Kuyini iPalmar Erythema?

-Delile

• Ngabe i-palmar erythema ibukeka kanjani?
• Yini ebangela i-palmar erythema futhi ngubani osengozini?
• I-erythema yesundu eyinhloko
• I-erythema yesundu yesibili
• Itholakala kanjani i-palmar erythema?
• Ingabe ukuhlolwa kokulandelela kuke kudingeke?
• Q:
• A:
• Ingabe kukhona ukwelashwa kwe-palmar erythema?
• Yini ongayilindela?

Kuyini i-palmar erythema?

IPalmar erythema yisimo esingajwayelekile sesikhumba lapho izintende zezandla zombili ziba bomvu. Lokhu kuguqulwa kombala kuvame ukuthinta isisekelo sesundu nendawo ezungeze phansi kwesithupha sakho nomunwe omncane. Kwezinye izimo, iminwe yakho nayo ingashintsha ibe bomvu.

Izinga lobomvu lingahluka ngokuya nge:

• izinga lokushisa
• ingcindezi ifakwe ezandleni zakho
• isimo sakho somzwelo
• uma uphakamise izingalo phezulu

Ungase uzwe ukufudumala noma umuzwa ovuthayo ezandleni zakho, kodwa izindawo ezithintekile akufanele zilume.

Lokhu kungaba ngofuzo. Kungabangelwa futhi yizimo ezithile, njengokukhulelwa, noma izifo, ezinjenge-cirrhosis yesibindi. Akukho ukwelashwa okujwayelekile noma ikhambi lobubomvu uqobo. Uma i-erythema yesundu ibangelwa yisimo esingaphansi, izimpawu zakho zingasula ngemuva kokwelashwa kwesizathu esiyimbangela.

I-Palmar erythema ibizwa nangokuthi izintende zesibindi, izintende ezibomvu, noma isifo sikaLane. Qhubeka ufunde ukuze ufunde kabanzi.

Ngabe i-palmar erythema ibukeka kanjani?

Yini ebangela i-palmar erythema futhi ngubani osengozini?

I-Palmar erythema ingaba:

• ifa
• kubangelwa yisimo esingaphansi
• ngemvelaphi engaziwa

Uma isimo sizuzwe njengefa, okuhlobene nokukhulelwa, noma imvelaphi engaziwa, kubhekwa njenge-erythema eyinhloko yesundu. Uma kubangelwa isimo sezempilo esiyisisekelo noma izici zemvelo, kubhekwa njenge-palmar erythema yesibili.

I-erythema yesundu eyinhloko

IHereditary palmar erythema inamacala ambalwa nje achazwe ezincwadini zezokwelapha. Kulezi zimo, ububomvu bukhona lapho kuzalwa futhi buhlala impilo yonke. Ngokuvamile kuyinto enobungozi, okusho ukuthi abukho ubuhlungu noma ukuvuvukala. Ububomvu buvela emithanjeni yegazi ehlanjululwe ngaphansi kwesikhumba.

I-erythema ehlobene nokukhulelwa ehlobene nokukhulelwa yenzeka cishe kumaphesenti angama-30 okukhulelwa. Lokhu kungahle kube ngenxa yezinguquko zemithambo ehlobene nokwanda kwamazinga e-estrogen ngesikhathi sokukhulelwa.

Kwezinye izimo, lesi simo asiyona ifa noma sihlobene nanoma yisiphi isimo esaziwayo noma isifo.

I-erythema yesundu yesibili

I-Palmar erythema uphawu lwezimo eziningi ezahlukahlukene. Ukubukeka kwaso kuvame ukuba yisibonakaliso sokuqala sokukhathazeka okuyisisekelo kwezokwelapha.

Isibonelo, i-palmar erythema ihlotshaniswa nezinhlobo eziningana zezifo zesibindi. Cishe amaphesenti angama-23 abantu abane-cirrhosis yesibindi nabo babhekana ne-palmar erythema.

Ezinye izifo zesibindi ezihambisana ne-palmar erythema zibandakanya isifo sikaWilson, esenzeka lapho kunethusi eliningi kakhulu emzimbeni wakho, ne-hemochromatosis, eyenzeka lapho kunensimbi eningi kakhulu emzimbeni wakho.

Sula izinhlangano ezenzelwe le mibandela elandelayo:

• Isifo sikashukela: Kulinganiselwa ukuthi abantu abanesifo sikashukela babhekana ne-palmar erythema.
• Izifo ezizimele: Ngaphezu kwabantu abane-arthritis ye-rheumatoid bathola i-palmar erythema.
• Isifo se-thyroid: Cishe amaphesenti ayi-18 abantu abane-hormone yegilo eningi kakhulu bane-palmar erythema.
• I-HIV: Icala le-palmar erythema elihlobene ne-HIV labikwa okokuqala ngo-2017.

Amanye amathuba afaka:

• izimo zesikhumba, njenge-atopic dermatitis, i-eczema, ne-psoriasis
• ukutheleleka ngamagciwane noma amagciwane, njenge-Rocky Mountain spotted fever, i-coxsackievirus (isifo sesandla, unyawo nomlomo), nogcunsula
• isifo esingelapheki samaphaphu
• izicubu zobuchopho eziyingozi noma ezine-metastasized

Izimbangela zemvelo, njengemithi yokwelashwa, nazo zingaholela ku-erythema yesundu. Isibonelo, uma ukusebenza kwesibindi kujwayelekile, izidakamizwa ezinjenge-topiramate (Topamax) ne-albuterol (Proventil) zingadala izimpawu.

Uma ukusebenza kwesibindi sakho kungasebenzi kahle, i-palmar erythema ingavela uma uthatha i-amiodarone (Cordarone), i-cholestyramine (i-Questran), noma i-gemfibrozil (i-Lopid).

Ezinye izimbangela zemvelo zifaka:

• ukubhema
• ukuphuza ngokweqile
• ubuthi be-mercury

Itholakala kanjani i-palmar erythema?

Yize i-palmar erythema ingatholakala ukuthi iyabonakala, udokotela wakho uzofuna ukuthola ukuthi ngabe uphawu lwesimo esingaphansi.

Ngemuva kokubukeza umlando wakho wezokwelapha nokwenza ukuhlolwa komzimba, bangahle ba-oda ukuhlolwa okukodwa noma okuningi ukukala:

• ukubalwa kwamangqamuzana egazi
• ushukela egazini
• ukusebenza kwesibindi
• umsebenzi wegilo
• igazi urea nitrogen
• amazinga e-creatinine
• amazinga wensimbi
• amazinga e-rheumatoid factor
• amazinga ethusi

Ukuhlolwa okwengeziwe kungafaka:

• I-MRI yobuchopho bakho
• Ukuxilongwa kwe-CT kwesifuba sakho, isisu sakho kanye nesifuba sakho
• umnkantsha wethambo
• ukuhlolwa kwamanye ama-antibody

Ingabe ukuhlolwa kokulandelela kuke kudingeke?

Q:

Uma imbangela eyimbangela ingatholakali ngesikhathi sokuhlolwa kokuqala kokuxilonga, ingabe kuzodingeka ngibuyele emuva nganoma ikuphi ukulandelwa?

Isiguli esingaziwa

A:

Ngokuya ngokuthi yikuphi ukuhlolwa oke wakuthola kanye nemiphumela evela ekuhlolweni kwakho koqobo kokuxilonga, ungahle udinge ukubuyela kokunye ukuhlolwa kuze kutholakale imbangela ye-palmar erythema. Amacala wefa kulula ukuwabona, njengoba lezo zimpawu zingaba khona lapho kuzalwa. Amacala amasha adinga uphenyo ukuthola imbangela. Kubalulekile ukuthola imbangela njengoba kungaba yinkinga enkulu yezempilo.

UDebra Sullivan, PhD, MSN, CNE, Izimpendulo ze-COIA zimele imibono yochwepheshe bethu bezokwelapha. Konke okuqukethwe kunolwazi oluqinile futhi akufanele kuthathwe njengezeluleko zezokwelapha.

Ingabe kukhona ukwelashwa kwe-palmar erythema?

Azikho izindlela zokwelapha ezenzelwe ukunciphisa ububomvu uqobo.

Nge-erythema yesundu yesibili, ububomvu bungancipha njengoba kulashwa imbangela eyinhloko. Isibonelo, uma i-palmry erythema yakho ihlotshaniswa nesifo esizimele, inkambo emfushane yemithi ye-corticosteroid ingathuthukisa izimpawu zakho.

Uma umuthi owuthathayo ubangela ububomvu, khuluma nodokotela wakho ngeminye imishanguzo. Akufanele uyeke ukuthatha imithi oyinikezwe ngaphandle kwemvume kadokotela wakho.

Yini ongayilindela?

Kubalulekile ukubona udokotela wakho uma ubomvu ezintendeni zezandla zakho. Isizathu kungaba yisifo esiyisisekelo okufanele silashwe ngokushesha okukhulu, ngaphambi kokuba kuvele izinkinga.

Uma izici zesibili zibangela i-erythema yakho yesundu, izimpawu zakho zingaphela ngokuhamba kwesikhathi. Abesifazane abakhulelwe bathola ukuthi ububomvu buhamba ngemuva kokubeletha.

Izimpawu zingaqhubeka ezimweni ze-erythema yesundu.