Lesi Sifo Sesikhumba Sihlobene Ne-IBD Futhi Sivamile Kakhulu Kwabesifazane Kunamadoda
Izifo zesikhumba ziyisifo esivamile somzimba esiswini esivuthayo (IBD) , esenzeka ngamaphesenti angama-25 abantu abane-ulcerative colitis nesifo sikaCrohn. Ezinye zalezi zimo zesikhumba zibizwa ngokuthi i- pyoderma gangrenosum , i- aphthous ulcers , ne-erythema nodosum.
I-Erythema nodosum yisimo sesikhumba esivame ukuthinta abantu abanesifo sikaCrohn, kodwa futhi singakhula kulabo abane-ulcerative colitis.
Kucatshangwa ukuthi kwenzeka phakathi kwamaphesenti angu-10 kuya ku-15 abantu abane-IBD, okwenza kube nzima ukubhekana nokusebenza. Lesi simo ngokuvamile sihamba sodwa noma sithuthukise lapho i-IBD ephansi ithola ngaphansi kokulawula. Kubalulekile ukuthi abantu abane-IBD bazi izibonakaliso zalesi simo sesikhumba ukuze bahlolwe ngokushesha.
Kuyini i-Erythema Nodosum?
I-Erythema nodosum yi-nodules ebomvu ebuhlungu (noma izilonda) ezivame ukukhula ezingalweni noma emilenzeni ephansi, kodwa zingase zivele kwezinye izindawo emzimbeni. Lesi simo sivame kakhulu kubantu abadala kunabantwana, futhi kuvamile kakhulu kwabesifazane kunamadoda.
Ukwakhiwa kwezilonda ze-erythema nodosum kungenziwa ngaphambi kokuzwa okunjengomkhuhlane, noma ubuhlungu obukhulu emalungeni. Izilonda ngokwazo zingabonakala kuqala njengezinwele, ezibomvu, ziba nzima futhi zibuhlungu ngesonto lokuqala. Izilonda zingabonakala njenge-bluish noma ezimnyama futhi ziluhlaza okwesibhakabhaka, futhi uzizwe sengathi ziqukethe uketshezi phakathi nesonto lesibili, bese uhamba kancane kancane ngaphambi kokuphulukiswa.
Izilonda zihlala cishe amasonto amabili, kodwa zingase zithathelwe izilonda ezintsha lapho zixazulula. Umjikelezo ungase uphele ngemuva kokuthi i-batch yokuqala yezilonda ivele bese ipholisa, noma ingaqhubeka amasonto ambalwa kuya ezinyangeni ezinezilonda ezintsha ezivela.
Izimbangela ze-Erythema Nodosum
Ku-IBD, i-erythema nodosum ingabonakala okokuqala ngqa ngesikhathi se- flare-up .
Kungase kulandele inkambo ye-IBD, okusho ukuthi kuthuthukisa uma ukuphazamiseka kulawulwa kangcono.
Ezinye izimbangela ze-erythema nodosum zihlanganisa ukutheleleka kwebhaktheriya, ukutheleleka kwe-fungal, isifo sikaHodgkin , i- sarcoidosis , isifo sikaBehçet, ukukhulelwa, nokuphendula kwemithi (njengezidakamizwa ze-sulfa).
Ukuthi i-Erythema Nodosum iyatholakala kanjani
Uma i-erythema nodosum ivela kumuntu obhekene ne-IBD, kungenzeka ukuthi akukho zivivinyo ezenziwe, njengoba isimo saziwa ukuthi senzeke nge-IBD futhi izilonda ziyabonakala. Kubantu abangenawo i-IBD, udokotela anganquma ukuthi kuyadingeka ukuba ahlole izivivinyo, njenge-ray-ray, amasiko wegazi, ne-biopsy, ukulawula ukutheleleka noma esinye isifo noma isimo.
Ukwelashwa kwe-Erythema Nodosum
Ngenxa yokuthi i-erythema nodosum ijwayele ukuxazulula eyedwa, ngokuvamile ayikho ukwelashwa okuqondile okunikezwayo okuzosiza izilonda ukuba ziphulukise. Ukwelashwa kuvame ukudingeka kuphela ukusiza ukulawula ubuhlungu obubangelwa izilonda noma amalunga. Lokhu kungabandakanya ukucindezela okupholile, ukuphakama kwentamo, nokuphumula.
Izidakamizwa ezingenakunqanda izidakamizwa (ama-NSAID) zingasiza futhi ekuhlinzekeni ukukhululeka kobuhlungu, kodwa kufanele zisetshenziswe ngokucophelela kubantu abane-IBD. Ama-NSAID angabangela ukungaboni kahle kwabanye abantu abane-IBD, ngakho-ke lezi zidakamizwa kufanele zisetshenziswe kuphela ngaphansi kokuqondiswa ngqo kwe-gastroenterologist.
Ama-Dermatologists noma abanye odokotela abaphatha izifo zesikhumba bangase bangaqapheli ukuthi ama-NSAID anomphumela omubi ku-IBD. Ngenxa yalesi sizathu, abantu abane-IBD kufanele baphendule imiyalelo emisha bese bexoxa nabo nge-gastroenterologist ngaphambi kokuyithatha.
Ama-corticosteroids, iodidi ye-potassium, nama-antithyroid angase asetshenziswe nasezikhungweni ezinzima noma ezingapheli ze-erythema nodosum. Umsebenzi olinganiselwe futhi unganconywa ukuze usize ukwehlisa isikhathi esithathayo ukuthi izilonda nezinye izimpawu zixazulule.
Imithombo:
Weinstein M, Turner D, Avitzur Y. "I-Erythema nodosum njengesethulo sokugula kwesifo sofuba." I- CMAJ . NgoJulayi 19, 2005.
URobert A. Schwartz, uNervi, uStephen J. "I-Erythema Nodosum: Isibonakaliso Sezifo Ezivamile." Umhlengikazi waseMelika waseMelika 1 Mashi 2007.
Su CG, iJaji TA, uLichtenstein GR. "Ukubonakaliswa okungajwayelekile komzimba wesifo sofuba." Gastroenterol Clin North Amashi 2002.