Dermatitis ya Seborrheic ni iki?
Mu magambo make, dermatitis ya seborrheic ni indwara y'uruhu ikunze kugaragara kandi yoroshye kuvurwa. Itera uruhu rwawe gutukura, rukaryana, kandi rukagira ibicurane by'amavuta. Ku mutwe, rushobora no kugira uduce tw'umweru cyangwa umuhondo cyangwa ibibyimba. Nk'uko izina ribigaragaza, "seborrheic" bivuga "glandes za sebaceous" mu ruhu rwacu. Izi ni glandes zikora amavuta ku ruhu rwacu. "Derm" bivuga uruhu. Iyi rero ni indwara ibaho bitewe na zo. Dandruff, twese tuzi, ni ubwoko bw'ibi. Abaganga rimwe na rimwe bayita pityriasis capitis. Iyo igaragara ku mutwe w'abana bato, tuyita "cradle cap." Isa nka dandruff y'abana. Dermatitis ya seborrheic ishobora kugaragara atari ku mutwe gusa, ahubwo no ku bindi bice by'umubiri, cyane cyane ahantu hari umubare munini w'glandes za sebaceous. Urugero:- Igice cyo hejuru cy'umugongo n'igituza
- Mu maso/mu gahanga
- Mu mipfundo ku mpande zombi z'izuru
- Inyuma y'amatwi
- Pekaniya (Pekaniya)
- Ingofero
- Munsi y'ibere
- Mu mipfundo y'amaboko, amaguru, n'ikibuno
Ni nde ufite amahirwe menshi yo kurwara iyi ndwara?
Bivugwa ko hafi 11% by'abatuye isi bafite indwara ya seborrheic dermatitis. Ikunze kugaragara cyane mu bana bari munsi y'amezi atatu n'abantu bakuru bari hagati y'imyaka 30 na 60. Ikunze kugaragara cyane mu bagabo kurusha abagore. Niba ufite uruhu rusanzwe rufite amavuta menshi , ushobora kurwara iyi ndwara. Nanone, niba hari umuntu wo mu muryango wawe ufite indwara z'uruhu nka psoriasis, ishobora no kukugiraho ingaruka. Niba utuye ahantu humutse kandi hakonje, ntabwo biterwa n'ikirere ubwacyo, ariko iyo ndwara ishobora kuba mbi kurushaho. Byongeye kandi, niba ufite ibibazo by'ubuzima nka:- Ku bafite ubudahangarwa buke bw'umubiri:
- Abahabwa imiti igabanya urugingo rw'umubiri
- Abantu bakuru barwaye Hodgkin's Lymphoma
- Abantu bakuru bafite indwara ya lymphoma itari iya Hodgkin
- Ku bantu banduye agakoko gatera SIDA ( VIH - virusi itera indwara z’ubudahangarwa bw’umubiri w’umuntu)
- Ku bafite indwara zo mu mutwe :
- Ihungabana
- Ku bantu bafite indwara z'imitsi :
- Indwara ya Parkinson
- Indwara ya Tardive Dyskinesia
- Indwara y'igicuri
- Indwara yo mu maso itera indwara yo mu maso
- Ku bafite imvune mu mugongo
- Ku bafite ubumuga bavukanye:
- Indwara ya Down
Ni ibihe bimenyetso by'ibi?
Niba ufite dermatitis ya seborrheic, ushobora kugira ibimenyetso nk'ibi:- Udusimba tw'umweru, dushyuha ku mutwe. Ibi tubyita dandruff . Iyo tubyimbye, utwo dusimba tugenda dufata umusatsi, cyangwa tukagwa ku ijosi no ku bitugu.
- Uduheri dutukura kandi dufite ibibyimba ku ruhu.
- Cradle Cap ni agace k'umuhondo kandi kazamutse ku mutwe w'umwana. Akenshi ntabwo karyana. Ariko, iyo umwana aryana umutwe, bishobora gutera ibindi bikomere ndetse wenda no kwandura agakoko gato.
- Uduheri n'ibibyimba ku nkengero z'amaso. Ibi byitwa blepharitis .
- Udupira tw’umuhondo ku mpande zombi z’isura, aho uruhu rukomera kandi rugakura.
- Hari utudomo ku gituza, ku gahanga no ku musatsi bisa n'ururabo rw'indabyo cyangwa uruziga.
- Uduheri mu myanya ndangagitsina, mu kwaha no munsi y'amabere.
- Kubyimba kw'imitsi y'umusatsi ku matama no hejuru y'umubiri (imitsi y'umusatsi yabyimbye).
Kuki dermatitis ya seborrheic ibaho? Ni iki gituma irushaho kuba mbi?
Abashakashatsi ntibaramenya neza icyabitera. Batekereza ko hari impamvu nyinshi zishobora kuba zibitera. Ibintu by'ingenzi bivugwa ko ari byo bitera ibi ni ibi bikurikira:- Malassezia ni ubwoko bw'umusemburo uba ku ruhu rwa buri wese. Ariko, kuri bamwe, urushaho gukura cyane.
- Ubwiyongere bw'urugero rwa androgen mu mubiri.
- Ku ruhuUbwiyongere bw'ibinure mu mubiri.
- Uburyo bwo kubyimba uruhu.
- Amateka y'umuryango (bivuze ko ashobora kuba ikintu gikomoka ku bisekuruza).
- Guhangayika
- Ikirere gikonje kandi cyumye
- Uruhu rufite amavuta
- Gukoresha amavuta yo kwisiga arimo inzoga
- Kugira izindi ndwara z'uruhu nka rosacea , psoriasis, na acne.
Ese ikirere kigira ingaruka kuri ibi?
Yego rwose. Mu gihe cy'imvura, umwuka wumye ushobora gutuma dermatitis yawe ya seborrheic irushaho kuba mbi. Ariko mu mpeshyi, iyo ndwara irushaho kuba nziza. Impamvu ni uko imirasire ya UV-A na UV-B mu zuba ishobora kwica umusemburo ukwirakwira ku ruhu rw'abantu bafite dermatitis ya seborrheic. Ariko ni byiza kwitondera ubushyuhe bw'izuba!Ese ibiryo n'ibinyobwa bishobora kongera cyangwa kugabanya iyi ndwara?
Hari ibitekerezo bitandukanye kuri ibi. Ariko, igitekerezo cy'impuguke ni uko bitaragaragazwa ko indyo itera cyangwa ikagabanya dermatitis ya seborrheic . Nanone, indyo ntigira ingaruka ku ruhu.Ni irihe tandukaniro riri hagati ya Seborrheic Dermatitis na Psoriasis?
Hari igihe byombi bishobora kumera kimwe. Byombi bitera uduce dutukura kandi dufite ibisebe ku ruhu. Byombi bishobora kugira ingaruka ku mutwe. Ariko, psoriasis ni indwara y'uruhu iterwa n'ubushyuhe ifata hagati ya 2% na 4% by'abaturage. Muri psoriasis, ibisebe bishobora kuba binini kurusha muri dermatitis ya seborrheic. Kandi impande z'ibisebe zigaragara neza. Ku mutwe, muri psoriasis, ibisebe biba bifite ibara ry'ifeza kurusha umweru cyangwa umuhondo. Hari igihe byombi bishobora kubaho hamwe. Ibi byitwa sebopsoriasis . Muri iki gihe, ibimenyetso byombi biragaragara.Niba utazi neza niba ufite dandruff cyangwa seborrheic dermatitis, ni byiza kujya kwa muganga kugira ngo akugire inama , kuko uburyo bwo kuvura bumwe bushobora kudakora ku bundi.
Ese dermatitis ya seborrheic itera gutakaza umusatsi?
Oya. Dermatitis ya seborrheic ntabwo itera gutakaza umusatsi mu buryo butaziguye . Ariko, gushyuha cyane bishobora gutuma umusatsi ucika.Ese hari isano iri hagati y'ibi n'ibiheri?
Yego, indwara ya seborrheic dermatitis na acne byombi bishobora kugaragara icyarimwe, mu bice bimwe by'umubiri. Byombi bigira ingaruka ku mavuta y'uruhu rwawe. Abantu bafite acne nabo bashobora kurwara dandruff.Ibi bipimwa gute?
Dermatitis ya seborrheic ni indwara yoroshye kumenyekana.Ibi biterwa nuko umuganga ashobora kuyisuzuma akurikije uko uruhu rwanduye rumeze ndetse n'aho umubiri uherereye. Ibipimo by'amaraso, inkari, cyangwa allergie akenshi ntibikenewe. Ariko, niba indwara yawe idakira neza iyo uvuwe, umuganga w'uruhu ashobora gufata agace gato k'uruhu (skin biopsy) kugira ngo amenye ko nta yindi ndwara ifite.Ni ubuhe buryo bwo kuvura ibi?
Ubusanzwe indwara ya seborrheic dermatitis mu bakiri bato n'abakuze ntishira idahawe umuti. Ubuvuzi buterwa n'aho iri ku mubiri wawe n'ubukana bwayo. Intego nyamukuru yo kuvura ni ukugabanya ibimenyetso bya seborrheic dermatitis, harimo no kuribwa no gutukura. Ibi birimo imiti itangwa na muganga (OTC) n'indi miti itangwa na muganga . Imiti itangwa na muganga irimo imiti irwanya udukoko, imiti igabanya ubukana bwa calcineurin, na corticosteroids. Ubuvuzi busanzwe bukunze kuba ngombwa. Hari igihe, hashobora gukoreshwa uburyo butandukanye bwo kuvura.Uburyo bwo kuvura uruhu rw'umutwe
Agapfundikizo k'abana bato
- Ingofero yo mu nda ikunze koroherwa iyo umwana afite hagati y'amezi 8 na 12.
- Ibi bishobora kugerwaho wogeje umusatsi wawe buri munsi ukoresheje shampoo yoroheje y'abana.
- Ushobora gukaraba cyangwa gukaraba umutwe wawe ukoresheje uburoso bworoshye. Bikore inshuro nyinshi ku munsi kandi nyuma yo gukaraba. Witondere kwangiza uruhu , kuko bishobora gutera kwandura.
- Iyo iki kibazo kikomeje, cyangwa niba umwana wawe arimo kwikubira umutwe nk'aho ari kubabara, reba muganga w'abana cyangwa dermatologist. Ashobora kukugira inama yo gukoresha shampoo cyangwa amavuta yo kwisiga yihariye.
- Iyo iki kibazo kibaye ku bindi bice by'umubiri, ushobora gukoresha amavuta yoroshye yo mu bwoko bwa steroid.
Ku rubyiruko n'abantu bakuru
- Ku ndwara zoroheje , ushobora kugura shampoo ikoresha dandruff irimo selenium, zinc pyrithione, cyangwa tar y'amakara muri farumasi. Ikoreshe kabiri mu cyumweru cyangwa ukurikije amabwiriza ari ku icupa.
- Kugira ngo ugenzure igihe kirekire , muganga wawe ashobora kukwandikira shampoo irwanya udukoko irimo ciclopirox (Loprox®) cyangwa ketoconazole (Nizoral®). Izi shampoo zigomba gukoreshwa buri munsi inshuro ebyiri cyangwa eshatu mu cyumweru mu gihe cy'ibyumweru byinshi kugeza igihe uruhu rw'umuhondo rumaze gukendera. Hanyuma, uzikoreshe rimwe mu cyumweru cyangwa buri cyumweru kugira ngo wirinde kugaruka. Muganga wawe azakubwira neza uko uzikoresha.
- Ku ndwara ziringaniye kandi zikomeyeNiba ari uko bimeze, muganga wawe ashobora kukwandikira shampoo irimo betamethasone valerate (Luxiq®), clobetasol (Clobex®), fluocinolone (Capex®), cyangwa umuti wa fluocinolone (Synalar®). Ibi bishobora gukoreshwa buri munsi, cyangwa bishobora gukoreshwa kabiri ku munsi mu gihe cy'ibyumweru bibiri, hanyuma kabiri mu cyumweru. Bikoreshwe nk'uko muganga wawe yabigutegetse.
Baza muganga wawe ingaruka mbi ugomba kumenya mu gihe ukoresha izi shampoo.
Uburyo bwo kuvura mu maso no ku mubiri
Imiti irwanya udukoko two mu maso, imiti igabanya ubukana bw'uturemangingo, hamwe n'imiti igabanya ubukana bw'uturemangingo (calcineurin inhibitors) ikoreshwa mu kuvura dermatitis iterwa n'udukoko mu maso no ku mubiri.- Imiti irwanya udukoko ikoreshwa mu gukaraba ikubiyemo ciclopirox, ketoconazole, cyangwa sertaconazole. Iyi miti iza mu bwoko bwa crème, foam, cyangwa gel. Ubusanzwe ishyirwa ahantu hafashwe kabiri ku munsi mu gihe cy'ibyumweru 8, hanyuma igakoreshwa uko bikenewe.
- Imiti ya corticosteroids ikoreshwa mu gusiga irarimo betamethasone valerate, desonide, fluocinolone, cyangwa hydrocortisone. Iza ari amavuta yo kwisiga, amavuta yo kwisiga, ifuro, jeli, amavuta yo kwisiga, cyangwa ibinyobwa. Ikoreshwa rimwe cyangwa kabiri ku munsi. Muganga wawe ashobora kukwandikira iyo urwaye iyo udafite imiti irwanya udukoko cyangwa iyo urwaye ikarushaho kuba mbi. Gukoresha imiti ya corticosteroids buri gihe mu byumweru cyangwa amezi bishobora gutuma uruhu rwawe rugabanuka. Ntukomeze kuyikoresha utabanje kugirwa inama na muganga.
- Imiti igabanya ubukana bwa Calcineurin ni ubundi buryo bwo gusimbura imiti ya corticosteroid. Iyi miti irimo pimecrolimus cream (Elidel®) cyangwa tacrolimus ointment (Protopic®). Ishyirwa ku gice cyafashweho ingaruka kabiri ku munsi.
- Niba indwara yawe ikomeye cyane , muganga wawe ashobora kukwandikira umuti urwanya udukoko two mu kanwa cyangwa umuti uvura indwara zo mu bwoko bwa phototherapy kugira ngo ugabanye ububyimbirwe bw'uruhu.
Ni gute wagabanya ibyago byo kurwara dermatitis ya seborrheic?
Mu by’ukuri hari ibintu bike cyane ushobora gukora kugira ngo wirinde indwara ya seborrheic dermatitis.Ni indwara isanzwe kandi idatera ingaruka mbi. Irashobora gukemurwa byoroshye mu rugo. Niba uri muto cyangwa ukuze, niba umubiri wawe ufite imisemburo ya androgen iri hejuru y’isanzwe, niba uruhu rwawe rufite lipide nyinshi, cyangwa niba ufite umusemburo mwinshi, ushobora kuyirwara. Ariko hari ingeso zimwe na zimwe zoroheje z’ubuzima ushobora gukurikiza kugira ngo ugabanye ibyago byo kurwara:- Sinzira neza.
- Genzura imihangayiko.
- Jya wishyira ku zuba (urumuri rwa UV) igihe gito (iminota mike) buri munsi. Ariko witondere izuba rikomeye ku manywa.
Ni iki nakwitega muri iki kibazo?
Cradle Cap ni indwara ikunze kugaragara ku bana bato. Akenshi ntabwo ibabaza, iraryana, kandi nta kibazo igira. Igaragara mu byumweru bike bya mbere kugeza ku mezi make y'ubuzima, kandi abana benshi ntibaba bakiyirwaye kugeza ku mezi 12. Ishobora gukemurwa no kwitabwaho mu rugo. Dermatitis ya seborrheic, ifata umutwe, isura, n'umubiri by'abato n'abakuru, ni indwara y'ubuzima bwose . Ku bw'amahirwe, ishobora gukemurwa no kuvurwa. Iyo ivuwe neza, iyi ndwara ihita ikira.Niba kwivura bidafashije, cyangwa niba agace kagize ikibazo kababaza, gafite ibibyimba, cyangwa gatanga amabyi, menya neza ko wagiye kwa muganga .
Nkwiye kwiyitaho nte?
Niba ufite dermatitis ya seborrheic ku mutwe wawe, ushobora kugerageza shampoo nyinshi zikoreshwa mu kugura dandruff. Niba shampoo imwe idakora, reba ikintu gikora hanyuma ugerageze ikindi gifite ikindi kintu. Shampoos zigomba gushyirwa ku mutwe wawe hanyuma zikarekwa nibura iminota 5 mbere yo koza. Niba ubona ko ufite dermatitis ya seborrheic ku maso cyangwa ku mubiri wawe, reba muganga cyangwa dermatologist. Bashobora kugusuzuma no kumenya uburyo iyo ndwara yakwirakwiriye kandi ikomeye. Bashobora kugufasha guhitamo uburyo bwiza bwo kuvura, kugenzura indwara yawe, no gukumira ibibyimba. Kurikiza amabwiriza yose kandi ntutinye kubaza muganga wawe niba ufite ikibazo cyangwa impungenge.Ni ryari ngomba kujya kwa muganga?
Iyo ibimenyetso byawe birushijeho kwiyongera cyangwa ukagira ikibazo cyo kubyimba, ugomba kujya kwa muganga w’uruhu. Muganga wawe ashobora kuba akeneye guhindura ingano y’imiti yawe, kongeramo indi miti ku buryo bwo kuyivura, cyangwa guhindura burundu imiti.Ni ibihe bibazo ngomba kubaza muganga wanjye?
Iyo ugiye kwa muganga, ushobora kubaza ibibazo nk'ibi:- "Muganga, ukurikije ibimenyetso byanjye, ese mfite dermatitis ya seborrheic, cyangwa ikindi kintu nk'izuba, dermatitis ya atopic, cyangwa psoriasis?"
- "Ni ubuhe buryo bwo kuvura nabona muri farumasi igihe numva meze neza? Cyangwa ngomba gukora ubuvuzi bwinshi icyarimwe?"
- "Ese hari shampoo yihariye yo gutakaza umusatsi, amavuta, cyangwa amavuta yo kwisiga akoreshwa na muganga?"
- "Niba ibi bitagenze neza ukoresheje imiti yo mu rugo, ese muganga ashobora kumpa shampoo, amavuta cyangwa amavuta yo kwisiga?"
- "Ni kangahe nkwiye kubonana na muganga w'uruhu kubera iyi ndwara?"
- "Nkwiye gukora iki niba mfite ubwivumbure bw'umubiri bitewe na shampoo/cream/lotion nkoresha?"
Amaherezo, ibintu byo kwibuka
Dermatitis ya seborrheic ni indwara isharira kandi idashimishije gato. Ariko, ntabwo itera ikibazo gikomeye ku buzima . Iyo uyivuje, iyi ndwara ishobora gukemurwa neza. Rero, uruhu rusharira n'udusimba tw'umweru ku ishati yawe y'umukara ntibigomba kuba bimwe mu bikorwa byawe bya buri munsi! Niba ufite ibindi bibazo kuri ibi, ntutindiganye kuvugana na muganga wawe.👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 Dermatitis ya Seborrheic ni iki? Ese ni indwara y'uruhu?
Iki ni ikibyimba cy'umuhondo, gifite ibibyimba kigaragara ku bice by'uruhu rwacu bitanga amavuta menshi (umutwe, mu maso, ku mpande z'izuru, no mu gituza). Iyo ibi bibaye, agace gahinduka umutuku, kakarya cyane, hanyuma hakagaragara amatembabuzi y'umweru, afite ibibyimba, kandi afite ifu.
💬 Ni iyihe mpamvu nyamukuru itera iyi ndwara?
Impamvu nyayo y’iki kibazo ntiramenyekana kugeza ubu, ariko bikekwa ko giterwa no kwiyongera cyane kw’uduhumyo twitwa Malassezia, dusanzwe tuba ku ruhu rwacu, ndetse n’ingaruka nyinshi z’ubudahangarwa bw’umubiri wacu kuri iki gihumyo.
💬 Ese hari uburyo bwiza bwo kuvura ibi bushobora gukorerwa mu rugo?
Niba iri ku mutwe wawe, oza umutwe wawe ukoresheje shampoo yo muri farumasi irwanya dandruff irimo imiti nka ketoconazole cyangwa selenium sulfide. Niba iri ku maso hawe, ushobora kuyisiga amavuta yoroshye ya hydrocortisone mu gihe cy'iminsi mike kugira ngo ugabanye uburyaryate.
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