Ingabe une-blister encane esikhumbeni sakho ephuma igazi? Kungaba yi-(Pyogenic Granuloma)!

Wake waphawula iqhubu elincane elivela endaweni ethile emzimbeni wakho, mhlawumbe emunweni, endebeni, noma emlonyeni wakho, elikhula kancane kancane bese liphuma igazi? Uma wake waba neqhubu elinjengaleli eliphuma igazi ngisho noma ulithinta, futhi libomvu kancane, ungase uzibuze ukuthi liyini. Namuhla sizokhuluma ngalesi simo, ngokwezokwelapha esibizwa ngokuthi `(Pyogenic Granuloma)`. Ungakhathazeki, lokhu akuwona umdlavuza.

Kuyini lokhu `(Pyogenic Granuloma)`? Singayichaza kahle?

Kalula nje, i-pyogenic granuloma iyisigaxa esingenabungozi , esiphakanyisiwe esakheka esikhumbeni sakho noma ezingxeni zolwelwesi (izingxenyana ezincane nezimanzi ngaphakathi komlomo wakho nasemakhaleni). Lezi zigaxa zingase ziphume uketshezi, futhi zingopha kalula.

Kodwa-ke, leli gama empeleni liyigama elingalungile. Igama elithi ``Pyogenic`` lisho "ukukhiqiza ubomvu." ``I-Granuloma`` iyisigaxa esakheka lapho amangqamuzana amhlophe egazi ehlangana ngenxa yokutheleleka. Kodwa-ke, lawa maqhuqhuva ``Pyogenic Granuloma`` awavamile ukubangelwa ukutheleleka, futhi ngokuvamile awaqukethe amangqamuzana amhlophe egazi noma ubomvu.

Odokotela babiza lesi simo ngokunembile ngokuthi ``(Lobular Capillary Hemangioma)``. Okusho ukuthi, yiqhubu elakhiwe yimithambo yegazi engavamile. Cabanga nje, imithambo yegazi eminingi emincane ihlangane ndawonye futhi yakhiwe njengebhola elincane. Yilokho okufana nakho.

Ubani onamathuba amaningi okuthuthukisa le `(Pyogenic Granuloma)`?

Lesi simo singakhula kunoma ubani wanoma yimuphi ubudala, uhlanga, noma ubulili. Kodwa-ke, sivame kakhulu ezinganeni ezingaphansi kweminyaka engu-6, izingane ezincane, abantu abadala abasebasha, ikakhulukazi abesifazane abakhulelwe .

Uma la maqhubu ekhula kwabesifazane abakhulelwe, anamagama amaningana akhethekile. Isibonelo, kusetshenziswa amagama anjenge-`(Granuloma Gravidarum)`, `(Granuloma of Pregnancy)` noma `(Epulis Gravidarum)`. Esikhathini esiningi, lawa ayanyamalala ngokuzenzekelayo ngemva kokubeletha.

Sivame kangakanani lesi simo?

I-Pyogenic granuloma yisimo esivamile, ikakhulukazi ngesikhathi sokukhulelwa. Kodwa-ke, kunzima ukusho ukuthi sivame kangakanani, njengoba abantu abaningi bengafuni usizo lwezokwelapha uma bebona iqhubu elincane elinjengaleli, ngakho-ke alibikwa.

Ngakho-ke lo mdlavuza? Ingabe kufanele ngikhathazeke?

Lena inkinga abantu abaningi abanayo. `(Pyogenic Granuloma)` iyisimila esakhiwe yimithambo yegazi engajwayelekile. Kodwa-ke, lokhu akuwona umdlavuza nhlobo. Ngakho-ke, asikho isizathu sokwesaba lokhu ngokungadingekile. Lokhu akubeki usongo empilweni yakho.

Yini ebangela i-Pyogenic Granuloma?

Imbangela eqondile yalezi ziqhubu ayikakaziwa. Kodwa-ke, ezinye izici ziye zahlotshaniswa nalesi simo. Lezi zifaka:

• Izinguquko zama-hormone: Izinguquko zama-hormone ngesikhathi sokukhulelwa, noma ukusetshenziswa kwamaphilisi okuvimbela inzalo, kungaba esinye sezizathu zalokhu. Izinguquko ezinkulu zama-hormone ezenzeka emzimbeni ngesikhathi sokukhulelwa zandisa amathuba okuba nezimila ezinjalo.
• Ukutheleleka ngamagciwane: Ukutheleleka ngamagciwane `(Staphylococcus aureus)` (amagciwane abangela ukutheleleka "kwe-staph" sonke esikwaziyo) ngezinye izikhathi kungabangela lokhu.
• Ukulimala okuncane noma ukucindezeleka okuncane esikhumbeni noma emaqakaleni: Isibonelo, inxeba elincane, ukuklwebheka, isilonda somlomo, futhi ngezinye izikhathi eduze kokubhoboza izindlebe noma ukubhoboza impumulo. Ukungahlanzeki komlomo kungenye yezimbangela zalokhu.
• Ukusetshenziswa kwemithi ethile: Kutholakale ukuthi la maqhubu angavela nalapho kusetshenziswa imithi ethile. Eminye yale mithi ihlanganisa:
• `(Ama-antineoplastic)` (imithi ebulala amangqamuzana omdlavuza)
• `(Ama-antiretroviral)` (imithi enikezwa izifo ezibangelwa amagciwane njenge-HIV)
• `(Ama-immunosuppressants)` (imithi enciphisa amasosha omzimba, isibonelo, imithi enikezwa ngemva kokufakelwa isitho)
• `(Ama-Retinoids)` (imithi equkethe i-vitamin A, esetshenziselwa izifo zesikhumba)

Kukuphi emzimbeni lapho le `(Pyogenic Granuloma)` ingakheka khona?

La maqhubu angavela noma kuphi esikhumbeni sakho noma emaqabungeni esikhumba (njengangaphakathi komlomo noma ekhaleni). Izindawo ezivame kakhulu ukuwabona yilezi:

• Ubuso
• Umlomo: izinsini, izindebe, ulimi, ingaphakathi lekhala
• Iminwe (izandla nezinyawo)

Cabanga nje, kuvela iqhubu elincane ezinsinini zakho, bese kuthi uma uxubha amazinyo akho, liphume igazi. Noma kuvela ibhola elincane elibomvu emunweni wakho, futhi noma ngabe liqinile kancane, kuphuma ithonsi legazi. Lokhu kungenzeka kakhulu ukuthi `(Pyogenic Granuloma)`.

Ibukeka kanjani le `(Pyogenic Granuloma)`?

Iqala njengeqhubu elincane, elinomzimba eliphuma esikhumbeni sakho noma esikhumbeni samafinyila. Ngokuvamile likhula ngokushesha. Lingakhula kusukela kumamilimitha ambalwa (cishe ngobukhulu besihloko sepensela) kuya kuhhafu yesentimitha (cishe ngobukhulu besihloko somunwe).

Odokotela ngezinye izikhathi bachaza ukubukeka kwalezi zilwane ngokuthi "zifana nenyama egayiwe." Zingaba pink, red, red-brown, noma purple. Ngokuvamile, uzobona "collar" emhlophe, efana ne-coral ezungeze phansi kweqhubu.

Uma lezi zigaxa zikhula zibe zikhulu, ezinye zingase zinamathele esikhumbeni ngesiqu esincane (`(pedunculated)`). Noma ezinye zingase zinamathele ngqo esikhumbeni (`(sessile)`).

I-`(Pyogenic Granuloma)` ingase ibe nobuso obubushelelezi ekuqaleni, kodwa kamuva ingaba namaqhubu futhi ibe lukhuni. Ngenxa yokuthi la maqhubu athambile kakhulu, angaphuma futhi ophe kalula. Ngisho noma uwathinta noma udabula ingubo, angase ophe.

Ingabe lokhu kuyathelelana?

Cha, `(Pyogenic Granuloma)` akuyona inkinga ethelelanayo. Ngakho-ke ungakhathazeki ngokuthelela omunye umuntu ngoba nje uke waba nayo. Ngokuvamile, umuntu uthola iqhubu elilodwa ngesikhathi, kodwa ngezinye izikhathi kungavela eziningana ngesikhathi esisodwa.

Udokotela ubona kanjani lokhu njenge-"Pyogenic Granuloma"?

Uma uya kudokotela oneqhubu elifana naleli, bazokwenza okulandelayo ukuze bathole ukuthi ngabe yi-"Lobular Capillary Hemangioma":

• Buza ukuthi ngabe kukhona yini ukulimala noma ukuklwebheka kwakamuva kuleyo ndawo.
• Isikhumba sakho noma ulwelwesi lwamafinyila luzohlolwa.
• Uyabuza ukuthi ukhulelwe yini (uma ungowesifazane).
• Babuza ngayo yonke imithi oyisebenzisayo .

Esikhathini esiningi, odokotela bazoxilonga i-pyogenic granuloma ngokusekelwe kulolu lwazi. Kodwa-ke, ngezinye izikhathi, ikakhulukazi uma kukhona ukungabaza ngokubonakala kweqhubu, bangathatha ucezu oluncane lweqhubu balithumele elabhorethri ukuze lihlolwe ngaphansi kwe-microscope. Lokhu kubizwa ngokuthi i-biopsy.

Zikhona yini izindlela zokwelapha le `(Pyogenic Granuloma)`?

Yebo, kunezindlela zokwelapha lesi simo. Izindlela zokwelapha eziyinhloko ezitholakalayo zalesi simo yilezi:

• Ukususwa okuphelele kweqhubu.
• Ukususa izinto ezibangela lokhu ocabanga ukuthi kuyimbangela. Isibonelo, uma kungumuthi owusebenzisayo, ukushintsha lowo muthi (ngokweseluleko sikadokotela), uma kuyisilonda somlomo, ukuselapha, noma uma kuyisicefe, ukusisusa.

Into ebaluleke kakhulu ukuthi uma ukhulelwe, isikhathi esiningi la maqhubu azophela ngokwawo ngemva kokuzalwa komntwana. Ngakho-ke ungavame ukugwema ukwelashwa okukhulu kwalokhu ngesikhathi sokukhulelwa, kodwa uma unezinkinga ezifana nokopha, funa iseluleko sikadokotela.

Ungasusa kanjani le `(Pyogenic Granuloma)`?

Udokotela angase ahlole isimo sakho futhi ancome izindlela ezifana nemithi noma ukuhlinzwa okuncane ukuze kususwe iqhubu.

Imithi yokunciphisa iqhubu:

• Ukusebenzisa amakhemikhali afana ne-`(Silver nitrate)`, `(phenol)` kanye ne-`(trichloroacetic acid / TCA)` esigaxeni. Uma lokhu kusetshenziswa, isigaxa siyancipha.
• Uma uneqhubu elinjengaleli esweni lakho, ungasebenzisa amaconsi amehlo anjenge-``(timolol)``.
• Uhlobo lokhilimu olusetshenziswa esikhumbeni olubizwa ngokuthi `(Imiquimod)`.
• Ukujova nge-steroid eqhubu.

Izinqubo zezokwelapha zokususa amaqhubu:

• Ukwelapha nge-cryotherapy: Indlela yokuqandisa insumpa ngokusebenzisa umkhuhlane omkhulu (into efana neqhwa) bese uyishisa ukuze uyisuse.
• (I-Curettage kanye ne-cautery): Iqhubu liyakhuhlwa ngethuluzi elikhethekile (`(curettage)`), bese indawo iyashiswa (`(cautery)`) ukuze kumiswe ukopha futhi kuncishiswe ingozi yokuphinda kuvele.
• Ukwelashwa nge-laser:Imisebe ye-laser isetshenziselwa ukubhubhisa izicubu ezingavamile.
• Ukususwa kokuhlinzwa: Ukuhlinzwa okuncane ukususa ngokuphelele iqhubu. Lena indlela evame ukuphumelela kakhulu ngoba iqhubu lisuswa ngokuphelele, okunciphisa amathuba okuphinda livele.

Ingabe kukhona esingakwenza ukunciphisa ukwenzeka kwalokhu?

Njengoba izimbangela eziqondile ze-pyogenic granuloma zingaziwa, kunzima ukusho ukuthi ungayivimbela kanjani ngokuphelele ukuthi ingakhuli. Kodwa-ke, unganciphisa ingozi yakho ngokugwema ezinye zezinto ezitholakale zihlotshaniswa nalesi simo.

• Ukugwema imithi (ngeseluleko sikadokotela) okusolwa ukuthi ibangela lesi simo.
• Gwema ukulimala okungadingekile esikhumbeni. Isibonelo, qaphela lapho ushintsha amacici njalo, udweba ama-tattoo, futhi ubhoboza.
• Ukugcina impilo yomlomo iphilile. Ukuxubha amazinyo akho kahle nsuku zonke nokugcina umlomo wakho uhlanzekile kubaluleke kakhulu.
• Geza izilonda zesikhumba ezifana nokusikeka, ukuklwebheka, nokusha kahle, faka imithi yokuvimbela ukutheleleka, bese uzigcina zimboziwe.

Kuzokwenzekani uma ngine-Pyogenic Granuloma?

Isibikezelo somuntu one-Pyogenic Granuloma sihle kakhulu. Amaqhubu akhula ngesikhathi sokukhulelwa avame ukuphela ngokwawo. Nakuba ezinye izinhlobo zidinga ukwelashwa, zisabela kahle ekwelashweni.

Into ebalulekile ukuthi, la maqhubu awabi umdlavuza, futhi awafinyezi isikhathi sakho sokuphila.

Kodwa-ke, la maqhubu angangenwa yigciwane, ikakhulukazi uma uwabhoboza noma uwacindezela. Futhi, ngemva kokususwa kweqhubu, lingashiya isilonda esincane.

Uma lokhu sekwenzekile futhi sekuphulukisiwe, ingabe kungase kwenzeke futhi?

Yebo, ngisho nangemva kokwelashwa nokususwa ngempumelelo, ngezinye izikhathi `(i-Pyogenic Granuloma)` ingaphinde ivele endaweni efanayo noma kwenye ingxenye yomzimba. Ngokwezinye izifundo, izinga lokuphindeka kwalezi zingaba phezulu ku-40%. Ngakho-ke, ungacabangi ukuthi uma usuyitholile futhi isipholile, ngeke iphinde ivele.

Uma ngine-`(Pyogenic Granuloma)`, ngingayinakekela kanjani? Ingabe ngidinga ukubona udokotela?

Ezimweni eziningi , kungcono ukufuna usizo lwezokwelapha uma une-"Pyogenic Granuloma", njengoba lokhu kungavimbela ukopha, ukutheleleka, futhi kungasiza ekuqinisekiseni ukuthi akuyona umdlavuza.

Uma unquma ukungadingi usizo lwezokwelapha (esingaluncomi), gcina iqhubu limbozwe ngebhandeji elihlanzekile. Lokhu kungasiza ekuvimbeleni ukopha kanye nokutheleleka.

Kodwa-ke, uma uhlangabezana nanoma yiziphi zalezi zimpawu, qiniseka ukuthi ubona udokotela:

• Endaweni noma eduze nendawo yeqhubuUma ubuhlungu noma ubuhlungu obuzwakalayo ngesikhathi sokucindezeleka bukhula.
• Uma into efana nobovu iphuma kuleyo ndawo.
• Uma kuvela imicu ebomvu noma ensundu esikhumbeni.
• Uma kukhona ukuvuvukala okuzungeze iqhubu.

Lokhu kungaba izimpawu zokutheleleka kwesikhumba, ngakho-ke kubalulekile ukufuna ukwelashwa ngokushesha.

Umyalezo Wokugcina Wokuya Nasekhaya

I-pyogenic granuloma iyisigaxa esingesona umdlavuza, esiphakamayo esakheka esikhumbeni noma emaqakaleni. Ibangelwa imithambo yegazi engavamile engopha kalula uma ilimele.

• Lokhu akusiwo umdlavuza, ngakho ungesabi ngokungadingekile.
• Lokhu kuvamile ngesikhathi sokukhulelwa futhi kuvame ukunyamalala kodwa ngemva kokubeletha.
• Ungaziphuli noma uzicindezele, ngoba lokhu kungabangela ukutheleleka.
• Uma uneqhubu elifana naleli, kungcono ukubona udokotela ukuze nixoxe ngezinketho zokwelapha ezifanele. Ngemuva kwalokho ungaqinisekisa ukuthi ngabe ngempela yi-`(Pyogenic Granuloma)`.

Ngiyethemba ukuthi lolu lwazi luzokusiza. Uma unenkinga efanayo, ungakhohlwa ukufuna iseluleko sezokwelapha ngokushesha okukhulu.

I- Pyogenic Granuloma, Izifo Zesikhumba, Ukopha, I-Dermatology, Ukukhulelwa, I-Lobular Capillary Hemangioma, Amaqhubu Esikhumba