Ingabe uke waba nokuqubuka okupinki, okunamabala emzimbeni wakho, ikakhulukazi esifubeni sakho, esiswini, noma emhlane? Ingabe kwavela phakathi nesonto noma amabili kwabe sekusakazeka ezindaweni eziningi ezincane? Khona-ke ungase ube nesifo sesikhumba esibizwa ngokuthi i-Pityriasis Rosea. Ungesabi uma uzwa leli gama. Lesi yisimo esivame kakhulu, futhi ngokuvamile asiyona ingozi. Ake sixoxe ngakho kalula, ngendlela ongayiqonda.
Iyini i-Pityriasis Rosea?
Kalula nje, i-Pityriasis Rosea yisifo sesikhumba esibangela ukuthi kuvele amabala apinki, aphakanyisiwe, anamabala esikhumbeni sakho. Lawa avame ukubonakala emzimbeni wakho (esifubeni, esiswini, emhlane), ezingalweni nasemilenzeni. Naphezu kwegama elithi "Rosea," lawa mabala awabukeki ebomvana wonke. Angabonakala futhi ebomvana, empunga, ensundu, noma ensomi, kuye ngokuthi isikhumba sakho sinjani.
Lesi sifo sinegama elihlekisayo - "i-Christmas tree rash." Lokhu kungenxa yokuthi uma la mabala amancane esakazeka emzimbeni wonke, abukeka njengamagatsha esihlahla sikaKhisimusi esigobile.
Ubani okungenzeka kakhulu ukuthi athole lokhu?
I-Pityriasis Rosea ingathinta noma ubani, kodwa abanye abantu banamathuba amaningi okuba nayo.
- Kulabo abaneminyaka ephakathi kweyi-10 nengama-35 .
- Abesifazane banamathuba angaphezu kuka-50% okuthola lesi simo kunabesilisa.
Abanye abantu bathi babenengcindezi enkulu ngaphambi kokuba bathole la mabala. Kodwa-ke, akukafakazelwa ngokwesayensi ukuthi ukucindezeleka kuyawabangela. Ngokuvamile akuvamile kubantu abaneminyaka engaphezu kwengu-60. Kodwa-ke, uma kunjalo, izimpawu zingase zihlale isikhathi eside.
Ziyini izimpawu? Ake sifunde ngazo isinyathelo ngesinyathelo...
Izimpawu zalesi sifo ngokuvamile azibonakali zonke ngesikhathi esisodwa. Zivela ngezigaba eziningana.
| Isiteji | Kwenzakalani |
|---|---|
| Isigaba sokuqala (izimpawu zokuqala) | Abanye abantu bangase babe nesifo esincane njengomkhuhlane, ikhanda elibuhlungu, nomphimbo obuhlungu izinsuku ezimbalwa ngaphambi kokuba kuvele la mabala. Lokhu akwenzeki kuwo wonke umuntu. |
| Ukufika kwe-'Herald Patch' | Okokuqala, kuvela indawo eyindilinga noma emise okweqanda, cishe engamasentimitha angu-1-6 ngobukhulu, endaweni eyodwa emzimbeni. Lesi yisibonakaliso sokuqala salesi sifo. Siphinde sikubize ngokuthi 'iHerald Patch' noma 'i-mother patch'. |
| Ukusabalala kwe-'Daughter Patches' | Ibala elikhulu livela cishe ngemva kwesonto noma amabili, futhi amabala amaningi amancane (cishe angu-1-2 cm) aqala ukusabalala, ikakhulukazi esiqwini. Lawa abizwa ngokuthi 'ama-daughter patches'. |
| Ukuluma | Cishe abantu abangu-50% abanalesi sifo, noma cishe oyedwa kwababili, bayaklwebha la mabala. Ukuluma kungaba nzima kakhulu kwabanye. |
| Ukubukeka kwesikhumba esimnyama | Kubantu abanesikhumba esimnyama, la mabala angase abonakale ephakanyisiwe (e-papular) kunokujwayelekile. |
La mabala awabangeli ubuhlungu. Kodwa-ke, uma uwaklwebha kakhulu, angalimaza isikhumba futhi abangele ukutheleleka , okungabangela ubuhlungu.
Kungani lokhu kwenzeka? Ingabe kuyathelelana kusuka komunye umuntu kuya komunye?
Imbangela eqondile yalesi simo ayikatholakali okwamanje, kodwa odokotela bakholelwa ukuthi kungenzeka ukuthi ibangelwa izinhlobo ezithile zamagciwane e-herpes (`(HHV-6)`, `(HHV-7)`, `(HHV-8)`).
Into ebaluleke kakhulu ukuthi leli gciwane le-herpes alinalutho oluhlobene ne-herpes yobulili noma igciwane le-herpes elibangela izilonda zomkhuhlane. Ngakho-ke, akusona isifo esithathelwana ngocansi (STD). Futhi asisabalali kusuka kumuntu kuya komunye ngokuxhumana kwesikhumba nesikhumba. Ngakho-ke ungesabi lokhu ngokweqile.
I-Pityriasis Rosea noma i-Ringworm?
Abanye abantu badidanisa lezi zimo ezimbili ne-ringworm ngoba zifana kakhulu. Zombili ziphakeme, zinamabala aqinile esikhumbeni. I-ringworm iyisifo se-fungus . I-Pityriasis Rosea yisimo okucatshangwa ukuthi sibangelwa yigciwane. Udokotela wakho angabona umehluko phakathi kwalezi zimo ezimbili.
Ingabe kuyingozi uma kwenzeka ngesikhathi sokukhulelwa?
Leli iphuzu elibaluleke kakhulu. Uma ukhulelwe futhi uthola amabala anjengalawa,Ungalibali futhi wazise udokotela wakho ngokushesha.
Ezinye izifundo zikhombisile ukuthi i-Pityriasis Rosea ngesikhathi sokukhulelwa kusenesikhathi ingandisa ingozi yokuphuphuma kwesisu kanye ne-hypotonia yezingane ezisanda kuzalwa. Ngakho-ke, kubalulekile ukufuna iseluleko sezokwelapha.
Udokotela ukubona kanjani lokhu?
Udokotela ngokuvamile angaxilonga i-Pityriasis Rosea ngokuhlola isikhumba sakho, ikakhulukazi ngokubona i-'Herald Patch' yokuqala.
Kodwa ngezinye izikhathi kungadidaniswa nezinye izifo zesikhumba. Isibonelo:
- I-Eczema
- I-Psoriasis
- I-Ringworm
- I-Ringworm (i-Tinea versicolor)
Ngakho-ke, uma udokotela enokungabaza, angakuthumela ukuthi uyohlolwa nge-biopsy, okuhlanganisa ukuthatha isikhumba esincane bese usihlola, noma ukuhlolwa kwegazi, ukuqinisekisa ukuthi azikho ezinye izimo zezokwelapha.
Yiziphi izindlela zokwelapha? Ingabe kukhona izinto engingazenza ekhaya?
Izindaba ezinhle ukuthi kubantu abaningi, la mabala ayanyamalala ngokuphelele phakathi kwamasonto ayi-6-8 ngaphandle kokwelashwa.
Kodwa-ke, uma ukulunywa kukhulu kakhulu, udokotela wakho angase akunikeze ezinye izindlela zokwelapha ukuze kuncishiswe ukungakhululeki.
- Ama-antiviral: Imithi esiza ekulweni namagciwane.
- Ukwelashwa nge-Phototherapy: Ukwelashwa kusetshenziswa ukukhanya kwe-ultraviolet (UVB) ethile. Kodwa-ke, abantu abanesikhumba esimnyama bangase babe ne-hyperpigmentation engapheli ngemva kwalokhu, ngakho-ke kubalulekile ukuxoxa ngalokhu nodokotela wakho.
- Amaphilisi e-Prednisone: Lawa amaphilisi e-corticosteroid. Anciphisa ukuvuvukala nokulunywa kwesikhumba.
Izinto ongazenza ekhaya ukuze unciphise ukulunywa
Kubalulekile ukukhuluma nodokotela wakho ngaphambi kokuzama lawa makhambi asekhaya. Ungase ube nomzimba ongezwani nezinye izithako.
- Ama-Antihistamine: Amaphilisi okungezwani komzimba asiza ekunciphiseni ukulunywa.
- I-Calamine lotion: Yehlisa ukulunywa nokungakhululeki, futhi iqeda ukoma kwesikhumba.
- Okhilimu be-Hydrocortisone: Okhilimu abanciphisa ukulunywa nokuvuvukala.
- I-Oatmeal: I-Oatmeal iyikhambi elihle lemvelo lokwelapha ukulunywa. Gaya ama-oats athile ku-blender kuze kube bushelelezi. Bese uyixuba namanzi amancane ukuze wenze i-paste bese uyibeka ezindaweni ezithintekile. Yishiye imizuzu engaba yi-10 bese uyisula ngendwangu ehlanzekile.
Yiziphi izikhathi ezinhle kakhulu zokuya kudokotela?
Nakuba lokhu ngokuvamile kungengozi, kufanele nakanjani ubone udokotela ezimweni ezilandelayo:
- Uma uthola izimpawu ezintsha.
- Uma izimpawu zingathuthuki naphezu kokwelashwa.
- Uma amabala ehlala isikhathi esingaphezu kwamasonto ayi-10.
- Uma amabala ebonakala ethelelekile (isib. obomvu, ovuvukile, okhipha ubomvu).
- Uma ukhulelwe futhi kuvela amabala anjengalawa (lokhu kubaluleke kakhulu).
Umlayezo Wokuya Nawe Ekhaya
- I-Pityriasis Rosea yisifo sesikhumba esivamile, ngokuvamile esingeyona ingozi.
- Lokhu akusabalali kusuka kumuntu kuya komunye futhi akusona isifo esithathelwana ngocansi.
- Ngokuvamile iphola ngokuphelele emavikini angu-6-8 ngaphandle kokwelashwa.
- Uma ukulunywa kukhulu, ungathola ukwelashwa ngakho.
- Okubaluleke kakhulu, uma unamabala anjengalawa, bona udokotela ukuze uqiniseke ukuthi yi-Pityriasis Rosea kuphela.
- Uma ukhulelwe, yazisa udokotela ngokushesha uma uhlaselwa yisifo esifana nalesi.
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