Kwiimeko ezininzi, umahluko phakathi kwe- atopic dermatitis kunye noqhagamshelwano lwe-dermatitis kuyacaca. Kwezinye iimeko, akusobala. Ezinye izigulane zinokuba nazo zombini zi-atopic kwaye zidibanisa i-dermatitis ngexesha elifanayo, enzima kunzima ukuyihlola. Nangona kukho ukufana okuninzi phakathi kwezi zimbini izimo eziqhelekileyo, kukho ukungafani okubaluleke ngakumbi xa kuziwa kwiimbangela ze-dermatitis.
Ukufana phakathi kwe-Atopic kunye noDermatitis
Bobabini be-atopic kwaye badibana ne-dermatitis zihlobo lwe- eczema . I-eczema ayiyixilongo. Kunoko, i-eczema ibhekisela ekugqibeleni okwenzekayo ngenxa yezi meko. Kukho izigaba ezintathu ezahlukeneyo ze-eczema:
- I-eczema ebonakalayo ibonakaliswa ngamabhanti (i-vesicle) enobumba obomvu.
- I-eczema encinci i-eczema, iyomile, inqabileyo, inqabileyo, ikhupha okanye isikhumba.
- I-eczema engapheliyo ibonakaliswa ngokutshabalalisa, ukuqina kancinci kwesikhumba esenzeka ngenxa yokutsalwa okungapheliyo.
I-biopsy yolusu ye-atopic kunye ne-dermatitis iya kubonisa iimpawu ezifanayo-ezizitshintsho ze-epidermis, ukuvuvukala kweeseli zesikhumba ze-epidermal ezibonakala njenge-sponge phantsi kwe-microscope. Ngoko ke, i-biopsy yolusu ayiyi kwahlula phakathi kwezi zimbini.
Ulwahluko phakathi kwe-Atopic kunye noDermatitis
Kukho iintlobo ezininzi ezibalulekileyo phakathi kwe-atopic kunye ne-dermatitis edibeneyo, kunye nokubaluleke kakhulu kukubakho ukuthathwa komntu ukuphuhlisa imeko.
Umntu one-atopic dermatitis udla ngokuguquguquka kwemfuyo kwiprotheni elukhumbeni lwawo olubizwa ngokuba yi-filaggrin.
Ukuguqulwa kwefayggrin kubangela ukuphazamiseka kwemiqobo phakathi kweeseli zesikhumba ze-epidermal. Oku kukukhokelela ekudambisweni kwesikhumba kunye nokukwazi ukwenza i-aerallergens, njenge-pet dander kunye nezilwanyana ezinothuli, ukungena kwesikhumba.
Ezi zixhobo ezinjalo zibangelwa ukuvutha komzimba kunye nokuvakala okukhulu. Ukukhangela kwakhona kukuphazamisa isikhumba kwaye kubangele ukuvuvukala nokutshisa ngakumbi.
Isisiseko sokungabikho komzimba singabangela ukuba i-eczema iphuhliswe njengesiphumo sokutya ukutya apho umntu ehlaselwa khona, okwenza i-T-lymphocytes (uhlobo lwegazi elimhlophe) ukuba lifuduke eluswini kwaye ibangele ukuvuvukala . Ngaphandle kwezi zixhobo ezifanelekileyo, umntu akanakwenzeka ukuphuhlisa i-dermatitis ye-atopic.
Ukudibanisa i-dermatitis, ngakwelinye icala, kubangelwa ukuphendulwa kwimeko yekhemikhali ngqo kwesikhumba. Kuyenzeka phakathi kwintsimi yabemi ekusebenzisaneni kunye ne- oak yetyhefu (malunga neepesenti ezingama-90) kwaye iyaqhelekileyo xa ibonakaliswe kwi- nickel , i-agents agents kunye neentambo zezinwele . Umntu usenokuba nekhono le- T-lymphocyte yakhe yokubona ikhemikhali njengento yangaphandle kwaye ayenze ngayo ukuze ahlakulele i-dermatitis.
Ubungakanani bomntu ofumana i-atopic dermatitis lubaluleke kakhulu phakathi kwezi zimbini. Uninzi lwabantu abaphuhlisa i-dermatitis ye-atop baneminyaka emihlanu okanye bancinci, ngelixa udibaniso lwe-dermatitis aluqhelekanga kubantwana abancinci.
Indawo ye-eczema yinto ebalulekileyo kakhulu xa ukwahlula phakathi kwe-atopic kunye ne-dermatitis.
I-aicic dermatitis ininzi ibandakanya iindawo ezinokwakheka kwintsholongwane yesikhumba, ezinjengeengxowa zamagxa (antecubital fossa), emva kwamadolo (popliteal fossa), emqaleni entanyeni, iintloko zeentloko, ama-ankle, nasemva kweendlebe.
Iindawo ze-flexural zihlala zibandakanyeka kubantwana abadala nakubantu abadala kuba ezi ndawo zilula ukukhawuleza. Ekubeni i-atopic dermatitis yintsimbi, ukuba xa ityunyiwe, ibangela ukukhawuleza, kuyacaca ukuba iindawo ezilula ukukhangela ziza kuba ziindawo eziphuhlisayo. Ngakolunye uhlangothi, qhagamshelana ne-dermatitis efumaneka kwisiza sokukhutshwa kweekhemikhali, ngoko ke kunokukwazi ukuba nokuba yiphi na emzimbeni.
Ukuxilongwa
Ukuxilongwa kwe-dermatitis ye-atopic kubandakanya ubukho be-eczema, ubukho bokubamba (pruritus) , kunye nobukho be-allergies. Izifo zogqirha zifunyaniswa ukusetyenziswa kovavanyo lwesikhumba okanye ukuhlolwa kwegazi, ngoko ke i-dopatitis ye-atopic iyingozi yokuhlaselwa.
Ukuxilongwa koqhagamshelwano lwe-dermatitis kubandakanya ubukho be-eczema, ngokuqhelekileyo bubuhlungu, kunye nokukwazi ukugqiba ukusetyenziswa kwe- patch test . Uqhagamshelwano lwe-dermatitis alubangelwa yinkqubo yokugula, kodwa ngenxa ye-T-lymphocyte edibeneyo yohlobo oluthatyathwayo.
Kungakhathaliseki ukuba i-eczema ivela kwi-atopic dermatitis okanye uxhumane ne-dermatitis, ukuchonga nokukhusela imbangela ukuba imodareythi yokwenza unyango.
> Imithombo:
> I-Atopic Dermatitis Sebenzisa iiParameters. Ann Annistry Asthma Immunol; 93: S1-21.
> Beltrani VS, Bernstein IL, Cohen DE, Fonacier L. Ukuqhagamshelana neDermatitis: I-Parameter yokuSebenza. Ann Annistry Asthma Immunol; 97: S1-38.