Ingaba isifo esidala sibuya kwinxeba eluswini lwakho? Masithethe ngesiganeko sikaKoebner

Usenokuba unemeko yesikhumba, efana ne-psoriasis. Ngaba wakha waphawula ukuba imeko efanayo endala ivele ngequbuliso kwakhona kwinxeba elincinci okanye isilonda eluswini lwakho? Kufana nokuba isifo siqala kwindawo entsha. Oku sikubiza ngokuba yiKoebner Phenomenon kwezonyango. Oku kusenokuba yinto entsha kwabanye, ngoko namhlanje siza kuthetha ngako ngokweenkcukacha ezithe vetshe , kodwa ngokulula.

Yintoni iNgxaki kaKoebner?

Ngamafutshane, iKoebner Phenomenon iyenzeka xa imeko yesikhumba osele unayo, efana ne-psoriasis okanye i-vitiligo, iphinda ivele kwindawo entsha yesikhumba sakho, njengokwenzakala, ukusikwa, ukutsha, okanye utyando. Ngokuchanekileyo, ikopi yemeko efanayo endala ivela kwindawo entsha. Khawuthelekelele, unerhashalala encinci esandleni sakho, ufumana irhashalala kwenye indawo emlenzeni wakho, kwaye emva kweentsuku ezimbalwa, irhashalala nayo iyabonakala kuloo ndawo inye. Yiyo leyo.

Oku kwafunyanwa okokuqala kwaye kwachazwa ngo-1876 ngugqirha waseJamani ogama linguHeinrich Koebner. Yiyo loo nto le nto ibizwa ngegama lakhe. Wayibiza nangokuthi 'yimpendulo ye-isomorphic'. Igama lesiGrike elithi 'isomorphic' lithetha 'ukuma okulinganayo'. Oku kuthetha ukuba amabala amatsha abumbayo afana ngokubonakala kwesilonda sokuqala.

Kuqheleke kangakanani oku?

Le meko, ebizwa ngokuba yiKoebner Phenomenon, ixhaphake kakhulu kubantu abane-psoriasis. Ezinye izifundo zibonisa ukuba ukuya kuthi ga kwi-25% yabantu abane-psoriasis banokuba nayo. Nangona kunjalo, ayipheleli nje kwi-psoriasis.

Le meko inokwenzeka nakubantu abaneentsumpa, i-vitiligo, okanye imeko yolusu ebizwa ngokuba yi-lichen planus. Nangona kunjalo, ayiqhelekanga njenge-lichen planus. Ukongeza, kuye kwaxelwa ukuba le meko kaKoebner ichaphazela abantu abanezinye izifo zolusu ezingaqhelekanga.

Yintoni ebangela le nto kaKoebner?

Unobangela ochanekileyo woku yinto oogqirha abangekayifumani ngokupheleleyo, uyazi? Isesekwinqanaba lophando. Nangona kunjalo, iingcali zihlala zicinga ukuba ibangelwa luhlobo oluthile lomsebenzi, mhlawumbi ukusebenza ngokugqithisileyo, kwenkqubo yethu yokuzikhusela komzimba. Oko kuthetha ukuba bacinga ukuba isenokuba inxulumene nezifo zokuzikhusela komzimba.

Umzekelo, i-psoriasis, esiyaziyo sonke, sisifo esinonxibelelwano lwe-autoimmune. Ngoko ke, abantu abanezifo ezinjalo banamathuba amaninzi okufumana le nto kaKoebner. Xa kukho inxeba eluswini, iimolekyuli ezithile zesignali kunye neeseli ziyavuselelwa ngexesha lenkqubo yokuphiliswa. Ngenxa yokungaqhelekanga kule nkqubo, isifo solusu sokuqala sinokuvela kwindawo entsha.

Ngubani osengozini enkulu yokuphuhlisa oku?

Njengoko besitshilo ngaphambili, abantu abane-psoriasis basengozini enkulu. Ukongeza, kukho nezinye iimeko ezininzi zesikhumba ezinokunyusa umngcipheko wesifo sikaKoebner:

• Iintsumpa - Ezi zibangelwa lusulelo olubangelwa yintsholongwane.
• I-Vitiligo – Imeko ebangelwa kukutshatyalaliswa kweeseli ezinika ulusu umbala walo.
• I-Lichen planus – Le yimeko enokubangela ukudumba kolusu, umlomo, kunye nezinzipho.

Ayinguye wonke umntu onesi sifo oza kuphuhlisa le meko kaKoebner, kodwa kukho umngcipheko.

Loluphi uhlobo lwezilonda zesikhumba ezibangela oku?

Into ebalulekileyo apha kukuba i-Koebner phenomenon inokubangelwa nayiyo nayiphi na ingozi echaphazela okanye eyonakalise zombini umaleko ophezulu wolusu, ulusu esilubonayo (i-epidermis) , kunye nomaleko onzulu kancinci ngaphantsi (i-dermis) . Cinga ngezinto ezinje:

• Ukugqobhoza ulusu okufana neendawo zokujova, ukugqobhoza iindlebe, kunye nokugqobhoza impumlo.
• Xa ilunywe zizinambuzane okanye ezinye izilwanyana, umzekelo, izilwanyana ezifana neengcongconi neembovane.
• Xa ulusu luvutha. Masithi nje uvutha yintonga ngelixa usebenza ebaleni, ikati ivutha, okanye ingcongconi ikulume ize ikulume kakubi.
• Abanye abantu ngabom baphula ulusu lwabo (ukuhluza ulusu), izinto ezinjalo.
• Amanxeba otyando, ezinye iingozi, iingozi zokuwa okanye zokusikwa.
• Xa usenza i-tattoo, kuba oko kuquka ukubhoboza ulusu ngenaliti kunye nokufaka i-inki. Oku kunokwenzeka nakwinkqubo yokususa i-tattoo .
• Ukutsha. Kungabangelwa ngumlilo, kungabangelwa ngamanzi ashushu. Ukutsha lilanga ngamanye amaxesha kunokubakho, kodwa akubangeli isiganeko sikaKoebner rhoqo njengezinye iingozi.
• Unyango lwemitha kwizifo ezinje ngomhlaza lunokonakalisa ulusu, ngoko ke le meko ngamanye amaxesha inokwenzeka kuloo ndawo (oku nako kunqabile).

Ngamafutshane, ingaqala ngayo nayiphi na ingozi eluswini lwakho.

Zithini iimpawu zesifo sikaKoebner?

Iimpawu zesifo sikaKoebner ziyahluka ngokuxhomekeke kwimeko yolusu onayo, kunye nokuba imeko leyo imbi kangakanani ngelo xesha. Amabala amatsha okanye utshintsho lolusu ludla ngokuqala ukubonakala kwiintsuku ezili-10 ukuya kwezingama-20 emva kokwenzakala . Nangona kunjalo, ngamanye amaxesha kungathatha iiveki okanye, kunqabile, iinyanga ukuba oku kwenzeke.

Iimpawu eziphambili ezinokubonwa zezi:

• Ezi zilonda zintsha zenzeka kulusu olusempilweni nolungenazifo ngaphambili, kwindawo enye apho kwenzeke khona ingozi.
• Zifana nqwa nesifo sakho solusu sokuqala.Umzekelo, ukuba une-psoriasis, amabala amatsha aya kubonakala ebomvu njenge-psoriasis kwaye aya kuxobuka ngendlela efanayo ne-psoriasis. Ukuba une-vitiligo, amabala amatsha aya kuba mhlophe.
• Uninzi lwexesha, ezi zi- linear, ngokungathi isifo sisasazeke ecaleni kwenxeba. Kodwa oku akusoloko kunjalo, kwaye kunokwahluka ngokuxhomekeke kwimo yenxeba.

La mabala ngamanye amaxesha abonakala ngathi umntu udwebe umgca ngerula. Nalo ke luphawu olukhethekileyo lwale nto.

Ngaba oku kungabangela iingxaki?

Oku kunokuvakala kuyoyikisa kancinci kuwe. Kodwa ukuba ndithetha inyani, iKoebner Phenomenon ayisoloko ibangela naziphi na iingxaki ezinkulu. Kukuvela nje kwemeko yakho endala. Oko kuthetha ukuba iindawo ezintsha azisongeli ubomi. Nangona kunjalo, ngamanye amaxesha iindawo ezintsha zinokuba buhlungu kwaye zirhawuzelele njengeendawo zokuqala. Kwakhona, kwezinye iimeko, njenge-psoriasis, ukusasazeka kwale meko kunokuba yinto ephazamisayo.

Ungayibona njani into kaKoebner?

Akukho vavanyo lwegazi luthile okanye olunye uvavanyo oluza kuchongwa. Xa ubona ugqirha wesikhumba, uza kuhlola ulusu lwakho ngononophelo. Emva koko, baza kubuza ngeemeko zakho zesikhumba zangaphambili, ukuba kukho umntu kusapho lwakho okhe waba neemeko ezifanayo, nokuba ngaba ukhe wenzakala na eluswini lwakho kutshanje. Lonke olu lwazi, kunye nokubonakala kwamabala eluswini lwakho, kuya kunceda ugqirha ukuba agqibe ukuba le yimeko kaKoebner na. Ke ngoko , kubaluleke kakhulu ukuba uxelele ugqirha inyani kwaye ungafihli nto.

Iphathwa njani le nto?

Apha kwakhona, ungamangaliswa kukufumanisa ukuba akukho nyango luthile lweKoebner Phenomenon. Isizathu kukuba ayisosifo sitsha, kodwa sisibonakaliso nje semeko yakho yokuqala yolusu. Ke ngoko, iphathwa ngendlela efanayo nemeko yokuqala.

Umzekelo, ukuba kungenxa ye-psoriasis, unyango olufanayo lwe-psoriasis, olufana neekhrimu, amafutha okugcoba, iipilisi, kwaye ngamanye amaxesha i-phototherapy, luya kusetyenziswa kwezi ndawo zintsha. Ngokufanayo, ukuba kungenxa ye-vitiligo, unyango olufanayo luya kusetyenziswa kuloo nto.

Eyona nto ibalulekileyo kukulandela imiyalelo ye-dermatologist yakho ngokuchanekileyo.

Ngaba isiganeko sikaKoebner singathintelwa?

Kunokuba nzima ukuthintela oku ngokupheleleyo, ingakumbi ukuba unesifo solusu. Nangona kunjalo, kukho izinto esinokuzenza ukunciphisa umngcipheko.

Eyona ndlela ilungileyo kukulawula isifo sakho esiphambili solusu kakuhle.Oko kuthetha ukuba, ukuba une-psoriasis, kufuneka ulandele imiyalelo kagqirha wakho ukuze iimpawu zakho zihlale ziphantsi kangangoko. Isiganeko sikaKoebner sinokwenzeka kakhulu ngexesha lesigaba sokusebenza kwesi sifo.

Ukongeza, kufuneka unciphise ukwenzakala kwesikhumba kunye nomonakalo kangangoko kunokwenzeka.

Ezi zinto nazo ziya kunceda:

• Nciphisa okanye uyeke ukukrwela ulusu lwakho, ukukrwela i-cuticle yakho, kunye nokukrwela iinzipho zakho . Kulungile ukukrwela, ungakrweli nje de kube buhlungu.
• Khusela ulusu lwakho elangeni. Xa uphuma emini, ingakumbi phakathi kwentsimbi ye-10 kusasa ne-4 emva kwemini, nxiba impahla enemikhono emide ukuba kunokwenzeka, umnqwazi, kwaye ngokuqinisekileyo sebenzisa i-sunscreen ene-SPF elungileyo.
• Cinga kabini ngokuthatha iitattoos kunye nokugqobhoza. Ukuba unezi ngxaki zesikhumba, ezi zinokubangela ingxaki kaKoebner.
• Sebenzisa iiglavu xa usebenza ngezinto ezibukhali okanye usenza izinto ezifana nokulima igadi.

Injani imeko yempilo yomntu onesifo sikaKoebner?

Impilo yomntu oneKoebner Phenomenon idla ngokuba ntle kakhulu. Njengoko bekutshiwo ngaphambili, ayibangeli iingxaki ezinkulu. Eyona nto ingcono onokuyenza kukuphatha nawaphi na amabala amatsha ngendlela obunokuyiphatha ngayo imeko yakho yolusu.

Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo kwaye uqaphele ukuba ungonzakalisi ulusu lwakho. Ukuba ulawula imeko yolusu lwakho kakuhle ngale ndlela, isiganeko sikaKoebner asiyi kuba nefuthe elikhulu ebomini bakho.

Ndifanele ndimbone nini ugqirha?

Ukuba unemeko yesikhumba enokunxulunyaniswa nemeko kaKoebner, kwaye uqaphela nayiphi na kwezi zilandelayo, bona ugqirha wesikhumba okanye ugqirha wosapho ngokukhawuleza:

• Ukuba imeko yesikhumba sakho ivele ngequbuliso, oko kuthetha ukuba amabala kunye nokubomvu kuyanda.
• Kulungile ukuba ulusu luyarhawuzelela okanye lubuhlungu.
• Ukuba kukho ulwelo olufana nobovu oluphuma enxebeni, ukubomvu nokudumba okujikeleze inxeba, okanye iimpawu zosulelo olufana nomkhuhlane , kubalulekile ukufuna unyango ngokukhawuleza.
• Ukuba kuvela amabala amatsha eluswini, kulungile ukwazisa ugqirha wakho ngawo.

Ndingayibuza ntoni ugqirha?

Xa usiya kugqirha wakho, kubalulekile ukubuza imibuzo esengqondweni yakho. Oku kuya kukunceda uyiqonde ngcono imeko yakho. Umzekelo, ungabuza imibuzo efana nale:

• "Gqirha, yintoni enokubangela esi sigulo sikaKoebner kum?"
• "Oku kunxulumene njani nemeko yolusu endinayo ngoku?"
• "Yeyiphi indlela yonyango engcono kum?"
• "Kuza kuthatha ixesha elingakanani ukuba ezi ndawo zintsha ziphele?"
• "Yintoni enye endinokuyenza ukuthintela izilonda zesikhumba kunye nesi siganeko sikaKoebner?"
• "Zeziphi iingxaki ekufuneka ndizixhalabise ngazo?"
• "Kuza kuthatha ixesha elingakanani ndize ndiphinde ndimbone ugqirha?"

Ngamafutshane, izinto ekufuneka sizikhumbule

Kulungile, nazi izinto ezibalulekileyo ekufuneka uzikhumbule kwizinto esithethe ngazo. Ukuba unesifo solusu esifana ne-psoriasis, i-vitiligo, okanye i-lichen planus, kwaye ubona amabala amatsha afana nezilonda ezifanayo ezibonakala apho wawunenxeba, ukrwele, okanye utshile eluswini lwakho, kusenokwenzeka ukuba yiKoebner Phenomenon.

Ezi ndawo zintsha zinokuvela emva kweentsuku ezimbalwa okanye iiveki emva kokwenzakala. Ukuze ufumanise oku ngokuchanekileyo, kufuneka ubonane nogqirha wesikhumba. Uza kukunika unyango olufunekayo.

Ukugcina imeko yakho yesikhumba engaphantsi, efana ne-psoriasis, phantsi kolawulo olufanelekileyo kunokunciphisa umngcipheko wokufumana isifo seKoebner. Nangona kunjalo, ngamanye amaxesha ezi zilonda zinokuvela nokuba akukho zimpawu. Ngoko ke kubalulekile ukukhusela ulusu lwakho ekusikeni, ekutshisweni, nakwezinye izinto ezinobungozi kangangoko kunokwenzeka. Lukhathalele ulusu lwakho. Kaloku, ulusu olusempilweni lusisiseko sobomi obusempilweni.

I- Koebner Phenomenon, Izifo Zesikhumba, i-Psoriasis, Izilonda Zesikhumba, Izifo Zesikhumba, Amabala Esikhumba, i-Vitiligo, i-Lichen Planus