Kuyini i-Seborrheic Dermatitis?
Kalula nje, i-seborrheic dermatitis yisifo sesikhumba esivame kakhulu futhi esingelapheka kalula. Sibangela isikhumba sakho sibe bomvu, silume, futhi sibe namabala anamafutha, anamabala. Ekhanda, singakha ama-flakes noma ama-crusts amhlophe noma aphuzi. Njengoba igama lisho, igama elithi "seborrheic" libhekisela "kuma-sebaceous glands" esikhumbeni sethu. Lawa ama-glands akhiqiza amafutha esikhumbeni sethu. Igama elithi "Derm" lisho isikhumba. Ngakho-ke lesi yisimo esenzeka maqondana nawo. I-Dandruff, esiyaziyo sonke, iwuhlobo lwalokhu. Odokotela ngezinye izikhathi bayibiza ngokuthi i-pityriasis capitis. Uma ivela ekhanda lezingane ezincane, siyibiza ngokuthi "i-cradle cap." Ibukeka njenge-baby dandruff. I-seborrheic dermatitis ingenzeka hhayi kuphela ekhanda, kodwa nakwezinye izingxenye zomzimba, ikakhulukazi ezindaweni ezinenani elikhulu lama-sebaceous glands. Isibonelo:- Umhlane wakho ongaphezulu nesifuba
- Ubuso/isiphongo
- Emafolweni ezinhlangothini zombili zekhala
- Ngemuva kwezindlebe
- I-Pekaniya (i-Pekaniya)
- Ama-eyelashes
- Ngaphansi kwesifuba
- Emagoqweni ezingalweni, emilenzeni, nasezinsikeni
Ubani onamathuba amaningi okuthola lesi simo?
Kuthiwa cishe u-11% wabantu emhlabeni une-seborrheic dermatitis. Ivame kakhulu ezinganeni ezingaphansi kwezinyanga ezintathu kanye nabantu abadala abaneminyaka ephakathi kuka-30 no-60. Ivame kakhulu kwabesilisa kunabesifazane. Uma unesikhumba esinamafutha ngokwemvelo , kungenzeka kakhulu ukuthi ube nalesi simo. Futhi, uma othile emndenini wakho enezifo zesikhumba ezifana ne-psoriasis, ingakuthinta nawe. Uma uhlala endaweni eyomile, ebandayo, ayibangelwa yisimo sezulu ngokwaso, kodwa lesi simo singaba sibi kakhulu. Ngaphezu kwalokho, uma unezinkinga zempilo ezifana nalezi:- Kulabo abanesifo sokuzivikela komzimba esiphansi:
- Abantu abafakelwa izitho zomzimba
- Abantu abadala abane-Hodgkin's Lymphoma
- Abantu abadala abane-Non-Hodgkin's Lymphoma
- Kulabo abangenwe yi-HIV ( i-HIV - igciwane le-human immunodeficiency virus)
- Kulabo abanesifo sengqondo :
- Ukucindezeleka
- Kubantu abanezifo zesimiso sezinzwa :
- Isifo sikaParkinson
- I-Tardive Dyskinesia
- Isifo sokuwa
- Ukukhubazeka kwemizwa yobuso
- Kulabo abathintekile yi-spinal cord
- Kulabo abanesifo sokuzalwa:
- I-Down syndrome
Ziyini izimpawu zalokhu?
Uma une-seborrheic dermatitis, ungase ube nezimpawu ezifana nalezi:- Izingcwecwe ezimhlophe nezilumayo ekhanda. Lokhu sikubiza ngokuthi i-dandruff . Uma iluma, lezi zingcwecwe ziyahamba futhi zibhajwe ezinweleni, noma ziwele entanyeni nasemahlombe.
- Ubomvu obunamaqhubu esikhumbeni.
- I-Cradle Cap yindawo ephuzi, ephakanyisiwe ekhanda lomntwana. Ngokuvamile ayilunyi. Kodwa-ke, uma umntwana eklwebha ikhanda lakhe, kungabangela ukulimala okwengeziwe futhi mhlawumbe ngisho nokutheleleka okuncane.
- Ubomvu kanye nokuqhekeka emaphethelweni ezinkophe. Lokhu kubizwa ngokuthi i-blepharitis .
- Ama-plaque apinki ezinhlangothini zombili zobuso, lapho isikhumba sikhula khona futhi siqhekeka khona.
- Kukhona amabala esifubeni, ebunzini, kanye nasezinweleni abukeka njengepheshana lembali noma indilinga.
- Ukubomvu endaweni yesitho sangasese, emakhwapheni, nangaphansi kwamabele.
- Ukuvuvukala kwezinwele ezihlathini nasemzimbeni ongaphezulu (izinwele ezivuvukele).
Kungani kuvela i-seborrheic dermatitis? Yini eyenza kube kubi nakakhulu?
Abacwaningi abakakazi kahle ukuthi yini ebangela lokhu. Bacabanga ukuthi kungaba nezici eziningi. Eziyinhloko okucatshangwa ukuthi ziyizimbangela yilezi:- I -Malassezia uhlobo lwemvubelo olukhona esikhumbeni sawo wonke umuntu. Kodwa-ke, kwabanye abantu, ikhula ngokweqile.
- Amazinga aphezulu e-hormone i-androgen .
- EsikhumbeniAmazinga aphezulu e-lipids.
- Ukusabela kokuvuvukala esikhumbeni.
- Umlando womndeni (okusho ukuthi kungaba yinto evela ezizukulwaneni ngezizukulwane).
- Ukucindezeleka
- Isimo sezulu esibandayo nesomile
- Isikhumba esinamafutha
- Ukusebenzisa ama-lotion aqukethe utshwala
- Ukuba nezinye izimo zesikhumba ezifana ne -rosacea , i-psoriasis, kanye ne-acne.
Ingabe isimo sezulu siyakuthinta lokhu?
Yebo, nakanjani. Ngesikhathi semvula, umoya owomile ungenza i-seborrheic dermatitis yakho ibe yimbi kakhulu. Kodwa ehlobo, isimo siyathuthuka kancane. Isizathu salokhu ukuthi imisebe ye-UV-A kanye ne-UV-B elangeni ingabulala imvubelo ekhula phezu kwesikhumba sabantu abane-seborrheic dermatitis. Kodwa kungcono ukuqaphela ukushiswa yilanga!Ingabe ukudla neziphuzo kungakwandisa noma kunciphise lesi simo?
Kunemibono ehlukene ngalokhu. Kodwa-ke, umbono wochwepheshe uwukuthi akukabonakali ukuthi ukudla kubangela noma kunciphisa i-seborrheic dermatitis . Futhi, ukudla akuthinti i-dandruff.Uyini umehluko phakathi kwe-Seborrheic Dermatitis ne-Psoriasis?
Ngezinye izikhathi lokhu kokubili kungabukeka kufana. Kokubili kubangela amabala abomvu, anamabala esikhumbeni. Kokubili kungathinta isikhumba sekhanda. Kodwa-ke, i-psoriasis yisimo sesikhumba esivuvukalayo esithinta phakathi kuka-2% no-4% wabantu. Ku-psoriasis, amabala angaba makhulu kunaku-seborrheic dermatitis. Futhi imiphetho yamabala ibonakala ngokucacile. Ekhanda lekhanda, ku-psoriasis, amabala anombala wesiliva kakhulu kunomhlophe noma ophuzi. Ngezinye izikhathi kokubili kungenzeka ndawonye. Lokhu kubizwa ngokuthi i-sebopsoriasis . Kulokhu, zombili izimpawu zikhona.Uma ungaqiniseki ukuthi une-dandruff noma i-seborrheic dermatitis, kungcono ukubona udokotela ukuze akunike iseluleko , njengoba ukwelashwa kweyodwa kungase kungasebenzi kwenye.
Ingabe i-seborrheic dermatitis ibangela ukulahleka kwezinwele?
Cha. I-seborrheic dermatitis ayibangeli ngqo ukulahleka kwezinwele . Kodwa-ke, ukulunywa ngokweqile kungabangela ukuthi izinwele ziphuke.Ingabe kukhona ukuxhumana phakathi kwalokhu kanye ne-acne?
Yebo, i-seborrheic dermatitis kanye ne-acne kungavela kokubili ngesikhathi esisodwa, ezindaweni ezifanayo zomzimba. Zombili zithinteka yi-oily yesikhumba sakho. Abantu abane-acne nabo banamathuba amaningi okuthola i-dandruff.Kutholakala kanjani lokhu?
I-seborrheic dermatitis yisimo esibonakala kalula.Lokhu kungenxa yokuthi udokotela angayixilonga ngokususelwa ekubukekeni kwesikhumba esithintekile kanye nezindawo emzimbeni lapho ivela khona. Ukuhlolwa kwegazi, umchamo, noma ukungezwani komzimba ngokuvamile akudingeki. Kodwa-ke, uma isimo sakho singathuthuki ngokwelashwa, udokotela wesikhumba angase athathe ingxenye encane yesikhumba (i-skin biopsy) ukuze anqume esinye isimo.Yiziphi izindlela zokwelapha lokhu?
I-seborrheic dermatitis kubantu abasha nabadala ngokuvamile ayipheli ngaphandle kokwelashwa. Ukwelashwa kuncike ekutheni ikuphi emzimbeni wakho nokuthi inzima kangakanani. Umgomo oyinhloko wokwelashwa ukunciphisa izimpawu ze-seborrheic dermatitis, okuhlanganisa ukulunywa nokubomvu. Lokhu kufaka phakathi imikhiqizo ethengiswa ngaphandle kwemithi kadokotela (OTC) kanye nemikhiqizo kadokotela . Imithi kadokotela ifaka phakathi ama-antifungal angaphandle, ama-calcineurin inhibitors, kanye nama-corticosteroids. Ukwelashwa kokulungisa kuvame ukudingeka. Ngezinye izikhathi, inhlanganisela yalezi zindlela zokwelapha ingasetshenziswa.Ukwelashwa Kwesikhumba Sekhanda
I-Cradle Cap yezinsana
- I-Cradle Cap ivame ukuba ngcono ngaphandle kokwelashwa ngesikhathi umntwana ephakathi kwezinyanga ezingu-8 nezingu-12 ubudala.
- Lokhu kungafezwa ngokugeza izinwele zakho nsuku zonke nge-shampoo encane yengane.
- Ungahlikihla noma ukhame isikhumba sakho sekhanda ngebhulashi elithambile. Yenza lokhu izikhathi eziningana ngosuku nangemva kokugeza ngeshampu. Qaphela ukuthi ungalimazi isikhumba , ngoba kungaholela ekuthelelekeni.
- Uma lesi simo siqhubeka, noma uma ingane yakho iklwebha ikhanda njengokungathi isezinhlungwini, bheka udokotela wezingane noma udokotela wesikhumba. Angase ancome i-shampoo noma i-lotion ekhethekile.
- Uma lesi simo sivela kwezinye izingxenye zomzimba, ungasebenzisa i-lotion ethambile ye-steroid.
Kwabantu abasha kanye nabantu abadala
- Ezimweni ezithambile , ungathenga i-shampoo ye-dandruff equkethe i-selenium, i-zinc pyrithione, noma i-coal tar ekhemisi. Yisebenzise kabili ngesonto noma ngokwemiyalelo esebhodleleni.
- Ukuze kulawulwe isikhathi eside , udokotela wakho angase akunikeze i-shampoo yokubola equkethe i-ciclopirox (Loprox®) noma i-ketoconazole (Nizoral®). Lawa ma-shampoo kufanele asetshenziswe nsuku zonke izikhathi ezimbili kuya kwezintathu ngesonto amasonto amaningana kuze kube yilapho i-dandruff iphela. Bese, uwasebenzise kanye ngesonto noma njalo ngemva kwesonto ukuze uwavimbele ukuthi angabuyi. Udokotela wakho uzokutshela ngqo ukuthi uwasebenzisa kanjani.
- Ezimweni ezimaphakathi nezinzimaUma kunjalo, udokotela wakho angase akunike i-shampoo equkethe i-betamethasone valerate (Luxiq®), i-clobetasol (Clobex®), i-fluocinolone (Capex®), noma isixazululo se-fluocinolone (Synalar®). Lezi zingasetshenziswa nsuku zonke, noma zingasetshenziswa kabili ngosuku amasonto amabili, bese kuba kabili ngesonto. Sebenzisa njengoba kuqondiswe udokotela wakho.
Buza udokotela wakho ukuthi yimiphi imiphumela emibi okufanele uyiqaphele uma usebenzisa lawa ma-shampoo.
Ukwelashwa Kobuso Nomzimba
Ama-antifungal asetshenziswa ezikhungweni, ama-corticosteroids, kanye nama-calcineurin inhibitors asetshenziselwa ukwelapha i-seborrheic dermatitis ebusweni nasemzimbeni.- Imithi yokulwa ne-antifungal esetshenziswa endaweni ethintekile ifaka phakathi i-ciclopirox, i-ketoconazole, noma i-sertaconazole. Lezi ziza ngesimo sokhilimu, i-foam, noma i-gel. Ngokuvamile zifakwa endaweni ethintekile kabili ngosuku kuze kube amasonto ayi-8, bese zisetshenziswa njengoba kudingeka.
- Ama-corticosteroids asetshenziswa endaweni yokwelashwa afaka phakathi i-betamethasone valerate, i-desonide, i-fluocinolone, noma i-hydrocortisone. Afika njengokhilimu, ama-lotion, ama-foam, ama-gel, amafutha okugcoba, amafutha, noma uketshezi. Asetshenziswa kanye noma kabili ngosuku. Udokotela wakho angase akunike lokhu uma isimo sakho singathuthuki ngemithi yokulwa namagciwane noma uma isimo sakho siba sibi ngokuzumayo. Ukusebenzisa ama-corticosteroids njalo amasonto noma izinyanga kungabangela isikhumba sakho ukuba sinciphe. Ngakho ungaqhubeki nokusebenzisa wona ngaphandle kweseluleko sikadokotela.
- Ama-inhibitor e-Calcineurin ayindlela ehlukile kune-corticosteroids. Lokhu kufaka phakathi i-pimecrolimus cream (Elidel®) noma i-tacrolimus ointment (Protopic®). Asetshenziswa endaweni ethintekile kabili ngosuku.
- Uma isimo sakho sibi kakhulu , udokotela wakho angase akunikeze umuthi wokulwa ne-antifungal noma i-phototherapy ukuze kuncishiswe ukuvuvukala kwesikhumba.
Unganciphisa kanjani ingozi yokuthola i-seborrheic dermatitis?
Empeleni zimbalwa kakhulu izinto ongazenza ukuvimbela i - seborrheic dermatitis.Kuyisimo semvelo, esingenangozi. Kungaphathwa kalula ekhaya. Uma usemncane noma umdala, uma umzimba wakho unezinga eliphezulu lama-hormone e-androgen, uma isikhumba sakho sinamazinga aphezulu amafutha, noma uma unemvubelo eningi, kungenzeka ukuthi uyithole. Kodwa kunemikhuba elula yezempilo ongayilandela ukuze unciphise ingozi yakho:- Bhala kahle.
- Lawula ukucindezeleka.
- Ziveze elangeni (ukukhanya kwe-UV) isikhashana (imizuzu embalwa) nsuku zonke. Kodwa qaphela ilanga elinamandla emini.
Yini engingayilindela ngalesi simo?
I-Cradle Cap iyisimo esivamile ezinganeni. Ngokuvamile ayibuhlungu, iyaluma, futhi ayinangozi. Ivela emavikini ambalwa okuqala kuya ezinyangeni ezimbalwa zokuphila, futhi iningi lezinsana alisathinteki yiso ezinyangeni ezingu-12. Ingaphathwa ngokunakekelwa okulula ekhaya. I-seborrheic dermatitis, ethinta isikhumba sekhanda, ubuso, kanye nomzimba wabancane nabadala, iyisimo sokuphila konke . Ngenhlanhla, ingaphathwa ngokwelashwa. Ngokwelashwa okufanele, lesi simo sithuthuka ngokushesha.Uma ukuzelapha ngokwakho kungasizi, noma uma indawo ethintekile ibuhlungu, inoqweqwe, noma ikhipha ubomvu, qiniseka ukuthi ubona udokotela .
Kufanele ngizinakekele kanjani?
Uma une-seborrheic dermatitis ekhanda lakho, ungazama ama-shampoo amaningana e-dandruff atholakala ngaphandle kwe-counter. Uma i-shampoo eyodwa ingasebenzi, hlola isithako esisebenzayo bese uzama esinye esinesithako esihlukile. Ama-shampoo kufanele afakwe ekhanda lakho bese eshiywa okungenani imizuzu emi-5 ngaphambi kokuhlanza. Uma ucabanga ukuthi une-seborrheic dermatitis ebusweni noma emzimbeni wakho, bona udokotela noma udokotela wesikhumba. Bangakuhlola futhi banqume ukuthi lesi simo sisakazeke futhi sibi kangakanani. Bangakusiza ukhethe ukwelashwa okungcono kakhulu, balawule isimo sakho, futhi baphathe ukuqubuka. Landela yonke imiyalelo futhi ungesabi ukubuza udokotela wakho uma unemibuzo noma ukukhathazeka.Kufanele ngimbone nini udokotela?
Uma izimpawu zakho ziba zimbi kakhulu noma uma unesifo sokusha kwesikhumba, kufanele ubonane nodokotela wesikhumba. Udokotela wakho kungase kudingeke alungise umthamo wemithi yakho, engeze umuthi omusha ohlelweni lwakho lokwelashwa, noma ashintshe umuthi ngokuphelele.Yimiphi imibuzo okufanele ngiyibuze udokotela wami?
Uma ubona udokotela, ungabuza imibuzo efana nale:- "Dokotela, ngokusekelwe ezimpawini zami, ingabe nginayo i-seborrheic dermatitis, noma enye into efana ne-eczema, i-atopic dermatitis, noma i-psoriasis?"
- "Yiziphi izindlela zokwelapha engingazithola ekhemisi uma ngizizwa ngingcono? Noma ingabe kudingeka ngenze izindlela zokwelapha eziningana ngesikhathi esisodwa?"
- "Ingabe kukhona i-shampoo ekhethekile yokulahlekelwa izinwele, ukhilimu, noma i-lotion enconywa udokotela?"
- "Uma lokhu kunganciphi ngemithi yasekhaya, udokotela anganginika yini i-shampoo, ukhilimu, noma i-lotion?"
- "Kufanele ngibonane kangaki nodokotela wesikhumba ngenxa yalesi simo?"
- "Kufanele ngenzenjani uma ngiba nokusabela kokungezwani komzimba ne-shampoo/ukhilimu/iloshini engiyisebenzisayo?"
Okokugcina, izinto okufanele uzikhumbule
I-seborrheic dermatitis yisimo esibuhlungu nesingathandeki kancane. Kodwa-ke, asibeki ingozi enkulu empilweni . Ngokwelashwa, lesi simo singaphathwa kahle. Ngakho-ke, isikhumba esibuhlungu kanye nama-flakes amhlophe ehembe lakho elimnyama akudingeki kube yingxenye yenqubo yakho yansuku zonke! Uma uneminye imibuzo ngalokhu, ungangabazi ukukhuluma nodokotela wakho.👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Kuyini i-Seborrheic Dermatitis? Ingabe isifo sesikhumba?
Lokhu kuwukuqubuka okuphuzi, okunamaqhubu okuvela ezindaweni zesikhumba sethu ezikhiqiza amafutha amaningi (isikhumba sekhanda, ubuso, izinhlangothi zekhala, nesifuba). Uma lokhu kwenzeka, indawo iba bomvu, ilume kakhulu, bese kuvela uketshezi olumhlophe, olunamaqhubu, olufana nempuphu.
💬 Iyini imbangela eyinhloko yalesi sifo?
Imbangela eqondile yalesi simo ayaziwa okwamanje, kodwa kukholakala ukuthi ibangelwa ukukhula ngokweqile kwesikhunta esibizwa ngokuthi iMalassezia, esivame ukuhlala esikhumbeni sethu, kanye nokusabela ngokweqile kwesimiso sethu somzimba sokuzivikela kulesi khunta.
💬 Ingabe kukhona ukwelashwa okuphumelelayo kwalokhu okungenziwa ekhaya?
Uma kusekhanda lakho, geza ikhanda lakho nge-shampoo yekhemisi yokulwa ne-dandruff equkethe imithi efana ne-ketoconazole noma i-selenium sulfide. Uma kusebusweni bakho, ungafaka ukhilimu we-hydrocortisone omncane izinsuku ezimbalwa ukuze unciphise ukulunywa.
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