Uyini i-Dyshidrosis? Izimpawu, Izimbangela, Nokwelashwa

I-Dyshidrosis yisimo sesikhumba esibangela ukuba kube khona amabhabhu amancane agcwele amanzi ezandleni nasezinzweni zakho. La mabhabhu amancane avame ukuvela ezandleni, eminweni, nasezinzweni, enza amaqembu angase azizwe ekhuthaza futhi angakhululeki.

Ungase futhi uzwe lesi simo sibizwa ngokuthi i-dyshidrotic eczema noma i-pompholyx. Nakuba kuzwakala kukhathaza, i-dyshidrosis yisimo sesikhumba esilawuleka abantu abaningi abasibhekana naso. Amabhabhu avame ukuqina ngokwawo phakathi kwamasonto ambalwa, nakuba angabuya ngezikhathi ezithile.

Ziyini izimpawu ze-dyshidrosis?

Uphawu olucacile kakhulu lwe-dyshidrosis ukubonakala kwamabhabhu amancane, acacile esikhumbeni sakho. La mabhabhu avame ukulingana nobukhulu bekhanda le-pin futhi aneqiniso elibonakala licace noma liluhlaza okwesundu kancane.

Ngaphambi kokuba siqonde uhlu oluphelele lwezimpawu, kuwusizo ukwazi ukuthi i-dyshidrosis ibathinta ngokuhlukile bonke abantu. Abanye abantu baba nezimpawu ezincane, kanti abanye babhekene nokungakhululeki okukhulu.

• Amabhabhu amancane, ajulile ezandleni, eceleni kweminwe, noma ezinzweni zezinyawo
• Ukukhuthaza okukhulu noma ukuzwela ukushisa eduze kwamabhabhu
• Ikhumba elibomvu, elivuvukile elizungezile amabhabhu
• Ikhumba elizizwa liqinile noma elicindezelwe ezindaweni ezibuthintekayo
• Ikhumba eliqhekeka noma eliqhekeka njengoba amabhabhu elulama
• Ubuhlungu noma ubuhlungu uma uthinta indawo ebuthintekayo
• Ikhumba elikhulu, eliqhekeke ngemva kokubuyela kabusha

Ukukhuthaza kungase kube yinkinga kakhulu, ikakhulukazi ebusuku. Ungase uqaphele ukuthi ukukracula kunikeza impumuzo yesikhashana kodwa empeleni kungenza isimo sibe sibi ngokulimaza ikhumba lakho nakakhulu.

Ezimweni ezingavamile, ungase ube nezimpawu eziningi. Abanye abantu bathuthukisa amabhabhu asakazeka ngaphezu kwezindawo ezivamile, evela ngemuva kwezandla noma phezulu kwezinyawo. Akukuvamile, i-dyshidrosis ingathinta ezinye izingxenye zomzimba wakho, nakuba lokhu kungavamile.

Yini ebangela i-dyshidrosis?

Imbangela eqondile ye-dyshidrosis ayiqondakali ngokuphelele, kodwa abacwaningi bakholelwa ukuthi ihlobene nendlela i-immune system yakho esabela ngayo ezinhlobonhlobo zezici. Ikhumba lakho ngokuyisisekelo liphendula kakhulu ezintweni eziningi, okuholela ekwakhekeni kwalawo mabhabhu aqhelekile.

Ukuqonda ukuthi yini engase ikhuthaze i-dyshidrosis yakho kungakusiza ulawule isimo ngokuphumelelayo. Nazi izinto ezivame kakhulu ezingase zinikeze ukukhula kwesifo:

• Ukuqina kwengqondo kanye nokucindezeleka komzwelo
• Ukuvezwa ezintweni ezithile zethusi njengenikheli, i-cobalt, noma i-chromium
• Ukugeza izandla njalo noma izandla ezimanzi
• Ukuphefumula okuvamile, ikakhulukazi phakathi entwasahlobo nasehlobo
• Ukukhipha okukhulu kwezandla nezinyawo
• Ukubuthakathaka ezisobeni ezithile, izinto zokuhlanza, noma imikhiqizo yokuhlanza
• Ukutheleleka kwamagciwane, ikakhulukazi ubuhlungu be-athlete
• Ukushintsha kwamahomoni, ikakhulukazi kwabesifazane

Isimo sezulu singase futhi sidlale indima ekukhuthazeni i-dyshidrosis. Abantu abaningi baqaphela ukuthi izimpawu zabo ziyanda ezinyangeni ezishisayo, ezimanzi lapho izandla nezinyawo zabo zithambekele ekukhipeni okukhulu.

Ezinye izici ezingavamile zihlanganisa imithi ethile, ikakhulukazi ama-antibiotic noma amaphilisi okulawula ukubeletha. Ukuphefumula ukudla noma ukungaphili kahle kungase futhi kuhlanganyele, nakuba lobu buhlobo abulungiselelwe kahle.

Nini okufanele ubheke udokotela nge-dyshidrosis?

Kufanele ucabange ukuya kudokotela uma uqaphela amabhabhu amancane ezandleni noma ezinzweni zakho angathuthuki phakathi kwamasonto ambalwa. Nakuba i-dyshidrosis ivame ukuqina ngokwayo, ukuthola ukuxilongwa okuqondile kusiza uqinisekise ukuthi uqaphela isimo esifanele.

Kunezimo ezithile lapho ukunakekelwa kwezokwelapha kubaluleke kakhulu. Lezi zibonakaliso zikhomba ukuthi ungase udinga ukunakekelwa kwezobuchwepheshe ngokushesha kunokuba kamuva:

• Amabhabhu atheleleka, abonisa ubomvu obukhulu, ubushushu, noma i-pus
• Ubuhlungu buyaba bukhulu kangangokuthi buphazamisa imisebenzi yansuku zonke
• Izimpawu zisakazeka ngaphezu kwezandla nezinyawo zakho
• Uthuthukisa ubushushu kanye nezimpawu zakho zesikhumba
• Isimo siyakuthinta kakhulu umsebenzi wakho noma impilo yakho yansuku zonke
• Ukuphathwa ekhaya akukusizanga ngemva kwamasonto angu-2-3
• Uba nezimo ezivamile ezivamile

Unganqikazi ukufuna ukunakekelwa uma ungaqiniseki ngezimpawu zakho. Ngezinye izikhathi izimo ezifana ne-contact dermatitis, isifo se-hand-foot-and-mouth, noma ukutheleleka kwamagciwane kungase kubonakale kufana ne-dyshidrosis.

Ziyini izici ezingase zikhuthaze i-dyshidrosis?

Ezinye izici zingakwenza kube lula ukuba uthuthukise i-dyshidrosis, nakuba ukuba nalezi zici ezingase zikhuthaze akusho ukuthi uzothola isimo. Ukuqonda ingozi yakho siqu kungakusiza uthathe izinyathelo zokuvikela.

Ubudala nobulili kudlala indima ethakazelisayo engcupheni ye-dyshidrosis. Isimo sivame ukubathinta abantu abadala abaneminyaka engama-20 kuya kwengu-40, futhi abesifazane banamathuba amancane okuba bathuthukise kunabesilisa, mhlawumbe ngenxa yethonya lama-hormone.

• Ukuba nezinye izinhlobo ze-eczema, ikakhulukazi i-atopic dermatitis
• Umlando womndeni we-eczema noma izimo zokuphefumula
• Ukusebenza ngezandla njalo, ikakhulukazi ezimweni ezimanzi
• Ukuba nokuphefumula okuvamile noma i-hay fever
• Ukubhekana namanqanaba aphezulu okuqina njalo
• Ukuphila endaweni enamanzi
• Ukuba ne-hyperhidrosis (ukukhipha okukhulu)
• Ukuvezwa ezintweni zethusi ngomsebenzi noma imihlobiso

Abantu abasebenza emisebenzini ethile babhekene nezingozi eziphezulu. Abasebenzi bezempilo, abahlanzi, abenzi bezinwele, nabakhi bavame ukuthuthukisa i-dyshidrosis ngenxa yokuvezwa njalo ezintweni ezikhuthazayo namanzi.

Ezinye izici ezingavamile zihlanganisa ukuba nezimo ezithile ze-autoimmune noma ukuthatha imithi ethile. Ukubhema kungase futhi kukhulise ingozi yakho, nakuba lobu buhlobo abucaci kangako njengoba kunjalo kwezinye izici.

Ziyini izinhlanganisela ezingase zibe khona ze-dyshidrosis?

Abantu abaningi abane-dyshidrosis ababhekani nezinhlanganisela ezinzima, ikakhulukazi ngokunakekelwa okuqondile. Noma kunjalo, ukuqonda izinkinga ezingase zibe khona kukusiza wazi ukuthi yini okufanele uyibheke nokuthi nini okufanele ufuna usizo olwengeziwe.

Inhlanganisela evamile kakhulu ukutheleleka kwamagciwane okwesibili, okuyasebenza uma ukrabzula amabhabhu futhi ufake amabhaktheriya esikhumbeni esiqhekekile. Nazi izinhlanganisela okufanele uzazi:

• Ukutheleleka kwamagciwane esikhumba ngokukrabzula noma ukukhetha amabhabhu
• Ukulimala okungapheli noma ukushintsha kombala wesikhumba
• Ukukhuluphala okungapheli kwekhumba (i-lichenification)
• Amaqhekeza noma ama-fissures ebuhlungu esikhumbeni
• Ukungasebenzi kahle kwezandla okuthinta imisebenzi yansuku zonke
• Ukuphazamiseka kokulala ngenxa yokukhuthaza okukhulu
• Uthonyo lomzwelo oluvela esimweni sesikhumba esingapheli

Izingxenye zomzwelo kanye nomphakathi akufanele zidedelwe. Abanye abantu bazizwa benesizungu ngokubonakala kwezandla zabo, okungase kuthinte ukuzethemba kwabo ezimweni zomphakathi noma zomsebenzi.

Akukuvamile, izimo ezinzima ze-dyshidrosis zingase ziholele ezinkingeni ezinzima zokusebenza. Uma isimo sithinta izandla zakho kakhulu, ungase ube nobunzima ngemisebenzi emincane yemoto njengokubhala noma ukubhala. Akukuvamile, abantu bathuthukisa ukushintsha okukhulu kwesikhumba okudinga ukwelashwa okukhulu.

I-dyshidrosis ingavikeleka kanjani?

Nakuba ungakwazi ukugwema i-dyshidrosis ngokuphelele, ungathatha izinyathelo zokunciphisa ingozi yakho yokukhula kwesifo. Ukuvimbela kugxile ekugwemeni izici ezaziwayo nokugcina ikhumba lakho liphilile futhi livikelekile.

Ukuvimbela kuyindlela yokubona nokulawula izici zakho siqu. Uma usuqonde ukuthi yini evame ukubangela izimpawu zakho, ungenza izinguquko ezithile endleleni yakho yansuku zonke:

• Gqoka izihlangu zekhotini ngaphansi kwezihlangu ze-rubber uma uhlanza noma wenza umsebenzi omanzi
• Sebenzisa izisobho ezimnene, ezingenayo i-fragrance kanye ne-moisturizers
• Lawula ukucindezeleka ngezindlela zokupumula noma ukuzivocavoca njalo
• Gcina izandla nezinyawo zakho zomile, ikakhulukazi phakathi kweminwe nezinyawo
• Gwema imihlobiso enenikheli uma ubuthakathaka
• Sebenzisa i-humidifier phakathi kwezinkathi ezomile
• Faka i-moisturizer njalo, ikakhulukazi ngemva kokuhlanza izandla
• Phatha noma yikuphi ukutheleleka kwamagciwane ngokushesha

Ukudla kungase futhi kudlale indima kwabanye abantu. Uma ucindezela ukudla okuthile okukhuthaza izimpawu zakho, cabanga ukuqapha idayari yokudla ukuze ubone izibonelo.

Abanye abantu bathola ukuthi ukuthatha ama-probiotics noma izithasiselo ezithile kusiza, nakuba ubufakazi bufinyelele. Kuhlale kungcono ukuxoxa ngalezi zinto nodokotela wakho ngaphambi kokuqala noma yiziphi izithasiselo ezintsha.

I-dyshidrosis ixilongwa kanjani?

Ukuxilongwa kwe-dyshidrosis kuvame ukuhlanganisa ukuhlolwa ngamehlo kwesikhumba sakho kanye noxoxisano lwezimpawu zakho. Udokotela wakho uzobheka ukubonakala okuqhelekile nendawo yamabhabhu ukuze enze ukuxilongwa.

Ayikho i-test eyodwa ebonisa ngokuqinisekile i-dyshidrosis, ngakho udokotela wakho uzosebenzisa ukuqaphela okungokwelapho kanye nomlando wakho wezokwelapha. Bazofuna ukwazi ukuthi izimpawu zaqala nini, yini engase iziqalise, nokuthi uke waba nezimo ezifanayo ngaphambili.

Udokotela wakho angase enze izilingo eziningi ukuze akhiphe ezinye izimo noma athole izici:

• Ukuhlola i-patch ukuze ubone ukuphefumula okuthinta
• I-potassium hydroxide (KOH) test ukuze ukhiphe ukutheleleka kwamagciwane
• Ukukhiqizwa kwamabhaktheriya uma ukutheleleka kukhona
• Izivivinyo zegazi ukuze uhlole izimo ezingaphansi (akudingeki)
• I-skin biopsy ezimweni ezingacaci (akwenziwa)

I-patch test iwusizo kakhulu uma udokotela wakho ecindezela i-contact dermatitis. Izilinganiso ezincane ze-allergens ezivamile zifakwa esikhumbeni sakho ukuze ubone ukuthi zibangela ukusabela yini phakathi kwamahora angu-48-72.

Ngezinye izikhathi, udokotela wakho angase afune ukukhipha izimo ezinzima. Ezimweni ezingavamile lapho ukuxilongwa kungacaci, bangase bacabange ngezimo ezifana ne-scabies, i-psoriasis, noma ngisho nezifo ze-autoimmune blistering, nakuba lezi zivame ukuba nezici ezihlukile.

Yini ukwelashwa kwe-dyshidrosis?

Ukwelashwa kwe-dyshidrosis kugxile ekunciphiseni ukuvuvukala, ukulawula izimpawu, nokuvimbela ukukhula kwesifo esikhathini esizayo. Izindaba ezinhle ukuthi ukwelashwa okuningi okuphumelelayo kukhona, futhi abantu abaningi bathola impumuzo enkulu ngendlela efanele.

Uhlelo lwakho lokwelashwa luzoba ngokuvamile luqale ngemithi ye-topical, efakwa ngqo esikhumbeni esithintekayo. Lezi ngokuvamile yizona zokuqala zokwelashwa ngoba ziphumelela futhi zinezinhlungu ezincane kunokwelashwa kwe-systemic:

• I-topical corticosteroids ukunciphisa ukuvuvukala nokukhuthaza
• I-calcineurin inhibitors efana ne-tacrolimus noma i-pimecrolimus
• I-moisturizers kanye nama-barrier creams ukuvikela ikhumba
• Ama-compresses abandayo ukunciphisa ukukhuthaza nokuvuvukala
• Ama-antihistamines ukusiza ngokukhuthaza, ikakhulukazi ebusuku

Ngezinye izimo eziqhubekayo noma ezinzima, udokotela wakho angase akhuthaze ukwelashwa okwengeziwe. Lezi zinketho ngokuvamile zicatshangelwa lapho ukwelashwa kwe-topical kungabi nakho ukunikeza impumuzo eyanele.

I-phototherapy, ehlanganisa ukuvezwa okulawulwayo ekukhanyeni kwe-ultraviolet, kungaba yiphumelelo kakhulu kubantu abanezimpawu ezivamile. Lokhu ukwelashwa ngokuvamile kwenziwa ehhovisi lika-dermatologist izikhathi eziningi ngesonto.

Ezimweni ezingavamile lapho ezinye izindlela zokwelapha zingasebenzi, udokotela wakho angase acatshange imithi ye-systemic. Lezi zihlanganisa i-oral corticosteroids yokusetshenziswa okufushane, imithi yokucindezela i-immune system, noma ngisho nemithi eyenziwe ngezindlela ezinzima ezimweni ezinzima.

Indlela yokuphatha i-dyshidrosis ekhaya?

Ukuphathwa ekhaya kudlala indima ebalulekile ekulawuleni izimpawu ze-dyshidrosis nokuvimbela ukukhula kwesifo. Abantu abaningi bathola ukuthi izindlela zokunakekela siqu eziqhubekayo ziyabaluleka njengokwelashwa kwezokwelapha.

Isisekelo sokukhathalela ekhaya sihlanganisa ukunakekelwa kokhumba okumnene nokugwema izinto ezikhuthazayo. Indlela yakho yansuku zonke ingenza umehluko omkhulu ekutheni uvame kangakanani ukubhekana nezimpawu nokuthi zibe nzima kangakanani:

• Faka ama-compresses abandayo, amanzi imizuzu engama-15-20 izikhathi eziningi ngosuku
• Sebenzisa i-moisturizers engenayo i-fragrance, e-hypoallergenic izikhathi eziningi ngosuku
• Nciphisa izandla noma izinzwane emanzini abandayo ane-colloidal oatmeal
• Gcina iinzipho zakho zifushane ukuvimbela ukulimaza ngokukrabzula
• Gqoka i-socks zekhotini eziphefumula futhi uzishintshe njalo
• Sebenzisa abahlanzi abamnene, abangenayo isobho ukuze uhlanze
• Faka i-moisturizer ngenkathi ikhumba lisalimanzi ngemva kokuhlanza
• Zama izindlela zokunciphisa ukucindezeleka ezifana nokuphefumula okujulile noma ukucamngca

Ukulawula ukushisa kungase futhi kusize ekulawuleni izimpawu. Abantu abaningi bathola impumuzo ngokugwema izimo zokushisa okukhulu nokugcina izandla nezinyawo zabo zishisayo usuku lonke.

Abanye abantu bayazuza ezindleleni zokwelapha zemvelo, nakuba ubufakazi bufinyelele. I-aloe vera gel, ukunisela i-apple cider vinegar ehlanzekile, noma i-coconut oil kungase kunikeze impumuzo ethile, kodwa hlala uvivinya lezi zinto endaweni encane kuqala ukuze uqinisekise ukuthi azilimazi ikhumba lakho nakakhulu.

Kufanele ulungiselele kanjani i-appointment yakho yodokotela?

Ukulungiselela i-appointment yakho kungasiza uqinisekise ukuthi uthola ukunakekelwa okuphumelelayo kwe-dyshidrosis yakho. Udokotela wakho uzodinga ulwazi oluqondile ngezimpawu zakho nomlando wakho wezokwelapha ukuze enze ukuxilongwa okuqondile kanye nehlolo lokwelashwa.

Ngaphambi kokuvakasha kwakho, thatha isikhathi sokucabanga ngezimpawu zakho nokuthi yini engase iziqalise. Lolu lwazi luzoba yilutho oluwusizo kudoctor wakho:

• Bhala phansi ukuthi izimpawu zakho zaqala nini nokuthi zishintshile kanjani
• Bhala uhlu lwemikhiqizo oyisebenzisayo ezandleni nasezinzweni zakho njalo
• Qaphela ukuthi yini eyenza izimpawu zibe ngcono noma zibe zimbi
• Letha uhlu lwemithi yonke kanye nezithasiselo ozithathayo
• Bhala phansi noma yikuphi ukushintsha kwakamuva endleleni yakho, amanqanaba okuqina, noma isimo sezulu
• Lungiselela imibuzo mayelana nezinketho zokwelashwa kanye nezindlela zokuvikela
• Cabanga ukuletha izithombe zezimpawu zakho ezizindaweni ezahlukene

Unganqikazi ukubuza imibuzo ngesikhathi se-appointment yakho. Ukuqonda isimo sakho kukusiza ukuba ulawule ngokuphumelelayo ekhaya.

Uma uke wazama ukwelashwa ekhaya, qiniseka ukuthi ukhuluma ngalokho okusebenzise nokuthi kusize yini. Lolu lwazi luqondisa udokotela wakho ekuqondiseni izinyathelo ezilandelayo ezifanele kakhulu isimo sakho esithile.

Iyini into ebalulekile mayelana ne-dyshidrosis?

I-Dyshidrosis yisimo sesikhumba esilawuleka esingakhululeki, kodwa siphendula kahle ekwelapheni nasekunakekelweni okuqondile. Amabhabhu amancane ezandleni nasezinzweni zakho angase azizwe ekhuthaza ekuqaleni, kodwa ukuqonda isimo kukwenza ukwazi ukulawula izimpawu zakho.

Abantu abaningi abane-dyshidrosis bangafinyelela ekulawuleni okuhle kwezimpawu ngokudideka kokwelashwa kwezokwelapha kanye nokuhlengahlengisa indlela yokuphila. Okubalulekile ukusebenzisana nodokotela wakho ukuze ubone izici zakho futhi uthuthukise uhlelo lokulawula oluqondene nawe.

Khumbula ukuthi i-dyshidrosis yisimo esingapheli kwabantu abaningi, okusho ukuthi ingase ize iye ngokuhamba kwesikhathi. Lokhu akusho ukuthi uzohlala unezimpawu ezinzima, kodwa ukulungela ukukhula kwesifo ngezikhathi ezithile kukusiza ukuba ulawule ngokuphumelelayo lapho kwenzeka.

Ngokunakekelwa okuqondile, abantu abaningi abane-dyshidrosis bangagcina ukusebenza okuvamile kwezandla nezinyawo ngenkathi benciphisa ukungakhululeki. Hlala unesineke ngenqubo, njengoba ukuthola indlela efanele yokwelapha ngezinye izikhathi kuthatha isikhathi.

Imibuzo evamile ebuzwa mayelana ne-dyshidrosis

Ingabe i-dyshidrosis iyadluliseka?

Cha, i-dyshidrosis ayidluliseki nhlobo. Awukwazi ukuyithola komunye umuntu noma uyisakaze kwabanye abantu ngokuthinta noma ukuxhumana. Isimo sibangelwa impendulo ye-immune system yakho ezinhlobonhlobo zezici, hhayi amabhaktheriya, ama-virus, noma ezinye izinto ezithintayo.

Isikhathi eside kangakanani ukukhula kwesifo se-dyshidrosis kuvame ukuphela?

Ukukhula kwesifo okuningi kwe-dyshidrosis kuphela phakathi kwamasonto angu-2-3 uma kungaphathwa. Ngokwelashwa okuqondile, izimpawu zivame ukuthuthuka phakathi kwezinsuku ezimbalwa kuya kwesonto. Noma kunjalo, inqubo yokululama ingathatha isikhathi eside, futhi abanye abantu bazizwa ikhumba liqhekeka futhi liphulukana amasonto amaningana ngemva kokuphela kwesigaba esiphilayo sokubhabha.

Ingabe i-dyshidrosis ingabonakala kwezinye izingxenye zomzimba ngaphandle kwezandla nezinyawo?

I-Dyshidrosis cishe ithinta izandla nezinyawo kuphela, ikakhulukazi izandla, izinzipho, nezinzwane. Nakuba kungavamile, abanye abantu bangase bathuthukise amabhabhu afana naleyo kwezinye izindawo, kodwa lokhu ngokuvamile kuzokhomba isimo sesikhumba esihlukile kunesi-dyshidrosis yeqiniso.

Kufanele ngiqhamuke noma ngiphule amabhabhu e-dyshidrosis?

Kufanele ugweme ukuqhuma noma ukuphula amabhabhu e-dyshidrosis ngokwakho. Lokhu kungafaka amabhaktheriya futhi kuholele ekuthelelekeni, ukulimala, noma ukululama okungapheli. Uma amabhabhu amakhulu kakhulu noma ebuhlungu, udokotela wakho angawaphuca ngokuphepha usebenzisa izindlela ezihlanzekile uma kudingeka.

Ingabe ukushintsha ukudla kungasiza nge-dyshidrosis?

Abanye abantu bathola ukuthi ukugwema ukudla okuthile kusiza ekuthuthukiseni ukukhula kwabo, ikakhulukazi ukudla okune-nickel eningi njengochokolethi, amantongomane, nokudla okugayiwe. Noma kunjalo, izici zokudla ziyahluka kakhulu phakathi kwabantu. Uma ucindezela ukudla okuthile, cabanga ukuqapha idayari yokudla futhi uxoxe ngokudla okuqediwe nodokotela wakho kunokwenza izinguquko ezinkulu ngokwakho.