Yintoni iPityriasis Rosea?
IPityriasis rosea yimpembelelo yesikhumba esinzima, esizenzekelayo esithinta kakhulu abantu abancinci phakathi kweminyaka eyi-10 ukuya kwi-35. Le meko iqala ngokuba neplaki enye, enkulu — iherald patch okanye umama patch — ilandelwa ziindawo ezininzi ezincinci, ezine-oval kwi-trunk. Igama livela kumphunga ophuzi, ophakathi kokuphuma.
I-rash ikhululeka ngokugqithisileyo kwaye ngaphandle kokubola phakathi kweeveki eziyi-6–12. Ivelaphi emhlabeni wonke kunye nokuthanda okuncinci kwesizini yehlobo kunye nekwindla.
Izizathu kunye neMikhwa
Imvelaphi ethile ayiqinisekiswa, kodwa ubungqina obuqinileyo bukhomba ekubuyiseleni kwiihherpesviruses zabantu uhlobo 6 kunye no-7 (HHV-6/7). Lezi ziqhuba kakhulu kwiimeko ezahlukeneyo abantu abaninzi bazithola ngexesha lempilo yabo. IPityriasis rosea ivela ngokuqhelekileyo kwihlobo kunye nekwindla kwaye ngamanye amaxesha ibonakala kwiiklasi phakathi kwemiphakathi. Ezinye iimeko zonyango zingakhupha i-rash efana (i-pityriasis rosea eyenziwe ngamadrog), kuquka i-ACE inhibitors, iigolide, kunye nezinye i-biologics.
Iimpawu kunye neNtlawulo
Iherald patch ibonakala njenge-2–5 cm indawo ye-oval enesikali esincinci — umjelo wesikali kwi-periphery one-edge evulekileyo ibheke ngaphakathi. Emva kweeveki ezi-1–2, i-rash ejolise kwiindawo ezahlukeneyo ibonakala ngama-lesions amancinci, anemilo ye-oval apho i-axes ezide zisebenza ngokuhamba kwe-skin tension lines — emuva, oku kudala umphunga ophakathi kweChristmas tree. Iindawo ezithandwayo ziquka i-trunk, iiproximal extremities, kunye ne-neck.
Ukuxhaphaza kubonakala kwi-50% yeengxaki kwaye kuxhomekeke kumgangatho ophakathi ukuya kumgangatho ophakathi. Iimpawu ze-prodromal ezifana nokudinwa okanye umphunga zingaphambi kwe-rash.
Uphando kunye noPhando olwahlukileyo
Uphando lwenziwa ngokuqonda, lusekelwe kwiindlela ezijolise kwiherald patch elandelwa ngumjelo weChristmas tree. Uphando olubalulekileyo olwahlukileyo lubandakanya i-syphilis yesibini (i-VDRL/RPR testing kwiingxaki ezikwi-risks), i-tinea corporis (i-KOH examination), i-guttate psoriasis, kunye ne-drug-induced exanthems.!! Ukuboniswa okungaqhelekanga kungafuna i-biopsy yesikhumba. IPityriasis rosea kwiindawo zengqungquthela ingachaphazeleka nezinye i-dermatoses.
Uphando
Njengoko i-pityriasis rosea iyazikhusela, unyango lugxile ekunciphiseni iimpawu. Ukuze unciphise umkhuhlane, i-antihistamines zomlomo, i-menthol ye-topical okanye i-calamine lotions, kunye ne-corticosteroids ezilula zisebenza. I-emollients igcina isikhumba sithambile.
I-UVB phototherapy ingakhawulezisa ukululama kwiimeko zokukhuhlana okukhulu. Ezinye izifundo zicebisa umphumo omhle we-acylovir ephezulu kwi-phase yokuqala, kodwa le ayisiyondlela eqhelekileyo. Ukukhanya kwelanga okulinganiselweyo kungasekela ukuxazulula.
Uphando kunye neMiba Ekhethekileyo
Uphando luhle — i-rash ikakhulu iyaphola ngokupheleleyo kwaye ngaphandle kokubola phakathi kweeveki eziyi-6–12. I-hyper- okanye i-hypopigmentation emva kokuvuvukala ingenzeka ngexesha elithile, ngakumbi kwi-skin emnyama. Ukuphinda kubonakale akuvamile (phantsi kwe-3%). Ngexesha lokukhulelwa — ngakumbi kwi-trimester yokuqala — i-pityriasis rosea ixhaphake kwiingozi ezincinci zokuphazamiseka; abafazi abakukhulelweyo kufuneka baziqhelanise nogqirha wabo.!!
Indlela i-AI Skin Analysis Ezingakunceda Ngayo
Xa i-rash ibonakala ngokukhawuleza emzimbeni wakho, kuyinto eqhelekileyo ukuba ukhathazeke. I-Skinscanner ingakunceda uqikelele ukuba umjoliso wakho we-rash uhambelana ne-pityriasis rosea ngokuhlola umfanekiso ophakathi, umjoliso we-scale, kunye nokwabiwa kwiindawo zokucinezela kwesikhumba. Ukuthatha umfanekiso we-herald patch kwangoko kunye nokulandelela ukuvuvukala okulandelayo kunika uxwebhu oluxabisekileyo lomjoliso wesifo esiqhelekileyo.
Oku kubalulekile kakhulu ekuqinisekiseni ukugxininiswa kunye nokwahlula i-pityriasis rosea kwezinye iimeko ezifana ne-ringworm okanye i-syphilis yesibini ezinokubukeka zifana. Iifoto ezilandelwayo zikwanceda ukuba ulandele inkqubo yokuxazulula kwaye ufumane ukuba i-rash iqhubeka ngaphezulu kwexesha elilindelekileyo. I-Skinscanner ayithathi indawo yokuhlola kwezonyango — ngakumbi umphanda obalulekileyo wokuphosa i-syphilis — kodwa inika umkhombandlela ophumayo opholileyo kwaye ikunceda uthathe isigqibo sokuba ngexesha liphakathi kokubonisana nochwepheshe.
