Chii Chinonzi Pyoderma Gangrenosum? Zviratidzo, Zvinokonzera, & Kurapa

Pyoderma gangrenosum chirwere chisingawanzoitika che ganda rinokonzera maronda anorwadza, akadzika, kana mabundu paganda rako. Kunyange zvazvo zita rayo richiti, hachikonzerwi nehutachiona kana gangrene - chirwere chekuzvimba apo sisitimu yako yekudzivirira muviri inorwisa zvisizvo ganda rako rakanaka.

Chirwere ichi chinotapukira vanhu vangangosvika 1 pane 100,000 gore rega rega, uye kunyange zvazvo zvingatyisa kuona, kunzwisisa kuti chii chiri kuitika kunogona kukubatsira kunzwa uchikwanisa kudzora. Mashoko akanaka ndeawo ekurapa kwakakodzera, vanhu vazhinji vanogona kudzora zviratidzo zvavo zvakanyatsobudirira uye kuona kugadziriswa kukuru.

Chii Chinonzi Pyoderma Gangrenosum?

Pyoderma gangrenosum chirwere cheganda chinopisa chinobva muchikwata chezvirwere zvinonzi neutrophilic dermatoses. Sisitimu yako yekudzivirira muviri inoshanda zvakanyanya uye inotanga kurwisa masero eganda rako, ichigadzira maronda anorwadza anogona kukura nekukurumidza.

Chirwere ichi kazhinji chinotanga semibumbiro midiki, inorwadza, kana mapundu anokurumidza kuputsika kuva maronda akadzika, anorwadza. Aya maronda ane magumo asingawanzoitika, akadzika, anotaridzika sepepuru kana bhuruu kumativi. Pakati pemaronda kazhinji rinotaridzika serakashandiswa, tishu tsvuku.

Chii chinoita kuti chirwere ichi chive chinokanganisa ndechekuti chinogona kuoneka kamwe kamwe uye kukura nekukurumidza. Maronda haaperi senge maronda akajairika - zvechokwadi, chero kukuvara paganda, kusanganisira kuvhiya kana kunyange kurapa kwakasimba kwemaronda, kunogona kuita kuti zviwedzere nechirongwa chinonzi pathergy.

Ndeapi Zviratidzo zvePyoderma Gangrenosum?

Zviratidzo zvepyoderma gangrenosum zvinogona kusiyana zvichienderana nerudzi uye kukomba kwechirwere chako. Vanhu vazhinji vanotanga kuona mabundu maduku, anorwadza anokurumidza kukura kuva chimwe chinhu chinotyisa.

Aya ndiwo zviratidzo zvikuru zvaunogona kuona:

• Maronda eganda anorwadza - Kurwadziwa kazhinji kunorwadza uye kunopfuura zvaunogona kutarisira kubva pakukura kwemaronda
• Maronda anokura nekukurumidza - Mabundu maduku anogona kukura kusvika kumamita mashoma mukati memazuva kana mavhiki
• Magumo asingawanzoitika, akadzika emaronda - Magumo anotaridzika sepepuru, bhuruu, kana violaceous uye anowedzera pasi peganda rinotaridzika rakanaka
• Pakati pemaronda rakasviba, tsvuku - Pasi pemaronda rinotaridzika serine granular uye rinobuda ropa nyore nyore
• Kuzvimba kwepasi peganda - Nzvimbo iri pedyo nemaronda inogona kuva tsvuku, yakazvimba, uye inorwadza
• Maronda akawanda - Unogona kuwana maronda akawanda panguva imwe chete kana nekufamba kwenguva
• Pathergy - Maronda matsva anogona kuoneka panzvimbo dzekuvadzwa kwakapfava, kusanganisira nzvimbo dzekuiswa mishonga kana nzvimbo dzekuvhiya

Kurwadziwa kunobatanidzwa nepyoderma gangrenosum kazhinji ndicho chiratidzo chinonyanya kukanganisa. Vanhu vazhinji vanochitsanangura sekurwadziwa kwakasimba, kunorwadza, kana kunopfuta kunokanganisa zvikuru mabasa avo ezuva nezuva nehope.

Ndeapi Marudzi ePyoderma Gangrenosum?

Pyoderma gangrenosum inoratidzika mumaitiro akasiyana-siyana, imwe neimwe ine hunhu hwayo. Kunzwisisa rudzi rwaunaro kunobatsira chiremba wako kusarudza nzira yekurapa inonyanya kushanda.

Marudzi makuru anosanganisira:

• Ulcerative (Classic) Type - Rudzi runowanzoitika, rine maronda akadzika, anorwadza ane magumo asingawanzoitika, akadzika
• Pustular Type - Inoratidzika semaronda maduku akapoteredzwa nemapundu maduku, kazhinji anoonekwa nechirwere chekuzvimba chematumbo
• Bullous Type - Inoratidzika semaronda epasi anopeta kuti agadzire erosions maduku, kazhinji anobatanidzwa nezvirwere zve ropa
• Vegetative Type - Rudzi runyoro, rine maronda epasi ane pasi granular uye kurwadziwa kushoma

Chiremba wako achaongorora maronda ako zvakanyatsonaka kuti aone rudzi rwaunaro, sezvo izvi zvinokanganisa zvirwere zviri pasi zvekutsvaka uye nzira yekurapa ichakubatsira iwe.

Chii Chinokonzera Pyoderma Gangrenosum?

Chikonzero chaicho chepyoderma gangrenosum hachizivisike zvizere, asi chinofungidzirwa kuti chinobva pakuita kwesisitimu yekudzivirira muviri. Kudzivirira muviri wako kunoshanda zvakanyanya uye kunotanga kurwisa ganda rakanaka panzvimbo yekurinda.

Zvinhu zvakati wandei zvinogona kuita kuti chirwere ichi chibude:

• Zvirwere zvekuzvimba - Zvirwere senge rheumatoid arthritis, inflammatory bowel disease, kana zvimwe zvirwere zve ropa
• Zvinhu zvemagwenya - Vamwe vanhu vangave nemagwenya ekugadzira zvirwere zve ganda zve neutrophilic
• Kusashanda kwesisitimu yekudzivirira muviri - Matambudziko ekushanda kwemasero ako ekudzivirira muviri uye kutaurirana
• Zvinokonzera kuzvimba - Mishonga yakati, hutachiona, kana kukuvara kwemuviri kunogona kutanga chirwere ichi kune vanhu vanogona kutapukirwa

Muenzaniso, pyoderma gangrenosum inoita kunge idiopathic, zvinoreva kuti hapana chikonzero chinogona kuwanikwa. Izvi hazvirevi kuti chirwere ichi hachisi chokwadi kana kuti hachigone kurapwa - zvinoreva kuti sisitimu yako yekudzivirira muviri yakagadzira nzira iyi yekupindura pasina chikonzero chakajeka.

Rini Unofanira Kuona Chiremba nePyoderma Gangrenosum?

Unofanira kutsvaka rubatsiro rwechiremba nekukurumidza kana ukawana maronda eganda anorwadza asingaperi zvakajairwa kana achiita kunge ari kuipa kunyange nekuchengetedza kwemaronda kwakajairwa. Kuongororwa nekukurumidza uye kurapwa kunogona kudzivirira chirwere ichi kuti chirambe chichikura uye kukonzera kukuvara kukuru.

Taura nachiremba wako nekukurumidza kana ukaona:

• Maronda anokura nekukurumidza anorwadza - Kunyanya kana akakura zvakanyanya mukati memazuva
• Kurwadziwa kwakasimba - Kurwadziwa kunoratidzika kunge kwakanyanya kukura kwemaronda
• Maronda matsva akawanda - Kukura kwemaronda akawanda panguva imwe chete kana nekukurumidza
• Zviratidzo zvehutachiona - Fivha, kuwedzera kutsvuku, kupisa, kana pus (kunyange aya anogona kunge akaoma kusiyanisa kubva kuchirwere chacho pachacho)
• Maronda anoipa nekurapwa - Maronda anokura kana anorwadza zvakanyanya kunyange nekuchengetedza kwemaronda kwakakodzera

Usamirire kuona kana chirwere ichi chichapora pachacho. Pyoderma gangrenosum kazhinji inoda kurapwa kwakakosha kwechiremba uye haizopere nekuchengetedza kwemaronda kwakajairwa chete. Pakukurumidza watanga kurapwa kwakakodzera, mikana yako yekudzora chirwere ichi inowedzera.

Ndeapi Zvinhu Zvinowedzera Njodzi yePyoderma Gangrenosum?

Kunyangwe pyoderma gangrenosum ichigona kutapukira chero munhu, zvinhu zvakati wandei zvinogona kuwedzera mukana wako wekuwana chirwere ichi. Kunzwisisa aya njodzi kunogona kukubatsira iwe nechikurapa chako kuchengetedza zviratidzo zvepakutanga.

Zvinhu zvikuru zvinowedzera njodzi zvinosanganisira:

• Inflammatory bowel disease - Anenge 50% yevanhu vane pyoderma gangrenosum vane Crohn's disease kana ulcerative colitis
• Inflammatory arthritis - Zvirwere senge rheumatoid arthritis kana spondyloarthritis
• Zvirwere zve ropa - Leukemias dzakati, lymphomas, kana zvimwe zvirwere zve hematologic
• Zera - Kazhinji inowanikwa kune vakuru vane makore 20-50, kunyange zvazvo ichigona kuitika pazera ripi zvaro
• Gender - Inowanzoitika kune vakadzi kupfuura varume
• Kuvhiya kana kukuvara kwapfuura - Kunogona kutanga chirwere ichi kune vanhu vanogona kutapukirwa
• Mishonga yakati - Mishonga yakati inogona kuwedzera njodzi kune vanhu vanogona kutapukirwa

Kuve neimwe kana akawanda njodzi hazvirevi kuti iwe uchawana pyoderma gangrenosum. Vanhu vazhinji vane aya mamiriro haazombovi nematambudziko eganda, nepo vamwe vachiwana pyoderma gangrenosum pasina njodzi dzinozivikanwa.

Ndeapi Matambudziko Anogona Kuitika ePyoderma Gangrenosum?

Kunyangwe pyoderma gangrenosum ichigona kudzorwa zvakanyatsobudirira nekurapwa kwakakodzera, zvakakosha kunzwisisa matambudziko anogona kuitika, kunyanya kana chirwere ichi chisingarapwi nekukurumidza kana zvakakwana.

Matambudziko makuru aunogona kusangana nawo anosanganisira:

• Makanda asingaperi - Maronda akadzika kazhinji anosiya makanda makuru kunyange mushure mekupora
• Hutachiona hwemabhakitiriya - Maronda akavhurika anogona kutapukirwa nemabhukitiriya, zvichiita kuti kurapwa kuome
• Kurwadziwa kwenguva refu - Vamwe vanhu vanoramba vachirwadziwa kunyange mushure mekupora kwemaronda
• Kusashanda kwemuviri - Maronda makuru pamaoko, tsoka, kana majoini anogona kudzora kufamba uye mabasa ezuva nezuva
• Kukanganiswa kwepfungwa - Chimiro chinoonekwa uye kurwadziwa kwenguva refu kunogona kukanganisa hutano hwepfungwa uye hupenyu
• Pathergy - Maronda matsva anokura panzvimbo dzekuvadzwa kwakapfava kana nzira dzekurapa

Muenzaniso, vanhu vanogona kuwana matambudziko akakomba senge kurasikirwa kwetishu kukuru kunoda kuiswa ganda, kana, zvisingawanzoitika, kuzvimba kwemuviri kunotyisa. Aya matambudziko akakomba haawanzoitika kana chirwere ichi chaongororwa zvakakodzera uye kurapwa kwakatanga nekukurumidza.

Kiyi yekudzivirira matambudziko ndeyekushanda pedyo nechikwata chako chehutano kuti uwane chirongwa chekurapa chinonyanya kushanda uye kuitevera zvakasimba, kunyange kana uchifara.

Pyoderma Gangrenosum Inooongororwa Sei?

Kuongorora pyoderma gangrenosum kunogona kunge kuri kuoma nekuti hapana bvunzo imwe chete inosimbisa chirwere ichi. Chiremba wako achashandisa kusanganiswa kwekuongororwa kwemuviri, nhoroondo yemishonga, uye bvunzo kuti adzivise zvimwe zvirwere zvinogona kukonzera zviratidzo zvakafanana.

Maitiro ekuongorora kazhinji anosanganisira:

• Kuongororwa kwemuviri - Chiremba wako achaongorora zvakanyatsonaka maronda eganda rako, achitsvaka zviratidzo zvakafanana senge magumo akadzika uye kukura nekukurumidza
• Kuongororwa kwenhoroondo yemishonga - Kukurukura zviratidzo zvako, apo zvakatanga, uye chero mamiriro anobatanidzwa
• Biopsy yeganda - Sampuli diki yetishu inogona kutangwa kuti idzivise zvimwe zvirwere senge hutachiona kana kenza
• Bvunzo dzeropa - Kutarisa zvirwere zvekuzvimba kana zvirwere zve ropa
• Maronda ekukura - Kutsvaga chero hutachiona hwemabhakitiriya hunogona kuita kuti chirwere ichi chiwedzere kuipa
• Kuongororwa kwemuviri - Kazhinji kunodiwa kuongorora kukura kwetishu

Chiremba wako anogonawo kuyedza zvirwere zvinowanzoitika pamwe chete nepyoderma gangrenosum, senge inflammatory bowel disease kana rheumatoid arthritis. Nzira yakakwana iyi inobatsira kuve nechokwadi chekuti unowana kurapwa kwakakodzera.

Kuongororwa kazhinji kunoitirwa zvichienderana nekuratidzika kwemaronda, kukura kwavo nekukurumidza, uye kudzivirirwa kwezvimwe zvinokonzera. Ruvimbo rwechiremba wako nechirwere ichi chisingawanzoitika chinokosha pakuzivisa kwakanyatsojeka.

Kurapa kwePyoderma Gangrenosum Kudii?

Kurapa kwe pyoderma gangrenosum kunotarisa pakudzora kupindura kwesisitimu yekudzivirira muviri kunokonzera chirwere ichi nepo kuchikurudzira kupora kwemaronda. Nzira kazhinji inosanganisira mishonga yakawanda uye inoda kushivirira, sezvo kupora kunogona kutora mavhiki kusvika kumwedzi.

Chirongwa chako chekurapa chingasanganisira:

• Topical corticosteroids - Creams kana ointments ine steroids inoshandiswa zvakananga pamaronda
• Systemic corticosteroids - Steroids dzinomezwa kana dzinoiswa kuti dzidzikise kuzvimba mumuviri wako
• Mishonga inodzora sisitimu yekudzivirira muviri - Mishonga senge cyclosporine, methotrexate, kana mycophenolate kudzikamisa sisitimu yako yekudzivirira muviri
• Biologic therapies - Mishonga mitsva senge TNF inhibitors yezviitiko zvakakomba kana zvisingapindure kurapwa
• Topical calcineurin inhibitors - Mishonga senge tacrolimus inogona kushandiswa paganda
• Kuisa mishonga zvakananga mumaronda - Steroids kana mimwe mishonga inoisirwa zvakananga mumigumo yemaronda

Chiremba wako angangotanga nemushonga mumwe kana miviri uye achichinja kurapwa kwako zvichienderana nekupindura kwako. Vamwe vanhu vanoona kugadziriswa mukati memazuva, nepo vamwe vangada mavhiki akawanda kana kunyange mwedzi kuti vawane kupora.

Zvakakosha kuva nemoyo murefu nekurapwa uye kuchengetedza kutaurirana kwakanyatsojeka nechikwata chako chehutano. Vangada kuedza kusanganiswa kwemishonga yakasiyana kuti vaone izvo zvinokubatsira iwe.

Kurapa Kwakaita Sei Kumba Panguva yePyoderma Gangrenosum?

Kunyangwe kurapwa kwechiremba kuchikosha kune pyoderma gangrenosum, kune zvinhu zvakati wandei zvaunogona kuita kumba kuti ubatsire kupora uye kudzora zviratidzo zvako. Aya matanho anoshanda pamwe chete nemishonga yako yakanyorwa, kwete panzvimbo pavo.

Heino nzira yaunogona kuzvibatsira nayo kupora:

• Kuchengetedza kwemaronda kwakapfava - Chenesa maronda zvinyoro nyoro nemhindu yemunyu uye usasuka kana kuchenesa zvakasimba
• Dzivirira kukuvara - Shandisa zvipfeko zvinyoro uye usapfeka nguo dzakasimba dzinosvika pamaronda
• Kudzorera kurwadziwa - Tora mishonga yekurwadziwa yakanyorwa sezvakarayirwa uye shandisa mapaketi e ice kana zvakakurudzirwa
• Chikafu chakakodzera - Dya chikafu chakaenzana chine mapuroteni akakwana kuti ubatsire kupora kwemaronda
• Ramba uchinwa mvura yakawanda - Inwa mvura yakawanda kuti ubatsire muviri wako kupora uye kushandisa mishonga
• Dzivirira kukuvara - Iva nechokwadi chekudzivirira kucheka, kukwenya, kana kukuvara kwakati kunogona kutanga maronda matsva
• Kudzorera kushushikana - Ita nzira dzekudzikamisa, sezvo kushushikana kunogona kuita kuti zvirwere zvekuzvimba zviwedzere kuipa

Yeuka kuti maronda epyoderma gangrenosum haaperi senge kucheka kana kukwenya kwakajairwa. Dzivisa kuedza kubata kana kuchenesa maronda zvakasimba, sezvo izvi zvinogona kuita kuti zviwedzere kuipa kuburikidza nepathergy.

Chengeta misangano yako yese yemishonga uye tora mishonga sezvakanyorwa, kunyange kana uchifara. Kurega kurapwa nekukurumidza kunogona kukonzera kuti chirwere ichi chiwedzere kuipa.

Unofanira Kugadzirira Sei Kune Musangano Wako Wemishonga?

Kugadzirira musangano wako kunogona kubatsira kuve nechokwadi chekuti unowana kuongororwa kwakanyatsojeka uye chirongwa chekurapa chinonyanya kushanda. Sezvo pyoderma gangrenosum chisingawanzoitika, kupa ruzivo rwakakwana kunobatsira chiremba wako kuita sarudzo dzakanaka pamusoro pekuchengetwa kwako.

Usati wasvika kumusangano wako,unganidza ruzivo urwu:

• Nguva yekuratidzwa kwezviratidzo - Maronda akatanga kuoneka riini, akakura sei nekukurumidza, uye kurwadziwa kwacho kwakachinja sei
• Zvinyorwa zvemafoni - Tora mifananidzo yakajeka yemaronda ako kubva kumativi akasiyana kuti uratidze kukura
• Nhoroondo yemishonga - Rondedzera chero zvirwere zvekuzvimba, inflammatory bowel disease, arthritis, kana zvirwere zve ropa
• Ruzivo rwemishonga - Sanganisira mishonga yese yakanyorwa, mishonga inotengeswa pasina chinyorwa, uye zvinowedzerwa
• Kurapwa kwapfuura - Zvawaedza uye ganda rako rakapindura sei
• Nhoroondo yemhuri - Vamwe hama vane zvirwere zvekuzvimba kana zvekuzvimba
• Nzira dzapfuura - Chero kuvhiya, kuiswa mishonga, kana kukuvara pedyo nenharaunda dzakabatwa

Panguva yemusangano, usambotya kubvunza mibvunzo pamusoro pekuongororwa kwako, sarudzo dzekurapa, uye zvaunofanira kutarisira. Kunzwisisa chirwere chako kunokubatsira kuva mudiwa mukushanda kwako.

Kana uri kuona chiremba mutsva, funga kuuya nemumwe wemhuri kana shamwari anogona kukubatsira kuyeuka ruzivo rwakakosha rwakakurukurwa panguva yekushanya.

Chii Chinonyanya Kukosha NezvePyoderma Gangrenosum?

Pyoderma gangrenosum chirwere chinokanganisa asi chinorapika chinoda rubatsiro rwechiremba nekukurumidza uye kuchengetedzwa kwenguva refu. Kunyange zvazvo zvingaita sekutyisa kana watanga kuwana kuongororwa, vanhu vazhinji vanowana kudzora kwakanaka kwezviratidzo zvavo nekurapwa kwakakodzera.

Zvinhu zvinonyanya kukosha zvekuyeuka ndezvekuti chirwere ichi hachisi mhosva yako, hachisi chinhu chinobatwa, uye chinogona kudzorwa zvakanyatsobudirira nenzira yakakodzera. Kuongororwa nekukurumidza uye kurapwa kunokupa mukana wakanaka wekudzivirira matambudziko uye kuwana kupora.

Shanda pedyo nechikwata chako chehutano, uve nemoyo murefu nekuita kwakakodzera, uye usambotya kukumbira rubatsiro kana uchida. Nekuchengetwa kwakakodzera, vanhu vazhinji vane pyoderma gangrenosum vanogona kuchengetedza hupenyu hwakanaka uye kuona maronda avo achirapa zvakabudirira.

Yeuka kuti kupora kunotora nguva, uye rwendo rweumwe neumwe nechirwere ichi rwakasiyana. Tarisa pakutevera chirongwa chako chekurapa zvakasimba uye kufara nezvigadziriso zviduku munzira.

Mibvunzo InowanzoBvunzwa NezvePyoderma Gangrenosum

Mubvunzo 1. Pyoderma gangrenosum inobatwa here?

Kwete, pyoderma gangrenosum haibatiri. Kunyange zvazvo ine “pyoderma” muzita rayo, izvo zvinogona kuratidza hutachiona, chirwere ichi chakakonzerwa nekuita kwesisitimu yako yekudzivirira muviri kurwisa ganda rakanaka. Haugoni kuibata kubva kune mumwe munhu, uye haugoni kuparadzira kune vamwe kuburikidza nekubata.

Mubvunzo 2. Zvinotora nguva yakareba sei kuti pyoderma gangrenosum ipore?

Nguva yekupora inosiyana zvikuru kubva kune munhu kune mumwe uye inotsamira pazvinhu senge kukura uye kudzika kwemaronda ako, kuti kurapwa kwakatanga sei nekukurumidza, uye kuti unopindura sei mishonga. Vamwe vanhu vanoona kugadziriswa mukati memavhiki, nepo vamwe vangada mwedzi yakati wandei yekurapwa. Maronda maduku akabatwa nekukurumidza anogona kupora nekukurumidza kupfuura maronda makuru, akasimbiswa.

Mubvunzo 3. Pyoderma gangrenosum inogona kudzoka here mushure mekurapwa?

Hungu, pyoderma gangrenosum inogona kudzoka kunyange mushure mekurapwa kwakabudirira. Ndosaka vanachiremba vazhinji vanokurudzira kuramba vachishandisa kurapwa kunotsigira kunyange mushure mekupora kwemaronda zvizere. Huwandu hwekudzoka hunosiyana, asi kuramba uchitora mishonga yakanyorwa uye kudzivirira kukuvara paganda rako kunogona kubatsira kuderedza njodzi yekudzoka.

Mubvunzo 4. Ndingadzivisei kuita kuti pyoderma gangrenosum iwedzere kuipa?

Dzivisa kuchenesa kwemaronda kwakasimba, kubata maronda, kana chero kukuvara kwakati paganda rako. Usashandise antiseptics yakasimba kana kusuka maronda zvakasimba. Dzivisawo kuvhiya kana nzira dziri pedyo nenharaunda dzakabatwa kana zvichibvira, sezvo kukuvara kunogona kutanga maronda matsva kuburikidza nepathergy. Gara uchikurukura chero nzira dzekurapa dzakarongwa nachiremba wako kutanga.

Mubvunzo 5. Ndinoda kuona nyanzvi here ye pyoderma gangrenosum?

Hungu, vanhu vazhinji vane pyoderma gangrenosum vanobatsirwa nekuona dermatologist ane ruzivo nechirwere ichi chisingawanzoitika. Zvichienderana nechero mamiriro aunayo, ungadawo kuona rheumatologist, gastroenterologist, kana hematologist. Nzira yekubatana kazhinji inoshanda zvakanaka pakudzora mamiriro eganda uye chero matambudziko ehutano anobatanidzwa.