo oipitsidwa, monga pansi pa chipinda chosinthira zovala kapena zovala zotuluka thukuta. Matenda a Ringworm nthawi zambiri amakhala ndi ziphuphu kuposa Granuloma Annulare.

Pomaliza, kumbukirani izi.

Granuloma Annulare ndi matenda a pakhungu omwe nthawi zina amakhala ochititsa manyazi komanso osasangalatsa. Komabe, ndi matenda ofala , ndipo nthawi zambiri amatha okha mkati mwa zaka zingapo. Chofunika kwambiri ndikusamalira khungu lanu. Ngati muli ndi nkhawa iliyonse, dokotala wanu alipo kuti akuthandizeni. Choncho musaope kufunsa dokotala wanu.

Granuloma Annulare, matenda a pakhungu, matenda a khungu, kuyabwa, mawanga pakhungu, kupsinjika maganizo, chithandizo