Ingabe ibala esikhumbeni sakho livele laba bomvu ngokuzumayo, lavuvukala kancane, futhi laluma? Kungase kubonakale sengathi uhlobo oluthile lokutheleleka ngamagciwane, kodwa kungenzeka ukuthi empeleni akulona ukutheleleka. Namuhla sizokhuluma ngesimo sesikhumba esingavamile abantu abaningi abangakaze bezwe ngaso, kodwa kubalulekile ukwazi ngaso. Sibizwa ngokuthi i-Wells' Syndrome . Ake sibheke ukuthi siyini, kungani senzeka, nokuthi yini ongayenza ngakho.
Kalula nje, iyini i-Wells' Syndrome?
I-Wells' Syndrome yisifo sesikhumba esingavamile. Saziwa nangokuthi "i-eosinophilic cellulitis." Uma uzwa leli gama, ungase ucabange ukuthi yisifo sesikhumba esibizwa ngokuthi i-cellulitis. Kodwa empeleni akusona isifo. Yisimo esibangela amabala esikhumba abomvu, avuvukele, alumayo, futhi avuvukele endaweni eyodwa noma ngaphezulu.
Manje unombuzo, ayini lawa "ma-eosinophil"? Kulula kakhulu. Ama-eosinophil awuhlobo lweseli elimhlophe egazini lethu. Afana namasosha emzimbeni wethu. Umsebenzi wawo oyinhloko ukulwa nezifo. Kodwa ngezinye izikhathi, lawa maseli e-eosinophil akhiqizwa emzimbeni ngobuningi obungaphezu kwalokho okudingekayo, noma abe matasa kakhulu. Bese lawa maseli abangela ukuvuvukala okulimaza isikhumba sethu. Yilokho okwenzekayo ku-Wells' Syndrome.
Kalula nje, i-Wells' Syndrome ayibangelwa ukutheleleka, kodwa uhlobo olusebenza ngokweqile lweseli lokuzivikela emzimbeni wethu.
Lesi simo asivamile emhlabeni wonke. Kubikwe amacala angaphansi kwe-100. Sithinta kakhulu abantu abadala, kodwa ngezinye izikhathi singathinta izingane. Sithinta kokubili amadoda nabesifazane ngokulinganayo.
Kungani kwenzeka into efana nale?
Imbangela eqondile yalokhu ayaziwa okwamanje , kodwa odokotela bakholelwa ukuthi kungaba yisifo sokuzivikela komzimba .
Cabanga ngale ndlela: isimiso sethu somzimba sokuzivikela sifana nebutho elivikela izwe. Umsebenzi walo ukusivikela kubahlaseli bakwamanye amazwe njengamagciwane namagciwane. Kodwa ngezinye izikhathi lolu hlelo luyacasuka bese luqala ukuhlasela amangqamuzana ethu aphilile, sicabanga ukuthi “ayizitha”. Yilokho esikubiza ngokuthi “isifo sokuzivikela komzimba”. I-Wells' Syndrome kusolwa ukuthi ibangelwa ukungasebenzi kahle kwesimiso somzimba sokuzivikela komzimba okufanayo.
Esikhathini esiningi, kuyenzeka nje. Kodwa-ke, kungase kube nesici sofuzo, njengoba lesi simo siqhubeka kweminye imindeni. Ngaphezu kwalokho, izinto ezithile zingasibangela noma zisenze sibe sibi kakhulu lesi simo.
| Izici ezingaba nomthelela ekuthuthukisweni kwe-Wells' Syndrome | |
|---|---|
| Ukulunywa yizinambuzane | Ikakhulukazi ngemva kokulunywa yizilwane ezifana nomiyane. |
| Ukutheleleka ngegciwane | Lesi simo singavela ngemva kokutheleleka ngegciwane. |
| Izifo zesikhumba | Ezinye izimo zesikhumba ezifana ne-dermatitis. |
| Ukutheleleka kwamathumbu | Izifo zamathumbu ezifana ne-Giardiasis. |
| Ezinye izimo zezokwelapha | Izimo zomdlavuza wegazi ezifana ne-leukemia, izifo zefungal. |
| Ukusabela kwezidakamizwa noma izinsimbi | Njengokusabela komzimba ezidakamizweni ezithile noma ezinsimbini. |
Ziyini izimpawu zalesi sifo?
Izimpawu zalesi sifo zivame ukuqala ngomuzwa wokushisa noma wokulunywa endaweni eyodwa noma ngaphezulu kwesikhumba. Bese izindawo ziba bomvu futhi zivuvuke. Lezi zindawo ezivuvukele zivame ukuba buhlungu . Kwabanye abantu, uphawu lokuqala lungaba amabhamuza amasha noma amaqhubu.
Izici eziyinhloko ezibonakala esikhumbeni:
- Ubomvu nokuvuvukala: Lolu uphawu oluyinhloko.
- Ukuluma nokusha: Kungase kube nokuluma noma ukusha okukhulu endaweni ebomvu.
- Amabala amise okwendandatho:Ngezinye izikhathi kungase kuvele amabala ayindilinga.
- Ukushintsha kombala: Ngokuhamba kwesikhathi, la mabala abomvu ashintsha umbala. Okokuqala, aba nsundu-bomvu , bese kuba luhlaza-mpunga , bese kuba luhlaza-mpunga . Lesi yisici esikhethekile salesi sifo.
Ezinye izici zomzimba:
Izimpawu ezifana ne-asthma, ubuhlungu bamalunga, kanye nomkhuhlane zingase zibe khona, kodwa ngokuvamile azibonakali . Izimpawu eziyinhloko zisesikhumbeni.
Ingxenye engcono kakhulu ukuthi la mabala avame ukuphola ngaphandle kokushiya izibazi phakathi namasonto noma izinyanga ezimbalwa. Kodwa-ke, angaphinde avele ngosuku olulandelayo.
Udokotela ukubona kanjani lokhu?
Uma unalezi zimpawu, kufanele nakanjani ubonane nodokotela. Uzokuhlola futhi enze izivivinyo ezithile ukuze anqume ukuthi lokhu kuyi-Wells' Syndrome noma esinye isimo.
1. I-biopsy yesikhumba: Lena yindlela engcono kakhulu yokuqinisekisa ukuxilongwa. Udokotela uzothatha ingxenye encane yesikhumba endaweni ethintekile ngaphansi kwe-anesthesia bese eyithumela elabhorethri ukuze ihlolwe. Lokhu kuhlolwa kuzobheka inani elikhulu lama-eosinophil esikhulume ngawo ngaphambilini esikhumbeni nasezicutshini ezingaphansi. Kungasiza futhi ukuqinisekisa ukuthi lokhu akuyona i-allergy, i-parasite, i-dermatitis, ukulunywa yizinambuzane, noma esinye isimo esifana ne-Churg-Strauss syndrome.
2. Ukubalwa Kwegazi Okuphelele: Lokhu kuhlolwa, okwenziwa ngokuthatha isampula yegazi, kungahlola ukuthi inani lama-eosinophil egazini likhuphukile yini.
Yiziphi izindlela zokwelapha lokhu?
Udokotela wakho uzonquma ukwelashwa kwe-Wells' Syndrome. Ngokuvamile kunezindlela zokwelapha eziphumelela kakhulu kulokhu.
- Ama-Systemic Steroid: Ukwelashwa okuvame kakhulu nokusebenza kahle ama-steroid omlomo noma ajovwayo njenge- prednisone . Lawa anomphumela wokucindezela amasosha omzimba. Lokhu kusho ukuthi acindezela amasosha omzimba ekuhlaseleni izicubu zawo. I-Prednisone inguqulo yokwenziwa ye-cortisol hormone ye-steroid, ekhiqizwa ngokwemvelo emzimbeni. Izimpawu zivame ukuqala ukuthuthuka zingakapheli izinsuku ezimbalwa zokuthatha lo muthi. Umthamo ungancishiswa kancane kancane esikhathini esingangenyanga, njengoba kuceliwe udokotela wakho.
- Eminye imithi: Kwezinye izimo, imithi yokulwa namagciwane (isib. i-griseofulvin) noma imithi yokulwa namagciwane (isib. i-dapsone) ingasetshenziswa njengokwelashwa.
- Okhilimu:Uma isimo singesibi kakhulu, ukufaka nje ukhilimu we-steroid njenge-hydrocortisone endaweni ethintekile kunganikeza impumuzo.
Into ebaluleke kakhulu ukuthi, ungalokothi usebenzise le mithi ngendlela othanda ngayo . Qiniseka ukuthi ubona udokotela futhi uthatha ukwelashwa kuphela ngokweseluleko sakhe, ngomthamo onqunyiwe, isikhathi esinqunyiwe.
Iyini inhloso? (Isibikezelo)
Umbono womuntu one-Wells' Syndrome muhle kakhulu. Lokhu kusho ukuthi akusona isimo esisongela impilo.
- Amabala avame ukuphola ngokuphelele phakathi namasonto noma izinyanga ezimbalwa.
- Ngokuvamile azikho izibazi ezisele .
- Ngezinye izikhathi, kungase kube noshintsho oluncane embala wesikhumba lapho kwakukhona khona amabala. Kodwa lokho kuvame ukunyamalala ngokuhamba kwesikhathi.
- Lesi sifo singaphinde sibuye. Ezimweni ezinjalo, kungathatha iminyaka eminingana ukusilawula ngokuphelele. Kodwa futhi singaphathwa kahle ngokwelashwa.
Njengoba imbangela eqondile yalesi sifo ingakatholakali, ayikho indlela eqondile yokusivimbela. Kodwa-ke, uma uhlangabezana nalezi zimpawu, into engcono kakhulu ongayenza ukungesabi bese ubona udokotela ngokushesha ngangokunokwenzeka ukuze uthole iseluleko.
Umlayezo Wokuya Nawe Ekhaya
- I-Wells' Syndrome ukuvuvukala kwesikhumba okungavamile, okungathelelani. Kuhluke ngokuphelele ekuthelelekeni ngamagciwane okubizwa ngokuthi i-cellulitis.
- Lokhu kungenxa yokusebenza ngokweqile kwamaseli abizwa ngokuthi 'ama-eosinophil' ohlelweni lwethu lokuzivikela komzimba.
- Izimpawu eziyinhloko amabala esikhumba abomvu, avuvukele, alumayo, futhi abuhlungu. Lawa mabala ashintsha umbala ngokuhamba kwesikhathi.
- Kubalulekile ukwenza i-biopsy yesikhumba ukuze kutholakale ngokunembile isifo.
- Lesi simo singalawulwa ngempumelelo enkulu ngokwelashwa okufana nemithi yama-steroid.
- Lesi akusona isifo esiyingozi. Ngokuvamile siyaphola ngaphandle kwezibazi.
- Uma unamabala noma ukuvuvukala okungavamile okufana nalokhu esikhumbeni sakho, bona udokotela ngokushesha.
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