Cabanga nje, uqhubeka nokuklwebha indawo efanayo engalweni yakho, emlenzeni, noma entanyeni. Kuqala kancane ekuqaleni, kodwa lapho uklwebha kakhulu, kuba kubi kakhulu. Ngemva kwesikhashana, uqaphela ukuthi isikhumba kuleyo ndawo sesiphenduke saba mnyama kancane, saba sikhulu, futhi saba lukhuni, njengesicucu sesikhumba. Ngezinye izikhathi, lokhu kuklwebha kuba kubi kakhulu ebusuku uma uzama ukulala. Uke waba nalokhu okuhlangenwe nakho? Ngakho-ke kubaluleke kakhulu ukuthi uqaphele lesi simo sesikhumba esikhuluma ngaso namuhla esibizwa ngokuthi 'iLichen Simplex Chronicus'.
Kalula nje, iyini i-Lichen Simplex Chronicus?
Lokhu ngezinye izikhathi kubizwa ngokuthi 'i-Neurodermatitis'. Kalula nje, lesi yisimo lapho isikhumba kuleyo ndawo siba siqinile futhi sibe siqinile ngenxa yokuklwebheka nokuklwebheka njalo. Kufana nomjikelezo. Okokuqala, isikhumba siqala ukulunywa ngesizathu esithile. Uyasiklwebheka. Njengoba uklwebheka, imizwa kuleyo ndawo iyakhuthazeka kakhulu, futhi ukulunywa kuyanda. Ngakho-ke uyaklwebheka futhi. Lokhu sikubiza ngokuthi "umjikelezo wokuklwebheka kokuklwebheka" . Kulapho lo mjikelezo uqhubeka khona lapho isikhumba siqala ukushintsha.
Empeleni lokhu kubhekwa njengohlobo lwe-eczema. Kuthiwa cishe umuntu oyedwa kwabayisishiyagalombili emhlabeni angaba nalesi simo. Nakuba singavela noma kuphi emzimbeni, sivame ukubonakala ezindaweni ezithintwa kalula, njengezandla, imilenze, nentamo. Lokhu kuluma okuqhubekayo ngezinye izikhathi kungabangela izinto ezifana nokucindezeleka nokukhathazeka. Ngezikhathi ezinjalo, izimpawu zingase zibe zimbi kakhulu.
Yiziphi izimpawu eziyinhloko zalesi simo?
Lezi zimpawu zingase zivele ngokuzumayo, ziphele ngemva kwezinsuku ezimbalwa, bese ziphinde zivele. Lokhu kuluma kuzwakala ikakhulukazi ebusuku uma uphumula futhi uzama ukulala. Ake sibheke izimpawu eziyinhloko.
| Isibonakaliso | Kubukeka kanjani? |
|---|---|
| Ukulunywa okungabekezeleleki | Lolu uphawu oluyinhloko. Lunzima kakhulu kunokulunywa okuvamile. Ngezinye izikhathi lungaba nzima kakhulu kangangokuba lukuvuse ebuthongweni. |
| Ukushintsha kombala wesikhumba | Indawo lapho kukhona khona ukuqubuka ingaba bomvu, nsomi, mpunga, nsundu, noma ibe mnyama kunesikhumba sakho, kube nomngcele obonakala kakhulu kunesikhumba esizungezile. |
| Isikhumba esiqinile, esiqinile | Ngenxa yokuklwebheka njalo, isikhumba esikuleyo ndawo siba sikhulu, somile, futhi sibe namaxolo. Sizwakala njengesikhumba uma sithintekile. |
Zitholakala kuphi lezi zici ezivame ukubonakala?
Nakuba lesi simo singavela noma kuphi emzimbeni, sivame ukubonakala kulezi zindawo:
- Ingalo, isandla, ihlombe, isihlakala, noma indololwane
- Intamo, ubuso, ugebhezi, izindebe, noma izihlathi
- Izindawo zangasese (i-scrotum, i-labia, noma eduze kwe-anus)
- Imilenze namaqakala
Kungani lokhu kwenzeka kithi? Yiziphi izizathu zalokhu?
Odokotela abazi kahle ukuthi yini ebangela lokhu. Kodwa bacabanga ukuthi kungenxa yokuthi imizwa esesikhumbeni sethu ibucayi kakhulu. Lokho kusho ukuthi ngisho nento engavamile ukuba yinto enkulu kithi ingaba yisisusa esikhulu kulezi zinzwa. Kunezimbangela ezithile ezingase ziqale lo mjikelezo wokuklwebheka.
| Izinto ezibangela ukulunywa | Ngokwesibonelo... |
|---|---|
| Ukusabela kokungezwani komzimba | Ukungezwani nesikhumba kwezinye izinsipho, okhilimu, izibulala-zinambuzane, noma izitshalo. |
| Ukulunywa yizinambuzane | Ngemva kokulunywa yisilwane esinjengomiyane noma intuthwane, umuntu uqala ukuklwebha indawo njalo. |
| Isikhumba esomile | Isikhumba singaba soma futhi silume, ikakhulukazi uma kubanda noma uma uhlala usemakamelweni anomoya opholile. |
| Ukucindezeleka nokukhathazeka | Nakuba abantu abaningi bengazi, ukucindezeleka okukhulu kungandisa ukulunywa kwesikhumba. Lokhu kuwukuxhumana phakathi kwengqondo nomzimba. |
| Ukushisa nokujuluka | Abanye abantu bazwa ukulunywa ngenxa yokuba nosawoti esikhumbeni sabo uma bejuluka. |
| Ukulimala okuncane kwesikhumba | Ngemva kokuthi kwenzeke into efana nokuphuka kwesikhumba noma ukusikeka, ungase uqale ukuklwebha indawo. |
| Ukugqoka izingubo eziqinile | Uma ugqoka izingubo eziqinile njengebhulukwe le-denim usuku lonke, isikhumba esikuleyo ndawo singacasuka ngenxa yokuhlikihla njalo. |
Ubani osengozini enkulu yokuthola lesi simo?
Kungakhula kunoma yimuphi ubudala, kodwa kuvame kakhulu kubantu abadala abaneminyaka ephakathi kuka-30 no-50. Kuvame kakhulu nakwabesifazane kunabesilisa.
Uma unezimo ezilandelayo, ingozi yakho yokuthola lesi sifo iphakeme kancane:
- Izimo zengqondo ezifana nokukhathazeka noma isifo sokungalawuleki (OCD).
- Isifo sezinso.
- Ezinye izimo zesikhumba ezifana ne-psoriasis noma i-contact dermatitis.
- Ukucindezeleka okukhulu.
Yiziphi izinkinga ezingaba khona uma uqhubeka nokulunywa?
Ungase ucabange, "Kuyini lokho kuluma?", kodwa lokhu kuluma okuqhubekayo kungabangela izinkinga ezinkulu.
- Ubuhlungu noma ukuvuvukala .
- Ukuklwebha isikhumba kungabangela amanxeba avulekile kanye nokopha .
- Amabhaktheriya angangena ngamanxeba futhi abangele izifo zesikhumba (njengokuqhekeka kanye nama-blister agcwele ubomvu).
- Ukuvuvukala kwesikhumba.
- Ukuluma kuphazamisa ubuthongo .
- Izibazi ziyasala ngemva kokuba amanxeba epholile.
- Uma uziklwebha ikhanda lakho, izinwele zizophuma kuleyo ndawo.
Kubaluleke kakhulu: Kukhona ingozi encane kakhulu nengavamile yokuba nesimo esibizwa ngokuthi i-Squamous Cell Carcinoma, uhlobo lomdlavuza wesikhumba, ngenxa yalokhu kucasuka kwesikhumba isikhathi eside. Ngakho-ke uma ubona indawo entsha noma ushintsho esikhumbeni sakho, ungakushayi indiva.Qiniseka ukuthi ubona udokotela wakho bese uyahlolwa.
Udokotela uhlonza kanjani lokhu?
Udokotela wakho oyinhloko noma udokotela wesikhumba angasithola kalula lesi simo. Uzoqala ahlole indawo ethintekile yesikhumba sakho bese ekubuza imibuzo embalwa.
Ngokwesibonelo:
- Sekuyisikhathi esingakanani lokhu kuluma kuqhubeka?
- Ingabe ukulunywa kuhlala njalo, noma kuyafika kudlule?
- Ingabe uphathe lokhu ekhaya?
- Usushintshe insipho nama-lotion owasebenzisayo muva nje?
Yiziphi izivivinyo ezingenziwa?
Ngezinye izikhathi, udokotela wakho angase ancome ukuhlolwa okuningana ukuqinisekisa ukuxilongwa noma ukuqeda esinye isimo sesikhumba.
- Ukuhlolwa kwe-patch: Ukuhlolwa kokubona ukuthi une-allergy yini nokuthile.
- Ukuhlolwa kwesiko: Uma kusolwa ukuthi kukhona ukutheleleka kwesikhumba, isampula encane ethathwe endaweni iyahlolwa.
- I-biopsy yesikhumba: Kuthathwa ingxenye encane kakhulu yesikhumba bese ihlolwa ngaphansi kwe-microscope ukuze kutholakale ukuthi isifo sikhona ngempela.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kungahlukahluka kumuntu nomuntu, kodwa umgomo oyinhloko wawo wonke umuntu ukuqeda lowo "mjikelezo wokuklwebheka kokuklwebheka" esikhulume ngawo futhi sinikeze isikhumba ithuba lokuphola.
| Indlela yokwelapha | Kwenzekani kuyo? |
|---|---|
| Ukumboza indawo ethintekile | Uma isimbozwe ngebhandishi noma ngezingubo, ukuqubuka okulumayo kuyaphela. |
| Izithambisi-mafutha | Lokhu kusiza ukugcina umswakama esikhumbeni, kusivikele ekomeni, futhi kusigcine sithambile. |
| Okhilimu abanconywe udokotela | Lokhu kufaka phakathi okhilimu abanciphisa ukuvuvukala nokulunywa, abaqeda isikhumba sibe buhlungu, noma abalawula ukusabela komzimba kwesikhumba. |
| Ukwelashwa okulula | Ukwelashwa okusebenzisa imisebe yokukhanya ekhethekile kulabo abanezimpawu ezinzima. |
| Ukwelulekwa | Njengoba ukucindezeleka nokukhathazeka kungandisa ukulunywa, ukukhuluma nomeluleki wezempilo yengqondo kungasiza. |
Imithi enconywe udokotela
Kuye ngesimo sakho, udokotela wakho angancoma imithi elandelayo:
- Ama-Corticosteroids: Lawa avame ukunikezwa njengokhilimu noma amafutha okugcoba. Anciphisa ukushintsha kombala wesikhumba, ukuvuvukala, ukulunywa, kanye nobuhlungu. Aphinde asize ukuthambisa isikhumba esijiyile nesinamaqhubu.
- Ama-Antihistamine: Uma ukulunywa kubangelwa ukungezwani komzimba, la maphilisi angasiza ekulawuleni.
- Ama-antibiotic: Uma ukutheleleka ngamagciwane kuvele ngenxa yokuklwebheka isikhumba, lokhu kunikezwa njengokhilimu noma amaphilisi okwelapha.
- Ama-Capsaicin creams: Lo khilimu, owenziwe ngopelepele ophuzi, uqeda imizwa esikhumbeni, unciphisa ubuhlungu nokulunywa.
- Ukhilimu we-Tacrolimus noma we-Pimecrolimus: Lokhu kusiza ukulawula ukuvuvukala nokulunywa ngokuthulisa amasosha omzimba esikhumba lapho okhilimu be-steroid bengasebenzi kahle.
Wenzani uma ulimala ngenkathi uklwebha?
Lokhu kubaluleke kakhulu. Uma uklwebha futhi ulimala isikhumba sakho, yenza lezi zinto ngokushesha ukuze ugweme ukutheleleka.
1. Hlanza inxeba: Geza inxeba ngamanzi abandayo. Sebenzisa insipho ethambile nendwangu ehlanzekile ukuze uligeze kahle. Bese ulisula ngethawula elihlanzekile.
2. Faka ijeli kaphethiloli: Faka inani elincane phezu kwesilonda ukuze uvimbele ukutheleleka.
3. Mboza inxeba: Mboza inxeba ngebhandeji elihlanzekile. Lishintshe okungenani kanye ngosuku, noma uma ibhandiji limanzi noma lingcolile.
4. Naka inxeba: Uma inxeba lishintsha umbala, livuvukala, liba buhlungu kakhulu, noma kuvela ubomvu, bona udokotela wakho ngokushesha.
Izinto ongazenza ekhaya ukuze uphulukise isikhumba sakho ngokushesha
Ngesikhathi ulandela ukwelashwa udokotela wakho akunikeza kona kanye, ungenza lezi zinto ekhaya ukuze usheshise ukuphulukiswa kwesikhumba sakho.
- Gwema ukuklwebha: Ngiyazi ukuthi lokhu akulula njengoba kuzwakala, kodwa zama konke okusemandleni akho. Uma kufanele uklwebhe, hlikihla isikhumba sakho ngeminwe yakho esikhundleni sokusebenzisa izinzipho zakho.
- Ukuqeda ukulunywa: Faka iphakethe leqhwa, sebenzisa ukhilimu wokulwa nokulunywa owunikezwe udokotela wakho, faka indwangu ecwiliswe emanzini abandayo, noma ugeze ngamanzi abandayo.
- Gcina umzimba wakho upholile: Gwema ukushisa ngokweqile nokujuluka.
- Gqoka izingubo ezithambile nezikhululekile: Khetha izingubo ezenziwe ngezindwangu ezilungele isikhumba njengokotini.
- Gcina indawo yokulunywa imboziwe: Ukuyimboza ngendwangu elula noma ngebhandeji kuzokwenza ukuthi ungakhumbuli ukukhotha.
Umlayezo Wokuya Nawe Ekhaya
- I-Lichen Simplex Chronicus imane nje "iwumjikelezo wokuklwebheka kokuklwebheka." Uma uklwebheka kakhulu, kuba kubi kakhulu.
- Ukwelashwa okungcono kakhulu kwalokhu ukuyeka ukuklwebha ngangokunokwenzeka . Lena yinto enzima kakhulu futhi ebaluleke kakhulu.
- Gcina isikhumba sakho simanzi ngokufaka i-moisturizer njalo. Kubaluleke kakhulu futhi ukulawula ukucindezeleka.
- Ungalokothi uthathe lesi simo kalula. Qiniseka ukuthi ubona udokotela ukuze uthole ukuxilongwa okunembile kanye nokwelashwa okufanele kakhulu.
- Uma unenxeba esikhumbeni sakho elingapholi, uma ubona izimpawu zokutheleleka (ukuvuvukala, ubomvu), noma uma ubona indawo entsha noma ushintsho, funa iseluleko sezokwelapha ngokushesha.
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