Yintoni iPalmar Erythema?

Umxholo

• Yintoni i-palmar erythema?
• Yintoni ebangela i-erythema yesundu kwaye ngubani osemngciphekweni?
• I-erythema yesundu yaseprayimari
• I-erythema yesundu yesibini
• Ifunyaniswa njani i-erythema yesundu?
• Ngaba kuvavanyo olulandelayo kuyafuneka?
• Q:
• A:
• Ngaba lukhona unyango lwe-erythema yesundu?
• Ungalindela ntoni?

Yintoni i-palmar erythema?

I-erythema yePalmar yimeko enqabileyo yesikhumba apho iintende zezandla zozibini zibomvu. Olu tshintsho kumbala luhlala luchaphazela isiseko sesundu kunye nendawo ejikeleze ezantsi kwesithupha sakho kunye nomnwe omncinci. Ngamanye amaxesha, iminwe yakho ingajika ibomvu.

Iqondo lobomvu lingahluka ngokuxhomekeke:

• ubushushu
• uxinzelelo olusetyenziswe ezandleni zakho
• imeko yakho yeemvakalelo
• ukuba ubambe iingalo zakho phezulu

Unokuziva ukufudumala okanye ukutsha okuvuthayo ezandleni zakho, kodwa iindawo ezichaphazelekayo akufuneki zirhawuzelele.

Oku kunokuba lilifa. Inokubangelwa neemeko ezithile, njengokukhulelwa, okanye izifo, ezinjenge-cirrhosis yesibindi. Akukho lonyango luqhelekileyo okanye unyango kububomvu uqobo. Ukuba i-erythema yesundu ibangelwa yimeko engaphantsi, iimpawu zakho zinokucaca emva konyango lwengcambu.

I-Palmar erythema ikwabizwa ngokuba ziintende zesibindi, iintende zesibomvu, okanye isifo seLane. Qhubeka ufunda ukuze ufunde ngakumbi.

Yintoni i-palmar erythema?

Yintoni ebangela i-erythema yesundu kwaye ngubani osemngciphekweni?

I-Palmar erythema ingaba:

• ilifa
• kubangelwa yimeko engaphantsi
• yemvelaphi engaziwayo

Ukuba imeko ifunyenwe njengelifa, inxulumene nokukhulelwa, okanye imvelaphi engaziwayo, ithathwa njenge-erythema ephambili yesundu. Ukuba kubangelwa yimeko yonyango okanye imeko yendalo esingqongileyo, ithathwa njenge-erythema yesibini yesundu.

I-erythema yesundu yaseprayimari

I-erythema yesundu eselungelweni kakhulu, inamatyala nje ambalwa achazwe kuncwadi lwezonyango. Kwezi meko, ububomvu bukhona ekuzalweni kwaye buhlala buhleli. Ngokuqhelekileyo inobungozi, oku kuthetha ukuba akukho ntlungu okanye ukuvuvukala. Ubomvu buvela kwimithambo yegazi exutywe phantsi kolusu.

Ukukhulelwa okunxulumene nokukhulelwa kwe-erythema kwenzeka malunga neepesenti ezingama-30 zokukhulelwa. Oku kunokuba ngenxa yotshintsho lweemithambo enxulumene nokwanda kwamanqanaba e-estrogen ngexesha lokukhulelwa.

Kwezinye iimeko, imeko ayizalwa njengelifa okanye inxulumene nayo nayiphi na imeko eyaziwayo okanye isifo.

I-erythema yesundu yesibini

I-erythema yePalmar luphawu lweemeko ezininzi ezahlukeneyo. Ukubonakala kwayo kuhlala kungumqondiso wokuqala wenkxalabo yezonyango.

Umzekelo, i-erythema yesundu inxulunyaniswa neentlobo ezininzi zesifo sesibindi. Phantse iipesenti ezingama-23 zabantu abane-cirrhosis yesibindi nabo bafumana i-palmar erythema.

Ezinye izifo zesibindi ezinxulunyaniswa ne-erythema yesundu zibandakanya isifo sikaWilson, esenzeka xa kukho ubhedu oluninzi emzimbeni wakho, kunye ne-hemochromatosis, eyenzeka xa kukho intsimbi eninzi emzimbeni wakho.

Ukudibana okucacileyo kwenzelwe le miqathango ilandelayo:

• Seswekile: Uqikelelo lwabantu abanesifo seswekile banamava e-palmar erythema.
• Izifo ezizimeleyo: Ngaphezulu kwabantu abanesifo samathambo abanamava e-erythema yesundu.
• Isifo se-thyroid: Phantse iipesenti ezili-18 zabantu abane-hormone ye-thyroid eninzi kakhulu bane-palmar erythema.
• Intsholongwane kaGawulayo: Ityala le-erythema yesundu enxulunyaniswa ne-HIV yaxelwa okokuqala ngo-2017.

Amanye amathuba anokubakho:

• iimeko zolusu, ezinje nge-atopic dermatitis, i-eczema, kunye ne-psoriasis
• intsholongwane okanye usulelo lwebhakteria, njenge-Rocky Mountain ibonwa ngumkhuhlane, i-coxsackievirus (isandla, unyawo, nesifo somlomo), kunye negcushuwa
• isifo esinganyangekiyo semiphunga
• Izidumbu zobuchopho ezinobungozi okanye ezinemetastasized

Izizathu zokusingqongileyo, ezinje ngamayeza, zinokukhokelela kwi-erythema yesundu. Umzekelo, ukuba ukusebenza kwesibindi kuyinto eqhelekileyo, iziyobisi ezinje nge-topiramate (Topamax) kunye ne-albuterol (Proventil) zinokubangela iimpawu.

Ukuba ukusebenza kwesibindi sakho kuphazamisekile, i-erythema yesundu inokuvela ukuba uthatha i-amiodarone (Cordarone), cholestyramine (Questran), okanye i-gemfibrozil (Lopid).

Ezinye izizathu zendalo zibandakanya:

• ukutshaya
• ukusela kakhulu
• ityhefu mercury

Ifunyaniswa njani i-erythema yesundu?

Nangona i-erythema yesundu inokuchongwa ngokubonakalayo, ugqirha wakho uya kufuna ukumisela ukuba ngaba luphawu lwemeko engaphantsi.

Emva kokujonga kwakhona imbali yakho yezonyango kunye nokwenza uvavanyo lomzimba, banoku-odola uvavanyo olunye okanye nangaphezulu ukulinganisa:

• ubalo lweseli yegazi
• iswekile yegazi
• ukusebenza kwesibindi
• umsebenzi we-thyroid
• igazi urea nitrogen
• amanqanaba e-creatinine
• amanqanaba entsimbi
• amanqanaba erheumatoid factor
• amanqanaba obhedu

Ukuvavanywa ngakumbi kunokubandakanya:

• I-MRI yengqondo yakho
• Ukuvavanywa kwe-CT kwesifuba sakho, isisu sakho kunye nesinqe
• Umongo wethambo
• iimvavanyo zezinye izilwa-buhlungu

Ngaba kuvavanyo olulandelayo kuyafuneka?

Q:

Ukuba oyena nobangela akafumaneki ngexesha lovavanyo lokuqala lokuqonda isifo, ngaba kuya kufuneka ndibuyele nakuphi na ukulandelwa?

Isigulana esingaziwayo

A:

Kuxhomekeke ekubeni zeziphi iimvavanyo onazo kunye neziphumo ezivela kuvavanyo lwakho lokuqala lokuqonda isifo, kungafuneka ubuye kuvavanyo olongezelelweyo de kufunyanwe unobangela we-palmar erythema. Iimeko zelifa kulula ukuzibona, njengoko ezo mpawu ziya kubakho xa kuzalwa. Amatyala amatsha afuna uphando ukuze kufunyaniswe oyena nobangela. Kubalulekile ukufumana oyena nobangela kuba inokuba yingxaki ebalulekileyo yezempilo.

I-Debra Sullivan, i-PhD, i-MSN, i-CNE, iimpendulo ze-COIA zimele izimvo zeengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.

Ngaba lukhona unyango lwe-erythema yesundu?

Akukho zonyango ezikhoyo zokunciphisa ububomvu uqobo.

Nge-erythema yesundu yesibini, ubomvu bunokuncipha njengoko kunyangwa unobangela. Umzekelo, ukuba i-erythema yakho yesundu inxulunyaniswa nesifo sokuzimela, ikhosi emfutshane yeziyobisi ze-corticosteroid zinokuphucula iimpawu zakho.

Ukuba ichiza olithathayo libangela ubomvu, thetha nogqirha wakho ngamanye amayeza. Akufanele uyeke ukuthatha amayeza akho amiselweyo ngaphandle kwemvume kagqirha wakho.

Ungalindela ntoni?

Kubalulekile ukubona ugqirha wakho ukuba unobomvu kwizandla zakho. Unobangela unokuba sisifo esisisiseko ekufuneka sinyangwe ngokukhawuleza, ngaphambi kokuba kuvele naziphi na iingxaki.

Ukuba izinto ezisesekondari zibangela i-erythema yakho yesundu, iimpawu zakho zinokuphela ngokuhamba kwexesha. Abasetyhini abakhulelweyo bafumanisa ukuba ubomvu buhamba emva kokubeleka.

Iimpawu zinokuqhubeka kwimeko ye-erythema yelifa.