Ukurhoxiswa, ukuvuthwa, ubomvu kunye nokubetha-nangona ezi zimpawu zesikhumba zibonakala zifana, zithetha ukuba unokufumana enye yeemeko ezahlukeneyo , kuquka i-rosacea, i-psoriasis kunye ne-eczema.
Ngelixa i-rosacea, i-psoriasis, kunye ne-eczema zihlala ziimeko ezingapheliyo, azinqabile ukuba zisongela ubomi. Nangona kunjalo, kunokukhokelela kwiinkathazo (ezinye zazo ezinokuba nzima) ukuba zishiywa zingakhange ziphendulwe.
Yingakho kubalulekile ukubona ugqirha ukuba ufumane unyango olufanelekileyo kunye nesicwangciso sonyango. Ngomqondiso ofanayo, kuthatha ixesha lokufunda malunga nemeko yesikhumba (okanye imeko enokwenzeka) yinyathelo lokuqala eligqibeleleyo.
Ngaloo nto, nayi-primer ukukunceda ukuhlenga iintlukwano phakathi kwezi zihlandlo ezintathu zihlala zidibanisa iingxaki zesikhumba.
I-Rosacea: Izibonakaliso, iiMpawu kunye noTyango
I-Rosacea ixhaphake kakhulu kulabo abanobuhle obukhuni, kwaye ixabela phantse amaxesha amaninzi amawaka njengabesifazana njengamadoda. Oku kukholelwa ukuba ngenxa yemicimbi ye-hormone, ngokukodwa ezo zinto zenzeka malunga nexesha lokumisa umva. Nangona kunjalo, i-rosacea ingahlakulela nanini nayiphi na iminyaka, nangona ebuntwaneni.
Iimpawu
I-Rosacea ivela ngokubalulekileyo ebusweni bakho kwaye ibangela iimpawu ezinjengeenkcukacha ezilula okanye ezinzima okanye ukutshisa, ukutshisa, ukubomvu, ukuvutha, nokuvuvukala. Ezi zihlandlo zihlala zihamba kwaye zihamba, kunye nexesha lexesha apho zikhuni ngakumbi kwaye zixesha xa zinzima.
Ukongezelela, iimpawu ze-rosacea zilandela umzekelo. Ekuqaleni, iinkalo eziphambili zobuso zichaphazelekayo, ngokusasazeka kwithuba elidlulileyo ukuya ezihlathini, ebunzini, kwintsimbi, nasempumlweni. I-Rosacea inokusasazeka ukubandakanya amehlo, indlebe, isifuba kunye nomva.
Ngemihlaba yobomvu ebusweni, imilambo yegazi encinci, iimpumlo, kunye / okanye iipustules zinyuka, kodwa akukho mnyama ebonakalayo, enokukunceda ukuhlukanisa i-rosacea kwi-acne.
Ngokuhamba kwexesha kunye ne-rosacea, imithwalo yegazi ebusweni bomntu iya kwandiswa, okwenza ubomvu bubonakale ngakumbi, kungakhathaliseki nengozi, imeko.
Kuyafaneleka ukuba uqaphele ukuba malunga nesiqingatha sabantu abane-rosacea bahlakulela ingxaki ebizwa ngokuthi i-rosacea ye-ocular, apho amehlo agxuma, atshisa kwaye azive efanelekileyo. Ukungaphenduliwe, ukusulelwa kwamehlo kunokubangela iingxaki ngombono.
Ekugqibeleni, i-rosacea inokukhokelela ekugqibeleni iholele kwi-rhinophyma (igama elisetyenziselwa ukuchaza ukwandiswa kweengqungquthela zesoyile ebusweni obangela izihlathi ezibomvu kunye nephuzi elikhulu elibomvu).
I-Rhinophyma ijwayele ukubetha amadoda ayenayo i-rosacea iminyaka kwaye angase adibanise ngokwaneleyo ukuba afune ukuhlinzwa. Nangona i-rhinophyma ayikho uphawu lotywala, utyando lwe-cartoon lukhokelela ngokungafanelekileyo abantu ukuba bakholwe oko.
Abacebisi
Iingcali zenzululwazi zizama ukuqonda izizathu ezibangela i-rosacea, kodwa izinto eziqhelekileyo ziquka:
- Ukushisa okuphezulu okanye utshintsho
- Ukushona kwelanga
- Ukuxinezeleka
- Ukuya esikhathini
- Imveliso yokhathalelo lomntu kunye neziqhumiso eziqukethe utywala
- Ukuhlahlela ubuso
- Iziphuzo ezivuthayo
- Ukutya okunesonka
- Caffeine
- Utywala
- Amanye amayeza
Unyango
Uninzi lwezonyango zonyango lunokuba luncedo ekuphatheni i-rosacea, kuquka i-antibiotics, amayeza antifungal, i-benzoyl peroxide kunye ne-vitamin A (i-retinoids).
Kubalulekile ukuba uqaphele ukuba iimveliso ze-steroid zimele zisetyenziswe kuphela ukugqitywa okufutshane (kungekho ngaphezu kweeveki ezimbini ngelo xesha) ukunciphisa ubomvu. Enyanisweni, i-steroids inokugqithisa ngakumbi i-rosacea xa isetyenziswe ngokungalungile, kwaye ingakhokelela kwezinye iziphumo ezimbi .
Olunye unyango lwe-rosacea lonyango lwelasi okanye unyango oluthiwa yi-electrodesiccation (kusetyenziswa inaliti encinane ehambisa umbane kwisitya segazi, ukutshabalalisa). Ekugqibeleni, imishanguzo yegazi njengama- beta-blockers okanye i- Catapres (i-clonidine) ngamanye amaxesha uncedo ekuphatheni ukuhluthwa okunxulumene ne-rosacea.
I-Psoriasis: Iintlobo, iiMpawu, kunye noTyango
I-Psoriasis inokuphuhliswa nanini na ubudala, kwanabuntwaneni.
Ihlala isebenza kwiintsapho kunye nemigodi kwaye ihamba ngamandla kwixesha lokuphila. Xa unesifo se-psoriasis, isistim somzimba sakho sokuzivikela sikhupha isikhumba sakho njengesihlaseli sangaphandle, sihlasela kwaye silimaza.
Iintlobo
Ifom ye-psoriasis ebizwa ngokuba yi- plaque psoriasis , apho iindawo zesikhumba zihlanganiswa ngophawu olubomvu (ezibizwa ngokuba yi-plaque), zikhutshwa ngumlinganiselo omhlophe. I-plaque psoriasis iyakwenzeka naphi na elukhumbeni kodwa ngokuqhelekileyo ichaphazela izibonda, amadolo kunye ne-scalp. Imimandla apho ifomathi ifumaneka khona kwaye ithenda.
I-plaque psoriasis inokuchaphazela ne-scalp ekubangela ukuba ibe yinto eqhelekileyo, efana ne-scandruff. Izipila nazo zinokujoliswa kwaye kwaye ukuba kunjalo, ziyacinywa, zigqitywe kwaye zikhululeke.
Ewe, kukho ezinye iifrigiasis, eziquka:
- Guttate psoriasis : Olu hlobo lwe-psoriasis lubangela iincinci ezinokusila, i-tear-shaped shaped, i-salmon pink spots. Iifom zeendawo zidla ngokuphindaphindiweyo kwi-trunk, iingalo, nemilenze, kodwa iyakhupha umzimba wonke.
- I-Pustular psoriasis : Ngolu hlobo lwe-psoriasis, umntu uhlambala ebusweni, obusibhakabhaka obuqweqwe ngamagqabhoko azaliswayo, afunyanwa rhoqo kwiintendelezo zezandla zabo kunye neengcambu zeenyawo zabo.
- I-psoriasis engenayo : Njengagama , lolu hlobo lwe-psoriasis lubangele izilonda ezingabonakaliyo kodwa ezibushelelezi, ezibomvu, ezibomvu. Imimandla yesikhumba echaphazelekayo yi-psoriasis engenanto iqhelekileyo ikhumba njengezibopho, phantsi kwebele, kunye / okanye indawo yokuhluma.
- I-Erythrodermic psoriasis : Le yinto engabonakaliyo, enokuba yingozi kakhulu ye-psoriasis ebangela ubomvu obusasazekayo, ukuvuvukala nokukhupha umzimba wonke. Kwiimeko ezigqithiseleyo, iingxaki ezifana nokusuleleka kwintsholongwane, ukukhulelwa kwamanzi, kunye nokuhluleka kwentliziyo kwintliziyo kunokubangela ukuba le nkalo ibe yingozi yokuphila.
Ekugqibeleni, inkxalabo enokubangela ingxaki eqhubekayo malunga nama-10 ukuya kuma-30 ekhulwini abantu abane-psoriasis yindlela ye-arthritis ebizwa ngokuthi i-psoriatic arthritis. Nangona le meko idibeneyo ichaphazela abantu ngokukodwa, impawu ezimbalwa zeklasi zibandakanya ukuqina kobungakanani bentsasa, ukukhathala kunye neminwe enemihlobiso kunye neenzwane ezibizwa ngokuba yi-dactylitis.
Abacebisi
Unokumangaliswa xa ufumanisa ukuba izifo zivame ukuphazamisa i-psoriasis flares, ikakhulukazi izifo ezifakwe kwi-strep, ezihambelana kakhulu ne-guttate psoriasis.
Ezinye izinto ezinokubangela ukuba i-psoriasis zibandakanya:
- Ukulimala kwesikhumba
- Ukushona kwelanga
- Ikhumba elomileyo
- Ukuxinezeleka
- Ukuthatha imithi ethile, njenge lithium okanye i-interferon
Unyango
Iindidi ezahlukeneyo zonyango ziyakunceda ukuphucula iimpawu ze-psoriasis, kubandakanywa amalungiselelo e-steroid, i- anthralin , i- Dovonex (i-calcipotriene), ama-vitamin A, kunye namaziko enamalahle elahle . Ukukhanya kwe- ultraviolet (UV) ukukhanya kunokuphucula iimpawu, nokuba kungokwemvelo, ilanga langaphandle, okanye isibane / isibani esikhethekileyo kwiofisi yegqirha.
I-psoriasis enamandla ingadinga unyango ngamachiza enamandla anqanda amaninzi omzimba wakho njengoTrallall (methotrexate), iSandimmune (cyclosporine) kunye neziyobisi ze-biologic eziquka i-Enbrel (etanercept), i-Remicade (infliximab), okanye i-Humira (adalimumab).
I-Eczema: Ehlobene Nezilwanyana
I-eczema (eyaziwa nangokuthi i-atopic dermatitis) ingahlakulela naluphi na ubudala, kwanexesha lokusana. Ngokuqhelekileyo iqala ngaphambi kweminyaka emihlanu. Phantse ama-40 ekhulwini kubantwana "bakhula" kwintshukumo yabo, kodwa abanye bafumana ukuphazamiseka kwabo bonke ubomi babo. I-Eczema ihlala isebenza kwiintsapho, ingakumbi ezo zithinteka ekuhambeni komzimba kunye ne-asthma.
Iimpawu
I-eczema ikholelwa ukuba yindlela eyenza ukuba i-red reaction, ikhutshwe kwaye ibomvu ibe yinto ebomvu, njengokuba ukutshitshiswa nokuxubha kukukhuphula ngakumbi isikhumba. Iindawo ezichaphazelekayo zingahle zityhuke, zichazwe, zikhishwe, zikhuni okanye ziyi-scaly, kwaye zinokulila i-fluid ecacileyo. Abantu abane-eczema bayingozi enkulu yokuphuhlisa izifo zentlalo, ngokukodwa kubakteria, iStaphylococcus aureus.
I-eczema inokutshala phi na, nangona iindawo eziqhelekileyo zihlala ezikhungweni zesikhumba, ezihlathini nasemacaleni ezandla, eziqongweni zeengalo kunye nephambi kwemilenze.
Abacebisi
Iingxaki ze-eczema ziquka ukutshintsha kweqondo lokushisa, isikhumba esomileyo, izilonda (umzekelo, uboya, idayi, iziqholo, iziqhumiso kunye neesepha) kunye nokutya, ngokukodwa iindawo eziphambili zokutya: amaqanda, i-peanuts, intlanzi, i-soy, ingqolowa, kunye nobisi. Ukuxinezeleka, izilwanyana ezinothuli, i-pollen, ne-animal dander nazo zinokubangela i-eczema.
Unyango
Xa unesifo se-eczema, kubalulekile ukugcina isikhumba sakho sihlambulukile kwaye sihluma kakuhle. I-steroids ye-topical ingenza ngcono ukubomvu nokubamba. Ukongezelela, imithi yonyango yemilingo efana ne- Elidel (i-pimecrolimus) ne-Protopic (i-tacrolimus) inokuphucula ukutshabalalisa nokubomvu, kodwa kufuneka isetyenziswe ixesha elifutshane. Ekugqibeleni, i-antihistamines ngomlomo inganciphisa ukubetha.
Kwiimeko ezinzima ze-eczema, i-oral steroids, i-Trexall (methotrexate), i-Sandimmune (cyclosporine) okanye i-Imuran (azathioprine) ingafuneka. Elinye iqela elibalulekileyo lokunyamekela kwesikhumba se-eczema kukuthatha imvula emfutshane, efudumeleyo (engashushu) kwaye isebenzise ukuhlanjululwa kwe-soap. Ukusebenzisa umququzeleli kuwo wonke umzimba ngaphakathi kwemizuzu emithathu yokuphuma kwisawa kukubalulekileyo ekukhuseleni umqobo wakho wesikhumba.
ILizwi
I-Rosacea, i-psoriasis, kunye ne-eczema ziintlobo zontathu zengqondo eziqhelekileyo kunye nezinye iimpawu ezahlukileyo kunye neziganeko ezikhethekileyo, iziphumo kunye neyeza. Nangona kunjalo, qiniseka ukuba ubone ugqirha wakho ukuxilongwa, njengoko kukho ngokwenene iimeko zesikhumba ezinokuthi zilingise abo bachazwe apha.
Khumbula kwakhona, ulusu lwakho luyilungu, njengentliziyo yakho kunye nemiphunga yakho, ngoko unika ingqwalasela efanele. Iingcebiso ezimbalwa zokuqalisa ukuba zibandakanya: ukusebenzisa i-sunscreen nsuku zonke ngaphambi kokuba uphume ngaphandle, ugweme ukutshaya, ukwenza i- skin self-exams , nokubona i-dermatologist xa ubona into ephazamisayo okanye engekho.
> Imithombo:
I-American Academy yeDermatology. (2017). Atopic Dermatitis.
I-American Academy yeDermatology. (2017). Psoriasis.
I-American Academy yeDermatology. (2017). Rosacea.
UFerri, uMcebisi wezeKliniki zikaFred F. Ferri 2008 . 2008. UFred F. Ferri. Philadelphia: Mosby, 2008.
> Sankowski AJ, Łebkowska UM, Ćwikła J, Walecka I, Walecki J. I-Psoriatic arthritis. Pol J Radiol . 2013 Jan-Mar; 78 (1): 7-17.