Ukuhlambalaza, ukuqhuma, ukubomvu nokuluma-nakuba lezi zimpawu zesikhumba ezivamile zibonakala zifana, empeleni zisho ukuthi ungaba neminye yemibandela ehlukahlukene , kuhlanganise ne-rosacea, i-psoriasis ne-eczema.
Ngesikhathi i-rosacea, i-psoriasis, ne-eczema zivame ukuba izimo ezingapheli, azivamile ukuba zisongela ukuphila. Noma kunjalo, zingaholela ezinkingeni (ezinye zazo ezingase zibe nzima) uma zingashiywanga.
Yingakho kubalulekile ukubona udokotela ukuze ahlolwe kahle futhi aphathe isifo. Ngethokheni efanayo, ukuthatha isikhathi sokufunda ngesimo sakho sesikhumba (noma isimo esingenzeka) kuyisinyathelo sokuqala esiphelele.
Ngalokhu, nansi isisekelo sokusiza ukuhlukanisa umehluko phakathi kwalezi zinkinga ezintathu ezivame ukudideka kwesikhumba.
I-Rosacea: Izimpawu, Izinkinga, Nezokwelapha
I-Rosacea ivame kakhulu phakathi kwalabo abanobucwebe obuhle, futhi bashaya abesifazane abangaba kathathu njengamadoda. Lokhu kukholakala ukuthi kungenxa yezimpikiswano ze-hormonal, ikakhulukazi lezo ezenzeka ngesikhathi sokuya esikhathini. Noma kunjalo, i-rosacea ingahlakulela kunoma yikuphi ubudala, ngisho nasebusheni.
Izimpawu
I-Rosacea ibonakala ngokuyinhloko ebusweni bakho futhi ibangele izimpawu ezifana nokulula noma ukuxubha okukhulu, ukushisa, ubomvu, ama-bumps nokuvuvukala. Lezi zimpawu zivame ukufika, ngezikhathi zesikhathi lapho zinzima kakhulu futhi ziba nezikhathi ezinzima kakhulu.
Ngaphezu kwalokho, izimpawu ze-rosacea ngokuvamile zilandela iphethini. Ekuqaleni, izindawo eziphambili zobuso zithinteka, kanti umfutho uhlakazeka ngokuhamba kwesikhathi emathunzini, ebunzini, enkingeni nasempumeni. I-Rosacea ingahle isakazeke ukuze ihlanganise amehlo, izindlebe, isifuba, nangemuva.
Nezindawo zobomvu ebusweni, imithwalo encane yegazi, izibhamu, kanye / noma ama-pustules isitshalo, kodwa akukho ukuvela kwamnyama, okungasiza ukuhlukanisa i-rosacea emaceleni.
Ngokuhamba kwesikhathi ne-rosacea, imithwalo yegazi ebusweni bomuntu ikhulisiwe, okwenza ubomvu bubonakale nakakhulu, noma ngabe bungozi, isimo.
Kuyafaneleka ukuphawula ukuthi cishe isigamu sabantu abane-rosacea sakha inkinga ebizwa ngokuthi i-rosacea ye-ocular, lapho amehlo ehlaba khona, eshisa futhi ezwa ukuzwela. Ukungaphenduliwe, ukuthelelwa kweso kungabangela izinkinga ngombono.
Okokugcina, i-rosacea ingase ihole ekugcineni iholele ku-rhinophyma (igama elisetshenziselwa ukuchaza ukwandiswa kwamahlumela omoya ebusweni obangela izihlathi ezibomvu ezivuvukile nekhala elikhulu elibomvu).
I-Rhinophyma ijwayele ukushaya amadoda asebeneminyaka engama-rosacea iminyaka eminingi futhi angase avele ngokwanele ukuze adinge ukuhlinzwa. Nakuba i-rhinophyma ayisona isibonakaliso sokudakwa ngokweqile, ama-cartoon stereotypes awenze ngokungalungile abantu bakholelwe ukuthi yilokho okuyikho.
Izihlungi
Ososayensi namanje bazama ukuqonda izimbangela eziyinhloko ze-rosacea, kodwa izinyathelo ezivamile zihlanganisa:
- Ukushisa okushisa noma izinguquko
- Ukushiswa kwelanga
- Ukucindezeleka
- Ukuya esikhathini
- Imikhiqizo yokunakekela yomuntu kanye nezimonyo eziqukethe utshwala
- Ukuhlunga ubuso
- Iziphuzo ezishisayo
- Ukudla okumnandi
- I-caffeine
- Utshwala
- Imithi ethile
Ukwelapha
Izinhlobo ezihlukahlukene zokwelashwa zingasiza ekuphuzeni i-rosacea, kuhlanganise nemithi elwa namagciwane, imithi ye-antifungal, i-benzoyl peroxide, nama-vitamin A (ama-retinoids).
Kubalulekile ukuthi uqaphele ukuthi ama-creams ase-steroid kufanele asetshenziselwe ukuqhuma okufutshane (okungabi ngaphezu kwamasonto amabili ngesikhathi) ukunciphisa ubomvu. Eqinisweni, i-steroids ingaba yingozi kakhulu uma isetshenziswa ngokungalungile, futhi ingaholela eminye imiphumela emibi .
Olunye ukwelashwa kwe-rosacea ukuphathwa kwelasi noma ukwelashwa okubizwa ngokuthi i-electrodesiccation (ukusebenzisa inaliti encane ehambisa ugesi esikebheni segazi, ukubhubhisa). Okokugcina, imishanguzo yengcindezi yegazi efana ne- beta-blockers noma i- Catapres (clonidine) ngezinye izikhathi iyasiza ukuphatha ukuqhuma okuhambisana ne-rosacea.
I-Psoriasis: Izinhlobo, Izimbangela, Nezokwelapha
I-Psoriasis ingahlakulela nganoma isiphi isikhathi, ngisho nangesikhathi esemncane.
Ijwayele ukugijima emindenini kanye nasemigodini futhi ihamba ngokuqinile phakathi nenkambo yokuphila. Uma une-psoriasis, amasosha omzimba wakho aphatha isikhumba sakho njengesihlaseli sangaphandle, sihlasela futhi silimaze.
Izinhlobo
Ifomu ejwayelekile kakhulu ye-psoriasis ibizwa ngokuthi i- plaque psoriasis , lapho izici zesikhumba zimbozwa yizintambo ezibomvu, ezibizwa ngokuthi ama-plaques), zigcwala ngesilinganiso esimhlophe. I-plaque psoriasis ingenzeka noma kuphi esikhumbeni kodwa ngokuvamile ithinta izimbongolo, amadolo, nesibindi. Izindawo lapho amafomu e-plaques angase abe mnandi futhi athande.
I-plaque psoriasis ingathinta futhi isikhumba sesifuba esibangela ukuba ibe se-scaly kakhulu, efana nokudaka. Izipikili nazo zingahle zihloswe futhi uma kunjalo, ziboshwe, zihlanjululwe futhi zikhululekile.
Yiqiniso, kunezinye izinhlobo ze-psoriasis, kufaka phakathi:
- I-Guttate psoriasis : Lolu hlobo lwe-psoriasis lubangela amancane amancane, ama-break-shaped shaped, ama-salmon pink spots azovela. Amabala ajwayelekile kaningi esiqu, izingalo, nemilenze, kodwa angakwazi ukumboza umzimba wonke.
- I-pustular psoriasis : Ngalolu hlobo lwe-psoriasis, umuntu uveza isikhumba esibomvu, esibomvu esigcwele ama-bumps-filled filled, okuvame ukutholakala ezintendeni zezandla nezinyawo zazo.
- Inverse psoriasis : Njengegama, lolu hlobo lwe-psoriasis lubangele izilonda ezingezona ezibucayi kodwa ezibushelelezi, ezibomvu, nezikhanyayo. Izindawo zesikhumba ezithinteka nge-psoriasis enamahlombe zivame ukugoqa isikhumba njengama-armpits, ngaphansi kwamabele, kanye / noma indawo yokugaya.
- I-Erythrodermic psoriasis : Lena yindlela engavamile, engaba yingozi kakhulu ye-psoriasis ebangela ukubomvu okubanzi, ukuvuvukala nokuvuza yonke umzimba. Ezimweni ezimbi kakhulu, izinkinga ezinjengokutheleleka okukhulu, ukuphelelwa amanzi ngokweqile, kanye nokuhluleka kwenhliziyo kwangasese kungenza lesi simo sibe esongela ukuphila.
Okokugcina, ingcindezi enokulimazayo engaba ngamaphesenti angaba ngu-10 ukuya ku-30 abantu abane psoriasis uhlobo lwe-arthritis okuthiwa i-psoriatic arthritis. Ngenkathi lesi simo esivumelwaneni sithinta abantu ngokukhethekile, izimpawu ezimbalwa zakudala zihlanganisa ukuqina kosuku oluthile, ukukhathala, neminwe enezinsizi kanye / noma izinzwane (ezibizwa ngokuthi i-dactylitis).
Izihlungi
Ungase umangale uma uzwa ukuthi izifo zivame ukudala ama-psoriasis flares, ikakhulukazi izifo ezithinta izifo, ezihlobene kakhulu ne-guttate psoriasis.
Okunye okubangela ukuthi i-psoriasis ihlanganise:
- Ukulimala isikhumba
- Ukushiswa kwelanga
- Isikhumba esomile kakhulu
- Ukucindezeleka
- Ukuthatha imithi ethile, njenge lithiamu noma i-interferon
Ukwelapha
Izinhlobo ezihlukahlukene zokwelashwa zingasiza ekuthuthukiseni izimpawu ze-psoriasis, okufaka amalungiselelo e-steroid, i- anthralin , i- Dovonex (i-calcipotriene), ama-vitamine A ama-creams, nama- al-container-containing containing preparations . Ukukhanya kokukhanya kwe-ultraviolet (UV) kungathuthukisa izimpawu, kungakhathaliseki ukuthi zendalo, ilanga langaphandle, noma isibani / ukukhanya okukhethekile ehhovisi likadokotela.
I-psoriasis enamandla ingadinga ukwelashwa ngemithi enamandla enqanda isimiso sakho sokuzivikela njenge Trexall (methotrexate), iSandimmune (cyclosporine), nezidakamizwa ze-biologic kuhlanganise ne-Enbrel (etanercept), i-Remicade (infliximab), noma i-Humira (adalimumab).
I-Eczema: Ehlobene Nezilwane
I-eczema (eyaziwa nangokuthi i-atopic dermatitis) ingahlakulela nganoma yisiphi isikhathi, ngisho nangesikhathi sokusana. Kuvame ukuqala ngaphambi kweminyaka emihlanu. Amaphesenti angaba ngu-40 ezingane "akhula" e-eczema, kodwa abanye bahlangabezana nokuhlukumezeka kuzo zonke izimpilo zabo. I-Eczema ijwayele ukugijima emindenini, ikakhulukazi labo abavame ukwelashwa ngokweqile kanye nesifo se-asthma.
Izimpawu
I-Eczema ikholelwa ukuthi iyisenzo esiphendukayo esiphendukela emjikelezweni wobomvu, ukuhlambalaza nokubomvu obuningi nokubamba, njengoba ukugaya nokuxubha kugxilisa isikhumba ngokwengeziwe. Izindawo ezithintekayo zingahle zivele ziqhekeke, zihlukaniswe, zifakwe emakhazeni, zikhukhume noma ziyi-scaly, futhi zingase zikhale uketshezi olucacile. Abantu abanesifo se-eczema basengozini enkulu yokuthuthukisa izifo zesikhumba, ikakhulukazi ngamabhaktheriya, iStaphylococcus aureus.
I-Eczema ingakwazi ukutshala kuphi noma yikuphi, nakuba izindawo ezivamile zikhona ezikhungweni zesikhumba, emathunjini nasezingxenyeni zezandla, eziqongweni zezingalo nangaphambili kwemilenze.
Izihlungi
Izimbangela ze-eczema zihlanganisa izinguquko zokushisa, isikhumba esomile, isikhumba, ama-cosmetics, amakha, nesobho) nokudla, ikakhulukazi izifo ezinkulu: amaqanda, amantongomane, inhlanzi, inyosi, ukolweni, kanye nobisi. Ukucindezeleka, izidakamizwa, u-pollen, kanye ne-dander yezilwane nakho kungabangela i-eczema.
Ukwelapha
Uma une-eczema, kubalulekile ukugcina isikhumba sakho sihlanzekile futhi sinempilo. I-steroid ye-topical ingathuthukisa ukubomvu nokuluma. Ngaphezu kwalokho, imishanguzo yemithi yokwelashwa efana ne- Elidel (i-pimecrolimus) ne-Protopic (tacrolimus) ingathuthukisa ukucheka nokubomvu, kodwa kufanele isetshenziswe isikhathi esifushane. Okokugcina, ama-antihistamine ngomlomo anganciphisa ukushaya.
Ezimweni ezinzima ze-eczema, i-oral steroids, i-Trexall (methotrexate), i-Sandimmune (cyclosporine), noma i-Imuran (azathioprine) ingadingeka. Esinye isici esibalulekile sokunakekelwa kwesikhumba se-eczema ukuthatha imvula emifushane, efudumele (hhayi eshisayo) nokusebenzisa ukuhlanza okungenayo isepha. Ukusebenzisa umanyolo kuwo wonke umzimba ngaphakathi kwemizuzu emithathu ukuphuma eshaweni kuyisihluthulelo sokuvikela isikhala sakho esikhumba.
Izwi elivela
I-Rosacea, i-psoriasis, ne-eczema yizinkinga ezintathu zesikhumba ezivamile nezinye izimpawu ezabelwana futhi ezihlukile, izimbangela, kanye nokwelashwa. Noma kunjalo, qiniseka ukuthi ubona udokotela wakho ukuze ahlaziye, ngoba empeleni kunezimo eziningi zesikhumba ezingase zilingane nalabo okushiwo lapha.
Khumbula futhi, isikhumba sakho siyisitho, njengenhliziyo yakho namaphaphu akho, ngakho-ke unakekele. Amathiphu ambalwa okuzoqala ukuthi ufake: ukufaka isikrini selanga nsuku zonke ngaphambi kokuphuma ngaphandle, ukugwema ukubhema, ukwenza isikhumba sokuzihlola , nokubona i-dermatologist yakho uma ubona okuthile okukhathazayo noma okukodwa.
> Imithombo:
I-American Academy of Dermatology. (2017). I-Atopic Dermatitis.
I-American Academy of Dermatology. (2017). I-Psoriasis.
I-American Academy of Dermatology. (2017). I-Rosacea.
UFerri, umeluleki wezeMpilo kaFred F. Ferri 2008 . 2008. Fred F. Ferri. Philadelphia: Mosby, 2008.
> Sankowski AJ, Łebkowska UM, Ćwikła J, Walecka I, Walecki J. I-arthritis Psoriatic. I-Pol J Radiol . 2013 Jan-Mar; 78 (1): 7-17.