Ngezinye izikhathi sithola amaqhubu amakhulu, abuhlungu ezindaweni ezijulukayo njengezingalo zethu, imisipha, nangaphansi kwamabele ethu, akunjalo? Njengoba nje esinye sizophola, esinye siyavela. Ngezinye izikhathi la maqhubu ayaphuma ubomvu futhi anganuka kabi. Nakuba abantu abaningi becabanga ngawo njenge-pimple evamile noma i-sweat blister, empeleni angaba yisimo sesikhumba esihlukile, sesikhathi eside. Namuhla sikhuluma ngesimo esibizwa ngokuthi i-Hidradenitis Suppurativa (HS) ngokwezokwelapha. Nakuba kuzwakala kuyinkimbinkimbi kancane, ake sikuhlukanise ngamagama alula.
Iyini ngempela i-Hidradenitis Suppurativa (HS)?
Kalula nje, i-HS yisimo sesikhumba sesikhathi eside esibangela amaqhubu abuhlungu, amaqhubu, namathumba ezindaweni zesikhumba sethu lapho izindlala zokujuluka zigcwele khona. Abanye abantu bakubiza nangokuthi 'i-acne inversa'.
Lokhu akufani nenduna evamile. I-HS ibangelwa ukungasebenzi kahle kwesimiso somzimba wethu sokuzivikela. Uma sikhuluma iqiniso, yisifo sokuvuvukala kwezinwele . Okwenzekayo ukuthi uhlelo lokuzivikela lomzimba wethu luhlasela izinwele zethu ngaphandle kwesizathu. Lokhu kubangela ukuthi zivuvuke, zibe bomvu, futhi zibe amaqhubu abuhlungu. Ngokuhamba kwesikhathi, lezi zingakhula zibe amathumba agcwele ubomvu kanye nama-sinus tract ngaphansi kwesikhumba.
Into ebaluleke kakhulu ukuthi lesi simo asithelelani nhlobo . Futhi, asibangelwa ukuhlanzeka okungekuhle . Kubaluleke kakhulu ukuqonda kuqala ukuthi lokhu akulona iphutha lakho.
Yiziphi izinhlobo zamaqhubu esikhumba ezenzeka ku-HS?
Kunezinhlobo ezintathu eziyinhloko zezinguquko zesikhumba ezibonakala ku-HS. Ungase ube nenye noma ngaphezulu kwalezi.
| Uhlobo lweqhubu | Incazelo elula |
|---|---|
| Amaqhubu | Lezi yizigaxa eziqinile nezibuhlungu ezakha ngaphansi kwesikhumba bese zizwakala esandleni. Lezi yizigaxa eziza kuqala. |
| Amathumba | Lokhu kubhekisela kuma-cyst agcwele ubomvu. Lawa angavuvukala, aqhume, futhi ubomvu bungaphuma. Ngezinye izikhathi, kungaphuma iphunga elinamandla. |
| Ama-sinus tract | Lesi yisimo esibi kakhulu. Okwenzekayo lapha ukuthi kwakheka imigudu phakathi kwamaqhubu agcwele ubovu ngaphansi kwesikhumba kanye nobuso besikhumba. Lokhu kungaqhubeka nokukhipha uketshezi olufana nobovu. |
Ubani okungenzeka kakhulu ukuthi abe ne-HS? Yiziphi izinto ezibangela ingozi?
Nakuba noma ubani engaba nalesi sifo, abanye abantu banamathuba amaningi okuba naso.
- Kwabesifazane: Abesifazane banamathuba amaningi okuthola i-HS kunabesilisa.
- Umlando womndeni: Uma umama wakho, ubaba, noma isihlobo esiseduze sinalesi simo, nawe usengozini enkulu yokuba naso.
- Izinguquko zama-hormone: Izinguquko emazingeni ama-hormone (ikakhulukazi i-estrogen kanye ne-androgens ) ezenzeka ngemva kokuthomba kanye nokufika esikhathini sokuthomba zingaba nomthelela kulokhu. Kwabanye besifazane, izimpawu ziba zimbi kakhulu ngaphambi kokuya esikhathini.
- Ukubhema: Abantu ababhemayo basengozini enkulu kakhulu yokuthola i-HS.
- Ukukhuluphala ngokweqile: Ukwanda kwesisindo nakho kuyisici esiyinhloko esithinta lokhu.
- I-Hirsutism: Abantu abanezimo ezibangela ukukhula ngokweqile kwezinwele emzimbeni nabo basengozini enkulu.
Zivame ukuvela kuphi izimila ze-HS?
Lezi zimila zivame ukuvela ezindaweni lapho isikhumba sihlangana khona, sijuluka, futhi sihlala sifudumele futhi simanzi.
- Ikhwapha
- Indawo yokukhula
- Ngaphansi kwesifuba
- Endaweni yama-buttocks kanye ne-anus
- Ithanga langaphakathi
- Ingemuva lentamo
- Eduze kwesinqe
Ingabe lezi yizifo ezithathelwana ngocansi (STD)?
Cha. Lutho neze. I-HS ayisona isifo esithathelwana ngocansi (STI) . Akusona ngisho isifo esithelelanayo. Ngakho-ke ungesabi ngokungadingekile ngakho.
Izinkinga ezingaba khona uma i-HS ingelashwa kahle
Uma i-HS ingelashwa isikhathi eside, ezinye izinkinga zingavela. Lokhu akwenzeki kuwo wonke umuntu, kodwa kubalulekile ukuqaphela.
- Izibazi: Ngemva kokuba amathumba epholile, kungase kwakheke izibazi eziqinile nezijulile kulezo zindawo.
- Ukutheleleka: Amabhaktheriya angangena ngamanxeba avulekile futhi abangele ukutheleleka okukhulu kwesikhumba (i-cellulitis) .
- Ukulimala ohlelweni lwe-lymphatic: Ukuvuvukala kwesikhathi eside kungalimaza uhlelo lwe-lymphatic, okubangela ukuvuvukala engalweni noma emlenzeni.
- I-Fistula: Akuvamile kakhulu, imigudu (ama-sinus tracts) akha ngaphansi kwesikhumba ingaxhuma ezithweni zangaphakathi njengamathumbu noma esinyeni.
- I-anemia: Ukuvuvukala kwesikhathi eside kungabangela i-anemia.
- Imiphumela yengqondo: Ubuhlungu obungapheli, ama-cysts agcwele ubomvu, kanye nezibazi kungabangela ukucindezeleka kwengqondo, ukukhathazeka, noma ukucindezeleka .
- Umdlavuza wesikhumba: Lokhu akuvamile kakhulu, kodwa kunengozi encane kakhulu yokuthola uhlobo lomdlavuza wesikhumba ngenxa yamanxeba ahlala isikhathi eside, angapholi.
Ubani okufanele ngimthinte uma enesifo se-HS?
Uma unalezi zimpawu, into engcono kakhulu ongayenza ukubona udokotela wesikhumba . Ngezinye izikhathi, odokotela abavamile bangaphambanisa lokhu nomdlavuza noma ukutheleleka okulula. Kodwa udokotela wesikhumba angazihlonza ngokunembile lezi zimpawu futhi akunikeze ukwelashwa okufanele kakhulu.
Udokotela uzoxilonga lesi simo ngokulalela izimpawu zakho nokuhlola isikhumba sakho. Lokhu ngokuvamile akudingi ezinye izivivinyo.
Yiziphi izindlela zokwelapha i-HS?
Akukho ukwelashwa kwe-HS okwamanje. Kodwa-ke, kunezindlela eziningi zokwelapha ezisebenzayo zokulawula izimpawu, ukuvimbela izilonda ezintsha, nokunciphisa izibazi. Ukwelashwa kuncike ebunzimeni besimo sakho.
1. Ukunakekelwa Kwesikhumba
- Ukugeza okulwa namagciwane: Udokotela utusa insipho ekhethekile yokuhlanza izindawo ezinamathumba nsuku zonke.
- Ama-antiperspirant: Ungasebenzisa imikhiqizo engenamakha efanelekile esikhumbeni esibucayi.
- Ama-retinoids: Lawa makhilimu aqukethe i-vitamin A futhi anciphisa ukuvuvukala futhi akhuthaze ukuvuselelwa kwamaseli esikhumba.
2. Ukulawula ubuhlungu
- Ukucindezela okubandayo noma okushisayo: Ukusebenzisa iphakethe leqhwa noma ibhodlela lamanzi ashisayo kungasiza ekunciphiseni ubuhlungu nokuvuvukala.
- Amafutha okuqeda ubuhlungu: Okhilimu abaqukethe izibulala-zinhlungu zendawo njenge- Lidocaine banganciphisa ubuhlungu okwesikhashana.
- Ama-Painkiller: Ungathatha imithi yobuhlungu ejwayelekile noma imithi enamandla uma kudingeka, njengoba kunqunywe udokotela wakho.
3. Imithi enqunywe udokotela
- Ama-antibiotic:Ama-antibiotic awanikezwa ukwelapha ukutheleleka. Anikezwa ukulawula ukuvuvukala okwenzeka ku-HS. Ngezinye izikhathi, umthamo ophansi unganqunywa ukuze uthathwe njalo izinyanga eziningana.
- Ukwelashwa nge-biologic: Imithi efana ne- (Adalimumab) ilawula ukusebenza kwesimiso somzimba sokuzivikela futhi inciphise ukuvuvukala.
- I-Metformin: Lo muthi wesifo sikashukela ungaphinde unikeze impumuzo ethile ku-HS ngokulawula amazinga ama-hormone kanye nokumelana ne-insulin.
- Amaphilisi okuvimbela inzalo: Lawa asiza ukulawula ukungalingani kwama-hormone kwabesifazane futhi avimbele izimpawu ukuba zingabi zimbi ngaphambi kokuya esikhathini.
4. Ukwelashwa kanye nezinqubo lapho isifo siba sibi kakhulu
Uma izimpawu zinzima noma zingaphenduli kwezinye izindlela zokwelapha, udokotela wakho angase ancome izinto ezifana nalezi:
- Imijovo ye-steroid: Ama-steroid angafakwa ngqo esimila esibuhlungu ukuze kuncishiswe ngokushesha ukuvuvukala nobuhlungu.
- Ukusikwa kanye nokuphuma kwamanzi: Uma kukhona amathumba amakhulu, kwenziwa ukusikwa okuncane ukuze kukhishwe ubomvu futhi kuhlinzekwe impumuzo.
- Ukwelashwa nge-laser: I-laser ingasetshenziswa ukususa ama-follicle ezinwele noma ama-tumors.
- Ukuhlinzwa: Ngezinye izikhathi, ukususwa okuphelele kokuhlinzwa (ukususwa kophahla noma ukususwa) kwezindawo zokungena kwesinus kanye nesikhumba esonakele kuyadingeka.
- Imijovo yeBotox®: Lokhu kwelashwa kungasetshenziswa ukulawula ukujuluka ngokweqile.
Izinto esingazenza ukuvimbela i-HS ukuthi ingaphinde ivele
Nakuba singenakukwazi ukulawula ezinye izinto eziyingozi (njengomlando womndeni), kunezinto esingazenza ukuvimbela izimpawu ukuba zingabi zimbi kakhulu kanye nezinkinga.
- Gwema ukubhema: Uma ubhema, into engcono kakhulu ongayenza ukuyeka. Cela usizo kudokotela wakho ngalokhu.
- Lawula isisindo sakho: Ukwehlisa isisindo kunciphisa ukugoba kwesikhumba futhi kusiza ukulawula amazinga ama-hormone, okungaba nomthelela omkhulu ekunciphiseni izimpawu.
- Gqoka izingubo ezikhululekile: Gqoka izingubo ezingaqinile, ezenziwe ngezinto ezifana nekotini ezivumela isikhumba sakho ukuba siphefumule.
- Lawula ukujuluka: Gwema izindawo ezishisayo nezinomswakama ngangokunokwenzeka. Uma ujuluka, hlanza ngokushesha.
- Gwema amakha: Gwema insipho enephunga elimnandi, ama-deodorant, kanye nama-cream esikhumba. Lokhu kungenza isikhumba sibe bucayi kakhulu.
Ukuphila nalesi simo kungaba yinselele ngokomzwelo ngezinye izikhathi. Ungagxili ebuhlungwini, ekungakhululeki, nasekubukekeni. Awuwedwa. Khuluma ngemizwa yakho nomuntu omethembayo noma udokotela wakho. Uma kudingeka, ungacela usizo kumeluleki wezempilo yengqondo.
Umlayezo Wokuya Nawe Ekhaya
- I-Hidradenitis Suppurativa (HS) yisifo sesikhumba sesikhathi eside esibangelwa ukungasebenzi kahle kwesimiso somzimba sokuzivikela, hhayi ukuhlanzeka noma ukutheleleka.
- Lesi akusona isifo esithelelanayo nhlobo, futhi akusona isifo esidluliselwa ngocansi.
- Uma uhlangabezana nezimila ezibuhlungu eziphindaphindayo ezindaweni ezifana namakhwapha kanye nezimbotshana, qiniseka ukuthi ubona udokotela wesikhumba.
- Nakuba lesi sifo singelapheki ngokuphelele, ngokwelashwa okuphumelelayo kakhulu, izimpawu zingalawulwa futhi impilo evamile ingaphilwa.
- Ukugwema ukubhema, ukulawula isisindo, nokunakekela isikhumba ngendlela efanele kungavimbela lesi sifo ukuba singabi sibi kakhulu.
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