Ngaba ngamanye amaxesha uhlala ukrwela indawo efanayo yomzimba wakho, kwaye nokuba ukrwela kangakanani na, ukurhawuzelelwa akupheli? Ayipheleli apho, kodwa indawo oyikrwelayo iye yaba bomvu, ulusu luye lwaqina, kwaye ngamanye amaxesha luye lwatshintsha umbala? Ukuba kunjalo, kubaluleke kakhulu ukuba uqaphele le meko yolusu esiza kuthetha ngayo namhlanje, ebizwa ngokuba yi-neurodermatitis. Ungakhathazeki, esi asisosifo esisongela ubomi, kodwa sinokucaphukisa kancinci.
Yintoni kanye kanye le sifo solusu esibizwa ngokuba yi-neurodermatitis?
Ngamafutshane, i-neurodermatitis yimeko yesikhumba ebangela ukurhawuzelela okuqhubekayo kwindawo enye okanye ezimbini zesikhumba. Oogqirha bakwabiza ngokuba yi-lichen simplex chronicus.
Olu rhashalala lunokuvela naphi na emzimbeni. Kodwa luhlala lubonakala ezingalweni, emagxeni, ezingqinibeni, emilenzeni, emaqatheni, ezihlahleni, ezintendeni zezandla, ngasemva kwentamo, okanye entlokweni. Abanye abantu banokufumana olu rhashalala lujikeleze i-anus kunye neendawo zangasese, kunye nasebusweni.
Khawucinge nje ukuba oku kurhawuzelela kunokuba nzima kangakanani. Ngamanye amaxesha ufuna nje ukukrwela rhoqo. Okanye, kuqala kwakhona emva kwexesha elithile. Oku kurhawuzelela kubonakala ngakumbi xa uphumle okanye uzama ukulala. Abanye abantu bavuka ebuthongweni bekrwela okanye behlikihla ezi ndawo. Xa uqhubeka nokukrwela, iziphelo zemithambo-luvo eluswini ziyavuseleleka kwaye ukurhawuzelela kuba mandundu nangakumbi. Emva koko ukrwela ngakumbi. Ukuba lo mjikelo "wokukrwela-krwela-krwela kwakhona" uyaqhubeka, oku kunokuba yimeko engapheliyo.
Lubonakala njani ulusu xa une-neurodermatitis?
Ezi ndawo zirhawuzelelayo zibonakala njengeziqwenga eluswini. Ezi ndawo zidla ngokuba nobubanzi obuziisentimitha ezi-3 ukuya kwezi-6 kunye nobude obuziisentimitha ezi-6 ukuya kwezili-10. Ezi ndawo zisenokubonakala ngolu hlobo:
- Inokuba yomile .
- Ulusu lunokubonakala lujiyile .
- Ingabonakala ngathi yikorale .
- Ingabonakala ngathi yisikhumba .
- Umbala ungahluka . Unokuba bomvu, mdaka, mthubi, ngwevu, okanye ube mfusa.
- Amabala amadala anokuba mhlophe okanye akhanye embindini, abe nombala omnyama ojikeleze imiphetho.
- Ekuhambeni kwexesha, amanxeba anokuvela .
Into ebalulekileyo kukuba ngokuqhubeka nokukrwela, iziphelo zemithambo-luvo eluswini ziyavuseleleka ngakumbi, nto leyo eyenza ukurhawuzelela kube mandundu. Kufana nomjikelo ombi.
Ngubani onokuthi abe nale meko?
Uphando lufumanise ukuba malunga ne-12% yabemi banesifo se-neurodermatitis. Kuthiwa abantu abaphakathi kweminyaka engama-30 ukuya kwengama-50 banamathuba amaninzi okufumana esi sifo. Abafazi banamathuba aphindwe kabini okufumana esi sifo kunamadoda.
Kwaye kwakhona,Abantu abaneengxaki zokuxhalaba, iingxaki zokungakhathali (OCD), kunye nembali yosapho enezinye izifo zesikhumba ezifana ne-eczema okanye i-contact dermatitis nabo basengozini enkulu yokuba ne-neurodermatitis.
Ezinye izifundo zakutshanje zibonise ukuba abantu abaneempawu ezithile zobuntu - ezinje ngezakhono ezingezizo zentlalo, ukungakwazi ukuguquguquka, ukuphepha iintlungu, ukuxhomekeka kwabanye, ukuzama ukukholisa abanye rhoqo, kunye nokuzinikela ngokugqithisileyo - banamathuba amaninzi okufumana i-neurodermatitis. Nangona kunjalo, ezinye izifundo azifumananga nxibelelwano phakathi kwezi mpawu zobuntu kunye nesifo. Ngoko ke kusenzima ukuqiniseka.
Zithini izizathu ze-neurodermatitis?
Enyanisweni, imbangela eyintloko ye-neurodermatitis ayikaziwa. Nangona kunjalo, kuye kwabonwa ukuba ukurhawuzelela kuqala ngamaxesha oxinzelelo olukhulu, ixhala, ukwenzakala ngokweemvakalelo, okanye ukudakumba. Ngamanye amaxesha, ukurhawuzelela kunokuqhubeka nasemva kokuba uxinzelelo luphelile okanye luyekile.
Ezinye izinto ezinokubangela ukuba i-neurodermatitis ibe mandundu:
- Umonakalo wemithambo-luvo.
- Ukulunywa zizinambuzane.
- Ulusu olomileyo.
- Ukunxiba impahla eqinileyo, ingakumbi impahla eyenziwe ngemicu yokwenziwa efana ne-polyester okanye i-rayon, kunokubangela ukuba ulusu olubuthathaka luthatheke kakhulu luze luqale ukurhawuzelela.
- Ezinye iimeko zesikhumba. Ngamanye amaxesha, i-neurodermatitis inokubakho ngenxa yeemeko zesikhumba ezifana ne-eczema kunye ne-psoriasis.
Ziziphi iimpawu ze-neurodermatitis?
Ukongeza ekurhawuzeleni, ukukrwela rhoqo, kunye namabala omile, anombala omdaka eluswini, i-neurodermatitis inokuba nezinye iimpawu:
- Intlungu.
- Ukulahleka kweenwele ngenxa yokurhawuzelelwa nokukrwelwa kwentloko.
- Ukukrwela rhoqo kubangela ukuba ulusu luqhekeke luze luphume igazi.
- Usulelo. Ukuba amanxeba akhupha ulwelo olumthubi okanye anamadyungudyungu azele bubovu, isenokuba lusulelo.
- Amanxeba ngenxa yokukrwela.
- Ulusu oluchaphazelekileyo luqala ukubonakala ngathi yimibimbi .
Ungazi njani ngokuqinisekileyo ukuba le yi-neurodermatitis?
Ukuba unezi mpawu, eyona nto ingcono onokuyenza kukubonana nogqirha wesikhumba. Uza kuhlola indawo yakho erhawuzelelwayo, mhlawumbi esebenzisa isixhobo esikhethekileyo (i-'scope').
Okokuqala, ugqirha uza kujonga ezinye iimeko zolusu, ezifana ne-eczema kunye ne-psoriasis, ukuqinisekisa ukuba azikho. Emva koko, uza kukubuza ngembali yakho epheleleyo yezonyango, kwaye angakubuza imibuzo efana nale:
- Kuqale nini ukurhawuzelela?
- Ingaba ihlala ihleli, okanye iyafika ihambe?
- Ngaba ukhe wenza naluphi na unyango ekhaya?
Uvavanyo lokuxilonga
Ngamanye amaxesha, ugqirha unokufuna ukwenza ezinye iimvavanyo:
- Uvavanyo lwe-skin swab: Ukufumanisa ukuba kukho usulelo na.
- Uvavanyo lwepetshi: Ukufumanisa ukuba ingxaki ibangelwa yi-allergy.
- Uvavanyo lwefungus: Jonga ezinye izifo zesikhumba kunye nezifo ezidluliselwa ngesondo kuloo ndawo.
- I-biopsy yolusu: Ukufumanisa ukuba uneemeko ezifana ne-psoriasis okanye i-mycosis fungoides (uhlobo lwe-lymphoma).
- Uvavanyo lwegazi.
Iphathwa njani i-neurodermatitis?
I-Neurodermatitis ayipheli rhoqo ngaphandle konyango. Ngoko ke, ugqirha wesikhumba uza kuyila isicwangciso sonyango esilungiselelwe wena. Injongo ephambili kukuyeka ukurhawuzelela nokukrwela.
Iindlela zonyango ziquka:
Iintlobo zamachiza
- IiCorticosteroids: La mayeza anokusetyenziswa kwindawo echaphazelekayo okanye afakwe kwi-oksijini. IiCorticosteroids zinciphisa ukubomvu, ukudumba, ukudumba, ukurhawuzelela, kunye nokuqina. Zikwanceda ukuthambisa ulusu olujiyileyo.
- Ii-Antihistamines: Zithathwa ngaphambi kokuba zilale, zinokunceda ekunciphiseni ukurhawuzelela ebusuku. Zinokunceda nasekuthinteleni ii-allergy ezinokwenza imeko ibe mandundu.
- Ii-antibiotics: Ezi zinikwa indawo apho amabala asulelekileyo khona. Ezi zinokunikwa njengekhrimu okanye njengeepilisi.
- Izithambisi-mafutha: Ezi zinciphisa ukoma kolusu kunye nokurhawuzelela.
- Ukulungiswa kwetha yamalahle: La mayeza anceda ukususa iiseli zolusu ezifileyo kwaye anciphise ukukhula kweeseli ezintsha. Angafakwa ngqo eluswini okanye ongezwe emanzini okuhlamba.
- Iikhrimu zeCapsaicin: Ezi zinokunciphisa iintlungu kunye nokurhawuzelela.
Ezinye iingcebiso ezinikwe ngugqirha
Ugqirha wakho unokucebisa izinto ezifana nezi:
- Ukufaka ibhandeji: Ukusebenzisa iibhandeji, iikawusi, okanye iiglavu kunokunceda ukuthintela ukukrweleka ebusuku. Oku kunokukunceda ulale ngcono. Ukufaka ibhandeji kukwanceda ulusu ukuba lufunxe amayeza ngcono. (Oku kukwabizwa ngokuba yi-`(occlusion)`).
- Ii-Cool compresses: Ezi zingafakwa eluswini kangangemizuzu emihlanu ngaphambi kokusebenzisa ii-corticosteroids. Oku kuya kuthambisa ulusu kwaye kuluncede lufunxe iyeza lula, kwaye kunciphise ukurhawuzelela.
- Amayeza okudakumba kunye/okanye unyango: Ukuba ixhala, ukudakumba, okanye uxinzelelo kucingelwa ukuba yimbangela yokurhawuzelelwa, olu nyango lunokucetyiswa.
Ezinye iindlela zonyango
Ukuba akukho nanye kwezi ndlela zonyango isebenzayo, kukho iindlela ezininzi zonyango ezingezizo ezemveli:
- Ukusebenzisa isisombululo se-aspirin kunye ne-dichloromethane kwindawo erhawuzelelwayo.
- Unyango oluqhelekileyo olusetyenziswa kwi-atopic dermatitis/eczema yi-tacrolimus kunye/okanye i-pimecrolimus.
- Inaliti yeBotulinum toxin (Botox®). Le yiproteni enobuthi enokwenza buthathaka izihlunu zomzimba. Kuphononongo lwezigulana ezintathu ezine-neurodermatitis, zonke ezintathu ziye zancipha ukurhawuzelela kwiveki yokuqala unyango, kwaye amabala okurhawuzelela ayenyamalele kwiiveki ezine.
- Unyango olukhanyayo (`Phototherapy`): Olu nyango alufanelekanga kwiindawo zesini.
- Utyando lwesintu lokususa indawo erhawuzelelayo, okanye utyando oluqhaqhazelisayo, olusebenzisa umkhuhlane omkhulu ukutshabalalisa izicubu ezingafunekiyo.
Kuthekani ukuba ukurhawuzelela kubangela inxeba?
Ukuba unenxeba elikrwelekileyo ngenxa ye-neurodermatitis, ugqirha wakho unokuligquma ngebhandishi.
Olunye unyango lubizwa ngokuba yi- "negative-pressure wound therapy ." Oku kuquka ukusebenzisa into efana ne-vacuum ukususa ulwelo enxebeni nokunyusa ukuhamba kwegazi ukuya kuloo ndawo.
Unyango lwe-hyperbaric oxygen lubandakanya ukubeka isigulane kwigumbi le-oxygen kunye nokuphefumla i-oxygen ecocekileyo. Oku kwandisa amandla omzimba okuziphilisa. Utyando lwenxeba lolunye ukhetho.
Izinto onokuzenza ukuze ukhawulezise ukuchacha
Ukuba une-neurodermatitis, kufuneka ulandele isicwangciso sonyango esinikwe ngugqirha wakho ngokuchanekileyo. Kwakhona, zama ukuhlala uzolile kwaye ungoyiki. Oku kungenziwa mandundu kukuxhalaba noxinzelelo. Khumbula nezi zinto:
- Zama konke okusemandleni akho ukuyeka ukukrwela nokukhuhla. Nangona kunjalo, gcina iinzipho zakho zimfutshane. Oku kuya kunceda ukunciphisa umonakalo onokwenzeka ukuba uzikrwela ngengozi.
- Faka umkhenkce, iyeza lokunciphisa ukurhawuzelela, okanye ucinezele umkhuhlane kwindawo erhawuzelelayo.
- Hlamba ngamanzi abandayo. Oku kuya kunciphisa ubushushu bomzimba kwaye kunciphise ukurhawuzelela. Yongeza i-oatmeal ye-colloidal emanzini okuhlamba. Oku kuya kunciphisa nokurhawuzelela.
- Gcina ubushushu bomzimba bupholile kwaye bukhululekile.
- Kungcono ukunxiba impahla ekhululekileyo, kunye nekotoni eninzi kangangoko.
- Gquma indawo erhawuzelelwayo ngempahla, faka ibhandeji equlethe i-corticosteroid, okanye ufake i-Unna boot, ibhandeji equlethe izithako zokuphilisa ezifana ne-zinc oxide. Olu hlobo lokugquma lunokuthintela ukukrwela.
- Musa ukusebenzisa nantoni na enobungozi kulusu okanye ebangela i-allergies.
Liyintoni ikamva labantu abane-neurodermatitis?
Ngesicwangciso sonyango esifanelekileyo, i-neurodermatitis inokunyangeka ngokupheleleyo. Nangona kunjalo, ugqirha kunye nesigulana banokufuneka batshintshe isicwangciso sonyango baze bazame izicwangciso ezahlukeneyo. Eyona nto ibalulekileyo kukusebenza ngokwesicwangciso. I-Neurodermatitis inokuba nzima ukuyinyanga, ingakumbi ukuba ikhulele kwindawo yesini.
Ngelishwa, i-neurodermatitis ingaphinda ivele ngenxa yezinto ezibangela loo nto. Kwimeko enjalo, unyango lunokufuneka kwakhona. Ngamanye amaxesha, ugqirha angaqhubeka enyanga isigulana esiphilile kwimeko ukuze athintele ukuphinda sibuye.
Kunqabile kakhulu, i-neurodermatitis ingakhula ibe ngumhlaza wolusu, njenge-squamous-cell carcinoma okanye i-verrucous carcinoma. Oku kunokubangelwa kukukrwela nokuhlikihla rhoqo. Oku kungenza iikhemikhali ezinokubangela ukuba iiseli zolusu zibe ngumhlaza. Ke ngoko, kubalulekile ukufuna ingcebiso kagqirha ngokukhawuleza ukuba uneempawu.
Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)
Kulungile, ngoku uyazi okuninzi nge-neurodermatitis. Khumbula, nangona inokuba yinto ecaphukisayo, yimeko enokunyangwa ngonyango olufanelekileyo.
- Ukuba unale mpawu, qiniseka ukuba ubonana nogqirha wesikhumba. Musa ukuzinyanga.
- Landela isicwangciso sonyango esichazwe ngugqirha wakho ngqo. Musa ukuyeka ukuthatha amayeza kwangoko nje ukuba ukurhawuzelela kuphele, qhubeka uwathatha logama nje ugqirha wakho ekuxelele ukuba wenjenjalo.
- Lawula ukukrwela kangangoko unako. Gcina iinzipho zakho zimfutshane, kwaye ugqume izandla zakho ebusuku ukuba kuyimfuneko.
- Zama ukunciphisa uxinzelelo . Izinto ezifana neyoga kunye nokucamngca zinokunceda.
- Nxiba impahla ekhululekileyo eyenziwe ngemicu yendalo efana nekotoni ethambileyo eluswini.
- Ziphephe izinto eziyingozi kulusu lwakho.
Ndiyathemba ukuba olu lwazi luluncedo kuwe. Hlala usempilweni!
I- Neurodermatitis, Isifo Solusu, Ukurhawuzelela, Amaqhakuva Olusu, Uxinzelelo, Ingcali Yesikhumba, I-Neurodermatitis











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