Ingabe usezinyangeni ezimbalwa zokugcina zokukhulelwa kwakho? Konke bekuhamba kahle, kodwa ngokuzumayo isisu sakho saqala ukulunywa kakhulu? Uyawabona amaqhubu amancane abomvu abonakala esakazeka emzimbeni wakho wonke? Uma lokho kwenzeka, kuyinto evamile ukwesaba, uzibuza, "Kuyini lokhu? Ingabe kukhona okuzokwenzeka enganeni?" Kodwa ungakhathazeki. Namuhla sikhuluma ngalesi simo sesikhumba abesifazane abaningi abakhulelwe ababhekana naso, kodwa asiyona ingozi.
Kuyini ngempela i-PUPPP Rash?
I-PUPPP isifinyezo se-`(Pruritic Urticarial Papules and Plaques of Pregnancy)`. Ngezinye izikhathi ibizwa nangokuthi `(Polymorphic Eruption of Pregnancy - PEP)`. Womabili amagama abhekisela entweni efanayo.
Kalula nje, lolu uhlobo oluvame kakhulu lokuqubuka kwesikhumba okungenzeka ngesikhathi sokukhulelwa. Akuyona ingozi futhi akukulimazi wena noma ingane yakho. Kodwa-ke, kungaba ukulunywa okungenakubekezeleleka.
Lokhu kuvame ukuqala ku-trimester yesithathu yokukhulelwa, okungukuthi, ezinyangeni ezintathu zokugcina. Kuqala kuqala ezindaweni lapho isikhumba sinwebeka khona ('amamaki okwelula') esiswini. Bese, kungasakazeka kancane kancane ezindaweni ezifana nezingalo, imilenze, amabele, kanye nezinqe. Into engcono kakhulu ukuthi, ngemva kokuzalwa komntwana, lokhu kuqubuka kuyanyamalala cishe ngokuphelele ngaphandle kwezibazi noma izinguquko embala wesikhumba.
Iyini imbangela eqondile yalokhu?
Odokotela abakakayitholi imbangela eyodwa eqinisekile yalokhu, kodwa kunezici eziningana okucatshangwa ukuthi zinegalelo kukho.
Inkolelo-mbono eyinhloko ukuthi isikhumba siyanwebeka ngokushesha . Cabanga ngakho, lapho umntwana ekhula ngokushesha ngaphakathi esibelethweni, isisu sakho siyanwebeka ngokushesha ngesikhathi esifanayo. Ngezinye izikhathi amangqamuzana esikhumba awakwazi ukuzivumelanisa nalesi sivinini. Ngemuva kwalokho, izicubu ezingaphansi kwesikhumba ziyalimala kancane, futhi umzimba wethu usabela njengokungezwani komzimba kwamanye amaprotheni akhishwa kuso. Yilokho okukholelwa ukuthi kuwumphumela walesi sifo.
Leli elinye iphuzu elicacile:
- Omama abakhulelwe abanamawele noma amawele amathathu banamathuba amaningi okubhekana nalokhu ngoba njengoba izingane zikhula, zithola isisindo ngokushesha futhi inani lokwelula isikhumba liyanda kakhulu.
- Lokhu kuvamile nakomama abaqalayo ngoba isikhumba sabo asikaze sinwebeke kanje ngaphambili.
Olunye ucwaningo lubonisa ukuthi lokhu kusabela kubangelwa izinhlayiya ze-DNA zengane ezingena esikhumbeni sikamama ngesikhathi sokukhulelwa. Kodwa-ke, lokhu akukaqinisekiswa okwamanje.
Izindaba ezinhle ukuthi ngemva kokubeletha kokuqala, akuvamile ukuthi lokhu kuphinde kwenzeke ekukhulelweni okulandelayo. Lokhu kusho ukuthi imizimba yethu ingase ibe nokuzivikela kukho.
Ziyini ngempela izimpawu zalokhu?
Izimpawu zalokhu kuqubuka zingase zizwakale njengemifantu. Okokuqala, isikhumba siqala ukulunywa kakhulu, ikakhulukazi ezindaweni lapho isikhumba seluliwe khona (amamaki okwelula). Bese kuvela amabhamuza amancane, ahlangana ndawonye futhi asakazeke njengokuqhuma okukhulu.
Qaphela izimpawu ezilandelayo.
| Isibonakaliso | Incazelo |
|---|---|
| ukulunywa okukhulu | Ukuluma kungaba nzima kakhulu kangangokuthi akunakwenzeka ukwenza imisebenzi yansuku zonke, ikakhulukazi ebusuku. |
| Uhlobo lwe-eczema | Kungabukeka njengengxube yamaqhubu, amaqhubu aphakanyisiwe, amaqhubu amancane amanzi, kanye namabala amakhulu abomvu, avuvukele. |
| Ukubhebhetheka | Iqala esiswini futhi ingasakazekela emabeleni, ezingalweni, emathangeni nasezinqeni. Kodwa-ke, ayithinti kakhulu ubuso, izintende zezandla kanye nezinyawo. |
| Uma uklwebha | Uma amabhamuza ephukile, uketshezi oluphuzi lungase luphume. Kamuva, kungase kwakheke uqweqwe phezulu. |
Udokotela ukubona kanjani lokhu?
Akukho ukuhlolwa okuqondile kwe-PUPPP rash. Udokotela wakho angakwazi ukuyihlola ngokuhlola isikhumba sakho nokukhuluma ngezimpawu zakho .
Kodwa-ke, ngezinye izikhathi uma ukubonakala kokuqhuma kungavamile, kungase kwenziwe izivivinyo eziningana ukuqinisekisa ukuthi azikho ezinye izimo zezokwelapha. Isibonelo:
- Ukuklwebha isikhumba
- Ukuhlolwa kwegazi `( Inani Eliphelele Legazi )`
- Ukuhlolwa kokusebenza kwesibindi
Ngezinye izikhathi kukhona esinye isimo sesikhumba esifana kakhulu ne-PUPPP Rash, kodwa esibi kakhulu, esibizwa ngokuthi ``pemphigoid gestationis (PG)``. Akuvamile kakhulu. Kodwa ngoba kungathinta ingane, uma udokotela engabaza, angathatha ingxenye encane yesikhumba bese enza ukuhlolwa okukhethekile okubizwa ngokuthi ``immunofluorescence`` ukuze kunqunywe ukuthi akunjalo.
Kodwa khumbula, isikhathi esiningi, ukuhlolwa okunjalo akudingeki . Udokotela angabona ukuthi kuyi-PUPPP ngokushesha.
Yini engenziwa ngalokhu kuluma okukhulu?
Lokhu kuqubuka kuvame ukuphela ngokwako zingakapheli amasonto amathathu kuya kwamane umntwana ezelwe. Ngakho-ke, akudingeki ukwelashwa ngezokwelapha. Kodwa-ke, njengoba lokhu kuluma okukhulu kungaba nzima ukuphila nakho, kunezindlela zokukulawula.
Izindlela zokwelapha ongayenza ekhaya
- Geza ngamanzi abandayo: Ukugeza ngamanzi abandayo kuhle kakhulu ekunciphiseni ukuvuvukala nokulunywa. Sebenzisa isihlanzi somzimba esingenaphunga. Faka i-oatmeal ye-colloidal, ongayithenga emakhemisi, ebhavini bese uyicwilisa imizuzu eyi-10-15 ukuze unciphise ukulunywa.
- Faka i-moisturizer: Ngemva kokugeza, faka i-moisturizer engenaphunga, elwa nokulunywa (`i-lotion engenaphunga`) noma i-ointment (`i-ointment`). Ngezinye izikhathi i-petroleum jelly (eyaziwa nangokuthi i-Vaseline) isiza ukulawula ukulunywa kangcono kunokhilimu ojwayelekile.
- Gqoka izingubo ezikhululekile: Gqoka izingubo ezikhululekile ezenziwe ngokotini ezingabambeki emzimbeni.
- Faka indwangu ebandayo nemanzi: Cwilisa indwangu ehlanzekile emanzini abandayo, uyikhame kahle, bese uyibeka ezindaweni ezilumayo. Lokhu kuzonikeza impumuzo enkulu.
Imithi iyatholakala ekhemisi
Uma amakhambi asekhaya engakudambisi ukulunywa, kunemithi ongayithenga ekhemisi.
Kodwa khumbula, ngaphambi kokusebenzisa noma yimuphi umuthi ngesikhathi sokukhulelwa, kufanele nakanjani uthintane nodokotela wakho futhi uthole imvume yakhe. Eminye imithi ayifanele ukukhulelwa.
Udokotela wakho angase ancome ukusebenzisa ukhilimu wokulwa nokulunywa, njenge-hydrocortisone, uma ukuqubuka kusendaweni encane kuphela. Udokotela wakho angase ancome nemithi emisha yokungezwani komzimba, njenge-cetirizine.
Ukwelashwa okunqunywe udokotela
Uma ukulunywa kungabekezeleleki, uma kukwenza uzizwe ukhathele noma ucindezelekile, tshela udokotela wakho. Angase akunikeze imithi yokwelapha enamandla. Lokhu kungafaka:
- Okhilimu be-steroid abanamandla ('okhilimu be-steroid abanikezwa ngodokotela') abanciphisa ukuvuvukala nokulunywa.
- Uma ukuqubuka sekusakazeke emzimbeni wonke, unganikwa amaphilisi e-steroid izinsuku ezimbalwa.
Ingabe lokhu kuyanda ngokudla neziphuzo?
Cha. Akukho ukuxhumana okwaziwayo phakathi kokudla okudlayo nalolu hlobo lwe-eczema. Ngakho-ke, azikho ukudla okuqondile okufanele ukugweme uma unalolu hlobo lwe-eczema.
Umlayezo Wokuya Nawe Ekhaya
- Ukuqubuka kwe-PUPPP kuyisimo esibuhlungu kakhulu, kodwa esivamile, esibangela ukhwekhwe esenzeka ekupheleni kokukhulelwa.
- Lokhu akulona neze ingozi kuwe noma enganeni yakho engakazalwa . Ngakho-ke ungesabi.
- Lokhu kuvame ukubangelwa ukuqina kwesikhumba ngokushesha.
- Izindlela zokwelapha zasekhaya ezifana nokugeza ngamanzi abandayo, ukufaka umswakama, kanye nokusebenzisa i-compress ebandayo kunganikeza impumuzo enkulu.
- Qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokusebenzisa noma yimuphi umuthi, noma ngabe uthengwe ekhemisi.
- Lokhu kuqubuka kuzophola ngokuphelele ngokwako zingakapheli izinsuku noma amasonto ambalwa ngemva kokubeletha.
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