Granuloma Annulare

I-Granuloma annulare yisimo sesikhumba esibangela ukukhanya okuphakanyisiwe noma izicubu ngendlela yeringi, ngokuvamile ezandleni nasezinzwaneni.

IGranuloma annulare (gran-u-LOW-muh an-u-LAR-e) yisimo sesikhumba esibangela ukukhanya okuphakanyisiwe noma izicubu ngendlela yeringi. Uhlobo oluvamile kakhulu luthinta abantu abadala abasebancane, ngokuvamile ezandleni nasezinzwaneni.

Ukulimala okuncane kwesikhumba nezinye izidakamizwa kungase kubangele lesi simo. Akukhuthazi futhi ngokuvamile alibuhlungu, kodwa kungakwenza uzizwe uthukuthele. Futhi uma liba yisimo sesikhathi eside, lingabangela ukucindezeleka ngokomzwelo.

Ukuphathwa kungase kuqede isikhumba kancane kancane, kodwa izicubu ziyaqhubeka zibuyele. Uma lingaphathwa, lesi simo singaqhubeka kusukela emavikini ambalwa kuya emakhulwini eminyaka.

Izimpawu nezimpawu ze-granuloma annulare zingase zihluke, kuye ngohlobo: Okuqhelekile. Lolu uhlobo oluvamile kakhulu lwe-granuloma annulare. Imikhawulo yeqhubu iyindilinga noma i-semicircular, enobungqongqo obufinyelela ku-2 inches (amasentimitha angu-5). Iqhubu livela kakhulu ezandleni, ezinyaweni, ezinzwini nasezinqenqemeni zabantu abadala abasebancane. Okuhlanganisiwe. Lolu hlobo aluvamile futhi ngokuvamile luthinta abantu abadala. Lubangela izicubu ezakha iqhubu emzimbeni wonke, kufaka phakathi umzimba, izingalo nezinyawo. Iqhubu lingase libe nobuhlungu noma ukukhahlela. Ngaphansi kwesikhumba. Uhlobo oluvamise ukuthinta izingane ezincane lubizwa ngokuthi i-subcutaneous granuloma annulare. Lenza izicubu ezincane, eziqinile ngaphansi kwesikhumba, esikhundleni seqhubu. Izicubu zenziwa ezandleni, ezinqenqemeni nasekhanda. Shaya udokotela wakho uma uthola iqhubu noma izicubu ngendlela yeringi ezingapheli ezinsukwini ezimbalwa.

Shaya udokotela wakho uma uthola isihlungu noma izicubu ezinobukhulu obunjengendandatho ezingapheli amasonto ambalwa.

Akuqondakali ukuthi yini ebangela i-granuloma annulare. Ngezinye izikhathi kubangelwa yi:

• Ukukotshwa izilwane noma izinambuzane
• Ukutheleleka, njenge-hepatitis
• Izivivinyo zesikhumba se-tuberculin
• Ukugonywa
• Ukukhanya kwelanga
• Ukulimala okuncane kwesikhumba
• Imithi

IGranuloma annulare aliwuhlaseleli.

I-granuloma annulare lingahlobana nesifo sikashukela noma isifo se-thyroid, ikakhulukazi uma unezimpukutshana eziningi emzimbeni wonke. Ngezinye izikhathi, lingahlobana nomdlavuza, ikakhulukazi kubantu abadala abane-granuloma annulare ebuhlungu, engaphenduli ekwelapheni noma ebuyela emuva kokwelashwa komdlavuza.

Umhlinzeki wakho wezinsizakalo zempilo angase aqaphele i-granuloma annulare ngokubuka isikhumba esithintekile futhi athathe i-sampuli encane yesikhumba (i-biopsy) ukuyihlola ngaphansi komkhiqizo.

I-Granuloma annulare lingase liphele ngokwalo ngokuhamba kwesikhathi. Ukwelashwa kungasiza ekuqedeni isikhumba ngokushesha kunokungelaphi, kodwa le simo sivame ukubuyela. Izicubu ezibuyela ngemuva kokwelashwa zivame ukuvela ezindaweni ezifanayo, futhi i-80% yazo ngokuvamile iphela phakathi neminyaka emibili.

Uma kungenakwelashwa, le simo lingathatha amasonto ambalwa noma amashumi eminyaka.

Izindlela zokwelapha zihlanganisa:

• Amakhilimu noma amafutha e-Corticosteroid. Imikhiqizo yamandla yokuqaphela ingasiza ekuqedeni isikhumba ngokushesha. Umhlinzeki wakho wezinsizakalo zezempilo angakukhomba ukumboza ikhilimu ngamabhande noma iphetshi elinamandla, ukuze usizo lwaleli gciwane lisebenze kangcono.
• Ukujova kwe-Corticosteroid. Uma isikhumba singaqedi ngekhilimu noma ifutha le-medicated, umhlinzeki wakho wezinsizakalo zezempilo angakuncoma ukujova kwe-corticosteroid. Kungenzeka ukuthi kufuneka kube khona ukujova okuphindaphindayo njalo ngemva kwamasonto ayi-6 kuya kwangu-8 kuze kube yilapho le simo siphela.
• Ukubanda. Ukusebenzisa i-nitrogen elukhuni endaweni eathintekile kungasiza ekususeni izicubu.
• Ukwelashwa kokukhanya. Ukukhombisa isikhumba esithintekile ezinhlotsheni ezithile zokukhanya, kuhlanganise nama-laser, ngezinye izikhathi kuwusizo.
• Imithi yomlomo. Uma le simo sisakazekile, umhlinzeki wakho wezinsizakalo zezempilo angakuncoma imithi ethathwa ngomlomo, njenge-antibiotics noma i-antimalarials.

Lezi zindlela zokubhekana nazo zingasiza ekuqedeni ukucindezeleka kokuphila ne-granuloma annulare isikhathi eside:

• Xhumana njalo nabangane namalungu omndeni.
• Joyina iqembu lokusekela eliku-inthanethi elokhulile noma elihloniphekile.

Lezi zindlela zokubhekana nezinkinga zingasiza ekuqedeni ukucindezeleka kokuphila ne-granuloma annulare isikhathi eside: Xhumana njalo nabangane namalungu omndeni. Joyina iqembu lokusekela eliku-inthanethi elisesidlangalaleni noma elihloniphekile.