Kuwopsya ndi Kulimbitsa Malo Amtundu
Scleredema ndi matenda a khungu omwe khungu limakula ndi kuumitsa, nthawi zina ndi kufiira. Chomwe chimayambitsa scleredema sichikudziwika. Nthawi zambiri zimayanjanitsidwa ndi matenda a shuga, ndipo pakati pa anthu omwe ali ndi shuga , amuna amakhudzidwa kwambiri kuposa akazi (10: 1). Scleredema ikhoza kuchitika pambuyo pa matenda a chiwindi kapena matenda a streptococcal throat , ndipo m'mayesero awa, akazi amakhudzidwa kawiri nthawi zambiri monga amuna.
Ngakhale kuti nthawi zina amatchedwa munthu wamkulu wa scleredema, matendawa amapezeka mwa anthu a misinkhu yonse komanso mitundu yonse.
Zizindikiro
Pamene scleredema imapezeka, malo okhudzidwa a khungu amakula ndi kuumitsidwa. Zitha kukhala zofiira kapena zakuda, komanso zingawoneke ngati khungu la lalanje (lotchedwa peau d'orange). Nthaŵi zambiri, scleredema imayamba pa nkhope, khosi, kapena kumbuyo kumbuyo. Zitha kufalikira m'manja kapena pachifuwa, koma manja ndi miyendo sizimakhudzidwa. Zizindikiro zina zingachitike malinga ndi dera lomwe lakhudzidwa:
- nkhope - zovuta kutsegula maso kapena pakamwa
- khungu pamalumiki - kuyendetsa pang'ono
- lilime - zovuta kulankhula kapena kutafuna
Kwa anthu ena, scleredema imakhudza osati khungu kokha koma ziwalo zina za thupi monga mtima, chiwindi, spleen , minofu, kapena mmero.
Kudziwa
Scleredema nthawi zambiri amawatsalira pogwiritsa ntchito khungu komanso mbiri yachipatala ya munthu (monga matenda a shuga kapena matenda atsopano).
Chitsanzo cha khungu (biopsy) chimatengedwa ndikuyang'anitsidwa pansi pa microscope kuti atsimikizidwe kuti ali ndi matenda. Chikhalidwe cha khosi cha matenda a streptococcal khosi chimapezedwa ndipo shuga ya magazi imayesedwa kwa shuga. Kuyezetsa magazi kwapadera kumachitika pofuna kufufuza matenda a magazi monga multipleeloma angapo omwe angawoneke pamene scleredema ikuyamba.
Chithandizo
Mitundu yambiri ya mankhwala yayesedwa ngati mankhwala a scleredema, koma palibe mankhwala omwe atsimikiziridwa kukhala abwino. Anthu angapindule ndi corticosteroids, cyclosporine , methotrexate, UVA1 phototherapy, kapena psoralen ndi ultraviolet kuwala A. Ngati matenda alipo, mankhwala opha tizilombo angayambe. Ngati shuga ilipo, iyenera kuyendetsedwa ndi zakudya, zolimbitsa thupi, ndi mankhwala. Mankhwala othandizira thupi angathandize ngati kusuntha kwa ziwalo za thupi kuli koletsedwa.
Anthu omwe amapanga scleredema pambuyo pa matenda amatha kukhala ndifupikitsa matendawa, ndi zizindikiro zothetsera pakadutsa miyezi 6 mpaka zaka ziwiri. Anthu omwe ali ndi shuga amene amapanga scleredema ali ndi zizindikiro kwa nthawi yaitali, nthawi zambiri zaka zambiri.
> Zotsatira:
> MedicineNet.com. Tanthauzo la Scleredema
> Rosenbach, M. (2006). Scleredema. eMedicine. http://www.emedicine.com/derm/topic385.htm