I-ecmema yamagama

I-nummular eczema iyi-dermatitis (eczema) lapho kuvela khona izindawo ezinukayo, ezimile okwezimali noma amachashazi esikhunjeni. Igama elithi nummular liyisiLatini elisho "ukufana nezinhlamvu zemali."

Ayaziwa imbangela ye-eczema. Kepha kuvame ukuba nomlando womuntu siqu noma womndeni we:

• Ukungezwani komzimba
• Isifuba Somoya
• I-atopic dermatitis

Izinto ezingenza isimo sibe sibi kakhulu zifaka:

• Isikhumba esomile
• Izithukuthezi zemvelo
• Izinga lokushisa liyashintsha
• Ukucindezeleka

Izimpawu zingafaka noma yikuphi okulandelayo:

• Izindawo ezimile okwezimali zesikhumba (izilonda) ezibomvu, ezomile, ezirhawuzelayo nezinesikhumba, futhi zivela ezingalweni nasemilenzeni
• Izilonda zingasakazeka ziye maphakathi nomzimba
• Izilonda zingase zivele futhi ziqhume

Umhlinzeki wakho wezokunakekelwa kwempilo ngokuvamile angakwazi ukuxilonga lesi simo ngokubheka isikhumba sakho bese ebuza ngomlando wezokwelapha womndeni wakho.

I-biopsy yesikhumba ingadingeka ukuze kukhishwe ezinye izimo ezifanayo. Ukuhlolwa kokungezwani komzimba kungenziwa.

I-eczema ivame ukwelashwa ngemithi efakwe esikhunjeni. Le mithi ibizwa ngokuthi yimithi yokwelapha, futhi ingafaka:

• Ukhilimu omnene we-cortisone (steroid) noma amafutha ekuqaleni. Ungadinga umuthi onamandla uma lokhu kungasebenzi.
• Okunye ukugcotshwa noma okhilimu okusiza ukuthulisa ukuphendula komzimba kungahle kunqunyelwe noma ngubani oneminyaka engaphezu kwengu-2 ubudala, okuvame ukusetshenziswa ebusweni noma kwezinye izindawo ezizwelayo.
• Amakhrim noma ointments aqukethe itiyela lamalahle angasetshenziselwa izindawo ezijiyile.

Ungacelwa futhi ukuthi uzame ukwelashwa kokugoqa okumanzi. Lokhu kufaka lezi zinyathelo ezilandelayo:

• Faka isikhumba emanzini afudumele imizuzu engaba yishumi.
• Faka i-petroleum jelly (efana neVaseline) noma amafutha e-corticosteroid ezilondeni.
• Ukusonga indawo ethintekile ngamabhandeshi amanzi ukugcina isikhumba simanzi. Lokhu kusiza nokuthi umuthi usebenze. Uma kuthinteka izindawo ezinkulu zomzimba, ungagqoka amaphijama manzi noma isudi yesauna.
• Landela imiyalo yomhlinzeki wakho yokuthi kufanele igcinwe isikhathi esingakanani le ndawo imboziwe, nokuthi kukangaki ngosuku ukwelashwa kokugoqwa okumanzi.

Izinyathelo ezilandelayo zingasiza ekuthuthukiseni izimpawu zakho noma zivimbele ukuthi zingabuyi uma isikhumba sakho sesisuliwe:

• Sebenzisa amanzi afudumele lapho ugeza noma ugeza. Amanzi ashisayo angomisa futhi acasule isikhumba. Thatha okugeza okufishane noma okuncane noma izihlambi.
• Ungasebenzisi insipho. Ingasomisa isikhumba. Sebenzisa ukuhlanza okumnene, okumnene esikhundleni salokho.
• Buza umhlinzeki wakho ngokungeza uwoyela wokugeza emanzini okugeza.
• Ngemuva kokugeza noma ukushawa, phatha izilonda bese womisa umuthi ngaphambi kokuba isikhumba somile.
• Gqoka izingubo ezikhululekile. Izingubo eziqinile zingasikhuhla futhi zicasule isikhumba. Gwema ukugqoka izindwangu ezimangelengele, ezifana noboya, eduze kwesikhumba.
• Sebenzisa i-humidifier ekhaya lakho ukusiza ukuthambisa umoya.

I-nummular eczema yisimo sesikhathi eside (esingapheli). Ukwelashwa nokugwema ukucasulwa kungasiza ekunciphiseni izimpawu.

Ukutheleleka kwesibili kwesikhumba kungahle kuvele.

Xhumana nomhlinzeki wakho uma unezimpawu zalesi simo.

Futhi xhumana nomhlinzeki wakho uma:

• Izimpawu ziyaqhubeka naphezu kokwelashwa
• Unezimpawu zokutheleleka (njengomkhuhlane, ukubomvu, noma ubuhlungu)

Ayikho indlela eyaziwayo yokuvimbela lesi sifo.

I-eczema - i-discoid; I-nummular dermatitis

IHabif TP. I-eczema nesikhumba dermatitis. Ku: Habif TP, ed. I-Clinical Dermatology: Umhlahlandlela Wombala Wokuxilongwa Nokwelapha. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2016: isahluko 3.

UJames WD, u-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.