I-Hidradenitis suppurativa (i-reverse acne): izimpawu eziyinhloko nendlela yokwelapha

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Indlela yokwelapha

I-suppradative hidradenitis, eyaziwa nangokuthi i-reverse acne, yisifo esingajwayelekile sesikhumba esidala ukuthi kuvele izigaxa ezibuhlungu ngaphansi kwesikhumba, ezingaphuka futhi zidale iphunga elibi, zishiye isibazi esikhumbeni lapho zinyamalala.

Yize le nkinga ingavela kunoma yisiphi isifunda somzimba, ivame kakhulu ezindaweni ezinezinwele lapho isikhumba sihlikihla khona, njengasemakhwapheni, emgodini, ezinqeni noma ngaphansi kwamabele, ngokwesibonelo.

Yize i-hidradenitis ingenalo ikhambi, ingalawulwa ngemithi nangamafutha okuvimbela ukuvela kwezigaxa ezintsha kanye nokuvela kwezinkinga ezengeziwe.

Izimpawu eziyinhloko

Izimpawu zingavela nganoma yisiphi isikhathi, noma kunjalo zivame kakhulu ngemuva kweminyaka engama-20 futhi zifaka:

• Ukuvuvukala kwesikhumba ngezigaxa ezinobukhulu obuhlukahlukene noma amakhanda amnyama;
• Ububomvu obukhulu endaweni ethintekile;
• Ubuhlungu obukhulu futhi obungapheli;
• Ukujuluka okweqile esifundeni;
• Ukwakhiwa kweziteshi ngaphansi kwamatshe.

Kwezinye izimo, izigaxa zingadabuka futhi zikhiphe ubomvu, kubangele ukuvela kwephunga elibi endaweni, ngaphezu kokubanga ubuhlungu obengeziwe.

Izigaxa zingathatha amasonto ambalwa ngisho nezinyanga ukuthi zinyamalale, zikhulu futhi zibe buhlungu kakhulu kubantu abakhuluphele ngokweqile, abahlale benengcindezi noma abasesikhathini soshintsho olukhulu lwehomoni, njengokuthomba noma ukukhulelwa.

Ungakuqinisekisa kanjani ukuxilongwa

Ngemuva kokuvela kwalezi zimpawu, ngaphandle kokuthuthuka emavikini ama-2, kunconywa ukuthi uthintane nodokotela wesikhumba ukuze uqinisekise ukuxilongwa kuphela ngokubheka indawo ethintekile, ukuze uqale ukwelashwa okufanele futhi unciphise izimpawu.

Kungadingeka futhi ukwenza i-biopsy yesikhumba, ukusihlaziya kanye nokuhlaziywa kobofu obudalwa yizilonda.

Uma kwenziwa kusenesikhathi, ukuxilongwa kungasiza ekwehliseni amathuba okuba mandundu kwalesi simo, kanye nokuvela kwezinkinga ezifana nezibazi ezijulile ezingathiya ukuhamba kwethambo elithintekile futhi kudale izinkontileka ezivamile, ngokwesibonelo.

Indlela yokwelapha

Ukwelashwa kwe-hidradenitis suppurativa, yize kungaselaphi lesi sifo, kusiza ekunciphiseni izimpawu nokuvikela ukuqala kwaso kaningi, futhi kunciphisa namathuba okuba nezinkinga.

Ezinye zezindlela ezisetshenziswa kakhulu zokwelapha i-hidradenitis zifaka:

• Amaphilisi okulwa namagciwane noma amafutha, njengeTetracycline, Clindomycin noma i-Erythromycin: kuqeda amagciwane esikhunjeni, kuvimbele ukutheleleka kwesiza okungakhuphula izinkinga;
• Amafutha anevithamini A, njengeHipoglós noma iHipoderme: zisiza isikhumba ukuba silaphe ngokushesha;
• Imijovo ye-Corticoids, njengePrednisolone noma i-Triamcinolone: ​​ukunciphisa ukuvuvukala kwezigaxa, ukuqeda ukuvuvukala, ubuhlungu nokubomvu;
• Ukudambisa izinhlungu, njengeParacetamol noma i-Ibuprofen: kusiza ukuqeda ukungakhululeki nobuhlungu.

Ngaphezu kwalokho, udokotela wesikhumba angahle futhi anikeze ezinye izixazululo ezisiza ukwehlisa ukusebenza kohlelo lokuzivikela komzimba, njenge-Infliximab noma i-Adalimumab, njengoba zivikela umphumela weprotheyini elibonakala liba limbi kakhulu amacala e-hidradenitis.

Ngaphezu kwalokho, noma yini engaba yingozi engaba yimbangela ye-hidradenitis suppurativa kufanele igwenywe ngangokunokwenzeka. Ezifundeni lapho zikhula khona izinwele, njengamakhwapha nezimpongo, kunconywa ukususwa kwezinwele ze-laser, kugwenywe izindlela ezilimaza isikhumba, kanye neziphunga ezibangela ukucasuka. Kuyanconywa futhi ukuthi ugqoke izingubo ezixegayo, ugcine isisindo esinempilo, ugweme ukudla okune-hyperglycemic notshwala nogwayi.

Ezimweni ezinzima kakhulu, lapho izimpawu zishuba kakhulu futhi kukhona ukuvuvukala okunehaba, ukutheleleka noma ukwakheka kwemigudu, udokotela futhi angaluleka ukwelashwa ukuze kususwe izigaxa nesikhumba esithintekile. Kulezi zimo, kuyadingeka ukuthi kube nokufakelwa kwesikhumba, okuvame ukususwa kwezinye izingxenye zomzimba.