Ukuqina nokuqothula kwezindawo zesikhumba
I-Scleredema yinkinga yesikhumba lapho isikhumba sikhula futhi siba nzima, ngezinye izikhathi sibomvu. Yini eyenza i-scleredema ayaziwa. Ngokuvamile kuhlotshaniswa nesifo sikashukela, futhi phakathi kwabantu abanesifo sikashukela , amadoda athathwe kaningi kunabesifazane (10: 1). I-scleredema ingenzeka ngemuva kokugula kwesigciwane noma ukutheleleka komjovo we- streptococcal , futhi kulezi zimo, abesifazane bayathinteka kabili kaningi njengamadoda.
Naphezu kokuthi ngezinye izikhathi kuthiwa yi-adult scumredema, lesi sifo senziwa kubantu bazo zonke izizukulwane nazo zonke izizinda ezihlukahlukene.
Izimpawu
Lapho i-scleredema ivela, indawo ethintekile yesikhumba iyaqina futhi ikhuni. Kungaba bomvu noma kumnyama ngombala, futhi kungase kubonakale kunzima njengesikhumba se-orange (okuthiwa i-peau d'orange). Ezimweni eziningi, i-scleredema iqala ebusweni, entanyeni, noma phezulu. Kungasakazeka ezingalweni noma esifubeni, kepha izandla nezinyawo azivame ukuthinteka. Ezinye izimpawu zingase zenzeke ngokuya endaweni ethintekile:
- ubuso - kunzima ukuvula amehlo noma umlomo
- amalunga esikhumba - ukunyakaza okulinganiselwe
- ulimi - kunzima ukukhuluma noma ukuhlafuna
Kwamanye abantu, i-scleredema ayithinti nje isikhumba kodwa ezinye izingxenye zomzimba ezinjengenhliziyo, isibindi, uhlangothi , imisipha noma umphimbo.
Ukuxilongwa
I-Scleredema ivame ukusola ngokususelwa ekubukeni kwesikhumba nomlando wezokwelapha womuntu ngamunye (njengokuthi unesifo sikashukela noma ukutheleleka kwamuva).
Isampula lesikhumba (biopsy) sithathwa futhi sihlolwe ngaphansi kwe-microscope ukuqinisekisa ukuxilongwa. Isiko somphimbo we-streptococcal imfucuza yokutheleleka sitholakala futhi iglucose yegazi ihlolwe isifo sikashukela. Ukuhlolwa kwegazi okhethekile kwenziwa ukuhlola izifo zegazi ezifana ne-myeloma eminingi engase ivele ngemuva kokuthi i-scleredema iqale.
Ukwelapha
Izinhlobo eziningi zemithi ziye zazanywa njengezokwelapha ze-scleredema, kodwa akukho mithi eyodwa eye yaboniswa ukuthi iyona engcono kakhulu. Abantu bangase bazuze ku-corticosteroids, i- cyclosporine , i-methotrexate, i-phototherapy ye-UVA1, noma i-psoralen ene-ultraviolet light A. Uma ukutheleleka kukhona, ama-antibiotic angadingeka. Uma isifo sikashukela sikhona, kufanele silawulwe ngokudla, ukuzivocavoca, kanye nemithi. Ukwelapha ngokomzimba kungasiza uma ukunyakaza kwezitho zomzimba kuvinjelwe.
Abantu abahlakulela i-scleredema ngemuva kokutheleleka bavame ukuba ne-short course yesifo, abanezimpawu ezixazululwa zingakapheli izinyanga eziyisithupha kuya eminyakeni emibili. Abantu abanesifo sikashukela abahlakulela i-scleredema banezimpawu zesikhathi eside, kaningi iminyaka eminingi.
> Imithombo:
> MedicineNet.com. Incazelo yeScleredema
> Rosenbach, M. (2006). Scleredema. eMedicine. http://www.emedicine.com/derm/topic385.htm