Ingabe ubhekene namabala amise okwebhabhathane esikhumbeni sakho? Ake sifunde nge-Cutaneous Lupus!

Wake waphawula ukuthi abanye abantu banebala elibomvu elifana novemvane ezihlathini nasemakhaleni abo? Noma ukuthi ngemva kokuchitha isikhathi esithile elangeni elinzima laseSri Lanka, kuvela ubomvu esikhumbeni sabo ngokuzumayo? Lezi akuzona nje izinkinga zesikhumba. Ngezinye izikhathi lezi zingaba izimpawu zangaphandle zenkinga emizimbeni yethu. Namuhla sikhuluma ngesimo esibonisa izimpawu ezinjalo, abantu abaningi abangazi kahle, kodwa kubaluleke kakhulu ukuqaphela. Leyo yi-Cutaneous Lupus.

Kuyini i-Cutaneous Lupus?

Kalula nje, i-cutaneous lupus yisifo esihlasela amasosha omzimba esithinta isikhumba sethu. Manje kungenzeka ukuthi uyazibuza ukuthi iyini le nto "evikela amasosha omzimba". Kulungile, ake ngikuchaze ngale ndlela.

Cabanga nje ukuthi ibutho lezwe lethu likhona ukuze lisivikele ezitheni zangaphandle. Ngokufanayo, umzimba wethu nawo unesimiso somzimba sokuzivikela. Umsebenzi wawo ukusivikela ezifweni ngokulwa nezitha ezifana namagciwane, amagciwane, namagciwane angena emzimbeni evela ngaphandle.

Kodwa, esifweni sokuzivikela komzimba, kwenzeka into ebuhlungu kakhulu. Uhlelo lwethu lokuzivikela lomzimba, uhlelo lokuzivikela komzimba, luyadideka. Alukwazi ukubona ukuthi ubani ongumngane nokuthi ubani oyisitha. Ngakho-ke esikhundleni sokuhlasela amagciwane angaphandle, luqala ukuhlasela amangqamuzana ethu aphilile . Kufana nebutho lethu lihlasela abantu bakithi.

Ku-lupus yesikhumba, amasosha omzimba ahlasela amangqamuzana ethu esikhumba, okubangela ukuvuvukala okuqhubekayo kwesikhumba, okuholela ezimpawini ezifana nokuqubuka, amabala, ukulunywa, nokuvuvukala.

Ingabe lesi yisifo esifanayo wonke umuntu azi ngaso uma ethi i-lupus?

Cha. Kungenzeka ukuthi uke wezwa ngesifo esibizwa ngokuthi i-Systemic Lupus Erythematosus (SLE). Naso uhlobo lwe-lupus. Kodwa ku-SLE, amasosha omzimba awahlaseli isikhumba kuphela. Angathinta nomzimba wonke, okuhlanganisa nezitho ezibalulekile njengamalunga, imithambo yegazi, izinso, kanye nenhliziyo.

I-Cutaneous Lupus Erythematosus (CLE) uhlobo lwe-lupus olutholakala esikhumbeni kuphela. Kodwa-ke, ngezinye izikhathi, umuntu one-CLE angaba ne-SLE kamuva. Ngakho-ke, kubaluleke kakhulu ukuqaphela noma yiziphi izimpawu ze-lupus esikhumbeni.

Ingabe kunezinhlobo ezahlukene ze-lupus?

Yebo, i-cutaneous lupus ingafika idlule. Kwabanye abantu, izimpawu ziyafika zidlule. Kwabanye, ziyaqhubeka nokuba nezimpawu, kwezinye izinsuku zingabi zimbi kakhulu kanti kwezinye izinsuku ziba zimbi kakhulu. Lesi sifo sihlukaniswa ngokwesikhathi izimpawu ezihlala ngaso kanye nohlobo lwezilonda zesikhumba. Ake sibheke izinhlobo eziyinhloko.

Ziyini izimpawu zalesi sifo?

I-lupus yesikhumba ingabangela izimpawu zesikhumba ezahlukahlukene. Ezinye izimpawu ziqondene ne-lupus. Ezinye zingabonakala kwezinye izifo zesikhumba. Ake sibheke izimpawu eziyinhloko.

Izimpawu ezivame ukubonakala

• Amabala abomvu, anamabala: Lawa angatholakala noma atholakale ezinhlangothini zombili, ikakhulukazi ezindaweni ezivezwe yilanga .Zivame ukubonakala ekhanda, entanyeni, nasezandleni. Kubantu abanesikhumba esimnyama, la mabala angase abonakale ephuzi noma ensundu.
• Ukuqhuma Okukhulu: Lesi yisibonakaliso abantu abaningi abasicabangayo uma becabanga nge-lupus. Kuwukuqhuma okubomvu okubonakala ezihlathini nasemabhulohweni ekhaleni, okufana novemvane olusakaze amaphiko alo.
• Umbala wesikhumba uyashintsha: Ngemva kwezindawo lapho amabala angaphambilini epholile khona, umbala wesikhumba kulezo zindawo ungase ube mhlophe (hypopigmentation) noma ube mnyama (hyperpigmentation).
• Ukuzwela kwelanga: Abantu abane-lupus babhekana nezimpawu zesikhumba ezandayo lapho bevezwa elangeni. Ngisho nesikhathi esifushane sokuvezwa elangeni singabangela ukuqubuka, futhi ukuqubuka kungaba kubi kakhulu.
• Ukulahlekelwa izinwele: Uma kuvela amabala e-lupus (izilonda ze-discoid) ekhanda, angaba nezibazi futhi abangele ukulahleka izinwele unomphela.
• Izilonda emlonyeni noma ekhaleni: Izilonda ezincane ezingenabuhlungu zingavela ophahleni lomlomo, ngaphakathi kwezihlathi, noma ngaphakathi kwamakhala.
• Ukuluma nokuvuvukala kwesikhumba: Amanye amabala angase ahambisane nokuluma nokuvuvukala, ikakhulukazi eduze kwamehlo (i-edema).

Kungani lokhu kwenzeka? Yiziphi izinto ezibangela ingozi?

Njengoba sishilo ngaphambili, lesi yisifo sokuzivikela komzimba. Lokhu kusho ukuthi sibangelwa iphutha ohlelweni lwethu lokuzivikela komzimba. Ososayensi abakaqiniseki ngokuphelele ukuthi kungani lokhu kwenzeka. Kodwa bakholelwa ukuthi inhlanganisela yezinto ingadlala indima.

Ziyizinto ezibangela ukwakheka kwezakhi zofuzo kanye nezimbangela zemvelo .

Kalula nje, abanye abantu banesithambekele esincane sokuthuthukisa lolu hlobo lwesifo ezizakhini zabo zofuzo. Kodwa lesi sifo asiveli nje ngoba benalesi simo. Uma umuntu onalesi simo sofuzo evezwa yizinto ezithile zemvelo, singavuselela amasosha omzimba futhi sibangele ukuba lesi sifo sivele.

Ezinye izinto ezandisa ingozi:

• Ukuba ngowesifazane: Abesifazane basengozini enkulu yokuthola i-lupus kunabesilisa, ikakhulukazi ngezikhathi lapho amazinga e-estrogen ephezulu.
• Ufuzo: Uma othile emndenini wakho ene-lupus noma esinye isifo sokuzivikela komzimba, ungase ube sengozini encane yokwanda kwesifo.
• Ukuba nezinye izifo zokuzivikela komzimba: Abantu abanezinye izifo zokuzivikela komzimba, njengesifo se-thyroid kanye ne-rheumatoid arthritis, basengozini enkulu yokuthola i-lupus.
• Ukusetshenziswa kwesikhathi eside kwemithi ethile:Eminye imithi, njengemithi yomfutho wegazi ophakeme kanye nemithi yokuwa, ingabangela izimo ezifana ne-lupus uma isetshenziswa isikhathi eside.
• Ukucindezeleka okukhulu kwengqondo noma ngokomzimba: Ukucindezeleka okukhulu emzimbeni, njengokutheleleka okukhulu noma ingozi, ngezinye izikhathi kungabangela lesi sifo.
• Ukubhema: Ukubhema kuyimbangela enamandla ye-lupus kanye nokwanda kwezimpawu.

Udokotela ukuthola kanjani lokhu?

Uma uhlangabezana nalezi zimpawu zesikhumba, into engcono kakhulu ongayenza ukubona udokotela, okungcono kakhulu udokotela wesikhumba . Uzokubuza ngezimpawu zakho futhi ahlole isikhumba sakho ngokucophelela.

Amanye ama-lupus rashes (njengoma-malar rashes) angabonakala ngokushesha. Kodwa-ke, ngenxa yokuthi amanye amabala afana nezinye izimo zesikhumba, kungase kudingeke ukuhlolwa okwengeziwe ukuqinisekisa ukuxilongwa.

• I-Skin Biopsy: Lokhu kuhilela ukuthatha inani elincane lomuthi wokuqeda izinhlungu endaweni ethile bese uthatha ingxenye encane yesikhumba bese uyihlola ngaphansi kwe-microscope. Lokhu kungasiza ekunqumeni ukuthi kukhona yini izinguquko emaseli esikhumba ezihlobene ne-lupus.
• I-Immunofluorescence Eqondile: Lokhu futhi ukuhlolwa okukhethekile okwenziwa nge-biopsy yesikhumba. Kungabona ukuthi kukhona yini ubufakazi bokuthi amasosha omzimba ahlasela isikhumba.
• Ukuhlolwa kwegazi: Ngezinye izikhathi udokotela wakho uzoncoma nokuhlolwa kwegazi okuthile. Lokhu kwenziwa ukuhlola izimpawu ze-SLE, isimo esithinta izitho zangaphakathi zomzimba, ngaphezu kwe-lupus esikhumbeni.

Yiziphi izindlela zokwelapha lokhu?

Into yokuqala nebaluleke kakhulu okufanele uyisho ukuthi ayikakabi khona ikhambi le-cutaneous lupus, ngoba ihlobene nokusebenza kwesimiso sethu somzimba sokuzivikela.

Uhlelo lokwelashwa lunqunywa ngokucabangela uhlobo lwe-lupus onayo, ubukhulu bezimpawu zakho, nokuthi zithinta kanjani impilo yakho.

Izindlela nemiyalelo yokwelapha eyinhloko yilezi:

1. Ukuvikelwa elangeni: Lena yinto ebaluleke kakhulu futhi okumele yenziwe. Ukuchayeka elangeni elinzima laseSri Lanka kufanele kuncishiswe ngangokunokwenzeka.

• Gwema ukuphuma elangeni elinamandla phakathi kuka-10:00 ekuseni no-4:00 ntambama.
• Uma uphuma ngaphandle, gqoka izingubo ezimboza umzimba wakho, njengesigqoko esibanzi kanye nezingubo ezinemikhono emide.
• Inani le-SPF elingu-50 noma ngaphezuluSebenzisa isithako esihle sokuvikela ilanga njengoba kunconywe udokotela wakho. Sisebenzise imizuzu engama-20 ngaphambi kokuya ngaphandle.

2. Imithi Yokwelapha Engaphandle:

• Udokotela wakho angase akunike ama-cream, ama-lotion, noma ama-ointment ukulawula ukuvuvukala kwesikhumba kanye nokuqubuka. Ama-cream e-corticosteroid kanye nama-ointment e -tacrolimus yiwona asetshenziswa kakhulu.

3. Umjovo wezidakamizwa:

• Ngezinye izikhathi, uma amabala ekhuluphele kakhulu futhi engaphenduli ekwelashweni, udokotela angase afake umuthi we-steroid ngqo endaweni.

4. Imithi Yomlomo:

• Uma izimpawu zesikhumba zinzima noma zingalawulwa ngemithi yokwelapha, imithi yomlomo inganikezwa. Imithi evame ukusetshenziswa kakhulu ye-lupus yi -hydroxychloroquine kanye ne-chloroquine . Lokhu kusiza ukulawula ukusebenza ngokweqile kwesimiso somzimba sokuzivikela.

5. I-Vitamin D:

• Ukugwema ukuchayeka elangeni kungabangela ukuntuleka kwevithamini D emzimbeni wakho. Udokotela wakho uzokuhlolela lokhu futhi akunike amaphilisi evithamini D uma kudingeka.

Izinto okufanele uzicabangele uma uphila ne-lupus

I-cutaneous lupus yisimo esihlala isikhathi eside, kodwa ngokuphathwa kahle, ungaphila naso ngempumelelo. Nakuba kungase kube nzima ukuzivumelanisa nalezi zinguquko ekuqaleni, ngokuhamba kwesikhathi zizoba yingxenye yempilo yakho.

• Gwema ukukha noma ukuklwebha amabala esikhumba. Ukwenza kanjalo kungalimaza isikhumba kakhulu futhi kubangele ukuthi kuvele amabala amasha.
• Uma ukhathazekile ngamabala, sebenzisa izimonyo ezikhethekile ezinconywe udokotela wakho ukuze uzimboze.
• Kungaba kuhle futhi uma unganciphisa ukusetshenziswa kwezibani ezikhanyisa ukukhanya (izibani zamapayipi) ekhaya nasemsebenzini . Zikhipha nenani elincane lemisebe ye-UV.
• Bona udokotela wakho njalo. Yiya njalo ekuhlolweni ukuze uqaphe isimo sakho futhi uhlole noma yiziphi ezinye izimo, njenge-SLE.
• Cabanga nangempilo yakho yengqondo. Amabala abonakalayo esikhumbeni sakho ngezinye izikhathi angakwenza uzizwe udangele futhi ukhathazekile. Ngezikhathi ezinjengalezi, khuluma nomuntu omethembayo bese ucela iseluleko uma kudingeka.

I-cutaneous lupus ayisona isifo esisongela impilo. Kodwa ingathinta ikhwalithi yokuphila kwakho. Into ebaluleke kakhulu ukuba nolwazi oluphelele ngalesi sifo, ulandele imiyalelo kadokotela wakho ngokucophelela, bese uthola ukwelashwa nendlela yokuphila efanele wena.