Kodi mulinso ndi zithupsa zopweteka zomwe nthawi zambiri zimawonekera m'khwapa ndi m'mimba mwanu? (Hidradenitis Suppurativa)

Nthawi zina timamva ziphuphu zazikulu komanso zopweteka kwambiri m'malo otuluka thukuta monga m'khwapa, m'mimba, ndi pansi pa mabere athu, sichoncho? Pamene chimodzi chikuchira, china chimatuluka. Nthawi zina ziphuphu zimenezi zimatuluka mafinya ndipo zimatha kununkhiza moyipa. Ngakhale anthu ambiri amaona kuti ndi ziphuphu wamba kapena chithupsa chotuluka thukuta, kwenikweni zimatha kukhala vuto lina la pakhungu lomwe limakhalapo kwa nthawi yayitali. Lero tikulankhula za matenda otchedwa Hidradenitis Suppurativa (HS) m'mawu azachipatala. Ngakhale zikumveka zovuta pang'ono, tiyeni tigawane mwachidule.

Kodi Hidradenitis Suppurativa (HS) kwenikweni ndi chiyani?

Mwachidule, HS ndi vuto la pakhungu lomwe limakhalapo kwa nthawi yayitali lomwe limayambitsa ziphuphu, ziphuphu, ndi zithupsa zobwerezabwereza m'malo a khungu lathu komwe kuli thukuta lochuluka. Anthu ena amatchanso kuti 'acne inversa'.

Izi sizili ngati ziphuphu wamba. HS imayamba chifukwa cha kulephera kwa chitetezo cha mthupi mwathu. Kunena zoona, ndi matenda otupa okha a ma follicle a tsitsi . Chomwe chimachitika ndichakuti chitetezo cha thupi lathu chimaukira ma follicle athu popanda chifukwa. Izi zimapangitsa kuti atupa, afiira, komanso amve kupweteka. Pakapita nthawi, izi zimatha kukhala mafinya odzaza ndi mafinya ndi ma sinus tracts pansi pa khungu.

Ndi mitundu iti ya ziphuphu pakhungu zomwe zimachitika mu HS?

Pali mitundu itatu ikuluikulu ya kusintha kwa khungu komwe kumachitika mu HS. Mutha kukhala ndi chimodzi kapena zingapo mwa izi.

Ndani amene ali ndi mwayi waukulu wopeza matenda a HS? Kodi zinthu zomwe zimayambitsa matendawa ndi ziti?

Ngakhale kuti aliyense angathe kudwala matendawa, anthu ena ali ndi mwayi waukulu woti adwale matendawa.

• Kwa akazi: Akazi ali ndi mwayi waukulu wopeza matenda a HS kuposa amuna.
• Mbiri ya banja: Ngati amayi anu, abambo anu, kapena wachibale wanu wapafupi ali ndi vutoli, inunso muli pachiwopsezo chachikulu chotenga matendawa.
• Kusintha kwa mahomoni: Kusintha kwa kuchuluka kwa mahomoni (makamaka estrogen ndi androgens ) komwe kumachitika munthu akatha msinkhu komanso nthawi yopuma kungayambitse izi. Kwa akazi ena, zizindikiro zimawonjezeka asanayambe kusamba.
• Kusuta: Anthu omwe amasuta ali pachiwopsezo chachikulu chotenga matenda a HS.
• Kunenepa kwambiri: Kulemera kwambiri ndi chinthu chinanso chomwe chimakhudza izi.
• Hirsutism: Anthu omwe ali ndi matenda omwe amayambitsa kukula kwa tsitsi m'thupi lawo ali pachiwopsezo chachikulu.

Kodi zotupa za HS zimapezeka kuti nthawi zambiri?

Zotupa zimenezi nthawi zambiri zimawonekera m'malo omwe khungu limakandana, kutuluka thukuta, komanso kumakhala kofunda komanso konyowa.

• Kwapa
• Malo okulira
• Pansi pa bere
• M'dera la matako ndi anus
• Nthiti yamkati
• Kumbuyo kwa khosi
• Mozungulira m'chiuno

Kodi izi ndi matenda opatsirana pogonana (STD)?

Ayi. Ayi ndithu. Matenda a HS si matenda opatsirana pogonana (STI) . Si matenda opatsirana. Choncho musachite mantha kwambiri.

Mavuto omwe angachitike ngati HS sakuchiritsidwa bwino

Ngati matenda a HS sanachiritsidwe kwa nthawi yayitali, mavuto ena angabuke. Izi sizichitika kwa aliyense, koma ndikofunikira kudziwa.

• Zilonda: Zilonda zikachira, zilonda zolimba komanso zakuya zimatha kupangika m'malo amenewo.
• Matenda: Mabakiteriya amatha kulowa kudzera m'mabala otseguka ndikuyambitsa matenda oopsa a pakhungu (cellulitis) .
• Kuwonongeka kwa dongosolo la lymphatic: Kutupa kwa nthawi yayitali kumatha kuwononga dongosolo la lymphatic, zomwe zimapangitsa kutupa m'dzanja kapena mwendo.
• Fistula: Nthawi zambiri, ma tunnel (ma sinus tracts) omwe amapangika pansi pa khungu amatha kulumikizana ndi ziwalo zamkati monga matumbo kapena chikhodzodzo.
• Kuchepa kwa magazi m'thupi: Kutupa kwa nthawi yayitali kungayambitse kuchepa kwa magazi m'thupi.
• Zotsatira za maganizo: Kupweteka kosalekeza, ziphuphu zodzaza ndi mafinya, ndi zipsera zingayambitse kupsinjika maganizo, nkhawa, kapena kuvutika maganizo .
• Khansa ya pakhungu: Izi sizichitika kawirikawiri, koma pali chiopsezo chochepa kwambiri chotenga khansa ya pakhungu kuchokera ku mabala osachira kwa nthawi yayitali.

Kodi ndiyenera kukaonana ndi ndani pankhani ya matenda a HS?

Ngati muli ndi zizindikiro izi, chinthu chabwino kuchita ndikupita kwa dokotala wa khungu . Nthawi zina, madokotala ambiri amatha kusokoneza izi ndi chotupa kapena matenda. Koma dokotala wa khungu amatha kuzindikira zizindikirozi molondola ndikukupatsani chithandizo choyenera kwambiri.

Dokotala adzazindikira vutoli mwa kumvetsera zizindikiro zanu ndikuwunika khungu lanu. Izi nthawi zambiri sizimafuna mayeso ena.

Kodi mankhwala a HS ndi otani?

Palibe mankhwala a HS pakadali pano. Komabe, pali njira zambiri zothandiza zochepetsera zizindikiro, kupewa zilonda zatsopano, komanso kuchepetsa zipsera. Chithandizo chimadalira kuopsa kwa vuto lanu.

1. Kusamalira Khungu

• Kutsuka ndi mankhwala opha tizilombo toyambitsa matenda: Dokotala amalangiza sopo yapadera yoyeretsera malo okhala ndi zithupsa tsiku lililonse.
• Mankhwala Oletsa Thukuta: Mungagwiritse ntchito zinthu zopanda fungo labwino zomwe zingagwiritsidwe ntchito pakhungu losavuta kumva.
• Ma Retinoids: Mafuta odzola awa ali ndi vitamini A ndipo amachepetsa kutupa ndikuthandizira kukonzanso maselo a khungu.

2. Kuletsa ululu

• Kupaka madzi ozizira kapena otentha: Kupaka madzi oundana kapena botolo la madzi otentha kungathandize kuchepetsa ululu ndi kutupa.
• Mafuta ochepetsa ululu: Ma kirimu okhala ndi mankhwala oletsa ululu monga Lidocaine amatha kuchepetsa ululu kwakanthawi.
• Mankhwala Ochepetsa Ululu: Mutha kumwa mankhwala ochepetsa ululu nthawi zonse kapena mankhwala amphamvu ngati pakufunika kutero, monga momwe dokotala wanu wanenera.

3. Mankhwala operekedwa ndi dokotala

• Mankhwala opha tizilombo:Mankhwala opha tizilombo saperekedwa kuti athetse matenda. Amaperekedwa kuti achepetse kutupa komwe kumachitika mu HS. Nthawi zina, mlingo wochepa ungalembedwe kuti umwedwe mosalekeza kwa miyezi ingapo.
• Mankhwala a biologic: Mankhwala monga (Adalimumab) amalamulira ntchito ya chitetezo cha mthupi ndikuchepetsa kutupa.
• Metformin: Mankhwala a shuga awa angathandizenso kuchepetsa HS mwa kuwongolera kuchuluka kwa mahomoni ndi kukana insulini.
• Mapiritsi oletsa kubereka: Awa amathandiza kuchepetsa kusalingana kwa mahomoni m'thupi la amayi komanso kupewa zizindikiro zoyipa kwambiri asanayambe kusamba.

4. Chithandizo ndi njira zochizira matenda akakula

Ngati zizindikiro zili zazikulu kapena sizikugwirizana ndi mankhwala ena, dokotala wanu angakulangizeni zinthu monga:

• Jakisoni wa steroid: Steroids amatha kubayidwa mwachindunji mu chotupa chopweteka kuti achepetse kutupa ndi ululu mwachangu.
• Kudula ndi kuchotsa madzi: Ngati pali zilonda zazikulu, kudula pang'ono kumapangidwa kuti kutulutse mafinya ndikupereka mpumulo.
• Mankhwala a laser: Laser ingagwiritsidwe ntchito kuchotsa ma follicle a tsitsi kapena zotupa.
• Opaleshoni: Nthawi zina, kuchotsa kwathunthu kwa sinus tracts ndi khungu lowonongeka ndikofunikira opaleshoni (kuchotsa denga kapena kuchotsa) ndikofunikira.
• Jakisoni wa Botox®: Mankhwalawa angagwiritsidwe ntchito poletsa thukuta kwambiri.

Zinthu zomwe tingachite kuti tipewe HS kuti isabwerezenso

Ngakhale sitingathe kuwongolera zinthu zina zomwe zingatibweretsere mavuto (monga mbiri ya banja), pali zinthu zina zomwe tingachite kuti tipewe kuipiraipira kwa zizindikiro ndi mavuto ena.

• Pewani kusuta: Ngati mukusuta, chinthu chabwino kwambiri chomwe mungachite ndikusiya. Funsani dokotala wanu kuti akuthandizeni pa izi.
• Kuwongolera kulemera kwanu: Kuchepetsa thupi kumachepetsa kugwedezeka kwa khungu ndipo kumathandiza kuwongolera kuchuluka kwa mahomoni, zomwe zingathandize kwambiri kuchepetsa zizindikiro.
• Valani zovala zotayirira: Valani zovala zosathina, zopangidwa ndi zinthu monga thonje zomwe zimathandiza khungu lanu kupuma.
• Chepetsani thukuta: Pewani malo otentha komanso onyowa momwe mungathere. Ngati thukuta, yeretsani mwachangu.
• Pewani zonunkhira: Pewani sopo wonunkhira, deodorants, ndi mafuta odzola pakhungu. Izi zingapangitse khungu kukhala lofewa kwambiri.

Kukhala ndi vutoli nthawi zina kungakhale kovuta m'maganizo. Musamangoganizira za ululu, kusasangalala, ndi mawonekedwe. Simuli nokha. Kambiranani za momwe mukumvera ndi munthu amene mumamudalira kapena dokotala wanu. Ngati kuli kofunikira, mutha kupempha thandizo kwa mlangizi wa zaumoyo wamaganizo.