Yikuphi ngempela i-Rosacea futhi ingahle isetshenziswe kanjani?
Usanda kutholakala ukuthi une-rosacea, noma kungenzeka ukuthi ubone ezinye zezikhangiso zelashwa eziye zachuma eminyakeni yamuva. Uma kunjalo, cishe unemibuzo eminingi. Ingabe i-rosacea ingenye igama lomuthi omdala? Ziyini izimbangela? Futhi, okubalulekile, ingabe kukhona ukwelashwa okungawenza kube khona?
Ngaphezu kwalokho, yini esiyifunayo ngokuthi i-rosacea ingaxhunyaniswa kanjani nezinye izimo zezokwelapha?
Sibutsetelo
I-Rosacea yisimo esibandakanya ukuziphatha okungajwayelekile kweyunithi ye- pilosebaceous , eliyigama elikhulu elisetshenziselwa ukuchaza ama-pores, noma inhlanganisela ye-follicle yezinwele, i-shaft yezinwele ne-sebaceous gland. Nakuba kubukeka kakhulu njengama- acne omdala , akusiyo izikhumba ezindala. Nge-rosacea, izilonda ezibonakalayo ezivamile zivamile, kodwa amnyama (ama-comedones) awasho.
Eminyakeni eminingana eyedlule izinkampani zemithi ziye zaba ukukhangisa imithi engasiza nge-rosacea. Kungakhathaliseki ukuthi ukukhangisa okuqondile kuya kubathengi kuhle noma kungokomthetho omunye umbuzo, kodwa nge-rosacea, lezi zikhangiso zenze umehluko kwabanye abantu. Esikhathini esedlule, i-rosacea ingenye yalezi zimo zesikhumba abantu abaningi abangazange bazi ukuthi babenakho (noma bakholelwa ukuthi banezinto ezingelapheki), kuze kube nezinguquko ezihlala njalo. Abantu abaningi ekugcineni baxoxa nodokotela babo kuphela ngemva kokuphelelwa indlela ababukeka ngayo.
I-rosacea enomusa yisimo esiphatha kakhulu, uma nje uqaphela ukuthi unesimo esingaphatha.
Ake siqale ngamanye amaqiniso asheshayo mayelana ne-rosacea ukusiza ukuchaza lesi simo kuwe:
- I-Rosacea ivame ukuqala ngemva kweminyaka engama-30
- Kuvame kakhulu kubantu besifazane kunamadoda, nakuba kunzima kakhulu kubantu kunabesifazane
- Kwenzeka kaningi kubantu baseScandinavia noma isiCelt kodwa kungathinta noma ubani
- Lithinta abantu baseMelika abangaphezu kwezigidi ezingu-12
- Ukuxilongwa kwenziwa ngezivivinyo zemitholampilo, azikho izivivinyo zelabhu ezingaxilonga lesi simo
Izimbangela
Ngesikhathi abacwaningi bengayazi izimbangela eziqondile ze-rosacea, imibono eminingana, kanye nezici ezingozi, ziye zavela. Ezinye zazo zihlanganisa:
- Izinwele ze-follicle mite i- Demodex folliculorum zingahle zihlobene, nakuba lobu buhlobo bubuzwe. Abanye abantu abane-rosacea banamafutha amaningi esikhumbeni sabo, kodwa abanye abane-mite abanayo izimpawu.
- Ukwelashwa noHelicobacter pylori kuye kwaxhunyaniswa ne-rosacea futhi kunobunye ubufakazi bokuthi uHl pylori , amabhaktheriya afanayo abangela izilonda zesisu, angadlala indima ethile ebusweni be-rosacea. Nge- H. pylori ubuhlobo asisho ukuthi amabhaktheriya akhona esikhumbeni, kodwa kunalokho impendulo yesikhumba amabhaktheriya emaphethelweni emathumbu angadlala indima.
Izimpawu Nezibonakaliso
Kunezici eziningana zesikhumba ezivame ukwenzeka nge-rosacea. Abantu abane-rosacea bangaba nenhlanganisela yalezi, kufaka phakathi:
- Okubomvu, ngezinye izikhathi ukuvuvukala, isikhumba esizungeze phakathi kobuso-ebunzini, izihlathi, nekhala.
- Ama-bumps obomvu angase abe nawo kuwo afana ne-acne.
- Imithini yegazi emincane, ebizwa ngokuthi i- telangiectasias , phezu kwempumu kanye namathunga abonakala eseduze kodwa avele njengamahlumela abomvu ekude.
- Ikhala elikhulisiwe, eliboshiwe, elinamanzi, elibizwa ngokuthi i- rhinophyma , elenzeka njengezicubu ezinamafutha kanye nezigulane ezisabekayo zandisa .
- Izimpawu zivame ukucwiliswa futhi ziphephe, ngokukhishwa okulandelwa ukuphazamiseka kwezibonakaliso.
I-Rosacea ye-Eye (i-Ocular Rosacea)
Abantu abangamaphesenti angu-20 abantu abane-rosacea nabo babhekene ne- rosacea , noma i-rosacea yeso, nakuba i-rosacea ye-ocular iyenzeka ngezinye izikhathi ngaphandle kokushintsha kweso. Izimpawu zivame ukuqala ngamawebukhali abomvu nokuvuvukala nomzwelo njengokungathi into ethile, njengesihlabathi, iso.
Uma unesibonakaliso sokubona noma yikuphi, khuluma nodokotela wakho, ongase ancoma ukubona i-ophthalmologist. Kunezinhlobo eziningi zokwelapha ezingasetshenziswa, kubandakanya ukuthatha isithako se-omega-3-fatty acids.
Izingozi Zezingozi
Okulandelayo uhlu lwezinto abantu ababike ngazo benza izimpawu zabo zibi nakakhulu. Ukugwema noma yikuphi kwalezi zici oziqaphele kungasiza ukwenza imithi iphumelele ngisho noma yehle isidingo semithi:
- Ukuvezwa kwelanga
- Ukucindezeleka
- Isimo sezulu esishisayo
- Ukuphuza utshwala
- Ukudla okumnandi
- Ukuzivocavoca
- Umoya
- Amanzi okugeza
- Iziphuzo eziphuzayo
- Isimo sezulu esibi
Ukuhlonza okuhlukile
Izici zobuso ezibonwe nge-rosacea zivame kakhulu, kodwa kunezinye izimo ezingabonakala zifana kakhulu, ngaphezu kwe-acne omdala. Ezinye zazo zihlanganisa:
- Dermatomyositis
- I-allergic contact dermatitis
- I-erythema ekwenzelwe izidakamizwa
- Ukuzwela (ukuxuba)
Izimo ezihlanganisiwe
Esikhundleni sokuba yisici esiyingqayizivele, ucwaningo lubonise ezinye izixhumanisi phakathi kwe-rosacea nezinye izimo ezifaka:
- Kubonakala sengathi kukhona ukuxhumana phakathi kwe-syndrome yesifo sofuba ne-rosacea , nakuba ubuhlobo obuqondile bungakazwisisi.
- Abantu abane-rosacea babonakala benengozi yokwanda komdlavuza webele (amaphesenti angu-25 aphakeme), umdlavuza wesikhumba ongeyona i-melanoma, nomdlavuza wesibindi, kodwa ukuthi lezi zihlobene aziziwa kanjani okwamanje.
- I-Rosacea nayo itholakale ukuthi inokubambisana okuphawulekayo nokuthuthukiswa kwesifo sengqondo somzimba, ikakhulukazi isifo se-Alzheimer's.
- Ezinye izimo eziye zahlanganiswa ngezinga elithile nge-rosacea zihlanganisa isifo sika-Parkinson, ukukhathazeka nokucindezeleka.
Iningi lezifundo ezibuka lezi zixhumanisi zanyatheliswa ngo-2016 no-2017 ngakho-ke kusadingeka ukuthi ufunde okuningi mayelana nokuhlangana okungenzeka kwe-rosacea nezinye izimo.
Ukwelapha
Kunezinhlobo eziningana zokwelapha ezingasiza ngo-rosacea, kuye ngokuthi ubuhlungu bezimpawu zakho. Lokhu kufaka:
I-Oral Medicine - Amakhemikhali amaningana angasetshenziswa ukuphatha i-rosacea. I-Erythromycin ne-tetracycline yizona eziyinhloko antibiotics zomlomo esetshenziswayo. Amanye ama-antibiotic asetshenziswa kakhulu yi-doxycycline, i-Flagyl (metronidazole), ne-Minocin (i-minocycline). Abanye abantu badinga kuphela ukuthatha ama-antibiotic ngezinhlawulo, kuyilapho abanye kufanele bathathe ama-antibiotic nsuku zonke ukuze banqande izimpawu. Ngokujwayelekile, kungcono ukuhamba nomthamo omncane kakhulu ongakwenza ukunikeza imiphumela oyifunayo. Ama-antibiotics asiza kakhulu nge-bumps obomvu nezilonda ezinjenge-acne ebusweni. Abasizi okuningi ngokubomvu nemithambo yegazi. I-Isotretinoin (i-Accutane) isetshenziselwe i-rosacea enenkani kodwa ingaba nemiphumela emibi kakhulu njengemiphumela yokukhubazeka kwabesifazane abaneminyaka yobudala yokubeletha, isikhumba esinzima nesomiso omile , nokucindezeleka .
Ivermectin (imithi yomlomo) iphinde ivele njengendlela yokwelapha i-rosacea. Ivermectin imithi esetshenziselwa ukubulala izibungu (njengama-scabi) futhi ikhuthaza abacwaningi ukuba babheke ngokucophelela ukuthi kungenzeka ukuthi izidumbu zesikhumba ze-Demodex zibe nendima esimweni.
Imithi Yezokwelapha - Amakhemikhali ambalwa aphezulu angasetshenziswa futhi ukuphatha i-rosacea. I-agent evame ukusetshenziswa kakhulu yi-Metrogel (metronidazole). Enye i-agent ye-sopical is sulfacetamide ne-sulfur lotion engatholakala enhlotsheni enemibala ukusiza ukufihla ezinye zobomvu.
Ukuhlinzwa - Ikhala elikhulisiwe alikwazi ukuguqulwa ngemithi. I-cryosurgery, ukuhlinza laser, kanye nokwelashwa kwe-electrosurgical kuye kwasetshenziselwa lokhu ngokuguquguquka okuphumelelayo. I-electrosurgery kanye ne-laser therapy iyasiza emifuleni yegazi.
Izwi elivela
Isinyathelo sokuqala esibaluleke kunazo zonke ekulawuleni i-rosacea ukuqaphela ukuthi uyabhekene nesimo nokuthi akusikho isikhumba esidala. Izindlela zokwelapha eziningi zihlanganisa kokubili ukuphatha ukuqhuma nokuqaphela nokugwema izimbangela ezingenza kube kubi nakakhulu. Uma isimo sesivele sibe yisikhathi eside, ukuhlinzeka ngezimonyo kungase kube usizo kwabanye abantu.
Uma uthola ukuthi une-rosacea, ungase uzizwe ukhathazekile ukuthola ukuthi i-rosacea ixhunyaniswe nezimo ezithile ezivela kwisifo sika-Parkinson (i-rosacea iyinkinga yokuzimela engozini) kumdlavuza webele. Ngeshwa, kusheshe kakhulu ukuqonda ukubaluleka kwalokhu okutholakele. Lokho okutholakele ukuphakamisa ukuthi kufanele ucabange ukwenza isikhathi sokuvakashela nodokotela wakho bese uxoxisana nalezi zithole, ikakhulukazi ukuqinisekisa ukuthi usesikhathini sokuhlolwa kwezifo zomdlavuza nokuningi. Eqinisweni, ngezinye izikhathi ukukhathazeka okuncane kungashiya umuntu onesimo esiphezulu kunomuntu ongenakho okumele akhathazeke. Ukuzibandakanya kungenza umehluko empilweni yakho.
Imithombo:
UDessinioti, uC., NoC. Antoniou. "Ubuso obomvu:" Akuwona njalo iRosacea. Izidakamizwa zemithi . 2017. 35 (2): 201-206.
Egeberg, A., Fowler, J., Gislason, G., noJ. Thyssen. I-Rosacea neengozi yeCancer eDenmark. I-Epidemiology ye-Cancer . 2017. 47: 76-80.
Egeberg, A., Hansen, P., Gislason, G., noJ. Thyssen. Ukuhlola i-Association Between Rosacea ne-Parkinson Disease: Isifundo seDenmark Nationwide Cohort. I-JAMA Neurology . 2016. 73 (5): 529-34.
Egeberg, A., Hansen, P., Gislason, G., noJ. Thyssen. Iziguli ezine-rosacea zinomngcipheko we-Dementia. Ama-Annal of Neurology . 2016. 79 (6): 921-8.
Layton, A. Pharmacologic Ukwelashwa for Rosacea. Izidakamizwa zemithi . 2017. 35 (2): 207-212.
UMoran, E., Foley, R., noFowell. I-Demodex neRosacea ibukeziwe kabusha. Izidakamizwa zemithi . 2017. 35 (2): 195-200.