Ingabe uthola izinhlobo ezahlukene zamabala nama-blister esikhumbeni sakho? Ingabe lokhu kungaba yi-Erythema Multiforme?

Wake waphawula ukuthi isikhumba sakho sivele sibe namabala abomvu ngokuzumayo, ngezinye izikhathi amabhamuza agcwele amanzi? Ngezinye izikhathi lokhu kuyavela, kunyamalale ngemva kwezinsuku ezimbalwa, bese kubuya. Kuvamile ukuzizwa wesaba kancane uma ubona into efana nale. Namuhla sizokhuluma ngesimo esibonisa lezi zimpawu, esingavamile kakhulu kodwa okubalulekile ukwazi ngaso. Leso yi-erythema multiforme.

Iyini i-Erythema Multiforme? Masiyiqonde kalula!

Kalula nje, i-Erythema Multiforme iwukusabela okwenzeka esikhumbeni sethu. Kufana nokuthi umzimba wethu "usabela" kokuthile. Lokhu kubangelwa kakhulu ukutheleleka noma umuthi esiwuphuzayo. Igama elithi "multiforme" lisho "ezimo ezahlukene." Lokhu kusho ukuthi la mabala nama-blister angavela esikhumbeni ngezindlela nezimo ezahlukene. Amanye awo abukeka njengamabala abomvu nje, amanye abukeka njengamaqhubu aphakanyisiwe, kanti amanye abukeka njengamaqhubu agcwele uketshezi. Angafika ahambe ngokuzumayo. Angavela ezingxenyeni ezahlukene zomzimba, ngezinye izikhathi ezindaweni ezifana namehlo, umlomo, kanye nezitho zangasese.

Kunezinhlobo ezimbili eziyinhloko zalokhu, akunjalo?

Yebo, ukuzwile lokho kahle. Odokotela bayaqaphela izinhlobo ezimbili eziyinhloko ze-Erythema Multiforme:

1. I-Erythema Multiforme Minor:

Lolu uhlobo olungaba yingozi kangako . Luthinta kakhulu isikhumba sakho. Lokhu kusho ukuqubuka namabala. Kodwa-ke, ulwelwesi lwamafinyila, njengomlomo, amehlo, kanye nezitho zangasese, cishe aluthinteki. Izimpawu zomzimba, njengomkhuhlane kanye nokubanda, nazo azibonakali njalo.

2. I-Erythema Multiforme Major:

Lolu uhlobo olubi kakhulu . Kwezinye izimo, lungaba yingozi ngisho nokuphila . Lokhu kungenxa yokuthi lubangela izindawo ezinkulu zesikhumba ukuba ziqhume futhi ziqhekeke. Lolu hlobo cishe luhlala luthinta ulwelwesi lwamafinyila lomlomo, amehlo, kanye nezitho zangasese. Kuvamile futhi ukuba nezimpawu ezithinta umzimba wonke, njengomkhuhlane kanye nobuhlungu bamalunga.

Ubani onamathuba amaningi okuthola i-Erythema Multiforme?

I-Erythema Multiforme empeleni iyisifo esingavamile . Akwenzeki kuwo wonke umuntu. Kodwa noma ubani angasithola. Kodwa-ke, sivame kakhulu ezinganeni , kubantu abadala abasebasha, nakubantu abangaphansi kweminyaka engama-40 .

Lokhu kuthinta kanjani umzimba? Yikuphi ukungakhululeki okuzwayo?

I-Erythema Multiforme ivame ukubangela ukuqubuka okubuhlungu noma okungakhululeki esikhumbeni. Lokhu kuqubuka kungase kuqale kancane kancane futhi kancane kancane kube kukhulu ngokuhamba kwesikhathi. Ngezinye izikhathi kuyaluma kakhulu, futhi ngezinye izikhathi kungaphakama futhi kube namaqhubu.

Ezimweni ezimbi kakhulu (okungukuthi, Major), uma umlomo namehlo kuthintekile, ungase ube nobunzima bokudla, ukuphuza, noma ukubona kahle. Kuye ngobukhulu besimo, kungadingeka ukuthi ulaliswe esibhedlela ukuze uthole ukwelashwa . Kodwa ungakhathazeki, ngokwelashwa okufanele, lezi zimpawu zingalawulwa futhi ungalulama.

Ziyini izimpawu ze-erythema multiforme?

Ake sibone ukuthi yiziphi izimpawu ezivame kakhulu zalesi simo.

Izimpawu ezithinta isikhumba:

• Kuvele ukuqubuka okubomvu kuya konsomi , isikhumba kuleyo ndawo sivuvukele, futhi sizwa ubuhlungu uma sithintekile.
• Kuvela amabhamuza esikhumbeni noma ngaphakathi emlonyeni.
• Amabala ayindilinga avela esikhumbeni. Lawa abukeka njengeso lenkunzi uma udubula endaweni eqondiwe. Okusho ukuthi, isikhungo simnyama, futhi kukhona indandatho yokukhanya ezungezile. Lesi yisici esikhethekile salesi sifo.
• Ukuluma .

Izindaba ezinhle ukuthi lezi zimpawu zesikhumba zivame ukuphela phakathi kwamasonto amabili kuya kwamane.

Ezinye izimpawu ezivamile:

Ngaphezu kwezimpawu zesikhumba, okulandelayo kungase kwenzeke:

• Ikhanda elibuhlungu
• Ukuzizwa ukhathele futhi ukhathele (ukukhathala)
• Imfiva
• Ubuhlungu nobuhlungu bamalunga
• Ukwanda kokuzwela kwamehlo, ukubona okufiphele, ubuhlungu bamehlo, kanye nokubomvu kwamehlo.

Kuye ngokuthi ukuqubuka kwenzeka kuphi, ungase ube nezimpawu ezengeziwe. Isibonelo, ungase ube nobuhlungu lapho uchama, noma ungase ube nobuhlungu lapho udla noma uphuza.

Kukuphi lapho lezi zimpawu zivame ukuvela khona emzimbeni?

Izindawo ezivame kakhulu lapho izimpawu ze-Erythema Multiforme zibonakala khona yilezi:

• Esikhumbeni sakho (ikakhulukazi izandla, imilenze, ubuso)
• Ngaphakathi komlomo
• Noma okuhlobene nezitho zangasese
• Ngaphakathi nangaphandle kwamehlo

Yiziphi izimbangela ze-Erythema Multiforme?

Imbangela eqondile yalesi simo ayaziwa okwamanje , kodwa ucwaningo lwezokwelapha lusikisela ukuthi izici ezimbili eziyinhloko zinegalelo kulesi simo:

1. Ukutheleleka:

• Ikakhulukazi ukutheleleka ngamagciwane i- Mycoplasma pneumoniae (ebangela izifo zokuphefumula ezifana ne-pneumonia).
• Igciwane le-Herpes simplex (yilokhu okubangela izilonda zomkhuhlane kanye ne-herpes yobulili). Ngokuvamile, izimpawu ze-erythema multiforme zingavela ezinsukwini ezimbalwa ngemva kokutheleleka kwe-herpes.

2. Umuthi:

Lokhu kungenzeka futhi njengokusabela kwemithi ethile. Kodwa-ke, lokhu akuvamile njengokutheleleka. Imithi ebangela lokhu ingahluka kumuntu nomuntu. Imithi evame kakhulu ebangela lokhu yile:

• Imithi yokulwa nokuquleka
• Ama-antibiotic
• Imithi engeyona i-steroidal elwa nokuvuvukala (ama-NSAID) (isib. imithi yobuhlungu efana ne-ibuprofen, i-diclofenac)

Cabanga nje, unesifo somkhuhlane bese udokotela ekunika ama-antibiotic. Uma uqala ukuba namabala abomvu esikhumbeni sakho ezinsukwini ezimbalwa ngemva kokuwasebenzisa, kungaba ukusabela komuthi.

Ingabe i-Erythema Multiforme iyathelelana?

Cha, i-Erythema Multiforme ayithelelani. Izimpawu zakho, ikakhulukazi amabala, amabhamuza, kanye nokuqubuka esikhumbeni sakho, azithathisani uma uthinta noma uthintana nomunye umuntu. Kodwa-ke, uma unalesi simo ngenxa yegciwane noma igciwane, lelo gciwane noma igciwane lingadluliselwa komunye umuntu. Kodwa-ke, akuqiniseki ukuthi lowo muntu uzophinde abe ne-Erythema Multiforme.

Kutholakala kanjani lokhu?

Ukuze anqume ukuthi lokhu kuyi-erythema multiforme, udokotela wakho uzobuza ngezimpawu zakho kanye nomlando wakho wezokwelapha (njengezifo zangaphambilini kanye nemithi oyiphuzayo). Ngemuva kwalokho, bazokwenza ukuhlolwa ngokomzimba. Bazobheka izinto ezilandelayo ngesikhumba sakho:

• Usayizi `(Usayizi)`
• Isimo ( njengalolo phawu lweso lenkunzi)
• Umbala
• Indlela esakazeke ngayo, njengebanga ukusuka endaweni eyodwa kuya kwenye `(ukusabalalisa)`
• Kungakhathaliseki ukuthi amehlo akho, umlomo, noma izitho zangasese ziyathinteka yini

Ngezinye izikhathi, ngokuqinisekile, udokotela wakho kungadingeka athathe ingxenye encane yesikhumba (i-biopsy yesikhumba) ukuze ayihlole ngaphansi kwe-microscope. Lokhu kungaqinisekisa isimo.

Iyini indlela yokwelapha lokhu?

I-Erythema Multiforme ayidingi ukwelashwa njalo. Ezimweni ezincane, izimpawu zingase ziphele zodwa . Kodwa-ke, uma udinga ukwelashwa, ungenza okulandelayo:

• Ukuze kutholakale ukulunywa: Kunganikezwa ama-corticosteroids angaphandle (okhilimu abaqukethe ama-steroid) noma ama-antihistamine omlomo (imithi enikezwayo yokwelapha ukungezwani komzimba).
• Uma amehlo ethintekile: Amaconsi amehlo anganikezwa.
• Ukwelapha ubuhlungu: Kungase kunikezwe imithi yokubulala izinzwa noma umuthi womlomo wokukhipha izinhlungu.
• Uma unenkinga yokudla ngenxa yezilonda emlonyeni: Ungase utshelwe ukuthi ushintshele ekudleni okumanzi noma okuthambile.
• Ukuhlanza umlomo wakho: Ungathi hlanza umlomo wakho ngamanzi anosawoti afudumele.
• Uma kungenxa yokutheleleka: Ama-antibiotic afanele noma imithi yokulwa namagciwane inganikezwa.
• Uma kungenxa yomuthi: Bazokutshela ukuthi uyeke ukuwuthatha lowo muthi.

Ingabe ikhona imithi ekhethekile ye-Erythema Multiforme?

Yebo, ikakhulukazi uma lesi simo sivame ukwenzeka ngenxa yokuqubuka kwe-herpes, imithi yokulwa namagciwane efana nalena inganikezwa ukuyilawula:

• I-Acyclovir
• I-Valacyclovir
• I-Famciclovir `(Famciclovir)`

Lena imithi okufanele ithathwe njengoba nje udokotela eqondisile.

Ngingazinakekela kanjani /ngiphatha kanjani izimpawu?

Into ebaluleke kakhulu ukulandela uhlelo lokwelashwa olunikezwa udokotela wakho ngqo ukuze unciphise izimpawu zakho.

• Ungaklwebhi isikhumba sakho. Izinzipho zingabangela amanxeba esikhumba, angaqhekeka futhi abangele ukutheleleka. Sebenzisa ukhilimu noma amafutha anconywe udokotela wakho ukuze unciphise ukuklwebha.
• Ngisho noma kunzima ukudla noma ukuphuza, qiniseka ukuthi udla ukudla okunomsoco kanye noketshezi. Ngaphandle kwalokho, ukungondleki kahle noma ukuphelelwa amanzi emzimbeni kungase kwenzeke. Yidla ukudla okumanzi nokuthambile (isb., isobho, iphalishi, iyogathi, izithelo ezicoliwe). Gwema ukudla okushisayo, okune-asidi, nokunongwe kakhulu. Kungenza izilonda emlonyeni zibe zimbi kakhulu. Tshela udokotela wakho uma unenkinga yokudla noma ukuphuza.

Ungakuvimbela kanjani ukuthuthukiswa kwe-erythema multiforme?

Akunakwenzeka ukuvimbela zonke izimo ze-Erythema Multiforme, njengoba imbangela eqondile ayaziwa. Kodwa-ke, kunezinto ongazenza ukuze unciphise ingozi yakho yokuthola lesi simo:

• Gwema imithi eyaziwa ukuthi iyingozi kuwe (isib., amanye ama-NSAID noma ama-antibiotic).
• Geza izandla zakho njalo ngensipho ukuze uzivikele ezifweni zesikhunta noma amagciwane.
• Uma uthola amanxeba, wahlanze kahle futhi uvimbele ukutheleleka.
• Yenza ucansi oluphephile ukuze uzivikele wena nabanye egciwaneni le-herpes simplex.

Uma ubhekana nalesi simo njalo, khuluma nodokotela wakho ngezindlela zokunciphisa lesi simo.

Yini engingayilindela uma ngine-Erythema Multiforme?

I-Erythema multiforme ingaba yimbi kakhulu, ikakhulukazi uma isikhumba siba buhlungu. Udokotela wakho uzoncoma ukwelashwa ukunciphisa izimpawu zakho, okufanele zithuthuke phakathi namasonto ambalwa.

Into ebaluleke kakhulu ukusebenzisana eduze nodokotela wakho ukuze uqonde ukuthi yini ebangela isimo sakho. Thembeka kudokotela wakho mayelana nomlando wakho wezokwelapha ngesikhathi sokuhlolwa kwakho. Lokhu kuzosiza ukuthi akusize.

I-Erythema Multiforme ihlala isikhathi esingakanani?

I-Erythema multiforme ivame ukuphela emavikini amabili kuya kwamane. Kwabanye abantu, lesi simo singase "siphinde sivele." Lokhu kusho ukuthi siyavela, sibe ngcono isikhashana, bese sibuya. Uma uvame ukuqubuka, khuluma nodokotela wakho ngezindlela zokunciphisa lokhu.

Kufanele ngimbone nini udokotela?

Uma unezimpawu ze-Erythema Multiforme futhi zingathuthuki ngemva kwamasonto amane okwelashwa, noma uma lesi simo sivela njalo futhi sithinta impilo yakho yansuku zonke , kufanele nakanjani ubone udokotela.

Isimo esiphuthumayo!

Uma izimpawu zithinta indawo enkulu yesikhumba sakho, amehlo, umlomo, noma izitho zangasese, noma uma unezimpawu zomzimba ezifana nomkhuhlane, isicanucanu, kanye nobuhlungu bamalunga, iya ekamelweni eliphuthumayo esibhedlela ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma ubona udokotela, ungabuza imibuzo efana nale:

• Yini engaba imbangela yesifo sami se-Erythema Multiforme?
• Ingabe kuphephile kimi ukuphuza imithi efana ne-"NSAIDs"?
• Hlobo luni lokhilimu noma amafutha okufanele ngiwasebenzise ukuze ngiyeke ukulunywa?

Ingabe i-COVID-19 ingadala i-Erythema Multiforme?

I-Erythema Multiforme yisimo esingavamile esibangelwa yi-COVID-19. Kwabanye abantu abane-COVID-19 kanye ne-Erythema Multiforme, lokhu kusabela kwesikhumba cishe kuyindlela yokusabela ekwelashweni kwe-COVID-19 kunakugciwane uqobo.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Izimpawu ze-Erythema Multiforme zivame ukuba zincane, kodwa ubukhali bungahluka kumuntu nomuntu. Ungakhathazeki. Udokotela wakho uzosebenza nawe eduze ukuthola imbangela yesimo sakho nokwelapha isikhumba sakho lapho kuvela izimpawu. Ezimweni ezimbi kakhulu, kungadingeka ukuthi ulaliswe esibhedlela. Qiniseka ukuthi utshela udokotela wakho ngezimpawu zakho, ikakhulukazi uma zivela njalo futhi ziphazamisa imisebenzi yakho yansuku zonke. Zingakusiza kangcono.

I- Erythema Multiforme, izifo zesikhumba, izifo zesikhumba, amabala esikhumba, ama-blister, i-herpes, izifo