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Uyini umehluko phakathi kwesikhumba esibangelwa yi-lupus kanye nesikhumba esibangelwa yi-rosacea?

Ngu Soumili Pandey
Ibuyekezwe yi Dr. Surya Vardhan
Ishicilelwe ku 2/8/2025

I-Lupus ne-rosacea kuyizinkinga ezimbili ezahlukene zesikhumba ezivame ukudideka ngoba zinezimpawu ezifanayo. Lo mhlahlandlela ukhona ukuchaza ukuthi zihlukene kanjani nokuthi kungani kubalulekile ukuba nokuxilongwa okulungile.

I-Lupus yisifo eside sokuzimela komzimba esingabangela izimpawu eziningi, njengokuqhuma okukhethekile, ukukhathala, nobuhlungu bezingqondo. Ingathinta izitho eziningi, okwenza kube yisifo esiyinkimbinkimbi. Ngakolunye uhlangothi, i-rosacea iyinkinga evamile yesikhumba evame ukuvela njengobomvu, imithambo yegazi ebonakalayo, futhi ngezinye izikhathi ama-pimple afana neziqongo ebusweni.

Zoma zombili izimo zivame kakhulu, i-lupus ithinta abantu abacishe babe yizigidi ezingu-1.5 baseMelika kanti i-rosacea ithinta abantu abacishe babe yizigidi ezingu-16 e-U.S. Ukuqonda izimpawu zesimo ngasinye kuyisihluthulelo sokuphathwa okuphumelelayo nokuphathwa.

Ngokwesibonelo, ukuqhuma kwe-lupus kuvame ukubukeka njengendlebe yebhanana phezu kwama-cheeks nasesifubeni, kuyilapho i-rosacea ivame ukubonakala njengobomvu ezungezile ama-cheeks, isifuba, nempumulo. Ukwazi le mihlukano kungasiza abantu ukuthi bathole iseluleko sezokwelapha ngokushesha futhi bagweme ezinye izinkinga. Ngokuphelele, ukutshela i-lupus ne-rosacea ngokwahlukana kusiza ekwandiseni ukwaziswa futhi kuholele emiphumeleni yempilo engcono.

Ukuqonda Ukuqhuma kwe-Lupus

Ukuqhuma kwe-Lupus kuyindlela evamile yesikhumba ye-systemic lupus erythematosus (SLE), isimo sokuzimela komzimba lapho uhlelo lokuphepha lomzimba luhlasela izicubu eziphilile, kufaka phakathi isikhumba. Ukuqaphela izinhlobo nezici zokuqhuma kwe-lupus kubalulekile ekuphatheni okuphumelelayo.

  1. Izinhlobo zokuqhuma kwe-Lupus

  • Ukuqhuma kwe-Butterfly (Malar Rash): Ukuqhuma okubomvu noma opinki phezu kwama-cheeks nasesifubeni.

  • Discoid Rash: ama-patches aphakanyisiwe, ane-scaly angabangela ukwenzakala, ngokuvamile evela esikhumbeni, ebusweni, noma entanyeni.

  • Ukuqhuma kwe-Photosensitivity: Ukuqhuma okubangelwa ukukhanya kwelanga, kubonakala njenge-patches ebomvu ezindaweni ezidwetshwe ilanga njengezandla, isifuba, nebuso.

2. Izici

  • Ukukhanya kwelanga (Ukukhanya kwe-UV): Isiqalo esiyinhloko, ngokuvamile sibangela ukukhanya kwabantu abanovalo lolanga.

  • Ukuqina: Ukuqina kwengqondo noma komzimba kungenza izimpawu ze-lupus zibe zimbi, kufaka phakathi ukuqhuma kwesikhumba.

  • Imithi ethile: Imithi ethile ingabangela izimpawu ezifana ne-lupus, kufaka phakathi ukuqhuma.

3. Izimpawu

  • Isikumba esibomvu, esivuvukile esingaba nomkhuhlane noma ubuhlungu.

  • Ukukhanya kungafana nezinye izimpawu ze-lupus, njengobuningi bezingqondo noma ukukhathala.

4. Ukwelashwa nokuphathwa

  • Ama-Creams ase-Topical: Ama-cream ase-steroid noma angeyona ama-steroid anciphise ukuvuvukala.

  • Ukuvikela ilanga: Ukusebenzisa i-sunscreen nezingubo zokuvikela kunciphise i-photosensitivity.

  • Imithi: Ama-antimalarials afana ne-hydroxychloroquine asisiza ekuphatheni izimpawu zesikhumba nezesistimu.

Ukuqonda i-Rosacea

I-Rosacea yisimo sesikhumba esingapheli esithinta ikakhulu ubuso, okuholela ekubomvu, imithambo yegazi ebonakalayo, futhi, kwezinye izimo, ama-bumps afana ne-acne. Nakuba imbangela yayo eqondile ingacaci, i-rosacea ingathinta kakhulu ikhwalithi yempilo yomuntu uma ingaphathwa.

1. Izinhlobo ze-Rosacea

  • Erythematotelangiectatic Rosacea (ETR): ibonakala ngobomvu obuhlala njalo nemithambo yegazi ebonakalayo.

  • Papulopustular Rosacea: Ihlanganisa ububomvu ngama-bumps afana ne-acne noma ama-pustules.

  • Phymatous Rosacea: Lokhu kuholela ekukhuleni kwesikhumba, ngokuvamile esifubeni (rhinophyma).

  • Ocular Rosacea: ithinta amehlo, ibangela ububomvu, ukumomotheka, nokuvuvukala.

2. Izimpawu

  • Ubomvu ebusweni, ikakhulu kuma-cheeks, esifubeni, empumulweni, nase-chin.

  • Imithambo yegazi ebonakalayo (telangiectasia).

  • Ama-bumps afana ne-acne noma ama-pustules.

  • Ukuzwakala kokushisa noma ukukhahlela esikhumbeni.

  • Amehlo omomotheka noma avuvukile (ku-ocular rosacea).

3. Izici

  • Ushushu, ukukhanya kwelanga, noma isimo sezulu esibandayo.

  • Ukudla okunoshushu, utshwala, noma iziselo ezishisayo.

  • Ukuqina noma umsebenzi omkhulu womzimba.

  • Imikhiqizo ethile yokunakekelwa kwesikhumba noma imithi.

4. Ukwelashwa nokuphathwa

  • Ukuphathwa kwe-Topical: Ama-creams noma ama-gels omthetho ukuze kunciphise ububomvu nokuvuvukala.

  • Imithi yomlomo: ama-antibiotics noma i-isotretinoin ezimweni ezinzima.

  • Ukushintsha indlela yokuphila: Ukugwema izici ezaziwayo, ukusebenzisa imikhiqizo yokunakekelwa kwesikhumba ebushelelezi, nokugqoka i-sunscreen.

Ukuqhathanisa Ukuqhuma kwe-Lupus ne-Rosacea

Isici

Ukuqhuma kwe-Lupus

I-Rosacea

Imbangela

Isimo sokuzimela komzimba lapho uhlelo lokuphepha lomzimba luhlasela izicubu eziphilile.

Isimo sesikhumba esivuvukalayo esingapheli; imbangela eqondile ayicaci kodwa ingase ihlanganise izici ze-vascular nezesistimu yokuphepha lomzimba.

Ukubonakala

Ukuqhuma okubomvu, okufana nendlebe yebhanana phezu kwama-cheeks nasesifubeni; ama-patches e-discoid noma ane-scaly.

Ubomvu obuhlala njalo ebusweni, imithambo yegazi ebonakalayo, nama-bumps afana ne-acne.

Izici

Ukukhanya kwelanga (ukukhanya kwe-UV), ukuqina, nemithi ethile.

Ushushu, ukukhanya kwelanga, ubusika, ukudla okunoshushu, utshwala, ukuqina, nemikhiqizo yokunakekelwa kwesikhumba.

Izindawo ezithintekayo

Ikakhulu ama-cheeks nasesifubeni; kungase kuye esikhumbeni, entanyeni, noma esifubeni.

Ubuso (ama-cheeks, isifuba, impumulo, ne-chin); ngezinye izikhathi kuthinta amehlo (ocular rosacea).

Izimpawu

Isikumba esibomvu, esivuvukile, esinomkhuhlane, noma esinobuhlungu; kungafana nobuhlungu bezingqondo noma ukukhathala.

Ukuzwakala kokushisa noma ukukhahlela; ukumomotheka noma ukuvuvukala; ku-ocular rosacea, amehlo abomvu, omomotheka, navuvukile.

Ukuxilongwa

Izivivinyo zegazi (ANA), i-biopsy, nokulingwa kwezokwelapha.

Ukuxilongwa kwezokwelapha kusekelwe ekubonakaleni nasezici; awekho avivinyo athile elabhoratri.

Ukwelashwa

I-sunscreen, ama-cream ase-steroid, ama-antimalarials (isib. i-hydroxychloroquine).

Ukuphathwa kwe-Topical, ama-antibiotics omilomo, i-isotretinoin, nokuguqulwa kwesitayela sempilo.

I-Prognosis

Ingapheli, kodwa ilawuleka ngokunakekelwa okulungile nemithi.

Ingapheli; izimpawu zingalawulwa kodwa azipheli.

Isifinyeto

Ukuqhuma kwe-Lupus ne-rosacea kuyizimo zesikhumba ezahlukene ezabelana ngobubomvu ebusweni njengesisici esivamile kodwa zihlukile ezimbangelweni, ezicini, nasezimpawu. Ukuqhuma kwe-Lupus, isimo esihlangene nokuzimela komzimba, ngokuvamile kubonakala njengokuqhuma okubomvu okufana nendlebe yebhanana phezu kwama-cheeks nasesifubeni noma ama-patches e-discoid ane-scaly. Kubangelwa ukukhanya kwelanga, ukuqina, noma imithi ethile futhi kungase kuhambisane nezimpawu zesimiso njengokukhathala noma ubuhlungu bezingqondo.

I-Rosacea, isimo sesikhumba esivuvukalayo esingapheli, ibonakala ngobubomvu obuhlala njalo, imithambo yegazi ebonakalayo, nama-bumps afana ne-acne, ikakhulu ebusweni. Ngokuvamile kubangelwa ushushu, ukudla okunoshushu, utshwala, nokuqina. Ngokungafani ne-lupus, i-rosacea ingase ihlanganise nezimpawu zamehlo ku-ocular rosacea.

Ukuxilongwa nokuphathwa kuyahluka kuzo zombili izimo. Ukuqhuma kwe-Lupus kudinga izivivinyo zegazi nemithi efana nama-antimalarials, kuyilapho ukuphathwa kwe-rosacea kugxile ekwelapheni kwe-topical, imithi yomlomo, nokulungiswa kwesitayela sempilo. Zoma zombili izimo ziyazuza ekuvikelweni kwelanga nasekunakekelweni kwezokwelapha ukuze kulawulwe izimpawu ngokuphumelelayo. Ukuxilongwa okulungile nguchwepheshe wezokwelapha kubalulekile ekwelapheni okuqondiswe ngqo nasekuthuthukiseni ikhwalithi yempilo.

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