I-Hidradenitis suppurativa yimiqathango engapheliyo echaphazela izigulane zomzimba
Ukutshaya ngumkhwa owonayo onokukubulala. Ukubhema kubi ngemiphunga yakho, intliziyo yakho ... kunye nesikhumba sakho. Ewe, ukutshaya kunokuchaphazela nesikhumba sakho. Ngokukodwa, ukuba uyabhema, umngcipheko we-hidradenitis suppurativa ukwanda. (Ukubhema kubangela kunye imibimbi .)
I-Hidradenitis yimeko evukisayo efana neyona nto imbi ye- acne edla ngokuchaphazela kuphela i-sweat glands kwi-armpits kunye ne-groin.
Kwiimeko ezinzima, i-hidradenitis iphathwa ngokuhlinzwa okanye i-immunomodulators.
Yintoni iHidradenitis?
Ukongeza kokuchaphazela i-armpits kunye ne-groin, i-hidradenitis inokuchaphazela nezinye iindawo ezizityebi kwi-apocrine sweat glands ezibandakanya intambo engaphezulu kunye ne-anus. (Unqabile kakhulu, i-hidradenitis inokubethelela i-real estate kufuphi neqhosha lomlenze okanye indlebe.)
I-Hidradenitis iqala ukukhusela iifolisi zeenwele kwaye ikhusela izithobe ezizungezile. Olu khuselo luhamba kunye nokutshatyalaliswa kunye nokusuleleka okwenza le meko ibe yintlungu kwaye ingakhathazeki.
Abantu abane-hidradenitis ekhoyo ngamnyama kunye nama-abscess okanye amathumba anokuxhuma nge-tunnels (i-fistula) phantsi kwesikhumba. I-Hidradenitis iphinda ibangele i-drapage, iimpumle, ii-nodules, i-cysts kunye nokuqhwala.
I-Hidradenitis ixhaphake kakhulu phakathi kwabasetyhini, abase-Afrika baseMerika, abantu abagqithiseleyo, abantu abaneesifo seswekile kunye nabantu abane-acne. I-Hidradenitis ivame ukuqala ngokubonisa abantu abadala kwaye iyakwazi ukutshatyalaliswa ngexesha lexesha.
Izihlandlo ezininzi, iikholeji ze-hidradenitis kunye neenes. Kwiveki umntu umntu angabonisa ngeentlungu ezibuhlungu, ezibomvu, zegazi kunye ne-pus-knrenched, kwaye ngeveki ezayo yonke into ehlala isweleka, kuphela ukuba umjikelezo uphindwe iintsuku eziliqela okanye iveki kamva.
Ukuyeka ukubhema kunye nokulahleka kwesisindo-nangona ubuncinane beepesenti ezili-10 zomzimba wakho-kunokunciphisa iimpawu ze-hidradenitis.
Nangona kunjalo kunjenge-cystonidal cyst, i-hidradenitis ayisoloko into ehamba yodwa. Endaweni yoko, i-hidradenitis iya kuba yingozi ngakumbi ngaphandle kokunyangwa ngokukhawuleza. Ngamanye amazwi, ukuxilongwa kwangaphambili kunye nonyango luyintloko kumnceda. (Njengoko i- cystoniidal cyst ivame ukuphiliswa ngokuhlinzwa , ezininzi unyango lwe-hidradenitis luyanciphisa impawu.)
Hidradenitis Treatment
Iinjongo zonyango ziyahlukahluka ngokuhambelana nesigulane kwaye ziquka:
- ukunciphisa ukuphulwa
- kucinywa kwe
- ukuthintela ukuphulwa
- ukulahla izikrakra
- ukulahla iitoni ngaphantsi kwesikhumba (i-fistula)
Kukho unyango olulodwa lwe-hidradenitis olukhoyo kuquka oku kulandelayo:
- iziza-antibiotics, ezithintela ukuvutha nokusiza ukulwa nesifo
- ibheji yebhajethi
- ukuhlamba umgudu
- mayeza
- iipilisi zokulawula inzala
- methotrexate, eyanciphisa impendulo yomzimba
- injini ze corticosteroid
- unyango lwe-radiation oluqhuba umthwalo wokutshatyalaliswa kwemisebe kwaye kusetyenziswa ngaphantsi kakhulu namhlanje kunakudala
- ukugaya isilonda
- i-retinoids zomlomo, eziye zaboniswa ukunceda uncinci lwezigulane
Ngokuqhelekileyo, akukho nonyango okanye unyango olungagqirha luyasebenza xa unyanga i-hidradenitis; Kunoko, unyango luhlanganisiwe.
Xa i-hidradenitis isondela ngokujulile kwesikhumba, utyando luyindlela ekhethekileyo; Ukukhethwa kwindlela yokugada kunokuquka unyango lwe-laser, ukuchongwa kunye nokucinywa komhlaba, i-deroofing, kunye nokuzikhethela (ukuthatha indawo echaphazelekayo).
Ngelishwa, uncinci lwabantu luba ne-hidradenitis enamandla kakhulu engagxininiswa nonyango olungenanto oluchangekileyo. Ukongezelela koko, aba bantu bangabanqatshwa abagqityiweyo ngenxa yobukhulu bezilonda zabo. Kulo nyaka wesigulane, ngo-2015 i-FDA ivume i-agent ye-biologic okanye i-immunomodulator ebizwa ngokuba yi-adalimumab (Humira).
I-Adalimumab isebenza ukunciphisa ukuvuvukala kumlamli womzimba. Kwiimvavanyo zesikliniki, i-adalimumab iboniswe ukuba iphumelele ngokukhawuleza ekunikeni nje ukunciphisa ukuvuvukala kodwa nenani leenqununu kunye namaqhwa ahamba kunye ne-hidradenitis.
Okukwintsusa
Ukuba wena okanye umntu omthandayo uyabandezeleka kwi-hidradenitis, nceda qiniseka ukuba wenze idibaniselwano kunye nodokotela ojongene nokukhathalela oyintloko okanye idematologist.
(Ekugqibeleni ugqithiselwa kugqirha unyango.) Akukho sizathu sokunyamezela le meko ingakhathazeki ngakumbi xa kukho unyango olufanelekileyo.
Imithombo
Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr. Isahluko 115. I-Hidradenitis Suppurativa. Ku: Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr .. eds. Umbala we-Atlas we-Medicine Family, 2e . New York, NY: McGraw-Hill; 2013.
Zarchi K, Dufour D, Jemec GE. Impatho ephumelelayo ye-Hidradenitis Suppurativa ne-Anakinra. JAMA Dermatol. 2013; 149 (10): 1192-1194.