Ngezinye izikhathi ungavele uthole amaqhubu amancane alumayo emzimbeni wakho wonke, akunjalo? Ngezinye izikhathi lokhu kungaphenduka amaqhubu amakhulu agcwele amanzi. Nakuba abantu abaningi becabanga ukuthi lokhu kuyinto evamile yokungezwani komzimba noma into efana nokulunywa yizinambuzane, lokhu kuyinto okufanele ikhathazeke kakhulu ngayo, njengoba kungaba yisifo sesikhumba esibizwa ngokuthi i-Bullous Pemphigoid . Igama lingase lizwakale lingavamile, kodwa ungesabi. Namuhla, sizoxoxa ngalokhu ngendlela elula neqondakalayo.
Iyini ngempela i-Bullous Pemphigoid?
Kalula nje, i-Bullous Pemphigoid yisifo sesikhumba esingavamile esibonakala ngokulunywa okukhulu kanye nokwakheka kwama -blister aqinile, agcwele uketshezi .
Lawa maqhubu angaba mancane, endaweni eyodwa kuphela emzimbeni, noma angasakazeka emzimbeni wonke. Avame ukubonakala ezindaweni lapho isikhumba sigoqeka khona. Isibonelo:
- Ngaphansi kwekhwapha (i-axilla)
- Endaweni yesisu
- Isisu
- Emagoqweni ezingalo nemilenze
Cabanga nje, ikhwapha lakho liphenduka libe bomvu ngokuzumayo futhi lilume kakhulu izinsuku ezimbalwa. Ngemva kwezinsuku ezimbili noma ezintathu, amabhamuza agcwele amanzi aqala ukwakheka kuleyo ndawo. Yileyo ndlela evame ukuqala ngayo. Kwabanye abantu, la mabhamuza angakhula nasezingxeni zolwelwesi, njengangaphakathi emlonyeni, olimini, emphinjeni, noma emehlweni.
Ingabe lokhu kuyisifo sokuzivikela komzimba? (Isifo Sokuzivikela Emzimbeni)
Yebo, kunjalo. I-Bullous Pemphigoid yisifo esihlasela amasosha omzimba . Manje kungenzeka ukuthi uyazibuza ukuthi siyini leso.
Amasosha omzimba wethu afana nebutho elivikela izwe. Umsebenzi walolu hlelo ukuvikela imizimba yethu ezifweni ngokulwa namagciwane angaphandle (amagciwane, amagciwane). Kodwa-ke, esifweni esibangelwa ukuzivikela komzimba, leli butho liqala ngephutha ukuhlasela amangqamuzana ethu aphilile.
Ku-Bullous Pemphigoid, amasosha omzimba ahlasela izicubu ezithambile ezixhumanisa ungqimba oluphezulu lwesikhumba sethu (i-epidermis) nongqimba olungaphansi (i-dermis). Lokhu kuhlasela kubangela uketshezi ukuthi luqoqeke phakathi kwalezi zingxenye ezimbili, okubangela ukuthi kwakheke amabhamuza amakhulu, aqinile.
Ubani onamathuba amaningi okuthola lesi sifo?
Nakuba lesi sifo singakhula kunoma yimuphi ubudala, sivame kakhulu kubantu abangaphezu kweminyaka engama-60. Kodwa-ke, singavela ngezikhathi ezithile kubantu abasebasha. Sithinta kokubili abesilisa nabesifazane ngokulinganayo.
Ngaphezu kwalokho, ucwaningo luthole ukuthi abantu abanezinkinga ezithile zezinzwa basengozini enkulu kancane yokuthola i-Bullous Pemphigoid.
- Isifo sokulahlekelwa yingqondo
- Isifo sikaParkinson
- Isifo sohlangothi
- Isifo Sokuxhuzula
- I-multiple sclerosis
Ingabe lokhu kungaba yingozi?
Ngokuvamile, uma belashwa kahle, lesi sifo singalawulwa kahle. Kodwa-ke, ngezinye izikhathi, uma la maqhubu eqhuma futhi etheleleka, lesi simo singaba sibi kakhulu. Lolu hlobo lokutheleleka lungaba yingozi, ikakhulukazi kumuntu osekhulile noma onezinye izimo zezokwelapha (njengesifo sikashukela noma isifo senhliziyo). Ngakho-ke, kungcono ukubona udokotela ngokushesha nje lapho kuvela izimpawu bese uqala ukwelashwa.
Yiziphi izimpawu eziyinhloko zalesi sifo?
Ake siqonde ngokucacile izimpawu zalesi sifo kusukela kuthebula elingezansi.
| Isibonakaliso | Incazelo |
|---|---|
| Ukulunywa okukhulu kanye nokuqubuka | Lesi sifo sivame ukuqala ngokulunywa okungabekezeleleki. Ngezinye izikhathi singaba bomvu futhi sibe amabala abomvu njengoqweqwe. |
| Ama-blister agcwele amanzi (ama-Bullae) | Lolu uphawu oluyinhloko. La maqhubu ngokuvamile makhulu, aqinile, futhi awaqhumi kalula. Uketshezi olungaphakathi lungase lucwebe noma lube negazi kancane. |
| Ngemva kokuqhuma kwama-blister | Uma amabhamuza eqhuma, angakha inxeba elincane (elibuhlungu noma elibuhlungu). La manxeba angaba buhlungu kancane. |
| Isikhumba esizungeze i-blister | Isikhumba esizungeze i-blister singase sibe sijwayelekile, noma singase sibe bomvu futhi sishintshe umbala kancane. |
| Izibazi | Into engcono kakhulu ukuthi la ma-blister ngokuvamile awashiyi noma yiziphi izibazi ezinkulu ngemva kokuphola. |
Yini ebangela i-Bullous Pemphigoid?
Njengoba sesixoxile ngaphambili, lesi yisimo sokuzivikela komzimba. Kodwa odokotela abakasitholi isizathu esiqondile sokuthi kungani amasosha omzimba ethu eqala ukuhlasela isikhumba sethu ngale ndlela.
Kodwa-ke, kucatshangwa ukuthi izinto ezithile zingaba 'yimbangela' yokuthi lesi sifo sikhule.
- Imithi ethile: Imithi ethile, ikakhulukazi leyo esetshenziselwa isifo sikashukela, njenge-alogliptin.
- Ukukhanya kwe-Ultraviolet (ukukhanya kwe-UV): Ukuchayeka kakhulu elangeni.
- Ukwelashwa ngemisebe (imisebe ye-ionizing): Ukwelashwa ngemisebe okunikezwa izifo ezifana nomdlavuza.
Ingabe ukudla neziphuzo kuyakuthinta lokhu?
Lena inkinga abantu abaningi abanayo. Eqinisweni, abukho ubufakazi besayensi bokuthi kukhona ukuxhumana okuqondile phakathi kokudla kanye ne-Bullous Pemphigoid. Kodwa-ke, ezinye iziguli zibika ukuthi izimpawu zazo ziyaphela ngemva kokuyeka ukudla ukudla okuthile (isib. ubisi, i-gluten).
Uma uzizwa ngendlela efanayo, kungcono ukukhuluma nodokotela wakho ngalokhu. Angase akucele ukuthi ugcine incwadi yokudla bese ubona ukuthi ukudla okuthile kuyayibangela yini izimpawu zakho.
Into ebaluleke kakhulu ukuthi i-Bullous Pemphigoid ayisona isifo esithelelanayo. Ayisabalali kusuka kumuntu kuya komunye ngokuxhumana. Ngakho-ke, asikho isizathu sokuzihlukanisa noma sokwesaba isiguli.
Udokotela ukubona kanjani lokhu?
Uma uya kudokotela onalezi zimpawu, uzoqala ahlole isikhumba sakho ngokucophelela. Bese bezokubuza imibuzo embalwa.
- Lezi zimpawu zaqala nini?
- Ingabe kukhona ubomvu noma igazi emaqabungeni?
- Ingabe ubunomkhuhlane?
- Ingabe ikhona imithi emisha osuqalile ukuyisebenzisa?
Ngemva kwalokho, kunconywa ukuthi kwenziwe izivivinyo eziningana ukuqinisekisa ukuxilongwa.
| Ukuhlolwa | Wenzani? |
|---|---|
| Ukuhlolwa kwegazi | Kuthathwa isampula yegazi lakho bese kuhlolwa ama-antibodies athile ngokumelene nesikhumba. |
| I-biopsy yesikhumba | Lolu vivinyo olucacile kakhulu. Isikhumba sinciphile kancane endaweni lapho kukhona khona i-blister, kuthathwa ingxenye encane kakhulu yesikhumba bese ihlolwa ngaphansi kwe-microscope. Lesi sifo singaqinisekiswa ngokubheka indlela izingqimba zesikhumba ezihlukaniswe ngayo kanye nendlela amasosha omzimba afakwa ngayo. |
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kuyahlukahluka kuye ngokuthi isifo sibucayi kangakanani. Udokotela wakho uzonquma ukwelashwa okukulungele.
Kulabo abanesifo esincane
Uma lesi sifo singesibi kakhulu futhi kukhona amabhamuza amancane emzimbeni wonke, ama-cream noma amafutha e-steroid avame ukufakwa kumabhamuza .
Kulabo abanesifo esimaphakathi noma esinzima
Uma lesi sifo sesisabalale emzimbeni wonke futhi kunama-blister amaningi, kungadingeka ukuthi unikezwe imithi yomlomo ngaphezu kwama-cream.
- Ama-Corticosteroids Omlomo: Amaphilisi e-steroid afana ne-Prednisone. Lawa alawula ukusebenza kwesimiso somzimba sokuzivikela futhi asheshe amise ukwakheka kwama-blister.
- Ama-steroid-sparing agents: Ukuze kuncishiswe imiphumela emibi yokusetshenziswa isikhathi eside kwama-steroid, eminye imithi efana ne-dapsone, i-mycophenolate mofetil, kanye ne-azathioprine nayo inganikezwa.
Ezinye izindlela zokwelapha
Kwabanye abantu, uma imithi yama-steroid ingafaneleki, udokotela angase anikeze namaphilisi e-antibiotic njenge-tetracycline noma i-doxycycline.
Ungazilawula kanjani izimpawu ekhaya?
Ngesikhathi uthatha imithi, kunezinto eziningana ongazenza ekhaya ukuze unciphise lokhu kuluma nokungakhululeki.
| Iseluleko | Kungani kubalulekile? (Kungani kubalulekile?) |
|---|---|
| Gqoka izingubo ezikhululekile ezenziwe ngemicu yemvelo njengokotini. | Izingubo eziqinile neziqinile zingathinta isikhumba, okwenza ukulunywa kanye nama-blister kube kubi kakhulu. |
| Gwema ukukhanya kwelanga ngokweqile. Sebenzisa isivikelo selanga. | Ukukhanya kwelanga ngezinye izikhathi kungenza izimpawu zibe zimbi kakhulu. |
| Gcina amanxeba ehlanzekile. | Geza ama-blister ngensipho namanzi okubulala amagciwane, faka amafutha okubulala amagciwane anconywe udokotela wakho, bese umboza ngebhandeji elinganamatheli. Lokhu kungasiza ekuvimbeleni ukutheleleka. |
| Gcina isikhumba sakho simanzi. | Ukusebenzisa i-lotion enhle yokuthambisa, njengamafutha kakhukhunathi noma ibhotela le-shea, kungasiza ekunciphiseni isikhumba esomile kanye nokulunywa. |
Uma unamaqhubu emlonyeni wakho, cabanga nangezi zinto
Kungaba nzima kakhulu ukudla noma ukuphuza uma unezimpukane emlonyeni wakho. Lawa macebiso azokusiza ngaleso sikhathi.
- Yidla ukudla okuthambile njengesobho, amazambane athosiwe, i-pudding, kanye ne-yogurt.
- Yidla ukudla okushisayo uma sekupholile ngokuphelele.
- Gwema ukudla okuqinile nokubukhali njengama-chips, ama-cracker, ama-breadcrumbs, kanye nemifino nezithelo ezingaphekiwe.
- Gwema ukudla okune-asidi nokunongwe njenge-lime, utamatisi, i-chili, kanye ne-salsa.
- Gwema utshwala ngokuphelele.
Lesi sifo sizohlala isikhathi esingakanani? Kuzokwenzekani ngokulandelayo?
I-Bullous Pemphigoid yisifo esizikhawulela sona esivame ukuhlala iminyaka eminingana (ngokuvamile cishe iminyaka emi-5). Iphinde isabela kahle kakhulu ekwelashweni.
Kodwa-ke, lesi sifo singase siqhume phakathi nalesi sikhathi. Ngezinye izikhathi, izimpawu ziyaphela ngokuphelele (ukuxolelwa). Phakathi nalezo zikhathi, udokotela wakho angase anqume ukunciphisa umthamo wemithi yakho noma awuyeke isikhashana. Uma izimpawu ziqhuma futhi (ukuqhuma), kuzodingeka uqale ukwelashwa futhi.
Kufanele ngimbone nini udokotela?
Uma uvela amabhamuza amanzi emzimbeni wakho ngaphandle kwesizathu esicacile, futhi ehambisana nokulunywa, bona udokotela ngokushesha. Ungazinyangi noma ungasinaki lesi simo. Uma usheshe uxilonge futhi uqale ukwelashwa, ingozi yezinkinga iyancipha.
Umlayezo Wokuya Nawe Ekhaya
- I-bullous pemphigoid yisifo sesikhumba esibangelwa ushintsho ekusebenzeni kwesimiso somzimba sokuzivikela. Akusona isifo esithathelwanayo.
- Izimpawu eziyinhloko ukulunywa okukhulu kanye namaqhubu amakhulu, aqinile, agcwele uketshezi esikhumbeni.
- Nakuba lokhu kwenzeka kakhulu kubantu abadala, kungavela kunoma ubani wanoma yimuphi ubudala.
- Uma uhlangabezana nalezi zimpawu, funa iseluleko sezokwelapha ngokushesha ngaphandle kokuqagela imbangela.
- Ukwelashwa kungalawula lesi sifo kahle kakhulu. Kodwa-ke, kubalulekile ukuqaphela kakhulu ngokuhlanzeka, njengoba amabhamuza angaba yingozi uma amagciwane engena emanxebeni.
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