Ingabe nawe uzwa ukulunywa okungabekezeleleki kanye namaqhubu esikhumbeni sakho? Ake sifunde nge-(Prurigo Nodularis)!

Ingabe unamaqhubu aqinile, aphakanyisiwe esikhumbeni sakho ongakwazi ukuwamela? Ingabe ukulunywa kuya ngokuya kuba kubi ebusuku? Ngezinye izikhathi, la maqhubu angangenwa yigciwane, ophe igazi, futhi ekugcineni abe amaqhubu. Uma uke wabhekana nalokhu, ungase ube nesifo sesikhumba esibizwa ngokuthi i-Prurigo Nodularis (PN) . Ake sixoxe ngakho ngokuningiliziwe nanamuhla.

Iyini i-Prurigo Nodularis?

Kalula nje, yisimo sesikhumba. Uphawu oluyinhloko amaqhubu aqinile, aphakanyisiwe esikhumbeni. La maqhubu avame ukumbozwa isikhumba esomile nesiqinile. Angaba lusizi kakhulu , ikakhulukazi ebusuku. Ungase ube namaqhubu ambalwa nje, noma ungase ube namaqhubu amaningi endaweni eyodwa.

Nakuba la maqhubu angavela noma kuphi emzimbeni, avame ukubonakala ku:

• Isisu (indawo yesisu)
• Izandla
• Imilenze
• Ukhakhayi (ukhakhayi)
• Amahlombe
• Umhlane ongaphezulu

Into ebaluleke kakhulu ukuthi lesi simo asimahlalakhona . Lokhu kusho ukuthi singahlala isikhathi eside, ngezinye izikhathi sibe ngcono bese siphinde sibuye. Ngakho-ke, kuyinto edinga isineke nokwelashwa okuncane.

Ubani okungenzeka kakhulu ukuthi athole lesi simo?

Empeleni, noma ubani angahlakulela `(Prurigo Nodularis)`. Kodwa-ke, abanye abantu bathambekele kakhulu ekuyithuthukiseni. Isibonelo:

• Kuvamile phakathi kwabantu base-Afrika baseMelika emazweni afana neMelika.
• Ngokuvamile kubonakala kaningi kubantu abadala abaneminyaka ephakathi kuka-40 no-69 .
• Kubonakala sengathi kuyanda kakhulu phakathi kwabesifazane .

Futhi, uma unezinkinga ezithile zesikhumba, ingozi yakho yokuthola i-`(Prurigo Nodularis)` inganda.

Abantu abasengozini enkulu yezifo zesikhumba

Abantu abanalezi zinkinga zesikhumba basengozini enkulu:

• `(Bullous pemphigoid)` (isifo sesikhumba esibangela amabhamuza)
• `(I-cutaneous T-cell lymphoma)` (uhlobo lomdlavuza olwenzeka esikhumbeni)
• I-Eczema (i-Eczema / i-Atopic dermatitis)
• I-Keratoacanthomas (uhlobo lwesimila sesikhumba esibangelwa ukuchayeka elangeni)
• I-Lichen planus (isifo sesikhumba kanye nolwelwesi lwamafinyila)
• Ezinye izinhlobo ze-prurigo (ezinye izifo zesikhumba ezibangelwa ukulunywa)
• I-Psoriasis
• Ukoma ngokweqile kwesikhumba (i-Xerosis cutis)

Abantu abasengozini enkulu ngenxa yezinye izimo zempilo

Akuzona nje izifo zesikhumba, kodwa nezinye izimo zempilo ezandisa ingozi yokuthola i-"Prurigo Nodularis".

• `(Umdlavuza)` (Umdlavuza)
• Ezinye izifo ezibangelwa amagciwane, amagciwane kanye nezinambuzane
• Isifo sikashukela
• I-Gout
• ukutheleleka kwe-`(HIV - Human Immunodeficiency Virus)`
• Ukuntuleka kwensimbi (i-anemia)
• Ukwehluleka kwezinso noma isifo sezinso esingamahlalakhona
• Isifo sesibindi
• I-Lupus (isifo sezicubu ezixhumeneyo)
• Izinkinga zesistimu yezinzwa
• Ezinye izimo zempilo yengqondo, isibonelo, i-psychogenic pruritus noma i-Obsessive-Compulsive Disorder (OCD).
• Isifo se-thyroid

Okubalulekile: Uma unezinye zalezi zimo, akusho ukuthi nakanjani uzoba nesifo i-`(Prurigo Nodularis)`. Kodwa-ke, khumbula ukuthi ingozi iphezulu kakhulu.

Ivame kangakanani i-Prurigo Nodularis?

E-United States, izibalo zibonisa ukuthi cishe abantu abangu-72 kwabangu-100,000 banalesi sifo. Kodwa-ke, ochwepheshe bakholelwa ukuthi inani langempela labantu abanalesi simo lingase libe phezulu kakhulu. Ngenxa yokuthi ngezinye izikhathi kwenzeka kanye nezinye izifo zesikhumba, kunezikhathi lapho odokotela bengakwazi ukusixilonga ngokunembile.

Ziyini izimpawu zalokhu?

Kunezimpawu eziningana eziyinhloko ze-`(Prurigo Nodularis)`. Ake sibone ukuthi ziyini:

• Amaqhubu aphakanyisiwe esikhumbeni : Lawa avame ukumbozwa uqweqwe oluqinile nolomile. Amaqhubu angaba nombala ofanayo nesikhumba sakho, noma angaba pinki okhanyayo, obomvu obumnyama, onsundu, noma omnyama.
• Ubukhulu kanye nokujula kwamaqhubu kungahluka : Amanye amaqhubu angathinta kokubili i-epidermis, ungqimba oluphezulu lwesikhumba, kanye ne-dermis, ungqimba oluphakathi.
• Ukuluma okukhulu : Lolu uphawu oluyinhloko nolungakhululeki kakhulu lwalesi sifo. Abanye abantu bangase babe nomuzwa wokusha noma wokuhlaba ngaphezu kokuluma.

Nazi izinhlobo zamaqhubu:

Lezi zigaxa zingahlukaniswa zibe izinhlobo ezintathu eziyinhloko:

• Amaqhubu : Lawa makhulu kunesentimitha elilodwa futhi angene esikhumbeni.
• Ama-Papules : Lawa mancane kunesentimitha elilodwa futhi atholakala kuphela ebusweni besikhumba.
• Ama-Plaque : Lawa amanxeba angajulile, anama-scaly amakhulu kuno-1 cm kodwa angadluli ngaphansi kobuso besikhumba.

Yini ebangela i-Prurigo Nodularis?

Okokuqala, lesi akusona isifo esithelelanayo . Okusho ukuthi, asisabalali sisuka komunye umuntu siye komunye ngokuthinta.

Nakuba imbangela eqondile yalokhu ingakatholakali okwamanje, kukholelwa ukuthi ezinye izici zidlala indima:

• Ukusebenza ngokweqile kwamangqamuzana ezinzwa noma amasosha omzimba esikhumbeni.
• La maqhubu angavela ngenxa yokulunywa okukhulu okubangelwa ezinye izimo zesikhumba, ngenxa yokuklwebheka njalo kanye nokulimala kwesikhumba. Uma sikhuluma iqiniso, kwenzeka umjikelezo wokuklwebheka . Ukuklwebheka kubangela amaqhubu, futhi lapho kuvela amaqhubu, kubangela ukuklwebheka okwengeziwe.
• Eminye imithi, isibonelo eminye yomdlavuzaImithi yokwelapha ngamakhemikhali ingabangela futhi "i-Prurigo Nodularis".

Kutholakala kanjani lokhu?

Uma unalezi zimpawu, kufanele nakanjani ubonane nodokotela wesikhumba. Uzohlola isikhumba sakho. Uzobheka ubukhulu, umbala, kanye nendawo yamaqhubu. Bazokubuza nokuthi uklwebha okungakanani nokuthi ukulunywa kuba kubi nini.

Okubalulekile: Qiniseka ukuthi utshela udokotela wakho nganoma yiziphi ezinye izimo zesikhumba, izimo zempilo, kanye nokungezwani komzimba onakho. Lolu lwazi luzosiza ukuhlukanisa `(Prurigo Nodularis)` kwezinye izimo.

Yiziphi izivivinyo ezenziwayo?

Ngokuvamile, ukuhlolwa okunjalo kungenziwa:

• I-Dermoscopy : Kule nqubo, udokotela uhlola isikhumba sakho ngedivayisi yokukhulisa ephathwa ngesandla, ekhanyiswe ngesandla (i-dermoscope). Lokhu kuvumela udokotela ukuthi akhulise izilonda zesikhumba ngaphandle kokusikwa kwesikhumba.
• Ukuhlolwa kwegazi nomchamo : Ukubalwa kwegazi okuphelele (i-CBC), iphaneli ye-metabolic eyisisekelo (i-BMP), kanye nokuhlaziywa komchamo kungasiza ekutholeni izinkinga zesibindi, i-thyroid, noma zezinso, njengoba sixoxile ngaphambili, okungase kubangele lokhu.
• I-biopsy yesikhumba : Kulokhu, kuthathwa ingxenye encane yesikhumba (kufaka phakathi ungqimba oluphezulu lwesikhumba - i-epidermis kanye nongqimba oluphakathi - i-dermis) endaweni ethintekile bese ihlolwa ngaphansi kwe-microscope. Indawo iyavalwa ngaphambi kokuba lokhu kwenziwe. Lokhu kungasetshenziswa ukuhlola amangqamuzana angajwayelekile kanye nezinye izimpawu zesifo.

Yiziphi izindlela zokwelapha?

Into engcono kakhulu ukuthi, kunezindlela zokwelapha `(i-Prurigo Nodularis)`. Kodwa-ke, njengoba kuyisimo esingamahlalakhona, ukwelashwa kungathatha isikhathi futhi kudinga isineke.

Ukwelashwa okuyisisekelo

Izindlela zokwelapha ezilandelayo zivame ukusetshenziswa ezimweni ezincane zesifo:

• Ukujova esikhumbeni : Imithi ijova ngqo endaweni ethintekile. Uma imithi yokulwa nokuvuvukala ebizwa ngokuthi ama-corticosteroids ijova esikhumbeni, ukuvuvukala kuyancishiswa futhi ubuhlungu, ukubomvu, kanye nokulunywa kungancishiswa ngokushesha.
• Ukwelashwa ngesikhumba : Eminye imithi ifakwa ngqo esikhumbeni ngendlela yama-cream noma amafutha okugcoba.
• I-calamine lotion ivame ukusetshenziselwa ukunciphisa ukulunywa.
• Udokotela angase futhi ancome ama-corticosteroids angaphandle, ama-cream aqukethe i-vitamin D, noma ama-calcineurin inhibitors (izidakamizwa ezicindezela amasosha omzimba).

Kuthiwani uma zinganele?

Ngezinye izikhathi, imijovo namafutha okugcoba okukhulunywe ngawo ngenhla kukodwa kungase kungabi impumuzo enkulu. Uma kunjalo, udokotela wakho angase ancome ezinye izindlela zokwelapha, ezifana nalezi:

• Ukwelashwa nge-cryotherapy : Lokhu kusebenzisa i-nitrogen ewuketshezi ukuze kuqandiswe amaqhubu amakhulu noma alumayo kakhulu. Lokhu kwelashwa kuvame ukuhlanganiswa nemijovo ye-corticosteroid.
• Ama-immunosuppressants : Le mithi isebenza ngokuvimbela amasosha omzimba wakho ukuthi asabele ngokweqile. Lokhu kwelashwa kunganikezwa uma une-Prurigo Nodularis ngenxa yesifo sokuzivikela komzimba, njenge-lupus noma i-psoriasis.
• Ukwelashwa nge-Phototherapy : Lokhu kusebenzisa ukukhanya kwe-ultraviolet ukunciphisa ukulunywa nokusiza izilonda zesikhumba ukuthi ziphole. Kusebenza ngokuthulisa amangqamuzana omzimba akhiqiza amakhemikhali abizwa ngokuthi ama-histamine. Ngokuvamile kudingeka ukwelashwa okuningana.

Ingabe lesi sifo sizophulukiswa ngokuphelele?

Ngezinye izikhathi, kunezimo lapho `(Prurigo Nodularis)` iba ngcono ngokwayo. Kodwa-ke, njengoba sesishilo kakade, lesi yisimo sesikhumba esingamahlalakhona . Lokhu kusho ukuthi singahlala izinyanga eziningana noma ngisho nangaphezulu. Ngezinye izikhathi, amaqhubu esikhumba angase abe ngcono isikhashana bese ephinde avele.

Uma ungakwazi ukubona izimbangela zalezi ziqhubu, kuzosiza ngandlela thile ekuvimbeleni lesi simo ukuthi singaphinde sivele esikhathini esizayo.

Izinkinga ezinkulu ezibangelwa yilesi sifo azivamile. Kodwa-ke, izilonda ezithelelekile zingavela. Izibazi noma ukushintsha kombala wesikhumba nakho kungase kwenzeke lapho izilonda sezipholile.

Singazivikela kanjani kulokhu ngangokunokwenzeka?

Nakuba kungekho ndlela yokuvimbela ngokuphelele ukuthuthukiswa kwe-`(Prurigo Nodularis)` kunezinto eziningana esingazenza ukunciphisa ukulunywa, ukulimala kwesikhumba okuqhubekayo, kanye nokuvela kwamaqhubu amasha:

• Gwema ukukhanya kwelanga noma sebenzisa isithako sokuvikela ilanga okungenani esine -SPF 30 .
• Gcina izinzipho zakho zimfushane , ngoba mancane amathuba okulimaza isikhumba uma uziluma.
• Gwema izindawo ezishisayo futhi ugweme imisebenzi yokujuluka ngangokunokwenzeka.
• Sebenzisa izihlanzi ezithambile kanye nezimonyo ezifanela isikhumba sakho.
• Uma kungenzeka, gqoka izingubo ezinemikhono emide namagilavu , ikakhulukazi uma ungumuntu oklwebhayo ngokungahlosile.
• Uma amaqhubu esikhumba ephuma igazi, qiniseka ukuthi ufaka amafutha okubulala amagciwane bese uwamboza ngamabhandeji ahlanzekile.

Kufanele ngimbone nini udokotela?

Uma ubona noma yiziphi zalezi zimpawu zokutheleleka, xhumana nodokotela ngokushesha :

• Uma ubomvu noma olunye uketshezi luphuma esilondeni.
• Uma unomkhuhlane .
• Eduze kwenxebaUma kukhona ubuhlungu, ukucasuka, noma ukuvuvukala.
• Uma isikhumba esizungeze isilonda sibomvu noma sifudumele .
• Uma ubona imigqa ebomvu ezungeze inxeba.

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

Uma une-`(Prurigo Nodularis)`, ungakhohlwa ukubuza le mibuzo uma uvakashela udokotela wakho:

• Ingabe kukhona ukudla okufanele ngikugweme uma ngine-`(Prurigo Nodularis)`?
• Ingabe zikhona izindlela zokwelapha zasekhaya zalokhu?
• Unganciphisa kanjani ingozi yokuba nezibazi ?
• Unganciphisa kanjani ukulunywa , ikakhulukazi ebusuku?
• Ingabe lokhu `(Prurigo Nodularis)` kuwumphumela wesinye isimo sezokwelapha esiyisisekelo ?

Ekugcineni, yilokhu engikushoyo kini (Umyalezo Wokuya Ekhaya)

`(Prurigo Nodularis)` ngezinye izikhathi kungaba yisimo esinzima nesicasulayo ukwelapha. Kungathatha izinyanga, ngezinye izikhathi isikhathi eside nakakhulu, futhi kungaba ngcono bese kubuya. Uma ukwelashwa okukodwa kungasebenzi, kufanele uzame okunye, futhi lokhu kungakhungathekisa. Ngakho-ke, kubaluleke kakhulu ukukhetha udokotela wesikhumba ozokulalela .

Okwamanje, zama ukugcina isikhumba sakho sisesimweni esihle kakhulu. Kunzima ukuyeka ukuklwebha, kodwa ukuklwebha amaqhubu e-`(Prurigo Nodularis)` kuzokwenza izinto zibe zimbi kakhulu, kubangele ukutheleleka kanye nezibazi . Kuzokwenza nokuklwebha kube kubi kakhulu.

Gcina isikhumba sakho sipholile futhi somile ngangokunokwenzeka. Uma uzizwa sengathi ufuna ukuklwebha, zama ukufaka into efana ne-calamine lotion esikhundleni salokho. Khumbula, awuwedwa, futhi ngeseluleko sezokwelapha esifanele kanye nokwelashwa, lesi simo singalawulwa.

I- Prurigo nodularis, amaqhubu esikhumba, izifo zesikhumba, ukulunywa, izimpawu zesikhumba, ukwelashwa kwesikhumba, izifo zesikhumba ezingamahlalakhona