Hidradenitis suppurativa ndi matenda aakulu omwe amakhudza zizindikiro za thukuta
Kusuta ndi chizolowezi choipa chomwe chingakuphe. Kusuta ndikoipa m'mapapu anu, mtima wanu ... ndi khungu lanu. Inde, kusuta kungakhudze ngakhale khungu lanu. Makamaka, ngati mumasuta, chiopsezo chanu cha hidradenitis suppurativa chikuwonjezeka. (Kusuta kumayambitsanso makwinya .)
Hidradenitis ndi matenda otupa ngati ofanana kwambiri ndi acne omwe nthawi zambiri amakhudza zithunzithunzi za thukuta pamphuno.
Ndi milandu yoopsa, hidradenitis imachiritsidwa ndi opaleshoni kapena ma immunomodulator.
Kodi Hidradenitis N'chiyani?
Kuphatikizapo kukhudza mphutsi ndi kubuula, hidradenitis ingasokonezenso madera ena olemera mu mapiko a thukuta la apocrine kuphatikizapo chiuno ndi anus. (Kawirikawiri, hidradenitis ingasokonezenso malo ogulitsa pafupi ndi mimba kapena khutu.)
Hidradenitis imayambitsa mapuloteni a tsitsi ndiyeno imatseka majeremusi oyandikana nawo. Kutseka uku kumaphatikizapo kutupa ndi matenda omwe amachititsa kuti matendawa akhale ovuta komanso osasangalatsa.
Anthu omwe ali ndi hidradenitis amapezeka ndi mitu yakuda ndi abulu kapena zithupsa zomwe zingagwirizane ndi tunnels (fistula) pansi pa khungu. Hidradenitis imayambitsanso mafinya, ziphuphu, mitsempha, mphutsi ndi zofiira.
Hidradenitis imafala kwambiri kwa amayi, African American, anthu omwe ali ochepa kwambiri, anthu omwe ali ndi shuga ndi anthu omwe ali ndi acne. Hidradenitis kawirikawiri amayamba kupereka mphatso paunyamata wamkulu ndipo ikhoza kuwonongeka panthawi yachinyamata.
Kawirikawiri, njira ya hidradenitis yaxes ndi maanja. Mlungu umodzi munthu akhoza kupereka ndi zopweteka zopweteka, zofiira, zamagazi ndi zofooka, ndipo sabata yotsatira zonse zotsalazo zikusowa, kokha kuti pulogalamuyo ibwereze masiku angapo kapena masabata.
Kusuta fodya komanso kuchepa kwa thupi-ngakhale pang'ono peresenti ya thupi lanu-kungachepetse zizindikiro za hidradenitis.
Ngakhale mofanana ndi chingwe cha pilonidal, hidradenitis sizinthu zambiri zomwe zimachoka paokha. M'malo mwake, hiladenitisit imakhala yoipitsitsa popanda mankhwala mwamsanga. Mwa kuyankhula kwina, kuyambitsidwa ndi kuchipatala koyambirira ndikofunika kwa mpumulo. (Ngakhale kuti pilonidal cyst imachiritsidwa ndi opaleshoni , mankhwala ambiri a hidradenitis amachepetsa zizindikiro.)
Hidradenitis Treatment
Zolinga za mankhwala zimasiyana malinga ndi wodwalayo ndipo zimaphatikizapo:
- kuchepetsa kupuma
- kuchotseratu zopuma
- kupewa zopuma
- kuchotsa zipsera
- kuchotsa tunnel pansi pa khungu (fistula)
Pali mankhwala osiyanasiyana okhudza hidradenitis omwe alipo:
- maantibayotiki, omwe amaletsa kutupa ndi kuthandiza kuthana ndi matenda
- mabafa osambira
- ziphuphu zimatsuka
- mankhwala amatsenga
- mapiritsi oletsa kubadwa
- methotrexate, zomwe zimachepetsa mphamvu ya chitetezo cha mthupi
- zilonda za corticosteroid
- chithandizo cha ma radiation chimene chimapangitsa kuti anthu asamawonongeke kwambiri ndipo sagwiritsidwa ntchito masiku ano kuposa kale
- kuvala mabala
- retinoids zamlomo, zomwe zawonetsedwa kuthandiza ochepa odwala
Kawirikawiri, palibe mankhwala kapena mankhwala opanda opaleshoni omwe amagwira ntchito pochiritsa hiradenitis; mmalo mwake, mankhwala akuphatikizidwa.
Pamene hidradenitis imalowa mkati pakhungu, opaleshoni ndiyo njira yabwino kwambiri; Njira zopangira opaleshoni zimaphatikizapo mankhwala a laser, incision ndi drainage, deroofing, ndi chisokonezo (kutenga malo okhudzidwa kunja).
Mwamwayi, anthu ochepa amakhala ndi hidradenitis omwe sagwirizana ndi mankhwala osaperekedwa pamwambapa. Komanso, anthuwa ndi osauka opaleshoni chifukwa cha kuchuluka kwa zilonda zawo. Kwa odwala awa, mu 2015 a FDA adavomereza wothandizira biologic kapena immunomodulator wotchedwa adalimumab (Humira).
Adalimumab amayesetsa kuchepetsa kutentha komwe kumayendetsedwa ndi chitetezo cha mthupi. M'mayesero a zachipatala, adalimumab yawonetsa kuti ikugwira ntchito mwamsanga osati kuchepetsa kutupa komanso chiwerengero cha mitsempha ndi mapiritsi omwe amaphatikizapo hidradenitis.
Pansi
Ngati inu kapena munthu wina amene mumamukonda akudwala hidradenitis, chonde onetsetsani kuti mupange chiwonetsero ndi dokotala wamkulu kapena dermatologist.
(Pambuyo pake mukhoza kutumizidwa kwa dokotala wa opaleshoni kuti mukachiritsidwe.) Palibe chifukwa chokhalira ndi chikhalidwe chovuta makamaka makamaka pakakhala mankhwala ochiritsira.
Zotsatira
Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr. Chaputala 115. Hidradenitis Suppurativa. Mu: Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr .. eds. The Atlas of Family Medicine, 2e . New York, NY: Hill ya McGraw; 2013.
Zarchi K, Dufour D, Jemec GE. Kuchiza kwabwino kwa Hidradenitis Yopambana ndi Anakinra. JAMA Dermatol. 2013; 149 (10): 1192-1194.