Zisamba, kuphulika, kufiira ndi kuyabwa-ngakhale kuti zizindikiro za khungu lachibadwa zikuwoneka ngati zofanana, zimatanthauza kuti mukhoza kukhala ndi mkhalidwe wosiyana , kuphatikizapo rosacea, psoriasis, ndi eczema.
Ngakhale kuti rosacea, psoriasis, ndi eczema zimakhala zovuta, sizikhala zoopsa pamoyo wawo. Komabe, akhoza kutsogolera zovuta (zina mwazo zikhoza kukhala zovuta) ngati zisasinthidwe.
Ichi ndi chifukwa chake nkofunika kuona dokotala kuti adziwe momwe angapangire chithandizo choyenera ndi chithandizo cha mankhwala. Pachizindikiro chomwecho, kutenga nthawi yophunzira za chikopa chanu (kapena vuto lanu) ndi sitepe yoyamba yoyamba.
Ndicho, apa ndizomwe zimakuthandizani kuthetsa kusiyana pakati pa mavuto atatu a khungu omwe nthawi zambiri amavuta.
Rosacea: Zizindikiro, Zovuta, ndi Chithandizo
Rosacea ndi wamba kwambiri pakati pa anthu omwe ali ndi khungu labwino, ndipo amamenyana pafupifupi akazi katatu monga amuna. Izi zikukhulupiriridwa kuti zimakhala chifukwa cha nkhani za mahomoni, makamaka zomwe zimachitika nthawi ya kusamba. Ngakhale zili choncho, rosacea ikhoza kumakula ngakhale ali mwana.
Zizindikiro
Rosacea imapezeka makamaka pa nkhope yanu ndipo imayambitsa zizindikiro monga zosavuta komanso zofiira kwambiri, kutentha, kutentha, kuphulika, ndi kutupa. Zizindikirozi zimabwera nthawi zambiri, ndi nthawi yomwe zimakhala zovuta kwambiri komanso nthawi zina zimakhala zovuta.
Komanso, zizindikiro za rosacea zimatsatira chitsanzo. Poyambirira, zigawo zapakati pa nkhope zimakhudzidwa, ndi ntchentche ikufalikira patapita nthawi mpaka masaya, pamphumi, chinkhu, ndi mphuno. Rosacea ikhoza kufalikira mpaka kuphatikiza maso, makutu, chifuwa, ndi kumbuyo.
Ndi mbali za kufiira pa nkhope, mitsempha yaing'ono yamagazi, ziphuphu, ndi / kapena pustules mbewu, koma palibe mithunzi yakuda, yomwe ingathandize kusiyanitsa rosacea ku acne.
Pakapita nthawi ndi rosacea, mitsempha ya magazi pamaso pa nkhope ya munthu imakula, kupangitsa kuti kuunika kukuoneke, ngakhale kuti kulibe vuto.
Ndizoyenera kuzindikira kuti pafupifupi theka la anthu okhala ndi rosacea akukumana ndi vuto lotchedwa rosacea, yomwe maso amawomba, amawotcha ndi kumverera mwachifundo. Kuchokera kumalo osatulutsidwa, matenda a maso angayambitse mavuto ndi masomphenya.
Potsirizira pake, rosacea ikhoza kutsogolera potengera rhinophyma (mawu omwe amagwiritsidwa ntchito kufotokoza kukulitsa kwa glands mafuta pamaso omwe amachititsa masaya ofiira ofiira ndi mphuno zazikulu zofiira).
Rhinophyma amayamba kukantha amuna omwe akhala ndi rosacea kwa zaka zambiri ndipo amatha kusokonezeka mokwanira kuti achitidwe opaleshoni. Ngakhale kuti rhinophyma si chizindikiro cha uchidakwa, zojambula zojambulajambula zakhala zopanda chilungamo zatsogolera anthu kukhulupirira kuti ndi zomwe ziri.
Zimayambitsa
Asayansi akuyesetsabe kumvetsa zomwe zimayambitsa rosacea, koma zovuta zomwe zimawoneka ndi izi:
- Kutentha kumawongolera kapena kusintha
- Kutentha kwa dzuwa
- Kusokonezeka maganizo
- Kusamba
- Zosamala zaumwini ndi zodzoladzola zomwe zili ndi mowa
- Kudula nkhope
- Zakumwa zamoto
- Zakudya zokometsera
- Caffeine
- Mowa
- Mankhwala ena
Kuchiza
Mankhwala amtundu wosiyanasiyana angathandize kuthana ndi rosacea, kuphatikizapo maantibayotiki, mankhwala osakaniza, benzoyl peroxide, ndi ma vitamini A (retinoids).
Ndikofunika kuzindikira kuti steroid creams ayenera kugwiritsidwa ntchito pang'onopang'ono (osati masabata awiri panthawi) kuti achepetse kufiira. Ndipotu, steroids ikhoza kukhala yoipa kwambiri ngati imagwiritsidwa ntchito molakwika, ndipo ingayambitse mavuto ena.
Chithandizo china cha rosacea ndi mankhwala a laser kapena mankhwala otchedwa electrodesiccation (kugwiritsa ntchito singano kakang'ono yomwe imapereka magetsi ku mwazi wa magazi, kuwuwononga). Pomalizira, mankhwala oponderezedwa ndi magazi monga beta-blockers kapena Catapres (clonidine) nthawi zina amathandiza kuthandizana ndi rosacea.
Psoriasis: Mitundu, Zovuta, ndi Chithandizo
Psoriasis ikhoza kumakula pa msinkhu uliwonse, ngakhale paunyamata.
Zimakhala zikuyenda m'mabanja ndi mzere ndipo zimakhala zovuta pa nthawi yonse ya moyo. Mukakhala ndi psoriasis, chitetezo chanu cha mthupi chimakhudza khungu lanu ngati othawira kudziko lina, kulimbana ndi kuliwononga.
Mitundu
Mtundu wotchuka kwambiri wa psoriasis umatchedwa plaque psoriasis , m'madera omwe khungu limakhala lopangidwa ndi nsalu zofiira, zomwe zimatchedwa plaques), zimakhala ndi chizungulire choyera. Masamba a psoriasis amatha kupezeka kulikonse pakhungu koma kawirikawiri amakhudza zitsulo, mawondo, ndi khungu. Malo omwe mawonekedwe a plaques angakhale abwino komanso okoma.
Masamba a psoriasis angasokonezenso khungu lopangitsa kuti likhale lopweteka kwambiri, lomwe limafanana ndi nsomba. Misomali nayenso ikhoza kuyang'aniridwa ndipo ngati ziri choncho, imakhala yolekerera, yokhotakhota, ndi yotayirira.
Inde, pali mitundu ina ya psoriasis, kuphatikizapo:
- Guttate psoriasis : Mtundu uwu wa psoriasis umayambitsa zochepetsetsa, zofiira, zamasamba zamasamba kuti ziziwonekera. Mawanga amapezeka nthawi zambiri pa thunthu, mikono, ndi miyendo, koma amatha kuphimba thupi lonse.
- Pustular psoriasis : Ndi mtundu umenewu wa psoriasis, munthu amakhala ndi khungu lofiira, lofiira lomwe limadzaza ndi ziphuphu zomwe zimadzaza, zomwe zimapezeka pamanja ndi manja awo.
- Psoriasis yotsutsana : Monga dzina, psoriasis imeneyi imayambitsa zilonda zomwe sizili zosalala, zofiira, ndi zowala. Malo a khungu omwe amakhudzidwa ndi psoriasis yambiri amakhala kafali khungu ngati makutu, pansi pa mabere, ndi / kapena groin.
- Erythrodermic psoriasis : Iyi ndi yosavuta, yomwe ingakhale yovuta kwambiri ya psoriasis yomwe imayambitsa kufalikira, kutupa ndi kuyabwa padziko lonse lapansi. Nthawi zambiri, mavuto monga matenda oopsa, kutaya madzi kwa madzi, komanso kusweka mtima kwa mtima kungachititse kuti vutoli likhale loopsa.
Pomalizira pake, vuto lopweteka lomwe limayamba pafupifupi 10 mpaka 30 peresenti ya anthu omwe ali ndi psoriasis ndi mtundu wa nyamakazi wotchedwa psoriatic nyamakazi. Ngakhale kuti mgwirizano umenewu umakhudza anthu mwapadera, zizindikiro zochepa chabe zimaphatikizapo kuuma kwa m'mawa kwautali, kutopa, ndi zala zofanana ndi / kapena zala (zomwe zimatchedwa dactylitis).
Zimayambitsa
Mungadabwe kumva kuti matendawa amachititsa kuti psoriasis ayambe kudwala, makamaka matenda opatsirana, omwe amagwirizana kwambiri ndi guttate psoriasis.
Zina zowonjezera zomwe zimayambitsa psoriasis ndizo:
- Khungu likuvulaza
- Kutentha kwa dzuwa
- Khungu louma kwambiri
- Kusokonezeka maganizo
- Kutenga mankhwala ena, monga lithiamu kapena interferon
Kuchiza
Mankhwala osiyanasiyana amatha kupititsa patsogolo zizindikiro za psoriasis, kuphatikizapo kukonzekera kwa steroid, anthralin , Dovonex (calcipotriene), vitamini A zokometsera, ndi kukonzekera utoto wa malasha . Kuwonetsera kuwala kwa ultraviolet (UV) kumathandiza kusintha zizindikiro, kaya ndi zachibadwa, dzuwa la kunja, kapena nyali yapadera / ofesi ya dokotala.
Psoriasis yovuta ingafune mankhwala ndi mankhwala amphamvu omwe amachititsa kuti chitetezo chanu cha mthupi monga Trexall (methotrexate), Sandimmune (cyclosporine), ndi mankhwala omwe ali ndi biologic kuphatikizapo Enbrel (etanercept), Remicade (infliximab), kapena Humira (adalimumab).
Eczema: Zokhudzana ndi Zilonda
Eczema (yomwe imadziwikanso ndi atopic dermatitis) ikhoza kumakula pa msinkhu uliwonse, ngakhale paunyamata. Nthawi zambiri amayamba asanakwanitse zaka zisanu. Pafupifupi ana 40 peresenti ya ana "amakula" m'thupi lawo, koma ena amakumana ndi mavuto ambiri m'moyo wawo wonse. Eczema imayamba kuthamanga m'mabanja, makamaka omwe amatha kudwala matenda a mphumu ndi mphumu.
Zizindikiro
Eczema imakhulupirira kuti imakhala yosavomerezeka yomwe imawoneka kukhala yofiira, kuyabwa ndi kuwonjezereka kwambiri ndi kuyabwa, pamene kukukuta ndi kusamba kumangowonjezera khungu. Malo okhudzidwa akhoza kukhala osweka, otukuta, ophwanyika, ophwanyika kapena odula, ndipo akhoza kulira momveka bwino madzi. Anthu omwe ali ndi eczema ali pangozi yowonjezera matenda opangidwa ndi khungu, makamaka ndi mabakiteriya, Staphylococcus aureus.
Eczema ikhoza kubzala paliponse, ngakhale kuti malo ambiri amapezeka pakhungu, pamasaya ndi kumbuyo kwa manja, pamwamba pa mikono ndi kutsogolo kwa miyendo.
Zimayambitsa
Mavuto a eczema amachitanso kusintha kwa kutentha, khungu louma, zotupa (monga ubweya, utoto, zodzoladzola, zonunkhira, ndi sopo) ndi zakudya, makamaka zikuluzikuluzikulu: mazira, nkhanu, nsomba, soya, tirigu, ndi mkaka. Kupsinjika maganizo, udzu wamtundu, mungu, ndi nyama zowonongeka zimatha kuyambitsa chisangalalo.
Kuchiza
Mukakhala ndi eczema, ndikofunika kuti khungu lanu likhale loyera komanso labwino. Matenda a steroid akhoza kusintha kubirira ndi kuyabwa. Kuonjezera apo, mankhwala ovomerezeka a mankhwala monga Elidel (pimecrolimus) ndi Protopic (tacrolimus) amatha kuyambitsa kuyabwa ndi kufiira, koma ayenera kugwiritsidwa ntchito kwa nthawi yochepa chabe. Pomalizira, mankhwala oletsa antihistamines akhoza kuchepetsa kuyabwa.
Mavuto aakulu a kadamsana, mankhwala otchedwa oral steroids, Trexall (methotrexate), Sandimmune (cyclosporine), kapena Imuran (azathioprine) angafunike. Chinthu china chofunika kwambiri pa chisamaliro cha khungu ndikutenga mvula yofiira, yotentha (osati yotentha) ndikugwiritsa ntchito kuyeretsa kosapanga sopo. Kugwiritsa ntchito mankhwala odzola thupi lonse mkati mwa maminiti atatu kuti mutuluke musamba ndichinthu chofunika kwambiri poteteza khungu lanu.
Mawu Ochokera
Rosacea, psoriasis, ndi eczema ndi mavuto atatu a khungu omwe amakhala nawo pamodzi ndi zizindikiro zina zosiyana, zokopa, ndi mankhwala. Ngakhale zili choncho, onetsetsani kuti mwawona dokotala wanu kuti apeze matenda, popeza pali zizindikiro zambiri za khungu zomwe zingatsanzire zomwe tatchulidwa pano.
Kumbukiraninso, khungu lanu ndi chiwalo, monga mtima wanu ndi mapapo anu, kotero perekani chidwi chake. Zomwe zingakuthandizeni kuti muyambe kuziphatikizapo: kugwiritsa ntchito mawindo a dzuwa tsiku lililonse musanapite kunja, kupewa kusuta fodya, kuchita masewera olimbitsa khungu , komanso kuona dermatologist ngati mwawona chinachake chovutitsa kapena choipa.
> Zotsatira:
American Academy of Dermatology. (2017). Atopic Dermatitis.
American Academy of Dermatology. (2017). Psoriasis.
American Academy of Dermatology. (2017). Rosacea.
Firi, Fred F. Ferri Wopereka Udokotala ku 2008 . 2008. Fred F. Ferri. Philadelphia: Mosby, 2008.
> Sankowski AJ, Łebkowska UM, Ćwikła J, Walecka I, Walecki J. Psoriatic nyamakazi. Pol J Radiol . 2013 Jan-Mar; 78 (1): 7-17.