Izinhlobo Zokwelapha I-Tinea Versicolor nokuthi Zihlukana Kanjani
Uma ngabe uthola ukuthi ukhona noma ukholelwa ukuthi unesifo sengculaza esikhungweni se-fungal tinea versicolor, yiziphi izifo ezitholakalayo? Yiziphi izindlela zokwelapha eziphumelela kakhulu futhi ungenza kanjani wena nodokotela wakho ukhetho mayelana nokuthi iyiphi ukwelashwa okungcono kuwe?
I-Tinea Versicolor Izifo Zesikhumba
I-Tinea versicolor yi- fungal evamile yokutheleleka kwesikhumba eveza ukukhwabanisa.
Kuyaziwa nangokuthi i-pityriasis versicolor futhi ivame ukudideka nezinye iziqhumane zesikhumba. Nakuba ukuqhuma kuvame kakhulu ngesikhathi sokukhula nokukhula komuntu, kungenzeka kunoma yisiphi isikhathi.
Ukuvuthwa ngokuvamile kubonakala njenge-velvety hypopigmented (i-pigment encane) noma i-hyperpigmented macules (izindawo ezingavuswanga) noma amapulethi . Ukuqhuma ngokuvamile kubonakala ngokubonakalayo ngokuthungula. Kuvame kakhulu esiqu, ubuso, namahlombe futhi ngokuvamile akusizi (ngisho noma kungenzeka kubantu abathile.) Ukukhwa kwesikhumba kanye nebala kungabonisa imvubelo yesici ngaphansi kwe-microscope (ebonakala njenge-spaghetti nama-meatballs.)
I-Tinea versicolor ivela lapho isikhumba esivamile, i- Pityrosporum noma i- orbiculare noma i- Pityrosporum ovale, ishintshe (ishintshe) ibe yifomu le-pathogenic ye-fungus okuthiwa i- Malassezia furfur . I-fungus ye-pathogenic isebenza ngokucima amangqamuzana okukhiqiza i-melanin esikhumbeni (i- melanocytes .) Njengoba i-tinea versicolor ihlobene nokukhuphuka kwefungi evamile (futhi ngisho nokuzivikela) esikhumbeni, ayithelelanga.
Izinhlobo zokwelashwa kweTinea Versicolor
Kunezindlela eziningi zokwelashwa ezihlukene zokuqeda ukuqhuma kwe-tinea versicolor. Ngenxa yokuthi imvubelo ihlala ungqimba ophezulu wesikhumba, i -epidermis , imishanguzo ye-anti-fungal ijwayele ukuphumelela kakhulu, okungenani ekuqaleni noma ngesikhathi sokuqala kokutheleleka.
Uma ukuqubuka kubanzi kakhulu, imithi yokulwa ne-fungal yomlomo ingadingeka.
Ngenxa yokuthi i-tinea versicolor inezinga eliphindaphindiwe lama-80%, abantu abaningi badinga ukwelashwa okuphindaphindiwe noma ukwelashwa ukugcina ukuvimbela ukuqhuma. Ake sibheke lezi zindlela ezihlukene zokwelapha.
Ukwelapha kwe-Tinea Versicolor Nge-Antifungals Ezingqungquthela
Imithi ye-antifungal yomshuwalense yindlela yokwelapha ye-tinea versicolor. Kunezinhlobo ezimbalwa zemigomo yokwelashwa yama-anti-fungal ekhonjisiwe ukukhiqiza isilinganiso esingaphezu kuka-70 samaphesenti empendulo yomtholampilo. Lokhu kuhlanganisa ukubeka iziguli ezingu-2% ze-Nizoral (ketoconazole) ukhilimu ukuthi zisetshenziswe kanye ngosuku ngezinsuku ezingu-11 kuya kwezingu-22.
Ngaphandle kwalokho, ukusebenzisa i-regimen ye-ketoconazole ye-2% ye-shampoo regimen (elalibhekene nezindawo ezithintekile nezindawo ezizungezile futhi ishiye okungenani imizuzu emihlanu ngaphambi kokuhlanza) nayo iyasiza lapho isetshenziselwa kanye ngosuku ngezinsuku ezintathu ezilandelanayo. Ngaphezu kwalokho, isisombululo se-1 se-Lamisil (terbinafine) sisetshenziswa kabili nsuku zonke isonto elilodwa liboniswe ukuthi liphumelela, njengoba kunesisombululo se-1% seLotrimin (clotrimazole) esetshenziselwa kanye kanye ngesonto elilodwa.
Ukwelashwa kwe-Tinea Versicolor Nge-Analungal Oral
Imithi yama-anti-fungal yomlomo ingabangela imiphumela emibi njenge-nausea noma ukulimala kwesibindi esiphendukayo, kodwa lemiphumela emibi ingavamile ngezifundo ezimfushane zokwelapha ezisetshenziselwa i-tinea versicolor.
I-griseofulvin yomlomo ne-oral terbinafine ayilona ukwelashwa okuphumelelayo kwe-tinea versicolor, kodwa izinhlobonhlobo zemithi yokwelapha ngomlomo ziye zaboniswa ukuthi zikhiqize izinga lokuphendula emitholampilo elingamaphesenti angama-90.
I-Ketoconazole 200 mg nsuku zonke izinsuku eziyisikhombisa noma umthamo owodwa we-400 mg ungasetshenziswa. Ngemuva kokuthatha imithi, abantu bafundiswa ukuba basebenzise futhi basebenze isithukuthezi. Imithi isebenza ngokunikezwa esikhumbeni ngendlela yokuthuthumela, ngakho akufanele ugeze amahora angu-10 kuya kwangu-12 ngemuva kokuthatha umthamo.
I-Fluconaole, i-tablet ye-300 mg ethathwe ekuqaleni futhi iphindwe emavikini amabili nayo isebenza kahle.
Ukwelashwa kwe-Tinea Versicolor Nge-Shampoos
Kuze kube maduzane, ama-shampoos angama-dandruff yiyona ndlela eyinhloko yokwelashwa kwe-tinea versicolor.
Awuphumelelanga kangcono kunemithi elwa ne-fungal futhi ingabangela ukucasula isikhumba, kodwa ayatholakala ngaphezu kwe-counter futhi ayabizi kakhulu. Kunemibandela eminingi eye yaboniswa ukuthi iyasebenza.
Lokhu kubandakanya isambulelo salulisikidi se-salicylic acid esetshenziselwa ubusuku bonke njenge-lotion kwesonto elilodwa noma i-zinc-pyrithione impoqo yesimiso (isetshenziswe nsuku zonke njenge-lotion futhi ishiye imizuzu emihlanu ngaphambi kokuhlanza) amasonto amabili. Ngaphezu kwalokho, i-Selsun Blue (selenium sulphude) irejimenti ye-lotion ye-2.5% (isetshenziswe nsuku zonke njenge-lotion futhi ishiya imizuzu engu-10 ngaphambi kokuhlanza) isonto elilodwa liye lafakazela ukuthi liyasebenza.
I-Tinea ihamba kanjani isikhathi eside?
I-Tinea versicolor ivame ukuphendula ngokulula emithini yokwelapha, kodwa ukuphindaphinda kuvamile njengoba kuphawuliwe ekuqaleni. Ngesikhathi amabala (ama-macules) evame ukuxazulula maduzane, izinguquko ekuguqweni kwesibhakabhaka kungathatha isikhathi eside ukuxazulula njengoba ama-melanocytes kudingeka aqale ukukhiqiza i-melanin futhi.
Ngaphansi kokuphatha iTinea Versicolor
Uma une-tinea versicolor, xhumana nodokotela wakho mayelana nezinhlobo ezihlukahlukene zokwelashwa ongakhetha kuwe. Wena nodokotela wakho ningakwazi ukuxoxa ngemithi yokwelashwa engcono kakhulu esekelwe izinga lokushona kwakho, kube khona isikhathi eside kangakanani, futhi uma sekuphindaphindiwe.
> Imithombo:
> Gupta, A., noD. Lyons. Lalela Funda Kudivayisi kuphela Kwengeziwe Buka Kufakiwe Okuningi kusuka kunjiniyela Pityriasis Versicolor: Update on Pharmacological Treatment Options. I-Expert Opinion kwi-Pharmacotherapy . 2014. 15 (12): 1707-13.
> U-Richard PJB, uHamish JA Hunter, noMargaret W. Mann. Izidakamizwa zemithi. I-Chichester (West Sussex): UJohn Wiley & Sons Inc., 2015. Phrinta.