Ingabe izinzipho zakho ziyahlubuka esikhumbeni sakho? Ake sixoxe ngalokhu (Onycholysis)!

Wake waphawula ukuthi uzipho esandleni noma onyaweni lwakho luvele luphakame lusuka esikhumbeni esingaphansi bese lubonakala luphuma? Mhlawumbe umbala wozipho ushintshile. Lokhu kungaba ukukhathazeka kancane, akunjalo? Ungakhathazeki, lokhu kwenzeka kubantu abaningi. Namuhla, sizoxoxa ngalesi simo esibizwa ngokuthi "i-Onycholysis" ngendlela elula ongayiqonda.

Kuyini lokhu okubizwa ngokuthi i-onycholysis?

Kalula nje, i-onycholysis iwukuhlukana kwezinzipho zakho zomunwe noma zozwane (odokotela abalubiza ngokuthi i-nail plate) nesikhumba esinamathele kuso (esibizwa ngokuthi umbhede wezinzipho). Kuzwakala sengathi uzipho luyaqala ukuxebuka. Esikhathini esiningi, lokhu kwenzeka kuzinzipho eyodwa kuphela. Ngezinye izikhathi, kungenzeka ezinzipho eziningi, kodwa akuvamile.

Ubani ongatshala kangaka?

Eqinisweni, lesi simo esibizwa ngokuthi "i-Onycholysis" singakhula kunoma ubani. Kodwa-ke, abanye abantu banamathuba amaningi okuba naso.

• Kwabesifazane: Lokhu kuvame kakhulu phakathi kwabesifazane kunabesilisa.
• Kwabantu abadala: Le ngozi inganda njengoba iminyaka ikhula.
• Abantu abanezimo ezithile zesikhumba: Isibonelo, abantu abanezimo zesikhumba ezifana ne-psoriasis, i-lichen planus, i-nail fungus, noma amathumba ngaphansi kwezipikili nabo bangakubona lokhu.

Kuvamile kangakanani lokhu? Kuhlala isikhathi esingakanani?

I-Onycholysis empeleni ayivamile njengoba ungase ucabange, iyisimo esivame kakhulu. Ingahlala izinyanga, ngezinye izikhathi ngisho nangaphezulu konyaka. Khumbula, noma yini ethinta isikhumba ngaphansi kwezinzipho zakho ingagcina iholele kulesi simo.

Ziyini izimpawu zalokhu?

Uma une-Onycholysis, ungase ube nezimpawu ezifana nalezi:

• Ukukhuhla isikhumba ngaphansi kozipho: Lolu uphawu oluyinhloko.
• Ukuqina kwesikhumba ngaphansi kwezinzipho, umuzwa wokuqina.
• Kuvela umngcele ongavamile phakathi kwengxenye epinki yozipho kanye nomphetho omhlophe esicongweni sozipho: Lo mngcele ungase ube namagagasi. Ingxenye emhlophe ingase ibe nkulu kwezinye izindawo futhi ibe mncane kwezinye.
• Izinguquko kumbala wezinzipho kanye nesikhumba esingaphansi kwezinzipho: kungaba mpunga, luhlaza okotshani, onsomi, omhlophe, noma ophuzi.
• Ukwakheka kwezimbobo ezincane ezifana nendebe ezinzipho.
• Izinzipho ziyaphuka kalula futhi ziphuke kalula.
• Ukubona ukuphuma kwegazi okuncane (ukopha) ngaphansi kwezinzipho.

I-Onycholysis ngokuvamile ayibuhlungu. Kodwa-ke, uma ibangelwa ukulimala noma ukutheleleka ngefungus, khona-ke ungase uzwe ubuhlungu noma ukuvuvukala.

Kungani kwenzeka i-onycholysis? Ziyini izimbangela?

Kungaba nezizathu eziningana zalokhu. Ake sibheke eziyinhloko.

• Ukulimala (`(Ukuhlukumezeka)`):
• Lokhu kungenzeka ngenxa yokulimala kozipho noma endaweni lapho uzipho luqala ukukhula khona (i-"nail matrix`). Isibonelo, lokhu kungenzeka uma uzipho lwakho lushayeka ndawana thize, uma ugqoka izicathulo eziqinile, noma uma ugcina izinzipho zakho emanzini njalo.
• Abantu abaningi baya njalo ezindaweni zokucwala izinzipho ukuze bayokwenza i-manicure. Amandla asetshenziswa ukusika, ukuhlanza, nokupholisha izinzipho ngezinye izikhathi angabangela i-onycholysis.
• Cabanga nje, uma ubulokhu ushaya izinzipho zakho entweni ethile isikhathi eside (isib. itafula), lokho kungaba yisizathu.

• Ukusabela kumakhemikhali:
• Lesi simo singabangelwa namakhemikhali atholakala kuma-nail polishes, kuma-nail glosses, kuma-nail hardeners, kuma-nail removers, kanye nama-fake nails esiwasebenzisayo ukuze sibe bahle.

• Ukutheleleka Kwesikhunta (`(Ukutheleleka Kwesikhunta)`):
• Lokhu kutheleleka kuvame ukwenzeka lapho isikhunta singena oziphoni nasesikhumbeni ngaphansi kozipho ngomfantu omncane noma ukusikeka emunweni noma ozwaneni. Ukutheleleka kwesikhunta kungabangela ukuthi uzipho lube lujiyile futhi lube phuzi. Ungase ubone namabala amhlophe noma imicu.

• Eminye imithi (`(Imithi)`):
• I-Onycholysis ingabangelwa nayi-chemotherapy yomdlavuza, kanye nemithi ethile ebangela ukuzwela ekukhanyeni. Izibonelo zifaka phakathi i-tetracycline yama-antibiotic, eminye imithi yokulwa nokuvuvukala engeyona i-steroidal (ama-NSAID), ama-psoralens, kanye nama-retinoids omlomo.

• Isimo se-Psoriasis (igxolo) sezinzipho:
• I-psoriasis yezinzipho ibangela izinguquko ekwakhiweni kwezinzipho. Lokhu futhi kungenye yezimbangela ze-onycholysis.

Izimbangela ezingavamile ezithinta zonke izinzipho

I-Onycholysis ivame ukuthinta izinzipho eyodwa noma ezimbili. Kodwa-ke, akuvamile kakhulu, ukuthi ingathinta zonke izinzipho zakho zeminwe nezinzwane. Izimbangela ezingaba khona zifaka:

• Ukuntuleka kwensimbi: Lokhu kungenzeka uma ungatholi insimbi eyanele ekudleni kwakho. Ukuntuleka kwensimbi kungabangela nesimo esibizwa ngokuthi i-anemia.
• I-Hyperthyroidism: Lokhu kwenzeka lapho indlala yegilo entanyeni yakho ikhiqiza amahomoni amaningi kunalokho umzimba wakho okudingayo. Lokhu kungabangela izimpawu ezifana nokushaya kwenhliziyo okusheshayo, ukwehla kwesisindo okungachazeki, ukwanda kwesifiso sokudla, kanye nezinkinga zokukhathazeka.

Ingabe lokhu kuyisifo sefungus?

Cha. I-Onycholysis ayisona isifo sokukhunta ngaso sonke isikhathi. Kodwa-ke, njengoba sesixoxile ngaphambili, ngezinye izikhathi izifo zokukhunta zingabangela i-Onycholysis.

Ingabe lokhu kuyathelelana?

Ukuthi lokhu kuyathelelana noma cha kuncike embangela ye-onycholysis.

• Uma i-Onycholysis ibangelwa ukulimala, i-psoriasis, noma ukusabela komuthi noma ikhemikhali, ayithelelani.
• Kodwa-ke, uma i-Onycholysis ibangelwa yi-fungus, ingathelelana.
• Lesi sikhunta singasakazeka kusuka komunye umuntu onegciwane siye komunye ngokuxhumana kwesikhumba nesikhumba.
• Futhi, ukutheleleka ngefungus kungasakazeka ngokuthinta indawo ethelelekile (isb., ukuhamba ngezinyawo ungagqokile emachibini okubhukuda omphakathi, ezindlini zangasese) noma ngokwabelana ngezinto ezifana namathawula kanye neziqeshana zezinzipho.

Ukubona kanjani lokhu?

I-Onycholysis yisimo esibonakala kalula. Ngakho-ke, uma wazi ukuthi yini ebangela lokhu, akudingeki ukuthi ubonane nodokotela ukuze uqinisekise ukuthi ngabe yi-Onycholysis.

Kodwa-ke, uma ungakwazi ukuthola ukuthi kungani lokhu kwenzeka, kungcono ukubona udokotela. Uzohlola ngokucophelela izinzipho zakho ezithintekile futhi ahlole izimpawu zakho.

Yiziphi izivivinyo ezenziwayo?

Udokotela angenza izivivinyo eziningana ukuqinisekisa i-Onycholysis nokuthola imbangela:

• I-Biopsy: Yilapho udokotela ethatha khona isampula encane yamaseli ozipho lwakho, kungaba nge-razor noma nge-scalpel. Lawa maseli athunyelwa elabhorethri bese ehlolwa ngaphansi kwe-microscope.
• Ukuhlolwa kwesikhunta: Ingxenye encane yozipho lwakho iyakhuhlwa bese kwenziwa amalungiselelo e-Potassium Hydroxide (KOH) noma i-Fungal culture ukuze kubonakale ukuthi ibangelwa yisikhunta yini. Uma lezo zivivinyo zingacacile, ibala le-Periodic Acid-Schiff (PAS) lingenziwa.
• Ukuhlolwa kwegazi: Lapha, kuthathwa isampula encane yegazi emthanjeni osengalweni yakho ukuze kuhlolwe noma yisiphi esinye isifo somzimba esingase sibangele i-Onycholysis.

Ingabe ikhona indlela yokwelapha lokhu? Ingabe ingelapheka?

Uma ngikhuluma iqiniso, akunakwenzeka ukuhlanganisa kabusha ingxenye yozipho oluwile. Ayikwazi ukwelapheka. Kodwa-ke, ukwelashwa kungasiza ingxenye esanda kukhula yozipho ukuthi inamathele kahle esikhumbeni esingaphansi kozipho.

Iyini indlela yokwelapha?

• Uma une-onycholysis ngenxa yokulimala: Uzipho oluhlukanisiwe luzokhululeka kancane kancane futhi luwe. Sika ingxenye ngokucophelela ngeziqeshana zezinzipho noma izikele zezinzipho.
• Uma une-Onycholysis ngenxa yesikhunta: Ungase ube nalezi zindlela zokwelapha:
• Umuthi wokulwa ne-antifungal womlomo:Udokotela wakho angakunika umuthi owuketshezi, iphilisi, noma iphilisi. Izibonelo zalokhu zifaka phakathi iTerbinafine (Lamisil®), i-Itraconazole (Sporanox®), kanye neFluconazole (Diflucan®).
• Imithi yokukhunta esetshenziswa endaweni yokwelapha: Le mithi iza ngesimo sama-cream, amafutha okugcoba, noma ama-gel. Ifakwa ngqo ezinzipho.

Isikhunta sezinzipho kungaba nzima ukwelapha. Ngakho-ke, kubaluleke kakhulu ukusebenzisa umuthi ngqo kuze kube yilapho udokotela wakho ewunikezile. Uma uyeka ukuwuthatha ngokushesha, isikhunta singase sibuye futhi kube nzima nakakhulu ukwelapha.

Uzinakekela kanjani izinzipho zakho phakathi nalesi sikhathi?

Uma une-Onycholysis, lezi zinto zingakusiza ukunakekela izinzipho zakho:

• Sebenzisa umuthi njengoba nje udokotela ekutshelile.
• Hlala ugcina izinzipho ezithintekile zimfushane. Sika ngokucophelela bese ususa noma yiziphi izinzipho ezixegayo.
• Vikela izinzipho zakho ekulimaleni okwengeziwe.
• Geza izandla zakho njalo ukuze uvimbele izifo. Sebenzisa into efana nendwangu ehlanzekile ukuze uhlanze ngaphansi kwezinzipho zakho.
• Faka izinzipho zakho esixazululweni sokulwa ne-fungus noma sokulwa namagciwane ukuze uvikele ukutheleleka. Ungasebenzisa ijusi likalamula, uviniga, i-hydrogen peroxide, namafutha abalulekile afana namafutha etiye, uwoyela we-orange, noma uwoyela we-clove.
• Kodwa khumbula, yize la mafutha abalulekile ephephile kubantu abaningi, kungcono ukubonana nodokotela ngaphambi kokuwasebenzisa. Ungase ube nokusabela kokungezwani komzimba.

Lokhu kungavinjelwa kanjani ukuthi kungenzeki?

Ukulandela lawa macebiso kuzosiza ekuvimbeleni ukuthuthukiswa kwe-"Onycholysis":

• Gcina izinzipho zakho zinqunyiwe zibe zimfushane. Lokhu kuzonciphisa amathuba okuthi izinzipho zakho zixabane futhi zihlubule isikhumba esingaphansi kwezinzipho zakho.
• Uma unomkhuba wokuluma izinzipho zakho, yeka.
• Qaphela kakhulu lapho uhlanza ngaphansi kwezinzipho zakho. Amanye amathuluzi (isib. izinti zesikhumba, amabhulashi ezinzipho) angalimaza isikhumba esingaphansi kwezinzipho zakho futhi abangele ukutheleleka.
• Gwema ukusebenzisa amakhemikhali noma imikhiqizo eyingozi ezinzipho zakho noma esikhumbeni esizungezile. Lokhu kungafaka phakathi i-nail polish, i-nail gloss, izinto zokuqinisa izinzipho, izinto zokususa i-nail polish, kanye nezinzipho zokwenziwa.
• Gqoka amagilavu ​​​​uma wenza imisebenzi engalimaza izinzipho zakho, njengokugeza izitsha, ukudlala imidlalo, noma ukulima ingadi.
• Gqoka amasokisi ahlanzekile nezicathulo ezikhululekile neziphephile.
• Qaphela lapho uphethe izinto ezisindayo eduze kwezinyawo zakho.

Lesi simo sizohlala isikhathi esingakanani? Ingabe sizoba ngcono?

Uma wena nodokotela wakho ningathola imbangela ye-onycholysis, izinzipho zakho zizokhula futhi, kodwa ngokuqinisekile zizokhula futhi. Kodwa-ke, izinzipho zikhula kancane kakhulu, kanti izinzipho zezinyawo zikhula kancane kakhulu.Kungathatha izinyanga eziyi-6 kuya kweziyi-9 ukuthi uzipho luphinde lukhule ngokuphelele. Kungathatha izinyanga eziyi-12 kuya kweziyi-18 ukuthi uzipho luphinde lukhule ngokuphelele. Ngakho-ke kufanele ubekezele.

Kufanele ubonane nini nodokotela?

Bona udokotela ezimweni ezilandelayo:

• Uma unezinye izimpawu ezinkulu (isib. ukukhathala okukhulu, ukubanda, isiyezi noma ubuthakathaka, ikhanda elibuhlungu, izilonda zolimi, ukushaya kwenhliziyo okusheshayo) kanye ne-onycholysis.
• Uma izimpawu zingathuthuki naphezu kokwelashwa.
• Uma isikhumba esizungeze uzipho sibonakala sinesifo (esibomvu, esinsomi, esimpunga noma esimhlophe; esivuvukele futhi esivuvukele).

Imibuzo okufanele uyibuze udokotela wakho

Uma uya kudokotela, ungabuza imibuzo efana nale:

• Dokotela, ubona kanjani ngempela ukuthi ngine-`(Onycholysis)`?
• Uma ngingenayo i-Onycholysis, yisiphi esinye isimo esingaba yiso?
• Kungani lokhu kwenzeke kimi?
• Uma lokhu kubangelwa yisikhunta, ngingakuvimbela kanjani ukuthi singasabalali kwezinye izingxenye zomzimba wami?
• Uma lokhu kubangelwa yisikhunta, ngingakuvimbela kanjani ukuthi singasabalali kwabanye?
• Hlobo luni lomuthi olunconywa udokotela?
• Ingabe ikhona imiphumela emibi evela kuleyo mithi?
• Ingabe kukhona ukwelashwa okungenziwa ekhaya?
• Ingabe ikhona imiphumela emibi evela kulezo zindlela zokwelapha ekhaya?
• Yini enye okufanele ngiyenze ukuze ngisize izinzipho zami ziphole ngokushesha?
• Ingabe kufanele ngibone udokotela wesikhumba noma omunye uchwepheshe?

Okokugcina, izinto okufanele uzikhumbule

I-Onycholysis yilapho uzipho lwakho luphuma esikhumbeni esingaphansi kwalo. Ngokuvamile alubuhlungu, kodwa lungathelelana uma lubangelwa yisikhunta.

Kubalulekile ukunakekela izinzipho zakho. Uma ubona izinzipho ziphuma kanje ngaphandle kokulimala noma yini, kuwukuhlakanipha ukubona udokotela ngokushesha. Kungaba yisikhunta, noma kungaba uphawu lwesimo esibucayi kakhulu. Ngakho-ke, kungcono ukunaka umzimba wakho.

I- Onycholysis, ukuhlukaniswa kwezinzipho, izifo zezinzipho, ukuhlukaniswa kwezinzipho, umbhede wezinzipho, ukutheleleka ngefungus, isikhunta sezinzipho, izifo zesikhumba