Chii chinonzi Morphea? Zviratidzo, Zvinokonzera, & Kurapa

Morphea chirwere che ganda rinokonzera kuti zvikamu zve ganda rive gobvu, rakaoma, uye rakasviba ruvara. Iyo ndiyo fomu yakatarwa ye scleroderma inongokanganisa ganda ne tishu dziri pasi peganda, isingabatanidzi nhengo dzemukati senge fomu yakakomba ye systemic.

Ichi chirwere chinoitika kana muviri wako wakagadzira collagen yakawanda munzvimbo dzakati dze ganda rako. Funga nezve collagen se protein inopa ganda rako chimiro nesimba. Kana paine yakawanda kwazvo munzvimbo imwe chete, nzvimbo iyoyo inova yakasimba uye kazhinji inochinja ruvara, ichigadzira mavara anoratidza morphea.

Ndeapi zviratidzo zve morphea?

Chiratidzo chikuru che morphea kuoneka kwemavara rimwe kana anopfuura paganda rako anonzwa akasiyana nenzvimbo iri pedyo. Aya mavara anowanzo tanga sezvitsvuku kana zvipundu zvine ruvara rwepepuru zvinononoka zvichiita gobvu uye zvichijeka ruvara nekufamba kwenguva.

Heano zviratidzo zvakajairika zvaunogona kuona:

• Mapepa eganda gobvu, ane mafuta anonzwa akasimba kana akabata
• Nzvimbo dzakasviba ruvara dzinogona kuoneka chena, yero, kana ruvara rwe ivory pakati
• Pepa re ruvara rwepepuru kana tsvuku riri kumativi emavara ari kushanda, kunyanya pakutanga
• Mapepa anowanzoita oval kana akatenderera muchimiro
• Ganda rinonzwa rakasimba kana rakaganhurirwa munzvimbo dzakakanganiswa
• Kurasikirwa nevhudzi muzvikamu kana zvikaitika munzvimbo dzine bvudzi
• Kushomeka kwekuita kwemukaka munzvimbo yakakanganiswa ye ganda

Mapepa haawanzoititsa kurwadziwa kana kukwenya, kunyange vamwe vanoti vanonzwa kusagadzikana zvishoma. Kazhinji, morphea inoonekwa pamucheka, maoko, kana makumbo, asi inogona kuitika chero kupi kuburikidza nemuviri wako.

Ndeapi marudzi e morphea?

Morphea ine mafomu akasiyana-siyana, imwe neimwe ine muenzaniso wayo nemaitiro. Kunzwisisa rudzi rwaunaro kunobatsira chiremba wako kuronga nzira yakanakisa yekurapa.

Marudzi akajairika anosanganisira:

• Plaque morphea: Rudzi rwakajairika kwazvo, rine pepa rimwe kana maviri akatsanangurwa zvakanaka, ane chimiro che oval
• Generalized morphea: Mapepa mazhinji makuru anofukidza nzvimbo dzakakura dzemuviri
• Linear morphea: Inoonekwa serine kana bhandi, kazhinji pamaoko, makumbo, kana pahuma
• Deep morphea: Inokanganisa matunhu akadzika eganda uye dzimwe nguva tsandanyama kana mapfupa ari pasi
• Pansclerotic morphea: Fomu isingawanzoitika, yakakomba inokanganisa nzvimbo dzakakura uye tishu dzakadzika

Linear morphea inoda hanya yakakosha nekuti inogona dzimwe nguva kukanganisa kukura muvana kana ikaitika pamusoro pemapfundo kana nhengo. Deep morphea inogona kukonzera kuchinja kukuru mune ganda texture uye kufamba.

Chii chinokonzera morphea?

Chikonzero chaicho che morphea hachizivisike zvizere, asi vatsvakurudzi vanotenda kuti chinobva pane immune response yakawanda inokonzera kugadzirwa kwe collagen yakawanda. System yako yekudzivirira inonyanya kusanganiswa uye inotanga kurwisa ganda rako rakanaka.

Zvinhu zvakati zvinogona kuita kuti uve ne morphea:

• Zvinokonzera autoimmune apo system yako yekudzivirira inokanganisa tishu dzako pachako
• Kuvira, kunyanya mabhakitiriya kana hutachiona hwehutachiona hunogona kutanga chirwere ichi
• Kuhuvhunduka kwemuviri kana kukuvara paganda mune dzimwe nguva
• Kuonekwa ne radiation, kunyange izvi hazviwanzoitika
• Mishonga yakati, kunyanya mamwe marapirwo kana mishonga yekudzivirira ropa
• Zvinhu zve genetic zvinogona kuita kuti vamwe vanhu vave panjodzi yakakura

Zvakakosha kunzwisisa kuti morphea haina kuzara. Haugoni kuitora kubva kune mumwe munhu, uye haugoni kuparadzira kune vamwe vanhu. Chirwere ichi hachina kukonzerwa nechero chawakaita kana kusaita.

Rini unofanira kuona chiremba nekuda kwe morphea?

Unofanira kuronga kuona chiremba wako kana ukaona mavara asingawanzoitika kana kuchinja mune ganda rako. Kuongororwa nekukurumidza uye kurapwa kunogona kubatsira kudzivirira chirwere kubva pakufambira mberi uye kuderedza matambudziko anogona kuitika.

Tsvaga rubatsiro rwechiremba nekukurumidza kana ukaona:

• Mapepa matsva, akagwinya, kana akasviba ruvara paganda rako
• Mapepa aripo ari kukura kana kuchinja chitarisiko
• Ganda rakasimba rinoganhurira kufamba kwako kana kugona
• Mapepa akarurama pachiso chemwana, nhengo, kana pamusoro pemapfundo
• Mapepa mazhinji achionekwa munzvimbo dzakasiyana dzemuviri wako
• Chero kuchinja kwe ganda kunokunetsa kana kukanganisa mabasa ako ezuva nezuva

Usamirire kuona kana mapepa achaenda oga. Kunyange morphea inogona dzimwe nguva kuvandudza pasina kurapwa, kuwana rubatsiro rwechiremba kunokupa mukana wakanakisa wekutonga chirwere ichi zvinobudirira.

Ndeapi njodzi dze morphea?

Zvinhu zvakati zvinogona kuwedzera mukana wako wekuve ne morphea, kunyange kuva nenjodzi hazvirevi kuti uchava nechinetso ichocho. Kunzwisisa izvi zvinhu kunogona kukubatsira kuramba uchiri pakati pezviratidzo zvepakutanga.

Njodzi huru dzinosanganisira:

• Kuva mukadzi, sezvo vakadzi vanowana morphea katatu kupfuura varume
• Zera, nemakore maviri akakosha: ucheche (makore 2-14) uye makore ekukura (40s-50s)
• Kuva nemamwe autoimmune conditions senge rheumatoid arthritis kana thyroid disease
• Nhoroondo yemhuri ye autoimmune kana connective tissue disorders
• Kuvira kwenguva pfupi yapfuura, kunyanya zvirwere zvinofambiswa nemakonzo senge Lyme disease
• Kurapwa kwe radiation kwapfuura
• Zviratidzo zve genetic zvinogona kuwedzera njodzi

Kuva nenjodzi imwe kana kupfuura hazvirevi kuti uri kuenda kuve ne morphea. Vanhu vazhinji vane njodzi dzakawanda havazombovi nechinetso ichi, nepo vamwe vasina njodzi dzinooneka vanoita.

Ndeapi matambudziko anogona kuitika e morphea?

Kunyangwe zviitiko zvakawanda zve morphea zvichinorova uye hazvikonzeri matambudziko akakomba, mamwe mafomu anogona kutungamira kumatambudziko anokanganisa basa uye chitarisiko. Kuziva izvi zvinhu kunokubatsira kunzwisisa kuti nei kuchengetedzwa kwechiremba kuchikosha.

Matambudziko anogona kuitika anosanganisira:

• Mapfundo akasimba uye kuderedzwa kwekutambanudza kana mapepa akaitika pamusoro pemapfundo
• Matambudziko ekukura muvana, kunyanya ne linear morphea inokanganisa nhengo
• Kuchinja kwe ganda kwenguva refu kana kuchinja kwe texture
• Kushaya simba kwetsandanyama kana atrophy mune zviitiko zvakakomba zvinokanganisa tishu dzakadzika
• Kusaenzana kwechiso kana linear morphea ikakanganisa pahuma kana chiso
• Kusiyana kureba kwenhengo muvana vane linear morphea pamaoko kana makumbo
• Matambudziko emaziso kana morphea ikakanganisa nzvimbo iri pedyo nemaziso
• Kuita seizures kana mamwe matambudziko eneurological mune zviitiko zvisingawanzoitika zvekuita kwakadzika kwemusoro

Mashoko akanaka ndeakuti vanhu vazhinji vane morphea havaoni matambudziko akakomba. Kurapwa nekukurumidza uye kuchengetedzwa nguva dzose kunobatsira kudzivirira kana kuderedza izvi zvinhu kana zvikaitika.

Morphea inoziiwa sei?

Kuziva morphea kazhinji kunotanga nekuti chiremba wako achiongorora ganda rako uye achikubvunza nezvezviratidzo zvako nenhoroondo yako yekurapa. Muzviitiko zvakawanda, chitarisiko chakajairika chemavara chinopa mazano akasimba nezvekuongororwa.

Chiremba wako anogona kushandisa nzira dzakati kuti aone chokwadi chekuongororwa:

• Kuongororwa kwemuviri kwenzvimbo dzose dzakakanganiswa neganda riri pedyo
• Kuongororwa kwenhoroondo yekurapa, kusanganisira kuvira kwenguva pfupi yapfuura, mishonga, kana kukuvara
• Biopsy ye ganda, uko sampuli diki ye ganda rakanganiswa inotarwa pasi pe microscope
• Kuongororwa kweropa kuti uone autoimmune markers uye ubvise systemic scleroderma
• Kufotora kuti unyore chitarisiko uye uteedzere kuchinja kwenguva
• Thermography kana mamwe maitiro ekufananidzira mune dzimwe nguva kuti uone kuyerera kweropa

Biopsy ye ganda kazhinji ndiyo bvunzo yakajeka kwazvo. Inoratidza kuchinja kwakajairika mu collagen uye ganda chimiro chinosimbisa morphea. Kuongororwa kweropa kunobatsira kusiyanisa morphea yakatarwa kubva kune fomu yakakomba ye systemic scleroderma.

Kurapa kwe morphea ndekupi?

Kurapa kwe morphea kunotarisa pakumisa kufambira mberi kwechirwere chinoshingaira uye kuvandudza chitarisiko nemabasa eganda rakanganiswa. Nzira inoenderana nerudzi, nzvimbo, uye kukomba kwechirwere chako.

Sarudzo dzekurapa dzakajairika dzinosanganisira:

• Corticosteroids dzekunze kuderedza kuzvimba uye kudzikisira kufambira mberi kwechirwere
• Calcineurin inhibitors dzekunze senge tacrolimus sechinhu chinotsiva steroids
• Phototherapy (kurapwa kwe UV chiedza) kubatsira kunyorovesa ganda rakanganiswa
• Methotrexate kana mamwe mishonga inodzora immune system ye chirwere chakakura kana chakadzika
• Kurapa kwemuviri kuchengetedza kugona uye kudzivirira mapfundo akasimba
• Moisturizers uye kuchengetedza ganda zvinyoro kuchengetedza ganda rakapfava
• Hydroxychloroquine kune mamwe marudzi e morphea

Kune zviitiko zvakakomba, chiremba wako anogona kukurudzira kurapwa kwemukati senge oral corticosteroids kana mamwe mishonga inodzora immune system. Chinangwa ndechekubata chirwere ichi chichiri kushanda uye kudzivirira kukuvara kwenguva refu.

Maitiro ekutonga morphea pamba?

Kunyangwe kurapwa kwechiremba kuchikosha, kune zvinhu zvakati zvaunogona kuita pamba kuti ubatsire hutano hwako hwepasi uye hutano hwese. Aya maitiro ekutarisira pamba anoshanda zvakanaka pamwe chete ne kurapwa kwako kwakanyorwa.

Heano mazano anobatsira ekutarisira pamba:

• Shingairira moisturizers dzakapfava, dzisina kunhuhwirira nguva dzose kuchengetedza ganda rakapfava uye rakapfava
• Ita maekisesaizi ekunyorova zvinyoro kuchengetedza kufamba munzvimbo dzakakanganiswa
• Dzivirira ganda rako kubva pakuonekwa nezuva kwakanyanya, izvo zvinogona kuwedzera mamwe mavara
• Shingairira mvura inodziya yekugeza kudzivirira kukuvadza ganda rakaoma
• Ita maitiro ekudzora kushushikana, sezvo kushushikana kunogona kukanganisa autoimmune conditions
• Idya kudya kwakaringana kwakapfuma mune anti-inflammatory foods
• Ramba uchinwa mvura yakakwana kubatsira hutano hwese hwepasi
• Dzivisa masoseji akasimba kana zvigadzirwa zve ganda zvinogona kukuvadza nzvimbo dzakakanganiswa

Yeuka kuti kutarisira pamba kunotsigira asi hakusi kutsiva kurapwa kwechiremba. Gara uchitevera mazano echiremba wako uye urambe uchitora mishonga yakanyorwa kunyange kana uri kutarisira ganda rako zvakanaka pamba.

Unofanira kugadzirira sei kuona chiremba wako?

Kuve wakagadzirira zvakanaka kuona chiremba wako kunobatsira chiremba wako kupa rubatsiro rwakanakisa uye kuve nechokwadi chekuti unowana mhinduro kumibvunzo yako yese yakakosha. Kugadzirira kwakanaka kunokubatsirawo kunzwa wakavimbika uye uine simba.

Usati waona chiremba wako, funga kuita zvinotevera:

• Tora mifananidzo yemavara eganda rako kuratidza kuchinja kwenguva
• Nyora pasi paunotanga kuona mavara uye maitiro avo akachinja sei
• Rondedzera mishonga yese, zvinowedzerwa, uye zvirwere kana kukuvara kwapfuura
• Gadzira mibvunzo nezve sarudzo dzekurapa, prognosis, uye kugadzirisa mararamiro
• Uye nemunhu wemhuri kana shamwari kuti akubatsire uye akubatsire kuyeuka ruzivo
• Unganidza chero rekodhi dzekurapa dzapfuura dzine chekuita nematambudziko eganda
• Cherechedza nhoroondo yemhuri ye autoimmune kana ganda conditions

Usazengurire kubvunza chiremba wako nezve chero chinokunetsa. Mibvunzo nezve tarisiro yenguva refu, zvinokanganisa kurapwa, uye kutonga hupenyu hwezuva nezuva zvese zvakakosha uye zvakakodzera.

Chii chinonyanya kukosha nezve morphea?

Morphea chirwere che ganda chinogona kutongwa chinokanganisa kugadzirwa kwe collagen ye ganda, kugadzira mavara akagwinya, akasviba ruvara. Kunyange zvingave zvinotyisa kana uchizviona kekutanga, vanhu vazhinji vane morphea vanorarama hupenyu hunowanzoitika, hunoshanda ne kurapwa kwakakodzera nekutarisira.

Zvinhu zvinonyanya kukosha zvekuyeuka ndizvo kuti kuongororwa nekukurumidza uye kurapwa zvinopa mhinduro dzakanakisa, uye morphea kazhinji haikanganisi nhengo dzemukati senge hama yayo ye systemic, scleroderma. Nekurapwa kwakakodzera kwechiremba nekutonga kwakanaka kwako pachako, unogona kuderedza kukanganisa kwe morphea pahupenyu hwako hwezuva nezuva.

Ramba uine hukama nechikwata chako chehutano, tevera chirongwa chako chekurapa zvakasimba, uye usazengurire kusvika kana uine mibvunzo kana zvinokunetsa. Hausi wega mukugadzirisa chirwere ichi, uye rutsigiro rwakakosha runowanikwa.

Mibvunzo inowanzo bvunzwa nezve morphea

Morphea yakafanana here ne scleroderma?

Morphea ndiyo fomu yakatarwa ye scleroderma inongokanganisa ganda ne tishu dziri pasi peganda. Kusiyana ne systemic scleroderma, morphea haibatanidzi nhengo dzemukati senge moyo, mapapu, kana itsvo. Kunyange zvazvo zviri zvirwere zvine hukama, morphea ine prognosis iri nani uye kazhinji iri nyore kutonga.

Morphea ichapararira kune dzimwe nzvimbo dzemuviri wangu here?

Morphea inogona dzimwe nguva kuve nemavara matsva munzvimbo dzakasiyana, asi haina "kupararira" kubva kumavara aripo senge hutachiona. Vanhu vazhinji vanowana mavara mashoma chete anoramba akasimba kwenguva yakareba. Chiremba wako achakucherechedza chero nzvimbo itsva yekukanganiswa panguva yekuchengetedzwa nguva dzose.

Morphea inogona kuenda oga here?

Zvimwe zviitiko zve morphea zvinovandudza kana kutopera pasina kurapwa, kunyanya muvana. Zvisinei, mavara anogona kusiya kuchinja kwenguva refu mune ganda ruvara kana texture. Kurapwa kunogona kubatsira kudzivirira kufambira mberi uye kuvandudza chitarisiko chekupedzisira, saka kazhinji zvinokurudzirwa kunyange kune zviitiko zvinyoro.

Kurapa kwe morphea kunotora nguva yakareba sei?

Nguva yekurapa inosiyana zvichienderana nerudzi uye kukomba kwe morphea. Vamwe vanhu vanoona kuvandudzwa mukati memwedzi mishoma, nepo vamwe vangada kurapwa kwe gore rimwe kana kupfuura. Danho rekuzvimba rinowanzoitika kwemakore 2-5, mushure meizvozvo chirwere chinowanzoita chisina basa, kunyange kuchinja kwe ganda kungaramba kuripo.

Ndingaita maekisesaizi kana kuita mabasa angu ezuva nezuva ne morphea here?

Vanhu vazhinji vane morphea vanogona kuramba vachiita mabasa avo ezuva nezuva, kusanganisira maekisesaizi. Kutaura zvazviri, kunyorova zvinyoro uye kufamba kunobatsira kuchengetedza kufamba munzvimbo dzakakanganiswa. Kana morphea ikakanganisa mapfundo kana kuderedza kufamba, chiremba wako anogona kukurudzira maekisesaizi chaiwo kana kurapa kwemuviri kudzivirira kusimba uye kuchengetedza basa.