Ingabe uthola amaqhubu abuhlungu ngaphansi kwesikhumba sakho? Ake sifunde nge-Panniculitis!

Wake waphawula ukuthi amaqhubu amancane, abomvu, athambile avela ngokuzumayo emilenzeni yakho, noma mhlawumbe ezingalweni zakho? Abukeka njengemivimbo, kodwa akunjalo. Uma uke waba nalokhu, noma uma othile omaziyo eye waba nento efana nale, khona-ke lokho esizokhuluma ngakho namuhla kuzoba kubaluleke kakhulu kuwe. Sikhuluma ngesimo esibizwa ngokuthi i-panniculitis.

Uyazi ukuthi kuyini i-panniculitis?

Kalula nje, i-panniculitis ukuvuvukala kwezicubu ezinamafutha (izicubu zamafutha) ngaphansi kwesikhumba sethu. Yebo, ungizwile kahle, sinongqimba lwamafutha ngaphansi kwesikhumba sethu. Ngokwezokwelapha, lokhu kubizwa ngokuthi i-Panniculus adiposus. Lolu ngqimba olunamafutha lusiza ekulawuleni izinga lokushisa lomzimba wethu futhi lunikeza umphumela wokuthambisa emzimbeni wethu. Ngakho-ke, lapho lolu ngqimba olunamafutha luvuvukala, kuvela amaqhubu abuhlungu . La maqhubu ngezinye izikhathi abukeka njengemivimbo emincane. Avame ukubonakala emilenzeni engezansi, njengendawo yesinqe.

Lobuhlungu bungaba bukhulu kakhulu kwabanye abantu kangangokuthi abakwazi ukwenza imisebenzi yansuku zonke. Baze bakhathale ngezinto ababezijabulela. Akukhona lokho kuphela, kodwa la maqhubu angashintsha nombala wesikhumba futhi asenze sibonakale sibonakala kakhulu, okungakwenza uzizwe ucindezelekile kancane. Ungase uzizwe unamahloni ngawe. Kodwa ungakhathazeki, kungaba nezizathu eziningi zalokhu, futhi kunezindlela zokwelapha ezingasiza ekulawuleni lezi zimpawu.

Yiziphi izinhlobo eziyinhloko ze-panniculitis?

Khumbula, akuwona wonke umuntu othinteka yisifo esifanayo ngendlela efanayo. Ngokufanayo, kunezinhlobo ezahlukene ze-panniculitis. Imbangela nemiphumela yohlobo ngalunye ingase ihluke kancane. Ake sibheke ezinye zezinhlobo eziyinhloko:

• I-cold panniculitis: Njengoba igama lisho, lesi simo senzeka uma ubhekene nomkhuhlane omkhulu. Sivame kakhulu ezinganeni ezincane. Ngezinye izikhathi, ukudla i-ayisikhilimu kungabangela ukuqubuka okubomvu, okunamaqhubu esihlathini sakho, kodwa kungavela nakwezinye izingxenye zomzimba wakho.
• I-Erythema induratum: Lolu hlobo luthinta kakhulu indawo yangasese. Kwezinye izimo, lungahlotshaniswa nesimo sezokwelapha esifana nesifo sofuba.
• I-Erythema nodosum: Lolu uhlobo oluvame kakhulu. Amaqhubu avela ikakhulukazi ngaphambili kwemilenze (indawo yemilenze). Ngezinye izikhathi lokhu kuvuvukala kungaba okungapheli.
• I-panniculitis ethelelanayo: Ukuvuvukala kwalolu ngqimba lwamafutha kungenzeka ngenxa yokutheleleka ngamagciwane noma ngesikhunta.
• I-Lupus panniculitis: Abantu abanesifo sokuzivikela komzimba i-lupus erythematosus banamathuba amaningi okuthuthukisa lolu hlobo lwe-panniculitis.
• I-Mesenteric panniculitis: Lokhu kuhlukile kancane. Kuthinta izicubu ezinamafutha (i-mesentery) ezizungeze amathumbu ethu amancane namathumbu amakhulu.
• I-Necrotizing panniculitis: Lokhu kwenzeka lapho izicubu ezinamafutha zifa ngenxa yokutheleleka okukhulu.
• I-pancreatic panniculitis: Uma kukhona isifo ku-pancreas, lokho kungaba yimbangela.

Odokotela bahlukanisa lesi simo se-panniculitis ngezinhlobo ezimbili - i-lobular panniculitis, ethinta amaseli amafutha (ama-lobule), noma i-septal panniculitis, ethinta izicubu ezixhumeneyo ezizungeze amaseli amafutha (i-fat septa). Kodwa-ke, leli yigama lezokwelapha. Kungase kungabi kubaluleke kakhulu ukuthi ukwazi ngokujwayelekile.

Ziyini izimpawu zalokhu? Sikubona kanjani?

Izimpawu ze-panniculitis zingahluka kuye ngomuntu nomuntu, kanye nobunzima bazo. Ake sibheke izimpawu eziyinhloko:

• Ukwakheka kwamaqhubu (amaqhubu) ngaphansi kwesikhumba: Lezi yizimpawu eziyinhloko.
• Ukuzwa ubuhlungu noma ukuqina lapho uthinta iqhubu: Ngezinye izikhathi, ukulithinta nje kungaba buhlungu.
• Ukushintsha kombala wesikhumba: Indawo lapho kukhona khona amaqhubu ingaba bomvu, onsomi, noma nsundu. Kungase kube mnyama ngisho nangaphezu kombala wesikhumba sakho semvelo. Kungase kubukeke njengokulimala.

Ngaphezu kwalokhu, kungase kuvele ezinye izimpawu:

• Imfiva
• Ubuhlungu bamalunga nemisipha
• Ukukhathala, ukukhathala
• Isicanucanu noma ukuhlanza

Nakuba kunezinhlobo eziningi ze-panniculitis, izimpawu zezinhlobo eziningi ziyafana. Kodwa-ke, izindawo zomzimba ezithintekile zingahluka.

Kukuphi emzimbeni lapho lezi zimpawu zithinta khona kakhulu?

Izimpawu ze-panniculitis zithinta kakhulu ungqimba olunamafutha ngaphansi kwesikhumba. Ngakho-ke, amaqhubu nobuhlungu kuvame ukubonakala ku:

• Emilenzeni
• Endaweni yemilenze
• Ezandleni

Kungani i-panniculitis ivele? Ziyini izimbangela?

Kunezici eziningana ezingabangela lesi simo. Futhi siyahlukahluka kuye ngohlobo lwe-panniculitis. Ake sibheke ezinye zezimbangela eziyinhloko:

• Ukutheleleka ngegciwane noma ngamagciwane: Isibonelo, izifo ezifana ne-HIV, isifo sofuba, noma i-pneumonia.
• Ingozi noma ukulimala ngokomzimba: into efana nokuwa, ukushaywa okunzima.
• Ukuchayeka emakhazeni amakhulu: Sesikhulume ngalokhu ngaphambili (i-Cold panniculitis).
• Njengempendulo yemithi ethile: Isibonelo, amaphilisi okuvimbela inzalo, imithi efana ne-penicillin.
• Izimo zokuzivikela komzimba:Okusho ukuthi, izimo lapho amasosha omzimba wethu ehlasela khona amangqamuzana ethu. Izibonelo: I-Lupus, isifo sikaCrohn, i-Sarcoidosis.
• Ezinye izimo zezokwelapha eziyisisekelo: Izibonelo: isifo samathumbu esivuvukalayo noma isifo se-pancreatic.

Ubani osengozini enkulu yokuthuthukisa lokhu?

Eqinisweni, lesi simo esibizwa ngokuthi i-panniculitis singathinta noma ubani wanoma yimuphi ubudala - kusukela ezinsaneni kuya kubantu abadala. Akusona isifo esivame kakhulu. Kodwa-ke, amaqembu athile eminyaka anamathuba amaningi okuthola lezi zimpawu. Isibonelo, izinsana nezingane ezincane zivame ukutholakala zinohlobo olubizwa ngokuthi "i-Cold panniculitis."

Yimiphi imiphumela emibi engaba khona (izinkinga) zalokhu?

Imiphumela emibi ingahluka kuye ngohlobo lwe-panniculitis. Ngezinye izikhathi ingafaka:

• Izilonda zesikhumba.
• Izilonda ebusweni besikhumba.
• Ukuncipha kwesikhumba.
• Ukuqina kwesikhumba.

Lezi zimo ngezinye izikhathi zingabangela amanxeba avulekile, okungaholela ekuthelelekeni. Ngakho-ke, kubalulekile ukuqaphela lokhu.

Udokotela uhlonza kanjani i-panniculitis?

Uma unalezi zimpawu, into yokuqala okufanele uyenze ukubona udokotela. Udokotela uzokuhlolela ngokomzimba. Uzobheka isikhumba sakho eduze ukuze athole amaqhubu kanye nokushintsha kombala. Uzophinde akubuze ngomlando wakho wezokwelapha, okuhlanganisa noma yiziphi izifo oke waba nazo kanye nanoma yimiphi imithi oyiphuzayo.

Ukuqinisekisa lesi sifo, kudingeka i-biopsy yesikhumba . Ungakhathazeki, lokhu akuyona into enkulu. Udokotela uzothatha ingxenye encane kakhulu yesikhumba endaweni ethintekile ayihlole ngaphansi kwe-microscope. Yilapho-ke kuphela lapho singasho khona ngokuqinisekile ukuthi lesi simo siyi-panniculitis noma okunye.

Ngezinye izikhathi kungadingeka ukuhlolwa okwengeziwe ukuze kutholakale ukuthi yini ebangela lokhu.

Yiziphi izindlela zokwelapha lokhu? Silulama kanjani?

Ukwelashwa kwe-panniculitis kuyahlukahluka kuye ngohlobo kanye nembangela yesimo. Kunezindlela ezimbili zokwelapha eziyinhloko:

• Ukwelapha noma ukulawula isimo esiyisisekelo esibangela izimpawu. Isibonelo, uma i-panniculitis ibangelwa ukutheleleka, ukutheleleka kuyalashwa.
• Ukunikeza imithi yokunciphisa izimpawu.

Yiziphi izinhlobo zemithi udokotela angazinikeza?

Udokotela wakho angase akunike imithi efana nale ukusiza ukulawula izimpawu zakho:

• Imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID): Le mithi inciphisa ubuhlungu nokuvuvukala.
• Ama-antibiotic noma imithi yokulwa namagciwane: Uma lesi simo sibangelwa ukutheleleka, kunikezwa imithi efanele. Isibonelo, umuthi ofana ne-Tetracycline unganikezwa i-pneumonia. Uma imbangela eqondile ingaziwa, umuthi wokulwa namagciwane obanzi njenge-Amoxicillin-clavulanic acid nawo unganikezwa.
• Ama-immunosuppressants: Isibonelo, ama-corticosteroids. Lawa asetshenziswa ezimweni zokuzivikela komzimba.
• Imithi efana ne-Dapsone noma i-Thalidomide.
• Imithi yokwelapha ngamakhemikhali: Le mithi inikezwa abantu abanezimpawu ezinzima kakhulu, kuphela ezimweni ezikhethekile.

Okubalulekile: Ngaphambi kokuqala noma yimuphi umuthi omusha, qiniseka ukuthi utshela udokotela wakho nganoma yimiphi eminye imithi, amavithamini, izithasiselo, kanye nokungezwani komzimba okusebenzisayo njengamanje. Lokhu kuzomsiza ukuthi akunike umuthi ofanele wena futhi onemiphumela emibi embalwa. Futhi, qiniseka ukuthi ubuza ngemiphumela emibi engaba khona yomuthi ngamunye.

Yiziphi izinto esingazenza ekhaya?

Ngaphezu kokwelashwa kwezokwelapha, kunezinto eziningana ongazenza ekhaya ukusiza ukulawula izimpawu nokululama ngokushesha:

• Gcina indawo ethintekile (uma ikhona imilenze) iphakeme: Lokhu kungasiza ekunciphiseni ukuvuvukala.
• Gwema umsebenzi onzima nokuzivocavoca umzimba ngenkathi unezimpawu.
• Gqoka izingubo zokucindezela (okungukuthi, amasokisi aqinile noma amasokisi) ukuze unciphise ubuhlungu noma ukuvuvukala. Cela iseluleko kudokotela wakho ngalokhu.
• Zama ukudla ukudla okunciphisa ukuvuvukala: njengokudla kwaseMedithera. Okusho ukuthi, engeza okusanhlamvu okuphelele, izithelo, nemifino ekudleni kwakho.
• Nciphisa noma uyeke ukuphuza utshwala: Utshwala bungenza izimpawu zibe zimbi nakakhulu kwabanye abantu.

Lesi simo sizohlala isikhathi esingakanani? Kuzokwenzekani ngokubukeka kwesikhumba?

I-panniculitis ngezinye izikhathi ingaba yisimo esingamahlalakhona . Lokhu kusho ukuthi izimpawu zingase zifike ziphele, bese ziphela isikhashana, bese zibuya. Nakuba kungekho ikhambi, kunezindlela zokwelapha ezingasiza ekulawuleni izimpawu futhi zivimbele ukuthi zingaphinde zivele. Udokotela wakho angakusiza ukuphatha noma yiziphi izimo ezingaphansi ezingase ziyibangele.

Kuthatha isikhathi ukuphulukiswa ngemva kokuqala kokwelashwa. Kunzima ukusho ukuthi kuzothatha isikhathi esingakanani. Kodwa-ke, izimpawu zivame ukuphela ngemva kwamasonto ayisithupha. Ubuhlungu nokuvuvukala kungase kuqale ukuncipha emahoreni angama-24. Kodwa-ke, amaqhubu kanye nokushintsha kombala wesikhumba kungase kuqhubeke amasonto amaningana.

I-panniculitis ingashintsha okwesikhashana ukubukeka kwesikhumba sakho. Ingabangela amaqhubu kanye nokushintsha kombala. Kodwa-ke, lokhu kuyaphela ngokwelashwa, futhi ngokuvamile akushiyi amabala esikhumba esikhathi eside.

Kodwa-ke, ezinye izinhlobo ze-panniculitis zingabangela izinguquko zesikhumba zesikhathi eside. Ngemva kokuba ukuqhuma sekupholile, ungase ubone iqhubu elincane, i-dimple, noma ukuqhekeka lapho ukuqhuma kwakukhona khona. I-panniculitis ngokuvamile ayibangeli izibazi, kodwa ingabangela uma isikhumba esithintekile silimele.

Ingabe kukhona esingakwenza ukuvimbela i-panniculitis?

Ngeshwa, akuzona zonke izimo ze-panniculitis ezingavinjelwa. Kodwa-ke, kunezinto ongazenza ukuze unciphise ingozi yokuba nezimpawu:

• Gwema izindawo ezibandayo kakhulu ngangokunokwenzeka.
• Uma unezimo zezokwelapha eziyisisekelo ezandisa ingozi yakho yezimpawu, zitholele ukwelashwa okufanele futhi zilawulwe.
• Nakekela inhlanzeko yakho ukuze uzivikele ezifweni.
• Gqoka imishini efanele (isib. isigqoko sokuzivikela, ama-knee pad) ukuze uvikele ezingozini ngesikhathi semisebenzi yomzimba kanye nemidlalo.

Kunini lapho kufanele nakanjani sibone khona udokotela?

Uma une-panniculitis, qiniseka ukuthi ubona udokotela uma:

• Uma izimpawu zingathuthuki ngemva kwamasonto ambalwa.
• Uma unomkhuhlane onganciphi ngemva kwamahora angu-24.
• Uma uzizwa sengathi izimpawu zakho ziya ziba zimbi kakhulu ngenxa yokwelashwa.
• Uma iqhubu lesikhumba selibuhlungu, likhipha ubomvu obumhlophe noma obuphuzi, futhi libuhlungu kakhulu.

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

Uma uya kudokotela, ungabuza imibuzo efana nale. Lokhu kuzokusiza ukuthi uqonde kangcono isimo:

• Uhlobo luni lwe-panniculitis enginalo?
• Yikuphi ukwelashwa okuncomayo?
• Ingabe ikhona imiphumela emibi kulezi zindlela zokwelapha?
• Ngenzenjani uma nginobuhlungu?
• Yini engingayenza ekhaya ukuze ngiphathe izimpawu zami?

I-panniculitis ingaba yisimo esinzima ukusilawula ngezinye izikhathi. Izimpawu zingavela ngokuzumayo, futhi ubuhlungu bungaphazamisa imisebenzi yansuku zonke. Ngisho nomoya obandayo noma ukulimala okuncane kungadala izimpawu.

Ngakho-ke, esikhundleni sokuphatha izembatho zokugqoka nokugqoka izimpahla zokuzivikela ngaso sonke isikhathi, kubalulekile ukukhuluma nodokotela wakho mayelana nezinketho zakho zokwelashwa. Angase akwazi ukuncoma ukuqala umuthi omusha noma ukwenza izinguquko ezincane endleleni yakho yansuku zonke (isib. ukudla ukudla okunciphisa ukuvuvukala). Unganqikazi ukubuza udokotela wakho noma yimiphi imibuzo onayo.

Ngakho-ke, ekugcineni, lezi yizinto ezibaluleke kakhulu okudingeka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-panniculitis yisimo esibuhlungu nesinamaqhubu esibangelwa ukuvuvukala kwengqimba yamafutha ngaphansi kwesikhumba. Ingaba nezimbangela eziningi futhi iza ngezindlela eziningi ezahlukene. Into ebaluleke kakhulu ukubona udokotela ngokushesha okukhulu uma uhlangabezana nalezi zimpawu futhi uthola ukuxilongwa okufanele nokwelashwa. Ungakhathazeki, lesi simo singalawulwa. Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho nokunakekela impilo yakho.

I- Panniculitis, i-Panniculitis, Izifo zesikhumba, Amaqhubu esikhumba, I-Dermatology, Ukuvuvukala kwesikhumba, Ukutheleleka kwengqimba yamafutha