Ingabe kuvele ibala elibomvu esikhumbeni sakho ngokuzumayo, ingabe liyaluma? Ingabe liyavuvukala? Kungenzeka ukuthi yi-Wells' Syndrome!

Wake waphawula ukuthi ibala esikhumbeni sakho, noma lomuntu omaziyo, ngokuzumayo liphenduka libe bomvu, livuvuke, futhi mhlawumbe libukeka sengathi liqhuma, kodwa alibangelwa ukulimala? Noma ingabe kuzwakala sengathi isikhumba sibomvu futhi siyasha ngenxa yokulunywa okungabekezeleleki? Lezi zinto zingenzeka noma kuphi emzimbeni. Uma uke waba nalokhu, kungaba yisimo esingavamile esibizwa ngokuthi i-Wells' Syndrome, esizokhuluma ngaso namuhla. Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe .

Iyini i-Wells' Syndrome? Kalula nje...

I-Wells' Syndrome iyisifo sesikhumba esingavamile kakhulu. Ibizwa nangokuthi "i-Eosinophilic Cellulitis" . Manje ungase ucabange, "Uma uthi i-cellulitis, isho ukutheleleka, akunjalo?" Yebo, i-cellulitis ivame ukuba ukubomvu nokuvuvukala kwesikhumba okubangelwa ukutheleleka ngamagciwane. Kodwa-ke, ku-Wells' Syndrome, nakuba isikhumba sibonakala sibomvu, sivuvukile, futhi sithambile, empeleni akukho ukutheleleka . Yilokho okukhethekile. Ngakho kungani lokhu kwenzeka? Kunezinhlobo eziningi zamaseli emizimbeni yethu ezisebenza njengamasosha amancane. Iqembu elilodwa elikhethekile lamasosha libizwa ngokuthi ama-eosinophils . Afana nonogada bomzimba wethu. Lapho isitha, njengegciwane noma i-parasite, singena emzimbeni, lawa ma-eosinophils ayawalwa nawo futhi asisindise. Aphinde ahileleke lapho kuvela ukungezwani komzimba. Kodwa ngezinye izikhathi, la masosha e-eosinophil ajabula kakhulu. Noma, kukhiqizwa ama-eosinophils amaningi emzimbeni kunalokho okufanele. Bese kwenzeka ukuthi aqale ukuhlasela izingxenye zomzimba wawo ezinempilo, ikakhulukazi isikhumba. Kufana nokujikijela amatshe emizini yabo. Yilapho-ke kuqala khona le nkinga ebizwa ngokuthi i-Wells' Syndrome. Yingakho isikhumba sivuvukala, sibe bomvu, futhi sivuvuke.

Kungavamile kangakanani lesi simo? Ngubani onamathuba amaningi okusithola?

Eqinisweni, lesi yisimo esingavamile kakhulu . Awukwazi ngisho nokusicabanga. Kuze kube manje, amacala angaphansi kwe-100 abikiwe emhlabeni wonke. Lokho kusho ukuthi kuyangatshazwa ukuthi ngisho nomuntu oyedwa kwabayisigidi uzosithola. Ngokuvamile, lesi simo sibonakala nakubantu abadala. Kodwa-ke, akuvamile kakhulu, kubikwe ukuthi sitholakale nasezinganeni ezincane. Akukho mehluko phakathi kwabesilisa nabesifazane, bobabili bangasithola ngokulinganayo. Ngakho-ke, noma ngabe unalezi zimpawu, ungesabi ngokushesha ukuthi lesi yi-Wells' Syndrome, ngoba lokhu akuvamile kakhulu. Kodwa-ke, kubalulekile ukufuna iseluleko sezokwelapha.

Kungani kuvela i-Wells' Syndrome? Iyini imbangela?

Lokhu kuyinto okufanele uyicabangele. Odokotela abakakatholi ukuthi yini ngempela ebangela i-Wells' Syndrome.Kuseyimfihlakalo. Kodwa-ke, odokotela bakholelwa ukuthi lokhu kungaba yisimo esibangelwa ukungasebenzi kahle kwesimiso sethu sokuzivikela komzimba. Okusho ukuthi, kungaba yisifo sokuzivikela komzimba . Kalula nje, isimiso sokuzivikela somzimba, okufanele sivikele imizimba yethu, sicabanga ngephutha ukuthi amangqamuzana nezicubu zaso ezinempilo ziyizitha bese siqala ukuwahlasela. Esikhathini esiningi, lesi sifo senzeka ngokungahleliwe, ngaphandle kwesizathu esithile. Kodwa-ke, kuye kwabonakala ukuthi lesi sifo singena emindenini ezimweni ezingavamile kakhulu . Ngaphezu kwalokho, kusolwa ukuthi ezinye izinto zingasebenza njengezimbangela zokuqala kwe-Wells' Syndrome. Okusho ukuthi, lezi zinto zingase zikhuthaze ukuqala kwesifo. Yilezi:

• Ukulunywa nokuhlatshwa yizinambuzane (ukulunywa nokuhlatshwa yizinambuzane): Ikakhulukazi ukulunywa yizilwane ezifana nomiyane namakhizane .
• Ukutheleleka ngegciwane : Uma izinhlobo ezithile zamagciwane zingena emzimbeni.
• I-Dermatitis : Ezinye izimo zesikhumba ezazikhona ngaphambili.
• I-Giardiasis: Lokhu ukutheleleka okubangelwa yizinambuzane okwenzeka emathunjini.
• I-Leukemia: Lolu uhlobo lomdlavuza wegazi.
• Ukutheleleka ngesikhunta : Ukutheleleka ngesikhunta okwenzeka esikhumbeni noma kwenye indawo emzimbeni.
• Ukusabela okubi emithini ethile noma ezintweni ezisetshenziswayo.

Kodwa khumbula, lezi azikaqinisekiswa ngokuphelele okwamanje. Lezi yizinsolo zamanje nje.

Ziyini izimpawu ze-Wells' Syndrome?

Kulungile, manje ake sibone ukuthi lesi sifo sibonisa ziphi izimpawu lapho siqala. Ngokuvamile siqala ngokuzwa ukulunywa noma ukushisa endaweni eyodwa noma ngaphezulu kwesikhumba. Bese kuthi, ezinsukwini ezimbalwa, indawo iqala ukuba bomvu futhi ivuvuke . Lezi zindawo ezivuvukile zingaba buhlungu ukuzithinta. Kwabanye abantu, kuzwakala sengathi kukhona okulimazayo, njengokungathi othile ubashayile. Ngezinye izikhathi, izimpawu zokuqala kuba amabhamuza amasha agcwele amanzi noma amaqhubu avela ngaphansi kwesikhumba. Kwabanye, zingase zibonakale njengeziqephu ezimise okwendandatho.Kungaba khona. Ngaphandle kwalokho, ukuqubuka okulumayo kungavela emzimbeni wonke, okufana ne-eczema.

Cabanga nje, ngolunye usuku, umalume wethu uSunil wavele waba nokulunywa okungabekezeleleki emlenzeni wakhe. Wacabanga ukuthi kukhona okumlume. Ngemva kwezinsuku ezimbili noma ezintathu, indawo yavuvukala kakhulu futhi yaba buhlungu. Kwakungathi othile ufudumale okuthile. Kwakusha lapho ekukhombisa udokotela, owamtshela ukuthi lesi kwakuyisimo esihlukile, mhlawumbe iWells' Syndrome.

Ezinye izimpawu zangaphakathi, njengobunzima bokuphefumula obufana ne -asthma , ubuhlungu bamalunga , noma umkhuhlane, azivamile kakhulu ngalesi sifo. Kodwa-ke, akunakwenzeka, futhi izimpawu ezinjalo ziye zabikwa kaningi. Ngokuhamba kwesikhathi, isikhumba esinalesi sifo siqala nokushintsha umbala. Umbala obomvu wokuqala ushintsha kancane kancane ube umbala onsundu obomvu . Bese ungashintsha ube umbala oluhlaza okwesibhakabhaka , bese ekugcineni ube umbala oluhlaza okwesibhakabhaka . Njengoba nje inxeba lishintsha umbala uma liphola. Izindaba ezinhle ukuthi la mabala nokuvuvukala kuvame ukuphola ngaphandle komphumela ohlala njalo phakathi kwamasonto ambalwa kuya ezinyangeni ezimbalwa. Kodwa-ke, ngezinye izikhathi kungabuya futhi.

Lesi sifo sitholakala kanjani ngokunembile?

Uma unezimpawu ezinjengalezi, kubalulekile ukwazi kahle ukuthi iyini. Indlela eyinhloko yokuthola i-Wells' Syndrome ukwenza i-biopsy yesikhumba . Lokhu kusho ukuthatha ingxenye encane kakhulu yesikhumba endaweni ethintekile ngaphansi kwe-anesthesia bese uyihlola ngaphansi kwe-microscope. Ngaphezu kwalokho, ukubalwa kwegazi okuphelele ngezinye izikhathi kungabonisa ukuthi kunezinhlobo ezingaphezu kwejwayelekile zohlobo lweseli elimhlophe legazi elibizwa ngokuthi ama-eosinophil egazini esikhulume ngalo ngaphambili. Lapho behlola i-biopsy yesikhumba, odokotela bangabona ukuthi kunezinombolo ezinkulu zama-eosinophil esikhumbeni nasezicutshini ezingaphansi kwesikhumba. Baphinde babheke amaphethini athile okuvuvukala ahlukile kwi-Wells' Syndrome. Lezi zivivinyo zingasiza ekuqinisekiseni ukuthi izimpawu azibangelwa enye into - ukungezwani komzimba okuvamile, ukutheleleka ngamagciwane, esinye isimo sesikhumba (i-dermatitis), ukulunywa yizinambuzane, noma isimo esingavamile njenge-Churg-Strauss syndrome.

Kungelashwa kanjani lokhu? Ingabe kungelapheka?

Yebo, kunezindlela zokwelapha lokhu. Ukwelashwa okungalawulwa ngempumelelo umuthi obizwa ngokuthi i-Prednisone . Lona umuthi we-steroid osebenza emzimbeni.Uhlobo. I-"Systemic" isho ukuthi inikezwa njengephilisi noma njengomjovo, futhi ithinta lonke uhlelo lomzimba. Le mithi ye-steroid isebenza ngokunciphisa ukusebenza ngokweqile kwesistimu yethu yokuzivikela komzimba (umphumela wokucindezela i-immunosuppressant). Okusho ukuthi, ilawula uhlelo lokuzivikela komzimba ekuhlaseleni umzimba wayo. Kalula nje, umzimba wethu une-hormone ye-steroid ebizwa ngokuthi i-cortisol, ekhiqizwa ngokwemvelo yizindlala ze-adrenal ezingaphezu kwezinso, futhi i-prednisone iyinguqulo yayo yokwenziwa. Uma uqala ukuthatha lokhu njengephilisi, izimpawu zakho zizoncipha zingakapheli izinsuku ezimbalwa futhi uzoqala ukuzizwa ungcono. Ngemuva kwalokho, udokotela wakho uzonciphisa kancane kancane umthamo womuthi esikhathini esingangenyanga. Ezinye izindlela zokwelapha ngezinye izikhathi zifaka:

• Ama-antifungal: Isibonelo, i-griseofulvin.
• Ama-antibiotic : Isibonelo, i-dapsone.

Lokhu kungabhalwa udokotela. Ngezinye izikhathi, uma izimpawu zingenzima kakhulu, okungukuthi, ezimweni ezincane , zingelapheka ngokufaka ukhilimu we-steroid (isb. i-hydrocortisone) ezindaweni zesikhumba ezithintekile.

Ingabe ikhona indlela yokuvimbela lesi sifo ukuthi singakhuli?

Lokhu kuyinto edabukisayo kancane. Ngenxa yokuthi imbangela eqondile ye-Wells' Syndrome ayikatholakali, akukakwazi ukusho ngendlela ethile yokuvimbela ukuthi ingenzeki. Uma izimbangela zitholakala esikhathini esizayo, mhlawumbe sizokwazi nezindlela zokuyivimbela.

Kuyini ukubikezela kokugula komuntu one-Wells' Syndrome? (Isibikezelo)

Lezi yizindaba ezinhle! Ukubikezela kwabantu abane-Wells' Syndrome kuhle kakhulu. Lokhu kusho ukuthi izilonda zesikhumba nokuvuvukala okubangelwa yilesi simo kuvame ukuphela ngokuphelele phakathi kwamasonto ambalwa kuya ezinyangeni ezimbalwa. Ezimweni eziningi, azikho izibazi ezihlala isikhathi eside. Ngezinye izikhathi, ngemva kokuba isimo sesiphelile, kungase kube noshintsho oluncane lombala wesikhumba. Lokhu kusho ukuthi isikhumba singase sibe mhlophe noma sibe mnyama kunokujwayelekile. Kodwa-ke, lokhu kushintsha kombala kuzonyamalala kancane kancane ngokuhamba kwesikhathi. Kodwa-ke, into eyodwa okufanele uyikhumbule ukuthi lesi simo singaphinde sibuye . Ezimweni ezinjalo eziphindaphindayo, ukwelashwa kungathatha iminyaka ukusilawula ngokuphelele. Kodwa-ke, singaphathwa kahle ngokunakekelwa okufanele kwezokwelapha.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, manje usuyiqonda kahle i-Wells' Syndrome, njengoba sesixoxile. Nazi ezinye izinto ezibalulekile okufanele uzikhumbule:

• I-Wells' Syndrome iyisifo sesikhumba esingavamile kakhulu .
• Lokhu akulona ukutheleleka kwesikhumba, kodwa izimpawu zingase zibukeke njengokutheleleka.
• Nakuba imbangela eqondile ingaziwa, kusolwa ukuthi ibangelwa inkinga ngesimiso somzimba sokuzivikela .
• Izimpawu eziyinhloko ukulunywa , ukusha, ukubomvu , kanye nokuvuvukala kwesikhumba .
• Lesi sifo siqinisekiswa ngokuhlolwa kwesikhumba .
• Ingelashwa ngempumelelo ngemithi efana nama-steroid .
• Isibikezelo salesi sifo sihle kakhulu , futhi siyaphola ngaphandle kwezibazi.
• Kodwa-ke, lesi sifo singaphinde sibuye .

Uma wena noma othile omaziyo enanoma yiziphi zalezi zimpawu, sicela ubone udokotela ofanelekayo ngokushesha . Ungaziniki imithi. Udokotela angenza ukuxilongwa okunembile futhi akunikeze ukwelashwa okufanele kakhulu.

Akukho okufanele ukwesabe. Into ebaluleke kakhulu ukuqaphela lezi zimo. Hlala uphilile!