Usulelo oluqhelekileyo luya kuba nzima kubantu abane-HIV
Umntwana osemncinci, i-acne kunye neempumpo ziyingxenye yokukhula. Kodwa njengabantu abadala, iimeko zesikhumba ezivuthiweyo zihlala ziphakamisa iintloko zabo ezimbi, kungekho ngaphezu kwabantu abaphila ne- HIV . Phakathi kweemeko eziqhelekileyo yi- folliculitis, ingxaki yesikhumba ebonakalayo, ngokuqhelekileyo, kubantu abanentsholongwane kaGawulayo abanesistim sokuzivikela kakhulu.
Izizathu zeFolliculitis
I-folliculitis ichazwa njengokutshaya okanye ukusuleleka kobugqwetha benwele. I-folliculitis inokuvela naphi na khona iinwele zomzimba, kodwa ngokuqhelekileyo zivela kwiindawo ezicaphukisayo ukucoca, ukuxubha ekuhlambuleni impahla, okanye ukuvinjelwa ngamafutha kunye nobuncwane kwiindawo. Iindawo eziqhelekileyo ze-folliculitis bubuso, isikhumba, umlenze, phantsi kweengalo, kunye nesifuba nomva.
Ngokuqhelekileyo, i-folliculitis iyenzeka xa iinwele zentliziyo ziwonakaliswe okanye ziphazamiseka, zinika indawo yokuzalisa ngokufanelekileyo iibhaktheriya okanye i-fungus. Ezinye zezona ziqhenqa ezichaphazelekayo:
- I-Staphylococcus aureus (eyaziwa ngokuba yi-staph infection)
- I-barberis yeSycosis (eyaziwa ngokuba yi-Barber's Itch)
- I-tinea rubrum (isifo sosuleleko)
- I-virus yeHerpes simplex (HSV)
Kubantu abanentsholongwane kaGawulayo, ezi zifo ziyakwazi ngakumbi kwaye zibonakala ziphezulu kakhulu kunezinga elibanzi. Olu hlobo lwe-folliculitis, olubizwa ngokuthi i- eosinophilic folliculitis, luyabonakala kubantu abano- CD4 count engaphantsi kwe-200 cells / mL kwaye banokubonisa ngokubanzi-kakhulu ngokusemgangathweni umzimba (nangona ngokuqhelekileyo kungekhona kwisisu nangengalo).
Izimpawu kunye neMpawu
Iimpawu ziyahluka ukusuka kumntu ukuya kumntu kodwa ngokuqhelekileyo zibonisa nge:
- Ukukhawuleza okuhlaziyiweyo
- Izilonda ezizaliswe nge-Taised (pustules)
- Izilonda ezinqabileyo ezivulekileyo kwaye zityiwe
- Ukucoca
Kwiimeko ze-folliculitis ye-eosinophilic, ezi zibonakaliso zihlala zinzulu kwaye zixakeke kakhulu ngeepustules ebusweni, entanyeni, kwesikhumba, nakumthi.
Ukuchonga i-Folliculitis
Ukuxilongwa kwe-folliculitis ngokuqhelekileyo kwenziwa ngophando lwangaphandle kwesikhumba kunye nezilonda. Ngezinye izihlandlo, i-biopsy yolusu iya kwenziwa, nangona oku kudlalwa ukwenza ukulawula esinye isizathu. Inkcubeko yesilonda inokukunceda ekuboniseni ukuba i-fungus ethile okanye ibhaktheriya ibangele isifo.
Izinyango Zonyango
Ukuba uchaphazelekayo kunye ne-folliculitis, unokunceda ukunciphisa impawu ngokuthatha amanyathelo amanyathelo okulula:
- Gqoka iimpahla ezingavuthiyo ezingagcini ngokuthe ngqo kwesikhumba. Oku kubandakanye i-hosiery okanye iisokisi zokunxiba xa uchaphazelekayo kwimida engaphantsi.
- Zama ukucheba nge-razor kagesi ngokuchasene nerasi yomtya.
- Gcina ulusu lucocekile usebenzisa isepha, amanzi kunye nococeko lwesikhumba. Gwema i-exfoliators kunye ne-scrubs, kunye ne-masks ebusweni kunye nezikhwebu ezinamandla. Ukuzigcina uhlaziye kakuhle kuya kunceda ulusu kwaye luyakwazi ukunciphisa iimpawu.
Unyango luxhomekeke kwizinto ezibangela ukusuleleka kunye nendlela enzima ngayo kwaye ingaquka
- Amafutha e-antibiotiki kwiintsholongwane zamagciwane
- I-Antifunga l izidumbu ze-fungal infection
- I-Antibiotiki okanye i-shampoos egxininisiweyo ye-folliculitis ye-scalp
Kubantu abane-HIV, ukuphunyezwa kweyeza-antiretroviral (ART) kuthathwa njengonyango lokuqala.
Ekubeni lolu hlobo lwe-folliculitis lubonakalisa kakhulu kwiimeko eziphambili, ukusebenzisa i-ART ukubuyisela ukusebenza komzimba kungasombulula imeko ngokuphakathi kweenyanga ezintathu ukuya ezintandathu.
Kwezinye iimeko, iziyobisi iraconazole kunye / okanye i-permetrin 5.0% i-ukhilimu inokumiselwa kwinqanaba le-ART kulabo abaneembonakalo ezinzima.
Umthombo:
> Fearfield, L .; Rowe, A .; Francis, N .; okqhubekayo. "I-folliculitis ye-folchulitis kunye ne-human immunodeficiency virus ye-infectio n: iimpawu zeeklinikhi ze-clinicopathological and immunological, i-pathogenesis kunye nonyango." IBritish Journal of Dermatology . 2009; 141 (1): 3-11.
> Isebe laseMelika leMfuyo yeMfuyo. Imibandela yeDermatologic: Ukunyamekela kwezilwanyana zaseMantla ngeHIV - iiNkqubo zeeMpawu kunye neMetabolic. Oktobha 8, 2011; EWashington, DC