Ingxaki Yesikhumba ixhomekeke kwi-IBD kwaye ingakumbi ngokuqhelekileyo kwabesetyhini kunabantu
Izifo zesikhumba ziqhelekileyo zibonakaliso zamathumbu ezivuthayo zesifo sofuba (IBD) , esenzeka kuma-25 ekhulwini abantu abane-ulcerative colitis nesifo sika-Crohn. Ezinye zeemeko zesikhumba zibizwa ngokuthi i- pyoderma gangrenosum , i- aphthous ulcers , kunye ne-erythema nodosum.
I-Erythema nodosum yimeko yesikhumba esoloko ichaphazela abantu abanesifo sikaCrohn, kodwa sinokuphuhlisa kulabo abane-ulcerative colitis.
Kuqikelelwa ukuba kwenzeka phakathi kweepesenti ezi-10 ukuya kwe-15 zabantu abane-IBD, okwenza kube nzima ukuxhamla. Le meko ihlala ihamba yodwa okanye iphucula xa i-IBD ephantsi ilawulwa phantsi. Kubalulekile ukuba abantu abane-IBD bazi iimpawu zolu khuselo lwekhumba ukuze baxilonge.
Yintoni i-Erythema Nodosum?
I-Erythma nodosum iinambuzane ezibomvu (okanye izilonda) ezivame ukukhula kwiingalo okanye kwimilenze ephantsi, kodwa inokubonakala kwezinye iindawo emzimbeni. Le meko ixhaphake kakhulu kubantu abadala kunabantwana, kwaye ixhaphake ngakumbi kubasetyhini kunamadoda.
Ukubunjwa kwezilonda ze-erythema nodosum kungathathwa yinto yokuvakalelwa kwintsholongwane, okanye intlungu ehlanganisiweyo kumalungu. Izilonda ngokwazo zingabonakala ziqala njengezithenda, iifomvu ezibomvu, ziba nzima kwaye zibuhlungu kwiveki yokuqala. Izilonda zinokubonakala ziluhlaza okanye zimnyama kwaye ziluhlaza okwesibhakabhaka, kwaye zivakalelwa ngathi ziqukethe i-fluid ngeliveki yesibini, ize zitshintshile ngokukhawuleza ngaphambi kokuphilisa.
Izilonda ziphela malunga neveki ezimbini, kodwa zingatshintshwa zizilonda ezintsha xa zixazulula. Umjikelo ungadlulela emva kokuba i-batch yokuqala yezilonda ivele kwaye iphilise, okanye ingaqhubeka iiveki ezimbalwa ukuya kwiinyanga ezinokuqala izilonda.
Izizathu ze-Erythema Nodosum
Kwi-IBD, i-erythema nodosum ingabonakala okokuqala ngethuba ngexesha lokuhlaselwa.
Ingayilandela inkqubo ye-IBD, oko kuthetha ukuba kuphucula xa i-flare-up ilawulwa kangcono.
Ezinye izimbangela ze-erythema nodosum ziquka ukusuleleka kwebhakteria, izifo ezibangelwa yi-fungal, isifo sikaHodgkin , i- sarcoidosis , isifo sikaBehçet, ukukhulelwa, kunye nokuphendula kumachiza (njengamayeza e-sulfa).
Indlela i-Erythema Nodosum ifumaneka ngayo
Xa i-erythema nodosum ivela kumntu onikwe i-IBD, akukho mvavanyo eyenziwa, njengoko imeko iyaziwa ukuba ivele ne-IBD kwaye izilonda ziyabonakala. Kubantu abangenayo i-IBD, ugqirha unokuthatha isigqibo sokuba kuyimfuneko ukulawula iimvavanyo, ezinjenge-ray-ray, iinkcubeko zegazi kunye ne-biopsy, ukulawula isifo okanye esinye isifo okanye imeko.
Unyango lwe-Erythema Nodosum
Ngenxa yokuba i-erythema nodosum ihlala isisombululo ngokwayo, ngokuqhelekileyo akukho zonyango ezinikezelwayo eziya kunceda izilonda ziphilise. Unyango luhlala lufuneka kuphela ukunceda ukulawula iintlungu ezibangelwa zizilonda okanye kumalungu. Oku kungabandakanya ukuphoqa okupholileyo, ukuphakama komlenze, nokuphumla.
Izidakamizwa ezingaxilwanga ngokungafunekiyo (ii-NSAID) zinokuba luncedo ekuboneleleni ukuphulukiswa kwentlungu, kodwa kufuneka zisetyenziswe ngokuqaphela kubantu abane-IBD. Ii-NSAID zingabangela ukuba abanye abantu babe ne-IBD, kwaye ngoko ke ezi ziyobisi kufuneka zisetyenziswe kuphela phantsi kweliso elijongene ngqo ne-gastroenterologist.
I-Dermatologists okanye amanye amagqirha abaphatha ukukhathazeka kwesikhumba awanakuqonda ukuba ii-NSAID zineempembelelo ezimbi kwi-IBD. Ngenxa yesi sizathu, abantu abane-IBD kufuneka bacele imiyalelo emitsha baze baxoxe nabo nge-gastroenterologist ngaphambi kokuba bathathe.
I-Corticosteroids, iodidi ye-potassium, kunye nama-antithyroid angasetyenziswa kwakhona kwiimeko ezinzima okanye ezingapheliyo ze-erythema nodosum. Umsebenzi olinganiselwe unokucetyiswa ukuba uncedise ukunciphisa ixesha elithathayo ukuba izilonda kunye nezinye iimpawu zisombulule.
Imithombo:
Weinstein M, Turner D, Avitzur Y. "I-Erythema nodosum njengento yokubonisa isifo sesisu se-inflammatory." I- CMAJ . Julayi 19, 2005.
URobert A. Schwartz, uNervi, uStephen J. "U-Erythema Nodosum: Isibonakaliso sezifo eziQheleleyo." Ugqirha wezeMerika waseMelika Matshi 1, 2007.
Su CG, uMgwebi TA, uLichtenstein GR. "Ubonakaliso obungaphezulu komzimba wesifo sesibilini." I- Gastroenterol Clinic North ngoMatshi 2002.