Isifo sikashukela i-mellitus yisifo esenzeka ngezinkinga eziningi, esithinta wonke amasistimu omzimba. Olunye lwezimpawu zokuqala zesifo sikashukela ukugula okuhlukahlukene kwesikhumba, okungekubi kakhulu ukubonakala kwesiguli, kodwa futhi kumenze ahlupheke kakhulu.
Isifo sesikhumba esijwayeleke kakhulu kwisifo sikashukela yi-eczema, esingathinta izindawo ezinkulu zesikhumba.
Ukubhekana ne-eczema yesifo sikashukela, kudingeka ukwelashwa okuningiliziwe, okuhlose hhayi kuphela ekuqedeni izilonda zesikhumba, kodwa futhi nokwehlisa ushukela wegazi nokwenza ngcono isimo jikelele sesiguli.
Izizathu
I-Eczema kwisifo sikashukela kungenzeka ngenxa yezizathu ezilandelayo. Ukugeleza kwegazi okungalungile. Ikhula njengokwenyuka kweshukela egazini, ebhubhisa izindonga zemithambo yegazi, ephazamisa ukuhamba kwegazi okujwayelekile emzimbeni.
Ushukela unomphumela obulala ngokukhethekile kuma-capillaries, ubhubhisa ngokuphelele ukwakheka kwawo futhi uphazamise ukunikezwa komoya-mpilo kanye nezakhi ezibalulekile kwezicubu. Lokhu kuholela ekuhambeni kancane kwe-necrosis yamaseli wesikhumba nokwakheka kwe-eczema.
Isikhumba esomile. Enye yezimpawu eziphambili zesifo sikashukela ukuchama ngokweqile, okuholela ekulahlekelweni okukhulu komswakama emzimbeni kanye nokukhula komzimba okungapheli. Isikhumba sinamathela ngokuqinile ekushoneni komswakama, owoma kakhulu bese uqala ukuthamba.
Kuhlanganiswe nokuphulwa kokuhlinzekwa kwegazi ezicutshini, lokhu kubangela ukulunywa kanzima okungabekezelelwa. Kuhlanganiswe nezindawo ezishisayo zesikhumba, isiguli sizilimaza, sishiya ukuklwebeka okukhulu nokuklebeka. Ukulimala okunjalo kungenye yezimbangela eziphambili ze-eczema.
Ukungezwani komzimba. Imijovo ejwayelekile ye-insulin nokudla izidakamizwa ukwehlisa ushukela wegazi kuvame ukukhulisa ukuvela kwemiphumela ehlukahlukene yokungezwani komzimba, efana ne-urticaria ne-dermatitis. Ezimweni ezinzima kakhulu, komzimba wesikhumba uvela njenge-eczema. Ukuba yinkimbinkimbi kwalesi simo kulele ekutheni umuntu onesifo sikashukela akakwazi ukusebenzisa izidakamizwa, ezikhulisa inkambo yokungezwani komzimba futhi okuholela ezigabeni ezinzima kakhulu ze-eczema.
Ukuzivikela komzimba okuphansi. Ukusebenza kabi kwamasosha omzimba kuvame ukucasula i-eczema, ngisho nakubantu abaphilile. Futhi njengoba isifo sikashukela sihlasela kakhulu amasosha omzimba, zonke iziguli ezinalesi sifo zitholakala kakhulu ekwakhekeni kwe-eczema.
Ukunyuka okungazelelwe koshukela kuyinto eyengeziwe enesandla ekuthuthukiseni i-eczema. Ngokuvamile, isiguli singakwazi ukubona esikhumbeni sakhe izimpawu zokuqala ze-eczema ngemuva kokuhlaselwa yi-hyperglycemia.
Izimpawu
I-Eczema yisifo sokulimala kwesikhumba esinezimpawu ezilandelayo:
- Ukuvuvukala kwezindawo zesikhumba ezithintekile lapho kuvela khona amabala obomvu akhanyayo angenayo imingcele ecacisiwe;
- Ukwakheka kwesiqubulo se-papular, esibukeka njengama-vesicles amancane. Zingaba ngamadayimitha ahlukene kusuka ku-5 mm kuya ku-2 cm. Ngokukhula kwesifo, kuqhuma amabhubu nokuguguleka endaweni yawo;
- Ukuthuthukiswa kwemithombo yama-serous, ebizwa nangokuthi ukuguguleka. Zivela ngesimo sezilonda lapho i-woves fluid ikhuphuka khona. Ngalesi sizathu, i-eczema ivame ukubizwa ngokuthi i-lichen ekhala;
- Ukulunywa kanzima, okungaba ukuhlushwa kwangempela kwesiguli. Ukuhlanganisa isikhumba esivele sishisiwe, isifo sikashukela sikhulisa inkambo yesifo futhi sikhulise nengozi yokutheleleka kwezilonda;
- Ngokuhamba kwesikhathi, izilonda ziyaguguleka, isikhumba esithintekile siqala ukuncibilika futhi simbozwe imifantu ejulile.
Ngesifo sikashukela, i-eczema ivame ukungena kwifomu elingamahlalakhona, eyenzeka ngokuvama ukubuyela emuva. Kunzima kakhulu ukuqeda i-eczema engapheli, ngoba kunzima ukuyelapha.
I-Eczema in sikashukela mellitus ayikhuli kuzo zonke iziguli ngokulinganayo. Ngakho-ke ezigulini ezinesifo sikashukela sohlobo 1 nohlobo 2, lesi sifo sivame ukuvela ngokuhlukile, okufanele sibhekwe lapho welapha i-eczema ebangelwa ushukela wegazi ophakeme.
I-Eczema yohlobo 1 nesifo sikashukela sohlobo 2 ibonakaliswa yizimpawu ezilandelayo:
- Isifo sikashukela sohlobo lokuqala siyakhula ngenxa yokuncipha okukhulu noma ukunqanyulwa ngokuphelele kokukhiqizwa kwe-hormone insulin edingekayo ukufakwa kweglucose. Lesi sifo sivame ukuthinta isiguli ebuntwaneni noma ebusheni. Isifo sikashukela sohlobo 1 saziwa ngokukhula ngokushesha okukhulu, okuholela ekuqaleni kwezinkinga esigulini, kufaka phakathi izifo zesikhumba. Ngakho-ke, izimpawu zokuqala ze-eczema zingabonakala esigulini esisele ngonyaka wesibili wesifo. Ngokuvamile kuvela kungazelelwe futhi ngokushesha kufinyelela izigaba ezinzima kakhulu.
- Isifo sikashukela sohlobo 2 ikakhulukazi sithinta kakhulu abantu lapho sesikhulile, lapho izicubu zangaphakathi zesiguli zilahlekelwa umuzwa wazo we-insulin. Ngalesi sifo, izinga likashukela wegazi likhuphuka kancane, ngenxa yokuthi izimpawu zokuqala zesifo sikashukela zingaqala ukuvela kuphela ngemuva kwesikhathi eside. Njengomphumela walokhu, i-eczema ingagcina ingalapheki ngokwemvelo ngokubuyela ngezikhathi ezithile. Ngalolu hlobo lwesifo sikashukela, i-eczema imnene isikhathi eside.
Ngakho-ke, uhlobo lwesifo sikashukela lubalulekile ekuthuthukiseni i-eczema. Nguye obona ubukhulu besilonda kanye nezinga lokuqina kwesifo.
Ukwelashwa
Ukwelashwa kwe-eczema kushukela kuyinqubo ende edinga ukusetshenziswa kwezidakamizwa ezinamandla.
Ukubhekana nefomu elithuthukile le-eczema, isiguli singasiza kuphela izidakamizwa ze-hormonal, okuyi-glucocorticosteroids.
Ngokuvamile, le mithi elandelayo isetshenziswa ukwelapha lesi sifo:
- I-Corticotropin;
- I-Prednisone;
- I-Triamcinolone;
- I-Dexamethasone yesifo sikashukela.
Kubalulekile ukugcizelela ukuthi kuyadingeka ukuthi ubaphuze ngesifo sikashukela ngokunakekelwa okukhulu futhi kuphela ngaphansi kokuqashwa udokotela, ngoba omunye wemiphumela emibi yale mishanguzo ukwanda koshukela wegazi.
Ngaphezu kwalokho, ukuthuthukisa isimo sesikhumba nokukhulisa ukungaziguli kweziguli ezinesifo sikashukela, kuyasiza kakhulu ukuthatha amalungiselelo e-vitamin. Izidakamizwa ezilandelayo zibhekwa njengezilusizo kakhulu kwisifo sikashukela:
- Isixazululo samafutha e-Vitamin E;
- I-Ascorbic ne-nicotinic acid kumathebhulethi;
- Ukufakwa kwamavithamini eqembu B;
- I-Folic acid emaphaketheni noma ezibhebheni.
Ukwelashwa okunjalo kwama-vithamini kuyasebenziseka zombili izinhlobo ezithambile ze-eczema nasezimweni ezinzima zesifo.
Ukuze usebenzise i-topical ngokumelene ne-eczema, ungasebenzisa amafutha akhethekile asiza ukudambisa ukulungiswa futhi kusheshiswe ukwelashwa kwesikhumba. Okudume kakhulu empini yokulwa ne-eczema, ukugcoba njenge:
- I-Eplan;
- I-Bepanten (noma i-analogues yayo iPanthenol, i-D-Panthenol, iPantoderm);
- Isikhumba cap;
- I-Radevit;
- IGistan (okungafanele ididaniswe neGistan N);
- Elidel;
- Losterin;
- I-Thymogen;
- Naftaderm;
- Siyabona.
Eminye yale mishanguzo izosebenza ezigabeni zokuqala ze-eczema, ezinye zingabhekana nezilonda zesikhumba ezingamahlalakhona, kanti ezinye zingalapha i-eczema, ngisho nokuba yinkimbinkimbi ukutheleleka ngegciwane. Ngakho-ke, ngaphambi kokukhetha ithuluzi elifanele kunazo zonke, kufanele uzijwayeze ngokwakhiwa kwazo, isenzo se-pharmacological kanye nangendlela yokusebenzisa. Ividiyo ekulesi sihloko izokutshela ukuthi wenzeni ngokulunywa kanye ne-eczema.
