Akatswiri ofufuza apeza kuti kugwirizana kwa chibadwa pakati pa khungu la vitiligo, ndi matenda ena omwe amadzimadzimutsa okha. Mwapadera, vitiligo imakhudzana kwambiri ndi matenda osiyanasiyana, kuphatikizapo:
- Matenda a chithokomiro amadziwika ngati Hashimoto's thyroiditis ndi Graves 'matenda
- Matenda owopsa
- Matenda a nyamakazi
- Psoriasis
- Lupus
- Matenda opweteka
- Thirani shuga 1
Zowonjezera, kafukufuku wasonyeza kuti kuchuluka kwa matenda a chithokomiro omwe amachititsa kuti anthu azikhala ndi matenda a chithokomiro, amakhala ndi zaka 14 peresenti, ndipo chiopsezo chotenga matenda a chithokomiro (ngati muli ndi vitiligo) chimakula ndi msinkhu.
Chidule cha Vitiligo
Vitiligo, yomwe imatchedwanso piebald khungu kapena inapeza leukoderma, ndiyo mtundu umene mtundu wa pigment umatayika kuchokera kumalo a khungu, wochititsa mdima woyera. Kutaya kwa pigment kumachokera ku melanocytes, maselo omwe amapanga pigment. Tsitsi lomwe limamera m'madera okhudzidwawo limakhudzidwanso, limakhala loyera. Mu vitiligo, khungu lenilenilo silinayambe kuwonongeka, koma anthu ena amazindikira kutentha kwa khungu kapena kuvulaza.
Pali mitundu yosiyanasiyana ya vitiligo:
Vitiligo yopanda gawo
Ili ndilo mtundu wamba wa vitiligo. Zingwezi zimawonekera kumbali zonse za thupi ndipo zimakhala zosiyana. Mawanga amapezeka nthawi zambiri m'madera omwe nthawi zambiri amapezeka padzuwa kapena pakhungu lomwe limayesedwa, kukangana, kapena kusokonezeka.
Pali magulu asanu a vitiligo osagwirizana:
- Zowonongeka - palibe zachindunji kapena zazikulu zomwe zimayambira
- Acrofacial - makamaka pa zala, zala, ndi nkhope
- Mucosal - amapezeka kuzungulira mucous membrane ndi milomo kapena zamkati mucosa
- Zamoyo zonse - zimaphimba thupi lonse, ndipo ndizochepa
- Zokongola - zigawo zochepa zomwe zimagawidwa m'madera ochepa, omwe amapezeka mwa ana
Vitiligo Yachigawo
Mtundu uwu wa vitiligo umafalikira mofulumira koma umakhala wolimba kuposa wosakhala gawo. Zimakhalanso zocheperapo kusiyana ndi zomwe sizili gawo.
Mixed Vitiligo
Mixed vitiligo amatanthawuza kuti munthu ali ndi umboni wa magawo onse awiri omwe ali ndi kachilombo ka HIV.
Vitiligo yaing'ono kapena Vitiligo Hypochromic
Mtundu uwu wa vitiligo umadziwika ndi mabala ochepa omwe amabalalika pamtengo ndi scalp, omwe amapezeka anthu amdima.
Chifukwa cha Vitiligo
Palibe chifukwa chodziwika bwino chimene chimachititsa kuti ma melanocyte afe. Zina mwazifukwa zomwe zimaganizira kuti vitiligo ndi izi:
- Chitetezo chadzidzidzi, kumene chitetezo cha mthupi sichitha molakwika ndipo chimawononga ma melanocytes pakhungu
- Kusayenerera mu nkhawa ya thupi yomwe imakhala yakufa
- Mavairasi
Zinthu zingapo zimayesedwa kuti zimakhala zovuta kwa vitiligo, kuphatikizapo:
- Zochitika zovuta kapena zosautsa
- Kutentha kwa dzuwa kwakukulu
- Kuwonetsedwa ku mankhwala owopsa
Kuzindikira kwa Vitiligo
Dokotala adzipeza vitiligo poyang'ana mbiri ya banja lanu ndi mbiri yachipatala, komanso kuyesedwa. Dokotala wanu akhoza kuitanitsa mayesero a magazi kuti awonetse ntchito yanu ya chithokomiro, pogwiritsa ntchito chiyanjano pakati pa vitiligo ndi matenda a chithokomiro.
Dokotala wanu adzafunsa mafunso, kuphatikizapo:
- Kodi muli ndi mamembala ena omwe ali ndi vitiligo?
- Kodi muli ndi mbiri ya banja la matenda oponderezedwa?
- Kodi mwakhala mukuwombera kapena kutentha kwa dzuwa musanayambe kuyera?
- Kodi mukuvutika maganizo?
- Kodi tsitsi lanu linasanduka imvi musanafike zaka 35?
- Kodi mumaganizira dzuwa?
Kuchiza kwa Vitiligo
Mwinamwake, mungafunike kuona dermatologist kuti mumvetse bwino vitiligo. Dokotala akhoza kukuthandizani kuyamba njira yothandizira kuti muthe kubwezeretsa khungu. Ngakhale pali njira zambiri zothetsera vitiligo, palibe mankhwala.
Kuchiza kumadalira msinkhu wanu, thanzi labwino, zokonda zanu, komanso malo a vitiligo m'thupi lanu.
Anthu ena amasankha kusamalidwa ndi vitiligo yawo.
Mankhwala a vitiligo ndi awa:
Kujambula ndi kuwala kwa UVB
Malo okhudzidwa amapezeka ku kuwala kwa UVB. Chithandizochi chikhoza kuchitidwa kunyumba, ndipo chifukwa choti chikhoza kuchitika tsiku ndi tsiku kunyumba, chimatengedwa kuti ndi chimodzi mwa mankhwala othandiza kwambiri.
PUVA mankhwala othandiza
T ake amagwiritsa ntchito kuwala kwa UVA kuti athetse malo oonekera ndipo nthawi zambiri amachitikira ku ofesi ya dokotala.
Khungu litakuta / makeup
Malo okhudzidwa akhoza kukhala odzala ndi zokongoletsera zokongoletsa ndi zokongoletsa.
Kusintha
Ngati malo okhudzidwawo ndi aakulu, monga momwe zilili m'thupi la thupi loposa 50 peresenti, thupi lonse likhoza kufotokozedwa kuti lifanane ndi malo okhudzidwa ndi vitiligo.
Masewera otchedwa steroid
Nthawi zina ma steroid amapezeka kumadera omwe angagwiritsidwe ntchito angathe kuchepetsa kufala kwa matendawa. Chithandizochi sichimachitika pa vitiligo yomwe ili pamaso.
Zakudya zabwino, zitsamba, ndi njira zowonjezera
Vitiligo Support International ili ndi phindu lomveka bwino la njira zosiyanasiyana za zakudya, zitsamba komanso zowonjezera za vitiligo
Zosankha ziwiri zatsopano zikuwonetsanso lonjezo pochiza vitiligo.
PC-KUS
PC-KUS ndi mankhwala opangira mauthenga opangidwa ku Ulaya. Mu kafukufuku wina wa odwala pafupifupi 2,500 omwe ali ndi vitiligo, ambiri amatha kubwezeretsa zikopa pakhungu ndi tsitsi lawo ndi mankhwala a PC-KUS.
Tofacitinib
Tofacitinib, Janus amachititsa kuti mankhwala osokoneza bongo asokonezedwe, apezeka kuti amachititsa kuti odwala ena azikhala odwala matendawa. Phunziro lofunika kwambiri likufunika kutsimikizira kuti mankhwalawa ali otetezeka komanso ochizira pochiza vitiligo.
Mawu Ochokera
Ngakhale kuti vitiligo si matenda owopsa, ikhoza kuwononga thanzi la munthu. Kudziwa za vitiligo, kufunafuna chisamaliro choyenera kuchokera kwa dermatologist, ndi kulumikizana ndi ena ndi vitiligo ndikofunika kwambiri.
Pomalizira, ngati inu kapena wokondedwa wanu muli ndi vitiligo, ndizomveka kukambirana ndi dokotala wanu kuti mupeze mayeso a magazi a TSH ndi mayeso a ma antibodies.
> Zotsatira:
> American Academy of Dermatology. Vitiligo.
> Baldini E et al. Vitiligo ndi Kugonjetsa Maganizo a Chithokomiro. Front Endocrinol (Lausanne). 2017; 8: 290.
> Grimes PE. (2017). Vitiligo: Pathogenesis, zochitika zachipatala, ndi matenda. Tsao H, ed. Zaposachedwa. Waltham, MA: UpToDate Inc.
> Liu LY, Strassner JP, Refat MA, Harris JE, Mfumu BA. Kusintha kwa vitiligo pogwiritsa ntchito Janus kinase inhibitor tofacitinib kungafunike kutulutsa kuwala. J Am Acad Dermatol . 2017 Oct; 77 (4): 675-82.
> Vrijman C et al. Kufala kwa matenda a chithokomiro kwa odwala omwe ali ndi vitiligo: ndondomeko yowonongeka. Br J Dermatol 2012 Dec; 167 (6): 1224-35.