Ngokuphikisana nesizinda sikashukela, amanye ama-pathologies amaningi akhula. Lesi yisifo esiyingozi umphumela wesikhathi eside (onganakwa) ushukela kwizicubu zomzimba neziguli kuholela ekuphulweni kwesakhiwo nemisebenzi yazo.
Enye yezinkinga ezivamile zesifo "esimnandi" yi-pathology yesikhumba.
Kungani umzimba ukhala ngesifo sikashukela?
Ososayensi nodokotela bayavuma ukuthi bonke abantu ngemuva kweminyaka engama-45 kufanele bahlolwe njalo isifo sikashukela, ikakhulukazi labo abanesifo sofuzo noma abakhuluphele ngokweqile, ngoba ama-90% abantu abanesifo sikashukela ekuqaleni kwalesi sifo bakhuluphele.
Uma lokhu kungenziwa, imiphumela ingaba engahlelekile ngendlela yokuthi "ngokuzumayo" ithuthukise ama-pathologies enzima ezinso, izitho zombono, amasistimu wezinzwa, inhliziyo, kanye nomonakalo esikhunjeni.
Okokuqala, isifo sikashukela siholela ekulahlekelweni kwezakhiwo zokuqala nemisebenzi yezitho zangaphandle zomzimba - isikhumba. Kancane kancane, ilahlekelwa yizimfanelo zayo zemvelo futhi ayisekho ukuvikela okugcwele ekuthonyweni kwethonya lemvelo yendawo kanye nezehlakalo zasemkhathini. Izendlalelo zesikhumba ziyayeka ukuthola inani elifanele legazi, futhi ngalo izakhi zomzimba, umoya-mpilo. Izinkinga eziyingozi ziyakhula kancane kancane.
“Ukugwinya” kokuqala kwezinkinga ezisetshenzayo isikhumba esidonsayo.
Ngenxa yokuthi isikhathi eside kukhona ushukela omningi egazini, athuthukise:
- I-Microangiopathy, okungukuthi, ukulimala kwemithambo emincane yezinso (nephropathy) kanye namehlo (retinopathy).
- I-Macroangiopathy, lokhu kufaka phakathi izifo zenhliziyo ezi-coronary, angina pectoris, infarction ye-myocardial, ukwehluleka kwenhliziyo.
Ngaphezu kwalokho, isikhumba sidingida kuzo zonke izinguquko ezilimazayo ezenzeka endaweni yangaphakathi yomzimba. Iyayeka ukuba nomswakama owanele, ama-microcracks, ukuvutha kuyabonakala ebusweni bayo. Konke lokhu kuthuthukisa ukubukeka kokulunywa, kwesinye isikhathi kunamandla ngokwanele, okuletha ukukhathazeka nokungakhululeki kwesiguli.
Izikhumba zesikhumba ezinalesi sifo
Uma ungaphenduli ngesikhathi kwizimpawu zokuqala zesifo sikashukela futhi ungaqali ukwelashwa, izinkinga ziyoqhubeka zikhula futhi ziba zimbi ngokwedlulele.
Isifo sikashukela sikashukela
Lesi yisifo esingajwayelekile, esibonakaliswa lukhuni (ukuqina) kwesikhumba ngenxa yokwenziwa ngokweqile kwe-collagen, elinye lamaprotheni asemqoka kwesikhumba, nokuqongelela kwalo ezicutshini zomzimba. Le nto ithinteka kakhulu ushintsho olubi ngenxa kashukela wegazi ophakeme. ICollagen iba ngaphansi kancane, iboshwe kabi kumamolekyuli amanzi, athinta isimo sesikhumba ngokushesha. Ilahlekelwa yimpahla yayo yasekuqaleni, iba yome hhayi okuxineka kangako.
Lesi sifo sivame ukubonakaliswa yilezi zakhiwo ezilandelayo:
- Isifo sikaRaynaud. Esikhathini sezulu esibandayo, lapho kunesimo esicindezelayo, imikhumbi emincane emaphethelweni incipha kakhulu, isikhumba esikubo sithola umbala omhlophe, nobuhlungu nokuqina.
- Ukudumba kwezandla neminwe.
- Ukucwila kwezindawo ezithile zesikhumba.
- Ukungezwani kwesikhumba ezandleni, ebusweni, ezungeze umlomo, kuthola umthunzi ogqamile.
I-vasoconstriction ekulesi sifo ingaba yimbi kakhulu ukuthi ukungenelwa kwegazi okwanele kwesinye isikhathi kubangela i-necrosis yezicubu, imvamisa emilenzeni yemikhawulo.
Ukuvezwa kwe-scleroderma esithombeni:
IVitiligo
Ngalolu hlobo lwesifo, ikhava lilahlekelwa i-pigmentation yayo yemvelo ngenxa yokubhujiswa kwe-melanin. Izindawo ezinamachashaza amhlophe qwa kanye nokucaciswa kwezimpawu zobucwebe ziyavela esikhunjeni (bheka isithombe). Izikhala zingaba mithathu- noma zibe nemibala emine, ziluhlaza okwesibhakabhaka. Lesi sifo sihlasela kakhulu abantu abanesifo sikashukela sohlobo lokuqala.
Ubulongwe, njengomthetho, buvela ezingxenyeni ezinjalo zomzimba:
- ubuso (bezungeze umlomo, ikhala);
- isisu
- isifuba
- izandla
Ukubhujiswa nokukhiqizwa okunganele kwe-melanin, i-pigment yesikhumba eqoqana emangqamuzaneni e-epidermis, kungadala ukungalingani kwe-hormonal, ukuphazamiseka komzimba, izinqubo ezonakalisayo ezithweni zangaphakathi, okuthi, njengomthetho, kuhambisane nokwakhiwa kwesifo sikashukela.
I-Acanthkeratoderma
Elinye igama lalesi sifo yi-acanthosis emnyama. I-Pathology ibonakala ngokubonakala komzimba emphethweni nasezinkingeni (izindunduma, intamo, ubuhlalu, izihlwathi) zezindawo ezinombala omnyama ogcwele. Zingaba ukuqina, ukulunywa, kuhambisane nephunga elingathandeki.
Njengomthetho, lesi sifo sivakashelwa ngabantu abahlushwa ukukhuluphala noma isifo sikashukela. Abaningi abake baba ne-acanthokeratoderma baba namandla e-insulin. Bahlakulela isifo sikashukela sohlobo 2.
I-acanthosis emnyama esithombeni:
Isifo sokuqina kwemithambo yegazi
Lesi sifo sithinta lonke uhlelo lokujikeleza komzimba. Kukhona ukuncishiswa kokukhanya kwemikhumbi ngenxa yokuqina nokuqina kwezindonga ngamapulangwe.
Kubandakanya nemithambo eyonakele eyenza umsebenzi wokuhlinzeka izicubu ngegazi nomoya-mpilo.
Ngenxa yalokhu, i-integument iba mncane, idilizwe, ibande. Inani elingenayo legazi ngeke lisakwazi ukubhekana nokwelashwa kwamanxeba nezilonda. Bahlala besesimweni esingalashwa, bayatheleleka, okuyinkimbinkimbi kakhulu inqubo.
Isifo sikashukela se-lipodystrophy
Lokhu kungenye yezinkinga eziyingozi kakhulu zesifo sikashukela. Kubonakala ngokunyamalala, ukwephulwa okuphelele kwezicubu ezinamafutha omzimba.
Isikhumba kulezi zindawo siyancipha, ubomvu obunemiphetho ecacile kuyaphawulwa kuso. Imvamisa, izimpawu zenzeka emlenzeni noma ezinyaweni ezingezansi.
Lesi yisifo esiyingozi, ngoba amafutha abamba iqhaza ezinqubweni eziningi ze-biochemical zomzimba. Ukwelapha kuthatha isikhathi esiningi namandla, ngoba ukulungisa isilinganiso sehomoni kushukela kunzima impela.
Enye yezinhlobo zalesi sifo i-insulin lipodystrophy. Ngesifo sikashukela, imijovo eminingi yenziwa, ngenxa yalokho, ulwelwesi kanye nezendlalelo ezingaphansi zilimele endaweni yomjovo. Ukugwema ukulimala kwezicubu, kunconyelwa ukuqondisa ukuguqulwa kwezindawo zemijovo.
Ungafaka izindlela ezimbili zokushintshana kwezindawo:
- nsuku zonke;
- maviki onke.
Kungcono ukusebenzisa inketho yokuqala, ukhetha isayithi lomjovo omusha nsuku zonke, bese kuthi ngemuva kwesikhashana wenze konke embuthanweni omusha. Kuvunyelwe ukwenza ngokohlelo oluhlukile: hlaba isonto elilodwa endaweni eyodwa, bese uluguqula lube olunye. Phakathi kwemijovo esiseduzane, ibanga okungenani lamasentimitha amabili kufanele libonwe.
Isifo Sikashukela Sikashukela
Kukhona ukwephulwa kokujikeleza kwegazi emithanjeni emincane ngenxa yokuphazamiseka kokuhleleka, okuholela ekubonakaleni kwamaphaphu emzimbeni, bese kuba namabala abomvu amnyama.
Izindawo ezivulekile zesikhumba ezi-oval (eziyindilinga) ziyavela emilenzeni. Isiguli singathola umuzwa ovuthayo, ukulunywa kulezi zindawo.
Kaningi, izilonda ezinjalo zesikhumba zenzeka kwabesilisa abanesifo sikashukela eside. Alikho ikhambi elinje. Idlula yodwa iminyaka engu-1-2.
Sclerodactyly
Kuhambisana nokwenziwa, ukuqina kwesikhumba sezandla nezinyawo, okuthatha ukubukeka okungekhona okwemvelo, kuqina, komile. Iziguli zithola ukunyakaza okulinganiselwe kwamajoyinti, ukudonsa kwesikhumba kanye nokukhishwa kwesikhumba.
Ekuqaleni kwalesi sifo, kuvela amabala abomvu bomvu ngesimo sama-ovari, imivimbo, kanye nokuvuvukala kwezicubu (bheka isithombe). Ngemuva kwalokho isikhumba kulezi zindawo siba denser, sithole umbala wophondo lwendlovu bese sikhanya.
Emaphethelweni ekwakhekeni, kubukelwa i-whisk ye-hue ensomi. Esigabeni sokugcina, isikhumba ezisezindaweni ze-foci yalesi sifo siqala ukufa, futhi amafomu e-pigmentation.
Ukwelashwa kwe-rash ngesifo sikashukela kubantu abadala kungahlala iminyaka emithathu, noma ngaphezulu.
I-Vaginal itch
Ukulunywa yisifo sikashukela kwesinye isikhathi kwenzeka ezindaweni ezithile kuphela, ngokwesibonelo, kwabesifazane endaweni eseduze. Esikhathini esisekupheleni kokukhula kwale nqubo, isifunda se-inguinal simbozwe ngamabhulukwe, angadlula kuphela uma kufinyeleleka izinga eliqinile le-glucose egazini.
Imvamisa, okulandelayo kubangela ukuvela kwezimpawu ezinjalo:
- Isisindo somzimba esibuthakathaka sibangela ukuvela kwezifo zokukhunta, amagciwane nezinye izifo.
- Ngenxa yokungalingani kwe-hormonal kanye nokuqukethwe ushukela ophezulu, ukulimala kwesakhiwo nokwenziwa kolwelwesi lwamafinyila kwenzeka (ukoma, ukulahleka okuyingxenye kokuqina, ama-microcracks kanye nolunye ubuthakathaka).
- Ukungezwani komzimba emithini ethile esetshenziselwa ukwelapha isifo sikashukela nemiphumela yako.
Ukulunywa kwe-Vaginal kuvame ukuvela ngesifo sohlobo 2, isikhathi eside kungaba ukuphela kwento ekhombisa ukukhula kwe-pathology eyingozi.
Ividiyo evela kuDkt Malysheva mayelana nokulunywa kwesitho sangasese sowesifazane:
Ungaqeda kanjani ukungakhululeki?
Iziguli ezinesifo sikashukela kufanele zikhumbule ukuthi ushukela emchamweni kanye nokuhlanzeka okunganele kubangela ukulunywa endaweni eseduze, futhi futhi kuyindawo evundile yokuthuthuka kwezifo ezahlukahlukene kule ndawo. Ngaphezu kokubheka ubumsulwa bomzimba, ukunakwa okukhethekile kufanele kukhokhwe ekukhetheni kwelineni. Kufanele kube mahhala, hhayi ukudala ukungaphatheki kahle ngenhlanganisela enekhwalithi engeyona (95-100% ukotini).
Kunconywa ukusebenzisa izimonyo ezingathathi hlangothi noma ezinomswakama ezingomisi isikhumba, kepha, kunalokho, zithambisa. Ukusetshenziswa kwezithibisi ezinomphumela we-antiseptic kufanele kube okuhlukile, kuphela ngentuthuko yokuvuvukala noma ukutheleleka.
Ngenxa yokungavikeleki okuphansi kwesifo sikashukela, i-candidiasis ivame ukuphikelela. Izimpawu zalo zokubonisa zinemizwa evuthayo engabekezeleleki esithweni sangasese sowesifazane, iphunga elithile, ukhipha, ukubomvu kwezimpawu zolwelwesi lwamafinyila, ukungaphatheki kahle kanye nokungajabuli.
Uma ama-papillomas avela esizalweni sangasese, lokhu kungenzeka kakhulu i-herpes. Kuzo zonke lezi zimo, kukhona ukwelashwa okufanelekile okubandakanya ukusetshenziswa kwamafutha ahlukahlukene ukulunywa kanye neminye imishanguzo. Kunganqunywa kuphela futhi kunqunywe ngudokotela, udokotela wezifo zamazinyo noma udokotela wezikhumba. Udinga ukuxhumana naye ukuze uthole usizo ngesikhathi esifanele.
Ngaphezu kokwenza ukwelashwa okubonakalayo, kuyadingeka ukukhumbula izici ukuthi kulokhu ziye zaholela esimweni esifanayo. Imbangela eyinhloko yokulunywa nokulinyazwa kwesikhumba (ulwelwesi lwama-mucous) kushukela kungukuqukethwe kwe-glucose engazinzile. Ukuthatha kuphela zonke izindlela ezidingekayo zokuxazulula le nkinga kungafeza umphumela wokulapha osimeme wokuqeda ukungaphatheki kahle kwesikhumba kanye ne-mucous.
Ukuvimbela imichilo
Abantu abanesifo sikashukela kudingeka babone udokotela ngesikhathi ukuze aqhamuke, avikele ukusakazeka kwawo emzimbeni wonke.
Ngaphandle kwalokho, ukungaphatheki okuhambisana kahle nazo zonke izifo zesikhumba kuzothinta kabi inhlala-kahle yomguli nokuzithemba kwakhe.
Ukuqashelwa okufanele komzimba nsuku zonke kufanele kunakekelwe. Kungcono ukusebenzisa insipho elula yomthamo. Ayigcini nje ukuhlanza isikhumba kahle, isisuse amagciwane, kodwa futhi isusa imfihlo yesikhumba bese iyasithambisa.
Ukugeza ngokuqhathanisa nokuzivocavoca kuzothuthukisa ukuhamba kwegazi, futhi ukusetshenziswa kokwenza amanzi okufudumeza nokondla kuzosiza ukugwema ukoma nokucasuka.
