Irhashalala ebusweni lebhabhathane: Masifunde nge-Acute Cutaneous Lupus (ACLE) ngokulula

Ngaba wakha waba nerhashalala efana namaphiko ebhabhathane, okanye irhashalala ebomvu, ezidleleni zakho nasempumlweni? Abantu abaninzi bacinga ukuba kukutshiswa lilanga okanye yi-allergy. Kodwa ngamanye amaxesha inokuba luphawu lwento enzulu ngakumbi. Namhlanje sithetha nge-'Acute Cutaneous Lupus', uhlobo lwe-lupus oluchaphazela ulusu kwaye luneempawu ezinje.

Okokuqala, masibone, yintoni iLupus?

Ngamafutshane, i-lupus sisifo esibangelwa kukuzikhusela komzimba. Tata, ngaba oko kuvakala kuyinkimbinkimbi? Kulungile, mandichaze. Khawucinge ukuba umzimba wethu unenkqubo yokuzikhusela. Siyibiza ngokuba yinkqubo yokuzikhusela komzimba. Umsebenzi wabo kukubona nokuhlasela iintshaba ezifana neentsholongwane, iintsholongwane, kunye neebhaktheriya ezingena emzimbeni zivela ngaphandle, kwaye zisikhusele kwizifo.

Kodwa, kumntu onesifo sokuzikhusela komzimba esifana ne-lupus, kukho into ehamba gwenxa. Loo nkqubo yokuzikhusela yenza impazamo kwaye ayikwazi ukubona umahluko phakathi kwabahlaseli bamanye amazwe kunye neeseli zethu eziphilileyo kunye nezicubu. Ngoko ke, ziqala ukuhlasela iiseli zethu eziphilileyo. Oku kunokubangela ukudumba, iintlungu, kunye nomonakalo kwiindawo ezahlukeneyo zomzimba.

Uhlobo lwe-lupus oluqhelekileyo noluqhelekileyo yiSystemic Lupus Erythematosus (SLE) . Kule meko, uhlaselo lwe-autoimmune alupheleli nje eluswini. Lunokuchaphazela nezitho zangaphakathi ezifana nezintso, intliziyo, imiphunga kunye namalungu. Malunga nabantu abathathu kwabane abane-lupus banale meko.

Ngoko ke yintoni i-cutaneous lupus?

Igama elithi 'cutaneous' lithetha "ukuhambelana nolusu." I-Cutaneous Lupus Erythematosus (CLE) yimeko apho i-lupus ichaphazela kakhulu ulusu. Kulapho inkqubo yomzimba yokuzikhusela ihlasela ngqo iiseli zolusu. Oku kubangela iintlobo ezahlukeneyo zamabala, izilonda kunye nezilonda eluswini.

I-Acute Cutaneous Lupus (ACLE) luhlobo lwe-skin lupus. Igama elithi 'Acute' lithetha "ukwenzeka ngequbuliso." Ngoko ke okwenzekayo kule meko kukuba iimpawu, ingakumbi i-butterfly rash, zivele ngequbuliso. Uninzi lwexesha, oku kwenzeka emva kokuba ubekwe elangeni.

Ziziphi iintlobo ze-lupus yesikhumba?

Kukho iintlobo ezintathu eziphambili ze-lupus ezichaphazela ulusu. Uhlobo ngalunye lune-rash eyahlukileyo. Ukuze uqonde oku ngokucacileyo, jonga itheyibhile engasezantsi.

Ngubani onokuba nethuba elingcono lokufumana le meko ye-ACLE?

Unobangela ochanekileyo we-lupus awukafunyanwa okwangoku, kodwa abanye abantu bafunyenwe besengozini enkulu.

• Izizathu ezibangelwa lufuzo: Ukuba umntu kusapho lwakho une-lupus okanye ezinye izifo ezibangelwa kukuzikhusela komzimba, nawe usenokuba sengozini.
• Isini: Okumangalisayo kukuba, esi sifo sixhaphake kakhulu phakathi kwabasetyhini.
• Ubudala: Iqhelekile phakathi kwabasetyhini abaneminyaka engama-20 ukuya kwengama-50 ubudala.
• Uhlanga: Esi sifo sixhaphake kakhulu phakathi kwamaqela athile eentlanga, umzekelo, abantu abazalwa eAfrika naseAsia.

Malunga nesibini kwisithathu sabantu abane-SLE baba neempawu zesikhumba, kuquka i-ACLE. Abanye abantu baqala ukufunyanwa bene-lupus emva kokuba kuvele olu rhashalala lwebhabhathane.

Zithini iimpawu ze-ACLE?

Uphawu oluphambili nolucacileyo yirhashalala yebhabhathane esithethe ngayo. Oku kubizwa ngokuba yi-'malar rash' ngokwezonyango. Igama elithi 'Malar' lithetha isidlele. Nangona libonakala ngathi litshiswe lilanga, alisoloko libuhlungu. Nangona kunjalo, ngamanye amaxesha linokuba lurhashalala kancinci.

Into entle ngale rhashalala kukuba ayishiyi amanxeba ngokuhamba kwexesha. Nangona kunjalo, emva kokuba irhashalala ipholile, umbala wolusu kwezo ndawo unokuba mhlophe okanye ube mnyama kunangaphambili.

Ukongeza kwi-butterfly rash, ezinye iimpawu zinokubakho.

• Amaqhakuva ezandleni nasezinyaweni emva kokuba umntu evezwe lilanga.
• Izilonda ezibuhlungu ngaphakathi emlonyeni (izilonda zeCanker).
• Amadyungudyungu abuhlungu aphakanyisiweyo eluswini (ii-hives).
• Ukulahleka kweenwele okwethutyana.

Yintoni le "into ebangela uqhushululu"?

Umntu one-ACLE akanazo iimpawu ngalo lonke ixesha. Kukho umjikelo weempawu ezibonakala, ziphele okwethutyana, zize ziphinde zivele. Oku kunyuka ngequbuliso kweempawu yinto esiyibiza ngokuba yi-"flare-up."

Kukho izizathu ezithile, okanye 'izinto ezibangela', ezibangela ezi ziganeko.

• Ukukhanya kwelanga (imitha ye-UV): Le yeyona nto ibangela oku. Yiyo loo nto ukurhawuzelela kuba mandundu xa uphuma elangeni.
• Uxinzelelo: Izinto ezifana noxinzelelo olugqithisileyo kunye nokuxhalaba zinokubangela ukuba isifo sibe sibi ngakumbi.
• Ezinye izifo ezithathelwanayo.
• Ukungalali ngokwaneleyo.

Indlela yokuxilonga esi sifo?

Ukuba unale mpawu, into yokuqala omawuyenze kukubona ugqirha wosapho lwakho. Uza kukuthumela kwi -dermatologist okanye kwi-rheumatologist, njengoko kufuneka.

Ugqirha wakho uza kuhlola ulusu lwakho. Ngamanye amaxesha , i-biopsy yolusu ingafuneka ukuze kufunyanwe isifo esiqinisekileyo . Oku kuquka ukuthatha iqhekeza elincinci lolusu kwindawo apho kukho khona irhashalala kwaye ulihlolisise nge-microscope. Oku kunokunceda ekuqinisekiseni ukuba irhashalala ibangelwa yi-ACLE okanye enye imeko yolusu.

Zithini iindlela zonyango?

I-ACLE ayisosifo esinyangekayo ngokupheleleyo. Nangona kunjalo, iimpawu kunye nokudumba kwamalungu omzimba kunokulawulwa kakuhle ngonyango olufanelekileyo. Ugqirha wakho uya kukunika unyango olufanelekileyo ngokuxhomekeke kubukhali beempawu zakho.

• Izithambiso ze-steroid ezisetyenziswa kwiindawo zokuthambisa: La ngamayeza asetyenziswa eluswini apho kukho khona irhashalala. Umzekelo, i-fluocinolone acetonide okanye i-hydrocortisone butyrate. La mayeza anciphisa ukudumba kunye nokubomvu.
• Amayeza okulwa nokuvuvukala: Amayeza anjenge-dapsone okanye i-methotrexate enesilinganiselo esiphantsi anokunciphisa iintlungu nokudumba.
• Amayeza okulwa nemalariya: Amayeza afana ne-`hydroxychloroquine` (Plaquenil®) asebenza kakhulu ekunyangeni imalariya. Anciphisa ukudinwa, ukurhawuzelela, kunye nentlungu yamalungu.
• Amayeza okulawula amajoni omzimba (iCalcineurin inhibitors): Amayeza afana ne-tacrolimus okanye i-pimecrolimus alawula ukusebenza kwenkqubo yokuzikhusela komzimba ukuya kuthi ga kwinqanaba elithile, nto leyo enciphisa uhlaselo lwayo eluswini.

Ungayithintela njani i-flare-ups?

Okubaluleke njengokusela amayeza kukuphepha izinto ezinokubangela ukudumba. Phakathi kwama-40% nama-70% abantu abane-lupus bafumana ukudumba emva kokusebenzisa ukukhanya kwe-UV, ngoko ke ukukhuselwa elangeni kufanele kube yinto yokuqala.

• Sebenzisa i-sunscreen yonke imihla xa uphuma elangeni. Khetha i-sunscreen ene-widespectrum ene- SPF engama-30 okanye ngaphezulu ekhusela kwi-UVA kunye ne-UVB.
• Ziphephe iiyure ezishushu kakhulu elangeni. Ziphephe ukuphuma elangeni kangangoko unako phakathi kwentsimbi ye-10 kusasa ne-4 emva kwemini.
• Nxiba impahla egquma kakuhle. Sebenzisa izinto ezifana nemikhono emide, iminqwazi ebanzi, kunye neeglasi zelanga.
• Ziphephe ngokupheleleyo izinto ezenziweyo zokukhanya kwe-UV ezifana neebhedi zokuthambisa isikhumba .
• Ezinye izibane ezikhanyayo ezisetyenziswa ngaphakathi endlini zinokukhupha imisebe emincinci ye-UV. Ngoko ke, nciphisa ukuvezwa kwazo ixesha elide.

Yintoni enye onokuyenza ngaphandle kokuzikhusela elangeni?

• Yitya ukutya okunesondlo. Faka iziqhamo, imifuno, iimbotyi, kunye neenkozo ezipheleleyo ekutyeni kwakho.
• Yenza umthambo. Yenza umthambo ongacinezeliyo, njengokuhamba okanye i-yoga, yonke imihla.
• Lawula uxinzelelo. Khulula ingqondo yakho ngendlela ekufaneleyo, njengokucamngca okanye ukumamela umculo.
• Lala kakuhle. Lala ubuncinane iiyure ezisi-7-8 ngosuku.
• Ukuba uyatshaya, yeka ngoko nangoko. Ukutshaya kunokwenza irhashalala yesikhumba ibe mandundu kwaye kunciphise ukusebenza kakuhle kwamayeza onyango.