Ungase ube nesifo sesikhumba, njenge-psoriasis. Wake waphawula ukuthi isimo esifanayo esidala sivele ngokuzumayo futhi enxebeni elincane noma esikhaleni esikhumbeni sakho? Kufana nokuthi lesi sifo siqala endaweni entsha. Lokhu yilokho esikubiza ngokuthi i-Koebner Phenomenon kwezokwelapha. Lokhu kungase kube kusha kancane kwabanye, ngakho namuhla sizoxoxa ngakho ngemininingwane ethe xaxa , kodwa kalula.

Iyini i-Phenomenon kaKoebner?

Kalula nje, i-Koebner Phenomenon yilapho isimo sesikhumba osunaso kakade, njenge-psoriasis noma i-vitiligo, siphinde sivele endaweni entsha yesikhumba sakho, njengokulimala, ukusikwa, ukusha, noma ukuhlinzwa. Ukuze kube sobala, ikhophi yesimo esifanayo esidala ivela endaweni entsha. Cabanga, une-rash encane esandleni sakho, uthola i-rash endaweni ethile emlenzeni wakho, futhi ngemva kwezinsuku ezimbalwa, i-rash nayo ivela kuleyo ndawo efanayo. Yilokho kuphela.

Lokhu kwaqala ukutholwa futhi kwachazwa ngo-1876 ngudokotela waseJalimane ogama lakhe linguHeinrich Koebner. Yingakho lesi simo siqanjwe ngaye. Wabuye wasibiza ngokuthi 'impendulo ye-isomorphic'. Igama lesiGreki elithi 'isomorphic' lisho 'isimo esifanayo'. Lokhu kusho ukuthi amabala amasha akheka afana ngokubukeka nesilonda sokuqala.

Kuvamile kangakanani lokhu?

Lesi simo, esibizwa ngokuthi i-Koebner Phenomenon, sivame ukubonakala kubantu abane-psoriasis. Ezinye izifundo ziphakamisa ukuthi abantu abangafika ku-25% abane-psoriasis bangase babe nayo. Kodwa-ke, akugcini nje nge-psoriasis.

Lesi simo singase senzeke nakubantu abanezinhlungu, i-vitiligo, noma isifo sesikhumba esibizwa ngokuthi i-lichen planus. Kodwa-ke, asivamile njenge-lichen planus. Ngaphezu kwalokho, kuye kwabikwa ukuthi lesi simo sikaKoebner sithinta abantu abanezinye izimo zesikhumba ezingavamile.

Yini ebangela lesi simo sikaKoebner?

Imbangela yangempela yalokhu yinto odokotela abangakayitholi ngokuphelele, uyazi? Kusesesigabeni socwaningo. Kodwa-ke, ochwepheshe bavame ukucabanga ukuthi kubangelwa uhlobo oluthile lomsebenzi, mhlawumbe ukusebenza ngokweqile, kwesimiso sethu somzimba sokuzivikela. Lokho kusho ukuthi basola ukuthi kungenzeka ukuthi kuhlobene nezifo zokuzivikela komzimba.

Isibonelo, i-psoriasis, esiyaziyo sonke, yisifo esinokuxhumana kwe-autoimmune. Ngakho-ke, abantu abanezifo ezinjalo banamathuba amaningi okubhekana nalesi simo sikaKoebner. Uma kukhona inxeba esikhumbeni, ama-molecule athile okubonisa izimpawu namaseli ayasebenza ngesikhathi senqubo yokuphulukiswa. Ngenxa yokungajwayelekile okuthile kule nqubo, isifo sesikhumba sokuqala singase sivele endaweni entsha.

Ubani osengozini enkulu yokuthuthukisa lokhu?

Njengoba sesixoxile ngaphambili, abantu abane-psoriasis basengozini enkulu. Ngaphezu kwalokho, kunezinye izimo zesikhumba eziningana ezingandisa ingozi yesifo sikaKoebner:

• Ama-Warts - Lokhu kubangelwa ukutheleleka ngegciwane.
• I-Vitiligo – Isimo esibangelwa ukubhujiswa kwamangqamuzana anika isikhumba umbala waso.
• I-Lichen planus – Lesi futhi yisimo esingabangela ukuvuvukala kwesikhumba, umlomo, kanye nezinzipho.

Akuwona wonke umuntu onalezi zifo ozoqala isifo sikaKoebner, kodwa kukhona ingozi.

Hlobo luni lwezilonda zesikhumba ezibangela lokhu?

Into ebalulekile lapha ukuthi isenzakalo sikaKoebner singabangelwa yinoma yikuphi ukulimala okuthinta noma okulimaza kokubili ungqimba oluphezulu lwesikhumba, isikhumba esisibonayo (i-epidermis) , kanye nongqimba olujulile kancane ngaphansi (i-dermis) . Cabanga ngezinto ezinjengalezi:

• Ukubhoboza isikhumba njengezindawo zokujova, ukubhoboza izindlebe, kanye nokubhoboza ikhala.
• Uma ilunywe yizinambuzane noma ezinye izilwane, isibonelo, izilwane ezifana nomiyane nezintuthwane.
• Uma isikhumba sicasukile. Ake sicabange ukuthi ucasukile yinduku ngenkathi usebenza egcekeni, ikati licasukile, noma umiyane ukuluma bese ukuluma kabi.
• Abanye abantu baphula isikhumba sabo ngamabomu (ukuqoqwa kwesikhumba), izinto ezinjalo.
• Amanxeba okuhlinzwa, okunye ukulimala, ukulimala kokuwa noma ukusikeka.
• Uma udweba i-tattoo, ngoba lokho kuhilela ukubhoboza isikhumba ngenaliti nokufaka i-inki. Lokhu kungenzeka futhi ngesikhathi sokususwa kwe-tattoo .
• Ukusha. Kungabangelwa umlilo, kungabangelwa amanzi ashisayo. Ukusha kwelanga ngezinye izikhathi kungenzeka, kodwa akubangelwa yisimo sikaKoebner kaningi njengezinye izingozi.
• Ukwelashwa ngemisebe yezifo ezinjengomdlavuza nakho kungalimaza isikhumba, ngakho-ke lesi simo singavela kuleyo ndawo ngezinye izikhathi (lokhu nakho kuyinto engavamile).

Kalula nje, kungaqala nganoma yikuphi ukulimala esikhumbeni sakho.

Yiziphi izimpawu zesifo sikaKoebner?

Izimpawu zesifo sikaKoebner ziyahlukahluka kuye ngesimo sesikhumba ositholayo, nokuthi leso simo sibi kangakanani ngaleso sikhathi. Amabala amasha noma izinguquko zesikhumba zivame ukuqala ukuvela zingakapheli izinsuku eziyi-10 kuya kwezingama-20 zokulimala . Kodwa-ke, ngezinye izikhathi kungathatha amasonto noma, ngokungajwayelekile, izinyanga ukuthi lokhu kwenzeke.

Izici eziyinhloko ezingabonakala yilezi:

• Lezi zibazi ezintsha zakheka esikhumbeni esasiphilile, esingenazo izifo, endaweni efanayo lapho kwenzeke khona ukulimala.
• Zifana ncamashi nesifo sakho sesikhumba sokuqala.Isibonelo, uma une-psoriasis, amabala amasha azobonakala ebomvu njenge-psoriasis futhi azoqhekeka ngendlela efanayo ne-psoriasis. Uma une-vitiligo, amabala amasha nawo azophenduka abe mhlophe.
• Esikhathini esiningi, lezi ziqondile, njengokungathi isifo sisakazeke eduze kwesilonda. Kodwa lokhu akunjalo ngaso sonke isikhathi, futhi kungahluka kuye ngesimo sesilonda.

Lezi zindawo ngezinye izikhathi zibonakala sengathi othile udwebe umugqa ngerula. Lokho futhi kuyisici esikhethekile salokhu.

Ingabe lokhu kungabangela izinkinga?

Lokhu kungase kuzwakale kuyesabisa kancane kuwe. Kodwa uma ngikhuluma iqiniso, i-Koebner Phenomenon ngokuvamile ayibangeli izinkinga ezinkulu. Empeleni kumane nje kuwukuqubuka kwesimo sakho esidala. Lokho kusho ukuthi izindawo ezintsha azisongeli impilo. Kodwa-ke, ngezinye izikhathi izindawo ezintsha zingaba lusizi futhi zibe buhlungu njengezindawo zokuqala. Futhi, kwezinye izimo, njenge-psoriasis, ukusabalala kwalesi simo kungaba yinto ephazamisayo kancane.

Ungayibona kanjani into kaKoebner?

Akukho ukuhlolwa kwegazi okuqondile noma okunye ukuhlolwa kokuxilonga lokhu. Uma ubona udokotela wesikhumba, uzohlola isikhumba sakho ngokucophelela. Ngemuva kwalokho, bazobuza ngezimo zakho zesikhumba zangaphambilini, ukuthi ukhona yini emndenini wakho oke waba nezimo ezifanayo, nokuthi ngabe uke waba nokulimala esikhumbeni sakho muva nje. Lonke lolu lwazi, kanye nokubonakala kwamabala esikhumbeni sakho, kuzosiza udokotela ukuthi anqume ukuthi lokhu kuyimbangela kaKoebner. Ngakho-ke , kubaluleke kakhulu ukuthi utshele udokotela iqiniso futhi ungafihli lutho.

Kuphathwa kanjani lokhu?

Nalapha futhi, ungase umangale ukuthola ukuthi akukho ukwelashwa okuqondile kwe-Koebner Phenomenon. Isizathu ukuthi akusona isifo esisha, kodwa kumane kuwukubonakaliswa kwesimo sakho sesikhumba sokuqala. Ngakho-ke, siphathwa ngendlela efanayo nesimo sokuqala.

Isibonelo, uma kungenxa ye-psoriasis, ukwelashwa okufanayo kwe-psoriasis, njengokhilimu, amafutha okugcoba, amaphilisi, futhi ngezinye izikhathi ukwelashwa nge-phototherapy, kuzosetshenziswa kulezi zindawo ezintsha. Ngokufanayo, uma kungenxa ye-vitiligo, ukwelashwa okufanayo kuzosetshenziswa kulokho.

Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho wesikhumba ngqo.

Ingabe lesi sigameko sikaKoebner singavinjelwa?

Kungaba nzima ukuvimbela lokhu ngokuphelele, ikakhulukazi uma unesifo sesikhumba. Kodwa-ke, kunezinto esingazenza ukuze sinciphise ingozi.

Indlela engcono kakhulu ukulawula kahle isifo sakho sesikhumba esiyinhloko.Lokho kusho ukuthi, uma une-psoriasis, kufanele ulandele imiyalelo kadokotela wakho ukuze ugcine izimpawu zakho ziphansi ngangokunokwenzeka. Isenzakalo sikaKoebner cishe singenzeka ngesikhathi sesigaba esisebenzayo salesi sifo.

Ngaphezu kwalokho, kufanele unciphise ukulimala kwesikhumba kanye nomonakalo ngangokunokwenzeka.

Lezi ezinye izinto zizosiza futhi:

• Nciphisa noma uyeke ukuklwebha isikhumba sakho, ukuklwebha ama-cuticle akho, nokuklwebha izinzipho zakho . Kulungile ukuklwebha, ungaklwebhi kuze kube yilapho kubuhlungu.
• Vikela isikhumba sakho elangeni. Uma uphuma emini, ikakhulukazi phakathi kuka-10 ekuseni no-4 ntambama, gqoka izingubo ezinemikhono emide uma kungenzeka, isigqoko, futhi nakanjani sebenzisa isithako sokuvikela ilanga esine-SPF enhle.
• Cabanga kabili ngokuthatha ama-tattoo nokubhoboza. Uma unalezi zinkinga zesikhumba, lokhu kungabangela lesi simo sikaKoebner.
• Sebenzisa amagilavu ​​​​uma usebenza ngezinto ezibukhali noma wenza izinto ezifana nokulima.

Sinjani isimo sempilo somuntu onesifo sikaKoebner?

Impilo yomuntu one-Koebner Phenomenon ngokuvamile inhle kakhulu. Njengoba kushiwo ngaphambili, ayivamile ukubangela izinkinga ezinkulu. Into engcono kakhulu ongayenza ukwelapha noma yimaphi amabala amasha ngendlela efanayo naleyo obungaphatha ngayo isimo sakho sesikhumba sokuqala.

Kubaluleke kakhulu futhi ukulandela imiyalelo kadokotela wakho ngqo futhi uqaphele ukuthi ungalimazi isikhumba sakho. Uma uphatha kahle isimo sesikhumba sakho ngale ndlela, lesi simo sikaKoebner ngeke sibe nomthelela omkhulu empilweni yakho.

Kufanele ngimbone nini udokotela?

Uma unesifo sesikhumba esingase sihlobane nesifo sikaKoebner, futhi ubona noma yikuphi kwalokhu okulandelayo, bheka udokotela wakho wesikhumba noma udokotela womndeni ngokushesha:

• Uma isimo sesikhumba sakho sivele siqhume ngokuzumayo, okusho ukuthi amabala nokubomvu kuyakhula.
• Kulungile uma isikhumba siluma kakhulu noma sibuhlungu.
• Uma kukhona uketshezi olufana nobovu oluphuma enxebeni, ukubomvu nokuvuvukala okuzungeze inxeba, noma izimpawu zokutheleleka njengomkhuhlane , kubalulekile ukufuna ukwelashwa ngokushesha.
• Uma kuvela amabala amasha esikhumbeni, kuwumqondo omuhle ukwazisa udokotela wakho ngakho.

Yini okufanele ngiyibuze udokotela?

Uma uya kudokotela wakho, kubalulekile ukubuza imibuzo esengqondweni yakho. Lokhu kuzokusiza ukuthi uqonde isimo sakho kangcono. Isibonelo, ungase ubuze imibuzo efana nale:

• "Dokotela, yini engabangela lesi simo sikaKoebner kimi?"
• "Lokhu kuhlobana kanjani nesimo sesikhumba enginaso njengamanje?"
• "Iyiphi indlela yokwelapha engcono kakhulu kimi?"
• "Kuzothatha isikhathi esingakanani ukuthi lezi zindawo ezintsha ziphele?"
• "Yini enye engingayenza ukuvimbela izilonda zesikhumba kanye nalesi simo sikaKoebner?"
• "Yiziphi izinkinga okufanele ngikhathazeke ngazo?"
• "Kuzothatha isikhathi esingakanani ngaphambi kokuba ngiphinde ngibonane nodokotela?"

Ngamafuphi, izinto okudingeka sizikhumbule

Kulungile, ngakho-ke nazi izinto ezibaluleke kakhulu okudingeka uzikhumbule kulokho esikhulume ngakho. Uma unesifo sesikhumba esifana ne-psoriasis, i-vitiligo, noma i-lichen planus, futhi ubona amabala amasha afana nezilonda ezifanayo ezindala ezibonakala lapho uke wasika khona, waklwebha, noma washa esikhumbeni sakho, kungenzeka kakhulu ukuthi yi-Koebner Phenomenon.

Lezi zindawo ezintsha zingase zivele ezinsukwini ezimbalwa noma ngisho namasonto ngemva kokulimala. Ukuze uhlole lokhu kahle, kufanele ubonane nodokotela wesikhumba. Uzokunikeza ukwelashwa okudingekayo.

Ukugcina isimo sakho sesikhumba esingaphansi, njenge-psoriasis, ngaphansi kokulawula okuhle kunganciphisa ingozi yakho yokuthola isifo i-Koebner. Kodwa-ke, ngezinye izikhathi lezi zilonda zingakhula ngisho noma kungekho zimpawu. Ngakho -ke kubalulekile ukuvikela isikhumba sakho ekusikeni, ekushiseni, nakweminye imonakalo ngangokunokwenzeka. Nakekela isikhumba sakho. Phela, isikhumba esinempilo siyisisekelo sempilo enempilo.

` I-Koebner Phenomenon, Izifo Zesikhumba, i-Psoriasis, Izilonda Zesikhumba, Izifo Zesikhumba, Amabala Esikhumba, i-Vitiligo, i-Lichen Planus