Hidradenitis suppurativa (reverse acne) zizindikiro zazikulu ndi momwe angachiritsire

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire matendawa
• Momwe muyenera kuchitira

Suppurative hidradenitis, yomwe imadziwikanso kuti reverse acne, ndimatenda akhungu osowa omwe amachititsa kuti zotupa zizioneka pansi pa khungu, zomwe zimatha kuthyola ndikununkhitsa, ndikusiya khungu pakutha.

Ngakhale vutoli limatha kupezeka mdera lililonse la thupi, limafala kwambiri m'malo okhala ndi tsitsi lomwe khungu limapukutira, monga m'khwapa, kubuula, matako kapena pansi pa mabere, mwachitsanzo.

Ngakhale hidradenitis ilibe mankhwala, imatha kuwongoleredwa ndi mankhwala ndi mafuta kuti ateteze kuwonekera kwa zotupa zatsopano ndikuwonekera kwa zovuta zina.

Zizindikiro zazikulu

Zizindikiro zimatha kuwonekera pamisinkhu iliyonse, komabe zimachitika kwambiri pambuyo pa zaka 20 ndipo zimaphatikizapo:

• Kutupa khungu ndi zotupa zamitundu yosiyanasiyana kapena mitu yakuda;
• Kufiira kwakukulu m'deralo;
• Kupweteka kwakukulu komanso kosalekeza;
• Thukuta lokwanira mderali;
• Kapangidwe kazitsulo pansi pamiyala.

Nthawi zina, zotumphuka zimatha kuphulika ndikutulutsa mafinya, ndikupangitsa kuti pakhale kununkha m'deralo, kuwonjezera pakupweteka kwambiri.

Ziphuphu zimatha kutenga milungu ingapo ngakhale miyezi kuti zithe, kukhala zazikulu komanso zopweteka kwambiri kwa anthu onenepa kwambiri, opanikizika nthawi zonse kapena omwe ali munthawi yosintha kwambiri mahomoni, monga kutha msinkhu kapena kutenga pakati.

Momwe mungatsimikizire matendawa

Pambuyo pakuwonekera kwa izi, osasintha m'masabata awiri, tikulimbikitsidwa kuti mufunsane ndi dermatologist kuti mutsimikizire matendawa pongowona dera lomwe lakhudzidwa, kuti muyambe chithandizo choyenera ndikuchepetsa zizindikirazo.

Pangakhalenso kofunikira kupanga biopsy pakhungu, kuti liwunikidwe komanso kusanthula mafinya omwe amadza chifukwa cha zotupa.

Mukazindikira msanga, matendawa amathandizira kuchepetsa mwayi wokulirakulirako, komanso kuwonekera kwa zovuta monga zipsera zakuya zomwe zingalepheretse kuyenda kwa chiwalo chomwe chimakhudzidwa ndikupangitsa mgwirizano wapafupipafupi, mwachitsanzo.

Momwe muyenera kuchitira

Chithandizo cha hidradenitis suppurativa, ngakhale sichichiza matendawa, chimathandiza kuthetsa zizindikilo ndikupewa kuyambika kwake pafupipafupi, komanso kumachepetsa mwayi wokhala ndi zovuta.

Zina mwa njira zomwe amagwiritsidwa ntchito pochizira hidradenitis ndi monga:

• Maantibayotiki mapiritsi kapena mafuta odzola, monga Tetracycline, Clindomycin kapena Erythromycin: chotsani mabakiteriya pakhungu, kupewa matenda amtunduwu omwe angakulitse zovuta;
• Zodzola ndi vitamini A, monga Hipoglós kapena Hipoderme: amathandiza khungu kuchira msanga;
• Majekeseni a Corticoids, monga Prednisolone kapena Triamcinolone: ​​kuchepetsa kutupa kwa ziphuphu, kuchepetsa kutupa, kupweteka ndi kufiira;
• Kupweteka kumachepetsa, monga Paracetamol kapena Ibuprofen: amathandizira kuthetsa mavuto ndi zowawa.

Kuphatikiza apo, dermatologist amathanso kuperekanso mankhwala ena othandizira kuchepetsa chitetezo cha mthupi, monga Infliximab kapena Adalimumab, chifukwa amapewa zotsatira za protein yomwe imawoneka kuti ikukulitsa vuto la hidradenitis.

Kuphatikiza apo, chiopsezo chilichonse chomwe chingakhale chifukwa cha hidradenitis suppurativa chiyenera kupewedwa momwe zingathere. M'madera omwe amakula tsitsi, monga kukhwapa ndi kubuula, kuchotsa tsitsi la laser ndikulimbikitsidwa, kupewa njira zomwe zimawononga khungu, komanso zonunkhiritsa zomwe zimakhumudwitsa. Tikulimbikitsanso kuvala zovala zosasunthika, kukhala ndi thupi lolemera, kupewa zakudya zamagulu akumwa ndi mowa komanso kugwiritsa ntchito ndudu.

Milandu yovuta kwambiri, momwe zizindikilozo zimakulira kwambiri ndipo pamakhala kutupa kwakukulu, matenda kapena mapangidwe amisewu, adokotala amalangizanso kuchitidwa opaleshoni kuti achotse zotupa ndi khungu lomwe lakhudzidwa. Zikatero, ndikofunikira kukhala ndikuyika khungu, lomwe nthawi zambiri limachotsedwa mbali zina za thupi.