I-Tinea Versicolor

-Delile

• Yini i-tinea versicolor?
• Yini ebangela i-tinea versicolor?
• Ziyini izimpawu ze-tinea versicolor?
• Izimo ezifanayo
• Yiziphi izinto eziyingozi ku-tinea versicolor?
• Kufanele uxhumane nini nodokotela wakho?
• Ukuthola udokotela we-tinea versicolor
• Itholakala kanjani i-tinea versicolor?
• Yelashwa kanjani i-tinea versicolor?
• Kuzothatha isikhathi esingakanani ukuthi isikhumba sakho sibuyele kokujwayelekile?
• Ngabe i-tinea versicolor ingavinjelwa kanjani?
• I-Q & A.
• Q:
• A:

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Yini i-tinea versicolor?

Isikhunta Malassezia uhlobo lwemvubelo olutholakala ebusweni besikhumba. Imvamisa ayibangeli zinkinga zezempilo. Eqinisweni, iningi le-microbiota (noma izinto ezincane kakhulu), kufaka phakathi imvubelo efana Malassezia, ezihlala emiphakathini emikhulu esikhunjeni sakho zisiza ukukuvikela ezifweni nakwezinye izifo ezingadala ingozi noma izifo. Zihlala eceleni kwamaseli omzimba wakho ebudlelwaneni be-symbiotic, ngamaseli esikhumba kanye nezinto eziphilayo ezincane ezisekelanayo futhi ezizuzanayo.

Kwesinye isikhathi, noma kunjalo, le yeast ingakhula ilawuleke futhi ithinte umbala wemvelo noma ukubala kwesikhumba sakho. Uma lokhu kwenzeka, ungahlakulela amabala esikhumba akhanyayo noma amnyama kunesikhumba esizungezile. Lesi simo, esingathathelani, saziwa njenge-tinea versicolor, noma i-pityriasis versicolor. Isimo senzeka lapho uhlobo lwemvubelo oluvela ku- Malassezia Umndeni ubangela ukutheleleka noma ucindezela amasosha akho omzimba.

Yini ebangela i-tinea versicolor?

I-Tinea versicolor yenzeka lapho Malassezia ikhula ngokushesha ebusweni besikhumba. Odokotela abaqiniseki ukuthi kungani lokhu kwenzeka. Ezinye izinto zingakhuthaza ukukhula kwalemvubelo esikhumbeni, kufaka phakathi:

• isimo sezulu esishisayo nesinomswakama
• ukujuluka okweqile
• isikhumba esinamafutha
• amasosha omzimba abuthakathaka
• izinguquko ze-hormonal

I-Tinea versicolor ingenzeka kubantu abavela kuzo zonke izinhlanga, futhi ivame kakhulu kubantu abasha nasebekhulile. Abantu abadala banamathuba amaningi okuthi bahlakulele i-tinea versicolor uma bevakashela indawo enesimo sezulu esishisayo.

Ziyini izimpawu ze-tinea versicolor?

Amabala ezimibalabala esikhumba uphawu oluqapheleka kakhulu lwe-tinea versicolor, futhi lezi zimaki zivame ukuvela ezingalweni, esifubeni, entanyeni noma emuva. Lezi zimeshi zingaba:

• ilula (ejwayelekile kakhulu) noma imnyama kunesikhumba esizungezile
• pink, obomvu, tan, noma nsundu
• yomile, iyanwaya, futhi ine-scaly
• okuvelele kakhulu ngokushuka
• ithambekele ukunyamalala esimweni esipholile, esingaphansi komswakama

I-Tinea versicolor ekhula kubantu abanesikhumba esimnyama ingaholela ekulahlekelweni kombala wesikhumba, owaziwa ngokuthi yi-hypopigmentation. Kwabanye abantu, isikhumba singaba mnyama esikhundleni sokukhanya. Lesi simo saziwa njenge-hyperpigmentation.

Abanye abantu abathuthukisa i-tinea versicolor abanazinguquko ezibalulekile kumbala wesikhumba noma ekubukekeni kwabo.

Ngaphezu koshintsho kumbala wesikhumba sakho, ungahle ubhekane nesikhumba esilumayo.

Izimo ezifanayo

Ezinye izimo ezinezimpawu ezigqagqene, njenge-vitiligo, zivame ukuphutha njenge-tinea versicolor. Kodwa-ke, i-vitiligo ingahluka ku-tinea versicolor ngezindlela eziningi ezibonakalayo, kufaka phakathi:

• I-Vitiligo ayikuthinti ukwakheka kwesikhumba sakho.
• IVitiligo ivame ukuvela eminweni, ezihlakaleni, ekhwapheni, emlonyeni, emehlweni, noma emgodini.
• I-Vitiligo ivame ukwakha ama-patches ahambisanayo.

Ukuqhuma okubangelwa yi-pityriasis rosea nakho kufana ne-tinea versicolor, kepha lokhu kuqubuka kuvame ukwandulelwa yi- "herald patch," isikhumba esibomvu esisodwa sesikhumba esinamabala esibonakala ezinsukwini noma emasontweni ambalwa ngaphambi kokuqubuka. Lokhu kuqhuma kuvela ngesimo somuthi kaKhisimusi ngemuva. Akwaziwa ukuthi yini ebangela lesi simo. Kepha, njenge-tinea versicolor, ayinabungozi futhi ayithelelani.

Yiziphi izinto eziyingozi ku-tinea versicolor?

Izici ezahlukahlukene zemvelo nezendalo zingakubeka engcupheni enkulu yalesi simo, kufaka phakathi:

• umlando womndeni we-tinea versicolor
• ukujuluka okweqile
• isimo sezulu esimanzi, esifudumele
• amasosha omzimba abuthakathaka
• ukuthatha imishanguzo eyenza amasosha omzimba abe buthakathaka
• ezinye izinhlobo zomdlavuza

Kufanele uxhumane nini nodokotela wakho?

Uma uthuthukisa izimpawu ze-tinea versicolor, ungakhetha ukuselapha leso simo ngokwakho. Imithi elwa nokubulala engaphezulu kwe-the-counter (OTC) ingaqeda amabala esikhumba akhanyayo. Kodwa-ke, kufanele uxhumane nodokotela wakho uma lezi zindlela zokwelapha zingasebenzi. Ungadinga umuthi kadokotela ukulawula izimpawu zakho.

Thenga okhilimu bokuvikela ukubola.

Ukuthola udokotela we-tinea versicolor

Ufuna odokotela abanolwazi oluningi lokwelapha i-tinea versicolor? Sebenzisa ithuluzi lokusesha lodokotela elingezansi, elixhaswe ngumlingani wethu u-Amino. Ungathola odokotela abanolwazi kakhulu, bahlungwe ngumshuwalense wakho, indawo, nokunye okuthandayo. I-Amino ingasiza futhi ukubhuka ukuqokwa kwakho mahhala.

Itholakala kanjani i-tinea versicolor?

Bona udokotela wakho uma amaqebelengwane anemibala emangalisayo eba esikhunjeni sakho futhi awukwazi ukuwaphatha ekhaya. Udokotela wakho uzohlola isikhumba sakho futhi akwazi ukutshela ukuthi une-tinea versicolor ngokubuka nje amabala.

Uma ukuxilongwa kungenziwa ngokubheka isikhumba, udokotela wakho angathatha isikhumba. Ukuqothulwa kwesikhumba kususa amaseli esikhunjeni sakho ukuze kuhlolwe ngokususa isikhumba ngobumnene. Amaseli abhekwa ngaphansi kwesibonakhulu ukubona ukuthi aqukethe yini imvubelo edala lesi simo. Udokotela wakho angaqhuba i-potassium hydroxide (KOH) microscopy. Kule nqubo, udokotela wakho uthatha isampula yesikhumba, asibeke kwisilayidi semicroscope ngesisombululo sama-20 amaphesenti we-KOH, futhi abheke imvubelo noma isikhunta se-hyphae ngaphansi kwesibonakhulu.

Udokotela wakho futhi angathatha i-biopsy, noma isampula yezicubu, yesikhumba esithintekile bese evivinya isikhunta engqimbeni lesikhumba elingaphandle. Isampula lefungus esikhunjeni nalo lingahlolwa kusiko lwefungal ukubona ukuthi unaso yini isimo.

Udokotela wakho futhi angasebenzisa isibani seWood ukubheka isikhumba sakho. Lo mshini okhethekile, osebenzisa ukukhanya kwe-ultraviolet, uphethwe amasentimitha angu-4 kuye kwangama-5 esikhunjeni sakho. Uma imvubelo ikhona, isikhumba esithintekile sizovela siphuzi noma siluhlaza ngaphansi kokukhanya.

Yelashwa kanjani i-tinea versicolor?

Uma izimpawu zakho zingenamandla, ungakhetha ukwelapha isimo sakho ekhaya. Ama-OTC antifungal okhilimu noma ama-shampoo angasebenza ekubulaleni ukutheleleka. Izibonelo zemithi ye-OTC engasetshenziselwa ukwelapha i-tinea versicolor ifaka:

• i-clotrimazole (iLotrimin AF, i-Mycelex)
• i-miconazole (Monistat, M-Zole)
• selenium sulfide (imoto Selsun Blue)
• i-terbinafine (iLamisil)

Uma ufuna ukunakekelwa kwe-tinea versicolor, udokotela wakho angakunikeza imishanguzo ehlukene, njengokhilimu abangasetshenziswa ngqo esikhunjeni. Izibonelo zifaka:

• i-ciclopirox (iLoprox, iPenlac)
• i-ketoconazole (Extina, Nizoral)

Udokotela wakho angaphinde anikeze amaphilisi ukwelapha i-tinea versicolor, kufaka phakathi:

• i-fluconazole (Diflucan)
• i-itraconazole (Onmel, Sporanox)
• ketoconazole

Kuzothatha isikhathi esingakanani ukuthi isikhumba sakho sibuyele kokujwayelekile?

Uma kutholakala ukuthi une-tinea versicolor, ukwelashwa kuzothuthukisa umbono wakho wesikhathi eside. Kodwa-ke, noma ngemuva kokuqeda ukutheleleka, isikhumba sakho singahlala sikhanyiswe amasonto ambalwa noma izinyanga ezimbalwa ngemuva kokwelashwa. Ukutheleleka kwakho kungabuya futhi lapho isimo sezulu sifudumala futhi sinomswakama ngaphezulu. Uma isimo sakho sibuya, udokotela wakho angakunikeza umuthi kanye noma kabili ngenyanga ukuvimbela izimpawu.

Ngabe i-tinea versicolor ingavinjelwa kanjani?

Kungaba nzima ukuvimbela ukuphindeka kwalesi simo. Uma utholwe une-tinea versicolor futhi ukwelaphe ngempumelelo, kunezinyathelo ongazithatha ukuvikela ukutheleleka okuzayo. Lokhu kufaka phakathi:

• ukugwema ukushisa ngokweqile
• ukugwema ukushuka noma ukuvezwa yilanga ngokweqile
• ukugwema ukujuluka okweqile

Ungasiza futhi ukuvikela i-tinea versicolor ngokusebenzisa ukwelashwa kwesikhumba ngamandla kadokotela ngezikhathi zonyaka lapho uthinteka khona kakhulu.

I-Q & A.

Q:

Yimaphi amakhambi emvelo akhonjisiwe ukusiza i-tinea versicolor?

A:

I-Tinea versicolor yisifo sofuba esivamile sefungasi esingelashwa kalula ngudokotela wakho. Kunezinyathelo ongazithatha ukusiza futhi, kufaka phakathi:

• Gwema ukushisa ngokweqile nokujuluka.
• Sebenzisa i-dandruff shampoo ne-selenium njalo emavikini ambalwa.

Amanye amakhambi emvelo, noma angewona amakhambi angafundiswanga kahle futhi awakhonjiswanga ngokusobala ukuthi ayasebenza kule nhloso.