I-Hidradenitis suppurativa yisimiso esingapheli esithinta ama-sweland
Ukubhema kuwumkhuba omubi ongakubulala. Ukubhema kubi ngamaphaphu akho, inhliziyo yakho ... nesikhumba sakho. Yebo, ukubhema kungathinta isikhumba sakho. Ngokuqondile, uma ubhema, ingozi yakho yokuxhaswa kwe-hidradenitis yanda. (Ukubhema kubangela imibimbi .)
I-Hidradenitis yisimo sokuvuvukala esifana nesimo esibi kakhulu se- acne okuvame ukuthinta kuphela izigulane ezikhukhulayo emagqumeni nase-groin.
Ngezimo ezinzima, i-hidradenitis iphathwa ngokuhlinzwa noma i-immunomodulators.
Kuyini i-Hidradenitis?
Ngaphezu kokuthinta ama-armpits no-groin, i-hidradenitis ingathinta nakwezinye izindawo ezicebile ezigulini ezikhukhumezayo ze-apocrine kuhlanganise nentambo engenhla ne-anus. (Ngokuvamile kakhulu, i-hidradenitis ingaphinde ibhekane ne-real estate ezungeze inkinobho yesisu noma indlebe.)
I-Hidradenitis ivimbela kuqala izinwele zezinwele bese ivimbela izigulane ezizungezile ezizungezile. Lokhu kuvaliwe kuhambisana nokuvuvukala nokutheleleka okwenza lesi simo sibe buhlungu futhi singakhululekile.
Abantu abane-hidradenitis ekhona ngamnyama kanye nama-abscesses noma amathumba angakwazi ukuxhuma nge-tunnels (i-fistula) ngaphansi kwesikhumba. I-Hidradenitis ibuye ibangele imithombo yamanzi, ama-pimples, ama-nodules, ama-cysts nokuqeda.
I-Hidradenitis ivame kakhulu phakathi kwabesifazane, base-Afrika baseMelika, abantu abanomsoco, abantu abanesifo sikashukela nabantu abano-acne. I-Hidradenitis ivame kuqala iveza lapho umuntu esemdala futhi angase avuke ngesikhathi sezinyosi.
Ngokuvamile, inkambo ye-hidradenitis yaxes futhi iyahamba. Ngesonto elilodwa umuntu angabonisa izimpumputhe ezibuhlungu, ezibomvu, zegazi ne-pus, futhi ngesonto elilandelayo konke okusalayo kuyabonakala, kuphela ukuthi umjikelezo uphindze izinsuku eziningana noma amasonto kamuva.
Ukuyeka ukubhema nokulahlekelwa isisindo-ngisho namaphesenti ayishumi esisindo sakho-kunganciphisa izimpawu ze-hidradenitis.
Noma kunjalo okuningi njenge-cyst pilididal, i-hidradenitis ngokuvamile ayikho into ehamba yodwa. Esikhundleni salokho, i-hidradenitis iba yimbi kakhulu ngaphandle kokwelapha ngokushesha. Ngamanye amazwi, ukuxilongwa kokuqala kanye nokwelashwa kuyisihluthulelo sokukhululeka. (Nakuba i- cyst pilididal iselashwa ngokuhlinzeka , ukwelashwa okuningi kwe-hidradenitis kunciphisa izimpawu.)
Ukwelashwa kwe-Hidradenitis
Izinhloso zokwelapha ziyahlukahluka ngokuvumelana nesiguli futhi zihlanganisa:
- ukunciphisa ukuphumula
- ukuhlanzwa kokuphumula
- ukuvimbela ukuphumula
- ukuqeda izibazi
- ukuqeda imigudu ngaphansi kwesikhumba (i-fistula)
Kukhona izindlela zokwelapha ezihlukahlukene ze-hidradenitis kuhlanganise nalokhu okulandelayo:
- ama-antibiotics, okuvimbela ukuvuvukala nokusiza ukulwa nokutheleleka
- amabhashi e-bleach
- i-acne igeza
- imithi yama-acne
- amaphilisi okulawula ukuzalwa
- i-methotrexate, eyenza ukuthi amasosha omzimba aphendule
- ama-corticosteroid injections
- imithi yokwelapha emisebeni ephethe umthwalo wokushisa imisebe futhi isetshenziswa kancane kakhulu namuhla kunanesikhathi esidlule
- ukugqoka okulimazayo
- i-retinoids yomlomo, eye yaboniswa ukusiza abambalwa beziguli
Ngokujwayelekile, akukho mithi eyodwa noma ukwelapha okungelapheki okuphumelelayo lapho ukwelapha i-hidradenitis; Kunalokho, ukwelashwa kuhlangene.
Lapho i-hidradenitis isondela ngokujulile esikhumbeni, ukuhlinza kuyindlela engcono kakhulu; Izinketho zokuhlinza zihlanganisa ukwelashwa kwe-laser, ukufakwa komshini kanye nokugeleza, ukuchithwa kwama-deroofing, nokuziqhenya (ukuthatha izindawo ezithintekile ngaphandle).
Ngeshwa, abantu abambalwa banesifo esiqine kakhulu se-hidradenitis esingavumelani nemithi engenhla yokuhlinzeka. Ngaphezu kwalokho, laba bantu bangabantu abampofu abahlinzekiwe ngokuhlinzwa ngenxa yezilonda zabo. Kulaba bantu abagulayo, ngo-2015 i-FDA ivumile i-agent ye-biologic noma i-immunomodulator ebizwa ngokuthi i-adalimumab (Humira).
I-Adalimumab isebenza ukunciphisa ukuvuvukala okukhulunywe ngumzimba wamasosha omzimba. Ezilingo zomtholampilo, i-adalimumab iboniswe ukuthi isebenza ngokuphumelelayo ekunciphiseni ukuvuvukala kuphela kodwa futhi nenani lezintuthwane kanye nama-abscesses ahambisana ne-hidradenitis.
Ngaphansi
Uma wena noma omunye umuntu omthandayo ehlushwa yi-hidradenitis, sicela uqiniseke ukuthi wenza i-aphoyintimenti nodokotela oyinhloko noma udokotela wezempilo.
(Ekugcineni ungathunyelwa kudokotela ohlinzayo ukwelashwa.) Asikho isizathu sokukhuthazelela lesi simo esingakhululekile ikakhulukazi uma kukhona ukwelashwa okuphumelelayo.
Imithombo
Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr. Isahluko 115. I-Hidradenitis Suppurativa. Ku: Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr .. eds. Umbala we-Atlas of Family Medicine, u-2e . ENew York, NY: McGraw-Hill; 2013.
Zarchi K, Dufour D, Jemec GE. Ukwelashwa Okuphumelelayo Kwe-Hidradenitis Enamandla Yokuxhasana Ne-Anakinra. I-JAMA Dermatol. 2013; 149 (10): 1192-1194.