Rosacea Tanthauzo, Zoonadi, Zimayambitsa, ndi Zochiritsira

Kodi ndi Rosacea yeniyeni ndi yotani?

Mwakhala mukudziwika kuti muli ndi rosacea, kapena mwakhala mwawonapo zina mwa malonda a mankhwala omwe athandizidwa zaka zaposachedwapa. Ngati ndi choncho, mwina muli ndi mafunso ambiri. Kodi rosacea ndi dzina lina lachikulire? Kodi zimayambitsa zotani? Ndipo, chofunikira, kodi pali mankhwala omwe angapangitse kuti achoke?

Komanso, tikuphunzira chiyani za rosacea zokhudzana ndi matenda ena?

Mwachidule

Rosacea ndi chikhalidwe chomwe chimaphatikizapo khalidwe losazolowereka la chipangizo chopanda phokoso , lomwe ndilo liwu lalikulu lomwe limagwiritsidwa ntchito pofotokoza pores, kapena kuphatikiza tsitsi, tsitsi, ndi sebaceous gland. Ngakhale zikuwoneka mofanana ndi ma acne achikulire , si wamkulu wa acne. Ndi rosacea, zilonda zam'mimba zimakhala zachilendo, koma minofu (comedones) siili.

Kwa zaka zambiri zapitazi makampani osokoneza bongo akhala akugulitsa mankhwala omwe angathandize ndi rosacea. Kaya malonda ndi otsatsa malonda ndi abwino kapena oyenerera ndi funso lina, koma ndi rosacea, malondawa apanga kusiyana kwa anthu ena. M'mbuyomu, rosacea ndi imodzi mwa zikopa zomwe anthu ambiri sanazidziwe kuti anali nazo (kapena amakhulupirira kuti ali ndi chinachake chosachiritsika), mpaka kusintha kosatha kwachitika. Anthu ambiri potsirizira pake adayankhula ndi madokotala awo atangodyetsedwa ndi momwe amawonera.

Rosacea wokondwa ndi matenda omwe amachiritsidwa kwambiri, malinga ngati mukuzindikira kuti muli ndi vuto lochiritsira.

Tiyeni tiyambe ndi mfundo zofulumira za rosacea kuti tithandizeni kufotokozera vutoli kwa inu:

• Rosacea kawirikawiri imayamba pambuyo pa zaka 30
• Ndizofala kwambiri kwa amayi kusiyana ndi amuna, ngakhale zimakhala zovuta kwambiri kuposa amuna

• Zimapezeka kawirikawiri mwa anthu a ku Scandinavia kapena a Celt koma zimakhudza aliyense
• Zimakhudza Achimerika oposa 12 miliyoni
• Matendawa amapangidwa ndi zochitika zachipatala, palibe ma laboni amene angayesedwe

Zimayambitsa

Ngakhale ofufuza sakudziwa zenizeni zomwe zimayambitsa rosacea, malingaliro angapo, komanso zifukwa zomwe zimayambitsa chiopsezo, zafikapo. Ena mwa awa ndi awa:

• Tsitsi lopaka tsitsi la Demitix folliculorum lingakhale logwirizana, ngakhale kuti ubale umenewu waperekedwa kufunso. Anthu ena okhala ndi rosacea amakhala ndi mite khungu lawo, koma ena omwe ali ndi mite alibe zizindikiro.
• Matenda a Helicobacter pylori agwirizanitsidwa ndi rosacea ndipo pali umboni wina wakuti H. pylori , mabakiteriya omwewo omwe amachititsa zilonda zamimba, akhoza kusewera mu rosacea. Ndi H. pylori chibwenzicho sichikutanthauza kuti mabakiteriya alipo pakhungu, koma m'malo mwake khungu labakiteriya m'matumbo amatha kugwira ntchito.

Zizindikiro ndi Zizindikiro

Pali zinthu zambiri za khungu zomwe zimapezeka ndi rosacea. Anthu okhala ndi rosacea akhoza kukhala ndi kuphatikiza kwa izi, monga:

• Ofiira, nthawi zina kutupa, khungu lozungulira pakati pa nkhope-pamphumi, masaya, ndi mphuno.

• Mphungu zofiira zomwe zikhoza kukhala zofanana ndi ma acne.
• Mitsempha yaing'ono yamagazi, yotchedwa telangiectasias , pamwamba pa mphuno ndi masaya omwe amawonekera pafupi koma amawonekera ngati bulauni wofiira patali.
• Mphuno yotambasulidwa, yokhala ndi mphuno, yomwe imatchedwa rhinophyma , yomwe imapezeka ngati minofu yambiri komanso yowonongeka.
• Zizindikiro kawirikawiri sera ndi kutsitsa, ndi kuchotsedwa komwe kumatsatiridwa ndi zozizwitsa za zizindikiro.

Rosacea wa Diso (Ocular Rosacea)

Pafupifupi 20 peresenti ya anthu omwe ali ndi rosacea amakhalanso ndi rosacea , kapena rosacea ya diso, ngakhale kuti nthawi zina rosacea imawoneka popanda kusintha kwa nkhope. Zizindikiro nthawi zambiri zimayamba ndi zofiira ndi zotupa maso ndi kumverera ngati chinachake, ngati mchenga, chiri m'diso.

Ngati muli ndi zizindikiro zilizonse za maso, kambiranani ndi dokotala wanu, amene angakulimbikitseni kuwona katswiri wa ophthalmologist. Pali mankhwala ambiri omwe angagwiritsidwe ntchito, kuphatikizapo kutenga mafuta omega-3-fatty acids.

Zowopsa

Zotsatirazi ndi mndandanda wa zinthu zomwe anthu adanena kuti zizindikiro zawo zimakhala zovuta kwambiri. Kupewa chilichonse mwazimene mwaziwona kungathandize kupanga mankhwala kukhala othandiza kapena kuchepetsa kufunika kwa mankhwala:

• Kutuluka kwa dzuwa
• Kusokonezeka maganizo
• Nyengo yozizira
• Kumwa mowa
• Zakudya zokometsera
• Kuchita masewera olimbitsa thupi
• Mphepo
• Mafuta osambira
• Zakumwa zakumwa
• Nyengo yozizira

Kusiyanitsa kusiyana

Maso amaoneka ndi rosacea ali wamba, koma pali zinthu zina zomwe zingawoneke zofanana, kuphatikizapo ziphuphu zazikulu. Ena mwa awa ndi awa:

• Dermatomyositis
• Kuthamangitsidwa kwamtundu wa dermatitis
• Erythema yopangidwa ndi mankhwala
• Kusokonezeka (kusuntha)

Zotsatira Zogwirizana

M'malo mochita zinthu zodzipatula, kafukufuku wasonyeza zogwirizana pakati pa rosacea ndi zina monga:

• Zikuwoneka kuti pali chiyanjano pakati pa matenda opweteka a m'mimba ndi rosacea , ngakhale kuti chiyanjano chenichenicho sichinamvetsedwebe.
• Anthu okhala ndi rosacea amaoneka kuti ali ndi chiopsezo chowonjezeka cha khansa ya m'mawere (25 peresenti yapamwamba), khansa ya khungu yopanda khansa ya khansa, ndi khansara ya chiwindi, koma momwe izi zikugwirizanirana sizikudziwika pakali pano.
• Rosacea imapezeka kuti ili ndi mgwirizano waukulu ndi chitukuko cha matenda a dementia, makamaka matenda a Alzheimer's.
• Mavuto ena omwe adagwirizanitsidwa ndi rosacea ndi matenda a Parkinson, nkhawa, ndi kupsinjika maganizo.

Maphunziro ambiri omwe akuyang'anitsitsa maulumikiziwa anafalitsidwa mu 2016 ndi 2017 kotero kuti pali zambiri zoti aphunzire za kuthekera kwa mgwirizano wa rosacea ndi zina.

Chithandizo

Pali mankhwala ambiri omwe angathandize ndi rosacea, malingana ndi kukula kwa zizindikiro zanu. Izi zikuphatikizapo:

Mankhwala Odzudzula - Amagulu angapo angagwiritsidwe ntchito pochiza rosacea. Erythromycin ndi tetracycline ndizo mankhwala apakamwa omwe amagwiritsidwa ntchito. Mankhwala ena omwe amagwiritsidwa ntchito kwambiri ndi doxycycline, Flagyl (metronidazole), ndi Minocin (minocycline). Anthu ena amangotenga mankhwala opha tizilombo, koma ena amafunika kumwa ma antibiotic tsiku lililonse kuti athetse zizindikiro. Kawirikawiri, ndi bwino kupita ndi mlingo wawung'ono kwambiri wokhoza kupereka zotsatira zomwe mukufuna. Maantibayotiki amathandizira zambiri ndi mabomba ofiira ndi zilonda zam'thupi monga nkhope. Iwo samathandiza kwambiri ndi kufiira ndi mitsempha ya magazi. Isotretinoin (Accutane) wakhala akugwiritsidwa ntchito kwa rosacea youma koma ingakhale ndi zotsatira zoyipa monga kubala kwa amayi a msinkhu wobereka, khungu loopsya komanso kuuma kwa milomo, ndi kupsinjika maganizo .

Ivermectin (mankhwala opatsirana pakamwa) atulukira ngati mankhwala a rosacea. Ivermectin ndi mankhwala omwe amagwiritsidwa ntchito kupha nthata (monga mphere) ndipo akuchititsa ochita kafukufuku kuyang'anitsitsa mwakukhoza kwa nthenda za khungu la Demodex monga momwe alili ndi vuto.

Mankhwala a Topical - Amagulu angapo opanga mavitamini angagwiritsidwe ntchito pochiza rosacea. Amagwiritsidwa ntchito kwambiri ndi Metrogel (metronidazole). Wothandizira ena ndi sulfacetamide ndi lofurulini lotion yomwe ingapezeke mwa maonekedwe a mnofu kuti athandize kubisala.

Opaleshoni - Mphuno yotambasula silingathe kusinthidwa ndi mankhwala. Opusurgery, opaleshoni ya laser, ndi mankhwala opangira opaleshoniya akhala akugwiritsidwa ntchito pazimene zimagwira ntchito mosavuta. Electrosurgery ndi laser therapy zimathandiza mitsempha ya mitsempha.

Mawu Ochokera

Choyamba chofunika kwambiri pakuyendetsa rosacea ndiko kuzindikira kuti mukulimbana ndi vutoli komanso kuti sizithukuku. Njira zambiri zothandizira mankhwalawa zimaphatikizapo kupweteka ndi kuzindikira ndi kupeŵa zovuta zomwe zingayipitse. Ngati vutoli lakhalapo kwa nthawi yaitali, opaleshoni yokongoletsa akhoza kuthandiza ena.

Ngati mwapezeka kuti muli ndi rosacea, mukhoza kukhala ndi nkhawa kudziwa kuti rosacea yakhala ikugwirizana ndi zochitika zina zochokera ku Parkinson's disease (rosacea ndi chiopsezo chodziimira yekha) ku khansa ya m'mawere. Mwamwayi, ndizoyambirira kwambiri kuti mumvetse tanthauzo la zotsatirazi. Zomwe zikupezekazi zikusonyeza kuti muyenera kulingalira kuti mupite kukaonana ndi dokotala wanu ndikukambirana zomwe mwapeza, makamaka kuti mutsimikizire kuti mukusanthula mayesero a kansa ndi zina zambiri. Ndipotu, nthawi zina kudera nkhawa kumatha kusiya munthu yemwe ali ndi malo abwino kuposa munthu yemwe alibe chikhalidwe chokha. Kuchita zinthu mwakhama kungachititse kuti mukhale ndi thanzi labwino.

_Zotsatira:

_{Dessinioti, C., ndi C. Antoniou. "Red Face:" Osati Rosacea Nthawizonse. Dermatology Clinic . 2017. 35 (2): 201-206.}

_{Egeberg, A., Fowler, J., Gislason, G., ndi J. Thyssen. Rosacea ndi Ngozi ya Khansa ku Denmark. Kansa Epidemiology . 2017. 47: 76-80.}

_{Egeberg, A., Hansen, P., Gislason, G., ndi J. Thyssen. Kufufuza Mgwirizano pakati pa Rosacea ndi matenda a Parkinson: Phunziro la Danish Nationwide Cohort. JAMA Neurology . 2016. 73 (5): 529-34.}

_{Egeberg, A., Hansen, P., Gislason, G., ndi J. Thyssen. Odwala omwe ali ndi Rosacea Ali ndi Vuto Lambiri la Dementia. Annals of Neurology . 2016. 79 (6): 921-8.}

_{Layton, A. Pharmacologic Chithandizo cha Rosacea. Dermatology Clinic . 2017. 35 (2): 207-212.}

_{Moran, E., Foley, R., ndi F. Powell. Demodex ndi Rosacea Awonanso. Dermatology Clinic . 2017. 35 (2): 195-200.}