Izilonda zesikhumba ezibonakalayo zikhula kahle kuma-50% abantu abanesifo sikashukela, izinguquko ezisusiwe nezimpawu zingatholakala cishe kuzo zonke iziguli. Isifo sikashukela sikashukela sisho izilonda zesikhumba eziyinhloko ezadala isifo sikashukela. Imbangela yalokhu kuphazamiseka kuyafana nezinye izinkinga - ukweqisa koshukela egazini kanye nokuqongelelwa kwemikhiqizo ye-metabolic metabolism kwezicubu. Njengomphumela womthelela omubi ku-dermis, i-epidermis, follicles kanye nezindlala, ukwakheka kwazo nokushintsha kombala. Izifo zesikhumba kwisifo sikashukela azivame ukuthi zingabi yingozi uma zingaxutshaniswe nokutheleleka ngegciwane noma isikhunta.
Kuyini ukwelashwa kwesikhumba
I-dermopathy yesifo sikashukela ibukeka njengezikhumba zesikhumba esibi esivele sombala onsundu. Lesi sifo sithathwa njengokubonakaliswa kakhulu kwesikhumba sikashukela. Imvamisa, amabala avela ngokuqina ngaphambili emlenzeni ongezansi nengxenye yangaphandle yonyawo, kepha enye ingxenye yomzimba nayo ingathinteka.
Lapho kuvela amabala, mancane, acishe abe ngu-1 cm, ayindilinga noma ayindilinga, abomvu noma ansundu. Ukukhululeka nobuningi besikhumba kwesinye isikhathi akuguquki, kepha amaqhubu aphuma kancane ngaphezulu komhlaba angatholakala. Imvamisa, i-dermopathy yesifo sikashukela esigabeni sokuqala iba yiphutha ngokugcotshwa yilanga noma i-pigmentation ehlobene nobudala. Kancane kancane, inani lamabala landa, bangahlangana nomunye bese bemboza wonke umlenze ophansi. Isikhumba ezindaweni ezinkulu sinwebekile futhi somile, futhi singase silume noma silume. Ezimweni eziningi, i-dermopathy i-asymptomatic.
Isifo sikashukela nokucindezela kuzoba yinto yesikhathi esedlule
- Ukwehlela ushukela -95%
- Ukuqedwa kwe-vein thrombosis - 70%
- Ukuqedwa kokushaya kwenhliziyo okuqinile -90%
- Ukuqeda umfutho wegazi ophakeme - 92%
- Ukwanda kwamandla ngesikhathi sosuku, ngcono ukulala ebusuku -97%
Izici zesifo:
- Kwenzeka kuphela kushukela, ngakho i-dermopathy iyisibonakaliso esiqinisekile soshukela oluphezulu.
- Ibonakala kaningi emadodeni ane-mellitus yesikhathi eside yesifo sikashukela.
- Nge-polyneuropathy ehlangana ezindaweni ezithintekile, izinhlungu noma ukushiswa kungazwakala.
- Izikhala ziyanyamalala zizodwa ngemuva kweminyaka engu-2, ngenkathi ukubukeka okusha kungavunyelwe.
Ukuqinisekisa ukutholakala kwe-dermopathy, ukuhlolwa ngokomzimba kanye nedatha ku-glycemia yegazi lesiguli kwanele. Ukuxilongwa okuhlukile, ezimweni ezingabazekayo, isikhumba sithwetshiwe ngokuhlolwa okwengeziwe, ukuhlolwa ngesibani seWood.
Izimbangela zenkinga yesifo sikashukela
Kusetshenziswa izifundo zesikhumba kanye neze-microscopic zesikhumba, kwafakazelwa ukuthi isifo sikashukela siguqula kakhulu ukwakheka kwesikhumba, "sikuguga". Kuyo, inani lemicu ye-elastin iyancipha, izicubu ezixhunyayo zikhula, ukuhlanganiswa kwe-elastin kuyancipha, nokwakheka kwezinguquko ze-collagen. Ngokwakheka, isikhumba sesiguli sikashukela esineminyaka engama-40 sisondele esimweni sesikhumba somuntu oneminyaka engama-60 ngaphandle kwezinkinga ze-metabolism nama-hormone. Isifo sikashukela esibi kakhulu siyalawuleka, isikhumba sakho sibukeka kabi.
Izinkinga ezinkulu ukukhonkotha, ukoma, umuzwa wokuqina, ukulunywa, ukulahleka kwezinwele. Zonke ziwumphumela wokungondleki kahle kwesikhumba ngenxa ye-microangiopathy. Kwasungulwa ukuthi ezindaweni ezine-dermopathy yesifo sikashukela zonke izinkomba ze-angiopathy ziyabukwa: ama-capillaries ayabhujiswa, izindonga ze-arterioles nezama-venum ziyaqina.
Izizathu zalolu shintsho ngamazinga kashukela aphezulu. Uhola:
- ukwenza buthaka izindonga zemithambo yegazi ngenxa ye-glycation yamaprotheni kuzo;
- ekuqongeleleni kwezicubu zemikhiqizo ye-metabolism ehlanekezelwe - i-sorbitol ne-glycosaminoglycan. Zandisa ukulimala kwemithambo, zithinte kabi ukuphela kwezinzwa;
- ekukhuleni kwe-endothelium, ukungena kwamaseli afile ku-lumen yemikhumbi.
Ngakho-ke, imbangela yezindawo ezinemibala ukuthi ukunqanyulwa okuphelele kokuhlinzekelwa kwegazi endaweni yesikhumba. Kukholakala ukuthi ukulimala okuncane komhlaba nokuklabha kubangela ukucekelwa phansi kwamathambo.
I-dermopathy yimpawu ekhanyayo ekhombisa izinkinga ngemikhumbi. Ukuvela kwamabala kudinga ukuxilongwa okungahleliwe kwezinye izinkinga zesifo sikashukela. Ngesikhathi esifanayo i-dermopathy, i-retinopathy, i-nephropathy, i-arthropathy, i-neuropathy ikhula.
Uhlobo luni lwe-dermopathy olukhona
Izifo ezijwayelekile zesikhumba ku-mellitus yesifo sikashukela yi-dermopathy emlenzeni ophansi, i-rubeosis yesikhumba, ama-acrochordones kanye ne-hemorrhagic vasculitis. Okuncane okuvame kakhulu yi-lipoid necrobiosis, i-pemphigus, i-xanthomatosis.
| Izifo zesikhumba | Ukubukeka | Izimpawu | Isizathu |
| Isikhumba | Amabala esikhumbeni, ekuqaleni anombala obuthakathaka, kancane kancane abe mnyama. | Akunjalo, kuyaqabukela - kukhonkotha nokulunywa. | Ukucekelwa phansi kwemithambo yegazi enikezela isikhumba ngenxa yesinxephezelo sikashukela esibi. |
| I-Rubeosis | Ubomvu besikhumba, okokuqala ezinhlafunweni nasezinkomeni, kungumboza kancane kancane ubuso bonke. | Abekho. | Ukukhula kwama-capillaries njengokuphendula komonakalo wabo kwisifo sikashukela |
| Acrochordons | Ukuphuma kungaphezulu kobuso besikhumba, kuflatele noma emlenzeni. Imvamisa kakhulu i-beige, kepha onsundu nayo ingatholakala. | Uma zitholakala ezindaweni zezingxabano, zingalimala, zilimaze, zishise. | Ukuguga kwesikhumba kwangaphambi kwesikhathi. Ebudaleni ushintsho olujwayelekile esikhunjeni. |
| I-hemorrhagic vasculitis | Amabala abomvu amnyama, amabhulashi amancane anokuqukethwe kwamagazi kuyo yomibili imilenze noma amabhuzu. Ngemuva kwezinsuku ezimbalwa, amabala ayaqaqeka futhi kancane kancane anyamalale. | Azikho njalo. Ukulunywa, ukuvuvukala kwezinyawo noma izandla endaweni ethintekile kungazwakala. Ezimweni ezingavamile, izinhlungu emalungeni azwakala, izilonda ziyavela. | Ukuvuvukala kwemithambo yesikhumba ngenxa yokulimala kwabo futhi kunciphise ukungaziguli esigulini esinesifo sikashukela. Ngokuvamile kuhlotshaniswa nesifo sikashukela se-nephropathy. |
| I-Lipoid necrobiosis | Izikhala, ezibomvu ngokuzungeza uzungu nphuzi, ezinama-patr esikhumba ngaphakathi, zivame ukwenziwa endaweni emilenzeni. | Akukho kuze kube kulimala isikhumba. Ubuhlungu bubonakala lapho izilonda zenzeka ezindaweni ze-necrosis. | Shintsha kuma-carbohydrate kanye ne-lipid metabolism ngaphakathi kweseli, ukuhamba kwegazi okunganele ezindaweni ezithile. |
| I-Pemphigus (i-bullae) | Amabhuthi amakhulu agcwele uketshezi. Ngokuvamile kutholakala emaphethelweni aphansi. | Ubuhlungu ngemuva kokulimazeka esinyeni. | Akusungulwanga, lesi sifo sivame kakhulu ezigulini ezinesifo sikashukela esinzima kanye ne-neuropathy. |
| I-Xanthomatosis | Izindawo ezinamabala amfushane noma aphuma lapho anombala ophuzi, atholakala ezinkalweni noma emikhondweni yesikhumba. | Ukulunywa kungenzeka ngaphambi kokuvela kwe-xanthoma. | Ukukhishwa kwama-lipids esikhunjeni ngenxa yamazinga abo aphakeme egazini. |
I-dermopathy yesifo sikashukela ingalashwa kanjani?
Izindlela ezithile ezingalapha ngokuphelele i-dermopathy azikho. Ngakho-ke, imizamo yabodokotela ihlose ukufeza i-glycemia ejwayelekile, ukwelashwa kwe-angiopathy ne-neuropathy. Kwatholakala ukuthi ngokuthuthuka esimweni semikhumbi, izibonakaliso zokuncipha kwe-dermopathy, amabala amasha ayeka ukuvela, futhi ezindala ziqhakaza ngokushesha. Uma uqala ukwelashwa ezigabeni zokuqala, ungafinyelela ukubuyela emuva kwe-dermopathy kungakapheli izinyanga ezingama-2-3.
Izidakamizwa ezisetshenziselwa ukuguqula imetabolism
- Amavithamini e-B, ikakhulukazi i-B3 - i-nicotinic acid. Kuhlanganiswe imijovo noma amaphilisi we-Intramuscular (Neuromultivit, Milgamma compositum, Angiovit, Mega B tata);
- i-thioctic (lipoic) acid, ukuphathwa kwe-intravenous noma i-tablet ukulungiselela;
- ama-statin, ikakhulukazi i-rosuvastatin.
Ezinye izindlela zokwelashwa
Ukwelapha amanxeba, izitshalo ezinama-tannins amaningi zivame ukusetshenziswa: ama-decoctions of oak kanye nama-willow bark, utshani be-wort yase-St. John, itiye elinamandla. E-dermopathy yesifo sikashukela, la ma-ejenti angaholela ekonakaleni kwesikhumba ngenxa yokuwoma ngokweqile. Ngesizathu esifanayo, ama-tinctures otshwala nawo ayenqatshelwe. Indlela engcono yokusheshisa ukuvuselelwa kwezicubu nokukhula kwama-capillaries amasha yi-aloe, isisusa se-biogenic esiyingqayizivele.
Ungayiphatha kanjani i-dermopathy nge-aloe:
- Khetha isitshalo esinempilo, umuthi we-aloe ungcono, uma ungekho - i-aloe vera, ushiye ngaphandle kokunisela isonto lonke.
- Sika amaqabunga aphansi, uwagoqe ngephepha bese uthumela esiqandisini izinsuku eziyi-12.
- Geza ishidi eli-1, uligaye libe yi-gruel, lisebenza ngebhandeshi noma ngendwangu bese lisebenza endaweni yesikhumba nge-dermopathy imizuzu engama-20.
- Izinyanga zokuqala ama-compress zenziwa nsuku zonke. Ngokuqala kokuthuthuka, baphendukela kumakhompiyutha ama-2 ngeviki.
Ukuvimbela
Ukuqinisekiswa kokugwema ukwelashwa kwesikhumba, isiguli impilo yakhe yonke kumele ibheke ushukela wakhe: thola udokotela onekhono futhi uhambisane nazo zonke izincomo zakhe, dlala ezemidlalo, uhlolelwe isikhathi sezokwelashwa ngesikhathi. Ukwelashwa kwe-angiopathy ne-neuropathy kufanele kuqalwe ngokushesha lapho ukutholakala kokukhubazeka kokuqala kutholakala ngezindlela zehardware.
Okubaluleke ngokulinganayo ukunakekelwa kwesikhumba. Okokuhlanza sebenzisa ama-gels okugeza kuphela nge-pH engathathi hlangothi - imithetho yokunakekelwa kwesikhumba koshukela. Ngezimpawu zokuqala zokoma nokuxola, kusetshenziswa ama-moisturizer ane-urea, ezingcono ezigulini ezinesifo sikashukela. Izingubo kufanele zibe zemvelo ngangokunokwenzeka, izicathulo kufanele zibe ntofontofo futhi zithambile ngaphakathi.
Udinga ukubona udokotela ngokushesha ngemuva kokuthola i-dermopathy yesifo sikashukela. Ukwelashwa okusheshayo kuqalile, kuba ngcono ukwelashwa kwayo.
