Mtundu Wachilonda cha Khungu Lomwe Sangapweteke Kapena Lalikulu
A macule ndi chikopa cha khungu chomwe sichikwera ndipo sichiposa masentimita awiri. Ngati mutatseka maso anu ndi kutseketsa chala chanu pakhungu, simungathe kusintha kusintha.
Macules ndizosiyana ndi zochitika zosiyanasiyana zachipatala, zina zoopsa ndi zina osati. Amatchulidwa ngati zilonda zapachilombo monga momwe zimakhalira nthawi yoyamba kuti adziwe matenda.
Zilonda zina zoyambirira zimaphatikizapo pustules (yowonjezera kapena phalala yodzaza ndi pus) ndi zotupa.
Macules amatha kuwona mbali iliyonse ya thupi koma nthawi zambiri amapezeka pamtima, kumbuyo, nkhope, ndi mikono. Angakhale hypopigmented (kuwala kuposa chikopa chozungulira), amawoneka (amdima kuposa zikopa zozungulira), kapena amaoneka ngati pinki kapena wofiira.
Zimayambitsa
Macules ikhoza kukhala chizindikiro cha chinachake chachikulu kapena chopanda pake nkomwe. Nthawi zambiri amakhalapo kuyambira nthawi yoberekera ndipo akhoza kukulira kapena kuwonjezeka mu chiwerengero pamene munthu akukula. Ngakhale zizindikiro zoberekera zingakhale ngati mtundu wa macule.
Macules amatha kukhala ndi chiwerengero chachidziwitso chachidziwitso cha mankhwala, kuphatikizapo:
- Vitiligo , kutayika kwa mtundu wa khungu wokhudzana ndi matenda odzimadzimutsa
- Tinea versicolor , mdima wandiweyani kapena wonyezimira wa khungu wochitidwa ndi bowa
- Candidiasis yodula , yofiira, yothamanga yoopsa yomwe imayambitsidwa ndi bowa womwewo ngati phokoso la pakamwa
- Rosacea , nsalu zofiira za khungu pamaso
- Rubella (chimfine cha German) , matenda omwe ali ndi kachilombo ka HIV
- Tuberous sclerosis , matenda osadabwitsa omwe angayambitse hypopigmentation
- Actinic keratosis , mawonekedwe a precancer
- Khansa yapakhungu , kuphatikizapo basal cell carcinoma, squamous cell carcinoma, ndi melanoma
Khansara ya Khungu ndi Macules
A macule si, mkati mwake, chizindikiro cha khansara ya khungu.
Ngakhale macule angakhale ndi maonekedwe a khansa, mayesero ena amafunika kuti atsimikizidwe kapena kusatengera matenda. Zonse zanenedwa, pali mitundu inayi ya khansara ya khungu kapena yowonongeka, aliyense ali ndi maonekedwe ake omwe:
- Actinic keratosis ili ndi madzi owuma, mabala kapena mawanga omwe amapezeka pamutu, pamutu, m'manja, ndi m'mbuyo.
- Zilonda za basal cell carcinoma (BCC) zimawonekera ngati chigamba cha pinkish kapena mtundu wonyezimira, ngale, nthawi zambiri pamutu, pamutu, ndi mkono (komanso pambali ina iliyonse ya thupi)
- Squamous cell carcinoma (SCC) ingawoneke ngati nthenda yotchedwa scaly, bump yofiira, kapena zilonda zomwe zimachiritsa ndi kubwezeretsanso. Amawoneka kawirikawiri pamphuno mwa makutu, nkhope, khosi, mikono, chifuwa, ndi kumbuyo.
- Mankhwala a melanoma angawononge ngati khungu pa khungu kapena ndi kusintha kosayembekezereka kwa mole.
Ngati mumapeza zipsinjo zooneka ngati zokayikitsa, funsani dermatologist mwamsanga.
Njira Zogwiritsira Ntchito
Kuti mudziwe chomwe chimayambitsa macule, dermatologist imayamba ndi kuyang'anitsitsa khungu. Nthawi zina, monga vitiligo kapena rosacea, maonekedwe okwanira amatha kudziwitsa (ngakhale kuti mayesero ena angapangidwe kuti azindikire zifukwa zina).
Nthawi zina, dokotala akhoza kuchita chikhalidwe ngati chifukwa chake amakhulupirira kuti ndi fungalomu kapena amagwiritsa ntchito mayeso a magazi kuti adziwe matenda a tizilombo kapena tizilombo toyambitsa matenda.
Ngati mukuganiza kuti khansara ikuwoneka, chiwerengero cha golidi ya golide chikhalabe chodetsa khungu . Ndondomeko ikhoza kuchitidwa mofulumira ku ofesi ya dokotala komanso pansi pa anesthesia. Pambuyo pa khungu, khungu lachikopa lidzachotsedwa (mwina poyeretsa khungu, pogwiritsa ntchito pulogalamu ya mamita atatu, kapena kupambana ndi chitsanzo ndi scalpel) ndi kuyesedwa mu labu. Chiwerengerochi chimasinthidwa chifukwa cha khansa.
Malingana ndi zotsatira za njira iliyonse-kaya iwonetsedwe, ma laboni, kapena biopsy-dokotala amalimbikitsa chithandizo choyenera kuchipatala.
Mawu Ochokera
Kachidzidzidzi khungu la khungu likhoza kukhala lovutitsa, makamaka ngati likusintha mofulumira kapena losasintha . Ngakhale simukudziwa chomwe chiri (kapena sichikugwirizana ndi mbiri yanu), yambani kufufuza mwamsanga kusiyana ndi mtsogolo.
Pamapeto pake, pali mwayi waukulu kuti chilondacho sichidzakhala chovuta kapena chinachake chosavuta kuchipatala. Ngakhale ngati khansara, matenda oyambirira ndi chithandizo amakupatsani mwayi waukulu kwambiri wopambana. Ngati atagwidwa msanga, ngakhale khansa ya khansa imatha kuchiritsidwa ndi opaleshoni yaying'ono.
Kuchepetsa chiopsezo chanu cha khansa yapakhungu:
- Valani zenera za SPF 15 kapena zazikulu (ngakhale ngati mitambo).
- Phimbani ndi zovala ndi chipewa chachikulu.
- Fufuzani mthunzi nthawi iliyonse yomwe ingatheke, makamaka pakati pa 10 koloko m'mawa ndi 4 koloko madzulo
- Musalole kuti khungu lanu liwotche.
- Pewani kuyatsa mabedi.
- Yang'anani thupi lanu mwezi uliwonse kwa zilembo zowoneka zokayikitsa, ziphuphu, kapena zilonda.
> Zotsatira:
> Gandhi, S. ndi Kampp, J. "Khansa ya Pakhungu Epidemiology, Kuzindikira, ndi Utsogoleri." Kliniki Yamagulu N Amer. 2015; 99 (6): 1323-35; DOI: 10.1016 / j.mcna.2015.06.002.
> Plensdorf, A. ndi Martinez, J. "Matenda Omwe Amagwirizanitsa Pigmentation." Am Phys Physician . 2009; 79 (2): 109-116.