Uhlaselo luba lubi kakhulu, ngakumbi xa luba lukhuni. Imeko ebizwa ngokuthi i-eczema, eyaziwa nangokuthi i- atopic dermatitis , yinto yokugqithisa ngokugqithiseleyo okuqhelekileyo ilandele ezinye iimpawu ezibandakanya i-rhinitis ye-allergen, i-allergies yokutya, kunye ne-asthma. Kukho iintlobo ezahlukeneyo ze-eczema, kuquka enye ebizwa ngokuba yi-nummlar eczema.
Iyini i-Nummular Eczema?
I-ecmema ye-Numm luhlobo lwe-eczema ukukhawuleza okwenziwe ngemali.
Igama elithi "nummular" lithetha intlawulo yesiLatini.
Xa kuvela i-ecmema ye-eczema, kukho ukuphazamiseka kwinqaba yesikhumba evumela izilwanyana zesikhumba. Oku kunokubangela ukukhawuleza. I-dicatitis ye-apiic ixhomekeke ekubeni i-allergic kwizinto ezahlukahlukeneyo ngelixa i-nummlar eczema ixhomekeke kudibaniselwano lwe-dermatitis.
Iimpawu zeEczema Izimpawu
I-eczema ye-Numm ivela njengeenxa zonke, izilonda ezinjenge-disc kwaye inokuvela naphi na emzimbeni. Kufumaneka kakhulu kwiingalo nasemilenzeni.
Izilonda zinokuba nzima kakhulu, ngelixa abanye abantu bathi izilonda zizodwa xa zikhula nje. Kukho nobunzima obugqithiseleyo kwi-lesion kunye nokugqithisa kunokuba nomsele wamanzi. Kukho no kubomvu ngeenxa yesilonda.
I-ecmema ye-Numm ingabangela intlungu kwaye ingaba yimbangela yokuxinezeleka kwengqondo ngenxa yokubonakala kwayo. Kodwa izigulane ezininzi ziyakwazi ukufumana uncedo kumgqirha wazo.
Izizathu ze-Eczema
Imiqathango eyahlukileyo ingabangela okanye ikhulise i-eczema ye-eczema.
Ezi ziquka:
- Isikhumba esomileyo
- Xha ga mshelana
- Mozulu
- Ukuxinezeleka ngokomzwelo (ukunyamezela kunokukwenza ube nomuzwa onzima)
- Amachiza omlomo aquka i-interferon (esetyenziswa rhoqo ekuphatheni i-hepatitis) okanye i-isotretinoin (imithi eyaziwayo yamachiza)
- Iimithi zamathambo ezibandakanya ama-antibiotic creams afana neNeosporin
- Umonakalo wangaphambili wesikhumba kubandakanya ukutshisa okanye enye inxeba, isikhumba evulekile ukutsalwa, okanye ukuluma kwezilwanyana
I-ecmema ye-Numm ayichukumisi ngokubanzi abantwana. Kunokwenzeka ukuba banokuchaphazela amadoda aphakathi kweminyaka yobudala engama-55 no-65. Abasetyhini bafumana isiqalo sokuqala se-eczema phakathi kwe-13 ne-25 ubudala.
Nummlar Eczema Diagnosis
Ukuxilongwa ngokuchanekileyo kwe-nummlar eczema kunzima kunokuba ukugqithisa kubonakale kwahluke kwiintlobo ezahlukeneyo zekhumba. Ngoko ugqirha wakho uza kukubuza imibuzo eninzi.
Kwakhona, ugqirha wakho unokufuna ukulawula ezinye izifo zesikhumba ezifana ne-ecmema ye-eczema. Oku kwenziwa nge- biopsy yolusu . Izandi ze-biopsy ziyatshitshisa, kodwa uvavanyo luyenziwa nge-anesthesia yendawo kwaye ezininzi izigulane zithi akubi kakhulu. I-biopsy ivumela i-pathologist ukuba ihlolisise isikhumba ngaphantsi kwe-microscope ukukunceda ukucacisa isizathu sokukhawuleza.
Uvavanyo lwepatch ukujonga udibaniselwano lwe-dermatitis lunokuba luncedo kwizigulane nge-nummlar eczema. Uvavanyo lwe-patch lunceda ekufumaneni ukuba kukho nayiphi na imveliso okanye ezinye i-ejenti ezithe zavezwa kuyo zingabangela ukugqithisa. Isiqhelo esona siqhelekileyo si-nickel, kodwa iziqhumiso, iimveliso zerabha, kunye nabanye kungabangela nokuba.
Uvavanyo lwe-patch luvavanyo lwemihla-3 olubekwe emva kwakho. Kubalulekile ukuba ungayi kubuyisa umva wakho ngamanzi okanye uphuphe njengoko unokuphazamisa iipatches uze unike iziphumo ezingalunganga.
Ngomhla wokugqibela wokuvavanywa kwakho, ugqirha uya kufunda i-patch test yakho kwaye akunike uluhlu lwento oya kuyenza ngayo. Kuyonwaba ukuba ube novavanyo oluhle kuba kuthetha ukuba unokwenene ukukhusela iimveliso eziye zonakalisa i-eczema yakho.
I-diagnostic ye-nummlar eczema ixhaphake kakhulu yintsholongwane yesikhumba. Ukusuleleka kwintsholongwane kunokuba yinto enobungozi obangela ukudideka phakathi kwezi zifo zimbini. Unyango lwezityalo ezahlukeneyo luhluke kakhulu, ngoko kubalulekile ukubona ugqirha ngokuchongwa okuchanekileyo.
I-Nummular Eczema Treatment
Unyango olungcono kakhulu lwe-nummlar eczema yi -steroids yeengqungquthela .
Ngokuqhelekileyo, i-steroid eqinekileyo ye-topical (kunokuba ifomu ephosakeleyo) iyadingeka ukukunceda ukuxazulula ukukhawuleza.
I-steroids yezihloko zineempembelelo ezibalulekileyo ezibandakanya:
- I-Hyper okanye i-hypopigmentation yesikhumba echaza ukuba itshintshe umbala wesikhumba sakho
- I-Telangiectasias (imithwalo yegazi ekhulisiwe, ngokuqhelekileyo i-capillaries)
- I-skin atrophy (i-skin thinning)
- Ukululaza
- Ukwanda komngcipheko wokusuleleka kwesikhumba
Ngokuqhelekileyo, uya kuba namava kuphela xa usebenzisa i-steroids yama-topical ngexesha elide okanye ixesha elenzakalisiweyo.
Ugqirha wakho unokucela ukuba uqaphele ngakumbi kwiindawo ezinjengebuso, intamo, ngaphantsi (i-axilla) kunye nendawo yokuhluma, njengelusu eluncinci kule mimandla kwaye kunokwenzeka ukuba ihlupheke kwimiphumo emibi echazwe ngasentla. Qinisekisa ukuba wena kunye nogqirha wakho bajonga ukusetyenziswa kwakho kwe-steroid.
Amanye ama-agent angama-topical afaka i-Tacrolimus okanye iPimecrolimus esebenza kwindlela eyahlukileyo kwaye unokukunceda ne-ecmema ye-eczema. Ezi zithunywa zinyango azikho i-steroids, ngoko zithwala imiphumo embi kakhulu kodwa zingenokuba luncedo njengolu hlobo lokuqala lweyeza oluyi-steroids ye-headical. Kubalulekile ukuba uqaphele ukuba ezi zixhobo zendalo zingabangela ukutshisa emva kwesicelo.
U-Eucrisa ngumuthi omtsha we-headical, awunayo i-steroid kwaye unokuba luncedo kulabo abangenakusebenzisa i-steroids ye-topical.
I-Antihistamines enye iklasi ephezulu yamachiza ukunceda nge-numm eczema. I-Antihistamines ingaquka iCelirizine, iFefffenadine, i-Levocetirizine ne-Loratadine. Ezinye zala mayeza angathathwa ngaphezu kweyodwa ngosuku ukuze akhuphe itchki ecasulayo.
I-ecmema ye-Numm iyakubonakala ibonakala ngakumbi xa kukho ukusuleleka kwintsholongwane. Ngokuqhelekileyo, isityalo esiqhelekileyo esitholakala kwintlalo iStaplocloccus aureus . Ukuba ifunyenwe, iya kufuna unyango olongezelelweyo, mhlawumbi lunomdlavuza wezwi. Makugqirha ugqirha wakho ukuba uhlakulela umkhuhlane okanye ukubola njengoko ezi zimpawu zingabonisa intsholongwane.
I-Oral steroids ingaba luncedo xa ukukhawuleza kukubi ngaphezu kokuqhelekileyo. I-Steroids ayisoloko iyona ndlela yokwenza unyango olungcono kakhulu kuba inokudambisa i-dermatitis emva kwefowuni ye-steroid.
Nummlar Eczema Prognosis
I-eczema yeNumer ibonwa njengesimo esingapheliyo sokujikeleza phakathi kweentaba kunye nokukhupha. Kubalulekile ukugcina i-skin hydrated kwaye ugweme izinto ezinokuthi zibandakanye izilwanyana ezifunyenwe kwi-test mark yakho, imishanguzo yamathambo njengoko ibhalwe ngaphambili kunye nokulawula uxinzelelo lwakho.
> Imithombo:
> Coondoo A, Phiske M, Verma S, Lahiri K. Imiphumo emibi ye-steroids yama-topical: Ukubuyela emva kwexesha elide. I-Indian Dermatol Online J. 2014; 5 (4): 416-25. i-doi: 10.4103 / 2229-5178.142483
> Schneider L, Tilles S, Lio P, et al. I-aicic dermatitis: uhlaziyo lwe-parameter update 2012. J Allergy Clin Immunol. 2013; 131 (2): 295-9.e1-27. i-doi: 10.1016 / j.jaci.2012.12.672
> Todorova A., Bruckbauer H., Ring J. (2015) Inani le-Eczema. Ku: Katsambas A., Lotti T., uDessinioti C., D'Erme A. (eds) I-European Handbook ye-Dermatological Treatments. Springer, Berlin, Heidelberg