Ukutheleleka okuvamile kungaba nzima kubantu abane-HIV
Ngomfana osemusha, ama-acne nama-pimples ayingxenye yokukhula. Kodwa njengabantu abadala, izimo zesikhumba ezithukuthelisa ngezinye izikhathi zingase zivuselele izinhloko zabo ezimbi, hhayi ngaphezu kwabantu abaphila negciwane lesandulela ngculaza . Phakathi kwezimo ezivame kakhulu u- folliculitis, isifo sesikhumba esingabonakalisa, ngokuvamile ngokujulile, kubantu abanegciwane lesandulela ngculazi abanamasosha omzimba ahlaselwe kakhulu.
Izimbangela ze-Folliculitis
I-folliculitis ichazwa njengokuvuvukala noma ukutheleleka kwezinwele zezinwele. I-folliculitis ingenzeka noma yikuphi lapho kunezinwele zomzimba, kodwa kaningi kubonakala ezindaweni ezicasuliwe ngokugcoba, ukugcoba ukugcoba izingubo, noma ukuvinjelwa ngamafutha nokungcola kuma-pores. Amasayithi avamile kakhulu we-folliculitis ubuso, isikhumba, umlenze, ngaphansi kwezingalo, nasesifuba nasemuva.
Ngokujwayelekile, i-folliculitis yenzeka lapho izinwele zezinwele zilimaza noma zivinjelwa, zinikeza indawo ephelele yokuzalanisa amabhaktheriya noma amafungus. Amanye ama-agent aphethwe yi-infective yiwo:
- I-Staphylococcus aureus (eyaziwa nangokuthi isifo se-staph)
- Ibhayisikobho ye-Sycosis (eyaziwa nangokuthi i-Barber's Itch)
- I-tinea rubrum (isifo sofuba)
- I-Herpes simplex virus (HSV)
Kubantu abanesandulela ngculaza, lezi zifo zingase zikhule kakhulu futhi zivele ezingeni eliphezulu kakhulu kunabantu abaningi. Lolu hlobo lwe-folliculitis, olubizwa ngokuthi i- folliculitis eosinophilic, luvame ukubonakala kubantu abane- CD4 count engaphansi kwamangqamuzana angu-200 / mL futhi abangabonisa kakhulu-ikakhulukazi emzimbeni ongaphezulu (nakuba ngokuvamile kungekho esiswini nasezingalweni).
Izimpawu Nezibonakaliso
Izimpawu ziyahlukahluka komunye umuntu kodwa ngokuvamile ziveza nge:
- Ukukhishwa okubomvu
- Izilonda ezigcotshwe ngamapayipi (ama-pustules)
- Izilonda ezincibilikile ezivule futhi zivaliwe
- Ukuchithwa
Ezimweni ze-folliculitis ye-eosinophilic, lezi zibonakaliso zivame ukujula futhi zihlukumezeka kakhulu nge-pustules ebusweni, entanyeni, esikhwameni, nasesitini.
Ukuthola i-Folliculitis
Ukuxilongwa kwe-folliculitis kuvame ukuhlolwa ukuhlolwa kwesikhumba kanye nezilonda. Ngesinye isikhathi, i-biopsy yesikhumba iyokwenziwa, nakuba lokhu kuvame kwenziwa ukuze kubonwe enye imbangela ekhona. Isiko se-lesion singasiza ekudaleni ukuthi i-fungus ethile noma amabhaktheriya eye yabangela ukutheleleka.
Izinketho zokwelapha
Uma uthinteka nge-folliculitis, ungasiza ukunciphisa izimpawu ngokuthatha izinyathelo ezimbalwa ezilula zokuqapha:
- Gqoka izingubo ezingavuthiwe ezingabheki ngqo esikhumbeni. Lokhu kubandakanya ukuboshwa noma amasokisi okuqina uma uhlaselwa emaphethelweni aphansi.
- Zama ukucheba nge-razor kagesi ngokuphambene ne-razor blade.
- Gcina isikhumba sihlanzekile ngokusebenzisa abahlanza amanzi, inhlanzi, nabanesikhumba. Gwema ama-exfoliators kanye nezihlahla, kanye nama-masks ebusweni kanye nezikhathi ezinamandla zokuphefumula. Ukuzigcina kahle kahle kuyophinde kusizuze isikhumba futhi kungase kunciphise izimpawu.
Ukwelashwa kuncike kakhulu ekubangela ukuthi ukutheleleka nokuthi kunzima kangakanani futhi kungabandakanya
- Amafutha okulwa nama-antibiotic ngokutheleleka kwama-bacteria
- I-Antifunga l creams ye-infection fungal
- Ama-antibiotic noma ama-shampoos ahlolisisiwe we-folliculitis we-scalp
Kubantu abane-HIV, ukuqaliswa kwe- antiretroviral therapy (ART) kubhekwa njengendlela yokwelashwa kokuqala.
Njengoba lolu hlobo lwe-folliculitis lubonakala kaningi phakathi kwezifo eziphambili, ukusebenzisa i-ART ukubuyisela ukusebenza komzimba kungavumelana nesimo phakathi kwezinyanga ezintathu kuya kweziyisithupha.
Kwezinye izimo, izidakamizwa iraconazole kanye / noma i-permethrin 5.0% ukhilimu ungabekwa eceleni kwe-ART kulabo abanezibonakaliso ezinzima kakhulu.
Umthombo:
> Fearfield, L .; Rowe, A .; UFrancis, uN .; et al. "I-folliculitis ye-toch kanye ne-immunodeficiency virus ye-infectio n: izici ze-clinicopathological and immunological, i-pathogenesis nokuphathwa." I-British Journal ye-Dermatology . 2009; 141 (1): 3-11.
> UMnyango we-US of Veteran Affairs. "Izimo ze-Dermatologic: Ukunakekelwa Okuyinhloko Kwezilwane Zase-Veterans ne-HIV - Izinhlelo Zomzimba Ne-Metabolic." Okthoba 8, 2011; Washington, DC