Kukho iingxaki ezininzi zamathumbu ezinokuthi zenzeke ngesifo sesibindi (IBD) esiquka isifo se-arthritis , isifo sesibindi, ukuphazamiseka kwesondlo, ukuphazamiseka kwegazi , kunye neengxaki zesikhumba. Iziphazamiso zesikhumba yinkathazo eqhelekileyo, kwaye inokuchaphazela kuma-25 ekhulwini labantu abahlala ne-IBD. Olunye uhlobo lweengxaki zesikhumba ezingenzeka kwizigulane ezine-IBD yi-pyoderma gangrenosum.
Kunokwenzeka ukuba umntu one-pyoderma gangrenosum ukuba angaqalekanga ukuba ngaba ngabaqeqeshi bezempilo bekhangele izilonda esikhumbeni akazixhasi kwi-IBD. Oku kunokuthetha ukuba unyango osetyenziswayo ekuqaleni alusebenzi. Yingakho kubaluleke kakhulu ukuba abantu abane-IBD badibanise kwi-gastroenterologist naluphi na iingxaki ezintsha, nangona ziqale zibonakala zihambelana nezifo zesisu. Ingcali ye-IBD okanye i-dermatologist enezigulane ezine-IBD ingadinga ukubonisana ukuze kwenziwe i-diagnostic eyiyo kwaye ufumane unyango lwaqala.
Sibanzi
I-Pyoderma gangrenosum yintlupheko yesikhumba echaphazela malunga neepesenti ezi-5 zabantu abane-ulcerative colitis kunye neepesenti ezi-1 zabantu abane-Crohn's disease. Ezinye zezinye izifo ezinxulumene ne-pyoderma gangrenosum ziquka i-rheumatoid arthritis, i-myeloid igazi dyscrasias, kunye ne-hepatitis. I-Pyoderma gangrenosum inokuqala ibonakale njenge-blister, ibomvu ebomvu, okanye i-pustule kwaye ingaba yinto ebonakala ngathi iyakwazi ukuphilisa ngokwayo.
Nangona kunjalo, lesi sifo asiphilisi kwaye ekugqibeleni senza isilonda. Izilonda zingabonakala zodwa okanye kwiqela kwaye ziyafumaneka kwiimpembelelo, kodwa zibonakala ziphindaphindiwe kwimilenze kunokuba zenze kwiingalo.
Indlela Eqala ngayo
I-Pyoderma gangrenosum ingaqalisa ngokukhawuleza kwindawo yokulimala okwangaphambili kwesikhumba, njenge-scrape, pinprick, okanye cut.
Ulusu olujikelezileyo luyehla, kunye nesilonda esitsha ngokukhawuleza. I-Pyoderma gangrenosum ulcers inemibala ekhethekileyo enemibala engapheliyo. Kwakhona bavame ukuba buhlungu kunye nokuphuza ukuphulukisa. Oogqirha abaqinisekanga ukuba yiyiphi imbangela ye-pyoderma gangrenosum kodwa bathi iimeko ezizimeleyo, njengoko zihambelana nezinye izifo ezizimele.
Indlela iPyoderma Gangrenosum ehlobene ngayo ne-IBD
Amanqaku angama-50 eengxaki ze-pyoderma gangrenosum zenzeka kubantu abanehlobo olulodwa lwe-IBD. Ngamanye amaxesha, ukuvela kwezi zilonda kuhambelana nokuqhutyelwa kwe-IBD kwaye iyakwazi ukuphendula xa i-IBD ephantsi iphathwa kakuhle. Ezinye iziganeko, nangona kunjalo, azibonakali zihambelana ngqo nomsebenzi wesifo, kwaye i-pyoderma gangrenosum ingaqala okanye ibubi nakakhulu xa i-IBD i-quiescent.
Unyango
Ukuqinisekisa ukuxilongwa kwe-pyoderma gangrenosum ngokusebenzisa uvavanyo lokuhlola, unedermatologist unokubonisana. Izilonda zinokuthi zitshintshwe kwaye zihlonywe ukuvavanya izifo, kwaye i- biopsies ingathathwa kwaye ihlolwe ukulawula ezinye izizathu. Ngenxa yokuba i-pyoderma gangrenosum ayibangelwa yi-bteriyo, i-antibiotics ingenakusebenza njengonyango.
Izilonda ze-Smaller pyoderma gangrenosum zingaphathwa nge:
- Ukunyanzeliswa
- I-steroid creams okanye injen
- Amachiza omzimba olwachasayo
- Ukugqoka i-silver sulfadiazine ukhilimu okanye i-hydrocolloids
Izilonda ezininzi ezinonyango ezinganyangeki zingadinga unyango olungakumbi nge:
- Steroids
- Cyclosporine
- Cyclophosphamide
- Methotrexate
- Tacrolimus amafutha
Okukwintsusa
Ukuba unesilonda esikhankqalaza okanye ongayi kuphulukisa, jonga ugqirha wakho wokunakekela oyintloko okanye ugastroenterologist ngokukhawuleza ukuba kunokwenzeka ukuba udluliselwe kwi-dermatologist. I-dermatology specialist, mhlawumbi umntu onamava kunye nezinye izigulane ze-IBD, unokuzifumanisa ngokuchanekileyo aze aphathe le meko yesikhumba.
Imithombo:
CCFA. "Ukubonakaliswa kwangaphandle kwempawu zesifo segciwane." ICFA 1 Meyi 2012.
Ipapageorgiou KI, uMathew RG, uKaniorou-Larai MG, Yiakoumetis A. "I-Pyoderma gangrenosum kwi-ulcerative colitis: iingcinga zokuxilongwa kwangaphambili." BMJ Disemba 3 2005.
Manual Merck. "IPyoderma Gangrenosum." Merck & Co, Inc ngoMatshi 2012.