Ingabe isikhumba sakho siphenduka umbala oluhlaza okwesibhakabhaka-ompunga? Kungaba yi-Argyria! Singaxoxa ngalokhu?

Wake waphawula ukuthi isikhumba somuntu siphenduka umbala oluhlaza okwesibhakabhaka ompunga ngendlela engavamile? Noma wake waphawula ushintsho olufanayo esikhumbeni sakho? Ngezinye izikhathi akukubi kangako, kodwa kukhona isimo esingavamile kodwa esibalulekile esingasibangela. Yilokho esizokhuluma ngakho namuhla. Kubizwa ngokuthi i-Argyria.

Kuyini i-Argyria?

Kulungile, yini i-Argyria? Kalula nje, yisimo lapho isikhumba sethu kanye nolwelwesi lwamafinyila - ulwelwesi oluthambile nolumanzi ngaphakathi emizimbeni yethu, njengangaphakathi kwemilomo yethu - luphenduka umbala oluhlaza okwesibhakabhaka nompunga. Cabanga ngakho njengokungathi othile upende umzimba wakho ngopende oluhlaza okwesibhakabhaka nompunga. Imbangela enkulu yalokhu ukunqwabelana kwensimbi ebizwa ngokuthi isiliva emizimbeni yethu. Ungaba nalesi simo uma ubhekene nezinhlayiya ezincane zesiliva isikhathi eside, futhi uma uzigwinya.

Isiliva yinto esiyaziyo sonke. Siyinto etholakala oqweqweni lomhlaba. Sisetshenziselwa ukwenza ubucwebe, izinto zokusanhlamvu, izibuko, amabhethri, nezinye izinto eziningi. Eqinisweni, kunezinhlayiya ezincane zale nsimbi ezisizungezile nsuku zonke. Zingatholakala emoyeni esiwuphefumulayo, ekudleni esikudlayo, emanzini esiwaphuzayo, ekugcwaliseni amazinyo, emithini ethile, kanye nasezithasiselo. Lokho kusho ukuthi mina nawe sonke sinesiliva esincane emizimbeni yethu. Lokho kuvamile. Kodwa-ke, uma leli nani lesiliva emzimbeni landa kakhulu, khona-ke izimpawu ze-Argyria ziqala ukubonakala.

Ivame kangakanani i-Argyria?

Manje ungase ucabange, 'O, ingabe lesi yisifo esitholwa yiwo wonke umuntu?'. Uma ngikhuluma iqiniso, i-Argyria akuyona into evamile kakhulu. Isizathu salokhu ukuthi ukusetshenziswa kwesiliva ekukhiqizeni nakwezokwelapha kwehle kakhulu ekhulwini lama-21. Esikhathini esidlule, isiliva lalisetshenziswa kweminye imithi. Kodwa manje, ukusetshenziswa okunjalo kuncane kakhulu.

Abantu abasebenza ngesiliva, njengasemayini yesiliva noma emafektri akhiqiza isiliva, basengozini enkulu kakhulu. Futhi, abanye abantu basebenzisa isiliva se-colloidal njengesengezo sokudla. Basengozini futhi. Isiliva se-colloidal siyisisombululo esenziwe ngokuncibilikisa izinhlayiya zesiliva emanzini. Abanye abantu bakholelwa ukuthi singalapha izifo, kodwa kunobufakazi obuncane besayensi balokhu, futhi singadala nezimo ezifana ne-argyria.

Yiziphi izinhlobo eziyinhloko ze-Argyria?

Ingabe kunezinhlobo ezahlukene ze-Argyria? Yebo, sikhuluma ngezinhlobo ezintathu eziyinhloko:

1. I-Argyria Ejwayelekile:Okwenzekayo kulesi simo ukuthi izimpawu zisakazeka emzimbeni wonke, noma ezindaweni ezinkulu zesikhumba. Ziphenduka zibe luhlaza okwesibhakabhaka, njengomzimba wonke. Cabanga nje, ziqala endaweni eyodwa ekuqaleni, bese zisakazeka kancane kancane emzimbeni wonke.

2. I-Argyria Etholakala Endaweni: Lokhu kwenzeka lapho izimpawu zikhawulelwe endaweni encane yomzimba noma yesikhumba. Isibonelo, indawo eyodwa yesandla ingase ishintshe umbala. Lokhu kungenzeka lapho kusetshenziswe into efana namafutha esiliva.

3. I-Argyrosis: Lokhu kwenzeka lapho izimpawu zithinta iso elilodwa noma womabili kuphela. Lokhu kusho ukuthi ingxenye emhlophe yamehlo (i-conjunctiva) noma i-cornea ingase ibonakale iluhlaza okwesibhakabhaka. Lokhu kungabangelwa ukusetshenziswa isikhathi eside kwamaconsi athile amehlo aqukethe isiliva.

Ziyini izimpawu ze-Argyria?

Izimpawu eziyinhloko ezingabonakala kulesi simo yilezi:

• Isikhumba sakho siphenduka umbala oluhlaza okwesibhakabhaka-ompunga, mhlawumbe sibe mpunga. Lesi yisibonakaliso esiyinhloko nesisobala kakhulu.
• Ukushintsha kombala kwenzeka ezindaweni ezivezwe elangeni. Lokhu kusho ukuthi izindawo ezifana nobuso, intamo, nezandla zingase zibe mnyama kunezinye izindawo. Kucatshangwa ukuthi lokhu kwenzeka lapho izinhlayiya zesiliva zisabela ekukhanyeni kwelanga.
• Izinzipho zakho zingase zibe mnyama kunokuvamile. Zingase zibe nombala oluhlaza okwesibhakabhaka nongwevu.
• Ukuvela kwamabala amancane, afana namaqhubu (ama-macule) esikhumbeni aphenduke aluhlaza okwesibhakabhaka-ompunga. Lawa ngokuvamile amabala angenabuhlungu, aphakanyisiwe asezingeni elifanayo nesikhumba.

Ngezinye izikhathi, ngaphambi kokuba lezi zimpawu zivele, izimpawu zokuqala zingabonakala emlonyeni. Izingxenye zezinsini zingase zibe nsundu ngokumpunga, bese isimo sisakazekela esikhumbeni.

Ukuthi izimpawu zakho zibukeka kanjani kuncike ezintweni eziningana:

• Ingakanani isiliva emzimbeni wakho.
• Isiliva sangena kanjani emzimbeni (ngesikhumba, ngokuphefumula, noma ngokudla)?
• Sekuyisikhathi esingakanani isiliva emzimbeni wakho?

Ngaphezu kwalezi zimpawu eziyinhloko, ukunqwabelana kwesiliva emzimbeni kungabangela izimpawu ezengeziwe. Lezi yizi:

• Ubuhlungu besisu
• Ukukhathala
• Ubuhlungu bekhanda
• Ukulimala kwezinso
• Ukusabela okunciphile emithini ethile (Ukumelana nemithi ethile)
• Ukucasuka kwesikhumba noma ukulunywa
• Ukuquleka - Lokhu akuvamile kakhulu.

Ziyini izimbangela ze-Argyria?

Imbangela eqondile yalokhu ubuthi besiliva , okusho ukuthi isiliva esiningi kakhulu sihlala emzimbeni.

Njengoba sesishilo ngaphambili, imizimba yethu iqukethe isiliva esincane nezinye izinsimbi. Lokho akuyona inkinga. Ubuthi buvame ukwenzeka uma ubhekene nezinhlayiya zesiliva isikhathi eside. Kunezindlela eziningana isiliva esingangena ngazo emzimbeni wakho:

• Ukumuncwa: Amafutha aqukethe isiliva kanye noketshezi kungamuncwa esikhumbeni uma kufakwa esikhumbeni .
• Ukuphefumula: Izinto ezifana nothuli lwesiliva kanye nentuthu zingangena emaphashini uma ziphefumulwa ngekhala noma ngomlomo.
• Ukungena: Uma udla ukudla, iziphuzo, imithi, noma izithasiselo eziqukethe isiliva, kungangena esiswini bese kungene emzimbeni.

Ngingadalulwa kanjani yisiliva?

Ukuvezwa kwesiliva ukumuncwa kwezinhlayiya ezincane zesiliva emzimbeni wakho. Lokhu kuvame ukwenzeka kancane, isikhathi eside. Ngeke uthole lesi simo uma udla ngesipuni sesiliva noma ugqoke umgexo wesiliva noma amacici. Inani lesiliva elimuncwa emzimbeni wakho kulokhu lincane kakhulu. Izindlela eziyinhloko ongadalulwa ngazo isiliva elanele ukubangela i-argyria yilezi:

• Ukuchayeka emsebenzini: Lokhu kuthinta kakhulu abantu abasebenza ezimayini zesiliva kanye nokukhiqiza okuhlobene nesiliva (isib. ubucwebe, izinto zikagesi). Uma bengagqoki izingubo zokuzivikela ezifanele kanye nezifihla-buso, izinhlayiya zesiliva zingangena emizimbeni yabo.
• Ukuthatha imithi noma izithasiselo zokudla eziqukethe usawoti wesiliva, isiliva se-colloidal, noma i-acetate yesiliva: Abanye abantu bathatha izinto ezifana nesiliva se-colloidal njengokwelapha izifo ezahlukahlukene. Kodwa-ke, uma lezi zithathwa isikhathi eside, kunethuba elikhulu lokuthuthukisa i-argyria. Isiliva lalisetshenziswa nakweminye imithi esikhathini esidlule, kodwa ukusetshenziswa okunjalo akusavamile kakhulu manje.
• Izinqubo zokuhlinzwa ezisebenzisa i-silver sutures noma i-silver amalgam: Lezi azivamile kulezi zinsuku. Iningi le-dental fillings kanye ne-sutures ezisetshenziswa namuhla azina-silver. Kodwa-ke, uma uke wafaka noma yikuphi ukugcwalisa ngaphambilini, kungumqondo omuhle ukukhuluma nodokotela wakho ngakho.

I-Argyria itholakala kanjani?

Udokotela wakho uzohlonza i-argyria ngemuva kokuthatha umlando wakho wezokwelapha ophelele nokwenza ukuhlolwa ngokomzimba ukuze afunde kabanzi ngezimpawu zakho. Udokotela uzokubuza imibuzo mayelana nokuthi ngabe uke wavezwa yini yizinsimbi muva nje nokuthi ngabe usebenzise noma yimiphi imikhiqizo equkethe isiliva.

Ezinye izivivinyo zingenziwa ukuqinisekisa ukuxilongwa nokukhipha ezinye izimo. Ukuhlolwa okusebenza kahle kakhulu kwalokhu yi-skin biopsy. Lokhu kuhilela udokotela ukuthatha isampula encane yesikhumba endaweni eluhlaza okwesibhakabhaka esikhumbeni sakho bese esihlola ngaphansi kwe-microscope ukuze abone ukuthi kukhona yini isiliva kuso.

Iphathwa kanjani i-Argyria?

Uma ngikhuluma iqiniso, ukwelapha i-Argyria kuyinselele kancane kodokotela, ngoba uma umbala wesikhumba usushintshile, kunzima kakhulu ukuwubuyisela esimweni sawo esijwayelekile ngokuphelele.

Uma kutholakala ukuthi une-argyria, udokotela wakho uzoqala akutshele ukuthi uyeke ukusebenzisa yonke imikhiqizo equkethe isiliva. Lokhu kufaka phakathi imithi, amaconsi amehlo, kanye nezithasiselo. Uma usebenza endaweni lapho kukhona khona isiliva, udokotela wakho uzokweluleka ukuthi ugqoke Izinto Zokuzivikela Zomuntu Siqu (PPE) uma usebenza. Lokhu kufaka phakathi amagilavu, izibuko zokubona, kanye nezihlangu zobuso.

Kunemithi ethile enikezwa ukususa izinsimbi emzimbeni, ebizwa ngokuthi "ama-chelating agents ." Ngeshwa, lawa "ma-chelating agents" awasebenzi kahle kakhulu kwi-argyria.

Abanye abantu abane-argyria babike ukuthi ukushintsha kombala wesikhumba sabo kuyathuthuka kancane ngokwelashwa okubizwa ngokuthi "ukwelashwa nge-laser." Wake wezwa "ngokwelashwa nge-laser"? Kulokhu, udokotela usebenzisa ukukhanya okunamandla ukuqondisa isikhumba esishintsha umbala. Lokhu kubhubhisa izicubu zesikhumba ezikhona futhi kusiza isikhumba esisha nesinempilo sikhule. Kodwa-ke, ukuthi lokhu kusebenza kuwo wonke umuntu nokuthi kuphumelele kangakanani kungahluka kumuntu nomuntu. Kungabiza kakhulu futhi.

Ingabe ikhona imiphumela emibi yokwelashwa?

Imiphumela yokwelashwa ngakunye kwe-argyria iyahlukahluka kuye ngokuthi ingakanani isiliva emzimbeni wakho. Ngenxa yokuthi ukushintsha kombala wesikhumba akunakulungiseka, imiphumela yokwelashwa ingase iphumelele kancane noma ingase ingaphumeleli nhlobo. Ucwaningo lusaqhubeka ukuthola izindlela zokwelapha ezingcono ze-argyria.

Ngingabhekana kanjani nezimpawu zami?

Ukushintsha kombala wesikhumba sakho kungenziwa kube kubi kakhulu ngokuchayeka emisebeni ye-ultraviolet (UV) eyingozi evela elangeni. Ngakho-ke, ukuze uvimbele ukuba mnyama kwesikhumba sakho, qiniseka ukuthi ugqoka izingubo ezimboza isikhumba sakho uma uphuma ngaphandle, ugqoke isigqoko, futhi usebenzise i-sunscreen nsuku zonke. Uma uhilelekile emisebenzini yangaphandle, ungakhohlwa ukuphinda ufake i-sunscreen uma ujuluka noma umanzi.

Ungasebenzisa izimonyo ukuze umboze okwesikhashana izindawo zesikhumba sakho ezibonisa izimpawu ze-argyria. Kodwa qiniseka ukuthi ugeza izimonyo kahle ekupheleni kosuku, kungenjalo zingavala izikhala zakho.

Yini engingayilindela uma ngine-Argyria?

I-Argyria yisimo esinzima ukwelapha, futhi izimpawu zingase zingaphinde ziguqulwe. Uma ukwelashwa kungasebenzi kahle, ungasebenzisa izimonyo ukuze ufihle okwesikhashana umbala wesikhumba oluhlaza okwesibhakabhaka nongwevu.

Into ebaluleke kakhulu ukukhuluma nodokotela wakho ngaphambi kokusebenzisa noma yimiphi imikhiqizo equkethe ngisho nenani elincane lesiliva, ikakhulukazi izithasiselo ezifana nesiliva se-colloidal. Uma usebenza nesiliva, khuluma nomqashi wakho ngezinyathelo ongazithatha ukuze uzivikele ezinhlayiyeni zesiliva endaweni yakho yokusebenza, okuhlanganisa nokusebenzisa imishini yokuzivikela yomuntu siqu (PPE).

Ngingayivimbela kanjani i-Argyria?

Ungenza lezi zinto ukunciphisa ingozi yakho yokuthola i-Argyria:

• Gwema ukusebenzisa imikhiqizo equkethe isiliva, ikakhulukazi isiliva se-colloidal, ngaphandle kweseluleko sikadokotela.
• Uma usebenza ngesiliva, qiniseka ukuthi ugqoka imishini yokuzivikela (i-PPE).
• Sebenzisa isivikelo selanga nsuku zonke ukuze uvimbele ukushiswa yilanga ngokweqile.
• Uma uthatha umuthi oqukethe isiliva, khuluma nodokotela wakho ngawo. Kungase kube khona okunye okuhlukile.
• Uma unezithako ezindala ze-amalgam eziqukethe isiliva, khuluma nodokotela wamazinyo mayelana nokuzishintsha.

Kufanele ngimbone nini udokotela wami?

Uma ucabanga ukuthi unezimpawu ze-argyria, bona udokotela wakho ngokushesha. Ukutholwa kusenesikhathi nokuyeka ukuchayeka esiliva kungasiza ekuvimbeleni izimpawu ukuthi zingasabalali emzimbeni wakho wonke.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma ubona udokotela, kungaba usizo ukubuza imibuzo efana nale:

• Ingabe kuwumqondo omuhle ukushintsha ama-amalgam fillings ami amadala?
• Ngingazivikela kanjani esiliva emsebenzini?
• Ingabe ukwelashwa nge-laser kufanelekile kimi?
• Iyini imiphumela emibi yokwelashwa?

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Argyria iwukushintsha kombala wesikhumba okungajwayelekile kodwa ngezinye izikhathi okungenakuguqulwa. Uma usebenza ngemikhiqizo equkethe isiliva, khuluma nomqashi wakho ngendlela yokuzivikela emsebenzini wakho. Khumbula, imikhiqizo equkethe isiliva njengesiliva se-colloidal ingaba yingozi emzimbeni wakho. Uma ucabanga ukuyisebenzisa, qiniseka ukuthi uthintana nodokotela wakho mayelana nendlela yokukwenza ngokuphephile. Kubalulekile ukucabanga kabili ngaphambi kokusebenzisa noma yini ongayazi. Uma unemibuzo, kungcono ukubuza udokotela.

I- Argyria, isikhumba esiluhlaza okwesibhakabhaka, isikhumba esimpunga, ubuthi besiliva, izifo zesikhumba, ukushintsha kombala wesikhumba, isiliva se-colloidal