Ingabe uke waqala ngokuzumayo ukuba namaqhubu agcwele uketshezi esikhumbeni sakho aqhuma kalula? Noma uke waba nezilonda ezibuhlungu emlonyeni wakho ezenza kube nzima ukudla noma ukuphuza? Kuvamile ukuthi noma ubani esaba uma ebona into efana nale. Namuhla sikhuluma ngesimo esibizwa ngokuthi "i-Pemphigus," abantu abaningi abangakaze bezwe ngaso, kodwa kubaluleke kakhulu ukusazi, futhi esibangela izimpawu ezinjengalezi.
Kalula nje, iyini iPemphigus?
I-Pemphigus igama elivamile leqembu lezifo ezibangela ama-blister kanye nezilonda ezibuhlungu esikhumbeni kanye nasezingxeni zama-mucous ngenxa yokungasebenzi kahle kwesimiso sethu sokuzivikela komzimba. Lokhu kubizwa ngokuthi isimo sokuzivikela komzimba . Lokhu kusho ukuthi izivikelo zomzimba wethu (ama-antibodies) zihlasela ngephutha amangqamuzana ethu esikhumba aphilile. Lokhu kuhlasela kubangela ukuthi amangqamuzana esikhumba ahlukane futhi agcwale uketshezi, akhe ama-blister.
Uma uzwa igama elithi "ama-mucous membranes," cishe uyazibuza ukuthi ayini. Lokho kusho ama-membrane athambile, amanzi ahlala emilonyeni yethu, emakhaleni, emehlweni, emphinjeni, nasezithweni zangasese. Ku-pemphigus, ama-blister ngezinye izikhathi angakheka kulezi zindawo, kunokuba akheke esikhumbeni.
Into ebaluleke kakhulu ukuthi i-pemphigus ayisona isifo esithelelanayo . Ukuthinta noma ukuba nomuntu onesifo akusisabalalisi kwabanye. Kodwa-ke, kuyisifo esihlala impilo yonke. Kodwa ungakhathazeki, ngokwelashwa okufanele, ungayilawula kahle futhi uphile impilo evamile.
Yiziphi izinhlobo eziyinhloko ze-pemphigus?
I-Pemphigus ayiveli ngesimo esithile. Kunezinhlobo eziningana eziyinhloko, kuye ngokuthi kuvela kuphi amabhamuza nokuthi yini ebangela wona. Ake sibheke ukuthi ayini.
| Uhlobo lwe-Pemphigus | Incazelo |
|---|---|
| I-Pemphigus vulgaris | Lolu uhlobo oluvame kakhulu. Luqala ngezilonda ezibuhlungu ngaphakathi emlonyeni. Lungenza kube nzima ukudla nokuphuza. Kamuva, kungase kuvele amabhamuza esikhumbeni. La mabhamuza abuhlungu futhi athatha isikhathi eside ukuphola. |
| Izitshalo ze-Pemphigus | Lokhu kufana nohlobo olushiwo ngenhla, kodwa izilonda zijiyile futhi ziqinile. Zivame kakhulu ezindaweni lapho isikhumba sigoqeka khona, njengamakhwapha kanye nezinqe. |
| I-pemphigus ebangelwa izidakamizwa | Eminye imithi, njengemithi elwa namagciwane kanye nemithi yomfutho wegazi ophakeme, ingabangela lesi simo. Amaqhubu angavela ngisho nangemva kwezinyanga ezimbalwa uphuze imithi. |
| I-Pemphigus erythematosus | Lolu uhlobo lwe-lupus oluhambisana nalesi sifo. Ama-blister avame ukuvela emhlane ongaphezulu, esifubeni, ezihlathini nasekhanda. Lezi zilonda zibomvu futhi zinamaxolo. |
| I-Pemphigus foliaceus | Kulolu hlobo, amabhamuza avela engxenyeni ephezulu yesikhumba. Ngakho-ke, athambile kakhulu futhi aqhuma kalula. Uma eqhuma, akha uqweqwe futhi angasakazeka endaweni enkulu. Avame ukubonakala ekhanda, ebusweni, entanyeni nasemhlane. Akuvamile ukwakheka emlonyeni. |
| I-pemphigus ye-paraneoplastic | Lolu uhlobo olungavamile nolunzima kakhulu. Luvela kubantu abanomdlavuza emizimbeni yabo. Lubangela izilonda ezinzima kakhulu nezibuhlungu emlonyeni nasemphinjeni. Uma udokotela ethola lolu hlobo, uzohlola ngokuqinisekile ukuthi unalo yini umdlavuza ofihliwe emzimbeni. |
Ubani onamathuba amaningi okuthola lesi sifo?
Nakuba i-pemphigus ingathinta abantu banoma yimuphi ubudala, ivame kakhulu kubantu abaneminyaka ephakathi kuka-40 no-60. Ivame kakhulu nakwezinye izingxenye zomhlaba, njengeMpumalanga Ephakathi, eNdiya naseBrazil.
Lesi akusona isifo esivame kakhulu. Emhlabeni wonke, cishe umuntu oyedwa kuya kwabahlanu kuphela kwabayisigidi abatholakala benalesi sifo minyaka yonke. Ngakho-ke, sibhekwa njengesifo esingavamile .
Ziyini ngempela izimpawu? Sibona kanjani isimo esiyingozi?
Izimpawu zingase zihluke kancane kuye ngohlobo lwe-pemphigus onalo, kodwa kunezinye izimpawu ezivamile.
Izimpawu ezivamile
- Amaqhubu agcwele uketshezi esikhumbeni.
- Isikhumba esipinki noma esibomvu esizungeze i-blister.
- Uma amabhamuza eqhuma, akha uqweqwe.
- Susa uketshezi noma ukopha okuncane emanxebeni.
- Isikhumba esizungeze amabhamuza sithambile kakhulu futhi sihlubuka kalula.
- Ubuhlungu nokulunywa endaweni yenxeba.
Lokhu kungaba izimpawu zokutheleleka! - Qaphela ngokushesha!
Uma amabhamuza eqhuma, kunethuba elikhulu lokuthi amagciwane angene futhi abangele izifo. Bheka lezi zimpawu:
- Amabhamuza agcwele ubomvu ophuzi noma omhlophe noma aphuma kuwo.
- Ukushisa okukhulu noma ubuhlungu uma kuthintwa.
- Ukuvuvukala noma ukubomvu kwesikhumba okuzungeze isilonda.
- Kuvela uqweqwe oluphuzi esilondeni.
- Inxeba liyaqhubeka nokuphola.
Uma unezimpawu zalolu hlobo lokutheleleka, kufanele wazise udokotela wakho ngokushesha .
Kwezinye izimo ezinzima, izimpawu ezifana nomkhuhlane, ukukhathala, kanye nokungaboni kahle nazo zingase zivele.
Udokotela usithola kanjani lesi sifo ngokunembile?
Uma unalezi zimpawu, into yokuqala okufanele uyenze ukubona udokotela wesikhumba. Udokotela uzohlola ngokucophelela izimpawu zakho, akubuze ngezimpawu zakho, bese eyala ukuhlolwa okuningana ukuqinisekisa ukuxilongwa.
1. Ukuhlolwa Kwesikhumba: Lokhu kuhilela ukuthatha ingxenye encane kakhulu yesikhumba esiphundulweni ngaphansi kwe-anesthesia bese uyihlola ngaphansi kwe-microscope. Lokhu kungaqinisekisa lesi sifo ngokubheka indlela amangqamuzana esikhumba ahlukaniswe ngayo.
2. Ukuhlolwa Kwegazi: Lokhu kuhlolwa kuhlola ukuthi igazi lakho liqukethe yini ama-antibodies athile abangela lesi sifo.
Udokotela uzonquma ngqo ukuthi une-pemphigus yini ngokusekelwe emiphumeleni yalezi zivivinyo zombili, futhi uma kunjalo, uhlobo lwayo.
Yiziphi izindlela zokwelapha i-pemphigus?
Kunemigomo emibili eyinhloko yokwelapha i-pemphigus. Eyokuqala ukuvimbela ukwakheka kwama-blister amasha, kanti enye ukwelapha ama-blister namanxeba akhona kanye nokuvimbela ukutheleleka.
Inqubo yokwelapha ivame ukwenzeka ngezigaba ezintathu:
- Isigaba sokulawula: Kulesi sigaba, kunikezwa imithi eningi kakhulu ukulawula ukwakheka kwama-blister amasha nokuqala ukuphulukisa ama-blister akhona.
- Isigaba sokuhlanganiswa: Uma amabhamuza eselawulwa kakhulu, umthamo wemithi ugcinwa usezingeni elizinzile.
- Isigaba sokunakekela: Uma lesi sifo sesilawulwa kahle, kunikezwa umthamo ophansi kakhulu wemithi isikhathi eside ukuvimbela ukuphinda kuvele amabhamuza.
Imithi esetshenziswa kakhulu
- Ama-Corticosteroids: Lawa ayindlela yokwelapha eyinhloko. Asebenza ngokunciphisa amasosha omzimba nokulawula ukuvuvukala nokuvuvukala. Anganikezwa njengamaphilisi, imijovo, noma okhilimu.
- Imithi yokucindezela amasosha omzimba: Ngaphezu kwama-steroid, le mithi inikezwa ukulawula ukusebenza kwesimiso somzimba sokuzivikela.
- I-Rituximab: Lokhu kuyindlela entsha yokwelapha ehlasela futhi ibhubhise amangqamuzana omzimba abizwa ngokuthi ama-B-cell abangela lesi sifo.
- Ama-antibiotic: Uma amabhamuza etheleleka ngamagciwane, anikezwa ukuze elashwe.
Okubalulekile: Yonke le mithi kufanele ithathwe njengoba nje udokotela wakho ekuyalele, ngesilinganiso esinqunyiwe kanye nesikhathi esinqunyiwe. Ungayeki ukuyithatha noma ukushintsha umthamo. Kungase kube nemiphumela emibi evela ekwelashweni, ngakho udokotela wakho uzokuhlola njalo futhi ahlole igazi ukuze ayiqaphe.
Izinto okufanele uzinake ekhaya ngenkathi uphila nalesi sifo
Ngesikhathi uthola ukwelashwa, kunezinto eziningana ongazenza ekhaya ukuze uphathe izimpawu zakho.
- Uma unezilonda emlonyeni: Gwema ukudla ukudla okuqinile njengamabhisikidi anongwe, amuncu, kanye naqinile. Lokhu kungenza izilonda zibe buhlungu kakhulu. Yidla ukudla okuthambile njengesobho, iphalishi, kanye neyogathi.
- Ukunakekelwa kwenxeba: Gcina amanxeba ehlanzekile bese ufaka amafutha afanele njengoba kuqondiswe udokotela wakho.
- Ukuvikelwa elangeni: Ukuchayeka elangeni kungenza izimo zesikhumba zibe zimbi kakhulu. Ngakho-ke, uma uphuma elangeni, sebenzisa isivikelo selanga futhi ugqoke izingubo ezimboza umzimba wakho.
- Sebenzisa imikhiqizo evumelana nesikhumba: Khetha insipho nama-lotion angenaphunga futhi afanele isikhumba esibucayi.
Kungathatha amasonto noma izinyanga eziningana ukubona imiphumela ngemva kokuqala ukwelashwa. Yiba nesineke futhi uqhubeke nokwelashwa.
Umlayezo Wokuya Nawe Ekhaya
- I-Pemphigus isifo esibangela amabala esikhumbeni kanye nezilonda ezibangelwa ukukhubazeka ohlelweni lokuzivikela lomzimba wethu.
- Lesi akusona isifo esithelelanayo nhlobo . Phatha iziguli ngothando nangomusa.
- Nakuba lesi yisimo esihlala isikhathi eside, singalawulwa kahle ngokwelashwa okufanele..
- Uma unezilonda noma amathumba abuhlungu emlonyeni wakho noma esikhumbeni sakho angapholi, qiniseka ukuthi ufuna iseluleko sezokwelapha .
- Ukulandela ukwelashwa okunikezwe udokotela ngqo nokugcina amanxeba ehlanzekile kubalulekile ekulawuleni lesi sifo.
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