Morphea

I-Morphea yisimo esingavamile sesikhumba esiqinisekisa amabala amancane abomvu noma aphethwe aqhubeka nokuthuthukisa izikhungo ezimhlophe noma ezimhlophe. Ikhumba elimele liba lukhuni futhi lingabi namandla.

I-Morphea (mor-FEE-uh) yisimo esingavamile esibangela amabala angenaphimbo, angenambala ekhulwini lakho.

Ngokuvamile, izinguquko zesikhumba zivele esiswini, esifubeni noma emuva. Kodwa-ke zingase futhi zivele ebusweni bakho, ezingalweni nasemiileni. Ngokuhamba kwesikhathi amabala angase abe lukhuni, ome futhi alula. I-Morphea ivame ukuphazamisa kuphela izigaxa zangaphandle zesikhumba sakho. Kodwa ezinye izinhlobo zesimo ziphinde ziphuze izicubu ezijulile futhi zinganciphisa ukunyakaza ezinhlangeni.

I-Morphea ngokuvamile iyakhuphuka yodwa ngokuhamba kwesikhathi, yize ukuphindaphinda kuvamile. Okwamanje, imithi nezinqubo ziyatholakala ukusiza ekwelapheni ukuguquka kombala wesikhumba nemiphumela eminye.

Izimpawu nezimpawu ze-morphea ziyahlukahluka kuye ngohlobo nangesigaba sesimo. Zifaka phakathi: Izicucu zesikhumba ezibomvu noma ezimnyama, ezivame ukuba esiswini, esifubeni noma emhlane Izicucu eziqala kancane kancane ukuba nokukhanya noma ukumhlophe phakathi Izicucu eziluhlaza, ikakhulukazi ezingalweni noma emilenzeni futhi mhlawumbe ebunzini noma ezingalweni Ukushintsha kancane kancane kwesikhumba esithintekayo, esiba lukhuni, oluqine, oluomile futhi olukhanya I-Morphea ithonya isikhumba nezinsimbi ezingezansi futhi ngezinye izikhathi ithambe. Isimo ngokuvamile lihlala iminyaka eminingana bese lilungile noma ngezinye izikhathi liyaphela ngokwalo. Lingashiya amabala noma izindawo zesikhumba esimnyama noma esingafani. Kungenzeka ukuthi i-morphea ibuye iphinde ibonakale. Bheka udokotela wakho uma ubona izicucu ezibomvu zesikhumba esiqinile noma esiqinile. Ukuxilongwa kwasekuqaleni nokuphathwa kungasiza ukunciphisa ukuthuthukiswa kwezicucu ezintsha futhi kuvumele udokotela wakho ukuthi aqaphe futhi aphathe izinkinga ngaphambi kokuba zibe zimbi.

Bona udokotela uma ubona amabala abomvu okuqina noma ukukhuluphala kwesikhumba. Ukuxilongwa kwasekuqaleni nokuphathwa kungasiza ekuthambiseni ukuthuthukiswa kwamabala amasha futhi kuvumele udokotela wakho ukuthi aqaphe futhi aphathe izinkinga ngaphambi kokuba zibe zimbi.

Imbangela ye-morphea ayaziwa. Ingase ibangelwe ukusebenza okungajwayelekile kohlangothi lwakho lokuvikela umzimba. Kubantu abasezingeni elikhulayo lokubhekana ne-morphea, kungenzeka ukuthi kubangelwe ukulimala endaweni eathintekayo, imithi, izinto eziyingozi ezikhiqizwayo, ukutheleleka noma ukwelashwa ngomgqomo. Isimo asiwuhlobo oluthakazelayo.

Izici ezithile zingathinta ingozi yakho yokuthuthukisa i-morphea, okuhlanganisa:

• Ukuba mhlophe futhi ungowesifazane. I-Morphea ivame kakhulu kubantu abamhlophe abangabesifazane.
• Ubudala. Lesi simo singathinta abantu kunoma yiliphi iminyaka. Ngokuvamile ivele phakathi kweminyaka engu-2 no-14 noma phakathi kwama-40.
• Umlando womndeni we-morphea. Lesi simo singadlulela emindenini. Abantu abane-morphea banesilinganiso esiphezulu sokuba nomlando womndeni we-morphea nezinye izifo zokuziphatha komzimba.

I-Morphea ingabangela izinkinga eziningi, okuhlanganisa:

• Izinkinga zokuqinisisa kwakho. I-Morphea ingathinta kabi ukuqinisisa kwakho nokuzibona komzimba wakho, ikakhulu uma kukhona amabala olukhuni olubonakalayo ezandleni, emilenzeni noma ebusweni.
• Izinkinga zokunyakaza. I-Morphea ethinta izandla noma imilenze ingalimaza ukuhamba kwamaqakala.
• Izindawo eziningi zesikhumba esiqinile, esinobukhulu. Amabala amaningi amasha esikhumba esiqinile, esinobukhulu angabonakala ehlangana ndawonye, isimo esaziwa ngokuthi yi-morphea ebanzi.
• Ukulahlekelwa yizinwele nama-sweat glands. Ngokuhamba kwesikhathi, ungalahlekelwa izinwele nama-sweat glands endaweni ethintekile.
• Ukonakala kwamehlo. Abantwana abane-morphea ekhanda nasezimbambaleni bangase babe nokonakala kwamehlo okungabonakali kodwa okuhlala njalo.

Udokotela wakho angase aqaphele i-morphea ngokuhlola isikhumba esithintekile futhi akubuze ngezimpawu zakho nezimpawu. Udokotela wakho angase athathe isibonelo esincane sesikhumba sakho (isampula yesikhumba) ukuze sihlolwe elabhoratri. Lokhu kungaveza izinguquko esikhumbeni sakho, njengokukhuluphala kwe-proteni (ikholajeni) ezingeni lesibili lesikhumba (i-dermis). Ikholajeni yenza izicubu zakho ezihlanganisa, kufaka phakathi isikhumba sakho. Ikusiza ukwenza isikhumba sakho sibe nokuqina nokuqina.Kubalulekile ukuhlukanisa i-morphea ne-scleroderma yesistimu nezinye izimo. Ngakho udokotela wakho angase akuthumele ukuthi wenze ivivi logazi noma akuqondise kudokotela ochwepheshe ezifo zesikhumba (i-dermatologist) noma izifo zamajoyinti, amathambo nemisipha (i-rheumatologist).Uma ingane yakho inenkinga ye-morphea ekhanda nasezimbambalwini, yiyise ukuze ihlale ihlolwa amehlo ngokuphelele, njengoba i-morphea ingabangela ukonakala kwamehlo okungabonakali kodwa okungapheli.Ungase wenze i-ultrasound kanye ne-magnetic resonance imaging ukuqapha intuthuko yesifo nokuphendula kwakho ekwelapheni.

I-Morphea ihlala isikhathi eside iminyaka eminingana bese iyaphela ngaphandle kokwelashwa. Ingase ishiye amabala noma izindawo ezimnyama noma ezinombala oluhlukile. Kufikela lapho isimo sakho siqeda khona, ungafuna ukulandela ukwelashwa okusiza ukulawula izimpawu zakho nezimpawu.

Izindlela zokwelapha zihluka kuye ngokwanda kwesimo sakho nokuthi likuthinta kanjani ukuphila kwakho. Zihlanganisa:

• Amakhilimu anemiphumela yezidakamizwa. Udokotela wakho angase akubeke ikhilimu le-vitamin D, njenge-calcipotriene, ukusiza ukukhulula amaqatha olukhuni. Ngokuvamile isikhumba siqala ukuthuthuka ezinyangeni zokuqala zokwelapha. Imiphumela emibi engenzeka ihlanganisa ukushisa, ukukhahlela nesikhumba.

Noma udokotela wakho angase akubeke ikhilimu le-corticosteroid ukuze unciphise ukuvuvukala. Uma lisetshenziswa isikhathi eside, la makhilimu angase afiphise isikhumba.

• Ukwelashwa ngokukhanya. Ngokukhulu noma okubanzi kwe-morphea, ukwelapha kungase kuhlanganise ukusetshenziswa kokukhanya okungabonakali (i-phototherapy).
• Ukwelashwa komzimba. Uma isimo sithinta izintambo zakho, ukwelashwa komzimba kungase kulondoloze ubukhulu bomzimba wakho.

Ngenxa yokuthi i-morphea ithonya ukubonakala kwakho, ingaba yisimo esinzima kakhulu ukuphila naso. Ungase futhi ukhathazeke ngokuthi lizoba sibi ngaphambi kokuba liphele. Uma ufuna ukwelulekwa noma ukwesekwa, cela udokotela wakho ukuba akuqondise obungcweti bezempilo yengqondo noma ulwazi mayelana namaqembu wokusekela endaweni yakini noma ku-inthanethi.