Iyini iPityriasis Rosea?
IPityriasis rosea iyiphunga elibuhlungu, elizenzakalelayo elithinta kakhulu abantu abasha phakathi kweminyaka engu-10 no-35. Lesi simo siqala ngokuphuma kwephakethe elilodwa elikhulu — i-herald patch noma i-mother patch — kulandele izilonda ezincane, ezijolile emzimbeni. Igama livela kumphumela ophuzi, ophakathi kokukhanya.
I-rash ivamise ukuvuselela ngokuphelele ngaphandle kokushiya izilonda phakathi kwezinsuku eziyi-6–12. Ivela emhlabeni wonke ngokuphazamiseka okuncane kwesizini yehlobo nezikhathi zonyaka.
Izimbangela Nezinto Ezivusa
Imbangela ethile ayikatholakali ngokuqinisekile, kodwa ubufakazi obuqinile bukhomba ekubuyiseni kabusha kwe-herpesviruses yomuntu uhlobo 6 no-7 (HHV-6/7). Lezi yizifo ezivamile ezitholwa abantu abaningi ngesikhathi sokukhula. IPityriasis rosea ivame ukuvela kakhulu ehlobo nasekwindla futhi kwesinye isikhathi ibonakala iqoqwa emiphakathini. Ezinye izidakamizwa zingavusa i-rash efanayo (i-pityriasis rosea evuswa yizidakamizwa), kuhlanganise ne-ACE inhibitors, izixazululo zegolide, kanye nezinye izinto eziphilayo.
Izimpawu Nokuhamba
I-herald patch ibonakala njengephakethe eliyisikhumbuzo elingu-2–5 cm elijolile eline-collarette scale — umjikelezo we-scale emaphethelweni onke, ophakathi kokukhanya. Ngemuva kwezinsuku ezi-1–2, ukuvuvukala okujwayelekile kulandela nezilonda ezincane, ezijolile ezinezakhiwo ezinde ezihamba ngalezi zikhala zomzimba — emuva, lokhu kudala iphethini ejwayelekile yeChristmas tree. Izindawo ezithandwayo zifaka umgogodla, izitho ezikude, kanye nekhanda.
Ukukhathala kuvela cishe emaphesheya amabili wabaguli futhi kuhluka ukusuka kokuncane kuya kokuphakathi. Izimpawu zokuqala ezifana nokukhathala noma ukungazizwa kahle zingase zibe ngaphambi kwe-rash.
Ukuxilongwa Nokuhlukaniswa Kwezifo
Ukuxilongwa kuyi-clinical, kusekelwe kumjikelezo ojwayelekile one-patch ye-herald elandela iphethini ye-Christmas tree. Ukuxilongwa okuhlelekile kubalulekile kuhlanganisa i-syphilis yesibili (ukuhlolwa kwe-VDRL/RPR kubaguli abathintekayo), i-tinea corporis (ukuhlolwa kwe-KOH), i-guttate psoriasis, kanye ne-exanthems ezibangela imithi.!! Ukubonakaliswa okungajwayelekile kungase kudinge i-biopsy yesikhumba. I-pityriasis rosea endaweni ye-genital ingaphazanyiswa nezinye izifo zesikhumba.
Ukwelashwa
Njengoba i-pityriasis rosea iyazithiba, ukwelashwa kugxile ekunciphiseni izimpawu. Ukuze kuncishiswe ukushisa, ama-antihistamines aphilayo, ama-lotions e-menthol noma e-calamine, kanye ne-corticosteroids ezithambile ziyasiza. Ama-emollients agcina isikhumba sithambile.
I-UVB phototherapy ingashesha ukuvuselela ukuvuselelwa ezimweni zokushisa okukhulu. Ezinye izifundo zikhombisa umphumela omuhle we-acylovir ephezulu esigabeni sokuqala, kodwa lokhu akuwona umuthi ojwayelekile. Ukukhanya kwelanga okulinganiselwe kungase kusekele ukuvuselelwa.
Ukwaziwa Nokucatshangelwa Okukhethekile
Ukwaziwa kuhle — i-rash ivamise ukuvuselela ngokuphelele futhi ngaphandle kokushiya izilonda phakathi kwezinsuku eziyi-6–12. I-hyper- noma i-hypopigmentation emva kokuvuvukala ingase ibonakale okwesikhashana, ikakhulukazi esikhumbeni esinsundu. Ukuvela kabusha kuyinto engajwayelekile (ngaphansi kuka-3%). Ngesikhathi sokukhulelwa — ikakhulukazi esigabeni sokuqala — i-pityriasis rosea ihlotshaniswa nezingozi ezincane zokuphazamiseka; abesifazane abakhulelwe kufanele bazise udokotela wabo.!!
Indlela i-AI Skin Analysis Engasiza Ngayo
Lapho i-rash ivela ngokuphazima kweso emzimbeni wakho, kuyalindeleka ukuba ukhathazeke. I-Skinscanner ingakusiza ukuhlola ukuthi iphethini yakho ye-rash iyahambisana ne-pityriasis rosea ngokuhlaziya ifomu elijwayelekile le-oval, iphethini ye-scale, kanye nokusatshalaliswa ezindaweni zokucindezela zesikhumba. Ukuthwebula isithombe se-herald patch kusenesikhathi nokulandela ukuvuka okulandelayo kunikeza imibhalo ebalulekile yokujikeleza kwezifo okujwayelekile.
Lokhu kubalulekile ekuqinisekiseni ukuxilongwa nasekuhlukaniseni i-pityriasis rosea nezinye izimo ezifana ne-ringworm noma i-syphilis yesibili ezingase zibe nokufana. Izithombe ezilandelanayo zikusiza futhi ukuba uqaphe inqubo yokuvuselela nokuthola uma i-rash iqhubeka ngaphezu kwesikhathi esilindelekile. I-Skinscanner ayikh substitute ukuhlolwa kwezokwelapha — ikakhulukazi isinyathelo esibalulekile sokuhlola i-syphilis — kodwa inikeza isiqondiso sokuqala esikhuthazayo futhi ikusize ukhethe isikhathi sokubonisana nochwepheshe.
