Ingabe uthola namabala ayindilinga esikhumbeni sakho? Ake sixoxe ngalokhu (Granuloma Annulare)!

Wake waphawula ukuthi isikhumba sakho ngezinye izikhathi sinamabala ayindilinga, ngezinye izikhathi apinki, aphakanyisiwe kancane? Noma njengamaqhubu amancane ngaphansi kwesikhumba? Kungaba yisifo sesikhumba esibizwa ngokuthi `(Granuloma Annulare)` . Akukho okufanele ukhathazeke ngakho, akuyingozi kangako. Ingabe singaxoxa ngalokhu ngokuningiliziwe?

Kuyini lokhu `(i-Granuloma Annulare)`?

Kalula nje, i-Granuloma Annulare iyisifo sesikhumba esingenabungozi, esingenawo umdlavuza, kodwa ngezinye izikhathi esingamahlalakhona . Sibangelwa ukuvuvukala esikhumbeni sethu. Lokhu kuvuvukala kubangela amabala aphakeme, anombala ohlukile noma amaqhubu ngaphansi kwesikhumba. La mabala avame ukubonakala ezandleni zakho, ezinyaweni, ezingalweni nasezindololwaneni.

Ingabe zikhona izinhlobo ze-Granuloma Annulare?

Yebo, kunezinhlobo ezinhlanu eziyinhloko zalokhu. Ngezinye izikhathi umuntu ofanayo angakha izinhlobo ezingaphezu kweyodwa. Ake sibone ukuthi ziyini?

• I-granuloma etholakala endaweni ethile: Lolu uhlobo oluvame kakhulu. Kuyisilonda esiyindilinga esenzeka endaweni eyodwa kuphela yesikhumba. Cabanga ukuthi unendawo eyindilinga esandleni sakho.
• `I-granuloma annulare ejwayelekile (esatshalaliswayo): Lokhu kwenzeka lapho amaqhubu esakazeka endaweni enkulu yesikhumba, njengasengxenyeni yonke yengalo.
• I-Subcutaneous granuloma annular: Lolu hlobo lwe- granuloma lukhula ngaphansi kwesikhumba. Ngezinye izikhathi, lungazwakala ezandleni.
• I-granuloma annulare ebhobozayo (uhlobo olubuhlungu): Lolu hlobo lubangela amaqhubu abuhlungu ezandleni naseminweni.
• I-patch granuloma annulare (uhlobo oluvela njenge-patch): Lapha, izilonda zivela njengezindawo eziyisicaba, ezifana ne-patch esikhumbeni.

Ubani onamathuba amaningi okuthola i-Granuloma Annulare?

Nakuba empeleni ingakhula kunoma yimuphi ubudala, ivame kakhulu ezinganeni nakubantu abadala abasebasha . Abesifazane nabo banamathuba aphindwe kabili okuthola lesi simo kunabesilisa.

Enye into ukuthi, uma unesifo sikashukela , ikakhulukazi uhlobo 1, uhlobo lwesifo sikashukela oluxhomeke ku-insulin , kungenzeka kakhulu ukuthi ube ne-granuloma annulare.

Akukhona lokho kuphela, uma unesifo se-thyroid , njenge-thyroiditis (ukuvuvukala kwe-thyroid gland), i-hypothyroidism (amazinga aphansi e-thyroid hormone), noma i-thyroid adenoma (isimila esingenabungozi esikhula e-thyroid gland), khona-ke usengozini yokuthola lesi simo.

Into ebaluleke kakhulu ukuthi uma udokotela ekutshela ukuthi une-Granuloma Annulare, ikakhulukazi uma kuyinhlobo evame kakhulu (i-Generalized Granuloma Annulare), buza udokotela wakho ukuthi kuwumqondo omuhle yini ukuhlolwa ezinye izimo ezibonakala ngezinye izikhathi ngalesi simo.

Kuthiwa futhi abantu baseHawaii bahlakulela uhlobo olubuhlungu, olubizwa ngokuthi "i-perforating granuloma annulare", kaningi.

Lokhu kuzowenzani umzimba wami?

Kuye ngokuthi isikhumba sakho sinjani, ngemva kokuba lokhu kuvuvukala sekuphelile, isikhumba kulezo zindawo ngezinye izikhathi singaba mnyama (hyperpigmentation) . Lokhu kusho ukuthi amabala amnyama angasala.

I-Granuloma Annulare yesikhathi eside ingathinta nempilo yakho yengqondo . Ingathinta indlela umphakathi namaqembu omphakathi athonya ngayo imicabango nemizwa yakho (ngokwengqondo nangokwenhlalo) kanye nendlela ocabanga ngayo ngawe kanye nokuziphatha kwakho (ngokwengqondo). Lokhu kungaholela ezimweni ezinjengokucindezeleka , ukukhathazeka, kanye nokucindezeleka .

Ziyini izimpawu ze-Granuloma Annulare?

Izimpawu ziyahlukahluka kuye ngohlobo lwe-Granuloma Annulare onayo. Ake sibheke izimpawu ezihlobene nohlobo ngalunye.

I-granuloma annulare yendawo (uhlobo olukhawulelwe endaweni eyodwa)

Izici ezibonakala kulolu hlobo yilezi:

• Amaqhubu amancane avela esikhumbeni ngaphambi kokuba kuvele ukuqubuka.
• Kuvela amaqhubu ayindilinga esikhumbeni. Lawa angaqala njengezindilinga ezincane bese ehlangana ndawonye abe makhulu.
• La mabala angaba bomvu, apinki, ansomi, noma abe nombala ofanayo nowesikhumba sakho esivamile.

`I-granuloma ehlanganisiwe` (uhlobo lokusabalalisa)

Izimpawu zalolu hlobo yilezi:

• Amaqhubu avela endaweni enkulu yesikhumba.
• La maqhubu ayahlangana ukuze akhe izindawo ezinkulu nezinombala ohlukile.

`I-Subcutaneous granuloma annular` (uhlobo oluvela ngaphansi kwesikhumba)

Izici ezibonakala kulokhu yilezi:

• Kuvela amaqhubu amancane ngaphansi kwesikhumba.
• Lezi zigaxa zingakhula ngokushesha.
• Ngokuvamile lezi ziyizigaxa eziqinile, eziyindilinga, ezingenabuhlungu.
• Uma umbala obomvu noma opinki ungajwayelekile, kungaba yiqhubu elishintsha umbala.

`I-granuloma ebhobozayo` (uhlobo olubuhlungu)

Izici zalolu hlobo:

• Kuvela amaqhubu amancane, abuhlungu, anamaqhubu ezandleni noma eminweni.
• La maqhubu angase alume noma abe buhlungu.
• Ngezinye izikhathi la maqhubu angase akhiphe uketshezi.
• Ngezinye izikhathi la maqhubu angasakazeka futhi ahlangane ndawonye ukuze akhe izilonda ezinkulu.

I-patch granuloma annulare (uhlobo olubonakala njengama-patches)

Izici ezibonakala kulokhu yilezi:

• Kuvela amabala ayisicaba abomvu, abomvu ngokunsundu, noma ansomi.
• Lezi zilonda zingavela endaweni eyodwa noma eziningana esikhumbeni.

Kungani lokhu `(i-Granuloma Annulare)` kuvela? Ingabe zikhona izimbangela?

Eqinisweni, odokotela nabacwaningi abakayitholi imbangela eqondile ye-Granuloma Annulare. Olunye ucwaningo lubonisa ukuthi kungenzeka ukuthi ibangelwa amasosha ethu omzimba angasabeli kahle ekulimaleni kwesikhumba.

Futhi, odokotela bacabanga ukuthi izinto ezilandelayo zingadala i-Granuloma Annulare ibe yimbi kakhulu:

• Ukulunywa yizinambuzane.
• Eminye imithi, isibonelo i-`allopurinol` (Aloprim®, Zyloprim®) .
• Ezinye izimo zezokwelapha, isibonelo `i-HIV (i-Human Immunodeficiency Virus)` kanye `i-Hepatitis C` .

Abanye abantu bangase babe ne-Granuloma Annulare ngemva kokuchayeka ezintweni ezithile zemvelo, njengokuchayeka elangeni isikhathi eside.

Ingabe 'Ukucindezeleka' kuyathinta nokuthuthukiswa kwe-'(Granuloma Annulare)'?

Ucwaningo oluthile lusikisela ukuthi ukucindezeleka okungapheli kungabangela i-Granuloma Annulare. Ngakho-ke, ukunciphisa amazinga akho okucindezeleka kungasiza ekuvimbeleni lesi simo. Zama lezi zinto ukuze unciphise amazinga akho okucindezeleka:

• Phefumula kakhulu bese ubala ufike ku-10.
• Vivinya umzimba nsuku zonke.
• Nciphisa ukusetshenziswa kwe-caffeine notshwala.
• Lala okungenani amahora angu-8 ebusuku.
• Yidla ukudla okunempilo okunempilo.
• Zama ukucabanga ngendlela eyakhayo ngakho konke.
• Bhala idayari nsuku zonke.
• Khuluma ngezinto ezenzeka empilweni yakho nabangani, umndeni, noma uchwepheshe wezokwelapha.

Ingabe lokhu kuyathelelana?

Cha, `(I-Granuloma Annulare)` akusona isifo esithelelanayo. Asikwazi ukusabalala komunye umuntu ngokuthintana kwesikhumba nesikhumba. Ngakho-ke akukho okufanele ukhathazeke ngakho.

Udokotela ukubona kanjani lokhu?

Udokotela uzoqala ngokuhlolisisa isikhumba sakho.

Ngemuva kwalokho, ukuze uqinisekise ukuxilongwa, kungadingeka ukuthi wenze i-skin biopsy . Lokhu kuhilela ukuthatha isampula encane yesikhumba sakho bese uyithumela elabhorethri. Odokotela lapho bazoyibheka ngaphansi kwe-microscope ukuze basize ekutholeni ukuthi yini ngempela ebangela izilonda zesikhumba sakho.

Iphathwa kanjani i-Granuloma Annulare?

Kwabaningi abantu, i-Granuloma Annulare izophela yodwa ngaphandle kokwelashwa . Ngokuvamile inyamalala ngokuphelele phakathi neminyaka emibili. Kodwa-ke, kwabanye abantu, izilonda zingase zibuye kamuva.

Kodwa-ke, uma i-granuloma annulare ithinta izindawo ezinkulu zesikhumba sakho, noma uma unamaqhubu amakhulu, ajulile ngaphansi kwesikhumba sakho, udokotela wakho angase akuncomele ukwelashwa.

Umgomo oyinhloko wokwelashwa ukulawula ukulunywa noma ubuhlungu . Ukwelashwa kunganciphisa isikhathi esithathwayo ukuze izilonda zakho ziphole.

Kunezinketho eziningana zokwelapha:

• Imithi: Eminye imithi ingasiza ekunciphiseni ukuvuvukala nokuhlanza isikhumba. Udokotela wakho angase akunike imithi efana ne -corticosteroids (engasetshenziswa njengokhilimu noma inikezwe njengomjovo), i-isotretinoin (Absorica®, Zenatane®) , noma i-tacrolimus (Protopic®) . Imithi esetshenziselwa ukwelapha umalaleveva, njenge -hydroxychloroquine , ingasiza futhi ekunciphiseni izilonda zesikhumba.
• Ukwelashwa nge-PUVA: Lolu uhlobo lokwelashwa ngokukhanya. Udokotela wakho usebenzisa umuthi obizwa ngokuthi i-psoralen kanye nokukhanya kwe-ultraviolet A (UVA) . I-Psoralen yenza isikhumba sakho sizwele ekukhanyeni. Lokhu kukhanya kwe-UV kuyayekisa ukukhula kwamangqamuzana esikhumba futhi kuyasiza ekumiseni ukusabalala kwe-granuloma annulare. Ukwelashwa nge-PUVA kubizwa nangokuthi i-photochemotherapy .
• Ukwelashwa nge-Cryotherapy: Lapha, udokotela usebenzisa idivayisi ekhethekile ukuqandisa izindawo ezithintekile zesikhumba sakho. Lokhu kuvimbela izilonda ukuthi zingasabalali.
• Ukwelashwa nge-laser: Udokotela usebenzisa umsebe we-laser okhethekile ukwelapha isikhumba esithintekile. I-laser ifudumeza isikhumba, inciphise ukuvuvukala futhi isize ekuvimbeleni ukusabalala kwesilonda.
• Amaphilisi e-Vitamin E: Uma ezinye izindlela zokwelapha zingasebenzi, udokotela wakho angase ancome amaphilisi e-Vitamin E.

Kwabanye abantu, ukwelapha i-Granuloma Annulare kungaba nzima kancane. Kungase kudingeke uzame izindlela zokwelapha eziningana ezahlukene uze uthole ezikusebenzelayo.

Ingabe ukudla nokuphuza kungenza umehluko ku-`(Granuloma Annulare)`?

Ukwenza izinguquko ekudleni kwakho kungasiza ekuthuthukiseni isimo sakho se-Granuloma Annulare. Ezinye izifundo ziphakamisa ukuthi ukunciphisa inani lamafutha (ama-lipid) ekudleni kwakho (njenge-cholesterol nama-triglycerides) kungasiza i-Granuloma Annulare yakho ukuthi iphele ngokushesha. Lokhu kungaba yiqiniso ikakhulukazi uma unesifo sikashukela, amazinga aphezulu amafutha egazini, noma ezinye izimo ezivame kubantu abane-Granuloma Annulare.

Zikhona yini izinto ongazenza ekhaya nge-Granuloma Annulare?

Akukho ucwaningo oluningi mayelana nokuthi amakhambi asekhaya asebenza kahle kangakanani e-Granuloma Annulare. Kodwa-ke, imikhuba efanele yokunakekela isikhumba ingathuthukisa impilo yesikhumba sakho iyonke.

Lezi zinto zizokusiza ukuthi ugcine impilo enhle yesikhumba:

• Sebenzisa i-humidifier ukuze ugcine umswakama ekamelweni.
• Sebenzisa insipho ethambile uma ugeza noma ugeza umzimba wakho.
• Geza noma ugeze umzimba wakho ngamanzi afudumele, hhayi ngamanzi ashisayo.
• Faka ukhilimu noma amafutha okuthambisa ukuze ugcine umswakama ngokushesha nje lapho uvuka.
• Gwema ukugqoka izingubo ezilumayo, njengoboya.

Ingabe ikhona indlela yokuvimbela lokhu?

Empeleni ayikho indlela eqondile yokuvimbela i-Granuloma Annulare.

Yini okufanele siyilindele uma lokhu kwenzeka?

Kwabaningi abantu, i-Granuloma Annulare iyaziphilisa ngokwayo ngaphandle kokwelashwa , futhi ayishiyi zibazi noma amabala.

Kodwa-ke, i-Granuloma Annulare iyisifo esingamahlalakhona. Lokhu kusho ukuthi amabala angabuya , ngokuvamile endaweni efanayo lapho avele khona okokuqala. Kodwa uma ebuya, avame ukuphela ngokushesha kunakuqala.

Yimiphi imibuzo okufanele uyibuze udokotela?

Kungumqondo omuhle ukubuza le mibuzo uma ubona udokotela:

• Ubona kanjani ukuthi ngine-`(Granuloma Annulare)`?
• Uma ngingenayo i-Granuloma Annulare, yisiphi esinye isifo sesikhumba engingaba naso?
• Yiziphi izindlela zokwelapha ozincomayo?
• Yimiphi imiphumela emibi yalezo zindlela zokwelapha?
• Ingabe kufanele ngibone udokotela wesikhumba noma omunye uchwepheshe?

Uyini umehluko phakathi kwe-`(Granuloma Annulare)` kanye ne-`(Ringworm)`?

I-Granuloma annulare yisifo sesikhumba esibangela amaqhubu noma amaqhubu aphakamayo, anombala ohlukile esikhumbeni. Odokotela abazi imbangela eqondile. Amasosha omzimba wakho angase ahileleke. Ayisatshalaliswa kusuka komunye umuntu kuya komunye ngokuxhumana kwesikhumba nesikhumba.

I-ringworm yisimo esibangela ukulunywa, ukuphenduka kombala, izilonda eziyindilinga esikhumbeni. I-ringworm ibangelwa isikhunta - empeleni akuyona i-worm. Ithelelana kakhulu . Ingasakazeka ngokuthintana ngqo nomuntu noma isilwane esithelelekile, noma ngokuthinta indawo engcolile, njengendawo yokushintshela ejimini noma izingubo ezijulukayo. I-ringworm ivame ukuba nama-scaly amaningi kune-Granuloma Annulare.

Ekugcineni, khumbula lokhu.

I-Granuloma Annulare yisifo sesikhumba esingaba namahloni futhi singakhululeki ngezinye izikhathi. Kodwa-ke, yisimo esivamile , futhi sivame ukuphela sodwa phakathi neminyaka embalwa. Into ebaluleke kakhulu ukunakekela isikhumba sakho. Uma unenkinga, udokotela wakho ukhona ukukusiza. Ngakho ungesabi ukubuza udokotela wakho.

I- Granuloma Annulare, izifo zesikhumba, i-dermatology, ukulunywa, amabala esikhumba, ukucindezeleka, ukwelashwa