Ngaba ufumana amaqhuma abuhlungu phantsi kolusu lwakho? Masifunde ngePanniculitis!

Ngaba wakha waphawula ukuba amaqhuma amancinci, abomvu, athambileyo avele ngequbuliso emilenzeni yakho, okanye mhlawumbi ezingalweni zakho? Abonakala ngathi yimivumbo, kodwa akunjalo. Ukuba ukhe waba namava anjalo, okanye ukuba umntu omaziyo ukhe waba nento efana nale, ngoko ke into esiza kuthetha ngayo namhlanje iya kuba yinto ebaluleke kakhulu kuwe. Sithetha ngemeko ebizwa ngokuba yi-panniculitis.

Uyazi ukuba yintoni i-panniculitis?

Ngamafutshane, i-panniculitis kukudumba kwezicubu ezinamafutha (izicubu zamafutha) phantsi kolusu lwethu. Ewe, undive kakuhle, sikwanayo nengqimba yamafutha phantsi kolusu lwethu. Ngokwezonyango, oku kubizwa ngokuba yi-Panniculus adiposus. Le ngqimba yamafutha inceda ekulawuleni ubushushu bomzimba wethu kwaye inika isiphumo sokuthomalalisa umzimba wethu. Ngoko ke, xa le ngqimba yamafutha ivuvukala, kuvela amaqhuqhuva abuhlungu . La maqhuqhuva ngamanye amaxesha abonakala njengemivumbo emincinci. Ahlala ebonakala kwimilenze esezantsi, njengendawo yemiphunga.

Le ntlungu inokuba nzima kakhulu kwabanye abantu kangangokuba abakwazi ukwenza imisebenzi yemihla ngemihla. Bade bakruquke zizinto ababezithanda ngaphambili. Ayipheleli apho, kodwa la maqhuqhuva anokutshintsha nombala wolusu aze awenze ubonakale ngakumbi, nto leyo enokukwenza uzive udandathekile kancinci. Usenokuziva uneentloni ngawe. Kodwa ungakhathazeki, zininzi izizathu zoku, kwaye kukho unyango olunokunceda ukulawula ezi mpawu.

Ziziphi iintlobo eziphambili ze-panniculitis?

Khumbula, ayinguye wonke umntu ochaphazeleka sisifo esifanayo ngendlela efanayo. Ngokufanayo, kukho iintlobo ezahlukeneyo ze-panniculitis. Unobangela kunye nemiphumo yohlobo ngalunye inokwahluka kancinci. Makhe sijonge ezinye zeentlobo eziphambili:

• I-cold panniculitis: Njengoko igama lisitsho, le meko yenzeka xa ujamelene nomkhuhlane ogqithisileyo. Ixhaphake kakhulu kubantwana abancinci. Ngamanye amaxesha, ukutya i-ayisikhrim kunokubangela ukurhawuzelela okubomvu, okunamaqhubu esidleleni sakho, kodwa kunokubakho nakwezinye iindawo zomzimba wakho.
• I-Erythema induratum: Olu hlobo luchaphazela kakhulu indawo yangasese. Kwezinye iimeko, lunokunxulunyaniswa nesifo esifana nesifo sephepha.
• I-Erythema nodosum: Olu luhlobo oluxhaphakileyo. Amaqhuma abonakala ngakumbi ngaphambili kwemilenze (indawo yemilenze). Ngamanye amaxesha oku kuqhambuka kunokuba yinto engapheliyo.
• I-panniculitis esulelayo: Ukudumba kwale oyile kunokubakho ngenxa yosulelo lwebhaktiriya okanye lwefungus.
• I-Lupus panniculitis: Abantu abanesifo sokuzikhusela komzimba i-lupus erythematosus banamathuba amaninzi okufumana olu hlobo lwe-panniculitis.
• I-Mesenteric panniculitis: Oku kwahlukile kancinci. Kuchaphazela izicubu ezinamafutha (i-mesentery) ezijikeleze amathumbu ethu amancinci kunye namathumbu amakhulu.
• I-Necrotizing panniculitis: Oku kwenzeka xa izicubu ezinamafutha zisifa ngenxa yosulelo oluqatha.
• I-pancreatic panniculitis: Ukuba kukho isifo kwi-pancreas, oko kungaba yimbangela.

Oogqirha bahlula le meko ye-panniculitis kwiindidi ezimbini – i-lobular panniculitis, echaphazela iiseli zamafutha (ii-lobules), okanye i-septal panniculitis, echaphazela izicwili ezinxibelelanayo ezijikeleze iiseli zamafutha (i-fat septa). Nangona kunjalo, eli ligama lezonyango. Isenokungabalulekanga kangako ukuba uyazi ngokubanzi.

Zithini iimpawu zoku? Sizibona njani?

Iimpawu ze-panniculitis zingahluka ukusuka kumntu ukuya komnye, njengoko kunjalo nangobunzima. Makhe sijonge iimpawu eziphambili:

• Ukwakheka kwamaqhuqhuva (iiqhuqhuva) phantsi kolusu: Olu luphawu oluphambili.
• Ukuva iintlungu okanye ukuqina xa uchukumisa iqhuma: Ngamanye amaxesha, ukulichukumisa nje kunokubangela intlungu.
• Ukutshintsha kombala wolusu: Indawo apho kukho amaqhuma inokuba bomvu, mfusa, okanye mdaka. Isenokuba mnyama ngaphezu kombala wolusu lwakho lwendalo. Isenokubonakala ngathi yinxeba.

Ukongeza koku, ezinye iimpawu zingabonakala:

• Ifiva
• Intlungu yamalungu kunye nemisipha
• Ukudinwa, ukudinwa
• Isicaphucaphu okanye ukuhlanza

Nangona kukho iintlobo ezininzi ze-panniculitis, iimpawu zeentlobo ezininzi ziyafana. Nangona kunjalo, iindawo zomzimba ezichaphazelekileyo zinokwahluka.

Ziphi emzimbeni apho ezi mpawu zichaphazela kakhulu khona?

Iimpawu ze-panniculitis zichaphazela kakhulu umaleko weoyile phantsi kolusu. Ke ngoko, amaqhuma kunye nentlungu zibonakala kakhulu kwi:

• Emilenzeni
• Kwindawo yemilenze
• Ezandleni

Kutheni kukho i-panniculitis? Zithini izizathu?

Kukho izinto ezininzi ezinokubangela le meko. Iyahluka ngokuxhomekeke kuhlobo lwe-panniculitis. Makhe sijonge ezinye zezizathu eziphambili:

• Usulelo olubangelwa ziintsholongwane okanye ziibhaktheriya: Umzekelo, usulelo olufana ne-HIV, isifo sephepha, okanye i-pneumonia.
• Ingozi okanye ukwenzakala emzimbeni: into efana nokuwa, ukubethwa kabuhlungu.
• Ukuchanabeka kumkhuhlane ogqithisileyo: Sele sithethe ngale nto ngaphambili (iCold panniculitis).
• Njengempendulo kumayeza athile: Umzekelo, iipilisi zokulawula ukuzalwa, iziyobisi ezifana ne-penicillin.
• Iimeko zokuzikhusela komzimba:Oko kukuthi, iimeko apho amajoni omzimba wethu ehlasela iiseli zethu. Imizekelo: I-Lupus, isifo sikaCrohn, i-Sarcoidosis.
• Ezinye iimeko zempilo ezisisiseko: Imizekelo: isifo samathumbu esidumbileyo okanye isifo se-pancreatic.

Ngubani osengozini enkulu yokuphuhlisa oku?

Enyanisweni, le meko ibizwa ngokuba yi-panniculitis inokuchaphazela nabani na walo naluphi na ubudala - ukusuka kwiintsana ukuya kubantu abadala. Ayisiyonto ixhaphakileyo. Nangona kunjalo, amaqela athile eminyaka anamathuba amaninzi okufumana ezi mpawu. Umzekelo, iintsana nabantwana abancinci badla ngokufunyaniswa benohlobo olubizwa ngokuba yi-"Cold panniculitis."

Zithini iziphumo ebezingalindelekanga (iingxaki) ezinokubakho ngenxa yoku?

Iziphumo ebezingalindelekanga zinokwahluka ngokuxhomekeke kuhlobo lwe-panniculitis. Ngamanye amaxesha zingabandakanya:

• Izilonda zesikhumba.
• Izilonda kumphezulu wesikhumba.
• Ukuncitshiswa kolusu.
• Ukuqina kolusu.

Ezi meko ngamanye amaxesha zinokubangela amanxeba avulekileyo, nto leyo enokubangela usulelo. Ngoko ke, kubalulekile ukulumka ngale nto.

Ugqirha ufumanisa njani i-panniculitis?

Ukuba unale mpawu, into yokuqala omawuyenze kukubona ugqirha. Ugqirha uza kukuhlola ngokwasemzimbeni. Uza kujonga ulusu lwakho ngokusondeleyo ukuze abone ukuba lunamaqhuma okanye alunambala. Uza kukubuza nangembali yakho yezonyango, kuquka naziphi na izifo okhe wazifumana ngaphambili kunye namayeza owasebenzisayo.

Ukuqinisekisa esi sifo, kufuneka i-biopsy yolusu . Ungakhathazeki, oku akuyonto inkulu. Ugqirha uza kuthatha iqhekeza elincinci kakhulu lolusu kwindawo echaphazelekayo aze alihlole phantsi kwe-microscope. Kulapho kuphela apho sinokuqiniseka khona ukuba le meko yi-panniculitis okanye enye into.

Ngamanye amaxesha kunokufuneka uvavanyo olongezelelweyo ukuze kufunyaniswe ukuba yintoni ebangela oku.

Zithini iindlela zokunyanga oku? Singcono njani?

Unyango lwe-panniculitis luyahluka ngokuxhomekeke kuhlobo kunye nesizathu semeko. Kukho iindlela ezimbini eziphambili zonyango:

• Ukunyanga okanye ukulawula imeko ebangela iimpawu. Umzekelo, ukuba i-panniculitis ibangelwa lusulelo, usulelo luyanyangwa.
• Ukunika amayeza okunciphisa iimpawu.

Zeziphi iintlobo zamayeza ezinokunikwa ngugqirha?

Ugqirha wakho angakunika amayeza anjengala ukunceda ukulawula iimpawu zakho:

• Amayeza angengowe-steroidal alwa nokuvuvukala (ii-NSAID): La anciphisa iintlungu nokudumba.
• Amayeza okubulala iintsholongwane okanye amayeza okulwa neentsholongwane: Ukuba imeko ibangelwa lusulelo, kunikwa amayeza afanelekileyo. Umzekelo, amayeza afana neTetracycline anokunikwa inyumoniya. Ukuba isizathu esichanekileyo asaziwa, amayeza okubulala iintsholongwane anjenge-Amoxicillin-clavulanic acid nawo anokunikwa.
• Ii-immunosuppressants: Umzekelo, ii-corticosteroids. Ezi zisetyenziswa kwiimeko zokuzikhusela komzimba.
• Amayeza afana neDapsone okanye iThalidomide.
• Amayeza e-chemotherapy: La mayeza anikwa abantu abaneempawu eziqatha kakhulu, kuphela kwiimeko ezikhethekileyo.

Kubalulekile: Ngaphambi kokuba uqalise naliphi na iyeza elitsha, qiniseka ukuba uxelela ugqirha wakho ngamanye amayeza, iivithamini, izongezo, kunye nee-allergies ozisebenzisayo okwangoku. Oku kuya kumnceda ukuba akunike iyeza elifanelekileyo kuwe kwaye alinazo iziphumo ebezingalindelekanga ezimbalwa. Kwakhona, qiniseka ukuba ubuza ngeziphumo ebezingalindelekanga ezinokubakho zeyeza ngalinye.

Zeziphi izinto esinokuzenza ekhaya?

Ukongeza kunyango lwezonyango, kukho izinto ezininzi onokuzenza ekhaya ukunceda ukulawula iimpawu kunye nokuchacha ngokukhawuleza:

• Gcina indawo echaphazelekileyo (ukuba ikhona imilenze) iphakanyisiwe: Oku kunokunceda ekunciphiseni ukudumba.
• Musa ukwenza umsebenzi onzima nokuzilolonga ngelixa uneempawu.
• Nxiba impahla yokucinezela (oko kukuthi, iikawusi eziqinileyo okanye iikawusi) ukuze unciphise iintlungu okanye ukudumba. Cela ingcebiso kugqirha wakho ngale nto.
• Zama ukutya ukutya okunciphisa ukudumba: njengokutya kwaseMeditera. Oko kukuthi, yongeza ukutya okuziinkozo, iziqhamo, kunye nemifuno engakumbi ekutyeni kwakho.
• Nciphisa okanye uyeke ukusela utywala: Utywala bunokwenza iimpawu zibe zimbi ngakumbi kwabanye abantu.

Le meko iza kuhlala ixesha elingakanani? Kuza kwenzeka ntoni kwinkangeleko yolusu?

I-panniculitis ngamanye amaxesha inokuba yimeko engapheliyo . Oku kuthetha ukuba iimpawu zinokufika ziphele, ziphele okwethutyana, zize zibuye. Nangona kungekho nyango, kukho unyango olunokunceda ukulawula iimpawu kwaye luthintele ukuba zingaphindi zibuye. Ugqirha wakho unokukunceda ulawule naziphi na iimeko ezinokubangela oko.

Kuthatha ixesha ukuphola emva kokuba unyango luqalile. Kunzima ukutsho ngokuthe ngqo ukuba kuza kuthatha ixesha elingakanani. Nangona kunjalo, iimpawu zihlala ziphela emva kweeveki ezintandathu. Intlungu kunye nokudumba kunokuqala ukuncipha kwisithuba nje seeyure ezingama-24. Nangona kunjalo, amaqhuma kunye nokutshintsha kombala wolusu kunokuqhubeka iiveki ezininzi.

I-panniculitis inokutshintsha okwethutyana inkangeleko yolusu lwakho. Inokubangela amaqhuma kunye nokutshintsha kombala. Nangona kunjalo, ezi zinto ziyaphela xa unyango lusenziwa, kwaye zihlala zingashiyi amabala esikhumba ixesha elide.

Nangona kunjalo, ezinye iintlobo ze-panniculitis zinokubangela utshintsho oluhlala ixesha elide kulusu. Emva kokuba i-rash ipholile, ungabona iqhuma elincinci, i-dimple, okanye i-deple apho i-rash yayikhona. I-panniculitis ayisoloko ibangela amanxeba, kodwa inokuba yingozi ukuba ulusu oluchaphazelekayo lonzakele.

Ngaba kukho into esinokuyenza ukuthintela i-panniculitis?

Ngelishwa, ayizizo zonke iimeko ze-panniculitis ezinokuthintelwa. Nangona kunjalo, kukho izinto onokuzenza ukunciphisa umngcipheko wokuba neempawu:

• Zigcine kude neendawo ezibandayo kakhulu kangangoko unako.
• Ukuba uneengxaki zempilo ezibangela ukuba ube neempawu ezibangela ukuba uzive ungcono, zinyange kwaye zilawulwe ngendlela efanelekileyo.
• Lumka ucoceko lwakho ukuze uzikhusele kwiintsholongwane.
• Nxiba izixhobo ezifanelekileyo (umz. isigcina-ntloko, ii-knee pads) ukuze ukhuseleke kwiingozi ngexesha lemidlalo nemidlalo.

Sifanele siye nini kugqirha ngokuqinisekileyo?

Ukuba une-panniculitis, qiniseka ukuba ubona ugqirha ukuba:

• Ukuba iimpawu aziphucuki emva kweeveki ezimbalwa.
• Ukuba unomkhuhlane onganciphiyo emva kweeyure ezingama-24.
• Ukuba uziva ngathi iimpawu zakho ziya zisiba mandundu ngenxa yonyango.
• Ukuba iqhuma lesikhumba libuhlungu, likhupha ubomvu obumhlophe okanye obumthubi, kwaye libuhlungu kakhulu.

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Xa usiya kugqirha, ungabuza imibuzo efana nale. Oku kuya kukunceda uyiqonde ngcono imeko:

• Luhlobo luni lwe-panniculitis endinalo?
• Loluphi unyango olucebisayo?
• Ngaba kukho naziphi na iziphumo ebezingalindelekanga kwezi ndlela zonyango?
• Ndenze ntoni xa ndinentlungu?
• Ndingenza ntoni ekhaya ukulawula iimpawu zam?

I-panniculitis inokuba yimeko enzima ukuyilawula ngamanye amaxesha. Iimpawu zinokuvela ngequbuliso, kwaye intlungu inokuphazamisana nemisebenzi yemihla ngemihla. Nokuba ngumoya obandayo ngequbuliso okanye ukwenzakala okuncinci kunokubangela iimpawu.

Ngoko ke, endaweni yokuphatha impahla eneempahla ezifunekayo nokunxiba izixhobo zokuzikhusela ngalo lonke ixesha, kubalulekile ukuthetha nogqirha wakho malunga neendlela onokukhetha kuzo unyango. Usenokukwazi ukucebisa ukuba uqale amayeza amatsha okanye wenze utshintsho oluncinci kwindlela yakho yemihla ngemihla (umz., ukutya ukutya okunciphisa ukudumba). Musa ukuthandabuza ukubuza ugqirha wakho nayiphi na imibuzo onayo.

Ngoko ke, ekugqibeleni, ezi zezona zinto zibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-panniculitis yimeko ebuhlungu, enamaqhuqhuva ebangelwa kukudumba kwengqimba yamafutha phantsi kolusu. Inokuba nezizathu ezininzi kwaye iza ngeendlela ezahlukeneyo. Eyona nto ibalulekileyo kukubona ugqirha ngokukhawuleza ukuba ufumana ezi mpawu kwaye ufumane ukuxilongwa ngokufanelekileyo kunye nonyango. Ungakhathazeki, le meko inokulawulwa. Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho kwaye ukhathalele impilo yakho.

I- Panniculitis, i-Panniculitis, Izifo zolusu, Amaqhuma olusu, i-Dermatology, Ukudumba kolusu, Usulelo lwe-oyile