Ububomvu Ebusweni: Izimbangela Ezivamile & Lokho Okukhombisa

Ububomvu bobuso buwukukhala okuvame kakhulu kwe-dermatological, kuthinta abantu bazo zonke izinhlobo zesikhumba nezinsuku. Nakuba kuvame ukuba kuphumelele futhi kube nesikhashana — okubangelwa ukujabulisa, ukushisa, noma ukuhlonishwa — ububomvu obuqhubekayo bungase bukhombise isimo sesikhumba esidinga ukunakekelwa okukhethekile. Isikhumba sobuso bakho sithambile kunezinye izingxenye zomzimba wakho, futhi siqukethe inethiwekhi eqinile yezinhlayiya zegazi eduze kwendawo.

Lapho lezi zinhlayiya zikhululeka noma ziba nomlilo, ububomvu buya buba sobala. Ezithelweni zesikhumba ezikhanyayo, lokhu kubonakala njengamaphuzu apinki noma abomvu. Ezithelweni zesikhumba ezinsundu, ububomvu bungase buphume njengombala omnyama, ophuzi, noma omnyama, okwenza kube nzima ukukubona ngaphandle kokuhlola ngokucophelela.

Ukuqonda umumo, isikhathi, nezimpawu ezihambisanayo zobubomvu bobuso kuyisinyathelo sokuqala sokuhlonza imbangela yazo. Ububomvu obuphuma futhi buya bube buncane kakhulu kunobubomvu obuqhubekayo amasonto noma obuphuthuma ngokuhamba kwesikhathi. Izimpawu ezihambisanayo ezifana nokushisa, ukuvuvukala, ukuwa, noma ama-pustules zingasiza ekunciphiseni ukuxilongwa.

Ezinye izimbangela zobubomvu bobuso ziwukukhathazeka okujwayelekile, kanti ezinye — njengokuthi i-lupus — zidinga ukunakekelwa kwezokwelapha. Inhloso yale ndatshana ukuhamba ngezimbangela ezivamile, ukusiza ukuthi uqonde izimo, futhi ucacise ukuthi nini ukuhlolwa kwezobuchwepheshe kuyadingeka. Akukho ndatshana eyodwa engakwazi ukufaka esikhundleni sokuhlola kodokotela bezokwelapha, kodwa ukuqonda umhlaba wezinto ezingenzeka kungasiza ekuxhumaneni kahle nomhlinzeki wezempilo wakho.

I-Rosacea ithinta abantu abalinganiselwa ku-415 million emhlabeni jikelele futhi ingenye yezizathu ezihamba phambili zokuba ne-redness eqhubekayo ebusweni, ikakhulukazi ezindaweni ezinjengezindlebe, ikhala, umunwe, kanye nesifuba. Ivame ukuvela phakathi kweminyaka engu-30 no-50, futhi nakuba ingathinta noma ubani, ivame ukutholakala kubantu abanokhuni olukhanyayo. Lesi simo sikhombisa izigaba eziningi.

I-Erythematotelangiectatic rosacea ibandakanya i-redness eqhubekayo ebusweni kanye nemithambo yegazi ebonakalayo. I-Papulopustular rosacea ifaka izikhukhula ezifanayo ne-acne kanye nezibazi ku-redness. I-Phymatous rosacea ibangela ukujula kwesikhumba, ikakhulukazi ekhaleni.

I-Ocular rosacea ithinta amehlo, ibangela ukoma, ukucasuka, kanye nezindlebe ezikhulayo. I-Rosacea iyisimo esiqhubekayo esingaphathwa kahle kodwa singalashwa ngokuphelele, okwenza ukutholwa kwangaphambili kube kubalulekile.!! Izizathu ezivamile zifaka ukuvezwa kwelanga, iziphuzo ezishisayo, ukudla okunezithako ezishisayo, utshwala, izinga lokushisa eliphakeme, ingcindezi, kanye nezithako ezithile zokunakekelwa kwesikhumba ezifana nezithako ezine-alcohol noma umoya.

Ukuphathwa ngokuvamile kubandakanya ukunakekelwa kwesikhumba okuthambile, ukuvikelwa kwelanga okuqhubekayo nge-SPF 30 noma ngaphezulu, kanye nokugwema izizathu ezaziwayo. Ukwelashwa okwenziwe ngodokotela kufaka phakathi i-metronidazole ye-topical, i-azelaic acid, i-ivermectin cream, futhi kwezinye izimo, ama-antibiotics aphansi ukuze kube nezinzuzo zokulwa nokuvuvukala kunokusebenza kwabo kokulwa namagciwane. Ukuhlukaniswa okubalulekile ukuthi i-rosacea ayidalwa ukungcola, futhi ukuhlanza okunzima kungayithuthukisa. Uma uqaphela ukuthi i-redness yakho ebusweni ivame ukuvela ngenxa yezizathu ezithile, iqhubeka ibonakala ebusweni obuphakathi, futhi ihambisana nomuzwa wokushisa noma wokushaya, i-rosacea ingaba yinto eqinile okufanele uyixoxe nodokotela wezokwelapha.

I-Contact dermatitis iyiphendulo yokuvuvukala eyenzeka lapho isikhumba sihlangana ne-irritant noma i-allergen. Ebusweni, izimbangela ezivamile zifaka imikhiqizo yokunakekelwa kwesikhumba enezithako, ezinye izithako ze-sunscreen, i-nickel kumafreyimu ezibuko, amakhemikhali okudaya izinwele, kanye nezithako zokugcina ezifana ne-methylisothiazolinone. I-redness ivame ukuvela endaweni yokuxhumana, ngokuvamile ihambisana nokukhathala, ukuvuvukala, noma izibazi ezincane.

I-Irritant contact dermatitis ivame kakhulu kune-allergic contact dermatitis futhi ibangelwa ukulimala okuqondile kwengxenye yesikhumba. I-Allergic contact dermatitis ibandakanya impendulo esekelwe emzimbeni engase ingaveli kuze kube yizinsuku eziyi-24 kuya kweziyi-72 ngemuva kokuhlangana, okungase kube nzima ukuthola isizathu. Ukuhlolwa kwe-patch okwenziwa ngudokotela wezokwelapha kuyindlela yokuhlola yokuthola ama-allergen athile.

I-Seborrheic dermatitis iyisimo esihlukile esibangela i-redness nokuphuma, ikakhulukazi ezindaweni ezikhaleni, ezindaweni zokuphefumula, emathanjeni, nakuma-ears. Ibandakanya ukukhula ngokweqile kwe-Malassezia yeast, okuyingxenye ejwayelekile ye-microbiome yesikhumba engase ibangele ukuvuvukala kubantu abathintekayo. I-Seborrheic dermatitis ivame ukuwenzeka ngezinyanga ezibandayo kanye nezikhathi zengcindezi, ilandela umjikelezo ophindaphindayo nokuphuma okwenziwa abantu abaningi.!!

Ukwelashwa kwe-contact dermatitis kugxile ekutholeni nasekugwemeni isizathu, kanye nokusebenzisa okwesikhashana i-topical corticosteroids ukuze kuthulule ukuvuvukala. I-Seborrheic dermatitis ivame ukuphathwa ngama-antifungal agents afana ne-ketoconazole cream, izihlanzi ezithambile ze-zinc pyrithione, kanye nezithako eziphansi ze-topical steroids. Zombili lezi zimo ziphendula kahle ekubuyiseni ingxenye yesikhumba ngama-moisturizers angenamoya.

Ngenkathi izimbangela eziningi ze-redness ebusweni zingezinhle, i-butterfly rash ye-systemic lupus erythematosus ifanele ukunakwa okukhethekile. Le rash ehlukile ihamba ngokulinganayo phakathi kwezindlebe zombili kanye nebhuloho lekhala, igwema izikhala zokuphefumula — izikhala ezihamba ukusuka ekhaleni ziye ezikona zomlomo. Ivame ukuba mncane noma iphakeme kancane, ingase ibonakale ibi uma ibhekene nelanga, futhi ingahambisana nezimpawu ezijwayelekile ezifana nobuhlungu bezinhliziyo, ukukhathala, umkhuhlane, kanye nezilonda zomlomo.

I-butterfly rash ye-lupus ibonakala cishe kumaphesenti angama-50 abantu abane-systemic lupus erythematosus ngaleso sikhathi sokugula kwabo. Uma uthola i-butterfly rash ebusweni eqhubekayo, ikakhulukazi uma ihambisana nezinye izimpawu ezingachazwanga, kubalulekile ukuhlinzeka ngokuqashwa kwezokwelapha. Ukuhlolwa kuhlanganisa ukuhlolwa kwegazi okubandakanya ukuhlolwa kwe-antibody ye-antinuclear, futhi ukuphathwa kudinga ukufakwa komtholampilo.

Ngakolunye uhlangothi, ama-capillaries aphukile — okwaziwa ngokomthetho njenge-telangiectasias — ayinsiza evamile ye-redness ebusweni. Lezi zinsuku, ezivame ukuvuleka, zibonakala njengemigqa emincane ebomvu noma ephuzi, ikakhulukazi ekhaleni nasezindlebeni. Zivela ngenxa yokwehla kwemithambo yegazi futhi zingabangelwa ukulimala kwelanga, ukuhlala, i-rosacea, ukwakheka kwemvelo, ukusetshenziswa okweqile kwotshwala, noma ukulimala okuphindaphindiwe njengokuphuma kwekhala okukhulu.

Ama-capillaries aphukile awazitholi ngokwawo, kodwa awabheki ingozi yezempilo. Ukwelashwa kwe-cosmetic okufana ne-intense pulsed light therapy kanye nezokwelapha ze-laser ezifana ne-pulsed dye laser zinganciphisa kahle ukubonakala kwazo. Ukuvikelwa kugxile ekuvikelweni kwelanga, ukunakekelwa kwesikhumba okuthambile, kanye nokugwema ukushintsha kwezinga lokushisa okukhulu. Uma unama-rosacea, ukuphatha kahle kungasiza ukuvimbela ukulimala okusha kwe-capillary.

I-redness eminingi ebusweni iyinhle futhi ingaphathwa ngemicimbi ethengiswa ngaphandle kokuthola imishanguzo kanye nezinguquko zokuphila. Nokho, izimpawu ezithile zikhombisa ukuthi kudingeka ukuhlolwa kochwepheshe. Funa ukunakwa kwezokwelapha uma i-redness ebusweni ihambisana nomkhuhlane, ubuhlungu bezinhliziyo, noma ukukhathala okungachazwanga, njengoba lokhu kungase kukhombise isimo esijwayelekile njenge-lupus.

I-rash ehlanganyela ngokushesha, izibazi, noma ebangela ubuhlungu obukhulu idinga ukuhlolwa ngokushesha ukuze kuqinisekiswe ukuthi akukhona ukutheleleka noma ukuphendula okukhulu kwe-allergic. I-redness engathuthukisi ngemuva kwezinsuku ezine kuya kwezingu-6 zokunakekelwa kwesikhumba okuthambile nokugwema izizathu kufanele futhi ihlolwe. I-redness eqhubekayo ethile endaweni eyodwa eguquguqukayo ngosayizi noma ukubonakala ngesikhathi ingase ibonise i-lesion ye-precancerous, ikakhulukazi ezindaweni ezithintekayo elangeni zabantu abane-rosacea.

I-redness ehlobene ne-acne ivame kakhulu futhi ivame ukuhamba njengoba i-acne eyisisekelo iphathwa, kodwa ingashiya i-post-inflammatory erythema — izimpawu ezihlala ziqhubeka ezinsukwini eziningi noma ezinyangeni ngemva kokuphuma.!! Lokhu kuhluke ku-post-inflammatory hyperpigmentation, okubandakanya ukungcoliswa okubomvu, futhi kuvame kakhulu kubantu abane-skintones ezikhanyayo. Ukuze uphathe i-redness ejwayelekile ebusweni, imikhuba elula ivame ukusebenza kahle.

Sebenzisa i-cleanser ethambile, engekho namoya, faka i-moisturizer enezithako ezisekela ingxenye yesikhumba, futhi ugqoke i-sunscreen ye-broad-spectrum nsuku zonke. Izithako ezifana ne-niacinamide, i-centella asiatica, kanye ne-green tea extract zineziqu ezisekela izinzuzo zazo zokulwa ne-redness. Gwema amanzi ashisayo uma uhlanza ubuso bakho, unciphise imikhiqizo enezinhlaka ze-alcohol, futhi ungenise imikhiqizo emisha eyodwa ngasikhathi ukuze uthole izizathu ezithile. Uma ungathandeki, bona udokotela wezokwelapha ukuze uthole ukuhlolwa okukhethekile kanye nohlelo lokwelashwa oluqondile.