Nxibelelana nesikhumba

Ukuqhagamshelana nedermatitis yimeko apho ulusu lubomvu, lubuhlungu, okanye luvutha emva kokudibana ngqo nento.

Zimbini iintlobo zokudibana kwesikhumba.

Irritant yesikhumbaOlu lolona hlobo luqhelekileyo. Ayibangelwa kukungabikho komzimba, kodwa kunoko ukuphendula kwesikhumba kwizinto ezicaphukisayo okanye ukuxubana. Izinto ezicaphukisayo zingabandakanya iiasidi, izinto zealkali ezifana nesepha kunye nesepha, izinto zokuthambisa amalaphu, izinyibilikisi, okanye ezinye iikhemikhali. Iikhemikhali ezicaphukisa kakhulu zinokubangela impendulo emva nje kwexesha elincinci lokudibana. Iikhemikhali ezinobunzima zinokubangela impendulo emva koqhagamshelwano oluphindaphindiweyo.

Abantu abane-atopic dermatitis basemngciphekweni owandayo wokukhula koqhakamshelwano lwe-dermatitis.

Izinto eziqhelekileyo ezinokucaphukisa ulusu lwakho zibandakanya:

• Isamente
• Idayi yeenwele
• Ukuvezwa kwexesha elide kwiimfanta ezimanzi
• I-Pesticides okanye ababulali bokhula
• Iiglavu zerabha
• Iishampu

Ukudibana noqhakamshelwano lwesikhumba: Olu hlobo lwesimo lwenzeka xa isikhumba sakho sidibana nento ekubangela ukuba ube neempendulo ezingafunekiyo.

Izifo eziqhelekileyo zibandakanya:

• I-Adhesives, kubandakanya nezo zisetyenziselwa iinkophe zobuxoki okanye ii-toupee.
• Amayeza okubulala iintsholongwane, afana neomycin akhuhlwe kumphezulu wolusu.
• Ibhalsam yasePeru (esetyenziswa kwiimveliso ezininzi kunye nezithambiso, kunye nokutya neziselo ezininzi).
• Amalaphu kunye nempahla, kubandakanya zombini izinto kunye nedayi.
• Amafutha iziqholo, izinto zokuthambisa, iisepha kunye nezinto zokuthambisa.
• Iipilili zenzipho, idayi yeenwele, kunye nezisombululo zamaza ngokusisigxina.
• I-Nickel okanye ezinye izinyithi (ezifumaneka kubucwebe, iintambo zokubukela, iintsimbi zentsimbi, amagwegwe e-bra, amaqhosha, iipokotho, abanini bemilebe kunye neepowder compact).
• Ityhefu yobuthi, ityhefu ye-oki, isetyum sumac kunye nezinye izityalo.
• Irabha okanye iiglavu zelatex okanye izihlangu.
• Izilondolozo ezisetyenziswa rhoqo kumayeza kagqirha nangaphaya kwamayeza.
• I-formaldehyde, esetyenziswa kwinani elibanzi lezinto ezenziwe.

Awuyi kuba nempendulo kwinto xa uqala ukuvezwa kwinto leyo. Nangona kunjalo, uya kwenza impendulo emva kokuvezwa kwexesha elizayo. Unokuba novakalelo ngakumbi kwaye uhlakulele impendulo ukuba uyisebenzisa rhoqo. Kuyenzeka ukuba inyamezeleke into iminyaka okanye amashumi eminyaka ngaphambi kokuvela komzimba. Nje ukuba uhlakulele ukungabikho komzimba uya kuba yinto yokungabikho komzimba ebomini.

Impendulo ihlala ivela kwiiyure ezingama-24 ukuya kwezi-48 emva kokubhengeza. Irhashalala inokuqhubeka iiveki emva kokuvezwa.

Ezinye iimveliso zibangela impendulo kuphela xa ulusu lukwakhanyiswe lilanga (photosensitivity). Oku kubandakanya:

• Ukutsheva into yokuthambisa
• Izikrini zelanga
• Amafutha eSulfa
• Ezinye iziqholo
• Iimveliso zelahle yamalahle
• Ioyile kulusu lekalika

I-allergenne yomoya, efana ne-ragweed, iziqholo, umphunga ovela kwi-nail lacquer, okanye i-insecticide spray, inokubangela ukuba uqhagamshelane ne-dermatitis.

Iimpawu ziyahluka ngokuxhomekeke kwisizathu kunye nokuba ngaba i-dermatitis ibangelwa kukungabikho komzimba okanye ukuphazamiseka. Umntu ofanayo unokuba neempawu ezahlukeneyo ngexesha.

Ukuphendula ngokuthe ngqo kunokubakho ngesiquphe, okanye ukukhula emva kweenyanga okanye iminyaka yokuvezwa.

Ukudibana nedermatitis kuhlala kwenzeka ezandleni. Iimveliso zeenwele, izinto zokuthambisa kunye neziqholo zikhokelela kulusu, ebusweni, nasentanyeni. Ubucwebe bunokubangela iingxaki zolusu kwindawo ephantsi kwayo.

Ukurhawuzelela luphawu oluqhelekileyo. Kwimeko yesifo esibi somzimba, ukurhawuzelela kunokuba nzima.

Unokuba nobomvu obomvu, obunqamlekileyo, okanye obunqabileyo apho into ithinte khona ulusu. Ukuphendula okungahambelaniyo kuhlala kulibaziseka ukuze irhashalala ingabonakali kude kube kwiiyure ezingama-24 ukuya kwezi-48 emva kokuvezwa.

Ukukhawuleza kunoku:

• Unamaqhuma abomvu angenza iblisters emanzi, elilayo
• Zive ushushu kwaye uthambile
• Ooze, drain, okanye crust
• Yiba namaxolo, uluhlaza, okanye uqine

I-Dermatitis ebangelwa kukucaphuka inokubangela ukutshisa okanye iintlungu kunye nokurhawuzelela. Irritant dermatitis ihlala ibonisa njengesikhumba esomileyo, esibomvu, kunye nesirhabaxa. Ukusika (iifissures) kunokubumba ezandleni. Ulusu lusenokudumba kukuvezwa ixesha elide.

Umboneleli wakho wezempilo uya kwenza uxilongo ngokusekwe kwindlela ulusu olujongeka ngayo nangokubuza imibuzo malunga nezinto onokudibana nazo.

Ukuvavanywa komzimba kunye namabala esikhumba (okubizwa ngokuba kukuvavanywa kwepatch) kunokuba yimfuneko ukumisela ukuba yintoni ebangela impendulo. Uvavanyo lwepatch lusetyenziselwa abantu abathile abanonxibelelwano lwexesha elide okanye eliphindaphindayo lwedermatitis. Ifuna okungenani ii-3 zokundwendwela eofisini kwaye kufuneka yenziwe ngumboneleli onesakhono sokutolika iziphumo ngokuchanekileyo.

• Kutyelelo lokuqala, amabala amancinci okwehla komzimba anokusetyenziswa kulusu. Ezi patches ziyasuswa kwiiyure ezingama-48 kamva ukubona ukuba impendulo yenzekile na.
• Utyelelo lwesithathu, malunga neentsuku ezimbini kamva, lwenziwe ukukhangela nayiphi na impendulo ebambezelekileyo. Kwizinto ezithile ezifana nezinyithi, utyelelo lokugqibela lunokuba yimfuneko ngomhla we-10.
• Ukuba sele uvavanye umbandela kwindawo encinci yolusu lwakho kwaye uqaphele ukuphendula, kuya kufuneka uze nezinto zakho.

Olunye uvavanyo lunokusetyenziselwa ukulawula ezinye izizathu ezinokubakho, kubandakanya isikhumba sebhayoloji okanye inkcubeko yesilonda solusu.

Umboneleli wakho uya kuncoma unyango olusekwe kwinto ebangela ingxaki. Ngamanye amaxesha, olona nyango lulungileyo kukungenzi nto kuloo ndawo.

Rhoqo, unyango lubandakanya ukuhlamba indawo enamanzi amaninzi ukuze kupheliswe nayiphi na imikhondo yesicaphukisa esekho kulusu. Kuya kufuneka uphephe ukuvezwa ngakumbi kwinto leyo.

Iipilisi zokuthambisa okanye zokuthambisa zinceda ukugcina ulusu lufumile, kwaye zikwanceda nokuzilungisa kwesikhumba. Bayalukhusela ulusu lwakho lungatshi kwakhona. Ziyinxalenye ephambili yokuthintela kunye nokunyanga ukudibana kwesikhumba.

Amachiza e-corticosteroid yezihloko aqhelekileyo asetyenziselwa ukunyanga i-dermatitis yokunxibelelana.

• Imixholo ithetha ukuba uyibeka eluswini. Uya kumiselwa ukhilimu okanye ioyile. Izihloko ze-corticosteroids zinokubizwa ngokuba zii-topical steroids okanye ii-cortisones.
• MUSA ukusebenzisa amayeza amaninzi okanye uwasebenzise rhoqo kunokuba umboneleli wakho ekucebisa ukuba uwasebenzise.

Umboneleli wakho unokumisela ezinye iikhrimu okanye ioyile, enjenge tacrolimus okanye ipimecrolimus, ukuba isetyenziswe kulusu.

Kwiimeko ezinzima, unokufuna ukuthatha iipilisi ze-corticosteroid. Umboneleli wakho uya kukuqala ngedosi ephezulu kwaye idosi yakho iya kuncitshiswa kancinci ngaphezulu kweentsuku ezili-12. Unokufumana kwakhona i-corticosteroid shot.

Ukuthambisa okumanzi kunye nokuthambisa i-anti-itch (antipruritic) lotions kunokucetyiswa ukunciphisa ezinye iimpawu.

Izihloko ze-corticosteroids kufuneka zisetyenziselwe ixesha elifutshane kuphela. Ukusetyenziswa kwexesha elide kunyusa umngcipheko wokukhulisa ngakumbi ukudibana kwesikhumba.

Ukuqhagamshelana nedermatitis kucoca ngaphandle kweengxaki kwiiveki ezi-2 okanye ezi-3 kwiimeko ezininzi. Nangona kunjalo, inokubuya ukuba into ebangele ukuba ingafumaneki okanye ithintelwe.

Kuya kufuneka utshintshe umsebenzi wakho okanye imikhwa yengqesho ukuba ukuphazamiseka kubangelwa kukuvezwa emsebenzini. Umzekelo, imisebenzi efuna ukuhlanjwa izandla rhoqo inokuba kukukhetha okungalunganga kubantu abane-dermatitis yesandla.

Ngamanye amaxesha, i-allergen ebangela ukuba umntu angadibani ne-dermatitis reaction ayikaze ichongwe.

Usulelo lwebacteria lolusu lunokwenzeka.

Fowunela umnikezeli wakho ukuba:

• Unempawu zoqhakamshelwano lwedermatitis.
• Ukuphendula kolusu kunzima.
• Awuyi kuba ngcono emva konyango.
• Iimpawu zosulelo ezinje ngethenda, ubomvu, ukufudumala, okanye umkhuhlane.

Dermatitis - uqhakamshelwano; Isifo somzimba; Dermatitis - komzimba; Ukuqhagamshelana ne-dermatitis; Ukukhawuleza kwesikhumba - qhagamshelana nedermatitis

• Irhashalala oki irhashalala engalweni
• I-latex yokungezwani komzimba
• Izityalo zetyhefu
• Dermatitis, nickel yedwa
• Dermatitis - uqhakamshelwano
• Dermatitis - ukuvala unxibelelwano
• Dermatitis - qhagamshelana esidleleni
• Dermatitis - pustular unxibelelwano
• Iityhefu yetyhefu emadolweni
• Iityhefu yetyhefu emlenzeni
• Photocontact dermatitis kwisandla

UJames WD, u-Elston DM, nyanga i-JR, i-Rosenbach MA, i-IM ye-Neuhaus. Nxibelelana nedermatitis kunye nokuqhuma kweziyobisi. Ku: James WD, Elston DM, Phatha uJR, Rosenbach MA, Neuhaus IM, ii-eds. Izifo zikaAndrews zolusu: Unyango lweKlinikhi. Umhla we-13. IPhiladelphia, PA: Elsevier; 2020: isahl 6.

IHabif TP. Nxibelelana nedermatitis kunye nokuvavanywa kwepatch. Ku: Habif TP, ed. Zonyango lwezonyango. Umhla wesi-6. ISt Louis, MO: Elsevier; 2016: isahluko 4.

I-Nixon RL, iMowad CM, iMark JG. Ukudibana nodermatitis. Ku: I-Bolognia JL, uSchaffer JV, uCerroni L, ii-eds. Dermatology. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 14.