I-Perioral Dermatitis: Izimpawu, Izimbangela, kanye Nokwelapha

-Delile

• Yini ebangela i-perioral dermatitis?
• Ziyini izimpawu ze-perioral dermatitis?
• Itholakala kanjani i-perioral dermatitis?
• Yiziphi izinketho zokwelashwa ze-perioral dermatitis?
• Imithi kadokotela
• Ukudla nendlela yokuphila
• Izici zobungozi
• Izimbangela ezivamile
• Uyini umbono wesikhathi eside?
• Ngingavimbela kanjani i-perioral dermatitis?
• Gwema i-topical steroids
• Sebenzisa izimonyo ngokuqapha
• Vikela isikhumba sakho

Kuyini i-perioral dermatitis?

I-Perioral dermatitis ukuqubuka okuvuvukala okubandakanya isikhumba esizungeze umlomo. Ukuqhuma kungasabalala kuze kufike ekhaleni noma ngamehlo. Kuleso simo, kubizwa ngokuthi yi-periorificial dermatitis.

Imvamisa ibonakala njengokuqubuka okunamaqhubu abomvu noma obomvu azungeze umlomo. Kungaba khona ukukhipha oketshezi okucacile. Ububomvu nokunwaya okuncane nokushisa nakho kungenzeka.

I-Perioral dermatitis ivame kakhulu kwabesifazane abaphakathi kweminyaka eyi-16 kuya kwengama-45, kepha ingabonakala kuyo yonke iminyaka, izinhlanga, nezinhlanga. Kuyenzeka nasezinganeni zanoma yimuphi ubudala.

Ngaphandle kokwelashwa okulungile, amacala e-perioral dermatitis ayaphela, kepha angavela futhi ngokuhamba kwesikhathi. Iziqephu ze-perioral dermatitis zingahlala amasonto ngisho nezinyanga.

Yini ebangela i-perioral dermatitis?

Isizathu se-perioral dermatitis asikaziwa. Kodwa-ke, ochwepheshe basikisela ukuthi kungenzeka ngemuva kokusebenzisa ama-steroids aqinile asesikhumbeni. Lokhu kungabekwa ukwelapha esinye isimo. Izifutho ze-Nasal eziqukethe i-corticosteroids nazo zingadala i-perioral dermatitis.

Izithako ezithile zezimonyo ze-perioral dermatitis, nazo. Ukhilimu osindayo oqukethe i-petrolatum noma isisekelo sikapharafini kungadala noma kubhebhethekise lesi simo.

Ezinye izinto ezingadala lesi simo zifaka:

• izifo ezibangelwa amagciwane noma ukhunta
• ukumunca amathe njalo
• umuthi wokuxubha ophuziwe
• amaphilisi okuvimbela inzalo
• isivikelo selanga
• rosacea

Ziyini izimpawu ze-perioral dermatitis?

I-Perioral dermatitis ivame ukuvela njengokuqubuka kwamaqhuqhuva abomvu azungeze umlomo nasemaphethweni azungeze ikhala.

Ama-bumps angaba ne-scaly ngokubukeka. Zingavela futhi:

• endaweni engaphansi kwamehlo
• esiphongweni
• esilevini

La maqhuqhuvana amancane angaqukatha ubomvu noma uketshezi. Zingahle zifane nezinduna.

Ungase ube nezimpawu ezifana nokushisa noma ukulunywa, ikakhulukazi njengoba ukuqhuma kuba kubi.

Itholakala kanjani i-perioral dermatitis?

Udokotela wakho noma udokotela wesikhumba angahlala ehlonza i-perioral dermatitis ngokuhlolwa nje kwesikhumba sakho, kanye nomlando wakho wezokwelapha.

Udokotela wakho angenza nokuhlolwa kwesiko lesikhumba ukukhipha ukutheleleka okungenzeka. Ngalesi sivivinyo, udokotela wakho uzobamba isikhumba esincane endaweni ethintekile. Bazothumela isampula elabhorethri ukuhlola amaseli esikhumba ukuthola amagciwane noma isikhunta.

Udokotela wakho angenza futhi i-biopsy yesikhumba, ikakhulukazi uma ukuqubuka kungaphenduli ekwelashweni okujwayelekile.

Yiziphi izinketho zokwelashwa ze-perioral dermatitis?

I-American Osteopathic College of Dermatology (AOCD) incoma ukumisa ukusetshenziswa kwama-topical steroid okhilimu noma izifutho zamakhala eziqukethe i-steroids, uma kungenzeka. Le mikhiqizo ingenza izimpawu zibe zimbi kakhulu futhi kungenzeka zibhekele izimpawu.

Kodwa-ke, kubalulekile ukukhuluma nodokotela wakho ngaphambi kokuyeka noma yimiphi imithi. Uma ukhathazekile ngesimo sakho futhi ungenayo i-dermatologist, ungabuka odokotela endaweni yakho ngethuluzi le-Healthline FindCare.

Udokotela wakho uzonquma ukwelashwa kwakho ngokuya ngobukhulu besimo sakho. Kwezinye izimo, ukusebenzisa insipho emnene nokuyeka ukusebenzisa okhilimu abasindayo nomuthi wokuxubha ophuziwe kunganciphisa izimpawu. Imithi ingabuye isheshise ukwelashwa.

Imithi kadokotela

Imithi udokotela wakho angakunika ukwelapha isimo sakho ifaka:

• imishanguzo yama-antibiotic, njenge-metronidazole (i-gel gel) ne-erythromycin
• okhilimu be-immunosuppressive, njenge-pimecrolimus noma ukhilimu we-tacrolimus
• imishanguzo yama-acne, njenge-adaptalene noma i-azelaic acid
• ama-antibiotics omlomo, njenge-doxycycline, i-tetracycline, i-minocycline, noma i-isotretinoin, ngamacala abucayi

Ukudla nendlela yokuphila

Ingxenye yokwelapha i-perioral dermatitis ifaka izinguquko zendlela yokuphila ezingasiza ukuyivimbela. Cabanga ngalokhu okulandelayo:

• Susa izikhuhli zobuso ezinzima noma izihlanzisi ezinamakha. Esikhundleni salokho, sebenzisa amanzi afudumele kuphela ngesikhathi sokuqubuka. Uma usuphulukisiwe, sebenzisa kuphela insipho emnene futhi ungakhubi isikhumba sakho.
• Gwema okhilimu be-steroid - ngisho ne-hydrocortisone engabhalisiwe.
• Misa ukusebenzisa noma ukunciphisa ukusebenzisa kwakho izimonyo, izimonyo, kanye nelanga.
• Hlanza amakesi akho omcamelo namathawula kaningi emanzini ashisayo.
• Nciphisa ukudla okunosawoti ngokweqile noma okubabayo. Bangacasula isikhumba esizungeze umlomo.

Izici zobungozi

Abanye abantu bazothambekela kakhulu noma babe sengozini yokuthuthukisa i-perioral dermatitis kunabanye. Izici zobungozi zifaka:

• ubulili (abesifazane banamathuba amaningi okuthuthukisa lesi simo kunabesilisa)
• ukusetshenziswa kwama-steroid okhilimu noma amafutha okugcoba ebusweni
• ubudala (intsha, abantu abadala, nabantu abadala abaneminyaka emaphakathi kakhulu bangathinteka)
• umlando wokungezwani komzimba
• ukungalingani kwe-hormonal

Izimbangela ezivamile

Kunezimbangela eziningi ezivamile ezingabangela ukuqubuka kwe-perioral dermatitis. Lokhu kufanele kugwenywe ngangokunokwenzeka.

Lezi zimbangela zifaka:

• usebenzisa ukhilimu we-steroid ebusweni
• izimonyo nokuhlanza okusetshenziswa endaweni ethintekile noma ecasukile, okungenza ukuqhuma kube kubi kakhulu
• amaphilisi okuvimbela inzalo
• umuthi wokuxubha ophuziwe

Uyini umbono wesikhathi eside?

I-Perioral dermatitis kunzima ukuyelapha futhi ingahlala izinyanga. Ngokusho kwe-AOCD, nangemva kwamasonto ambalwa okwelashwa, isimo singaba sibi kakhulu ngaphambi kokuba sibe ngcono.

Kwabanye abantu, i-perioral dermatitis ingahle ingalapheki.

Ngingavimbela kanjani i-perioral dermatitis?

Njengoba izimbangela ze-perioral dermatitis zihluka futhi imbangela ingaqondakali ngokuphelele, ayikho indlela engenangqondo yokugwema ukuyithola.

Kunezinto ezithile ongazenza ukusiza ukunciphisa noma ukuzigcina zingabi kubi kakhulu:

Gwema i-topical steroids

Gwema okhilimu nama-steroid ngaphandle kokuqondiswa udokotela wakho. Uma omunye udokotela ekuchazela nge-topical steroid, qiniseka ukubazisa ukuthi une-perioral dermatitis.

Ngokuvamile, kungenzeka kakhulu ukuthi kwenzeke ngama-topical steroids anamandla kunalawo abuthakathaka. Sebenzisa ebuthakathaka ukwelapha lesi sifo.

Sebenzisa izimonyo ngokuqapha

Gwema ukusebenzisa izimonyo ezisindayo noma okhilimu besikhumba. Buza udokotela wakho ukuthi imaphi amafutha okuthambisa amukelekile ukusebenzisa. Zama ukushintsha imikhiqizo uma unquma ukuqhubeka nokusebenzisa izimonyo.

Shintshela kubahlanzi abahlanzekile nabathambisa umzimba. Buza udokotela wesikhumba sakho ngezincomo ezizofanela isikhumba sakho.

Vikela isikhumba sakho

Nciphisa isikhathi lapho isikhumba sakho sihlangana khona nezakhi. Imisebe yelanga ye-ultraviolet (UV), ukushisa, nomoya kungabhebhethekisa i-perioral dermatitis. Eminye imithi esetshenziselwa ukwelapha i-perioral dermatitis nayo izokwenza isikhumba sakho sizwele elangeni.

Qiniseka ukuthi uvikela isikhumba sakho uma uzoba selangeni isikhathi eside.