Ngaba ufumana amabala amhlophe eluswini lwakho (iVitiligo)? Masithethe ngayo yonke loo nto!

Ngaba wakha wababona abanye abantu benamabala amhlophe eluswini lwabo? Mhlawumbi nawe ukhe wadibana nento efanayo. Le yinto esiyibiza ngokuba ngamabala amhlophe, amabala amhlophe, okanye njengoko oogqirha bedla ngokuwabiza ngokuba yi-'(Vitiligo)'. Nangona oku kungabonakala kuyoyikisa kancinci ukukubona, eneneni akusiso isifo esiyingozi. Nangona kunjalo, kubaluleke kakhulu ukuqaphela oku. Namhlanje, masithethe nge-'(Vitiligo)' ngokweenkcukacha nangokulula, akunjalo?

Yintoni iVitiligo?

Ngamafutshane, i-vitiligo yimeko apho ulusu lwakho lulahlekelwa khona umbala walo. Oku kubangela ukuba ulusu lwakho lube lukhaphukhaphu kunesiqhelo, ngamanye amaxesha lube mhlophe ngokupheleleyo. La mabala esikhumba amancinci kunesentimitha abizwa ngokuba yi-macules, kwaye amabala amakhulu abizwa ngokuba zii-patches. Nangona kunjalo, sidla ngokuwabiza ngokuba ngamabala amhlophe. Ukuba une-vitiligo apho uneenwele, kwanaloo nwele ingajika ibe mhlophe okanye ibe silivere. Le meko ibangelwa yinkqubo yomzimba wakho yokuzikhusela etshabalalisa uhlobo lweseli enombala wesikhumba ebizwa ngokuba yi-melanocytes. La ma-melanocytes avelisa ikhemikhali ebizwa ngokuba yi-melanin. Le melanin yiyo enika umbala ulusu lwethu, iinwele, kunye namehlo ethu. Ngoko ke xa la maseli elahlekile, ukuveliswa kwe-melanin kuyayeka, kwaye ulusu lulahlekelwa ngumbala walo.

Ngubani ochaphazeleka kakhulu yile meko?

I-Vitiligo inokuchaphazela abantu bazo zonke iintlanga kunye namadoda . Nangona kunjalo, ixhaphake kakhulu kubantu abanesikhumba esimnyama. I-Vitiligo inokubakho nangaliphi na ixesha, kodwa idla ngokubonakala kuqala ngaphambi kokuba ifikelele kwiminyaka engama-30. Ukuba uneemeko ezithile zokuzikhusela komzimba, usenokuba sengozini enkulu yokuba ne-vitiligo. Umzekelo:

• Isifo sika-Addison
• I-anemia
• Isifo seswekile (Uhlobo 1 )
• Isifo seLupus
• I-Psoriasis
• Isifo samathambo esibizwa ngokuba yi-rheumatoid arthritis (isifo samathambo esibizwa ngokuba yi-rheumatoid arthritis )`
• Isifo se-thyroid

Ixhaphake kangakanani i-vitiligo?

Ehlabathini lonke, ngaphezulu kwe-1% yabemi kuthiwa banale ngxaki yolusu olumhlophe, iVitiligo. Oku kuthetha ukuba ayiqhelekanga kangako.

Iqala kwaye isasazeka njani i-vitiligo?

I-Vitiligo idla ngokuqala ngamabala amancinci amhlophe . La mabala anokusasazeka kancinci emzimbeni wakho. Amaxesha amaninzi, la mabala aqala ukubonakala ezandleni zakho, ebunzini, emakhwapheni, ezinyaweni, nasebusweni. Nangona kunjalo, le meko inokwenzeka naphi na emzimbeni wakho, kuquka ne-mucous membranes ejikeleze umlomo wakho, impumlo, amalungu esini, nakwi-anus, kunye nangaphakathi kwamehlo neendlebe zakho. Ngamanye amaxesha, amabala amakhulu anokuqhubeka esasazeka aze abe makhulu, kodwa ngamanye amaxesha anokuhlala kwindawo enye iminyaka. Iindawo apho amabala amancinci akhoyo zinokutshintsha ngokuhamba kwexesha, kwaye ezinye iindawo zinokulahlekelwa yimibala kwaye ziphinde zikhule. Ayinguye wonke umntu one-vitiligo onolusu olufanayo. Abanye abantu banamabala amancinci ambalwa, ngelixa abanye banokuba nokulahleka okukhulu kombala kulo lonke ulusu lwabo.

Ziziphi iintlobo eziphambili ze-vitiligo?

Kukho iintlobo ezininzi eziphambili ze-`(Vitiligo)`. Masibone ukuba zeziphi:

• Okuqhelekileyo: Olu lolona hlobo luqhelekileyo . Kolu hlobo, kuvela amabala kwiindawo ezahlukeneyo zomzimba.
• Uhlobo lwe-segmental: Kolu hlobo, amabala avela kwicala elinye lomzimba, okanye kwindawo enye kuphela, njengezandla okanye ubuso.
• Uhlobo lwe-mucosal: Oku kuchaphazela i-mucosal membranes yomlomo kunye/okanye amalungu esini.
• Ingqwalasela: Olu luhlobo olungaqhelekanga . Kolu hlobo, amabala avela kwindawo encinci kwaye awasasazeki ngendlela ethile unyaka okanye emibini.
• Uhlobo lweTrichrome: Kolu hlobo, ungabona inxalenye emhlophe okanye engenambala embindini, efana nethagethi, enenxalenye enombala okhanyayo ejikelezileyo, uze emva koko ubone inxalenye efana nombala wakho wesikhumba oqhelekileyo ejikelezileyo.
• Uhlobo oluqhelekileyo: Olu luhlobo olungaqhelekanga kakhulu. Kule ngxaki , ngaphezulu kwe-80% yolusu lwakho lulahlekelwa yimibala yalo.

Zithini iimpawu zeVitiligo?

Iimpawu eziphambili ze-`(Vitiligo)` zezi:

• Amabala anombala oguqulweyo eluswini okanye kwiinwebu zesikhumba. La mabala anokubonakala emhlophe okanye ekhaphukhaphu kunombala wakho wesikhumba oqhelekileyo.
• Iinwele emzimbeni wakho zisilivere, zingwevu, okanye zimhlophe .

Iimpawu zinokuba buthathaka kakhulu, oko kuthetha ukuba zifumaneka kwindawo encinci, okanye zibe nzima kakhulu, zichaphazele indawo enkulu yolusu. Abanye abantu banokufumana ukurhawuzelelwa kwindawo ngaphambi kokuba ulusu luqale ukulahlekelwa ngumbala.

Iimpawu ze-vitiligo zibonakala phi emzimbeni?

Iimpawu ze-Vitiligo zinokubonakala eluswini naphi na emzimbeni, kodwa zidla ngokubonakala kwezi ndawo zilandelayo:

• Izandla
• Iinyawo
• Ingalo (ingalo)
• Ubuso
• Iinwebu ze-mucous (ngaphakathi emlonyeni, imilebe, ngaphakathi kwempumlo)
• Izitho zangasese (umz. ipenis)

Zithini izizathu ze-vitiligo?

I-Vitiligo ngokuyintloko ibangelwa kukulahleka kwe-melanin, umbala eluswini lwakho. Kodwa akukaziwa ukuba kutheni oku kusenzeka . Uphando lufumanise ukuba ezi zinto zilandelayo zinokuba negalelo ekuphuhlisweni kwe-vitiligo:

• Imeko yokuzikhusela komzimba : Inkqubo yakho yokuzikhusela yomzimba icinga ngempazamo ukuba iiseli ezisempilweni (kule meko, ii-melanocytes) ziintshaba, njengeebhaktheriya eziyingozi. Oku kubangela ukuba inkqubo yokuzikhusela yomzimba isebenze kakhulu kwaye ivelise ii-antibodies zokutshabalalisa ii-melanocytes zakho.
• Utshintsho kwimfuza: Utshintsho kwimfuza okanye utshintsho kwi-DNA yomzimba wakho lunokuchaphazela indlela esebenza ngayo i-melanocytes. Kukho ii-genes ezingaphezu kwama-30 ezonyusa umngcipheko wokufumana i-vitiligo.
• Uxinzelelo: Ukuba uhlala uphantsi koxinzelelo, okanye ukuba ufumana uxinzelelo lomzimba emva kokwenzakala, ubungakanani bepigment eveliswa yi-melanocytes bunokutshintsha.
• Izinto ezibangela imeko-bume: Izinto ezibangela imeko-bume ezifana nemisebe ye-ultraviolet kunye nokuvezwa kwiikhemikhali ezinobungozi nazo zinokuchaphazela ukusebenza kwee-melanocytes.

Ingaba oku kuyimpembelelo yemfuza?

Izizathu ze-vitiligo zisaphandwa. Nangona kunjalo, izifundo zibonisa ukuba malunga nama-30% abantu abane-vitiligo banesifo semfuza . Oku kuthetha ukuba esi sifo sinokudluliselwa kwizizukulwana ngezizukulwana, kwaye ukuba umntu kusapho lwakho unaso, unokuba naso. Kukho utshintsho oluninzi lwemfuza oluchaphazela ukusebenza kwe-melanocytes. Ukuba olu tshintsho lujolise kwiiseli ezinika ulusu lwakho umbala walo, unokuba ne-vitiligo.

Ngaba i-Vitiligo ibuhlungu?

Hayi, '(Vitiligo)' ayisiyonto ibuhlungu. Nangona kunjalo, '(Vitiligo)' inokubangela amabala esikhumba anombala okhanyayo, anokuba buhlungu kwaye abuhlungu xa utshiswa lilanga. Ke ngoko, kubaluleke kakhulu ukuzikhusela elangeni . Kufuneka wenze izinto ezifana nokusebenzisa i-sunscreen, uphephe ukuphuma elangeni xa ilanga likhanya kakhulu, kwaye unxibe iimpahla zokuzikhusela.

Ngaba i-vitiligo ingabangela ezinye iingxaki?

Nangona i-vitiligo yimeko echaphazela kakhulu inkangeleko yolusu, ezinye iingxaki zinokubakho:

• Ulusu olunobuthathaka: Ngenxa yokuba amabala aphuhliweyo awanazo ii-melanocytes, ezo ndawo zolusu zinokuba novelwano ngakumbi elangeni kunezinye ulusu. Oku kunokubangela ukuba zitshe ngokukhawuleza kunokuba zitshe.
• Iingxaki zamehlo:Abanye abantu abane-vitiligo banokuba neengxaki kwi-retina yabo (umaleko ongaphakathi weliso oneeseli ezibona ukukhanya) kunye notshintsho kumbala we-irises zabo (inxalenye enika umbala kwiliso). Ngamanye amaxesha kunokubakho ukudumba kwe-retina okanye i-iris, kodwa umbono awusoloko uchaphazeleka.
• Ukuthambekela kwezinye izifo ezihlasela umzimba: Abantu abane-vitiligo banamathuba amaninzi okufumana ezinye izifo ezichaphazela ukusebenza kwenkqubo yomzimba yokuzikhusela. Izifo eziqhelekileyo ezihlasela umzimba ziquka i-hypothyroidism, isifo seswekile, kunye ne-anemia.
• Imingeni yengqondo: Abanye abantu abane-vitiligo banokuba neentloni ngokubonakala kolusu lwabo. Abanye banokuba nokungazithembi . Oku kunokubangela iimvakalelo zokuxhalaba okanye ukudakumba, kwaye banokuzama ukuzihlukanisa nabanye baze bazihlukanise. Ukuba uvakalelwa ngolu hlobo, kubalulekile ukuthetha nogqirha wakho, umcebisi wezempilo yengqondo , okanye usapho lwakho kunye nabahlobo.

Indlela yokubona i-vitiligo?

I-Vitiligo idla ngokuchongwa ngugqirha ngokujonga nje ulusu lwakho. Ngamanye amaxesha, ugqirha angasebenzisa isixhobo esibizwa ngokuba sisibane sikaWood ukujonga ulusu lwakho. Esi sibane sikhanyisa ukukhanya kwe-ultraviolet (UV) eluswini lwakho. Oku kunceda ugqirha ukuba ahlukanise i-vitiligo kwezinye iimeko zolusu. Ukongeza, banokubuza imibuzo malunga nembali yakho yezonyango kunye nembali yezonyango yosapho.

Ziziphi ezinye iimeko ezibonakala ngathi yi-vitiligo?

Kukho ezinye iimeko ezininzi ezinokutshintsha umbala wolusu lwakho okanye zibangele ukuba lulahlekelwe yipigment. Umzekelo:

• I-leukoderma yekhemikhali: Ukuvezwa kwiikhemikhali ezisetyenziswa kwezinye iifektri kungonakalisa iiseli zesikhumba, kubangele iindawo ezimhlophe, ezinemigca okanye ezinamabala eluswini.
• I-Tinea versicolor (i-ringworm): Le yintsholongwane ye-yeast. Ingabangela amabala amnyama kulusu olukhanyayo kunye namabala akhanyayo kulusu olumnyama.
• I-Albinism: Le yimeko yemfuza apho unamaqondo aphantsi e-melanin kulusu lwakho, iinwele, kunye/okanye amehlo.
• I-Pityriasis alba: Le meko iqala ngamabala abomvu anezikhwekhwe eluswini. Emva koko ayaphela, kushiyeke amabala akhanyayo anezikhwekhwe.

Iphathwa njani iVitiligo?

Ekubeni imeko ebizwa ngokuba yi-"Vitiligo" ingenabungozi emzimbeni wakho kwaye ichaphazela kakhulu inkangeleko yakho, unyango alufuneki.Kodwa ukuba une-vitiligo exhaphakileyo, okanye ukuba ezi mpawu zomzimba zichaphazela impilo yakho yengqondo, ugqirha wakho unokukunceda ufumane unyango olusebenzayo kuwe. Olu nyango lunokubuyisela umbala olahlekileyo (ukuguqulwa kwebala) okanye lususe umbala oseleyo kwaye luzise lonke ulusu kumbala ofanayo (ukususwa kwebala). Unyango oluqhelekileyo lwe-vitiligo zezi:

• Iintlobo zamachiza
• Unyango olukhanyayo
• Unyango lokususa ibala emzimbeni
• Utyando
• Ingcebiso

Makhe sithethe ngesinye kwezi nkcukacha zithe vetshe.

Iintlobo zamachiza

Nangona kungekho nyango lithile lokuthintela le meko ukuba ingachaphazeli ulusu, kukho amayeza athile anokunciphisa izinga lokulahleka kombala, ancede i-melanocytes ikhule kwakhona, okanye ancede ukubuyisela umbala kulusu. Amayeza e-vitiligo anokuquka:

• Ii-Corticosteroids (amafutha okanye iipilisi)
• Izithinteli zeJanus kinase ezikwindawo ethile (umz., ioyile ye-ruxolitinib)
• Izithinteli zeCalcineurin (ioyile)

Unyango olukhanyayo

Unyango lokukhanya, okanye "i-phototherapy," lunyango olunceda ukubuyisela umbala eluswini lwakho. Kule nto, ugqirha wakho uza kukhanyisa ibhokisi yokukhanya, isibane se-ultraviolet B ``UVB``, okanye i-laser yezonyango eluswini lwakho ixesha elifutshane. Kungathatha iiseshoni ezininzi zonyango lokukhanya ukuze ubone iziphumo eluswini lwakho. Olu nyango, oludibanisa iyeza elibizwa ngokuba yi-``psoralen`` elithathwa ngomlomo kunye nesibane se-``PUVA`` se-ultraviolet A, lusetyenziswa kubantu abaneendawo ezinkulu ze-``Vitiligo``. Olu nyango lusebenza kubantu abane-``Vitiligo`` entloko, entanyeni, esiqwini, ezingalweni eziphezulu, nasemilenzeni.

Unyango lokususa ibala emzimbeni

Olu nyango lubandakanya ukususa umbala wolusu lwakho oluqhelekileyo ukuze uhambelane neendawo ezine-vitiligo. Oku kusebenzisa iyeza elibizwa ngokuba yi-"monobenzone." Xa olu khilimu lusetyenziswa kulusu lwakho olunombala, lujika lube mhlophe luze lube nombala ofanayo neendawo ezine-vitiligo.

Utyando

Utyando lolunye ukhetho lonyango kubantu abane-vitiligo. Unyango lotyando lungabandakanya:

• Ukufakelwa kwesikhumba: Ulusu luthathwa kwenye indawo yomzimba wakho luze lufakwe kwindawo ene-vitiligo. Nangona kunjalo, oku kunokubangela amanxeba, usulelo, okanye ukulahleka kombala. Oku kukwabizwa ngokuba yi-"mini grafting."
• Ukufakelwa kwe-blister: Kule nto, kwenziwa i-blister eluswini lwakho kusetyenziswa indlela yokufunxa, kwaye umphezulu we-blister uthathwa unamatheliswe kwindawo apho une-vitiligo.

Nangona kunjalo, ugqirha wakho akanakucebisa utyando ukuba unenye yezi meko zilandelayo:

• Ukuba `(I-Vitiligo)` isasazeka ngokukhawuleza.
• Ukuba ufumana amanxeba ngokulula.
• Ukuba uvelisa ii-keloids, ezikhula zibe nkulu kunenxeba.

Ingcebiso

Abanye abantu abane-vitiligo banokukufumanisa kuluncedo ukufuna ingcebiso okanye umcebisi wezempilo yengqondo ukubanceda bajongane nokungazithembi, ixhala, okanye ukudakumba okunokubangelwa kukutshintsha kolusu lwabo. I-Vitiligo inokuba yingxaki, ichaphazele indlela obujonga ngayo ubomi kunye nobudlelwane bakho nabantu. Ukuba oku kuyenzeka, ugqirha wakho unokucebisa ukuba ubonane nomcebisi okanye ujoyine iqela lenkxaso.

Ngaba i-vitiligo ingathintelwa?

Akukho ndlela eyaziwayo yokuthintela i-vitiligo kuba zininzi izinto ezinokubangela oku. Nangona kunjalo, ungenza oku kulandelayo ukunciphisa umngcipheko wokuba ne-vitiligo:

• Ukulandela iindlela ezikhuselekileyo xa ubekwe elangeni (umz., ukusebenzisa i-sunscreen, iminqwazi).
• Lukhathalele kakuhle ulusu lwakho ngokusebenzisa i-moisturizer yonke imihla.
• Ukuphepha uxinzelelo lwengqondo kunye nokwenzakala emzimbeni.
• Ukuba kukho izifo ezibangelwa kukuzikhusela komzimba, zilawule kakuhle.

Kuthekani ukuba une-vitiligo?

I-Vitiligo inokuchaphazela inkangeleko yakho, kwaye inokuchaphazela nendlela ovakalelwa ngayo ngolusu lwakho kwiimeko zoluntu. Abantu abaninzi bathetha nomcebisi wezempilo yengqondo ukuze abancede bazive benokuzithemba ngakumbi kwaye bakhe ukuzithemba.

Khumbula, akukho nyango lwe-vitiligo. Kodwa ukuba ufuna unyango, ugqirha wakho angakunceda ukhethe unyango olulungele wena nolusu lwakho.

Ngaba umbala wendalo wolusu uza kubuya ne-vitiligo?

Malunga ne-10% ukuya kwi-20% yabantu abane-vitiligo baya kubuyela umbala wolusu lwabo ngokupheleleyo. Oku kuxhaphake kakhulu kubantu aba:

• Abo bafunyenwe benesifo ngaphambi kokuba bafikelele kwiminyaka engama-20 ubudala, oko kukuthi, besebancinci .
• Abo bafikelele kwincopho yokuqhambuka kwesi sifo kwiinyanga ezintandathu okanye ngaphantsi.
• Abantu abaneempawu zobuso ikakhulu.

Kwezi meko, umbala wakho awunakubuya kakhulu:

• Ukuba iimpawu ze-"Vitiligo" zibonakala emva kweminyaka engama-20.
• Ukuba kukho iimpawu emilebeni, emalungeni (ingakumbi kwiminwe).

Ungazifihla njani iindawo ze-vitiligo?

Ukuba awukhululekanga yimbonakalo yolusu lwakho (iVitiligo), ungazama ezi zinto ekhaya ukuze ufihle la mabala:

• Sebenzisa i-sunscreen ene-SPF engama-30 nangaphezulu . Ukusebenzisa i-sunscreen kunokunciphisa ukurhawuzelelwa kwesikhumba kwaye kunciphise umahluko kumbala phakathi kwendawo ye-vitiligo kunye nolusu oluqhelekileyo.
• Sebenzisa izithambiso zobuso ukufihla iindawo ezilahlekileyo zombala. Kukwakho neemveliso zezithambiso zonyango ezikhethekileyo zoku.
• Ukuba umbala weenwele zakho uphelile, sebenzisa idayi yeenwele ukuze uyifanise nezinye iinwele zakho.
• Fumana i-micropigmentation . Oku kuquka ukwenza i-tattoo kumabala akho e-vitiligo. Isebenza njenge-makeup engapheliyo kwaye inceda ukufihla iimpawu.

Ngaba iVitiligo iyasulela?

Hayi. I-Vitiligo ayisosifo esosulelayo. Ayisasazeki ukusuka komnye umntu ukuya komnye ngokudibana ngokomzimba. Ngoko ke, akufanele woyike ukuba kufutshane nomntu one-Vitiligo.

Ufanele uye nini kugqirha?

Bona ugqirha wakho kwezi meko zilandelayo:

• Ukuba umbala okanye umbala wolusu lwakho uyaphela ngokukhawuleza .
• Ukuba ukulahleka kwebala kusasazeka kwindawo enkulu yomzimba.
• Ukuba utshintsho lolusu luchaphazela impilo yakho yengqondo kunye nempilo-ntle yakho .

Ndingayibuza yiphi imibuzo ugqirha?

Kungcono ukubuza le mibuzo xa ubona ugqirha:

• Luhlobo luni lweVitiligo endinalo?
• Ngaba ulusu lwam luza kubuyela kumbala walo?
• Ndingazikhusela njani elangeni?
• Zeziphi iindlela zonyango ezilungileyo zolusu lwam?
• Ngaba abantwana bam bexesha elizayo banokuyidlulisela le meko ngee-genes?

Yintoni umahluko phakathi kweTinea versicolor (ringworm) kunye neVitiligo?

I-Tinea versicolor (eyaziwa ngokuba yi-ringworm) kunye ne-vitiligo ziimeko ezimbini ezahlukeneyo ezichaphazela umbala wesikhumba sakho. I-Tinea versicolor lusulelo lwefungus olubangela ukuba kuvele amabala amhlophe, atyheli, abomvu, apinki, okanye amdaka eluswini lwakho. I-Vitiligo yimeko yokuzikhusela komzimba ebangela ukuba ulusu lwakho lulahlekelwe ngumbala walo, nto leyo eyenza lube mhlophe okanye lube mhlophe kunombala wesikhumba wakho oqhelekileyo.

Ngaba iPiebaldism iyafana neVitiligo?

Hayi. Zombini ezi meko zibangela amabala amhlophe okanye anombala okhanyayo eluswini okanye ezinweleni, kodwa zahlukile. I-Piebaldism ibangelwa kukungabikho kwe-melanocytes (iiseli ezivelisa i-pigment melanin) kwinxalenye yesikhumba sakho. Uzalwa une-piebaldism. I-Vitiligo ibangelwa kukutshatyalaliswa kwe-melanocytes emzimbeni wakho. I-Vitiligo iyakhula ngokuhamba kwexesha.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Vitiligo yimeko echaphazela kuphela inkangeleko yolusu lwakho. Ayiyongozi kwaye ayifuni unyango . Nangona kunjalo, kuyinyani ukuba utshintsho lolusu olubangelwa yi-vitiligo lunokuchaphazela ukuzithemba, lukwenze uzive ungakhuselekanga, okanye lukwenze uzive ungakhululekanga.

Ungathandabuzi ukuthetha nogqirha wakho malunga nendlela inkangeleko yakho echaphazela ngayo impilo yakho yengqondo. Nangona kungekho nyango lwe-vitiligo, kukho unyango olunokukunceda uzive ukhululekile.Awuwedwa, baninzi abantu abaphila nale meko kwaye bayilawula ngempumelelo. Ngoko ke eyona nto ibalulekileyo kukuhlala uqinile!