Iyini iMolluscum Contagiosum?
IMolluscum contagiosum (ama-wart amanzi) yizikhukhula ezithambile zesikhumba ezidalwa yi-virus ye-molluscum contagiosum (MCV) esuka emndenini we-poxvirus. Naphezu kwegama, azikho ama-wart aqinile (okwakhiwa yi-HPV). Kuvamile ukuba nezikhukhula ezincane, ezingu-2–5 mm, ezine-nodules ezikhanyayo ezine-dimple ephakathi (umbilication). IMolluscum contagiosum ikakhulukazi ithinta izingane ezineminyaka ephakathi kuka-2 no-12 kodwa ingavela nanoma yisiphi isikhathi — kubantu abadala, ivame ukudluliselwa ngokocansi.
Ukudluliselwa Nezingozi
I-virus idluliselwa ngokuxhumana ngqo nesikhumba noma ngezakhiwo ezingcolile (amathawula, amathoyizi, izinto zokubhukuda). Ezinganeni, ukutheleleka kuvame ukwenzeka ngesikhathi sokudlala, ezitolo zokubhukuda, noma lapho kwabelwana ngezinto. I-auto-inoculation — ukusabalala kwezinye izingxenye zomzimba ngokuklwebha — kuvame ukwenzeka.
Kubantu abadala, ukudluliselwa ngokocansi kuyindlela evamile. I-atopic dermatitis (eczema) iyingozi enkulu, njengoba umkhawulo wesikhumba ophukile unika i-virus ukufinyelela kalula.!!
Izimpawu Nokuhlonza
IMolluscum contagiosum ibonakala njengezindebe ezijikelezayo, ezithambile, ezikhanyayo noma ezinemibala yesikhumba ezine-dimple ephakathi (umbilication). Uma icindezelwe, ibhodi elinombala omhlophe, elingama-cheesy livela — okuthiwa yi-molluscum body, equkethe inani elikhulu lezinhlayiya ze-virus. Usayizi uhlala phakathi kuka-1–5 mm, ngokuvamile ufinyelela ku-1–2 cm (i-molluscum enkulu kubantu abane-immunodeficiency).
Izindawo ezithandwa ezinganeni zifaka phakathi umzimba, izitho, izifuba, kanye nobuso. Kubantu abadala abane-transmission ngokocansi, izilonda zitholakala endaweni ye-genital ne-inguinal.
Ukuxilongwa
Ukuxilongwa kwenziwa ngokubona, kusekelwe ekubukeni okujwayelekile — ama-papules akhanyayo anedimple ephakathi. I-dermoscopy ikhombisa iphethini ejwayelekile enepori ephakathi noma isakhiwo esingapheli esijolise ezindaweni ezijikelezayo (isibonakaliso se-crown). Ukuxilongwa okuhlukile kufaka phakathi ama-wart ajwayelekile, ama-milia, ama-corns, i-histoplasmosis, futhi kubantu abane-immunosuppression i-cryptococcosis. I-biopsy ivame ukungadingeki kodwa ingasiza ngezethulo ezingajwayelekile.
Izinketho Zokwelapha
Njengoba i-molluscum contagiosum iyazithiba, ukulinda ngokubheka kuyamukeleka ezimeni ezingalungile ezinganeni. Ukwelashwa okusebenzayo kuyas recommended: ukusabalala, ukuvuvukala, ukukhathazeka kwezobuhle, ukudluliselwa ngokocansi kubantu abadala, noma i-immunodeficiency. Izinketho zifaka: i-curettage (ukuhlanza ama-nodules — kushesha kodwa kungadinga i-anesthesia ye-topical ezinganeni), i-cryotherapy, isixazululo se-potassium hydroxide (KOH 5–10% ye-topical), i-cantharidin (ukukhishwa kwe-blister beetle, etholakala kwamanye amazwe), kanye ne-topical immunomodulators njenge-imiquimod.
Uhlaka Nokuvikela
Uma ingaphathwanga, i-molluscum contagiosum iyazixazulula kubantu abane-immunity evamile phakathi kwezinyanga eziyi-6–18 (ngevamile kuze kube yizinyanga ezingu-4). Ngaphambi kokuthi zinyamalale, izilonda zingase zibe nomswakama — uphawu lokuphendula kwe-immunity oluvuliwe (BOTE reaction: Ukuqala KweMphetho).!! Ukuvikelwa: gwema ukuthintana ngqo nesikhumba nezilonda, ungabelani ngamathawula nezimpahla zokubhukuda, cover izilonda futhi ungazifaki. Izingane ezine-molluscum akufanele zikhishwe ekubhukudeni, kodwa izilonda kufanele zifakwe.
Indlela i-AI Skin Analysis Engasiza Ngayo
Abazali bavame ukubona ama-bumps amancane esikhumbeni sezingane zabo futhi abazi ukuthi yini — i-molluscum, ama-warts, ama-milia, noma okuthile. I-Skinscanner ihlaziya umumo, izici zephephabhuku, kanye ne-dimple ephakathi ukuze isize ukwazi ukuthi ama-bumps ahambisana ne-molluscum contagiosum. Lokhu kuhlola kokuqala kunganciphisa ukukhathazeka kwabazali futhi kukusize unqume ukuthi ukulinda ngokubheka kuyafaneleka noma ukuthi kufanele kuthathwe isinyathelo.
Ukuqapha izithombe njalo kubalulekile ekuqapheleni ukusabalala kwezilonda, ukuqopha ezisha, nokuthola isigaba sokuvuvukala (BOTE reaction) esibonisa ukuthi uhlelo lwe-immunity luhlanza i-virus. Kubantu abadala abane-molluscum ye-genital, uhlelo lungasiza ekuhlonzeni kokuqala ngaphambi kokufuna ukuqinisekiswa kwezokwelapha. I-Skinscanner ayithathi indawo yokuxilongwa kwezokwelapha, kodwa inikeza umhlahlandlela ofinyeleleka kalula wesimo esivamile sezingane esivame ukudala ukukhathazeka okungaphezu kokufanele.
