Ingabe ingane yakho inalezi zindawo ekhanda futhi izinwele ziyawa? Ingabe yi-ringworm leyo (Tinea Capitis)?

Ingabe isikhumba sekhanda somntwana wakho siyalunywa njalo? Noma siba bomvu, sibe namaxolo, futhi sibonakale sengathi silahlekelwa izinwele? Ingabe ngezinye izikhathi siba nomkhuhlane omncane futhi sibe nezintwala entanyeni yakhe? Uma kunjalo, yilokho esizokhuluma ngakho. Ngokwezokwelapha, lesi simo sibizwa ngokuthi i-Tinea Capitis . Abanye abantu basibiza nangokuthi "umhlwa wekhanda." Kalula nje, ukutheleleka kwesikhunta. Ake sixoxe ngalokhu ngemininingwane ethe xaxa, ngoba kubaluleke kakhulu ukukubona nokukwelapha ngendlela efanele.

Kuyini i-Tinea Capitis?

Kalula nje, i-tinea capitis iwukutheleleka kwesikhunta okuthinta isikhumba nezinwele ekhanda lengane yakho. Abanye abantu bayibiza nangokuthi "i-Scalp Ringworm," kodwa ayihlobene nezibungu. Kwenzeka lapho uhlobo lwesikhunta lungena ezimbotsheni zezinwele zengane yakho. Ngezinye izikhathi, isikhunta singangena ngisho nasengxenyeni yezinwele. Akukhona lokho kuphela, kodwa futhi kungathinta izinkophe namashiya ezinye izingane.

Kunezinhlobo ezimbili eziyinhloko ze-tinea capitis. Eyokuqala uhlobo lokuvuvukala . Lokhu ngezinye izikhathi kungaholela esimweni esibizwa ngokuthi i-kerion . I-kerion iyisilonda esibuhlungu, esigcwele ubomvu, ngezinye izikhathi esinamanzi. Lokhu kubangelwa amasosha omzimba wengane asabela ku-fungus. Lokhu kungabangela izibazi ngisho nokulahlekelwa izinwele unomphela.

Olunye uhlobo uhlobo olungavuvuki . Lokhu ngokuvamile akubangeli ukulahleka kwezinwele unomphela. Kodwa-ke, kungabangela into ebizwa ngokuthi "i-black dot tinea capitis." Lokhu kusho ukuthi i-follicle yezinwele zengane yakho iyaphuka ezingeni lesikhumba sekhanda. Lokhu kufana ne-black dot. I-"Gray patch tinea capitis" nayo uhlobo olungavuvuki. Yilapho i-follicle yezinwele iphuka khona ngaphezu kwesikhumba, ishiye amabala amafushane, anama-scaly.

Ubani okungenzeka kakhulu ukuthi athole lokhu?

I-Tinea Capitis ivame kakhulu ezinganeni ezineminyaka ephakathi kwemi-3 neyi-14. Kodwa-ke, ingathinta nabantu abadala. Abantu abanamasosha omzimba abuthakathaka (njengalabo abanezifo ezithile noma labo abaphuza imithi ethile) basengozini enkulu.

Sivame kangakanani lesi simo?

Eqinisweni, i-Tinea Capitis yisifo esivame ukubonwa odokotela bezingane nodokotela besikhumba. Lokhu kutheleleka kungabonakala kunoma yiliphi izwe emhlabeni. Kodwa-ke, kubonakala kaningi ezindaweni ezinesimo sezulu esishisayo nesinomswakama (njengeSri Lanka!) . Kuvamile kakhulu emazweni afana neMelika Ephakathi, iNingizimu-mpumalanga ye-Asia, kanye ne-Afrika.

Ziyini izimpawu zalokhu?

I-Tinea Capitis ingathinta lonke noma ingxenye yesikhumba sekhanda sengane yakho. Izimpawu zingase zihlanganise:

• Amabala abomvu noma amabala avuvukele.
• Ukuqhuma okomile, okunamaqhubu.
• Kuhle kakhuluKuyaluma .
• Ukulahlekelwa izinwele ezindaweni ezithile (i-alopecia) .
• Isikhumba siyaxebuka njengokhozi olunempandla.
• Ukushisa komzimba, umkhuhlane omncane.
• Ama-lymph node avuvukele azungeze intamo.

Manje, esimweni sokuvuvukala kwe-Tinea Capitis, kungase kuvele amabala abuhlungu navuvukele ekhanda. Lokhu kubizwa ngokuthi i-Kerion . Lawa ma-Kerion ngezinye izikhathi angase aqhekeke futhi akhiphe uketshezi olufana nobomvu. Amacala amakhulu e-Tinea Capitis angabangela izibazi kanye nokulahlekelwa izinwele kulezo zindawo. Ngakho-ke, kubalulekile ukubona udokotela ngokushesha okukhulu uma ubona lezi zimpawu.

Ku-"black dot tinea capitis", umphini wezinwele uyaphuka ezingeni lesikhumba, uveze ukubonakala kwamachashazi amnyama. Ku-"grey patch tinea capitis", kushiywa izinwele ezimfushane neziphukile.

Iyini imbangela yalokhu?

I-Tinea Capitis ibangelwa uhlobo lwesikhunta esibizwa ngokuthi i-Dermatophytes . Emazweni afana neMelika, izimbangela eziyinhloko yi-dermatophytes `(Microsporum)` kanye ne-`(Trichophyton)`. Lezi sikhunta ziyachuma ezindaweni ezifudumele nezimanzi . Yingakho zivame emazweni afana nelethu, anesimo sezulu esishisayo kancane nesijulukayo.

Futhi, i-Tinea Capitis iyisifo esithelelanayo kakhulu . Ingane yakho ingasithola kumuntu onegciwane, esilwaneni, noma enhlabathini. Singasakazeka nangokuthinta izinto nezindawo ezingcoliswe yi-fungus (njengamathawula, amakamu, ama-pillowcases). I-Tinea Capitis ingaphila ezintweni ezinegciwane isikhathi eside.

Yiziphi izinto ezibangela ingozi ezibangela lokhu kuthuthukiswa?

I-Tinea Capitis iyisikhunta esikhula ezindaweni ezimanzi nezifudumele. Ngakho-ke, izinto eziyingozi kakhulu yilezi:

• Ukuhlala endaweni eshisayo (njengeSri Lanka).
• Ukuya ezindaweni ezinesimo sezulu esishisayo nesinomswakama.
• Izindawo lapho abantu abaningi behlala khona eduze (isib. izindawo zokulala zesikole, izinkulisa).
• Ukudlala imidlalo yokuthintana ehilela ukuthintana nabanye abantu.
• Kukhona amanxeba amancane esikhumbeni sekhanda.
• Ukungayigezi ingane njalo, ukungayigezi izinwele .
• Ukujuluka ngokweqile (hyperhidrosis) .
• Ukushintshisana ngezinto ezifana nezigqoko, amakamu, izikhonkwane zezinwele, kanye nemishini yezemidlalo (izigqoko zokuzivikela) .
• Isimiso somzimba sokuzivikela esibuthakathaka. Lokhu kungabangelwa yizimo ezifana ne-HIV/AIDS, umdlavuza, noma isifo sikashukela.

Lokhu kudluliswa kanjani?

I-Tinea Capitis yisifo esithathelwana kakhulu.Kungasakazeka ngokushesha okukhulu, ikakhulukazi phakathi kwezingane. Kungadluliselwa ngezindlela ezintathu eziyinhloko.

1. Abantu kubantu

Ingane yakho ingayithola uma ihlangana ngqo nomuntu onesifo. Lowo muntu angase abe nezimpawu noma angabi nazo. Kodwa uma engumthwali waso, angasidlulisela kwabanye lesi sifo.

2. Kusukela ezilwaneni

Ingane yakho ingayithola uma ithinta isilwane esinalesi sifo. Ingasakazeka kusuka ezilwaneni eziningi ezahlukene, okuhlanganisa izilwane ezifuywayo njengezinja namakati. Ngakho-ke kubalulekile ukugeza izandla zakho kahle ngemva kokudlala nezilwane.

3. AmaFomite - Izinto ezithelelekile

Ama-Fomite yizinto noma izinto ezingathwala ukutheleleka. Ukwabelana ngezinto ezifana nezingubo, izigqoko, amakamu, amabhulashi ezinwele, kanye nezigqoko kungasakaza i-tinea capitis enganeni yakho.

Udokotela ukubona kanjani lokhu?

Udokotela wengane yakho uzokubuza ngezimpawu zayo. Ngemuva kwalokho uzohlola ingane yakho. Uzobheka ngokucophelela izinwele zengane yakho kanye nesikhumba sayo. Ngezinye izikhathi ungabona ukuthi iyi-ringworm ngokushesha.

Kodwa-ke, ukuze kuqinisekiswe, udokotela kuzodingeka athathe isampula encane endaweni enesifo. Angase asuse izinwele ezimbalwa noma aklwebhe isikhumba esincane sekhanda. Udokotela angase futhi anqume ukwenza ezinye izivivinyo ukuze abone ukuthi ingabe yi-tinea capitis.

Yiziphi izivivinyo ezenziwayo ukuqinisekisa lokhu?

Ukuze anqume ukuthi une-tinea capitis, udokotela wakho angenza lezi zivivinyo ezilandelayo:

1. Ukuhlolwa kwebala le-KOH

Kulokhu, udokotela uklwebha kancane isikhumba esincane endaweni ethintekile yekhanda lengane yakho. Angase asuse nezinwele ezimbalwa. Elabhorethri, uchwepheshe uzobeka isampula ku-slide ye-microscope. I-slide izoba neconsi le-potassium hydroxide (KOH). Uma ibhekwa ngaphansi kwe-microscope, isixazululo se-KOH sizobonisa ukuthi kukhona yini isikhunta. Imiphumela ivame ukutholakala zingakapheli amahora angama-24.

2. Ukuhlolwa kwesiko

Uma ukuhlolwa kwebala le-KOH kunganikezi mphumela ocacile, udokotela wakho angase acele ukuhlolwa kwelabhorethri. Ilabhorethri yindlela evumela isikhunta ukuba sikhule. Lokhu kuzosiza uchwepheshe ukuthi athole ukuthi iyiphi isikhunta esibangela ukutheleleka kwengane yakho. Ukuhlolwa kwelabhorethri kunembe kakhulu kunelabhorethri le-KOH, kodwa kungathatha amasonto ambalwa ukuthi imiphumela ibuye.

3. Ukuhlolwa kokukhanya kokhuni

Ukukhanya kwe-A Wood uhlobo olukhethekile lokukhanya kwe-ultraviolet (UV). Udokotela uzobamba lokhu kukhanya ekhanda lengane yakho. Lokhu kungasiza ekuboneni uhlobo lwesikhunta esibangela i-ringworm. Ezinye izinhlobo zesikhunta ziyakhanya ngaphansi kwalokhu kukhanya kwe-UV, kanti ezinye azikhanyi. Kuye ngohlobo lwe-dermatophyte ekhanda, indawo ingakhanya ngophuzi, oluhlaza okotshani, noma oluhlaza okwesibhakabhaka.

Iphathwa kanjani?

Udokotela wengane yakho uzokunikeza umuthi wokulwa ne-antifungal ukwelapha i-tinea capitis. Ngokuvamile, ukwelashwa okuphathelene nomlomo kuphela akusebenzi, ngakho-ke kunikezwa umuthi wokulwa ne-antifungal. Ingane yakho kuzodingeka ithathe lo muthi okungenani amasonto ayisithupha . Imithi yokulwa ne-antifungal evame kakhulu ezinganeni yiGriseofulvin kanye neTerbinafine.

Kodwa-ke, udokotela angase futhi akunike i -shampoo ye-selenium sulfide . Kuzodingeka ugeze ikhanda lengane yakho ngale shampoo okungenani kabili ngesonto. Le shampoo ingasiza ekuvimbeleni ukusabalala kwe-tinea capitis, kodwa ngeke ilaphe ngokuphelele.

Udokotela angase futhi ancome ukhilimu obulala amagciwane. Lokhilimu kufanele usetshenziswe ngqo ezindaweni ezithelelekile zesikhumba sengane. Lokhilimu ungasiza futhi ekuvimbeleni ukusabalala kokutheleleka. Kodwa-ke, lokhu kukodwa akukwazi ukwelapha ngokuphelele i-tinea capitis.

Khumbula, lawa ma-shampoo nama-cream asiza kuphela ekunciphiseni ukusabalala kwesifo. Ukuze welaphe ngokuphelele lesi sifo, kufanele usebenzise umuthi onikezwe udokotela wakho ngesikhathi esinqunyiwe.

Uma ingane yakho ine- kerion eshiwo ngenhla ( isilonda esigcwele ubomvu), udokotela angase akunikeze i- corticosteroid, njenge-Prednisone. Ama-steroid angasiza ekunciphiseni ukuvuvukala futhi anciphise ingozi yezibazi kanye nokulahlekelwa izinwele unomphela.

I-Tinea Capitis kubantu abadala iphathwa ngendlela efanayo. Umuthi wokulwa ne-fungus ophuzwayo kufanele uthathwe okungenani amasonto ayisithupha ukuqinisekisa ukuthi ukutheleleka sekuphelile ngokuphelele. Imithi yabantu abadala ihlanganisa i-terbinafine ne-itraconazole. Udokotela wakho angase futhi ancome i-selenium sulfide shampoo, ama-cream okulwa ne-fungus, kanye nama-steroids.

Wena nomndeni wakho ningazinakekela kanjani ekhaya?

Uma wena noma ingane yakho ine-tinea capitis, kufanele nihlole ukuthi bonke abanye abantu ekhaya lakho banalo yini leli gciwane . Ngezinye izikhathi, noma bengenazo izimpawu, kungumqondo omuhle ukubaphatha. Ngaphandle kwalokho, leli gciwane lingadluliselwa phakathi kwawo wonke umuntu. Izingane zingasebenzisa ukhilimu noma i-shampoo elwa namagciwane kabili ngesonto okungenani amasonto ayisithupha.

Futhi, izinto ezifana nemicamelo, amashidi okulala, namathawula kufanele zigezwe futhi zomiswe kahle . Izinto ezifana namakamu, amabhulashi, nezikhonkwane zezinwele ezisetshenziswayo kufanele zihlanzwe kahle futhi zihlanzwe ngamagciwane. Kungcono ukuthenga ezintsha.

Ngingakuvimbela kanjani lokhu ukuthi kungenzeki futhi?

Kunezinto eziningana ongazenza ukuvimbela i-tinea capitis:

• Ungabelani ngezinto ozisebenzisayo (njengezigqoko, amakamu, imicamelo, nezigqoko zokuvikela) nabanye.
• Gcina isikhumba sekhanda somntwana sihlanzekile futhi somile.
• Gcina izingane ezine-tinea capitis kude nezingane ezinempilo (kuze kube yilapho ukutheleleka sekuphelile).
• Gwema izindawo lapho ingane ingase itholakale khona yileli gciwane (isib. amachibi okubhukuda omphakathi).
• Geza ama-pillowcases nama-bed sheet njalo.
• Geza izandla zakho kahle ngemva kokuthinta noma ukudlala nezilwane ezifuywayo.

Yini esingayilindela esikhathini esizayo?

I-tinea capitis engavuvukali ingelashwa ngokushesha nangokuqhubekayo, futhi ingaholela ekululameni okuhle . Kodwa-ke, i-tinea capitis ngezinye izikhathi ingaba nzima ukuyiphatha. Ngakho-ke kubalulekile ukuqeda yonke imithi yokulwa ne-antifungal enikezwa ingane yakho. I-tinea capitis evuvukala kakhulu ingabangela izibazi kanye nokulahlekelwa izinwele unomphela. Yingakho sincoma ukubona udokotela ngokushesha okukhulu.

Lokhu kuzohlala isikhathi esingakanani?

Ukutheleleka ngesikhunta kungaba nzima ukwelapha. Yingakho kubalulekile ukusebenzisa imithi yengane yakho yokukhunta njengoba nje uyalelwe. Kungadingeka ukuthi uthathe imithi okungenani amasonto ayisithupha . Ngisho noma ukutheleleka kwengane yakho kubonakala sengathi kuyehla noma sekuphelile ngokuphelele, kungabuya uma kungelashwanga kahle. Ezimweni eziningi, i-tinea capitis izophela yodwa ngesikhathi ingane yakho ifinyelela ebudaleni.

Uyini umehluko phakathi kwe-Tinea Capitis ne-Seborrheic Dermatitis?

I-seborrheic dermatitis nayo iyisifo sesikhumba esivamile. Ivame kakhulu ezinganeni ezindala. Ngokungafani ne-tinea capitis, ayibangeli ukulahleka kwezinwele. Kwezinye izimo ze-tinea capitis, izilonda zingase zifane neze-seborrheic dermatitis. Kodwa-ke, i-seborrheic dermatitis ayibangeli ukulahleka kwezinwele. I-seborrheic dermatitis ingelashwa ngemithi etholakala ngaphandle kwemithi kadokotela. I-Tinea capitis ngokuvamile idinga incwadi kadokotela evela kudokotela.

Uyini umehluko phakathi kweTinea Capitis neTinea Barbae?

I-Tinea Barbae iyisifo sefungus esifana ne-Tinea Capitis. Kodwa-ke, sithinta izinwele zobuso kanye nentshebe. Asivamile njenge-Tinea Capitis futhi sivame ukuthinta amadoda amadala. I-Tinea Barbae ivame kakhulu phakathi kwabalimi. Sisakazeka ngokuthintana ngqo nesilwane esithelelekile. Ukudluliselwa komuntu nomuntu akuvamile.

Okokugcina, izinto okufanele uzikhumbule

Ukutheleleka kwe-Tinea Capitis kungaba yinto ebuhlungu futhi engakhululekile enganeni yakho. Kodwa-ke, uma kwelashwa ngokushesha nangokuqhubekayo,, ungasiza ukutheleleka kwengane yakho kuphele. Kodwa-ke, lokhu kungathatha isikhathi. Kubaluleke kakhulu ukulandela imiyalelo kadokotela wengane yakho ngqo. Ingane yakho idinga ukuqeda ukwelashwa. Kungathatha okungenani amasonto ayisithupha ukuthi ukutheleleka kwesikhunta kuphele. Uma ukutheleleka kungapheleli, bona udokotela wakho futhi. Bakhona ukukusiza wena nengane yakho.

I- Ringworm, i-Tinea Capitis, i-Scalp Fungus, Izifo Zesikhumba Ezinganeni, Ukulahlekelwa Izinwele, Izifo Zesikhunta, Izifo Zesikhumba