Hidradenitis Suppurativa Imakhudza Nkhope

Zamkati

• Zoyambitsa
• Chithandizo
• Zida zoyenera kupewa
• Chiwonetsero

Hidradenitis suppurativa (HS) ndi matenda omwe amachititsa kutupa, zopweteka zopangidwa pakhungu. Nthawi zambiri, zotupazi zimawonekera pafupi ndi zopota za tsitsi ndi thukuta la thukuta, makamaka m'malo omwe khungu limakopana ndi khungu, monga pansi pamakhwapa anu kapena ntchafu zanu zamkati.

Kwa anthu ochepa omwe ali ndi HS, ziphuphu zimawonekera pankhope. HS pankhope panu ingakhudze mawonekedwe anu, makamaka ngati muli ndi zotupa zambiri kapena zazikulu kwambiri.

Ziphuphu zimatha kutupa ndikupweteka pamene mafinya amakula mkati mwake. Ngati simupeza chithandizo cha ziphuphu, amatha kuumitsa ndikupanga zipsera zakuda ndi ma tunnel pansi pa khungu lanu.

HS imawoneka ngati ziphuphu, ndipo zochitika ziwirizi zimachitika limodzi. Zonsezi zimayamba chifukwa chotupa m'matumba. Njira imodzi yodziwira kusiyana ndikuti HS imapanga zipsera ngati zingwe pakhungu, pomwe ziphuphu sizitero.

Zoyambitsa

Madokotala sakudziwa chomwe chimayambitsa HS. Imayambira m'makolo anu atsitsi, omwe ndi timatumba tating'ono pansi pa khungu pomwe tsitsi limamerapo.

Zipolopolozo, ndipo nthawi zina tiziwalo timene timayandikira thukuta, zimatsekedwa. Mafuta ndi mabakiteriya amakhala mkati, kupangitsa kutupa ndipo nthawi zina ndimadzimadzi omwe amatuluka omwe amanunkha.

Mahomoni atha kutenga nawo mbali mu HS chifukwa nthawi zambiri imayamba munthu atatha msinkhu. Chitetezo chokwanira cha mthupi chingathenso kutenga nawo mbali.

Zinthu zina zimakupangitsani kuti mukhale ndi HS kapena kukulitsa matendawa, kuphatikiza:

• kusuta
• majini
• kukhala wonenepa kwambiri
• kumwa mankhwala lithiamu, omwe amachiza matenda ochititsa munthu kusinthasintha zochitika

Anthu omwe ali ndi matenda a Crohn ndi polycystic ovarian syndrome amatha kutenga HS kuposa anthu omwe alibe mikhalidwe imeneyi.

HS alibe chochita ndi ukhondo. Mutha kukhala ndi ukhondo wabwino kwambiri ndikupitilizabe kukulitsa. HS sikufalikiranso kuchokera kwa munthu kupita kwa munthu.

Chithandizo

Dokotala wanu adzakupatsani chithandizo cha HS pakukula kwanu, komanso komwe muli nawo m'thupi lanu. Mankhwala ena amagwira ntchito m'thupi lanu lonse, pomwe ena amayang'ana kutsuka nkhope yanu.

Ngati mulibe kale dermatologist, chida cha Healthline FindCare chingakuthandizeni kupeza dokotala mdera lanu.

Mankhwala osungira ziphuphu kapena ochapa amatha kukhala okwanira kuchotsa HS pang'ono pankhope panu. Kugwiritsa ntchito mankhwala ochapira tizilombo monga 4% ya chlorhexidine gluconate tsiku lililonse kungathandizenso kuchepetsa ziphuphu.

Kwa mabampu akutali, ikani nsalu yofunda yonyowa pa iwo ndikusunga kwa mphindi 10 nthawi imodzi. Kapena, mutha kuthira tiyi m'madzi otentha kwa mphindi zisanu, kuchotsani m'madzi, ndipo mukakhala ozizira mokwanira kuti mukhudze, ikani paziphuphu kwa mphindi 10.

Kuti mufalikire kwambiri kapena kuphulika kwakukulu, dokotala wanu angakulimbikitseni imodzi mwa mankhwalawa:

• Maantibayotiki. Mankhwalawa amapha mabakiteriya pakhungu lanu omwe amayambitsa kutupa ndi matenda. Maantibayotiki amatha kuletsa kuphulika komwe muli nako kukukulirakulira, ndikuletsa zatsopano kuyamba.
• NSAIDs. Zinthu monga ibuprofen (Advil, Motrin) ndi aspirin zitha kuthandizira kupweteka ndi kutupa kwa HS.
• Mapiritsi a Corticosteroid. Mapiritsi a Steroid amachepetsa kutupa ndikuletsa ziphuphu zatsopano kuti zisapangidwe. Komabe, zimatha kuyambitsa zovuta zina monga kunenepa, mafupa ofooka, komanso kusinthasintha kwamaganizidwe.

Nthawi zina, dokotala wanu angakulimbikitseni kugwiritsa ntchito mankhwala osachiritsika a HS. Kugwiritsa ntchito mankhwala osokoneza bongo kumatanthauza kuti mankhwala omwe avomerezedwa ndi Food and Drug Administration (FDA) pacholinga chimodzi amagwiritsidwa ntchito pazinthu zina zomwe sizinavomerezedwe.

Mankhwala osachiritsika a HS atha kukhala:

• Retinoids. Isotretinoin (Absorica, Claravis, ena) ndi acitretin (Soriatane) ndi mankhwala amphamvu kwambiri a vitamini A. Amathandizanso ziphuphu ndipo zitha kukhala zothandiza ngati muli ndimikhalidwe yonse iwiri. Simungathe kumwa mankhwalawa ngati muli ndi pakati chifukwa amachulukitsa chiopsezo cha kubadwa.
• Metformin. Mankhwalawa a shuga amathandizira anthu omwe ali ndi HS komanso gulu limodzi la zoopsa zotchedwa metabolic syndrome.
• Thandizo la mahomoni. Kusintha kwa ma hormone kumatha kuyambitsa kuphulika kwa HS. Kutenga mapiritsi oletsa kubereka kapena kuthamanga kwa mankhwala osokoneza bongo a spironolactone (Aldactone) kumatha kuthandizira kuchuluka kwama mahomoni kuti muchepetse kuphulika.
• Methotrexate. Mankhwala a khansa amathandizira kuteteza chitetezo cha mthupi. Zingakhale zothandiza pamatenda ovuta a HS.
• Zamoyo. Adalimumab (Humira) ndi infliximab (Remicade) amachepetsa kuyankha kwamphamvu mthupi komwe kumathandizira kuzizindikiro za HS. Mumalandira mankhwalawa ndi jakisoni. Chifukwa biologics ndi mankhwala amphamvu, mumangowapeza ngati HS yanu ndi yovuta ndipo sinasinthe ndi mankhwala ena.

Ngati mukukula kwambiri, dokotala wanu akhoza kumubaya jekeseni wa corticosteroids kuti achepetse kutupa ndikuchepetsa ululu.

Nthawi zina madokotala amagwiritsa ntchito mankhwalawa pochiza HS pankhope ndi mbali zina za thupi. Kutentha kungakhale kosankha ngati mankhwala ena sanagwire ntchito.

Kuphulika kwakukulu kungafune kuchitidwa opaleshoni. Dokotala wanu amatha kutulutsa mabampu akulu, kapena kugwiritsa ntchito laser kuti awachotse.

Zida zoyenera kupewa

Zakudya zina ndi zinthu zina zimatha kukulitsa matenda anu a HS. Funsani dokotala ngati mungaganize zodula zinthu izi tsiku lililonse:

• Ndudu. Kuphatikiza pa zovuta zina zambiri zathanzi lanu, kusuta kumayambitsa ndikuwonjezera kuphulika kwa HS.
• Ziphuphu. Kumeta kumatha kukwiyitsa khungu m'malo omwe muli ndi mabampu a HS. Funsani dermatologist wanu momwe angachotsere tsitsi lakumaso popanda kuyambitsa kutuluka kwina.
• Zogulitsa mkaka. Mkaka, tchizi, ayisikilimu, ndi zakudya zina za mkaka zimakulitsa mahomoni a insulin mthupi lanu. Insulini yanu ikakhala yayikulu, mumatulutsa mahomoni ambiri ogonana omwe amakulitsa HS.
• Yisiti ya Brewer. Chakudya chamoyochi chimathandiza kupesa mowa ndikupangitsa mkate ndi zinthu zina zophika kukwera. Mmodzi, kudula zakudya izi kumathandizira zotupa pakhungu mu HS.
• Maswiti. Kudula magwero a shuga wowonjezerapo, monga maswiti ndi makeke, kumatha kutsitsa kuchuluka kwanu kwa insulin kokwanira kukonza zisonyezo za HS.

Chiwonetsero

HS ndi matenda osachiritsika. Mutha kupitiliza kukhala ndi zopumira m'moyo wanu wonse. Ngakhale kulibe mankhwala, kuyamba ndi chithandizo mwachangu momwe mungathere kudzakuthandizani kuthana ndi matenda anu.

Kusamalira HS ndikofunikira. Popanda chithandizo, vutoli limatha kukhudza mawonekedwe anu, makamaka mukakhala pankhope panu. Ngati mukumva kukhumudwa chifukwa cha momwe HS imakupangitsani kuwoneka kapena kumverera, lankhulani ndi dermatologist wanu ndikupempha thandizo kwa katswiri wazamankhwala.