Ukuqubuka kwebhabhathane ebusweni: Ake sifunde nge-Acute Cutaneous Lupus (ACLE) ngamagama alula

Wake waba nokuqubuka okufana namaphiko evemvane, noma ukuqubuka okubomvu, ezihlathini zakho nasemakhaleni? Abantu abaningi bacabanga ukuthi kumane nje kubangelwa ukusha kwelanga noma ukungezwani komzimba. Kodwa ngezinye izikhathi kungaba uphawu lokuthile okungathi sína kakhulu. Namuhla sikhuluma nge-'Acute Cutaneous Lupus', uhlobo lwe-lupus oluthinta isikhumba futhi olunalezi zimpawu.

Okokuqala, ake sibone, iyini i-Lupus?

Kalula nje, i-lupus iyisifo esibangelwa ukuzivikela komzimba. Baba, ingabe lokho kuzwakala kuyinkimbinkimbi? Kulungile, ake ngichaze. Cabanga ukuthi umzimba wethu unesimiso sokuzivikela. Sikubiza ngokuthi isimiso sokuzivikela komzimba. Umsebenzi wabo ukubona nokuhlasela izitha ezifana namagciwane, amagciwane, namabhaktheriya angena emzimbeni evela ngaphandle, futhi asivikele ezifweni.

Kodwa, kumuntu onesifo sokuzivikela komzimba njenge-lupus, kukhona okungahambi kahle. Leso simiso sokuzivikela senza iphutha futhi asikwazi ukubona umehluko phakathi kwabahlaseli bakwamanye amazwe kanye namaseli nezicubu zethu ezinempilo. Ngakho-ke, baqala ukuhlasela amaseli ethu anempilo. Lokhu kungabangela ukuvuvukala, ubuhlungu, kanye nomonakalo ezingxenyeni ezahlukene zomzimba.

Uhlobo lwe-lupus oluvame kakhulu noluvame kakhulu yi -Systemic Lupus Erythematosus (SLE) . Kulesi simo, ukuhlasela kwe-autoimmune akugcini esikhumbeni. Kungathinta nezitho zangaphakathi njengezinso, inhliziyo, amaphaphu kanye namalunga. Cishe abantu abathathu kwabane abane-lupus banalesi simo.

Ngakho-ke iyini i-cutaneous lupus?

Igama elithi 'cutaneous' lisho ukuthi "kuhlobene nesikhumba." I-Cutaneous Lupus Erythematosus (CLE) yisimo lapho i-lupus ithinta khona isikhumba kakhulu. Yilapho amasosha omzimba ehlasela ngqo amangqamuzana esikhumba. Lokhu kubangela izinhlobo ezahlukene zamabala, izilonda, kanye nezilonda esikhumbeni.

I-Acute Cutaneous Lupus (ACLE) uhlobo lwe-skin lupus. Igama elithi 'Acute' lisho "ukwenzeka ngokuzumayo." Ngakho-ke okwenzekayo kulokhu ukuthi izimpawu, ikakhulukazi ukuqubuka kwe-butterfly, zivela ngokuzumayo. Esikhathini esiningi, lokhu kwenzeka ngemva kokuchayeka elangeni.

Yiziphi izinhlobo ze-lupus yesikhumba?

Kunezinhlobo ezintathu eziyinhloko ze-lupus ezithinta isikhumba. Uhlobo ngalunye lunokuqubuka okuhlukile. Ukuze uqonde lokhu ngokucacile, bheka ithebula elingezansi.

Ubani onamathuba amaningi okuthuthukisa lesi simo se-ACLE?

Imbangela eqondile ye-lupus ayikatholakali okwamanje, kodwa abanye abantu batholakale besengozini enkulu.

• Izimbangela zofuzo: Uma othile emndenini wakho ene-lupus noma ezinye izifo ezizimele, nawe ungase ube sengozini.
• Ubulili: Okumangalisayo ukuthi lesi sifo sivame kakhulu kwabesifazane.
• Ubudala: Ngokuvamile kuvame phakathi kwabesifazane abaneminyaka ephakathi kuka-20 no-50.
• Uhlanga: Lesi sifo sivame kakhulu phakathi kwamaqembu athile ezinhlanga, isibonelo, abantu bomdabu wase-Afrika nowase-Asia.

Cishe izingxenye ezimbili kwezintathu zabantu abane-SLE ziba nezimpawu zesikhumba, okuhlanganisa ne-ACLE. Abanye abantu baqala ukutholakala bene-lupus ngemva kokuvela kwalesi sifo esibangelwa yi-butterfly rash.

Ziyini izimpawu ze-ACLE?

Uphawu oluyinhloko nolusobala kakhulu yi -butterfly rash esikhulume ngayo. Lokhu kubizwa ngokwezokwelapha ngokuthi 'i-malar rash'. Igama elithi 'Malar' lisho isihlathi. Nakuba libukeka njengokushiswa yilanga, ngokuvamile alibuhlungu. Kodwa-ke, ngezinye izikhathi lingaba lusizi kancane.

Into enhle ngalobu bubomvu ukuthi abushiyi izibazi ngokuhamba kwesikhathi. Kodwa-ke, ngemva kokuba ububomvu sebupholile, umbala wesikhumba kulezo zindawo ungase ukhanye kancane noma ube mnyama kunangaphambili.

Ngaphezu kokuqubuka kwe-butterfly, kungase kube nezinye izimpawu.

• Ukuqubuka ezandleni nasezinyaweni ngemva kokushiswa yilanga.
• Izilonda ezibuhlungu ngaphakathi emlonyeni (izilonda zomlomo).
• Amaqhubu abuhlungu aphakanyisiwe esikhumbeni (amaqhubu).
• Ukulahlekelwa izinwele okwesikhashana.

Kuyini lokhu "kugqashuka"?

Umuntu one-ACLE akanazo izimpawu ngaso sonke isikhathi. Kukhona umjikelezo wezimpawu ezivele zivele, ziphele isikhashana, bese ziphinde zivele. Lokhu kwanda okungazelelwe kwezimpawu yilokho esikubiza ngokuthi "ukuqubuka."

Kunezimbangela ezithile, noma 'izisusa', ezibangela lokhu kuqubuka.

• Ukukhanya kwelanga (imisebe ye-UV): Lesi yisona sizathu esiyinhloko. Yingakho ukuqubuka kuba kubi kakhulu uma uphuma elangeni.
• Ukucindezeleka: Izinto ezifana nokucindezeleka ngokweqile nokukhathazeka zingasenza lesi sifo sibe sibi kakhulu.
• Ezinye izifo ezithathelwanayo.
• Ukungalali ngokwanele.

Ungasithola kanjani lesi sifo?

Uma unalezi zimpawu, into yokuqala okufanele uyenze ukubona udokotela womndeni wakho. Uzokudlulisela kudokotela wesikhumba noma kudokotela wamathambo, uma kudingeka.

Udokotela wakho uzohlola isikhumba sakho. Ngezinye izikhathi , kungase kudingeke i-biopsy yesikhumba ukuze kutholakale ukuxilongwa okuqondile . Lokhu kuhilela ukuthatha ingxenye encane yesikhumba endaweni lapho kukhona khona ukuqhuma bese uyihlola ngaphansi kwe-microscope. Lokhu kungasiza ekunqumeni ukuthi ukuqhuma kubangelwa yi-ACLE noma esinye isimo sesikhumba.

Yiziphi izindlela zokwelapha?

I-ACLE ayisona isifo esingelapheki ngokuphelele. Kodwa-ke, izimpawu kanye nokuqubuka kwamalunga kungalawulwa kahle ngokwelashwa okufanele. Udokotela wakho uzokunikeza ukwelashwa okufanele kuye ngokuthi izimpawu zakho zibucayi kangakanani.

• Amafutha e-steroid asetshenziswa endaweni yokuchama: Lena imithi esetshenziswa esikhumbeni lapho kukhona khona ukuqubuka. Isibonelo, i-fluocinolone acetonide noma i-hydrocortisone butyrate. Lokhu kunciphisa ukuvuvukala nokubomvu.
• Imithi yokulwa nokuvuvukala: Imithi efana ne-dapsone noma i-methotrexate ephansi inganciphisa ubuhlungu nokuvuvukala.
• Imithi yokulwa nomalaleveva: Imithi efana ne-`hydroxychloroquine` (Plaquenil®) iyasebenza kakhulu ekwelapheni umalaleveva. Inciphisa ukukhathala, ukuqubuka kanye nobuhlungu bamalunga.
• Imithi elawula amasosha omzimba (i-Calcineurin inhibitors): Imithi efana ne-tacrolimus noma i-pimecrolimus ilawula ukusebenza kwesimiso somzimba sokuzivikela ngezinga elithile, inciphisa ukuhlasela kwaso esikhumbeni.

Ungakuvimbela kanjani ukuqubuka kwesikhumba?

Okubaluleke njengokuphuza imithi ukugwema izinto ezingabangela ukuqubuka kwamehlo. Abantu abaphakathi kuka-40% no-70% abane-lupus babhekana nokuqubuka kwamehlo ngemva kokuchayeka ekukhanyeni kwe-UV, ngakho-ke ukuvikelwa elangeni kufanele kube yinto yokuqala.

• Sebenzisa isithako sokuvikela ilanga nsuku zonke uma uphuma elangeni. Khetha isithako sokuvikela ilanga esine-spectrum ebanzi okungenani ene -SPF engu-30 noma ngaphezulu esivikela kokubili imisebe ye-UVA kanye ne-UVB.
• Gwema amahora ashisa kakhulu elangeni. Gwema ukuphuma elangeni ngangokunokwenzeka phakathi kuka-10 ekuseni no-4 ntambama.
• Gqoka izingubo ezikumboza kahle. Sebenzisa izinto ezinjengemikhono emide, izigqoko ezibanzi, kanye nezibuko zelanga.
• Gwema ngokuphelele imithombo yokukhanya kwe-UV yokwenziwa njengemibhede yokushiswa kwesikhumba .
• Ezinye izibani ezikhanyayo ezisetshenziswa ngaphakathi endlini zingakhipha nemisebe emincane ye-UV. Ngakho-ke, nciphisa ukuchayeka kuzo isikhathi eside.

Yini enye ongayenza ngaphandle kokuzivikela elangeni?

• Yidla ukudla okunomsoco. Faka izithelo, imifino, ubhontshisi kanye nokolweni ophelele ekudleni kwakho.
• Ukuzivocavoca. Yenza ukuzivocavoca okungadingi ukucindezeleka, njengokuhamba noma i-yoga, nsuku zonke.
• Lawula ukucindezeleka. Khulula ingqondo yakho ngendlela ekufanele, njengokuzindla noma ukulalela umculo.
• Lala kahle. Lala okungenani amahora angu-7-8 ngosuku.
• Uma ubhema, yeka ngokushesha. Ukubhema kungenza ukuqubuka kwesikhumba kube kubi kakhulu futhi kunciphise ukusebenza kahle kwemithi yokwelapha.