I-Rash ye-fungal engenamaphesenti anezibalo eziphezulu ze-Reccurence
I-Tinea versicolor, eyaziwa nangokuthi i- pityriasis versicolor , iyisifo sofuba esikhumbeni esivame ukudideka nezinye izidakamizwa ezivamile. I-fungus ithinta ukuguqulwa kwesikhumba kanye nemiphumela emigqatsheni encane, ekhanyayo noma emnyama ebonakala ngokujwayelekile ekhoneni nasemagxeni.
Izimbangela zeTinea Versicolor
I-Tinea versicolor yisifo esithathelwanayo esibangelwa ama-yeasts Pityrosporum orbiculare no- Pityrosporum ovale .
Lawa mafutha atholakala engxenyeni yangaphandle yesikhumba (stratum corneum) nezinwele zezinwele ezijwayelekile, isikhumba esinempilo.
Nakuba ngokuvamile engenabungozi, le mivu ingase ihlangane ngokuphindaphindiwe futhi iguqulwe ibe ifomu le-pathogenic eyaziwa ngokuthi i- Malassezia furfur, okuholela ekugqaseni kwe-rash.
Kukhona izinto eziningi eziholela ekukhuphukeni kwemvubelo, kufaka phakathi:
- ukususwa kwe-grenal adrenal
- Isifo sikaCushing
- ukukhulelwa
- izinguquko ze-hormonal
- ukungondleki
- ukushisa
- ukwelashwa kwe-steroid
- isimiso somzimba sokuzivikela
- izakhi zokubeletha ngomlomo
- kushisa, isimo sezulu esinyameni
- isikhumba samafutha
I-Tinea versicolor ingenzeka kunoma yikuphi ubudala kodwa ijwayele kakhulu ekukhuleni nasekukhuleni kwasekuqaleni (isikhathi lapho izigulane ze-sebaceous zisasebenza khona). Kuvame futhi kubonwe emazweni asezindaweni ezishisayo nasezindaweni ezishisayo.
Kubantu abathintekayo ngaphambilini, i-tinea versicolor inesilinganiso sokuphindaphindiwe samaphesenti angaba ngu-80 emva kweminyaka emibili.
Izimpawu zeTinea Versicolor
Ukuqhuma kwe-tinea versicolor kungenziwa i- hypopigmented noma i-hyperpigmented, futhi ibonakale njengesiqhumane esibomvu, esingaphansi esingashintsha kancane kancane sibe ama-patches amakhulu.
Ukushisa ngokuvamile kuvame ukuthungwa kahle kwe-scaly, kuthuthukiswe ikakhulukazi esihlahleni kodwa futhi nasezingalweni nasemilenzeni.
I-hypopigmentation yenzeka lapho imbiliso ikhiqiza imakhemikhali ethize evala ama- melanocytes , okuholela ekunciphiseni ukukhiqizwa kwe- melanin (i-pigment ephakathi kwesikhumba, iso, nombala wesikhumba).
Ukuguqulwa kwamanzi kungumphumela wokuvuvukala obangelwa ukutheleleka kwefungal.
Izimpawu zika tinea versicolor zifaka:
- ama-patches of discoloration yesikhumba ebonakala elula noma emnyama kunokujwayelekile
- i-skin discoloration esiqu, amahlombe, esifubeni, noma izingalo
- itching emnene
- ukukala
Kunezinsalela eziningi ezivame ukudideka nge-tinea versicolor, kufaka phakathi i-vitiligo, i-syphilis, i-pityriasis rosea, i- pityriasis alba , i-eczema, i-psoriasis, ne- seborrheic dermatitis .
Ukuxilongwa kwe-Tinea Versicolor
Odokotela baxilonga i-tinea versicolor ngokusekelwe ekubukeni kwe-rash. Ukuhlolwa okungeziwe ngokuvamile akudingekile, nakuba kungasetshenziswa ezimweni ezimbi kakhulu.
Ngaphandle kokuhlolwa komzimba, kunezivivinyo ezintathu odokotela abasebenzisa ukuqinisekisa i-tinea versicolor:
- Isivivinyo se- KOH singaqinisekisa ukuthi izici zokuthi "i-spaghetti nezinyamazane" zibukeka ngaphansi kwe-microscope.
- Ukuhlolwa okukhanyayo kwe-Wood kuyakwenza imvubelo igwebe umbala ophuzi ngaphansi kobumnyama obumnyama.
- Amasiko e-fungal , ngenkathi esetshenziswa njalo, angaqinisekisa ukutheleleka ngokukhuphula i-fungus emkhatsini wesikhungo.
Ukwelashwa kweTinea Versicolor
Kunezidakamizwa eziningana ezisetshenziselwa ukuphatha i-tinea versicolor . Kulezi, izikhwama ze-antifungal ezisekhanda, ezisekelwe phezulu, zivame ukusebenza ekuqedeni i-fungus.
Zihlanganisa imikhiqizo ethandwa kakhulu njenge:
- I-Lotrimin AF
- Selsun Blue
- i-zinc pyrithione isepha
Uma unesifo esibucayi kakhulu se-tinea versicolor, noma uma umzimba wakho ungaphenduli ukwelashwa okungaphezu kwe-counter, imithi yokwelashwa ingadingeka. Ama-antifungals omlomo, kanye nama-prestif antifungal creams nama-shampoos, yizinye zezinketho odokotela abazozihlola.
Okokugcina, kubalulekile ukukhumbula ukuthi noma ngabe ukwelashwa kubulala imilenze ye-pathogenic, ukuguqulwa kwesikhumba kungaphikelela amasonto kuze kufike ama-melanocyte akwazi ukukhiqiza i-melanin futhi. Ngisho nangemva kokuba ukutheleleka sekuphulukisiwe, ukwelashwa ngezikhathi ezithile kungadingeka kunikezwe izinga eliphezulu lokuphindaphinda kwesifo.
> Imithombo
- > I-American Academy of Dermatology. "I-Tinea Versicolor: Uhlolojikelele." Washington, DC; 2017.