Ngaba ngequbuliso uva amadyungudyungu kunye nezilonda eluswini lwakho ezirhawuzelelayo? Ngaba mhlawumbi yi-(Pemphigus Foliaceus)?

Ngaba wakha waphawula ukuba ngequbuliso kuvela amaqhuqhuva amancinci eluswini lwakho, aze aqhume abe buhlungu, nto leyo ebangela ukurhawuzelelwa nentlungu enganyamezelekiyo? Ngamanye amaxesha awukwazi nokuyicinga into eyenzekayo, akunjalo? Namhlanje siza kuthetha ngesifo sesikhumba esibangela ukungakhululeki okunjalo, kodwa sinqabile. Oku kubizwa ngokuba yi-`(Pemphigus Foliaceus)`. Musa ukoyika, masithethe ngale nto ngokulula.

Yintoni iPemphigus Foliaceus?

Ngamafutshane, `(Pemphigus Foliaceus)` sisifo solusu esibangelwa yinto engalunganga kwi-`(immune system)` yomzimba wethu . Cinga ngayo, sineqela lamajoni ngaphakathi emzimbeni wethu, oko kukuthi, inkqubo yethu yokuzikhusela. Umsebenzi wabo kukusikhusela ngokulwa neentsholongwane nezifo ezivela ngaphandle. Kodwa kule meko `(Pemphigus Foliaceus)`, la majoni acinga ukuba iiseli zethu zolusu eziphilileyo '(iiseli zolusu)' ziintshaba aze aqale ukuzihlasela. Kulapho kuvela khona amadyungudyungu abuhlungu, arhawuzelisayo kunye nezilonda eluswini.

Ezi blisters zibonakala kakhulu entlokweni, ebusweni, entanyeni, nasemqolo . `(Pemphigus Foliaceus)` sisifo solusu esikwelinye lamaqela ezifo ezibizwa ngokuba yi`(Pemphigus)`.

Ngubani onokuthi abe nale ngxaki? Ingaba oku kuqhelekile?

Ngokwesiqhelo, iimpawu ze-`(Pemphigus Foliaceus)` zivela kubantu abaphakathi kweminyaka engama-50 nama-60 ubudala. Nangona kunjalo, zinokuvela nakubani na wanoma yimuphi ubudala, kwanabantwana abancinci kakhulu.

Kwezinye iindawo zehlabathi, ingakumbi eMzantsi Melika, kukho imeko ebizwa ngokuba yi-``Fogo Selvagem``, efana nesi sifo. Kukholelwa ukuba sibangelwa zizinambuzane ezithile okanye ezinye izinto ezisingqongileyo.

Nangona kunjalo, isifo solusu esingaqhelekanga kakhulu . Ukuba ujonga ihlabathi liphela, malunga nomntu omnye ukuya kwabahlanu kwisigidi sabantu bafumana izifo zesifo sesikhumba (Pemphigus) ngonyaka. Ngoko ke isifo sesikhumba (Pemphigus Foliaceus) sinqabile nangakumbi.

Oku kuyichaphazela njani umzimba? Zithini iimpawu?

I-Pemphigus Foliaceus ibangela amaqhuqhuva abuhlungu eluswini lwakho. La maqhuqhuva mancinci kakhulu kwaye aqhekeka lula . Xa eqhekeka, aba zizilonda. La maqhuqhuva anokuba lukhuni kwaye abe namaqhuqhuva. Anokurhawuzelela kakhulu kwaye anokuba buhlungu okanye atshise .

Ezi zilandelayo zinokuchongwa njengeempawu eziphambili:

• Amaqhuqhuva amancinci, anamanzi, abomvu okanye amaqhuqhuva avela kumaleko ongaphezulu wolusu lwakho (i-epidermis). La maqhuqhuva anokusasazeka kwindawo enkulu yomzimba wakho.
• Amadyungudyungu athambile kakhulu kwaye aqhuma lula .
• Amadyungudyungu ayaqhuma, enze izilonda ezinamaxolo nezirhabaxa.
• Ezi zilonda kunye namadyungudyungu zibangela ukurhawuzelela, iintlungu, okanye ukudumba .

Zibonakala phi iimpawu emzimbeni?

Iintlobo eziqhelekileyo zama-blister kunye nezilonda zezi:

• Intloko yentloko
• Ubuso
• Intamo
• Ngaphandle
• Isifuba

Kodwa, eyona nto ibalulekileyo kukuba, kwimeko ye-`(Pemphigus Foliaceus)`Iinwebu ezithambileyo ngaphakathi emlonyeni nasempumlweni azichaphazeleki.

Kutheni le nto `(Pemphigus Foliaceus)` isenzeka? Zithini izizathu?

Unobangela ochanekileyo woku usaphandwa. Okwangoku kukholelwa ukuba izinto ezininzi zemfuza kunye nemeko-bume zinokudlala indima.

Esi asisosifo esidluliselwa kubazali ebantwaneni. Nangona kunjalo, ukuba une-gene ethile ye-HLA, unokuba semngciphekweni omkhulu wokufumana esi sifo. Indima ye-gene ye-HLA kukunceda inkqubo yomzimba yokuzikhusela ukuba ibone izinto ezifana neentsholongwane ezingena emizimbeni yethu ize izitshabalalise.

Njengoko benditshilo ngaphambili, iPemphigus Foliaceus yimeko yokuzikhusela komzimba . Oku kuthetha ukuba inkqubo yakho yokuzikhusela komzimba ihlasela iiseli eziphilileyo. Ngokukodwa, kwiPemphigus Foliaceus, iiproteni ezenziwe yinkqubo yokuzikhusela komzimba (esizibiza ngokuba zii-antibodies) zihlasela ngempazamo iindawo zokunamathela ezibamba iiseli zethu zolusu kunye. Ezi ndawo zokunamathela zifana neteyiphu enamathelayo ebamba iiseli ezikwi-epidermis kunye. Ngoko ke, xa umzimba uhlasela ezi, kuvela iimpawu zePemphigus Foliaceus.

Yintoni ebangela ukuba oku kunyuke ngequbuliso (ukuqhambuka)?

Ezi zinto zilandelayo zinokubangela ukwanda ngequbuliso kweempawu ze-`(Pemphigus Foliaceus)`, okanye ``ukugqabhuka``:

• Amayeza athile: Amanye amayeza, anjengee-non-steroidal anti-inflammatory drugs (NSAIDs), i-penicillamine, i-nifedipine, i-captopril, kunye ne-enalapril, anokwenza iimpawu zibe zimbi ngakumbi okanye abangele iimpawu ezintsha. Ukuba ugqirha wakho ukrokrela ukuba iyeza olisebenzisayo libangela le meko, angaliyeka okanye alitshintshe. Ungaze uyeke ukuthatha amayeza ngaphandle kwengcebiso kagqirha wakho.
• Ukulunywa zizinambuzane: Kwezinye iindawo zehlabathi, ingakumbi eMzantsi Melika, ukulunywa zizinambuzane kunokubangela uhlobo lwe-pemphigus olubizwa ngokuba yi-``Fogo Selvagem''.
• Ukuchatshazelwa lilanga: Iimpawu zinokwanda xa ulusu luchatshazelwa yimitha ye-ultraviolet (UV) evela elangeni.

Ingaba esi sifo siyasulela?

Hayi. `(Pemphigus Foliaceus)` ayisosifo esosulelayo. Asinakudluliselwa ukusuka komnye umntu ukuya komnye ngokuchukumisa. Ngoko ke musa ukubangela uloyiko olungeyomfuneko.

Ugqirha uyibona njani le nto?

Ugqirha wakho uza kukubuza ngembali yakho yezonyango kunye neempawu zakho. Emva koko, baza kuhlola ulusu lwakho ukuba akukho maqhuqhuva okanye izilonda. Banokwenza novavanyo olongezelelweyo ukuqinisekisa ukuba ziyahambelana neempawu ze-`(Pemphigus Foliaceus)`.

Zeziphi iimvavanyo ezenziwayo koku?

Ezi mvavanyo zilandelayo zingenziwa ukuqinisekisa ukuxilongwa:

• Ukuthatha iqhekeza elincinci lesikhumba (Skin Biopsy):Isampulu encinci yolusu lwakho iyathathwa ize ihlolwe phantsi kwe-microscope. Oku kubandakanya uvavanyo olukhethekileyo olubizwa ngokuba yi-"Immunofluorescence test."
• Uvavanyo lwegazi: Kuthathwa isampulu yegazi lakho ize ihlolwe ukuba kukho ii-antibodies ezibangela iimpawu.

Zithini iindlela zonyango zoku?

Unyango lwe-`(Pemphigus Foliaceus)` lunokwahluka kumntu nomntu . Ugqirha wakho uya kugqiba ngonyango olusekelwe kwimeko yakho. Olu nyango lulandelayo ludla ngokusetyenziswa:

• Ukuyeka okanye ukutshintsha amayeza ekucingelwa ukuba abangela iimpawu.
• Sebenzisa iikhrimu ezifakwa emzimbeni okanye amayeza omlomo afana ne-corticosteroids ukunciphisa amadyungudyungu. Okanye ii-topical calcineurin inhibitors.
• Amayeza okunciphisa umzimba alawula ukusebenza kwenkqubo yomzimba yokuzikhusela. Umzekelo, amayeza afana ne-`(Rituximab)`, `(Methotrexate)`, `(Mycophenolate)` okanye `(Azathioprine)`.

Khumbula, zonke iindlela zonyango zinokuba nemiphumo emibi. Ngoko ke thetha nogqirha wakho ngale nto ngaphambi kokuba uqale unyango. Buza malunga nendlela omele uwathathe ngayo amayeza amatsha, ixesha olithathayo, kunye nokuba aza kuphazamisana na namayeza akho angoku.

Emva kokuba uqalile unyango, ugqirha wakho uza kukujonga kwakhona kwiiveki ezimbalwa ukuze abone ukuba unyango luyasebenza na. Qiniseka ukuba uyamxelela ugqirha wakho ukuba iimpawu zakho ziya zisiba mandundu okanye ukuba awuziva ngcono emva kweeveki ezimbalwa.

Ndingaphila ngokukhawuleza kangakanani emva konyango?

Umzimba womntu wonke uphiliswa ngesantya esahlukileyo. Ngokwesiqhelo, emva kweeveki ezimbini, uya kubona amaqhuqhuva amatsha eyeka ukubonakala kwaye izilonda zesikhumba ziqala ukuphola . Nangona kunjalo, kungathatha iiveki ezininzi ukuba zonke izilonda zesikhumba ziphiliswe ngokupheleleyo. Ngenxa yokuba i-pemphigus yimeko engapheliyo, iimpawu zinokuphinda zibuye okanye zibe mandundu kwixesha elizayo.

Ngaba iPemphigus Foliaceus ingathintelwa?

Nangona kungenakwenzeka ukuthintela zonke izinto ezibangela iPemphigus Foliaceus, ungenza oku kulandelayo ukunciphisa ukudumba kwamalungu omzimba:

• Kuphephe ukuvezwa lilanga . Ukuba uphuma phandle, nxiba impahla yokuzikhusela kwaye usebenzise i-sunscreen.
• Thetha nogqirha wakho malunga namayeza owasebenzisayo ngoku uze ubone ukuba ngaba abangela ezi mpawu. Musa ukuyeka ukuwasela ade ugqirha wakho akuxelele ukuba wenjenjalo.
• Ukuba ukwindawo apho izinambuzane zisasaza khona esi sifo, nxiba impahla yokuzikhusela, sebenzisa izinto zokugxotha izinambuzane , kwaye ufake izikrini kwiifestile.
• Sebenzisa isepha kunye neeloshini ezingenavumba ezilungele ulusu lwakho.

Yintoni omele uyilindele xa uphila nale meko?

Akukho ndlela ipheleleyo yokuphelisa iPemphigus Foliaceus.Kodwa ungakhathazeki, oku akuyi kuyichaphazela indlela ophila ngayo. Unyango lunokunceda ekulawuleni amadyungudyungu abuhlungu narhawuzelayo kunye nezilonda.

Amaxesha amaninzi, la maqhuqhuva awadli ngokubangela amanxeba . Nangona kunjalo, ukuba inxeba lisikwa okanye likrwelwa rhoqo, kunokuvela isilonda.

Yintoni umahluko phakathi kwe-`(Pemphigus Foliaceus)` kunye ne-`(Pemphigus Vulgaris)`?

`(Pemphigus Foliaceus)` kunye `(Pemphigus Vulgaris)` ziimeko ezimbini ezinxulumeneyo. Iimpawu zazo zombini ziyafana kancinci kwaye zinokubhidaniswa.

Umahluko ophambili kukuba iPemphigus Vulgaris ayichaphazeli ulusu lwakho kuphela kodwa ichaphazela neenwebu zomlomo, umphimbo, kunye namalungu esini . Ngenxa yoko, abantu abanePemphigus Vulgaris banokufuneka batye ukutya okuthambileyo, okungenaziqholo ngenxa yezilonda emlonyeni.

Nangona kunjalo, kwimeko ye-`(Pemphigus Foliaceus)`, ezi membrane zithambileyo azichaphazeleki . Kwaye iimpawu zihlala zincinci kune-`(Pemphigus Vulgaris)`. Ke ngoko, abantu abane-`(Pemphigus Foliaceus)` abadingi miqathango ikhethekileyo yokutya.

Ndifanele ndimbone nini ugqirha?

Ukuba unayo nayiphi na kwezi mpawu, qiniseka ukuba ubona ugqirha:

• Ukuba amadyungudyungu okanye amanxeba awapholi .
• Ukuba kukho amadyungudyungu kwindawo enkulu yomzimba.
• Ukuba inxeba liyakhula (lidumbile), liphuma ulwelo olumthubi okanye olumhlophe, okanye uqweqwe olumthubi lwenzeka lujikeleze inxeba (ezi zisenokuba ziimpawu zosulelo).
• Ukuba uneempawu ezinje ngomkhuhlane, ukugodola, kunye neentlungu zemisipha .

Imibuzo ebalulekileyo yokubuza ugqirha wakho

Xa usiya kugqirha, ungalibali ukubuza le mibuzo:

• Loluphi unyango olungcono kum?
• Zithini iziphumo ebezingalindelekanga zonyango?
• Yintoni ebangela iimpawu zam?
• Kufuneka kusetyenziswe amafutha amaninzi kangakanani emanxebeni?

Okokugqibela, umyalezo oya ekhaya:

`(I-Pemphigus Foliaceus)` sisifo solusu esicaphukisayo kancinci, kodwa sinokulawulwa kakuhle ngonyango olufanelekileyo kunye neengcebiso . Asisisifo esosulelayo, ngoko ungakhathazeki ngokungeyomfuneko. Ukuba unale mpawu, bona ugqirha ngoko nangoko kwaye uqale unyango. Lumka ulusu lwakho, ulandele imiyalelo kagqirha ngokuchanekileyo. Kuphephe ukukrwela okanye ukukrwela amanxeba. Kuba ukuba wenza njalo, unokosulelwa kwaye ushiye amanxeba. Ndikunqwenelela ukuchacha ngokukhawuleza!

I- Pemphigus Foliaceus, I-Pemphigus Foliaceus, Isifo Solusu, Amaqhubu, Inkqubo Yokuzikhusela Emzimbeni, Isifo Sokuzikhusela Emzimbeni, Isifo Solusu