I-Alopecia Universalis: Okufanele Ukwazi

-Delile

• Izimpawu ze-alopecia universalis
• Izimbangela nezici zobungozi ze-alopecia universalis
• Ukuhlonza i-alopecia universalis
• Ukwelashwa kwe-alopecia universalis
• Izinkinga ze-alopecia universalis
• Umbono we-alopecia universalis

Yini i-alopecia universalis?

I-Alopecia universalis (AU) yisimo esidala ukulahleka kwezinwele.

Lolu hlobo lokulahleka kwezinwele alufani nezinye izinhlobo ze-alopecia. I-AU ibangela ukulahleka kwezinwele okuphelele ekhanda nasemzimbeni wakho. I-AU uhlobo lwe-alopecia areata. Kodwa-ke, yehlukile kune-localised alopecia areata, edala iziqinti zokulahleka kwezinwele, ne-alopecia totisi, edala ukulahleka kwezinwele okuphelele ekhanda kuphela.

Izimpawu ze-alopecia universalis

Uma uqala ukulahlekelwa izinwele ekhanda lakho nasezingxenyeni ezihlukene zomzimba wakho, lokhu kuyisibonakaliso esiyinhloko se-AU. Izimpawu zifaka ukulahleka kwe:

• izinwele zomzimba
• amashiya
• izinwele zekhanda
• izinkophe

Ukulahleka kwezinwele nakho kungenzeka endaweni yakho ye-pubic nangaphakathi kwekhala lakho. Ungahle ungabi nezinye izimpawu, yize abanye abantu benokulunywa noma umuzwa ovuthayo ezindaweni ezithintekile.

I-atopic dermatitis nokubethelwa kwezipikili akuzona izimpawu zalolu hlobo lwe-alopecia. Kepha lezi zimo ezimbili kwesinye isikhathi zingavela nge-alopecia areata. I-atopic dermatitis ukuvuvukala kwesikhumba (eczema).

Izimbangela nezici zobungozi ze-alopecia universalis

Imbangela ngqo ye-AU ayikaziwa. Odokotela bakholelwa ukuthi izici ezithile zingakhuphula ubungozi kulolu hlobo lokulahleka kwezinwele.

I-AU isifo esizimele. Yilapho amasosha omzimba ehlasela amaseli awo. Endabeni ye-alopecia, amasosha omzimba enza iphutha ngezinwele zezinwele zomhlaseli. Amasosha omzimba ahlasela izintambo zezinwele njengendlela yokuzivikela, edala ukulahleka kwezinwele.

Kungani abanye abantu beba nezifo ezizimele ngenkathi abanye bengacaci. Kodwa-ke, i-AU ingasebenza emindenini. Uma abanye emndenini wakho nabo beba nalesi simo, kungahle kube nokuxhuma kofuzo.

Abantu abane-alopecia areata bangaba nengozi enkulu yezinye izifo ezizimele, njenge-vitiligo nesifo se-thyroid.

Ingcindezi nayo ingadala ukuqala kwe-AU, yize kudingeka olunye ucwaningo ukusekela le mbono.

Ukuhlonza i-alopecia universalis

Izimpawu ze-AU zehlukile. Odokotela bavame ukuxilonga i-AU lapho bebuka iphethini yokulahleka kwezinwele. Kulahleka kwezinwele okubushelelezi kakhulu, okungathathi zimoto, nokunabile.

Kwesinye isikhathi, odokotela ba-oda i-scops ye-scopp ukuqinisekisa isimo. I-scopp biopsy ifaka ukususa isampula lesikhumba ekhanda lakho nokubuka isampula ngaphansi kwesibonakhulu.

Ukuze uthole ukuxilongwa okunembile, udokotela wakho angenza futhi umsebenzi wegazi ukukhipha ezinye izimo ezibangela ukulahleka kwezinwele, njengesifo se-thyroid ne-lupus.

Ukwelashwa kwe-alopecia universalis

Inhloso yokwelashwa ukunciphisa noma ukumisa izinwele. Kwezinye izimo, ukwelashwa kungabuyisa izinwele ezindaweni ezithintekile. Ngoba i-AU uhlobo olunzima lwe-alopecia, amazinga empumelelo ayahlukahluka.

Lesi simo sihlukaniswa njengesifo esizimele, ngakho-ke udokotela wakho angancoma ama-corticosteroids ukucindezela amasosha akho omzimba. Unganikezwa futhi ukwelashwa ngezihloko. Ama-immunotherapies aphezulu avuselela amasosha omzimba. I-topical diphencyprone ikhiqiza ukusabela okweqile ukugqugquzela impendulo yesistimu yomzimba. Lokhu kukholakala ukuthi kuqondisa kabusha impendulo yesistimu yomzimba kude nezinhlayiya zezinwele. Zombili izindlela zokwelapha zisiza ukwenza kusebenze izinwele zezinwele futhi zikhuthaze ukukhula kwezinwele.

Udokotela wakho futhi angaphakamisa ukwelashwa kokukhanya kwe-ultraviolet ukukhuthaza ukujikeleza kwegazi nokwenza kusebenze izinhlayiya zezinwele.

I-Tofacitinib (Xeljanz) ibonakala isebenza kahle kakhulu ku-AU. Kodwa-ke, lokhu kubhekwa njengokusetshenziswa kwelebula okungekho kwelebula kwe-tofacitinib, evunywa yi-U.S. Food and Drug Administration (FDA) ekwelapheni isifo samathambo.

Ukusetshenziswa kwezidakamizwa ezingekho kwelebula kusho ukuthi umuthi ovunyelwe yi-FDA ngenhloso eyodwa usetshenziselwa injongo eyehlukile engavunyelwe. Kodwa-ke, udokotela usengasisebenzisa lesi sidakamizwa ngaleyo njongo. Lokhu kungenxa yokuthi i-FDA ilawula ukuhlolwa nokuvunywa kwezidakamizwa, kodwa hhayi ukuthi odokotela bazisebenzisa kanjani izidakamizwa ukwelapha iziguli zabo. Ngakho-ke, udokotela wakho angakunikeza umuthi kodwa bacabanga ukuthi kungcono kakhulu ukunakekelwa kwakho.

Izinkinga ze-alopecia universalis

I-AU ayisongeli impilo. Kepha ukuhlala nalesi simo kwandisa ubungozi bezinye izindaba zezempilo. Ngenxa yokuthi i-AU ibangela impandla, kunengozi enkulu yokusha kwesikhumba ekhanda ngenxa yokushiswa yilanga.Lokhu kushiswa yilanga kwandisa ingozi yokuba nomdlavuza wesikhumba ekhanda lakho. Ukuze uzivikele, gcoba isivikelo selanga ezindaweni ezinempandla ekhanda lakho, noma gqoka isigqoko noma iwigi.

Ungase futhi ulahlekelwe amashiya noma izinkophe zakho, okwenza kube lula ukuthi imfucumfucu ingene emehlweni akho. Gqoka izigqoko zokuzivikela uma ungaphandle noma usebenza endlini.

Ngoba ukulahleka kwezinwele zekhala nakho kwenza kube lula ukuthi amabhaktheriya namagciwane angene emzimbeni wakho, kunengozi enkulu yezifo zokuphefumula. Zivikele ngokunciphisa ukuxhumana nabantu abagulayo bese ukhuluma nodokotela wakho ngokuthola umgomo wokugomela umkhuhlane nenyumoniya minyaka yonke.

Umbono we-alopecia universalis

Umbono we-AU uyehluka kuye ngomuntu nomuntu. Abanye abantu balahlekelwa yizo zonke izinwele zabo futhi aziphindi zikhule, noma ngabe zelashwa. Abanye basabela kahle ekwelashweni, futhi izinwele zabo zikhula futhi.

Ayikho indlela yokubikezela ukuthi umzimba wakho uzophendula kanjani ekwelashweni. Uma unobunzima bokubhekana ne-alopecia unversalis, ukwesekwa kuyatholakala. Khuluma nodokotela wakho futhi uthole ulwazi ngamaqembu osizo endawo noma ubheke ukwelulekwa. Ukukhuluma nokuxhuma nabanye abantu abanalesi simo noma ukuba nezingxoxo nomuntu ngamunye nodokotela onguchwepheshe kungakusiza ukuphatha isimo sakho.