I-Erythroderma

I-Erythroderma ukusabalala okubomvu kwesikhumba. Kuhambisana nokukala, ukuxebuka nokuswayiza kwesikhumba, futhi kungafaka ukulunywa nokulahleka kwezinwele.

I-Erythroderma kungenzeka ngenxa ye:

• Ukuncintisana kwezinye izimo zesikhumba, njenge-eczema ne-psoriasis
• Ukusabela emithini noma kumakhemikhali athile, njenge-phenytoin ne-allopurinol
• Ezinye izinhlobo zomdlavuza, njenge-lymphoma

Kwesinye isikhathi imbangela ayaziwa. Kuvame kakhulu kwabesilisa.

Izimpawu zingafaka noma yikuphi okulandelayo:

• Ububomvu ngaphezu kuka-80% kuya ku-90% womzimba
• Izikhumba ezinamabala esikhumba
• Isikhumba esijiyile
• Isikhumba siyaluma noma sibuhlungu ngephunga
• Ukuvuvukala kwezingalo noma imilenze
• Ukushaya kwenhliziyo okusheshayo
• Ukulahlekelwa uketshezi, okuholela ekuphelelweni ngamanzi emzimbeni
• Ukulahleka komthethonqubo wokushisa komzimba

Kungaba nokutheleleka kwesibili kwesikhumba.

Umhlinzeki wakho wokunakekelwa kwezempilo uzobuza ngezimpawu zakho futhi athathe umlando wakho wezokwelapha. Umhlinzeki uzokwenza ukuhlolwa kwesikhumba nge-dermatoscope. Isikhathi esiningi, imbangela ingabonakala ngemuva kokuhlolwa.

Uma kudingeka, izivivinyo ezilandelayo zinga-odwa:

• I-biopsy yesikhumba
• Ukuhlolwa kokungezwani komzimba
• Olunye uvivinyo lokuthola imbangela ye-erythroderma

Njengoba i-erythroderma ingaholela ngokushesha ezinkingeni ezinkulu, umhlinzeki uzoqala ukwelashwa khona manjalo. Lokhu kuvame ukufaka imithamo eqinile yemithi ye-cortisone ukunciphisa ukuvuvukala.

Ezinye izindlela zokwelashwa zingafaka:

• Imithi yokwelapha imbangela eyisisekelo ye-erythroderma
• Ama-antibiotic anoma yikuphi ukutheleleka
• Ukugqoka kusetshenziswe esikhunjeni
• Ukukhanya kwe-ultraviolet
• Ukulungiswa kwebhalansi ye-fluid ne-electrolyte

Ezimweni ezibucayi, umuntu udinga ukwelashwa esibhedlela.

Izinkinga zingafaka:

• Ukutheleleka kwesibili okungaholela ku-sepsis (impendulo yokuvuvukala komzimba wonke)
• Ukulahlekelwa kuketshezi okungaholela ekuphelelweni ngamanzi emzimbeni nokungalingani kwamaminerali (ama-electrolyte) emzimbeni
• Ukwehluleka kwenhliziyo

Shayela umhlinzeki wakho ngokushesha uma:

• Izimpawu ziba zimbi kakhulu noma zingabi ngcono, noma ngabe kwelashwa.
• Uba nezilonda ezintsha.

Ubungozi be-erythroderma bungancishiswa ngokulandela imiyalo yomhlinzeki ngokunakekelwa kwesikhumba.

Dermatitis exfoliative; Isikhumba exfoliativa; I-Pruritus - i-exfoliative dermatitis; IPityriasis rubra; I-red man syndrome; I-erythroderma exfoliative

• I-eczema, i-atopic - ukusondela
• I-Psoriasis - x4 ekhulisiwe
• I-atopic dermatitis
• Ukuqothulwa okulandela i-erythroderma

UCalonje E, uBrenn T, uLazar AJ, uBillings SD. I-Spongiotic, i-psoriasiform kanye ne-pustular dermatoses. Ku: Calonje E, Brenn T, Lazar AJ, Billings SD, eds. IMcKee's Pathology yeSikhumba. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2020: isahluko 6.

UJames WD, u-Elston DM, Phatha i-JR, i-Rosenbach MA, i-IM ye-Neuhaus. I-Pityriasis rosea, i-pityriasis rubra pilaris, nezinye izifo ezibangelwa i-papulosquamous kanye ne-hyperkeratotic. Ku: James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM, eds. Izifo zika-Andrews ’Zesikhumba. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2020: isahluko 11.

I-Whittaker S. Erythroderma. Ku: Bolognia JL, Schaffer JV, Cerroni L, ama-eds. Isikhumba. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 10.