Kodi nthawi zina mumakanda dera lomwelo la thupi lanu, ndipo ngakhale mutakanda motani, kuyabwa sikutha? Sikuti kokha, komanso dera lomwe mukukanda lakhala lofiira, khungu lakhuthala, ndipo nthawi zina lasintha mtundu? Ngati ndi choncho, ndikofunikira kwambiri kuti mudziwe za vuto la khungu lomwe tikambirane lero, lomwe ndi neurodermatitis. Musadandaule, iyi si matenda oopsa, koma ikhoza kukhala yokhumudwitsa pang'ono.
Kodi matenda a pakhungu otchedwa neurodermatitis ndi chiyani kwenikweni?
Mwachidule, neurodermatitis ndi vuto la pakhungu lomwe limayambitsa kuyabwa kosalekeza m'dera limodzi kapena awiri a pakhungu. Madokotala amatchanso kuti lichen simplex chronicus.
Ziphuphu zimenezi zimatha kuwoneka kulikonse m'thupi. Koma nthawi zambiri zimawoneka m'manja, m'mapewa, m'zigongono, m'miyendo, m'mapazi, m'manja, m'zikhatho, kumbuyo kwa khosi, kapena m'mutu. Anthu ena amathanso kukumana ndi ziphuphuzi kuzungulira malo otulukira m'mimba ndi m'malo oberekera, komanso kumaso.
Tangoganizirani momwe kuyabwa kumeneku kungakhale kwakukulu. Nthawi zina mumangofuna kukanda nthawi zonse. Kapena, kumayambanso pakapita kanthawi. Kuyabwa kumeneku kumawonekera makamaka mukapuma kapena mukuyesera kugona. Anthu ena amadzuka kuchokera kutulo akukanda kapena kukanda madera awa. Mukapitiriza kukanda, mitsempha ya pakhungu imalimbikitsidwa ndipo kuyabwa kumakulirakulira. Kenako mumakanda kwambiri. Ngati kuzungulira uku kwa "kuyabwa-kuyabwa-kuyabwanso" kukupitirira, izi zitha kukhala matenda osatha.
Kodi khungu limawoneka bwanji mukakhala ndi neurodermatitis?
Madontho oyabwa awa amawoneka ngati mabala pakhungu. Mabala awa nthawi zambiri amakhala pafupifupi masentimita 3 mpaka 6 m'lifupi ndi masentimita 6 mpaka 10 m'litali. Mabala awa angawoneke motere:
- Zitha kukhala zouma .
- Khungu lingawoneke ngati lokhuthala .
- Imatha kukhala ngati korali .
- Zingawoneke ngati chikopa .
- Mtundu wake ukhoza kusiyana . Ukhoza kukhala wofiira, bulauni, wachikasu, imvi, kapena wofiirira.
- Madontho akale amatha kukhala oyera kapena owala pakati, ndi mtundu wakuda m'mbali mwake.
- Pakapita nthawi, zipsera zimatha kuonekera .
Chofunika kwambiri n'chakuti popitiriza kukanda, mitsempha ya pakhungu imalimbikitsidwa kwambiri, zomwe zimapangitsa kuti kuyabwa kukhale koipa kwambiri. Zili ngati kuzungulira koopsa.
Ndani amene ali ndi mwayi waukulu wopeza vutoli?
Kafukufuku wapeza kuti pafupifupi 12% ya anthu onse amakhala ndi neurodermatitis. Akuti anthu azaka zapakati pa 30 ndi 50 ndi omwe ali ndi mwayi waukulu wopeza matendawa. Azimayi ali ndi mwayi wowirikiza kawiri wopeza matendawa kuposa amuna.
Ndiponso,Anthu omwe ali ndi matenda a nkhawa, matenda odziletsa (OCD), komanso mbiri ya m'banja lawo ya matenda ena a pakhungu monga eczema kapena contact dermatitis nawonso ali pachiwopsezo chachikulu chotenga matenda a neurodermatitis.
Kafukufuku wina waposachedwapa wasonyeza kuti anthu omwe ali ndi makhalidwe enaake - monga kusadziwa bwino kucheza ndi anthu, kusasinthasintha, kupewa kupweteka, kudalira ena, kuyesetsa nthawi zonse kusangalatsa ena, komanso kudzipereka kwambiri pa maudindo - ali ndi mwayi waukulu wopeza matenda a neurodermatitis. Komabe, maphunziro ena sanapeze mgwirizano pakati pa makhalidwe amenewa ndi matendawa. Chifukwa chake n'zovuta kunena motsimikiza.
Kodi ndi zinthu ziti zomwe zimayambitsa neurodermatitis?
Ndipotu, chomwe chimayambitsa matenda a neurodermatitis sichikudziwikabe. Komabe, zapezeka kuti kuyabwa kumayamba nthawi ya nkhawa, nkhawa, kuvulala maganizo, kapena kuvutika maganizo. Nthawi zina, kuyabwa kumatha kupitirira ngakhale kupsinjikako kutachepa kapena kutha.
Zinthu zina zomwe zimayambitsa neurodermatitis ndi izi:
- Kuwonongeka kwa mitsempha.
- Kulumidwa ndi tizilombo.
- Khungu louma.
- Kuvala zovala zolimba, makamaka zovala zopangidwa ndi ulusi wopangidwa monga polyester kapena rayon, kungayambitse khungu lofewa kukwiya kwambiri ndikuyamba kuyabwa.
- Matenda ena a pakhungu. Nthawi zina, neurodermatitis imathanso kuchitika chifukwa cha matenda a pakhungu monga eczema ndi psoriasis.
Kodi zizindikiro za neurodermatitis ndi ziti?
Kuwonjezera pa kuyabwa, kukanda kosalekeza, ndi mawanga ouma komanso osinthika pakhungu, neurodermatitis ikhoza kukhala ndi zizindikiro zina:
- Ululu.
- Kutaya tsitsi chifukwa cha kuyabwa ndi kukanda kwa khungu la mutu.
- Kukanda kosalekeza kumapangitsa kuti khungu lisweke ndi kutuluka magazi.
- Matenda. Ngati mabala akutuluka madzi achikasu kapena ali ndi matuza odzaza mafinya, akhoza kukhala matenda.
- Zilonda chifukwa cha kukanda.
- Khungu lomwe lakhudzidwa limayamba kuoneka ngati makwinya .
Kodi mungadziwe bwanji ngati izi ndi neurodermatitis?
Ngati muli ndi zizindikiro izi, chinthu chabwino kuchita ndikuonana ndi dokotala wa khungu. Iye adzayang'ana malo anu oyabwa, mwina pogwiritsa ntchito chipangizo chapadera ('scope').
Choyamba, dokotala adzafufuza matenda ena a pakhungu, monga eczema ndi psoriasis, kuti atsimikizire kuti sali nawo. Kenako, adzakufunsani za mbiri yanu yonse yachipatala, ndipo angakufunseni mafunso monga:
- Kodi kuyabwa kunayamba liti?
- Kodi ndi yokhazikika, kapena imabwera ndi kupita?
- Kodi munalandira chithandizo chilichonse kunyumba?
Mayeso ozindikira matenda
Nthawi zina, dokotala angafunikenso kuchita mayeso ena:
- Kuyesa kwa swab pakhungu: Kuti mudziwe ngati pali matenda.
- Kuyesa mapaketi: Kudziwa ngati vutoli likuchitika chifukwa cha ziwengo.
- Kuyezetsa bowa: Yang'anani matenda ena a pakhungu ndi matenda opatsirana pogonana m'derali.
- Kufufuza khungu: Kuti mudziwe ngati muli ndi matenda monga psoriasis kapena mycosis fungoides (mtundu wa lymphoma).
- Kuyezetsa magazi.
Kodi neurodermatitis imachiritsidwa bwanji?
Matenda a Neurodermatitis nthawi zambiri satha popanda chithandizo. Chifukwa chake, dokotala wa khungu adzapanga dongosolo la chithandizo lomwe lingagwirizane ndi inu. Cholinga chachikulu ndikuletsa kuyabwa ndi kukanda.
Njira zochiritsira zikuphatikizapo:
Mitundu ya mankhwala
- Corticosteroids: Mankhwalawa angagwiritsidwe ntchito pamalo omwe akhudzidwa kapena kubayidwa pamalopo. Corticosteroids amachepetsa kufiira, kutupa, kutupa, kuyabwa, ndi kuuma. Amathandizanso kufewetsa khungu lokhuthala.
- Mankhwala oletsa kuyabwa: Amatengedwa musanagone, angathandize kuchepetsa kuyabwa usiku. Angathandizenso kupewa ziwengo zomwe zingapangitse vutoli kukhala loipa kwambiri.
- Mankhwala opha tizilombo: Mankhwalawa amaperekedwa ngati malo omwe madonthowo ali ndi kachilombo. Mankhwalawa angaperekedwe ngati kirimu kapena mapiritsi.
- Zodzoladzola: Izi zimachepetsa kuuma kwa khungu ndi kuyabwa.
- Mankhwala opangidwa ndi phula la malasha: Mankhwalawa amathandiza kuchotsa maselo a khungu akufa ndikuchepetsa kukula kwa maselo atsopano. Angagwiritsidwe ntchito mwachindunji pakhungu kapena kuwonjezeredwa m'madzi osambira.
- Ma kirimu a Capsaicin: Izi zimatha kuchepetsa ululu ndi kuyabwa.
Malangizo ena operekedwa ndi dokotala
Dokotala wanu angakupatseni malangizo ena monga:
- Kuvala bandeji: Kugwiritsa ntchito mabandeji, masokisi, kapena magolovesi kungathandize kupewa kukanda usiku. Izi zingakuthandizeni kugona bwino. Kuvala bandeji kumathandizanso kuti khungu lizimwa bwino mankhwala. (Izi zimatchedwanso `(kutseka)`).
- Ma compress ozizira: Izi zitha kupakidwa pakhungu kwa mphindi pafupifupi zisanu musanagwiritse ntchito corticosteroids. Izi zidzafewetsa khungu ndikuthandiza kuti lizimwa mankhwala mosavuta, ndikuchepetsa kuyabwa.
- Mankhwala oletsa kuvutika maganizo ndi/kapena chithandizo: Ngati nkhawa, kupsinjika maganizo, kapena kupsinjika maganizo zikuganiziridwa kuti ndi zomwe zimayambitsa kuyabwa, mankhwala awa angapangidwe.
Mankhwala ena
Ngati palibe njira iliyonse yothandizira imeneyi yomwe imagwira ntchito, pali njira zingapo zochiritsira zomwe si zachikhalidwe:
- Kupaka mankhwala a aspirin ndi dichloromethane pamalo omwe akuyabwa.
- Mankhwala omwe amagwiritsidwa ntchito kwambiri pa matenda a atopic dermatitis/eczema ndi tacrolimus ndi/kapena pimecrolimus.
- Jakisoni wa Botulinum toxin (Botox®). Iyi ndi puloteni yoopsa yomwe ingafooketse minofu ya thupi. Mu kafukufuku wa odwala atatu omwe ali ndi neurodermatitis, onse atatu adachepetsa kuyabwa mkati mwa sabata imodzi atayamba kulandira chithandizo, ndipo mawanga oyabwawo adatha patatha milungu inayi.
- Chithandizo chopepuka (`Phototherapy`): Ichi sichili choyenera malo oberekera.
- Opaleshoni yachikhalidwe yochotsera malo oyabwa, kapena opaleshoni yoziziritsa khungu, yomwe imagwiritsa ntchito kuzizira kwambiri kuwononga minofu yosafunikira.
Nanga bwanji ngati kuyabwako kukuyambitsa bala?
Ngati muli ndi bala losweka chifukwa cha neurodermatitis, dokotala wanu akhoza kuphimba malowo ndi bandeji.
Chithandizo china chimatchedwa "negative-pressure wound therapy ." Izi zimaphatikizapo kugwiritsa ntchito chinthu chonga vacuum kuchotsa madzi m'bala ndikuwonjezera kuyenda kwa magazi m'deralo.
Chithandizo cha mpweya woipa kwambiri chimaphatikizapo kuika wodwalayo m'chipinda chokhala ndi mpweya wabwino ndikupuma mpweya wabwino. Izi zimawonjezera mphamvu ya thupi yodzichiritsa lokha. Opaleshoni ya bala ndi njira ina.
Zinthu zomwe mungachite kuti mufulumizitse kuchira
Ngati muli ndi neurodermatitis, muyenera kutsatira ndondomeko ya chithandizo yomwe dokotala wanu wakupatsani. Komanso, yesetsani kukhala chete osachita mantha. Izi zitha kukulitsidwa ndi nkhawa ndi kupsinjika maganizo. Kumbukiraninso zinthu izi:
- Yesetsani momwe mungathere kuti musiye kukanda ndi kukanda. Komabe, sungani misomali yanu kukhala yaifupi. Izi zithandiza kuchepetsa kuwonongeka komwe kungachitike ngati mutayikanda mwangozi.
- Pakani ayezi, mankhwala ochepetsa kuyabwa, kapena compress yozizira pamalo omwe akuyabwa.
- Sambani m'madzi ozizira. Izi zichepetsa kutentha kwa thupi ndikuchepetsa kuyabwa. Onjezani oatmeal ya colloidal m'madzi osambira. Izi zimachepetsanso kuyabwa.
- Sungani kutentha kwa thupi lanu kozizira komanso kosangalatsa.
- Ndi bwino kuvala zovala zotayirira, komanso thonje lochuluka momwe mungathere.
- Phimbani malo omwe akuyabwa ndi zovala, ikani bandeji yokhala ndi corticosteroid, kapena ikani Unna boot, bandeji yokhala ndi zosakaniza zochiritsa monga zinc oxide. Mtundu uwu wa chophimba ukhoza kuletsa kukanda.
- Musagwiritse ntchito chilichonse chomwe chingawononge khungu kapena chomwe chimayambitsa ziwengo.
Kodi tsogolo la anthu omwe ali ndi neurodermatitis ndi lotani?
Ndi dongosolo loyenera la chithandizo, neurodermatitis imatha kuchiritsidwa kwathunthu. Komabe, dokotala ndi wodwalayo angafunike kusintha dongosolo la chithandizo ndikuyesa mapulani osiyanasiyana. Chofunika kwambiri ndikugwira ntchito motsatira dongosololi. Neurodermatitis ikhoza kukhala yovuta pang'ono kuchiza, makamaka ngati yayamba m'malo oberekera.
Mwatsoka, neurodermatitis imatha kubwereranso chifukwa cha zinthu zomwe zimayambitsa matendawa. Zikatero, chithandizo chingafunikenso. Nthawi zina, dokotala angapitirize kuchiza wodwala amene wachira matendawa kuti asabwererenso.
Kawirikawiri, neurodermatitis imatha kukhala khansa ya pakhungu, monga squamous-cell carcinoma kapena verrucous carcinoma. Izi zitha kuchitika chifukwa chokanda ndi kukanda nthawi zonse. Izi zimatha kuyambitsa mankhwala omwe angayambitse maselo a pakhungu kukhala khansa. Chifukwa chake, ndikofunikira kufunafuna upangiri wa dokotala nthawi yomweyo ngati muli ndi zizindikiro.
Zinthu zofunika kwambiri zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)
Chabwino, tsopano mukudziwa zambiri zokhudza neurodermatitis. Kumbukirani, ngakhale kuti ikhoza kukhala yokhumudwitsa, ndi matenda ochiritsika ndi chithandizo choyenera.
- Ngati muli ndi zizindikiro izi, pitani kwa dokotala wa khungu. Musadzipatse mankhwala.
- Tsatirani ndondomeko ya chithandizo yomwe dokotala wanu wakupatsani ndendende. Musasiye kumwa mankhwalawo kuyabwa kukatha, pitirizani kumwa kwa nthawi yonse yomwe dokotala wanu wakuuzani.
- Onetsetsani kuti mukukanda momwe mungathere. Sungani misomali yanu ifupikitsa, ndipo phimbani manja anu usiku ngati pakufunika kutero.
- Yesetsani kuchepetsa nkhawa . Zinthu monga yoga ndi kusinkhasinkha zingathandize.
- Valani zovala zomasuka zopangidwa ndi ulusi wachilengedwe monga thonje zomwe sizimakhudza khungu.
- Pewani zinthu zomwe zingawononge khungu lanu.
Ndikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino!
Neurodermatitis , Matenda a Khungu, Kuyabwa, Ziphuphu pa Khungu, Kupsinjika Maganizo, Dokotala wa Khungu, Neurodermatitis











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