Lapho iHidradenitis Suppurativa Ithinta Ubuso

-Delile

• Izimbangela
• Ukwelashwa
• Imikhiqizo okufanele uyigweme
• Umbono

I-Hidradenitis suppurativa (HS) yisifo esibangela ukuvuvukala, amaqhubu abuhlungu akheke esikhunjeni. Isikhathi esiningi, la maqhuqhuva avela eduze kwezimila zezinwele nezindlala zezithukuthuku, ikakhulukazi ezindaweni lapho isikhumba sigcoba khona isikhumba, njengaphansi kwekhwapha noma emathangeni akho angaphakathi.

Kubantu abambalwa abane-HS, amaqhubu avela ebusweni. I-HS ebusweni bakho ingathinta ukubukeka kwakho, ikakhulukazi uma unamaqhubu amaningi noma emikhulu kakhulu.

Izigaxa zingavuvukala futhi zibe buhlungu njengoba ubomvu lwakha ngaphakathi kuzo. Uma ungatholi ukwelashwa kwamaqhuqhuva, angaba lukhuni futhi akhe izibazi eziwugqinsi nemihubhe ngaphansi kwesikhumba sakho.

I-HS ibukeka njengenduna, futhi lezi zimo ezimbili zivame ukuvela ndawonye. Kokubili kuqala ngokuvuvukala kuzinhlayiya zezinwele. Enye indlela yokutshela umehluko ukuthi i-HS yakha izibazi ezinjengezintambo esikhunjeni, kuyilapho induna ingenjalo.

Izimbangela

Odokotela abazi kahle ukuthi yini ebangela i-HS. Iqala ezinhlakeni zezinwele zakho, okuyizikhwama ezincane ezingaphansi kwesikhumba lapho kukhula khona izinwele.

Ama-follicles, futhi kwesinye isikhathi nezindlala zezithukuthuku eziseduze, ayavinjwa. Uwoyela namagciwane kuyakheka ngaphakathi, kudale ukuvuvukala kwesinye isikhathi kube uketshezi oluvuzayo olunuka kabi.

AmaHormone angadlala indima ku-HS ngoba ivame ukukhula ngemuva kokuthomba. Amasosha omzimba asebenza ngokweqile nawo angabandakanyeka.

Izici ezithile zikwenza ube sethubeni lokuthola i-HS noma sisenze sibe sibi lesi sifo, kufaka phakathi:

• ukubhema
• izakhi zofuzo
• ukukhuluphala ngokweqile
• ukuthatha i-lithium yezidakamizwa, elapha ukuphazamiseka kwe-bipolar

Abantu abanesifo sikaCrohn kanye ne-polycystic ovarian syndrome maningi amathuba okuthi bathole i-HS kunabantu abangenayo le mibandela.

I-HS ayihlanganise lutho nenhlanzeko. Ungaba nenhlanzeko yomuntu siqu enhle kakhulu kepha usayithuthukisa. I-HS nayo ayisakazeki isuka kumuntu iye komunye.

Ukwelashwa

Udokotela wakho uzosekela imishanguzo yakho ye-HS ebucayi bokuqhamuka kwakho, nokuthi ukuphi emzimbeni wakho. Ezinye izindlela zokwelapha zisebenza emzimbeni wakho wonke, kanti ezinye zigxila ekususeni ubuso bakho.

Uma ungenayo i-dermatologist, ithuluzi le-Healthline FindCare lingakusiza ukuthi uthole udokotela endaweni yangakini.

Imithi yokuhlanza umqubuko noma i-wash yokuthenga kungaba yanele ukusula i-HS emnene ebusweni bakho. Ukusebenzisa i-antiseptic wash efana ne-4% ye-chlorhexidine gluconate usuku ngalunye nakho kungasiza ukukhulula ama-bumps.

Ngamaqhubu angawodwa, beka indwangu yokugeza emanzi efudumele kuwo bese ubamba cishe imizuzu eyi-10 ngesikhathi. Noma, ungagcoba i-teabag emanzini abilayo imizuzu emihlanu, uyisuse emanzini, futhi uma sekupholile ngokwanele ukuyithinta, yibeke kumaqhubu imizuzu engu-10.

Ngokuqhekeka okusabalele noma okunzima, udokotela wakho angancoma omunye wale mithi:

• Imithi elwa namagciwane. Le mithi ibulala amabhaktheriya esikhunjeni sakho abangela ukuvuvukala nezifo. Ama-antibiotic angavimba ukuphuka onakho ukuba abe kubi, futhi avimbele amasha ukuqala.
• Ama-NSAID. Imikhiqizo efana ne-ibuprofen (Advil, Motrin) ne-aspirin ingasiza ngobuhlungu nokuvuvukala kwe-HS.
• Amaphilisi e-Corticosteroid. Amaphilisi e-steroid aletha ukuvuvukala futhi avimbele amaqhubu amasha ekwakhekeni. Noma kunjalo, zingadala imiphumela emibi efana nokuthola isisindo, amathambo abuthakathaka nokushintshashintsha kwemizwelo.

Kwezinye izimo, udokotela wakho angancoma ukusetshenziswa kwemithi engeyona ilebula ye-HS. Ukusetshenziswa kwezidakamizwa ezingekho kwelebula kusho ukuthi umuthi ovunyelwe yi-Food and Drug Administration (FDA) ngenhloso eyodwa usetshenziselwa inhloso ehlukile engavunyelwe.

Imithi yokwelashwa engekho ilebula ye-HS ingafaka:

• Ama-retinoids. I-Isotretinoin (Absorica, Claravis, others) kanye ne-acitretin (Soriatane) yimithi enamandla kakhulu esuselwa ku-vitamin A. Ziphatha nezinduna futhi zingasiza uma unezimo zombili.Awukwazi ukuthatha le mithi uma ukhulelwe ngoba yandisa ubungozi bokukhubazeka kokuzalwa.
• I-Metformin. Lesi sidakamizwa sikashukela siphatha abantu abane-HS kanye neqoqo lezinto ezinobungozi ezibizwa nge-metabolic syndrome.
• Ukwelashwa kweHormone. Ukushintsha amazinga ama-hormone kungasusa ukuqubuka kwe-HS. Ukuthatha amaphilisi okulawula ukubeletha noma i-spironolactone yomfutho wegazi (Aldactone) kungasiza ukulawula amazinga akho e-hormone ukulawula ukuqubuka.
• IMethotrexate. Lesi sidakamizwa somdlavuza sisiza ukulawula amasosha omzimba. Kungasiza ezimweni ezinzima ze-HS.
• I-Biologics. I-Adalimumab (i-Humira) ne-infliximab (i-Remicade) yehlisa ukuphendula komzimba okusebenza ngokweqile okunikela kwizimpawu ze-HS. Le mithi uyithola ngomjovo. Ngenxa yokuthi i-biologics iyizidakamizwa ezinamandla, uzozithola kuphela uma i-HS yakho inzima futhi ingazange ithuthuke nezinye izindlela zokwelapha.

Uma unokukhula okukhulu kakhulu, udokotela wakho angakujova ngama-corticosteroids ukwehlisa ukuvuvukala nokunciphisa izinhlungu.

Odokotela kwesinye isikhathi basebenzisa ukwelashwa ngemisebe ukwelapha i-HS ebukhali ebusweni nakwezinye izindawo zomzimba. Imisebe kungaba yindlela uma ezinye izindlela zokwelapha zingasebenzi.

Ukuphuka okunamandla kakhulu kungadinga inqubo yokuhlinzwa. Udokotela wakho angakhipha ama-bumps amakhulu, noma asebenzise i-laser ukuwasula.

Imikhiqizo okufanele uyigweme

Ukudla okuthile kanye neminye imikhiqizo kungenza izimpawu zakho ze-HS zibe zimbi kakhulu. Buza udokotela wakho ukuthi kufanele ucabangele ukusika lezi zinto enkambisweni yakho yansuku zonke:

• Ugwayi. Ngaphezu kweminye imiphumela yayo eminingi eyingozi empilweni yakho, ukubhema kubangela futhi kubhebhethekise ukuphuma kwe-HS.
• Izinsimbi. Ukushefa kungacasula isikhumba ezindaweni lapho uneziqubu ze-HS. Buza udokotela wesikhumba ukuthi ungazisusa kanjani izinwele zobuso ngaphandle kokubangela ukuqhuma okuningi.
• Imikhiqizo yobisi. Ubisi, ushizi, u-ayisikhilimu nokunye ukudla okhiqizwa okotini kukhulisa amazinga e-hormone insulin emzimbeni wakho. Lapho amazinga akho e-insulin ephezulu, ukhiqiza ama-hormone ocansi amaningi enza i-HS inyuse kakhulu.
• Imvubelo kaBrewer. Lesi sithako esiphilayo, esisebenzayo sisiza ukubilisa ubhiya futhi senze isinkwa nezinye izimpahla ezibhakiwe zikhuphuke. Kwesinye, ukusika lokhu kudla kuthuthukise izilonda zesikhumba ku-HS.
• Amaswidi. Ukusika imithombo kashukela owengeziwe, njengamaswidi namakhukhi, kungehlisa amazinga akho e-insulin anele ukuthuthukisa izimpawu ze-HS.

Umbono

I-HS yisifo esingelapheki. Ungaqhubeka ube nama-breakout impilo yakho yonke. Yize lungekho ikhambi, ukuqala ekwelashweni ngokushesha ngangokunokwenzeka kuzokusiza ukuphatha izimpawu zakho.

Ukuphatha iHS kubalulekile. Ngaphandle kokwelashwa, lesi simo singathinta ukubukeka kwakho, ikakhulukazi uma sisebusweni bakho. Uma uzizwa ucindezelekile ngenxa yendlela i-HS ekwenza ubukeke noma uzizwe ngayo, khuluma nodokotela wesikhumba sakho futhi ufune usizo kochwepheshe bezempilo yengqondo.