I-Pompholyx eczema

I-Pompholyx eczema yisimo lapho amabhamuza amancane akhula khona ezandleni nasezinyaweni. Amabhamuza avame ukulunywa. I-Pompholyx ivela egameni lesiGreki elithi bubble.

I-eczema (i-atopic dermatitis) yisifo sesikhumba sesikhathi eside (esingapheli) esibandakanya ukuqubuka kwesikhumba nokuqubuka.

Imbangela ayaziwa. Isimo sibonakala sivela ngezikhathi ezithile zonyaka.

Kungenzeka ukuthi uthuthukise i-pompholyx eczema lapho:

• Unengcindezi
• Unokungezwani nezinto ezithile komzimba, njenge-hay fever
• Une-dermatitis kwenye indawo
• Izandla zakho zihlala emanzini noma zimanzi
• Usebenza ngosimende noma wenza omunye umsebenzi obeka izandla zakho ku-chromium, cobalt, noma ku-nickel

Abesifazane babonakala bathambekele kakhulu ekuthuthukiseni lesi simo kunabesilisa.

Amabhamuza amancane agcwele uketshezi abizwa ngokuthi ama-vesicles avela eminweni, ezandleni nasezinyaweni. Zivame kakhulu emaphethelweni eminwe, izinzwane, izintende zezandla, naphansi. Lezi zilonda zingaluma kakhulu. Zibuye zibangele nezikhumba ezinamabala ezinesikhumba ezinyakazayo noma zibe bomvu, ziqhekeze futhi zibe buhlungu.

Ukunwaya kuholela ekuguqukeni kwesikhumba nokuqina kwesikhumba. Amabhamuza amakhulu angadala ubuhlungu noma angatheleleka.

Udokotela wakho angakwazi ukuxilonga lesi simo ngokubheka isikhumba sakho.

I-biopsy yesikhumba ingadingeka ukuze kukhishwe ezinye izimbangela, njengokutheleleka kwefungal noma i-psoriasis.

Uma udokotela wakho ecabanga ukuthi isimo singabangelwa ukusabela okweqile, ukuhlolwa kokungezwani komzimba (ukuhlolwa kwe-patch) kungenziwa.

I-Pompholyx ingahamba yodwa. Ukwelashwa kuhlose ukulawula izimpawu, njengokuluma nokuvimbela amabhamuza. Udokotela wakho cishe uzoncoma izinyathelo zokuzinakekela.

UKUNAKEKELA ISIKHUMBU EKHAYA

Gcina isikhumba simanzi ngokuthambisa isikhumba noma ukusithambisa. Sebenzisa amafutha (afana ne-petroleum jelly), okhilimu, noma ama-lotion.

Izithambisi:

• Akufanele kube notshwala, iphunga, idayi, amakha, noma amanye amakhemikhali.
• Sebenza kangcono lapho zifakwa esikhunjeni esimanzi noma esimanzi. Ngemuva kokuwasha noma ukugeza, phatha isikhumba somile bese ugcoba i-moisturizer khona manjalo.
• Ingasetshenziswa ngezikhathi ezahlukahlukene zosuku. Ngokwengxenye enkulu, ungafaka lezi zinto kaningi lapho udinga ukugcina isikhumba sakho sithambile.

IMITHI

Imithi esiza ukuqeda ukulunywa ingathengwa ngaphandle kwemithi kadokotela.

• Thatha umuthi olwa nokulunywa ngaphambi kokulala uma uzonwaya lapho ulele.
• Amanye ama-antihistamine abangela ukulala okuncane noma ukungabikho nhlobo, kepha awasebenzi kangako ekulungeni. Lokhu kufaka phakathi i-fexofenadine (Allegra), loratadine (Claritin, Alavert), cetirizine (Zyrtec).
• Abanye bangakwenza ulale, kufaka phakathi i-diphenhydramine (iBenadryl).

Udokotela wakho angakuhlinzeka ngemithi yokwelapha. Lawa ngamafutha okugcoba noma okhilimu asetshenziswa esikhunjeni. Izinhlobo zifaka:

• I-Corticosteroids, ehlisa isikhumba esivuvukile noma esivuthayo
• Ama-immunomodulators, asetshenziswa esikhumbeni, okusiza ukugcina amasosha omzimba ekuphenduleni ngokuqinile
• Imithi elwa nodokotela

Landela imiyalelo yokuthi ungayisebenzisa kanjani le mithi. Ungasebenzisi okungaphezulu kokufanele ukwenze.

Uma izimpawu zinzima, ungadinga ezinye izindlela zokwelashwa, njenge:

• Amaphilisi e-Corticosteroid
• Ama-Corticosteroid shots
• Amalungiselelo etiyela lamalahle
• Ama-immunomodulators ahlelekile
• I-Phototherapy (ukwelashwa kokukhanya kwe-ultraviolet)

I-Pompholyx eczema ivame ukuhamba ngaphandle kwezinkinga, kepha izimpawu zingabuya. Ukunwaya okukhulu kungaholela esikhunjeni esinyene, nesicasukile. Lokhu kwenza inkinga ibe nzima ukwelashwa.

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma une:

• Izimpawu zokutheleleka njengobumnene, ubomvu, imfudumalo, noma imfiva
• Ukuqhuma okungapheli nokwelashwa okulula kwasekhaya

I-Cheiropompholyx; I-Pedopompholyx; Dyshidrosis; I-Dyshidrotic eczema; I-acal dermal dermatitis; Isifo esingalapheki sesikhumba

• I-eczema, i-atopic - ukusondela
• I-atopic dermatitis

ICamacho ID, iBurdick AE. Isandla nonyawo i-eczema (endogenous, dyshidrotic eczema, pompholyx). Ku: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson I, abahleli. Ukwelashwa Kwezifo Zesikhumba: Amasu Wokwelashwa Okuphelele. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2018: isahluko 99.

UJames WD,, Elston DM, Phatha i-JR, i-Rosenbach MA, i-IM ye-Neuhaus. I-eczema, i-atopic dermatitis, kanye nokuphazamiseka kwe-immunodeficiency okungatheleleki. Ku: James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM, eds. Izifo zika-Andrews ’Zesikhumba. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2020: isahluko 5.