Ngaba unamabala abomvu-mdaka entanyeni nasesifubeni sakho? Isenokuba yi-(Poikiloderma of Civatte)!

Ngaba wakha waphawula ukuba intamo yakho, mhlawumbi nesifuba sakho esingaphezulu, kunye nezidlele zakho zinamabala abomvu-mdaka, kwaye ezinye iindawo zinombala omdaka kancinci? Kufana nokuba imibala ixutyiwe kancinci. Oku kunokuba yinto eyoyikisayo ukukubona, kodwa ungakhathazeki. Namhlanje siza kuthetha ngolu hlobo lotshintsho lolusu. Uninzi lwexesha, alubi nzulu, kodwa kubalulekile ukuqaphela.

Yintoni le `(Poikiloderma of Civatte)`?

Ngamafutshane, `(iPoikiloderma yeCivatte)` yimeko yesikhumba. Ichaphazela kakhulu amacala entamo yakho, inxalenye engentla yesifuba sakho (njengesimo se-V), kwaye ngamanye amaxesha izidlele zakho. Oku kuthetha ukuba ezinye iindawo zibonakala njengamabala abomvu-mdaka, ngelixa ezinye zinokuba mthubi kancinci. Uphawu oluphambili loku kukuba umbala uyatshintsha ukusuka kwenye indawo ukuya kwenye, endaweni yokuba ufane.

Cinga ngendlela ulusu oluye lwachatshazelwa lilanga iminyaka lutshintsha ngayo kancinci kancinci. Yiyo loo nto eyenzekayo apha. Le meko yaqala ukufunyanwa yaza yachazwa ngo-1923 ngugqirha wesikhumba waseFransi ogama linguAchille Civatte. Yiyo loo nto ibizwa ngokuba yi-"Poikiloderma of Civatte".

Into ebalulekileyo kukuba le yingxaki yobuhle kakhulu kwaye ayisosisongelo esikhulu kwimpilo. Oko kukuthi, ayikubangeli ngxaki okanye iintlungu ezininzi. Nangona kunjalo, ikuxelela into enye. Oko kukuthi, ulusu lwakho lufuna ukhuseleko olungakumbi elangeni. Kuba unobangela oyintloko wale meko kukonakala kolusu ngenxa yokuchatshazelwa lilanga ixesha elide.

Ngubani onokuthi abe nale meko?

Esi simo (iPoikiloderma yeCivatte) asiphuhli kuwo wonke umntu. Abanye abantu banamathuba amaninzi okuba naso.

• Kwabo banesikhumba esikhanyayo: Abantu abanesikhumba esikhanyayo badla ngokuba nale meko. Oku kungenxa yokuba ulusu olukhanyayo luvakalelwa ngakumbi yimitha ye-`(UV)` (imitha ye-ultraviolet) elangeni.
• Abafazi abasele begqithile exesheni: Abafazi abaye bagqithile exesheni (oko sikubiza ngokuba yi-menopause) nabo basengozini enkulu. Abafazi abaye bakhutshwa ama-ovari ngotyando nabo banokuchaphazeleka yile meko.

Kunzima ukutsho ukuba le meko ixhaphake kangakanani, kuba abantu abaninzi abayifuni unyango lwayo, ngoko ke ayixelwa kangako.

Lunjani ulusu lomntu one-`(Poikiloderma of Civatte)`?

Kule meko, ungabona utshintsho oluninzi kulusu lwakho:

1. Ukutshintsha kombala wolusu: Ulusu lwakho lusenokuba nombala ongalinganiyo, kubekho amabala anombala obomvu-mdaka kwezinye iindawo. Ezinye iindawo zinokuba mnyama kancinci kunesiqhelo, ngelixa ezinye zinokuba mdaka ngakumbi.

2. Imisonto emincinci ebomvu (iTelangiectasias):Ungaqaphela ukuba unemigca ebomvu ecacileyo eluswini lwakho efana ne-spider webs. Oku kubizwa ngoogqirha ngokuba yi-"Telangiectasias." Ngamafutshane, oku kuxa imithambo yegazi emincinci (esiyibiza ngokuba yi-"capillaries") ekufutshane nomphezulu wolusu lwakho ivuleka ize iphuke.

3. Ukuncitshiswa kwesikhumba (Atrophy): Ulusu kwindawo echaphazelekayo lunokuba luncinci kancinci, lome, kwaye lunokuba nembonakalo eshwabeneyo. Ulusu olukuloo ndawo lunokuba nobuthathaka kancinci.

Olu tshintsho ludla ngokubonakala emacaleni entamo nasezidleleni. La mabala awabonakali kakhulu kwindawo engaphantsi kwesilevu. Loo nto ikwaluphawu lwale meko. Kwakhona, la mabala abonakala ngendlela efanayo (ngokulinganayo) kumacala omabini omzimba asekunene nasekhohlo.

Ukongeza entanyeni nasezidleleni, iPoikiloderma yeCivatte inokubonwa nakwezinye iindawo ezihlala zichatshazelwa lilanga. Umzekelo:

• Isifuba: La mabala anokusasazeka ngesimo se-V ukusuka kwisifuba esingaphezulu, ukusuka entanyeni ukuya embindini webele.
• Izandla: Le meko inokubonwa ngakumbi kwinxalenye esezantsi yeengalo (sizibiza ngokuba "ziingalo zangaphambili").

Zithini iimpawu zoku?

Iindaba ezimnandi zezokuba uninzi lwabantu abanePoikiloderma of Civatte abanazo naziphi na iimpawu. Oko kukuthi, abanazo naziphi na iimpawu zokurhawuzelelwa okanye ukutsha. Nangona kunjalo, kunqabile kakhulu ukuba abanye abantu bafumane ukutsha okuncinci okanye ukurhawuzelelwa kwiindawo ezichaphazelekayo. Kodwa akuyonto imbi kangako.

Zithini izizathu ze-`(Poikiloderma of Civatte)`?

Isizathu esichanekileyo sale meko asikaziwa. Nangona kunjalo, oogqirha kunye neengcali bakholelwa ukuba ukukhanya kwe-ultraviolet (UV) okuvela elangeni yeyona nto iphambili . Kubonakala ngathi kubangelwa kukonakala kancinci kancinci kwesikhumba kangangeminyaka emininzi.

Ukongeza ekuchacheni lilanga, kukho nezinye izinto ezininzi ezinokunyusa umngcipheko wokufumana iPoikiloderma yeCivatte:

• Iikhemikhali, ezinye iziqholo kunye nezinto zokuthambisa: Iikhemikhali kwezinye iziqholo kunye nezinto zokuthambisa zinokusabela elangeni kwaye zonakalise ulusu. Oku kubizwa ngokuba yi-"phototoxic reaction".
• Ulusu olukhanyayo: Njengoko bekutshiwo ngaphambili, abantu abanesikhumba esikhanyayo basengozini enkulu yokulimala yimitha ye-UV.
• Izinto ezibangela ufuzo: Ii-genes ezizuzwe kubazali nazo zingadlala indima. Ukuba kukho umntu kusapho lwakho onayo le meko, nawe unethuba elincinci lokuba nayo ibe nayo.
• Utshintsho lweehomoni: Ingakumbi emva kokuya exesheni, amanqanaba ehomoni ``(estrogen)`` kubasetyhini ayancipha. Olu tshintsho lweehomoni lunokubangela le meko. Lunokuchaphazela nabo basuswe ii-ovari zabo ngotyando.

Indlela yokuqaphela `(Poikiloderma of Civatte)`?

Ugqirha udla ngokuxilonga esi sifo ngokuhlola ulusu lwakho aze akubuze ngembali yakho yezonyango. Kwiimeko ezininzi, banokubona ngokujonga nje.

Nangona kunjalo, ngamanye amaxesha, ukuba uxilongo alucacanga, okanye ukuba kukho ukurhanelwa kokuba kukho enye imeko yolusu ebangela oku, ugqirha unokucebisa ukuba kwenziwe i-skin biopsy . Oku kuquka ukuthatha iqhekeza elincinci lolusu oluchaphazelekayo aze alithumele kwilebhu ukuze livavanywe.

Le biopsy inceda ukwahlula iPoikiloderma yeCivatte kwezinye iimeko ezinokubonakala zifana nayo. Ezi meko ziquka:

• Iimeko zemfuza ezichaphazela ulusu. Umzekelo, iimeko ezifana ne-`(congenital poikiloderma)` (ekwabizwa ngokuba yi-`(Rothmund-Thomson syndrome)`) kunye ne-`(Bloom syndrome)`. Ezi ziimeko ezinokuchaphazela ezinye iinkqubo emzimbeni, ngamanye amaxesha zibangele iingxaki ezinkulu kwaye zonyuse umngcipheko womhlaza.
• Izifo zolusu. Imizekelo ibandakanya izifo ezifana ne-`(cutaneous lupus)`, `(dermatomyositis)` kunye ne-`(mycosis fungoides)`.

Kubalulekile: Ukuba ubona naluphi na utshintsho olutsha, amabala, okanye ukutshintsha kombala kulusu lwakho, kungcono ukubona ugqirha uze uhlolwe ngaphandle kokuyityeshela. Ngale ndlela, unokufumanisa ngokukhawuleza ukuba yinto enzulu na.

Ziziphi iindlela zonyango ze-`(Poikiloderma of Civatte)`?

Kukho iindlela ezahlukeneyo zonyango lwesi sifo. Ezona ziphambili zezi:

• Thatha amanyathelo okukhusela ulusu lwakho ekonakalisweni okungakumbi.
• Ukusebenzisa iikhrimu ezisetyenziswa ngamayeza ezichazwe ngugqirha.
• Unyango olukhanyayo nolwe-laser.

Iindlela zonyango ngokubanzi kunye neendlela zokukhusela

Nazi izinto onokuzenza ekhaya ukunceda ukuthintela umonakalo ongakumbi kulusu lwakho:

• Khusela ulusu lwakho ekonakaleni ngakumbi lilanga. Soloko unxiba i-sunscreen ene-SPF engama-30 okanye ngaphezulu nanini na xa uphuma ngaphandle. Nxiba umnqwazi uze ugqume intamo yakho. Enyanisweni, abantu abaninzi banokuyithintela iPoikiloderma yeCivatte ngokusebenzisa i-sunscreen ngokuchanekileyo kwaye bahlale kude nelanga.
• Yeka ukusebenzisa izinto ezibangela ukucaphuka kolusu, ezifana neziqholo ezinamandla. Ukuba usebenzisa izinto zokuthambisa, buza ugqirha wakho ukuba zeziphi iimveliso ezikhuselekileyo ukuzisebenzisa kwindawo echaphazelekayo.

IiLaser kunye nonyango olukhanyayo

Olu nyango lusebenza ngokunciphisa amabala amdaka kunye namabala abomvu (i-telangiectasia) (imithambo yegazi emincinci) eluswini, kunye nokuphucula inkangeleko kunye nobume besikhumba. Le teknoloji isebenzisa iintlobo ezahlukeneyo zamandla okukhanya ukujolisa nokutshabalalisa iiseli zolusu ezonakeleyo. Ulusu lwakho emva koko luvelisa iiseli ezintsha, ezisempilweni ukugcwalisa izithuba.

Kukho iindlela ezininzi zonyango ezinjalo:

• `(Iileyiza zedayi ezityhalwayo)`
• (Unyango lokukhanya okunamandla kwe-pulsed (IPL).
• `(Ii-fractional non-ablative lasers)`

Olu nyango ludla ngokwenziwa kwiikliniki zezifo zesikhumba. Azinyangeki ngokupheleleyo ngexesha elinye, kwaye zinokufuna unyango oluninzi.

Lusebenza kangakanani olu nyango?

Ukuba uthelekisa ulusu lwakho ngaphambi nasemva konyango, uya kubona ukuphucuka okuthile kumbala wolusu lwakho. Oko kukuthi, amabala aya kuba ephelile kwaye ulusu lwakho luya kubonakala lukhanya kancinci. Nangona kunjalo, unyango alunakuphelisa ngokupheleleyo iimpawu ze-`(Poikiloderma of Civatte)`. Kubalulekile ukukhumbula oko. Nangona kunjalo, olu nyango lunokunceda ukuthintela imeko ukuba ibe mandundu kwaye luphucule inkangeleko yayo ukuya kuthi ga kwinqanaba elithile.

Ngaba unyango lwendalo lwe-`(Poikiloderma of Civatte)` luyasebenza?

Usenokuba ukhe wabona kwi-intanethi malunga namayeza endalo asekhaya `(Poikiloderma of Civatte)`. Ezinye zazo zingabandakanya iintlobo ngeentlobo zemifuno kunye nezicatshulwa zezityalo, iivithamini, iioyile zendalo, i-baking soda, i-hydrogen peroxide, njl.njl.

Nangona kunjalo, akukho nanye kwezi ndlela zendalo eziye zangqinwa ngokwesayensi ukuba ziyasebenza kule meko. Ngoko ke, ngaphambi kokuba uzame naluphi na unyango lwendalo, qiniseka ukuba uthetha nogqirha wakho ukuze akucebise. Ngaphandle koko, ukuba uzama into ngokwakho, unokwenza imeko ibe mandundu.

Ungakuthintela njani ukwenzeka kwe-`(Poikiloderma of Civatte)`?

Eyona nto ingcono onokuyenza ukuthintela le meko kukunciphisa ukuvezwa kwakho kwimitha yelanga ``(UV)`` kangangoko unako.

• Faka i-sunscreen ene-SPF engama-30 nangaphezulu nanini na xa uphuma ngaphandle, nokuba lilanga okanye alikho. Phinda ufake i-sunscreen rhoqo emva kweeyure ezimbini, okanye ukuba ubila okanye udada.
• Nciphisa ukuphuma ngexesha lelanga elishushu kakhulu (njenge-10 kusasa ukuya kwi-2 emva kwemini) kangangoko unako.
• Nxiba umnqwazi xa uphuma phandle. Nxiba nempahla egquma intamo nobuso bakho elangeni.

Injani imeko yesifo `(Poikiloderma of Civatte)`?

I-Poikiloderma yeCivatte yimeko engapheliyo. Oku kuthetha ukuba ihlala ixesha elide. Akukho nyango lwayo. Nangona kunjalo, njengoko bekutshiwo ngaphambili, unyango lunokuphucula inkangeleko yolusu lwakho kwaye luthintele imeko ukuba ingabi mandundu.

Ndifanele ndimbone nini ugqirha?

Ukuba ubona naluphi na utshintsho olutsha kumbala okanye kwimo yolusu lwakho, thetha nogqirha wakho ngalo mba. Ukuxilongwa kwangoko kunye nonyango kunokunceda ukunciphisa umonakalo wolusu kunye nokuthintela ezinye iingxaki zempilo ezinzulu.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Poikiloderma yeCivatte yingxaki ephambili yobuhle. Ibangela amabala amdaka nabomvu entanyeni nasezidleleni. Uphuculo oluthile lunokufezekiswa ngeekhrimu ezibhalwe ngugqirha kunye nonyango lwe-laser kunye nokukhanya.

Eyona nto ingcono onokuyenza ukuze uzikhusele kule meko nakwezinye iimeko zolusu ezinzulu kukukhusela ulusu lwakho elangeni. Kubalulekile ukusebenzisa i-sunscreen rhoqo, ukunxiba impahla yokuzikhusela, kunye nokuphepha ukukhanya kwelanga ngqo emini.

Ukuba unemibuzo engaphezulu malunga noku, nceda uthethe nogqirha wesikhumba. Baza kukwazi ukukunika iingcebiso kwaye bakunike unyango olufanelekileyo.

I- Poikiloderma yeCivatte, amabala esikhumba, amabala entamo, umonakalo welanga, i-sunscreen, izifo zesikhumba, ukutshintsha kombala wesikhumba