Kodi mukumva chisoni chifukwa cha mawanga oyera pakhungu lanu, matenda otchedwa 'Vitiligo'? Ili ndi vuto lomwe anthu ambiri ali nalo. Ngakhale kuti izi sizimayambitsa matenda aakulu, ndi zachilendo kumva kusasangalala pang'ono mukakumana ndi anthu. Koma pali nkhani yabwino. Tsopano pali chithandizo chabwino cha izi. Lero tikambirana za kirimu chomwe chimagwiritsidwa ntchito mwanjira yapadera yochizira.
Kodi Methoxsalen ndi chiyani?
Mwachidule, Methoxsalen ndi mankhwala omwe amathandiza kubwezeretsa utoto womwe unatayika pakhungu ndipo amalipangitsa kukhala losavuta kumva kuwala. Amagwiritsidwa ntchito pochiza matenda a vitiligo.
Koma iyi si kirimu yokha yomwe mumapaka pakhungu lanu. Imagwira ntchito limodzi ndi chithandizo chapadera. Timachitcha chithandizo cha PUVA . Ndiko kuti, chithandizo chomwe chimaphatikiza mankhwala otchedwa Psoralen (gulu la mankhwala omwe Methoxsalen ali nawo) ndi kuwala kwa UVA (ultraviolet A).
Taganizirani izi motere. Dokotala wanu adzapaka kirimu wa Methoxsalen uyu pamalo omwe muli ndi mitu yoyera yokha. Kenako, pakapita kanthawi, makina apadera adzagwiritsa ntchito kuwala kwa ultraviolet A (UVA) kuti ayang'ane madera amenewo. Chifukwa chakuti mankhwalawa apangitsa khungu lanu kukhala losavuta kuwunikira, kuwala kumeneku kukafika pakhungu, maselo opanga utoto (melanocytes) a khungu amalimbikitsidwa, ndipo pang'onopang'ono mitu yoyera imayamba kubwereranso ku mtundu wake.
Chofunika ndichakuti, iyi si mankhwala omwe mungapite nawo kunyumba ndikugwiritsa ntchito. Iyi ndi mankhwala omwe ayenera kuchitidwa kuchipatala kapena kuchipatala motsogozedwa ndi dokotala kapena katswiri wazachipatala wophunzitsidwa bwino.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe chithandizochi
Mankhwalawa si oyenera aliyense. Chifukwa chake, mukalankhula ndi dokotala wanu, ndikofunikira kutchula ngati muli ndi vuto lililonse pansipa. Ndi lofunika kwambiri pa chitetezo chanu.
| Vuto lanu kapena vuto lanu | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. | Mankhwalawa ndi chithandizo cha kuwalachi zingakhudze mwana m'mimba. |
| Matenda aliwonse a maso (monga cataracts , ngati lenzi ya diso yachotsedwa). | Chithandizo cha PUVA chingakhudzenso maso, kotero chitetezo chapadera chikufunika. |
| Ngati mwakhalapo ndi khansa ya pakhungu kapena muli nayo panopa. | Chithandizochi chingawonjezere pang'ono chiopsezo cha khansa ya pakhungu, kotero sichingakhale choyenera ngati muli kale ndi mbiri yotereyi. |
| Matenda apadera monga matenda a mtima, (Porphyria) kapena (Xeroderma pigmentosum) . | Pakakhala mavuto otere, chithandizo cha PUVA chingayambitse mavuto. |
| Ngati muli ndi vuto la kuwala kwa dzuwa pakhungu. | Mankhwalawa amapangitsanso khungu kukhala losavuta kumva kuwala, kotero ngati muli kale ndi vuto lotere, likhoza kukhala lalikulu kwambiri. |
| Ngati mwangolandira chithandizo cha radiation posachedwapa. | Kuphatikiza chithandizo cha radiation ndi PUVA kungapangitse kuti pakhale zotsatirapo zoipa pakhungu. |
| Ngati muli ndi vuto la ziwengo ku mankhwala ena, zakudya, utoto, kapena zotetezera. | Dokotala akhoza kudziwa pasadakhale za kuthekera kwa vuto la ziwengo ku mankhwala. |
Nanga bwanji ngati nditamwa mankhwala awa mopitirira muyeso?
Mwayi woti izi zichitike ndi wochepa kwambiri. Chifukwa simudzaloledwa kutenga izi kunyumba. Dokotala adzakupatsani mankhwala. Koma ngati mukuganiza kuti chinthu chonga ichi chachitika, imbani nthawi yomweyo National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Zinthu zofunika kusamala nazo kwambiri mukalandira chithandizo
Mukufunika thandizo lalikulu kuchokera kwa inu mukalandira chithandizochi. Samalani kwambiri ndi zinthu izi.
Pangani chitetezo cha dzuwa kukhala chapamwamba kwambiri!
Ichi ndiye chinthu chofunikira kwambiri. Mukagwiritsa ntchito mankhwalawa, khungu lanu limakhala losavuta kumva kuwala kwa dzuwa. Choncho ngakhale kukhala padzuwa kwa kanthawi kochepa kungayambitse kupsa, matuza, komanso kuvulala kwambiri.
- Pewani kukhala padzuwa kwa maola 24 musanayambe kugwiritsa ntchito mankhwala a PUVA komanso maola 48 mutatha kugwiritsa ntchito mankhwala a PUVA.
- Ngati mwapaka mafuta okha, khalani kutali ndi dzuwa kwa maola 12 mpaka 48 pambuyo pake.
- Ngati mukufunadi kutuluka panja, valani zovala zophimba khungu lanu bwino . Valani malaya a manja aatali, mathalauza, ndi chipewa.
- Pakani mafuta oteteza ku dzuwa okhala ndi SPF 15 kapena kuposerapo m'malo onse omwe ali ndi dzuwa. Komabe, muyenera kufunsa dokotala musanapake mafuta oteteza ku dzuwa m'malo omwe akulandira chithandizo.
- Pewani kuwala kopangidwa ndi anthu monga nyali za dzuwa ndi mabedi opaka utoto padzuwa.
Yang'anani zomwe mumadya ndi kumwa.
Zakudya zina zingathandizenso kuti khungu lanu likhale losavuta kumva kuwala. Mwachitsanzo, mandimu, nkhuyu, parsley, parsnips, mpiru, kaloti, ndi udzu winawake. Ndi bwino kukambirana za zakudya izi ndi dokotala wanu mukamamwa mankhwalawa.
Samalani ndi kusintha kwa khungu.
Mankhwalawa angawonjezere pang'ono chiopsezo cha khansa ya pakhungu akagwiritsidwa ntchito kwa nthawi yayitali. Komanso, monga momwe zimakhalira padzuwa, khungu limatha kukalamba msanga. Chifukwa chake, nthawi zonse samalani ndi khungu lanu.
Ngati muwona chinthu chatsopano, chachilendo, monga mawanga, mabala, zilonda zosachiritsa, kapena kusintha mtundu, kaya ndi kakang'ono bwanji, onetsani dokotala wanu nthawi yomweyo.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Zina zimakhala zoopsa, zina zimakhala zofala. Ndikofunikira kudziwa izi.
| Uzani dokotala wanu nthawi yomweyo! | |
|---|---|
| Zizindikiro za ziwengo | Kutupa pakhungu, kuyabwa kwambiri, kutupa kwa nkhope, milomo kapena lilime. |
| Matenda a pakhungu kwambiri | Kumva kutentha, kutupa, kufiira kwambiri kapena kutupa kwa khungu. |
| Ngati zikupitirira, dziwitsani dokotala. | |
| Mavuto a khungu ofala | Kuyabwa pang'ono, khungu louma. |
Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chake chachilendo, lankhulani ndi dokotala wanu za icho.
Uthenga Wopita Nawo Kunyumba
- Methoxsalen si kirimu wongopaka pakhungu chabe, koma ndi gawo la chithandizo cha PUVA chomwe chimachitika motsogozedwa ndi dokotala.
- Ndikofunikira kwambiri kudziteteza ku dzuwa musanayambe komanso mutalandira chithandizo, apo ayi mungawononge khungu lanu kwambiri.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi matenda omwe mukumwa musanalandire chithandizo.
- Uzani dokotala wanu nthawi yomweyo za kusintha kulikonse kwachilendo pakhungu lanu (mawanga, zilonda, kufiira kwambiri).
- Iyi si njira yochizira yomwe ingapereke zotsatira nthawi yomweyo. Zingatenge miyezi 6-9 kapena kuposerapo kuti muwone zotsatira zonse. Choncho khalani oleza mtima ndipo tsatirani malangizo a dokotala wanu .
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