Ingabe ukhathazekile nangokulahlekelwa izinwele ebunzini lakho nokuveza isikhumba sakho sekhanda? Ake sifunde kabanzi nge-Frontal Fibrosing Alopecia!

Uzizwa sengathi izinwele zakho ziyancipha ngaphambili kwekhanda lakho, okungukuthi, ezinhlangothini zombili zebunzi lakho, futhi isikhumba sakho sekhanda sesiqala ukubonakala? Mhlawumbe amashiya akho nawo anciphile? Lezi zinto zingathinta hhayi wena wedwa, kodwa nabanye. Namuhla sizokhuluma ngesimo esinjalo.

Kuyini lokhu (i-Frontal Fibrosing Alopecia)?

Kalula nje, i-Frontal Fibrosing Alopecia, noma i-FFA ngamafuphi, yisimo lapho izinwele ziwela khona ngaphambili kwekhanda lakho, okungukuthi, indawo eseduze nebunzi lakho kanye nezinhlangothi zekhanda lakho, futhi ngokuhamba kwesikhathi, isikhumba sakho sekhanda siyabonakala. Kulesi simo, ngemva kokuba izinwele seziwile, zingase zingakhuli kulezo zindawo, okusho ukuthi izinwele ziwela ngendlela enezibazi (i-scarring alopecia) . Ngezinye izikhathi, ukulahleka kwezinwele kungenzeka nakwezinye izingxenye zomzimba, njengezinsikazi, futhi amashiya athintwa kakhulu yilesi simo. Lesi simo se-FFA sivame ukuqhubeka ngokuhamba kwesikhathi. Lokhu kusho ukuthi ukulahleka kwezinwele kunganda kancane kancane. Kodwa kunezindaba ezinhle. Odokotela bangalawula lokhu kukhula, okungukuthi, bakwelaphe ukuze kunciphise ijubane. Kodwa-ke, into ebaluleke kakhulu ukuthi lezi zindlela zokwelapha ngokuvamile azikwazi ukukhulisa kabusha izinwele eseziwile kakade . Yingakho kubaluleke kakhulu ukuqaphela lesi simo bese uqala ukwelashwa ngokushesha okukhulu.

Ubani onamathuba amaningi okuthuthukisa lokhu (i-FFA)?

I-Frontal Fibrosing Alopecia ivame kakhulu kwabesifazane, ikakhulukazi ngemva kokunqamuka kokuya esikhathini , ngokuvamile ngemva kweminyaka engu-50. Kodwa-ke, ngezinye izikhathi ingathinta abesifazane abasebasha, abaneminyaka engu-21. Abesifazane bomdabu wase-Afrika bangase babonise izimpawu kusenesikhathi, lapho besanda kweva eminyakeni engu-40. Akuvamile kakhulu ukuba amadoda abe nalesi simo . Ngaphezu kwalokho, abanye abantu basengozini enkulu yokuba nalesi ""(FFA)``. Ake sibone ukuthi bangobani?

• Uma kukhona emndenini wakho one-`(FFA)` (okungukuthi, umama wakho, udadewenu, njll.).
• Uma unesifo sesikhumba esibizwa ngokuthi i-rosacea (lapho ubuso buba bomvu khona bese kuvela amaqhubu amancane abomvu).
• Uma unesifo se-thyroid .
• Uma unesifo sikashukela sohlobo lwesibili .

Sivame kangakanani lesi simo (i-FFA)?

I-Frontal Fibrosing I-Alopecia empeleni iyisimo esingavamile.Kodwa-ke, inani lamacala abikiwe emhlabeni wonke libonakala likhula. Lokhu kungenzeka ukuthi abantu sebeqaphela kakhulu ngalesi sifo manje kunangaphambili, noma kungenzeka ukuthi inani leziguli liyakhula ngempela.

Kungani lokhu (i-Frontal Fibrosing Alopecia) kwenzeka? Ziyini izimbangela?

Uma ngikhuluma iqiniso, abacwaningi abakakatholi ukuthi yini ngempela ebangela ukuthi lokhu "(FFA)" kukhule . Kodwa banezinto ezimbalwa abasolayo. Cabanga ngakho, imizimba yethu iyamangalisa impela, akunjalo? Ngezinye izikhathi kunzima ngathi ukuqonda ukuthi kwenzekani kuyo.

• Isifo Sokuzivikela Emzimbeni : Lokhu kwenzeka lapho isimiso somzimba wakho sokuzivikela , uhlelo olusivikela ezifweni, luhlasela ngephutha izinwele zakho. Kufana nebutho lethu elisihlaselayo. Kungenzeka ukuthi lesi (FFA) siwuhlobo lwesifo sokuzivikela esibizwa ngokuthi i-lichen planus, esibangela ukuvuvukala kwesikhumba sekhanda kanye nezibazi . Sibizwa ngokuthi i-lichen planopilaris.
• Ithonya lezakhi zofuzo : Ngezinye izikhathi, abantu abanale ``(FFA)`` bahlangana emindenini, ngakho-ke kucatshangwa ukuthi kungase kube nokuxhumana kwezakhi zofuzo. Lokho kusho ukuthi kungaba yinto edluliselwa ezizukulwaneni ngezizukulwane.
• Ithonya lama-hormone: Njengoba lokhu kuvame ukwenzeka kwabesifazane ngemva kokunqamuka kokuya esikhathini, kukhona ukusola ukuthi izinguquko zama-hormone emzimbeni zingaba nomthelela kulokhu.
• Ezinye izinhlobo zokuhlinzwa: Ezinye izinhlobo zokuhlinzwa kobuso (`ukuphakamisa ubuso`) kanye nokufakelwa izinwele nazo ziyaphenywa ukuze kubonakale ukuthi ziyakuthinta yini lokhu.

Ngaphezu kwalokho, abacwaningi bakholelwa ukuthi izici zemvelo nazo zingadlala indima, ikakhulukazi kubantu "abanokuthambekela kwezakhi zofuzo". Okusho ukuthi, kumuntu othambekele kwezakhi zofuzo ekutholeni lesi sifo, okulandelayo kungandisa ingozi:

• Ukuchayeka elangeni elinamandla.
• Ukutheleleka ngegciwane .
• Eminye imithi .
• Ubuthi obuthile ekudleni kwezilwane (njenge-dioxin)
• Ezinye izinhlobo ze-sunscreen (lokhu kusesesigabeni sokucwaninga, ngakho ungakhathazeki).

Yiziphi izimpawu ze-Frontal Fibrosing Alopecia? Uyibona kanjani?

Uphawu oluyinhloko lwe-Frontal Fibrosing Alopecia ukulahleka kwezinwele ezinhlangothini zombili zebunzi lakho kanye nasemgqeni wezinwele zangaphambili . Lokhu kulahlekelwa izinwele kungase kuqale kancane futhi kwande ngokuhamba kwesikhathi. Isikhumba endaweni lapho izinwele sezihambile khona singase sibukeke sijwayelekile, noma ungase uqaphele izinguquko ezinjengalezi:

• Kungathatha umbala okhanyayo .
• Kungase kubukeke njengesilonda .
• Kungathatha ukubukeka okukhazimulayo .

Esinye isibonakaliso esikhulu ukulahleka kwamashiya . Lokhu ngezinye izikhathi kungaqala ngaphambi kokuba izinwele ekhanda lakho ziqale ukuphuma. Cabanga ngakho, amashiya yiwona anikeza ubuso bakho ukubukeka okuhlukile, futhi kuyadabukisa kanjani lapho eqala ukuncipha. Cishe u-80% kuya ku-90% wabesifazane abane-FFA bahlangabezana namashiya anciphayo. Ezinye izimpawu zokuqala zingase zihlanganise:

• Amabala acwebezelayo ansundu noma ampunga (hyperpigmentation) ebusweni nasentanyeni.
• Ukuluma (ukucasuka) noma ubuhlungu ekhanda.
• Imithambo emikhulu ebunzini ibonakala kahle .
• Isimo se-Rosacea `( Rosacea ( Rosacea ) )` (ububomvu bobuso, amabhamuza amancane).
• Amabhamuza amancane, aphuzi noma anombala wesikhumba afana namaqhubu ebunzini, ebusweni, noma ekhanda.

Izimpawu ezingavamile kakhulu zifaka phakathi ukulahlekelwa izinwele ezindaweni ezilandelayo zomzimba:

• Ngezandla noma izinyawo.
• Ngezinkophe.
• Ukusuka kwezinye izingxenye zobuso.
• Kusuka endaweni yangasese `(Isifunda sasePubic)`.
• Kusukela emakhwapheni.

Akuvamile ukuthi abantu abanezinwele ezimpunga babone ezinye zezinwele zabo zibuyela embala wazo wokuqala. Akumangalisi lokho?

Udokotela usithola kanjani lesi simo (i-FFA) ngokunembile?

Uma uya kudokotela onenkinga efana nale, uzoqala ngokukubuza ngalezi zinto:

• Umlando wakho ophelele wezokwelapha (ingabe unazo ezinye izifo, ingabe ukhona emndenini wakho obe nezinkinga ezifanayo, imiphi imithi oyiphuzayo, njll.).
• Imininingwane mayelana nezimpawu (kuqale nini ukuqothuka kwezinwele, kukuphi emzimbeni lapho ukuqothuka kwezinwele kwenzeka khona, ingabe kuyaluma, kuyabuhlungu, njll.).

Udokotela uzobe esekuhlola kahle , ikakhulukazi ebheka lezi zindawo:

• Amashiya akho.
• Umugqa wezinwele (ibunzi lingakwesokudla).
• Isikhumba sekhanda (ingabe kukhona izibazi, ingabe umbala wesikhumba ushintshile, noma kukhona ukuvuvukala?).

Uma udokotela wakho esola ukuthi ungase ube ne-FFA, angase anqume ukuthatha ucezu oluncane lwesikhumba bese enza i-biopsy yesikhumba . Lokhu kungase kuzwakale kuyesabisa kancane, kodwa akuyona into enkulu kangako. Nakhu okwenzayo:

• Indawo encane ekhanda iyathuthumela .
• Bese kususwa ucezu oluncane lwesikhumba (olungamamilimitha ambalwa) .
• Ingcezu yesikhumba ethathwe ihlolwa ngaphansi kwesibonakhulu ukuze kubonakale ukuthi kwenzekeni ezimpandeni zezinwele.

Ngaphezu kwalokhu, udokotela angenza nezinye izivivinyo eziningana:

• Ukuhlolwa kokudonsa izinwele:Kulokhu, udonsa izinwele zakho kancane bese ubona ukuthi zingakanani eziphuma kalula.
• Ukususa nokuhlola i-blister encane ebusweni: I-blister ithathwa bese ihlolwa ngaphansi kwe-microscope.

Lezi zivivinyo zizosiza udokotela wakho ukuqinisekisa ukuthi unalesi simo hhayi ezinye izimo ezifana nalezi:

• Ukulahlekelwa izinwele okubangelwa ukudonsa izinwele ngokuqinile (i-traction alopecia).
• Impandla ezuzwe njengefa (`i-androgenic alopecia`).

Yiziphi izindlela zokwelapha i-Frontal Fibrosing Alopecia?

Uma ngikhuluma iqiniso, ayikho ikhambi le- Frontal Fibrosing Alopecia. Lokhu kungase kuzwakale kudabukisa, kodwa ungakhathazeki. Kunezindlela zokwelapha ezinganciphisa ukuqhubeka kwalesi simo, okusho ukuthi ukulahleka kwezinwele kungancishiswa . Udokotela wakho angancoma inhlanganisela yemithi. Eminye yale mithi ihlanganisa:

• Ama-antibiotic: Isibonelo, i-doxycycline noma i-minocycline inganikezwa. Lawa asebenza ukunciphisa ukuvuvukala ekhanda.
• Ama-Corticosteroids: Lawa anganikezwa njengomuthi osetshenziswa ngqo ekhanda lakho noma njengokhilimu wokugcoba ekhaya. Angasiza ekulahlekelweni izinwele, ikakhulukazi emashiya.
• I-Finasteride (Propecia®) noma i-dutasteride: Lezi zinikezwa njengamaphilisi ukusiza ekuvimbeleni ukulahleka kwezinwele okuqhubekayo. Nakuba lezi zivame ukunqunyelwa amadoda, ngezinye izikhathi zinikezwa nabesifazane.
• I-Hydroxychloroquine: Lo muthi unganciphisa ukulunywa nobuhlungu. Ezinye izifundo zisikisela ukuthi uma uthathwa ekuqaleni kwalesi sifo, ezinye izinwele zingase zikhule kabusha.
• I-Minoxidil: Lona umuthi osetshenziswa esikhumbeni. Uma usetshenziswa kanye nomunye umuthi, njenge-finasteride noma i-corticosteroid, ungasiza ekunciphiseni ukulahleka kwezinwele.

Ngaphezu kwale mithi, kunezinye izindlela zokwelapha:

• Ukufakelwa kwezinwele: Uma ukusabalala kwesimo (i-FFA) sekulawulwe kahle, le ndlela ingasiza ekukhuliseni izinwele kabusha ezindaweni ezingenalutho.
• Ukwelashwa nge-laser: Lokhu kungasiza ekunciphiseni ukulunywa nokuvuvukala esikhumbeni.

Ngingayibona imiphumela ngemva kwesikhathi esingakanani ngiqale ukwelashwa?

Isikhathi esithathayo ukubona imiphumela siyahlukahluka kuye ngokwelashwa okutholayo. Ngokuvamile kuthatha noma yikuphi kusukela ezinyangeni eziyisithupha kuya kweziyishumi nesishiyagalombili ngaphambi kokuba uqale ukuqaphela ukuncipha kokulahlekelwa izinwele . Ngakho-ke, udinga ukubekezela ngokwelashwa kwakho.

Ingabe ikhona indlela yokuvimbela ukwakheka kwe-(FFA)?

Empeleni, ayikho indlela eqondile yokunciphisa ingozi yokuthola i-Frontal Fibrosing Alopecia okwamanje . Kodwa-ke,Uma uqala ukwelashwa ngokushesha, amathuba akho okulawula ukulahleka kwezinwele ayanda. Yingakho kubaluleke kakhulu ukubona udokotela ngokushesha nje lapho ubona izimpawu.

Uma ngine (FFA), yini okufanele ngiyilindele?

Izinga lesi simo esithinta ngalo umuntu ngamunye lingahluka . Abanye abantu balahlekelwa izinwele zabo kancane kancane, kanti abanye balahlekelwa ngokushesha. Uma kungelashwa, ukulahleka kwezinwele kunganda ngokuhamba kwesikhathi. Umugqa wezinwele zakho ungase ubuyele ekhanda lakho . Ungase futhi ubhekane namabala ampunga noma ukulahleka kwezinwele ngendlela egobile. Kodwa-ke, ngezinye izikhathi, ukulahleka kwezinwele kuyayeka ngokwako, ngisho noma kungekho ukwelashwa. Lokhu akwenzeki kuwo wonke umuntu.

Ngizinakekela kanjani ngesikhathi ngihlala ne-(FFA)?

Ukulahlekelwa izinwele kungaba yinto ekhathazayo kakhulu futhi ekhathazayo . Akugcini nje ngokuthinta ukubukeka kwakho, kodwa futhi nempilo yakho yengqondo kanye nomuzwa wenhlalakahle. Ngakho-ke, ukukhuluma ngemizwa yakho nabangani abaseduze, umndeni, noma uchwepheshe wezokwelapha kungaba usizo kakhulu . Khumbula ukuthi awuwedwa kulokhu. Futhi, kungaba kuhle uma ungajoyina iqembu lokusekela lapho abantu abane-`(FFA)` behlangana khona. Ukwabelana ngolwazi lwakho nabanye ababhekene nenkinga efanayo nawe kungaba impumuzo enkulu futhi ungafunda okuningi.

Into ebaluleke kakhulu ukuqala ukwelashwa kwe-"(FFA)" ngokushesha okukhulu. Uma ulinda isikhathi eside, kulapho ungase ulahlekelwe khona izinwele kakhulu.

Ungazinakekela futhi ngokwenza lezi zinto:

• Ngaphambi kokuzama noma yiziphi izindlela zokwelapha izinwele zasekhaya ozithola ku-inthanethi, qiniseka ukuthi ukhuluma nodokotela wakho . Ungazami lutho ngaphandle kokubonisana nodokotela wakho, njengoba ezinye izinto zingenza isimo sibe sibi kakhulu.
• Nciphisa ukusetshenziswa kwamathuluzi okulungisa ukushisa njengezinsimbi zokugoqa kanye nokomisa izinwele ngangokunokwenzeka . Lokhu kusiza ekunciphiseni ukuvuvukala ekhanda okubangelwa ukushisa.
• Khuluma nomhlengikazi wakho wezinwele mayelana nendlela yokugunda izinwele engasiza ukufihla ukulahleka kwezinwele kancane . Ezinye izindlela zokugunda izinwele zingasiza ekuphatheni lokhu kancane.
• Uma ugeza ubuso bakho, sebenzisa izihlanzi ezithambile, ezingenaphunga . Lokhu kunganciphisa ukucasuka kwesikhumba.
• Uma uthanda, gqoka into efana nesigqoko, ibhande elihle lekhanda, noma iwigi . Uma lokhu kukusiza ukwakha ukuzethemba okuncane, kuhle lokho.

Kufanele ngiphinde ngimbone nini udokotela?

Uma ukhathazekile nganoma yimiphi imiphumela emibi evela ekwelashweni okuthathayo, qiniseka ukuthi ubona udokotela wakho.Angakweluleka ngezindlela zokusiza ukunciphisa ukubukeka kokulahlekelwa izinwele, njengokusebenzisa impuphu ehambisana nombala wesikhumba sakho. Ungakhohlwa ukubona udokotela wakho ngesikhathi sokwelashwa njengoba uyalelwe.

Ngakho-ke, yiziphi izinto okudingeka sizikhumbule kukho konke lokhu?

I-Frontal Fibrosing Alopecia (FFA) yisimo esibangela ukulahlekelwa izinwele ngaphambili nasemaceleni ekhanda, okushiya izibazi. Izinwele zingalahleka nasezindaweni ezifana namashiya nezinkophe. Ngokuvamile zithinta abesifazane ngemva kokunqamuka kokuya esikhathini, kodwa zingathinta nabantu abasebasha kanye, akuvamile, amadoda. Imbangela eqondile ayaziwa, kodwa kucatshangwa ukuthi iyimpendulo yokuzivikela komzimba, izakhi zofuzo, noma ama-hormone. Udokotela uyixilonga ngokuhlola indawo, futhi ngezinye izikhathi ngokuthatha ingxenye encane yesikhumba (i-biopsy yesikhumba). Ukwelashwa kuvame ukuhilela inhlanganisela yemithi eminingana. Nakuba i-FFA ingelapheki ngokuphelele, into ebaluleke kakhulu ukuthi uma ukwelashwa kuqalwe kusenesikhathi, ukusabalala kwayo kungalawulwa kakhulu . Ngakho-ke, uma unalezi zimpawu, ungangabazi ukubona udokotela futhi ufune iseluleko. I-Frontal Fibrosing Alopecia, i-FFA, Ukulahlekelwa izinwele, Ukulahlekelwa izinwele ebunzini, Ukuncipha kwamashiya, Izifo zesikhumba, Impilo yabesifazane, Ukunqamuka kokuya esikhathini, Izifo zesikhumba, IsiSinhala