Ingabe nawe uyashiswa yilanga? Ake sixoxe ngokuqhuma kokukhanya okune-polymorphous (PMLE)!

Ingabe ngezinye izikhathi uzwa ukucasuka kwesikhumba, ukubomvu, kanye nama-blister amancane ngemva kwesikhathi esifushane elangeni? Noma uzizwa sengathi "une-allergy elangeni" njengoba abanye abantu besho? Empeleni lokhu kuyinkinga abantu abaningi abanayo. Namuhla sizokhuluma ngesimo esibangelwa lolu hlobo lwesikhumba esizwela ilanga, esibizwa ngokuthi i-polymorphous light eruption, noma i-PMLE.

Kuyini ukuqhuma kokukhanya okune-polymorphous (PMLE)?

Kalula nje, i-PMLE iwukuqubuka okuvamile okwenzeka esikhumbeni ngemva kokuchayeka elangeni, okungukuthi, ukukhanya kwe-ultraviolet (ukukhanya kwe-UV). Igama elithi 'polymorphous' lisho 'okuhlukahlukene'. Lokhu kusho ukuthi lokhu kuqubuka kungabukeka ngendlela ehlukile kumuntu ngamunye. Kwabanye, kungabukeka njengama-blister amancane abomvu, kwabanye kungabukeka njengamabala amakhulu abomvu, noma ngezinye izikhathi kungabukeka njenge-blister. 'Ukuqhuma' kusho ukuthi lokhu kuqubuka kuvela ngokuzumayo, ngokuzumayo. Ngokuvamile kungaqala kungakapheli imizuzu engama-30 yokuchayeka ekukhanyeni kwe-UV. Abanye abantu bakubiza nangokuthi 'ukungezwani nelanga' noma 'ubuthi belanga', kodwa lelo akulona igama lezokwelapha.

Sivame kangakanani lesi simo esibizwa ngokuthi i-PMLE?

Lesi simo, esibizwa ngokuthi i-PMLE, empeleni sivame kakhulu kunalokho ongase ucabange. Yisimo sesikhumba esivame kakhulu esibangelwa imisebe ye-UV. Emhlabeni wonke, kulinganiselwa ukuthi cishe abantu abayi-15 kwabayi-100 bathinteka yilesi simo. Ngakho-ke uma unesifo esifana nalesi, yazi ukuthi awuwedwa.

Kungani kwenzeka i-PMLE? Iyini imbangela?

Ochwepheshe abasazi kahle ukuthi yini ebangela lokhu. Kodwa bacabanga ukuthi kuyinto efana nale: Uma sichayeka elangeni, imisebe ye-UV ishintsha amanye amakhemikhali esikhumbeni sethu. Bese, isimiso sethu somzimba sokuzivikela sisabela kula makhemikhali amasha, ashintshiwe, njengokungathi ayisitha. Inkolelo-mbono yamanje iwukuthi lokhu kuqubuka kubangelwa yilokho kusabela.

Uhlobo luni lokukhanya olungabangela i-PMLE?

I-PMLE ibangelwa kakhulu ukukhanya kwe-ultraviolet, noma imisebe ye-UV. Ngezinye izikhathi, ukukhanya okubonakalayo nakho kungabangela lesi simo, kodwa akuvamile.

Manje kunezinhlobo ezimbili zemisebe ye-UV:

• Imisebe ye-UVA: Lezi yizinhlobo zemisebe engangena ezingqimbeni ezijulile zesikhumba. Cishe amacala angu-9 kwangu-10 e-PMLE abangelwa yile misebe ye-UVA.
• Imisebe ye-UVB: Lokhu kungalimaza isikhumba, futhi ukushiswa yilanga kungenye yezizathu zalokhu.

Ngakho-ke, lokhu kuqubuka kungabangelwa ukuchayeka elangeni kuphela, kanye nemithombo yokwenziwa yemisebe ye-UV. Isibonelo, kungabangelwa nayimibhede yokushiswa kwesikhumba, abanye abantu abayisebenzisela ukuthola ibala lesikhumba elikhanyayo.

Ubani osengozini enkulu yokuthola i-PMLE?

Lesi simo esibizwa ngokuthi i-PMLE sivame ukuqala entwasahlobo.Okusho ukuthi, lokhu kuvame ukubonakala uma isimo sezulu somile isikhathi esithile bese ilanga liqala ukukhanya futhi. Cabanga nje, ngisho nasezweni lakithi, ngezinye izikhathi lapho ilanga likhanya, ungabona okuningi kwalolu hlobo lwento.

Kungakhula kunoma ubani wanoma yimuphi ubudala, ubulili, uhlanga, noma ubuzwe. Kodwa-ke, abanye abantu banamathuba amaningi okuba nakho:

• Kwabesifazane: Lesi simo sivame kakhulu kwabesifazane kunakwabesilisa.
• Kubantu abaneminyaka ephakathi kuka-20 no-40: Kuvamile kubantu abakuleli qembu leminyaka.
• Uma othile emndenini wakho ene-PMLE: Uma othile emndenini wakho enalolu hlobo lokungezwani nelanga, kungenzeka ukuthi nawe ube nalo. Lokhu kusho ukuthi kungase kube nomlando womndeni.
• Kulabo abahlala ezindaweni ezithola ilanga elincane: Lokhu kungenzeka uma ungatholakali elangeni njalo, isibonelo, uma ngokuzumayo ufika eholidini usuka ezweni elibandayo uye ezweni elinelanga elifana nelethu.

I-PMLE ibukeka kanjani uma iqala ukukhula? Ziyini izimpawu?

Uphawu oluyinhloko lwe-PMLE ukuqubuka okulumayo okubonakala ezindaweni zomzimba ezivezwe yilanga. Lokhu kuqubuka kungavela ngezindlela eziningi ezahlukene. Yingakho kubizwa ngokuthi 'i-polymorphic'.

• Amaqhubu amancane abomvu angavela ngamaqoqo.
• Kungase kubonakale njengamabala amakhulu abomvu.
• Ngezinye izikhathi kungabonakala sengathi amabhamuza.

Lezi zindawo zesikhumba zivame ukuvela emahoreni ambalwa ngemva kokuchayeka elangeni. Kodwa ngezinye izikhathi zingavela ngisho nangemva kwezinsuku ezimbalwa. Cabanga nje, uma uphume elangeni ekuseni, ungase ubone lokhu kuqubuka kusihlwa noma ngakusasa ekuseni.

Ezimweni ezingavamile, i-PMLE ingabangela nezimpawu ezifana nalezi:

• Imfiva
• Ikhanda elibuhlungu
• Isicanucanu nokuhlanza

Ngokuvamile, izimpawu ze-PMLE zihlala izinsuku ezimbili kuya kwezintathu. Kodwa-ke, uma uqhubeka nokuchayeka emisebeni ye-UV ngenkathi une-rash, ingahlala isikhathi eside. Ngakho-ke, kubaluleke kakhulu ukuqaphela ilanga ngenkathi une-rash.

Yiziphi izingxenye zomzimba ezithinteka kakhulu yi-PMLE?

Lokhu kuqubuka, okubizwa ngokuthi i-PMLE, kungavela kunoma iyiphi ingxenye yomzimba evezwe elangeni . Kodwa ngokumangazayo, akuvamile ukuvela ebusweni. Mhlawumbe ngoba ubuso bujwayele ukuvezwa elangeni njalo.

Lokhu kuqubuka kuvame ukubonakala:

• Ingxenye engenhla yesifuba - ikakhulukazi uma ugqoka ingubo enentamo emise okwe-V, yilapho ezobonakala khona.
• Intamo
• Izingalo - ikakhulukazi ngemuva kwezingalo.
• Imilenze

Kukhona uhlobo lwe-PMLE olubizwa ngokuthi 'i-juvenile spring eruption'. Lokhu kwenzeka ikakhulukazi ezinganeni, ikakhulukazi kubafana, ezindlebeni.Lokhu kuvame ukubonakala entwasahlobo.

Wazi kanjani ukuthi une-PMLE?

Indlela eyinhloko yokuthola i-PMLE ukuthatha umlando wezempilo ophelele bese uhlola isikhumba. Udokotela wakho uzokubuza imibuzo efana nokuthi, "Sekuyisikhathi esingakanani lokhu kuqubuka?", "Ingabe kuvela kuphela uma uselangeni?", kanye nokuthi "Ingabe ukhona emndenini wakho onalo?"

Ngezinye izikhathi, kwenziwa i-biopsy yesikhumba ukuqinisekisa ukuxilongwa. Lokhu kusho ukuthi isampula encane yezicubu ithathwa esikhumbeni bese ihlolwa ngaphansi kwe-microscope. Lokhu kungasiza futhi ekuvimbeleni ezinye izimo zesikhumba.

Udokotela wakho angase futhi akuyalele ukuhlolwa kwegazi ukuqinisekisa ukuthi awunaso esinye isimo esibangela ukuqubuka uma uphuma elangeni, njengesifo sokuzivikela komzimba njenge-lupus erythematosus.

Yiziphi izindlela zokwelapha i-PMLE?

Izindaba ezinhle ukuthi lesi simo esibizwa nge-PMLE sivame ukuxazululeka sodwa ngaphandle kokwelashwa.

Kodwa-ke, abantu abane-PMLE kufanele bagweme ukuchayeka elangeni ngangokunokwenzeka. Kubaluleke kakhulu ukunciphisa ukuchayeka elangeni phakathi kwamahora angu-11 ekuseni kuya ku-3 ntambama, lapho imisebe ye-UV inamandla kakhulu.

Futhi:

• Sebenzisa isivikelo selanga esine-spectrum ebanzi esine-SPF ephezulu (okungenani i-SPF 30). I-Broad-spectrum isho ukuthi ivikela kokubili emisebeni ye-UVA kanye ne-UVB.
• Ukugqoka izingubo ezivikela ilanga (njengezingubo ezinemikhono emide, izigqoko ezinemiphetho ebanzi, kanye nezibuko zelanga).

Lezi zinto zinganciphisa ukuchayeka emisebeni ye-UV.

Abanye abantu bayazuza ekwelashweni okubizwa ngokuthi i-phototherapy. Lokhu kuhilela ukuveza isikhumba kancane kancane emisebeni ye-UV yokwenziwa ngaphansi kokuqondisa kukadokotela ngendlela elawulwayo, okunciphisa ukuzwela kwesikhumba. Lokhu kungasiza ekuvimbeleni ukuqubuka esikhathini esizayo. Kufana nokujwayela kancane kancane ilanga.

Ukuqubuka kwe-PMLE kuqala ukunyamalala ezinsukwini ezimbalwa bese kunyamalala ngaphandle kokwelashwa phakathi namasonto ambalwa. Ukuqubuka akubangeli izibazi. Kodwa-ke, ukuqubuka kungaba kubi kakhulu ngokuqhubeka nokuchayeka elangeni noma emisebeni ye-UV.

Ake sithi uhlela iholide endaweni enelanga, njengasogwini lolwandle. Udokotela wakho angase akunike umuthi wokwelapha i-corticosteroid ophuzwayo, njenge-prednisone, izinsuku ezimbalwa ukuze kuncishiswe amathuba okuqubuka.

Abanye abantu kancane kancane bakha ukubekezelela imisebe ye-UV ngokuchitha isikhathi ngaphandle noma bethola ukwelashwa nge-phototherapy. Odokotela bakubiza lokhu ngokuthi 'ukuqinisa isikhumba' . Kodwa udinga ukwenza into efana nale:Ngokuqinisekile kuphela ngaphansi kokuqondisa kukadokotela. Ungazami wedwa bese wonakalisa isikhumba sakho.

Uma ukuqubuka kukhulu, okusho ukuthi ukulunywa akubekezeleleki, noma ukuqubuka sekusakazekile, udokotela wakho angase akunikeze izindlela zokwelapha ezifana nalezi:

• Ama-antihistamine: Lawa asiza ekunciphiseni ukulunywa.
• I-Hydroxychloroquine: Nakuba kuyisidakamizwa esisetshenziselwa umalaleveva, isetshenziselwa ne-PMLE, ikakhulukazi ezimweni ezimbi kakhulu.
• Ama-immunosuppressants: Lawa anikezwa ezimweni ezinzima kakhulu ezingasabelanga kwezinye izindlela zokwelapha.
• Ama-corticosteroids asetshenziswa endaweni ethile noma amafutha e-tacrolimus: Lawa asetshenziswa ekuqubukeni. Anciphisa ukuvuvukala nokulunywa.

Uyini umbono womuntu one-PMLE?

Lesi yisimo esiphindaphindayo. Singathatha iminyaka. Singavutha njalo entwasahlobo. Kodwa izindaba ezinhle ukuthi ubukhali balesi simo buvame ukwehla ngokuhamba kwesikhathi. Kwabanye abantu, singase siphele ngokuphelele njengoba bekhula.

Kufanele ubonane nini nodokotela?

Uma uhlaselwa ukuvuvukala kwesikhumba ongakwazi ukuthola imbangela yako, noma uma ubona izinguquko esikhumbeni sakho , qiniseka ukuthi ubona udokotela ukuze akunike iseluleko. Ikakhulukazi uma lokhu kwenzeka ngemva kokuphuma elangeni, khuluma ngakho.

Yini okufanele ngiyibuze udokotela wami?

Uma uqubuka ngokushesha ngemva kokuchayeka elangeni noma emisebeni ye-UV yokwenziwa, buza udokotela wakho, "Ngingaba nalesi simo esibizwa ngokuthi i-polymorphous light eruption (PMLE)?" Futhi, buza, "Kufanele ngenzeni ngalokhu?" nokuthi "Yiziphi izindlela ezingcono kakhulu zokuzivikela elangeni?"

Ingabe i-PMLE ingadala umdlavuza wesikhumba?

Cha. I-PMLE iyisimo esingenabungozi/esingenawo umdlavuza. Lokhu kuqubuka akukhulisi ingozi yakho yokuba nomdlavuza wesikhumba.

Kodwa-ke, into ebaluleke kakhulu okufanele uyikhumbule ukuthi ukuchayeka njalo emisebeni ye-UV kwandisa ingozi yomdlavuza wesikhumba.

Ngakho-ke, izinyathelo zokuvikela ilanga ozithathayo ukuvimbela i-PMLE (isib. ukugqoka isivikelo selanga, ukumboza ngezingubo, nokuhlala kude nelanga ngesikhathi sokukhanya kwelanga okunamandla) nazo zinciphisa ingozi yakho yomdlavuza wesikhumba. Lokho kufana nokubulala izinyoni ezimbili ngetshe elilodwa!

Ngakho-ke, yiziphi izinto okudingeka sizikhumbule kukho konke lokhu? (Umyalezo Wokuya Ekhaya)

Kulungile, sesikhulume ngezinto eziningi ngale PMLE. Ngamafuphi:

• I-PMLE iwukuqubuka okulumayo okwenzeka kubantu abazwela ilanga, ikakhulukazi imisebe ye-UV.
• Lokhu kungafika ngezindlela ezahlukene kumuntu ngamunye (ama-blister amancane, amabala amakhulu).
• Ngokuvamile kuqala entwasahlobo , bese kuncipha kancane kancane njengoba isikhumba sijwayela.
• Nakuba ngingasazi isizathu esiqondileKucatshangwa ukuthi imisebe ye-UV ibangela izinguquko esikhumbeni futhi amasosha omzimba ayasabela.
• Ngokuvamile kuyaphela ngaphandle kokwelashwa, kodwa kubaluleke kakhulu ukuzivikela elangeni nokugqoka isivikelo selanga.
• Uma kukubi kakhulu, ungafuna ukwelashwa . Ungaqinisa isikhumba sakho ngezinto ezifana ne-phototherapy.
• Lokhu akuwona umdlavuza, kodwa ukuzivikela elangeni kungasiza ekuvimbeleni umdlavuza wesikhumba.
• Uma unalezi zimpawu, ungabi namahloni noma wesabe ukubona udokotela . Bazokusiza.

Ngakho-ke, ilanga lisinika izinto ezinhle njengevithamini D, kodwa ngezinye izikhathi lingaba lukhuni esikhumbeni sethu. Into ebaluleke kakhulu ukuqaphela isikhumba sakho futhi uthathe izinyathelo zokuphepha ezidingekayo. Uma uneminye imibuzo ngalokhu, ungakhohlwa ukukhuluma nodokotela.

Ukuqhuma kokukhanya okune - polymorphous, i-PMLE, ukungezwani nelanga, ukuqubuka kwesikhumba, imisebe ye-UV, i-sunscreen, izifo zesikhumba