Ese urimo urwara uduheri duto tw’amazi ku biganza no ku birenge tugutera kwishima? Bishobora kuba indwara ya dyshidrotic eczema!

Ese ufite uduheri duto tw’amazi ku biganza byawe, hagati y’amano yawe, cyangwa ku biganza byawe turyana cyane? Hari igihe iyo utu duheri twumye, uruhu ruracika maze rukababara, bigatera ibibazo byinshi? Hanyuma ushobora kugira indwara y’uruhu yitwa 'Dyshidrotic Eczema'. Ntugahangayike, tuzavuga kuri ibi birambuye kandi byoroshye uyu munsi.

Dyshidrotic Eczema ni iki?

Mu magambo make, ni indwara y'uruhu imara igihe kirekire, cyangwa se iramba . Irangwa no kugira uduheri duto twuzuye amazi ku ntoki, ku biganza, ndetse rimwe na rimwe no ku birenge. Uruhu rushobora kandi kuma no gushya . Tekereza nk'uduheri duto tw'isabune.

Iyi ndwara ifite andi mazina menshi. Hari n'abandi bayita Dyshidrosis, Acute Palmoplantar Eczema, Vesiculobullous Dermatitis, cyangwa Pompholyx. Nubwo hari amazina menshi, ibimenyetso byayo ni bimwe.

Ni nde ufite amahirwe menshi yo kurwara iyi ndwara?

Umuntu wese ashobora kurwara indwara ya dyshidrotic eczema. Ariko, hari abantu bashobora kuyirwara cyane. Reka turebe abo ari bo:

• Ubusanzwe ku bantu bari hagati y'imyaka 20 na 40 .
• Iyi ndwara ikunze kugaragara ku bagore .
• Niba wowe cyangwa umuntu wo mu muryango wawe yigeze kugira eczema .
• Ku bantu basanzwe bafite dermatitis yo mu bwoko bwa contact dermatitis .
• Hari abantu bagira ubwivumbure iyo ikintu cy’amahanga, ni ukuvuga antigen, kigize ingaruka ku mubiri wabo. Ibi bishobora no kuba ku bantu nk’abo.
• Iyi ndwara rimwe na rimwe ishobora kugaragara ku bantu bahabwa inshinge z’abarinda indwara, ni ukuvuga inshinge z’imyobo ziterwa mu mitsi (IVIG), zihabwa abantu bafite ubudahangarwa bw’umubiri budakomeye.

Urugero, bamwe mu bagore bambara imitako ikora ku ntoki zabo kenshi. Abashakashatsi bavuga ko ibyuma nka nikeli cyangwa kobalti biri muri iyi mitako nabyo bishobora kuba intandaro y'iyi eczema. Niyo mpamvu ikunze kugaragara ku bagore. Muri rusange, hafi 50% by'abantu barwara eczema ya dyshidrotic baba bafite allergie kuri antigen imwe n'imwe.

Iki kibazo gikunze kugaragara gute?

Mu kazi cyangwa mu buvuzi, hagati ya 5% na 20% by'abarwayi ba dermatitis yo mu ntoki bivugwa ko iterwa na dyshidrotic eczema.

Ni gute indwara ya dyshidrotic eczema igira ingaruka ku mubiri?

Iyi ndwara yibasira cyane cyane uruhu rw'ibiganza byawe, impande z'intoki zawe, n'uburenge bw'ibirenge byawe .

Uduheri duto ku ruhu rwawe tumeze nk'udukoko tw'isabuneUbusanzwe utu dusebe tuba dufite uburebure bwa milimetero imwe kugeza kuri ebyiri. Ariko, rimwe na rimwe utu dusebe duto dushobora kwihuza tugakora udusebe tunini.

Iyo ibisebe byumye, uruhu ruri muri ako gace rushobora kugira ibibyimba no kwangirika . Bishobora kandi kubabaza gato.

Ibimenyetso ni ibihe?

Ibimenyetso bya dyshidrotic eczema bishobora kugaragara mu buryo butunguranye, bigashira nyuma y'iminsi mike, hanyuma bikagaruka. Ibi bimenyetso bishobora kumara ibyumweru. Reba niba ufite kimwe muri ibi bimenyetso:

• Uduheri duto kandi dukomeye tugaragara ku biganza by'amaboko, ku mpande z'intoki, no ku birenge.
• Izi pfupfu rimwe na rimwe zishobora kubabaza .
• Kuryarya cyane no gukurura uruhu ku dusebe cyangwa hafi yatwo.
• Kwiyongera kw'ibyuya bijyana no kugira uduheri.
• Uko udusebe dushira, uruhu ruri muri ako gace rwuma kandi rugacikamo uduce .

Iyo ukunda gukubagura utwo duce, uruhu rushobora kuba runini. Udusebe duto cyangwa uduce dufite udusebe twinshi rimwe na rimwe dushobora kwandura . Rero ni ngombwa kugenzura gukubagura uko bishoboka kose.

Ni iki gitera iyi ndwara? (Itera ibitero)

Abaganga n'abashakashatsi ntibaramenya neza icyatera dyshidrosis, ariko bizera ko ishobora guterwa n'ibintu bitandukanye.

• Ubudahangarwa bw'umubiri butera ubumuga: Niba ufite indwara ya dyshidrotic eczema, ubudahangarwa bw'umubiri bwawe bushobora kwandura cyane iyo hari ibintu bito bikurura cyangwa ibintu bishobora gutera ubwivumbure. Uku kwandura cyane bitera kubyimba k'uruhu.
• Kurwara indwara zimwe na zimwe nka sima, nikeli, kobalti, na chromium bishobora kongera iyi ndwara ya eczema. Bishobora kandi kwiyongera bitewe n'izindi ndwara nka kanseri y'ibyatsi/allergie cyangwa zimwe mu ndwara zikomoka ku biribwa.
• Ubushuhe: Dyshidrotic eczema ishobora no guterwa no guhora ubira ibyuya no gutose amaboko cyangwa ibirenge. Iki ni ikintu cyo kwitondera mu gihe cy'ikirere mu gihugu cyacu.

Ese ibi birakwirakwira? Ese birandura?

Mu bihe bimwe na bimwe bikomeye, ibi bisebe bishobora gukura bikagera no mu mugongo w'amaboko, ibirenge, n'intoki, ariko ntibikwirakwira mu bindi bice by'umubiri.

Igikuru ni uko indwara ya dyshidrotic eczema idakwirakwira. Ntushobora kuyikwirakwiza ku wundi muntu.

Ariko, iyo uvunnye uruhu ukoresheje udusebe, bishobora gutera indwara. Iyo udusebe twanduye, ugomba kujya kwa muganga. Hanyuma bashobora kuguha imiti yica udukoko kugira ngo bavure iyo ndwara.

Ni gute wasuzuma ibi?

Iyo ugiye kwa muganga, bazasuzuma ibice by'uruhu rwawe byangiritse. Bashobora kukubaza ibibazo nko kuba ufite stress nyinshi, niba hari umuntu wo mu muryango wawe ufite iyi ndwara, niba warakoresheje imiti mishya y'uruhu, wambaye imitako mishya, cyangwa wariye ibiryo bishya.

Ni ibihe bipimo byo gusuzuma indwara?

Muganga wawe ashobora gutegeka ibizamini bimwe na bimwe kugira ngo yemeze ko urwaye indwara cyangwa agakuraho izindi ndwara zisa nazo, nka contact dermatitis, bullous pemphigoid, n'indwara z'amaboko, ibirenge n'umunwa. Ibi bishobora kuba birimo:

• Ibipimo by'ubwivumbure.
• Gufata agace gato k'uruhu kugira ngo gasuzumwe (Biopsy).
• Gupima amaraso.

Ni gute wavura indwara ya dyshidrotic eczema?

Abantu benshi batangira bakemura iki kibazo bakoresheje uburyo bwo kwita ku ruhu mu rugo.

Ni ubuhe buryo bwo kuvura bushobora gukorerwa mu rugo?

• Koresha amazi y'akazuyazi aho gukoresha amazi ashyushye mu gihe woza intoki zawe.
• Shyira amaboko n'ibirenge byawe mu mazi akonje igihe gito kugira ngo ugabanye ibimenyetso.
• Kugira ngo ugabanye uburyaryate n'ububyimbirwe , shyiramo udutambaro dukonje ukoresheje igitambaro gisukuye cyinjijwe mu mazi akonje uko bikenewe. Birekereho iminota 10-15, ureke umwuka wumuke, hanyuma ushyireho amavuta meza yo kwisiga. Ni byiza kubikora gatatu kugeza kane ku munsi.
• Kugira ngo uruhu rutakuma, siga amavuta meza yo kwisiga inshuro nyinshi ku munsi. Ibi ni ingenzi cyane.
• Kumutsa intoki n'ibirenge byawe vuba kandi neza nyuma yo koga cyangwa koga.
• Niba bishoboka, gabanya umubare w'amasogisi, amasogisi n'inkweto wambara. Niba ugomba kwambara, ambara amasogisi y'ipamba cyangwa y'ubwoya atwara ubushuhe n'inkweto zihumeka kandi zidafunga ibirenge byawe.

Muganga wawe ashobora kukwandikira imiti itangwa na muganga (OTC), nk'amavuta yo mu bwoko bwa corticosteroid cyangwa amavuta yo kwisiga . Ashobora kandi kukwandikira imiti yo mu kanwa irwanya antihistamines (nka fexofenadine na cetirizine). Iyi miti ishobora kugabanya ububyimbirwe no kubyimbirwa.

Ni ubuhe buryo bwo kuvura butangwa hakurikijwe amabwiriza ya muganga?

Niba indwara ya dyshidrotic eczema ikabije, muganga wawe ashobora kukugira inama yo kuvura nk'iyi kugira ngo igufashe kugabanya ibimenyetso:

• Imiti ya corticosteroid ikoreshwa mu mubiri wose: Niba amavuta ya corticosteroid akoreshwa mu mubiri adatanga ubutabazi, muganga wawe ashobora kukwandikira umuti wa corticosteroid unyobwa, nka prednisone.
• Imiti igabanya ubudahangarwa bw'umubiri ikoreshwa mu buryo bwose:Kubera ko gufata imiti ya steroide inyobwa igihe kirekire bishobora kwangiza ubuzima bwawe, muganga wawe ashobora kukugira inama yo gukoresha imiti nka methotrexate, mycophenolate, cyangwa inshinge za dupilumab.
• Kuvura hakoreshejwe ifoto: Ibi bikubiyemo gukoresha amatara yihariye kugira ngo ayobore urumuri rwa ultraviolet, akenshi imirasire ya ultraviolet B (UVB), ku ruhu. Iyi mirasire ya UV ishobora gufasha kuvura indwara zimwe na zimwe z'uruhu, harimo na dyshidrotic eczema. Ariko, imirasire ya UVB ishobora gutera ibizinga byijimye bidashira (hyperpigmentation) ku bantu bafite uruhu rwijimye, bityo rero ni byiza kuganira na muganga wawe kuri ibi niba ufite uruhu rwijimye.

Ese hari uburyo bwo kubikuraho vuba?

Birumvikana ko umubiri wa buri wese utandukanye. Hari abantu bashobora kumererwa neza bakoresheje imiti yo mu rugo n'imiti itangwa na muganga. Abandi bashobora gukenera amavuta akomeye ya corticosteroid nka Clobetasol.

Indwara ya Dyshidrotic eczema ikunze kumera neza iyo ivuwe, ariko ishobora kugaruka uko igihe kigenda gihita. Kubwibyo, ushobora gukenera gukurikiza gahunda runaka yo kwita ku ruhu cyangwa gukomeza gukoresha imiti kugira ngo ucunge ibimenyetso byawe.

Ese indwara ya dyshidrotic eczema ishobora kwirindwa?

Ikibabaje ni uko indwara ya dyshidrotic eczema idashobora kwirindwa burundu. Ni indwara y'igihe kirekire ishobora kwiyongera rimwe na rimwe mu buzima bwose . Ariko, kwiyongera kw'ibicurane bishobora gukemurwa.

Wakora iki niba ufite eczema ya dyshidrotic?

Niba ufite eczema ya dyshidrotic, hari ibintu ushobora gukora kugira ngo ugabanye kubyimba kw'uruhu. Gukurikiza gahunda nziza yo kwita ku ruhu no gukoresha imiti nka antihistamines bishobora gufasha mu kurwanya ibimenyetso. Iyo bibaye ngombwa, hari ubundi buryo bwo kuvura, nko gukoresha phototherapy.

Abantu benshi babana n'indwara ya dyshidrotic eczema, ariko rimwe na rimwe ishobora kugorana. Ushobora kugira iyi ndwara rimwe ariko ntuzongere kuyirwara ukundi, cyangwa ishobora kongera kwiyongera mu buzima bwawe bwose. Hari igihe ibimenyetso bishobora gushira burundu. Ibi bihe byitwa ibihe byo kuruhuka. Kwita ku ruhu no kuvura neza bishobora gufasha gukumira kubyuka no kongera igihe cyo kuruhuka.

Wibuke ko ugomba kwirinda ibintu bitera uruhu ku ruhu rwawe, ugasiga amavuta yo kwisiga ku ruhu rwawe, ugafata imiti yandikiwe na muganga, kandi ugakurikiza amabwiriza ya muganga wawe.

Hari ibintu bike ushobora gukora kugira ngo ugabanye ububabare buterwa n'uduheri twawe:

• Oza ahantu hagize ikibazo n'isabune yoroheje .
• Siga amavuta cyangwa amavuta yo kwisiga arwanya bagiteri .
• Upfuke ahantu hagize ikibazo ukoresheje igitambaro cyangwa agace ka gaze .
• Hindura igitambaro nibura rimwe ku munsi.

Bishobora gusa nkaho ari byiza gukurura ikibyimba no kugikuraho. Ariko, kubikora si byiza na gato. Uruhu ruri hejuru y'ikibyimba ruriho kugira ngo rurinde ibice by'uruhu biri munsi yarwo kwandura.

Ni ryari ukwiye kujya kwa muganga?

Ni byiza kujya kwa muganga ukimara kubona udusebe ku biganza byawe, ku ntoki, cyangwa ku birenge. Uko utangira kuvurwa vuba, niko byoroha kugenzura iyo ndwara.

Ni ibihe bibazo ugomba kubaza muganga?

• Wamenya ute ko mfite indwara ya dyshidrotic eczema?
• Niba ntarwaye indwara ya dyshidrotic eczema, ni iyihe ndwara yindi y'uruhu nagira?
• Ese hari amavuta cyangwa amavuta ushobora kwandika?
• Ni iyihe miti usaba?
• Ni iyihe miti yo mu rugo utanga inama?
• Hari umuti wihariye wo kwisiga usaba?
• Ese nkwiye kubonana n'umuganga w'uruhu cyangwa undi muganga w'inzobere?

Ibintu by'ingenzi cyane ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Indwara ya Dyshidrotic eczema ni indwara isanzwe y'uruhu ishobora kubabaza no gukurura. Ushobora kuyirwara rimwe mu buzima bwawe ntuzongere kuyirwara ukundi, cyangwa ishobora kongera kugaruka rimwe na rimwe mu buzima bwawe bwose. Niba ufite uruhu rubabaza, rushyuha, kandi rukurura, menya neza ko wavugana na muganga.

Igikuru ni ugushaka inama z'abaganga ukimara kubona ibimenyetso. Ntugakore ibyo wumva gusa cyangwa ngo ujye kwivuza ukurikije ibyo abandi bavuga. Hari igihe bishobora gutuma ibintu birushaho kuba bibi.

Indwara yoroheje ya dyshidrotic eczema ishobora kuvurwa hakoreshejwe amavuta yo kwisiga, amavuta yo kwisiga, n'imiti igurishwa ku iduka. Indwara zikomeye zishobora gusaba imiti yanditswe na muganga cyangwa ubundi buryo bwo kuvura. Ukurikije gahunda nziza yo kwita ku ruhu, ushobora kugabanya ingaruka za dyshidrotic eczema no kugumana ubuzima bwiza.

Dyshidrotic eczema, uduheri ku maboko, uduheri ku birenge, uruhu ruryana, pompholyx, dermatologie, kwita ku ruhu