Ngaba nawe unengxaki yokurhawuzelelwa kunye namaqhuma angapheliyo eluswini lwakho? Masifunde nge (Prurigo Nodularis)!

Ngaba unamaqhuqhuva aqinileyo naphakanyisiweyo eluswini lwakho ongakwaziyo ukuwanyamezela? Ngaba ukurhawuzelela kuya kuba kubi ngakumbi ebusuku? Ngamanye amaxesha, la maqhuqhuva anokosulelwa, ophe, aze ekugqibeleni abe ziingceba. Ukuba ukhe wadibana nale meko, usenokuba nesifo sesikhumba esibizwa ngokuba yiPrurigo Nodularis (PN) . Makhe sithethe ngayo ngokweenkcukacha nangokulula namhlanje.

Yintoni iPrurigo Nodularis?

Ngamafutshane, yimeko yesikhumba. Uphawu oluphambili ngamaqhuma aqinileyo, aphakanyisiweyo eluswini. La maqhuma adla ngokugqunywa lulusu olomileyo nolurhabaxa. Anokuba lurhawuzelelo kakhulu , ingakumbi ebusuku. Usenokuba namaqhuma ambalwa nje, okanye unokuba namaqhuma amaninzi kwindawo enye.

Nangona la maqhuqhuva angabonakala naphi na emzimbeni, abonakala kakhulu apha:

• Isisu (indawo yesisu)
• Izandla
• Imilenze
• Intloko (ulusu lwentloko)
• Amagxa
• Umqolo ongasentla

Eyona nto ibalulekileyo kukuba le meko ayiguquki . Oku kuthetha ukuba inokuhlala ixesha elide, ngamanye amaxesha ibe ngcono ize iphinde ibuyele umva. Ke ngoko, yinto efuna umonde nonyango oluncinci.

Ngubani onokuthi abe nale meko?

Enyanisweni, nabani na angakhula `(Prurigo Nodularis)`. Nangona kunjalo, abanye abantu bathambekele ngakumbi ekukhuleni kwayo. Umzekelo:

• Kuqhelekile phakathi kwabantu base-Afrika baseMelika kumazwe afana neMelika.
• Idla ngokubonakala rhoqo kubantu abadala abaphakathi kweminyaka engama-40 ukuya kwengama-69 ubudala .
• Kubonakala ngathi ixhaphake kakhulu phakathi kwabasetyhini .

Kwakhona, ukuba uneengxaki ezithile zesikhumba, umngcipheko wakho wokuba ne-`(Prurigo Nodularis)` unokwanda.

Abantu abasengozini enkulu yezifo zolusu

Abantu abanezi ngxaki zolusu basengozini enkulu:

• `(Bullous pemphigoid)` (isifo solusu esibangela amadyungudyungu)
• `(I-cutaneous T-cell lymphoma)` (uhlobo lomhlaza oluvela eluswini)
• I-Eczema (i-Eczema / i-Atopic dermatitis)
• I-Keratoacanthomas (uhlobo lwethumba lolusu olubangelwa kukukhanya kwelanga)
• I-Lichen planus (isifo solusu kunye ne-mucous membrane)
• Ezinye iintlobo ze-prurigo (ezinye izifo zesikhumba ezibangelwa kukurhawuzelelwa)
• I-Psoriasis
• Ukoma kakhulu kolusu (i-Xerosis cutis)

Abantu abasengozini enkulu ngenxa yezinye iimeko zempilo

Ayizozifo zolusu kuphela, kodwa nezinye iimeko zempilo zonyusa umngcipheko wokuba ne-"Prurigo Nodularis".

• `(Umhlaza)` (Umhlaza)
• Ezinye izifo ezibangelwa yibhaktiriya, iintsholongwane, kunye neentsholongwane
• Isifo seswekile
• Igawuthi
• usulelo lwe-`(HIV - Human Immunodeficiency Virus)`
• Ukunqongophala kwesinyithi (i-anemia)
• Ukungasebenzi kakuhle kwezintso okanye isifo sezintso esingapheliyo
• Isifo sesibindi
• I-Lupus (isifo sezicubu ezidityanisiweyo)
• Iingxaki zenkqubo yemithambo-luvo
• Ezinye iimeko zempilo yengqondo, umzekelo, i-psychogenic pruritus okanye i-Obsessive-Compulsive Disorder (OCD).
• Isifo se-thyroid

Kubalulekile: Ukuba unayo nayiphi na kwezi meko, akuthethi ukuba ngokuqinisekileyo uza kuba ne-`(Prurigo Nodularis)`. Nangona kunjalo, khumbula ukuba umngcipheko uphezulu.

Ixhaphake kangakanani iPrurigo Nodularis?

EMelika, izibalo zibonisa ukuba malunga nabantu abangama-72 kwabangama-100,000 banale sifo. Nangona kunjalo, iingcali zikholelwa ukuba inani lokwenyani labantu abanale meko linokuba phezulu kakhulu. Ngenxa yokuba ngamanye amaxesha kwenzeka kunye nezinye izifo zolusu, kukho amaxesha apho oogqirha bengakwazi ukuyixilonga ngokuchanekileyo.

Zithini iimpawu zoku?

Kukho iimpawu eziphambili ezininzi ze-`(Prurigo Nodularis)`. Masibone ukuba zithini na:

• Amaqhuqhuva aphakamileyo eluswini : La adla ngokugqunywa luqweqwe oluqinileyo nolomileyo. Amaqhuqhuva anokuba nombala ofanayo nowesikhumba sakho, okanye anokuba pinki okhanyayo, obomvu obumnyama, omdaka, okanye omnyama.
• Ubukhulu kunye nobunzulu bamaqhuqhuva bunokwahluka : Amanye amaqhuqhuva anokuchaphazela zombini i-epidermis, umaleko ophezulu wolusu, kunye ne-dermis, umaleko ophakathi.
• Ukurhawuzelela okunzulu : Olu lolona phawu luphambili nolungakhululekanga lwesi sifo. Abanye abantu banokufumana imvakalelo yokutsha okanye yokuhlaba ukongeza ekurhawuzeleni.

Nazi iintlobo zamaqhuma:

Ezi ziqwenga zinokwahlulwa zibe ziintlobo ezintathu eziphambili:

• Amaqhuqhuva : La makhulu kune-1 sentimitha kwaye angene kwi-epidermis yolusu.
• Iipapules : Ezi zincinci kune-1 centimeter kwaye ziphezulu nje kuphela kulusu.
• Iiplaque : Ezi zizilonda ezinzulu nezinamaxolo ezinkulu kune-1 cm kodwa azidluli ngaphantsi komphezulu wolusu.

Yintoni ebangela iPrurigo Nodularis?

Okokuqala, esi ayisosifo sisulelayo . Oko kukuthi, asisasazeka ukusuka komnye umntu ukuya komnye ngokuchukumisa.

Nangona unobangela ochanekileyo woku ungekafunyanwa, kukholelwa ukuba ezinye izinto zidlala indima:

• Ukusebenza ngokugqithisileyo kweeseli zemithambo-luvo okanye iiseli zokuzikhusela eluswini.
• La maqhuqhuva anokuvela ngenxa yokurhawuzelelwa okunzulu okubangelwa zezinye iimeko zesikhumba, ngenxa yokukrwela rhoqo kunye nokonakala kwesikhumba. Ngokuchanekileyo, umjikelo wokukrwela uyenzeka. Ukukrwela kubangela amaqhuqhuva, kwaye xa kuvela amaqhuqhuva, kubangela ukukrwela okungakumbi.
• Amanye amayeza, umzekelo amanye omhlazaAmayeza e-chemotherapy anokubangela "i-Prurigo Nodularis".

Ifunyaniswa njani le nto?

Ukuba unale mpawu, ngokuqinisekileyo kuya kufuneka ubonane nogqirha wesikhumba. Uza kuhlola ulusu lwakho. Baza kujonga ubungakanani, umbala, kunye nendawo ezikuyo iziqwenga. Baza kukubuza nokuba uzikrwela kangakanani kwaye nini ukurhawuzelela kuba mandundu.

Kubalulekile: Qiniseka ukuba uxelela ugqirha wakho ngezinye iimeko zolusu, iimeko zempilo, kunye nee-allergies onazo. Olu lwazi luya kunceda ukwahlula `(Prurigo Nodularis)` kwezinye iimeko.

Zeziphi iimvavanyo ezenziwayo?

Ngokwesiqhelo, iimvavanyo ezinjalo zinokwenziwa:

• I-Dermoscopy : Kule nkqubo, ugqirha uhlola ulusu lwakho ngesixhobo sokukhulisa esiphathwa ngesandla nesikhanyisiweyo (i-dermoscope). Oku kuvumela ugqirha ukuba akhulise izilonda zolusu ngaphandle kokuzisika.
• Uvavanyo lwegazi nomchamo : Ubalo olupheleleyo lwegazi (CBC), i-basic metabolic panel (BMP), kunye novavanyo lomchamo kunokunceda ekufumaneni iingxaki zesibindi, i-thyroid, okanye zezintso, njengoko sixoxe ngaphambili, ezinokubangela oku.
• I-biopsy yolusu : Kule nto, kuthathwa iqhekeza elincinci lesikhumba (kuquka umaleko ophezulu wesikhumba - i-epidermis kunye nomaleko ophakathi - i-dermis) kwindawo echaphazelekayo kwaye ihlolwe nge-microscope. Indawo iyavalwa ngaphambi kokuba oku kwenziwe. Oku kungasetyenziselwa ukujonga iiseli ezingaqhelekanga kunye nezinye iimpawu zesifo.

Zithini iindlela zonyango?

Eyona nto ilungileyo kukuba, kukho unyango lwe-`(Prurigo Nodularis)`. Nangona kunjalo, ekubeni sisifo esingapheliyo, unyango lunokuthatha ixesha kwaye lufuna umonde.

Unyango olusisiseko

Olu nyango lulandelayo ludla ngokusetyenziswa kwiimeko ezincinci zesifo:

• Ukujova eluswini : Amayeza ajova ngqo kwindawo echaphazelekayo. Xa kujova eluswini amayeza okulwa nokuvuvukala abizwa ngokuba yi -corticosteroids , ukudumba kuyancitshiswa kwaye iintlungu, ukubomvu, kunye nokurhawuzelela kunokuncipha ngokukhawuleza.
• Unyango olusetyenziswa ngaphandle kwesikhumba : Amanye amayeza asetyenziswa ngqo eluswini ngendlela yeekhrimu okanye amafutha okugcoba.
• I-calamine lotion idla ngokusetyenziswa ukunciphisa ukurhawuzelela.
• Ugqirha angacebisa nee-corticosteroids zasekhaya, iikhrimu ezine-vitamin D, okanye ii-calcineurin inhibitors (amayeza acinezela inkqubo yomzimba yokuzikhusela).

Kuthekani ukuba azanele?

Ngamanye amaxesha, ezi naliti kunye namafutha okugcoba akhankanyiweyo apha ngasentla zisenokungabi luncedo kangako. Kwimeko enjalo, ugqirha wakho unokucebisa ezinye iindlela zonyango, ezifana nezi:

• I-Cryotherapy : Oku kusebenzisa i-nitrogen engamanzi ukukhenkceza iintsumpa ezinkulu okanye ezirhawuzelela kakhulu. Olu nyango ludla ngokudityaniswa neenaliti ze-corticosteroid.
• Ii-immunosuppressants : La mayeza asebenza ngokuthintela amasosha omzimba wakho ukuba angasabela ngokugqithisileyo. Olu nyango lunokunikwa ukuba une-Prurigo Nodularis ngenxa yesifo sokuzikhusela komzimba, esifana ne-lupus okanye i-psoriasis.
• I-Phototherapy : Oku kusebenzisa ukukhanya kwe-ultraviolet ukunciphisa ukurhawuzelela nokunceda izilonda zesikhumba ziphiliswe. Isebenza ngokuthomalalisa iiseli zomzimba ezivelisa iikhemikhali ezibizwa ngokuba yi-histamines. Kudla ngokufuneka unyango oluninzi.

Ngaba esi sifo siya kunyangwa ngokupheleleyo?

Ngamanye amaxesha, kukho iimeko apho `(Prurigo Nodularis)` iba ngcono ngokwayo. Nangona kunjalo, njengoko sele sitshilo, le yimeko yolusu engapheliyo . Oku kuthetha ukuba inokuhlala iinyanga ezininzi okanye nangaphezulu. Ngamanye amaxesha, amaqhuqhuva eluswini anokuba ngcono okwethutyana aze aphinde avele.

Ukuba ungazichonga izinto ezibangela la maqhuqhuva, kuya kunceda ngandlela ithile ukuthintela le meko ukuba ingaphindi ivele kwixesha elizayo.

Iingxaki ezinkulu ezibangelwa sesi sifo azixhaphakanga. Nangona kunjalo, izilonda ezisulelekileyo zinokuvela. Amanxeba okanye ukutshintsha kombala wolusu kunokwenzeka nalapho izilonda ziphole khona.

Singazikhusela njani koku kangangoko kunokwenzeka?

Nangona kungekho ndlela yokuthintela ngokupheleleyo uphuhliso lwe-`(Prurigo Nodularis)`, kukho izinto ezininzi esinokuzenza ukunciphisa ukurhawuzelela, umonakalo ongakumbi wolusu, kunye nokuvela kwamaqhuqhuva amatsha:

• Kuphephe ukukhanya kwelanga okanye usebenzise isithambisi selanga esine -SPF 30 ubuncinane.
• Gcina iinzipho zakho zimfutshane , kuba amathuba okuba ulusu lwakho lungaze lonakaliswe mancinci ukuba ululuma.
• Zigcine kude neendawo ezishushu kwaye uphephe imisebenzi yokubila kangangoko unako.
• Sebenzisa izicoci ezithambileyo kunye nezifunxi-manzi ezifanelekileyo kulusu lwakho.
• Ukuba kunokwenzeka, nxiba impahla enemikhono emide kunye neeglavu , ingakumbi ukuba ungumntu okrwela ngengozi.
• Ukuba amaqhuma esikhumba ayopha, qiniseka ukuba ufaka ioyile yokubulala iintsholongwane kwaye uwagqume ngamabhandeji acocekileyo.

Ndifanele ndimbone nini ugqirha?

Ukuba ubona naziphi na ezi mpawu zosulelo, bona ugqirha ngoko nangoko :

• Ukuba ubomvu okanye olunye ulwelo luphuma enxebeni.
• Ukuba unomkhuhlane .
• Ejikeleze inxebaUkuba kukho intlungu, ukudumba, okanye ukudumba.
• Ukuba ulusu olujikeleze inxeba lubomvu okanye lufudumele .
• Ukuba ubona imigca ebomvu ejikeleze inxeba.

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Ukuba unayo `(Prurigo Nodularis)`, ungalibali ukubuza le mibuzo xa undwendwela ugqirha wakho:

• Ngaba kukho ukutya endifanele ndikuphephe xa ndithatha i-`(Prurigo Nodularis)`?
• Ngaba kukho naziphi na iindlela zasekhaya zokunyanga oku?
• Ungayinciphisa njani ingozi yokuba namanxeba ?
• Ungayinciphisa njani irhashalala , ingakumbi ebusuku?
• Ingaba le `(Prurigo Nodularis)` ibangelwa yenye imeko yezonyango engabonakaliyo ?

Okokugqibela, nantsi into endifuna ukuyithetha kuwe (Umyalezo Wokubuyela Ekhaya)

`(Prurigo Nodularis)` ngamanye amaxesha inokuba yimeko enzima necaphukisayo ukuyinyanga. Inokuhlala iinyanga, ngamanye amaxesha ibe nde, kwaye inokuba ngcono ize ibuye. Xa olunye unyango lungasebenzi, kuya kufuneka uzame olunye, kwaye oku kunokubangela ukudinwa. Ke ngoko, kubaluleke kakhulu ukukhetha ugqirha wesikhumba oza kukuphulaphula .

Okwangoku, zama ukugcina ulusu lwakho lukwimeko entle kangangoko. Kunzima ukuyeka ukukrwela, kodwa ukukrwela amaqhuqhuva e-`(Prurigo Nodularis)` kuya kwenza izinto zibe mbi ngakumbi, kubangele usulelo kunye namanxeba . Kuya kwenza nokukrwela kube kubi ngakumbi.

Gcina ulusu lwakho lupholile kwaye lomile kangangoko unako. Ukuba uziva ufuna ukukrwela, zama ukufaka into efana ne-calamine lotion endaweni yoko. Khumbula, awuwedwa, kwaye ngeengcebiso zonyango ezifanelekileyo kunye nonyango, le meko inokulawulwa.

I- Prurigo nodularis, amaqhuma esikhumba, izifo zesikhumba, ukurhawuzelela, iimpawu zesikhumba, unyango lwesikhumba, izifo zesikhumba ezingapheliyo