I-Erythroderma

I-Erythroderma yanda kakhulu ukuba bomvu kwesikhumba. Kuhamba kunye nokukala, ukuxobuka, kunye nokuntywila kolusu, kwaye kunokubandakanya ukurhawuzelela kunye nokulahleka kweenwele.

I-Erythroderma inokwenzeka ngenxa:

• Ukuxinana kwezinye iimeko zolusu, ezinje nge-eczema kunye ne-psoriasis
• Impendulo kumayeza okanye kwiikhemikhali ezithile, ezinje nge phenytoin kunye ne allopurinol
• Ezinye iintlobo zomhlaza, ezinjenge-lymphoma

Ngamanye amaxesha unobangela awaziwa. Kuqheleke kakhulu emadodeni.

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Ubomvu ngaphezu kwama-80% ukuya kuma-90% omzimba
• Amabala esikhumba anamaxolo
• Ulusu olujiyileyo
• Ulusu luyarhawuzelela okanye lubuhlungu ngevumba
• Ukudumba kweengalo okanye imilenze
• Ukubetha kwentliziyo okukhawulezayo
• Ukuphulukana nolwelo, kukhokelela ekuphelelweni ngamanzi emzimbeni
• Ukuphulukana nolawulo lobushushu ngumzimba

Kusenokubakho nosulelo lwesibini kwesikhumba.

Umboneleli wakho wezempilo uya kubuza malunga neempawu zakho kwaye athathe imbali yakho yonyango. Umboneleli uya kwenza uvavanyo lolusu nedermatoscope. Uninzi lwexesha, unobangela unokuchongwa emva koviwo.

Ukuba kukho imfuneko, kunoku-odolwa ezi mvavanyo zilandelayo:

• I-Biopsy yolusu
• Uvavanyo lokutya komzimba
• Olunye uvavanyo lokufumana unobangela we-erythroderma

Kuba i-erythroderma inokukhokelela ngokukhawuleza kwiingxaki ezinkulu, umboneleli uza kuqala unyango kwangoko. Oku kuhlala kubandakanya amathamo amandla amayeza e-cortisone ukunciphisa ukudumba.

Olunye unyango lunokubandakanya:

• Amayeza ukunyanga oyena nobangela we-erythroderma
• Amayeza okubulala iintsholongwane kulo naluphi na usulelo
• Ukunxiba okufakwe kulusu
• Ukukhanya kwelanga
• Ukulungiswa kokulinganisela kwamanzi kunye ne-electrolyte

Kwiimeko ezimandundu, umntu kufuneka anyangwe esibhedlele.

Iingxaki zinokubandakanya:

• Usulelo lwesibini olunokukhokelela kwi-sepsis (impendulo yomzimba wonke)
• Ukuphulukana nolwelo olunokubangela ukuphelelwa ngamanzi emzimbeni kunye nokungalingani kwezimbiwa (ii-electrolyte) emzimbeni
• Ukumelwa yintliziyo

Fowunela umboneleli wakho ngoko nangoko ukuba:

• Iimpawu ziba mandundu okanye zingangcono, nokuba kunyango.
• Uphuhlisa izilonda ezintsha.

Umngcipheko we-erythroderma unokuncitshiswa ngokulandela imiyalelo yomboneleli kukhathalelo lolusu.

Dermatitis exfoliative; Dermatitis exfoliativa; Pruritus - dermatitis exfoliative; Pityriasis rubra; Isifo somntu obomvu; Ukuchithwa kwe-erythroderma

• I-eczema, i-atopic -ukusondela
• I-Psoriasis-x4 ekhulisiweyo
• Dermatitis ephezulu
• Ukukhutshwa ngokulandela i-erythroderma

UCalonje E, uBrenn T, uLazar AJ, uBill SD. I-Spongiotic, i-psoriasiform kunye ne-pustular dermatoses. Ku: Calonje E, Brenn T, uLazar AJ, uBillings SD, ii-eds. IPathology kaMcKee yoLusu. Umhla we-5. IPhiladelphia, PA: Elsevier; 2020: isahl 6.

UJames WD, u-Elston DM, nyanga i-JR, i-Rosenbach MA, i-IM ye-Neuhaus. I-Pityriasis rosea, i-pityriasis rubra pilaris, kunye nezinye izifo ezinobungozi kunye nezifo ezixhamlayo. Ku: James WD, Elston DM, Phatha uJR, Rosenbach MA, Neuhaus IM, ii-eds. Izifo zikaAndrews zolusu. Umhla we-13. IPhiladelphia, PA: Elsevier; 2020: isahl 11.

I-Whittaker S. Erythroderma. Ku: I-Bolognia JL, uSchaffer JV, uCerroni L, ii-eds. Dermatology. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 10.