Khungu lodera kapena lowala modabwitsa

Khungu lakuda modetsa kapena kopepuka ndi khungu lomwe lasandulika mdima kapena kupepuka kuposa nthawi zonse.

Khungu labwinobwino limakhala ndimaselo otchedwa melanocytes. Maselowa amatulutsa melanin, chinthu chomwe chimapatsa khungu mtundu wake.

Khungu lokhala ndi melanin wambiri limatchedwa khungu lokhazikika.

Khungu lokhala ndi melanin lochepa kwambiri limatchedwa kuti hypopigmented. Khungu lopanda melanin konse limatchedwa kuti depigmented.

Malo akhungu ofiira amayamba chifukwa cha melanin yochepa kwambiri kapena melanocyte yosagwira ntchito. Malo akuda akhungu (kapena malo omwe amafikira mosavuta) amapezeka mukakhala ndi melanin kapena melanocytes ochulukirapo.

Kuphulika kwa khungu nthawi zina kumalakwitsa chifukwa cha dzuwa. Khungu limasintha nthawi zambiri limayamba pang'onopang'ono, kuyambira kugongono, zigoli, ndi mawondo ndikufalikira kuchokera pamenepo. Bronzing imawonekeranso pamapazi ndi zikhato za manja. Mtundu wa bronze umatha kuyambira pakuwala mpaka mdima (mwa anthu akhungu loyera) ndimlingo wamdima chifukwa cha zomwe zimayambitsa.

Zomwe zimayambitsa kusungunuka ndi monga:

• Kutupa kwa khungu (kutsekemera kwapambuyo-kotupa)
• Kugwiritsa ntchito mankhwala ena (monga minocycline, ma chemotherapies ena a khansa ndi mapiritsi olera)
• Matenda a mahomoni monga matenda a Addison
• Hemochromatosis (chitsulo chochulukirapo)
• Kutuluka kwa dzuwa
• Mimba (melasma, kapena chigoba cha pakati)
• Zizindikiro zina zobadwa

Zomwe zimayambitsa kusungunuka ndi monga:

• Kutupa khungu
• Matenda ena a fungal (monga tinea versicolor)
• Pityriasis alba
• Vitiligo
• Mankhwala ena
• Khungu lotchedwa idiopathic guttate hypomelanosis m'malo owonekera dzuwa monga mikono
• Zizindikiro zina zobadwa

Mankhwala owonjezera pa kauntala ndi mankhwala akupezeka powunikira khungu. Hydroquinone yophatikizidwa ndi tretinoin ndi njira yothandizira. Ngati mugwiritsa ntchito mafutawa, tsatirani malangizo mosamala, ndipo musagwiritse ntchito imodzi yoposa masabata atatu nthawi imodzi. Khungu lakuda limafunikira chisamaliro chachikulu mukamagwiritsa ntchito mankhwalawa. Zodzoladzola zingathandizenso kubisa kusintha kwa mawonekedwe.

Pewani kutentha kwambiri dzuwa. Nthawi zonse gwiritsani ntchito zoteteza ku dzuwa ndi SPF ya 30 kapena kupitilira apo.

Khungu lakuda modabwitsa limatha kupitilirabe ngakhale mutalandira chithandizo.

Itanani foni yanu kuti mudzakumane nanu ngati muli ndi:

• Kusintha kwa khungu komwe kumayambitsa nkhawa
• Kulimbikira, mdima wosadziwika kapena kuwunikira pakhungu
• Chilonda chilichonse pakhungu kapena chotupa chomwe chimasintha mawonekedwe, kukula, kapena utoto chingakhale chizindikiro cha khansa yapakhungu

Wothandizira anu amayesa thupi ndikufunsani za zomwe muli nazo, kuphatikiza:

• Kodi kusinthaku kudayamba liti?
• Kodi zinangochitika modzidzimutsa?
• Kodi chikuipiraipira? Mofulumira bwanji?
• Kodi wafalikira kumadera ena a thupi?
• Mumamwa mankhwala ati?
• Kodi pali wina aliyense m'banja mwanu amene anali ndi vuto lofananalo?
• Kodi mumakhala padzuwa kangati? Kodi mumagwiritsa ntchito nyali yadzuwa kapena mumapita kumalo osungira nsalu?
• Kodi chakudya chanu chimakhala chotani?
• Ndi zisonyezo zina ziti zomwe muli nazo? Mwachitsanzo, kodi pali zotupa kapena zotupa pakhungu?

Mayeso omwe angachitike ndi awa:

• Mayeso okondoweza a Adrenocorticotrophin
• Khungu lakhungu
• Maphunziro a chithokomiro
• Kuyesa kwa nyali yamatabwa
• Mayeso a KOH

Wopezayo angakulimbikitseni mafuta, mafuta odzola, opareshoni, kapena Phototherapy, kutengera mtundu wa khungu lomwe muli nalo. Mafuta otsuka amatha kuthandiza kuwunikira mdima wakhungu.

Kusintha kwina kwa khungu kumatha kubwerera mwakale popanda chithandizo.

Kutsekemera; Kusungunuka; Khungu - lowala bwino kapena mdima

• Vitiligo - mankhwala osokoneza bongo
• Vitiligo pankhope
• Incontinentia pigmenti pamiyendo
• Incontinentia pigmenti pamiyendo
• Kutsekemera 2
• Post-yotupa hyperpigmentation - ng'ombe
• Hyperpigmentation w / malignancy
• Kutsekeka kwaposachedwa-kutupa 2

Chang MW. Kusokonezeka kwa hyperpigmentation. Mu: Bolognia JL, Schaffer JV, Cerroni L, olemba. Matenda Opatsirana. Wolemba 4. Philadelphia, PA: Elsevier; 2018: chap 67.

Wodutsa T, Ortonne JP. Vitiligo ndi zovuta zina za hypopigmentation. Mu: Bolognia JL, Schaffer JV, Cerroni L, olemba. Matenda Opatsirana. Wolemba 4. Philadelphia, PA: Elsevier; 2018: mutu 66.