Ngaba iinwele zakho nazo zinempandla kwezinye iindawo, zibukeka ngathi zizilonda? Masifunde ngeScarring Alopecia ngendlela elula!

Ngaba wakha waphawula ukuba iinwele zakho okanye ezomntu omaziyo ziye zatshintshatshintsha, kwaye ulusu kwezo ndawo luye lwaba bushelelezi kwaye lukhazimla? Ngamanye amaxesha lunokuba bomvu kwaye lube lukhuni. Oku kuyadanisa kwaye kuyacaphukisa, akunjalo? Namhlanje siza kuthetha ngohlobo oluthile lokulahleka kweenwele. Oogqirha babiza oku ngokuthi `(Scarring Alopecia)` okanye `( cicatricial alopecia )`. Ngamafutshane, okwenzekayo koku kukuba iifollicles ezincinci apho iinwele zethu zikhula khona, ezibizwa ngokuba `(Hair Follicles)`, zitshatyalaliswa ngonaphakade. Emva koko, iinwele ziyahamba kwaye aziphinde zikhule kwakhona.

Yintoni iScarring Alopecia?

Ngamafutshane, `(Scarring Alopecia)` ithetha ukuba kukho imingxunya emincinci phezu kolusu lwethu apho kuvela khona iifollicles zeenwele, kwaye ezo `(Hair Follicles)` zonakele kwaye zitshatyalaliswe ngokupheleleyo, nto leyo ebangela ukulahleka kweenwele. Cinga ngayo, njengokutyala imbewu yokutyala isityalo, le `(Hair Follicle)` ibalulekile ekukhuleni kwefollicle yeenwele. Ngoko ke xa oku kutshatyalalisiwe, akukho ndlela yokuba ifollicle yeenwele iphinde ikhule.

Oku kunokubangelwa ikakhulu zezi zinto zilandelayo:

• Iintsholongwane ezahlukeneyo: Oku kungenzeka ngenxa yezinye izifo ezibangelwa yibhaktiriya okanye yifungus .
• Iikhemikhali : Ezinye iikhemikhali ezirhabaxa zinokufunxwa eluswini okanye zibangelwe ziimveliso ezirhabaxa ezisetyenziswa ezinweleni.
• Ukutsha: Ukutsha kwesikhumba kunokutshabalalisa iifollicle zeenwele.
• Iingxaki zokuzikhusela komzimba : Oku kuxa inkqubo yomzimba wethu yokuzikhusela ihlasela iifollicle zethu zeenwele.

Eyona nto ibalulekileyo kukuba iinwele ezilahlekayo ngenxa ye-`(Scarring Alopecia)` zinokulahleka ngonaphakade. Oko kuthetha ukuba ngaphandle kwe-`(Hair Follicles)` esempilweni, iinwele aziyi kukhula kwakhona. Yiyo loo nto kubalulekile ukuqaphela oku kwangethuba kwaye ufumane unyango ukuba kuyimfuneko.

Yintoni isiphumo se-`(Scarring Alopecia)`?

Nangona le meko inokuchaphazela naliphi na ilungu lomzimba apho kukho iinwele, idla ngokubonakala entlokweni. Iinwele ziyalahleka kwiindawo ezithile, zishiye izithuba ezingenanto. Ngenxa yokuba oku kuyinto ebonakalayo, kunokuchaphazela abanye abantu ngengqondo. Kunokubakho amaxesha apho baziva bexhalabile ngenkangeleko yabo kwaye bakufumanisa kunzima ukujongana noluntu. Ke ngoko, oku akuyongxaki yomzimba kuphela.

Injani i-`(Scarring Alopecia)`?

I-Scarring Alopecia idla ngokubonakala njengebala elinamazinyo. Isenokuba kwindawo enye okanye kwiindawo ezininzi. Ulusu apho iinwele zazikhona lusenokubonakala lugudile kwaye lukhazimla . Nangona kunjalo, oku akufani kuye wonke umntu. Abanye abantu banale ngxaki:

• Umbala obomvu
• Imeko yolusu
• Mhlawumbi izinto ezifana nama-blister agcwele amanzi

...ungayibona. Ngoko ke ukuba ubona uphawu olufana nolu, musa ukulutyeshela.

Yintoni umahluko phakathi kweScarring Alopecia kunye neNonscarring Alopecia?

Lo ngumbuzo obuzwa ngabantu abaninzi.

• (Scarring Alopecia): Kule meko, i-follicle yeenwele iyatshatyalaliswa ngonaphakade, nto leyo ebangela ukulahleka kweenwele . Ke ngoko, amathuba okuphinda kukhule iinwele aphantsi kakhulu, okanye zisenokulahleka ngokupheleleyo.
• (I-Nonscarring Alopecia): Kule meko, iinwele zinokuwa, iinwele zisenokubhitya, kodwa i-`(Hair Follicle)` ayitshatyalaliswa. Ke ngoko, le meko inokuba yeyokwexeshana, kwaye ngamanye amaxesha iinwele zinokukhula kwakhona. Umzekelo, indlela yokuba neenwele ebantwaneni abantu abaninzi bayazi ngokuba yi-`(Androgenetic Alopecia)`, eyenzeka kumadoda nakubafazi, luhlobo lwe-`(Nonscarring Alopecia)`.

Ngaba kukho iintlobo ezahlukeneyo ze-`(Scarring Alopecia)`?

Ewe, `(Cicatricial Alopecia)` inokwahlulwahlulwa ibe ziintlobo ezimbini:

1. I-Alopecia ebangela amanxeba aphambili:Okwenzekayo kule meko kukuba isifo sokudumba okanye isifo sokuzikhusela komzimba sihlasela ngqo iifollicle zethu zeenwele size sizitshabalalise.

2. I-Secondary Scarring Alopecia: Oku kwenzeka ngenxa yokwenzakala okanye ukwenzakala eluswini lwethu. Umzekelo, ukutsha, usulelo oluqatha, unyango lwemitha , okanye amathumba eluswini anokutshabalalisa iinwele, nto leyo eshiya iinwele zinesilonda.

Kukho iintlobo ezahlukeneyo ze-Primary Scarring Alopecia:

Kukho ezinye iintlobo ezininzi phantsi kwale. Makhe sijonge ezinye zezona ziphambili:

• I-Central Centrifugal Cicatricial Alopecia (CCCA): Olu luhlobo lokulahleka kweenwele oluxhaphakileyo kubasetyhini, ingakumbi abo bavela eAfrika. Ludla ngokuqala malunga neminyaka engama-30 ubudala. Amabala anempandla adla ngokuqala entloko aze asasazeke. Anokunxulunyaniswa neekhemikhali eziqatha ezisetyenziswa ezinweleni (umz., iziphumlisi) kunye nobushushu obugqithisileyo obusetyenziswa ezinweleni (umz., ii-hot combs). Ukutsala kakhulu iinwele ezivela kwizinto ezifana nokuluka, ukuluka, okanye ukwandiswa kwazo nako kunokuba yimbangela. Nangona kunjalo, uphando oluthile lubonisa ukuba isenokuba yimfuza.

• I-Chronic Cutaneous Lupus Erythematosus (CCLE): Le yimeko echaza iingxaki zolusu ezibangelwa sisifo sokuzikhusela komzimba esibizwa ngokuba yi-lupus erythematosus. Ukongeza ekulahlekelweni ziinwele, abanye abantu abane-CCLE banokufumana izilonda zolusu, utshintsho kumbala wolusu, kunye nokungaziva kukhanya kwelanga. Oku kuqhelekile nakubasetyhini.

• I-Folliculitis Decalvans: Oku kusenokuba ngumphumo wosulelo lwebhaktheriya. Abanye abantu abanosulelo lweStaphylococcus Aureus (Staph A) bakhula imeko yokudumba engapheliyo enokuchaphazela iinwele zabo.

• I-Lichen Planopilaris: Olu lolona hlobo luqhelekileyo lwe-alopecia yokuqala yamanxeba, ingakumbi kubasetyhini abaneminyaka engaphezu kwama-50 ubudala. Luhlobo lwesifo esibizwa ngokuba yi-lichen planus. Sinokubangela ukuxobuka, ukudumba, ukurhawuzelela , izilonda , ukutshintsha kombala wolusu, kunye namaqhuqhuva amancinci abizwa ngokuba zii-papules.

Ingaba `(Scarring Alopecia)` iyasulela?

Hayi,`(Scarring Alopecia)` ayisosifo esosulelayo. Oko kuthetha ukuba asisasazeka ukusuka komnye umntu ukuya komnye ngokudibana. Ngoko ke, akukho nto ibalulekileyo yokukhathazeka ngayo.

Ngubani onokuhlakulela i-`(Scarring Alopecia)`?

Le meko inokuchaphazela nabani na, kodwa ixhaphake kakhulu kubantu abadala kunabantwana. Ezinye iintlobo ze-`(Scarring Alopecia)` zinokuchaphazela isini okanye uhlanga oluthile ngaphezu kwezinye. Umzekelo, imeko ye-`(CCCA)` esiyixubushileyo ngaphambili ixhaphake kakhulu kubafazi abazalwa eAfrika.

Ixhaphake kangakanani i-`(Scarring Alopecia)`?

I-Scarring Alopecia ichaphazela kuphela malunga ne-7% yabantu abaya kugqirha malunga nokulahleka kweenwele. Eli linani liphantsi xa lithelekiswa ne-nonscarring alopecia, echaphazela phakathi kwe-50% kunye ne-75% yabantu abadala abangaphezu kweminyaka engama-50.

Yintoni ebangela i-`(Scarring Alopecia)`?

Kwiintlobo ezininzi ze-`(Scarring Alopecia)`, ukudumba kwenzeka embindini we-`(Hair Follicle)` yethu, oko kukuthi, kwindawo ebizwa ngokuba yi-`(bulge).` Le ndawo ye-`(bulge)` kulapho iiseli ze-stem kunye ne-oil glands ezifunekayo ukuze kukhule iinwele ezintsha zikhoyo. Ngenxa yokudumba, le nxalenye ye-`(Hair Follicle)` iyatshatyalaliswa, kwaye izicubu zesilonda `(Fibrosis)` zenzeka apho. Emva koko, iinwele azikhuli kwakhona.

Kubantu abane-"Scarring Alopecia", iimbobo apho kuvela khona iifollicle zeenwele (i-Follicular Ostia) zihlala zivalekile.

Kodwa kwi-`(Nonscarring Alopecia)`, umonakalo uhlala ufikelela kwicandelo elisezantsi le-`(Hair Follicle)`, oko kukuthi, i-`(bulb)`. I-`(Bulge)` ayonakalanga kangako. Yiyo loo nto kukho ithuba elikhulu lokukhula kwakhona kweenwele kwi-`(Nonscarring Alopecia)`. Uyayiqonda le mahluko?

Ngaba unyango lomhlaza lungabangela `(Scarring Alopecia)`?

Mhlawumbi uyazi ukuba unyango lwe-`(Chemotherapy)` (Chemotherapy) lubangela ukulahleka kweenwele. Kodwa i-`(Chemotherapy)` ayibangeli `(Scarring Alopecia)`. Amayeza e-`(Chemotherapy)` anokubulala iiseli ezikwi-`(Hair Follicle)`, ezibangela ukulahleka kweenwele. Kodwa i-`(Hair Follicle)` ayitshatyalaliswanga ngokupheleleyo. Ke ngoko, iinwele zinokukhula kwakhona emva kwe-`(Chemotherapy)`.

Nangona kunjalo, unyango lwemitha lunokubangela i-alopecia yesibini ebangela amanxeba. Abanye abantu baye bafumana ukutsha kwesikhumba ngenxa yonyango lwemitha, olunokutshabalalisa unaphakade iifollicle zeenwele.

Zithini iimpawu ze-`(Scarring Alopecia)`?

Uphawu oluphambili kukuwa kweenwele. Kudla ngokuvela kwiindawo ezinamaqabunga okanye kwiindawo ezinamaqabunga. Oku kungenzeka kancinci, kwiminyaka emininzi. Okanye kungaqala ngequbuliso kwaye kusasazeka ngokukhawuleza.

Nangona idla ngokuchaphazela intloko, inokuvela naphi na kwiinwele.

Ukongeza ekulahlekelweni ziinwele, abanye abantu banokufumana iingxaki zolusu ezifana nezi:

• Ukopha
• Ukudumba
• Ukudumba
• Ukwakheka okanye ukuxobuka okufana noqweqwe
• Ukurhawuzelela, ukurhawuzelela, okanye intlungu xa uchukumisa indawo
• Amadyungudyungu amancinci azaliswe bubovu (iiPustules)
• Ubomvu okanye olunye utshintsho lombala

Ukuba unenye okanye ngaphezulu kwezi mpawu, kungcono ukufuna ingcebiso kagqirha.

Ungayiqaphela njani i-`(Scarring Alopecia)`?

Ugqirha wakho usebenzisa iindlela ezahlukeneyo zokuxilonga esi sifo:

1. Uvavanyo Lomzimba: Ugqirha uza kujonga apho iinwele zakho ziye khona nendlela ezisasazeke ngayo. Baza kuhlola nolusu apho iinwele ziye khona, ukuze babone ukuba iifollicle zeenwele zisekhona na kwaye kukho naziphi na iimpawu zokudumba. Kufuneka uxelele ugqirha wakho ngexesha iinwele zakho eziqale ngalo ukuhla, ukuba unezinye iimpawu, ezinje ngokurhawuzelelwa okanye ukutsha.

2. Imbali Yezonyango: Ugqirha uza kukubuza ngeminyaka yakho, isini, iindlela zakho zokunyamekela iinwele, kunye nempilo yakho iyonke. Baxelele ukuba unayo nayiphi na eminye imiba yezempilo, efana ne-lupus, i-anemia, okanye isifo se-thyroid. Banokuyalela uvavanyo lwegazi ukujonga naziphi na ezinye iingxaki ezinokubangela ukulahleka kweenwele zakho.

3. I-Skin Biopsy: Le yindlela yodwa yokuqinisekisa ngokuqinisekileyo ukuba unayo i-Scarring Alopecia.Ugqirha uza kuthatha iqhekeza elincinci lesikhumba entlokweni yakho okanye kwenye indawo yeenwele zakho aze alithumele kwilebhu. Apho, ingcali yezifo (ugqirha ochwephesha kwiisampuli zesikhumba) uza kulijonga phantsi kwe-microscope. Emva koko ugqirha uza kukhangela iiseli zomzimba ezivuthayo aze agqibe ukuba loluphi uhlobo lwe-Cicatricial Alopecia onayo.

Ngaba kukho amanqanaba ahlukeneyo `(Scarring Alopecia)`?

Ngamanye amaxesha i-biopsy yesikhumba inokubonisa izicubu ezibomvu kodwa kungekhona iiseli ezivuthayo. Oogqirha bayibiza le nto ngokuba yi-end-stage scarring alopecia (ESSA) . I-ESSA ithetha ukuba imeko idlulile kwinqanaba lokudumba. Oku kunokunciphisa ukusebenza kakuhle konyango.

Ngugqirha onjani onokuxilonga `(Scarring Alopecia)`?

Ingcali yesikhumba ingaxilonga i-Scarring Alopecia. Nangona kunjalo, kunokuba nzima ukuyixilonga, ngoko ke kubaluleke kakhulu ukubona ingcali yesikhumba enamava amahle ekulahlekeni kweenwele.

Ngaba ikho indlela yokunyanga i-`(Scarring Alopecia)`?

Ngelishwa, akukho nyango lwe-`(Scarring Alopecia)`. Unyango lujolise kakhulu ekulawuleni iimpawu kunye nokunciphisa okanye ukunqanda ukulahleka kweenwele okungakumbi. Kukho unyango oluthile lobuhle olunokuphucula ukubonakala kweendawo ezinempandla ukuya kuthi ga kwinqanaba elithile.

Inyangwa njani i-`(Scarring Alopecia)`?

Iindlela zonyango zixhomekeke kuhlobo lwe-`(Cicatricial Alopecia)` onalo. Ezona ntlobo zixhaphakileyo ze-`(Scarring Alopecia)` zezi:Amayeza okulwa nokuvuvukala ngamayeza anciphisa ukudumba. La mayeza asebenza ngokulwa neeseli ezidumbayo ezitshabalalisa iifollicle zeenwele. La mayeza anokunikwa njengeepilisi (ezifana neHydroxychloroquine) okanye njengeenaliti ze-corticosteroids (ezifana neTriamcinolone Acetonide). Amanye amayeza okulwa nokuvuvukala nawo eza ngohlobo lweekhrimu okanye iioyile ezisetyenziswa eluswini.

I-alopecia ebangela amanxeba abangelwa zizifo ezibangelwa ziintsholongwane ingadinga amayeza okubulala iintsholongwane (umz., iDoxycycline okanye iMinocycline).

Cinga nje, uninzi lwabantu luthatha eli yeza kangangeenyanga ezi-6 ukuya kwezi-12, de iimpawu zabo ziphele kwaye ukulahleka kweenwele zabo kuyeke okanye kuyeke. Kodwa ukuba iinwele zabo ziqala ukuhla kwakhona, kusenokufuneka baqale kwakhona iyeza.

Ngaba umntu one-"Scarring Alopecia" angafakelwa "iinwele"?

`(Ukufakelwa Kweenwele)` yinkqubo yotyando apho iinwele zithathwa kwenye inxalenye yentloko yakho zize zifakwe kwenye inxalenye yentloko yakho apho kukho iinwele ezimbalwa okanye kungekho kwaphela. Nangona kunjalo , olu ayilonyango lulungileyo kubantu abane`(I-Scarring Alopecia)`. Oku kungenxa yokuba izicubu ezingaphantsi kwesikhumba zinokuthintela ukukhula kweenwele ezintsha. Nangona kunjalo, ukuba awukalahlekelwa nazinwele zintsha kangangeminyaka eliqela, unokukwazi ukwenza oku. Kungcono ukubuza ugqirha wakho ngale nto.

Ngaba unyango lwePlasma etyebileyo ngeePlasma (PRP) lungasetyenziswa kwi-`(Scarring Alopecia)`?

Unyango lwe-PRP lunyango olusebenzisa iiplatelets ezikhutshwe egazini lakho ukunciphisa ukudumba nokunceda ukuphilisa izicubu. Oku kunokunceda ekukhuliseni iinwele ezilahlekileyo ngenxa ye-alopecia engenamabala kunye nokunyanga ukulahleka kweenwele. Unyango lwe-PRP alusetyenziswa rhoqo kwi-alopecia enezibazi, kodwa ezinye izifundo zibonise iziphumo ezilungileyo kwezinye iintlobo zokulahleka kweenwele, ezifana ne-lichen planopilaris. Kubalulekile nokufuna ingcebiso kagqirha malunga noku.

Ngaba iinwele zam ziya kukhula kwakhona ukuba ndine-`(Scarring Alopecia)`?

Ngenxa yokuba i-alopecia enezibazi inokubangela ukulahleka kweenwele okungapheliyo, kunzima kakhulu ukuphinda ukhule iinwele xa i-follicle yeenwele itshatyalalisiwe. Nangona kunjalo, ukuba uyibona imeko kwangethuba, amayeza anokukwazi ukunqanda ukudumba ngaphambi kokuba i-follicle yeenwele itshatyalaliswe ngokupheleleyo. Yiyo loo nto kubalulekile ukubona ugqirha ngokukhawuleza.

Ngaba `(Scarring Alopecia)` inokuthintelwa?

Ukuthintela oku ngumceli mngeni wokwenene. Ukuqala unyango kwangethuba kunokunceda ekuthinteleni ukulahleka kweenwele okungakumbi. Ngaphandle koko, kunzima ukutsho ngokuqinisekileyo, "Nantsi into omawuyenze ukuze uyeke oku."

Iyintoni imbono yomntu one-`(Scarring Alopecia)`?

Imbono yale meko inokwahluka ngokuxhomekeke ekubeni ufuna unyango ngokukhawuleza kangakanani. Abanye abantu banokulahlekelwa ziinwele kwiindawo ezimbalwa ezincinci. Abanye banokulahlekelwa ziinwele kwindawo enkulu, njengentloko yonke. Ekubeni ukulahleka kweenwele kunokuphinda kwenzeke nasemva konyango, abanye abantu banokufuna ukuthatha amayeza ixesha elide.

Yeyiphi imibuzo endifanele ndiyibuze ugqirha wam malunga ne-`(Scarring Alopecia)`?

Ukuba une-`(Scarring Alopecia)`, ungabuza ugqirha wakho imibuzo efana nale:

• Ngaba kukho naziphi na iindlela zemvelo okanye zonyango lwasekhaya ezinokunceda nge-`(Scarring Alopecia)`?
• Ngaba kukho naziphi na iziphumo ebezingalindelekanga ezibangelwa kukuthatha amayeza ixesha elide?
• Ngaba utshintsho kwindlela enditya ngayo okanye kwindlela endiphila ngayo luza kunceda ekuthinteleni ukulahleka kweenwele okungakumbi?
• Ngaba kunokwenzeka ukuba ndibe nempandla ngokupheleleyo?

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukulahleka kweenwele ngenxa ye-`(Scarring Alopecia)` okanye `(Cicatricial Alopecia)` kunokuba yimeko enzima kakhulu ukuyilawula. Ukongeza kwiimpawu zomzimba ezifana neengxaki zolusu, kusenokufuneka ujongane nemingeni yeemvakalelo neyengqondo. Nangona le meko ingabangela iingxaki ezinkulu zempilo, inokubangela ukuziva uneentloni kwaye uphoxekile. Ke ngoko, thetha nogqirha wakho malunga neempawu ezahlukeneyo zobomi bakho ezichaphazela i-`(Scarring Alopecia)`. Banokukuthumela kwiinkonzo zonyango kunye nenkxaso oyifunayo. Ukufunyanwa kwangoko kunye nonyango olufanelekileyo kunokunceda kakhulu ekulawuleni le meko. Ngoko ke ungoyiki, kodwa kubalulekile ukuqaphela oku.