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.
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.
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.
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.
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. |
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.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.