I-seborrheic dermatitis yinkinga encane yesikhumba engabonakali kakhulu abantu abaphila negciwane lesandulela ngculaza. Eqinisweni, amaphesenti angama-25 kuya kwangu-45 abantu abane-HIV bayothola, uma kuqhathaniswa namaphesenti ayisishiyagalombili kuphela wabantu abaningi. Leli nani kuphela likhuphuka kubantu abanesandulela-ngculazi esithuthukisiwe, kanti ezinye izifundo zikhomba ukuthi ingozi yokuphila engamaphesenti angama-83.
I-seborrheic dermatitis ihlobene eduze nokuwohloka kwesimiso somzimba somuntu. Imisebenzi ye-HIV ngokukhomba nokubulala amangqamuzana (abizwa ngokuthi ama-CD4 T-cells) asemqoka ekuzivikelweni kwethu kwamagciwane. Njengoba lesi sifo sithuthuka, umzimba awukwazi ukulwa nezifo ukuthi omunye umuntu onempilo angakwazi.
Izinkinga ze-Dermatologic (isikhumba) zingenye yezimpawu zokuqala ze-HIV eziqala futhi ezivame kakhulu.
Ukuqonda i-Seborrheic Dermatitis
I-Dermatitis igama elivamile elisetshenziselwa ukuchaza ukuvuvukala kwesikhumba. I-Dermatitis ingaba nezimbangela eziningi futhi ivela ngezindlela eziningi. Ngokuvamile kuhilela ukuqhuma okunamandla esikhumba esikhukhumele, esikhukhulayo.
I-seborrheic dermatitis yiphuphu elincane lesikhumba esivame ukubandakanya isikhumba sesikhumba futhi ngezinye izikhathi ubuso (ngokuvamile kuvame ama-eyelashes, amashiya, nezindlebe). Ezimweni ezinzima, zingathuthuka esifubeni, izimpumputhe, noma ubuhlungu, ikakhulukazi uma zigcwele izinwele eziningi.
I-seborrheic dermatitis ingahlukahluka ekubukeni kwemifino ebomvu ephoqelekile ngezinga elihle, izikali ezinamafutha eziqhingini ezinzima ezinamabala amakhulu, abomvu, ama-scaly.
Iziqhumane ezinkulu ezihilela i-trunk noma ubuhlungu ngokuvamile azibonwanga ngaphandle kwe-HIV.
Nakuba imbangela eqondile ye-seborrheic dermatitis engaziwa, kunobunye ubufakazi bokudweba ukuthi imvubelo, i- Pityrosporum ovale , ingaba nengxenye.
Ukwelapha
Izimpawu ze-seborrheic dermatitis ziphathwa ngendlela efanayo kubantu abane-HIV njenganoma ubani omunye:
- Ama- corticosteroids amancane angama-topical
- Ama-shampoo eTha
- Ukusetshenziswa kabili kwe-imidazole ukhilimu ukunciphisa ukuvuvukala
Kubalulekile futhi ukubhekana nezici ezisemqoka ezenza ukuba seborrheic dermatitis. Njengoba igciwane lesandulela ngculaza elingenalo i-HIV liphinde linciphise ingozi yalesi sifo kanye nezinye izifo zesikhumba, abantu abane-HIV kufanele bafakwe ku-antiretroviral therapy (ART) ngokushesha ukuze bavimbele ukuguqula igciwane.
Uma isetshenzisiwe njengoba iqondiswe, i-ART ingakwazi ukuvimbela i-HIV kumazinga angabonakali, ngaleyo ndlela ivumela i-CD4 T-cell ukuba iphinde iphethe. Ngokwenza njalo, ingozi yokuthola isifo esithinta i-HIV inciphisa kakhulu, kuhlanganise ne-dermatologic.
Nini Ukubona Udokotela
Kungakhathaliseki ukuthi unesandulela ngculaza noma cha, udokotela wakho kufanele ahlole noma yiliphi icala le-seborrheic dermatitis engaphenduli kumakhemikhali ajwayelekile.
Uma une-HIV futhi ungaqali i-ART, kubalulekile ukuthi wenze njalo ngokushesha. I-US yamanje kanye neziqondiso zincoma ukuthi ziqale ama-ART ngesikhathi sokuxilongwa , isu eliyaziwa ukunciphisa ingozi yezifo ngamaphesenti angu-53.
Uma usola ukuthi unesandulela ngculazi, uhlolwe noma umtholampilo oseduzane noma usebenzise ithikithi lokuhlola ikhaya elikutholakele kuma-pharmacy amaningi. Ukuhlolwa okusheshayo kwesizukulwane esisha kuyakwazi ukubuyisela imiphumela emaminithi angu-20, okuvumela ukuthi uqale ukwelashwa ekuseni ukugwema ukugula okuhlobene ne-HIV.
> Imithombo
- > Izikhungo Zikazwelonke Zempilo (NIH). "Ukuqala ukwelashwa kwe-antiretroviral kuqala kuthuthukisa imiphumela yabantu abanegciwane lesandulela ngculazi." I-Bethesda, e-Maryland; ikhishwe ngoMeyi 27, 2015.
- > Maurer, T. noGerber, T. "Ukubonakaliswa kweDermatologic ye-HIV." Isikhungo Sezisisekelo se-HIV EsiSite. I-San Francisco, eCalifornia; Mashi 1998.