Kodi mukukumananso ndi kuyabwa kosatha komanso ziphuphu pakhungu lanu? Tiyeni tiphunzire za (Prurigo Nodularis)!

Kodi muli ndi ziphuphu zolimba komanso zokwezeka pakhungu lanu zomwe simungathe kuzipirira? Kodi kuyabwa kumakulirakulira usiku? Nthawi zina, ziphuphuzi zimatha kutenga matenda, kutuluka magazi, kenako n’kukhala nkhanambo. Ngati mwakumanapo ndi izi, mwina muli ndi vuto la pakhungu lotchedwa Prurigo Nodularis (PN) . Tiyeni tikambirane mwatsatanetsatane komanso lero.

Kodi Prurigo Nodularis ndi chiyani?

Mwachidule, ndi vuto la pakhungu. Chizindikiro chachikulu ndi ziphuphu zolimba, zokwezeka pakhungu. Ziphuphu zimenezi nthawi zambiri zimakhala ndi khungu louma komanso lolimba. Zingakhalenso zoyabwa kwambiri , makamaka usiku. Mungakhale ndi ziphuphu zochepa chabe, kapena mungakhale ndi zambiri m'dera limodzi.

Ngakhale kuti ziphuphuzi zimatha kuwoneka kulikonse pa thupi, zimapezeka kwambiri pa:

• M'mimba (malo am'mimba)
• Manja
• Miyendo
• Chigaza (khungu la mutu)
• Mapewa
• Kumbuyo kwapamwamba

Chofunika kwambiri ndichakuti vutoli ndi losatha . Izi zikutanthauza kuti limatha kukhala kwa nthawi yayitali, nthawi zina limachira kenako n’kubwereranso. Chifukwa chake, ndi chinthu chomwe chimafuna kuleza mtima pang’ono ndi chithandizo.

Ndani amene ali ndi mwayi waukulu wopeza vutoli?

Kwenikweni, aliyense akhoza kudwala `(Prurigo Nodularis)`. Komabe, anthu ena amakonda kudwala matendawa. Mwachitsanzo:

• Ndi zofala pakati pa anthu aku Africa America m'maiko ngati America.
• Kawirikawiri imapezeka kwambiri pakati pa akuluakulu azaka zapakati pa 40 ndi 69 .
• Zikuonekanso kuti zikufala kwambiri pakati pa akazi .

Komanso, ngati muli ndi matenda enaake a pakhungu, chiopsezo chanu chotenga `(Prurigo Nodularis)` chingakule.

Anthu omwe ali pachiwopsezo chachikulu cha matenda a pakhungu

Anthu omwe ali ndi matenda a khungu awa ali pachiwopsezo chachikulu:

• `(Bullous pemphigoid)` (matenda a pakhungu omwe amayambitsa matuza)
• `(Cutaneous T-cell lymphoma)` (mtundu wa khansa yomwe imapezeka pakhungu)
• Eczema (Eczema / Atopic dermatitis)
• Keratoacanthomas (mtundu wa chotupa cha pakhungu chomwe chimachitika chifukwa cha dzuwa)
• Lichen planus (matenda a pakhungu ndi mucous membrane)
• Mitundu ina ya prurigo (matenda ena a pakhungu omwe amayamba chifukwa cha kuyabwa)
• Psoriasis
• Khungu louma kwambiri (Xerosis cutis)

Anthu omwe ali pachiwopsezo chachikulu chifukwa cha matenda ena

Sikuti matenda a pakhungu okha, komanso matenda ena amawonjezera chiopsezo cha ``Prurigo Nodularis''.

• `(Khansa)` (Khansa)
• Matenda ena a bakiteriya, mavairasi, ndi parasitic
• Matenda a shuga
• Matenda a m'mimba
• Matenda a `(HIV - Human Immunodeficiency Virus)`
• Kusowa kwa chitsulo (kuchepa kwa magazi m'thupi)
• Kulephera kwa impso kapena matenda a impso osatha
• Matenda a chiwindi
• Lupus (matenda olumikizana ndi minofu)
• Matenda a mitsempha
• Matenda ena amisala, mwachitsanzo, psychogenic pruritus kapena Obsessive-Compulsive Disorder (OCD).
• Matenda a chithokomiro

Chofunika: Ngati muli ndi vuto lililonse mwa izi, sizikutanthauza kuti mudzakhala ndi `(Prurigo Nodularis)`. Komabe, kumbukirani kuti chiopsezo chake ndi chachikulu.

Kodi Prurigo Nodularis ndi yofala bwanji?

Ku United States, ziwerengero zikusonyeza kuti anthu pafupifupi 72 mwa anthu 100,000 ali ndi matendawa. Komabe, akatswiri amakhulupirira kuti chiwerengero chenicheni cha anthu omwe ali ndi matendawa chikhoza kukhala chokwera kwambiri. Chifukwa nthawi zina chimachitika limodzi ndi matenda ena akhungu, nthawi zina madokotala satha kuzindikira matendawa molondola.

Kodi zizindikiro za izi ndi ziti?

Pali zizindikiro zazikulu zingapo za `(Prurigo Nodularis)`. Tiyeni tiwone zomwe zili:

• Matumbo okwera pakhungu : Nthawi zambiri amakhala ndi kutumphuka kouma komanso kokhuthala. Matumbowo akhoza kukhala amtundu womwewo ngati khungu lanu, kapena akhoza kukhala pinki wopepuka, wofiira wakuda, bulauni, kapena wakuda.
• Kukula ndi kuzama kwa ziphuphuzo kumatha kusiyana : Ziphuphu zina zimatha kukhudza khungu, pamwamba pa khungu, komanso dermis, gawo lapakati.
• Kuyabwa kwambiri : Ichi ndiye chizindikiro chachikulu komanso chosasangalatsa cha matendawa. Anthu ena amathanso kumva kutentha kapena kupweteka kuwonjezera pa kuyabwa.

Nazi mitundu ya ziphuphu:

Mabowo awa akhoza kugawidwa m'magulu atatu akuluakulu:

• Ma nodules : Izi ndi zazikulu kuposa sentimita imodzi ndipo zalowa mu khungu.
• Mapapule : Awa ndi ang'onoang'ono kuposa sentimita imodzi ndipo amapezeka pamwamba pa khungu lokha.
• Ma plaques : Awa ndi mabala osaya kwambiri, okhala ndi mamba omwe ndi akuluakulu kuposa 1 cm koma safika pansi pa khungu.

Kodi n’chiyani chimayambitsa Prurigo Nodularis?

Choyamba, iyi si matenda opatsirana . Izi zikutanthauza kuti, sifalikira kuchokera kwa munthu wina kupita kwa wina kudzera mu kukhudza.

Ngakhale kuti chifukwa chenicheni cha izi sichinadziwikebe, akukhulupirira kuti pali zinthu zina zomwe zimachita izi:

• Kugwira ntchito mopitirira muyeso kwa maselo a mitsempha kapena maselo oteteza chitetezo cha mthupi pakhungu.
• Matumbo amenewa amatha kuchitika chifukwa cha kuyabwa kwambiri komwe kumachitika chifukwa cha matenda ena a pakhungu, chifukwa cha kukanda kosalekeza komanso kuwonongeka kwa khungu. Kunena zoona, kuyabwa kumachitika nthawi zonse. Kukanda kumayambitsa matumbo, ndipo pamene matumbo aonekera, kumayambitsa kukanda kwambiri.
• Mankhwala ena, mwachitsanzo ena a khansaMankhwala a chemotherapy angayambitsenso "Prurigo Nodularis".

Kodi izi zimazindikirika bwanji?

Ngati muli ndi zizindikiro izi, muyenera kuonana ndi dokotala wa khungu. Iye adzafufuza khungu lanu. Adzayang'ana kukula, mtundu, ndi malo a ziphuphu. Adzakufunsaninso kuchuluka kwa ziphuphu zomwe mwakanda komanso nthawi yomwe kuyabwa kukukulirakulira.

Chofunika: Onetsetsani kuti mwauza dokotala wanu za matenda ena aliwonse a pakhungu, matenda, ndi ziwengo zomwe muli nazo. Izi zikuthandizani kusiyanitsa `(Prurigo Nodularis)` ndi matenda ena.

Ndi mayeso ati omwe amachitidwa?

Kawirikawiri, mayeso ngati awa akhoza kuchitika:

• Dermoscopy : Mu njira iyi, dokotala amafufuza khungu lanu ndi chipangizo chowunikira chogwiritsidwa ntchito ndi dzanja (dermoscope). Izi zimathandiza dokotalayo kukulitsa zilonda za pakhungu popanda kudula khungu.
• Kuyezetsa magazi ndi mkodzo : Kuchuluka kwa magazi (CBC), metabolic panel (BMP), ndi urinalysis zingathandize kuzindikira mavuto a chiwindi, chithokomiro, kapena impso, monga tafotokozera kale, zomwe zingayambitsenso izi.
• Kufufuza khungu : Pa izi, kachidutswa kakang'ono ka khungu (kuphatikizapo khungu la pamwamba - khungu la epidermis ndi lapakati - khungu la dermis) kamatengedwa kuchokera pamalo okhudzidwa ndikuyang'aniridwa pogwiritsa ntchito maikulosikopu. Malowo amachotsedwa dzanzi asanachite izi. Izi zingagwiritsidwe ntchito kuyang'ana maselo osazolowereka ndi zizindikiro zina za matenda.

Kodi mankhwala ake ndi otani?

Chabwino n’chakuti, pali mankhwala ochizira `(Prurigo Nodularis)`. Komabe, popeza ndi matenda osatha, chithandizo chingatenge nthawi ndipo chimafuna kuleza mtima.

Chithandizo choyambira

Mankhwala otsatirawa nthawi zambiri amagwiritsidwa ntchito pa matenda ofatsa:

• Majakisoni pakhungu : Mankhwala amalowetsedwa mwachindunji pamalo okhudzidwawo. Mankhwala oletsa kutupa otchedwa corticosteroids akalowetsedwa pakhungu, kutupa kumachepa ndipo ululu, kufiira, ndi kuyabwa zimatha kuchepetsedwa mwachangu.
• Mankhwala ochizira khungu : Mankhwala ena amapakidwa mwachindunji pakhungu monga mafuta odzola kapena mafuta odzola.
• Lotion ya calamine nthawi zambiri imagwiritsidwa ntchito kuchepetsa kuyabwa.
• Dokotala angakulangizenso mankhwala oletsa kutupa otchedwa corticosteroids, mafuta okhala ndi vitamini D, kapena mankhwala oletsa calcineurin (mankhwala omwe amaletsa chitetezo cha mthupi).

Nanga bwanji ngati sizikwanira?

Nthawi zina, jakisoni ndi mafuta okha omwe atchulidwa pamwambapa sangapereke mpumulo waukulu. Ngati zili choncho, dokotala wanu angakulangizeni njira zina zochiritsira, monga:

• Cryotherapy : Izi zimagwiritsa ntchito nayitrogeni yamadzimadzi kuti ziume ziphuphu zazikulu kapena zoyabwa kwambiri. Mankhwalawa nthawi zambiri amaphatikizidwa ndi jakisoni wa corticosteroid.
• Mankhwala Oletsa Kutupa kwa Thupi : Mankhwalawa amagwira ntchito poletsa chitetezo cha mthupi lanu kuti chisachite zinthu mopitirira muyeso. Mankhwalawa angaperekedwe ngati muli ndi Prurigo Nodularis chifukwa cha matenda a autoimmune, monga lupus kapena psoriasis.
• Kuchiza ndi Phototherapy : Izi zimagwiritsa ntchito kuwala kwa ultraviolet kuti zichepetse kuyabwa ndikuthandizira zilonda za pakhungu kuchira. Zimagwira ntchito pochepetsa maselo oteteza thupi omwe amapanga mankhwala otchedwa histamines. Nthawi zambiri pamafunika mankhwala angapo.

Kodi matendawa adzachiritsidwa kwathunthu?

Nthawi zina, pamakhala nthawi zina pomwe `(Prurigo Nodularis)` imadzichiritsira yokha. Komabe, monga tanenera kale, iyi ndi vuto la khungu losatha . Izi zikutanthauza kuti limatha kukhala miyezi ingapo kapena kupitilira apo. Nthawi zina, ziphuphu za pakhungu zimatha kuchira kwakanthawi kenako nkubwereranso.

Ngati mungathe kuzindikira zomwe zimayambitsa ziphuphuzi, zithandiza kwambiri kuti vutoli lisabwererenso mtsogolo.

Mavuto aakulu omwe amabwera chifukwa cha matendawa ndi osowa. Komabe, zilonda zomwe zili ndi matendawa zimatha kuchitika. Zipsera kapena kusintha kwa mtundu wa khungu kumatha kuchitikanso pamene zilondazo zachira.

Kodi tingadziteteze bwanji kuti izi zisachitike momwe tingathere?

Ngakhale palibe njira yopewera kwathunthu kukula kwa `(Prurigo Nodularis),` pali zinthu zingapo zomwe tingachite kuti tichepetse kuyabwa, kuwonongeka kwa khungu, komanso kuwoneka kwa ziphuphu zatsopano:

• Pewani kuwala kwa dzuwa kapena gwiritsani ntchito mafuta oteteza ku dzuwa omwe ali ndi SPF 30 osachepera.
• Sungani misomali yanu ifupikitsa , chifukwa pali mwayi wochepa woti ingawononge khungu ngati mutayiluma.
• Pewani malo otentha ndipo pewani kuchita zinthu zodzaza ndi thukuta momwe mungathere.
• Gwiritsani ntchito zotsukira zofewa komanso zonyowetsa khungu zomwe zimagwirizana ndi khungu lanu.
• Ngati n'kotheka, valani zovala za manja aatali ndi magolovesi , makamaka ngati ndinu munthu wokanda mwangozi.
• Ngati ziphuphu za pakhungu zikutuluka magazi, onetsetsani kuti mwapaka mafuta opha tizilombo toyambitsa matenda ndikuphimba ndi bandeji yoyera.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muwona zizindikiro zilizonse za matenda, pitani kwa dokotala nthawi yomweyo :

• Ngati mafinya kapena madzi ena akutuluka pabala.
• Ngati muli ndi malungo .
• Mozungulira balaNgati pali ululu, kuuma, kapena kutupa.
• Ngati khungu lozungulira bala lili lofiira kapena lofunda .
• Ngati muwona mizere yofiira yozungulira bala.

Kodi ndi mafunso otani ofunika kufunsa dokotala?

Ngati muli ndi `(Prurigo Nodularis)`, musaiwale kufunsa mafunso awa mukapita kwa dokotala wanu:

• Kodi pali zakudya zilizonse zomwe ndiyenera kupewa ndikakhala ndi `(Prurigo Nodularis)`?
• Kodi pali njira zilizonse zochizira izi kunyumba ?
• Kodi mungachepetse bwanji chiopsezo cha zipsera ?
• Kodi mungachepetse bwanji kuyabwa , makamaka usiku?
• Kodi izi ndi `(Prurigo Nodularis)` chifukwa cha matenda ena omwe amabwera chifukwa cha matendawa ?

Pomaliza, izi ndi zomwe ndiyenera kukuuzani (Uthenga Wopita Nawo Kunyumba)

`(Prurigo Nodularis)` nthawi zina ingakhale vuto lovuta komanso losasangalatsa kulichiza. Limatha kukhala miyezi ingapo, nthawi zina kupitirira apo, ndipo limatha kuchira kenako n’kubwereranso. Ngati chithandizo chimodzi sichikugwira ntchito, muyenera kuyesa china, ndipo izi zitha kukhala zokhumudwitsa. Chifukwa chake, ndikofunikira kwambiri kusankha dokotala wa khungu yemwe amakumverani .

Pakadali pano, yesani kusunga khungu lanu bwino momwe mungathere. N'zovuta kusiya kukanda, koma kukanda timibulu ta `(Prurigo Nodularis)` kumangowonjezera zinthu, kumabweretsa matenda, ndi zipsera . Kudzawonjezeranso kuyabwa.

Sungani khungu lanu lozizira komanso louma momwe mungathere. Ngati mukufuna kukanda, yesani kugwiritsa ntchito chinthu monga calamine lotion m'malo mwake. Kumbukirani, simuli nokha, ndipo ndi upangiri woyenera wachipatala ndi chithandizo, vutoli lingathe kuthetsedwa.

` Prurigo nodularis, ziphuphu pakhungu, matenda a pakhungu, kuyabwa, zizindikiro za pakhungu, chithandizo cha khungu, matenda a pakhungu osatha