Vitiligo

IVitiligo yimeko yesikhumba apho kukho ilahleko kumbala (umbala) kwiindawo zolusu. Oku kukhokelela kumabala amhlophe angalinganiyo angenawo umbala, kodwa ulusu luziva luqhelekile.

IVitiligo yenzeka xa iiseli zokhuselo lomzimba zitshabalalisa iiseli ezenza i-pigment emdaka (melanocytes). Oku kutshatyalaliswa kucingelwa ukuba kungenxa yengxaki yokuzimela. Isifo sokuzimela komzimba senzeka xa amajoni omzimba, aqhele ukukhusela umzimba kusulelo, uhlasele kwaye utshabalalise izicwili zomzimba ezisempilweni endaweni yoko. Oyena nobangela we vitiligo akaziwa.

IVitiligo inokuvela nangaliphi na ubudala. Kukho ukwanda kwenqanaba lemeko kwezinye iintsapho.

IVitiligo inxulunyaniswa nezinye izifo ezizimela komzimba:

• Isifo iAddison (ingxaki eyenzeka xa idlala le-adrenal lingavelisi iihormoni ezaneleyo)
• Isifo se-thyroid
• I-anemia enobunzima (ukwehla kweeseli ezibomvu zegazi ezenzeka xa amathumbu engakwazi ukufunxa ivithamini B12 ngokufanelekileyo)
• Seswekile

Iindawo ezi-Flat zolusu oluqhelekileyo oluvakalayo ngaphandle kombala luvela ngesiquphe okanye ngokuthe ngcembe. Ezi ndawo zinomda omnyama. Imiphetho ichazwe kakuhle, kodwa ayiqhelekanga.

I-Vitiligo ihlala ichaphazela ubuso, iingqiniba kunye namadolo, umva wezandla neenyawo, kunye namalungu esini. Ichaphazela omabini amacala omzimba ngokulinganayo.

IVitiligo ibonakala kakhulu kubantu abanesikhumba esimnyama ngenxa yokungafani kwamabala amhlophe kulusu olumnyama.

Akukho lunye utshintsho lolusu olwenzekayo.

Umboneleli wakho wezempilo unokuvavanya ulusu lwakho ukuqinisekisa isifo.

Ngamanye amaxesha, umboneleli usebenzisa isibane seWood. Esi sisibane se-ultraviolet esiphathwayo esibangela ukuba iindawo zolusu olunombala omncinci zikhazimle mhlophe qhwa.

Kwezinye iimeko, i-biopsy yesikhumba ingafuneka ukuba ilawule ezinye izizathu zokulahleka kwe-pigment. Umboneleli wakho unokwenza uvavanyo lwegazi ukujonga amanqanaba e-thyroid okanye amanye amahomoni, i-glucose level, kunye ne-vitamin B12 ukulawula ezinye iingxaki ezinxulumene nazo.

Vitiligo kunzima ukunyanga. Unyango lwakwangoko lubandakanya oku kulandelayo:

• I-Phototherapy, inkqubo yonyango apho ulusu lwakho luvezwa ngononophelo kwimilinganiselo yokukhanya kwelanga. I-Phototherapy inokunikwa yodwa, okanye emva kokuba uthathe iyeza elenza ulusu lwakho lubonakale ekukhanyeni. Ugqirha wolusu wenza olu nyango.
• Ii-lasers ezithile zinokunceda ukubuyisela ulusu kulusu.
• Amayeza asetyenziswa eluswini, anje nge-corticosteroid creams okanye i-ointments, ii-immunosuppressant creams okanye i-ointments ezifana ne-pimecrolimus (Elidel) kunye ne-tacrolimus (Protopic), okanye iziyobisi ezingumxholo ezifana ne-methoxsalen (i-Oxsoralen) nazo zinokunceda.

Ulusu lunokuhanjiswa (kumiliselwa) kwiindawo eziqhelekileyo ezinombala kwaye lubekwe kwiindawo apho ilahleko ibala.

Amakhemikhali aliqela okusitha okanye iidayi zolusu zinokufihla i-vitiligo. Buza umboneleli wakho ngamagama ezi mveliso.

Kwiimeko ezigabadeleyo xa uninzi lomzimba luchaphazeleka, ulusu olushiyekileyo olusenayo i-pigment lunokukhutshwa, okanye ludanjiswe. Olu lutshintsho olusisigxina olusetyenziswa njengokhetho lokugqibela.

Kubalulekile ukukhumbula ukuba ulusu ngaphandle kombala lusemngciphekweni omkhulu wokonakaliswa lilanga. Qiniseka ukuba usebenzisa i-spectrum ebanzi (i-UVA kunye ne-UVB), i-sunscreen ephezulu okanye isithinteli selanga. Iscreen selanga sinokunceda ekwenzeni imeko ingabonakali kakhulu, kuba ulusu olungachaphazelekiyo alunakuba mnyama elangeni. Sebenzisa ezinye iindlela zokuzikhusela elangeni, njengokufaka umnqwazi onomphetho obanzi kunye nehempe ende nebhulukhwe.

Olunye ulwazi kunye nenkxaso kubantu abanesimo se-vitiligo kunye neentsapho zabo zifumaneka ku:

• Inkxaso yeVitiligo yaMazwe ngaMazwe- vitiligosupport.org

Ikhosi ye-vitiligo iyahluka kwaye ayiqikeleleki. Ezinye iindawo zinokuphinda zifumane umbala oqhelekileyo (umbala), kodwa ezinye iindawo ezilahlekileyo zombala zinokubonakala. Ulusu olwenziwe ngokutsha lunokuba khaphukhaphu kancinci okanye lube mnyama ngakumbi kunolusu olujikelezileyo. Ukuphulukana ne-pigment kunokuba kubi ngokuhamba kwexesha.

Biza ukuqeshwa kunye nomboneleli wakho ukuba iindawo zolusu lwakho zilahlekelwe ngumbala wazo ngaphandle kwesizathu (umzekelo, kwakungekho monakalo kulusu).

Ukuphazamiseka komzimba - i-vitiligo

• Vitiligo
• IVitiligo - iziyobisi ezenziweyo
• Vitiligo ebusweni
• Vitiligo ngasemva nengalo

IDinulos JGH. Izifo ezinxulumene nokukhanya kunye nokuphazamiseka kombala. Ku: I-Dinulos JGH, ed. Ugqirha wezonyango waseHabif. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 19.

Umdlulisi T, Ortonne JP. Vitiligo kunye nokunye ukuphazamiseka kwe-hypopigmentation. Ku: I-Bolognia JL, uSchaffer JV, uCerroni L, ii-eds. Dermatology. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 66.

IPatterson JW. Ukuphazamiseka kombala. Ku: Patterson JW, ed. Weedon's Ulusu lwezifo. Umhla we-5. IPhiladelphia, PA: Elsevier; 2021: isahluko 11.