I-Hidradenitis suppurativa (i-reverse acne): iimpawu eziphambili kunye nendlela yokunyanga

Umxholo

• Iimpawu eziphambili
• Indlela yokuqinisekisa ukuxilongwa
• Unyango njani

I-Suppradative hidradenitis, ekwabizwa ngokuba yi-reverse acne, sisifo esinqabileyo sesikhumba esenza ukuba amaqhuma abuhlungu avele phantsi kolusu, anokwaphuka abangele nevumba elibi, ashiye isikhumba eluswini xa enyamalala.

Nangona le ngxaki inokuvela nakowuphi na ummandla womzimba, ixhaphake kakhulu kwindawo eneenwele apho isikhumba sihlikihla khona, njengakumakhwapheni, kumphandle, ezinqeni okanye phantsi kwamabele, umzekelo.

Nangona i-hidradenitis ingenalo unyango, inokulawulwa ngamayeza kunye neoli ukuthintela ukuvela kwamaqhuma amatsha kunye nokubonakala kwezinye iingxaki.

Iimpawu eziphambili

Iimpawu zinokubonakala nangaliphi na ixesha, nangona kunjalo zihlala zikhona emva kweminyaka engama-20 kwaye zibandakanya:

• Ukudumba kolusu ngamaqhuma anobungakanani obahlukeneyo okanye iintloko ezimnyama;
• Ubomvu obomvu kwindawo echaphazelekayo;
• Intlungu enkulu kunye nengapheliyo;
• Ukubila okugqithisileyo kummandla;
• Ukusekwa kwemijelo phantsi kwamatye.

Ngamanye amaxesha, izigaqa zinokugqabhuka zikhuphe ubofu, zibangele ukuvela kwephunga elibi kule ndawo, ukongeza ekubangeleni iintlungu ezingakumbi.

Amaqhuma angathatha iiveki ezininzi kunye neenyanga ukuba zinyamalale, ziba nkulu kwaye zibe buhlungu kakhulu kubantu abatyebe kakhulu, abahlala bexinezelekile okanye abakweli xesha lotshintsho olukhulu lwehomoni, njengokufikisa okanye ukukhulelwa.

Indlela yokuqinisekisa ukuxilongwa

Emva kokubonakala kwezi mpawu, ngaphandle kokuphuculwa kwiiveki ezi-2, kucetyiswa ukuba uqhagamshelane nodokotela wesikhumba ukuqinisekisa ukuxilongwa kuphela ngokujonga indawo echaphazelekayo, ukuze uqalise unyango olufanelekileyo kwaye unciphise iimpawu.

Kusenokwenzeka ukuba kufuneka kwenziwe i-biopsy yolusu, uhlalutyo lwayo kunye nohlalutyo lobofu olubangelwa zizilonda.

Xa kwenziwe kwangoko, ukuxilongwa kunokunceda ukunciphisa amathuba okuba mandundu kwemeko, kunye nokubonakala kweengxaki ezinje ngezikrelemnqa ezinzulu ezinokuthintela ukuhamba kwelungu elichaphazelekayo kwaye zibangele ikhontrakthi rhoqo, umzekelo.

Unyango njani

Unyango lwe-hidradenitis suppurativa, nangona ingasinyangi isifo, inceda ukukhulula iimpawu kunye nokuthintela ukuqala kwayo rhoqo, kunye nokunciphisa amathuba okuba neengxaki.

Ezinye zeendlela ezisetyenziswayo ukunyanga i-hidradenitis zibandakanya:

• Iipilisi zokuthintela intsholongwane okanye ioyile, ezinje ngeTetracycline, Clindomycin okanye iErythromycin: ukuphelisa iintsholongwane kulusu, ukuthintela ukosuleleka kwesi siza kunokwandisa iingxaki;
• Amafutha anevithamini A, njengeHipoglós okanye iHipoderme: zinceda ulusu ukuba luphile ngokukhawuleza;
• Inaliti zeCorticoids, ezinje ngePrednisolone okanye iTramamcinolone: ​​ukunciphisa ukudumba kwamaqhuma, ukunciphisa ukudumba, iintlungu nobomvu;
• Ukuphelisa iintlungu, ezinje ngeParacetamol okanye i-Ibuprofen: ukunceda ukunciphisa ukungonwabi kunye nentlungu.

Ukongeza, ugqirha wesikhumba unokuyalela amanye amayeza anceda ukunciphisa isenzo samajoni omzimba, afana ne-Infliximab okanye i-Adalimumab, njengoko benqanda umphumo weprotheni ebonakala ngathi iya isiba mandundu imeko ye-hidradenitis.

Ukongeza, nayiphi na into enokubangela i-hidradenitis suppurativa kufuneka ithintelwe kangangoko kunokwenzeka. Kwimimandla apho ikhula khona iinwele, ezinje ngee-armpits kunye ne-groins, kuyacetyiswa ukususwa kweenwele, ukuthintela iindlela ezenzakalisa ulusu, kunye nezidambisi ezibangela ukucaphuka. Kukwacetyiswa ukuba unxibe iimpahla ezikhululekileyo, ugcine ubunzima obusempilweni, uphephe ukutya okune-hyperglycemic kunye notywala kunye nokusebenzisa icuba.

Kwiimeko ezinzima kakhulu, apho iimpawu ziba qatha kwaye kukho ukudumba okugqithisileyo, usulelo okanye ukwenziwa kwemijelo, ugqirha unokucebisa utyando ukususa amaqhuma kunye nesikhumba esichaphazelekayo. Kule meko, kuyafuneka ukuba ufakelo lolusu, oluhlala lususwa kwamanye amalungu omzimba.