Xanthoma

IXanthoma yisimo sesikhumba lapho amafutha athile akhela khona ngaphansi kwesikhumba.

Ama-xanthomas ajwayelekile, ikakhulukazi kubantu abadala asebekhulile kanye nabantu abane-lipids (amafutha) aphakeme egazini. AmaXanthomas ahluka ngosayizi. Ezinye zincane kakhulu. Amanye makhulu kunamasentimitha amathathu (7.5 amasentimitha) ububanzi. Zingavela noma kuphi emzimbeni. Kepha, zivame ukubonakala ezindololwaneni, emalungeni, ematendeni, emadolweni, ezandleni, ezinyaweni noma ezinqeni.

I-Xanthomas ingaba uphawu lwesimo sezokwelapha esibandakanya ukwanda kwe-lipids yegazi. Izimo ezinjalo zifaka:

• Imidlavuza ethile
• Isifo sikashukela
• Amazinga aphezulu e-cholesterol egazini
• Izinkinga zokuthola umzimba njengefa, njenge-hypercholesterolemia yomndeni
• Ukuqhekeka kwesibindi ngenxa yemigoqo ye-bile evinjiwe (i-cirrhosis eyinhloko ye-biliary)
• Ukuvuvukala nokuvuvukala kwamanyikwe (i-pancreatitis)
• I-thyroid engasebenzi (i-hypothyroidism)

I-Xanthelasma palpebra iyinhlobo ejwayelekile ye-xanthoma ebonakala kumajwabu amehlo. Imvamisa kwenzeka ngaphandle kwesimo sezokwelapha esiyisisekelo.

I-xanthoma ibukeka njenge-bump ephuzi kuya kwe-orange (papule) enemingcele echaziwe. Kungaba khona okukodwa okukodwa noma kungakha amaqoqo.

Umhlinzeki wakho wokunakekelwa kwezempilo uzohlola isikhumba. Imvamisa, ukuxilongwa kungenziwa ngokubheka i-xanthoma. Uma kudingeka, umhlinzeki wakho uzosusa isampula yokukhula kokuhlolwa (i-biopsy yesikhumba).

Ungase ube nokuhlolwa kwegazi okwenziwe ukuhlola amazinga e-lipid, ukusebenza kwesibindi, nesifo sikashukela.

Uma unesifo esibangela ukwanda kwe-lipids yegazi, ukwelapha lesi simo kungasiza ekunciphiseni ukukhula kwe-xanthomas.

Uma ukukhula kukukhathaza, umhlinzeki wakho angakususa ngokuhlinzwa noma nge-laser. Noma kunjalo, ama-xanthomas angabuya ngemuva kokuhlinzwa.

Ukukhula akwenzi umdlavuza futhi akunabuhlungu, kepha kungaba uphawu lwesinye isimo sezokwelapha.

Shayela umhlinzeki wakho uma ama-xanthomas akhula. Bangakhombisa ukuphazamiseka okuyisisekelo okudinga ukwelashwa.

Ukuze unciphise ukukhula kwama-xanthomas, kungadingeka ukuthi ulawule amazinga we-triglyceride yegazi lakho kanye namazinga we-cholesterol.

Ukukhula kwesikhumba - okunamafutha; Xanthelasma

• IXanthoma, ukuqhuma - ukusondela
• Xanthoma - ukusondela
• Xanthoma - ukusondela
• Xanthoma emadolweni

IHabif TP. Ukubonakaliswa okungafani nezifo zangaphakathi. Ku: Habif TP, ed. I-Clinical Dermatology: Umhlahlandlela Wombala Wokuxilongwa Nokwelapha. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2016: isahluko 26.

IMassengale WT. Xanthomas. Ku: Bolognia JL, Schaffer JV, Cerroni L, ama-eds. Isikhumba. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 92.

Umhlophe LE, Horenstein MG, Shea CR. Xanthomas. Ku: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, abahleli. Ukwelashwa Kwezifo Zesikhumba: Amasu Wokwelashwa Okuphelele. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2018: isahluko 256.