Ingabe izinwele zakho nazo zinempandla kwezinye izindawo, zibukeka njengezibazi? Ake sifunde nge-Scarring Alopecia ngendlela elula!

Wake waphawula ukuthi izinwele zakho noma zomuntu omaziyo ziye zashintshashintsha, futhi isikhumba kulezo zindawo sesibushelelezi futhi sicwebezela? Ngezinye izikhathi singaba bomvu futhi sibe namaqhubu. Lokhu kuyadabukisa futhi kuyacasula ngempela, akunjalo? Namuhla sizokhuluma ngohlobo oluthile lokulahlekelwa izinwele. Odokotela bakubiza ngokuthi `(Scarring Alopecia)` noma `( cicatricial alopecia )`. Kalula nje, okwenzekayo kulokhu ukuthi ama-follicle amancane lapho izinwele zethu zikhula khona, abizwa ngokuthi `(Hair Follicles)`, abhujiswa unomphela. Ngemuva kwalokho, izinwele ziyahamba futhi zingaphinde zikhule.

Kuyini i-Scarring Alopecia?

Kalula nje, `(Scarring Alopecia)` kusho ukuthi kunezimbobo ezincane ebusweni besikhumba sethu lapho kuvela khona ama-follicle ezinwele, futhi lawo `(Hair Follicles)` onakele futhi abhujiswe ngokuphelele, okubangela ukulahleka kwezinwele. Cabanga ngakho, njengokutshala imbewu yokutshala isitshalo, le `(Hair Follicle)` ibalulekile ekukhuleni kwe-follicle yezinwele. Ngakho-ke uma lokhu kubhujiswa, ayikho indlela yokuthi i-follicle yezinwele iphinde ikhule.

Lokhu kungaba ngenxa kakhulu:

• Ukutheleleka okuhlukahlukene: Lokhu kungenzeka ngenxa yokutheleleka ngamagciwane noma isikhunta .
• Amakhemikhali : Amanye amakhemikhali aqinile angangena esikhumbeni noma angabangelwa imikhiqizo eqinile esetshenziswa ezinweleni.
• Ukusha: Ukusha esikhumbeni kungabhubhisa ama-follicle ezinwele.
• Izinkinga Zokuzivikela Emzimbeni : Lokhu kwenzeka lapho amasosha omzimba wethu ehlasela khona izinwele zethu.

Into ebaluleke kakhulu ukuthi izinwele ezilahlekayo ngenxa ye-`(Scarring Alopecia)` zingalahleka unomphela. Lokho kusho ukuthi ngaphandle kwe-`(Hair Follicles)` enempilo, izinwele ngeke ziphinde zikhule. Yingakho kubalulekile ukuqaphela lokhu kusenesikhathi futhi uthole ukwelashwa uma kudingeka.

Uyini umphumela we-`(Scarring Alopecia)`?

Nakuba lesi simo singathinta noma iyiphi ingxenye yomzimba lapho kukhona khona izinwele, sivame ukubonakala ekhanda. Izinwele ziyalahleka ezindaweni ezithile, zishiye izikhala ezingenalutho. Ngenxa yokuthi lokhu kuyinto ebonakalayo, kungathinta abanye abantu ngokwengqondo. Kungase kube nezikhathi lapho bezizwa bekhathazekile ngokubukeka kwabo futhi bakuthole kunzima ukubhekana nomphakathi. Ngakho-ke, lokhu akuyona inkinga yomzimba kuphela.

Ibukeka kanjani i-`(Scarring Alopecia)`?

I-Alopecia enesibazi ivame ukubonakala njengebala eliyimpandla. Ingase ibe sendaweni eyodwa noma ezindaweni eziningana. Isikhumba lapho izinwele zazikhona singase sibonakale sibushelelezi futhi sicwebezela . Kodwa-ke, lokhu akufani kuwo wonke umuntu. Abanye abantu banalokhu:

• Umbala obomvu
• Isimo sesikhumba
• Mhlawumbe izinto ezifana nama-blister agcwele amanzi

...ungakubona. Ngakho-ke uma ubona uphawu olufana nalolu, ungalushayi indiva.

Uyini umehluko phakathi kwe-Scarring Alopecia ne-Nonscarring Alopecia?

Lona futhi umbuzo abantu abaningi abawubuzayo.

• (I-Scarring Alopecia): Kulokhu, i-follicle yezinwele iyabhujiswa unomphela, okuholela ekulahlekelweni yizinwele . Ngakho-ke, amathuba okukhula kabusha kwezinwele mancane kakhulu, noma angalahleka ngokuphelele.
• (I-Nonscarring Alopecia): Kulokhu, izinwele zingase ziphume, izinwele zingase zibe zincane, kodwa i-`(Hair Follicle)` ayibhujiswa. Ngakho-ke, lesi simo singase sibe sesikhashana, futhi ngezinye izikhathi izinwele zingase zikhule futhi. Isibonelo, iphethini yokuba nempandla abantu abaningi abayazi ngokuthi `(Androgenetic Alopecia)`, eyenzeka kwabesilisa nabesifazane, uhlobo lwe-`(Nonscarring Alopecia)`.

Ingabe kunezinhlobo ezahlukene ze-`(Scarring Alopecia)`?

Yebo, `(I-Cicatricial Alopecia)` ingahlukaniswa kakhulu ngezinhlobo ezimbili:

1. I-Alopecia Eyinhloko Enezibazi:Okwenzekayo kulesi simo ukuthi isifo sokuvuvukala noma isifo sokuzivikela komzimba sihlasela ngqo izinwele zethu bese sizibhubhisa.

2. I-Secondary Scarring Alopecia: Lokhu kwenzeka njengomphumela ongemuhle wokulimala noma ukulimala esikhumbeni sethu. Isibonelo, ukusha, izifo ezinzima, ukwelashwa ngemisebe , noma izimila esikhumbeni kungabhubhisa ama-follicle ezinwele, kushiye izinwele zinesibazi.

Kunezinhlobo eziningana ze-Primary Scarring Alopecia:

Kunezinhlobo eziningi ezahlukene ngaphansi kwalokhu. Ake sibheke ezinye zezinhlobo eziyinhloko:

• I-Central Centrifugal Cicatricial Alopecia (CCCA): Lolu uhlobo lokulahlekelwa izinwele oluvame kakhulu kwabesifazane, ikakhulukazi labo abadabuka e-Afrika. Ngokuvamile luqala cishe eminyakeni engama-30. Amabala anempandla avame ukuqala ekhanda bese esakazeka ngaphandle. Kungaxhunyaniswa namakhemikhali aqinile asetshenziswa ezinweleni (isb., ama-relaxers) kanye nokushisa ngokweqile okufakwa ezinweleni (isb., ama-hot comb). Ukudonsa ngokweqile ama-follicle ezinwele ezintweni ezifana nokuluka, ukuluka, noma ukwandiswa nakho kungaba imbangela. Kodwa-ke, ucwaningo oluthile luphakamisa ukuthi kungaba yimbangela yofuzo.

• I-Chronic Cutaneous Lupus Erythematosus (CCLE): Lesi yisimo esichaza izinkinga zesikhumba ezibangelwa yisifo sokuzivikela komzimba esibizwa ngokuthi i-lupus erythematosus. Ngaphezu kokulahlekelwa izinwele, abanye abantu abane-CCLE bangase babe nezilonda zesikhumba, izinguquko embala wesikhumba, kanye nokuzwela ukukhanya kwelanga. Lokhu kuvame kakhulu kwabesifazane.

• I-Folliculitis Decalvans: Lokhu kungaba umphumela wokutheleleka ngamagciwane. Abanye abantu abanesifo se-Staphylococcus Aureus (Staph A) baba nesimo sokuvuvukala okuqhubekayo esingathinta izinwele zabo.

• I-Lichen Planopilaris: Lolu uhlobo oluvame kakhulu lwe-alopecia eyinhloko yezibazi, ikakhulukazi kwabesifazane abaneminyaka engaphezu kwengu-50. Luhlobo lwesimo esibizwa ngokuthi i-lichen planus. Lungabangela ukuxebuka, ukuvuvukala, ukulunywa , izilonda , ukushintsha kombala wesikhumba, kanye namaqhubu amancane abizwa ngokuthi ama-papules.

Ingabe i-`(Scarring Alopecia)` iyathelelana?

Cha,`(Scarring Alopecia)` akusona isifo esithelelanayo. Lokho kusho ukuthi asisabalali sisuka komunye umuntu siye komunye ngokuxhumana. Ngakho-ke, akukho okufanele ukhathazeke ngakho.

Ubani ongaba `(Scarring Alopecia)`?

Lesi simo singathinta noma ubani, kodwa sivame kakhulu kubantu abadala kunasezinganeni. Ezinye izinhlobo ze-`(Scarring Alopecia)` zingathinta ubulili noma uhlanga oluthile kakhulu kunezinye. Isibonelo, isimo se-`(CCCA)` esixoxe ngaso ekuqaleni sivame kakhulu kwabesifazane abadabuka e-Afrika.

Kuvame kangakanani `(Scarring Alopecia)`?

I-Scarring Alopecia ithinta cishe abantu abangu-7% kuphela abaya kudokotela mayelana nokulahlekelwa izinwele. Leli yinani eliphansi uma liqhathaniswa ne-nonscarring alopecia, ethinta abantu abadala abaneminyaka engaphezu kuka-50 kuya ku-75%.

Yini ebangela `(I-Scarring Alopecia)`?

Ezinhlotsheni eziningi ze-`(Scarring Alopecia)`, ukuvuvukala kwenzeka engxenyeni ephakathi ye-`(Hair Follicle)` yethu, okungukuthi, endaweni ebizwa ngokuthi `(bulge).` Le ndawo `(bulge)` yilapho kutholakala khona amaseli okuqala kanye nezindlala zamafutha ezidingekayo ukuze kukhule izinwele ezintsha. Ngenxa yalokhu kuvuvukala, le ngxenye ye-`(Hair Follicle)` iyabhujiswa, futhi izicubu zesibazi `(Fibrosis)` zakheka lapho. Ngemuva kwalokho, izinwele azikhuli futhi.

Kubantu abane-"Scarring Alopecia", izikhala lapho kuvela khona i-follicle yezinwele (i-Follicular Ostia) zivame ukuvalwa.

Kodwa ku-`(Nonscarring Alopecia)`, umonakalo uvame ukuba sengxenyeni ephansi kakhulu ye-`(Hair Follicle)`, okungukuthi, i-`(bulb)`. I-`(Bulge)` yonakele kancane. Yingakho kunethuba elikhulu lokukhula kwezinwele ku-`(Nonscarring Alopecia)`. Uyawuqonda lo mehluko?

Ingabe ukwelashwa komdlavuza kungadala `(Scarring Alopecia)`?

Cishe uyazi ukuthi ukwelashwa kwe-`(Chemotherapy)` (Chemotherapy) kubangela ukulahleka kwezinwele. Kodwa i-`(Chemotherapy)` ayibangeli i-`(Scarring Alopecia)`. Imithi ye-`(Chemotherapy)` ingabulala amaseli ku-`(Hair Follicle)`, okubangela ukulahleka kwezinwele. Kodwa i-`(Hair Follicle)` ayibhujiswanga ngokuphelele. Ngakho-ke, izinwele zingakhula futhi ngemva kwe-`(Chemotherapy)`.

Kodwa-ke, ukwelashwa ngemisebe kungabangela i-alopecia yesibili ebangela izibazi. Abanye abantu bake babhekana nokusha kwesikhumba ngenxa yokwelashwa ngemisebe, okungabhubhisa unomphela ama-follicle ezinwele.

Ziyini izimpawu ze-`(Scarring Alopecia)`?

Uphawu oluyinhloko ukuqothuka kwezinwele. Ngokuvamile kwenzeka ezimpahleni noma ezimpahleni. Lokhu kungenzeka kancane, eminyakeni edlule. Noma kungaqala ngokuzumayo futhi kusakazeke ngokushesha.

Nakuba kuvame ukuthinta isikhumba sekhanda, singavela noma kuphi ezinweleni.

Ngaphezu kokulahlekelwa izinwele, abanye abantu bangase babe nezinkinga zesikhumba ezifana nalezi:

• Ukopha
• Ukuqhuma
• Ukuvuvukala
• Ukwakheka noma ukuxebuka okufana noqweqwe
• Ukuluma, ukuqaqamba, noma ubuhlungu lapho uthinta indawo
• Ama-blister amancane agcwele ubomvu (ama-Pustules)
• Ubomvu noma ezinye izinguquko zombala

Uma unesinye noma ngaphezulu salezi zimpawu, kungcono ukufuna iseluleko sezokwelapha.

Ungayibona kanjani i-`(Scarring Alopecia)`?

Udokotela wakho usebenzisa izindlela eziningana ukuxilonga lesi simo:

1. Ukuhlolwa Komzimba: Udokotela uzobheka ukuthi izinwele zakho ziye kuphi nokuthi zisakazeke kanjani. Bazohlola nesikhumba lapho izinwele ziye khona, ukuze babone ukuthi ama-follicle ezinwele asekhona yini nokuthi kukhona yini izimpawu zokuvuvukala. Kufanele futhi utshele udokotela wakho ngesikhathi izinwele zakho ziqala ukuqothuka, uma unezinye izimpawu, njengokulunywa noma ukusha.

2. Umlando Wezokwelapha: Udokotela uzobuza ngeminyaka yakho, ubulili, imikhuba yokunakekela izinwele, kanye nempilo yakho iyonke. Mtshele uma unezinye izimo zezokwelapha, njenge-lupus, i-anemia, noma isifo se-thyroid. Bangase futhi bacele ukuhlolwa kwegazi ukuze kuhlolwe noma yiziphi ezinye izimo ezingase zibangele ukulahlekelwa izinwele zakho.

3. Ukuhlolwa Kwesikhumba: Lena yindlela kuphela yokuqinisekisa ngokuqinisekile ukuthi une-Scarring Alopecia.Udokotela uzothatha ucezu oluncane lwesikhumba ekhanda lakho noma kwenye indawo yezinwele zakho bese eluthumela elabhorethri. Lapho, udokotela wezifo (udokotela ochwepheshe kumasampula esikhumba) uzolubheka ngaphansi kwe-microscope. Udokotela uzobe esebheka amangqamuzana omzimba avuvukalayo bese enquma ukuthi hlobo luni lwe-Cicatricial Alopecia onayo.

Ingabe kunezigaba ezahlukene ze-`(Scarring Alopecia)`?

Ngezinye izikhathi i-biopsy yesikhumba ingabonisa izicubu zesibazi kodwa hhayi amangqamuzana okuvuvukala. Odokotela babiza lokhu ngokuthi i-end-stage scarring alopecia (ESSA) . I-ESSA isho ukuthi lesi simo sesidlulile esigabeni sokuvuvukala okusebenzayo. Lokhu kunganciphisa ukusebenza kahle kokwelashwa.

Uhlobo luni lodokotela olungaxilonga `(Scarring Alopecia)`?

Udokotela wesikhumba angaxilonga i-Scarring Alopecia. Kodwa-ke, kungaba nzima kancane ukuyixilonga, ngakho-ke kubaluleke kakhulu ukubona udokotela wesikhumba onolwazi oluhle ekulahlekelweni izinwele.

Ingabe ikhona ikhambi le-`(Scarring Alopecia)`?

Ngeshwa, ayikho ikhambi le-`(Scarring Alopecia)`. Ukwelashwa kuhloselwe kakhulu ukulawula izimpawu nokunciphisa noma ukuvimba ukulahleka kwezinwele okuqhubekayo. Kunezindlela zokwelapha ubuhle ezingathuthukisa ukubukeka kwezindawo ezinempandla ngezinga elithile.

Iphathwa kanjani i-`(Scarring Alopecia)`?

Izinketho zokwelapha zincike ohlotsheni lwe-`(Cicatricial Alopecia)` onalo. Izinhlobo ezivame kakhulu ze-`(Scarring Alopecia)` yilezi:Imithi yokulwa nokuvuvukala imithi enciphisa ukuvuvukala. Le mithi isebenza ngokulwa namaseli okuvuvukala abhubhisa izinwele. Le mithi inganikezwa njengamaphilisi (njenge-Hydroxychloroquine) noma njengemijovo ye-corticosteroids (njenge-Triamcinolone Acetonide). Eminye imithi yokulwa nokuvuvukala iza ngesimo sokhilimu noma amafutha asetshenziswa esikhumbeni.

I-alopecia ebangela amabala ebangelwa ukutheleleka ngamagciwane ingadinga ama-antibiotic (isib. i-Doxycycline noma i-Minocycline).

Cabanga ngakho, abantu abaningi bathatha lo muthi cishe izinyanga eziyi-6 kuya kweziyi-12, kuze kube yilapho izimpawu zabo ziphela futhi ukulahleka kwezinwele zabo kuyehla noma kuyeke. Kodwa uma izinwele zabo ziqala ukuwohloka futhi, kungase kudingeke baqale umuthi futhi.

Ingabe umuntu one-"Scarring Alopecia" angafakwa "ekufakweni kwezinwele"?

`(Ukufakelwa Izinwele)` inqubo yokuhlinzwa lapho izinwele zithathwa khona engxenyeni eyodwa yekhanda lakho bese zifakwa kwenye ingxenye yekhanda lakho lapho izinwele zincane khona noma zingenazo nhlobo. Kodwa-ke , lokhu akuvamile ukuba ukwelashwa okuhle kubantu abane-`(Scarring Alopecia)`. Lokhu kungenxa yokuthi izicubu zesibazi ngaphansi kwesikhumba zingavimbela ukukhula kwezinwele ezintsha. Kodwa-ke, uma ungakalahlekelwa yizinwele ezintsha iminyaka eminingana, ungase ukwazi ukwenza lokhu. Kungcono ukubuza udokotela wakho ngalokhu.

Ingabe Ukwelashwa Nge-Plasma Ecebile Ngama-Plasma (PRP) kungasetshenziswa `(I-Scarring Alopecia)`?

Ukwelashwa kwe-PRP kuyindlela yokwelapha esebenzisa ama-platelet akhishwe egazini lakho ukunciphisa ukuvuvukala nokusiza ekwelapheni izicubu. Lokhu kungasiza ekukhuliseni izinwele ezilahlekile ngenxa ye-alopecia engenamabala nokwelapha ukulahleka kwezinwele. Ukwelashwa kwe-PRP akuvamile ukusetshenziswa kakhulu e-alopecia enezibazi, kodwa ezinye izifundo zibonise imiphumela emihle kwezinye izinhlobo zokulahlekelwa izinwele, njenge-lichen planopilaris. Kubalulekile futhi ukufuna iseluleko sezokwelapha ngalokhu.

Ingabe izinwele zami ziyophinde zikhule uma ngine-`(Scarring Alopecia)`?

Ngenxa yokuthi i-alopecia ebangela amanxeba ingadala ukulahlekelwa izinwele unomphela, kunzima kakhulu ukuphinda ukhule izinwele uma i-follicle yezinwele isibhujisiwe. Kodwa-ke, uma ubona lesi simo kusenesikhathi, imithi ingase ikwazi ukuvimba ukuvuvukala ngaphambi kokuba i-follicle yezinwele ibhujiswe ngokuphelele. Yingakho kubalulekile ukubona udokotela ngokushesha okukhulu.

Ingabe `(I-Scarring Alopecia)` ingavinjelwa?

Ukuvimbela lokhu kuyinselele yangempela. Ukuqala ukwelashwa kusenesikhathi kungasiza ekuvimbeleni ukulahleka kwezinwele okuqhubekayo. Ngaphandle kwalokho, kunzima ukusho ngokuqinisekile ukuthi, "Nakhu okufanele ukwenze ukuze uvimbele lokhu."

Uyini umbono womuntu one-`(Scarring Alopecia)`?

Umbono walesi simo ungahluka kuye ngokuthi ufuna ukwelashwa ngokushesha kangakanani. Abanye abantu bangase balahlekelwe izinwele ezindaweni ezimbalwa ezincane. Abanye bangase balahlekelwe izinwele endaweni enkulu, njengekhanda lonke. Njengoba ukulahleka kwezinwele kungaphinde kuvele ngisho nangemva kokwelashwa, abanye abantu kungadingeka baphuze imithi isikhathi eside.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami mayelana `(Scarring Alopecia)`?

Uma une-`(Scarring Alopecia)`, ungabuza udokotela wakho imibuzo efana nale:

• Ingabe kukhona imithi yemvelo noma yasekhaya engasiza nge-`(Scarring Alopecia)`?
• Ingabe ikhona imiphumela emibi ebangelwa ukuthatha umuthi isikhathi eside?
• Ingabe izinguquko ekudleni kwami ​​noma endleleni yami yokuphila zizosiza ekuvimbeleni ukulahleka kwezinwele okuqhubekayo?
• Kungenzeka yini ukuthi ngibe nempandla ngokuphelele?

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukulahlekelwa izinwele ngenxa ye-`(Scarring Alopecia)` noma `(Cicatricial Alopecia)` kungaba yisimo esinzima kakhulu ukusilawula. Ngaphezu kwezimpawu zomzimba njengezinkinga zesikhumba, kungase kudingeke ubhekane nezinselele ezingokomzwelo nezingokwengqondo. Nakuba lesi simo singabangeli izinkinga ezinkulu zempilo, singakubangela imizwa yokuhlazeka nokuphoxeka. Ngakho-ke, khuluma nodokotela wakho ngezici ezahlukene zempilo yakho ezithinta i-`(Scarring Alopecia)`. Bangakudlulisela ekwelashweni nasekusekelweni okudingayo. Ukutholwa kusenesikhathi kanye nokwelashwa okufanele kungasiza kakhulu ekulawuleni lesi simo. Ngakho-ke ungesabi, kodwa kubalulekile ukuqaphela lokhu.