Ingabe une-eczema ebusweni bakho? Ake sixoxe ngayo!

Ingabe ubuso bakho ngezinye izikhathi buzizwa busomile, buqhekekile, noma buluma? Mhlawumbe bubomvu futhi bunamaqhubu amancane akukhathazayo? Lokhu kungaba yinkinga ethinta abantu abaningi kunalokho ocabanga. Namuhla sizokhuluma ngesimo sesikhumba esibizwa ngokuthi i-eczema esenzeka ebusweni. Ungakhathazeki, ukwazi okwengeziwe ngalokhu kuzokunikeza impumuzo enkulu, futhi kuzokusiza futhi ukuthi usilawule.

Kuyini i-eczema yobuso?

Kalula nje, ukuba ne-eczema ebusweni bakho kusho ukuthi ungqimba lokuvikela lwesikhumba sakho alusebenzi kahle. Isikhumba sethu sinomgoqo wemvelo osivikela ezintweni eziyingozi endaweni ezungezile. Ngakho-ke, uma kwenzeka i-eczema, lo mgoqo uba buthakathaka. Ngemuva kwalokho isikhumba sakho siba buthakathaka kakhulu. Ngisho nezinto ezincane endaweni ezungezile, njenge-'irritants' kanye ne-'allergens', ziqala ukusabela ngokushesha. Lokhu kusabela yilokho esikubiza ngokuthi i-'eczema flare'. Yilapho izimpawu okukhulunywe ngazo ngaphambili, njengokulunywa, ukubomvu, kanye nokoma, zivela khona.

Yiziphi izinhlobo ze-eczema ebusweni?

Kunezinhlobo eziningana ze-eczema ezingavela ebusweni. Ezinye zezinhlobo ezivame kakhulu yilezi:

• I-Atopic dermatitis
• I-dermatitis yokuxhumana
• I-Neurodermatitis
• I-Nummular eczema
• I-seborrheic dermatitis

Cabanga nje, ngezinye izikhathi izinhlobo ezingaphezu kweyodwa zingakhula ezingxenyeni ezahlukene zomzimba wakho ngesikhathi esisodwa.

Ubani okungenzeka kakhulu ukuthi athole i-eczema ebusweni?

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

• Uma othile emndenini wakho eke waba ne-eczema ngaphambili: Lokho kusho ukuthi uma umama wakho, ubaba, izingane zakini, njll. bake baba nalesi simo, nawe unamathuba amaningi okuba naso.
• Abantu abanezimo ezifana ne-dermatitis (ukuvuvukala kwesikhumba), i-asthma, i-allergies, noma i-hay fever (ukungezwani nezinto ezifana ne-pollen) nabo banamathuba amaningi okuthola i-eczema.

Kuthiwa futhi abesifazane ngokuvamile banamathuba amancane okuthola i-eczema kunabesilisa.

Ivame kangakanani i-eczema yobuso?

Ngokwezibalo e-United States, abantu abangaphezu kuka-10%, noma cishe oyedwa kwabayishumi, banohlobo oluthile lwe-eczema. Izimpawu ze-eczema ziyahlukahluka kumuntu nomuntu. Futhi lesi simo singavela ezingxenyeni eziningi zomzimba, ikakhulukazi ebusweni.

Ziyini izimpawu ze-eczema yobuso?

Izimpawu ze-eczema yobuso zingahluka kuye ngomuntu nomuntu. Abanye abantu bangase babe nezimpawu ezincane, kanti abanye bangase babe nezimpawu ezinzima. Ake sibheke ukuthi ziyini lezi zimpawu:

• Ukuvuvukala: Ezinye izindawo zingase zibe bomvu futhi zivuvuke.
• Isikhumba esilumayo: Lena yinkinga enkulu abantu abaningi abanayo.
• Amabala abomvu, onsomi, noma ansundu omnyama (ukuqubuka): Umbala wala mabala ungahluka kuye ngombala wesikhumba.
• Isikhumba esomile, esiqhekekile, noma esixebukayo: Isikhumba siba soma kakhulu.
• Ukuzwa ubuhlungu noma ukuvuvukala esikhumbeni.
• Imibimbi ngaphansi kwamehlo.
• Ama-blister amancane noma ama-blister agcwele amanzi.

Lezi zimpawu zingavela noma kuphi ebusweni bakho, kusukela esilevini kuya ebunzini lakho. Kodwa-ke, i-eczema ebusweni ivame ukubonakala ezihlathini.

Kungani kuvela i-eczema kulobu buso? Ziyini izimbangela?

Akukho neyodwa imbangela ye-eczema ebusweni, kodwa kunezici eziningana ezingaba nomthelela kuyo. Ake sibheke izimbangela eziyinhloko:

• Izinto Ezibangela Ukungezwani Nemvelo: Kungakhathaliseki ukuthi une-allergies noma cha, ezinye izinto endaweni esikuyo zingaba nemiphumela emibi esikhumbeni sethu. Isibonelo, ezinye izitshalo, i-dander yezilwane, insipho eqinile, insipho yokuwasha izingubo, imicu evela kwezinye izinhlobo zezingubo, intuthu emoyeni, ngisho nokushintsha komswakama. Cabanga ngakho, ngezinye izikhathi amakha nezimonyo esizisebenzisayo nazo zingabangela lokhu.
• Isimiso sokuzivikela somzimba esisabela ngokweqile: Isimiso sethu sokuzivikela somzimba yisona esisivikela ezintweni ezifana namagciwane namagciwane abangela izifo. Kodwa kubantu abane-eczema, isimiso sokuzivikela komzimba ngezinye izikhathi asisiqondi kahle. Okusho ukuthi, sibona amangqamuzana esikhumba, ngisho nezinto ezincane ezicasulayo noma izinto ezibangela ukungezwani komzimba endaweni, njengesitha esikhulu. Ngemuva kwalokho isimiso sokuzivikela komzimba siqala ukuhlasela lezi zinto. Ngenxa yalokho, isikhumba siyavuvukala, sibe bomvu, futhi silume.
• Izakhi zofuzo: Izakhi zofuzo zethu ziyizakhi zomzimba wethu. Noma yiluphi ushintsho ochungechungeni lwethu lwe-DNA, olwaziwa ngokuthi ukuguquka kwezakhi zofuzo, lungathinta indlela amaprotheni esikhumbeni sethu asebenza ngayo. Uma othile emndenini wakho ene-eczema, kungenzeka kakhulu ukuthi ube nalesi simo.

Yiziphi izinto ezibangela i-eczema ebusweni?

Wonke umuntu one-eczema yobuso unezinto ezithile ('izibangela') ezenza izimpawu zakhe zibe zimbi kakhulu, noma zibangele 'ukuqubuka'. Lezi zihlukile kumuntu ngamunye. Kodwa nansi ezinye zezinto ezivame ukubangela:

• Izinhlobo zensipho kanye nezinsipho zokuhlanza (ikakhulukazi eziqinile).
• Isimo sezulu esomile (umswakama ophansi emoyeni).
• Ukuthintana nezinto ezibangela ukungezwani komzimba (isib. uthuli, impova, ukudla okuthile).
• Izinhlobo zezimonyo.
• Imicu esezingutsheni (isb. uboya, eminye imicu yokwenziwa).
• Ukungcola komoya kanye nentuthu.
• Ukucindezeleka.

Khumbula, kubaluleke kakhulu ukuthola ukuthi yiziphi izici zakho ezimbi ukuze ukwazi ukuzigwema ngangokunokwenzeka.

Ingabe i-eczema yobuso iyathelelana?

Cha. I-eczema ebusweni ayithelelani. Awukwazi ukuyibamba ngokuthinta noma ukusondelana nomuntu one-eczema. Lokhu kuyiphutha abantu abaningi abanalo.

Ungazi kanjani ngokuqinisekile ukuthi une-eczema ebusweni bakho? (Ukuxilongwa)

Ukuze wazi ngokuqinisekile ukuthi une-eczema ebusweni bakho, kufanele ubonane nodokotela. Udokotela uzohlola isikhumba sakho futhi abheke izimpawu ze-eczema, njengeziqephu ezomile kanye nokushintsha kombala wesikhumba.

Ngezinye izikhathi, uma izimpawu zakho zifana nezinye izimo zesikhumba, udokotela wakho angase ancome ukuhlolwa okwengeziwe ukuqinisekisa ukuxilongwa, ukukhipha ezinye izimo, noma ukuthola imbangela eqondile yezimpawu zakho. Lezi zivivinyo zingafaka:

• Ukuhlolwa kwe-patch: Lokhu kusiza ukuthola ukuthi une-allergy yini emvelweni.
• Ukuhlolwa kwegazi noma ukuhlolwa kokuklwebheka kwesikhumba (ukuhlolwa kwe-culture swab): Hlola ukutheleleka.
• I-biopsy yesikhumba: Kuthathwa isampula encane yesikhumba bese ihlolwa ngaphansi kwe-microscope.

Yiziphi izindlela zokwelapha i-eczema yobuso?

Ukwelashwa kwe-eczema yobuso kuyahlukahluka kuye ngohlobo lwesikhumba sakho nokuthi yini ebangela lesi simo. Lokhu kusho ukuthi okusebenza komunye umuntu kungase kungasebenzeli omunye. Nazi ezinye izindlela zokwelapha ezivamile:

• Ukusebenzisa ama-moisturizer noma ama-lotion athambile esikhumbeni futhi afanele isikhumba esibucayi.
• Ukusebenzisa imithi yokulwa nokuvuvukala: Isibonelo, udokotela wakho angase akunike imithi yokwelapha esetshenziswa endaweni yokuvuvukala noma imithi engeyona eye-steroidal yokulwa nokuvuvukala (ama-NSAID).
• Ukwelashwa okulula: Lokhu kusiza ukunciphisa amabala esikhumba.
• Imithi yomlomo: Udokotela wakho angase akunikeze imithi efana nama-antihistamine okunciphisa ukulunywa, ama-corticosteroids okunciphisa ukuvuvukala nokuvuvukala, noma imithi yokucindezela amasosha omzimba ukulawula ukusebenza kwesimiso somzimba sokuzivikela.

Into ebaluleke kakhulu ukukhuluma nodokotela wakho ngemiphumela emibi, ukuvama kokusetshenziswa, kanye nomthamo ngaphambi kokuqala noma yimuphi umuthi omusha. Lokhu kuzokusiza ugweme izinkinga ezingadingekile.

Uhlobo luni lwesithambisi, ukhilimu, noma isihlanzi okufanele umuntu one-eczema yobuso ayisebenzise?

Nakuba kunezinhlobo eziningi ezahlukene zama-moisturizer emakethe, uhlobo lwe-moisturizer, ukhilimu, noma i-cleaner oyikhethayo lungaba nomthelela omkhulu endleleni isikhumba sakho esiphulukiswa ngayo. Ngakho-ke, khumbula lezi zinto lapho ukhetha:

• Khetha imikhiqizo engenaphunga futhi engenadayi.
• Khetha ezithambile noma ezifanele isikhumba esibucayi.
• Imikhiqizo enamafutha (isib. i-petroleum jelly, uwoyela wamaminerali) noma enamafutha (isib. amafutha okugcoba noma okhilimu) ingcono kakhulu. Lokhu kusiza isikhumba ukuthi sigcine umswakama isikhathi eside.
• Khetha lezo ezingenazo izithasiselo noma izinto eziqinisa isikhumba, ngezinye izikhathi ezingaba lukhuni esikhumbeni.
• Khetha imikhiqizo equkethe izithako eziqinisa isithiyo semvelo sesikhumba (isib. amafutha, ama-ceramide).

Isikhumba somuntu ngamunye sihlukile, ngakho-ke okusebenza komunye umuntu kungase kungasebenzi komunye. Uma unenkinga yokuthola ukuthi iyiphi i-moisturizer engcono kakhulu kuwe, buza udokotela wakho.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Ngemva kokuthola ukwelashwa kokuqubuka kwesikhumba okubangelwa yi-eczema, kungathatha amasonto ambalwa ukuthi isikhumba sakho siphole ngokuphelele. Ukwelashwa ngudokotela noma udokotela wesikhumba kungasiza ekunciphiseni izimpawu ngokushesha. Ungasiza ekuvimbeleni ukuqubuka kwesikhathi esizayo ngokugwema izinto ezikucasulayo kanye nezinto ezibangela izimpawu zakho, nangokugcina isikhumba sakho simanzi ngokusebenzisa i-moisturizer njalo.

Ungakuvimbela kanjani ukuba i-eczema ingabhebhetheki ebusweni?

Nakuba ungeke ukwazi ukuvimbela zonke izimo ze-eczema, ungenza lezi zinto ukunciphisa ingozi yakho yokuqhuma kwesikhumba:

• Gwema izinto ezibangela ukungezwani komzimba endaweni ezungezile. Isibonelo, uma ungezwani nothuli, gcina ikhaya lakho lihlanzekile.
• Gwema izinto ezicasula isikhumba. Isibonelo, gwema ukusebenzisa insipho enamandla kanye nezinhlobo ezithile zezimonyo.
• Faka i-moisturizer ethambile esikhumbeni futhi efanelekile esikhumbeni esibucayi usuku lonke.

Yini ongayilindela uma une-eczema ebusweni bakho?

I-Eczema yisimo sokuphila konke esingenakwelashwa ngokuphelele.Ukuchayeka ezintweni ezikucasulayo zemvelo kanye nezinto ezibangela ukungezwani komzimba kungabangela izimpawu zobuso bakho zivele ziqhume. Ngisho noma ukwelashwa kungathatha amasonto ambalwa ukuthi izimpawu zakho ziphele.

Faka inani elikhulu le-moisturizer engenaphunga, ehlobene ne-eczema usuku lonke, ikakhulukazi uma uvuka ekuseni, noma nini lapho isikhumba sakho sizizwa somile emini, ngemva kokugeza ngenkathi isikhumba sakho sisamanzi, nangaphambi kokulala ebusuku. Udokotela wakho angase futhi akunike ukhilimu noma amafutha okugcoba angasetshenziswa ngesikhathi sokuqhuma kwesikhumba.

Abanye abantu abane-eczema ebusweni bangase babe nokuzethemba okuphansi ngoba izimpawu ziyabonakala kwabanye. Kungaba nzima ukubhekana nomphakathi. Ukufaka izimonyo ngezinye izikhathi kungenza isimo sibe sibi kakhulu futhi kulibazise ukuphulukiswa.

Uma uzizwa ucindezelekile ngenxa ye-eczema, noma uma izimpawu zakho ziba zimbi kakhulu kunokuba zibe ngcono, qiniseka ukuthi ubona udokotela wakho.

Ingabe i-eczema yobuso izophola ngokuphelele?

Yebo, ukuqubuka kwe-eczema kuyaba ngcono. Kodwa ngisho noma ukwelashwa, kungathatha amasonto ambalwa. Khumbula, i-eczema yisimo esingamahlalakhona. Lokhu kusho ukuthi ingabuya ngisho noma isiphelile. Indlela engcono kakhulu yokuvimbela ukuqubuka kwe-eczema ukuhlala kude nezinto ezicasulayo kanye nezinto ezibangela ukungezwani komzimba nokugcina isikhumba sakho simanzi ngokusebenzisa i-moisturizer njalo. Uma i-eczema yakho ingabi ngcono, khuluma nodokotela wakho ngemithi yokwelapha izimpawu zakho.

Ngingayibona nini udokotela?

Uma izimpawu zakho zingathuthuki phakathi namasonto ambalwa, noma uma ziba zimbi kakhulu, qiniseka ukuthi ubona udokotela. Tshela nodokotela wakho uma unezinkinga zesikhumba (isib. amabala amasha, ubuhlungu) ku-moisturizer noma ugcobo olusebenzisayo.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma uya kudokotela, ungakhohlwa ukubuza le mibuzo:

• Yini okufanele ngiyenze ukuze ngivimbele i-eczema ebusweni bami ukuthi ingabhebhetheki?
• Ingabe kukhona engikuzwelayo?
• Yini ebangela ukuba i-eczema yami ibe yimbi kakhulu?
• Yiziphi izinhlobo zama-moisturizer ozincomayo?
• Kufanele ngifake i-moisturizer kangaki ngosuku?
• Ingabe ikhona imiphumela emibi engaba khona emithini oyinikezwe udokotela?

Okokugcina, khumbula (Umyalezo Wokuya Ekhaya)

I-eczema yobuso yisimo esingamahlalakhona esingathinta isikhumba sakho impilo yakho yonke. Ingavuvukala ngokuzumayo, noma ingaba yimbi kakhulu uma uhlangana nezinto ezikucasulayo kanye nezinto ezibangela ukungezwani komzimba. Ngenxa yokuthi i-eczema ingathinta ukubukeka kwakho, ingabangela abanye abantu bazizwe becindezelekile futhi benokuzethemba okuphansi. Uma isimo sesikhumba sakho sikwenza kube nzima ngawe ukuxhumana nabantu noma ukusebenza, ungangabazi ukukhuluma nodokotela noma uchwepheshe wezempilo yengqondo. Ukuze uvimbele ukuvuvukala kwesikhathi esizayo, gcina isikhumba sakho simanzi kahle ngokusebenzisa i-moisturizer njalo.

I- Eczema, i-eczema yobuso, izifo zesikhumba, ukungezwani komzimba, ukulunywa, isikhumba esomile, izifo zesikhumba