Ingabe ubhekene namabala abomvu ansundu entanyeni nasesifubeni sakho? Kungaba yi-(Poikiloderma of Civatte)!

Wake waphawula ukuthi intamo yakho, mhlawumbe ngisho nesifuba sakho esingaphezulu, kanye nezihlathi zakho kunamabala abomvu ansundu, kanti ezinye izindawo zinombala ohlukile? Kufana nokuthi imibala ixubene kancane. Lokhu kungaba yinto eyesabekayo ukukubona, kodwa ungakhathazeki. Namuhla sizokhuluma ngalolu hlobo loshintsho lwesikhumba. Esikhathini esiningi, akukubi kangako, kodwa kubalulekile ukukuqaphela.

Kuyini lokhu `(Poikiloderma of Civatte)`?

Kalula nje, `(Poikiloderma of Civatte)` yisifo sesikhumba. Sithinta kakhulu izinhlangothi zentamo yakho, ingxenye engenhla yesifuba sakho (njengesimo se-V), futhi ngezinye izikhathi izihlathi zakho. Lokhu kusho ukuthi ezinye izindawo zibonakala njengamabala abomvu ansundu, kanti ezinye zingase zibe mhloshana kancane. Isici esiyinhloko salokhu ukuthi umbala uyashintsha kusuka endaweni kuya kwenye, kunokuba ufane.

Cabanga ngendlela isikhumba esiye savezwa elangeni iminyaka sishintsha kancane kancane ngayo. Yilokho okwenzekayo lapha. Lesi simo saqala ukutholwa futhi sachazwa ngo-1923 ngudokotela wesikhumba waseFrance ogama lakhe lingu-Achille Civatte. Yingakho sibizwa ngokuthi "i-Poikiloderma of Civatte".

Into ebalulekile ukuthi lokhu kuyinkinga yobuhle hhayi ingozi enkulu empilweni. Okusho ukuthi, akukubangeli izinkinga noma ubuhlungu obukhulu. Kodwa-ke, kukutshela into eyodwa. Okusho ukuthi, isikhumba sakho sidinga ukuvikelwa okwengeziwe elangeni. Ngoba imbangela eyinhloko yalesi simo ukulimala kwesikhumba ngenxa yokuchayeka elangeni isikhathi eside.

Ubani okungenzeka kakhulu ukuthi athole lesi simo?

Lesi simo (i-Poikiloderma of Civatte) asiveli kuwo wonke umuntu. Abanye abantu banamathuba amaningi okuba naso.

• Kulabo abanesikhumba esikhanyayo: Abantu abanesikhumba esikhanyayo bavame ukuba nalesi simo. Lokhu kungenxa yokuthi isikhumba esikhanyayo sizwela kakhulu imisebe ye-`(UV)` (imisebe ye-ultraviolet) elangeni.
• Abesifazane asebedlulile esikhathini sokunqamuka kokuya esikhathini: Abesifazane asebedlule esikhathini sokunqamuka kokuya esikhathini (lokho esikubiza ngokuthi ukunqamuka kokuya esikhathini) nabo basengozini enkulu. Abesifazane asebekhishwe ama-ovari ngokuhlinzwa nabo bangathinteka yilesi simo.

Kunzima ukusho ukuthi lesi simo sivame kangakanani, ngoba abantu abaningi abafuni ukwelashwa kwaso, ngakho-ke asibikwa kahle.

Isikhumba somuntu one-`(Poikiloderma of Civatte)` sibukeka kanjani?

Kulesi simo, ungase uqaphele izinguquko eziningana esikhumbeni sakho:

1. Ukushintsha kombala wesikhumba: Isikhumba sakho singase sibe nombala ongalingani, kube namabala anombala obomvu onsundu kwezinye izindawo. Ezinye izindawo zingase zibe mnyama kancane kunokujwayelekile, kanti ezinye zingase zibe mhlophe kakhulu.

2. Imicu emincane ebomvu (i-Telangiectasias):Ungase uqaphele ukuthi unemigqa ebomvu emincane kakhulu esikhumbeni sakho efana ne-spider webs. Yilokhu odokotela abakubiza ngokuthi "i-Telangiectasias." Kalula nje, lokhu kwenzeka lapho imithambo yegazi emincane (esiyibiza ngokuthi "ama-capillaries") eduze kobuso besikhumba sakho ivuleka futhi iphuka.

3. Ukuncipha kwesikhumba (Atrophy): Isikhumba endaweni ethintekile singase sibe sincane kancane, some, futhi singase sibe nokubukeka okushwabene. Isikhumba kuleyo ndawo singase sibe nomuzwa omncane.

Lezi zinguquko zivame ukubonakala ezinhlangothini zentamo nasemadlelweni. Lezi zindawo azibonakali kakhulu endaweni engaphansi kwesilevu. Lokho futhi kuyisici salesi simo. Futhi, lezi zindawo zivela ngendlela efanayo (ngokulinganayo) kokubili ezinhlangothini kwesokudla nakwesobunxele zomzimba.

Ngaphezu kwentamo nezihlathi, i-Poikiloderma of Civatte ingabonakala nakwezinye izindawo ezivame ukuchayeka elangeni. Isibonelo:

• Isifuba: La mabala angasakazeka ngesimo se-V kusukela esifubeni esingaphezulu, kusukela entanyeni kuya maphakathi nesifuba.
• Izandla: Lesi simo singabonakala ikakhulukazi engxenyeni engezansi yezingalo (sizibiza ngokuthi "izingalo zangaphambili").

Ziyini izimpawu zalokhu?

Izindaba ezinhle ukuthi iningi labantu abane-Poikiloderma of Civatte ababi nazo izimpawu. Okusho ukuthi, ababi nazo izimpawu zokulunywa noma ukusha. Kodwa-ke, akuvamile kakhulu, abanye abantu bangase babe nokusha okuncane noma ukulunywa ezindaweni ezithintekile. Kodwa akukubi kangako.

Yiziphi izimbangela ze-`(Poikiloderma of Civatte)`?

Imbangela eqondile yalesi simo ayikakaziwa. Kodwa-ke, odokotela nochwepheshe bakholelwa ukuthi ukukhanya kwe-ultraviolet (UV) okuvela elangeni yikona okubangela lokhu . Kubonakala njengomphumela womonakalo oqhubekayo esikhumbeni eminyakeni eminingi.

Ngaphezu kokuchayeka elangeni, ezinye izici eziningana zingandisa ingozi yokuthola i-Poikiloderma of Civatte:

• Amakhemikhali, amanye amakha kanye nezimonyo: Amakhemikhali kwamanye amakha kanye nezimonyo angasabela elangeni futhi alimaze isikhumba. Lokhu kubizwa ngokuthi "ukusabela okunobuthi".
• Isikhumba esikhanyayo: Njengoba kushiwo ngaphambili, abantu abanesikhumba esikhanyayo basengozini enkulu yokulimala ngenxa yemisebe ye-UV.
• Izici zofuzo: Izakhi zofuzo ezizuzwe kubazali nazo zingadlala indima. Uma othile emndenini wakho enalesi simo, nawe unethuba elincane lokuba naso.
• Izinguquko zama-hormone: Ikakhulukazi ngemva kokunqamuka kokuya esikhathini, amazinga e-hormone ``(estrogen)`` kwabesifazane ayancipha. Lezi zinguquko zama-hormone nazo zingabangela lesi simo. Zingathinta nalabo abaye basuswa ama-ovari ngokuhlinzwa.

Ungayibona kanjani i-`(Poikiloderma of Civatte)`?

Udokotela uvame ukuxilonga lesi simo ngokuhlola isikhumba sakho nokubuza ngomlando wakho wezokwelapha. Ezimweni eziningi, bangabona ngokubuka nje.

Kodwa-ke, ngezinye izikhathi, uma ukuxilongwa kungacacile, noma uma kukhona ukusola ukuthi esinye isimo sesikhumba siyimbangela, udokotela angase atuse ukuthi kwenziwe i-biopsy yesikhumba . Lokhu kuhilela ukuthatha ingxenye encane yesikhumba esithintekile bese uyithumela elabhorethri ukuze ihlolwe.

Le biopsy isiza ukuhlukanisa i-Poikiloderma ye-Civatte kwezinye izimo ezingase zifane nayo. Lezi zimo zifaka:

• Izimo zofuzo ezithinta isikhumba. Isibonelo, izimo ezifana ne-`(congenital poikiloderma)` (ebizwa nangokuthi `(Rothmund-Thomson syndrome)`) kanye ne-`(Bloom syndrome)`. Lezi yizimo ezingathinta ezinye izinhlelo emzimbeni, ngezinye izikhathi zibangele izinkinga ezinkulu futhi zandise ingozi yomdlavuza.
• Izifo zesikhumba. Izibonelo zifaka phakathi izifo ezifana ne-`(cutaneous lupus)`, `(dermatomyositis)` kanye ne-`(mycosis fungoides)`.

Okubalulekile: Uma ubona noma yiziphi izinguquko ezintsha, amabala, noma ukushintsha kombala esikhumbeni sakho, kungcono ukubona udokotela bese uhlolwa ngaphandle kokukushaya indiva. Ngaleyo ndlela, ungasheshe ubone ukuthi kuyinto engathi sína yini.

Yiziphi izindlela zokwelapha `(Poikiloderma of Civatte)`?

Kunezindlela eziningana zokwelapha lesi simo. Eziyinhloko yilezi:

• Thatha izinyathelo zokuvikela isikhumba sakho ekulimaleni okwengeziwe.
• Ukusebenzisa okhilimu abanemithi abanikezwe udokotela.
• Ukwelashwa okulula kanye ne-laser.

Izindlela zokwelapha ezijwayelekile kanye nokuvikela

Lezi izinto ongazenza ekhaya ukusiza ukuvimbela ukulimala okwengeziwe esikhumbeni sakho:

• Vikela isikhumba sakho ekulimaleni kwelanga okuqhubekayo. Gqoka njalo i-sunscreen ene-SPF okungenani engu-30 noma ngaphezulu noma nini lapho uphuma ngaphandle. Gqoka isigqoko bese umboza intamo yakho. Eqinisweni, abantu abaningi bangavimbela i-Poikiloderma of Civatte ngokusebenzisa i-sunscreen ngendlela efanele futhi bahlale kude nelanga.
• Yeka ukusebenzisa izinto ezicasula isikhumba, njengeziqholo ezinamandla. Uma usebenzisa izimonyo, buza udokotela wakho ukuthi yimiphi imikhiqizo ephephile ukuyisebenzisa endaweni ethintekile.

Ukwelashwa nge-laser nokukhanya

Lokhu kwelashwa kusebenza ngokunciphisa amabala ansundu namabala abomvu (i-telangiectasia) (imithambo yegazi emincane) esikhumbeni, nokuthuthukisa ukubukeka nokuthungwa kwesikhumba. Lobu buchwepheshe busebenzisa izinhlobo ezahlukene zamandla okukhanya ukuze kuqondiswe futhi kubhujiswe amangqamuzana esikhumba alimele. Isikhumba sakho sibe sesikhiqiza amangqamuzana amasha, anempilo ukuze kugcwaliswe izikhala.

Kunezindlela eziningana zokwelapha ezinjalo:

• `(Ama-laser edayi adonswayo)`
• (Ukwelashwa kokukhanya okunamandla kwe-pulsed (IPL)).
• `(Ama-laser angasebenzisi izingxenye ezincane)`

Lokhu kwelashwa kuvame ukwenziwa emitholampilo yesikhumba. Akwelapheki ngokuphelele ngesikhathi esisodwa, futhi kungadinga ukwelashwa okuningana.

Kusebenza kangakanani lokhu kwelashwa?

Uma uqhathanisa isikhumba sakho ngaphambi nangemva kokwelashwa, uzobona ukuthuthuka okuthile embala wesikhumba sakho. Okusho ukuthi, amabala azophela futhi isikhumba sakho sizobukeka sikhanya kancane. Kodwa-ke, ukwelashwa akukwazi ukuqeda ngokuphelele izimpawu ze-`(Poikiloderma of Civatte)`. Kubalulekile ukukhumbula lokho. Kodwa-ke, lokhu kwelashwa kungasiza ekuvimbeleni isimo ukuba singabi sibi futhi kuthuthukise ukubukeka kwaso ngezinga elithile.

Ingabe ukwelashwa kwemvelo kwe-`(Poikiloderma of Civatte)` kuyasebenza?

Kungenzeka ukuthi uke wabona ku-inthanethi mayelana nemithi yemvelo yasekhaya ye-`(Poikiloderma of Civatte)`. Ezinye zazo zingase zihlanganise amakhambi ahlukahlukene kanye neziqephu zamakhambi, amavithamini, amafutha emvelo, i-baking soda, i-hydrogen peroxide, njll.

Kodwa-ke, ayikho kulezi zindlela zokwelapha zemvelo eziye zafakazelwa ngokwesayensi ukuthi ziyasebenza kulesi simo. Ngakho-ke, ngaphambi kokuthi uzame noma yimuphi umuthi wemvelo, qiniseka ukuthi ukhuluma nodokotela wakho ukuze akunike iseluleko. Ngaphandle kwalokho, uma uzama okuthile ngokwakho, ungase uqedele ukwenza isimo sibe sibi kakhulu.

Ungakuvimbela kanjani ukwenzeka kwe-`(Poikiloderma of Civatte)`?

Into engcono kakhulu ongayenza ukuvimbela lesi simo ukuthi singabi khona ukunciphisa ukuchayeka kwakho emisebeni yelanga (UV) ngangokunokwenzeka.

• Faka umuthi wokuvikela ilanga nge-SPF engama-30 noma ngaphezulu noma nini lapho uphuma ngaphandle, kungakhathaliseki ukuthi kunelanga noma cha. Phinda ufake umuthi njalo emahoreni amabili, noma uma ujuluka noma ubhukuda.
• Nciphisa ukuchayeka kwakho elangeni ngezikhathi ezimatasa (njengokusukela ngo-10 ekuseni kuya ku-2 ntambama).
• Gqoka isigqoko uma uphuma ngaphandle. Gqoka nezingubo ezimboza intamo nobuso bakho elangeni.

Iyini inhloso yalesi simo `(Poikiloderma of Civatte)`?

I-Poikiloderma of Civatte yisifo esingamahlalakhona. Lokhu kusho ukuthi sihlala isikhathi eside. Akukho ukwelashwa kwaso. Kodwa-ke, njengoba kushiwo ngaphambili, ukwelashwa kungathuthukisa ukubukeka kwesikhumba sakho futhi kuvimbele lesi simo ukuba singabi sibi kakhulu.

Kufanele ngimbone nini udokotela?

Uma ubona noma yiziphi izinguquko ezintsha embala noma ekubunjweni kwesikhumba sakho, khuluma nodokotela wakho ngakho. Ukuxilongwa kusenesikhathi kanye nokwelashwa kungasiza ekunciphiseni ukulimala kwesikhumba futhi kususe ezinye izimo zempilo ezimbi.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Poikiloderma ye-Civatte iyinkinga yobuhle ngokuyinhloko. Ibangela amabala ansundu nabomvu entanyeni nasezihlathini. Intuthuko ethile ingatholakala ngokhilimu kadokotela kanye nokwelashwa nge-laser nokukhanya.

Into engcono kakhulu ongayenza ukuze uzivikele kulesi simo nakwezinye izimo zesikhumba ezingathi sína ukuvikela isikhumba sakho elangeni. Kubalulekile ukusebenzisa umuthi wokuvikela ilanga njalo, ukugqoka izingubo zokuzivikela, nokugwema ukukhanya kwelanga okuqondile emini.

Uma uneminye imibuzo mayelana nalokhu, sicela ukhulume nodokotela wesikhumba. Bazokwazi ukukweluleka futhi bakunikeze ukwelashwa okufanele kakhulu.

I- Poikiloderma ye-Civatte, amabala esikhumba, amabala entamo, umonakalo welanga, ukhilimu welanga, izifo zesikhumba, ukushintsha kombala wesikhumba