I-ringworm yisifo socansi esibangelwa i-fungus. Iphefumula kakhulu futhi isakazeka kalula ngokuthintana isikhumba nesikhumba, okusho ukuthi ungathola isisu ngokuthinta umuntu onesifo. I-ringworm nayo ingadluliselwa kusuka ezilwaneni nasezilwaneni ezifuywayo, ikakhulukazi amantombazane namakhiti. Kungenzeka ngisho nokuthola izinkinobho ezintweni ezingapheli-ngokuhlanganyela ngezigqoko, isibonelo.
Ucwaningo lubonisa ukuthi ukutheleleka kwefungal kuthinta cishe amaphesenti angu-20 kuya kuma-25 amaphesenti omphakathi womhlaba futhi kungathinta noma ubani kunoma yimuphi ubudala. Izingane zitholakala ikakhulukazi ezinkantwini. Naphezu kokuvame kakhulu, kulula ukubona, ukuphatha, nokuvimbela, futhi okungajwayelekile ukuthi kubangele izinkinga ezinkulu.
Izinhlobo ze-Ringworm
Amagama omtholampilo wezinyosi afaka i-tinea ne-dermatophytosis. Ukutheleleka akuhlangene nama-worms. Ihlukaniswa njengesifo sohlelo lwe-dermatophyti c. Leli gama livela esimweni esiyinkimbinkimbi sokuqhaqhazela kwe-ringworm.
I-Ringworm nayo yaziwa ngamanye amagama kuye ngokuthi kuphi emzimbeni ebonakalayo. I-Centers for Disease Control and Prevention (CDC) ibala izindawo ezilandelayo zomzimba ezingathinteka yizinyosi:
- I-torso, imilenze, noma izingalo ( tinea corporis )
- Izinyawo (tinea pedis, evame ukubizwa ngokuthi " unyawo lomgijimi ")
- Ukudla, amathanga angaphakathi, noma izintambo (tinea cruris, evame ukubizwa ngokuthi " jock itch ")
- I-Scalp (i-tinea capitis)
- Intshevu (i-tinea barbae)
- Amandla (i-tinea manuum)
- Izinselo noma izinhlamvu (tinea unguium, ebizwa ngokuthi i-onychomycosis)
Izimpawu ze-Ringworm
I-ringworm ayinzima ukuyiqaphela, nakuba ingadideka nezinye izimpande zesikhumba . Ezingxenyeni eziningi zomzimba, i-ringworm iqala njenge-flat, i-scaly lesion eqala kancane kancane umngcele ngaphambi kokuba iqhubekele phambili ukuze idale umjikelezo wendandatho.
Umngcele uvame ukuphakanyiswa kanye ne-scaly , kanti indawo ephakathi nendawo iphinde ibe nesipiliyoni ngokulinganisa okuhle. Ezinye izifo zengculazi zakha ama-vesicles (ama-blisters agcwele amanzi) okubangelwa ukuphendula okwedlulele kwesistimu yomzimba ngokutheleleka.
I-ringworm ingahle ibonakale kwezinye izingxenye zomzimba. Inyawo lika-Athlete ngokuvamile lidala ukuqhuma okumangalisa, okuphahlazekayo ngokukhipha nokukala phakathi kwezinzwani, isibonelo.
Uphawu oluvame kakhulu lwe-tinea capitis ukulahlekelwa izinwele. Kukhona ukuqubuka, okungahle kubonakale kuncike kuye ngokuthi i-fungus ingena ngaphakathi kwe-shaft yezinwele noma ihlala ngaphandle kwe-shaft yezinwele.
I-ringworm esikrinini ingabangela futhi lokho okubizwa ngokuthi nge-black dot-i-patch yezinwele ezilahlekile ngamachashazi amnyama esikhwameni esibangelwa izinwele eziphukile phansi nje kwesikhumba; i-gray patch, izindawo zokushaya izinwele ezinomile, ama-scaly ama-scaly ekhanda; kanye ne-kerion, izindawo zokulahlekelwa izinwele nge-boggy, scalp eqinisiwe nama-blisters.
Izimbangela ze-Ringworm
Izinhlobo ezingaba ngu-40 zefungi zingabangela izinambuzane, ngokwe-CDC. Amagama esayense yalezi fungi yi- Trichophyton, Microsporum , ne- Epidermophyton .
Lawa ma-dermatophyte asinda ku-keratin efile, iphrotheni engxenyeni ephezulu ye- epidermis .
I-Keratin nayo itholakala ezinwele nasezikhonkwane, yingakho izinzwane, izinyawo, kanye ne-scalp zihlaselwa kalula yizifo ezithathelwanayo.
Yeka ukuthi i-Ringworm iyatholakala kanjani
Ukutheleleka kwe-Ringworm kuyinto enhle ngokwayo, okwenziwe ukubonakala kwayo okungenakuqondakala. Kodwa-ke, izimpethu zingase zifane nezinye izimo zesikhumba, kuhlanganise ne- granuloma annulare , i-eczema, ne- tinea versicolor . Okufanayo kungashiwo ngezifo ze-scalp, okuyinto evame ukuhlukanisa kusuka ku-psoriasis noma seborrheic dermatitis.
Udokotela odokotela oyinhloko noma udokotela we-dermatologist kungenzeka ukuthi uzokwazi ukuhlola i-ringworm ngokumbuka nje. Kodwa uma kungenakucaca ukuthi ukutheleleka kwe-fungal kuyimbangela yokushona, isiko lesikhumba esibizwa ngokuthi i- KOH test singanikeza ubufakazi.
Lokhu kuhlolwa kuhilela ukuthatha isikhumba esithathelelekile bese uyibheka ngaphansi kwe-microscope usebenzisa ibala le-potassium hydroxide (KOH) ukuze kutholakale i-hyphae noma amagatsha amafungulu.
Ngesinye isikhathi udokotela uzosebenzisa ukukhanya okhethekile okubizwa ngokuthi isibani seT Wood ukuze ahlolele ukutheleleka kwefungal. Uma ukhanyiswa izinwele ezikhanyayo ezithintekile yi-fungus zizobonakala njengebala elihlaza okwesibhakabhaka.
Yeka ukuthi i-Ringworm ithathwa kanjani
Uma kungaphathwa kahle, i-ringworm ingaholela ezinkingeni eziningana (kufaka phakathi ukusabalala kwesifo kuletinye izingxenye zomzimba, izifo zesikhumba ezithathelwanayo, nezifo zesikhumba ezinjenge-contact dermatitis).
Kunezindlela eziningi zokwelapha izifo ze-ringworm, kuye ngokuthi ingxenye enkulu yiphi ingxenye yomzimba ethintekile, kubandakanya:
- I-over-the-counter (i-OTC) kanye namagremu antifungal antifungal noma amafutha okugcoba asemthethweni asetshenziselwa ngqo izilonda ze-fungal
- Ama-shampoos antifungal asetshenziselwa ukwelapha izifo ze-scalp
- Imithi yomlomo yama-fungal infections engavumelani nemithi yokwelapha
Kukhona izindlela ezimbalwa zemvelo zokwelapha izimpungushe eziye zabonisa isithembiso ezifundweni, kufaka phakathi amafutha omuthi wetiyi onyawo lomgijimi kanye nogalikhi okhishiwe.
Izwi elivela
Ukutheleleka kwe-fungal yesikhumba akukaze kube mnandi. Kungaba nzima, kungakhululekile, futhi kubangele ukudala izilonda ezingaboni kahle futhi ezibukela. I-Tinea ekhanda ingabangela ama-patches ama-bald. Futhi uma i-fungus ibamba izinhlamvu zeminwe noma izinyosi, ngisho noma umuthi womuntu ochwepheshe kakhulu noma ukuhamba ngezinyawo kungenzeka ukufihla inkinga.
Ngakolunye uhlangothi, ukutheleleka kwefungal cishe ngaso sonke isikhathi kulula ukuphatha, futhi kunezinyathelo eziningi eziphumelelayo ongazithatha ukuze uzivimbele ngokusekelwe emqondweni kanye nokuhlanzeka okuhle. Uma wena, ingane yakho, noma isilwane esithandekayo kuletha ekhaya isifo sofuba, ukuthola ukuxilongwa okusheshayo, ukulandela i-oda lomdokotela wakho yokwelashwa, nokuthatha izinyathelo zokuvikela wonke umndeni ekuthelelekeni kufanele kube konke okudingekayo ukuxosha i-tinea yakho ikhaya.
Imithombo:
> Andrews, MD, Burns, M. "Izifo Ezivamile ZaseTinea Ezinganeni." Am Fam Physician . 2008 Meyi 15; 77 (10): 1415-20.
> Amasevisi Okulawula Nokuvimbela Izifo. "Incazelo ye-Ringworm." Dec 6, 2015.
> Havlickova B, Czaika, VA, Friedrich, M. "Izindinganiso ze-Epidemiological kwi-Skin Mycoses Yomhlaba Wonke." Ama- Mycoses . 2008 Sep; 51 Uku-4: 2-15. I-DOI: 10.1111 / j.1439-0507.2008.01606.x.
> Mounsey, AL noReed, SW. "Ukuqaphela Nokuphatha Ukulahlekelwa Izinwele." I-American Family Physician. Aug 15, 2009. 80.4 (2009), 356-362.