I-Necrobiosis lipoidica isifo sikashukela

I-Necrobiosis lipoidica diabeticorum yisimo esingajwayelekile sesikhumba esihlobene nesifo sikashukela. Iphumela ezindaweni ezibomvu ngokubomvu zesikhumba, imvamisa kakhulu emilenzeni engezansi.

Imbangela ye-necrobiosis lipoidica diabeticorum (NLD) ayaziwa. Kucatshangwa ukuthi kuxhunyaniswe nokuvuvukala kwemithambo yegazi okuhlobene nezici ezizimele. Lokhu kulimaza amaprotheni esikhunjeni (collagen).

Abantu abanesifo sikashukela sohlobo 1 banamathuba amaningi okuthola i-NLD kunalabo abanesifo sikashukela sohlobo 2. Abesifazane bathinteka kakhulu kunabesilisa. Ukubhema kwandisa ubungozi be-NLD. Abangaphansi kwengxenye eyodwa kwephesenti lalabo abanesifo sikashukela bahlushwa yile nkinga.

Isilonda sesikhumba indawo yesikhumba ehlukile kunesikhumba esisizungezile. Nge-NLD, izilonda ziqala njengamaqhubu aqinile, abushelelezi, abomvu (ama-papules) ezicijeni nasengxenyeni engezansi yemilenze. Imvamisa zivela ezindaweni ezifanayo ezinhlangothini eziphambene zomzimba. Azinabuhlungu ekuqaleni.

Njengoba ama-papules eba makhulu, ayahlala phansi. Bakha isikhungo esinsundu esiphuzi ngokubomvu okuphakanyisiwe ukwenza imiphetho. Imithambo iyabonakala ngaphansi kwengxenye ephuzi yezilonda. Izilonda ziyindilinga ngokungajwayelekile noma ziyisiyingi ezinemingcele echazwe kahle. Bangasakazeka futhi bahlangane ndawonye ukuze babonakale njengesiqeshana.

Izilonda nazo zingavela ezingalweni zangaphambili. Imvamisa, zingavela esiswini, ebusweni, esikhunjeni, ezintendeni, nasematheni ezinyawo.

Ukuhlukumezeka kungadala ukuthi izilonda zivele zibe nezilonda. Amaqhuqhuva nawo angavela. Indawo ingahle ilume kakhulu futhi ibuhlungu.

I-NLD yehlukile kwizilonda ezingenzeka ezinyaweni noma emaqakaleni kubantu abanesifo sikashukela.

Umhlinzeki wakho wezokunakekelwa kwempilo angahlola isikhumba sakho ukuqinisekisa ukuxilongwa.

Uma kudingeka, umhlinzeki wakho angenza i-punch biopsy ukuxilonga lesi sifo. I-biopsy isusa isampula lezicubu emaphethelweni wesilonda.

Umhlinzeki wakho angenza isivivinyo sokubekezelela ushukela ukubona ukuthi unesifo sikashukela yini.

I-NLD ingaba nzima ukuyelapha. Ukulawulwa kweglucose yegazi akuzenzi ngcono izimpawu.

Ukwelashwa kungafaka:

• Amafutha we-Corticosteroid
• Ama-corticosteroids afakiwe
• Izidakamizwa ezicindezela amasosha omzimba
• Izidakamizwa ezilwa nokuvuvukala
• Imithi ethuthukisa ukugeleza kwegazi
• Ukwelashwa kwe-oxygen Hyperbaric kungasetshenziselwa ukwandisa inani le-oxygen egazini ukukhuthaza ukwelashwa kwezilonda
• I-Phototherapy, inqubo yezokwelapha lapho isikhumba sivezwa ngokucophelela ekukhanyeni kwe-ultraviolet
• Ukwelashwa nge-Laser

Ezimweni ezinzima, i-lesion ingasuswa ngokuhlinzwa, ilandelwe ukuhambisa (ukuxhumanisa) isikhumba kusuka kwezinye izingxenye zomzimba uye endaweni esetshenzisiwe.

Ngesikhathi sokwelashwa, qapha izinga lakho le-glucose njengoba uyalelwe. Gwema ukulimala endaweni ukuvimbela ukuthi izilonda zingaphenduki izilonda.

Uma uba nezilonda, landela izinyathelo zokuzinakekela.

Uma ubhema, uzokwaziswa ukuthi uyeke. Ukubhema kunganciphisa ukuphulukiswa kwezilonda.

I-NLD yisifo sesikhathi eside. Izilonda azipholi kahle futhi zingabuya. Izilonda kunzima ukuzelapha. Ukubukeka kwesikhumba kungathatha isikhathi eside ukuthi kube okujwayelekile, noma ngabe sekuphelile ukwelashwa.

I-NLD ayivamile ukuholela kumdlavuza wesikhumba (squamous cell carcinoma).

Labo abane-NLD basengozini enkulu yokuthi:

• I-retinopathy yesifo sikashukela
• I-nephropathy yesifo sikashukela

Shayela umhlinzeki wakho uma unesifo sikashukela futhi uqaphele izilonda ezingapholi emzimbeni wakho, ikakhulukazi engxenyeni engezansi yemilenze.

I-necrobiosis lipoidica; I-NLD; Isifo sikashukela - necrobiosis

• I-Necrobiosis lipoidica sikashukela - isisu
• I-Necrobiosis lipoidica diabeticorum - umlenze

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