IPompholyx eczema

I-Pompholyx eczema yimeko apho i-blister encinci ikhula ezandleni nasezinyaweni. Amadyungudyungu ahlala erhawuzelela. I-Pompholyx ivela kwigama lesiGrike elithi bubble.

I-eczema (atopic dermatitis) sisifo sexesha elide (esingapheliyo) solusu esibandakanya isikhumba kunye nerhashalala.

Unobangela awaziwa. Imeko ibonakala ngathi iyavela ngamaxesha athile onyaka.

Kungenzeka ukuba uhlakulele i-pompholyx eczema xa:

• Unoxinzelelo
• Unesifo somzimba, njenge-hay fever
• Unedermatitis kwenye indawo
• Izandla zakho zihlala emanzini okanye zifumile
• Usebenza ngesamente okanye wenze omnye umsebenzi obeka izandla zakho kwi-chromium, cobalt, okanye kwi-nickel

Abasetyhini babonakala ngathi bathambekele ngakumbi ekuphuhliseni imeko ngakumbi kunamadoda.

Amadyungudyungu amancinci agcwele ulwelo abizwa ngokuba zii-vesicle avela eminweni, ezandleni nasezinyaweni. Zixhaphake kakhulu kwimiphetho yeminwe, iinzwane, iintende, kunye neenyawo. Ezi blister zinokurhawuzelela kakhulu. Zikwenza ukuba isikhumba sibe namabala amabi okanye abe bomvu, aqhekeke kwaye abebuhlungu.

Ukukrwela kukhokelela kutshintsho lolusu kunye nokuqina kwesikhumba. Amadyungudyungu amakhulu anokubangela iintlungu okanye osuleleke.

Ugqirha wakho unokukwazi ukufumanisa le meko ngokujonga ulusu lwakho.

I-biopsy yolusu ingafuneka ukuze kuthintelwe ezinye izizathu, ezinjengosulelo lomngundo okanye i-psoriasis.

Ukuba ugqirha wakho ucinga ukuba imeko inokubangelwa kukungaziphathi kakuhle, ukuvavanywa komzimba (uvavanyo lwepatch) kunokwenziwa.

I-Pompholyx inokuhamba yodwa. Unyango lujolise ekulawuleni iimpawu, ezinjengokurhawuzelela nokuthintela amadyungu. Ugqirha wakho uya kuncoma amanyathelo okuzinyamekela.

UKUNAKEKELWA KWESIKHAYA EKHAYA

Gcina ulusu lufumile ngokuthambisa okanye ukuthambisa ulusu. Sebenzisa ioyile (enje nge petroleum jelly), iikhrim, okanye into yokuthambisa.

Abaxhasi:

• Kufuneka ubungabinabutywala, nevumba, idayi, iziqholo, okanye ezinye iikhemikhali.
• Sebenza kakuhle xa zifakwa kulusu olumanzi okanye olufumileyo. Emva kokuhlamba okanye ukuhlamba, bamba ulusu lome kwaye emva koko uthambise amafutha okuthambisa ngoko nangoko.
• Ingasetyenziswa ngamaxesha ahlukeneyo emini. Ubukhulu becala unokuzifaka ezi zinto rhoqo ufuna ukugcina ulusu lwakho luthambile.

AMAYEZA

Amayeza ukunceda ukurhawuzelela zingathengwa ngaphandle kagqirha.

• Thatha iyeza lokuchasana ngaphambi kokuba ulale ukuba ukrwitshile xa ulele.
• Ezinye ii-antihistamines zibangela ukulala okuncinci okanye ukungalali, kodwa azisebenzi kangako ukurhawuzelela. Oku kubandakanya i-fexofenadine (Allegra), loratadine (Claritin, Alavert), cetirizine (Zyrtec).
• Abanye banokukwenza ulale, kubandakanya idiphenhydramine (iBenadryl).

Ugqirha wakho unokukunika amayeza angundaba-mlonyeni. Ezi ziintambiso okanye amafutha athanjiswa eluswini. Iindidi zibandakanya:

• ICorticosteroids, ezolisa ukudumba okanye isikhumba esidumbileyo
• Ama-Immunomodulators, asetyenziswa eluswini, anceda ukugcina amajoni omzimba ekuphenduleni ngamandla
• Amayeza amayeza alwa nokurhawuzelelwa

Landela imiyalelo ngendlela yokusebenzisa la mayeza. Sukufaka ngaphezulu kokufanele ukusebenzisa.

Ukuba iimpawu zinzima, unokufuna ezinye iindlela zonyango, ezinje:

• Iipilisi zeCorticosteroid
• Ukudubula kweCorticosteroid
• Amalungiselelo etar yamalahle
• Inkqubo ye-immunomodulators
• I-Phototherapy (unyango lokukhanya kwelanga)

I-Pompholyx eczema ihlala ihamba ngaphandle kweengxaki, kodwa iimpawu zinokubuya. Ukukhuhla okungaphaya kunokukhokelela kulusu olungqindilili, olunomsindo. Oku kwenza ukuba kube nzima ukunyanga ingxaki.

Shayela umboneleli wakho wezempilo ukuba unayo:

• Iimpawu zosulelo ezinje ngethenda, ubomvu, ukufudumala, okanye umkhuhlane
• Irhashalala engahambanga nonyango olulula lwasekhaya

I-Cheiropompholyx; Pedopompholyx; IDyshidrosis; Dyshidrotic onokhwekhwe; I-Acral vesicular dermatitis; Isifo esingapheliyo sesikhumba

• I-eczema, i-atopic -ukusondela
• Dermatitis ephezulu

ICamacho ID, iBurdick AE. Isandla nonyawo onokhwekhwe (endo native, dyshidrotic eczema, pompholyx). Ku: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson I, ii-eds. Unyango lwezifo zolusu: Amacandelo oBuchule oNyango. Umhla we-5. IPhiladelphia, PA: Elsevier; 2018: isahluko 99.

UJames WD,, u-Elston DM, unyange uJR, uRosenbach MA, uNeuhaus IM. I-eczema, i-atopic dermatitis, kunye nokuphazamiseka okungafunekiyo kwe-immunodeficiency. Ku: James WD, Elston DM, Phatha uJR, Rosenbach MA, Neuhaus IM, ii-eds. Izifo zikaAndrews zolusu. Umhla we-13. IPhiladelphia, PA: Elsevier; 2020: isahl 5.