Ingabe nawe uthola amabhamuza amancane anamanzi ezandleni nasezinyaweni zakho alumayo? Kungaba yi-dyshidrotic eczema!

Ingabe unezimbobo ezincane, ezinamanzi ezandleni zakho, phakathi kwezinzwane zakho, noma ezintendeni zezandla zakho eziluma ngokungabekezeleleki? Ngezinye izikhathi lapho lezi zimbobo zomile, isikhumba siyaqhekeka futhi sibe buhlungu, okubangela inkinga enkulu nakakhulu? Khona-ke ungase ube nesifo sesikhumba esibizwa ngokuthi 'i-Dyshidrotic Eczema'. Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe nangokulula namuhla.

Iyini i-Dyshidrotic Eczema?

Kalula nje, kuyisimo sesikhumba esihlala isikhathi eside, noma kunalokho, esihlala isikhathi eside . Sibonakala ngokuthuthukiswa kwama -blister amancane agcwele amanzi eminweni, ezintendeni zezandla, futhi ngezinye izikhathi ezinyaweni. Isikhumba singase some futhi silume . Cabanga ngakho njengama-blister amancane e-soapstone.

Lesi sifo sinamagama amaningana. Abanye abantu basibiza nangokuthi i-Dyshidrosis, i-Acute Palmoplantar Eczema, i-Vesiculobullous Dermatitis, noma i-Pompholyx. Naphezu kwamagama amaningi, izimpawu ziyafana kakhulu.

Ubani onamathuba amaningi okuthola lesi simo?

Noma ubani angaba ne-dyshidrotic eczema. Kodwa-ke, abanye abantu banamathuba amaningi okuba nayo. Ake sibheke ukuthi bangobani:

• Ngokuvamile kubantu abaneminyaka ephakathi kuka-20 no-40 .
• Lesi simo sivamile kwabesifazane .
• Uma wena noma othile emndenini wakho eke waba ne -eczema ngaphambili.
• Kulabo abake baba ne -contact dermatitis ngaphambilini.
• Abanye abantu baba nokusabela kokungezwani komzimba lapho into yangaphandle, okungukuthi, i-antigen, ithintana nemizimba yabo. Lokhu kungenzeka nakubantu abanjalo.
• Lesi simo ngezinye izikhathi singase senzeke kubantu abathola imijovo ye-antibody, okungukuthi, i-intravenous immunoglobulin (IVIG), enikezwa abantu abanezivikeli mzimba ezibuthakathaka.

Isibonelo, abanye besifazane bagqoka ubucwebe obuthinta izandla zabo njalo. Abacwaningi bathi izinsimbi ezifana ne-nickel noma i-cobalt kulobu bucwebe nazo zingaba imbangela yalolu hlobo lwe-eczema. Yingakho lubonakala kaningi kwabesifazane. Sekukonke, cishe abantu abangu-50% abathola i-dyshidrotic eczema banesifo sokungezwani komzimba ne-antigen ethile.

Sivame kangakanani lesi simo?

Ezindaweni zomsebenzi noma zezokwelapha, phakathi kuka-5% no-20% wamacala e-hand dermatitis kubikwa ukuthi abangelwa yi-dyshidrotic eczema.

I-dyshidrotic eczema ithinta kanjani umzimba?

Lesi sifo sithinta kakhulu isikhumba ezintendeni zezandla zakho, ezinhlangothini zeminwe yakho, kanye nasezinyaweni zakho .

Amaqhubu amancane esikhumbeni sakho afana nama-soap nutsLawa ma-blister ngokuvamile angaba yi-millimeter eyodwa kuya kwamabili ngobukhulu. Kodwa-ke, ngezinye izikhathi lawa ma-blister amancane angahlangana ndawonye ukuze akhe i-blister eyodwa enkulu.

Ngemva kokuba la maqhubu omile, isikhumba kuleyo ndawo singase sibe namaqhubu futhi siqhekeke . Kungaba buhlungu kancane.

Ziyini izimpawu?

Izimpawu ze-dyshidrotic eczema zingavela ngokuzumayo, ziphele ngemva kwezinsuku ezimbalwa, bese zibuya. Lezi zimpawu zingahlala amasonto. Hlola ukuthi unazo yini lezi zimpawu:

• Kuvela amabhamuza amancane, aqinile ezintendeni zezandla, ezinhlangothini zeminwe, nasematheni ezinyawo.
• Lezi ziqhubu ngezinye izikhathi zingaba buhlungu .
• Ukulunywa okukhulu kanye nokukhula kwesikhumba phezu noma eduze kwama-blister.
• Ukujuluka okukhulu okuhambisana nama-blister.
• Njengoba amabhamuza ephela, isikhumba kuleyo ndawo siyawoma futhi siqhekeke .

Uma uziklwebha lezi zindawo njalo, isikhumba singaba sikhulu. Amabhamuza amakhulu noma izindawo ezinamabhamuza amaningi ngezinye izikhathi zingatheleleka . Ngakho-ke kubalulekile ukulawula ukuklwebha ngangokunokwenzeka.

Yini ebangela lesi simo? (Izimbangela)

Odokotela nabacwaningi abakakazi kahle ukuthi yini ebangela i-dyshidrosis, kodwa bakholelwa ukuthi ingabangelwa yinhlanganisela yezici.

• Ukungasebenzi kahle kwesimiso somzimba sokuzivikela: Uma une-dyshidrotic eczema, isimiso sakho somzimba sokuzivikela singase sisabele ngokweqile ezintweni ezincane ezicasulayo noma izinto ezibangela ukungezwani komzimba. Lokhu kusabela ngokweqile kubangela ukuvuvukala kwesikhumba.
• Ukungezwani komzimba: Ukuchayeka ezintweni ezithile ezifana nesamente, i-nickel, i-cobalt, ne-chromium kungenza lokhu kube kubi kakhulu. Kungabuye kubhebhetheke ngezinye izinto ezifana nomkhuhlane we-hay/i-allergy rhinitis noma ezinye izinto zokudla ezibangela ukungezwani komzimba.
• Umswakama: I-Dyshidrotic eczema ingabangelwa nokujuluka njalo nokumanzisa izandla noma izinyawo. Lokhu kuyinto okufanele uyiqaphele ngesimo sezulu ezweni lethu.

Ingabe lokhu kuyasabalala? Ingabe kuyathelelana?

Kwezinye izimo ezinzima, la maqhubu angakhula abe makhulu futhi asakazeke emhlane wezandla, ezinyaweni, naseminweni, kodwa awasakazeki kwezinye izingxenye zomzimba.

Into ebaluleke kakhulu ukuthi i-dyshidrotic eczema ayithelelani. Awukwazi ukuyidlulisela komunye umuntu.

Kodwa-ke, uma uphula isikhumba ngokuklwebha amabhamuza, kungaholela ezifweni. Uma amabhamuza etheleleka, kufanele nakanjani ubone udokotela. Bangakunikeza ama-antibiotic ukwelapha ukutheleleka.

Ukuthola kanjani lokhu?

Uma ubona udokotela, bazohlola izindawo ezithintekile zesikhumba sakho. Bangase bakubuze imibuzo efana nokuthi ucindezeleke kakhulu yini, ukuthi ukhona yini emndenini wakho onalesi simo, ukuthi ngabe usebenzise noma yimiphi imikhiqizo yesikhumba emisha, ugqoke ubucwebe obusha, noma udle ukudla okusha.

Yiziphi izivivinyo zokuxilonga?

Udokotela wakho angase acele ukuhlolwa okuthile ukuqinisekisa ukuxilongwa kwakho noma akhiphe ezinye izimo ezifanayo, njenge-contact dermatitis, i-bullous pemphigoid, kanye nesifo sezandla, unyawo, nomlomo. Lokhu kungafaka:

• Ukuhlolwa kokungezwani komzimba.
• Ukuthatha ingcezu encane yesikhumba ukuze iyohlolwa (i-Biopsy).
• Ukuhlolwa kwegazi.

Ungayiphatha kanjani i-dyshidrotic eczema?

Abantu abaningi baqala ngokuphatha lesi simo ngohlelo lokunakekelwa kwesikhumba ekhaya.

Yikuphi ukwelashwa okungenziwa ekhaya?

• Sebenzisa amanzi afudumele esikhundleni samanzi ashisayo uma ugeza izandla zakho.
• Faka izandla nezinyawo zakho emanzini abandayo isikhashana ukuze unciphise izimpawu.
• Ukuze unciphise ukulunywa nokuvuvukala , faka ama-compress apholile ngendwangu ehlanzekile ecwiliswe emanzini abandayo njengoba kudingeka. Shiya imizuzu eyi-10-15, vumela umoya wome, bese ufaka i-moisturizer enhle. Kungcono ukwenza lokhu kathathu kuya kane ngosuku.
• Ukuze uvimbele isikhumba ukuba singomi, faka i-moisturizer enhle izikhathi eziningana ngosuku. Lokhu kubaluleke kakhulu.
• Sula izandla nezinyawo zakho ngokushesha nangokuphelele ngemva kokugeza noma ukubhukuda.
• Uma kungenzeka, nciphisa inani lamasokisi, amasokisi, nezicathulo ozigqokayo. Uma kufanele uzigqoke ngempela, gqoka amasokisi kakotini noma kawoyela amunca umswakama nezicathulo eziphefumulayo futhi ezingavimbi izinyawo zakho.

Udokotela wakho angase akunike imithi ethengiswa ngaphandle kwemithi kadokotela (OTC), njenge-corticosteroid creams noma amafutha okugcoba . Angase akunike nemithi yokwelapha elwa namagciwane (njenge-fexofenadine ne-cetirizine). Lokhu kungasiza ekunciphiseni ukuvuvukala nokulunywa.

Yiziphi izindlela zokwelapha ezinikezwa ngokwezincomo zezokwelapha?

Uma i-dyshidrotic eczema inzima kakhulu, udokotela wakho angase ancome ukwelashwa okufana nalokhu ukusiza ekunciphiseni izimpawu:

• Ama-corticosteroid asetshenziswa ohlelweni lonke: Uma okhilimu be-corticosteroid abangaphandle benganikezi impumuzo, udokotela wakho angase akunike umuthi we-corticosteroid ophuzwayo, njenge-prednisone.
• Imithi yokucindezela amasosha omzimba engeyona eye-steroidal ohlelweni lonke:Njengoba ukuthatha ama-steroid omlomo isikhathi eside kungaba yingozi empilweni yakho, udokotela wakho angase ancome imithi efana namaphilisi e-methotrexate, amaphilisi e-mycophenolate, noma imijovo ye-dupilumab.
• Ukwelashwa nge-Phototherapy: Lokhu kuhilela ukusebenzisa izibani ezikhethekile ukuqondisa ukukhanya kwe-ultraviolet, ngokuvamile imisebe ye-ultraviolet B (UVB), esikhumbeni. Le misebe ye-UV ingasiza ekwelapheni ezinye izimo zesikhumba, okuhlanganisa ne-dyshidrotic eczema. Kodwa-ke, imisebe ye-UVB ingabangela amabala amnyama ahlala njalo (hyperpigmentation) kubantu abanesikhumba esimnyama, ngakho-ke kuwumqondo omuhle ukukhuluma nodokotela wakho ngalokhu uma unesikhumba esimnyama.

Ingabe ikhona indlela yokuqeda lokhu ngokushesha?

Yiqiniso, umzimba womuntu wonke uhlukile. Abanye abantu bangathola impumuzo ngemithi yasekhaya kanye nemithi etholakala ngaphandle kwemithi kadokotela. Abanye bangadinga ama-corticosteroid aqinile kadokotela njenge-Clobetasol.

I-Dyshidrotic eczema ivame ukuba ngcono ngokwelashwa, kodwa ingabuya ngokuhamba kwesikhathi. Ngakho-ke, kungadingeka ulandele uhlelo oluthile lokunakekelwa kwesikhumba noma uqhubeke nokusebenzisa imithi yokulawula izimpawu zakho.

Ingabe i-dyshidrotic eczema ingavinjelwa?

Ngeshwa, i-dyshidrotic eczema ayinakuvinjelwa ngokuphelele. Kuyisifo sesikhathi eside esingase siqhubeke isikhathi eside empilweni . Kodwa-ke, ukuqubuka kungalawulwa.

Yini okufanele uyenze uma une-dyshidrotic eczema?

Uma une-dyshidrotic eczema, kunezinto ongazenza ukusiza ekunciphiseni ukuqubuka kwesikhumba. Ukulandela inqubo enhle yokunakekela isikhumba nokusebenzisa imithi efana nama-antihistamine kungasiza ekulawuleni izimpawu. Uma kudingeka, kunezinye izindlela zokwelapha, njengokwelashwa nge-phototherapy.

Abantu abaningi baphila ne-dyshidrotic eczema, kodwa kungaba nzima ngezinye izikhathi. Ungase ube nalesi simo kanye kodwa ungaphinde ube naso, noma singase siqhume kaningi empilweni yakho yonke. Ngezinye izikhathi, izimpawu zingase ziphele ngokuphelele. Lezi zikhathi zibizwa ngokuthi izikhathi zokuxolelwa. Ukunakekelwa kwesikhumba okuhle kanye nokwelashwa kungasiza ekuvimbeleni ukuqubuka kwamaqabunga futhi kwandise lezi zikhathi zokuxolelwa.

Khumbula, gwema izinto ezibangela ukuvuvukala, faka i-moisturizer esikhumbeni sakho, thatha imithi oyinikezwe udokotela, bese ulandela imiyalelo kadokotela wakho.

Kunezinto ezimbalwa ongazenza ukuze unciphise ukungakhululeki okubangelwa amabhamuza akho:

• Geza izindawo ezithintekile ngensipho emnene .
• Faka ukhilimu noma amafutha okulwa namagciwane .
• Mboza izindawo ezithintekile ngebhandeji noma ucezu lwe-gauze .
• Shintsha ibhandishi okungenani kanye ngosuku.

Kungase kubonakale kungumqondo omuhle ukukhumula i-blister bese uyikhipha. Kodwa-ke, ukwenza kanjalo akuwona umqondo omuhle nhlobo. Isikhumba esingaphezu kwe-blister sikhona ukuvikela izingqimba zesikhumba ezingaphansi ekuthelelekeni.

Kufanele ubonane nini nodokotela?

Kungcono ukubona udokotela ngokushesha nje lapho ubona amabhamuza ezandleni zakho, eminweni, noma ezinyaweni. Uma uqala ukwelashwa ngokushesha, kuba lula ukulawula lesi simo.

Yimiphi imibuzo okufanele uyibuze udokotela?

• Ubona kanjani ukuthi ngine-dyshidrotic eczema?
• Uma ngingenayo i-dyshidrotic eczema, yisiphi esinye isifo sesikhumba engingaba naso?
• Ingabe kukhona ukhilimu noma amafutha ongawasebenzisa?
• Yimiphi imithi oyincomayo?
• Yimaphi amakhambi asekhaya owancomayo?
• Ingabe ikhona i-moisturizer ethile oyincomayo?
• Ingabe kufanele ngibone udokotela wesikhumba noma omunye uchwepheshe?

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Dyshidrotic eczema yisifo sesikhumba esivamile esingaba buhlungu futhi silume. Ungase ube naso kanye empilweni yakho kodwa ungaphinde usithole, noma singase sibuye njalo empilweni yakho. Uma unesikhumba esibuhlungu, esiqhumayo, nesilumayo, qiniseka ukuthi ukhuluma nodokotela.

Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha esifanele ngokushesha nje lapho ubona izimpawu. Ungenzi nje lokho okuzwayo noma uye kokwelashwa ngokusekelwe kulokho okushiwo abanye. Ngezinye izikhathi, kungenza isimo sibe sibi kakhulu.

Amacala amancane e-dyshidrotic eczema angelashwa ngokhilimu, amafutha okugcoba, kanye nemithi ethengiswa ngaphandle kwemithi kadokotela. Amacala amakhulu angadinga imithi kadokotela noma ezinye izindlela zokwelapha. Ngokulandela uhlelo lokunakekelwa kwesikhumba olufanele, unganciphisa imiphumela ye-dyshidrotic eczema futhi uhlale uphilile.

I- Dyshidrotic eczema, amabhamuza ezandleni, amabhamuza ezinyaweni, isikhumba esilumayo, i-pompholyx, i-dermatology, ukunakekelwa kwesikhumba