Ingabe uzwa neminwe nezinzwane eziluhlaza okwesibhakabhaka, ezibomvu nezibuhlungu ngesikhathi sonyaka obandayo, ikakhulukazi uma uya endaweni efana neNuwara Eliya? Ingabe ngezinye izikhathi uba nezilonda ezincane? Nakuba abantu abaningi becabanga ukuthi lokhu kumane kungumkhuhlane ovamile, ngezinye izikhathi lokhu kungaba yisimo esidinga ukunakwa okwengeziwe. Namuhla sikhuluma nge-'Chilblain Lupus', uhlobo lwe-lupus olungavamile kodwa olubaluleke kakhulu.
Kuyini i-Chilblain Lupus?
Kalula nje, i-Chilblain Lupus uhlobo olungavamile lwe-lupus oluthinta isikhumba sethu. Ngokwezokwelapha, siyibiza ngokuthi ``cutaneous lupus erythematosus noma i-CLE.`` Umuntu onalesi simo uba nezilonda ezibuhlungu ezibomvu noma ezinsomi, ama-plaque, esikhumbeni uma evezwa emakhazeni.
Igama elithi "chilblain" ngokwezwi nezwi lisho "isifo somkhuhlane." Yilokhu kanye okwenzekayo kulesi simo. Isimo sezulu esibandayo singabangela lezi zimpawu, noma senze isimo esikhona sibe sibi kakhulu.
Ngokuvamile, abanye abantu bahlushwa yiChilblain Lupus ngemva kokuxilongwa ukuthi banesifo esiyinhloko se-lupus, "i-systemic lupus erythematosus". Kodwa-ke, abanye bangase bahlushwe yilesi simo ngaphandle kokuxilongwa kwangaphambilini. Kodwa-ke, ubuhlungu nokungakhululeki okubangelwa yilesi simo kukhulu kakhulu. Uma ubona amabala akhanyayo, aphakanyisiwe eminweni yakho, ikakhulukazi eminweni nasezinzwaneni zakho, kungcono ukubona udokotela ngokushesha bese uthola ukwelashwa.
Ziyini izimpawu zalesi simo?
I-Chilblain Lupus ibonakala kakhulu ngamabala abomvu noma ansomi noma izilonda esikhumbeni. Lokhu kuvame ukubonakala ku:
- Eminweni yesandla
- Ezithendeni
- Ezinyaweni zezinyawo
- Ezinzwaneni
Kodwa akuvamile kakhulu ukuthi lezi zilonda zivele nasezintendeni zezandla, emadolweni, ekhaleni, noma ezindlebeni. Konke lokhu kuba kubi kakhulu uma kubanda noma kunomswakama.
Ngaphezu kwalezi zimpawu eziyinhloko, kunezinye izimpawu eziningana ezingabonakala. Ake sibone ukuthi ziyini.
| Isibonakaliso | Incazelo elula |
|---|---|
| Amabhamuza noma izilonda | Amanxeba angapholi ebusweni besikhumba ngenxa yokujikeleza kwegazi okungekuhle. |
| Ukushintsha kombala wesikhumba (Ukususwa kombala) | Ezinye izindawo zesikhumba zilahlekelwa umbala wazo bese ziphenduka umbala okhanyayo. |
| Imifantu yesithende | Ukuqhekeka okujulile esikhumbeni sezithende. |
| Ukuqina kwesikhumba (i-Hyperkeratosis) | Ukuqina kwesikhumba lapho kwenzeke khona izilonda zesikhumba. |
| Isenzakalo sikaRaynaud | Uma ibekwe emakhazeni, ukugeleza kwegazi eminweni nasezinzwaneni kuyavinjelwa okwesikhashana. Lokhu kungabangela ukuthi iminwe ibe mhlophe, luhlaza okwesibhakabhaka, noma ibe bomvu. |
Kungani iChilblain Lupus ikhula? Ziyini izimbangela?
Kunezimbangela ezimbili eziyinhloko zeChilblain Lupus. Eyokuqala ibangelwa izakhi zofuzo , kanti enye ibangelwa yizimo ezithile .
Izimbangela ezizuzwe njengefa
Lesi simo singabangelwa izinguquko ezithile ezakhiweni zethu zofuzo. Ikakhulukazi, izinguquko ezakhiweni zofuzo `(TREX1)` kanye `(SAMHD1)` kutholakale ukuthi zithinta lokhu. Kalula nje, i-`TREX1` gene iyasiza ekulungiseni i-DNA yethu, kanti i-`SAMHD1` gene ihilelekile ekusebenzeni kwesimiso sethu somzimba sokuzivikela. Uma kukhona iphutha kulezi zakhi zofuzo, kungaba imbangela ye-Chilblain Lupus emndenini nasezinganeni ezincane.
Ukwenzeka ngaphandle kwesizathu
Kwabanye abantu, lokhu akulona ufuzo. Kungavela ngokuzumayo lapho umuntu esekhulile. Imbangela eqondile ayikatholakali.
Ubani osengozini enkulu yokuthuthukisa lokhu?
Nakuba lesi simo singathinta noma ubani, sivame kakhulu kubantu abadala . Abantu abahlala ezindaweni ezinesimo sezulu esibandayo nesinomswakama nabo basengozini enkulu.
Ngaphezu kwalokho, ezinye izimo zezokwelapha zingandisa ingozi yokuthola i-Chilblain Lupus.
- I-Anorexia nervosa: Lesi yisifo sokudla esiyingozi kakhulu nesisongela ukuphila.
- I-lymphoma yamathumbu: Lolu uhlobo lomdlavuza olungavamile oluvela ohlelweni lwe-lymphatic lwamathumbu ethu amancane.
- Ukukhulelwa: Abanye besifazane basengozini yokuthola lesi simo ngisho nangesikhathi sokukhulelwa.
Yiziphi izinkinga ezingaba khona uma zingelashwa?
Uma lesi simo singelashwa kahle, amanxeba esikhumba angangenwa amagciwane . Laba bantu basengozini enkulu yokuthola izifo zesikhumba ezifana ne-"cellulitis".
Futhi, umuntu one-Chilblain Lupus angase agcine enesifo se-systemic lupus erythematosus, uhlobo olubi kakhulu lwe-lupus oluthinta izinhlelo eziningi zomzimba.
Yingakho sithi uma ubona noma yini engavamile esikhumbeni sakho, ikakhulukazi isilonda esingapholi, akufanele ungayinaki bese ubona udokotela.
Udokotela ukuxilonga kanjani lokhu ngqo?
Uma unalezi zimpawu, ungathunyelwa kudokotela wesikhumba noma kudokotela wamathambo .
Ukuhlolwa okuyinhloko kokuthola lesi sifo yi -biopsy yesikhumba . Lokhu kuhilela ukuthatha ingxenye encane kakhulu yesikhumba esilondeni esikhumbeni sakho bese uyihlola ngaphansi kwe-microscope elabhorethri. Lokhu kuhlolwa kungaqinisekisa ukuthi une-Chilblain Lupus noma esinye isifo sesikhumba.
Yiziphi izindlela zokwelapha lokhu?
Uma i-Chilblain Lupus yakho ingekho yingozi kakhulu, kungase kudingeke ukuthi uzivikele emakhazeni. Futhi, uma ubhema, udokotela wakho uzokweluleka ukuthi uyeke. Ukubhema kuvimbela imithambo yegazi yethu, okungenza lezi zimpawu zibe zimbi kakhulu.
Uma izimpawu ziphakathi noma zinzima, udokotela angase anikeze imithi ehlukahlukene.
| Uhlobo lwesidakamizwa | Umsebenzi ewenzayo |
|---|---|
| Ama-antibiotic | Ukwelapha izifo ezibangelwa amagciwane ezilonda zesikhumba. Isibonelo: `dicloxacillin`, `erythromycin`. |
| Izidakamizwa zokulwa nomalaleveva | Ukunciphisa ukuvuvukala, ukukhathala, kanye nobuhlungu bamalunga emzimbeni. Isibonelo: `i-hydroxychloroquine`. |
| Imithi yokulawula amasosha omzimba (i-Calcineurin inhibitors) | Ukunciphisa ukusebenza kwesimiso somzimba sokuzivikela nokulawula ukuvuvukala. Isibonelo: `tacrolimus`, `mycophenolate mofetil`. |
| Ama-blocker eziteshi ze-calcium | Ukuvula imithambo yegazi nokwenza kube lula ukugeleza kwegazi. Isibonelo: `i-nifedipine`. |
| Amafutha e-steroid | Ukunciphisa ukuvuvukala nokuvuvukala kwesikhumba. Isibonelo: `i-fluocinolone acetonide`. |
| Ama-steroid ahlelekile | Ukunciphisa ukuvuvukala nokuvuvukala emzimbeni wonke. Isibonelo: `i-prednisone`. |
Akuvamile kakhulu, udokotela wakho angase akuncome ukuhlinzwa. Lokhu kuhilela ukususa isilonda ngokuhlinzwa bese kufakwa i-graft yesikhumba kwenye indawo enempilo yomzimba.
Kufanele ngimbone nini udokotela?
Uma ubona izilonda ezibomvu noma ezinsomi, ezilumayo, noma ezibuhlungu eminweni yakho noma ezinzwaneni, ezithendeni, noma ezinyaweni zakho, bona udokotela ngokushesha . Uzokwazi ukuxilonga isimo sakho bese eqala ukwelashwa okudingekayo.
Uma ubona udokotela, ungabuza nale mibuzo:
- "Dokotela, yisiphi isizathu esikhulu sokuba ngithuthukise lokhu?"
- "Kungenzeka yini ukuthi ngibe nesifo se-systemic lupus?"
- "Yini okufanele ngiyenze ukuze ngivimbele lokhu kulimala?"
- "Yini engenziwa ngokulimala kwamanje?"
Ingabe i-Chilblain Lupus ingavinjelwa?
Into engcono kakhulu ongayenza ukunciphisa ingozi yakho yalesi simo ukuzivikela emakhazeni . Ukuze wenze lokhu, ungalandela lezi zinyathelo.
- Vivinya umzimba njalo:Ukuzivocavoca kuthuthukisa ukujikeleza kwegazi futhi kulawula izinga lokushisa lomzimba.
- Gcina ikhaya lakho nendawo yakho yokusebenza ifudumele: Lungisa indawo yakho ukuze uzivikele emakhazeni.
- Cwilisa izandla nezinyawo zakho emanzini afudumele: Ukwenza lokhu izikhathi eziningana ngosuku kuzothuthukisa ukujikeleza kwegazi.
- Fudumeza izitho ezibandayo kancane kancane: Ungenzi izinto ezifana nokuzithinta ngokuzumayo emlilweni. Fudumeza kancane kancane ukuze ubuyisele ukugeleza kwegazi.
- Gqoka izingubo ezifudumele: Gqoka amasokisi amakhulu, amagilavu, nezicathulo ezifudumele uma usezindaweni ezibandayo.
Njengezinye izimo zesikhumba, i-Chilblain Lupus ingabangela izimpawu ezinzima futhi ngezinye izikhathi kuthatha isikhathi ukuthola ukwelashwa okufanele. Kodwa ungalilahli ithemba. Ukusebenza nodokotela omethembayo kungakusiza ukuthola ikhambi elikusebenzelayo. Okwamanje, ukujoyina iqembu lokusekela lapho ungakhuluma khona nabanye abanesimo esifanayo kungaba usizo olukhulu.
Umlayezo Wokuya Nawe Ekhaya
- I-Chilblain Lupus yisifo sesikhumba esingavamile esibangela izilonda ezibuhlungu ezinsomi/ezibomvu esikhumbeni eziba zimbi kakhulu ngenxa yomkhuhlane.
- Uma ubona lezi zimpawu ezithweni zakho, ungazinaki njengokujwayelekile futhi funa iseluleko sezokwelapha ngokushesha okukhulu.
- Into ebaluleke kakhulu ukuvimbela nokulawula lesi simo ukuzivikela emakhazeni.
- Kubaluleke kakhulu ukugwema ngokuphelele ukubhema, njengoba ukubhema kunciphisa imithambo yegazi futhi kwenza izimpawu zibe zimbi kakhulu.
- Nakuba lesi kuyisimo sokuphila konke, ngokwelashwa nokunakekelwa okufanele, izimpawu zingalawulwa kahle futhi impilo evamile ingaphilwa.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho