U-Erythema nodosum

I-Erythema nodosum yisifo sokuvuvukala. Kubandakanya amathebula abomvu, abomvu (amaqhuqhuva) ngaphansi kwesikhumba.

Cishe uhhafu wamacala, imbangela ngqo ye-erythema nodosum ayaziwa. Amacala asele ahlobene nokutheleleka noma okunye ukuphazamiseka kwesistimu.

Ezinye zezifo ezivame kakhulu ezihambisana nalesi sifo yilezi:

• IStreptococcus (esivame kakhulu)
• Isifo sokuklwebha ikati
• UChlamydia
• ICoccidioidomycosis
• I-Hepatitis B
• I-Histoplasmosis
• I-Leptospirosis
• I-Mononucleosis (EBV)
• I-Mycobacteria
• I-Mycoplasma
• I-Psittacosis
• Ugcunsula
• Isifo sofuba
• I-Tularemia
• Yersinia

I-Erythema nodosum kungenzeka ngokuzwela emithini ethile, kufaka phakathi:

• Ama-antibiotic, afaka i-amoxicillin namanye ama-penicillin
• AmaSulfonamides
• Ama-Sulfone
• Amaphilisi okuvimbela inzalo
• Iprogestin

Ngezinye izikhathi, i-erythema nodosum ingenzeka ngesikhathi sokukhulelwa.

Ezinye izinkinga ezixhunyaniswe nalesi simo zibandakanya i-leukemia, i-lymphoma, i-sarcoidosis, i-rheumatic fever, isifo se-Bechet, ne-ulcerative colitis.

Lesi simo sivame kakhulu kwabesifazane kunabesilisa.

I-Erythema nodosum ivame kakhulu ngaphambili kwezinsimbi. Kungenzeka futhi nakwezinye izindawo zomzimba ezinjengezinqe, amathole, amaqakala, amathanga, nezingalo.

Izilonda ziqala njengezigaxa eziqinile, eziqinile, ezishisayo, ezibomvu, ezibuhlungu ezingaba yintshi eli-1 (2.5 amasentimitha) ngaphesheya. Ezinsukwini ezimbalwa, zingaba nombala o-purplish. Ngaphezu kwamasonto ambalwa, izigaxa ziyaphela esiqeshini esinsundu, esicabalele.

Ezinye izimpawu zingafaka:

• Imfiva
• Ukuzizwa okujwayelekile (malaise)
• Izinhlungu ezihlangene
• Ukubomvu kwesikhumba, ukuvuvukala, noma ukucasuka
• Ukuvuvukala komlenze noma enye indawo ethintekile

Umhlinzeki wakho wezokunakekelwa kwempilo angakwazi ukuxilonga lesi simo ngokubheka isikhumba sakho. Ukuhlolwa okungenziwa kufaka phakathi:

• I-punch biopsy ye-nodule
• Isiko lomqala lokunqanda ukutheleleka nge-strep
• I-x-ray yesifuba ukukhipha i-sarcoidosis noma isifo sofuba
• Ukuhlolwa kwegazi ukubheka izifo noma ezinye izifo

Ukutheleleka okuyisisekelo, isidakamizwa, noma isifo kufanele kubonwe kuphathwe.

Ukwelashwa kungafaka:

• Izidakamizwa ezingezona ukuvuvukala (ama-NSAID).
• Imithi eqinile yokulwa nokuvuvukala ebizwa nge-corticosteroids, ethathwe ngomlomo noma enikezwe njengesiqhumane.
• Isixazululo sePotassium iodide (SSKI), esivame ukunikezwa njengamaconsi afakwa kujusi wewolintshi.
• Eminye imithi yomlomo esebenza kumasosha omzimba omzimba.
• Imithi yezinhlungu (analgesics).
• Phumula.
• Ukukhulisa indawo ebuhlungu (ukuphakama).
• Ukucindezela okushisayo noma okubandayo ukusiza ukunciphisa ukungakhululeki.

U-Erythema nodosum akakhululekile, kepha akayona ingozi ezimweni eziningi.

Izimpawu zivame ukuphela kungakapheli amasonto ayisithupha, kepha zingabuya.

Shayela umhlinzeki wakho uma uba nezimpawu ze-erythema nodosum.

• I-Erythema nodosum ehlotshaniswa ne-sarcoidosis
• U-Erythema nodosum onyaweni

I-Forrestel A, i-Rosenbach M. Erythema nodosum. Ku: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, abahleli. Ukwelashwa Kwezifo Zesikhumba: Amasu Wokwelashwa Okuphelele. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 75.

IGehris RP. Isikhumba. Ku: Zitelli BJ, McIntire SC, Nowalk AJ, ama-eds. UZitelli noDavis ’Atlas of Pediatric Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 8.

UJames WD, u-Elston DM, Phatha uJR, uRosenbach MA. Izifo zamafutha angaphansi kwesikhumba. Ku: James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM, eds. Izifo zika-Andrews 'Zesikhumba: I-Clinical Dermatology. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2020: isahluko 23.