Yini i-xanthelasma, izimbangela kanye nokwelashwa

-Delile

• Izimbangela ezingaba khona
• Ukuxilongwa kwenziwa kanjani
• Izinketho zokwelashwa

I-Xanthelasma inamabala aphuzi, afana nama-papules, aphumela esikhunjeni futhi avela ikakhulu esifundeni sejwabu leso, kodwa futhi angavela nakwezinye izingxenye zobuso nomzimba, njengasentanyeni, emahlombe, emakhwapheni nasesifubeni. Amapuleti e-xanthelasma awazibangeli izimpawu, okungukuthi, awabangeli ubuhlungu, awarhawuki futhi awabangeli zinkinga, kepha ngokuhamba kwesikhathi akhula ngokuqhubekayo.

Lezi zindawo ziphuzi ngoba zingamafutha esikhunjeni futhi, isikhathi esiningi, ziyavela ngenxa yamazinga aphezulu e-cholesterol esegazini, engahlanganiswa nesifo sesibindi, i-hyperglycemia noma i-atherosclerosis, okuwukuqoqwa amanoni odongeni lwemithambo yenhliziyo. Funda kabanzi nge-atherosclerosis, izimpawu nokuthi welashwa kanjani.

Izimbangela ezingaba khona

IXanthelasma ivela kaningi kwabesifazane abaneminyaka engaphezu kwengama-40 ubudala, futhi izimbangela zokuvela kwalesi simo, ezimweni eziningi, zihlobene namazinga aphezulu kakhulu we-cholesterol embi, i-LDL, namazinga we-cholesterol enhle, aphansi kakhulu, kepha, ezinye izinkinga zempilo zingahlotshaniswa nokuvela kwamabala e-xanthelasma kumajwabu amehlo, njengesibindi sokuqina kwesibindi, ngokwesibonelo.

Kwezinye izimo, ngaphezu kokwanda kwe-cholesterol, umuntu one-xanthelasma une-hyperglycemia, okuyilapho amazinga kashukela egazini nawo ephezulu futhi lokhu kungenzeka ngenxa yesifo sikashukela, i-hypothyroidism noma ukusetshenziswa kwemithi ethile, njenge-corticosteroids kanye ne-oral retinoids .

Ukuxilongwa kwenziwa kanjani

Ukuxilongwa kwe-xanthelasma kuvame ukwenziwa ngudokotela wesikhumba ngokuhlola isikhumba esiseduze kwamehlo, noma kunjalo, ungacelwa ukuthi wenze ukuhlolwa kwenhliziyo noma ukuhlolwa kwegazi ukuze uhlaziye amazinga wamafutha egazini futhi ngaleyo ndlela uhlole ukuthi ngabe zikhona yini ezinye izifo ezihlobene ukuvela kwamabala e-xanthelasma.

Udokotela futhi anga-oda ukuhlolwa njenge-biopsy yesikhumba ukukhipha ukuthi izingcwecwe esikhunjeni ezinye izinkinga zempilo, njenge-chalazion, sebaceous hyperplasia noma uhlobo oluthile lomdlavuza, njenge-basal cell carcinoma. Bona okuningi ukuthi yini i- basal cell carcinoma, izimpawu eziyinhloko nokwelashwa.

Izinketho zokwelashwa

Amabala abangelwa yi-xanthelasma awanyamalali ngokuhamba kwesikhathi futhi uma ethinta ubuhle bobuso, udokotela wesikhumba angakhombisa ukwelashwa okufanele ngokuya ngosayizi wamapuleti nohlobo lwesikhumba somuntu, olungenziwa nge:

• Ukuxebuka ikhemikhali: uhlobo lokwelashwa lapho i-dichloroacetic acid noma i-trichloroacetic acid isetshenziswa, ekugxileni phakathi kuka-50% kuya ku-100% ukubhubhisa izingcwecwe ze-xanthelasma. Lawa ma-asidi kufanele asetshenziswe kuphela ngochwepheshe abaqeqeshiwe ngenxa yengozi yokusha esikhunjeni;
• Ukuhlinzwa: kuqukethe ukususwa kwamacwecwe e-xanthelasma ngokusebenzisa ukusikeka okuncane okwenziwe ngudokotela;
• Ukwelashwa kwe-Laser: kuyindlela esetshenziswa kabanzi ukuqeda amabala e-xanthelasma kwijwabu leso ngokusebenza okuqondile kwe-laser kulezi zilonda;
• I-Cryotherapy: kungukusetshenziswa kwe-nitrogen engamanzi ngqo kumacwecwe e-xanthelasma, okuholela ekususweni kwalezi zilonda. Kulesi simo, i-nitrogen ewuketshezi iqandisa izingqimba ze-xanthelasma kujwabu leso, futhi ngenxa yengozi yokuvuvukala ebusweni, akuboniswa ngaso sonke isikhathi;
• Imithi: ezinye izifundo zibonisa ukuthi i-probucol yezidakamizwa inganciphisa amaseli aholela ekubukekeni kwamapulangwe e-xanthelasma, kepha asadinga ubufakazi obengeziwe bokusebenza.

Ezinye izinhlobo zokwelashwa zingakhonjiswa, ngokuya ngezimpawu ze-xanthelasma, njengokujola kwe-interleukin noma i-cyclosporine, ukususwa nge-radiofrequency noma i-fractional CO2 laser, esiza ukuqeda uqweqwe lwamajwabu amehlo. Bheka ukuthi i-laser ye-CO2 yamaqhezu yenziwa kanjani.

Yize kunezindlela eziningana zokuqeda amabala e-xanthelasma, into ebaluleke kakhulu ukudala imikhuba enempilo esiza ukunciphisa amazinga amabi we-cholesterol egazini, ngoba lokhu kuyimbangela enkulu yalolu hlobo lwe-plaque esikhumbeni. Ngakho-ke, umuntu kufanele abonane nodokotela ojwayelekile kanye nesazi sokudla ukuze aqale ukwelashwa ukwehlisa amazinga e-cholesterol egazini, anciphise ubungozi bomuntu oletha ezinye izinkinga zempilo, njenge-atherosclerosis.

Nayi ividiyo enezeluleko ezibalulekile zokwehlisa i-cholesterol: