Ngaba ngequbuliso uqalise ukuba namaqhuqhuva azele lulwelo eluswini lwakho aqhuma lula? Okanye ngaba ukhe waba nezilonda ezibuhlungu emlonyeni wakho ezenza kube nzima ukutya okanye ukusela? Kuqhelekile ukuba nabani na oyike xa ebona into efana nale. Namhlanje sithetha ngemeko ebizwa ngokuba yi-"Pemphigus," abantu abaninzi abangazange bayive, kodwa kubaluleke kakhulu ukuyazi, kwaye ibangela iimpawu ezifana nezi.
Kalula nje, yintoni iPemphigus?
I-Pemphigus ligama eliqhelekileyo leqela lezifo ezibangela amaqhuqhuva kunye nezilonda ezibuhlungu eluswini nakwi-mucous membranes ngenxa yokungasebenzi kakuhle kwenkqubo yethu yokuzikhusela komzimba. Oku kubizwa ngokuba yimeko yokuzikhusela komzimba . Oku kuthetha ukuba ukhuselo lomzimba wethu (ii-antibodies) luhlasela ngempazamo iiseli zethu zolusu eziphilileyo. Olu hlaselo lubangela ukuba iiseli zolusu zahlukane kwaye zizaliswe lulwelo, zenze amaqhuqhuva.
Xa usiva igama elithi "ii-mucous membranes," mhlawumbi uyazibuza ukuba zeziphi. Oko kuthetha ii-membranes ezithambileyo nezimanzi ezijikeleze imilomo yethu, impumlo, amehlo, imiqala, kunye namalungu esini. Kwi-pemphigus, ama-blister ngamanye amaxesha anokwakheka kwezi ndawo, kunokuba enzeke eluswini.
Eyona nto ibalulekileyo kukuba i-pemphigus ayisosifo esosulelayo . Ukuchukumisa okanye ukuba nomntu onesifo akusisasazi kwabanye. Nangona kunjalo, sisifo esihlala ubomi bonke. Kodwa ungakhathazeki, ngonyango olufanelekileyo, ungayilawula kakuhle kwaye uphile ubomi obuqhelekileyo.
Ziziphi iintlobo eziphambili ze-pemphigus?
I-Pemphigus ayiveli ngohlobo oluthile. Kukho iintlobo ezininzi eziphambili, kuxhomekeke ekubeni amaqhuqhuva avela phi kwaye yintoni ebangela ukuba avele. Makhe sijonge ukuba zeziphi.
| Uhlobo lwePemphigus | Inkcazo |
|---|---|
| I-Pemphigus vulgaris | Olu lolona hlobo luxhaphakileyo. Luqala ngezilonda ezibuhlungu ngaphakathi emlonyeni. Lunokwenza kube nzima ukutya nokusela. Kamva, amadyungudyungu anokuvela eluswini. La madyungudyungu abuhlungu kwaye athatha ixesha elide ukuphola. |
| Imifuno yePemphigus | Oku kufana nohlobo olukhankanyiweyo apha ngasentla, kodwa izilonda zityebile kwaye zirhabaxa. Zixhaphake kakhulu kwiindawo apho ulusu lugoba khona, njengasemakhwapheni nasemqolo. |
| I-pemphigus ebangelwa ngamayeza | Amanye amayeza, afana namanye amayeza okubulala iintsholongwane kunye namayeza oxinzelelo lwegazi oluphezulu, anokubangela esi sifo. Amaqhuqhuva anokuvela nokuba ziinyanga emva kokuba ewathathile amayeza. |
| I-Pemphigus erythematosus | Olu luhlobo lwe-lupus olunxulunyaniswa nesi sifo. Amadyungudyungu adla ngokubonakala emqolo ongasentla, esifubeni, ezidleleni, nasentlokweni. Ezi zilonda zibomvu kwaye zineengqukuva. |
| I-Pemphigus foliaceus | Kolu hlobo, amaqhuqhuva avela kumaleko ophezulu wolusu. Ngenxa yoko, athambile kakhulu kwaye aqhuma lula. Xa eqhuma, enza uqweqwe kwaye angasasazeka kwindawo enkulu. Ahlala ebonakala entlokweni, ebusweni, entanyeni, nasemqolo. Amaxesha amaninzi ayenzeka ngaphakathi emlonyeni. |
| I-paraneoplastic pemphigus | Olu lolona hlobo lungaqhelekanga nolunzima kakhulu. Luyenzeka kubantu abanomhlaza emizimbeni yabo. Lubangela izilonda ezibuhlungu kakhulu emlonyeni nasemqaleni. Ukuba ugqirha ufumanisa olu hlobo, ngokuqinisekileyo uya kujonga umhlaza ofihlakeleyo emzimbeni. |
Ngubani onokuthi afumane esi sifo?
Nangona i-pemphigus inokuchaphazela abantu bayo nayiphi na iminyaka, ixhaphake kakhulu kubantu abaneminyaka engama-40 ukuya kuma-60 ubudala. Ixhaphake kakhulu nakwiindawo ezithile zehlabathi, ezifana noMbindi Mpuma, iIndiya, kunye neBrazil.
Esi asisifo sixhaphakileyo. Ehlabathini lonke, malunga nomntu omnye ukuya kwabahlanu kwisigidi abafunyaniswa benaso esi sifo minyaka le. Ke ngoko, sithathwa njengesifo esingaqhelekanga .
Zithini kanye kanye iimpawu? Siyibona njani imeko yomngcipheko?
Iimpawu zinokwahluka kancinci ngokuxhomekeke kuhlobo lwe-pemphigus onayo, kodwa kukho ezinye iimpawu eziqhelekileyo.
Iimpawu eziqhelekileyo
- Amadyungudyungu azele lulwelo eluswini.
- Ulusu olupinki okanye olubomvu olujikeleze i-blister.
- Xa amadyungudyungu eqhuma, enza uqweqwe.
- Susa ulwelo okanye ukopha okuncinci emanxebeni.
- Ulusu olujikeleze amaqhuqhuva luthambile kakhulu kwaye luxobuka lula.
- Intlungu kunye nokurhawuzelelwa kwindawo yenxeba.
Ezi zinokuba ziimpawu zosulelo! - Lumka ngokukhawuleza!
Xa amadyungudyungu eqhuma, kukho ithuba elikhulu lokuba iintsholongwane zingene zibangele usulelo. Khangela ezi mpawu:
- Amaqhuqhuva azele bubomvu obumthubi okanye obumhlophe okanye aphuma kuwo.
- Ukutshisa okanye iintlungu ezingakumbi xa zichukunyiswa.
- Ukwanda kokudumba okanye ukuba bomvu kolusu olujikeleze inxeba.
- Kuvela uqweqwe olumthubi enxebeni.
- Inxeba liyaqhubeka nokuphola.
Ukuba uneempawu zolu hlobo losulelo, kufuneka wazise ugqirha wakho ngoko nangoko .
Kwezinye iimeko ezinzima, iimpawu ezinje ngomkhuhlane, ukudinwa, kunye nokungaboni kakuhle nazo zinokuvela.
Ugqirha uluchonga njani ngokuchanekileyo olu sifo?
Ukuba unale mpawu, into yokuqala omawuyenze kukubonana nogqirha wesikhumba. Ugqirha uza kuhlola ngononophelo iimpawu zakho, akubuze ngeempawu zakho, aze emva koko acele iimvavanyo ezininzi ukuqinisekisa ukuba unesifo.
1. I-Skin Biopsy: Oku kuquka ukuthatha iqhekeza elincinci kakhulu lesikhumba kwi-blister phantsi kwe-anesthesia kwaye ulihlolisise phantsi kwe-microscope. Oku kunokuqinisekisa isifo ngokujonga indlela iiseli zesikhumba ezahlulwe ngayo.
2. Uvavanyo lweGazi: Olu vavanyo lujonga ukuba igazi lakho linama-antibodies athile abangela esi sifo.
Ugqirha uya kugqiba ukuba ngaba une-pemphigus, kwaye ukuba kunjalo, loluphi uhlobo lwayo.
Ziziphi iindlela zonyango lwe-pemphigus?
Kukho iinjongo ezimbini eziphambili zokunyanga i-pemphigus: Enye kukuthintela ukwakheka kwama-blister amatsha, enye kukuphilisa ama-blister namanxeba akhoyo kunye nokuthintela usulelo.
Inkqubo yonyango idla ngokuvela kwizigaba ezintathu:
- Isigaba solawulo: Kule sigaba, kunikwa amayeza amaninzi ukulawula ukwakheka kwama-blister amatsha nokuqala ukuphilisa ama-blister akhoyo.
- Isigaba sokudityaniswa: Nje ukuba amaqamza alawulwe kakhulu, umthamo wamayeza ugcinwa usemgangathweni ozinzileyo.
- Isigaba sokugcinwa: Xa isifo silawulwa kakuhle, kunikwa amayeza aphantsi kakhulu ixesha elide ukuthintela ukuphinda kuvele amadyungudyungu.
Amayeza asetyenziswa kakhulu
- IiCorticosteroids: Ezi zezona ndlela ziphambili zonyango. Zisebenza ngokunciphisa amajoni omzimba nokulawula ukudumba nokudumba. Zinokunikwa njengeepilisi, iinaliti, okanye iikhrimu.
- Amayeza okunciphisa umzimba: Ukongeza kwi-steroids, la mayeza anikwa ukulawula ngakumbi ukusebenza kwenkqubo yomzimba yokuzikhusela.
- I-Rituximab: Olu lunyango olutsha olujolise kwaye lutshabalalise iiseli zomzimba ezibizwa ngokuba zii-B-cells ezibangela esi sifo.
- Ii-antibiotics: Ukuba amaqhuqhuva asulelekile ziintsholongwane, anikwa ukuze anyangwe.
Kubalulekile: Onke la mayeza kufuneka athathwe kanye njengoko ugqirha wakho eyalele, ngokwemilinganiselo emiselweyo nangexesha elimiselweyo. Musa ukuyeka ukuwathatha okanye ukutshintsha imilinganiselo. Kunokubakho iziphumo ebezingalindelekanga ezivela kunyango, ngoko ugqirha wakho uya kukujonga rhoqo aze enze uvavanyo lwegazi ukuze abekwe esweni.
Izinto ekufuneka ziqwalaselwe ekhaya ngelixa uphila nesifo
Ngexesha lokufumana unyango, kukho izinto ezininzi onokuzenza ekhaya ukulawula iimpawu zakho.
- Ukuba unezilonda emlonyeni: Kuphephe ukutya ukutya okuqinileyo okufana neebhisikithi ezibukhali, ezimuncu, neziqinileyo. Ezi zingenza izilonda zibe buhlungu ngakumbi. Yitya ukutya okuthambileyo okufana nesuphu, iporridge, kunye neyogathi.
- Ukunyamekela amanxeba: Gcina amanxeba ecocekile kwaye uthambise amafutha afanelekileyo njengoko ugqirha wakho eyalele.
- Ukuzikhusela elangeni: Ukuvezwa lilanga kunokwenza imeko yolusu ibe mandundu ngakumbi. Ngoko ke, ukuba uphuma elangeni, sebenzisa isithambisi sokukhusela ilanga kwaye unxibe impahla egquma umzimba wakho.
- Sebenzisa iimveliso ezilungele ulusu: Khetha isepha kunye neeloshini ezingenavumba kwaye zilungele ulusu olubuthathaka.
Kungathatha iiveki okanye iinyanga ezininzi ukubona iziphumo emva kokuqala unyango. Yiba nomonde kwaye uqhubeke nonyango.
Umyalezo Wokuya Ekhaya
- I-Pemphigus sisifo solusu esibangela amadyungudyungu kunye nezilonda ngenxa yesiphene kwinkqubo yomzimba wethu yokuzikhusela.
- Esi asisosifo esosulelayo konke konke . Phatha izigulane ngothando nangobubele.
- Nangona le yimeko yobomi bonke, inokulawulwa kakuhle ngonyango olufanelekileyo..
- Ukuba unezilonda ezibuhlungu emlonyeni okanye eluswini lwakho ezingapholiyo, qiniseka ukuba ucela ingcebiso kagqirha .
- Ukulandela unyango olunikwe ngugqirha ngokuchanekileyo nokugcina amanxeba ecocekile kubalulekile ekulawuleni isifo.
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