Ziphuphu

Rashes imakhudza kusintha kwa khungu, kumverera kapena kapangidwe ka khungu lanu.

Kawirikawiri, chifukwa cha kuphulika kumatha kudziwika ndi momwe amawonekera komanso zizindikiro zake. Kuyezetsa khungu, monga biopsy, kungagwiritsidwenso ntchito kuthandizira kuzindikira. Nthawi zina, chifukwa cha totupa sichikudziwika.

Kutupa kosavuta kumatchedwa dermatitis, kutanthauza kutupa kwa khungu. Lumikizanani ndi dermatitis imayambitsidwa ndi zinthu zomwe khungu lanu limakhudza, monga:

• Mankhwala mu zotanuka, lalabala, ndi zopangidwa ndi labala
• Zodzoladzola, sopo, ndi zotsukira
• Utoto ndi mankhwala ena muzovala
• Ivy ziphe, thundu, kapena sumac

Seborrheic dermatitis ndikutuluka komwe kumawoneka pamatako ofiira ndikukula kuzungulira nsidze, zikope, pakamwa, mphuno, thunthu, ndi kumbuyo kwa makutu. Ngati zichitika pamutu panu, amatchedwa ziphuphu kwa akulu ndi kapu ya makanda mwa makanda.

Kukalamba, kupsinjika, kutopa, nyengo yothina, khungu lokhala ndi mafuta ambiri, kusamba tsitsi pafupipafupi, komanso mafuta odzola amadzetsa mikhalidwe yovulaza iyi.

Zina mwazomwe zimayambitsa kupsa mtima ndi izi:

• Eczema (atopic dermatitis) - Amakonda kuchitika mwa anthu omwe ali ndi chifuwa kapena mphumu. Ziphuphu nthawi zambiri zimakhala zofiira, zonyansa, komanso zotupa.
• Psoriasis - Amakonda kupezeka ofiira, owuma, zigamba pamalumikizidwe komanso pamutu. Nthawi zina zimayabwa. Zikhomanso zimakhudzidwanso.
• Impetigo - Kawirikawiri mwa ana, matendawa amachokera ku mabakiteriya omwe amakhala pamwamba pa khungu. Zikuwoneka ngati zilonda zofiira zomwe zimasanduka matuza, zimatuluka, kenako ndikutumphuka kwa utoto wa uchi.
• Shingles - Matenda opweteka am khungu omwe amayambitsidwa ndi kachilombo kofanana ndi katsabola. Tizilombo toyambitsa matenda timatha kugona mthupi lanu kwazaka zambiri ndikutulukanso ngati ziboda. Nthawi zambiri zimakhudza mbali imodzi yokha ya thupi.
• Matenda aana monga nkhuku, chikuku, roseola, rubella, matenda apakamwa, matenda achisanu, ndi fever.
• Mankhwala ndi kulumidwa ndi tizilombo kapena mbola.

Matenda ambiri angayambitsenso. Izi zikuphatikiza:

• Lupus erythematosus (matenda amthupi)
• Matenda a nyamakazi, makamaka mtundu wa achinyamata
• Matenda a Kawasaki (kutupa kwa mitsempha)
• Matenda ena a thupi lonse (systemic) a virus, bakiteriya kapena fungal

Ziphuphu zambiri zosavuta kusintha zimawongoleredwa ndi chisamaliro chofewa pakhungu ndikupewa zinthu zosasangalatsa. Tsatirani malangizo awa:

• Pewani kupukuta khungu lanu.
• Gwiritsani ntchito oyeretsa pang'ono
• Pewani kugwiritsa ntchito zodzoladzola kapena mafuta odzola mwachindunji paziphuphu.
• Gwiritsani ntchito madzi ofunda (osati otentha) poyeretsa. Pat youma, osapaka.
• Lekani kugwiritsa ntchito zodzoladzola kapena zotsekemera zomwe zangowonjezedwa kumene.
• Siyani dera lomwe lakhudzidwa likuwonekera mlengalenga momwe mungathere.
• Yesani mafuta odzola a calamine a ivy, oak, kapena sumac, komanso mitundu ina yolumikizana ndi dermatitis.

Kirimu cha Hydrocortisone (1%) chimapezeka popanda mankhwala ndipo chingatonthoze zotupa zambiri. Mafuta okhazikika a cortisone amapezeka ndi mankhwala. Ngati muli ndi chikanga, perekani zonunkhira pakhungu lanu. Yesani mafuta oatmeal osamba, omwe amapezeka m'malo ogulitsa mankhwala, kuti muchepetse zizindikiro za chikanga kapena psoriasis. Ma antihistamines apakamwa atha kuthandiza pakhungu loyabwa.

Imbani 911 kapena nambala yadzidzidzi yakomweko ngati:

• Mukusowa mpweya, khosi lanu ndi lolimba, kapena nkhope yanu yatupa
• Mwana wanu ali ndi zotupa zofiirira zomwe zimawoneka ngati zipsera

Imbani wothandizira zaumoyo wanu ngati:

• Muli ndi ululu wophatikizana, malungo, kapena pakhosi
• Muli ndi mizere yofiira, yotupa, kapena malo ofewa kwambiri chifukwa izi zimatha kuwonetsa matenda
• Mukumwa mankhwala atsopano - MUSASinthe kapena kuyimitsa mankhwala anu osalankhula ndi omwe amakupatsani
• Mutha kulumidwa ndi nkhupakupa
• Chithandizo chanyumba sichigwira ntchito, kapena zizindikilo zanu zimaipiraipira

Wothandizira anu amayesa ndikufunsani za mbiri yanu yazachipatala. Mafunso angaphatikizepo:

• Kodi ziphuphu zinayamba liti?
• Ndi ziwalo ziti za thupi lanu zomwe zimakhudzidwa?
• Kodi pali chilichonse chomwe chimapangitsa kuti kuthamanga kuzikhala bwino? Choyipa chachikulu?
• Kodi mwagwiritsapo ntchito sopo watsopano, zotsekemera, mafuta odzola, kapena zodzoladzola posachedwa?
• Kodi mwakhalapo m'malo amitengo posachedwa?
• Kodi mwawona nkhupakupa kapena kuluma kwa tizilombo?
• Kodi mwasinthiratu mankhwala anu?
• Kodi mwadya chilichonse chachilendo?
• Kodi muli ndi zizindikiro zina, monga kuyabwa kapena kukula?
• Kodi muli ndi mavuto ati azachipatala, monga mphumu kapena chifuwa?
• Kodi posachedwapa mwachoka kudera lomwe mumakhala?

Mayeso atha kuphatikiza:

• Kuyesedwa kwa ziwengo
• Kuyesa magazi
• Khungu lakhungu
• Zolemba pakhungu

Kutengera chifukwa chakuchedwa kwanu, mankhwala atha kuphatikizira mafuta odzola kapena mankhwala odzola, mankhwala otengedwa pakamwa, kapena opaleshoni ya khungu.

Ambiri opereka chithandizo choyambirira amakhala omasuka kuthana ndi zotupa zomwe zimafala. Pazovuta zambiri zakhungu, mungafunike kupita kuchipatala.

Khungu lofiira kapena kutupa; Zotupa pakhungu; Mphira; Zotupa pakhungu; Erythema

• Kutupa kwa thundu la poizoni padzanja
• Erythema toxicum pamapazi
• Matenda a Acrodermatitis
• Roseola
• Ziphuphu
• Cellulitis
• Erythema annulare centrifugum - pafupi
• Psoriasis - guttate pamanja ndi pachifuwa
• Psoriasis - guttate patsaya
• Ziphuphu zotupa za lupus erythematosus pamaso
• Ivy chakupha pa bondo
• Ivy chakupha mwendo
• Erythema multiforme, zotupa zozungulira - manja
• Erythema multiforme, yolunjika zotupa pachikhatho
• Erythema multiforme pamiyendo

James WD, Elston DM, Chitani JR, Rosenbach MA, Neuhaus IM. Zizindikiro zazing'ono ndi matenda. Mu: James WD, Elston DM, Tsatirani JR, Rosenbach MA, Neuhaus IM, eds. Matenda a Andrews a Khungu. Wolemba 13. Philadelphia, PA: Elsevier; 2020: mutu 2.

Ko CJ. Njira matenda a khungu. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 407.