Ingaba ufumana namaqhuqhuva amancinci amanzi ezandleni nasezinyaweni zakho arhawuzelelayo? Isenokuba yi-dyshidrotic eczema!

Ngaba uneziqhushumbisi ezincinci, ezinamanzi ezandleni zakho, phakathi kweenzwane zakho, okanye ezintendeni zezandla zakho ezirhawuzelela ngendlela enganyamezelekiyo? Ngamanye amaxesha xa ezi ziqhushumbisi zomile, ulusu luyaqhekeka luze lube buhlungu, nto leyo ebangela ingxaki engakumbi? Emva koko usenokuba nesifo solusu esibizwa ngokuba yi-'Dyshidrotic Eczema'. Ungakhathazeki, siza kuthetha ngale nto ngokweenkcukacha nangokulula namhlanje.

Yintoni i-Dyshidrotic Eczema?

Ngamafutshane, yimeko yesikhumba ehlala ixesha elide, okanye masithi, ihlala ixesha elide . Ibonakala ngokuphuhliswa kwamadyungudyungu amancinci azaliswe ngamanzi kwiminwe, iintende zezandla, kwaye ngamanye amaxesha ezinyaweni zeenyawo. Ulusu lunokoma kwaye lurhawuzelele . Cinga ngayo njengedyungudyungu ezincinci zelitye lesepha.

Esi sifo sinamagama amaninzi. Abanye abantu basibiza ngokuba yiDyshidrosis, iAcute Palmoplantar Eczema, iVesiculobullous Dermatitis, okanye iPompholyx. Nangona kukho amagama amaninzi, iimpawu ziyafana kakhulu.

Ngubani onokuba nethuba elikhulu lokufumana le meko?

Nabani na unokuba ne-dyshidrotic eczema. Nangona kunjalo, abanye abantu banokuba nayo. Makhe sijonge ukuba bangoobani:

• Ngokwesiqhelo kubantu abaphakathi kweminyaka engama-20 ukuya kwengama-40 ubudala .
• Le meko ixhaphakile kubafazi .
• Ukuba wena okanye umntu kusapho lwakho ukhe waba ne -eczema ngaphambili.
• Kwabo bakha baba ne-contact dermatitis ngaphambili.
• Abanye abantu baba ne-allergy xa into engaphandle, oko kukuthi, i-antigen, idibana nemizimba yabo. Oku kunokwenzeka nakubantu abanjalo.
• Le meko inokwenzeka ngamanye amaxesha kubantu abafumana inaliti ye-antibody, oko kukuthi, i-intravenous immunoglobulin (IVIG), enikwa abantu abaneenkqubo zomzimba ezibuthathaka.

Umzekelo, abanye abafazi banxiba izacholo ezichukumisa izandla zabo rhoqo. Abaphandi bathi iintsimbi ezifana ne-nickel okanye i-cobalt kwezi zacholo nazo zisenokuba ngunobangela wale eczema. Kusenokuba yiyo loo nto ibonakala rhoqo kubasetyhini. Ngokubanzi, malunga nama-50% abantu abafumana i-dyshidrotic eczema bane-allergy kwi-antigen ethile.

Ixhaphake kangakanani le meko?

Kwiindawo zomsebenzi okanye zeklinikhi, phakathi kwe-5% kunye ne-20% yeemeko zedermatitis yesandla kuthiwa zibangelwa yi-dyshidrotic eczema.

I-dyshidrotic eczema ichaphazela njani umzimba?

Esi sifo sichaphazela kakhulu ulusu lwezandla zakho, amacala eminwe yakho, kunye neenyawo zakho .

Amadyungudyungu amancinci eluswini lwakho afana neenkozo zesephaEzi blister zihlala zinobukhulu obumalunga ne-1 ukuya kwi-2 milimitha. Nangona kunjalo, ngamanye amaxesha ezi blister zincinci zinokudibana zenze i-blister enye enkulu.

Emva kokuba la maqhuqhuva omile, ulusu olukuloo ndawo lunokuba namaqhuqhuva kwaye luqhekeke . Kunokuba buhlungu kancinci.

Zithini iimpawu?

Iimpawu ze-dyshidrotic eczema zinokuvela ngequbuliso, ziphele emva kweentsuku ezimbalwa, zize zibuye. Ezi mpawu zinokuhlala iiveki. Jonga ukuba unayo na kwezi mpawu:

• Amadyungudyungu amancinci, aqinileyo avela ezintendeni zezandla, emacaleni eminwe, nasemacaleni eenyawo.
• La maqhuqhuva ngamanye amaxesha anokuba buhlungu .
• Ukurhawuzelelwa kakhulu kunye nokukhula kolusu phezu okanye ngeenxa zonke kwamadyungudyungu.
• Ukwanda kokubila okunxulunyaniswa namadyungudyungu.
• Njengoko amadyungudyungu ephela, ulusu olukuloo ndawo luyoma kwaye luqhekeke .

Ukuba uzikrwela rhoqo ezi ndawo, ulusu lunokuba lutyebile. Amadyungudyungu amakhulu okanye iindawo ezinamadyungudyungu amaninzi ngamanye amaxesha zinokosulelwa . Ngoko ke kubalulekile ukulawula ukukrwela kangangoko kunokwenzeka.

Yintoni ebangela le meko? (Izinto ezibangela le meko)

Oogqirha nabaphandi abakayazi kakuhle into ebangela i-dyshidrosis, kodwa bakholelwa ukuba inokubangelwa zizinto ezahlukeneyo.

• Ukungasebenzi kakuhle kwenkqubo yomzimba yokuzikhusela: Ukuba une-dyshidrotic eczema, inkqubo yakho yokuzikhusela inokusabela ngokugqithisileyo kwizinto ezincinci ezibangela ukurhawuzelelwa okanye i-allergens. Oku kusabela ngokugqithisileyo kubangela ukudumba kolusu.
• Ukunganyamezelani: Ukuchanabeka kwizinto ezithile ezifana nesamente, i-nickel, i-cobalt, kunye ne-chromium kunokwenza le eczema ibe mandundu. Ingaphinda ibangelwe zezinye izinto ezifana ne-hay fever/allergy rhinitis okanye ezinye izinto zokutya.
• Ukufuma: I-Dyshidrotic eczema inokubangelwa kukubila rhoqo nokumanzisa izandla okanye iinyawo. Le yinto ekufuneka uyilumkele ngemozulu yelizwe lethu.

Ingaba oku kuyasasazeka? Ngaba kuyasulela?

Kwezinye iimeko ezinzima, la maqhuqhuva anokukhula abe makhulu aze asasazeke ngasemva kwezandla, iinyawo, neminwe, kodwa awasasazeki kwamanye amalungu omzimba.

Eyona nto ibalulekileyo kukuba i-dyshidrotic eczema ayisuleli. Awunakuyisasaza komnye umntu.

Nangona kunjalo, ukuba uphula ulusu ngokukrwela amadyungudyungu, oko kunokukhokelela kwiintsholongwane. Ukuba amadyungudyungu asulelekile, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Banokukunika amayeza okubulala iintsholongwane ukunyanga usulelo.

Uyixilonga njani le nto?

Xa ubona ugqirha, baza kuhlola iindawo ezichaphazelekileyo kulusu lwakho. Banokubuza imibuzo efana nokuba uxinezelekile kakhulu na, ingaba kukho umntu kusapho lwakho onale meko, nokuba ukhe wasebenzisa naziphi na iimveliso zolusu ezintsha, wanxiba izacholo ezintsha, okanye watya ukutya okutsha.

Zithini iimvavanyo zokuxilonga?

Ugqirha wakho unokuyalela iimvavanyo ezithile ukuqinisekisa ukuba uxilongiwe okanye akhuphe ezinye iimeko ezifanayo, ezifana ne-contact dermatitis, i-bullous pemphigoid, kunye nesifo sesandla, unyawo, kunye nomlomo. Ezi zingabandakanya:

• Uvavanyo lwe-aleji.
• Ukuthatha iqhekeza elincinci lesikhumba ukuze lihlolwe (iBiopsy).
• Uvavanyo lwegazi.

Ungayinyanga njani i-dyshidrotic eczema?

Abantu abaninzi baqala ngokulawula le meko ngononophelo lolusu ekhaya.

Loluphi unyango olunokwenziwa ekhaya?

• Sebenzisa amanzi afudumeleyo endaweni yamanzi ashushu xa uhlamba izandla zakho.
• Nciphisa izandla neenyawo zakho emanzini abandayo okwethutyana ukuze unciphise iimpawu.
• Ukunciphisa ukurhawuzelela nokudumba , faka ii-compress ezipholileyo ngelaphu elicocekileyo elifakwe emanzini abandayo njengoko kufuneka. Yishiye imizuzu eli-10-15, yiyeke yome emoyeni, uze ufake i-moisturizer elungileyo. Kungcono ukwenza oku kathathu ukuya kane ngemini.
• Ukuthintela ulusu ukuba lungatshi, faka isithambisi esifanelekileyo amaxesha amaninzi ngemini. Oku kubaluleke kakhulu.
• Yomisa izandla neenyawo zakho ngokukhawuleza nangokucokisekileyo emva kokuhlamba okanye ukuqubha.
• Ukuba kunokwenzeka, nciphisa inani leekawusi, iikawusi, kunye nezihlangu ozinxibayo. Ukuba kufuneka uzinxibe ngokupheleleyo, nxiba iikawusi zekotoni okanye zewolu ezifunxa umswakama kunye nezihlangu eziphefumlayo kwaye ezingazinciphisi iinyawo zakho.

Ugqirha wakho unokukunika amayeza athengiswa ngaphandle kwemvume kagqirha (OTC), anjengeekhrimu ze-corticosteroid okanye amafutha okugcoba . Banokukunika nee-antihistamines zomlomo (ezifana ne-fexofenadine kunye ne-cetirizine). Ezi zinokunceda ekunciphiseni ukudumba kunye nokurhawuzelela.

Ziziphi iindlela zonyango ezinikezelwa ngokweengcebiso zonyango?

Ukuba i-dyshidrotic eczema inzima kakhulu, ugqirha wakho unokucebisa unyango olufana nolu ukunceda ekunciphiseni iimpawu:

• Ii-corticosteroids ezisetyenziswa kwinkqubo yonke: Ukuba iikhrimu ze-corticosteroid ezisetyenziswa ngaphandle aziniki ncedo, ugqirha wakho unokukunika amayeza e-corticosteroid asetyenziswa ngomlomo, njenge-prednisone.
• Amayeza okunciphisa umzimba angengowe-steroidal:Ekubeni ukuthatha ii-steroids zomlomo ixesha elide kunokuba yingozi kwimpilo yakho, ugqirha wakho unokucebisa amayeza afana neepilisi ze-methotrexate, iipilisi ze-mycophenolate, okanye i-dupilumab injections.
• Unyango ngeFoto: Oku kuquka ukusebenzisa izibane ezikhethekileyo ukuqondisa ukukhanya kwe-ultraviolet, okuqhele ukuba yi-ultraviolet B (UVB) eluswini. Le mitha ye-UV inokunceda ekunyangeni ezinye izifo zesikhumba, kuquka i-dyshidrotic eczema. Nangona kunjalo, imitha ye-UVB inokubangela amabala amnyama angapheliyo (hyperpigmentation) kubantu abanesikhumba esimnyama, ngoko ke kulungile ukuthetha nogqirha wakho ngale nto ukuba unesikhumba esimnyama.

Ngaba ikho indlela yokususa oku ngokukhawuleza?

Kakade ke, umzimba womntu wonke wahlukile. Abanye abantu banokufumana isiqabu ngamayeza asekhaya kunye namayeza athengiswa ngaphandle kwemvume kagqirha. Abanye banokufuna iikhrimu ze-corticosteroid ezinamandla ezibhalwe ngugqirha ezifana neClobetasol.

I-Dyshidrotic eczema idla ngokuba ngcono xa unyango luqhubeka, kodwa inokuphinda ivele ngokuhamba kwexesha. Ke ngoko, unokufuna ukulandela inkqubo ethile yokhathalelo lolusu okanye uqhubeke nokusebenzisa amayeza ukulawula iimpawu zakho.

Ngaba i-dyshidrotic eczema ingathintelwa?

Ngelishwa, i-dyshidrotic eczema ayinakuthintelwa ngokupheleleyo. Yimeko yezonyango ehlala ixesha elide enokuvela ngamanye amaxesha ebomini . Nangona kunjalo, ukuvela koku ...

Yintoni omele uyenze ukuba une-dyshidrotic eczema?

Ukuba une-dyshidrotic eczema, kukho izinto onokuzenza ukunceda ukunciphisa ukudumba. Ukulandela inkqubo yokhathalelo lolusu oluhle kunye nokusebenzisa amayeza anjenge-antihistamines kunokunceda ukulawula iimpawu. Ukuba kuyimfuneko, kukho ezinye iindlela zonyango, ezifana ne-phototherapy.

Abantu abaninzi baphila ne-dyshidrotic eczema, kodwa inokuba nzima ngamanye amaxesha. Usenokuba nale meko kanye kodwa ungaphindi ube nayo, okanye isenokuphinda ivele ebomini bakho. Ngamanye amaxesha, iimpawu zinokuphela ngokupheleleyo. La maxesha abizwa ngokuba zii-remission periods. Ukhathalelo oluhle lolusu kunye nonyango lunokunceda ukuthintela ukuqhambuka kwesikhumba kwaye lwandise la maxesha okuqhambuka kwesikhumba.

Khumbula, ziphephe izinto ezibangela ulusu ukuba lungasebenzi kakuhle, faka i-moisturizer eluswini lwakho, thatha amayeza acetyisiweyo, kwaye ulandele imiyalelo kagqirha wakho.

Kukho izinto ezimbalwa onokuzenza ukunciphisa ukungakhululeki okubangelwa ziiblister zakho:

• Hlamba iindawo ezichaphazelekileyo ngesepha ethambileyo .
• Faka ukhilimu okanye ioyile yokubulala iintsholongwane .
• Gquma iindawo ezichaphazelekayo ngebhandishi okanye isiqwenga segauze .
• Tshintsha ibhandeji ubuncinane kanye ngemini.

Kusenokubonakala ngathi licebo elihle ukuqhekeza i-blister uze uyikhuphe. Nangona kunjalo, ukwenza njalo akulona icebo lilungileyo konke konke. Ulusu oluphezu kwe-blister lukhona ukukhusela iileya zolusu ezingaphantsi kwizifo.

Ufanele uye nini kugqirha?

Kungcono ukubona ugqirha kwangoko xa ubona amadyungudyungu ezandleni zakho, kwiminwe, okanye ezinyaweni. Okukhona uqala unyango ngokukhawuleza, kokukhona kulula ukulawula imeko.

Yeyiphi imibuzo omele uyibuze ugqirha?

• Ungazi njani ukuba ndine-dyshidrotic eczema?
• Ukuba andinayo i-dyshidrotic eczema, yeyiphi enye imeko yolusu endinokuba nayo?
• Ngaba ikho ikhrimu okanye amafutha onokuyinika?
• Ngawaphi amayeza owacebisayo?
• Ngawaphi amayeza asekhaya owacebisayo?
• Ngaba ikho into ethile yokuthambisa umzimba oyicebisayo?
• Ngaba kufuneka ndidibane nogqirha wesikhumba okanye omnye umntu ochwephesha?

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Dyshidrotic eczema yimeko eqhelekileyo yesikhumba enokuba buhlungu kwaye irhawuzelele. Usenokuba nayo kanye ebomini bakho kwaye ungaphindi uyifumane, okanye isenokuphinda ivele ubomi bakho bonke. Ukuba unesikhumba esibuhlungu, esinamaqhubu, nesirhawuzelelayo, qiniseka ukuba uthetha nogqirha.

Eyona nto ibalulekileyo kukufuna iingcebiso zonyango olufanelekileyo kwangoko nje xa ubona iimpawu. Musa ukwenza nje oko uvakalelwa kuko okanye uye kunyango ngokusekelwe koko kuthethwa ngabanye. Ngamanye amaxesha, kunokuyenza imeko ibe mandundu.

Iimeko ezincinci ze-dyshidrotic eczema zinokunyangwa ngeekhrimu ezithengiswa ngaphandle kwekhawuntara, amafutha okugcoba, kunye namayeza. Iimeko ezinzima zinokufuna amayeza kagqirha okanye olunye unyango. Ngokulandela inkqubo efanelekileyo yokhathalelo lolusu, unganciphisa iziphumo ze-dyshidrotic eczema kwaye uhlale usempilweni.

I- Dyshidrotic eczema, amadyungudyungu ezandleni, amadyungudyungu ezinyaweni, ulusu olurhawuzelelayo, i-pompholyx, i-dermatology, ukhathalelo lolusu