Njira Zothandizira Chithandizo cha Hidradenitis Suppurativa

Zamkati

• Mankhwala opatsirana
• Zotsatira zoyipa
• Maantibayotiki
• Maantibayotiki apakhungu
• Zotsatira zoyipa
• Maantibayotiki apakamwa
• Zotsatira zoyipa
• Mankhwala opweteka
• Zotsatira zoyipa
• Corticosteroids
• Zotsatira zoyipa
• Thandizo la mahomoni
• Zotsatira zoyipa
• Retinoids
• Zotsatira zoyipa
• Zamoyo
• Zotsatira zoyipa
• Kuwala, lasers, ndi zina zamagetsi
• Zotsatira zoyipa
• Mankhwala opangira opaleshoni
• Zotsatira zoyipa
• Kusamalira mabala
• Mankhwala achilengedwe
• Kutenga

Hidradenitis suppurativa (HS) ndi khungu lotupa lomwe limakhudza anthu aku America. Anthu omwe ali ndi HS amatuluka zotupa zotupa kapena zotentha m'malo omwe thupi lawo limakhudza khungu.

Madera omwe akhudzidwa atha kukhala:

• m'khwapa
• matako
• mabere
• kubuula
• ntchafu chapamwamba

Zilonda zopweteka za HS amathanso kudzaza ndi kamadzimadzi kosasangalatsa kamene kamatha kutuluka mosazindikira.

Pakadali pano palibe mankhwala a HS. Komabe, pali njira zosiyanasiyana zamankhwala ndi zamankhwala zomwe zingakuthandizeni kuthana ndi zizindikilo zanu, malinga ndi malangizo aposachedwa azachipatala ochokera ku United States ndi Canada Hidradenitis Suppurativa maziko.

Ngati mukukhala ndi HS, ndizothandiza kudziwa njira zonse zamankhwala zomwe mungapeze kuti muthe kupeza zabwino kwambiri.

Werengani kuti mudziwe zamankhwala osiyanasiyana a HS ndi momwe amagwirira ntchito.

Mankhwala opatsirana

Chithandizo cham'mutu ndichinthu chomwe mumagwiritsa ntchito pakhungu lanu. Mankhwala opatsirana amatha kubwera m'njira zosiyanasiyana, kuphatikizapo mafuta odzola, ndi mafuta.

Kutengera ndi malonda ake, mankhwala am'mutu amatha kugwira ntchito yoyeretsa dera lomwe lakhudzidwa, kuchepetsa mkwiyo, kapena kuthandizira kuchiritsa zotupa. Mankhwala apakhungu a HS amakhala mankhwala monga mankhwala opha tizilombo kapena mankhwala aziphuphu. Zitsanzo zina ndi izi:

• mankhwala enaake
• nthaka pyrithione
• zonona za resorcinol, 15%

Mankhwala apamwambapa angagwiritsidwe ntchito pa HS pang'ono pang'ono. Ngakhale samagwira mwakhama zomwe zikuyambitsa vutoli, atha kuthandiza kuti athetse zina mwazizindikiro zake.

Maantibayotiki amathanso kugwiritsidwa ntchito pamutu pochiza HS. Matenda a clindamycin (Cleocin T, Clinda-Derm) amadziwika kuti ndi.

Zotsatira zoyipa

Mankhwala opatsirana amatha kuyambitsa khungu. Izi zitha kuphatikizira zizindikilo monga kufiira, kuyabwa, kapena kutentha.

Maantibayotiki

Maantibayotiki apakhungu ndi pakamwa atha kugwiritsidwa ntchito pochiza HS.

Maantibayotiki apakhungu

Maantibayotiki apakhungu, monga clindamycin (Cleocin T, Clinda-Derm), amadziwika kuti ndi HS wofatsa. Amatha kuchiza matenda, kuchepetsa kutupa, komanso kupewa zotupa zatsopano kuti zisapangike.

Amathanso kuchepetsa fungo lomwe nthawi zina limatha kutsagana ndi matenda.

Njira yochiritsira yokhala ndi maantibayotiki yapakhungu itha kuphatikizira kudzola zotupa ku HS kawiri patsiku. Kutalika kwa chithandizo chotere kumasiyanasiyana malinga ndi munthu.

Zotsatira zoyipa

Zotsatira zoyipa za maantibayotiki apakhungu zimatha kuphatikizira kutentha pang'ono komanso chiwopsezo cha maantibayotiki kukana.

Maantibayotiki apakamwa

Maantibayotiki apakamwa amatha kupatsidwa matenda ochepa. Komabe, amagwiritsidwa ntchito moyenera pamilandu ya HS yayikulu kapena pomwe chithandizo cham'mutu sichinathandize.

Monga maantibayotiki apakhungu, mankhwalawa amathandizira kuchiza matenda ndikuwongolera kutupa.

Mankhwala opha tizilombo omwe amagwiritsidwa ntchito pochiza matenda omwe amayamba ndi HS ndi awa:

• mankhwala a tetracycline
• chiwoo
• metronidazole (Flagyl)
• moxifloxacin (Avelox)
• rifampin (Rimactane)
• dapsone

Nthawi zambiri amatengedwa pakamwa masiku 7 mpaka 10. Milandu ina ingafune chithandizo chotalikirapo. Kutengera kukula kwa matenda anu, mutha kulandira maantibayotiki amodzi kapena maantibayotiki angapo.

Zotsatira zoyipa

Zotsatira zoyipa za mankhwala opha tizilombo titha kukhala m'mimba, Clostridium difficile Matenda a bakiteriya, ndi dzimbiri-lachikasu mpaka kutuluka kwa mkodzo.

Mankhwala opweteka

Kupweteka kokhudzana ndi HS kumatha kubwera kuchokera kuzinthu zosiyanasiyana, kuphatikizapo zotupa, zotupa, ndi zipsera. Izi zimapangitsa kusamalira ululu kukhala gawo lofunikira la chithandizo cha HS.

Zowawa zomwe zimakhudzana ndi HS zitha kukhala zosiyanasiyana. Mwachitsanzo, imatha kukhala yovuta kapena yopitilira muyeso komanso yotupa kapena yopanda kutupa.

Mankhwala opweteka omwe angagwiritsidwe ntchito ndi awa:

• lidocaine (Ztlido)
• mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs)
• acetaminophen (Tylenol)
• mankhwala opioids
• anticonvulsants

Mankhwala opweteka monga lidocaine nthawi zina amatha kugwiritsidwa ntchito pochiza kupweteka kwa HS. Izi zitha kugwiritsidwa ntchito mwachindunji kudera lomwe lakhudzidwa.

Mankhwala opweteka pakamwa amakonda kuthana ndi ululu wokhudzana ndi HS. Mankhwala opweteka oyamba amakhala ndi acetaminophen ndi NSAID, monga ibuprofen (Advil, Aleve) ndi naproxen (Naprosyn).

Ngati mankhwala opweteka a mzere woyamba sagwira ntchito, mankhwala opioid a kanthawi kochepa atha kulembedwa. Opioid tramadol (ConZip, Ultram) itha kugwiritsidwa ntchito ngati njira ina ya ma opioid achikhalidwe monga codeine ndi morphine.

Kuphatikiza apo, ma anticonvulsants ena, monga gabapentin (Neurontin) ndi pregabalin (Lyrica), atha kukhala othandiza kuthetsa ululu wamitsempha.

Zotsatira zoyipa

Zotsatira zosiyanasiyana zimakhudzana ndi mankhwala osiyanasiyana opweteka. Zitsanzo zingaphatikizepo kukhumudwa m'mimba, nseru ndi kusanza, ndi kudzimbidwa. Kugwiritsa ntchito ma opioid kumakhalanso pachiwopsezo cha kusuta.

Corticosteroids

Corticosteroids itha kugwiritsidwanso ntchito kuchepetsa kutupa, kuchepetsa kutupa, komanso kusamalira ululu. Amatha kuperekedwa kudzera mu jakisoni kapena pakamwa.

Injected corticosteroids, yotchedwanso intralesional corticosteroids, itha kugwiritsidwa ntchito munthawi zochepa. Jekeseniyo imapangidwa mwachindunji kudera lomwe lakhudzidwa ndipo imatha kuchepetsa ululu ndi kutupa.

Oral corticosteroids imagwiritsidwa ntchito mopitilira muyeso mpaka pamavuto akulu. Mukamamwa pakamwa, corticosteroids imatha kukhudza thupi lonse. Izi zitha kuthandiza kuchotsa zotupa za HS zomwe zilipo ndikuletsa zatsopano kuti zisapangidwe.

Njira yaifupi ya oral corticosteroids itha kugwiritsidwa ntchito kuthana ndi kuwonekera kwa zizindikilo.

Ma corticosteroids amlomo wa nthawi yayitali amathanso kugwiritsidwa ntchito pamavuto akulu a HS omwe sakuyankha chithandizo chamankhwala wamba. Komabe, pazochitikazi, mlingo woyenera kwambiri uyenera kulamulidwa.

Zotsatira zoyipa

Injected corticosteroids can lead to pain near the site site, flushing flushing, and kugona.

Zotsatira zina zoyipa zam'kamwa za corticosteroids ndi kuthamanga kwa magazi, kunenepa, komanso kusintha kwa malingaliro. Kugwiritsa ntchito nthawi yayitali kumatha kubweretsa khungu, shuga wambiri wamagazi, komanso kufooka kwa mafupa.

Thandizo la mahomoni

HS imaganiziridwa kuti imakhudzidwa ndi mahomoni otchedwa androgens. Kusintha kwa mahomoni, monga nthawi ya kusamba ndi mimba, kumatha kukulitsa zizindikiritso za HS.

Chifukwa cha momwe mahomoni amathandizira pa HS, adotolo angavomereze kuti chithandizo cha mahomoni ndichotheka. Thandizo la mahomoni lingathandize kuchepetsa kupweteka ndikuchepetsa kuchuluka kwa madzi omwe amatuluka kuchokera ku zotupa za HS panthawi yamoto.

Thandizo la mahomoni kwa HS lingaphatikizepo kumwa mitundu yotsatirayi ya mankhwala:

• njira zakulera zakumwa zomwe zili ndi estrogen
• spironolactone (Aldactone)
• ndalama (Propecia, Proscar)
• metformin (Glumetza)

Mankhwala a Hormone a HS amatha kumwa pakamwa. Itha kugwiritsidwa ntchito ngati chithandizo chokhacho (monotherapy) cha HS wofatsa pang'ono. Zikakhala zovuta, atha kugwiritsidwa ntchito limodzi ndi mankhwala ena.

Kugwiritsa ntchito njira zakulera zomwe zili ndi progestin nthawi zambiri zimapewa. Izi ndichifukwa choti pali umboni wina wosonyeza kuti HS imatha kuwonjezeka mukamagwiritsa ntchito mankhwala amtunduwu.

Zotsatira zoyipa

Zotsatira zoyipa zamankhwala othandizira azimayi mwa amayi atha kuphatikizira kuundana kwamagazi ngati atatengedwa panthawi yapakati. Amuna atha kuchepa ndi libido komanso mavuto akumwa.

Nthawi zambiri, abambo ndi amai amatha kukhala ndi zotupa za m'mawere monga zovuta.

Retinoids

Retinoids ndi mankhwala ochokera ku vitamini A. Amagwira ntchito pochepetsa kukula kwa maselo akhungu ndipo amatha kuchepetsa kutupa. Retinoids itha kugwiritsidwa ntchito kuthana ndi khungu lotupa, kuphatikiza ziphuphu ndi psoriasis.

Mankhwala amlomo amatha kukhala othandiza kwa anthu ena omwe ali ndi HS. Ngati mwapatsidwa retinoid pakamwa pa HS yanu, itha kukhala imodzi mwazi:

• isotretinoin (Amnesteem, Claravis)
• acitretin (Soriatane)

Ma retinoids amlomo nthawi zambiri amalimbikitsidwa ngati njira yachiwiri kapena yachitatu yothandizira HS. Zitha kuperekedwanso ngati ziphuphu zazikulu zimachitika limodzi ndi zotupa za HS.

Zotsatira zoyipa

Ma retinoids amlomo sayenera kutengedwa nthawi yapakati, chifukwa amatha kubweretsa zovuta kwambiri pakubereka. Zotsatira zina zoyipa zimaphatikizira khungu louma, milomo yosweka, ndi kumeta tsitsi kwakanthawi.

Zamoyo

Pazovuta zazikulu za HS zomwe sizimayankha maantibayotiki kapena mankhwala a mahomoni, mankhwala a biologic atha kukhala njira. Biologics imathandizira thupi lanu kumenyana ndi HS poyang'ana mbali za chitetezo chanu cha mthupi zomwe zimayambitsa kutupa.

Biologics imayendetsedwa kudzera mu jakisoni kapena kulowetsedwa mu mtsempha (IV). Nthawi zambiri amatengedwa sabata iliyonse ndipo amatha kuperekera kunyumba kapena kuchipatala kapena kuchipatala ndi akatswiri azachipatala.

Chithandizo chokha cha HS chomwe chimavomerezedwa ndi Food and Drug Administration (FDA), komanso chomwe chili ndi umboni wamphamvu kwambiri wogwiritsa ntchito, ndi adalimumab (Humira). Biologic iyi yavomerezedwa kuti ichiritse HS yochepa.

Ma biologics ena, monga infliximab (Remicade) ndi anakinra (Kineret), atha kukhala othandiza pochiza HS.

Zotsatira zoyipa

Zotsatira zoyipa zimatha kuphatikiza:

• ululu pafupi ndi malo opangira jekeseni
• malungo
• kuvuta kupuma
• kuthamanga kwa magazi
• chiopsezo chowonjezeka cha matenda

Ngati muli ndi matenda, dokotala wanu atha kusiya kugwiritsa ntchito biologics ndikuwunika njira zina zamankhwala.

Zotsatira zoyipa koma zoyipa zimatha kuphatikizira zizindikiritso zama autoimmune ndi kulephera kwa mtima. Biologics amathanso kuyambitsa chiwopsezo cha lymphoma. Lankhulani ndi dokotala wanu za maubwino ndi zoopsa za mankhwalawa.

Kuwala, lasers, ndi zina zamagetsi

Magwero angapo amagetsi angaganizidwe kuti angathandize kuchiritsa HS. Izi zimagwiritsidwa ntchito poyerekeza ndi HS koma zitha kugwiritsidwanso ntchito pocheperako.

Imodzi mwa njirazi imaphatikizapo kugwiritsa ntchito laser kuchiza zotupa. Mphamvu yochokera ku laser imatha kuwononga ma follicles atsitsi, ndikuthandizira kuchotsa zotupa za HS. Chithandizo chamtunduwu chitha kuphatikizira magawo atatu kapena anayi azithandizo zamalasi.

Mankhwala a Photodynamic amagwiritsa ntchito mankhwala otchedwa photosensitizers komanso gwero lowala kupha maselo abwinobwino. Mankhwala a photosensitizing amagwiritsidwa ntchito pamutu kapena jekeseni pazilonda. Maselo a HS amatenga mankhwalawa. Chowunikira chatsegulidwa, mankhwalawa amathandizana ndi ma cell ndikuwapangitsa kufa.

Chithandizo cha radiation chagwiritsidwanso ntchito pochizira HS ndipo chitha kubweretsa kusintha kwa anthu ena. Komabe, popeza zimaphatikizapo kuwonetsa thupi lanu poizoniyu, dokotala wanu angalimbikitse chithandizo china choyamba.

Zotsatira zoyipa

Ndizotheka kuti mudzamva kusowa mtendere munjira izi. Zotsatira zina zomwe zingachitike pambuyo pake zitha kuphatikizira kusapeza bwino kwakanthawi, kufiira, kapena kutupa m'deralo.

Mankhwala opangira opaleshoni

Njira zosiyanasiyana zopangira opaleshoni zilipo zochizira HS, kuyambira pazing'onoting'ono mpaka kuchotseratu khungu lomwe lakhudzidwa ndi zotupa.

Kaya ndinu oyenerera kuchitidwa opaleshoni ya HS zimadalira kuuma kwa HS yanu ndi momwe mungayankhire ndi mitundu ina ya chithandizo.

Anthu omwe ali ndi HS yovuta yomwe sinayankhe mitundu ina yamankhwala ndioyenera kuchitidwa opaleshoni. Zizindikiro za HS zazikulu zitha kuphatikiza:

• zotupa zofalikira kapena zotupa
• zipsera
• ma tunnel ambiri olumikiza pansi pa khungu

Zina mwa njira zopangira opaleshoni zomwe zingagwiritsidwe ntchito ndi izi:

• Kuchotsa: Dokotalayo amachotsa minofu pamwambapa kapena zotupa, zomwe zimapangitsa kuti malo owonekerawo azichira. Njirayi imagwiritsidwa ntchito popitilira zotupa kapena ma tunnel.
• Chisangalalo: Dokotalayo amachotsa chotupacho ndi khungu linalake labwino. Izi zitha kuchitika ndi scalpel, laser, kapena chida chamagetsi. Amagwiritsidwa ntchito pa zilonda zazikulu, zowirikiza.
• Chisangalalo ndi ngalande: Dokotalayo amatulutsa chotupa chimodzi kapena ziwiri kenako ndikuzichotsa. Izi zimangolimbikitsidwa kuti zithandizire pakanthawi kochepa pazilonda zotupa.

Ngati mukuganiza kuti mutha kukhala opareshoni yabwino, lankhulani ndi dokotala wanu za njira yomwe ingakhale yoyenera kwa inu.

Zotsatira zoyipa

Zina mwa zovuta zoyipa za kuchitidwa opaleshoni ya HS zimaphatikizapo zipsera kapena matenda pamalo opareshoni. Kuphatikiza apo, opareshoni imangogwira malo okhaokha, chifukwa chake zilonda zimatha kupezeka m'malo atsopano.

Kusamalira mabala

Kusamalira mabala pambuyo pa opaleshoni ya HS ndikofunikanso kwambiri. Dokotala wanu amasankha kavalidwe koyenera kutengera komwe kuli opaleshoniyi. Angathenso kulimbikitsa kugwiritsa ntchito mankhwala ochapira tizilombo pakachiritsa.

Mukamasamalira chilonda pambuyo pochitidwa opaleshoni ya HS, ndikofunikira kutsatira njira zabwino kwambiri zothandizira mabala, kuphatikizapo:

• nthawi zonse muzisamba m'manja musanakhudze malowo
• kupewa zovala zomwe zingafike pachilonda
• kutsatira malangizo a dokotala anu okhudza nthawi ndi kangati kutsuka bala lanu kapena kusintha mavalidwe ake
• kuyang'anitsitsa mosamala zizindikiro za matenda omwe angakhalepo

Mankhwala achilengedwe

Pali zochiritsira zingapo zachilengedwe komanso zosintha m'moyo zomwe zingathandize ndi HS wanu.

Kusuta ndudu komanso kupitirira kulemera kwapakati kwakhala kukukula kwambiri kwa matenda a HS. Kuchita zosintha pamoyo wanu monga kusiya kusuta ndikusungabe kulemera pang'ono kungathandize kuthana ndi zizindikilo zanu.

Kuphatikiza apo, pali zina zomwe zingakhumudwitse khungu lanu. Mungapeze zothandiza kupeŵa kuchita zinthu zotsatirazi kudera lomwe lakhudzidwa:

• kuvala zovala zolimba kapena zoletsa
• kuyeretsa ndi zida zowuma, monga maburashi kapena nsalu zosamba
• pogwiritsa ntchito zomangira zomatira
• kugwiritsa ntchito mankhwala omwe angakhale ndi zotsekemera, monga zotsukira kapena zonunkhira
• kumeta

Palinso chisonyezero china chowonjezera cha zakudya, makamaka ndi zinc, zitha kuthandiza anthu omwe ali ndi HS pang'ono pang'ono. Chifukwa cha izi, adotolo angavomereze zakumwa za zinc zakumwa. Musati muchite mopambanitsa, ngakhale - zinc yochuluka ingayambitse mimba.

Kupewa zakudya zomwe zili ndi mkaka kapena yisiti ya brewer zitha kuthandiza anthu ena omwe ali ndi HS. Komabe, kafukufuku wina amafunika kuti athandizire izi.

Kutenga

Pali njira zambiri zochiritsira za HS, iliyonse imakhala ndi maubwino ake komanso zotulukapo zake. Ndi chithandizo chiti (kapena chithandizo) chomwe angakulimbikitseni chimadalira kuopsa kwa matenda anu.

Ndikofunika kuti mukambirane bwinobwino zomwe mungachite ndi dokotala kapena dermatologist. Onetsetsani kuti muwadziwitse ngati mukumva zovuta zilizonse mukamalandira chithandizo komanso ngati muli otseguka kuyesa njira zatsopano zamankhwala. Kugwirira ntchito limodzi kungakuthandizeni kuyang'anira HS yanu.