Cabanga ukuthi ubuyile ekhaya ngemuva kokuphuma isikhashana ekuseni. Ngemva kwamahora ambalwa, ubona amabhamuza amancane abomvu entanyeni nasezingalweni zakho aluma kakhulu. Ungase ucabange ukuthi lokhu kungenxa yokuthi ubekwe elangeni, kodwa lokhu akuhlali kunjalo. Kwenzeka ngezinye izikhathi kuphela. Lesi yisimo esikhuluma ngaso namuhla, i-PMLE, noma njengoba abantu abaningi besibiza kanjalo, 'ukungezwani nelanga'. Lokhu akuyingozi njengoba ungase ucabange, kodwa akumnandi neze. Ngakho ake sithole okwengeziwe ngakho.
Iyini ngempela i-PMLE?
Kalula nje, ukuqhuma kokukhanya okune-polymorphous (PMLE) kuyisimo sesikhumba esivamile esenzeka ngemva kokuba isikhumba sichayeke emisebeni ye-ultraviolet (UV) evela elangeni. Kufana nokungezwani komzimba.
Leli gama lingase lizwakale lingokwesayensi kakhulu, kodwa incazelo yalo ilula kakhulu.
- Igama elithi "polymorphous" lisho "ezimo ezahlukene." Lokhu kusho ukuthi la maqhubu namabala angabonakala ehlukile kumuntu ngamunye. Kwabanye, angase abukeke njengamaqhubu amancane abomvu, kwabanye, angase abukeke njengamaqhubu amakhulu abomvu, kanti kwabanye, angase abukeke njengamaqhubu.
- "Ukuqhuma" kusho "ukuvela ngokuzumayo." Lokhu kusho ukuthi la maqhubu angavela ngokuzumayo, emahoreni ambalwa ngemva kokukhanya kwelanga, mhlawumbe imizuzu engama-30 kuphela.
Abanye abantu babiza lesi simo ngokuthi “ukungezwani nelanga.” Lelo igama elihle lokusichaza, ngoba empeleni kuyimpendulo engavamile yomzimba elangeni.
Yini ebangela lokhu kungezwani nelanga?
Odokotela abakayitholi imbangela eqinisekile ngokuphelele yalokhu, kodwa umbono owamukelwayo njengamanje uwukuthi kubangelwa ushintsho endleleni amasosha omzimba wethu asebenza ngayo .
Cabanga ngale ndlela. Lapho imisebe ye-UV evela elangeni ishaya isikhumba sethu, isakhi esithile esikhumbeni sethu siyashintsha ngenxa yaleyo misebe. Khona-ke uhlelo lokuzivikela lomzimba wethu, isimiso sokuzivikela komzimba, lubona ngephutha le sakhi esisanda kwakheka 'njengesitha' noma 'isihambi.' Bese siqala ukulwa naso. Ngenxa yalokho kusabela, isikhumba siba bomvu, sibe namabala, futhi silume.
Hlobo luni lwemisebe yokukhanya oluthinta lokhu?
Kunezinhlobo ezimbili zokukhanya kwe-ultraviolet ekukhanyeni kwelanga.
1. Imisebe ye-UVA: Le misebe ingena ijule esikhumbeni. Le misebe ye-UVA ibangela izimo ezingu-9 kwezingu-10 ze-PMLE.
2. Imisebe ye-UVB: Le misebe ilimaza ubuso besikhumba futhi ibangela ukushiswa yilanga.
Lokho kusho ukuthi imbangela eyinhloko ye-PMLE imisebe ye-UVA. Le misebe ingaveli ekukhanyeni kwelanga kuphela, kodwa futhi nakweminye imithombo yokukhanya yokwenziwa, ikakhulukazi imibhede yokushiswa kwesikhumba esetshenziselwa ukushiswa kwesikhumba.
Ubani onamathuba amaningi okuthola lesi simo?
I-PMLE yisimo esingathinta noma ubani, kungakhathaliseki ubudala, uhlanga, noma ubulili. Kodwa-ke, abanye abantu banamathuba amaningi okuba naso. Ake sibheke ukuthi bangobani.
| Isici sengozi | Incazelo |
|---|---|
| Ubulili | Lesi simo sivame kakhulu kwabesifazane kunakwabesilisa. |
| Ubudala | Ngokuvamile kwenzeka okokuqala kubantu abaneminyaka ephakathi kuka-20 no-40, kodwa kungenzeka kunoma yimuphi ubudala. |
| Umlando womndeni | Uma othile emndenini wakho (umama, ubaba, izingane zakini) ene-PMLE, kungenzeka kakhulu ukuthi nawe ube nayo. |
| Indawo yokuhlala | Kulabo abahlala emazweni angenalo ukukhanya kwelanga okuningana, lokhu kungenzeka uma bevezwa ngokuzumayo elangeni elinamandla. Ezweni lakithi, lesi simo kungenzeka uma uya ogwini lolwandle ngemva kokuhlala emakamelweni anomoya opholile ngaso sonke isikhathi. |
Ziyini izimpawu ze-PMLE?
Uphawu oluyinhloko lwe-PMLE amabhamuza abomvu, alumayo noma amabala. Lawa avame ukuvela ezindaweni ezivezwe yilanga. Lawa mabala/amabhamuza angaba ngezimo nobukhulu obuhlukene kumuntu ngamunye.
| Uhlobo lwesibonakaliso | Izinto okufanele uzibone |
|---|---|
| Izimpawu zesikhumba ezivamile |
|
| Izimpawu ezingavamile ukubonwa |
Lezi zimpawu zivame ukuphela zingakapheli izinsuku ezimbili kuya kwezintathu. Kodwa-ke, uma uphinde ushiswa yilanga ngenkathi amabhamuza esekhona, isimo singase sibe sibi kakhulu futhi siqhubeke isikhathi eside.
Kukuphi emzimbeni lapho la maqhuqhuva/amabala avela khona kaningi?
Lokhu kungabonakala noma kuphi lapho kuvezwa ilanga. Kodwa ngokumangazayo, akuvamile kakhulu ebusweni. Lokhu kungenzeka ngoba ubuso buhlala buboniswa ilanga, ngakho-ke kukhona ukuzivumelanisa nezimo ezithile. Lawa ma-blister avame ukubonakala ku:
- Isifuba esingaphezulu (eduze kwentamo)
- Intamo
- Izandla
- Imilenze
Kukhona uhlobo lwe-PMLE olubonakala kakhulu ezinganeni olubizwa ngokuthi "i-juvenile spring eruption." Lokhu kubangela ukwakheka kwama-blisters ezindlebeni zezingane, ikakhulukazi abafana.
Ngingazi kanjani ukuthi lokhu kuyi-PMLE?
Uma uthola amabhamuza anjengalawa ngemva kokuphuma elangeni, akuwona umqondo omuhle ukuzinqumela ukuthi, "Lokhu kuyi-PMLE." Kungaba khona ezinye izifo zesikhumba nezinye izimo ezimbi ezibonisa izimpawu ezifanayo.
Ngakho-ke, kungcono ukubona udokotela bese uhlolwa.
Udokotela uvame ukwenza lokhu:
1. Uzobuzwa imininingwane: Sekuyisikhathi esingakanani lokhu kwenzeka, kubuya kangaki ngemva kokuba selangeni, nokuthi ukhona yini emndenini wakho onakho.
2. Hlola isikhumba: Hlola ngokucophelela uhlobo lwama-blister.
3. Mhlawumbe uma kudingeka:
- I-Skin Biopsy: Ingcezu encane kakhulu yesikhumba ingathathwa bese ithunyelwa ukuze iyohlolwa.
- Ukuhlolwa kwegazi: Ungase ucelwe ukuthi uhlole igazi ukuze uhlole ezinye izifo ezibonisa izimpawu ezifanayo, isibonelo, izifo ezibangelwa ukuzivikela komzimba njenge-lupus erythematosus.
Ungayelapha futhi uyivimbele kanjani?
Indlela engcono kakhulu yokwelapha i-PMLE ukuvimbela ukuthi ingenzeki, kunokuba uyelaphe.Ngoba isikhathi esiningi, la maqhubu ayaphela ngaphandle kokwelashwa phakathi nesonto noma amabili. Kodwa ukulunywa kuyacasula kakhulu.
Ukuvimbela kungcono kakhulu!
- Gwema ukukhanya kwelanga okunamandla: Nciphisa ukuchayeka elangeni elinamandla, ikakhulukazi phakathi kuka-11 ekuseni no-3 ntambama.
- Sebenzisa i-sunscreen: Lokhu kuyimfuneko. Njengoba ilanga lishisa ezweni lakithi, kubaluleke kakhulu ukusebenzisa i-sunscreen ene -SPF okungenani engu-30+ futhi ebhalwe ukuthi 'broad-spectrum' . I-broad-spectrum isho ukuthi ikuvikela kokubili emisebeni ye-UVA kanye ne-UVB. Yifake kahle kuzo zonke izindawo eziveziwe cishe imizuzu engama-20 ngaphambi kokuphuma.
- Gqoka izingubo zokuzivikela: Mboza isikhumba sakho ngezinto ezinjengemikhono emide, ibhulukwe elide, isigqoko esikhulu, kanye nezibuko zelanga.
"Ukuqinisa Isikhumba"
Kwabanye abantu, lokhu kuyinto abangayenza ngeseluleko sikadokotela. Lokhu kubizwa nangokuthi "i-phototherapy".
Lokhu okwenzayo kancane kancane, ngendlela elawulwayo, ukujwayela isikhumba sakho imisebe ye-UV. Kufana nomuthi wokugoma. Ngokusiveza kancane kancane, unikeza isikhumba sakho 'uqeqesho'. Khona-ke, lapho sibonakala ngokuzumayo elangeni eliningi, umzimba wakho ngeke wethuke.
Isexwayiso: Lokhu akulona neze umqondo omuhle ukukwenza wedwa. Uma ucabanga ukuthi, "Ngizohlala elangeni isikhashana ngivumele isikhumba sami sijwayele," uzokwenza izinto zibe zimbi kakhulu. Kufanele nakanjani kwenziwe ngaphansi kokuqondisa kukadokotela.
Yini okufanele uyenze uma uthola ama-blister?
Uma kuvela amabhamuza futhi ukulunywa kukhulu, udokotela uzokubhalela ukwelashwa.
- Ama-Corticosteroids Angaphandle: Amakhrimu asetshenziswa esikhumbeni. Lawa anciphisa ukulunywa nokubomvu.
- Ama-Antihistamine: Amaphilisi. Lawa angalawula ukulunywa.
- Ama-Corticosteroids Omlomo: Ezimweni ezimbi kakhulu, udokotela wakho angase akunike amaphilisi e-steroid omlomo, njenge-prednisone. Lawa anganikezwa kusengaphambili, ikakhulukazi uma uya eholidini endaweni enelanga.
- Eminye imithi: Kukhona futhi izimo lapho imithi efana ne-`(Hydroxychloroquine)` isetshenziswa khona ezimweni ze-PMLE ezinzima kakhulu, okunzima ukuzilawula.
Ingabe lesi simo sizoqhubeka? Kufanele ngimbone nini udokotela?
I-PMLE iyisimo esiphindaphindayo. Abanye abantu bangase babe nayo iminyaka eminingi. Kodwa izindaba ezinhle ukuthi kubantu abaningi, ubucayi besimo buyancipha kancane kancane ngokuhamba kwesikhathi.
Kufanele ubone udokotela wakho:
- Uma ubona amabhamuza angachazeki, amabala, noma izinguquko esikhumbeni sakho.
- Uma uhlala uthola amabhamuza kanje ngemva kokuphuma elangeni.
Uma uthola amabhamuza emzimbeni wakho ngemva kokuba selangeni, ungacabangi nje ukuthi, ‘Lokhu kuyinto eyenzekayo nje.’ Futhi kuyinkululeko yengqondo yakho ukuqinisekisa ukuthi ngabe yi-PMLE noma cha.
Ingabe i-PMLE ingadala umdlavuza wesikhumba?
Lona umbuzo omkhulu nowesabayo kubantu abaningi. Impendulo ithi, cha.
I-PMLE iyisimo esingesona umdlavuza (esingesihle). Lawa maqhubu awandisi ingozi yokuba nomdlavuza wesikhumba.
Kodwa, into ebalulekile lapha ukuthi i-PMLE ibangelwa imisebe ye-UV. Ukuchayeka isikhathi eside kuleyo misebe ye-UV kuyimbangela enkulu yomdlavuza wesikhumba. Lokho kusho ukuthi isinyathelo ngasinye osithathayo ukuvimbela i-PMLE (ukugqoka isivikelo selanga, ukuhlala kude nelanga, ukugqoka izingubo zokuzivikela) kuzokusiza futhi ekuvikeleni emdlavuza wesikhumba. Ngakho-ke kuyisimo esizuzisa bonke!
Umlayezo Wokuya Nawe Ekhaya
- I-PMLE iyindlela evamile 'yokungezwani nelanga'. Nakuba ingeyona ingozi, ingaba yimbi kakhulu ngenxa yokulunywa.
- Lokhu akubangelwa ukushiswa yilanga, kodwa kubangelwa ukusabela okungavamile kwesimiso somzimba sokuzivikela elangeni.
- Isixazululo esingcono kakhulu ukuvimbela. Gwema ukukhanya kwelanga okunamandla, gqoka isivikelo selanga nsuku zonke, futhi ugqoke izingubo zokuzivikela.
- Uma uphuma amabhamuza esikhumbeni sakho ngemva kokuphuma elangeni, ungenzi izinqumo ngokwakho. Qiniseka ukuthi ubona udokotela ukuze aqinisekise ukuthi ngabe yi-PMLE.
- Ezimweni ezinzima kakhulu, kunezindlela zokwelapha eziphumelela kakhulu ezingatholakala ngeseluleko sikadokotela.
- Izinyathelo ozithathayo ukuze uzivikele ku-PMLE zizokusiza futhi ekuvikeleni engozini yomdlavuza wesikhumba.
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