Funda Ngezizathu, Izimpawu, Ukwelashwa, nokuningi
I-panniculitis iyi-catch-yonke igama elisetshenziselwa ukuchaza ukuvuvukala koqweqwe olunamafutha ngaphansi kwesikhumba. Kubangelwa izikhumba ezihlabayo (izindawo ezibanzi, eziphakanyisiwe) esikhumbeni esingaba usayizi kusuka kumamitha amaningana kuya kwamasentimitha ambalwa ngaphesheya. Ezimweni eziningi lezi zindebe zibuhlungu.
Abantu banezigaba ezintathu zesikhumba: i- epidermis , i- dermis , nezicubu ezingaphansi .
I-epidermis ingqimba eliphakeme kakhulu lesikhumba, isendlalelo esiyibona nsuku zonke. I-dermis isezansi nje futhi ithatha izinhlayiya zethu zamafutha, izikhumba ze-sweat, izinwele ze-hair, ne-bulb. Ingqimba ejulile, izicubu ezingaphansi, ungqimba oluvikela umzimba wethu.
Noma ubani, nganoma isiphi ubudala, angathuthukisa i-panniculitis, kodwa ijwayele ukuvame kakhulu kubantu besifazane.
Izimpawu
Inkomba ephawulekayo ye-panniculitis yizintambo zethenda ngaphansi kwesikhumba. Ungase ube nesikhumba esisodwa noma iqoqo lawo. Bangase bazizwe befana namahlumela noma baqhume ngaphansi kwesikhumba, noma bangase babe ngaphezulu, baphakamise ukuvuvukala okuthiwa ama-plaques. Ngezinye izikhathi izikhukhula zivutha amanzi amanzi noma ama-pus.
Indawo evamile kakhulu ye-panniculitis eyenzekayo imilenze ephansi (ama-shins namathole) nezinyawo. Kungathuthuka kwezinye izindawo zomzimba, kufaka phakathi izandla nezingalo, amathanga, izibhamu, isisu, isifuba noma ubuso. Kuningi kakhulu okutholakala kulezi zindawo, noma kunjalo.
Ungase ube nomkhuhlane futhi uzizwe ugijime noma uphelelwe amandla.
Ukuhlanganisa amajoyini akho noma imisipha, ubuhlungu besisu, kanye nokucabangela noma ukuhlanza kungase kwenzeke ngezinye izikhathi. Lezi zimpawu zingase zivele ngezinye izikhathi ngisho nangaphambi kokuba izikhukhula zenzeke.
I-panniculitis nayo ingabangela ukuthuthwa kwamnyama esikhumbeni okubukeka sengathi kufana nokulimala. Lezi zivame ukuphela isikhathi, uma ukuvuvukala kudlula.
Kwezinye izimo, kungashiya izindawo ezicindezelekile esikhumbeni. Lokhu kwenzeka uma izicubu ezingaphansi zibhujiswa. Lezi zindawo ezicindezelekile zingase zithuthuke ngesikhathi kodwa ngokuvamile zihlala zihlala njalo.
Izimbangela
I-panniculitis ayibangelwa yisiphi isimo esisodwa; Kunalokho, izimo eziningi zingabangela ukuvuvukala kwezicubu ezingaphansi. Kungase kuthathe okunye ukuhlukumeza ukucacisa ukuthi yini ebangela i-panniculitis yakho.
Ukutheleleka cishe kuyimbangela evamile kakhulu ye-panniculitis. Ama-bacterium, amagciwane, isikhunta, ngisho nama-parasites, angabangela ukuthuthukiswa kwe-panniculitus. Futhi asigcini ukukhuluma ngokutheleleka okubandakanya izicubu zesikhumba. Ukuba nokutheleleka okunjenge- strep komphimbo noma isifo sofuba kungabangela ukuba i-panniculitis ivele.
Ukulimala esikhumbeni, noma ukuhlukunyezwa noma ukubandayo, kungabangela nanniculitis. Lokhu kungenzeka ukuthi kwenzeke ezindaweni ezinamathambo amaningi, njengebele noma i-buttock. Akudingeki ukuba kube yinto enzima ngaso sonke isikhathi endaweni. Okuthile okulula njengemjojo kungakwenza. Ukushisa okubandayo kakhulu kungabangela i-panniculitis esikhumbeni esicacile (esibizwa ngokusobala, i-panniculitis ebandayo).
Imithi ethile ingabangela ukuthuthukiswa kwayo. Ezinye zeziphambeko ezinkulu ziyi-antibiotics, i-control controls kanye ne-estrogen, kanye namanani amakhulu we-corticosteroids.
Ezinye izimbangela ze-panniculitis zingabandakanya:
- isifo sikashukela
- izimo ezivuthayo ezifana nesifo sikaCrohn nesifo sofuba esiswini
- izifo ezixhumene nezicubu ezifana ne- lupus noma i- rheumatoid arthritis
- i-alpha 1-antitrypsin ukuntuleka
- ezinye umdlavuza ezifana ne- leukemia ne-lymphoma
- isifo se-pancreatic
- ukukhulelwa
- sarcoidosis
Ezimweni eziningi, imbangela ethile ayibonakali. Lokhu kubizwa ngokuthi i-idiopathic panniculitis.
Ukuxilongwa
I-panniculitis ingatholwa ngokuhlola okubukwayo. I-biopsy ivame ukwenza njalo ukuqinisekisa ukuhlolwa komhlengikazi. Udokotela wakho angaphinde aphule umphimbo wakho ukuhlola izifo ezifana ne-strep, futhi angenza ngisho ne-x-ray esifubeni ukuze abheke izinto ezingase zidale i-panniculitis, njengesifo sofuba.
I-panniculitis ayiyona into evamile kakhulu, futhi akuzona zonke izibungu ozithola esikhumbeni kukhona i-panniculitis. Kunezinye izimo eziningi ezingabangela izimbungulu ezibuhlungu kanye nama-bumps ngaphansi kwesikhumba: ama-cysts namathumba , izilonda ezijulile ze- acne (ama- acne nodules noma ama-acst cysts ), i- folliculitis , nokuningi.
Ngakho-ke, kubalulekile ukuthi uzama ukuzihlola. Izibungu ezingaziwa kanye namaqabunga esikhumbeni kufanele zihlolwe njalo ngudokotela. I-panniculitis ingaba isibonakaliso sento ebaluleke nakakhulu, ikakhulu uma iqala nezinye izimpawu.
Kunezinhlobo eziningi ze-panniculitis, kodwa ngefomu elivame kakhulu i-erythema nodosum . Lolu hlobo lwe-panniculitis luthinta imilenze ephansi, ikakhulukazi ama-shins, nakuba ngezinye izikhathi kungenzeka ngamathole namathanga. Ezinye izinhlobo ze-panniculitus ziyamangalisa kakhulu.
Ngenxa yokuthi izinto eziningi zingabangela i-panniculitis, ngezinye izikhathi kungaba nzima ukuthola ukuxilongwa okuqondile. Eqinisweni, ungase ungazi kahle ukuthi yini ebangela i-panniculitis yakho.
Izinketho zokwelapha
Ukwelashwa kwe-panniculitis kuyahluka kuye ngokuthi yini ebangela isimo. Njengalapho engekho imbangela eyodwa yodwa ye-panniculitis, ayikho eyodwa yokwelashwa okuqondile yenkinga. Ngoba i-panniculitis ingabangelwa yimibandela eminingi ehlukene, ukwelashwa kuzohluka kusuka komuntu kuya komuntu.
Awusiphathi i-panniculitis ngokwayo; akukho ukwelashwa okuqondile kwe-panniculitis. Ukugxila ekuphatheni imbangela eyinhloko ye-panniculitis nokunciphisa izimpawu ukuze ukwenze ukhululeke ngokwengeziwe.
Ababulali abanobuhlungu obubulalayo abafana ne-ibuprofen bangasiza ekunciphiseni ukukhukhumeza nokubenza bazizwe bephansi. Udokotela wakho angase anikeze ama-antibiotics futhi, uma une-infection yebhaktheriya. Ezimweni ezinzima, ezihlala isikhathi eside, izivikeli ze-immunosupressants, i-corticosteroids, ne-chemotherapy zokwelashwa zingasetshenziswa.
Amacala amaningi e-panniculitis ayophulukisa ngokuphelele ngaphandle kokwelashwa, nakuba angakwazi ukuhlala noma kuphi emasontweni ambalwa kuya ezinyangeni ezimbalwa ngaphambi kokuxhaswa. Kuze kube yileso sikhathi, ukugcina indawo ephakanyisiwe lapho kunokwenzeka kungasiza ukuvuvukala, njengoba kungabanda ukucindezeleka. Zama ukufaka ama-stockings amasondo uma ama-panniculits esezinyaweni.
Uma i-panniculitis ibangelwa ukuhlukumezeka cishe akunakwenzeka ukubuyela emuva (ngaphandle kokuthi uvuselele indawo futhi). Ngenxa yokuvuvukala okubangelwa ezinye izimbangela, noma, uma kwenzeka imbangela ethile ingabonakali, i-panniculitis ivame ukuphindaphindiwe.
Izwi elivela
Kulo lungafundiwe, izinkinga eziningi zesikhumba zilingisa i-panniculitis. Yingakho kubaluleke kakhulu ukuthola ukuxilongwa okufanele. Futhi, ngoba i-panniculitis ingaba uphawu lwezinto ezibi kakhulu, ufuna ukubonwa udokotela.
I-panniculitis ingafika futhi iyahamba, engadabukisa ikakhulukazi uma ingenayo imbangela ecacile noma i-trigger. Sebenza eduze nodokotela wakho ukuze ahlele uhlelo lokulawula noma ukunciphisa ama-ups avulekile. Okubaluleke kakhulu, thatha lula kuwe futhi uthole ukuphumula okuningi ukuvumela umzimba wakho uphulule.
> Imithombo:
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> Chowaniec M, Starba A, Wiland P. "I-Erythema Nodosum - Ukubuyekezwa Kwezincwadi." I-Reumatologia. 2016; 54 (2): 79-82.
> "I-Erythema Nodosum." I-MedlinePlus Medical Encyclopedia , i-US National Library of Medicine, amaNational Institutes of Health, ngo-16 Aug. 2017.
> Morrison LK, Rapini R, Willison CB, U-S. "Ukutheleleka no-Panniculitis." I-Dermatologic Therapy . 2010 Jul-Aug; 23 (4): 328-40.
> Wick MR. "I-Panniculitis: Isifinyezo." Ama-Seminar ku-Disagnostic Pathology . 2017 Meyi; 34 (3): 261-272.