Abaphandi baye bafumana uxhamlwano olucacileyo lwezofuzo phakathi kwesikhumba se-vitiligo, kunye nezinye izifo ezizimele. Ngokukodwa, i-vitiligo ihambelana kakhulu nenani lezifo ezizimeleyo, kuquka:
- Izifo ze-thyroid ezenza ngokuzenzekelayo njengeHashimoto's thyroiditis kunye nesifo se-Graves
- Inemia enobungozi
- Irheumatoid arthritis
- Psoriasis
- Lupus
- Isifo sesifo sesisu
- Uhlobo lwe-1 lweswekile
Ngaphezu koko, uphando luye lwabonisa ukuba ukusabalalisa kwesifo se-thyroid kwisigidi se-14 kubantu abahlala ne-vitiligo, kwaye umngcipheko wokuba nesifo se-thyroid (ukuba unayo i-vitiligo) sanda ngokukhula.
Uhlolo lweVitiligo
I-Vitiligo, ebizwa ngokuba yesikhumba se-piebald okanye ithole i-leukoderma, yimeko apho i-pigment ilahleka kwiindawo zesikhumba, ezibangele zibala, zibophezele. Ukulahleka kwe-pigment kuvela kwi-melanocytes, iiseli ezivelisa i-pigment. Izinwele ezikhula kule mimandla echaphazelekayo nazo ziyachaphazeleka, ziphendulele ezimhlophe. Kwi-vitiligo, isikhumba ngokwawo asinakonakaliswa, kodwa abanye abantu bayayiqaphela ukunqanda kwesikhumba okanye ukuphazamiseka.
Kukho iintlobo ezahlukeneyo ze-vitiligo:
I-Vitiligo engekho yecandelo
Olu luhlobo oluqhelekileyo lwe-vitiligo. Iimpawu ezibonakalayo zibonakala kumacala omabini omzimba kwaye ziqheleke ngokulinganayo. Amabala amaninzi afumaneka kwiindawo eziqhelekileyo kwi-sun okanye kwesikhumba phantsi koxinzelelo, ukuxabana, okanye ukuxhwaleka.
Kukho amaqhosha amahlanu angama-vitiligo engekho kwicandelo:
- I-Generalized - ayikho into ethile okanye ubukhulu apho kuvela khona iifenethi
- Acrofacial - ikakhulu kwiminwe, iinzwane, kunye nobuso
- I-Mucosal - ifumaneka ngeembumba zomlomo kunye nemilomo okanye i-mucosa yomzimba
- I-Universal-ihlanganisa ubuninzi bomzimba, kwaye ayinqabile
- Ugxininiso - ambalwa amathanga amhlophe ahlakazekile kwindawo encinci, efumaneka kubantwana
Vitalligo
Le fomu ye-vitiligo isasazeka ngokukhawuleza kodwa iyomelele ngakumbi kunokuba ayikho inxalenye. Kwakhona kuncinci kakhulu kunezinto ezingezizo.
Mixed Vitiligo
I-vitiligo edibeneyo ithetha ukuba umntu unobungqina bombini kunye ne-vitiligo.
I-Vitiligo encinci okanye i-Hypochromic Vitiligo
Olu hlobo lwe-vitiligo lubonakaliswa ngamathanga ambalwa ahlakazekile emzimbeni kunye ne-scalp, efunyenwe kubantu abaluhlaza
Isizathu seVitiligo
Akukho sizathu esicacileyo sokuba kungani i-melanocytes ifa. Ezinye zezizathu ezicinga ukuba zenza i-vitiligo zi:
- Ukuhlaselwa ngokuzenzekelayo, apho i-immune system ihlaselwa kakubi kwaye ichithe i-melanocytes elukhumbeni
- Ukungalingani kwimeko yokuxhamla komzimba enokuthi i-genetic in nature
- Iintsholongwane
Inani lezinto zibhekwa njengezinto ezibangele iziganeko ze-vitiligo, kuquka:
- Iziganeko ezixinzelelekileyo okanye uxinzelelo olungapheliyo
- Ukutshisa kwelanga
- Ukubonakaliswa kwiikhemikhali ezinzima
Ukuxilongwa kweVitiligo
Ugqirha uya kuhlola i-vitiligo ngokuvavanya intsapho yakho kunye nembali yonyango, kunye nokuhlolwa koqobo. Ugqirha wakho unokuyalela iimvavanyo zegazi ukuvavanya umsebenzi wakho we-thyroid, unike ikhonkco phakathi kwe-vitiligo kunye nesifo se-thyroid.
Ugqirha wakho uza kubuza imibuzo, kuquka:
- Ngaba unamalungu entsapho kunye ne-vitiligo?
- Ngaba unembali yentsapho yezifo ezizimele?
- Ngaba unalo ukugqithisa okukhulu okanye ukushisa ilanga ngaphambi kokuba kubonakale imichilo emhlophe?
- Ngaba uphantsi kwengqondo okanye yengqondo?
- Ngaba iinwele zakho zaba zimpunga ngaphambi kweminyaka engama-35?
- Ngaba unomdla kwilanga?
Unyango lweVitiligo
Kungenokwenzeka ukuba, kuya kufuneka ukuba ubone i-dermatologist ukufumanisa kakuhle i-vitiligo. Ugqirha unokukunceda ukuba uqale inkqubo yokonyango ukuze uncede ukubuyisela i-pigmentation yesikhumba. Nangona kukho iindlela ezininzi zokonyango kwi-vitiligo, akukho nonyango.
Unyango luxhomekeke kwiminyaka yakho, yonke impilo, ukhetho lwakho, kunye nendawo ye-vitiligo emzimbeni wakho.
Abanye abantu bakhetha ukunyanga i-vitiligo yabo.
Unyango lwe-vitiligo luquka oku kulandelayo:
I-Phototherapy ne-UVB ukukhanya
Indawo echaphazelekayo iboniswe kukhanya kwe-UVB. Olu unyango lunokwenziwa ekhaya, kwaye ngenxa yokuba lunokwenziwa kwimihla ngemihla ekhaya, lubonwa njengenye yezonyango ezisebenzayo.
PUVA unyango okhanya
T yakhe unyango isebenzisa ukukhanya kwe-UVA ukuphatha indawo ezibonakalisiweyo kwaye ngokuqhelekileyo zenziwa kwiofisi yegqirha.
Ukucoca isikhumba / ukwakheka
Iindawo ezichaphazelekayo zinokuthi zifakwe kwiikramshi ezenziwe ngezonyango kunye nokwenza.
Ukuguquka
Ukuba indawo echaphazelekayo inkulu, njengamaphesenti angama-50 emzimbeni, wonke umzimba ungagqithiselwa ukuze uhambelane neendawo ezichaphazelekayo yi-vitiligo.
Steroid
Ngamanye amaxesha i-steroids ye-topic isetyenziswe kwiindawo ezichaphazelekayo inokunqanda ukusasazeka kwesi sifo. Olu unyango aluqhelekanga kwi-vitiligo elisebusweni.
Ukutya, izityalo kunye neendlela ezihambelanayo
I-Assitigo Support International ibonelela ngokucacileyo iindlela ezahlukeneyo zokutya, izityalo kunye nezongezelelweyo ze-vitiligo
Izinketho ezimbini ezitsha zibonisa izithembiso ekuphatheni i-vitiligo.
PC-KUS
I-PC-KUS yonyango olusenziwa eYurophu. Kwisifundo esithile malunga nezigulane ezingama-2 500 ezine-vitiligo, uninzi lwaba nolwazi lokubuyisela i-pigmentation kwesikhumba kunye neenwele nge-PC-KUS unyango.
Tofacitinib
I-Tofacitinib, iJanus kinase inhibiting drug, ifunyenwe ukukhuthaza ukuguqulwa kwezinye izigulane ze-vitiligo. Kufuneka uphando olunzulu ngakumbi ukuqinisekisa ukuba le nkunkuma ikhuselekile kwaye isebenzayo ekuphatheni i-vitiligo.
ILizwi
Nangona i-vitiligo ayisona isifo esongela ubomi, sinokuthatha umonakalo kwimpilo yengqondo yomntu. Ukufumana ulwazi malunga ne-vitiligo, ukufuna unyameko olufanelekileyo kwi-dermatologist, kunye nokudibanisa nabanye nge-vitiligo ngundoqo ekujonganeni kakuhle.
Ekugqibeleni, ukuba wena okanye othandekayo unayo i-vitiligo, kunengqiqo ukuxoxa nogqirha wakho ukufumana uvavanyo lwegazi lwe-TSH kunye novavanyo lwezilwanyana ze-thyroid.
> Imithombo:
> I-American Academy yeDermatology. Vitiligo.
> Baldini E et al. I-Vitiligo kunye neengxaki ze-Thyroid ze-Autoimmune. Front Endocrinol (Lausanne). 2017; 8: 290.
> Grimes PE. (2017). I-Vitiligo: I-Pathogenesis, iimpawu zeklinikhi kunye nokuxilongwa. Tsao H, ed. Isemgangathweno. Waltham, MA: UpToDate Inc.
> Liu LY, Strassner JP, Refat MA, Harris JE, uKumkani BA. Ukuguqulwa kwe-vitiligo usebenzisa i-Janus kinase inhibitor kwi -facitinib kunokufuna ukukhanya okukhanyayo. J Am Acad Dermatol . 2017 Oct; 77 (4): 675-82.
> Vrijman C et al. Ukusabalalisa kwesifo se-thyroid kwizigulane ezine-vitiligo: ukuhlaziywa okucwangcisiweyo. Br J Dermatol 2012 Dec; 167 (6): 1224-35.