I-Stasis dermatitis nezilonda

I-Stasis dermatitis ukuguquka kwesikhumba okuholela ekuhlanganisweni kwegazi emithanjeni yomlenze ongezansi. Izilonda yizilonda ezivulekile ezingabangelwa ukungalashwa kwe-stasis dermatitis.

Ukungasebenzi kahle kwe-venous yisimo sesikhathi eside (esingapheli) lapho imithambo iba nezinkinga ekuthumeleni igazi lisuka emilenzeni libuyele enhliziyweni. Lokhu kungenzeka kungenxa yamaphayiphu awonakele asemithanjeni.

Abanye abantu abane-venous insufficiency baba ne-stasis dermatitis. Amachibi egazi emithanjeni yomlenze ongezansi. Amangqamuzana e-Fluid negazi avuza aphume emithanjeni angene esikhunjeni nakwezinye izicubu. Lokhu kungaholela ekulungeni nasekuvuvukeni okubangela izinguquko zesikhumba eziningi. Isikhumba singabe sesibhidlika sakha izilonda ezivulekile.

Ungaba nezimpawu zokungazinzi kwemithambo kufaka phakathi:

• Ukuqaqamba noma ukusinda emlenzeni
• Ubuhlungu obuya buba bubi kakhulu lapho ume noma uhamba
• Ukuvuvukala emlenzeni

Ekuqaleni, isikhumba samaqakala nemilenze engezansi singabonakala sincane noma sifana nezicubu. Ungathola amabala ansundu kancane esikhunjeni.

Isikhumba singacasuka noma siqhekeke uma usiklwebha. Kungase futhi kube bomvu noma ukuvuvukala, kuqweqwe, noma kukhale.

Ngokuhamba kwesikhathi, ezinye izinguquko zesikhumba ziba unomphela:

• Ukuqina nokuqina kwesikhumba emilenzeni nasemaqakaleni (lipodermatosclerosis)
• Ukubukeka kwesigaxa noma okuyimbumbulu kwesikhumba
• Isikhumba siba mnyama nsundu

Izilonda zesikhumba (izilonda) zingakhula (ezibizwa ngokuthi i-venous ulcer noma i-stasis ulcer). Lezi zivame ukwakheka ngaphakathi kweqakala.

Ukuxilongwa kuncike kakhulu endleleni isikhumba esibukeka ngayo. Umhlinzeki wakho wezokunakekelwa kwempilo anga-oda ukuhlolwa ukuze ahlole ukuhamba kwegazi emilenzeni yakho.

I-Stasis dermatitis nayo ingahlotshaniswa nezinkinga zenhliziyo noma ezinye izimo ezibangela ukuvuvukala kwemilenze. Umhlinzeki wakho angadinga ukuhlola impilo yakho ejwayelekile noku-oda ezinye izivivinyo.

Umhlinzeki wakho angaphakamisa okulandelayo ukuphatha ukungasebenzi kahle okubangelwa yi-stasis dermatitis:

• Sebenzisa amasokisi athambile noma okucindezelwa ukunciphisa ukuvuvukala
• Gwema ukuma noma ukuhlala isikhathi eside
• Gcina umlenze uphakanyisiwe lapho uhleli
• Zama i-varicose vein stripping noma ezinye izinqubo zokuhlinzwa

Ezinye izindlela zokwelashwa zingenza inkinga ibe yimbi kakhulu. Khuluma nomhlinzeki wakho ngaphambi kokusebenzisa noma yimaphi ama-lotion, okhilimu, noma amafutha okugcoba ngama-antibiotic.

Izinto okufanele uzigweme:

• Ama-antibiotic aphezulu, njenge-neomycin
• Omisa ama-lotion, njenge-calamine
• I-Lanolin
• I-Benzocaine neminye imikhiqizo ehloselwe ukunqamula isikhumba

Ukwelashwa umhlinzeki wakho angakusikisela kufaka phakathi:

• Unna boot (ukugqoka okumanzi okumanzi, okusetshenziswa kuphela lapho kuyalelwa)
• Ama-topical steroid okhilimu noma amafutha okugcoba
• Ama-antibiotic omlomo
• Ukudla okunomsoco

I-Stasis dermatitis imvamisa iyisimo sesikhathi eside (esingapheli). Ukuphulukiswa kuhlobene nokwelashwa ngempumelelo kwembangela, izinto ezibangela isilonda, nokuvimbela izinkinga.

Izinkinga zezilonda ze-stasis zifaka:

• Ukutheleleka kwesikhumba segciwane
• Ukutheleleka kwamathambo
• Isibazi esihlala njalo
• Umdlavuza wesikhumba (squamous cell carcinoma)

Shayela umhlinzeki wakho uma uthuthukisa ukuvuvukala kwemilenze noma izimpawu ze-stasis dermatitis.

Bheka izimpawu zokutheleleka njenge:

• Amanzi abukeka njengobomvu
• Izilonda zesikhumba ezivulekile (izilonda)
• Ubuhlungu
• Ububomvu

Ukuvikela lesi simo, lawula izimbangela zokuvuvukala komlenze, iqakala nonyawo (i-peripheral edema).

Izilonda ze-stous venous; Izilonda - venous; Isilonda se-venous; Ukungasebenzi kahle kwe-venous - i-stasis dermatitis; Umthambo - i-stasis dermatitis

• I-dermatitis - i-stasis emlenzeni

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UFitzpatrick JE, High WA, uKyle WL. Izinkinga zesikhumba se-Necrotic and ulcerative. Ku: Fitzpatrick JE, High WA, Kyle WL, ama-eds. I-Dermatology Yokunakekelwa Okuphuthumayo: Ukuxilongwa Okusekelwe Ezimpawu. IPhiladelphia, PA: Elsevier; 2018: isahluko 14.

Amamaki JG, Miller JJ. Izilonda. Ku: Amamaki JG, uMiller JJ, ama-eds. Izimiso ze-Lookingbill and Marks ’zeDermatology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2019: isahluko 19.

Izilonda zikaMarston W. Venous. Ku: Almeida JI, ed. I-Atlas Yokuhlinzwa Kwe-Endovascular Venous. Okwesibili. IPhiladelphia, PA: Elsevier; 2019: isahluko 20.