Isizathu sezilonda emilenzeni
Iyini i-pyoderma gangrenosum futhi itholakala kanjani?
I-Pyoderma gangrenosum yisimo esivame ukuholela ekuqhekekeni kwesikhumba. Igama layo lingase lidukise ngokuthi akuyona isifo noma isifo esibuhlungu. I-Pyoderma gangrenosum ihlukaniswe ngaphansi kwezimo ezibizwa nge- neutrophilic dermatoses . I-neutrophils yindlela yokuzivikela e-immune cell engabonakala ezimweni lapho kukhona ukuvuvukala.
I-pyoderma gangrenosum ikhona kanjani?
I-Pyoderma gangrenosum ivame ukuqala njenge-bump eqinile noma i-bump-fill filled bump. Lezi zimfucumfucu zingathuthuka ekuphukeni noma ukuvula isikhumba, okuholela esilonda. Ngokuvamile, emaphethelweni angase ahlambuluke noma ahlaziye, futhi imingcele ingahle ibe yinciphisa, njengokungathi kukhona umcibisholo ogqamile wesikhumba emaphethelweni. Isisekelo singase sibekwe nge-pus yellow. Kunama-subtypes ahlukahlukene ekubonisweni kwe-pyoderma gangrenosum. Ngezinye izikhathi kungabonakala nge-blisters enkulu kakhulu noma nge-bulky "izimila" zesikhumba. I-Pyoderma gangrenosum ibuye ikhombise i-pathergy - lapho izindawo zesikhumba ziphazamiseka, lokhu kungashukumisela i-pyoderma gangrenosum ukuthuthukisa kulezo zindawo. Lokhu kuhlanganisa izindawo zokuhlinzeka kwangaphambili kanye nezindawo ze-colostomy ezizungezile. I-Pyoderma gangreosum ingase ibuye ibe buhlungu kakhulu.
Uma izibazi ze-pyoderma gangrenosum ulcers ziphulukisa, ngokuvamile ziyi-cribriform ekubukeni, nemiphetho enamajuba.
Iyini i-pyoderma gangrenosum ehlobene nayo?
Ezimweni eziningi ze-pyoderma gangrenosum, kukhona ukuhlangana nezinye izimo zezokwelapha ezifana nesifo sofuba esiswini noma izifo zegazi.
I-pyoderma gangrenosum ihlolwe kanjani?
I-Pyoderma gangrenosum ixilongwa ngokuxoshwa. Lokhu kusho ukuthi umhlinzeki wakho udinga ukukhipha isifo ngaphambi kokuthi akuthole ngalesi simo.
Ama-neutrophils abonakala kuleso simo ngokuvamile angaba uphawu lokutheleleka, ngakho kubalulekile ukuqinisekisa ukuthi awunawo ubufakazi bokutheleleka. Ukukhipha ukutheleleka, ama- biopsies avame ukwenziwa futhi athunyelwe iziko zesisindo. I-Biopsies yokuhlolwa kwe-pathology ivame futhi yenziwa. I-skin biopsies ingenziwa ngezinqubo ze-punch, inqubo ye-shave , noma nge-excision wedge. Izindawo ze-biopsy zingaphulukisa. Ukwaziswa ngemitholampilo kanye nokuhlolwa nakho kuyadingeka ukuze kuhlolwe i-pyoderma gangrenosum. Ezinye izici zihlanganisa ukutholakala kwe-pathergy, iphethini elithile lokushaywa ngamaphethelo, futhi impendulo enhle ekwelashweni kwe-steroid. Umhlinzeki wakho angenza nezinye izivivinyo ezifana nokuhlolwa kwegazi ukuqinisekisa ukuthi azikho ezinye izimbangela zezilonda.
I-pyoderma gangrenosum iphathwe kanjani?
Ama-ulcers kudingeka athole ukunakekelwa okufanele kwezilonda. Ngokujwayelekile, ukugqoka okungagculisi isikhumba kufanele kusetshenziswe. Izindawo kufanele zigcinwe zihlanzekile, futhi izimiso zokunakekela izilonda eziyisisekelo kufanele zilandelwe ukuze kwenziwe ngcono ukuphulukiswa.
Ukwelashwa kwe-pyoderma gngrenosum kuncike esimweni sesimo. Uma izinga le-pyoderma gangrenosum lilinganiselwe kakhulu, ukwelashwa kunganciphisa ukwelashwa okwenziwe ngama-topical njenge-steroids yama-topic noma ama-inhibitors angama-topical calcinurin (isib. Tacrolimus).
Lapho kuningi kakhulu, ama-steroids e-systemic afana nalawo athathwa ngomlomo avame ukusetshenziswa. Ezinye izidakamizwa zokuzivikela zingase zivivinywe, kufaka phakathi kodwa ezingapheli, i-TNF-inhibitors (njenge- infliximab ), i-cyclosporine, i-minocycline (evame ukusetshenziswa njenge-antibiotic kodwa futhi inezindawo zokulwa nokuvuvukala), i-dapsone (futhi isetshenziswe njenge-antibiotic kodwa nayo inezindawo zokulwa nokuvuvukala). Ezinye izindlela zokwelapha ezifana ne-immunoglobulin (IVIG) ezisebenzayo nazo zisetshenziselwe lesi simo.
Ingabe i-pyoderma gangrenosum kufanele iphathwe ngokuhlinzwa?
Ngokuvamile, i-pyoderma gangrenosum akufanele ihlinzekwe ngokugcwele.
Lokhu kungenxa yokuthi isenzo sokudiliza singaqhubeka sivuselele lesi simo. Kodwa-ke, ezimweni ezikhethekile, ukungenelela okuhlinzekwayo kungavunyelwa, kodwa lokhu kufanele kwenziwe ngokucubungula ngokucophelela.