Ngaba ngequbuliso ukhe wavela i-blister encinci ebomvu emzimbeni wakho, ingakumbi emilenzeni yakho, eyathi ngokukhawuleza yajika yaba linxeba elikhulu, elinzulu, nelibuhlungu kakhulu? Usenokucinga ukuba eli linxeba eliqhelekileyo, okanye ukuba ulunywe sisinambuzane esithile. Kodwa ngamanye amaxesha kunokuba nzima ngakumbi kunoko, kwaye kufuna ingqalelo ekhethekileyo. Namhlanje sithetha ngemeko engaqhelekanga kakhulu eSri Lanka, kodwa kubalulekile ukuyazi. Leyo yiPyoderma Gangrenosum .
Ngamafutshane, yintoni iPyoderma Gangrenosum?
I-Pyoderma Gangrenosum (ebizwa ngokuba yi-pyo-der-ma gane-gra-no-sum) yimeko yolusu ehlala ixesha elide, ephindaphindayo. Iqala njengeqhubu elincinci, elinombala omdaka (obomvu, omfusa, oluhlaza okwesibhakabhaka) okanye iqhubu elizele lulwelo (i-blister okanye i-bullae) eluswini lwakho. Oku ke kukhula ngokukhawuleza okukhulu, kusasazeka, kuze kube linxeba elivulekileyo, elinzulu (isilonda) eliqhekeza ulusu.
Isinye okanye ngaphezulu kwezi zilonda zinokuvela emzimbeni. Ukuba imeko ayinzima kakhulu, kunokubakho isilonda esinye kuphela. Nangona kunjalo, kwiimeko ezinzima, izilonda ezininzi zinokuvela. Ezi zilonda zibuhlungu kakhulu.
Into ebalulekileyo kukuba iPyoderma Gangrenosum idla ngokuvela kunye nezinye izifo emzimbeni. Oku kuthetha ukuba inokwenzeka njengophawu lwenye imeko kunokuba ibe sisifo sodwa.
Ngubani onokuthi abe nale meko?
Nangona esi sifo sinokuvela nakweyiphi na iminyaka, asixhaphakanga kakhulu kubantwana abancinci. Sixhaphake kakhulu kubasetyhini abaphakathi kweminyaka engama-20 ukuya kwengama-50. Kwakhona, ukuba unezi meko zilandelayo zempilo, umngcipheko wakho wokufumana iPyoderma Gangrenosum uphezulu kancinci.
- I-Rheumatoid Arthritis: Esi sisifo esibangelwa kukuzimela komzimba esibangela ukudumba kunye nentlungu emalungeni.
- I-Ulcerative Colitis : Imeko apho ulwelo lwamathumbu amakhulu luvuvukala khona.
- Isifo sikaCrohn: Esinye isifo esinokubangela ukudumba naphi na kwindlela yokugaya ukutya.
- Iintlobo ezithile zomhlaza: ingakumbi umhlaza onxulumene negazi ofana ne-leukemia okanye i-lymphoma.
Le meko ayixhaphakanga kangako eSri Lanka. Xa sithetha nje, kwilizwe elifana neMelika, esi sifo sibikwa kumntu omnye kwikhulu lamawaka. Kodwa akulunganga ukungazi oku kuba akuxhaphakanga.
Ziziphi iimpawu eziphambili zePyoderma Gangrenosum?
Nangona le meko inokwenzeka naphi na emzimbeni, ixhaphake kakhulu emilenzeni, emaqatheni nasezinyaweni. Ingenzeka nakwizandla, entanyeni, nakwizitho zangasese. Ngoku makhe sibone ukuba zeziphi iimpawu onokuzifumana ngale meko.
| Uphawu | Inkcazo |
|---|---|
| Utshintsho lolusu | Kuqala ukubonakala njengeqhubu elincinci, elibomvu, elimfusa, eliluhlaza okwesibhakabhaka, okanye elimnyama okanye iqhubu elizele bubomvu eluswini. Ezi zinokukhula ngokukhawuleza kakhulu. |
| Amanxeba avulekileyo (Izilonda) | Elo qhubu lincinci lisasazeka ngokukhawuleza, lijika libe linxeba elinzulu nelivulekileyo elikrazula ulusu. Imiphetho yala manxeba iphakanyisiwe kwaye ibonakala ngokucacileyo. |
| Intlungu kunye nokudumba | Inxeba kunye nendawo ejikelezileyo zidumbile kwaye zibuhlungu, okungaphezulu kakhulu kunenxeba eliqhelekileyo. |
| Ezinye iimpawu | Abanye abantu banokufumana iimpawu eziqhelekileyo ezifana nomkhuhlane kunye nentlungu yamalungu. |
Kutheni kusenzeka into efana nale? Yintoni unobangela?
Enyanisweni, oogqirha abakakwazi ukufumana unobangela ochanekileyo wePyoderma Gangrenosum, kodwa kukholelwa ukuba ibangelwa kukungasebenzi kakuhle kwenkqubo yethu yokuzikhusela komzimba.
Ngamafutshane, inkqubo yokuzikhusela yomzimba wethu, inkqubo yokuzikhusela, ngempazamo iqala ukuhlasela izicwili zethu zolusu ezisempilweni. Ezi zifo sizibiza ngokuba zizifo ezibangelwa kukuzikhusela komzimba.
Enye into ebaluleke kakhulu kukuba ngamanye amaxesha, ukwenzakala okuncinci eluswini, njengokusikwa, ukukrweleka, okanye utyando, kunokubangela okanye kuyenze ibe mandundu iPyoderma Gangrenosum. Kwizonyango, oku sikubiza ngokuba yi -'pathergy' . Olu luphawu olukhethekileyo lwesi sifo. Umzekelo, emva kotyando, la manxeba anokuvela kwindawo ene-stoma.
Ingaba esi sisifo esosulelayo?
Akunjalo konke konke. Le yinto ekufuneka ikhunjulwe ngokucacileyo.
I-Pyoderma Gangrenosum ayisosifo esosulelayo. Ayisasazeki ukusuka komnye umntu ukuya komnye ngokuchukumisa okanye nangayiphi na indlela.
Ugqirha ufumanisa njani ngokuchanekileyo iPyoderma Gangrenosum?
Le yenye yezona ngxaki zinkulu ngesi sifo. Kuba akukho vavanyo lunye olunokuqinisekisa ukuba, 'Ewe, yiyo le.' Yiyo loo nto oogqirha beqala baqinisekise ukuba ezinye iimeko zonyango azibangeli. Oko kukuthi, bayazisusa ezinye izizathu ezinokubakho zezi zilonda nganye nganye.
Ugqirha wakho uza kuzama ukuthintela izinto ezifana nezi:
- Usulelo lweebhaktheriya okanye lwefungus
- Umhlaza wolusu
- Iimeko zokudumba kwimithambo yegazi
- Ezinye izifo ezibangelwa kukuzikhusela komzimba, ezifana ne-lupus
Ukuqinisekisa ezi zinto, kunokufuneka wenze uvavanyo olufana nolu:
- Uvavanyo lwegazi: Jonga ukudumba nezinye izifo emzimbeni.
- I-Biopsy: Iqhekeza elincinci kakhulu lesikhumba lithathwa kwisilonda lize lihlolwe nge-microscope.
- Ukuthathwa kwesampulu yomongo wethambo: Ukuba kukho ukrokrelo lweemeko ezifana nomhlaza wegazi.
- Uvavanyo olukhethekileyo lwekhamera: Uvavanyo olufana ``(Colonoscopy)`` lokuhlola ikholoni ukuba kukho imeko efana nesifo sikaCrohn ekrokrelwayo.
Zithini iindlela zonyango zoku?
Kukho iindlela ezahlukeneyo zonyango lwePyoderma Gangrenosum. Ugqirha wakho uya kugqiba ngonyango oluya kuxhomekeke kubukhali bemeko yakho.
Kwiimeko ezincinci
Kwinqanaba lokuqala okanye ukuba imeko ayinzima kakhulu, ugqirha angakunika iikhrimu okanye amafutha okugcoba ukuze asetyenziswe enxebeni.
- Iikhrimu zeCorticosteroid: La ngamayeza anamandla alawula ukudumba nokudumba. Asetyenziswa ngqo enxebeni.
Ukuba imeko imbi kakhulu
Ukuba izilonda zikhulu, zininzi, okanye iintlungu zinzima, amayeza omlomo okanye olunye unyango olukhethekileyo lunokufuneka.
- Iipilisi zeCorticosteroids:Amayeza afana ne-prednisone alawula ukudumba emzimbeni wonke.
- Amayeza okunciphisa amasosha omzimba: La mayeza asebenza ngokunciphisa ukusebenza kwenkqubo yethu yokuzikhusela komzimba, ethintela ukuba ingonakalisi imizimba yethu. I-Cyclosporine yenye yamayeza anjalo.
- Iiarhente zebhayoloji: La ngamayeza amatsha, aphucukileyo ajolise kwiiproteni ezithile emzimbeni ezibangela ukudumba.
- Ukususwa kwezicubu ezifileyo enxebeni ngotyando kunokunceda ngamanye amaxesha. Kodwa oku kuyingozi. Ngenxa yemeko ebizwa ngokuba yi-'pathergy' esiyixubushileyo ngaphambili, olu hlobo lomonakalo eluswini lunokwenza imeko ibe mandundu. Ngoko ke oku kufanele kwenziwe kuphela ngononophelo olukhulu nangaphantsi kweliso lengcali.
Yintoni ekufuneka ndiyazi ngelixa ndiphila nale meko?
Ukuphila nePyoderma Gangrenosum kunokuba nzima, kodwa ngokulawulwa ngokufanelekileyo , kunokulawulwa.
Ukhathalelo lwenxeba
- Kuphephe ukwenzakala kwesikhumba: Lumka kangangoko unako xa unamanxeba, ukrwele, kunye nemikrwelo. Nokuba ngumkrwelo omncinci unokuba ngunobangela wenxeba elitsha.
- Gcina inxeba licocekile: Hlamba inxeba ngamanzi acocekileyo nesepha njengoko ugqirha wakho eyalele. Oku kubaluleke kakhulu ukuthintela usulelo.
- Ibhandeji ngokuchanekileyo: Sebenzisa iibhandeji ezikhethekileyo ezinganamatheli enxebeni. Kwamanye amanxeba anzima, ugqirha wakho unokucebisa iibhandeji ezikhethekileyo, ezifana ne-hydrocolloid. Ingcebiso kagqirha wakho yeyona nto ibalulekileyo.
Lixesha lokuphiliswa
Le meko ingathatha iiveki, kwaneenyanga, ukuba iphole. Ngoko ke kubalulekile ukuba nomonde kwaye ungalindeli iziphumo ezikhawulezileyo.
Impilo Yengqondo
Kuqhelekile ukuziva udandathekile kwaye uxinezelekile xa ujongene nemeko ebuhlungu nehlala ixesha elide efana nale. Thetha nosapho lwakho kunye nogqirha wakho malunga neemvakalelo zakho. Funa uncedo kumcebisi wezempilo yengqondo ukuba kuyimfuneko.
Ukwazisa abanye oogqirha
Ukuba unePyoderma Gangrenosum, qiniseka ukuba uxelela ugqirha wakho ukuba umbona ngenxa yesinye isizathu (njengokukhupha izinyo okanye utyando oluncinci), kuba nantoni na oyenzayo eluswini lwakho inokubangela ukuba imeko ibuye.
Udinga nini ukubona ugqirha?
Kukho iimeko ezininzi apho kufuneka ubone ugqirha wakho ngoko nangoko.
- Ukuba unesifo esiyingozi esifana nesifo samathambo okanye isifo sikaCrohn kwaye uvelisa amadyungudyungu okanye izilonda eluswini lwakho ezikhula ngokukhawuleza.
- Ukuba inxeba lakho libonakala linesifo (umz., ukuba bomvu, umbala omfusa ojikeleze inxeba, ukudumba okwandileyo, okanye ivumba elibi).
- Ukuba ubonakalisa iimpawu ezintsha.
- Ukuba amayeza asetyenziselwa unyango abangela iziphumo ebezingalindelekanga ezibi kakhulu.
Umyalezo Wokuya Ekhaya
- I-Pyoderma Gangrenosum ayilonxeba nje eliqhelekileyo. Yimeko yesikhumba engaqhelekanga kodwa enzulu ebangela izilonda ezibuhlungu.
- Oku akusuleli. Ngoko ke akukho mfuneko yokuzahlula okanye ukoyika isigulana.
- Oku kudla ngokunxulunyaniswa nengxaki yenkqubo yakho yokuzikhusela komzimba kunye nezinye izifo, ezifana ne-arthritis.
- Nokuba ukwenzakala okuncinci eluswini kunokubangela ukuba isifo sibe sibi kakhulu (Pathergy). Ngoko ke, kubaluleke kakhulu ukuzikhusela ekwenzakaleni.
- Ukufumanisa isifo kunzima kwaye unyango lungathatha ixesha elide. Kubalulekile ukuba nomonde kwaye ulandele iingcebiso zonyango.
- Ukuba unePyoderma Gangrenosum, kubalulekile ukuba uxelele ugqirha wakho ngaphambi kokuba utyando okanye unyango olunxulumene nolusu.
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