Ese indwara ishaje igaruka ivuye mu gisebe kiri ku ruhu rwawe? Reka tuvuge ku kintu cya Koebner

Ushobora kuba ufite ikibazo cy'uruhu, nka psoriasis. Ese wigeze ubona ko ikibazo nk'icyo cya kera cyongeye kugaragara mu buryo butunguranye uhereye ku gikomere gito cyangwa ku gisebe ku ruhu rwawe? Ni nk'aho indwara itangiye ahantu hashya. Ibi ni byo twita Koebner Phenomenon mu buvuzi. Ibi bishobora kuba bishya kuri bamwe, bityo uyu munsi turabivugaho mu buryo burambuye , ariko mu buryo bworoshye.

Ni iki gitera Koebner?

Mu magambo make, Koebner Phenomenon ni igihe indwara y'uruhu usanzwe ufite, nka psoriasis cyangwa vitiligo, igaruka mu gace gashya k'uruhu rwawe, nko gukomereka, gukomereka, gushya, cyangwa kubagwa. Mu by'ukuri, kopi y'iyo ndwara isanzwe igaragara mu gace gashya. Tekereza, ufite uduheri duto ku kuboko kwawe, ukarwara uduheri ahantu runaka ku kaguru, hanyuma nyuma y'iminsi mike, uduheri na two tukagaragara muri ako gace. Nguko uko.

Ibi byavumbuwe bwa mbere kandi bisobanurwa mu 1876 n'umuganga w'Umudage witwaga Heinrich Koebner. Niyo mpamvu iki kintu cyitirirwa izina rye. Yanacyise 'igisubizo cya isomorphic'. Ijambo ry'Ikigiriki 'isomorphic' risobanura 'imiterere imwe'. Ibi bivuze ko utudomo dushya twigaragaza dusa n'igisebe cya mbere.

Ibi ni ibisanzwe gute?

Iyi ndwara, yitwa Koebner Phenomenon, ikunze kugaragara ku bantu bafite psoriasis. Ubushakashatsi bumwe bwerekana ko abantu bagera kuri 25% bafite psoriasis bashobora kuyirwara. Ariko, ntabwo ari psoriasis gusa.

Iyi ndwara ishobora no kugaragara ku bantu bafite ibiheri, vitiligo, cyangwa indwara y'uruhu yitwa lichen planus. Ariko, ntabwo ikunze kugaragara nka lichen planus. Byongeye kandi, byavuzwe ko indwara ya Koebner igira ingaruka ku bantu bafite izindi ndwara z'uruhu zidasanzwe.

Ni iki gitera ikibazo cya Koebner?

Impamvu nyayo y'ibi ni ikintu abaganga batarabona 100%, urabizi? Kiracyari mu cyiciro cy'ubushakashatsi. Ariko, abahanga bakunze gutekereza ko biterwa n'uburyo runaka bw'imikorere, wenda n'imyitozo ngororamubiri yacu ikabije. Ibyo bivuze ko bakeka ko bishobora kuba bifitanye isano n'indwara ziterwa n'ubwiyongere bw'umubiri.

Urugero, psoriasis, twese tuzi, ni indwara ifite isano n'ubwiyongere bw'umubiri. Rero, abantu bafite izo ndwara bakunze guhura n'iki kibazo cya Koebner. Iyo hari igikomere ku ruhu, hari molecule zimwe na zimwe z'ibimenyetso n'uturemangingo bitangira gukora mu gihe cyo gukira. Bitewe n'ibidasanzwe muri iki gikorwa, indwara y'uruhu ya mbere ishobora kugaragara ahantu hashya.

Ni nde uri mu kaga gakomeye ko kugira ibi?

Nkuko twabiganiriyeho mbere, abantu barwaye psoriasis ni bo bafite ibyago byinshi byo kurwara. Byongeye kandi, hari izindi ndwara nyinshi z'uruhu zishobora kongera ibyago byo kurwara indwara ya Koebner:

• Ibibyimba - Ibi biterwa n'ubwandu bwa virusi.
• Vitiligo - Indwara iterwa no kwangirika kw'uturemangingo dutuma uruhu rugira ibara ryarwo.
• Lichen planus - Iyi ni indwara ishobora gutera ububabare ku ruhu, mu kanwa no mu nzara.

Si abantu bose bafite izi ndwara bazarwara indwara ya Koebner, ariko hari ibyago.

Ni ubuhe bwoko bw'ibisebe by'uruhu bitera ibi?

Ikintu cy'ingenzi hano ni uko ikintu cya Koebner gishobora guterwa n'igikomere icyo ari cyo cyose cyagira ingaruka cyangwa cyangiza urwego rwo hejuru rw'uruhu, uruhu tubona (epidermis) , ndetse n'urwego rwo hasi ruri munsi (dermis) . Tekereza ku bintu nk'ibi:

• Gutobora uruhu nko guterwa inshinge, gutobora amatwi, no gutobora amazuru.
• Urugero, iyo kurumwe n'udukoko cyangwa izindi nyamaswa, inyamaswa nk'imibu n'ibimonyo.
• Iyo uruhu rurakaye. Reka tuvuge ko urakaye kubera inkoni uri mu kazi mu gikari, injangwe ikarakara, cyangwa umubu ukakuruma ukakuruma cyane.
• Hari abantu bamena uruhu rwabo nkana (gutoragura uruhu), ibintu nk'ibyo.
• Ibikomere byo kubagwa, ibindi bikomere, ibikomere bivuye mu kugwa cyangwa gukomereka.
• Iyo umuntu akoze tatouage, kuko ibyo bisaba gutobora uruhu ukoresheje urushinge no gushyiramo wino. Ibi bishobora no kubaho mu gihe cyo gukuraho tatouage .
• Ubushye. Bushobora guterwa n'umuriro, bushobora guterwa n'amazi ashyushye. Hari igihe ubushye bw'izuba bushobora kubaho, ariko ntabwo butera indwara ya Koebner kenshi nk'izindi mvune.
• Ubuvuzi bw'indwara nka kanseri bushobora no kwangiza uruhu, bityo iyi ndwara rimwe na rimwe ishobora guterwa n'aho hantu (ibi nabyo ni gake cyane).

Mu magambo make, bishobora gutangirana n'ibyago byose ku ruhu rwawe.

Ni ibihe bimenyetso by'indwara ya Koebner?

Ibimenyetso by’indwara ya Koebner biratandukanye bitewe n’uburwayi bw’uruhu ufite, n’uburyo iyo ndwara ikabije icyo gihe. Uduheri dushya cyangwa impinduka ku ruhu akenshi bitangira kugaragara mu minsi 10 kugeza kuri 20 nyuma y’imvune . Ariko, rimwe na rimwe bishobora gufata ibyumweru cyangwa, gake cyane, amezi kugira ngo ibi bibeho.

Ibintu by'ingenzi biboneka ni ibi bikurikira:

• Izi nkovu nshya zigaragara ku ruhu rwari rumeze neza kandi rudafite indwara, aho byabereye.
• Bisa neza neza n'indwara y'uruhu yawe ya mbere.Urugero, niba ufite psoriasis, uduce dushya tuzasa n'umutuku nk'utwo twa psoriasis kandi tuzashibuka nk'uko psoriasis ibyimbye. Niba ufite vitiligo, uduce dushya na two tuzahinduka umweru.
• Akenshi, ibi biba ari umurongo umwe, nk'aho indwara yakwirakwiriye ku gikomere. Ariko si ko bigenda buri gihe, kandi bishobora gutandukana bitewe n'imiterere y'igikomere.

Hari igihe ibi bintu bigaragara nk'aho umuntu yashushanyije umurongo akoresheje icyuma. Ibyo nabyo ni ikintu cyihariye kigaragara muri ibi.

Ese ibi bishobora gutera ingorane?

Ibi bishobora kugutera ubwoba gato. Ariko mu by'ukuri, Koebner Phenomenon ntabwo itera ingorane zikomeye. Mu by'ukuri ni ukwiyongera k'uburwayi bwawe bwa kera. Ibyo bivuze ko ubwo bubabare bushya budashyira ubuzima mu kaga. Ariko, rimwe na rimwe ubwo bubabare bushya bushobora kuba buryana kandi bubabaza nk'ubwa mbere. Nanone, mu bihe bimwe na bimwe, nka psoriasis, ikwirakwira ry'ubwo burwayi rishobora gutera ikibazo.

Ni gute umuntu yamenya ikintu cya Koebner?

Nta gipimo cyihariye cy’amaraso cyangwa ikindi gipimo gitangwa kugira ngo umenye ibi. Iyo ugiye kwa muganga w’uruhu, azasuzuma uruhu rwawe neza. Hanyuma, azabaza ibibazo by’uruhu rwawe rwa kera, niba hari umuntu wo mu muryango wawe wigeze kugira ibibazo nk’ibyo, ndetse niba uherutse kugira ibikomere ku ruhu rwawe. Aya makuru yose, hamwe n’isura y’ibizinga ku ruhu rwawe, bizafasha muganga kumenya niba iki ari ikibazo cya Koebner. Kubwibyo , ni ngombwa cyane ko ubwira muganga ukuri kandi ntugire icyo uhisha.

Ibi bivurwa bite?

Aha nanone, ushobora gutungurwa no kumenya ko nta buryo bwihariye bwo kuvura indwara ya Koebner Phenomenon. Impamvu ni uko atari indwara nshya, ahubwo ni ukwigaragaza k'imiterere y'uruhu rwawe rw'umwimerere. Kubwibyo, ivurwa kimwe n'imiterere y'umwimerere.

Urugero, niba biterwa na psoriasis, uburyo bumwe bwo kuvura psoriasis, nk'amavuta yo kwisiga, amavuta yo kwisiga, ibinini, ndetse rimwe na rimwe na phototherapy, buzakoreshwa muri utu duce dushya. Mu buryo nk'ubwo, niba biterwa na vitiligo, uburyo bumwe bwo kuvura psoriasis buzakoreshwa kuri ibyo.

Igikuru ni ugukurikiza amabwiriza ya muganga w'uruhu neza.

Ese ikintu cya Koebner gishobora kwirindwa?

Bishobora kugorana kwirinda burundu ibi, cyane cyane niba ufite ikibazo cy'uruhu. Ariko hari ibyo dushobora gukora kugira ngo tugabanye ibyago byo kurwara.

Uburyo bwiza ni ukugenzura neza indwara y'uruhu rwawe rw'ibanze.Bivuze ko niba ufite psoriasis, ugomba gukurikiza amabwiriza ya muganga wawe kugira ngo ibimenyetso byawe bikomeze kugabanuka uko bishoboka kose. Indwara ya Koebner ikunze kubaho cyane mu gihe indwara ikomeje.

Byongeye kandi, ugomba kugabanya gukomereka no kwangirika k'uruhu uko bishoboka kose.

Ibi bindi bintu bizafasha kandi:

• Gabanya cyangwa ureke gukurura uruhu rwawe, gukurura inzara zawe, no gukurura inzara zawe . Nta kibazo kwikubira, ntugakurure kugeza igihe bikubabaje.
• Rinda uruhu rwawe izuba. Mu gihe ugiye hanze ku manywa, cyane cyane hagati ya saa yine za mu gitondo na saa yine z'umugoroba, ambara imyenda y'amaboko maremare niba bishoboka, ingofero, kandi nta kabuza ukoreshe amavuta yo kwisiga afite SPF nziza.
• Tekereza kabiri ku bijyanye no kwishushanya no gutobora. Niba ufite izi ndwara z'uruhu, zishobora gutera indwara ya Koebner.
• Koresha uturindantoki mu gihe ukoresha ibintu bityaye cyangwa ukora ibintu nko guhinga.

Ubuzima bw'umuntu ufite indwara ya Koebner bumeze bute?

Ubuzima bw'umuntu ufite Koebner Phenomenon muri rusange ni bwiza cyane. Nkuko byavuzwe mbere, ntabwo itera ingorane zikomeye. Ikintu cyiza ushobora gukora ni ukuvura utudomo dushya nk'uko wavura uruhu rwawe rwa mbere.

Ni ngombwa kandi gukurikiza amabwiriza ya muganga wawe neza kandi ukirinda kwangiza uruhu rwawe. Nufata neza uruhu rwawe muri ubu buryo, indwara ya Koebner ntabwo izagira ingaruka zikomeye ku buzima bwawe.

Ni ryari ngomba kujya kwa muganga?

Niba ufite ikibazo cy'uruhu gishobora kuba gifitanye isano n'indwara ya Koebner, kandi ukabona kimwe muri ibi bikurikira, hita ubonana na muganga w'uruhu cyangwa umuganga w'umuryango wawe:

• Iyo uruhu rwawe rutangiye kugurumana mu buryo butunguranye, bivuze ko ibibara n'umutuku byiyongera.
• Nta kibazo kirimo niba uruhu rurimo kurira cyane cyangwa niba rurimo kubabara.
• Niba hari amazi asa n'ibibyimba ava mu gikomere, agatukura no kubyimba hafi y'igikomere, cyangwa ibimenyetso by'indwara nk'umuriro , ni ngombwa kwihutira kwivuza.
• Iyo hagaragaye ibisebe bishya ku ruhu, ni byiza kubimenyesha muganga wawe.

Ni iki ngomba kubaza muganga?

Iyo ugiye kwa muganga wawe, ni ngombwa kubaza ibibazo biri mu mutwe wawe. Ibi bizagufasha gusobanukirwa neza ikibazo cyawe. Urugero, ushobora kubaza ibibazo nk'ibi:

• "Muganga, ni iki gishobora kuba gitera iki kibazo cya Koebner muri njye?"
• "Ibi bifitanye isano ite n'uburwayi bw'uruhu mfite ubu?"
• "Ni ubuhe buryo bwo kuvura bunkwiriye?"
• "Bizatwara igihe kingana iki kugira ngo izi myanya mishya zigende?"
• "Ni iki kindi nakora kugira ngo ngire ibisebe ku ruhu n'iki kibazo cya Koebner?"
• "Ni izihe ngorane nkwiye guhangayikishwa nazo?"
• "Hasigaye igihe kingana iki ngo nongere kubonana na muganga?"

Muri make, ibintu tugomba kwibuka

Noneho rero, dore ibintu by'ingenzi ugomba kwibuka mu byo twavuze. Niba ufite indwara y'uruhu nka psoriasis, vitiligo, cyangwa lichen planus, kandi ukabona utudomo dushya gisa n'udusebe twa kera tugaragara aho wacitse, wakubiswe, cyangwa wahiye ku ruhu rwawe, birashoboka cyane ko ari Koebner Phenomenon.

Utu duce dushya dushobora kugaragara nyuma y'iminsi mike cyangwa ibyumweru bike nyuma y'imvune. Kugira ngo umenye neza ibi, ugomba kureba muganga w'uruhu. Azaguha uburyo bwo kuvura bukenewe.

Gukomeza kugenzura neza uruhu rwawe, nka psoriasis, bishobora kugabanya ibyago byo kurwara indwara ya Koebner. Ariko, hari igihe ibi bisebe bishobora kugaragara nubwo nta bimenyetso bihari. Rero ni ngombwa kurinda uruhu rwawe gukomereka, gushya, n'ibindi byangirika uko bishoboka kose. Wite ku ruhu rwawe. N'ubundi kandi, uruhu rwiza ni ishingiro ry'ubuzima bwiza.

` Koebner Phenomenon, Indwara z'uruhu, Psoriasis, Ibisebe by'uruhu, Indwara z'uruhu, Uduce tw'uruhu, Vitiligo, Lichen Planus